Ukutsalwa komongo wethambo - ukukhupha

Unotyando lomongo wethambo. Ukufakelwa komongo wethambo yinkqubo yokutshintsha umongo wethambo owonakeleyo okanye owonakalisiweyo ngeeseli zomongo wethambo.

Kuya kuthatha iinyanga ezi-6 okanye nangaphezulu ukubalwa kwegazi kunye nenkqubo yomzimba yokuzikhusela ukuba iphinde ibuye. Ngeli xesha, umngcipheko wosulelo, ukopha, kunye neengxaki zolusu ziphezulu.

Umzimba wakho usabuthathaka. Kungathatha ukuya kunyaka ukuziva ngathi wenzile ngaphambi kokufakelwa kwakho. Uya kudinwa ngokulula. Unokuba nomdla omncinci.

Ukuba ufumene umongo wethambo komnye umntu, unokuhlakulela iimpawu zesifo sokuthintela ukungqinelana (GVHD). Buza umboneleli wakho wezempilo ukuba akuxelele ukuba yeyiphi imiqondiso ye-GVHD ekufuneka uyijongile.

Wunakekele kakuhle umlomo wakho. Umlomo owomileyo okanye izilonda ezivela kumayeza ekufuneka uwathathe xa ufakelwa umongo wethambo kungakhokelela ekwandeni kweentsholongwane emlonyeni wakho. Ibhaktheriya inokubangela usulelo lomlomo, olunokusasazeka kwamanye amalungu omzimba wakho.

• Bhrasha amazinyo kunye neentsini izihlandlo ezi-2 ukuya kwezi-3 ngosuku kangangemizuzu emi-2 ukuya kwezi-3 sihlandlo ngasinye. Sebenzisa ibrashi yamazinyo eneebristles ezithambileyo.
• Vumela ibhrashi yakho yamazinyo yome phakathi kweebrashi.
• Sebenzisa intlama yamazinyo nge fluoride.
• Floss ngobunono kanye ngemini.

Hlamba umlomo wakho amaxesha amane ngemini ngesisombululo setyuwa kunye nesoda. .

Ugqirha wakho unokumisela umlomo ukuba uhlambe. MUSA ukusebenzisa imixube yomlomo enotywala kuyo.

Sebenzisa iimveliso zakho zokhathalelo lomlomo rhoqo ukugcina imilebe yakho ukuba ingomi kunye nokuqhekeka. Tshela ugqirha wakho ukuba ukhulisa izilonda zomlomo okanye iintlungu.

Kuphephe ukutya neziselo ezineswekile eninzi kuzo. Hlafuna iintsini ezingenashukela okanye uncancise iipopu ezingenashukela okanye iilekese ezilukhuni ezingenashukela.

Khathalela amazinyo akho emboleko, iibhrashi okanye ezinye iimveliso zamazinyo.

• Ukuba unxiba amazinyo emboleko, faka kuphela xa usitya. Yenza oku kwiiveki zokuqala ezi-3 ukuya kwezi-4 emva kokufakwa kwakho. Musa ukuzinxiba ngamanye amaxesha kwiiveki zokuqala ezi-3 ukuya kwezi-4.
• Gxobhoza amazinyo okufakela amaxesha ama-2 ngosuku. Yipule kakuhle.
• Ukubulala iintsholongwane, thambisa amazinyo akho emboleko kwisisombululo se-antibacterial xa ungazinxibanga.

Qaphela ukuba ungafumani usulelo ukuya kuthi ga kunyaka omnye okanye nangaphezulu emva kokufakelwa kwakho.

Ziqhelise ukutya nokusela okukhuselekileyo ngexesha lonyango lomhlaza.

• SUKUTHA ukutya okanye usele nantoni na enokupheka okanye eyonakeleyo.
• Qinisekisa ukuba amanzi akho akhuselekile.
• Yazi ukupheka nokugcina ukutya ngokukhuselekileyo.
• Lumka xa usitya ngaphandle. UNGAYITHI imifuno eluhlaza, inyama, intlanzi, okanye enye into ongaqinisekanga ngayo ukuba ikhuselekile.

Hlamba izandla zakho ngesepha namanzi rhoqo, kubandakanya:

• Emva kokuba ngaphandle
• Emva kokuchukumisa ulwelo lomzimba, olufana nencindi okanye igazi
• Emva kokutshintsha ilweyile
• Phambi kokuphatha ukutya
• Emva kokusebenzisa umnxeba
• Emva kokwenza umsebenzi wasekhaya
• Emva kokuya kwindlu yangasese

Gcina indlu yakho icocekile. Hlala kude nezihlwele. Buza iindwendwe ezinengqele ukuba zinxibe imaski, okanye zingatyeleli. MUSA ukwenza umsebenzi weyadi okanye ukuphatha iintyatyambo nezityalo.

Lumka izilwanyana zasekhaya kunye nezilwanyana.

• Ukuba unayo ikati, yigcine ngaphakathi.
• Yiba nomnye umntu otshintsha ibhokisi yenkunkuma yekati yakho yonke imihla.
• MUSA ukudlala ngqwabalala neekati. Imikrwelo kunye nokulunywa kungasuleleka.
• Hlala kude neenjana, iikati, kunye nezinye izilwanyana ezincinci.

Buza ugqirha wakho ukuba zeziphi izitofu zokugonya onokuzifuna kunye nexesha lokuzifumana.

Ezinye izinto onokuzenza ukuze uhlale usempilweni zibandakanya:

• Ukuba unomgca we-venous line okanye i-PICC (i-catheter) ifakwe ngaphakathi, yazi indlela yokuyinyamekela.
• Ukuba umboneleli wakho ukuxelela ukuba inani leplatelet liphantsi, funda indlela yokuthintela ukopha ngexesha lonyango lomhlaza.
• Hlala usebenza ngokuhamba. Yandisa kancinci ukuhamba kwakho ngokusekwe kumandla onawo.
• Yitya iiprotheyini ezaneleyo kunye neekhalori ukugcina ubunzima bakho bonyukile.
• Buza umboneleli wakho malunga nokutya okungamanzi okunokukunceda ufumane iikhalori ezaneleyo kunye nezondlo.
• Lumka xa uselangeni. Thwala umnqwazi onomphetho obanzi. Sebenzisa i-sunscreen nge-SPF 50 okanye ngaphezulu kulo naluphi na ulusu olutyhilekileyo.
• Musa ukutshaya.

Uya kudinga ukhathalelo olusondeleyo kugqirha kunye nomongikazi ubuncinci iinyanga ezintathu. Qiniseka ukuba uyigcina yonke imihla yakho.

Biza ugqirha wakho ukuba unayo nayiphi na le mpawu:

• Urhudo olungapheliyo okanye olunegazi.
• Isicaphucaphu, ukugabha, okanye ukuphelelwa ngumdla wokutya.
• Awunakutya okanye usele.
• Ubuthathaka obukhulu.
• Ubomvu, ukudumba, okanye ukukhupha nakweyiphi na indawo apho ufakwe khona umgca we-IV.
• Intlungu esiswini sakho.
• Umkhuhlane, ukubanda, okanye ukubila. Oku kunokuba yimiqondiso yosulelo.
• Ukutsha kwesikhumba okanye amadyunguza.
• IJaundice (ulusu lwakho okanye icandelo elimhlophe lamehlo akho libonakala limthubi).
• Intloko ebuhlungu kakhulu okanye intloko engapheliyo.
• Isikhohlela esiya sisiba mandundu.
• Ingxaki yokuphefumla xa uphumle okanye xa usenza imisebenzi elula.
• Ukutsha xa uchama.

Ukutsalwa - umongo wethambo - ukukhutshwa; Ukufakelwa kwe-cell stem - ukukhutshwa; Ukufakelwa kweseli ye-hematopoietic stem - ukukhupha; Ukunciphisa amandla; Ukufakelwa okungafunekiyo kwe-myeloablative - ukukhutshwa; Ukufakelwa okuncinci - ukukhutshwa; Ukufakelwa komongo wethambo u-Allogenic - ukukhutshwa; Ukufakelwa komongo wethambo u-Autologous - ukukhutshwa; Intambo yokufakelwa kwegazi le-umbilical - ukukhupha

IHeslop HE. Isishwankathelo kunye nokukhethwa komnikeli we-hematopoietic stem cell transplant. Ku: Hoffman R, Benz EJ, Silberstein LE, et al, ii-eds. I-Hematology: Imigaqo esisiseko kunye nokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahl. 103.

Ndingu-A, uPavletic SZ. Ukufakelwa kweseli ye-hematopoietic stem. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, ii-eds. I-Oncology yeklinikhi yase-Abeloff. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahluko 28.

Iwebhusayithi yeNethiwekhi yeCancer epheleleyo yoMhlaza. Izikhokelo ze-NCCN zoKwenziwa kweZonyango kwi-Oncology (Izikhokelo ze-NCCN) Ukufakwa kweseli kweHematopoietic (HCT): Uvavanyo lokuFunyanwa kwangaphambi kokuThatyathwa kunye noLawulo lweSifo esiNgqinelanayo. Inguqulelo 2.2020. www.nccn.org/professionals/physician_gls/pdf/hct.pdf. Ukuhlaziywa ngo-Matshi 23, 2020. Ifikeleleke ngo-Epreli 23, 2020.

• Ileukemia eyi-lymphoblastic leukemia (YONKE)
• Leukemia myeloid Acute - abadala
• I-aplastic anemia
• Ukutsalwa komongo wethambo
• I-lymphocytic leukemia engapheliyo (CLL)
• I-leukemia engapheliyo (i-CML)
• Isifo sokulwa kunye nokuchaphazeleka
• IHodgkin lymphoma
• I-myeloma eninzi
• I-non-Hodgkin lymphoma

• Ukopha ngexesha lonyango lomhlaza
• I-catheter esembindini yemithambo-yokunxiba utshintsho
• Central catheter venous - ukugungxula
• Urhudo-yintoni oza kuyibuza ugqirha-umntwana wakho
• Urhudo-yintoni oza kuyibuza umboneleli wakho wezempilo-umntu omdala
• Ukusela amanzi ngokukhuselekileyo ngexesha lonyango lomhlaza
• Umlomo owomileyo ngexesha lonyango lomhlaza
• Ukutya iikhalori ezongezelelweyo xa ugula - abantu abadala
• Ukutya iikhalori ezongezelelweyo xa ugula - abantwana
• I-Oral mucositis - ukuzikhathalela
• Ukufakwa ngokuthe gca kwe-catheter esembindini - ukugungxula
• Ukutya okukhuselekileyo ngexesha lonyango lomhlaza

• Ileukemia efanelekileyo yeLymphocytic
• Leukemia yamachiza amdaka
• Izifo zomongo wethambo
• Ukutshintshwa kweMarrow Marrow
• Leukemia yobuntwana
• Ileukemia enganyangekiyo yeLymphocytic
• Isifo segazi esingapheliyo seMyeloid
• Ileukemia
• KwiLymphoma
• Multiple Myeloma
• Iimpawu zeMyelodysplastic Syndromes