Nws yog ib qho ib txwm rau ib tus neeg uas tawm tsam mob qog noj ntshav kom ntshai me ntsis thaum tus kws kho mob hais tias, "Peb yuav ua qhov kev hloov pauv stem cell." Tab sis thaum lo lus "autologous" raug hais txog, nws txhais tau tias kev kho mob no tau ua tiav los ntawm kev siv koj cov hlwb. Qhov no yog ib txoj hauv kev zoo heev los muab lub zog rau koj lub cev los tawm tsam mob qog noj ntshav. Zoo, yog li cia peb tham txog qhov nyuaj npaum li cas, nws ua dab tsi tiag tiag, thiab cov txheej txheem no ua haujlwm li cas hauv ib txoj kev yooj yim heev, ib kauj ruam zuj zus.
Hauv lwm lo lus, kev hloov hlwb ntawm tus kheej yog dab tsi?
Xav txog qhov no. Koj lub khoos phis tawj puas tsuaj tag los ntawm tus kab mob. Tam sim no, txhawm rau tshem tawm tus kab mob no, koj yuav tsum 'format' lub khoos phis tawj tag nrho. Tab sis koj ua dab tsi ua ntej ntawd? Koj puas 'backup' koj cov ntaub ntawv tseem ceeb tshaj plaws rau qhov chaw sib cais?
Kev hloov pauv hlwb ntawm tus kheej kuj zoo ib yam.
Qhov uas tshwm sim ntawm no yog tias ua ntej koj tau txais kev kho mob qog noj ntshav ntau lossis kev kho mob hluav taws xob kom tua cov hlwb qog noj ntshav, qee cov hlwb ntshav noj qab haus huv raug tshem tawm ntawm koj lub cev thiab khaws cia rau ib qho chaw nyab xeeb. Cov hlwb no yog "cov hlwb niam" hauv peb cov pob txha uas tsim cov hlwb ntshav liab tshiab, cov hlwb ntshav dawb, thiab cov platelets.
Thaum cov kev kho mob qog noj ntshav muaj zog tua cov hlwb qog noj ntshav, lawv kuj ua rau peb cov hlwb noj qab nyob zoo puas tsuaj, tshwj xeeb tshaj yog cov pob txha. Tom qab ntawd, koj cov hlwb noob noj qab nyob zoo uas tau khaws cia kom muaj kev nyab xeeb rov qab los rau hauv koj lub cev. Cov hlwb no rov qab mus rau cov pob txha thiab pib tsim cov hlwb ntshav noj qab nyob zoo uas lub cev xav tau.
Qhov no yuav tsis kho tau tus mob qog noj ntshav tag nrho, tab sis nws tuaj yeem ua rau tus mob qog noj ntshav ploj mus ntev, txhais tau tias nws tsis muaj tsos mob thiab tsis pom thaum kuaj mob.
Feem ntau, kev kho mob no yog siv rau cov mob qog noj ntshav "Multiple Myeloma". Nws kuj tseem siv rau cov mob qog noj ntshav xws li "Hodgkin lymphoma" thiab "Non-Hodgkin lymphoma" uas tsis teb rau lwm yam kev kho mob.
Ua ntej txoj kev kho mob no muaj dab tsi tshwm sim?
Ua ntej yuav kho mob zoo li no, cov kws kho mob yuav tsum kuaj xyuas koj txoj kev noj qab haus huv tag nrho, vim tias koj lub cev yuav tsum muaj zog txaus los tiv taus kev kho mob chemotherapy ntau.
Qee qhov kev ntsuam xyuas uas ua tau:
- Ib qho kev kuaj 'ECG' (Electrocardiogram) uas kuaj xyuas lub plawv dhia.
- Ib qho 'Echocardiogram' uas xyuas seb lub plawv ua haujlwm li cas.
- Ib qho kev luam theej duab CT (Computed Tomography).
- Kev suav cov ntshav tag nrho (CBC).
- Lwm cov kev kuaj ntshav uas kuaj xyuas kev ua haujlwm ntawm lub siab thiab lub raum.
- Kev kuaj nqaij yog ib qho kev kuaj los kawm txog cov hlwb qog noj ntshav.
Niaj hnub nim no, txhawm rau kom koj tsis txhob tas li tau koob txhaj tshuaj, cov kws kho mob tuaj yeem ntxig ib lub raj me me hu ua 'Central Venous Catheter (CVC)' rau hauv cov hlab ntsha loj hauv koj lub hauv siab sab saud. Tom qab ntawd, txhua yam los ntawm kev noj ntshav mus rau kev muab tshuaj tuaj yeem ua tau yooj yim los ntawm 'CVC' no.
Peb kauj ruam tseem ceeb hauv cov txheej txheem kho mob
Tag nrho cov txheej txheem no muaj peev xwm muab faib ua peb theem tseem ceeb.
1. Kev sau cov noob hlwb
Qhov no yog qhov uas cov hlwb noob zoo uas peb tau hais txog raug tshem tawm ntawm koj lub cev. Qhov no kuj hu ua 'Apheresis'.
- Cov leeg ntshav hauv koj ob txhais caj npab yuav txuas nrog lub tshuab cais cov cell.
- Me ntsis ntshav nkag mus rau hauv lub tshuab los ntawm ib sab caj npab.
- Lub tshuab tsuas lim cov noob hlwb los ntawm cov ntshav ntawd thiab txhaj cov ntshav seem rov qab rau hauv lub cev los ntawm lwm sab caj npab.
Qhov no yuav siv sijhawm peb txog plaub teev. Thaum lub sijhawm ntawd, koj yuav tsum nyob twj ywm, tab sis koj tuaj yeem nyeem phau ntawv lossis saib TV.
2. Kev kho lub cev
Qhov no yog qhov nyuaj tshaj plaws. Qhov no yog thaum koj yuav tau txais kev kho mob qog noj ntshav ntau thiab tej zaum yuav tau txais kev kho mob hluav taws xob los tua cov qog nqaij hlav. Qhov no yuav siv sijhawm ob peb hnub. Koj pab neeg kho mob yuav nrog koj los tswj txhua yam kev mob tshwm sim uas yuav tshwm sim thaum lub sijhawm no.
| Tej zaum yuav muaj cov teeb meem tshwm sim ntawm kev kho mob conditioning | |
|---|---|
| Cov kev mob tshwm sim luv luv | Cov kev mob tshwm sim mus sij hawm ntev |
| Kab mob ntshav tsis txaus (ntshav tsawg), xeev siab thiab ntuav, raws plab, qaug zog heev, tsis xav noj mov, mob qhov ncauj, plaub hau poob. | Kab mob pob txha, cataracts, menopause ntxov, tsis muaj menyuam, muaj feem yuav mob qog noj ntshav thib ob. |
3. Kev hloov hlwb/kev txhaj tshuaj rau hauv cov hlwb
Qhov no zoo ib yam li muab cov kua ntsev los yog cov ntshav ntim. Koj cov noob hlwb, uas tau sau thiab khaws cia kom zoo, ces muab rov qab rau hauv koj lub cev los ntawm kev txhaj tshuaj IV lossis CVC. Thaum lub sijhawm no, pab pawg kho mob yuav saib xyuas koj tas li rau cov tsos mob xws li kub taub hau thiab mob khaub thuas.
Tom qab kho mob tas, yuav muaj dab tsi tshwm sim? Cia peb kawm txog lub sijhawm rov zoo
Tom qab kho mob tas, koj lub cev yuav maj mam pib zoo.
- Kev cog noob: Cov noob hlwb tshiab uas tau cog rau hauv cov noob no mus ncig thoob plaws cov ntshav, mus rau hauv cov pob txha, thiab pib tsim cov noob hlwb tshiab uas noj qab nyob zoo. Cov txheej txheem no hu ua 'Kev cog noob'.
- Kev Pheej Hmoo ntawm Kev Kab Mob: Tom qab kev cog noob, koj qhov kev pheej hmoo ntawm kev kis kab mob yuav siab heev kom txog thaum koj cov qe ntshav dawb rov qab mus rau qhov qub. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tiv thaiv koj tus kheej ntawm kev kis kab mob thaum lub sijhawm no.
- Lub sijhawm rov zoo: Nws yuav siv sijhawm li ntawm 3 txog 12 lub hlis rau koj lub cev tiv thaiv kab mob kom rov zoo tag nrho. Yog li ntawd, tsis txhob maj. Nov yog qee yam los pab koj:
- So kom txaus: Muaj tej hnub koj yuav xav tias koj nkees heev. So kom txaus thaum ntawd.
- Noj cov khoom noj muaj txiaj ntsig zoo: Kev noj cov khoom noj uas muaj protein ntau pab kho lub cev dua tshiab.
- Kev Ua Si: Thaum twg koj xav tias koj muaj zog dua, pib ua cov kev tawm dag zog yooj yim xws li kev taug kev. Tab sis nco ntsoov nrog koj tus kws kho mob tham ua ntej pib ua tej yam tshiab.
- Hloov kho koj cov tshuaj tiv thaiv kab mob: Tom qab kev kho mob no, kev tiv thaiv uas koj tau txais los ntawm kev txhaj tshuaj tiv thaiv thaum yau yuav ploj mus. Yog li ntawd, koj tus kws kho mob yuav qhia koj thaum twg yuav tsum tau txhaj tshuaj tiv thaiv kab mob dua thiab yuav tsum tau txhaj tshuaj twg.
Qhov txawv ntawm Autologous thiab Allogeneic transplants yog dab tsi?
Qhov txawv tseem ceeb ntawm ob qho no yog qhov chaw ntawm cov hlwb. Yuav kom nkag siab qhov no yooj yim, saib lub rooj hauv qab no.
| Hom kev hloov pauv | Cov stem cell tau los ntawm leej twg? |
|---|---|
| Tus kheej | Los ntawm koj tus kheej. Koj cov hlwb raug sau ua ntej kev kho mob qog noj ntshav. |
| Allogeneic | Los ntawm tus neeg pub khoom noj qab haus huv. Feem ntau, cov nqaij mos tau txais los ntawm ib tug tswv cuab hauv tsev neeg lossis lwm tus neeg uas sib haum xeeb. |
Thaum twg yuav tsum mus ntsib kws kho mob tam sim ntawd
Txawm tias koj mus kuaj mob tas li tom qab kho mob lawm los, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj pab neeg kho mob tam sim ntawd yog tias koj muaj cov cim qhia tias muaj teeb meem. Saib xyuas cov tsos mob hauv qab no:
- Ua npaws
- Hnov txias thiab tshee hnyo
- Ua pa nyuaj (Dyspnea)
- Hnoos, txham, los yog ntswg ntws
- Tso zis ntau zaus los yog mob thaum tso zis (Dysuria)
- Mob pob khaus ntawm daim tawv nqaij
- kiv taub hau
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev hloov hlwb ntawm koj tus kheej (autologous stem cell transplant) yog kev sau koj cov hlwb noj qab haus huv ua ntej kev kho mob qog noj ntshav thiab tom qab ntawd xa rov qab rau hauv koj lub cev tom qab kev kho mob.
- Qhov no yog ib qho txheej txheem ntau kauj ruam: kev sau cov cell, kev kho kom zoo, thiab kev rov qab muab cov cell dua.
- Qhov kev pheej hmoo tseem ceeb tom qab kev kho mob yog kev loj hlob ntawm cov kab mob loj, yog li nws yog ib qho tseem ceeb heev uas yuav tsum tiv thaiv koj tus kheej ntawm cov kab mob.
- Nws yuav siv sijhawm ntau lub hlis rau lub cev kom rov zoo tag nrho, yog li ua siab zoo rau koj tus kheej thiab saib xyuas koj qhov kev so thiab kev noj zaub mov zoo.
- Txhua tus neeg mob txawv, yog li ntawd , ib txwm tham nrog koj tus kws kho mob txog seb qhov kev kho mob no puas yog rau koj, nws txoj kev vam meej, thiab nws cov kev pheej hmoo.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus