Tej zaum koj twb tau hnov lo lus 'Stem Cell Transplant' uas tau hais ua ntej lawm. Tej zaum tus kws kho mob twb tau tham txog qhov kev xaiv kho mob no rau koj lossis ib tus neeg ze koj. Nws yog ib qho ntuj tsim uas muaj cov lus nug txog qhov txheej txheem no cuam tshuam li cas, cov mob twg nws kho, lossis kev rov zoo li cas. Thov tsis txhob ntxhov siab; ntawm no ntawm Nirogi Lanka, peb yuav muab nws faib ua pawg rau koj ua cov lus yooj yim, yooj yim to taub.
Cov Stem Cells yog dab tsi thiab lawv ua haujlwm li cas?
Cia peb pib los ntawm kev nkag siab txog cov hlwb noob yog dab tsi. Hauv cov lus yooj yim, cov no yog cov hom hlwb tshwj xeeb hauv koj lub cev. Lawv muaj lub peev xwm zoo kawg nkaus los tsim mus rau yuav luag txhua hom hlwb tshwj xeeb. Nws zoo li khawv koob! Thaum peb tham txog kev hloov hlwb noob ntawm Nirogi Lanka, peb tab tom tsom mus rau cov hlwb noob uas tsim cov ntshav. Cov hlwb no yog qhov tseem ceeb rau kev tsim cov khoom siv ntawm koj lub cev:
- Cov Qog Ntshav Liab: Cov no thauj cov pa oxygen thoob plaws koj lub cev. Xav txog lawv ua cov neeg pab tseem ceeb uas ua kom koj lub cev tau txais cov pa oxygen uas nws xav tau los ua haujlwm.
- Cov Qog Ntshav Dawb: Cov no ua haujlwm ua koj cov tub rog sab hauv, tawm tsam cov kab mob thiab kev kis kab mob kom koj muaj kev nyab xeeb thiab noj qab nyob zoo.
- Cov Platelets: Thaum koj tau txais ib qho me me, cov no pab tiv thaiv kev los ntshav los ntawm kev cia koj cov ntshav txhaws tau zoo.
Hauv ntej, cov hlwb qia yog lub hauv paus rau lub cev ntshav noj qab haus huv.
Kev Hloov Stem Cell yog dab tsi?
Tam sim no koj muaj lub tswv yim yooj yim txog cov stem cell ua dab tsi, kev hloov stem cell yog dab tsi tiag? Hauv cov txheej txheem no, cov kws kho mob yuav cov stem cell noj qab haus huv thiab muab tso rau hauv cov ntshav ntawm tus neeg mob. Qhov no yog ua los hloov koj cov stem cell yog tias lawv tsis ua haujlwm zoo lossis puas lawm.
Kev kho kom rov zoo yuav siv sijhawm tom qab kev kho mob zoo li no, tab sis rau cov neeg mob uas muaj qee yam mob hnyav, nws tuaj yeem muab cov txiaj ntsig hloov pauv lub neej thiab kev cia siab rau kev kho kom zoo.
Leej twg xav tau kev hloov pauv stem cell?
Kev kho mob no tsis yog txhua tus neeg yuav tsum tau ua. Feem ntau, kev hloov noob hlwb yog ua los pab cov neeg mob uas muaj cov mob hauv qab no:
- Muaj teeb meem ntshav hnyav lossis muaj teeb meem ntawm lub cev tiv thaiv kab mob.
- Qee hom mob qog noj ntshav (xws li mob leukemia).
- Kev tiv thaiv kab mob tsis zoo (qhov twg koj lub cev tsis muaj peev xwm tiv thaiv kab mob).
- Qee cov kab mob autoimmune , xws li lupus.
- Cov mob ntshav xws li thalassemia lossis kab mob ntshav liab .
Hauv cov rooj plaub no, vim tias koj lub cev cov hlwb tsis ua haujlwm raws li lawv yuav tsum tau ua, kev muab cov hlwb tshiab thiab noj qab haus huv tuaj yeem ua qhov sib txawv tseem ceeb.
Peb yuav tau cov stem cell no li cas?
Yog ib lo lus nug zoo heev! Muaj peb qhov chaw tseem ceeb rau cov hlwb tseem ceeb no:
1. Pob Txha: Feem ntau hu ua "Kev Hloov Pob Txha," cov hlwb no raug sau los ntawm cov pob txha uas pom hauv koj cov pob txha loj.
2. Ntshav Ntug: Siv cov txheej txheem kho mob tshwj xeeb, cov hlwb qia tuaj yeem rho tawm ncaj qha los ntawm koj cov ntshav.
3. Ntshav Ntawm Txoj Hlab Ntsws: Tom qab yug me nyuam, cov ntshav uas tseem nyob hauv txoj hlab ntaws muaj cov hlwb no ntau heev. Cov ntshav no tuaj yeem khaws cia rau yav tom ntej yog tias xav tau.
Tus neeg uas muab cov hlwb no hu ua tus pub . Qee zaum, koj yuav yog koj tus kheej pub , qhov chaw uas koj cov hlwb stem cell raug sau ua ntej, cryopreserved (khov), thiab tom qab ntawd xa rov qab rau koj tom qab. Yog tsis yog li ntawd, yuav tsum muaj tus pub.
Qhov tseem ceeb tshaj plaws yog tias yog koj tau txais cov qe ntshav los ntawm lwm tus neeg, lawv cov noob caj ces yuav tsum sib phim zoo. Feem ntau, tus kwv tij neej tsa yog tus sib phim zoo tshaj plaws, txawm hais tias qee zaum niam txiv lossis tus neeg pub dawb uas tsis muaj feem cuam tshuam tuaj yeem muab tus sib phim zoo.
Yog tias cov qe ntshav ntawm tus neeg pub tsis sib phim ces yuav ua li cas?
Qhov no yog ib qho tseem ceeb uas yuav tsum xav txog. Yog tias cov noob hlwb ntawm tus neeg pub tsis sib phim, lossis qee zaum yog tias lawv sib phim, ob qho teeb meem tseem ceeb tuaj yeem tshwm sim:
1. Kev Tsis Lees Txais: Qhov no tshwm sim thaum koj lub cev tiv thaiv kab mob pom cov hlwb uas tau hloov pauv lawm tias yog "txawv teb chaws" thiab tawm tsam lawv zoo li lawv yog kev hem thawj.
2. Kab Mob Sib Kis Los Ntawm Tus Neeg Mob (GVHD): Qhov no yog qhov xwm txheej rov qab. Hauv qhov no, cov hlwb uas tau hloov (tus "hloov") lees paub koj lub cev cov nqaij (tus "tus tswv") ua cov nqaij txawv teb chaws thiab pib tawm tsam lawv.
Cov kws kho mob siv cov tshuaj tshwj xeeb los tswj thiab tiv thaiv cov teeb meem no.
Cov txheej txheem rau kev hloov pauv stem cell yog dab tsi?
Txawm hais tias cov txheej txheem no yuav zoo li nyuaj, cia peb muab nws ua cov lus yooj yim.
Ua ntej, ua ntej pib hloov cov noob hlwb, cov kws kho mob yuav muab txoj kab Central Line (Central Venous Catheter) tso rau hauv.hauv qab koj daim tawv nqaij mus rau hauv cov leeg ntshav loj ze koj lub plawv. Qhov no yog ib lub raj tshwj xeeb, ruaj khov uas tsim los kom nyob ntev dua li cov kab IV ib txwm muaj, uas ua rau peb yooj yim muab tshuaj thiab kos cov ntshav kuaj yam tsis tas yuav siv koob ntau zaus.
Qhov kev hloov pauv noob hlwb nws tus kheej tshwm sim hauv tsev kho mob .
Ua ntej, koj yuav tau txais kev kho mob chemotherapy thiab/lossis kev kho mob hluav taws xob ntau . Qhov no ua rau ob qho laj thawj tseem ceeb:
- Txhawm rau rhuav tshem cov hlwb tsis zoo uas ua rau koj muaj mob.
- Txhawm rau tswj koj lub cev tiv thaiv kab mob kom nws thiaj li tsis kam lees cov hlwb tshiab uas pub dawb.
Tom qab qhov no, cov hlwb qia uas noj qab nyob zoo thiab pub dawb raug txhaj rau hauv koj cov ntshav, zoo li cov kua dej txhaj rau hauv cov hlab ntsha (IV).
Tom qab hloov lub cev lawm, yuav muaj dab tsi tshwm sim? Koj yuav tau txais dab tsi?
Tom qab hloov ntshav tas, nws yuav siv sijhawm me ntsis rau koj lub cev kom pib tsim nws cov qe ntshav liab tshiab, cov qe ntshav dawb, thiab cov platelets. Thaum lub sijhawm no, koj muaj feem yuav kis kab mob, los ntshav, thiab lwm yam teeb meem ntau dua.
Feem ntau cov neeg mob siv sijhawm li 3 txog 5 lub lis piam nyob hauv tsev kho mob tom qab ua tiav cov txheej txheem. Thaum lub sijhawm no, koj pab neeg kho mob Nirogi Lanka yuav saib xyuas koj ze, suav nrog:
- Kev kuaj ntshav: Txhawm rau saib seb cov qe ntshav uas tau hloov pauv puas tsim tau cov qe ntshav tshiab thiab noj qab nyob zoo.
- Kev muab tshuaj: Txhawm rau tiv thaiv kev tsis lees txais thiab Graft-versus-Host Disease (GvHD).
- Muab tshuaj tiv thaiv kom tua tau kab mob.
- Muab kev hloov ntshav rau cov qe ntshav liab, cov qe ntshav dawb, lossis cov platelets yog tias koj cov ntshav tsawg.
- Kuaj xyuas kev ua haujlwm ntawm cov kabmob , xws li koj lub siab thiab lub raum.
- Kho txhua yam teeb meem , xws li mob qhov ncauj, xeev siab, raws plab, kis kab mob, lossis los ntshav.
- Xyuas kom koj tau txais kev noj haus zoo.
- Xyuas kom meej tias txhua tus neeg tuaj xyuas ua raws li cov txheej txheem tswj kev kis kab mob nruj heev:
- Cov neeg uas xav tias tsis xis nyob yuav tsum tsis txhob mus xyuas.
- Txhua tus qhua tuaj xyuas yuav tsum ntxuav lawv txhais tes kom huv si ua ntej nkag mus.
- Cov qhua tuaj xyuas yuav tsum hnav lub npog ntsej muag, hnab looj tes, thiab lub tsho tshaj sab raws li qhov xav tau.
Cov kev ntsuas kev nyab xeeb no tseem ceeb heev vim tias koj lub cev tiv thaiv kab mob tsis muaj zog heev thaum lub sijhawm no, thiab txawm tias yog ib qho kab mob me me tuaj yeem ua rau muaj kev kis kab mob loj heev.
Koj yuav pab tau koj txoj kev rov zoo li cas?
Feem ntau nws yuav siv sijhawm li ib xyoos rau koj lub cev tiv thaiv kab mob kom rov zoo tom qab hloov cov noob hlwb. Txog thaum ntawd, koj tseem muaj zog tiv thaiv kab mob. Txawm tias mob khaub thuas tuaj yeem ua rau muaj kev phom sij. Yuav kom nyob nyab xeeb, ua raws li cov kauj ruam no:
- Koj, koj tsev neeg, thiab koj cov qhua yuav tsum ntxuav lawv txhais tes tsis tu ncua siv xab npum tua kab mob lossis tshuaj ntxuav tes.
- Nyob deb ntawm cov neeg uas muaj mob.
- Da dej txhua hnub siv xab npum mos mos thiab tshuaj zawv plaub hau.
Tsis tas li ntawd xwb, ua raws li koj pab neeg kho mob cov lus qhia txog:
- Thaum twg muaj kev nyab xeeb rov qab mus kawm ntawv, ua haujlwm, lossis cov chaw pej xeem.
- Thaum koj yuav tsum tau hnav lub npog ntsej muag.
- Cov khoom noj twg noj tau zoo thiab cov twg yuav tsum tsis txhob noj.
- Seb koj puas muaj tsiaj nyob ib puag ncig.
Txhua yam peb thov yog los xyuas kom koj muaj kev nyab xeeb.
Koj yuav tsum paub dab tsi ntxiv?
Tom qab rov qab los tsev los ntawm tsev kho mob, feem ntau cov neeg mob hluas maj mam zoo dua qub. Txawm li cas los xij, koj pab neeg Nirogi Lanka nkag siab tias lub sijhawm rov zoo no tuaj yeem nyuaj, ob qho tib si lub cev thiab lub siab. Kev txhawb nqa kev noj qab haus huv ntawm lub hlwb yog qhov tseem ceeb. Koj tus kws kho mob, tus neeg ua haujlwm pabcuam, lossis tus kws tshwj xeeb txog lub neej menyuam yaus nyob ntawd los pab koj dhau lub sijhawm no, yog li tsis txhob ntshai thov kev pab.
Thaum twg koj yuav tsum hu rau koj tus kws kho mob tam sim ntawd?
Yog koj lossis koj niam koj txiv pom ib qho ntawm cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd lossis nrhiav kev pab kho mob thaum muaj xwm txheej ceev (911):
- Kub taub hau txog 38.0°C (100.4°F) lossis siab dua.
- Mob ntsws, hnoos, lossis mob hauv siab.
- Ntshai tas li los yog raws plab.
- Cov quav dub.
- Yooj yim mob los yog los ntshav uas tsis paub meej.
- Ntshav hauv koj cov zis.
- Mob taub hau, kiv taub hau, lossis pom kev tsis meej.
- Hnoos ntshav los yog los ntshav ntswg uas tsis tu tsis tseg hauv ob peb feeb.
Tsis txhob tso tseg cov tsos mob no. Nrhiav kev kho mob sai yog qhov tseem ceeb heev.
Cov Ntsiab Lus Tseem Ceeb
Hauv kev xaus lus, kev hloov pauv stem cell yog ib qho kev kho mob muaj txiaj ntsig zoo rau ntau yam mob hnyav. Txawm hais tias nws yog ib qho txheej txheem nyuaj, nws muab lub sijhawm tshiab thiab kev cia siab rau yav tom ntej zoo dua.
- Cov hlwb qia yog cov hlwb tshwj xeeb hauv koj lub cev uas muaj lub luag haujlwm tsim cov ntshav.
- Thaum lub sijhawm hloov pauv, cov hlwb noob zoo yuav raug txhaj rau hauv koj kom pab kho koj lub cev ua haujlwm tau zoo dua.
- Tom qab ua tiav cov txheej txheem no, koj yuav xav tau sijhawm thiab kev saib xyuas tshwj xeeb los txhawb koj txoj kev rov zoo.
- Kev tiv thaiv koj tus kheej ntawm kev kis kab mob yog qhov tseem ceeb tshaj plaws thaum lub sijhawm no.
- Yog tias koj muaj kev txhawj xeeb lossis tsis xis nyob, nrhiav kev pab kho mob tam sim ntawd los ntawm koj pab neeg saib xyuas.
Yog tias koj muaj lus nug ntxiv, thov tsis txhob yig nug koj tus kws kho mob. Lawv nyob ntawm no los muab kev meej meej txog txhua yam ntawm koj txoj kev kho mob. Nco ntsoov tias koj tsis yog tib leeg hauv txoj kev taug kev no nrog Nirogi Lanka!
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