Txog-mob cancer / kho mob / hom kab mob-qia-cell-hloov

Kev hloov qia ntawm tes hauv kev kho mob Cancer

Kev hloov pauv ntawm qia yuav pab tsim cov qe ntshav muaj nyob rau hauv cov neeg uas muaj lawv cov puas los ntawm kev kho mob qog noj ntshav.

Kev hloov pauv ntawm qia yog cov txheej txheem uas rov tsim cov qog ntshav hauv cov neeg uas tau muaj lawv cov los ntawm kev siv tshuaj kho mob los yog tshuaj tua hluav taws xob ntau uas siv los kho qee yam mob qog nqaij hlav.

Cov qe tsim cov qe ntshav tseem ceeb vim tias lawv loj hlob mus ua ntau hom qe ntshav. Cov roj ntsha tseem ceeb yog:

• Cov qe ntshav dawb, uas yog ib feem ntawm koj muaj zog tiv thaiv kab mob thiab pab koj lub cev tua kab mob

• Mob ntshav liab, uas muaj cov pa oxygen thoob plaws koj lub cev

• Platelets, uas pab ua kom ntshav txhaws

Koj yuav tsum muaj peb hom qe ntshav kom muaj kev noj qab haus huv.

Hom ntawm qog hloov ntshav ntawm tes

Hauv cov qog cell hloov, koj tau txais cov roj ntsha tsim los ntawm cov qe los ntawm rab koob nyob hauv koj txoj hlab ntsha. Thaum lawv nkag mus rau hauv koj cov hlab ntshav, cov qia qog nkag mus rau pob txha pob txha, uas lawv coj los hloov chaw ntawm cov cell uas raug puas tsuaj los ntawm kev kho mob. Cov qe ntshav tsim cov qe ntshav uas siv rau kev hloov ntshav tuaj yeem los ntawm cov pob txha pob txha, ntshav hlab ntaws, los yog txoj hlab ntaws. Kev hloov pauv tuaj yeem yog:

• Autologous, uas txhais tau tias qia qia tuaj ntawm koj, tus neeg mob

• Allogeneic, uas txhais tau tias qia qia tuaj ntawm lwm tus los. Tus neeg pub ntshav yuav yog tus txheeb ze cov ntshav tab sis kuj tuaj yeem yog tus neeg tsis sib thooj.

• Syngeneic, uas txhais tau tias qia qia tuaj ntawm koj tus ntxaib zoo tib yam, yog tias koj muaj

Yuav kom txo tau cov kev mob tshwm sim thiab txhim kho txoj hauv kev uas hloov ntshav qog ua ke, cov ntshav pub ntshav tsim qia yuav tsum sib phim koj li qee yam. Xav paub ntxiv txog yuav ua li cas ntshav kev tsim cov qia ua cov qe ntshav tau sib xws, saib Kev Rau Ntshav Cov Qog Hlawv Hlawv Cell.

Li cas Cov qog hloov hlwb ua haujlwm tawm tsam mob Cancer

Kev hloov cov qog ua pob feem ntau tsis ua haujlwm tawm tsam mob qog ntshav. Hloov chaw, lawv pab koj rov qab koj lub peev xwm los tsim cov qia hlwb tom qab kho nrog kev siv tshuaj tua hluav taws xob ntau, kev kho tshuaj kho mob, lossis ob qho tib si.

Txawm li cas los xij, nyob rau ntau yam mob myeloma thiab qee cov roj ntsha ntshav qog, txoj kev hloov qog ua qog yuav ua rau mob qog ncaj qha. Qhov no tshwm sim vim muaj cov nyhuv hu ua graft-tiv tiag-cov qog uas tuaj yeem tshwm sim tom qab hloov allogeneic. Graft-tiv tiag-qog tshwm sim thaum cov qe ntshav dawb los ntawm koj tus neeg pub khoom noj (leeg txuas) tawm tsam cov qog nqaij hlav cancer uas tseem nyob hauv koj lub cev (cov qog ntshav) tom qab kev kho mob ntau dua. Cov nyhuv no txhim kho txoj kev vam meej ntawm kev kho mob.

Leej Twg Tau Txais Cov Qog Hloov Xov Tooj

Kev hloov cov qog ntawm tes feem ntau siv rau cov neeg mob qog ntshav thiab mob ntsws. Lawv kuj tseem siv tau rau neuroblastoma thiab ntau yam myeloma.

Kev hloov pauv ntawm qia rau lwm yam mob qog noj tau raug kawm hauv kev sim tshuaj, uas yog cov kev tshawb fawb tshawb fawb txog neeg. Txhawm rau nrhiav qhov kev tshawb fawb uas yuav yog qhov kev xaiv rau koj, saib Nrhiav Kev Kuaj Mob Qib Siab.

Kev hloov qia ntawm tes tuaj yeem ua rau phiv phiv

Kev noj tshuaj ntau kawg ntawm kev kho mob qog noj uas koj muaj ua ntej lub qog hloov qog tuaj yeem ua teeb meem xws li los ntshav thiab nce kev pheej hmoo kis mob. Tham nrog koj tus kws kho mob lossis tus kws tu neeg mob txog lwm cov kev mob tshwm sim uas koj yuav muaj thiab nws hnyav npaum li cas. Xav paub ntau ntxiv txog cov kev mob tshwm sim thiab yuav ua li cas los tswj lawv, saib sab lus txog kev phiv.

Yog tias koj muaj qhov hloov ntshav allogeneic, koj yuav muaj qhov teeb meem loj hu ua kev sib kis kab mob sib kis. Kev mob sib kis zoo li tuaj yeem tshwm sim thaum cov qe ntshav dawb los ntawm koj tus neeg pub dawb (txuas rau cov leeg) paub cov cell hauv koj lub cev (tus tswv tsev) ua txawv teb chaws thiab tawm tsam lawv. Qhov teeb meem no tuaj yeem tsim kev puas tsuaj rau koj cov tawv nqaij, nplooj siab, plab hnyuv, thiab ntau lwm yam kabmob. Nws tuaj yeem tshwm sim li ntawm ob peb lub lis piam tom qab hloov ntshav lossis ntau tom qab. Graft-tiv tiag-tus kab mob hauv lub cev tuaj yeem kho nrog steroids lossis lwm yam tshuaj uas txwv koj lub cev tsis muaj zog.

Thaum koj pub cov ntshav tsim lub hlwb qes ze koj li, koj yuav tsis muaj kab mob sib kis. Koj tus kws kho mob kuj tseem tuaj yeem tiv thaiv nws los ntawm kev muab tshuaj rau koj rau kev tiv thaiv koj lub cev tsis muaj zog.

Kev Hloov Pauv Hloov Hlawv Yuav Ntau Npaum Li Cas

Cov qia ua ntshav hloov pauv yog cov txheej txheem nyuaj uas kim heev. Cov ntawv khomob feem ntau them qee tus nqi hloov ntshav rau qee hom mob qog ntshav. Tham nrog koj txoj kev npaj khomob txog cov kev pabcuam uas nws yuav them rau. Tham nrog lub chaw haujlwm kev lag luam uas koj mus cuag kev kho mob yuav pab koj nkag siab txhua yam nuj nqis muaj feem cuam nrog.

Txhawm rau kawm txog cov pab pawg uas yuav tuaj yeem muab kev pabcuam nyiaj txiag, mus rau National Cancer Institute lub chaw khaws ntaub ntawv, Cov Koom Haum uas Muaj Kev Pabcuam Txhawb thiab tshawb nrhiav "kev pabcuam nyiaj txiag." Lossis hu rau tus xov tooj hu dawb 1-800-4-CANCER (1-800-422-6237) rau cov lus qhia txog cov pab pawg uas tuaj yeem pab tau.

Dab Tsi Yuav Cia Siab Thaum Tau Txais Lub Qia Hlawv Hloov Pauv

Koj Mus Txog Qhov Twg Cov Qog Hlawv Tso Rau

Thaum koj xav tau qhov hloov ntshav qog cell cell allogeneic, koj yuav tsum tau mus rau hauv tsev kho mob uas muaj lub chaw hloov ntshav tshwj xeeb. Lub National Marrow Donor Program® muaj ib daim ntawv teev cov chaw hloov ntshav hauv tebchaws Asmeskas Kev Tshawb Fawb Tsis Txaus Siab uas tuaj yeem pab koj nrhiav chaw hloov ntshav.

Ntshe yog koj nyob ze rau ntawm lub chaw hloov ntshav, koj yuav tau taug kev hauv tsev los mus kho koj. Koj yuav tsum tau nyob hauv tsev kho mob lub sijhawm koj hloov ntshav, koj yuav tuaj yeem ua nws nyob sab nraud, lossis koj yuav tsum tau nyob hauv tsev kho mob tsuas yog ib feem ntawm lub sijhawm xwb. Thaum koj tsis nyob hauv tsev kho mob, koj yuav tsum tau nyob hauv tsev so lossis chav tsev nyob ze. Ntau lub chaw hloov ntshav tuaj yeem pab nrhiav tsev nyob ze.

Ntev li cas nws yuav siv kom muaj qia cell hloov

Txoj haujlwm qog ua qia tuaj yeem siv sijhawm ntau lub hlis los ua tiav. Cov txheej txheem pib nrog kev kho mob qib siab ntawm kev siv tshuaj kho mob, kev kho hluav taws xob, lossis kev sib txuam ntawm ob. Cov kev kho mob no mus rau ib lub lim tiam lossis ob hnub. Thaum koj ua tiav lawm, koj yuav muaj ob peb hnub mus so.

Tom ntej no, koj yuav tau txais cov qauv tsim ua qe ntshav ntawm cov qe ntshav. Lub hlwb qauj yuav muab rau koj los ntawm kev ntsuas tus ntsuas cua IV. Tus txheej txheem no zoo li tau txais ntshav ntxiv. Nws siv sijhawm 1 mus rau 5 teev kom tau txais tag nrho cov qia hlwb.

Tom qab tau txais cov qia hlwb, koj pib theem ua kom rov zoo. Lub sijhawm no, koj tos rau cov ntshav uas koj tau txais los pib ua cov qe ntshav tshiab.

Txawm hais tias tom qab koj cov ntshav rov qab los nyob rau qhov qub, nws siv sijhawm ntev dua rau koj lub cev kom rov zoo tuaj - ob peb lub hlis rau kev hloov ntshav thiab 1 mus rau 2 xyoos rau kev hloov kho allogeneic lossis syngeneic.

Li Cas Cov Pauv Ntshav Yuav Hloov Cuam Tshuam Koj

Kev hloov pauv ntawm qia rau cov neeg sib txawv. Koj xav li cas nyob ntawm:

• Hom qau uas koj muaj

• Cov koob tshuaj ntawm kev kho koj muaj ua ntej hloov ntshav

• Koj yuav teb li cas rau cov kev kho mob siab

• Koj hom mob cancer

• Npaum li cas koj kev mob qog yuav ntau npaum li cas

• Koj noj qab nyob zoo npaum li cas ua ntej hloov ntshav

Txij li thaum tib neeg teb cov qog hloov ntshav ntawm txoj kev sib txawv, koj tus kws kho mob lossis kws saib xyuas neeg mob tsis tuaj yeem paub tseeb tias cov txheej txheem yuav ua rau koj xav li cas.

Yuav Qhia Li Cas Yog Tias Koj Lub Pauv Hloov Pauv Ua Haujlwm

Cov kws kho mob yuav ua raws cov kev nce qib ntawm cov qe ntshav tshiab los ntawm kev kuaj xyuas koj cov ntshav ntau npaum li cas. Raws li cov qe ntshav tshiab khiv tsim cov qe ntshav, koj cov ntshav yuav nce siab ntxiv.

Xav Tau Cov Vuas Tshwj Xeeb

The high-dose treatments that you have before a stem cell transplant can cause side effects that make it hard to eat, such as mouth sores and nausea. Tell your doctor or nurse if you have trouble eating while you are receiving treatment. You might also find it helpful to speak with a dietitian. For more information about coping with eating problems see the booklet Eating Hints or the section on side effects.

Working during Your Stem Cell Transplant

Ua haujlwm lossis tsis tuaj yeem ua haujlwm thaum lub sijhawm hloov qia ua raws li hom haujlwm uas koj muaj. Cov txheej txheem ntawm kev hloov cov qog cell, nrog cov koob tshuaj ntau dua, hloov pauv, thiab rov qab tuaj yeem siv sijhawm ntau lub hlis lossis ntau hli. Koj yuav tau pw thiab hauv tsev kho mob lub sijhawm no. Txawm tias koj tsis nyob hauv tsev kho mob, qee zaum koj yuav tsum tau nyob ze nws, es tsis txhob nyob hauv koj lub tsev. Yog li, yog tias koj txoj haujlwm tso cai, tej zaum koj yuav xav nrhiav sijhawm ua haujlwm ib nrab deb.

Ntau tus tswv haujlwm yuav tsum tau hloov txoj cai ua haujlwm kom ua tau raws li koj cov kev xav tau thaum kho mob qog noj ntshav. Tham nrog koj tus tswv hauj lwm txog cov hau kev los kho koj cov hauj lwm thaum kho. Koj tuaj yeem kawm paub ntau ntxiv txog cov kev cai lij choj no los ntawm kev tham nrog tus neeg ua haujlwm social worker.