Hloov cev pob txha rau cov menyuam yaus - tawm hauv tsev

Koj tus menyuam tau hloov pob txha hlwb. Nws yuav siv li 6 mus rau 12 hlis lossis ntau dua rau koj tus menyuam cov ntshav thiab lub cev tiv thaiv kab mob kom rov zoo hlo. Lub sijhawm no, kev pheej hmoo ntawm kev kis tus kabmob, los ntshav, thiab cov tawv nqaij muaj teebmeem ntau dua li ua ntej hloov ntshav. Ua raws cov lus qhia los ntawm koj tus kws kho mob txog kev saib xyuas koj tus menyuam nyob hauv tsev.

Koj tus menyuam lub cev tseem tsis muaj zog. Nws yuav siv sijhawm ntev txog ib xyoos rau koj tus menyuam kom zoo li lawv tau xav ua ntej hloov ntshav. Koj tus me nyuam yuav nkees heev yooj yim thiab tej zaum kuj tsis qab los noj mov.

Yog tias koj tus menyuam tau txais pob txha caj qaum los ntawm lwm tus neeg, nrhiav cov cim ntawm pob txha caj qaum-tiv thaiv kab mob sib kis (GVHD). Hais kom tus kws khomob qhia koj txog yam GVHD koj yuav tsum tau saib.

Saib xyuas kom tsawg dua qhov koj tus menyuam yuav kis tau tus kab mob raws li tau hais los ntawm koj pab neeg saib xyuas kev noj qab haus huv.

• Ua kom koj lub tsev nyiam huv yog qhov tseem ceeb los pab tiv thaiv kev kis mob. Tab sis tsis txhob nqus lossis ntxhua thaum koj tus menyuam nyob hauv chav.
• Cia koj tus menyuam kom deb ntawm cov neeg coob coob.
• Nug cov qhua uas mob khaub thuas hnav ib daim npog qhov ncauj, lossis tsis tuaj xyuas.
• Tsis txhob cia koj tus menyuam ua si hauv mev lossis tu av kom txog thaum koj tus kws kho mob hais tias koj tus menyuam lub cev tiv thaiv kab mob tau npaj txhij.

Nco ntsoov tias koj tus menyuam ua raws li cov lus qhia rau noj thiab haus thaum muaj kev kho mob.

• Tsis txhob cia koj tus me nyuam noj los yog haus ib qho dab tsi uas yuav raug tsoo lossis piam hauv tsev lossis thaum noj mov sab nraud. Kawm paub yuav ua noj thiab khaws tej zaub mov yam xyuam xim.
• Nco ntsoov tias dej haus nyab xeeb.

Nco ntsoov cia koj tus menyuam ntxuav tes nrog xab npum thiab dej ntau zaus, suav nrog:

• Tom qab kov lub cev ntawm lub cev, xws li hnoos qeev lossis ntshav
• Ua ntej tuav zaub mov
• Tom qab mus siv chav dej
• Tom qab siv xov tooj
• Tom qab tawm mus nraum zoov

Nug kws kho mob saib koj tus menyuam yuav siv tshuaj tiv thaiv dab tsi thiab sijhawm twg thiaj txhaj. Qee yam tshuaj tiv thaiv (cov tshuaj tiv thaiv muaj sia) yuav tsum zam kom txog thaum koj tus menyuam lub cev tiv thaiv kab mob tau npaj txhij tuaj yeem tshuaj xyuas tau yam tsim nyog.

Koj tus me nyuam lub cev tiv thaiv ua tsis tau dab tsi. Yog li nws yog ib qho tseem ceeb kom saib xyuas koj tus menyuam lub qhov ncauj noj qab haus huv. Qhov no yuav pab tiv thaiv kev kis kab mob uas tuaj yeem loj thiab kis tau. Qhia koj tus menyuam tus kws kho hniav tias koj tus menyuam tau hloov pob txha hlwb. Txoj kev ntawd koj tuaj yeem ua haujlwm ua ke txhawm rau saib xyuas qhov zoo tshaj plaws ntawm qhov ncauj rau koj tus menyuam.

• Kom koj tus menyuam txhuam nws cov hniav thiab pos hniav 2 mus rau 3 zaug hauv ib hnub li 2 rau 3 feeb txhua zaus. Siv tus txhuam hniav nrog cov mos muag. Siv txoj hlua dig hniav ib hnub ib zaug.
• Huab cua qhuav tus txhuam hniav ntawm txhuam hniav.
• Siv cov tshuaj txhuam hniav nrog fluoride.
• Koj tus menyuam tus kws kho mob tuaj yeem sau tshuaj yaug qhov ncauj. Nco ntsoov tias nws tsis muaj cawv.
• Saib xyuas koj tus menyuam daim di ncauj nrog cov khoom ua nrog lanolin. Qhia kws kho mob yog tias koj tus menyuam mob qa lossis mob tshiab.
• Tsis txhob cia koj tus menyuam noj cov khoom noj thiab dej qab zib uas muaj cov piam thaj ntau hauv lawv. Muab cov pos hniav uas tsis muaj piam thaj lossis tsis muaj piam thaj rau cov qhob noom lossis piam thaj uas tsis muaj suab thaj.

Saib xyuas koj tus menyuam cov phuam qhwv caj dab, cov tuav tseg, lossis lwm cov khoom siv kho hniav:

• Cov menyuam yaus tuaj yeem hnav cov khoom siv hauv qhov ncauj zoo li siv tau ntev npaum li lawv tau zoo.
• Cov tshuaj ntxuav thiab cov chaw ntim txhua hnub nrog cov tshuaj tua kab mob. Nug koj tus kws kho mob lossis kws kho hniav kom pom zoo ib.
• Yog tias qee qhov ntawm kev zawm hniav ua rau mob koj tus menyuam cov pos hniav, siv cov tiv thaiv lub qhov ncauj lossis cov kaus hniav los tiv thaiv qhov ncauj muag.

Yog tias koj tus menyuam muaj kab tseem ceeb lossis PICC kab, nco ntsoov kawm paub tu nws.

• Yog tias koj tus neeg zov me nyuam qhia koj tias koj tus me nyuam cov ntshav ntshav muaj ntshav tsawg, kawm paub yuav ua li cas tiv thaiv kom txhob los ntshav thaum kho.
• Muab cov protein thiab calories kom txaus rau koj cov kev hnyav.
• Nug koj tus menyuam tus kws khomob txog cov khoom noj ua kua uas tuaj yeem pab lawv kom tau cov calories thiab zaubmov txaus.
• Pov thaiv koj tus menyuam kom txhob tshav ntuj. Nco ntsoov tias lawv ntoo lub kaus mom nrog lub ntsej muag dav thiab hnub ci nrog SPF ntawm 30 lossis siab dua ntawm daim tawv raug mob.

Saib xyuas thaum koj tus menyuam ua si nrog cov khoom ua si:

• Nco ntsoov tias koj tus menyuam tsuas yog ua si nrog cov khoom ua si uas tuaj yeem muab ntxuav tau yooj yim. Zam tej khoom ua si uas ntxuav tsis tau.
• Ntxuav cov tshuab ntxuav tais diav-khoom ua si zoo hauv lub tshuab ntxuav tais diav. Ntxuav lwm cov khoom ua si hauv dej kub, xum npum.
• Tsis txhob cia koj tus menyuam ua si nrog khoom ua si uas lwm tus menyuam yaus tau tso rau hauv lawv lub qhov ncauj.
• Zam tsis txhob siv cov khoom ua si da dej uas tuav tau dej, zoo li phom tsuag los yog cov khoom ua si uas tuaj yeem kos tau sab hauv.

Ua zoo nrog cov tsiaj thiab tsiaj:

• Yog tias koj muaj miv, cia hauv nws. Tsis txhob nqa cov tsiaj tshiab.
• Tsis txhob cia koj tus menyuam nyob nrog tsiaj uas tsis paub. Kev khawb thiab khoom kiav txhab tuaj yeem kis tau yooj yim.
• Tsis txhob cia koj tus menyuam los ze ze koj lub tawb ntim khoom.
• Tham nrog koj tus kws kho mob yog tias koj muaj tsiaj thiab kawm txog dab tsi koj tus kws zov me nyuam xav tias muaj kev nyab xeeb rau koj tus menyuam.

Rov ua hauj lwm kawm ntawv thiab rov qab mus kawm ntawv:

• Cov menyuam feem ntau yuav tsum ua lawv cov ntaub ntawv hauv tsev thaum rov zoo los. Tham nrog lawv tus xibfwb txog saib koj tus menyuam yuav ua li cas thiaj ua tau haujlwm hauv tsev kawm ntawv thiab ua phooj ywg nrog cov phooj ywg hauv chav kawm.
• Koj tus menyuam tuaj yeem tau txais kev pabcuam tshwj xeeb los ntawm Txoj Cai Pabcuam Cov Tib Neeg Uas Muaj Kev Xiam Oob Qhab (IDEA). Tham nrog cov kws kho mob hauv tsev kho mob kom paub ntxiv.
• Thaum koj tus menyuam npaj siab rov mus kawm ntawv, ntsib nrog tus kws qhia ntawv, tus kws saib xyuas neeg mob thiab lwm tus neeg ua haujlwm hauv tsev kawm kom pab lawv nkag siab koj tus menyuam qhov mob. Npaj lwm qhov kev pab tshwj xeeb lossis saib xyuas raws li xav tau.

Koj tus menyuam yuav tsum tau txais kev saib xyuas zoo nyob ze los ntawm tus kws khomob hloov ntshav thiab tus kws tu neeg mob tsawg kawg yog 3 hlis. Thaum xub thawj, koj tus menyuam yuav xav ntsib txhua lub lim tiam. Nco ntsoov khaws txhua qhov sijhawm teem tseg.

Yog tias koj tus menyuam qhia koj txog cov kev xav tsis zoo lossis tsos mob, hu rau pab neeg saib xyuas kev noj qab haus huv. Tus tsos mob tuaj yeem yog daim ntawv ceeb toom ntawm kev kis mob. Saib rau cov tsos mob no:

• Ua npaws
• Zawv plab uas tsis ploj mus los yog muaj ntshav tawm
• Kev xeev siab heev, ntuav, lossis tsis qab los noj mov
• Cev tsis taus rau noj lossis haus
• Neeg tsis muaj zog
• Liab, o, los yog ntshav tawm ntawm ib qho chaw qhov twg IV kab tau tso
• Mob hauv plab
• Kub taub hau, ua daus no, los yog tawm hws, uas tej zaum yog tus yam ntxwv ua mob
• Cov tawv nqaij ua pob tshiab lossis ua hlwv
• Qhov muag daj (tawv lossis qhov dawb ntawm lub qhov muag zoo li daj)
• Mob taub hau heev lossis mob taub hau uas tsis ploj mus
• Ib qho hnoos
• Teeb meem ua pa thaum so lossis thaum ua cov haujlwm yooj yim
• Hlawv thaum tso zis

Kev Hloov Pauv - hlwb pob txha - menyuam yaus - kev tso tawm; Qia cell hloov ntshav - cov menyuam yaus - tso tawm; Hematopoietic qia cell hloov pauv - menyuam - paug; Txo cov kev siv dag zog, tsis hloov ntshav myeloablative - menyuam yaus - paug; Kev hloov me me - menyuam yaus - kev tso tawm; Allogenic pob txha hloov ntshav - menyuam yaus - paug; Autologous pob txha hloov hlwb - menyuam yaus - paug; Hloov hlab ntaws ntshav - menyuam yaus - tawm ntshav

Huppler AR. Kev mob hnyav ntawm hematopoietic qia cell hloov pauv. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 164.

Im A, Pavletic SZ. Hematopoietic qia cell hloov pauv. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 28.

Lub koom haum Cancer National website. Thaum yau Hematopoietic Cell Kev Sib Hloov Hlawv (PDQ®) - Kev Noj Qab Haus Huv Txog Kev Noj Qab Haus Huv. www.cancer.gov/types/childhood-cancers/child-hct-hp-pdq. Hloov kho rau Lub Rau Hli 8, 2020. Nkag mus Lub Kaum Hlis 8, 2020.

• Kev Hloov Hlwb Pob Txha