Hoʻoneʻe iwi iwi - hoʻokuʻu

Loaʻa iā ʻoe kahi kuʻi iwi o ka iwi. ʻO ke kuʻi ʻana o ka iwi iwi kahi hana e pani ai i nā iwi o ka iwi iwi i hōʻino ʻia a i ʻole luku ʻia.

He 6 mau mahina a ʻoi paha no kou helu ʻana i kou koko a me kou ʻōnaehana pale pale e hoʻōla piha. I kēia manawa, ʻoi aku kou makaʻu no ka maʻi, ke kahe ʻana o ke koko, a me nā pilikia o ka ʻili.

Nawaliwali kou kino. Hiki paha i hoʻokahi makahiki ke manaʻo e like me ʻoe ma mua o kāu transplant. Māmā wale ʻoe e luhi. Loaʻa paha iā ʻoe kahi makemake maikaʻi ʻole.

Inā loaʻa iā ʻoe ka iwi iwi mai kahi mea ʻē aʻe, hiki iā ʻoe ke hoʻomohala i nā hōʻailona o ka maʻi graft-versus-host (GVHD). E noi i kāu mea mālama ola e haʻi iā ʻoe i nā hōʻailona o GVHD āu e nānā ai.

E mālama pono i kou waha. ʻO ka waha maloʻo a ʻeha paha mai nā lāʻau e pono ai ʻoe e lawe no ka hoʻoneʻe ʻana o ka iwi iwi hiki ke hoʻonui i ka bacteria i kou waha. Hiki i nā bacteria ke hōʻeha i ka waha, a hiki ke pālahalaha i nā ʻāpana ʻē aʻe o kou kino.

• Palaki i kou mau niho a me nā gums 2 a 3 mau manawa i ka lā no 2 a 3 mau minuke i kēlā me kēia manawa. E hoʻohana i kahi palaki niho me nā bristles palupalu.
• E hoʻomaloʻo i ka lewa o kāu niho niho ma waena o nā palaki.
• E hoʻohana i ka toothpaste me ka fluoride.
• Floss mālie hoʻokahi i ka lā.

E holoi i kou waha i nā manawa 4 i ka lā me ka paʻakai a me ka hopena soda. (E kāwili i hoʻokahi hapalua puna, a i ʻole 2.5 gram, o ka paʻakai a me hoʻokahi hapalua teaspoon a i ʻole 2.5 gram, o ka soda bakena i 8 auneke a i ʻole 240 mau mililita o ka wai.)

Kauoha paha kāu kauka i ka holoi ʻana o ka waha. Mai hoʻohana i ka holoi ʻana i ka waha me ka wai ʻona i loko o lākou.

E hoʻohana i kāu huahana mālama lehelehe maʻamau e mālama i kou lehelehe mai ka maloʻo a me ka haʻi. E haʻi i kāu kauka inā hoʻomohala ʻoe i nā ʻeha waha hou a i ʻole ʻeha.

Hōʻalo i nā meaʻai a me nā mea inu i loaʻa ka nui o ke kō i loko o lākou. E nūnū i nā kāpili kō ʻole a omo paha i nā popsicle kō ʻole a i ʻole nā ​​candies paʻakikī kō ʻole.

Mālama i kāu mau niho, nā pale, a me nā huahana niho ʻē aʻe.

• Inā komo ʻoe i nā niho niho, kau i loko ke ʻai wale ʻoe. Hana i kēia no nā 3 mua a 4 mau pule ma hope o kāu transplant. Mai hoʻokomo iā lākou i nā manawa ʻē aʻe i ka 3 a i ka 4 mau pule mua.
• Palaki i kou mau niho ʻeleʻele 2 manawa i ka lā. E holoi maikaʻi iā lākou.
• I mea e make ai i nā mikamina, e hoʻopulu i kāu mau niho ʻino i kahi hopena antibacterial ke kau ʻole ʻoe iā lākou.

Mālama i ka loaʻa ʻole ʻana o nā maʻi no 1 a ʻoi paha mau makahiki ma hope o kāu hoʻoliʻiliʻi.

E hoʻomaʻamaʻa i ka ʻai ʻana a me ka inu ʻana i ka wā o ka mālama ʻana i ka maʻi ʻaʻai.

• MAI ʻai a inu paha i kekahi mea o undercooked a hōʻino ʻia.
• E mālama pono i kou wai.
• ʻIke pehea e kuke ai a mālama pono ai i nā meaʻai.
• E akahele ke ʻai ʻoe i waho. Mai ʻai i nā mea ʻai maka, ʻiʻo, iʻa, a i ʻole nā ​​mea ʻē aʻe āu e ʻike ʻole he palekana.

E holoi i kou mau lima me ke kopa a me ka wai pinepine, me:

• Ma hope o ka ma waho
• Ma hope o ka hoʻopā ʻana i nā wai o ke kino, e like me ka mucus a i ʻole ke koko
• Ma hope o ka hoʻololi ʻana i kahi diaper
• Ma mua o ka lawelawe ʻana i ka meaʻai
• Ma hope o ka hoʻohana ʻana i ke kelepona
• Ma hope o ka hana ʻana i ka hana hale
• Ma hope o ka hele ʻana i ka lua

E hoʻomaʻemaʻe i kou hale. E haʻalele i nā lehulehu. E noi i nā malihini i loaʻa i ke anuanu e komo i ka pale maka, ʻaʻole hoʻi e kipa. Mai hana i ka hana i ka pā a lawelawe i nā pua a me nā mea kanu.

E akahele me nā holoholona a me nā holoholona.

• Inā he pōpoki kāu, e mālama i loko.
• E hoʻololi i kekahi i ka pahu ʻōpala o kāu pōpoki i kēlā me kēia lā.
• MAI pāʻani paakiki me nā pōpoki. Hiki ke maʻi i nā ʻōkala a me nā nahu.
• Noho kaawale mai nā ʻīlio pēpē, keiki keiki, a me nā holoholona ʻōpio ʻē aʻe.

E nīnau i kāu kauka i nā lāʻau āpau āu e pono ai a i ka wā hea e loaʻa ai iā lākou.

ʻO nā mea ʻē aʻe hiki iā ʻoe ke hana e noho olakino pū me:

• Inā loaʻa iā ʻoe kahi laina venous waena a i ʻole laina PICC (peripherally inserted central catheter) laina, ʻike pehea e mālama ai ia.
• Inā haʻi aku kāu mea hāʻawi iā ʻoe i kāu helu platelet he haʻahaʻa, e aʻo pehea e pale ai i ke kahe ʻana i ka wā o ka mālama ʻana i ka maʻi ʻaʻa.
• E noho hana ma ka hele wāwae ʻana. E hoʻonui mālie i kou hele ʻana ma muli o ka nui o kou ikehu.
• ʻAi i ka protein a me nā calories e mālama i kou kaupaona.
• E noi i kāu mea hoʻolako e pili ana i nā mea hoʻopiha meaʻai wai e hiki ke kōkua iā ʻoe e lawa i ka nui o nā calories a me nā meaʻai.
• E akahele ke noho ʻoe i ka lā. E komo i ka pāpale me ka piha ākea. E hoʻohana i ka sunscreen me SPF 50 a ʻoi paha ma luna o nā ʻili i hōʻike ʻia.
• MAI Puhi.

Pono ʻoe e mālama pono i ka mālama ʻana mai kāu kauka transplant a kahu hānai no 3 mau mahina. E mālama pono i kāu koho ʻana.

Kāhea i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli.

• ʻO ke kīpē ʻole e hele a koko ʻole.
• Kaʻi nui, ka luaʻi, a i ʻole ka make o ka makemake.
• ʻAʻole hiki ke ʻai a inu paha.
• Nāwaliwali loa.
• ʻO ka ʻulaʻula, ka pehu ʻana, a me ka hoʻokahe ʻana mai kēlā me kēia wahi āu i hoʻokomo ai i kahi laina IV.
• ʻEha ma kou ʻōpū.
• Fever, chills, a sweats paha. He hōʻailona paha kēia o ka maʻi.
• ʻO kahi wīwī o ka ʻili a palapū paha.
• Jaundice (kou meli a i ʻole ka ʻāpana keʻokeʻo o kou mau maka e melemele).
• He maʻi ʻehaʻeha loa a ʻehaʻeha paha ke poʻo i hala ʻole.
• ʻO kahi puʻu e ʻinoʻino ana.
• Pilikia ka hanu ʻana ke hoʻomaha ʻoe a i ʻole ke hana nei ʻoe i nā hana maʻalahi.
• Puhi ke ʻihi.

Transplant - iwi iwi - hoʻokuʻu; Ke kuʻi ʻōnaʻi koʻokoʻo - hoʻokuʻu; Ke kuʻi ʻana o ke koʻokoʻo Hematopoietic - hoʻokuʻu; Hoemi i ka ikaika; Ke kuʻi non-myeloablative - hoʻokuʻu; Kaʻi liʻiliʻi - hoʻokuʻu; Ke kuʻi ʻōiwi iwi Allogenic - hoʻokuʻu; Ke kuʻi iwi ʻōiwi Autologous - hoʻokuʻu; Ke hoʻololi i ke koko Umbilical - hoʻokuʻu

Heslop HE. ʻO ka nānā a me ke koho o ka mea hāʻawi o ka hematopoietic stem cell transplantation. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 103.

ʻO wau A, Pavletic SZ. Ke transplantation o ke koʻokoʻo Hematopoietic. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 28.

Pūnaewele Pūnaewele Manuahi Manuahi. Nā NCCN Clinical Practice Alakaʻi i ka Oncology (NCCN Nā Kūlana) Hematopoietic cell transplantation (HCT): ka loiloi mua a me ka hoʻokele o ka maʻi Graft-Versus-Host. Mana 2.2020. www.nccn.org/professionals/physician_gls/pdf/hct.pdf. Hoʻohou i Malaki 23, 2020. Loaʻa iā ʻApelila 23, 2020.

• ʻO ka leukemia lymphoblastic ākea (ALL)
• ʻO ka leukemia myeloid koʻikoʻi - makua
• Anemia anplastic
• Hoʻoneʻe iwi iwi
• Leukemia lymphocytic mau (CLL)
• Leukemia myelogenous mau (CML)
• ʻO ka maʻi Graft-versus-host
• Hodgkin lymphoma
• Myeloma lehulehu
• Non-Hodgkin lymphoma

• Kahe i ka wā o ka maʻi maʻi maʻi
• ʻO ka catheter venous waena - ka loli lole
• Catheter venous waena - flushing
• Diarrhea - he aha e nīnau aku ai i kāu kauka - keiki
• Diarrhea - he aha e nīnau aku ai i kāu kahu mālama ola - makua
• Ka inu ʻana i ka wai me ka palekana i ka wā o ka mālama ʻana i ka maʻi ʻaʻai
• ʻO ka waha maloʻo i ka wā o ka mālama ʻana i ka maʻi ʻaʻai
• Keʻai nei i nā calorie keu ke maʻi - nā mākua
• Keʻai nei i nā calorie keu ke maʻi - keiki
• Mucositis oral - mālama pono iā ʻoe iho
• Hoʻokomo ʻia peripherally catheter waena - flushing
• ʻAi palekana i ka wā o ka mālama ʻana i ka maʻi ʻaʻai

• Huʻi Lymphocytic Leukemia
• ʻO Myeloid Leukemia
• Nā Maʻi Pōiwi
• Ke kuʻi ʻana o ka iwi iwi
• Leukemia kamaliʻi
• ʻO Leukemia Lymphocytic mau
• ʻO Myeloid Leukemia
• Leukemia
• Lymphoma
• Myeloma lehulehu
• ʻO Myelodysplastic Syndromes