自体移植 Guide: 移植前评估
Your First Bone Marrow Transplant Consult Visit
During your first visit to UCSF Medical Center, you will be assigned to a clinic doctor who is a specialist in bone marrow transplantation. The doctor will review your medical record 和 history, do a physical exam 和 discuss bone marrow transplantation with you. If additional tests are needed for evaluation, these may be scheduled over subsequent days at UCSF, or through your local doctor.
偶尔, the clinic doctor may decide, based on test results or other factors, that stem cell transplantation is not an appropriate method of therapy. 然而, if you are found to be a good c和idate for bone marrow transplantation at this time, your doctor will recommend a treatment plan.
You will meet your transplant coordinator nurse who will arrange for all further tests 和 appointments up until the time you are admitted to the hospital for transplantation. The case manager will work with the financial counselors 和 your insurance company to seek financial clearance for your transplant procedures. The social worker will review with you any special needs.
Before your first consult visit is over, be sure that you clearly underst和 what your treatment plan involves 和 how it is to be scheduled. 例如, you may have to have additional conventional dose chemotherapy (not high-dose) prior to admission or you may need additional tests. Whatever your personal treatment plan is, be sure you underst和 what is to be done 和 when it is to take place.
生育问题
Most types of chemotherapy or radiation used for transplantation result in long-term infertility. 病人 who are interested in having a larger family after transplantation should investigate the possibility of sperm or ovary banking. Your transplant coordinator can provide information, or see the UCSF Fertility Preservation Program.
提前进气测试
Before your admission to the hospital, you will have several days of laboratory 和 other diagnostic tests to determine if you have normal function of the heart, 肺, kidney 和 liver 和 that you do not have an undiagnosed infection. Most of these tests will be done as an outpatient before you are admitted to the hospital but others may need to be completed after you are admitted for treatment. 这些测试可能包括:
- 血液测试
- 尿液收集
- 骨髓 愿望 和 活组织检查
- 胸部x光片
- Pulmonary function tests (PFTs)
- Computed tomography (CT scan)
- 心电图(心电图)
- 心脏扫描
- 鼻窦x射线
Be sure to keep all appointments for these tests 和 to follow any preparation instructions you are given.
导管的位置
A flexible tube called a catheter with several lumens will be inserted into a large vein in your chest under the collarbone. This can be either an outpatient or inpatient procedure. The insertion may cause some initial discomfort 和 then soreness for several days.
The catheter enables the health care team to administer chemotherapy, 其他药物, blood products 和 even the stem cell transplant to you painlessly. 也, the catheter will be used to withdraw samples for blood tests required during the course of treatment, thereby minimizing the need to insert needles into your arms or h和s. Most patients have their catheters removed before they are discharged. In general, the catheter is present throughout the hospital stay, which is about three to four weeks.
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加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only 和 is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.