Hematology: Hodgkin lymphoma (Hodgkin disease) — Stem cell transplant. Treatment abroad
In severe cases, the patients with Hodgkin's lymphoma require high-dose chemotherapy. This treatment destructs massively not only the tumor, but also healthy tissue in the bone marrow. The hematopoietic organ functions are restored by stem cell transplantation.
Before the procedure, the patient consults an oncologist. The physician clarifies complaints, examines the lymph nodes and reviews the case history. The following tests are also prescribed:
- complete blood count,
- blood chemistry with a complete hemogram,
- cytogenetic analysis,
- abdominal ultrasound,
- comprehensive CT/MRI.
According to the test findings, the professional assesses the patient's general condition and develops an optimal treatment plan.
The transplant material is usually taken from the patient prior to intensive chemotherapy. This is called an autologous transplantation. Stem cells are extracted from the peripheral blood or bone marrow, processed in a special way and stored frozen.
To carry out the transplantation, the patient is hospitalized for 57 days. Before the procedure, the patient talks to the transplant physician, who describes the details of the treatment nature, eventual complications, and measures to prevent them.
Healthy cells are administered through an intravenous catheter. Reaching the bone marrow, they fill the void created after exposure to chemotherapy drugs. The healing process lasts for the next 3 to 5 weeks.
The patient spends the rehabilitation period in the isolated ward, in which a strict hygienic regime is maintained. The nursing staff of the clinics provides him/her with meticulous care and continuous supervision.
The side effects of the transplantation are the most pronounced during the first 2 weeks. They include:
- muscle pain,
- gum bleeding,
- numbness in extremities.
In order to alleviate the suffering, the patient is prescribed symptomatic therapy. The cost of medication is determined by the amount of aid. Before discharge, the oncologist conducts a follow-up study and provides instructions for further treatment.Hide
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