Umbilical cord blood transplant - This is a type of allogeneic transplant.Donors who are not related to you, yet still match, may be found through national bone marrow registries. Sometimes parents, children, and other relatives are good matches. A brother or sister is most likely to be a good match. Special tests are done to see if a donor is a good match for you. ![]() Most times, the donor's genes must at least partly match your genes. Stem cells are removed from another person, called a donor. Allogeneic bone marrow transplant - The term allo means other.After high-dose chemotherapy or radiation treatments, your stems cells are put back in your body to make normal blood cells. Stem cells are removed from you before you receive high-dose chemotherapy or radiation treatment. Autologous bone marrow transplant - The term auto means self.There are four kinds of bone marrow transplants: This allows older people, and those with other health problems to have a transplant. Reduced intensity treatment, also called a mini transplant - Lower doses of chemotherapy and radiation are given before a transplant.This also kills all healthy bone marrow that remains, and allows new stem cells to grow in the bone marrow. Ablative (myeloablative) treatment - High-dose chemotherapy, radiation, or both are given to kill any cancer cells.The days after your transplant are referred to as “Day +1, +2…, +30, +100, etc.” You can think of these times as periods to prepare, administer and support your child throughout the blood and marrow transplant process.Before the transplant, chemotherapy, radiation, or both may be given. We refer to the days leading up to your stem cell transplant as “Day -30, -10…, -2, -1.” “Day 0” is what we call the day of your transplant when you get your cells. As a first step, we offer this step-by-step guide to explain the entire process of a stem cell transplant – from diagnosis, work-up, conditioning regimen and supportive care, to inpatient and outpatient care and long-term follow-up. Our professional Blood and Marrow Transplant Team, including your primary care provider and specialty care team ( Hematology, Oncology or Immunology) will partner with you and help you throughout this process. We know that moving forward with a stem cell transplant can be an overwhelming decision, but one that's of the utmost importance. Our goal is to keep you out of the hospital, but at times it may be necessary to admit your child back to the inpatient unit for further work-up and to ensure their safety for a period of time.Īt Children’s National Hospital, our dedicated stem cell transplant team provides the resources and support you need. Routine appointments are needed to monitor for graft-versus-host disease (GVHD) and other complications. At these visits, we check his or her blood counts and other labs and also have a discussion to see how you and the family are doing. This allows the clinic visits to be less frequent.Ĭlinic visits can be as quick as 30 minutes or as long as two to four hours depending on your child’s needs. At this time (or later for some patients at Day +180), we can start to decrease the immunosuppression medications. He or she will be seen in a clinic one to three times a week by their doctor or nurse practitioner.įor most patients, Day +100 is a mark and celebration that things are starting to normalize. Your child is still vulnerable to infection and needs his or her labs and medications monitored. Once your child is discharged from the hospital, you will either be at home or staying at the Ronald McDonald House if you live more than one hour away from Children’s National. Autologous transplant (from the patient’s own cells).Haploidentical transplant (from a family member).Matched unrelated donor (chosen from national registries).Donor sources for a stem cell transplant can be chosen from several types of material, including both bone marrow and peripheral blood stem cell. You will have the opportunity to meet with our social worker, child life specialist and nursing staff during this period.ĭonor source will be discussed along with appropriate treatment options. You will also meet with other members of the team, including an advanced practice provider (nurse practitioner or physician assistant) who will work alongside your child’s physician to ensure quality care and that all your needs are addressed. At these pre-meetings, you will discuss how a transplant could benefit your child and go over associated risks The transplant evaluation includes meetings with a primary transplant physician who has been identified as an expert in your child’s diagnosis and stem cell transplant.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |