Preparing patients for allogeneic hematopoietic stem cell transplantation

This is an automatically translated article.

The article was written by Doctor Bui Thi Hang - Pediatrician, High-Tech Unit for Treatment of Cerebral Palsy and Autism - Vinmec Times City International Hospital
Before a hematopoietic stem cell transplant, the patient needs to be in the best possible health, so the patient needs to be examined and evaluated the functional status of the organs such as the heart, lungs, kidneys, and liver. , intestines to make sure these organs function properly.

1. Test procedure before stem cell transplant

Because during stem cell transplantation, the patient's immune system will be temporarily weakened, so possible infections (especially rhinosinusitis, gum infections) must be carefully checked. to detect the infection the patient has and must be treated stably before hematopoietic stem cell transplantation.
To complete the pre-transplant stem cell examination, it takes 4 to 6 weeks, during this period, the patient may have to go to the outpatient clinic 3 to 4 times, a series of blood tests will be performed to evaluate the medical condition, organ function in the body and the patient must also undergo a number of important tests that are briefly described below:

Abdominal ultrasound: to evaluate the liver, spleen, kidney, bladder... Electrocardiogram: to evaluate rhythm abnormalities, detect myocardial ischemia... Echocardiogram: evaluate the ability to Cardiac contractility Measure lung function X-ray or CT scan of the lungs to look for infections in the lungs X-ray or CT scan of the nose and sinuses to look for infections in the nose and sinuses Dental exam for dental infections Gynecological exam: to find gynecological infections The patient may need to be consulted with information such as rehabilitation after stem cell transplantation, other social supports... Psychological examination if the patient wants to receive psychological support Besides In addition, the patient may be asked to have the following additional examinations as needed:
Proctoscopy if infection of the anal canal is suspected Eye exam to evaluate vision In-depth cardiovascular examination to evaluate problems Cardiovascular problems EEG to detect risk of seizures See a radiologist to plan radiation therapy after stem cell transplant if necessary After other test results of other specialists and tests, the hematologist at the clinic will evaluate the test results, explain the results to the patient The doctor will join other staff involved in the stem cell transplant to discuss with the patient. patients about follow-up plans. If you have any questions, please ask your doctor for answers. Before being admitted to the hospital for a stem cell transplant from 3 to 5 days, the patient will have a visit with the doctor at the clinic to make sure all the the best health conditions to perform a stem cell transplant.

Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading medical doctors, modern equipment and technology, but also stands out for its examination and consultation services. comprehensive and professional medical consultation and treatment; civilized, polite, safe and sterile medical examination and treatment space. Customers when choosing to perform tests here can be completely assured of the accuracy of test results.
Customers can directly go to Vinmec Health system nationwide to visit or contact the hotline here for support.

SEE ALSO:
Stem cell transplant procedure to treat hemophagocytic syndrome