Chapter 150 - Bone Marrow Transplant (Part 3)
It was originally scheduled to be the end of the month to help the child with a bone marrow transplant, but because of the sudden influx of patients in the hospital
The bone marrow transplant was postponed for three days, but fortunately, the child's parents understood the current situation in the hospital, and also knew that William's bone marrow transplant for his child under such circumstances was not the best time, so nothing unpleasant happened.
Bone marrow transplantation was preceded by chemical drugs and radiation therapy to destroy the patient
Cancer cells, but at the same time, the normal hematopoietic cells in the patient's body are also killed, the body's immunity is reduced, and it is very easy to infect, which brings great danger to the bone marrow transplant operation, so the general bone marrow transplant surgery must be transplanted in a sterile ward (laminar flow room), but Wu Tianlin in Sweden specifically adopted a new preparation method for this operation, a week before the child's operation, Wu Tianlin used Chinese and Western medicine to take a two-pronged approach, Although the whole process is a bit long, this method will not harm the normal hematopoietic cells of the human body, so that the body's immunity can be guaranteed before the operation, which plays an important role in the success rate of the operation.
Before conventional bone marrow transplantation, only the HLaa, B, and DR need to be the same.
Because the diversity of HaaB is the most obvious, Wu Tianlin arranged for the child's relatives to do HLaaB typing, but none of them can be completely matched with the child's HLa, so they can only use other ways to find the bone marrow that is completely compatible with the child, although the matching bone marrow was finally found, but it also means that this bone marrow transplant is an unrelated bone marrow transplant, and the general unrelated bone marrow transplant is because the donor and the patient's hematopoietic stem cell matching probability is 1 in 100,000. Therefore, it is not easy to successfully achieve bone marrow transplantation, and there will be different degrees of rejection during the transplantation process, because the immune system can distinguish the "alien" from the foreign body, and attack it to eliminate it, this process is called "rejection", and Wu Tianlin in order to ensure the success of the operation, did not use conventional chemotherapy to eliminate the cancer cells in the child's body before the operation, so that the child's immune system is protected to a certain extent, but it also increases the probability of rejection in the bone marrow transplantation process. However, although GVHD is dangerous to patients, it has anti-leukemia effects, which can reduce the recurrence of leukemia after transplantation and can better save patients.
At ten o'clock in the morning, Wu Tianlin, William and two nurses entered the disinfection preparations, and walked into the laminar flow room prepared in advance, at this time, the child who had been lying in the laminar flow room for a whole week was looking at the light on the ceiling of the laminar flow room with wide eyes, and his face was not afraid to enter the operating room at all, hesitation, but full of curiosity, he saw Wu Tianlin wearing a mask into the laminar flow room, and asked Wu Tianlin: "Uncle Wu!" Can I be cured? ”
Wu Tianlin nodded at him and replied with a smile: "Little friend! Don't worry! You'll just have to sleep a little later, and your uncle will make sure you'll be back to school soon. After Wu Tianlin finished speaking, he nodded to William on the side and said, "Let's start!" Saying that, Wu Tianlin took out a pre-sterilized silver needle from the box, and stabbed it at several acupuncture points on the child's body, and not long after, the child whose eyes were shining seemed to suddenly become very tired, slowly closed his eyes, and fell asleep deeply.
After the child fell asleep, Wu Tianlin performed another local anesthetic acupuncture on the child, and William had already approved it
The bone marrow that had been prepared for pre-frozen storage was injected into the child's body by vein, and Wu Tianlin was ready to adjust it in advance
When the prepared immunosuppressive drug solution is implanted into the child's body in the bone marrow, the immunosuppressive drug solution is also carefully pushed into the child's vein by pushing a needle.
The whole process seems simple, but only Wu Tianlin and William know how difficult it is, the time before and after the bone marrow enters the body and the immunosuppressive drug liquid enters the body must be calculated very accurately, otherwise the immunosuppressive drug solution will not be able to achieve a real effect, but will also inhibit the reproduction of hematopoietic cells in the human body, so the whole process can not have any deviation at all. After half an hour, the whole transplant process is basically over, and the remaining time is to observe the rejection reaction during the transplant process, because the donor and the child are not related, so the "attack" of the donor immune cells that gradually grow up to the recipient will become more and more serious, and it is likely to produce a "graft-versus-host reaction", the symptoms of this GVHD include: fever, skin flushing, rash, hepatosplenomegaly, abnormal liver function, pancytopenia, hepatitis, severe diarrhea, bone marrow hard and infected mulberry, In severe cases, it can be complicated by fatal reactions, and the incidence of GVHD is 1 to 5 in twins and 35% in relatives; If you are not related by blood, it is 5070. As time goes by, the child's skin becomes red, so at this time, the donor immune cells are attacking the immune cells in the child's body, and the child's face is also painful, and the forehead slowly oozes
Sweat. Seeing this situation indicates that the rejection in the child's body is very serious, indicating that the injection was entered before
The effect of the immunosuppressive liquid was not very great, Wu Tianlin immediately pulled out sixteen golden needles, stabbed several big points on the child's body, and at the same time commanded William: "William! Inject the melt potion immediately."
Hearing this, William immediately took out a bottle of fusion medicine made by Wu Tianlin with traditional Chinese medicine in advance, and injected it into the child's vein again, with the entry of the fusion medicine, more than a dozen gold in the child's body immediately triggered the fusion medicine, the red tide phenomenon on the child's body began to slowly weaken, and the expression on the child's face slowly returned to normal. Whether this child can be Kang Xia can be
It's up to his own willpower. ”
Time passed minute by minute, and after half an hour, the rejection completely disappeared, which meant that this unrelated bone marrow transplant was really successful, Wu Tianlin's face gradually appeared with a smile, and said to William on the side: "William! You didn't see it when I inserted the needle just now, and now you have carefully read the techniques and steps of pulling the needle. Saying that, Wu Tianfu deliberately slowed down, pulled out all the sixteen gold needles and thirty-six silver needles inserted in the important acupuncture points on the child's body, and said to the two nurses with a smile: "Anna! Ilyin! I'll take care of the rest, although the hematopoietic cells implanted in this child's body have begun to multiply and rebuild the blood and immune system, but because the child's body is not very good, it may be rejected at any time, so you
We must pay attention to it. ”
——... "Teacher! We don't know how many times this kind of bone marrow transplant has been performed with you and Mr. William, and we already know what happens to patients after the surgery, so please rest assured
Let's do it!" Nurse Anna replied to Wu Tianlin with a smile while packing her things.
William has been working with Wu Tianlin for bone marrow transplantation until now, as long as he encounters a bone marrow transplant from a non-relative
Hand begging, Wu Tianlin will prepare a bottle of fusion elixir, although the number of times this fusion elixir has been used so far
It's not a lot, but the effect is obvious, but there is one point William is very puzzled, there is such an obvious effect of the drug Wu Tianlin why not promote him to all bone marrow transplant operations, you must know that the effect of this drug will make the success rate of bone marrow transplant surgery more than 80%, if it is undoubtedly announced that bone marrow transplant surgery will no longer be a very difficult operation.
Before, William thought about what Wu Tianlin's fusion medicine was made of, and why it was not directly applied to bone marrow transplant surgery, but several times the words came to his mouth and he finally swallowed it back into his stomach, this time seeing Wu Tianlin use this fusion medicine again, William couldn't help but ask Wu Tianlin: "Teacher!" The effect of this fusion agent is so obvious, why don't you just promote it on a large scale?"
Wu Tianlin saw that William wanted to ask this question a long time ago, but because he was afraid of involving some secret recipes in traditional Chinese medicine, he didn't ask himself, and now he saw that William finally couldn't help but ask, Wu Tianlin didn't hide it privately, and replied with a smile: "This medicine is only effective for serious rejection, and the ugly thing is to help the hematopoietic cells transplanted into the human body to suppress the original cells, and the use of this fusion agent under normal circumstances is not conducive to the reproduction of transplanted hematopoietic cells in the human body, plus the preparation of this medicine is not easy." And the complex properties of TCM have not yet been fully recognized by the international medical community, even if we really want to promote it to non-relatives
Bone marrow transplants are not easy. ”
While speaking, Wu Tianlin and William had already walked out of the laminar flow suffocation, and Mr. Tang and his wife, who had been waiting outside, and a large number of relatives saw Wu Tianlin and William, so they immediately surrounded Wu Tianlin and William, and Mr. Tang was full of anxiety, his heartstrings were tight, he held Wu Tianlin's hand tightly, and asked nervously and urgently: "Doctor Wu!" How is my son doing, was the bone marrow transplant successful?"
When Wu Tianlin heard this, he looked at the people in front of him with a smile and replied, "Mr. Tang! Do you have no confidence in yourself or do you not believe in our Dr. William's medical skills, the operation was very successful, although there was a rejection of books at the beginning, but now it has basically stabilized, and now your son is under observation, as long as he does not have rejection in the past two days, then I guarantee that in the near future your son will be able to go to school like a normal child.
Hearing Wu Tianlin's words, Mr. Wei Tang and his wife were full of tears with excitement, and the couple knelt in front of Wu Tianlin and William almost at the same time, ready to kowtow to Wu Tianlin to thank him.
Wu Tianlin didn't expect Mr. Tang and his wife to kneel down again, and hurriedly reached out to support Mr. Tang, unhappy
He asked, "Mr. Tang!" How many times have I said what you are doing, have you forgotten my words? "[Feiku.com]