A bone marrow transplant is easy to say, but where to find the right bone marrow?

According to the different sources of bone marrow, bone marrow transplantation can generally be divided into: autologous bone marrow transplantation, allogeneic bone marrow transplantation, allogeneic bone marrow transplantation, and xenogeneic bone marrow transplantation.

The so-called autologous bone marrow transplantation refers to taking the patient's own bone marrow for preservation, and using a large dose of radiotherapy and/or chemotherapy to kill the tumor cells in the patient's body to the greatest extent within the corresponding time, and then infuse back into the autologous bone marrow to restore the patient's hematopoietic function.

The advantages of this transplantation method are that there will be no serious comorbidities such as rejection and graft-versus-host disease, and bone marrow transplantation is easy to implant, but the disadvantage is also extremely obvious, that is, it is easy to recur.

Allogeneic bone marrow transplantation refers to transplantation between two individuals of the same species who are compatible with the main histocompatibility complex between a recipient.

Transplants between siblings of the same genotype or substantially the same genotype are currently being carried out.

A few are parent-child transplants,

There are also human leukocyte antigens transplanted between unrelated people with the same phenotype,

However, the chances of such transplants are rare.

and is prone to graft-versus-host disease.

The third type of isogenetic bone marrow transplant is a transplant in humans that is limited to identical twins.

Because there is no immune barrier between donors and recipients, no immunosuppressive treatment is required, and rejection and graft-versus-host disease do not occur, so the clinical effect is good.

Unfortunately, the patient was an only child and her parents died young.

So at present, there is only a fourth option, xenotransplantation.

But even if it is a match between relatives, there is only a 1 in 1,000 chance of success.

And the probability of finding a match for another person who has nothing to do with it across the country is too low.

At present, the patient's condition can only wait.

The patient's husband was unwilling, "Doctor, how long will you have to wait?" ”

Li Xiyang is helpless, if you are lucky, you may be able to find it tomorrow, if you are unlucky... Maybe you won't be able to find it until you die.

……

After returning to the office, Li Xiyang was still a little lost.

The most helpless thing about being a doctor is to watch the patient suffer and suffer, but there is no way to heal him.

However, today's Li Xiyang is no longer the hairy boy he was at the beginning, and he quickly sorted out his mood and continued to devote himself to the next operation.

At half past four in the afternoon, Li Xiyang had just completed an acute appendicitis operation when he saw Dong Lin waiting at the door.

Li Xiyang was stunned for a moment, "Why are you here?" ”

Dong Lin smiled and said, "There will be a caesarean section in a while, I want you to help me!" ”

Li Xiyang is stupid, what are you looking for me for a caesarean section?

Dong Lin hurriedly explained, "Don't get me wrong, you don't need to deliver the baby, I just hope that you will finally stitch up the wound of the pregnant woman." ”

Li Xiyang understood, probably because pregnant women have special requirements for wounds.

"Okay, anyway, I don't have any patients here, so let's go with you!"

"Thank you, Dr. Lee!"

So the two of them went to the obstetrics and gynecology building.

On the way, Li Xiyang learned some basic information about pregnant women.

It turned out that the pregnant woman's uterine opening had not yet been opened, but the pregnant woman's mother-in-law said that today was an auspicious day for the zodiac, and the child born was having a good life.

Originally, the hospital did not open special channels, but the pregnant woman's husband is the major shareholder of Pioneer Company and one of the bosses of Renhe.

And the pregnant woman herself has reached the time frame of the due date, so Director Xu agreed and asked Dong Lin to take charge of the delivery.

After Li Xiyang heard this, his brows furrowed slightly.

What age is this, why are you still so superstitious?

Dong Lin said with a smile, "Those who do business are like this, the more you earn, the more you believe in wealth." ”

Li Xiyang shook his head, he still couldn't understand.

Do you think only of babies and not of pregnant women?

is also a woman, Dong Lin's feelings are deeper.

But the current situation in society is like this, and many times women are helpless.

By the time we arrived at the obstetrics and gynecology department, the pregnant woman had already been pushed into the operating room first.

Dong Lin's face was ugly, knowing that this must be the idea of the patient's family.

But the other party was very big, so he could only look at Li Xiyang helplessly, and went to the operating room together.

After careful disinfection, the two entered the operating room.

At this time, the little nurse was preparing the instruments, and the pregnant woman was not yet anesthetized.

After seeing Dong Lin come in, the pregnant woman immediately said anxiously, "Doctor Dong, have you found it?" ”

Dong Lin nodded with a smile, and then pointed to Li Xiyang behind him.

Li Xiyang looked at the two of them suspiciously, what do you mean?

Dong Lin explained in a low voice that she had previously told the pregnant woman that Renhe had a doctor with particularly good suturing skills, who could make the wound look better.

That's it!

Li Xiyang nodded.

Then he said to the woman, "Hello, my surname is Li, just call me Dr. Li." ”

The woman saw that it was a male doctor, and a little shyness flashed across her face.

However, after hesitating for a moment, he still pleaded, "Dr. Li, then please!" ”

Li Xiyang nodded, "Ms. Zhao, it stands to reason that it is impossible to have a caesarean section without leaving a scar, but don't worry, I will try my best to help you reduce scar hyperplasia." ”

However, when the pregnant woman heard this, her face changed, "No, not as much as possible, Dr. Li, you must not let me have a scar on my body!" ”

Li Xiyang frowned slightly, since there was an incision, how could it be possible not to leave a scar at all.

No matter how good the holy hand of Chinese medicine is, it can't do it.

Perhaps knowing that her request was a bit excessive, the woman's expression became frustrated for a moment.

"But scars will make me ugly, I'm afraid my husband won't want me anymore!"

The woman's emotions suddenly became excited, and her blood pressure soared to 138 in an instant.

Dong Lin hurriedly went to reassure, "Ms. Zhao, don't get excited, be careful of the child!" ”

The woman begged, "Dr. Li, you can help me, I don't want to leave a scar, my husband dislikes it, you can help me." ”

Li Xiyang doesn't understand, no matter how she is a woman who has given birth to a child for herself, she will abandon her wife because of a scar on her stomach, which can only show that this man is not a good husband.

Of course, Li Xiyang just thought about these words in his heart, and did not say them.

At this moment, the pregnant woman is emotional, her blood pressure is rising rapidly, and what she needs most is comfort.

"Ms. Zhao, don't get excited, be careful to wait for your blood pressure to rise in a while, this operation will not be done."

"Huh?!"

The woman was taken aback, "Okay, I'm not excited, I'm not excited, I must have surgery today!" ”

Obviously, women seem to be more afraid of their mother-in-law than their husbands.

Today is a good day for my mother-in-law to choose, if I can't give birth today because of my own reasons.

After that, life at home was even harder!

Thinking of this, the woman lay silently on the operating table, trying to calm down.

After a while, the blood pressure went down.

Dong Lin then signaled the anesthesiologist to prepare.

Looking at the needle in the anesthesiologist's hand, the woman immediately became nervous again.

Hurriedly said, "I'm afraid, can you ask my husband to come in and accompany me?" ”

Li Xiyang and Dong Lin glanced at each other, yes.