What should I pay attention to after my leukemia patient is transplanted out of the warehouse?

Exiting the warehouse is the first step to a successful hematopoietic stem cell transplant, especially for allogeneic hematopoietic stem cell transplant patients. At this time, the body’s immunity is still very weak, and you need to protect yourself in your daily life, observe the various conditions that occur in your body, and promptly record and reflect them to your primary care physician.

Home

  • Live in a clean, dry and ventilated environment. Clothes and bedding should be washed and dried regularly, and dishes should be cleaned and disinfected regularly.
  • To reduce the chance of infection, patients should also avoid tidying up old things, serving flowers and plants, and families with pets should also try to avoid close contact with them, especially those who keep birds.
  • It is important to observe the skin for rashes and sclera for yellow staining every day.
  • You should also contact your primary care physician for early management and treatment if you develop mouth ulcers, fever, abdominal pain, diarrhea, red-colored urine, or pain during urination.

Diet

Many post-transplant patients experience a loss or change in taste, which is common and should not be a concern and will slowly return over time.

The diet should be fresh, clean, balanced, avoiding undercooked food, avoiding all kinds of “health products”, and avoiding greasy food.

Traveling

Check your sunscreen before you go out, especially in summer, to avoid exposing your skin to direct sunlight. Don’t go to crowded places, avoid taking public transportation for short trips, and stay away from construction sites.

Take medication and follow up

Take your medications exactly as prescribed by your doctor and pay attention to the requirements for different medications. For example, cyclosporine A should be avoided with grapefruit juice. If you need to draw blood to check the drug concentration on the day of administration, take the drug after the blood is drawn.

Regular follow-up visits to the hospital as ordered by your doctor are very important for you when you first leave the warehouse, even if you are not experiencing any physical symptoms, but it is necessary to review the bone marrow microscopic residual lesions, donor-recipient cell chimerism ratio, liver and kidney function, and drug concentrations on a regular basis.