Precautions for the treatment of myelodysplastic syndrome!

At the treatment stage, protective precautions must be taken for the myelodysplastic syndrome (MDS) with low blood conditions, especially when the white blood cells are low. If improper treatment is taken, it may cause complications and affect the treatment effect and quality of life ! Relevant analysis is made below. Myelodysplastic syndrome [leukocytes] is low, you need to do these … First, observe the surrounding environment and do good maintenance. Whether in the hospital or at home, when the leukocytes are low, you need to observe the surrounding environment to maintain Clean environment. It is best not to put flowers, bonsai or the like indoors, including garbage bins that have accumulated garbage, and it is best to cover them. In life, you also need to avoid contact with people who have infections such as colds, chicken pox, and measles. MDS patients should pay attention to minimize going to public places when going out, and wear masks in crowded environments. In addition, try to avoid contact with pets and their excreta, and the maintenance of physical hygiene also needs to be paid attention to. Here are answers to the questions recently mentioned by many patients. When should the white blood cells be low to wear a mask? Answer this: if the white blood cells of an MDS patient are less than 3.0 during treatment, you need to wear a mask yourself. If the white blood cells are less than 1.0, both the patient and the caregiver need to wear a mask. Secondly, observe the mouth and nose skin, and do a good job of cleaning the low white blood cells. It is easy to cause infection problems. For MDS patients, it is necessary to pay attention to the hygiene of the nose and nose. Check the redness of the nose every day Are there erythema in the mouth? ulcer? Or white floating leather? In addition, gargle with edible saline or medicated gargle every 2-4 hours. In this regard, the brand of gargle can be used as recommended by the patient or doctor. After each meal, it is best to clean your mouth with a soft-bristled toothbrush or cotton swab to maintain good hygiene. In the stage of low white blood cell count, patients with myelodysplastic syndrome also need to pay attention to their skin condition. You need to develop the habit of washing your hands at any time, bathing frequently, trimming your nails, and keeping them clean. Observe the skin or treatment site for redness and swelling at the injection site. Need to use knives, scissors and other sharp objects carefully in daily life to avoid traumatic injury. Finally, it is very important to observe the private parts and do a good job of hygiene. Many MDS patients ignore this point, so that the pathogens can take advantage of it! Especially in the stage of low leukocytes, the patient wipes with toilet paper after going to the toilet, do not wipe back and forth, then wash with water, and keep the perineum, anus and genitals clean and dry at any time. Every day, you need to keep your urine and bladder unobstructed. If you have constipation or diarrhea, you need to inform the medical staff in time. It should be noted that when the white blood cells are less than 1.0 * 10 ^ 9 / L, MDS patients should avoid the use of enema, rectal suppository, or anal temperature measurement. Regarding the leukopenia stage, dietary attention should also be emphasized: Generally, high-protein and vitamin-rich foods can be consumed. If MDS patients do not have edema and need to limit the amount of drinking water, it is best to drink more than 3000 ml of water every day. If the white blood cells are less than 1.0 * 10 ^ 9 / L, please do not eat raw vegetables and fruits! There are also many patients with myelodysplastic syndrome and their families who do not understand some symptoms that need to be alerted and reported to the medical staff. The following are listed as follows: 1. The patient has a fever and the axillary temperature exceeds 37.5 ° C; 2. The patient has chills 1. The phenomenon of chills; 3. The patient has cough, runny nose, and sore throat; 4. The patient has symptoms of urination, a feeling of fever, and defecates more than twice a day; 5. The patient has redness and pain in the perineum, genitals or anus Or burning sensation; Sixth, the patient’s skin or injection site has redness, pain or burning sensation. In summary, good observation and protection can make MDS patients successfully pass the “low valley” of white blood cells. If you have any questions about this article or the disease, please feel free to follow us on WeChat and search more: gsby120

Shi Shurong explained: How to detect chronic myeloid leukemia at an early stage? What are the symptoms?

The early symptoms of chronic myeloid leukemia are not typical, and even some patients have no obvious symptoms, but blood routinely shows a significant increase in the number of white blood cells. About half of the patients with chronic myeloid disease are also accompanied by high platelet values ​​at the initial diagnosis. Director Shi Shurong’s micro-signal xueyeke999 regular physical examination is helpful for early detection of chronic myeloid leukemia. If white blood cells are found to be elevated early, you can go to the hospital to do manual classification of white blood cells. If in the manual classification of white blood cells, granulocytes are found in early or middle and late stages. Then we doubt whether there is the possibility of chronic myeloid leukemia, and then further bone penetration, so that early detection of chronic myeloid leukemia. If it is in the middle and late stages, its clinical manifestations are weight loss, night sweats and dizziness, and physical examination reveals splenomegaly. At present, the diagnosis of chronic myeloid leukemia is not a big problem. Through blood routine, bone marrow morphology, and bone marrow pathology, from the morphology and pathology, you can basically consider whether it is chronic myeloid leukemia, but the most critical is cytogenetics Molecular biology examination, cytogenetics is what our people often say, karyotype analysis, the deeper level is to make a Bcr-Abl fusion gene. Of these two tests, if any one is positive, plus its clinical manifestations, it can be diagnosed as chronic myeloid leukemia. Can chronic myeloid leukemia be cured? At present, it cannot be said that it can be cured. However, with the targeted drug TKI, we have achieved long-term negative BCR-ABL transcripts through targeted therapy. Some patients can stop the drug without recurrence, and the patient can survive for a long time. In addition, slow-grain patients can also be treated with TCM syndrome differentiation, which can effectively alleviate the side effects of targeted drugs, increase efficacy and reduce toxicity, so as to achieve the desired therapeutic effect. [For more disease knowledge, follow the WeChat public account: Slow Grain Patient Association] Welcome to follow Shi Shurong to consult and reserve an official account to learn more: zzb753