Vim li cas cov neeg mob xaiv Apollo Tsev Kho Mob rau CAR-T Cell Therapy
- Kev kho mob rau cov neeg mob hnub nyoog tshaj 40 xyoo: Pawg Apollo Hospitals tau pib xyoo 1983 hauv Chennai thiab niaj hnub no ua haujlwm ib qho ntawm cov koom haum kho mob loj tshaj plaws hauv Asia, nrog ntau dua 70 lub tsev kho mob thiab kev paub txog kev kho mob rau cov neeg mob los ntawm ntau dua 120 lub tebchaws.
- Tsev Kho Mob Apollomedics Super Specialty, Lucknow: Ib lub chaw kho mob tshwj xeeb hauv Uttar Pradesh nrog cov chav haujlwm tshwj xeeb rau Medical Oncology, Haemato-Oncology, Bone Marrow Transplant, Radiation Oncology thiab Surgical Oncology ua haujlwm ua ib pawg thawj coj saib xyuas qog nqaij hlav.
- Pab pawg neeg CAR-T ntau yam kev kawm: Cov kws kho mob ntshav-oncologists, cov kws kho mob hloov ntshav, cov kws kho mob hloov ntshav thiab cov kws kho mob apheresis, cov kws kho mob intensivist, cov kws kho mob hlwb, cov kws pab tswv yim txog kab mob sib kis, cov kws kho mob tshuaj, cov kws tu mob hloov ntshav thiab cov kws noj zaub mov. Tus naj npawb tseeb ntawm cov kws pab tswv yim uas koom nrog CAR-T program thiab lawv cov xyoo ntawm kev paub dhau los yog qhia los ntawm tus neeg saib xyuas oncology thaum koj teem caij, vim tias pawg neeg hloov pauv raws sijhawm.
- Kev siv lub tshuab Apheresis thiab kev ua haujlwm ntawm tes: Leukapheresis rau kev sau T-cell, kev tuav pov hwm cryopreservation, thiab kev sib koom tes nrog cov neeg koom tes tsim khoom CAR-T uas tau tso cai hauv Is Nrias teb.
- Cov txaj pw BMT thiab cov txaj pw cais uas muaj HEPA lim dej ntxiv rau ib chav saib xyuas neeg mob uas muaj kev paub dhau los hauv kev tswj hwm cytokine release syndrome (CRS) thiab ICANS (immune effector cell-associated neurotoxicity syndrome), nrog rau tocilizumab thiab steroid protocols thiab 24x7 intensivist cover.
- Qhov tob ntawm kev kuaj mob hauv qab ib lub ru tsev: Kev ntsuas cov kua dej hauv lub cev (flow cytometry), kev ntsuas immunophenotyping, cytogenetics, kev kuaj molecular thiab MRD, PET-CT, 24x7 lub txhab ntshav nrog cov khoom uas tau irradiated thiab cov khoom uas tau leucodepleted.
- Cov kev pab cuam uas tau tsim los ntawm pawg hnub nyoog: Cov kev kho mob rau cov menyuam yaus thiab cov hluas uas muaj kab mob ntshav thiab qog nqaij hlav rau B-cell ALL, cov kev kho mob lymphoma thiab myeloma rau cov neeg laus sib cais, thiab txoj kev ntsuam xyuas cov neeg laus rau cov neeg laus uas muaj cov kab mob ua ke.
- Kev nkag mus rau CAR-T uas ua los ntawm Is Nrias teb: Cov khoom lag luam uas CDSCO tau pom zoo hauv Is Nrias teb xws li NexCAR19 (actalycabtagene autoleucel, tau pom zoo thaum Lub Kaum Hli 2023) thiab Qartemi (tau pom zoo xyoo 2025) tau coj txoj kev kho mob no mus rau cov tsev neeg Is Nrias teb; kev tsim nyog thiab kev muaj khoom tau lees paub ib qho zuj zus.
- Kev txhawb nqa tag nrho: Kev pov hwm thiab lub rooj sib tham TPA, kev pab cov neeg mob sab nraud nroog, kev sab laj, kev noj haus thiab kev saib xyuas lub neej ntev.
Txheej txheem cej luam
Ntawm Apollo Tsev Kho Mob Lucknow, peb txaus siab rau peb tus kheej ua tus thawj coj hauv kev tsim kho tshiab thiab kev saib xyuas tus neeg mob. Peb qhov kev pab cuam CAR-T Cell Therapy qhia txog peb txoj kev cog lus rau kev ua tau zoo, siv cov thev naus laus zis tshiab los kho cov kab mob hematological nyuaj. CAR-T Cell Therapy, lossis Chimeric Antigen Receptor T-cell Therapy, yog kev kho mob hloov pauv uas siv lub zog ntawm tus neeg mob lub cev tiv thaiv kab mob los tawm tsam mob qog noj ntshav. Nrog pab pawg kws kho mob oncologists thiab cov chaw kho mob zoo tshaj plaws, Apollo Tsev Kho Mob Lucknow tau lees paub tias yog ib qho ntawm cov chaw ua haujlwm rau CAR-T Cell Therapy hauv cheeb tsam, tau txais kev ntseeg siab ntawm cov neeg mob thiab lawv tsev neeg.
Vim li cas CAR-T Cell Therapy thiaj li tsim nyog
Kev Kho Mob CAR-T Cell yog ib txoj kev kho mob tshiab rau cov neeg mob uas muaj qee hom mob qog ntshav, suav nrog mob qog ntshav lymphoblastic leukemia (ALL) thiab qee hom mob qog ntshav non-Hodgkin lymphoma. Cov kev kho mob ib txwm muaj, xws li kev siv tshuaj chemotherapy thiab kev siv hluav taws xob, tej zaum yuav tsis zoo rau txhua tus neeg mob, tshwj xeeb tshaj yog cov neeg uas muaj mob rov qab los lossis mob tsis zoo. Kev Kho Mob CAR-T Cell muab txoj hauv kev rau tus kheej, qhov twg T-cells raug rho tawm ntawm cov ntshav ntawm tus neeg mob, hloov kho caj ces los tsom rau cov hlwb qog ntshav, thiab tom qab ntawd rov muab tso rau hauv tus neeg mob. Kev kho mob tshiab no tuaj yeem txhim kho txoj hauv kev kom rov zoo thiab muab kev xaiv rau cov neeg mob uas tau siv tag lwm txoj kev kho mob.
Qhov tseem ceeb ntawm kev kho mob ntawm CAR-T Cell Therapy yog nws lub peev xwm los tsom thiab rhuav tshem cov hlwb qog nqaij hlav uas qhia txog cov antigen xaiv, xws li CD19 lossis BCMA, es tsis txhob faib cov hlwb feem ntau. Txoj kev kho mob no tau hloov pauv qhov kev xav ntawm cov kab mob rov qab los thiab cov kab mob tsis kho tau, ua rau nws yog qhov kev xaiv tsim nyog rau cov neeg mob tsim nyog. Txawm li cas los xij, nws tsis yog dawb ntawm kev pheej hmoo, thiab cov tsos mob sab nraud txawv ntawm cov tshuaj chemotherapy es tsis yog tsuas yog tsis hnyav dua.
Kev pheej hmoo ntawm kev ncua
Kev ncua CAR-T Cell Therapy tuaj yeem ua rau muaj qhov tshwm sim loj heev rau cov neeg mob uas tawm tsam cov qog ntshav qog ntshav. Raws li tus kab mob loj hlob zuj zus, cov qog nqaij hlav cancer tuaj yeem sib ntxiv thiab sib kis, ua rau kev kho mob nyuaj dua thiab txo qhov yuav tshwm sim tau zoo. Kev ncua sij hawm kho yuav ua rau muaj teeb meem xws li kev puas tsuaj ntawm lub cev, ua rau lub nra hnyav ntxiv, thiab txo qis kev noj qab haus huv tag nrho, uas tuaj yeem cuam tshuam qhov txiaj ntsig ntawm kev kho mob tom ntej.
Muaj qhov thib ob, yog vim li cas thiaj li tsis txhob ncua. Kev tsim cov khoom CAR-T siv sijhawm ntau lub lis piam, thiab tus neeg mob yuav tsum nyob twj ywm txaus kom tau txais cov hlwb thaum lawv npaj txhij. Tus neeg mob uas tus kab mob nce siab thaum lub sijhawm ntawd yuav tsis tsim nyog. Ntawm Apollo Tsev Kho Mob Lucknow, peb pab neeg mob siab ua haujlwm nrog cov neeg mob kom ntseeg tau tias lawv tau txais kev ntsuam xyuas thiab kev kho mob tsim nyog yam tsis muaj kev ncua tsis tsim nyog. Kev sab laj thaum ntxov tuaj yeem yog qhov tseem ceeb hauv kev txiav txim siab qhov kev nqis tes ua zoo tshaj plaws rau koj txoj kev noj qab haus huv.
Cov txiaj ntsig ntawm CAR-T Cell Therapy
- Hom Kev Kho Mob: Kev Kho Mob CAR-T Cell yog tsim los rau cov hlwb mob qog noj ntshav uas muaj ib lub cim tshwj xeeb, txuag ntau cov nqaij noj qab haus huv uas cov tshuaj kho mob ib txwm muaj cuam tshuam.
- Muaj peev xwm ua kom rov zoo sai sai: Muaj ntau tus neeg mob uas muaj kev kho mob zoo uas kav ntev, thiab qee tus tau txais kev zam txim tag nrho uas kav ntev, uas tuaj yeem txhim kho lub neej zoo. Cov kev kho mob sib txawv ntau thiab tsis tuaj yeem lav tau.
- Personalized Txoj Kev: Txhua txoj kev kho mob yog tsim los ntawm tus neeg mob tus kheej cov T-cell, yog li ntawd txoj kev kho mob yog tshwj xeeb rau tus neeg ntawd.
- Tus qauv infusion ib zaug: Rau feem ntau cov neeg mob, cov qe ntshav uas tau hloov kho lawm raug muab ib zaug xwb, es tsis yog muab rov ua dua ntau lub hlis.
- Kev siv technology tshiab: Peb cov chaw kho mob siab heev, muaj peev xwm siv lub tshuab apheresis thiab chav hloov ntshav uas saib xyuas zoo txhawb nqa tus qauv kev saib xyuas zoo tshaj plaws thoob plaws txoj kev kho mob.
- Kev them nyiaj yug Comprehensive: Kev saib xyuas tag nrho suav nrog kev txhawb nqa lub hlwb, kev qhia txog kev noj zaub mov zoo, kev qhia tiv thaiv kev kis kab mob thiab kev saib xyuas tom qab.
Kev npaj thiab rov qab
- Kev sab laj: Kev sab laj nrog peb pab neeg mob ntshav thiab qog nqaij hlav kom nkag siab txog koj keeb kwm kev kho mob, cov kab kev kho mob yav dhau los, cov ntaub ntawv biopsy thiab flow cytometry, thiab cov kev xaiv kho mob.
- Kev kuaj ua ntej kev kho mob: Kev suav cov ntshav, kev kuaj kev ua haujlwm ntawm cov kabmob, kev kuaj mob viral serology, PET-CT lossis kev ntsuas pob txha, kev ntsuas lub plawv thiab lub ntsws, thiab kev ntsuas lub paj hlwb kom paub meej tias tsim nyog.
- Kev txhawb siab: Kev sab laj thiab kev txhawb nqa los ntawm cov phooj ywg los pab tswj kev ntxhov siab txog txoj kev kho mob uas ntev thiab tsis paub zoo.
- Kev Kho Mob Tom Qab: Kev teem sijhawm saib xyuas ze, kev soj ntsuam CRS, kev ua rau lub hlwb tsis zoo, cov lej tsawg thiab kev kis kab mob, thiab rov qab mus rau lub neej zoo li qub.
- Khoom noj khoom haus: Kev noj zaub mov kom huv si thiab sib npaug zoo los pab kom rov zoo. Peb cov kws qhia noj haus muab cov phiaj xwm rau tus kheej, suav nrog cov zaub mov tsis muaj nqaij thiab cov zaub mov Jain.
Kev rov zoo txawv ntawm tus neeg mob mus rau tus neeg mob. Qee tus tsuas yog muaj mob kub taub hau me ntsis thiab qaug zog xwb; lwm tus xav tau kev saib xyuas zoo hauv kev saib xyuas mob hnyav. Peb pab neeg ntawm Apollo Tsev Kho Mob Lucknow muab kev saib xyuas tus kheej thiab kev txhawb nqa thoob plaws hauv txoj kev rov zoo.
Cov Lus Qhia thiab Cov Qauv Tam Sim No Uas Tau Ua Raws Li
Peb txoj kev CAR-T yog tsim los ntawm cov qauv hauv tebchaws thiab thoob ntiaj teb, thiab raug tshuaj xyuas thaum cov ntaub ntawv no raug kho dua tshiab:
- Pawg Sab Laj Saib Xyuas Kev Tshawb Fawb Txog Kev Kho Mob Hauv Is Nrias teb (ICMR) Cov Lus Qhia Hauv Tebchaws rau Kev Tsim Khoom Siv Kho Mob Gene thiab Kev Sim Tshuaj, 2019, ua ke muab nrog Lub Tsev Haujlwm Saib Xyuas Biotechnology, uas tswj hwm txoj kev tsim thiab tswj cov khoom siv hloov pauv caj ces hauv Is Nrias teb.
- Lub Koom Haum Tswj Xyuas Cov Tshuaj Nruab Nrab (CDSCO) kev tso cai ua lag luam. NexCAR19 (actalycabtagene autoleucel), tsim los ntawm ImmunoACT nrog IIT Bombay thiab Tata Memorial Center, tau txais kev pom zoo los ntawm CDSCO thaum Lub Kaum Hli 2023 rau kev mob qog ntshav B-cell lymphoblastic uas rov qab los/tsis khov kho thiab B-cell non-Hodgkin lymphoma hauv cov neeg mob hnub nyoog 15 xyoos thiab siab dua. Ib yam khoom tiv thaiv BCMA, Qartemi, tau txais kev pom zoo hauv xyoo 2025 rau kev mob qog ntshav ntau yam uas rov qab los/tsis khov kho. Kev muaj khoom tshwj xeeb rau koj qhov teeb meem tau lees paub los ntawm pab pawg kho mob.
- Lub Koom Haum Indian ntawm Hematology thiab Kev Hloov Ntshav (ISHBT) thiab cov Lub Koom Haum Is Nrias teb rau Kev Hloov Ntshav thiab Pob Txha (ISBMT) cov lus hais txog txoj haujlwm thiab kev coj ua sau npe ntawm kev kho mob ntawm tes, kev tiv thaiv kev kis kab mob thiab cov qauv ntawm chav hloov pauv.
- ASTCT (American Society for Transplantation and Cellular Therapy) kev pom zoo rau CRS thiab ICANS, 2019, uas yog lub kaw lus ntsuas qib siv thoob ntiaj teb thiab hauv cov chaw hauv Is Nrias teb rau kev ntsuas thiab kho cov teeb meem no.
- Cov Lus Qhia Txog Kev Kho Mob Hauv NCCN hauv Oncology rau B-cell lymphomas, ALL thiab multiple myeloma, thiab EBMT/JACIE cov ntsiab cai zoo rau cov chav kho mob cellular.
Dab tsi tau hloov pauv tsis ntev los no: Txog xyoo 2023, kev kho mob CAR-T rau cov neeg mob Is Nrias teb txhais tau tias yuav tsum mus ncig teb chaws txawv teb chaws ntawm tus nqi uas feem ntau tsev neeg tsis tuaj yeem xav txog. Cov khoom lag luam CARD-T uas tau pom zoo los ntawm CDSCO uas tsim tawm hauv Is Nrias teb tau hloov qhov ntawd, thiab kev kho mob tam sim no tau xa mus rau cov chaw kho mob Is Nrias teb uas tau lees paub. Cov lus qhia txog kev saib xyuas tus neeg mob sab nraud lossis kev nyob luv luv, kev siv tocilizumab ua ntej, thiab kev siv CAR-T hauv kab thib ob es tsis yog kab thib peb loj B-cell lymphoma kuj tau hloov pauv hauv cov ntawv qhia tshiab.
Leej Twg Tsim Nyog, thiab Leej Twg Tsis Tsim Nyog
Feem ntau xav txog CAR-T
- Kab mob B-cell uas rov qab los yog tsis kho tau zoo (acute lymphoblastic leukaemia)
- Rov qab mob los yog tsis kho tau cov kab mob B-cell lymphoma loj thiab qee cov kab mob B-cell non-Hodgkin lymphomas uas tawm tsam thiab ua rau mob hnyav dua
- Mob multiple myeloma uas rov qab mob dua lossis tsis kho tau tom qab cov kab kev kho mob yav dhau los, qhov twg muaj cov khoom lag luam uas BCMA tswj hwm.
- Lub plawv, lub ntsws, lub siab thiab lub raum ua haujlwm tau zoo, thiab muaj kev ua tau zoo tsim nyog
Feem ntau tsis haum, lossis xav tau kev kho ua ntej
- Kev kis kab mob uas tsis tau tswj hwm, suav nrog kev mob ntsws uas tseem ceeb, uas yog qhov tseem ceeb hauv Is Nrias teb
- Kab mob siab B lossis C lossis HIV uas tseem muaj sia nyob yuav tsum tau ua kom ruaj khov ua ntej sau cov cell
- Kab mob hauv lub paj hlwb hauv qee cov txheej txheem
- Kev ua haujlwm tsis zoo ntawm lub cev hnyav heev, lossis kev ua haujlwm tsis zoo heev
- Tsis txaus T-cell rau kev sau tom qab kev kho mob hnyav ua ntej
Kev tsim nyog yog kev txiav txim siab ntawm pab pawg neeg ua haujlwm ntawm pawg thawj coj saib xyuas qog nqaij hlav, tsis yog kev txiav txim siab ntawm ib tus kws kho mob xwb.
Lub Sijhawm ntawm Cov Txheej Txheem thiab Theem Npaj
| theem | Ntev ntev | Ua li cas |
|---|---|---|
| Kev ntsuam xyuas thiab pawg thawj coj saib xyuas qog nqaij hlav | 1 rau 2 lub lim tiam | Kev tshuaj xyuas cov ntaub ntawv, kev kuaj mob los yog kev kuaj pob txha, kev thaij duab, kev kuaj lub cev ua haujlwm, kev sib tham txog kev pom zoo, kev tso cai ua ntej rau kev pov hwm pib lawm |
| Kev kho mob txuas ntxiv | 2 txog 4 lub lis piam, yog tias xav tau | Kev kho mob chemotherapy lossis steroids kom tswj tau kab mob thaum lub sijhawm tsim cov hlwb |
| Kev kuaj ntshav dawb (kev sau cov qe ntshav dawb T) | 1 hnub, qee zaum 2 | Cov ntshav uas raug rho tawm los ntawm lub tshuab uas cais cov qe ntshav dawb; feem ntau ua raws li kev kho mob txhua hnub |
| Manufacturing | Kwv yees li 2 txog 4 lub lis piam | Cov hlwb raug hloov kho caj ces, nthuav dav thiab kuaj xyuas zoo ntawm qhov chaw muaj ntawv tso cai |
| Kev kho mob Lymphodepleting chemotherapy | 3 hnub | Kev siv tshuaj chemotherapy tsawg tsawg los ua qhov chaw rau cov hlwb CAR-T |
| Txoj kev lis ntshav | Hauv qab ib teev | Cov hlwb raug txhaj tshuaj zoo li kev hloov ntshav |
| Kev saib xyuas neeg mob hauv tsev kho mob | Kwv yees li 2 lub lis piam | Saib xyuas CRS, neurotoxicity, cov lej qis thiab kev kis kab mob |
| Nyob ze tsev kho mob tom qab tawm hauv tsev kho mob | Feem ntau li ntawm 4 lub lis piam tom qab txhaj tshuaj | Kev tshuaj xyuas tsis tu ncua; tus neeg mob yuav tsum nyob ze rau qhov chaw yooj yim mus txog |
Lub sijhawm ua haujlwm tsuas yog qhia xwb. Lub sijhawm tsim khoom, qhov muaj sijhawm thiab koj tus cwj pwm kab mob tuaj yeem ua rau txoj kev mus los luv dua lossis ntev dua.
Cov Kev Xaiv Lwm Yam thiab Cov Kev Xaiv Txuj Ci Piv Txwv
| Option | Yuav ua li cas nws ua hauj lwm | Feem ntau xav txog thaum | Cov kev sib pauv tseem ceeb |
|---|---|---|---|
| Kev kho mob cell-T ntawm tes | Tus neeg mob tus kheej cov T-cell tau rov tsim dua los tawm tsam tus cim qog noj ntshav; ib zaug txhaj tshuaj | Cov kab mob B-cell ALL uas rov qab los yog tsis kho tau, cov kab mob B-cell lymphoma uas tawm tsam heev, cov kab mob myeloma tom qab cov kab mob ua ntej | Tos ntau lub lis piam ntawm kev tsim khoom; kev pheej hmoo ntawm CRS thiab neurotoxicity; tus nqi siab ib zaug xwb; xav tau lub chaw tau lees paub |
| Kev hloov pauv ntawm cov hlwb autologous | Kev kho mob chemotherapy ntau dhau los ntawm cov noob hlwb ntawm tus neeg mob tau cawm dim | Kev mob qog ntshav rov qab los uas rhiab rau tshuaj chemo, kev sib sau ua ke ntawm myeloma | Yuav tsum tau muaj tus kab mob kom tseem teb rau chemotherapy; mucositis thiab cov lej qis ntev |
| Kev hloov pauv hlwb allogeneic | Cov hlwb ntawm tus neeg pub dawb uas sib phim, nrog rau qhov cuam tshuam ntawm kev hloov pauv piv rau qhov mob qog noj ntshav | Kab mob leukemia uas muaj feem yuav mob heev; muaj neeg pub dawb | Kab mob sib kis los ntawm kev hloov pauv mus rau lwm tus; kev tiv thaiv kab mob ntev; kev tuag ntau dua los ntawm kev hloov pauv |
| Cov tshuaj tiv thaiv kab mob sib txawv | Cov tshuaj uas tsis tas yuav muaj ntawv yuav los ntawm lub txee uas txuas cov T-cell rau cov hlwb mob qog noj ntshav | Thaum CAR-T tsis muaj, tsis pheej yig lossis tus neeg mob tsis tuaj yeem tos kom txog thaum tsim khoom | Rov ua dua koob tshuaj ntau lub hlis; CRS tseem ua tau txawm tias feem ntau tsis hnyav heev |
| Kev kho mob chemotherapy lossis cov tshuaj targeted | Cov kev kho mob ib txwm muaj los yog cov tshuaj tiv thaiv kab mob sib xyaw ua ke | Kev sib txuas, lossis thaum kev kho mob cellular tsis haum | Cov lus teb feem ntau luv luv hauv cov kab mob refractory |
| Cov chaw kuaj mob | Kev nkag mus rau cov qauv tshiab lossis kev sib xyaw ua ke | Cov neeg mob uas haum rau cov qauv kev sim | Kev tsim nyog nruj heev; cov txiaj ntsig tseem tsis tau tsim tawm |
| Kev saib xyuas zoo tshaj plaws | Kev tswj cov tsos mob, kev hloov ntshav, kev pab txhawb nqa palliative | Cov neeg mob uas tsis muaj zog, los yog los ntawm tus neeg mob xaiv | Tsis yog lub hom phiaj los tswj tus mob qog noj ntshav |
Cov Txheej Txheem Feem Ntau Ua Ua Ke Nrog Kev Kho Mob CAR-T
- Kev ntxig txoj catheter central venous los yog txoj kab apheresis rau kev sau cov cell thiab kev txhaj tshuaj
- Bone marrow aspiration thiab biopsy nrog kev kuaj MRD ua ntej thiab tom qab kev kho mob
- PET-CT los yog CT rau kev ntsuam xyuas theem thiab kev teb
- Kev phais mob lumbar nrog kev kho mob intrathecal qhov twg CNS kev koom tes yog qhov txhawj xeeb
- Kev sab laj txog kev tiv thaiv kev xeeb tub (kev khaws cov phev, oocyte lossis embryo khov) ua ntej lymphodepletion, tshwj xeeb tshaj yog rau cov neeg mob hluas
- Kev kuaj mob hniav thiab kab mob, suav nrog kev kuaj mob ntsws thiab mob siab
- Kev kuaj mob Echocardiography thiab kev ua haujlwm ntawm lub ntsws
- Kev txhawb nqa cov khoom ntshav nrog rau cov khoom uas tau raug irradiated, leucodepleted
Kev Rov Qab Zoo Ib Theem Ib Theem
| Sij hawm | Timeframe | Dab tsi tshwm sim | Koj yuav tsum ua li cas |
|---|---|---|---|
| Tam sim ntawd | Hnub 0 txog hnub 14 | Kub taub hau, ntshav siab qis, ua tsis taus pa, tsis meej pem lossis nyuaj nrhiav lus tuaj yeem qhia txog CRS lossis ICANS; cov lej qis yog qhov tshwm sim. | Nyob twj ywm hauv tsev kho mob; qhia txhua yam tsos mob; tsev neeg yuav tsum sau txhua yam tsos mob rau hauv phau ntawv teev cia |
| Early | Lub Limtiam 2 txog lub lim tiam 4 | Qaug zog, suav tsawg, muaj feem kis kab mob; kev tshuaj xyuas txhua hnub lossis lwm hnub | Nyob ze tsev kho mob; tsis txhob muaj neeg coob coob, hmoov av tsim kho thiab zaub mov hauv txoj kev |
| Intermediate | Lub Hlis 2 txog Lub Hlis 3 | Cov suav thiab cov theem immunoglobulin rov zoo; B-cell aplasia tej zaum yuav tseem muaj; feem ntau yuav ua qhov kev tshuaj ntsuam teb | Tuaj koom txhua qhov kev tshuaj xyuas; noj tshuaj tiv thaiv kab mob; IVIG yog tias qhia |
| lig | Lub Hlis 4 txog Lub Hlis 12 | Feem ntau cov neeg mob rov qab ua neej li qub; qee tus muaj kev tiv thaiv kab mob qis ntev | Rov pib txhaj tshuaj tsuas yog thaum pab neeg qhia xwb; txuas ntxiv kev saib xyuas txhua peb lub hlis |
| Ntev mus ntev | Tshaj 1 xyoos, txog li 15 xyoos | Kev saib xyuas mus sij hawm ntev yog pom zoo thoob ntiaj teb rau cov neeg tau txais cov cell hloov kho gene | Kev tshuaj xyuas txhua xyoo, kev soj ntsuam mob qog noj ntshav thib ob, kev ua neej noj qab haus huv |
Rov Qab Mus Ua Haujlwm Li Qub, Ua Haujlwm thiab Ua Neej Nyob Ib Txwm Hauv Is Nrias teb
- Tsav Tsheb: Tsis pub siv tsawg kawg yog 8 lub lis piam tom qab txhaj tshuaj rau hauv feem ntau cov txheej txheem, vim muaj kev pheej hmoo ntawm kev cuam tshuam rau lub paj hlwb qeeb. Paub meej hnub tim nrog koj tus kws pab tswv yim.
- Haujlwm: Feem ntau ua haujlwm hauv rooj lossis ua haujlwm hauv tsev tau li ntawm 2 txog 3 lub hlis. Cov haujlwm hauv teb, hauv cov chaw ua haujlwm hauv tsev, ua liaj ua teb thiab ua haujlwm mus ncig ntau zaus yuav tsum siv sijhawm ntev dua.
- Cov neeg coob coob thiab cov rooj sib tham: Kev sib yuav, kev tos kab hauv tuam tsev, kev ua koob tsheej melas thiab kev thauj mus los rau pej xeem uas muaj neeg coob coob yog qhov zoo tshaj plaws kom tsis txhob ua rau 3 lub hlis thawj zaug.
- Cov kev cai hauv tsev neeg: Pw hauv pem teb yog qhov siv tau yog tias hauv pem teb huv si thiab tsis muaj plua plav, tab sis xav tau txaj pw thaum cov neeg pw tsawg. Kev kho mob nws tus kheej tsis txwv kev zaum thiab zaum hla ceg, txawm hais tias qhov qaug zog thiab kiv taub hau yuav ua rau nyuaj rau sawv thaum pib lub lim tiam.
- Chav dej Indian: Siv lub rooj zaum sab hnub poob lossis lub rooj zaum hauv chav dej thaum lub sijhawm suav tsawg, vim tias kev tsaus muag lossis tsis ruaj khov hauv chav dej uas xauv yog qhov txaus ntshai tiag tiag. Khaws lub qhov rooj tsis txhob xauv thiab ib tus neeg nyob ze koj hnov.
- ce: Kev taug kev maj mam hauv tsev txij li thawj lub lim tiam; kev taug kev sai thiab yoga feem ntau txij li 6 txog 8 lub lim tiam; lub chaw dhia ua si, hnyav thiab kev ua si sib chwv tsuas yog tom qab tau txais kev tso cai.
- Khoom noj thiab dej: Cov khoom noj ua tshiab hauv tsev, dej npau lossis dej lim, tsis txhob noj cov chutney nyoos, zaub xam lav, txiv hmab txiv ntoo txiav los ntawm cov neeg muag khoom, lossis cov mis nyuj tsis tau pasteurized thaum lub sijhawm tsis muaj zog tiv thaiv kab mob.
- Tsiaj thiab kev ua teb: Tsis txhob kov cov av, nyuj, nqaij qaib thiab cov khib nyiab tsiaj tsawg kawg yog 3 lub hlis.
Txo Qhov Kev Pheej Hmoo ntawm Kev Rov Qab Mob Dua thiab Teeb Meem
- Tuaj koom txhua qhov kev tshuaj xyuas thiab kev luam theej duab uas tau teem sijhawm, txawm tias thaum koj xav tias zoo tag nrho
- Noj tshuaj tua kab mob, tshuaj tua kab mob fungal thiab tshuaj tiv thaiv kab mob pneumocystis raws li tau qhia.
- Qhia qhov kub taub hau siab tshaj 100.4°F (38°C) tam sim ntawd es tsis txhob pib siv tshuaj tua kab mob hauv tsev
- Txais kev hloov pauv immunoglobulin yog tias pom zoo rau cov qib immunoglobulin qis
- Tsuas yog txhaj tshuaj tiv thaiv kab mob dua tshiab raws li lub sijhawm teem tseg uas koj pab neeg teem tseg, feem ntau pib ob peb lub hlis tom qab txhaj tshuaj.
- Tsum haus luam yeeb, gutkha thiab cawv kiag li; ob qho tib si ua rau cov txiaj ntsig thiab kev pheej hmoo ntawm kev kis kab mob hnyav dua
- Tswj kev tu cev qhov ncauj thiab hniav, thiab kho txhua yam kab mob hniav sai li sai tau raws li kev qhia
- Tswj cov kab mob ntshav qab zib, ntshav siab thiab cov kab mob thyroid kom zoo
Cov Kev Xav Txog Rau Cov Menyuam Yaus, Cov Hluas, thiab Cov Neeg Laus
Cov menyuam yaus thiab tub ntxhais hluas
CD19-directed CAR-T muaj nws cov pov thawj zoo tshaj plaws hauv cov menyuam yaus thiab cov tub ntxhais hluas B-cell ALL. Kev pom zoo los ntawm cov cai hauv Is Nrias teb rau NexCAR19 tam sim no pib thaum muaj hnub nyoog 15 xyoos, yog li cov kev xaiv rau cov menyuam yaus me dua raug tham txog ib tus zuj zus thiab tej zaum yuav muaj lwm lub chaw lossis kev sim. Cov menyuam yaus xav tau kev tso cai hloov kho kev ua si, kev sib txuas lus hauv tsev kawm ntawv, kev loj hlob thiab kev soj ntsuam endocrine, thiab niam txiv nyob hauv chav tsev thoob plaws lub sijhawm nkag mus kawm.
Cov laus
Tsuas yog hnub nyoog xwb tsis yog qhov ua rau tus neeg mob tsis tsim nyog. Kev noj qab haus huv tseem ceeb dua li tus lej ntawm daim ntawv pov thawj yug. Kev ntsuam xyuas cov neeg laus uas suav nrog lub plawv dhia ceev, lub raum ua haujlwm, kev paub, kev noj zaub mov zoo, kev pheej hmoo ntawm kev poob thiab kev siv tshuaj ntau yam ua ntej kev tshem tawm. Cov neeg mob laus muaj kev pheej hmoo siab dua ntawm kev ua rau lub hlwb puas tsuaj thiab kev kis kab mob, yog li qhov kev soj ntsuam qis dua thiab kev tawm hauv tsev kho mob feem ntau qeeb dua.
Yog Koj Xaiv Tsis Muaj Kev Kho Mob CAR-T
Kev tsis kam lees yog ib qho kev xaiv uas raug cai, thiab nws yuav tsum yog ib qho kev paub. Nyob ntawm koj tus kab mob, lwm txoj hauv kev zoo tshaj plaws yog kev kho mob ntxiv lossis kev kho mob tsom mus rau tus neeg mob, kev kho mob ob yam tshuaj tiv thaiv kab mob, kev hloov pauv noob hlwb yog tias koj tsim nyog, kev sim tshuaj, lossis kev saib xyuas zoo tshaj plaws uas tsom mus rau kev nplij siab. Hauv cov mob qog ntshav uas rov qab los thiab tsis kho tau, kev zam txim los ntawm kev kho mob ntxiv feem ntau luv luv, thiab kev nce qib ntawm tus kab mob tuaj yeem ua rau muaj ntshav tsis txaus, kev kis kab mob, mob pob txha, los ntshav thiab kev koom tes ntawm cov kab mob. Peb pab neeg yuav piav qhia txog yam uas yuav tshwm sim ob txoj kev, yuav tsis yuam koj, thiab yuav txuas ntxiv muab kev tswj cov tsos mob thiab kev txhawb nqa palliative yog tias koj txiav txim siab tsis kho mob hlwb. Koj kuj tseem tuaj yeem thov kom muaj kev xav thib ob; peb yuav qhia koj cov ntaub ntawv los pab koj tau txais ib qho.
Cov Yam Uas Cuam Tshuam Rau Tus Nqi ntawm Kev Kho Mob CAR-T
CAR-T yog ib qho kev kho mob kim tshaj plaws hauv kev kho mob qog nqaij hlav, txawm hais tias cov khoom lag luam hauv Is Nrias teb tau coj tus nqi qis dua tus nqi thoob ntiaj teb. Apollo Tsev Kho Mob Lucknow tsis tshaj tawm tus lej pob khoom ruaj khov, vim tias tag nrho nyob ntawm cov hloov pauv hauv qab no. Thov nug tus neeg saib xyuas kev kho mob qog nqaij hlav lossis lub rooj them nqi kom tau txais kev kwv yees sau ntawv rau koj qhov teeb meem tshwj xeeb.
| Qhov zoo tshaj | Vim li cas nws thiaj hloov tus nqi |
|---|---|
| Cov khoom CAR-T uas tau xaiv | Tus nqi khoom yog ib qho khoom loj tshaj plaws thiab txawv ntawm CD19 thiab BCMA-directed products. |
| Kev siv apheresis thiab kev tswj hwm cell | Tus naj npawb ntawm kev sib sau ua ke, kev khaws cia txias thiab kev thauj mus rau qhov chaw tsim khoom |
| Kev kho mob txuas ntxiv | Xav tau kev kho mob chemotherapy ntxiv lossis kev kho mob radiotherapy thaum tos cov cell |
| Ntev nyob hauv tsev kho mob | Nyob tsis muaj teeb meem luv dua; CRS lossis kev kis kab mob ncua sijhawm nkag mus |
| Kev xav tau kev saib xyuas tseem ceeb | Cov hnub ICU, kev txhawb nqa lub tshuab ua pa lossis vasopressor ntxiv ntau heev |
| Cov tshuaj tswj kev mob toxicity | Tocilizumab, cov tshuaj steroids, cov yam tseem ceeb rau kev loj hlob, cov tshuaj tua kab mob fungal thiab IVIG |
| Cov khoom siv ntshav | Tus naj npawb ntawm kev hloov ntshav platelet thiab cov qe ntshav liab uas tau raug hluav taws xob |
| Kev soj ntsuam | PET-CT, kev tshawb nrhiav pob txha, MRD, flow cytometry, kev kuaj mob rov ua dua |
| Pawg chav | Chav nyob ib leeg, chav ib leeg lossis chav suite |
| Theem ua raws li | Kev mus ntsib kws kho mob sab nraud, kev kuaj mob thiab chaw nyob hauv zos thaum lub sijhawm nyob ze tsev kho mob |
| Comorbidities | Kab mob ntshav qab zib, kab mob plawv lossis kab mob raum uas xav tau kev pab ntxiv los ntawm kws kho mob tshwj xeeb |
Kev Pov Hwm, Kev Kho Mob Tsis Siv Nyiaj Ntsuab thiab Kev Npaj Nyiaj Txiag hauv Is Nrias teb
- Tshawb xyuas qhov kev them nqi ua ntawv sau ua ntej. Muaj ntau daim ntawv pov hwm kev noj qab haus huv hauv Is Nrias teb tseem siv CAR-T thiab kev kho mob gene ua ib txoj kev kho mob tshiab lossis tshwj xeeb; qee qhov them tag nrho, qee qhov txwv, qee qhov tsis suav nrog. Nug koj tus neeg pov hwm kom sau ntawv lees paub ua ntej leukapheresis, tsis yog tom qab.
- Lub sijhawm tos tseem ceeb. Cov cai lij choj them nqi raws li tus qauv muaj lub sijhawm tos thawj zaug li ntawm 30 hnub, thiab lub sijhawm tos mob ua ntej feem ntau yog li ntawm 2 txog 4 xyoos nyob ntawm daim ntawv pov hwm. Mob qog noj ntshav uas kuaj pom ua ntej daim ntawv pov hwm pib siv feem ntau yuav raug suav tias yog kab lus ua ntej uas muaj lawm.
- Kev them nqi raws li kev npaj tseg piv rau kev them nqi thaum muaj xwm txheej. CAR-T yeej ib txwm yog kev nkag mus rau hauv kev npaj tseg, yog li ntawd cov cai rau kev raug mob lossis kev raug mob ntawm tus kheej tsis siv tau. Cov neeg caij tsheb uas muaj mob hnyav yuav them ib pob nyiaj thaum kuaj pom tias muaj mob qog noj ntshav, uas ntau tsev neeg siv rau tus nqi khoom.
- Cov txheej txheem tsis siv nyiaj ntsuab thiab TPA. Xa daim ntawv tso cai ua ntej, daim ntawv sau tseg ntawm tus kws kho mob, kev kuaj mob thiab kev kwv yees los ntawm lub rooj pov hwm ntawm lub tsev kho mob. Kev pom zoo rau kev kho mob ntawm tes uas muaj nqis ntau feem ntau siv sijhawm ntev dua li kev phais mob niaj hnub, yog li pib thaum ntxov. Yog tias tsis pub siv nyiaj ntsuab, kev kho mob tuaj yeem txuas ntxiv mus raws li kev them rov qab nrog txhua daim nqi qub thiab cov ntaub ntawv tso tawm.
- Cov kev txwv me me uas yuav tsum tau kuaj xyuas: kev txwv ntawm tus nqi xauj chav, kev txwv ntawm ICU, feem pua ntawm kev them ua ke, kev txwv raws li kab mob, thiab seb puas yuav tsum them cov khoom siv thiab tshuaj.
- Cov phiaj xwm ntawm tsoomfwv thiab cov tswv haujlwm: CGHS, ECHS, cov phiaj xwm rau cov neeg ua haujlwm hauv xeev, ESIC thiab PSU pawg neeg muaj lawv cov kev pom zoo thiab cov npe nqi; lub rooj pov hwm yuav qhia rau koj seb koj txoj cai puas siv tau ntawm lub chaw no.
- Lwm yam kev txhawb nqa: Cov Nyiaj Pab Txhawb Nqa Hauv Tebchaws ntawm Tus Thawj Fwm Tsav Tebchaws, Cov Nyiaj Pab Txhawb Nqa Rau Cov Neeg Mob Cancer ntawm Tus Thawj Fwm Tsav Tebchaws, Cov Nyiaj Pab Txhawb Nqa Rau Tus Thawj Fwm Tsav Tebchaws hauv Uttar Pradesh, cov nyiaj pab txhawb nqa rau cov tswv haujlwm thiab cov koom haum pabcuam uas tau lees paub. Kev sau ntaub ntawv siv sijhawm ntau lub lis piam, yog li thov ua ke nrog kev kho mob.
Kev pom zoo tshwj xeeb rau daim ntawv pov hwm, kev them nqi sib koom thiab cov ntsiab lus ntawm pob khoom yuav tsum tau lees paub nrog Apollo Hospitals Lucknow kev pov hwm thiab TPA desk thaum lub sijhawm teem caij.
Npaj Kev Nkag Mus Kawm thiab Yuav Nqa Dab Tsi
Cov ntaub ntawv
- Txhua daim ntawv sau tshuaj yav dhau los, cov ntsiab lus luv luv ntawm kev tso tawm, cov ntawv qhia txog kev kuaj mob thiab cov pob txha, kev ntsuas cov ntshav ntws thiab cov cytogenetics, thiab cov yeeb yaj kiab lossis CDs ua ntej
- Daim npav Aadhaar lossis daim npav ID muaj duab rau tus neeg mob thiab tus neeg saib xyuas tseem ceeb
- Daim npav pov hwm, daim ntawv pov hwm, daim npav TPA thiab tsab ntawv ntawm tus tswv ntiav lossis tsab ntawv ntawm txoj kev npaj
- Daim npav pawg ntshav thiab cov ntaub ntawv hloov ntshav yav dhau los
Cov khoom ntiag tug
- Cov khaub ncaws paj rwb xoob uas qhib rau pem hauv ntej, thiab cov khau khiab hauv tsev huv si sib cais
- Txhuam hniav mos, xab npum mos, phuam so tes, tshuaj pleev di ncauj
- Xov tooj, txoj hlua them ntev, lub mloog pob ntseg; phau ntawv lossis ntsiav tshuaj rau ob lub lis piam nyob
- Ib daim ntawv teev cov tshuaj uas siv tam sim no thiab cov koob tshuaj, suav nrog cov tshuaj ayurvedic lossis homeopathic, uas yuav tsum tau qhia thiab feem ntau yuav tsum tsis txhob siv lawm.
Kev npaj ua haujlwm
- Txheeb xyuas ib tus neeg pabcuam tseem ceeb thiab ib tus neeg pabcuam thaub qab. Hauv cov tsev neeg sib koom ua ke, pom zoo ua ntej leej twg nyob ib hmos, leej twg tswj cov tshuaj thiab leej twg tswj cov nqi, yog li cov lus qhia yuav tsis ploj ntawm cov txheeb ze.
- Npaj chaw nyob ze tsev kho mob rau plaub lub lis piam tom qab tawm hauv tsev kho mob.
- Npaj rau ib tus neeg uas tuaj yeem tsav tsheb sai sai, nruab hnub lossis hmo ntuj.
- Tsis txhob coj paj, nroj tsuag lossis cov khoom noj ua hauv tsev mus rau hauv thaj chaw cais tawm tshwj tsis yog pab neeg saib xyuas neeg mob tso cai.
Cov Cim Ceeb Toom Uas Yuav Tsum Tau Tshuaj Xyuas Kev Kho Mob Tam Sim Ntawd
Hu rau tsev kho mob tam sim ntawd, txhua lub sijhawm, yog tias tus neeg mob muaj cov tsos mob no:
- Kub taub hau txog 100.4°F (38°C) lossis siab dua, lossis txias heev
- Kev tsis meej pem, hais lus tsis meej, nrhiav lus nyuaj, tshee hnyo, hloov kev sau ntawv lossis qaug dab peg
- Kev tsaug zog ntau dhau los yog nyuaj rau sawv
- Ua tsis taus pa, mob hauv siab, lub plawv dhia ceev lossis kiv taub hau thaum sawv ntsug
- Txo cov zis tso zis
- Los ntshav ntawm cov pos hniav lossis qhov ntswg, ntshav hauv cov zis lossis quav, lossis cov qhov txhab tshiab dav dav
- ntuav tas li, raws plab hnyav lossis tsis tuaj yeem khaws cov kua dej kom txaus
- Mob taub hau hnyav, mob caj dab lossis muaj teeb meem pom kev tshiab
Nqa koj daim npav neeg mob CAR-T txhua lub sijhawm thiab qhia rau txhua tus kws kho mob uas koj mus ntsib lwm qhov, suav nrog hauv tsev kho mob hauv zos.
Rau Cov Neeg Mob Uas Mus Los Ntawm Cov Cheeb Tsam Thiab Cov Nroog Nyob Ze
Apollo Tsev Kho Mob Lucknow tau txais cov neeg mob thoob plaws Uttar Pradesh thiab cov xeev nyob sib ze, suav nrog Kanpur, Barabanki, Sitapur, Hardoi, Unnao, Raebareli, Sultanpur, Faizabad thiab Ayodhya, Gonda, Bahraich, Basti, Gorakhpur, Varanasi, Prayagraj, Jhansi, Baradly, thiab lwm yam. Uttarakhand, Madhya Pradesh thiab Nepal.
- Ua ntej koj mus ncig: Xa email los yog qhia cov ntawv qhia uas tau luam theej kom pab neeg thiaj li paub seb qhov kev mus ntsib puas tsim nyog thiab yuav tsum nqa dab tsi los.
- Koj cov kev mus ntsib ua pawg: Thov tus neeg saib xyuas kom teem sijhawm rau kev sab laj thiab kev tshawb nrhiav rau hnub sib law liag.
- Tsis txhob npaj mus ncig ua si thaum lub sijhawm saib xyuas. Kwv yees li plaub lub lis piam tom qab txhaj tshuaj lawm, koj yuav tsum nyob hauv Lucknow, uas nyob ze ntawm tsev kho mob. Npaj nyiaj rau chaw nyob thiab tus neeg saib xyuas tus nqi nyob.
- Tuaj txog ntawm no: Lucknow muaj Chaudhary Charan Singh International Airport, Lucknow Charbagh thiab Gomti Nagar chaw nres tsheb ciav hlau, thiab kev sib txuas lus zoo raws Agra Lucknow thiab Purvanchal Expressways.
- Kev pab kho mob hauv zos: Nrhiav ib lub tsev kho mob uas muaj chav kho mob ceev ceev nyob ze koj lub nroog rau lub sijhawm tom qab koj rov qab los, thiab khaws koj daim ntawv qhia txog kev tawm hauv tsev kho mob thiab daim npav CAR-T nrog koj.
- Nepal thiab lwm cov neeg mob thoob ntiaj teb: Hu rau lub rooj neeg mob thoob ntiaj teb ua ntej kom tau txais cov ntaub ntawv pov thawj visa, kev pab txog nyiaj txiag thiab kev pab txhais lus.
Kev Sib Txuas Lus thiab Kev Teem Caij
| Nthuav dav | Cov ntaub ntawv |
|---|---|
| tsev kho mob | Tsev Kho Mob Apollomedics Super Specialty (Apollo Tsev Kho Mob), Lucknow |
| chaw nyob | Kanpur?Lucknow Road, Sector B, Bargawan, LDA Colony, Lucknow, Uttar Pradesh 226012 |
| Kab xov tooj pabcuam hauv nruab nrab | 1860-500-1066 (Apollo Hospitals pawg neeg teem caij pab pawg neeg) |
| Cov kev teem caij | Kev teem caij online los ntawm lub vev xaib Apollo Hospitals Lucknow, lub Apollo 24|7 app, lub xov tooj pabcuam hauv nruab nrab, lossis tus kheej ntawm lub rooj sau npe pem hauv ntej ntawm tsev kho mob. |
| thaum muaj xwm ceev | Cov kev pabcuam thaum muaj xwm txheej ceev thiab kev saib xyuas mob hnyav ua haujlwm 24 teev hauv ib hnub, 7 hnub hauv ib asthiv |
| Ib qho chaw nyob email tshwj xeeb rau lub chaw haujlwm rau CAR-T program tsis tau tshaj tawm rau ntawm nplooj ntawv txheej txheem ntawm tsev kho mob; tus neeg saib xyuas kev kho mob oncology tus neeg tiv tauj yuav raug qhia thaum koj sau npe lossis hu rau kab pabcuam. | |
| Lub sijhawm mus ntsib kws kho mob OPD thiab lub sijhawm mus ntsib kws kho mob | Cov sijhawm ua haujlwm ntawm tus kws kho mob OPD thiab cov sijhawm mus ntsib chav kho mob tsis tau tshaj tawm rau ntawm nplooj ntawv txheej txheem thiab tau lees paub thaum lub sijhawm teem tseg. Kev mus ntsib tsuas yog txwv rau hauv chav hloov pauv thiab cais tawm. |
| Lub chaw pov hwm thiab TPA | Muaj nyob rau ntawm tsev kho mob; mus cuag lub rooj ua ntej nkag mus rau hauv tsev kho mob kom tau kev tso cai ua ntej thiab kev lees paub txog kev pom zoo. |
Cov Lus Nug
Dab tsi yog qhov txaus ntshai cuam tshuam nrog CAR-T Cell Therapy?
Txawm hais tias CAR-T Cell Therapy raug xa mus rau hauv kev saib xyuas ze, nws tuaj yeem ua rau muaj cytokine release syndrome (CRS), cov teebmeem ntawm lub paj hlwb hu ua ICANS, cov ntshav qis ntev, cov immunoglobulins qis thiab kev kis kab mob. Peb pab neeg ntawm Apollo Hospitals Lucknow saib xyuas cov neeg mob tas li siv cov txheej txheem ntsuas ASTCT thiab kho cov teebmeem no sai sai nrog tocilizumab, steroids thiab kev saib xyuas txhawb nqa.
Kuv yuav teem sijhawm sib tham li cas rau CAR-T Cell Therapy?
Koj tuaj yeem book tau los ntawm lub vev xaib Apollo Hospitals Lucknow, lub Apollo 24|7 app, lub xov tooj pabcuam hauv nruab nrab 1860-500-1066, lossis tus kheej ntawm lub rooj sau npe. Nqa lossis qhia tag nrho cov ntawv qhia yav dhau los kom pab pawg haemato-oncology tuaj yeem ntsuas qhov tsim nyog txij li thawj zaug mus ntsib.
Qhov kev vam meej ntawm CAR-T Cell Therapy yog dab tsi?
Cov nqi teb sib txawv ntau heev los ntawm tus kab mob, kev kho mob ua ntej thiab lub nra hnyav ntawm qog. Cov ntaub ntawv sim uas tau tshaj tawm qhia txog cov nqi teb thaum pib siab hauv cov kab mob B-cell ALL uas rov qab los thiab cov kab mob B-cell lymphoma loj, nrog rau feem pua ntawm cov neeg mob uas tseem muaj kev zam txim mus sij hawm ntev, tab sis tsis muaj chaw kho mob twg tuaj yeem cog lus tias yuav kho tau. Koj tus kws kho mob qog yuav piav qhia txog qhov kev cia siab tiag tiag rau koj qhov xwm txheej tshwj xeeb.
Cov txheej txheem CAR-T Cell Therapy siv sijhawm ntev npaum li cas?
Txij li thawj zaug kev sab laj mus txog rau di
Nyuam qhuav ntxiv
Disclaimer:
Cov ntaub ntawv muab rau ntawm nplooj ntawv no tsuas yog rau kev qhia dav dav thiab kev kawm xwb. Txawm hais tias peb siv zog ua kom cov ntaub ntawv no muaj tseeb, txhim khu kev qha, thiab tshuaj xyuas tas li, nws yuav tsum tsis txhob raug suav hais tias yog ib qho kev hloov pauv rau cov lus qhia kho mob, kev kuaj mob, lossis kev kho mob.
Qhov kev tsim nyog ntawm kev kho mob, nrog rau nws cov txiaj ntsig, kev pheej hmoo, kev npaj, kev rov zoo, cov teeb meem uas yuav tshwm sim, thiab cov txiaj ntsig xav tau, yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Koj tus kws kho mob yuav txiav txim siab seb qhov kev kho mob puas tsim nyog raws li koj tus mob thiab keeb kwm kev kho mob.
Thov nrog ib tus kws kho mob uas tsim nyog tham kom tau txais cov lus qhia rau koj ua ntej koj txiav txim siab txog kev kho mob.
Yog xav paub ntxiv txog peb cov ntsiab lus kho mob raug tsim, tshuaj xyuas, hloov kho tshiab, thiab tswj hwm li cas, thov nyeem peb [Txoj Cai Kho Mob].