Haematopoietic stem cell transplantation in RSUP Kariadi Semarang

S. Setyowati, Anik Rakhmawati, A. Susilowati
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Abstract

In Indonesia, bone marrow transplantation is a treatment which not known yet to some people. Kariadi Hospital is the one hospital that do it  first. On 1987, it was successful for acute myeloid leukemia case. Bone marrow transplantation is one of therapy used to treat patients with leukemia, severe aplastic anemia, Hodgkin's disease, non-Hodgkin's lymphoma, myeloma multiple, many blood disorder and solid tumor. This study described the patients characteristics who did hematopoietic stem cell transplantation during 2017-2021 at Kariadi General Hospital Semarang. This study is a quantitative research non-experiment with design retrospective analysis. Data was taken with a total sampling are 20 patients. Data analysis by describing the criteria. The results describe the sex of patients consist are 60% male and 40% female. Most range age at 35-44 years amount 30%. The diagnosis is 40% in the case of Myeloma Multiple. Most of transplantation doing an autologous transplant are 80%. It is indicated 90% of malignancy cases. All patient got 100% engraftment, all patients happen neutropenia, thrombocytopenia, oral mucositis, gut disorder, and electrolyte imbalance. Amount 15% are hematuria and 10% are urticaria, Veno Occlusive Disease, sepsis, brain infection and brain hemorrhage. The conclusion is patients who did hematopoietic stem cell transplantation have various adverse events and complications depending on many factors or comorbids. These are age, sex, diagnosis, stage of disease, state of remission, regiment conditioning. Health professionals should upgrade knowledge and skill for treatment of hematopoietic stem cell transplantation.
造血干细胞移植在RSUP卡里阿迪三宝朗
在印度尼西亚,一些人还不知道骨髓移植是一种治疗方法。卡里阿迪医院是第一家这样做的医院。1987年治疗急性髓性白血病成功。骨髓移植是治疗白血病、严重再生障碍性贫血、霍奇金病、非霍奇金淋巴瘤、多发性骨髓瘤、多种血液病和实体瘤的治疗方法之一。本研究描述了2017-2021年在三宝垄Kariadi总医院进行造血干细胞移植的患者特征。本研究为定量研究,非实验设计,回顾性分析。数据采集共20例患者。通过描述标准进行数据分析。结果显示,患者性别为男性60%,女性40%。大多数年龄在35-44岁的人占30%。多发性骨髓瘤的诊断率为40%。大多数自体移植是80%它在90%的恶性肿瘤病例中被发现。所有患者植皮率均达到100%,所有患者均出现中性粒细胞减少、血小板减少、口腔黏膜炎、肠道紊乱、电解质失衡等。血尿占15%,荨麻疹、静脉闭塞性疾病、败血症、脑感染和脑出血占10%。结论:造血干细胞移植患者存在多种不良事件和并发症,这取决于多种因素或合并症。这些是年龄,性别,诊断,疾病的阶段,缓解状态,团的条件。卫生专业人员应提高对造血干细胞移植治疗的知识和技能。
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