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Post OP Care

Post-Operative Care

  • Since the treatment affects the immune system and leaves the body prone to diseases due to its inability to fight diseases, the patient is hospitalized in a special section which is reserved for such patients. This reduces the risks of the patient getting exposed to any infection.
  • The health care team closely monitors the patient’s vital signs and blood count.
  • The patient is given medicines in order to prevent or treat infections. Medicines are given to avoid the risks of GVHD. Medicines include antibiotics and antiviral and antifungal medications.
  • The patient may also need many blood transfusions while he is recuperating.
  • Since there might be sores in the mouth, the patient may have to be fed intravenously.


Follow-Up
The success of a stem cell transplant depends on how closely the donor and the recipient genetically match. The state of the engraftment will be regularly monitored and is completed between 10 – 28 days after the first session. The first sign is a rise in the white blood cell count which means that the transplant has started making new cells.

Typically a bone marrow transplant recovery time is 3 months but may go up to a year for a full recovery. Recovery depends on many factors including:

  • Chemotherapy received before the transplantation and the dosage
  • Radiation received before the transplantation and the dosage
  • The condition which is being treated
  • The donor match and how good it was
  • Where the transplant is being performed and the type of transplant received
  • The age and the overall health of the patient

Doctors keep a tab on the blood count on a regular basis to check that new blood cells are being produced.  They also conduct various blood tests and evaluate the results to confirm that new red and white blood cells and platelets are being produced and also make sure that the patient has been cured completely.Supportive care, antibiotic regimens, and DNA-HLA typing play a significant role in the survival and the quality of life of post-transplant patients.

The post-engraftment phase period may last for months to years. This phase of the patient’s life is marked by the gradual development of tolerance, management of chronic GVHD, weaning off from immunosuppressant and documentation of immune reconstitution. Most of the patients require immunization usually one year after the transplantation. The immunization begins with tetanus (DT) followed by inactivated poliovirus vaccine (IPV), influenza vaccination every year, Haemophilus influenza, pneumococcal and also hepatitis B series.

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