How should old age acute leukaemia nurse?

summary

Leukemia not only occurs in young people, but also in middle-aged and elderly patients. In clinic, due to the physical quality and age of the elderly, the treatment will be limited. Next, I will share how to care for elderly patients with acute leukemia?. Hope to help you.

How should old age acute leukaemia nurse?

First, multiple mutations of idh2, r140q, Dnmt3a, tet2 and asxl lead to poor chemotherapy regimens or effects.

Second: the hematopoietic function of the bone marrow of the elderly is poor, and their own hematopoiesis is insufficient. Acute leukemia is a blow to the bone marrow of the elderly, and chemotherapy drugs have a blow and trauma to the bone marrow itself. Under the attack of combined chemotherapy, the bone marrow function of the elderly is more vulnerable than that of young and middle-aged leukemia and childhood leukemia, and their own bone marrow recovery ability is obviously weaker, even leading to bone marrow failure. The occurrence of bone marrow failure is a disaster for any acute leukemia, because chemotherapy drugs can no longer participate in the combination therapy completely and normatively, which is equivalent to losing the ability of treatment.

Third, it is also the most important point. The premise of chemotherapy is that the patient still has the hematopoietic function of bone marrow, and can rebuild the hematopoiesis in the trough period after chemotherapy, otherwise all treatment is free. Therefore, the elderly acute leukemia itself is incurable. Continuous, regular, standard and long-term chemotherapy will lead to the failure of bone marrow hematopoiesis at a certain stage in the process of chemotherapy, or bone marrow failure or severe hematopoiesis that can not be improved and can no longer pass the trough period after chemotherapy, or the risk of severe infection and massive hemorrhage that cannot pass the trough period.

matters needing attention

Therefore, for multiple chemotherapy did not reach complete remission, or the quality of remission is poor (gene mutation, blood rising instability) can be comprehensive treatment as soon as possible, the combination of Chinese and Western symptomatic effect will bring more long-term survival possibility to elderly patients with leukemia.