【記者 JAZ 彰化 報導】

20歲男大生蕭承揚、40歲女代書柯錦慧均確診「急性骨髓性白血病」,二人都接受親屬白血球抗原(HLA)配型半相合異體造血幹細胞移植,目前狀況良好,定期門診追蹤。病人家屬非常感謝彰化基督教醫院醫療團隊,在彰化有這樣好的醫療體系,是彰化人的一大幸福。

20歲男大生蕭承揚,2016年7月確診「急性骨髓性白血病」,初期對化學治療反應不好,一直沒有達到完全緩解,又沒有合適的血液幹細胞捐贈者。因此於2017年1月接受父親HLA配型半相合異體造血幹細胞移植,目前狀況良好,現在已無服用藥物,每二個月定期門診追蹤。

蕭承揚表示,2016年發生時16歲,剛開始的症狀是貧血,學校同學師長也說他臉色很蒼白,曾因此到地區醫院接受輸血,但輸血後沒多久又開始出現貧血症狀,甚至開始暈眩,因此到彰基兒童血液科檢查,經過診斷確定罹患血癌;當下無法接受這個事實,內心感到慌亂,生活步調跟原本的計畫全部打亂,除了必須向學校請長假,也不得不放棄準備已久的全國技能競賽,全心準備接受治療。

收治蕭承揚的兒童血液腫瘤科主任王士忠醫師表示,承揚罹患急性骨髓性白血病,初期的治療計畫是進行化學治療,但一開始對化療反應不盡理想,每次化療後再檢查骨髓都有發現殘餘癌細胞,未來極有可能再復發,因此一邊進行化療、一邊計畫做血液幹細胞的移植;不過血液幹細胞配對結果不理想,在台灣最大的慈濟骨髓庫也找不到相合的,後來才嘗試請承揚爸爸來跟他做配對。

王士忠指出,父母與子女間大概都是半合子相合的骨髓,過去因為移植技術的限制,半合血液幹細胞移植容易產生很厲害的移植物抗宿主反應,但近幾年來醫療技術進步,加上承揚化療後骨髓都仍有癌細胞殘餘,需要盡快做血液幹細胞的移植,所以後來跟承揚與家人商量後,決定採用爸爸所捐贈的半合子血液幹細胞移植。

「承揚是彰基第一例半合血液幹細胞移植個案。」回憶起當時情況,王士忠表示,過程有點辛苦,移植的前三天,承揚產生很厲害的免疫反應,整個人發冷、打顫、發高燒,之後還有血尿等現象,所幸承揚與醫護團隊一起努力,終於熬過最艱難的時刻。承揚爸爸所捐贈的血液幹細胞,順利的在他體內恢復了正常的造血功能,這幾年下來,也沒有明顯的移植物抗宿主反應現象,承揚很快就不需要再靠抗排斥藥物,目前就是定期回來門診追蹤。

2017年1月做到現在滿四年,這段時間回診時,承揚身體狀況一來沒有移植物抗宿主反應現象,二來造血功能恢復的很好。王士忠醫師說:「我和承揚現在是臉書好友,最近看到他迷上騎單車活動,這是非常好的,可以看到他整個恢復情況非常的好,所以也非常高興他可以恢復健康,找到他生活上的興趣。」

順利完成移植的承揚,回憶起療程中的身體變化與心路歷程,表示有幾次非常不舒服、甚至幾乎休克的經驗,從開始治療後代謝也變差、肌肉容易疲勞,但很高興能成功移植、撐過治療期,重新開始鍛鍊肌肉;現在在南部就讀大學的他,重拾騎單車的興趣,最近甚至自己找零件組裝單車,預計開始自己的公路車計畫。

40歲的柯錦慧,2016年右側乳癌合併腋下淋巴結轉移,並接受過輔助性化學治療及手術切除;2017年3月中旬開始出現上呼吸道感染,包含喉嚨痛、鼻塞、發燒到39℃及腹痛腹瀉等症狀;3月底到急診求治,經過急診抽血後發現有異常白血球上升情形,先收治病房,經過骨髓抽吸及切片後,確診「急性骨髓性白血病」。經過多次前導性化學治療達到緩解,之後進入第一次鞏固性治療,並開始做異體幹細胞移植治療準備,配對後以錦慧的哥哥呈現HLA配型半符合且同意捐髓,於9月回輸,並克服許多移植物抗宿主的不適,順利出院,目前於門診規律追蹤。

柯錦慧表示,第一次發現罹癌是乳癌,當時配合醫師很平順的完成治療,但隔一年再次被確認罹患另一種癌症,「真的是像從天堂掉到地獄!」回憶起那日在門診聽醫師說明診斷結果,錦慧仍然眼眶泛淚說:「我就在診間大哭!情緒很崩潰!」沒辦法接受自己居然又要重新經歷抗癌過程。

所幸接連遇到幾位彰基的醫護人員,像貴人一樣幫助她度過難熬的白血病治療,包括血液腫瘤科林正純醫師在她情緒很崩潰的時候,輕拍她的肩膀說:「得癌症又不是宣告死亡,妳又不是沒有機會,我們再面對;妳有機會的,沒有關係!」包括血液腫瘤科王全正醫師細心安排、詳細說明治療計畫、一路陪伴治療,也帶給錦慧與家人信賴與安定感;因此雖然曾經北上求醫,但最後與家人討論後,還是回到最熟悉的彰基接受治療。

錦慧的家人也是治療過程中非常重要的支柱,除了先生跟媽媽輪流陪病、照顧之外,哥哥、姐姐也都非常樂意捐贈骨髓,最後使用了哥哥的半合骨髓移植。

在移植病房隔離的那個月,錦慧曾經因為身體極度不舒服,又擔心自己治療失敗,所以有一整個星期坐也不是、站也不是,吃不下也睡不好,非常難受,半夜在病房內哭泣,護理師發現她的狀況,溫柔安慰她、拍拍她的肩膀說:「治療沒有問題,這種藥物原本就會讓人有不舒服的狀態,這就是一個過程。」護理師的溫暖舉動跟安慰話語,讓她感覺辛苦是有希望的。

如今錦慧已成功完成骨髓移植治療,僅需固定回診追蹤;她說:「非常感謝彰基醫療團隊,在彰化有這樣好的醫療體系可以替彰化人民服務,這是彰化人的一大幸福。有去比較之後,彰基的醫療體系不見得比北部差,走了一圈到最後還是選擇回來彰基,這是正確的決定。」

彰化基督教醫院血液腫瘤科主任賴冠銘醫師表示,過去的骨髓移植在配對的時候一定盡量希望全合,否則很容易造成強烈排斥,也就是捐贈者的骨髓會去攻擊受髓者的身體。但兄弟姐妹之間只有四分之一的機會全合、找非親屬的骨髓配對又往往需要2~3個月時間,如果病人無法等待配對成功,就會因白血病離開。

隨著這幾年來基因半合的骨髓移植技術成熟,可透過移植後化療的免疫調節,大大降低排斥效果,因此半合骨髓移植存活率與非親屬骨髓移植存活率差不多;在半相合的條件下,可以找到更多捐贈者,讓病人可以在需要做骨髓移植的時候,減少等待時間,甚至因為半相合大部分都是親屬,所以比過去更快從病人的父母、兄弟姊妹、子女中找到骨髓配對者。

彰基醫院目前完成三百例骨髓移植,這三、四年來完成十例半相合移植,這十例都像蕭承揚、柯錦慧這樣,順利移植後出院持續追蹤。賴冠銘醫師強調,骨髓移植需要醫護團隊、家人與病人本身長時間持續共同努力,而彰基有能力在彰化地區完成所有的血癌治療,病人不用舟車勞頓到外縣市接受治療,可以安心在地接受專業治療,重拾健康生活。

玉 女
jaz.tnn@gmail.com

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    เว็บไซต์พนันบอลไหนดี
    เว็บไหนตรง กับความปรารถนาของ นักเล่นการพนันทุนน้อย อย่างพวกเราๆซึ่งเพื่อเรียกความแน่ใจกับกลุ่ม นักพนันบอลมือใหม่ มีหลัการให้เลือกดูดังนี้

    เว็บพนันบอลควรมีความน่านับถือ
    เว็บไซต์พนันบอลประสิทธิภาพ ดูดีได้รับมาตรฐาน เว็บไซต์มองง่ายมีเนื้อหาครบสมบูรณ์ รายการแข่งขันบอลล่วงหน้า มองบอล
    ตารางพนันบอล แทงแชมป์ สถิตคู่บอล ฯลฯ ซึ่งเราจะบอกได้ว่าคนจำนวนไม่น้อยอาจผ่านตากันมาบ้างแล้ว
    บนเว็บไซต์แทงบอล ยิ่งเว็บพนันบอลสีฟ้า จะมองเห็นนานหน่อยเว็บไซต์ใหญ่ดั้งเดิม

    สมัครชิกแทงที่เคยแทงบอลก็จะแบ่งแยกออกทันที ว่าเว็บไหนได้มาตรฐาน ไม่เสี่ยงปิดเว็บไซต์หนีอย่างแน่นอน ฐานที่ตั้งอยู่ต่างประเทศ ที่ถูกตามกฎหมาย ไม่มีกังวัล ดังเช่นว่าที่ตั้งของโต๊ะบอลในแถบเอเชีย ฟิลิปปินส์ ,ฮ่องกง ,มาเก๊า เป็นต้น

    คุยกับผู้เล่นที่เคยใช้งานมาแล้วจริงๆ
    ถ้าหากคุยกับผู้ที่เคยใช้งาน เพื่อนแนะนำ มาบอกปะทุญกับสมาชิก ช่วยเรียกความเชื่อได้มั่นได้มาก ดีมากยิ่งกว่าการอ่านเขียนรีวิว มาจากไหนๆเพราพวกเราก็ไม่เคยรู้หรอกว่า
    อันไหนรีวิวจริง อันไหนรีวิวหลอก

    เสนอแนะเพื่อนหรือถามมาจากคนรู้จักกัน ก็ช่วยให้การ แทงบอล ไม่ยาก
    โดยที่นักพนันบอล เองก็เรียนรู้แนวทาง วิธีเล่นบอล สอนกันง่ายดายมากยิ่งขึ้นซึ่งทางเว็บไซต์เองนั้น เราก็ดูจากการ
    เติบโตของไลน์แอด ยิ่งปริมาณคนใช้งานมาก ก็บอกได้ถึงมีผู้ใช้งานจริงๆ

    โปรโมชั่นแทงบอล กับโบนัสฟรีเครดิต
    โปรโมชั่นพนันบอล คือสิ่งที่ล่อใจเหล่านักแทงบอล ไม่ว่าจะเป็นพวกเก่าและก็สมาชิกใหม่ อย่างดีเยี่ยม
    ซึ่งตามกฎของธุรกิจแน่นอนว่าไม่มีไหนที่ ยอมทำแล้วขาดทุก แทงบอล 100 ได้เงินเป็นหมื่น เป็นแสน อะไรมันจะง่ายๆขนาดนั้น

    โปรโมชั่นพนันบอล ช่วนสมัครพนันบอลว่าง่ายแล้ว จำเป็นจะต้องมองข้อแม้ที่ลงในเว็บไซต์เพราะง่ายแค่ไหน

    ผู้ให้บริการเต็มอกเต็มใจบริการ ดูแลลูกอย่างอย่างดี
    บริการลูกค้าระดับวีไอพี
    มีปัญหาพร้อมดูแลลูกค้าได้ตลอดระยะเวลา คือหน้าที่บริการที่ดี ซึ่งผู้ให้บริการแทงบอล นั้นควรจะมีระบบดูแลลูกค้าตลอด 24 ชั่วโมง จะขอคำแนะนำ หรือ มีปัญญษต่างๆก็พร้อมดูแลเสมอ ด้วยเหตุว่าลูกค้าเอง ก็มิได้ว่างตรงกันเสมอ

    ความมากมายหลายสำหรับในการติดต่อ ยิ่งในตอนนี้ลูกค้าจะถนันทางด้านไลน์ @ จะนิยมกันเยอะที่สุด หากผู้ใดต้องการรู้ว่าเว็บไซต์พนันบอลไหนดี แล้วก็ทดลองแอดไลน์ เว็บพนันบอลสโบเอเอเอ ทดลองดูนะครับ เว็บพนันบอลที่ดีเยี่ยมที่สุดในเอเชีย

    ถ้าเกิดให้เราเสนอแนะเลือกให้ ต้องดูคุณภาพให้บริการพนันบอลออนไลน์ ที่ได้รับมาตรฐาน ไม่มีอันตรายสูงสุด
    เปิดให้บริการมาอย่างยาวนานกว่า 16 ปี มีฐานที่ตั้งเว็บไซต์แม่ในทวีปเอเชียอย่างประเทศฟิลิปปินส์
    ได้รับรางวัลยืนยันเว็บพนันยอดเยี่ยม 2 ปีซ้อน ทำให้มีลูกค้าเข้ามาเลือกเล่นโดยตลอด รวมทั้งได้ลูกค้าเอชียมากที่สุดอีกทั้งนักเสี่ยงโชคคนใหม่และเก่า

    ด้านการเงิน มั่นอกมั่นใจมากมาย เชื่อถือได้ 100% อีกทั้งมีความมากมายในด้านการให้บริการ ฝาก-ถอน สบายได้เร็ว เปิดให้บริการตลอด 24 ชม.

    เกมกีฬาให้เลือกวางเดิมพันนานัปการ ไม่ว่าจะเป็น พนันบอลเต็ง
    บอลชุด อื่นๆอีกมากมาย ค่านํ้าที่เยี่ยมที่สุด กีฬาอื่น ก็มีให้เลือกเล่นตามสิ่งที่ต้องการได้เลย ไม่ไม่หมดแค่นั้นทางเว็บ sbobet นั้นยังได้เปิดให้บริการคาสิโน สล็อตออนไลน์ ลอตเตอรี่ค่าคอมมาก
    พร้อมยังมี เทคนิคการเล่นเดิมพัน
    ให้ทุกสัปดาห์

    การเลือกเว็บไซต์แทงบอลออนไลน์ ถ้าเกิดท่านเลือกเล่นแล้วก็บันเทิงใจหลายห่วง ไม่มีความกลุ้มอกกลุ้มใจ ไม่โดนโกง ยิ่งถ้าเกิดคนใดกันเกลียดชังโดนเว็บไซต์พนันทุจริตแล้วพวกเราเสนอแนะเลย sbo
    แทงบอลออนไลน์ อันดับหนึ่งของโลก เว็บยอดนิยมมาอย่างนาน มั่งคงจะไม่เป็นอันตราย ตามหลักทฤษฎี แนวทางเลือกเว็บแทงบอล ที่พวกเราได้เอามาฝากทุกท่าน ถ้าท่านอยากเข้ามาเป็นส่วนหนึ่งกับพวกเราก็ ลงทะเบียนสมัครสมาชิกฟรีวันนี้ พร้อมรับโบนัส โปรโมชั่นมา

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