A bone marrow transplant (BMT) is a treatment for children with certain types of cancer or other diseases. The goal of BMT is to replace a child’s diseased bone marrow with healthy bone marrow.
A bone marrow transplant also called a stem cell transplant, is a treatment for some types of cancer like leukemia. Stem cells are filtered and then put back into the same child or another sick child. These stem cells will grow and become new and healthy bone marrow. Transplanted stem cells are called the graft.
Stem Cells are the starting point for all the tissues in your body. Your body grows them all the time. So, researchers thought why not put them work healing damaged tissues like heart muscle or bone.
A bone marrow transplant can be used to replace diseased bone marrow with healthy ones. This is done for conditions such as leukemia, aplastic anemia, and sickle cell anemia. Replace bone marrow after high doses of chemotherapy or radiation are given to treat cancer.
The rehabilitation process is associated primarily with the restoration of the patient’s immune system. During this period the patient must limit communication and appearance in public places. They should also carefully maintain good personal hygiene. The usage of the protective bandage when leaving the house is recommended. A year after BMT, the patient can take vaccination against certain diseases. During the period of rehabilitation attending, doctors prescribe periodic examinations to monitor the recovery of the body.
Before bone marrow transplant, a patient and a donor have to undergo diagnostic procedures before prevent any complications including Biochemical analysis of blood, tests for glucose, creatinine, total protein and others. To identify the compatibility, the additional examinations are conducted such as histocompatibility (HLA) and blood type; mixed leukocyte reaction; test for chimeric genes and pregnancy test for female donors. A preliminary course of chemotherapy and radiation therapy for cancer patients is needed to kill cancer cells of hematopoietic tissue. The course of preparation may last for 7-10 days.
After bone marrow transplant, your child may be at risk for infection, Have some bleeding, Have nausea, vomiting, mouth sores, and extreme weakness or experience some emotional distress. Your child will get supportive care to prevent and treat infections, side effects, and complications. During this time, your child may spend several weeks in the hospital, Be confined to a very clean environment to reduce the chance of infection, Take multiple antibiotics and other medicines, Need blood transfusions, Be given medicine to prevent graft-versus-host disease, Have daily blood tests. The healthcare team will tell you when your child is ready to go home.
Your child’s transplant is managed by a team of specialists in the specialty hospitals of Iran such as Mofid Children’s Hospital or Taleghani Hospital recommended by Silk Road Company. This medical team includes:
• The most expert specialists: oncology, hematology, immunology, and bone marrow transplantation.
• Transplant nurses
• Social worker: This professional will help your family deal with issues.
• Physical therapist
• Pastoral care
• Respiratory therapist
• Lab technicians
• Infectious disease specialist
A bone marrow transplant in the U.S. is expensive and can range from 300,000 to over 800,000 for both the transplant and 3-6 months of care after the transplant. The cost for the bone marrow transplant in Iran is almost 50% lower than in the similar clinics in Europe and the USA. Also, accommodation in our country during treatment and the price of necessities such as food and staying in resorts recommended for rehabilitation are significantly lower than in European countries or even other Asian countries.
• Child life specialist