UMCU Dag 21 – Goede 2e Paasdag

Op verzoek van Dolf zorg ik, Marjolein, voorlopig voor zijn blog.

Controles 

Rode bloedlichaampjes (hb)            6,1
Bloedplaatjes (trombo’s)                13
Witte bloedlichaampjes (leuko’s)  10,1
Temperatuur 36,7 graden
Bloeddruk en polsslag o.k.
Pijnbestrijding is nu nog niet helemaal voldoende, daar wordt nog aan gewerkt. 

Goede (Paas)dag

Dolf hoest minder, is niet meer zo misselijk, heeft niet zo veel zuurstof meer nodig.
Hij heeft vandaag een half broodje hagelslag en een halve kroket op. En wie weet, wat hij met het avondeten nog binnen kan krijgen (en houden!!).

Beenmergpunctie

Dolf heeft nu een keer of 5 een beenmergpunctie moeten laten doen. Ze kunnen beenmerg “optrekken” uit een plat bot (borstbeen of bekken). De laatste 2 keer deed erg zeer, waarschijnlijk omdat het beenmerg door de myelo fibrose gedeeltelijk in bindweefsel is veranderd. Deze keer zal er een roesje worden gegeven, dus de ingreep vindt onder algehele narcose plaats.
Deze week zal een beenmerg punctie worden gedaan om de (witte) bloedcellen goed te kunnen bekijken en om te zien of de acute leukemie onder controle is.Het beenmerg is de bron waar de bloedcellen gemaakt worden en waarvandaan ze in de bloedbaan terecht komen (zie ook hieronder).

Wat is acute leukemie eigenlijk?     (tekst overgenomen uit het patiënten informatie dossier).

Er zijn verschillende vormen van leukemie. Bij iedere soort leukemie gaat het om een ongecontroleerde deling van cellen. Bij acute leukemie gaat het om een bepaald soort witte bloedcellen. De bloedcellen reageren dan niet meer op de signalen die de aanmaak remmen, wanneer er voldoende cellen zijn gevormd.
Hierdoor ontstaan grote hoeveelheden onrijpe bloedcellen. Door de woekering van deze onrijpe cellen komt de productie van de normale cellen in het beenmerg in het gedrang. Eerst is er alleen in het beenmerg een overmaat aan onrijpe cellen. Na verloop van tijd komen de onrijpe cellen ook in de bloedbaan en dus ook in de organen.

Sommige organen kunnen overvol raken met abnormale cellen. Dat is o.a. te merken aan vergrote lymfeklieren, een vergrote milt en/of een vergrote lever. Bij acute leukemie rijpen de bloedcellen niet uit en vindt in korte tijd een ophoping van onrijpe cellen plaats. Al snel treden er klachten op, die het gevolg zijn van een tekort aan normale rijpe bloedcellen.

De naam leukemie

Witte bloedlichaampjes heten leukocyten. Leuko betekent wit. Bloedkanker komt het meest voor in de witte bloedcellen. Daarom wordt bloedkanker ook leukemie genoemd.

157 gedachten over “UMCU Dag 21 – Goede 2e Paasdag

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  14. Olá CéliaRetomar, valorizando e dialogando com a familia e a comunidade e não as utilizando com mera alternativa,Esta frase é de Vasconcelos que diz o seguinte: ” que as atenções prestadas à família são consideradas práticas conservadoras e pouco eficientes, “porque estão presas a uma cultura tutelar de relação com as classes populares”, que não aceita a “autonomia da família por não confiar em sua capacidade”.Abraços.

  15. 335закручено красиво, но все–таки это неуместный подход, поскольку сказка — авторская, в которой сигара может быть сигарой. в ней нету места ни фрейду, ни фромму, ни проппу, имхо. иначе можно с тем же успехом развить тему что пятачок — это хрущов, а иа — брежнев, а метафора с лопнувшим шариком — советская космическая программа, и таким образом заходер как бы закодировал свое отношение к концу шестидесятых.

  16. Article polémique et tous ceux qui ont laissé un commentaire sont tombés dans le panneau. Il s’agit bien de vases communiquant entre UMP et R-UMP.De même le financement du parlement n’a rien de choquant dans un pays démocratique. On parle de plusieurs centaines de milliards pour le fonctionnement du budget annuel de l’Etat…

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  22. Tiffany,This post really touched me deeply. Last fall I went through a very traumatic friendship experience and I’ll be honest, it scarred me some. Your post gives me the hope and knowledge that there is better out there and that something can be gained from these experiences. Thank you so much for sharing your feelings. It really helped me. Hugs, Jen

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  24. He investigado un poco sobre el tema….- En el momento en que se comercializa un ebook, el ISBN SI ES OBLIGATORIO. “si es así porque amazon no ha publicado todo ese catalogo de libros en español que es muy amplio y no tiene derechos de autor”-Los derechos de autor caducan a los 70 años de su muerte, pero…. ojo si lo que cuelgas es una traducción, ya que entonces hay que contar los 70 años desde la muerte del traductor; y un tercer “copyright” a tener en cuenta es el de la editorial, que tiene una validez de 25 años. Salvado todo esto,

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  28. I’ll never forget when I saw Jurassic Park 3 in theaters opening weekend. The theater was packed.I can’t remember at what part exactly it happened, but at some ridiculous dino scene, someone in my row yelled out “OH COME ON!!!” in exasperation.My teenage self shrank into my seat because I realized that the man yelling at the movie screen in a packed theater was none other than my father.

  29. Olá, Boa tarde!Materia interessante!Já tive alguns clientes que querem tudo, qualidade,pontualidade,rapidez,eficiencia,o meu suor, o meu sangue, o meu salário, o meu final de semana, a minha vida, mas na hora de valorizar os serviços, nao quer nada!Abraços!

  30. um…- 2 outlets- closes randomly on friday night for “special events’- under-seasoned, overgreased, and therefore overpriced food items- snooty, unfriendly clientele- cash-only unless you buy their $75 “card”- regularly out of random things on their menu, early in the afternoon- mediocre banal ‘art’- random ‘dj’- really uncomfortable stools- no purse hook- drafty in the front- shitty “handcrafted” sodayeah, i’m so sorry they’re moving out.

  31. いやーよくやってるなー と私も思います。男性とは、社会や女性にいつもいつも受け入れられてると感じられないと不安になる生き物のようです。仕事の評価に執着するのも、なんだかんだで奥さんに家にいて欲しいのもそのせいです。もーもーさんが90%我慢している、ということは旦那さんはまだ女性に受け入れられておらず、不安な毎日だと思います。決して意識してはないでしょうけど。旦那さんの実母との関係は良好でしたか?実母から充分な愛情を受けていないと心の中が愛で満たされず、結婚しても女性に愛を出せません。また、もーもーさんと実父との関係は良好でしたか?実父から充分に愛情を受けていないと、恋人や結婚相手に愛を出せない男性を選びがちです。離婚したら、女性は子供がいても、むしろいたら、強く生きていけると思います。離婚後もーもーさんが変わらなければ同じような男性を選ぶこととなり、つらい思いを繰り返します。理想の相手は見つからないでしょうから、子どもたちと頑張ることになると思います。離婚しないならもーもーさんが母のような大きな愛で旦那さんを包み、弱いところもすべて受け入れられるようにならないと、つまりもーもーさんが大きく変わらないと冷たい夫婦関係が続くことに変わりはないでしょう。お互いあまり信用してないですよね。旦那さんは奥さんに受け入れてもらってないと疑い、外で確かめようとする。奥さんは行動を疑い財布や携帯を見る。今一度、人を信用するとはどういうことか、異性を愛し受け入れるとはどういうことか、自分はなにを求めていたか、求めていたものが間違ってなかったか、自分の弱さから目をそらさずに見つめることができれば自ずと道が見えてくると思います。「したてにでて終わらせるべきでしょうか」という言葉も相手を見下してる感じがします。見下せる位置にいると状況は最悪なはずなのに、なぜか精神的には安定感をえられます。旦那さんもそれを感じ取るでしょうしね。もーもーさんがその立ち位置を手放せたらいいと思います。旦那の兄夫婦が離婚してしまいましたが(子供二人あり)、お義兄さんは「二人で相談すべきことを勝手に一人で決めてしまったり、こちらが何か提案しても『でもな、』と言って常に反対されてこちらの意見を聞き入れてくれたことはなかった」という積み重ねから兄嫁さんへの愛情が薄れていったようでした。兄嫁さんは「女性として愛されなかった」と話してましたし、どちらも「愛して欲しかったけど愛されなかった」辛さを訴えていたのが印象的でした。長々とすいません。どっか一カ所でも助けになっていれば幸いです。221d

  32. Caught the Melbourne Ice (ice hockey) game last night, and I’m already converted! It’s lovely to unexpectedly discover a new interest. The camaraderie and good-natured supporters really highlighted the negative aspects that turned me away from AFL. Other than that, I’m just deciding what kind of chunky biscuits I should whip up for my brother’s birthday – macadamia, almond, walnut, apricot or chocolate? Gah!

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