Organzentrum des
Onkologiezentrums Mittelland KSA
Leistungsangebot Lymphom- und Leukämiezentrum
Untersuchungen
Wir planen und veranlassen folgende Untersuchungen:
Spezielle Laboruntersuchungen
Immunphänotypisierung (FACS)
Molekulargenetische Abklärungen
Tumormarker
Histologische und zytologische Untersuchungen
Röntgenuntersuchungen
CT (Computertomografie)
MRT (Magnetresonanztomografie)
Szintigraphie
Kontrastmittelsonographie und Ultraschall
Angiographie (Gefässdarstellung)
CT gesteuerte Punktionen
PET-CT (Positronen-Emissions-Tomografie)
Knochenmarkpunktion (KMP)
Liquor Punktion (LP)
Behandlungen
Folgende Behandlungen werden bei uns angeboten und durchgeführt:
Immun-/Chemotherapien
Intensive (aplasierende) Chemotherapie auf Isolierstation bei akuten Leukämien
Hochdosis-Chemotherapien mit autologen Stammzelltransplantationen
Eiseninfusionen
Immunglobuline-Verabreichung
Unterstützende Massnahmen
Konventionelle und interventionelle Schmerzbehandlung
Medikamente gegen Übelkeit/Erbrechen
Transfusionen von Erythrozyten und Thrombozyten
Injektionen von Wachstumsfaktoren
In Zusammenarbeit mit der Blutspende SRK Aargau-Solothurn bieten wir ausserdem folgen Spezialbehandlungen an:
Eigenblutspende
Plasma-Austausch (Plasmapherese)
Aderlass
Hämodilution
Leukämie-, Lymphom- und Myelom- Tumorboard
Vereintes Wissen und Können von Fachspezialisten
In der modernen Krebstherapie braucht es das Wissen und Können von Spezialisten verschiedener Disziplinen. Patientinnen und Patienten des Lymphom- und Leukämie-Zentrums werden in regelmässigen Abständen am so genannten interdisiplinären Lymphom, Leukämie und Myelom-Tumorboardvorgestellt und besprochen.
Prof. Dr. med. Mario Bargetzi, Chefarzt Hämatologie, sowie Prof. Dr. med. Christoph Mamot, Chefarzt Medizinische Onkologie, bieten die Möglichkeit für Zweitmeinungen von Patienten, die auswärtig behandelt werden. Für eine umfassende Beurteilung benötigen wir alle Akten, Unterlagen und Befnde.
Das KSA ist eines von sieben Spitälern in der Schweiz, an dem im Rahmen der hochspezialisierten Medizin die Hochdosis-Chemotherapie und autologe Stammzell-Transplantation durchgeführt wird. Seit 1994 werden in Aarau Patientinnen und Patienten mit unterschiedlichen bösartigen Erkrankungen einer solchen Behandlung unterzogen.
Für diese Behandlungsform kommen Patientinnen und Patienten mit folgender Diagnose in Frage:
akute myeloische Leukämie
akute lymphatische Leukämie
gewissen Formen eines Lymphdrüsenkrebs
Multiples Myelom
Amyloidose
gewissen Formen von soliden Tumoren (Hoden, Sarkom)
Je nach vorliegender Krankheit werden unterschiedliche Zytostatika als Chemotherapie eingesetzt. Die Hochdosis-Chemotherapie hat das Ziel, alle bösartigen Zellen im Körper der Patientinnen und Patienten zu eliminieren. Im Rahmen dieser Therapie tritt als Hauptnebenwirkung eine Zerstörung des Knochenmarks – der Fabrik der Blutzellen – auf. Da ein Leben ohne Blutzellen auf Grund auftretender Infektionen und Blutungen längerfristig nicht möglich ist, müssen vor Beginn der Hochdosis-Chemotherapie die eigenen (autologen) Stammzellen mit einer Blutwäsche gesammelt und bis zur Rückgabe gelagert werden. Diese Stammzellen werden dann unmittelbar nach der Hochdosis-Chemotherapie der Patientin oder dem Patienten zurückgegeben. Aus diesen transplantierten Stammzellen entsteht dann nach einigen Tagen wieder neues Blut.
Unser Stammzelltransplantaionszentrum ist JACIE-zeritifiezrt. Das gesamte Vorgehen unterliegt einem nationalen und internationalen Qualitätssicherungs-Programm (JACIE), dessen Einhalten in regelmässigen Abständen durch externe Experten überprüft wird.
Aufwendige Abklärungen sowie mehrtägige Chemotherapien können ambulant in der Tagesklinik oder stationär in der Wochenklinik des KSA, von Montag bis Freitag erfolgen.
Längere stationäre Aufenthalte für Abklärungen oder Therapien sowie bei Notfällen erfolgen hauptsächlich in der Medizinischen Universitätsklinik oder je nach Situation in anderen Spezialabteilungen (zum Beispiel Chirurgie, Frauenklinik, Neurochirurgie, Hals-Nasen-Ohren-Klinik) des KSA. Eine hämatologische und onkologische Mitbetreuung wird jederzeit gewährleistet.
Die Betreuung und Behandlung von Patientinnen und Patienten mit schweren hämato-onkologischen Erkrankungen erfolgt auf der dafür spezialisierten Medizinischen Station 731. Diese Abteilung ist Teil des Stammzelltransplantationszentrums. Im Vordergrund stehen intensive Chemotherapie, autologe hämatopoetischen Stammzelltransplantationen oder die Anti-Lymphozyten-Globulin-Therapie (ATG) bei aplastischer Anämie und myelodysplastischem Syndrom.
Die intensive Therapie der Patienten mit einer akuten Leukämie erfolgt auf einer separaten Abteilung der Station 731, der Isolierstation. Die Patienten der Isolierstation sind aufgrund ihrer Erkrankung und der Therapie anfälliger gegenüber Infektionen. Ziel der protektiven Pflege auf der Isolierstation ist, die Phase fehlender Infektabwehr sicher zu überbrücken. Dieser Schutz ist nicht absolut. Es stehen dafür Einzelzimmer zur Verfügung, die mit Filtern und positivem Innendruck belüftet werden, um das Eindringen von Keimen, insbesondre Pilzsporen in die Patientenzimmer zu verhindern.
Unser auf Onkologie- und Hämatologie-Pflege spezialisiertes Pflegeteam begleitet Patienten und Angehören während einer medikamentösen Tumortherapie. Neben der sicheren Verabreichung ihrer Medikamente ist es uns ein Anliegen, Ihnen und Ihren Angehörigen Sicherheit zu geben, um mit den Folgen der Krankheit, deren Behandlung und Nebenwirkungen zu Recht zu kommen. Dazu bieten wir eine individuelle Pflegeberatung an und stehen Ihnen in allen Phasen ihrer Krankheit mit unserem Fachwissen und Erfahrung zur Verfügung.
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