{"id":342,"date":"2020-10-27T13:33:00","date_gmt":"2020-10-27T12:33:00","guid":{"rendered":"https:\/\/www.chu-tours.fr\/cancerologie\/?page_id=342"},"modified":"2020-10-29T10:01:14","modified_gmt":"2020-10-29T09:01:14","slug":"traitements-les-greffes-de-moelles","status":"publish","type":"page","link":"https:\/\/www.chu-tours.fr\/cancerologie\/traitements-les-greffes-de-moelles\/","title":{"rendered":"Traitements &#8211; Les greffes de moelles"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"342\" class=\"elementor elementor-342\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5f33527 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5f33527\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-daf7c1a\" data-id=\"daf7c1a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5c2b1cb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5c2b1cb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4f34a55\" data-id=\"4f34a55\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a9381f7 elementor-widget elementor-widget-text-editor\" data-id=\"a9381f7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>La moelle osseuse est un \u00ab\u00a0organe liquide\u00a0\u00bb situ\u00e9 dans les os plats du squelette, et \u00e0 l\u2019extr\u00e9mit\u00e9 des os longs, et qui est responsable de la fabrication des globules du sang\u00a0: les globules rouges, les plaquettes, et les globules blancs, au cours d\u2019un processus appel\u00e9 h\u00e9matopo\u00ef\u00e8se, c\u2019est-\u00e0-dire \u00ab\u00a0fabrication du sang\u00a0\u00bb.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4c1bf64 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4c1bf64\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7bc365b\" data-id=\"7bc365b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fedee99 elementor-widget elementor-widget-image\" data-id=\"fedee99\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-hematopoiese.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Sch\u00e9ma de l&#039;h\u00e9matopo\u00ef\u00e8se\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MzQ2LCJ1cmwiOiJodHRwczpcL1wvd3d3LmNodS10b3Vycy5mclwvY2FuY2Vyb2xvZ2llXC93cC1jb250ZW50XC91cGxvYWRzXC9zaXRlc1wvNFwvMjAyMFwvMTBcL2dyZWZmZXMtbW9lbGxlLWhlbWF0b3BvaWVzZS5qcGcifQ%3D%3D\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-hematopoiese-300x225.jpg\" class=\"attachment-medium size-medium wp-image-346\" alt=\"Sch\u00e9ma de l&#039;h\u00e9matopo\u00ef\u00e8se\" srcset=\"https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-hematopoiese-300x225.jpg 300w, https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-hematopoiese-70x52.jpg 70w, https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-hematopoiese.jpg 360w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Sch\u00e9ma de l'h\u00e9matopo\u00ef\u00e8se<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5b374e4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5b374e4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ce4bb6f\" data-id=\"ce4bb6f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9fef7a1 elementor-widget elementor-widget-text-editor\" data-id=\"9fef7a1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Dans certaines maladies, il arrive qu\u2019on ait besoin de soigner un malade avec une greffe. Il existe deux types de greffes\u00a0: les greffes autologues (<b>autogreffes<\/b>) et les greffes allog\u00e9niques (<b>allogreffes<\/b>).<\/p><p><b>L\u2019autogreffe\u00a0<\/b>consiste en un traitement par chimioth\u00e9rapie \u00e0 tr\u00e8s forte dose suivie de l\u2019injection dans le sang de cellules souches h\u00e9matopo\u00ef\u00e9tiques qui sont capables de retrouver le chemin de la moelle osseuse et de fabriquer en deux \u00e0 trois semaines des globules blancs, des plaquettes et des globules rouges. Ces cellules souches sont r\u00e9cup\u00e9r\u00e9es avant la greffe chez le malade \u00e0 un moment favorable dans le sang (technique de cytaph\u00e9r\u00e8se).\u00a0<\/p><p>L\u2019int\u00e9r\u00eat de l\u2019autogreffe est de permettre une chimioth\u00e9rapie \u00e0 une tr\u00e8s forte dose, qui serait trop toxique en l\u2019absence d\u2019injection d\u2019un greffon autologue.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9ec8639 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9ec8639\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4b51103\" data-id=\"4b51103\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-da920c1 elementor-widget elementor-widget-image\" data-id=\"da920c1\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-autogreffe.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Sch\u00e9ma de l&#039;autogreffe\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MzQ1LCJ1cmwiOiJodHRwczpcL1wvd3d3LmNodS10b3Vycy5mclwvY2FuY2Vyb2xvZ2llXC93cC1jb250ZW50XC91cGxvYWRzXC9zaXRlc1wvNFwvMjAyMFwvMTBcL2dyZWZmZXMtbW9lbGxlLWF1dG9ncmVmZmUuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-autogreffe-300x225.jpg\" class=\"attachment-medium size-medium wp-image-345\" alt=\"Sch\u00e9ma de l&#039;autogreffe\" srcset=\"https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-autogreffe-300x225.jpg 300w, https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-autogreffe-70x52.jpg 70w, https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-autogreffe.jpg 360w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Sch\u00e9ma de l'autogreffe<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-14c64b1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"14c64b1\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-97e05ac\" data-id=\"97e05ac\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a5942c4 elementor-widget elementor-widget-text-editor\" data-id=\"a5942c4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>L\u2019allogreffe\u00a0est un traitement utilis\u00e9 dans certaines maladies du sang et qui consiste en un remplacement de la moelle osseuse du malade (receveur) par celle d\u2019un donneur sain. Le principe est \u00e0 la fois le remplacement de l\u2019h\u00e9matopo\u00ef\u00e8se, mais aussi la recherche d\u2019un effet immunologique qui d\u00e9truit la maladie du patient.<\/p><p>Les donneurs peuvent \u00eatre les fr\u00e8res et s\u0153urs du patient dont le groupe tissulaire HLA est compatible, mais aussi des donneurs volontaires \u00e0 l\u2019inscription sur un fichier national.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5da2c7d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5da2c7d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-38b2c3b\" data-id=\"38b2c3b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5786e66 elementor-widget elementor-widget-image\" data-id=\"5786e66\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-allogreffe.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"Sch\u00e9ma de l&#039;allogreffe\" data-e-action-hash=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJpZCI6MzQ0LCJ1cmwiOiJodHRwczpcL1wvd3d3LmNodS10b3Vycy5mclwvY2FuY2Vyb2xvZ2llXC93cC1jb250ZW50XC91cGxvYWRzXC9zaXRlc1wvNFwvMjAyMFwvMTBcL2dyZWZmZXMtbW9lbGxlLWFsbG9ncmVmZmUuanBnIn0%3D\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-allogreffe-300x225.jpg\" class=\"attachment-medium size-medium wp-image-344\" alt=\"Sch\u00e9ma de l&#039;allogreffe\" srcset=\"https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-allogreffe-300x225.jpg 300w, https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-allogreffe-70x52.jpg 70w, https:\/\/www.chu-tours.fr\/cancerologie\/wp-content\/uploads\/sites\/4\/2020\/10\/greffes-moelle-allogreffe.jpg 360w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Sch\u00e9ma de l'allogreffe<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Home La moelle osseuse est un \u00ab\u00a0organe liquide\u00a0\u00bb situ\u00e9 dans les os plats du squelette, et \u00e0 l\u2019extr\u00e9mit\u00e9 des os longs, et qui est responsable de la fabrication des globules du sang\u00a0: les globules rouges, les plaquettes, et les globules blancs, au cours d\u2019un processus appel\u00e9 h\u00e9matopo\u00ef\u00e8se, c\u2019est-\u00e0-dire \u00ab\u00a0fabrication du sang\u00a0\u00bb. Sch\u00e9ma de l&#8217;h\u00e9matopo\u00ef\u00e8se Dans [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"CHRU de Tours. Canc\u00e9rologie. 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