Zviratidzo nezviratidzo zveukamachiya uye mamwe mararamiro eropa zvinogona kunge zvisinganzwisisiki uye zvingave zvakangofanana nemamwe mimwe mitemo isina kuoma. Zvinonyanya kukosha kuti chiremba ave nehutano hwakarurama ku:
- Gadzirirai kuti chirwere chacho chichapfuurira sei
- Sarudza mushonga unoshanda
Kazhinji, kana munhu akaratidza zviratidzo kana zviratidzo zveukama, vanoendeswa kunyanzvi mune hematology / oncology .
Iyi ichava chiremba achazoona kuongororwa, pamwe nekugadzirira chero marapirwo angada kudiwa. Mamwe maitiro eukemia anononoka kukura uye anogona kuongororwa, asi vamwe vanoda kurapwa nokukurumidza. Mimwe mibvunzo inokosha yaungada kubvunza chiremba wako pamusoro apa ichakubatsira kuti unzwisise izvo zvinotevera, somuenzaniso: Ko rudzi rwangu rwemukemukari runogona kufambira mberi munguva pfupi here? Ndezvipi zvinoita kuti ndive nerudzi rwehutachiona hunogona kuva rwechirwere chinowanikwa? Ndiri chikwata chekuongororwa kwechiremba, uye iwe unogona kukurudzira chero ini here? Sei kana kuti kwete?
Kuongororwa Leukemia
Kuongorora kwepanyama uye nhoroondo yezvechiremba: Nhoroondo uye yepanyama ndiko kutanga kwekuongororwa kweukemia. Apo vashandi vehutano vachiona murwere uyo pakupedzisira anowanikwa ane leukemia, vanenge vachitanga nguva dzose vachitanga nekuongorora kwakakwana mumuviri uye nhoroondo yezvechiremba. Vachave vaine ruzivo rwekuziva zvakadzama pamusoro pezviratidzo chero chipi zvacho zvauri kutarisana nazvo uye vachaita zvakakwana musoro-to-toe test.
Mhando dzakasiyana dzeukemia dzinogona kuenzaniswa nezvakawanikwa zvakasiyana-siyana pamuviri wekuongorora. Dzimwe nguva pane zvingava nezviratidzo zvekubuda ropa kusina kuchena kana kupwanya. Dzimwe nguva apo pangave nekuwedzera kweimwe nhengo dzakadai sechiropa kana chirwere. Kunyange zvakadaro dzimwe nguva pangave pasina zviratidzo zvekunze kweukwepaia iyo chiremba anokwanisa kunzwisisa pane kuongorora mumuviri.
Chero zvazvingaitika, zvirwere zvakawanda zvinogona kutarisa sehuukemukari, uye saka kuongororwa kwekemukemikari kunozopedzisira kuchida mimwe miedzo yakawedzerwa.
Basa reRopa: Ropa rinowanzotorwa kubva mumucheka uri muruoko rwako uye rinotumirwa ku laboratori mune ma test tubes. Iyo sampuli inobva yayedzwa uye masero anoongororwa pasi pe microscope. Kuongororwa kweropa kwekodemia kunosanganisira:
- Complete Blood Count (CBC): Miedzo yekuyera mazinga emasero matsvuku, masero machena, uye maplatelet mumuviri uye kuti masero anotarisa sei.
- Peripheral Blood Smear: Masero eropa akavezwa uye anotariswa pasi pekroscope yekuvapo kwemazuva mashoma masero.
Nhepfenyuro yeKeukemia Ropa Kubata Kwebasa Ropa : Izvozvo zvinokonzera kuve nekusiyana kwekuwana mukati mekuyera kwekuongorora ropa muzvikamu zvakasiyana munguva yechirwere ichi, asi pano pane zvimwe zviwanikwa zvinowanzoenderana neCBC kune imwe neimwe yemarudzi mana makuru eukemia .
Dendaase | CBC Results | Ropa Smear Results |
Acute Myelogenous Leukemia (AML) | • Zvikamu zviduku zvakasvibirira zvemasero matsvuku uye maplatelet | • Kunewo akawanda masero masero asina kuchena |
Acute Lymphocytic Leukemia (ALL) | • Zvikamu zviduku zvakasvibirira zvemasero matsvuku uye maplatelet | • Kunewo akawanda masero masero asina kuchena |
Dambudziko reMyelogenous Leukemia (CML) | • Ropa rekuyera ropa rinotapudzwa uye mutsara wechena yakawanda inowanzokwirira | • Ungaramba uchiratidza mamwe masero machena |
Chronic Lymphocytic Leukemia (CLL) | • Masero matsvuku nemaplatelet angave kana kuti haagoni kuderedzwa | • Masero mashoma kana kuti asina masero machena |
Pfupa Marrow Muedzo : Kazhinji, ruzivo rwakapiwa neropa rwuri mukupararira kwako harukwanisi kuenderera mberi maererano nehutachiona uye zvinogona kurapwa. Masero eropa mukupararira kwako ose akambobudiswa mumuviri wako "ropa cell factor," aka bone marrow. Chiremba wako anogona kukurudzira nzira yekuwana samuti yemapfupa emapfupa kubva muchiuno chako. Izvi zvinozivikanwa semapfupa emapfupa, uye mapfupa emapfupa anobviswa kushandiswa nesimbi refu, yakaonda. Mune mapfupa emapfupa, zvinogona kuva zviviri masero ehutano anopa ropa uye masero eukemia, kazhinji mune zvakasiyana-siyana zvinogona kuva zvakakosha.
Kuongororwa kwakaitwa masero ako eukemia kungaratidza humwe hutano hunoshandiswa kugona kusarudzwa kwako.
Chirwere chepachiviri chekuedza (Lumbar Puncture): Chiremba anogonawo kusarudza kuongorora mvura inenge yakakomberedza tsvimbo yepelinha kuti ione kana pane chero masero eukemia aripo. Ichi chiyero, chinonzi chigamba chinonzi "lumbar puncture" kana kuti "gumbo remugunha") chinogona kuitwa muhofisi yechiremba kana kliniki.
Munguva iyi, chiremba achaita kuti murwere arambe ari parutivi rwake, kana kuti aise panzvimbo yavo mberi kwetafura saka ivo "vanovhimwa" pamusoro. Chiremba achazochenesa nzvimbo pamusoro pemutsana, uye anoshandisa chiduku chiduku kuti ape mishonga kupedza nzvimbo yacho. Zvadaro, imwe nhare inowanikwa kumashure, pakati pe vertebrae, uye munzvimbo inenge yakakomberedza rwonzi rwepelinha. Imwe mvura inoshandiswa ichabviswa uye inotumirwa kubhi kuti iwedzere kuongororwa.
Kazhinji, chiremba achaita kuti murwere arambe ari panzvimbo imwechete kwenguva pfupi inotevera nzira.
Leukemia Staging
Kutarisa kunoreva nzira iyo vanachiremba uye nyanzvi dzebhroatori dzinoedza kuisa maitiro ako eukemia. Kazhinji mumuganho wekenza, pane chiyero chekuti chirwere chakapararira zvakadini, zvisinei, chirwere chinokonzerwa neukemia chinowanzotaurirwa zvishoma zvakasiyana. Marudzi akasiyana-siyana eukemia anongororwa, kana akabatanidzwa, zvakasiyana, pamwe chete.
Iwe unogona kunge wakanzwa huwandu hwakawanda hunoshandiswa pakugadzirwa kwemamwe mhando dzekenza-somuenzaniso, "ane chirwere chemukati wekenza yemukomana," kana kuti "ane chirwere chepakati chechitatu chepabonde," uye zvakadaro. wekenza uye muenzaniso wekupararira mumuviri wose, asi unogona kunge usina kubatsira zvikuru pamakumbo eukemia asingaiti mishonga yakasimba.
Kune chronic lymphocytic leukemia , kana CLL , vanachiremba vakawanda vanoshandisa urongwa hweRai. Izvi zvinogona kunge zvisiri izvo, pakuti zvinoratidzika zvakanyanya kune izvo zvinoitika mukugadzirwa kwemamwe mhando dzekenza. Nhanho dzinomirira mune chikamu pakupararira kune dzimwe nhengo, chiropa, uye spleen. Zvidzidzo zveRai zvakaverengwa 0 kusvika ku IV uye zvinogona kuparadzaniswa zvakadzika, zvakatipoteredza uye zvakanyanya kuisa mungozi.
Nokuda kwechiremera lymphocytic leukemia , kana ZVOSE, zvisinei, kuisa mitezo hakuiti nenzira iyi, uye chirwere chacho kazhinji hachigadziri chiremera chinowedzera zvishoma. ZOSE zvingangopararira kune dzimwe nhengo kunyange isati dzaonekwa, saka panzvimbo yekushandisa nzira dzetsika, vanachiremba vanowanzotarisa muchikamu cheZVO nezera remurwere. Izvi zvinowanzobatanidza maitiro e-cytology, cytometry inoyerera uye mamwe maitiro emabara kuti aone chikamu che ALL.
Saizvozvowo, myelogenous leukemia kana AML chirwere chacho hachiwanzoonekwa kusvikira chapararira kune dzimwe nhengo, saka kuenzaniswa kwekenza yepamutemo hakudi. Nhengo ye AML inoshandiswa kushandisa cytological (cellular) system. Kune marongerwo akasiyana-siyana emashandisi anoshandiswa. MuchiFrench -American-British (FAB) chirongwa, AML inorongwa mumasereti masere, M0 kusvika M7. IWorld Health Organization (WHO) yakagadzira hurongwa hwakasiyana hwemamiririri e AML achiedza kujekesa zvakajeka kufungidzira (maonero).
Nokuda kwenguva refu myeloid leukemia (CML), chiremba wako achaongorora kuongorora ropa neropa remafuta kuti aone nhamba yemasero anorwara. Kune zvikamu zvitatu zve CML: kusingaperi, kukurumidza uye kubatika . Isingaperi ndiyo imwe nharaunda yekutanga ye CML. Vazhinji CML varwere vanoongororwa panguva ye CML isingagumi kana pane zviratidzo zvinyoro, kunyanya kunzwa kuneta kana kupera. Kana iyo CML ichiita zvishoma mubasa rayo pakurapa panguva yechigarire chisingagumi, inogona kuva yakashata, iyo inogona kutungamirira kumhanho inokurumidza. Sezvo munhu ane chirwere chinokonzerwa neukemia chinopfuurira kusvika pachikamu chinokurumidza, zviratidzo zvingava zvakakurumbira. Chikamu chinotyisa zvikuru chinotumidzwa seBlastic CML, kana kuputika kwematambudziko. Iyi nhanho inoratidzwa nekuvapo kwemazana akawanda emasero-ekuita masero-20 kubva muzana kana kupfuura akawanda ane myeloblasts kana lymphoblasts-mumasese emapfupa kana ropa, uye zviratidzo zvakafanana neyemuteyi muteyi wemaperembudzi.
Mibvunzo Yokubvunza Chiremba Wako
Miedzo uye maitiro anogona kutyisa kana iwe usina chokwadi chezvaunotarisira. Iwe unogona kuda kunyora pasi mimwe mibvunzo yekukumbira kuti ikubatsire kugadzirira. Mimwe mienzaniso yemibvunzo yaunoda kubvunza mubatsiri wako wehutano ndeye:
- Iko kupi kuedza kuchaitwa?
- Ndeipi nzira yekuedzwa uku?
- Ndinofanira here kuunza mumwe munhu neni?
- Ndichafanira kutsanya here?
- Ndichakwanisa kudzokera kubasa mushure mekuedzwa here?
- Ichatora nguva yakareba sei kuti mhinduro dzidzoke?
- Ndingawana sei migumisiro?
- Ndinofanira kutarisira mimwe migumisiro yechirwere ichi here?
- Iko kuedzwa kuchave kwakafukidzwa neurongwa hwangu hwehutano here?
Inzwa wakasununguka kutora manotsi apo mupi wako wehutano anopa mhinduro dzemibvunzo yako. Ita kuti vapindure mibvunzo yako neimwe nzira kana iwe usinganzwisisi. Tende rako richada kuti iwe uwane ruzivo musati wamboita maitiro.
Kuzvichengeta Iwe pachako
Kana iwe kana mwana wako ari kuongororwa neukemia, izvi zvinogona kunge zvinotyisa uye nguva inonetsa muupenyu hwako. Iwe unogona kusava nechokwadi nezveramangwana, uchinetseka nezvehupenyu hwehutano huchava nehutachiwana huchaita sei pamhuri yako. Mukuwedzera, unganzwa uine hukama hwakanaka mumuviri.
Kunyange zvazvo zvisingakwanisi kukanganwa kushungurudzika kwose kwauri pasi, zvinokosha kuti uzvibvumira nguva yakanyarara, yekufungisisa zuva rimwe nerimwe nenguva yekuita zvinhu zvinoita kuti ufare. Zvichida kufamba mumasikati, kukurukura neshamwari yekare pamusoro pefivha. Chinhu chipi nechipi chichakubatsira kuti usunungure uye udzoke zvakare ne "yekare" iwe. Zvichida iwe uchashamiswa nekuona kuti muviri wako unonzwa sei kana pfungwa dzako dzakasununguka.
Shoko Rinobva
Kana iwe uchitove watoziva hurumende yehumwe kenza isingave yeukemia yakadai sekenza yepabonde kana kenza yeprotate, zvikamu zvehutachiona hazvikwanisi kushandura zvakanaka pakutanga. Matanho emaperembudzi anowirirana zvichienderana nemhando chaiyo yeukemia. Sero rega rega rega rinoshandiswa panguva yekuongororwa dzimwe nguva rinoshandiswa kubatsira kubvisa houkemia. Zvimwe zvishandiso, zvakadai pakugadzirwa kwe CML ne AML, zvinosanganisira kuongorora nhamba ye myeloblasts, kana kuti masero machena eropa, akawanikwa muropa kana mune marora.
Chimwe chezvinyorwa zvakakosha kuisa pfungwa kune pakutanga ndechokuti rako reyukemia chirwere chisingaperi chineukemia kana chirwere chinokonzerwa neukemia. Maitiro anopera eukemia anogona kupedzisira achifambira mberi uye anowedzera kushungurudza, zvisinei, izwi risingagumi rinowanzoreva kukurumidza kukura uye kufambira mberi kudarika izwi rakaoma.
Kuwedzera kune chikamu chikuru chemukemukari, mamwe mabhuku makuru kana "zviratidzo" pane kunze kwemasero ako eukemia anogona kuonekwa neongororo yebazi uye inowanzokosha mukutsanangura uye chirongwa chinopfuurira mberi mushure mekuongororwa. Vachiri vaviri vane chirwere chakafanana cheeukemia vanogona kuva nezviitiko zvakasiyana-siyana nehosha, maitiro akasiyana ekurapa, uye zvakasiyana-siyana.
Pakupedzisira, houkemia ndiyo inonyanya kurwarisa muhuduku, uye nguva dzakawanda mwana weukemukari inowanzoonekwa semunhu akasiyana-siyana anokonzerwa neukemia. Kana uri kutsvaga ruzivo rwemwana ane leukemia, ziva kuti pane dzimwe nguva zvirwere uye zvirwere zvinopesana pakati pemapoka maviri, kunyange zvazvo leukemia inogona kuva nezita rimwe chete.
> Sources:
> America Cancer Society. Inonzi seiukemia inowanikwa sei. 2017
> Caldwell, B. (2007). Acute leukemias. MuCiesla >, B >. (Mupepeti) Hematology in Practice (pp. 159-185). Philadelphia, Pennsylvania: FA Davis Company.
> Finnegan >, K. > (2007). Matambudziko anokonzera myeloproliferative. MuCiesla, B. (Mupepeti) Hematology muKushanda (pp.187-203). Philadelphia, Pennsylvania: FA Davis Company.
> Leukemia & Lymphoma Society. Kuyera ropa. 2017.