Created at:1/16/2025
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Acute lymphocytic leukemia (ALL), rudzi rwekenza yeropa, inoitika kana mapfupa ako akaita masero machena akawanda asingawanzoita, anonzi lymphoblasts. Aya masero asina kukura anokanganisa masero eropa ane hutano, uye haakwanisi kurwisa hutachiona sezvaanofanira.
Kunyangwe ALL ichikurumidza kupinda mumuviri wako, imwe yemhando dze leukemia inorapika zvikuru, kunyanya kana yakawanikwa pakutanga. Kunzwisisa zviri kuitika mumuviri wako kunogona kukubatsira kunzwa wakagadzirira uye wakavimbika nezve nzira iri mberi.
ALL inotanga mumapfupa ako, tishu yakapfava iri mukati memafupa ako kwaanoitwa masero eropa. Funga nezvemapfupa ako sefekitori inogadzira marudzi akasiyana emasero eropa ane hutano muhuwandu hwakanaka.
MuALL, chimwe chinhu chinoitika kune mirairo yekugadzira lymphocytes, rudzi rwe sero jena. Panzvimbo pekugadzira masero akakura anorwisa hutachiona, mapfupa ako anotanga kugadzira huwandu hukuru hwe lymphoblasts dzisingashandi zvakanaka.
Aya masero asingawanzoiti anowedzera nekukurumidza uye anotora nzvimbo inofanira kuva nemasero matsvuku eropa ane hutano, masero machena eropa, uye maplatelets. Iyi nzvimbo yakazara ndiyo inokonzera zviratidzo zvakawanda zvaunogona kuona.
Shoko rokuti "acute" rinoreva kuti mamiriro acho anokura nekukurumidza, kazhinji kwemavhiki kana mwedzi panzvimbo pemakore. Izvi zvakasiyana ne chronic leukemias, dzinoita zvishoma nezvishoma nekufamba kwenguva.
Zviratidzo zveALL kazhinji zvinoonekwa zvishoma nezvishoma uye zvinogona kunzwa sekunge uri kurwisa fodya kana chikosoro chisingaperi chisingadi kuenda. Vanhu vazhinji vanoona kuti vanonetseka kupfuura zvakajairwa kana kuti vanorwara kakawanda kupfuura zvakajairwa.
Zviratidzo zvakajairika zvaunogona kuona zvinosanganisira:
Vamwe vanhu vanoonawo zviratidzo zvisingawanzoiti zvinogona kunetesa. Izvi zvinogona kusanganisira kurwadziwa kwemusoro kwakanyanya, kusanzwisisa, kana kuoma kuisa pfungwa kana masero e leukemia akaenda kune yako central nervous system.
Unogona kuona kuti mudumbu mako mazere kana kuti haufadze nekuda kwe spleen kana chiropa chakakura. Vamwe vanhu vanowana night sweats kana kuti vanoramba vane fevha diki dzinoenda dzichiuya pasina chikonzero chakajeka.
Yeuka kuti aya maratidzo ane zvikonzero zvakasiyana-siyana, uye kuva nawo hazvirevi kuti une leukemia. Nekudaro, kana uri kuona zviratidzo zvakawanda izvi pamwe chete, kunyanya kana zvichienderera mberi kana kuti zvichiwedzera, zvinokosha kutaura nachiremba wako.
ALL inoratidzirwa mune marudzi akasiyana-siyana zvichienderana nekuti lymphocytes ipi chaiyo dzakabatwa uye hunhu hwakati hwe masero ekenza. Chiremba wako achaona rudzi rwako chaiwo kuburikidza nekuongororwa kwakakwana, izvo zvinobatsira kutungamira chirongwa chako chekurapa.
Hurongwa huru hwekugadzirisa rinogovera ALL mune B-cell ne T-cell marudzi. B-cell ALL yakajairika zvikuru, ichifambidzana neinenge 85% yezviitiko muvakuru uye huwandu hwakakwirira muvana.
B-cell ALL inoitika kana immature B-lymphocytes dzichiita kenza. Aya masero kazhinji anokura kuva plasma cells anogadzira antibodies kurwisa hutachiona. MuB-cell ALL, anoramba ari mumamiriro asingakuri uye anowedzera zvisingadzoreki.
T-cell ALL inokanganisa T-lymphocytes, dzinoshanda kazhinji mukugadzirisa mhinduro yako yekudzivirira uye kurwisa zvakananga masero akasvibiswa kana asingawanzoiti. Iyi mhando isingawanzoiti asi inogona kuva yakasimba kupfuura B-cell ALL.
Timu yako yezvokurapa ichaonawo shanduko dzakati kana chromosomal abnormalities mu masero ako e leukemia. Aya maonero anobatsira kuona zvaunogona kutarisira uye nzira yekurapa inonyanya kushanda kune mamiriro ako chaiwo.
Chikonzero chaicho cheALL hachizivisike zvizere, asi chinoitika kana shanduko dzemajini dzichiitika mu lymphocyte stem cells mumapfupa ako. Aya marudzi anoita kuti masero akure uye agovere zvisingadzoreki panzvimbo yekukura kuva masero machena eropa ane hutano akakura.
Kazhinji kwezviitiko zveALL zvinoita sekunge zvinoitika pasina chikonzero chakajeka. Shanduko dzemajini dzinoita leukemia kazhinji dzinowanikwa panguva yehupenyu hwemunhu panzvimbo pekuhwana kubva kuvabereki.
Zvinhu zvakati zvinogona kuita kuti aya marudzi ashanduke, kunyange kuva nezvinhu izvi hazvirevi kuti iwe uchava neALL:
Zvakakosha kunzwisisa kuti ALL haisi kuzara uye haigone kupfuudzwa kubva kumunhu kuenda kune mumwe. Unogonawo kusvika kwairi kubva kune mumwe munhu kana kuipfuudza kuhama kana shamwari.
Mumazhinji ezviitiko, hapana chawaigona kuita zvakasiyana kudzivirira ALL kubva kukura. Shanduko dzemajini dzinoita iyi kenza kazhinji dzinowanikwa netsaona panzvimbo pekuva mugumisiro wezvisarudzo zvehupenyu kana kuonekwa kwezvakatipoteredza.
Unofanira kubata nachiremba wako kana uri kuona zviratidzo zvinoramba zviripo zvisingagadzirisiki kana zvichiita sekunge zviri kuwedzera nekufamba kwenguva. Kunyangwe aya maratidzo ane zvikonzero zvakawanda, zviri nani nguva dzose kuongororwa nekukurumidza pane gare gare.
Rongedza musangano mukati memazuva mashoma kana ukaona zviratidzo zvakati zveALL pamwe chete, senge kuneta kwenguva refu pamwe nehutachiona hwakawanda, kutemwa nyore, kana kurwadziwa kwematumbu kusingazivikanwi. Chiremba wako anogona kubatsira kuona chiri kukonzera zviratidzo zvako uye kana kuongororwa kwakawanda kuchidikanwa.
Tsvaga rubatsiro rwekurapa nekukurumidza kana ukaona zviratidzo zvakakomba izvo zvinogona kuratidza njodzi yekurapa. Aya mamiriro ekukurumidza anosanganisira fevha yakakwira ine chills, kubuda ropa kwakanyanya kunomira, kuoma kufema, kana zviratidzo zvehutachiona hwakakomba.
Unofanirawo kuona chiremba wako nekukurumidza kana ukaona shanduko dzisingatarisirwi mumamiriro ako epfungwa, senge kusanzwisisa kwakanyanya, kurwadziwa kwemusoro kwenguva refu, kana shanduko dzekuona. Izvi zvinogona kuratidza kuti masero e leukemia akakanganisa yako central nervous system.
Usamirire kutsvaga kurapwa kana zviratidzo zvako zviri kukanganisa hupenyu hwako hwezuva nezuva kana iwe uchifunga kuti chimwe chinhu hachisi chakanaka nehutano hwako. Vimba nepfungwa dzako pamusoro pemuviri wako, uye yeuka kuti kuwanikwa pakutanga nekurapwa kazhinji kunotungamira kumigumisiro iri nani.
Njodzi ndizvo zvinhu zvinogona kuwedzera mikana yako yekuwana ALL, asi kuva nenjodzi imwe kana kupfuura hazvirevi kuti iwe uchava nekenza iyi. Vanhu vazhinji vane njodzi havambofi vaine ALL, nepo vamwe vasina njodzi inozivikanwa vanoita.
Zera rimwe rezvinhu zvinokosha zvenjodzi, kunyangwe ALL ichikanganisa vanhu zvakasiyana-siyana maererano nezera. Chirwere ichi chakajairika muvana vaduku, nehuwandu hwakakwirira pakati pemakore 2 ne5, wobva wava kushoma kuburikidza nemakore echidiki uye uduku.
Njodzi huru dzakawanikwa nevaongorori dzinosanganisira:
Mamwe njodzi dzisingawanzoiti dzinosanganisira kuonekwa nehuwandu hwakakwirira hweradiation, senge kubva pakuputika kweabomu kana tsaona dzematomu. Nekudaro, huwandu hweradiation hunoonekwa kubva kuongororo dzekurapa senge X-rays kana CT scans hazviiti sekunge zvichiwedzera njodzi yeALL.
Zvirwere zvakati zvehutachiona zvinogona kutamba basa mune zvimwe zviitiko, kunyanya hutachiona nehutachiona hwakati hunokanganisa kudzivirira muviri. Nekudaro, iyi hukama haizivisike zvizere uye haishande kune hutachiona hwakajairika senge fodya kana chikosoro.
Zvinokosha kucherechedza kuti vanhu vazhinji vanoita ALL havazi vane njodzi dzinozivikanwa. Chirwere ichi kazhinji chinoitika netsaona nekuda kwekuchinja kwemajini kunoitika netsaona panguva yehupenyu hwemunhu.
ALL inogona kutungamira kumatambudziko akasiyana-siyana nekuti masero asingawanzoiti anokanganisa kugona kwemuviri wako kugadzira masero eropa ane hutano uye kurwisa hutachiona. Kunzwisisa aya matambudziko anogona kukubatsira kuziva zviratidzo zvekutyisidzira uye kushanda nechikwata chako chekurapa kudzivirira kana kuadzorera.
Matambudziko anokurumidza kuitika anobva pakusava nemasero eropa ane hutano emuviri wako. Kana mapfupa ako akazadzwa nemasero e leukemia, haagone kugadzira masero eropa akawanda ekuraramisa muviri wako uchishanda zvakanaka.
Matambudziko akajairika aunogona kuona anosanganisira:
Vamwe vanhu vanoita mamiriro anonzi tumor lysis syndrome, inoitika kana masero e leukemia akaparara nekukurumidza panguva yekurapwa. Izvi zvinogona kukonzera shanduko dzine njodzi mukemikari yeropa inoda rubatsiro rwekurapa nekukurumidza.
Zvisingawanzoiti, ALL inogona kukonzera matambudziko ane hukama nehuwandu hwakakwirira hwe masero machena eropa, mamiriro anonzi hyperleukocytosis. Izvi zvinogona kutungamira kumatambudziko ekufamba kweropa uye kuendeswa kweoksijeni kuzvikamu zvikuru zvemukati.
Mashoko akanaka ndeawo kuti timu yako yezvokurapa ichakucherechedza zvakanyanya kuti uve nematambudziko aya uye ine nzira dzinoshanda dzekudzivirira kana kurapa mazhinji acho. Matambudziko mazhinji anogona kudzorwa nekuwana kurapwa nekukurumidza nekurapwa kunotsigira.
Kuziva ALL kazhinji kunotanga nachiremba wako achibvunza nezvezviratidzo zvako uye achiita bvunzo yemuviri. Vachaongorora zviratidzo senge lymph nodes yakakura, chiropa, kana spleen, uye vachatsvaga kutemwa nyore kana kubuda ropa.
Kuongororwa kwekutanga kwakakosha kazhinji kuverenga kweropa kwakakwana (CBC), kunoyera nhamba nemhando dzemasero eropa rako. MuALL, iyi bvunzo kazhinji inoratidza huwandu husina kujairika hwe masero machena eropa, masero matsvuku eropa, kana maplatelets.
Kana mhinduro dzako dzeCBC dzichiratidza leukemia, chiremba wako achaodha bvunzo dzakawanda kuti aone chirwere ichi:
Bone marrow biopsy ndiyo bvunzo inokosha yekuziva ALL. Panguva iyi nzira, sampuli diki yematumbu inobviswa, kazhinji kubva pfupa rako rehip, uye inongororwa pasi pemikroskopu.
Timu yako yezvokurapa ichaitawo bvunzo kuti ione rudzi rwakati rweALL rwaunaro uye ione shanduko dzemajini mu masero ekenza. Iyi ruzivo yakakosha pakugadzira chirongwa chekurapa chinonyanya kushanda kune mamiriro ako chaiwo.
Nzira yese yekuziva kazhinji inotora mazuva mashoma kusvika pavhiki. Kunyangwe kumirira mhinduro kunogona kunzwa kunetsa, kuwana kuongororwa kwakakwana kwakakosha kuti uwane kurapwa kwakakodzera nekukurumidza sezvinobvira.
Kurapa kweALL kazhinji kunosanganisira chemotherapy inopiwa muzvikamu zvakarongeka zvakagadzirirwa kubvisa masero e leukemia uye kubatsira muviri wako kupora. Mashoko akanaka ndeawo kuti ALL kazhinji inopindura zvikuru pakurapwa, kunyanya kana yakawanikwa pakutanga.
Kurapa kazhinji kunoitika muzvikamu zvitatu zvikuru. Chikamu chekutanga, chinonzi induction therapy, chinangarira kuparadza masero e leukemia akawanda sezvinobvira uye kubatsira huwandu hwako hweropa kudzoka kune zvakajairwa. Ichi chikamu kazhinji chinotora mwedzi.
Nzira huru dzekurapa dzinosanganisira:
Mushure meinduction, iwe uchave uchigamuchira consolidation therapy kubvisa masero e leukemia asara ausingakwanisi kuona. Ichi chikamu chinogona kutora mwedzi yakati uye kazhinji chinosanganisira misanganiswa yakasiyana yemishonga ye chemotherapy.
Chikamu chekupedzisira, chinonzi maintenance therapy, chinosanganisira huwandu hushoma hwe chemotherapy inopiwa kwenguva yakareba, dzimwe nguva kusvika kumakore maviri kana matatu. Izvi zvinobatsira kudzivirira leukemia kubva pakudzoka.
Chirongwa chako chekurapa chichagadzirirwa zvichienderana nezvinhu senge zera rako, hutano hwese, rudzi rwakati rweALL rwaunaro, uye kuti unopindura sei pakurapwa kwekutanga. Timu yako yezvokurapa ichagadzirisa kurapwa kwako sezvinodiwa panguva yese yacho.
Kudzorera zviratidzo zvako nezvinokonzerwa nekurapwa pamba chikamu chakakosha chechirongwa chako chekurapa chose. Timu yako yezvokurapa ichapa mazano chaiwo, asi kune zvinhu zvakawanda zvaunogona kuita kuti uzvibatsire kunzwa zvakanaka uye kuramba uine hutano sezvinobvira.
Kudzivirira hutachiona chinhu chakakosha nekuti kudzivirira muviri wako kunogona kusimba nekuda kwe leukemia nekurapwa. Geza maoko ako kazhinji, dzivisa mapoka kana zvichibvira, uye usapfugama kune vanhu vanorwara.
Heano mazano makuru ekubatsira kudzorera kuchengetedza kwako pamba:
Uchada kungwarira zvikuru nezvekudya kwakachengeteka panguva yekurapwa. Dzivisa zvokudya zvakasvibirira kana zvisina kubikwa zvakakwana, michero nemiriwo isina kushambwa, uye zvokudya zvinogona kuva nemabhakitiriya. Timu yako yekuchengetedza hutano inogona kupa mazano akakwana ekudya.
Kudzorera kuneta kwakakosha kune hupenyu hwako hwakanaka. Rongedza mabasa ako panguva yaunenge uine simba rakawanda, uye usambotya kukumbira mhuri neshamwari kubatsira nemabasa ezuva nezuva.
Chengeta dhayari yezviratidzo kuti uteedzere kuti unonzwa sei zuva rega rega. Iyi ruzivo inobatsira timu yako yezvokurapa kugadzirisa kurapwa kwako nekutsigira sezvinodiwa. Nguva dzose bata nehutano hwako kana ukaona zviratidzo zvinotyisa kana zviratidzo zviripo zvichiwedzera.
Kugadzirira misangano yako nachiremba kunogona kubatsira kuve nechokwadi chekuti unowana zvakanyanya kubva kumisangano yako uye unonzwa wakavimbika nezve kuchengetedza kwako. Kuva neruzivo rwakarongeka nemibvunzo yakafunga yakagadzirira kuchaita kuti misangano yako ive yakabudirira zvikuru.
Tanga nekutsanangura zviratidzo zvako zvese, kusanganisira pavakatanga, kuti zvakanyanya sei, uye chii chinoita kuti zvive nani kana kuti zviwedzere. Sanganisira mishonga kana zvinowedzerwa zvauri kutora, pamwe nehuwandu hwavo.
Uya nezvinhu izvi zvakakosha kumusangano wako:
Gadzira mibvunzo yakati pamusoro pekuongororwa kwako, sarudzo dzekurapa, uye zvaunofanira kutarisira. Mibvunzo yakanaka inogona kusanganisira kubvunza nezvezvaunogona kutarisira, zvinokonzerwa nekurapwa, uye kuti kurapwa kunogona kukanganisa sei hupenyu hwako hwezuva nezuva.
Usambotya kukumbira chiremba wako kuti atsanangure zvinhu muzvinhu zvaunonzwisisa. Ruzivo rwezvokurapa runogona kunge rwakawanda, uye zvakajairika zvachose kuda kujeka kana kukumbira mubvunzo mumwe chete kupfuura kamwe.
Funga kukumbira mumwe munhu kuti auye newe kumisangano, kunyanya kune hurukuro dzakakosha pamusoro pekuongororwa nechirongwa chekurapa. Kuva nekunzwa kwakawedzerwa kunogona kubatsira pakugadzirisa ruzivo rwakaoma rwezvokurapa.
Chinhu chakakosha kunzwisisa nezve ALL ndechekuti kunyangwe iri mamiriro akakomba anoda kurapwa nekukurumidza, inorapika zvikuru, kunyanya kana yakawanikwa pakutanga. Vanhu vazhinji vane ALL vanorarama hupenyu hwazvo hwese, hune hutano mushure mekurapwa kwakabudirira.
Kurapwa kwazvino kweALL kwakavandudzwa zvikuru mumakore mashoma apfuura. Kusanganiswa kwe chemotherapy, targeted therapies, uye kurapwa kunotsigira kwakaita kuti migumisiro ive nani kune vanhu vane mamiriro aya.
Timu yako yezvokurapa ine ruzivo rwakawanda mukurapa ALL uye ichaita newe kuti ugadzire chirongwa chekurapa chakagadzirirwa iwe. Usambotya kubvunza mibvunzo, kuratidza kunetseka, kana kukumbira rutsigiro rwakawedzerwa panguva yekufamba kwako kwese kwekurapa.
Yeuka kuti kuva neALL hakusi kukuzarura, uye kune zviwanikwa zvakawanda zviripo kukubatsira kubata nezvinhu zvekurapa nezvepfungwa zvekuongororwa kwako. Mapoka ekutsigira, mabasa ekurapa, uye masangano ekutsigira varwere anogona kupa rubatsiro rwakakosha.
Kunyangwe nzira iri mberi ichigona kunzwa kunetsa, kuisa pfungwa pane nhanho imwe panguva uye kuvimba nechikwata chako chekutsigira kunogona kukubatsira kufamba iyi rwendo neruvimbo nerutendo rukuru.
ALL kazhinji haina kuwanikwa kubva kuvabereki. Kazhinji ezviitiko zvinoitika nekuda kwekuchinja kwemajini kunoitika panguva yehupenyu hwemunhu panzvimbo pekupfuudzwa kuburikidza nemhuri. Nekudaro, zvimwe zvirwere zvemajini senge Down syndrome zvinogona kuwedzera njodzi yekuwana ALL.
Kurapa kweALL kazhinji kunotora makore 2 kusvika ku3 zvese, kunyangwe izvi zvichienderana nemunhu mumwe nemumwe. Chikamu chakakomba kazhinji chinotora mwedzi 6 kusvika ku8, ichiteverwa nechikamu chakareba chekuchengetedza chine kurapwa kushoma. Chiremba wako achapa nguva yakati yakakodzera zvichienderana nemamiriro ako.
Vanhu vazhinji vanokwanisa kuramba vachishanda panguva yezvikamu zvakati zveALL kurapwa, kunyangwe ungada kuchinja chirongwa chako kana marongero ekushanda. Zvikamu zvakakomba zve kurapwa kazhinji zvinoda nguva yekuzorora, nepo kurapwa kwekutsigira kunogona kubvumira mabasa akajairika. Kurukurai mamiriro ako ekushanda nechikwata chako chehutano.
Chiyero chekupona cheALL chinotarisana nezera nezvimwe zvinhu, asi migumisiro yese yakavandudzwa zvikuru. Muvana, chiyero chekupona chemakore mashanu chinopfuura 90%, nepo muvakuru chiri pakati pe 30-40% kusvika pamusoro pe 80% zvichienderana nezvinhu zvakati senge zera nehunhu hwemajini hwe leukemia.
Hapana munhu wese ane ALL anoda bone marrow transplant. Chiremba wako achakurudzira kurapwa uku chete kana uine zvinhu zvine njodzi kana leukemia isingapinduri zvakanaka kune chemotherapy yakajairwa. Vanhu vazhinji vanowana remission kwenguva refu ne chemotherapy chete.