'Kenza yakapinza myelogenous leukemia, inozivikanwawo se-AML, chirwere chetsvina neropa. Marongo ndiro zvinhu zvinyoro-nyoro zviri mukati memapfupa kwaanogadzirwa maselo eropa.\n\nShoko rokuti "yakapinza" mukenza yakapinza myelogenous leukemia rinoreva kuti chirwere ichi chinowanzo kukura nekukurumidza. Inonzi myelogenous (my-uh-LOHJ-uh-nus) leukemia nekuti inokanganisa masero anonzi myeloid cells. Aya kazhinji anoita maselo eropa akakura, anosanganisira masero matsvuku eropa, masero machena eropa nemapureti.\n\nAML ndiyo rudzi rwakajairika rwekenza yakapinza leukemia muvakuru. Rudzi rumwe chete ndiro acute lymphoblastic leukemia, rinozivikanwawo se-ALL. Kunyange zvazvo AML inogona kuonekwa pazera ripi zvaro, haina kujairika usati wazara makore 45. AML inonziwo acute myeloid leukemia, acute myeloblastic leukemia, acute granulocytic leukemia ne acute nonlymphocytic leukemia.\n\nKusiyana nekenza dzimwe, hapana nhanho dzenhamba dzekenza yakapinza myelogenous leukemia.\n\nClinic\n\nTinogamuchira varwere vatsva. Timu yedu yevanachiremba iri kugadzirira kuronga nguva yako yekuongororwa kenza yakapinza myelogenous leukemia ikozvino.\n\nArizona:\n520-675-0382\n\nFlorida:\n904-574-4436\n\nMinnesota:\n507-792-8722'
Zviratidzo zveacute myelogenous leukemia zvinogona kusanganisira: Fivha. Marwadzo. Nzvimbo dzakajairika dzemarwadzo dzinosanganisira mapfupa, musana uye dumbu. Kunzwa kuneta zvakanyanya. Kuchena kana kushanduka kweruvara rweganda. Zvirwere zvinowanzoitika. Kupunzika nyore. Kubuda ropa pasina chikonzero chakajeka, senge mumhino kana mazino. Kufema kusinganzwisisike. Ita nguva nehunyanzvi hwehutano kana uine zviratidzo zviri kuramba zvichikunetsa. Zviratidzo zveacute myelogenous leukemia zvakafanana neizvo zvezvimwe zvinhu zvakajairika, senge zvirwere. Nyanzvi yehutano inogona kutarisa izvo zvikonzero kutanga.
Enda kunachiremba wako kana uine zviratidzo zvinogara zvichikunetesa. Zviratidzo zve leukemia ye myelogenous yakapinza zvakafanana nezvezvimwe zvirwere zvakajairika, senge hutachiona. Nachiremba angatanga aongorora zvikonzero izvozvo.
Kazhinji hazvioneke kuti chii chinokonzera leukemia ye myelogenous yakapinza.
Vashandi vehutano vanoziva kuti inotanga kana chimwe chinhu chikaita shanduko kuDNA mukati memasero ari mumapfupa emoyo. Mapfupa emoyo ndiwo manyorerwo ari mukati memafupa. Ndokoitwa masero eropa.
Shanduko dzinotungamira kukanza ye myelogenous yakapinza zvinofungidzirwa kuti zvinoitika mumasero anonzi myeloid cells. Masero e myeloid ndiwo masero ari mumapfupa emoyo anogona kuchinja kuva masero eropa anofamba mumuviri. Masero e myeloid ane hutano anogona kuva:
Cell yega yega mumuviri ine DNA. DNA yesero ine mirairo inoudza sero kuti riite sei. Mumasero ane hutano, DNA inopa mirairo yekukura nekukura nekukurumidza kwakatarwa. Mirairo inoudza masero kuti afe panguva yakatarwa. Asi kana shanduko dzeDNA dzikaitika mumasero e myeloid, shanduko dzinounza mirairo yakasiyana. Masero e myeloid anotanga kuita masero akawanda kwazvo, uye haamire.
Shanduko dzeDNA dzinokonzera kuti masero e myeloid aite masero machena eropa asina kukura, anonzi myeloblasts. Myeloblasts haashande zvakanaka. Anogona kuunganidzwa mumapfupa emoyo. Anogona kukanda masero eropa ane hutano. Pasina masero eropa ane hutano akakwana, kungave nemazinga e oxygen ari pasi mweropa, kuvhunduka nyore uye kubuda kweropa, uye hutachiona kakawanda.
Zvinhu zvinogona kuwedzera njodzi yekenza ye acute myelogenous leukemia, inonziwo AML, zvinosanganisira:
Vanhu vakawanda vane AML havazivi zvinhu zvinokonzera njodzi, uye vanhu vakawanda vane zvinhu zvinokonzera njodzi havazomboiti kenza.
Mukuvhura mafuta emumapfupa, mushandi wehutano anoshandisa tsono yakatetepa kubvisa huwandu hudiki hwemvura yemukati memumapfupa. Kazhinji inotorwa kubva panzvimbo iri kumashure kwemapfupa ekugara, inozivikanwawo se pelvis. Biopsy yemukati memumapfupa kazhinji inoitirwa panguva imwe chete. Maitiro acho ekutanga anobvisa chidimbu chidiki che tishu yemukati memumapfupa nemafuta ari mukati.
Mukati me lumbar puncture, inozivikanwawo se spinal tap, iwe kazhinji unovata parutivi rwako nemabvi ako akakomberedzwa kupfuura pachipfuva chako. Zvadaro tsono inoiswa mukati me spinal canal iri kumashure kwako kuti iunganidze cerebrospinal fluid yekuyedzwa.
Kuongororwa kwe acute myeloid leukemia kazhinji kunotanga nekuongororwa kunotarisa kuzvimba, kubuda ropa mumuromo kana magomo, hutachiona, uye lymph nodes dzakazvimba. Mimwe miedzo inosanganisira bvunzo yeropa nemabviro, biopsy yemukati memumapfupa, lumbar puncture, uye mifananidzo.
Miedzo nekuongororwa kwekuongorora acute myelogenous leukemia, inozivikanwawo se AML, inosanganisira:
Bvunzo dzeropa dze acute myelogenous leukemia dzinogona kusanganisira bvunzo yekuverenga huwandu hwema cell eropa mu sampuli yeropa. Bvunzo iyi inonzi complete blood count. Mhedzisiro inogona kuratidza huwandu hwakawanda kana hudiki hwema white blood cells. Kazhinji bvunzo inowana kuti hakuna ma red blood cells akawanda uye hakuna ma platelets akawanda. Imwe bvunzo yeropa inotarisa ma white blood cells asina kukura anonzi myeloblasts muropa. Masero aya kazhinji haawanikwe muropa. Asi anogona kuitika muropa revanhu vane AML.
Bone marrow aspiration ne biopsy ndiwo maitiro anosanganisira kuunganidza masero kubva mukati memumapfupa. Mukuvhura mafuta emumapfupa, tsono inoshandiswa kudhonza sampuli yemvura yemukati memumapfupa. Mukati me bone marrow biopsy, tsono inoshandiswa kuunganidza huwandu hudiki hwetishu yakasimba. Masampuli kazhinji anotangwa kubva pfupa rekugara. Masampuli anoenda ku laboratori yekuyedzwa.
Mu laboratori, miedzo inogona kutarisa shanduko dze DNA muma cell emukati memumapfupa. Shanduko dze DNA dziripo muma cell emukati memumapfupa dzinoshanda zvikuru mukuongorora AML. Mhedzisiro inogona kubatsira timu yako yehutano kugadzira chirongwa chekurapa.
Dzimwe nguva, lumbar puncture inogona kudiwa kana paine hanya yekuti leukemia yakapararira kuuropi ne spinal cord. Lumbar puncture inonziwo spinal tap. Inobvisa sampuli yemvura inopoteredza uropi ne spinal cord. Tsono diki inoiswa kumashure kwakaderera kuti ibvise sampuli yemvura. Sampuli inotumirwa ku laboratori.
Mifananidzo inogadzira mifananidzo yemuviri. Kune AML, miedzo yemifananidzo inogona kugadzira mifananidzo yeuropi, kana paine hanya yekuti ma cell e leukemia akapararira ikoko. Mifananidzo inogona kusanganisira CT kana MRI. Kana paine hanya yekuti leukemia ingangove yakapararira kune imwe chikamu chemuviri, mifananidzo inogona kuitwa ne positron emission tomography scan, inozivikanwawo se PET scan.
Kana wakazivikanwa ne AML, unogona kuoda miedzo yakawanda yekurapa kuti uone rudzi rwako rwe AML. Miedzo iyi inosanganisira kuongorora ropa rako nemafuta emumapfupa kuti uwane shanduko dzemajini nezvimwe zviratidzo zvinoratidza marudzi chaiwo e AML. Parizvino, kune marudzi gumi nematanhatu akasiyana. Rudzi rwako rwe AML runobatsira mushandi wehutano wako kuona kurapa kwakanakira iwe.
Marudzi akawanda ekurapa anowanikwa ekurapa leukemia ye myelogenous yakapinza, inonziwo AML. Kurapa kunotsamira pazvinhu zvakati wandei, kusanganisira rudzi rwechirwere ichocho, zera rako, hutano hwako hwese, kufanotaura kwako nezvaunoda.
Kurapa kazhinji kune matanho maviri:
Kurapa kunosanganisira:
Chemotherapy. Chemotherapy inorapira kenza ne mishonga ine simba. Kazhinji mishonga ye chemotherapy inopiwa kuburikidza ne tsinga. Zvimwe zvinouya muchimiro che mapiritsi. Chemotherapy ndiyo rudzi rukuru rwekurapa kwekuita kuti zviratidzo zviyambe. Inogona kushandiswawo pakurapa kwekusimbisa.
Vanhu vane AML kazhinji vanorara muchipatara panguva yekurapa kwe chemotherapy nekuti mishonga inouraya masero akawanda eropa ane hutano panguva yekuparadza masero e leukemia. Kana chikamu chekutanga che chemotherapy chisingaiti kuti zviratidzo zviyambe, chinogona kudzokororwa.
Migumisiro ye chemotherapy inotsamira pamishonga yaunopiwa. Migumisiro yakajairika ndeyokuita manyoka nekurasikirwa nevhudzi. Matambudziko akakomba, ayo anogara kwenguva refu anogona kusanganisira chirwere chemwoyo, kukuvara kwemapapu, matambudziko ekubereka nekenza dzimwe.
Kurapa kwakatarwa. Kurapa kwakatarwa kenza kurapa kunoshandisa mishonga inorwisa kemikari chaiyo mu masero ekenza. Nekuvhara kemikari idzi, kurapa kwakatarwa kunogona kuita kuti masero ekenza afe. Masero ako e leukemia achaongororwa kuti aone kana kurapa kwakatarwa kungakubatsira. Kurapa kwakatarwa kunogona kushandiswa roga kana kusanganiswa ne chemotherapy panguva yekurapa kwekuita kuti zviratidzo zviyambe.
Kusimudzirwa kwemwongo wemwongo. Kusimudzirwa kwemwongo wemwongo, kunonziwo kusimudzirwa kwemasero e mwongo wemwongo, kunosanganisira kuisa masero ane hutano e mwongo wemwongo mumuviri. Masero aya anochengetedza masero akakuvadzwa ne chemotherapy ne kurapa kwakawanda. Kusimudzirwa kwemasero e mwongo wemwongo kunogona kushandiswa pakurapa kwekuita kuti zviratidzo zviyambe ne kurapa kwekusimbisa.
Pazuva rekusimudzirwa kwemwongo wemwongo, unowana mishonga yakawanda ye chemotherapy kana kurapa kwe radiation kuti uparadze mwongo wemwongo wako unogadzira leukemia. Wobva wawana infusions yemasero e stem kubva kumupi ane muviri wakafanana. Izvi zvinonzi kusimudzirwa kwe allogeneic.
Pane njodzi yakawedzera yekutapukirwa mushure mekusimudzirwa.
Kuongororwa kwekiriniki. Vamwe vanhu vane leukemia vanosarudza kupinda mukuongororwa kwekiriniki kuti vaedze kurapa kwakasiyana kana kusanganiswa kwemishonga inozivikanwa.
Hapana kurapa kwakasiyana kwakawanikwa kurapa leukemia ye myelogenous yakapinza. Asi mishonga inosanganisira inogona kukubatsira kukurira kushushikana kwekuziva kenza nemigumisiro yekurapa kwako.
Kurapa kwakasiyana kunogona kubatsira kudzikisa zviratidzo kunosanganisira:
Leukemia ye myelogenous yakapinza kenza inokura nekukurumidza inoda kuita sarudzo nekukurumidza. Mazano ne zvinhu zvinotevera zvinogona kukubatsira kukurira:
Dzidza zvakakwana nezve leukemia ye myelogenous yakapinza kuti uite sarudzo nezve kurapwa kwako. Izwi rokuti leukemia rinogona kuva rakaoma nekuti rinoreva boka rekenza dzisingafaniri zvakafanana kunze kwekuti dzose dzinokanganisa mwongo wemwongo neropa.
Unogona kupedza nguva yakawanda uchitsvaga ruzivo rusina kukodzera rudzi rwe leukemia yako. Kuti udzivise izvozvo, bvunza chiremba wako kuti anyore zvakadzama sezvinobvira nezve chirwere chako chaicho. Wobva wadzikisa kutsvaga kwako kuchirwere ichocho.
Tsvaga ruzivo kubhurai rako rechikoro uye pa internet. Unogona kutanga kutsvaga kwako ruzivo ne National Cancer Institute ne Leukemia & Lymphoma Society.
Tsigira mhuri, shamwari nevamwe. Kuva nesimba rekutsigira kunogona kukubatsira kukurira. Tora rutsigiro kubva kuvanhu vakakomberedza iwe, boka rekutsigira rakarongwa kana vamwe vanorarama nekenza.
Tarisa iwe pachako. Zviri nyore kubatwa nemiedzo, kurapa ne nzira. Asi zvakakosha kuti utarise iwe pachako, kwete kenza chete. Edza kuita nguva yekubika, kutarisa mitambo kana zvimwe zvinhu zvaunofarira. Rorora zvakakwana, ona shamwari, nyora mu bhuku uye shandisa nguva kunze kana uchikwanisa.
Ramba uchiita zvemitambo. Kugamuchira chirwere chekenza hazvirevi kuti unofanira kurega kuita zvinhu zvaunofarira. Kana uchinzwa zvakanaka zvakakwana kuita chimwe chinhu, chiite. Tarisa nachiremba wako nezve kutanga chero chirongwa chekuita zvemitambo.
Dzidza zvakakwana nezve leukemia ye myelogenous yakapinza kuti uite sarudzo nezve kurapwa kwako. Izwi rokuti leukemia rinogona kuva rakaoma nekuti rinoreva boka rekenza dzisingafaniri zvakafanana kunze kwekuti dzose dzinokanganisa mwongo wemwongo neropa.
Unogona kupedza nguva yakawanda uchitsvaga ruzivo rusina kukodzera rudzi rwe leukemia yako. Kuti udzivise izvozvo, bvunza chiremba wako kuti anyore zvakadzama sezvinobvira nezve chirwere chako chaicho. Wobva wadzikisa kutsvaga kwako kuchirwere ichocho.
Tsvaga ruzivo kubhurai rako rechikoro uye pa internet. Unogona kutanga kutsvaga kwako ruzivo ne National Cancer Institute ne Leukemia & Lymphoma Society.