Kenza, Leukemia Yechirwere Chelymphocytic
Pfupiso
Chronic lymphocytic leukemia (CLL) imhando yegomarara reropa nemapfupa emapfupa — inova nyama ine spongy mukati memapfupa uko masero eropa anogadzirwa.
Izwi rekuti "chronic" mu chronic lymphocytic leukemia rinobva pakuti iyi leukemia inowanzofamba zvishoma nezvishoma kupfuura mamwe marudzi e leukemia. Izwi rekuti "lymphocytic" mu chronic lymphocytic leukemia rinobva kumasero anobatwa nechirwere ichi — boka remasero eropa chena anonzi lymphocytes, ayo anobatsira muviri wako kurwisa hutachiona.
Chronic lymphocytic leukemia inonyanya kubata vanhu vakura. Kune marapirwo ekubatsira kudzora chirwere ichi.
Kiriniki
Tiri kugamuchira varwere vatsva. Chikwata chedu chenyanzvi chakamira kuti chironge nguva yako yekuongororwa kwe chronic lymphocytic leukemia izvozvi.
Arizona: 520-675-7703
Florida: 904-895-6701
Minnesota: 507-792-8721
Zviratidzo
Vanhu vakawanda vane leukemia ye lymphocytic yakareba havaone zviratidzo pakutanga. Zviratidzo nezviratidzo zvinogona kuoneka sezvo kenza ichikura. Zvinogona kusanganisira:
- Nodonha dzakakura, asi dzisina kurwadza
- Kushaya simba
- Kupisa
- Kurwadziwa kumativi ekuruboshwe epamusoro edumbu, izvo zvinogona kukonzerwa ne spleen yakakura
- Kupererwa neperspiration usiku
- Kurasikirwa nehuremu
- Kuwanda kwezvirwere
Nguva yekunoona chiremba
Enda kunotarisa nachiremba kana uine zviratidzo nezvikonzero zvinogara zvichikunetseka.
Zvinokonzera
Vanachiremba havana chokwadi chechinhu chinotanga maitiro anoita kuti pave nechirwere chekenza ye lymphocytic yakareba. Chinozivikanwa ndechekuti chimwe chinhu chinoitika chinokonzera shanduko (mutations) muDNA yemasero anogadzira ropa. DNA yesero ine mirairo inoudza sero zvekukura. Shanduko dzinoudza masero eropa kuti agadzire lymphocytes dzisina kunaka, dzisingashande.
Kuwedzera pakusashanda, aya lymphocytes asina kunaka anoramba achirarama uye achizviwanza apo lymphocytes dzakajairika dzaizofa. Lymphocytes dzisina kunaka dzinoungana muropa nemidziyo yakati, uko dzinokonzera matambudziko. Dzinogona kukanda masero ane hutano kubva mumapfupa emoyo uye kukanganisa kugadzirwa kwemasero eropa.
Vanachiremba nevanoongorora vari kushanda kunzwisisa nzira chaiyo inokonzera chirwere chekenza ye lymphocytic yakareba.
Zvinhu zvinokonzera njodzi
Zvinhu zvinogona kuwedzera njodzi ye leukemia ye lymphocytic yakasimba zvinosanganisira:
- Zera rako. Hosha iyi inowanzoitika muvakuru vakwegura.
- Rudzi rwako. Vanhu vachena vane mukana mukuru wekuwana leukemia ye lymphocytic yakasimba kupfuura vanhu vemimwe mitambo.
- Nhoroondo yemhuri yemakemikari eropa nemapfupa emusana. Nhoroondo yemhuri ye leukemia ye lymphocytic yakasimba kana mamwe makere ekeropa nemapfupa emusana inogona kuwedzera njodzi yako.
- Kuonekwa nemakemikari. Zvimwe zvinhu zvinouraya zvinomera nezvipembenene, kusanganisira Agent Orange yakashandiswa panguva yehondo yeVietnam, zvakabatana nenjodzi yakawedzera ye leukemia ye lymphocytic yakasimba.
- Chero mamiriro anoita kuti pave ne lymphocytes yakawanda. Monoclonal B-cell lymphocytosis (MBL) inoita kuti uwane huwandu hwakawanda hwerudzi rumwe chete rwe lymphocyte (masero e-B) muropa. Kune vanhu vashoma vane MBL, mamiriro acho anogona kukura kuva leukemia ye lymphocytic yakasimba. Kana uine MBL uye unewo nhoroondo yemhuri ye leukemia ye lymphocytic yakasimba, unogona kunge uine njodzi yakakwira yekuwana kenza.
Matambudziko
Chirwere chelymphoma yemazinga asingaperi chingakonzera matambudziko akadai se:
- Kuwanikwa kwezvirwere kazhinji. Kana uine chirwere chelymphoma yemazinga asingaperi, unogona kuwana zvirwere zvakawanda zvinogona kuva zvakakomba. Dzimwe nguva zvirwere zvinoitika nekuti ropa rako harina maantibody akakwana ekurwisa hutachiona (immunoglobulins). Chiremba wako angakurudzira kuiswa kwe immunoglobulin kazhinji.
- Kuchinja kuenda kune imwe mhando yakaipa yekenza. Vamwe vanhu vane chirwere chelymphoma yemazinga asingaperi vanogona kuwana imwe mhando yakaipa yekenza inonzi diffuse large B-cell lymphoma. Vanachiremba dzimwe nguva vanoti Richter's syndrome.
- Kuwedzera njodzi yekenza dzimwewo. Vanhu vane chirwere chelymphoma yemazinga asingaperi vane njodzi yakawedzera yemhando dzimwewo dzekensa, kusanganisira kenza yepande, uye kenza yematumbu neye turakiti rekudiridzira.
- Matambudziko esimba rekuzvidzivirira. Vamwe vanhu vane chirwere chelymphoma yemazinga asingaperi vanogona kuwana matambudziko esimba rekuzvidzivirira anokonzera maseru ekurwisa zvirwere emuviri kuti asvike masero matsvuku eropa (autoimmune hemolytic anemia) kana maplatelets (autoimmune thrombocytopenia).
Kuongorora
Kuongororwa uye nzira dzinoshandiswa pakuzivisa chirwere chelymphocytic leukemia chinoramba chichiitika kunosanganisira bvunzo dzeropa dzakagadzirirwa ku:
- Kuverenga nhamba yemasero ari musample yeropa. Kuverenga kwakakwana kweropa kunogona kushandiswa kuverenga nhamba ye lymphocytes iri musample yeropa. Nhamba yakawanda ye B masero, rudzi rwe lymphocyte, inogona kuratidza chirwere chelymphocytic leukemia chinoramba chichiitika.
- Kuongorora lymphocytes kuti pave nechinja chemajini. Bvunzo inonzi fluorescence in situ hybridization (FISH) inotarisa makromosomes ari mukati me lymphocytes ine cancer kuti itarise kuchinja. Vanachiremba dzimwe nguva vanoshandisa ruzivo urwu kuti vazivise zvichaitika uye kubatsira kusarudza kurapwa.
Kuziva rudzi rwe lymphocytes dzinosanganisirwa. Bvunzo inonzi flow cytometry kana immunophenotyping inobatsira kuziva kana nhamba yakawanda ye lymphocytes iri nekuda kwechirwere chelymphocytic leukemia chinoramba chichiitika, chirwere che ropa chakasiyana kana kuita kwemuviri wako kune chimwe chinhu, sekusangana nehutachiona.
Kana chirwere chelymphocytic leukemia chinoramba chichiitika chiripo, flow cytometry inogonawo kubatsira kuongorora masero e leukemia kuti aone hunhu hunobatsira kufanotaura kuti masero acho anokurumidza sei.
Panyaya dzimwe, chiremba wako anogona kuraira bvunzo nedzimwe nzira kuti abatsire pakuzivisa, dzakadai se:
- Bvunzo dzemasero ako e leukemia dzino tarisa hunhu hunogona kukanganisa zvichaitika kwauri
- Bone marrow biopsy ne aspiration
- Kuongorora mifananidzo, sekushandiswa kwekombiyuta tomography (CT) uye positron emission tomography (PET)
Kana kuziviswa kwacho kwakasimbiswa, chiremba wako anoshandisa ruzivo nezvekenza yako kuti azive nhanho yechirwere chako chelymphocytic leukemia. Nhanho inoudza chiremba wako kuti cancer yako inokurumidza sei uye kuti zvinogona sei kuipa nekukurumidza.
Nhanho dzechirwere chelymphocytic leukemia chinoramba chichiitika dzinogona kushandisa mavara kana nhamba. Kazhinji, nhanho dzekutanga dzechirwere hazvidi kurapwa nekukurumidza. Vanhu vane cancer mune nhanho dzekupedzisira vanogona kufunga kutanga kurapwa nekukurumidza.
Kurapa
Sarudzo dzako dzekurapa kune chronic lymphocytic leukemia zvinoenderana nezvinhu zvakati wandei, senge nhanho yegomarara rako, kuti uri kuona zviratidzo nezviratidzo here, hutano hwako hwese, uye zvaunofarira.
Kana chronic lymphocytic leukemia yako isingakonzere zviratidzo uye isingaratidze zviratidzo zvekuwedzera, ungangoda kurapwa nekukurumidza. Zvidzidzo zvakaratidza kuti kurapwa kwekutanga hakuwedzere hupenyu kune vanhu vane nhanho yekutanga yechronic lymphocytic leukemia.
Pane kuti uiswe mukati mezvipingamupinyi zvinogona kuitika uye matambudziko ekurapwa usati wazvida, vanachiremba vanonyatso tarisa mamiriro ako uye vanochengeta kurapwa kana leukemia yako yafambira mberi.
Chiremba wako achakuronga chirongwa chekuongorora. Unogona kusangana nachiremba wako uye kuongororwa ropa rako mwedzi mishoma yega yega kuti utarise mamiriro ako.
Kana chiremba wako akaona kuti chronic lymphocytic leukemia yako inoda kurapwa, sarudzo dzako dzinogona kusanganisira:
- Chemotherapy. Chemotherapy mushonga unouraya masero anokurumidza kukura, kusanganisira masero egomarara. Mishonga yechemotherapy inogona kupihwa kuburikidza netsinga kana kutorwa sepiritsi. Zvichienderana nemamiriro ako, chiremba wako anogona kushandisa mushonga mumwe chete wechemotherapy kana iwe kugamuchira musanganiswa wemishonga.
- Targeted drug therapy. Mishonga yemishonga yakanangana inotarisa pane zvimwe zvisina kujairika zviripo mukati memasero egomarara. Nekuvhara izvi zvisina kujairika, mishonga yemishonga yakanangana inogona kukonzera kuti masero egomarara afe.
- Immunotherapy. Immunotherapy inoshandisa immune system yako kurwisa gomarara. Immune system yako yekurwisa chirwere inogona kusarwisa gomarara rako nekuti masero egomarara anogadzira mapuroteni anovabatsira kuvanza kubva kumasero e immune system. Immunotherapy inoshanda nekukanganisa maitiro aya.
- Bone marrow transplant. Bone marrow transplant, inozivikanwawo se stem cell transplant, inoshandisa mishonga yakasimba yechemotherapy kuuraya stem cells mumapfupa ako ari kugadzira lymphocyte dzine chirwere. Ipapo stem cells dzeropa dzakagwinya dzevakuru dzinobva kune anopa dzinopinzwa muropa rako, uko dzinoenda kumapfupa ako uye dzinotanga kugadzira masero eropa akagwinya.
Sezvo misanganiswa mitsva uye inoshanda zvakanyanya yemishonga yagadzirwa, bone marrow transplant yave kushomeka mukurapa chronic lymphocytic leukemia. Zvakadaro, mune mamwe mamiriro izvi zvinogona kuve sarudzo yekurapa.
Bone marrow transplant. Bone marrow transplant, inozivikanwawo se stem cell transplant, inoshandisa mishonga yakasimba yechemotherapy kuuraya stem cells mumapfupa ako ari kugadzira lymphocyte dzine chirwere. Ipapo stem cells dzeropa dzakagwinya dzevakuru dzinobva kune anopa dzinopinzwa muropa rako, uko dzinoenda kumapfupa ako uye dzinotanga kugadzira masero eropa akagwinya.
Sezvo misanganiswa mitsva uye inoshanda zvakanyanya yemishonga yagadzirwa, bone marrow transplant yave kushomeka mukurapa chronic lymphocytic leukemia. Zvakadaro, mune mamwe mamiriro izvi zvinogona kuve sarudzo yekurapa.
Kurapwa kunogona kushandiswa kwega kana pamwe chete.
Chiremba wako achasangana newe nguva nenguva kuti atarise chero matambudziko aungasangana nawo. Matanho ekutsigira anogona kubatsira kudzivirira kana kurerutsa chero zviratidzo kana zviratidzo.
Kutsigira kurapwa kunogona kusanganisira:
- Cancer screening. Chiremba wako achatarisa njodzi yako yemamwe marudzi egomarara uye anogona kukurudzira kuongororwa kutsvaga zviratidzo zvemamwe magomarara.
- Vaccinations to prevent infections. Chiremba wako anogona kukurudzira dzimwe jekiseni kuderedza njodzi yekutapukirwa, senge pneumonia nefuruwenza.
- Monitoring for other health problems. Chiremba wako anogona kukurudzira kuongororwa nguva nenguva kuti utarise hutano hwako panguva uye mushure mekurapwa kwechronic lymphocytic leukemia.
Hapana dzimwe nzira dzekurapa dzakaratidza kurapa chronic lymphocytic leukemia.
Dzimwe nzira dzekurapa dzezvemishonga dzinogona kukubatsira kubata nekukasira, kunowanzoonekwa nevanhu vane chronic lymphocytic leukemia. Chiremba wako anogona kurapa kuneta nekudzora zvikonzero zviri pasi, asi kazhinji mishonga chete haina kukwana. Unogona kuwana zorodza kuburikidza nedzimwe nzira dzekurapa, senge:
- Acupuncture
- Exercise
- Massage
- Yoga
Taura nachiremba wako nezvesarudzo dzako. Pamwe chete munogona kuronga chirongwa chekukubatsira kubata nekukasira.
Chronic lymphocytic leukemia inowanzo kuve gomarara rinokura zvishoma nezvishoma iro ringasada kurapwa. Kunyange vamwe vanhu vachiti iri "yakanaka" mhando yegomarara, hazviiti kuti kugamuchira kuongororwa kwegomarara kuve nyore.
Kunyangwe iwe unogona kutanga wakatyamadzwa uye uchinetseka nezvekuongororwa kwako, unozopedzisira wawana nzira yako yekubata nechronic lymphocytic leukemia. Kusvikira ipapo, edza kuti:
- Wana zvakakwana nezvegomarara rako kuti uite sarudzo pamusoro pekutarisira kwako. Nyora mibvunzo yekubvunza chiremba wako usati wasvika panguva yega yega uye tsvaga ruzivo muraibhurari yemunharaunda yako uye pa internet. Nzvimbo dzakanaka dzinosanganisira National Cancer Institute, American Cancer Society, uye Leukemia & Lymphoma Society.
- Tendeukira kumhuri neshamwari kuti uwane rutsigiro. Ramba wakabatana nemhuri neshamwari kuti uwane rutsigiro. Zvinogona kuoma kutaura nezvekuongororwa kwako, uye ungangowana mhinduro dzakasiyana siyana kana ukagovana nhau. Asi kutaura nezvekuongororwa kwako uye kufambisa ruzivo nezvegomarara rako kunogona kubatsira. Zvakare zvinogona kuita zvipo zvekubatsira zvinowanzoitika.
- Batanidza nevamwe vakapona pagomarara. Funga nezvekujoinha boka rekutsigira, kungave munharaunda yako kana pa internet. Boka rekutsigiro revanhu vane kuongororwa kwakafanana rinogona kuve sosi yeruzivo runobatsira, mazano anoshanda uye kukurudzira.
- Tsvaga nzira dzekubata nehutsinye, hwenguva refu hwechirwere ichi. Kana uine chronic lymphocytic leukemia, ungangotarisana nekuongororwa nguva nenguva uye kunetseka pamusoro pehuwandu hwemasero eropa chena. Edza kuwana chiitiko chinokubatsira kuti udzikame, ingave yoga, kurovedza muviri kana kurima. Taura nemurairidzi, murapi kana mushandi wezvemagariro kana uchida rubatsiro kubata nematambudziko epfungwa echirwere ichi chisingaperi.
Kugadzirira musangano wako
'Kana uine zviratidzo kana zvimwe zvinokunetsa, tanga nekuita appointment nachiremba wemhuri yako. Kana chiremba wako akaona kuti ungave une chronic lymphocytic leukemia, ungatumirwa kune chiremba anoziva zvirwere zve ropa nemapfupa (hematologist).\n\nSezvo appointments dzinogona kunge pfupi, uye sezvo kazhinji pane ruzivo rwakawanda rwekukurukura, zvakakosha kugadzirira. Heano mamwe mashoko anokubatsira kugadzirira uye kuziva zvaunofanira kutarisira kubva kuchiremba wako.\n\n- Iva nechokwadi chechirevo chepre-appointment. Panguva yauchaita appointment, bvunza kana paine chimwe chinhu chaunofanira kuita usati watanga, sekudzikisa kudya kwako.\n- Nyora mashoko ako ega ega akakosha, kusanganisira kushushikana kukuru kana kuchinja kwoupenyu munguva pfupi yapfuura.\n- Gadzira runyorwa rwemishonga yese, mavhitamin kana zvinowedzerwa zvauri kutora.\n- Tora nhengo yemhuri kana shamwari pamwe chete. Dzimwe nguva zvinogona kuoma yekurangarira ruzivo rwose rwakapihwa panguva yekuona chiremba. Mumwe munhu anokufambidzana naye angayeuka chimwe chinhu chawakapotsa kana kukanganwa.\n- Nyora mibvunzo yekubvunza chiremba wako.\n\nNguva yako nechikura wako yakaganhurirwa, saka kugadzirira runyorwa rwemibvunzo kunogona kukubatsira kushandisa nguva yako pamwe chete zvakanaka. Rondedzera mibvunzo yako kubva kukosha kusvika kushoma kana nguva ikaguma. Kune chronic lymphocytic leukemia, mimwe mibvunzo yekutanga inosanganisira:\n\n- Zvinorevei zvibvumikiso zvangu?\n- Ndinoda kurapwa nekukurumidza here?\n- Kana ndisingatangi kurapwa izvozvi, izvozvo zvichadzora sarudzo dzangu dzekurapa mune ramangwana here?\n- Ndinofanira kuita bvunzo dzakawanda here?\n- Ndeapi sarudzo dzangu dzekurapa?\n- Ndeapi mativi akaipisisa ane chekuita nerapi rimwe nerimwe?\n- Pane kurapwa kumwe kunokurudzirwa zvikuru kune munhu ane chirwere changu?\n- Kurapa kuchaita sei hupenyu hwangu hwezuva nezuva?\n- Ndine zvimwe zvirwere. Ndingazvitarisira sei pamwe chete?\n- Kune mabhurocha kana mamwe mapepa andingatora neni here? Ndezvipi mawebsite aunokurudzira?\n\nPamusoro pemibvunzo yawakagadzirira kubvunza chiremba wako, usambofa wakashaya mibvunzo sezvinobuda kwauri panguva yekuona kwako.\n\nChiremba wako angakubvunza mibvunzo yakawanda. Kugadzirira kupindura zvinogona kupa nguva yekuvhara mamwe mapoinzi aunoda kutaura. Chiremba wako angabvunza:\n\n- Wakambotanga kuona zviratidzo riini?\n- Zviratidzo zvako zvaive zvakaramba zvichiitika here kana kuti zvaive zvisingawanzoitiki?\n- Zviratidzo zvako zvakakomba sei?\n- Chii, kana chiripo, chinoita kuti zviratidzo zvako zvivandudze?\n- Chii, kana chiripo, chinoita kuti zviratidzo zvako zviwedzere kuipa?'