Chii Chinonzi Chronic Myelogenous Leukemia? Zviratidzo, Zvinokonzera, & Kurapa

Chronic myelogenous leukemia (CML), rudzi rwekenza yeropa inokura zvishoma nezvishoma mumuchiro wako, uko muviri wako unoita ma cell eropa. Kusiyana nemamwe marudzi e leukemia anokura nekukurumidza, CML inowanzo kukura zvishoma nezvishoma kwemwedzi kana makore, izvo zvinoreva kuti une nguva yekuronga kurapwa kwako zvakanyatsonaka.

Iyi chirwere chinoitika kana muchiro wako watanga kuita ma white blood cells akawanda asingashande zvakanaka. Funga nezvazvo sefekitori iri kugadzira vashandi nekukurumidza kupfuura zvinoiswa kudzidziswa zvakanaka. Aya ma cell asingawanzo kuitika anokanda ma cell eropa ane hutano, asi nekuti CML inokura zvishoma nezvishoma, vanhu vazhinji vanorarama hupenyu hunowanzoitika, hunoshanda ne kurapwa kwakakodzera.

Chii Chinonzi Chronic Myelogenous Leukemia?

CML ikenza yema cell ako anoita ropa inotanga mumuchiro wako uye inokanganisa ropa rako zvishoma nezvishoma. Muchiro wako ndiwo tishu rakanyoro, rakanyorova riri mukati memaguhwa ako uko ma cell eropa ako ose anoitwa.

MuCML, kuchinja kwemagene kunoitika muma blood stem cells ako, zvichiita kuti zviwedzere zvisingadzoreki. Aya ma white blood cells asingawanzo kuitika, anonzi leukemia cells, haashande sema white blood cells ane hutano. Panzvimbo pekukudzivirira kubva kumatenda, anokanda ma cell eropa ane hutano uye pakupedzisira anogona kukanganisa kugona kwemuviri wako kurwisa matenda, kutakura oksijeni, uye kumisa kubuda kweropa.

Shoko rokuti "chronic" rinoreva kuti chirwere chinoitika zvishoma nezvishoma, kusiyana ne acute leukemias inokura nekukurumidza. Iyi kukura zvishoma nezvishoma kazhinji inokupa iwe nechikwata chako chehutano nguva yakawanda yekuwana nzira yekurapa yakakodzera inoshanda ne mamiriro ako chaiwo.

Ndeapi zviratidzo zve Chronic Myelogenous Leukemia?

Vanhu vazhinji vane CML yekutanga havaoni chero zviratidzo, ndosaka dzimwe nguva inowanikwa pakuongororwa kweropa kwenguva dzose. Kana zviratidzo zvikaonekwa, kazhinji zvinoitika zvishoma nezvishoma uye zvinogona kunzwa se matambudziko ehutano ezuva nezuva.

Heano zviratidzo zvaunogona kuona sezvo CML ichikura:

• Kuneta kwenguva refu kunoshaya kugadziriswa nekuzorora
• Kurasikirwa nehuremu kusina tsananguro kwemavhiki kana mwedzi yakati wandei
• Kusveta usiku kunonyorova nguo dzako kana mubhedha
• Kunzwa wakazara nekukurumidza paunodya, kunyangwe zvokudya zviduku
• Kurwadziwa kana kusagadzikana pasi pemabvi ako ekuruboshwe
• Matenda anowanzouya anotorwa nguva yakareba kuti apone
• Kubuda ropa nyore kana kubuda ropa kubva pakachekwa duku
• Kushomeka kwemhepo panguva yemabasa akajairika
• Ganda rakatsvuka kana kunzwa kutonhora zvisina kujairika
• Kurwadziwa kwemashizha kana marwadzo emapfupa

Vamwe vanhu vanonzwawo zvinonzi spleen yakakura, izvo zvinogona kuita kuti mudumbu mako unzwe wakazara zvisina kunaka kana kukonzera kurwadziwa pasi pemabvi ako ekuruboshwe. Zvisingawanzoitika, unogona kuona lymph nodes yakakura kana kuita mavara maduku matsvuku paganda rako anonzi petechiae.

Yeuka, aya maratidzo anogona kuva nezvikonzero zvakasiyana-siyana, uye kuva nawo hazvirevi kuti une CML. Nekudaro, kana uri kuona zviratidzo zvakawanda izvi zvichienderera mberi, zvakakosha kutaura nachiremba wako.

Ndeapi marudzi e Chronic Myelogenous Leukemia?

CML inoratidzirwa muzvikamu zvitatu zvakasiyana zvichienderana nehuwandu hwema cell asingawanzo kuitika ari muropa rako nemuchiro. Kunzwisisa kuti uri muchikamu chipi chinokubatsira chiremba wako kusarudza nzira yekurapa inonyanya kushanda.

Chronic phase ndiyo nhanho yekutanga uye inogona kutongwa, uko pasi pe10% yema cell eropa ako ndiwo blast cells asingawanzo kuitika. Vanhu vazhinji vanoongororwa panguva ino, uye nekurapwa kwakakodzera, unogona kazhinji kuchengetedza hupenyu hwakanaka kwemakore mazhinji. Zviratidzo zvako panguva ino kazhinji zvinenge zvishoma kana kuti zvisingawanikwi zvachose.

Accelerated phase inoitika kana 10-19% yema cell eropa ako ari blast cells, uye unogona kutanga kuona zviratidzo zvakawanda. Nhamba dzeropa dzinoita kuti zvive zvakaoma kudzora nekurapwa kwakajairika, uye unogona kunzwa kuneta zvakanyanya kana kuwana zviratidzo zvitsva sekufamba kana kurwadziwa kwemashizha.

Blast phase, inonziwo blast crisis, ndiyo nhanho yakakwirira kwazvo uko 20% kana kupfuura yema cell eropa ako ari blast cells. Iyi nhanho inoita se acute leukemia uye inoda kurapwa kwakanyanya. Zviratidzo zvinova zvakanyanya uye zvinogona kusanganisira matenda akakomba, matambudziko ekubuda kweropa, kana matambudziko emuviri.

Chii chinokonzera Chronic Myelogenous Leukemia?

CML inokura kana kuchinja kwemagene kwakakosha kunoitika muma blood stem cells ako, uchigadzira chinonzi Philadelphia chromosome. Izvi hazvisi chimwe chinhu chaunowana kubva kuvabereki vako, asi kuchinja kunoitika mukati mehupenyu hwako muma cell emuchiro wako.

Philadelphia chromosome inoumbwa kana ma chromosome maviri (chromosome 9 ne chromosome 22) akaputsika uye akachinjana zvidimbu pamwe chete. Izvi zvinoita gene isingawanzo kuitika inonzi BCR-ABL, inoshanda senge switch iri yakabatwa mu "on" position, ichitaura kuma cell kuti awedzere zvisingadzoreki.

Kusiyana nemamwe marudzi ekenza, CML haina zvikonzero zvakajeka zvekuvakirwa kwetsika zvatinogona kuratidza. Vanhu vazhinji vanowana CML havafaniri kuva nezvinhu zvinokonzera njodzi kana nhoroondo yemhuri yeiyi chirwere. Kuchinja kwemagene kunoita kunge kunoitika zvisingatarisirwi mune zviitiko zvakawanda.

Nekudaro, kuiswa kune radiation yakakwira kwazvo, senge kubva pakuputika kweabomu yeatomu kana kurapwa kwakati kwemishonga, kunogona kuwedzera njodzi yako zvishoma. Zvidzidzo zvimwe zvinoratidza kuti kuiswa kune benzene, kemikari inowanikwa mu peturu nemamwe maitiro eindasitiri, zvinogonawo kuita basa, kunyangwe ukama uhu husina humbowo.

Rini unofanira kuona chiremba nekuda kwe Chronic Myelogenous Leukemia?

Unofanira kubata nachiremba wako kana ukaona zviratidzo zvinoramba zvichiitika izvo zvisingagadzirisiki kwemavhiki mashoma, kunyanya kana uine zviratidzo zvakawanda zvichiitika pamwe chete. Kunyange aya maratidzo anogona kuva nezvikonzero zvakawanda, zvakakosha kuayongorora.

Tsvaga rubatsiro rwekurapa nekukurumidza kana ukaona kurasikirwa nehuremu kusina tsananguro kweanopfuura mapaundi gumi, kuneta kwenguva refu kunokanganisa mabasa ako ezuva nezuva, kana matenda anowanzouya anotorwa nguva yakareba kupfuura zvakajairwa kuti apone. Kusveta usiku kunonyorova nguva dzose nguo dzako kana mubhedha zvinodawo kuongororwa kwemishonga.

Unofanira kutsvaga rubatsiro rwekurapa nekukurumidza kana ukawana zviratidzo zvematambudziko akakomba, senge kushomeka kwemhepo kwakanyanya, kurwadziwa kwepfupa, kupisa kwenguva refu, kurwadziwa kwemudumbu kwakanyanya, kana kubuda kweropa kusina kujairika kunogona kumira. Aya maratidzo anogona kuratidza kuti mamiriro acho ari kukura kana kukonzera matambudziko.

Usambofa wakarega kutenda pfungwa dzako kana uchinzwa kuti chimwe chinhu hachisi chakanaka nehutano hwako. Kuonekwa kwenguva uye kurapwa kweCML kunogona kuita musiyano wakakura mumaonero ako emangwana uye hupenyu hwakanaka.

Ndeapi zvinhu zvinokonzera njodzi ye Chronic Myelogenous Leukemia?

Vanhu vazhinji vanowana CML havafaniri kuva nezvinhu zvinokonzera njodzi, izvo zvinogona kunzwa zvichinetsa uye zvinokanganisa. Iyi chirwere rinoita kunge rinokura zvisingatarisirwi mune zviitiko zvakawanda, richikanganisa vanhu kubva kune mararamiro ose ehupenyu.

Heano zvinhu zvinozivikanwa zvinokonzera njodzi, kunyangwe kuva nazvo hazvirevi kuti uchave neCML:

• Makore anopfuura makumi mashanu, kunyangwe CML inogona kuitika pazera ripi zvaro
• Kuva murume (varume vanowanzo kuwana CML kupfuura vakadzi)
• Kuonekwa kare kune radiation yakakwira kwazvo
• Kuonekwa kune mamwe makemikari senge benzene
• Kuva nemamwe matambudziko emagene, kunyangwe izvi zvisingawanzoitika

Zvakakosha kunzwisisa kuti CML haisi chirwere chinopfuudzwa uye haigone kupfuudzwa kubva kumunhu kuenda kune mumwe munhu. Inoitawo kunge isingafambi mumhuri mune zviitiko zvakawanda, saka kuva nemumhuri ane CML hakuwedzeri njodzi yako zvakanyanya.

Kuchinja kwemagene kunokonzera CML kunoitika muma cell emuchiro wako mukati mehupenyu hwako, kwete muma cell aunowana kubva kuvabereki vako. Izvi zvinoreva kuti haufambisi CML kuvana vako, izvo zvinogona kuva zororo kune mhuri dzakawanda dzinosangana neichi chirwere.

Ndeapi matambudziko anogona kuitika e Chronic Myelogenous Leukemia?

Kunyangwe CML ichikura zvishoma nezvishoma uye vanhu vazhinji vanorarama zvakanaka nekurapwa kwakakodzera, zvakajairika kunetseka nezve matambudziko anogona kuitika. Kunzwisisa aya mikana kunogona kukubatsira kuziva zviratidzo zvechigadzirwa uye kushanda nechikwata chako chehutano kudzivirira kana kutonga.

Chinetso chakakura kwazvo ndicho kukura kwechirwere kuenda kune zvikamu zvakakwirira. Kana CML isingadzoreki zvakanaka, inogona kukura kubva kuchikamu chechronic kuenda kuchikamu che accelerated uye pakupedzisira kuenda kublast crisis, iyo inoita se acute leukemia uye inoda kurapwa kwakanyanya.

Heano mamwe matambudziko anogona kuitika:

• Kuwedzera kwenjodzi yematenda nekuda kwekusashanda zvakanaka kwema white blood cells
• Matambudziko ekubuda kweropa kubva kune platelet counts yakaderera
• Anemia inokonzera kuneta kwakanyanya uye kushomeka kwemhepo
• Spleen yakakura inogona kukonzera kurwadziwa kwemudumbu kana kuzara nekukurumidza
• Kurwadziwa kwemashizha kubva kuma leukemia cells achikanda muchiro
• Zviitiko zvisingawanzoitika zve leukemia cells ichikwira kune dzimwe nhengo
• Kenza yechipiri, kunyangwe izvi zvisingawanzoitika
• Matambudziko emoyo kubva kune anemia yakanyanya kana zvinokonzerwa nekurapwa

Zvisingawanzoitika, vamwe vanhu vanogona kuwana matambudziko kubva pakurapwa pachawo, senge kuunganidzwa kwemvura, marwadzo emhasuru, kana ma rashes eganda kubva kumishonga yekurapa yakatarwa. Chikwata chako chehutano chichakuongorora zvakanyanya nezve aya matambudziko uye kuchinja kurapwa kwako sezvinodiwa.

Mashoko akanaka ndeawo kuti nekurapwa kwazvino, matambudziko mazhinji anogona kudzivirirwa kana kutongwa zvakanaka. Kuongororwa nguva dzose uye kutaurirana kwakavhurika nechikwata chako chehutano ndizvo zvakakosha pakubata uye kugadzirisa chero matambudziko pakutanga.

Chronic Myelogenous Leukemia inozwiwa sei?

Kuziva CML kazhinji kunotanga nekuongororwa kweropa kunoratidza nhamba dzisingawanzo kuitika dzema white blood cells. Chiremba wako anogona kuraira aya miedzo nekuda kwezviratidzo zvauri kuona kana sechikamu chekuongororwa kwehutano hwemazuva ose.

Nhanho yekutanga kazhinji ndeye complete blood count (CBC), iyo inoyera marudzi akasiyana ema cell muropa rako. MuCML, uyu bvunzo kazhinji inoratidza nhamba yakawanda yema white blood cells, kunyanya neutrophils, uye inogona kuratidza nhamba shoma yema red blood cells kana platelet counts.

Kana kuongororwa kweropa kwako kuchiratidza leukemia, chiremba wako achakuraira bvunzo dzakanyanya kuti aone kuti chirwere chacho chiripo here. Bone marrow biopsy inosanganisira kutora sampuli diki yemuchiro kubva panguva yemashizha ako kuti uione pasi pe microscope. Kunyangwe izvi zvinganzwa zvisina kunaka, kazhinji zvinoitwa ne local anesthesia uye zvinotora maminetsi mashoma chete.

Bvunzo yakakosha yeCML inotsvaga Philadelphia chromosome kana BCR-ABL gene. Izvi zvinogona kuitwa ne nzira dzakawanda, kusanganisira cytogenetic analysis, fluorescence in situ hybridization (FISH), kana polymerase chain reaction (PCR) testing. Aya ma bvunzo anoratidza kwete chete kuti une CML asi anobatsirawo kuona kuti kurapwa kuri kushanda zvakanaka sei.

Chiremba wako anogonawo kuraira bvunzo dzekuona senge CT scans kana ultrasounds kuti aone saizi yespleen yako ne lymph nodes. Aya ma bvunzo anobatsira kuona huwandu hwechirwere uye anotungamira sarudzo dzekurapa.

Kurapa kwe Chronic Myelogenous Leukemia ndekupi?

Kurapa kweCML kwachinja zvikuru mumakore makumi maviri apfuura, kuchinja izvo zvaimbova kenza yakaoma kurapa kuita mamiriro ekurwara anogona kutongwa kune vanhu vazhinji. Nzira huru yekurapa inoshandisa mishonga yekurapa yakatarwa inorwisa chaiyo protein inokonzera CML.

Tyrosine kinase inhibitors (TKIs) ndiwo musoro wekurapa kweCML. Aya mishonga inomedza inodzivirira BCR-ABL protein inotungamira kenza, ichibvumira muchiro wako kudzoka pakugadzira ma cell eropa ane hutano. TKI yekutanga uye inonyanya kushandiswa ndiyo imatinib (Gleevec), iyo yakabatsira vanhu vasina kuverengwa kuwana nhamba dzeropa dzakajairwa uye kurarama hupenyu hwazvo.

Heano nzira huru dzekurapa chiremba wako anogona kukurudzira:

• First-generation TKIs senge imatinib yeCML ye chronic phase yakangoonekwa
• Second-generation TKIs senge dasatinib kana nilotinib kana imatinib isingashande
• Third-generation TKIs senge ponatinib yezviitiko zvinopesana
• Kurapa kwakabatanidzwa kwezvikamu zvakakwirira
• Stem cell transplant muzviitiko zvisingawanzoitika apo TKIs haishande
• Kutsigira kurapa kutonga zviratidzo nezvinokonzerwa nekurapwa
• Clinical trials ye nzira itsva dzekurapa

Vanhu vazhinji vanotanga kurapwa pakarepo mushure mekuongororwa, kunyangwe vasina zviratidzo, nekuti kurapwa kwenguva kunodzivirira kukura kwechirwere. Chinangwa ndechekuwana chinonzi complete cytogenetic response, uko Philadelphia chromosome isingachaonekwi mumuchiro wako.

Chikwata chako chehutano chichaongorora mhinduro yako pakurapwa nekuongororwa kweropa nguva dzose ne bone marrow biopsies. Vanhu vazhinji vanowana mhinduro dzakanaka uye vanogona kuchengetedza nhamba dzeropa dzakajairwa kwemakore mazhinji nemishonga yekumedza yezuva nezuva.

Nzira yekutonga Chronic Myelogenous Leukemia pamba?

Kutonga CML pamba kunosanganisira kutora mishonga yako nguva dzose uye kutsigira hutano hwako hwese uchigara nechirwere chekare. Mashoko akanaka ndeawo kuti vanhu vazhinji vane CML yakadzoreka zvakanaka vanogona kuchengetedza mabasa avo ezuva nezuva uye maitiro.

Kutora mushonga wako weTKI chaizvo sezvakarayirwa ndicho chinhu chakakosha chaunogona kuita. Aya mishonga inoshanda zvakanaka kana ikatengwa panguva imwe chete yezuva rega rega, uye kusapotsa zvikamu kunogona kubvumira ma leukemia cells kuti awedzere. Gadzira maitiro anoshanda kwauri, kungave kuri kutora mishonga nekuseni kana kushandisa zviyeuchidzo zvefoni.

Heano nzira dzinoshanda dzekutsigira hutano hwako pamba:

• Chengetera kudya kwakanaka kwakapfuma mu michero, miriwo, uye mapuroteni akapfava
• Rambai muchiita zvemuviri mukati me simba renyu
• Wana hope dzakakwana uye zorora paunoda
• Ita kuchena kwakanaka kudzivirira matenda
• Dzivisa mapoka makuru evanhu kana vanhu varwere kana sisitimu yako yekudzivirira iri kushaya simba
• Rambai muchinwa mvura yakawanda, kunyanya kana uine zvinokonzerwa nekurapwa
• Tonga kushushikana ne nzira dzekuzorora, zvinofadza, kana mazano
• Chengeta bhuku rezviratidzo kuti uteedzere kuti unonzwa sei

Cherechedza zvinokonzerwa nekurapwa kwako, izvo zvinogona kusanganisira kusvotwa, marwadzo emhasuru, kuunganidzwa kwemvura, kana ma rashes eganda. Zvinokonzerwa nekurapwa zvakawanda zvinogona kutongwa nenhamba dzinoshanda senge kutora mishonga nezvokudya, kuchengetedza mvura yakawanda, kana kushandisa zvigadzirwa zvekuchengetedza ganda zvinyoro.

Usambofa wakarega kubata nechikwata chako chehutano kana uri kuona zviratidzo zvinotyisa kana kana zvinokonzerwa nemishonga yako zviri kukanganisa hupenyu hwako hwakanaka. Kazhinji pane mhinduro dziripo kukubatsira kunzwa zvakanaka uchichengeta kurapwa kwakakosha.

Ungagadzirira sei kuenda kuchiremba wako?

Kuagadzirira misangano yako yeCML kunogona kukubatsira kuita zvakanyanya panguva yako nechikwata chako chehutano uye kuve nechokwadi chekuti unowana mhinduro kumibvunzo yako yese yakakosha. Kuuya wakagadzirira kunobatsirawo kuderedza kunetseka uye kunopa simba rakawanda pakutarisira kwako.

Usati wasvika kumusangano wako, nyora chero zviratidzo zvauri kuona, kusanganisira pavakatanga uye maitiro avo ari kukanganisa hupenyu hwako hwezuva nezuva. Cherechedza chero zvinokonzerwa nemishonga yako, kunyangwe zvichinzwa zvishoma, sezvo chiremba wako angakwanisa kukubatsira kudzitungamira.

Uyai ne rondedzero yakazara yemishonga yese yaunotora, kusanganisira mishonga inotengeswa pasina kuraira, zvinowedzerwa, uye mishonga yemiti. Zvimwe izvi zvinogona kukanganisa mishonga yeCML, saka chiremba wako anoda mufananidzo wakazara wezvaunotora.

Funga kuuya nemumhuri yakavimbika kana shamwari kumisangano yako, kunyanya kune hurukuro dzakakosha nezve kuchinja kurapwa kana mhinduro dzebvunzo. Vanogona kukubatsira yeuka ruzivo uye kupa rutsigiro rwemanzwiro panguva yehukuru hurukuro.

Gadzira rondedzero yemibvunzo yekubvunza chiremba wako. Izvi zvinogona kusanganisira mibvunzo nezve mhinduro dzako dzebvunzo dzekupedzisira, chero kuchinja mune zvirongwa zvako zvekurapa, kutonga zvinokonzerwa nekurapwa, kana kunetseka nezve maonero ako emangwana. Usanetseka nezvekubvunza mibvunzo yakawanda - chikwata chako chehutano chinoda kukubatsira kunzwisisa mamiriro ako ne kurapwa.

Chii chinonyanya kukosha nezve Chronic Myelogenous Leukemia?

Chinhu chakakosha kunzwisisa nezve CML ndechekuti rudzi rwe leukemia inogona kurapwa zvikuru, kunyanya kana yakawanikwa muchikamu chechronic. Kunyangwe kugamuchira chirwere chekenza kunogona kunzwa kuchinetsa, CML kazhinji inofungwa se mamiriro ekurwara anogona kutongwa pane chirwere chinouraya.

Mishonga yakatarwa yemazuva ano yakachinja kurapwa kweCML, ichibvumira vanhu vazhinji kuwana nhamba dzeropa dzakajairwa uye kurarama hupenyu hwazvo, hunoshanda. Vanhu vazhinji vane CML vanoramba vachishanda, vachifamba, uye vachitevera zvinangwa zvavo vachitungamira mamiriro avo nemishonga yekumedza yezuva nezuva.

Kiyi yekubudirira neCML ndeyekuonekwa kwenguva, kurapwa kwenguva dzose, uye kuongororwa nguva dzose nechikwata chako chehutano. Kunyangwe uchida kutora mishonga kwenguva refu uye kuenda kumisangano yemishonga nguva dzose, vanhu vazhinji vanoona kuti vanogona kugadzirisa aya maitiro uye kuchengetedza hupenyu hwakanaka.

Yeuka kuti ruzivo rweumwe neumwe rweCML rwakasiyana, uye chikwata chako chehutano chichavashandira pamwe newe kugadzira chirongwa chekurapa chinokodzera mamiriro ako chaiwo nezvinangwa. Rambai muchibatanidzwa nekutarisira kwenyu, bvunza mibvunzo paunenge uinawo, uye usambofa wakarega kutsvaga rutsigiro paunenge uchida.

Mibvunzo inowanzo bvunzwa nezve Chronic Myelogenous Leukemia

Ndingararama hupenyu hunowanzoitika here neCML?

Hungu, vanhu vazhinji vane CML vanopindura zvakanaka pakurapwa vanogona kurarama hupenyu hunowanzoitika, hunoshanda. Vanhu vazhinji vanoramba vachishanda, vachifamba, uye vachibatanidzwa mumabasa avanofarira vachitungamira mamiriro avo nemishonga yezuva nezuva. Kiyi ndeyekutora mishonga yako nguva dzose uye kuramba uine hukama hwepedyo nechikwata chako chehutano.

CML inogona kupora here?

Kunyangwe CML ichifungwa semiriro yekurwara inoda kurapwa kwenguva dzose, vamwe vanhu vakawana izvo zvinoita kunge kupora kwakakwana nemishonga yakatarwa. Chikamu chiduku chevanhu chakwanisa kumisa kurapwa vachichengeta mazinga asingawanzo kuonekwa echiriwere, kunyangwe izvi zvinofanira kuitwa chete pasi pekutarisirwa kwakanyatsonaka kwemishonga.

Munhu anogona kurarama kwenguva yakareba sei neCML?

Nekurapwa kwazvino, vanhu vazhinji vane CML vane tarisiro yehupenyu inowanzoitika. Zvidzidzo zvinoratidza kuti vanhu vanoongororwa vane chronic phase CML vanopindura zvakanaka pakurapwa kwakatarwa kazhinji vanorarama kwenguva yakareba sevanhu vasina chirwere. Chiyero chekupona kwemakore gumi che chronic phase CML chinopfuura 90% nekurapwa kwazvino.

Chii chinoitika kana ndikapotsa zvikamu zve mishonga yangu yeCML?

Kupotsa zvikamu zvishoma hazvikuvadzi kazhinji, asi kupotsa mishonga nguva dzose kunogona kubvumira ma leukemia cells kuti awedzere uye angave akagadzirisa kurapwa. Kana ukapotsa chikamu, chitengese nekukurumidza paunoyeuka, kunze kwekunge iri nguva yechikamu chako chinotevera. Usambofa wakawedzera zvikamu, uye bata nechikwata chako chehutano kana uri kunetseka kutora mishonga yako nguva dzose.

CML inogona kudzoka here mushure mekurapwa?

CML inogona kudzoka kana kurapwa kukamiswa nekukurumidza kana ma leukemia cells akagadzirisa mushonga. Ndosaka vanhu vazhinji vanoda kuramba vachitora mishonga yavo yakatarwa kwenguva refu, kunyangwe kana kuongororwa kweropa kwavo kuchiratidza kuti hapana zviratidzo zvechirwere. Chiremba wako achakuongorora zvakanyanya nekuongororwa kweropa nguva dzose kuti awane chero zviratidzo zvechirwere kudzoka pakutanga.