Ulukhuni Lwe-Acute Lymphocytic Leukemia? Izimpawu, Izimbangela, & Ukwelashwa

Ulukhuni lwe-acute lymphocytic leukemia (ALL) uhlobo lomdlavuza wegazi oluvela lapho u-marrow wakho wamathambo enza amaseli amaningi egazi amhlophe angajwayelekile abizwa ngokuthi yi-lymphoblasts. La maseli angakhuli kahle agcwalisa amaseli egazi aphilile futhi awakwazi ukulwa nokutheleleka njengoba kufanele.

Nakuba i-ALL ihamba ngokushesha emzimbeni wakho, futhi ingenye yezinhlobo ezilashwa kakhulu ze-leukemia, ikakhulukazi uma itholakala ngokushesha. Ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza uzizwe ulungile futhi uqiniseke ngendlela oya kuyo.

Iyini i-Acute Lymphocytic Leukemia?

I-ALL iqala ku-marrow yakho wamathambo, inyama ebuthakathaka ngaphakathi kwamathambo akho lapho kwenziwa khona amaseli egazi. Cabanga nge-marrow yakho yamathambo njengefektri evamise ukukhiqiza izinhlobo ezahlukene zamaseli egazi aphilile ngezinani ezifanele.

Ku-ALL, kukhona okuphuthumayo ngemiyalo yokwenza i-lymphocytes, uhlobo lweselula legazi elimhlophe. Esikhundleni sokwenza amaseli avuthiwe, alwa nokutheleleka, i-marrow yakho yamathambo iqala ukukhiqiza inani elikhulu le-lymphoblasts engasebenzi kahle.

La maseli angajwayelekile azala ngokushesha futhi athathe isikhala okufanele sibe samagagasi egazi abomvu aphilile, amaseli egazi amhlophe, nama-platelets. Lo mthelela wokugcwalisa yilowo obangela izimpawu eziningi ongazibona.

Igama elithi “acute” lisho ukuthi isimo sithuthuka futhi siqhubeka ngokushesha, ngokuvamile emavikini noma ezinyangeni kunamashumi eminyaka. Lokhu kuhlukile kuma-leukemias abuthathayo, athuthuka kancane kancane ngokuhamba kwesikhathi.

Ziyini izimpawu ze-Acute Lymphocytic Leukemia?

Izimpawu ze-ALL zivame ukuvela kancane kancane futhi zingakwenza uzizwe sengathi ulwa nokubanda noma isifo sikagwayi esingapheli. Abantu abaningi baphawula ukuthi bakhathele kakhulu kunokujwayelekile noma bagula kaningi kunokujwayelekile.

Izimpawu ezivame kakhulu ongazibona zihlanganisa:

• Ukhathazwa ubuthakathaka nokuphuza amandla okungapheli, ngisho noma ukhuluphula
• Ukutheleleka njalo njengokubanda, ukuhlunguluka komlomo, noma ukufiphaza
• Ukuqhuma kalula noma amabala amancane abomvu ezikinini zakho okuthiwa yi-petechiae
• Ukuphuza igazi okuthe kuyeke, kufaka phakathi ukuphuza igazi ekhaleni noma isikhathi esiningi sokuphuza igazi
• Ubuhlungu emathanjeni nasezinhlangothini, ikakhulukazi ezinyaweni, ezingalweni, noma emhlane
• Ama-lymph nodes avuvukile entanyeni, ezikhaleni, noma emadolweni
• Ukulahlekelwa ukudla nokunciphisa isisindo ngaphandle kokuhlose
• Ukuthukuthela komoya ngesikhathi semisebenzi evamile

Abanye abantu nabo baye baba nezimpawu ezingavamile ezingakhathaza. Lezi zingafaka izingcindezi ezinzima, ukudideka, noma ubunzima bokuqonda uma amaseli e-leukemia esakazeke ohlelweni lwakho oluphakathi lolwemi

Ungase uqaphele isisu sakho sizizwa sigcwele noma singakhululekile ngenxa yespleen noma isibindi esikhulu. Abanye abantu bathuthukisa ukufiphaza ebusuku noma baqhubeka beba ne-fevers ephansi ezazihambayo ngaphandle kwesizathu esicacile.

Khumbula ukuthi lezi zimpawu zingaba nezizathu eziningi ezahlukene, futhi ukuba nazo akusho ukuthi une-leukemia. Noma kunjalo, uma uhlangabezana nezinye zalezi zimpawu ndawonye, ikakhulukazi uma ziqhubeka noma zibe zimbi, kufanele uxoxe nodokotela wakho.

Imiphi imikhakha ye-Acute Lymphocytic Leukemia?

I-ALL ihlelwe ngezinhlobo ezahlukene ngokusekelwe ekutheni yiziphi i-lymphocytes ezithintekile nezinye izici zamaseli e-cancer. Udokotela wakho uzokunquma uhlobo lwakho oluthile ngokuhlola okuningiliziwe, okusisiza ukuqondisa uhlelo lwakho lokwelashwa.

Uhlelo olukhulu lokwahlukanisa luhlukanisa i-ALL zibe izinhlobo ze-B-cell ne-T-cell. I-B-cell ALL ivame kakhulu, imele cishe u-85% wezimo kubantu abadala kanye nezingxenye eziphezulu kakhulu ezinganeni.

I-B-cell ALL ithuthukiswa lapho i-B-lymphocytes engakhulile iba yi-cancer. Lezi zicubu ngokuvamile zikhula zibe amaseli e-plasma akhiqiza ama-antibodies okulobola ukutheleleka. Ku-B-cell ALL, zihlala ziboshwe esimweni esingakhulile futhi zanda ngokungenakulawuleka.

I-T-cell ALL ithonya i-T-lymphocytes, ezi ngokuvamile zisiza ekuhleleni impendulo yakho yokulwa nezifo futhi zihlanganise ngokuqondile amaseli asele noma angajwayelekile. Lolu hlobo alunamkhawulo kodwa ngezinye izikhathi lungaba namandla kakhulu kune-B-cell ALL.

Iqembu lakho lezokwelapha lizobuye libheke izinguquko ezithile ze-genetic noma ukungajwayelekile kwe-chromosomal kumaseli akho e-leukemia. Lezi zitholakala zisiza ekuqondeni isimo sakho sokuphila nokuqondisa indlela yokwelapha efanele isimo sakho esithile.

Yini ebangela i-Acute Lymphocytic Leukemia?

Imbangela eqondile ye-ALL ayiqondakali ngokuphelele, kodwa ithuthukiswa lapho kwenzeka izinguquko ze-genetic kumaseli esiqalo se-lymphocyte e-bone marrow yakho. Lezi zinguquko zenza amaseli akhule futhi ahlukaniswe ngokungenamkhawulo esikhundleni sokuthuthukisa amaseli amhlophe egazi aphilile, avuthiwe.

Eziningi zezimo ze-ALL kubonakala sengathi zenzeka ngokungahleliwe ngaphandle kokubangela okuqondile. Izingqungquthela ze-genetic eziholela e-leukemia ngokuvamile zenzeka phakathi nokuphila komuntu kunokuba zidluliselwe kubazali.

Izici eziningana zingase zinikeze lezi zinguquko zamaseli, yize ukuba nalezi zici akusho ukuthi uzophuthuma uthuthukise i-ALL:

• Ukwelashwa kwangaphambili komdlavuza nge-chemotherapy noma i-radiation therapy
• Ukuvezwa amazinga aphezulu e-radiation
• Izifo ezithile ze-genetic njenge-Down syndrome
• Ezinye izifo ze-immune system eziwusifa
• Ukuvezwa ezimweni ezithile, yize lokhu kubopha akuqinisekiswanga ngokuphelele

Kubalulekile ukuqonda ukuthi i-ALL ayiwona umkhuhlane futhi ayikwazi ukudluliselwa komunye umuntu. Awukwazi ukuyibamba komunye umuntu noma uyidlulisele kulabo abaseduze nawe noma abangane.

Ezimeni eziningi, ayikho into obungayenza ngokuhlukile ukuvimbela i-ALL ekuthuthukiseni. Izingqungquthela ze-genetic ebangela lo mdlavuza ngokuvamile zenzeka ngengozi kunokuba zibe ngumphumela wokukhetha indlela yokuphila noma ukuvezwa kwezinto ezingaphandle.

Nini okufanele ubheke udokotela nge-Acute Lymphocytic Leukemia?

Kufanele uxhumane nodokotela wakho uma ubhekene nezimpawu eziqhubekayo ezingaphuli noma kubonakala sengathi ziyaqina ngokuhamba kwesikhathi. Nakuba lezi zimpawu zingaba nezizathu eziningi, kuhlale kungcono ukuzihlola ngokushesha kunokulinda.

Hlela i-aphoyintimenti ezinsukwini ezimbalwa uma uqaphela izimpawu EZINGAPHEZULU zonke ndawonye, njengokukhathala okuqhubekayo okuhlangene nokutheleleka okuvamile, ukulunywa kalula, noma ubuhlungu lwamathambo obungachazwanga. Udokotela wakho angakusiza ukuthola ukuthi yini ebangela izimpawu zakho nokuthi ingabe kuyadingeka ukuhlolwa okuqhubekayo.

Funani usizo lwezokwelapha ngokushesha uma uthola izimpawu ezinkulu ezingase zibonise isimo esiphuthumayo sezokwelapha. Lezi zimo eziphuthumayo zihlanganisa ubushushu obukhulu bomzimba ngokuthatha, ukuphuza igazi okukhulu okungapheli, ubunzima bokuthakazela, noma izimpawu zokutheleleka okukhulu.

Kufanele futhi ubona udokotela wakho ngokushesha uma uqaphela ukushintsha okungazelelwe emoyeni wakho, njengokudideka okukhulu, izinhlungu zikhanda eziqhubekayo, noma ukushintsha kokubona. Lokhu kungase kubonise ukuthi amaseli e-leukemia athinte uhlelo lwakho oluphakathi.

Ungalindi ukufuna ukunakekelwa uma izimpawu zakho zithinta impilo yakho yansuku zonke noma uma uzizwa sengathi kukhona okungalungile empilweni yakho. Themba izinzwa zakho ngomzimba wakho, futhi khumbula ukuthi ukutholakala kwangaphambili nokuphathwa kuvame ukubangela imiphumela emihle.

Iyini izingozi ze-Acute Lymphocytic Leukemia?

Izingozi yizinto ezingase zikhulise amathuba akho okuba ne-ALL, kodwa ukuba nengozi eyodwa noma ngaphezulu akusho ukuthi uzoba nale kansala. Abantu abaningi abanengozi abazitholi i-ALL, kanti abanye abangenayo ingozi eyaziwayo bayithola.

Ubudala buyinye yezingozi ezinkulu kakhulu, yize i-ALL ithinta abantu ngezindlela ezahlukene ezikhathini zobudala ezahlukene. Lesi sifo sivame kakhulu kubantwana abancane, ngokwanda okukhulu phakathi kweminyaka engu-2 no-5, bese siyancipha ngokuhamba kweminyaka yobusha nobukhulu.

Izingozi eziyinhloko abacwaningi abazitholile zihlanganisa:

• Ukuba mdala kakhulu (ngaphansi kweminyaka emi-5) noma omdala (ngaphezulu kweminyaka engama-50)
• Ukuba owesilisa, njengoba i-ALL ivame kakhulu kubantu besilisa kunabesifazane
• Ukwelashwa kwesifo somdlavuza ngaphambili ngamathuluzi athile e-chemotherapy noma ukukhishwa komlilo
• Izifo ze-genetic ezinjengesi-Down syndrome noma i-Li-Fraumeni syndrome
• Izifo eziwumfithi ezifuywe
• Ukuba ne-twin efanayo ehlulelwe yi-ALL ngaphambi kweminyaka engu-6

Amanye ama-risk factor angavamile afaka ukubhebhetheka amazinga aphezulu okukhishwa komlilo, njengokweqile kwezibhamu ze-atomic noma ezingozi ze-nuclear reactor. Noma kunjalo, amazinga okukhishwa komlilo okuvela ekuhlolweni kwezokwelapha njenge-X-rays noma i-CT scans kubonakala kungawandisi kakhulu ingozi ye-ALL.

Ukutheleleka okuthile kwe-viral kungase kudlale indima ezimweni ezithile, ikakhulukazi ukutheleleka ngama-virus athile athinta uhlelo lokulwa nezifo. Noma kunjalo, lo xhumano aluqondakali ngokuphelele futhi alusebenzi ekuthelelekeni okuvamile kwe-viral njengokubanda noma isifo sikagciwane.

Kubalulekile ukuqaphela ukuthi abantu abaningi abathuthukisa i-ALL abanalo noma yiluphi uhlobo lwe-risk factor oluaziwayo. Lesi sifo sivame ukwenzeka ngokungahleliwe ngenxa yokuguquka kwe-genetic okuvela ngengozi phakathi nokuphila komuntu.

Ziyini izinhlanganisela ezingaba khona ze-Acute Lymphocytic Leukemia?

I-ALL ingabangela izinhlanganisela ezahlukahlukene ngoba amangqamuzana angajwayelekile ahlanganisa ikhono lomzimba wakho lokukhiqiza amangqamuzana egazi aphilile nokulwa nezifo. Ukuqonda lezi zinhlanganisela ezingaba khona kungakusiza ukuthi uqaphele izimpawu zokuqala futhi usebenze neqembu lakho lezokwelapha ukuvimba noma ukulawula.

Izinhlanganisela eziqala ngokushesha zivela ekubeni namangqamuzana egazi aphilile amancane kakhulu ohlelweni lwakho. Uma u-bone marrow wakho ugcwele amangqamuzana e-leukemia, awukwazi ukukhiqiza amangqamuzana egazi avamile ngokwanele ukuze ugcine umzimba wakho usebenza kahle.

Izinhlanganisela ezivamile ongazihlangabezana nazo zifaka:

• Ukutheleleka okukhulu okubangelwa yisinombolo esincane se-white blood cells
• Ukuphuza igazi okukhulu noma ukulunywa kalula ngenxa yesinombolo esincane se-platelets
• I-anemia nokuqeda amandla okukhulu ngenxa yesinombolo esincane se-red blood cells
• Ukonakala kwamalunga uma amaseli e-leukemia ehlanganisana emathunjini afana ne-liver noma i-spleen
• Ukuhileleka kwesistimu yezinzwa ezingaphakathi kokubangela izikhathi zokukhathazeka, ukudideka, noma ukuhlushwa yizifo
• Ubunzima bokuqeda umoya uma amaseli e-leukemia ehlanganisana emaphashini

Abanye abantu bathuthukisa isimo esibizwa nge-tumor lysis syndrome, esenzeka uma amaseli e-leukemia ephuka ngokushesha ngesikhathi sokwelashwa. Lokhu kungabangela ukushintsha okungozi ekukhiqizweni kwegazi okudingayo ukunakekelwa kwezokwelapha ngokushesha.

Ngokuvamile, i-ALL ingabangela izinkinga ezihlobene nesinombolo esiphezulu kakhulu se-white blood cells, isimo esibizwa nge-hyperleukocytosis. Lokhu kungabangela izinkinga ngokuhamba kwegazi nokuhanjiswa komoya kwamalunga abalulekile.

Izindaba ezinhle ukuthi iqembu lakho lezokwelapha lizokuqapha eduze ngalezi zinkinga futhi linezindlela ezisebenzayo zokuvimbela noma ukwelapha iningi lazo. Izinkinga eziningi zingaphathwa ngempumelelo ngokunakekelwa kwezokwelapha okusheshayo nokuphathwa okusekela.

I-Acute Lymphocytic Leukemia ihlonishwa kanjani?

Ukuhlola i-ALL kuqala ngokuvamile ngodokotela wakho ebuza ngezimpawu zakho futhi enze ukuhlolwa komzimba. Bazohlola izimpawu ezifana ne-lymph nodes ezinkulu, i-liver, noma i-spleen, futhi babuke ukulunywa noma ukuphuza igazi okungavamile.

Ivivinyo elikhulu lokuqala ngokuvamile liyi-complete blood count (CBC), elinganisa izinombolo nezinhlobo zamaseli egazini lakho. Ku-ALL, leli vivinyo ngokuvamile libonisa amazinga angavamile e-white blood cells, i-red blood cells, noma i-platelets.

Uma imiphumela yakho ye-CBC isikisela i-leukemia, udokotela wakho uzoyala amavivinyo engeziwe ukuqinisekisa ukuxilongwa:

1. Ukuthatha i-biopsy yomgogodla wamathambo ukuhlola amaseli ngokuqondile emagogodleni akho amathambo
2. I-Flow cytometry ukuhlonza uhlobo oluthile lwamaseli e-leukemia
3. Ukuhlolwa kwe-genetic ukubheka izinguquko zamakromosome emaseleni e-cancer
4. Ukuthungwa kwe-lumbar ukuhlola ukuthi amaseli e-leukemia asakazeke yini e-spinal fluid yakho
5. Izivivinyo ze-Imaging njenge-CT scans noma i-chest X-rays ukuhlola izitho ezinkulu

I-biopsy yomgogodla wamathambo yivivinyo elibaluleke kakhulu lokuthola i-ALL. Phakathi nalesi senzo, i-sample encane yomgogodla wamathambo isuswa, ngokuvamile emathanjeni akho, bese ihlolwa ngaphansi komkhiqizo.

Iqembu lakho lezokwelapha lizoqhubeka futhi lienze izivivinyo ukuze liqonde uhlobo oluqondile lwe-ALL onalo futhi lihlonze noma yiziphi izinguquko ze-genetic emaseleni e-cancer. Ulwazi lolu lubalulekile ekwakheni uhlelo lokwelapha oluphumelelayo kakhulu sesimo sakho esithile.

Lonke inqubo yokuxilonga ngokuvamile ithatha izinsuku ezimbalwa kuya kwesonto. Ngesikhathi ulinde imiphumela kungaba nzima, ukuthola ukuxilongwa okuqondile kubalulekile ukuthola ukwelashwa okulungile ngokushesha ngangokunokwenzeka.

Iyini ukwelashwa kwe-Acute Lymphocytic Leukemia?

Ukuphathwa kwe-ALL ngokuvamile kuhilela i-chemotherapy enikezwa ngezigaba ezicutshungulwe ngokucophelela ezicutshungulwe ukususa amaseli e-leukemia nokusiza umzimba wakho uphulukise. Izindaba ezinhle ukuthi i-ALL ngokuvamile iphendula kahle ekwelapheni, ikakhulukazi uma itholakala ngokushesha.

Ukuphathwa ngokuvamile kwenzeka ezigabeni ezintathu eziyinhloko. Isigaba sokuqala, esibizwa ngokuthi i-induction therapy, sihlose ukubhubhisa amaseli e-leukemia amaningi ngangokunokwenzeka nokusiza ukubalwa kwegazi lakho kubuyele emazingeni ajwayelekile. Lesi sigaba ngokuvamile sihlala cishe inyanga.

Izindlela zokwelapha eziyinhloko zihlanganisa:

• I-kemitherapi ehlanganisiwe esebenzisa imithi eminingi yokulwa nomdlavuza
• Imithi yokwelapha okuqondiswe ngqo ehlasela izici ezithile zamaseli e-leukemia
• I-Immunotherapy ukusiza isimiso sakho sokuvikela umzimba ukulwa nomdlavuza
• Ukuhlinzwa kwamaseli esiqalo ezimweni ezithile ezingozi kakhulu
• Ukwelashwa ngomgqomo ukuze kuphathwe amaseli e-leukemia ezindaweni ezithile
• Ukukhathalela okusekayo ukulawula imiphumela emibi nokuvimba izinkinga

Ngemva kokungeniswa, ngokuvamile uzothola ukwelashwa kokubumbana ukuqeda noma yimaphi amaseli e-leukemia asale angase angabonakali. Lesi sigaba singathatha izinyanga eziningi futhi ngokuvamile sihilela ukuxuba okuhlukile kwemithi ye-kemotherapy.

Isigaba sokugcina, esibizwa ngokuthi ukwelashwa kokugcina, sihilela imithamo ephansi ye-kemotherapy enikezwa isikhathi eside, ngezinye izikhathi kuze kube iminyaka emibili noma emithathu. Lokhu kusiza ukuvimbela i-leukemia ukuba ibuye.

Uhlelo lwakho lokwelashwa luzokwenziwa ngokwezifiso ngokuya ngezinto ezifana nobudala bakho, impilo yakho yonke, uhlobo oluthile lwe-ALL olukhona, nokuthi uphendula kangcono kanjani ekwelapheni kokuqala. Iqembu lakho lezokwelapha lizoshintsha ukwelashwa kwakho njengoba kudingeka kulo lonke inqubo.

Indlela yokuphatha izimpawu ekhaya ngesikhathi sokwelashwa kwe-Acute Lymphocytic Leukemia?

Ukuphatha izimpawu zakho nemiphumela emibi ekhaya kuyiyingxenye ebalulekile yohlelo lwakho lokwelashwa lonke. Iqembu lakho lezokwelapha lizonika isiqondiso esithile, kodwa kunezinto eziningi ongenza zona ukuze uzizwe ukhulu futhi uhlale uphilile ngangokunokwenzeka.

Ukuvimbela ukutheleleka kuyinto ehamba phambili ngoba isimiso sakho sokuvikela umzimba singase sibuthakathaka kokubili yi-leukemia nokwelashwa. Geza izandla zakho njalo, gwema izixuku uma kungenzeka, futhi uhlale kude nabantu abagulayo.

Nawa amasu abalulekile okusiza ekulawuleni ukunakekelwa kwakho ekhaya:

• Dla ukudla okulinganiselayo okuneprotheni eningi ukuze kusekele ukululama namandla
• Hlala uthambile ngokuphuza amanzi amaningi usuku lonke
• Thola ukuphumula okwanele nokulala ukuze umzimba wakho uphulukiswe
• Thatha imithi ngokuqondile njengoba kulotshiwe, kufaka phakathi imithi yokulwa nokugula
• Qapha ubushushu bakho bese ubika amasiko ngokushesha
• Gwema imisebenzi engabangela ukukhahlela noma ukweluka
• Sebenzisa imikhiqizo yokunakekela komuntu siqu eyenziwe ngobumnene ukuvikela isikhumba esibuhlungu

Kumele uqaphele kakhulu ngokuphepha kokudla ngesikhathi sokwelashwa. Gwema ukudla okunqunu noma okuphekwe kancane, izithelo nemifino ezingageziwe, nokudla okungaba nezifo. Iqembu lakho lezokunakekelwa kwezempilo lingakunikeza imiyalelo eminingiliziwe yokudla.

Ukuphatha ukukhathala kubalulekile ezingeni lokuphila kwakho. Hlela imisebenzi yakho ngezikhathi lapho unemandla amaningi khona, futhi ungangabazi ukucela usizo emindenini nabangane emisebenzini yansuku zonke.

Gcina idayari yezimpawu ukuze uqaphele ukuthi uzizwa kanjani nsuku zonke. Ulwazi olufana nolu lusiza iqembu lakho lezokwelapha ukulungisa ukwelashwa kwakho nokunakekelwa okusekayo njengoba kudingeka. Xhumana nodokotela wakho njalo uma uthola izimpawu ezinkulu noma uma izimpawu ezikhona ziba zimbi.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho nodokotela kungakusiza uqinisekise ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi uzizwe ukhulu ngokunakekelwa kwakho. Ukuba nolwazi oluhlelekile nemibuzo ecabangelwe ngokucophelela kulungile kuzokwenza i-aphoyintimenti yakho ibe nomphumela.

Qala ngokubhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini, zingakanani, nokuthi yini ezenza zibe ngcono noma zimbi. Faka noma iyiphi imithi noma izongezo ozithathayo, kanye nezinga lazo.

Letha lezi zinto ezibalulekile e-aphoyintimenti yakho:

• Uhlu oluphelele lwemithi yakho namasuplimenti okuqhubekayo
• Amarekhodi ezempilo wangaphambili, imiphumela yokuhlola, noma izifundo zokwenza izithombe
• Amakhadi akho yomshuwalense kanye nokuhlonza
• Incwadi noma ifoni yokuthatha amanothi ngesikhathi sokuvakasha
• Uhlu lwemibuzo ofuna ukuyibuza
• Ilungu lomndeni omethembayo noma umngani wokusekela, uma ufisa

Lungisa imibuzo ethile mayelana nokuxilongwa kwakho, izinketho zokwelashwa, nokuthi yini okulindelekile. Imibuzo emihle ingafaka ukubuza ngokuqagela kwakho, imiphumela emibi engenzeka yokwelashwa, nokuthi ukwelashwa kungathinta kanjani impilo yakho yansuku zonke.

Unganqikazi ukucela udokotela wakho ukuthi achaze izinto ngezindlela oziqonda ngazo. Ulwazi lwezokwelapha lungadida, futhi kuyinto evamile ukudinga ukucaciswa noma ukubuza umbuzo ofanayo ngaphezu kwesikhathi sinye.

Cabanga ukuthi ulethe umuntu nawe emihlanganweni, ikakhulukazi ngezingxoxo ezibalulekile mayelana nezinhlelo zokuxilonga nezokwelapha. Ukuba nezinye izindlebe kungasiza lapho uqapha ulwazi oluyinkimbinkimbi lwezokwelapha.

Iyini into ebaluleke kakhulu mayelana ne-Acute Lymphocytic Leukemia?

Into ebaluleke kakhulu okumele uyiqonde nge-ALL ukuthi ngenkathi kuyisimo esinzima esidinga ukwelashwa ngokushesha, futhi iyakwelashwa kalula, ikakhulukazi uma itholakala ngokushesha. Abantu abaningi abane-ALL bayaqhubeka bephila impilo egcwele, enempilo ngemuva kokwelashwa okuphumelelayo.

Izindlela zokwelapha zanamuhla ze-ALL ziye zaqina kakhulu phakathi kwamashumi eminyaka adlule. Ukuhlanganiswa kwe-chemotherapy, izindlela zokwelapha eziqondiswe, kanye nokukhathalela okusekayo kuholele eziphumeleni ezinhle kakhulu kubantu abanesimo.

Iqembu lakho lezokwelapha linolwazi olukhulu lokwelapha i-ALL futhi lizoqala ukusebenzisana nawe ukuthuthukisa uhlelo lokwelapha oluqondene nawe. Unganqikazi ukubuza imibuzo, ubonise ukukhathazeka, noma ucele ukwesekwa okwengeziwe phakathi nohambo lwakho lokwelashwa.

Khumbula ukuthi ukuba ne-ALL akukucacisi, futhi kunezinto eziningi ezitholakalayo ezingakusiza ukuba ubhekane nezici zokwelashwa nezengqondo zokuxilongwa kwakho. Amaqembu wokusekela, izinsizakalo zokwelulekwa, kanye nezinhlangano zokusekela iziguli zingakunikeza usizo oluyigugu.

Nakuba indlela ephambi kwakho ingase ibonakale ilukhuni, ukuqaphela isinyathelo ngesinyathelo nokuthembela kwinethiwekhi yakho yokusekela kungakusiza ukuba uhambe lohambo ngethemba elikhulu nethemba.

Imibuzo evame ukubuzwa mayelana ne-Acute Lymphocytic Leukemia

Ingabe i-ALL iyadluliselwa?

I-ALL ngokuvamile ayidluliselwa kubazali. Izimo eziningi zenzeka ngenxa yenguquko ye-genetic eyenzeka phakathi nokuphila komuntu kunokudluliselwa emindenini. Noma kunjalo, izimo ezithile ze-genetic njenge-Down syndrome zingandisa ingozi yokuthuthukisa i-ALL.

Ukwelashwa kwe-ALL kuthatha isikhathi esingakanani?

Ukwelashwa kwe-ALL ngokuvamile kuthatha iminyaka engu-2 kuya kwengu-3, nakuba lokhu kuyahlukahluka ngokuya ngesimo ngasinye. Isigaba esinamandla ngokuvamile sithatha izinyanga eziyi-6 kuya kweziyi-8, silandelwa yisigaba eside sokugcinwa ngokwelashwa okungelona olukhulu. Udokotela wakho uzokunikeza isikhathi esicacile esisekelwe esimweni sakho.

Ungasebenza yini ngesikhathi sokwelashwa kwe-ALL?

Abantu abaningi bakwazi ukuqhubeka besebenza ngezigaba ezithile zokwelashwa kwe-ALL, nakuba kungase kudingeke uguqule isimiso sakho noma amalungiselelo omsebenzi. Izigaba zokwelashwa ezinamandla ngokuvamile zidinga isikhathi sokuphumula, kuyilapho ukwelashwa kokugcinwa kungavumela imisebenzi evamile. Xoxa ngesimo sakho somsebenzi neqembu lakho lokukhathalela impilo.

Iyini izinga lokuphila kwe-ALL?

Izinga lokuphila kwe-ALL liyahlukahluka ngokuya ngobudala nezinye izici, kodwa imiphumela iyonke iye yathuthuka kakhulu. Ezinganeni, izinga lokuphila kweminyaka emihlanu lingaphezu kwe-90%, kuyilapho kubantu abadala liphakathi kwe-30-40% kuya ngaphezu kwe-80% kuye ngezici ezithile njengobudala nezici ze-genetic ze-leukemia.

Ngizodinga ukuhlinzwa kwamathambo?

Akuwona wonke umuntu onale ALL ofuna ukutshalwa kwe-marrow yamathambo. Udokotela wakho uzokuncoma leli nyanga kuphela uma unezici ezingozi kakhulu noma uma i-leukemia ingaphenduli kahle ekwelapheni okujwayelekile kwe-chemotherapy. Abantu abaningi bafinyelela ekuphulukiseni isikhathi eside nge-chemotherapy kuphela.