Ulukhuni Lwe-Chronic Myelogenous Leukemia? Izimpawu, Izimbangela, & Ukwelashwa

Ulukhuni lwe-chronic myelogenous leukemia (CML) luhlobo lolwempilo lwegazi oluqala kancane kancane emathanjeni akho, lapho umzimba wakho uqamba khona amangqamuzana egazi. Ngokungafani nezinye izinhlobo ze-leukemia eziqhubeka ngokushesha, i-CML ivame ukukhula kancane kancane ezinyangeni noma eminyakeni, okungasho ukuthi unethuba lokucwangcisa ukwelashwa kwakho ngokucophelela.

Lesi simo siqala lapho uthando lwakho luqala ukwenza amangqamuzana egazi amhlophe amaningi kakhulu angasebenzi kahle. Cabanga ngalo njengefektri eqamba abasebenzi ngokushesha kunokuba ibakhulise kahle. La mangqamuzana angajwayelekile agcwalisa amangqamuzana egazi aphilile, kodwa ngoba i-CML iqhubeka kancane, abantu abaningi baphila impilo evamile, esebenzayo ngokwelashwa okufanele.

Iyini i-Chronic Myelogenous Leukemia?

I-CML yilwempilo yamangqamuzana akho okwenza igazi oluqala emathanjeni akho bese kancane kancane luthinta igazi lakho. Uthando lwakho yilona lihlwempu, elinwebeka elisekungaphakathi kwamathanga akho lapho konke amangqamuzana akho egazi enziwa khona.

Ku-CML, kushintsho oluthile lwe-genetic oluvela emangqamuzaneni akho egazi, okubenza bazinze ngokungenakulawuleka. La mangqamuzana egazi amhlophe angajwayelekile, abizwa ngokuthi amangqamuzana e-leukemia, awasebenzi njengamangqamuzana egazi amhlophe aphilile. Esikhundleni sokukuvimbela ekuthelelekeni, agcwalisa amangqamuzana egazi avamile futhi ekugcineni angaphazamisa ikhono lomzimba wakho lokulwa nokutheleleka, ukuphatha i-oksijini, nokumisa ukuphuza igazi.

Igama elithi "chronic" lisho ukuthi isifo siqala kancane, ngokungafani ne-leukemia ebukhali eya phambili ngokushesha. Lokhu kuqhubeka kancane kancane kuvame ukukunika wena neqembu lakho lokunakekelwa kwezempilo isikhathi esiningi sokuthola indlela yokwelapha efanele esebenza esimweni sakho esithile.

Ziyini izimpawu ze-Chronic Myelogenous Leukemia?

Abantu abaningi abanesigaba sokuqala se-CML abanawo nhlobo izimpawu, kungakho ngezinye izikhathi itholakala ngezilingo zegazi eziqondile. Uma izimpawu zivele, zivame ukukhula kancane kancane futhi zingazizwa njengezinkinga zempilo eziqhelile zansuku zonke.

Nawa amanxiwa ongawaqaphela njengoba i-CML iqala ukuqhubeka:

• Ukukhathala okuqhubekayo okungapheli ngisho noma ukhuluphuke
• Ukwehla kwesisindo okungachazeki ezinyangeni ezimbalwa noma ezikhathini eziningi
• Ukubila ubusuku obukhulu kangangokuthi kuwela izingubo zakho noma imibhede
• Ukuzwa usuthi ngokushesha lapho udle, ngisho noma kudla okuncane
• Ubuhlungu noma ukungakhululeki ngaphansi kwamaphaphu akho asekhohlo
• Ukutheleleka okuvamile okuthatha isikhathi eside ukuphulukisa
• Ukukhuluphuka kalula noma ukuphuma kwegazi ezilondeni ezincane
• Ukuphefumula kanzima ngesikhathi semisebenzi evamile
• Ukukhanya kwesikhumba noma ukuzwa ubuqandayo ngokungavamile
• Ubuhlungu emathanjeni noma ezinhlungwini

Abanye abantu nabo baye bahlangabezana nalokho okuthiwa yi-spleen enkulu, okungenza isisu sakho sizizwe sigcwele ngokungakhululeki noma kubangele ubuhlungu ngaphansi kwamaphaphu akho asekhohlo. Ngokungavamile, ungase uqaphele ama-lymph nodes amakhulu noma uthuthukise amachaphazi amancane abomvu esikhuneni sakho okuthiwa yi-petechiae.

Khumbula, le mihlola ingaba nezizathu eziningi ezahlukene, futhi ukuyiba nayo akusho ukuthi une-CML. Noma kunjalo, uma uhlangabezana nezinye zalezi zinto ngokuqhubekayo, kufanele uxoxe nodokotela wakho.

Ziyini izinhlobo ze-Chronic Myelogenous Leukemia?

I-CML ihlelwe ezigabeni ezintathu ezahlukene ngokusekelwe ekutheni zingaki izicubu ezingavamile ezikhona egazini lakho nase-bone marrow. Ukuqonda ukuthi ukhona yisiphi isigaba kusiza udokotela wakho ukukhetha indlela yokwelapha ephumelela kakhulu.

Isigaba esiqhubekayo yisigaba sokuqala futhi esilawuleka kalula, lapho izicubu zakho zegazi ezingaphansi kuka-10% zingamaseli abukhali angapheli. Abantu abaningi baqaphela lesi sigaba, futhi ngokwelashwa okufanele, ungagcina impilo enhle iminyaka eminingi. Amanxiwa akho ngalesi sigaba avame ukuba mancane noma angase angabi khona nhlobo.

Isigaba esisheshayo siqala uma amaseli akho egazi angu-10-19% eyi-blast cells, futhi ungase uqale ubone izimpawu ezibonakalayo. Inani lamaseli akho egazi liba nzima ukulawula ngezindlela zokwelapha ezijwayelekile, futhi ungase uzizwe ukhathele kakhulu noma ube nezimpawu ezintsha njengobushushu bomzimba noma ubuhlungu emathanjeni.

Isigaba se-blast, esibizwa nangokuthi i-blast crisis, yisigaba esiphambili kakhulu lapho amaseli akho egazi angu-20% noma ngaphezulu eyi-blast cells. Lesi sigaba sifana ne-leukemia ebukhali futhi sidinga ukwelashwa okukhulu. Izimpawu ziyaqina futhi zingafaka ukutheleleka okukhulu, izinkinga zokopha, noma izinkinga zezinye izitho.

Yini ebangela i-Chronic Myelogenous Leukemia?

I-CML iqala lapho kwenzeka ushintsho oluthile lwe-genetic kumaseli akho egazi, okwenza into ebizwa nge-Philadelphia chromosome. Lokhu akuyona into oyithola kubazali bakho, kodwa kunalokho ushintsho oluqala ekuphileni kwakho emaseleni e-bone marrow yakho.

I-Philadelphia chromosome yakhiwa lapho ama-chromosome amabili (i-chromosome 9 ne-chromosome 22) ephuka futhi ehlukanisa izingxenye. Lokhu kwenza i-gene engavamile ebizwa nge-BCR-ABL, esebenza njengomshini oqengqelekile “ku-on” position, eyalela amaseli ukuba azinciphise ngokungenakulawuleka.

Ngokungafani nezinye izifo ze-cancer, i-CML ayinazizathu ezicacile zemvelo esingazibonisa. Abantu abaningi abathuthukisa i-CML abanazo izinto eziyingozi noma umlando womndeni wesifo. Ushintsho lwe-genetic lubonakala luqala ngokungahleliwe ezimweni eziningi.

Kodwa-ke, ukubhekana namazinga aphezulu kakhulu kweradietion, njengokweqile kwamabhomu enyukliya noma ukwelashwa okuthile kwezokwelapha, kungakhuphula kancane ingozi yakho. Ezinye izifundo zikhomba ukuthi ukubhekana ne-benzene, ikhemikhali etholakala ku-gasoline nasezinqubweni ezithile zezimboni, kungase futhi kuhileleke, yize lobu buhlobo bungabonakali ngokucacile.

Nini okufanele ubona udokotela nge-Chronic Myelogenous Leukemia?

Kufanele uxhumane nodokotela wakho uma uhlushwa yizimpawu ezihlala njalo ezingaphuli ngemva kwamasonto ambalwa, ikakhulu uma unezimpawu eziningi ezivela ndawonye. Nakuba lezi zimpawu zingaba nezizathu eziningi, kubalulekile ukuthi ziqalwe.

Funani usizo lwezokwelapha ngokushesha uma uqaphela ukwehla kwesisindo okungachazeki okungaphezu kwamakhilogremu angu-4.5, ukukhathala okuhlala njalo okuhlupha imisebenzi yakho yansuku zonke, noma ukutheleleka okuvamile okubonakala kuthatha isikhathi eside kunokujwayelekile ukuphulukisa. Ukuhlanza ubusuku okuhlala njalo okunisela izingubo zakho noma imbhede nakho kufanele kuhlolwe yidokotela.

Kufanele ufune ukunakekelwa kwezokwelapha ngokushesha uma uthola izimpawu zezinkinga ezinzima, njengokuphefumula okuthukuthele kakhulu, ubuhlungu besifuba, ubushushu obuphezulu obuhlala njalo, ubuhlungu obukhulu besisu, noma ukuphuza kwegazi okungavamile okungapheli. Lezi zimpawu zingabonisa ukuthi isimo siqhubeka noma sibangela izinkinga.

Ungangabazi ukuthembela ezizweni zakho uma uzizwa sengathi kukhona okungalungile impilo yakho. Ukutholwa kwangaphambi kwesikhathi nokuphathwa kwe-CML kungenza umehluko omkhulu ekubhekeni kwakho kwesikhathi eside nekhwalithi yokuphila.

Iyini imizamo yokusabela ye-Chronic Myelogenous Leukemia?

Abantu abaningi abathuthukisa i-CML abanazo izimbangela eziqondakalayo, okungaba yinto ephazamisayo futhi ecasulayo. Isimo sibonakala sithuthuka ngokungahleliwe ezimweni eziningi, sithinta abantu bazo zonke izigaba zokuphila.

Nazi izimbangela ezaziwayo, nakuba ukuba nazo akusho ukuthi uzophumelela i-CML:

• Iminyaka engaphezu kwengu-50, nakuba i-CML ingaba khona kunoma iyiphi iminyaka
• Ukuba owesilisa (amadoda amancane anethuba lokukhula i-CML kunabesifazane)
• Ukuvezwa kwangaphambili emazingeni aphezulu kakhulu keradiyeshini
• Ukuvezwa okungenzeka ezintweni ezithile ezikhemikhali njengebenzene
• Ukuba nezifo ezithile ze-genetic, nakuba lokhu kuyinto engavamile kakhulu

Kubalulekile ukuqonda ukuthi i-CML ayithwali futhi ayikwazi ukudluliselwa komunye umuntu. Futhi ayibonakali igijima emindenini ezikhathini eziningi, ngakho-ke ukuba nomuntu womndeni onayo i-CML akukhuphuli kakhulu ingozi yakho.

Ushintsho lwe-genetic oluyimbangela ye-CML luqala ezicelisini ze-bone marrow zakho phakathi nokuphila kwakho, hhayi ezicelisini oziizuza kubazali bakho. Lokhu kusho ukuthi ngeke udlulisele i-CML kubantwana bakho, okungaba ukududuza imindeni eminingi ebhekene nalolu cwaningo.

Ziyini izinhlanganisela ezingase zenzeke ze-Chronic Myelogenous Leukemia?

Ngesikhathi i-CML iqhubela phambili kancane futhi abantu abaningi baphila kahle ngokwelashwa okufanele, kuyinto evamile ukukhathazeka ngezingqinamba ezingase zenzeke. Ukuqonda lezi zinto ezingase zenzeke kungakusiza ukuthi uqaphele izimpawu zokuqala futhi usebenze neqembu lakho lokunakekelwa kwezempilo ukuze uzivikele noma uzilawule.

Inkinga ebaluleke kakhulu iwukuthuthuka kwesifo kuya ezinyathelweni eziphambili. Uma i-CML ingalawulwa kahle, ingathuthuka kusuka kwesigaba esiqinile kuya esigabeni esisheshayo bese ekugcineni iye ekuqhakazweni kwe-blast, esebenza ngokufana ne-leukemia ebukhali futhi idinga ukwelashwa okukhulu.

Nawa amanye ama-complications angase aqale:

• Ukungena kwezifo okwandayo ngenxa yokusebenza okungalungile kwe-white blood cell
• Izinkinga zokopha ezivela emazingeni aphansi e-platelet
• I-Anemia ebangela ukukhathala okukhulu nokuqina komoya
• I-spleen enkulu engabangela ubuhlungu besisu noma ukugcwala ngokushesha
• Ubuhlungu lwamathambo eziseleni ze-leukemia ezigcwalisa i-bone marrow
• Izikhathi ezingavamile zezisele ze-leukemia ezisakazekela kwamanye amalungu
• I-cancers yesibili, nakuba lokhu kungavamile
• Izinkinga zenhliziyo ezivela e-anemia ebukhali noma emiphumeleni yecala lokwelashwa

Ngokungavamile, abanye abantu bangase bathuthukise ama-complications evela ekwelashweni ngokwabo, njengokugcinwa kwamanzi, ukubamba kwemisipha, noma ukukhishwa kwesikhumba okuvela emithi ye-targeted therapy. Iqembu lakho lokunakekelwa kwezempilo lizokulandela eduze ngalezi zinkinga futhi lilungise ukwelashwa kwakho njengoba kudingeka.

Izindaba ezinhle ukuthi ngokwelashwa kwamanje, izinhlupheko eziningi zingavikeleka noma ziphathwe kahle. Ukulandelela njalo nokuxhumana okuvulekile neqembu lakho lokunakekelwa kwezempilo kubalulekile ekutholeni nasekulungiseni noma yiziphi izinkinga ekuqaleni.

I-Chronic Myelogenous Leukemia ihlonishwa kanjani?

Ukuxilongwa kwe-CML kuqala ngokuhlolwa kwegazi okubonisa inani leziselo ezimhlophe ezingavamile. Udokotela wakho angase ayalele lezi zivivinyo ngenxa yezimpawu ozibhekana nazo noma njengengxenye yokuhlola impilo okuvamile.

Isinyathelo sokuqala ngokuvamile ukubalwa kwamagazi okuqediwe (CBC), okuqapha izinhlobo ezahlukene zamaseli egazini lakho. Ku-CML, lo viyo ngokuvamile ubonisa inani elikhulu leziselo ezimhlophe, ikakhulukazi ama-neutrophils, futhi kungase kubonise inani eliphansi lamaseli abomvu egazi noma ama-platelet.

Uma ukuhlolwa kwegazi kusikisela i-leukemia, udokotela wakho uzoyala ukuhlolwa okukhethekile ukuqinisekisa ukuxilongwa. I-biopsy yomgogodla wamathambo ihilela ukuthatha isampula encane yomgogodla wamathambo emathanjeni akho ukuze uhlolwe ngaphansi kwesikrini. Nakuba lokhu kungase kuzwakale kungakhululekile, ngokuvamile kwenziwa nge-anesthesia yendawo futhi kuthatha imizuzu embalwa kuphela.

Ivivinyo eliqinisekile le-CML lifuna i-chromosome yasePhiladelphia noma i-BCR-ABL gene. Lokhu kungenziwa ngezindlela eziningi, kufaka phakathi ukuhlaziywa kwe-cytogenetic, i-fluorescence in situ hybridization (FISH), noma ukuhlolwa kwe-polymerase chain reaction (PCR). Lezi zivivinyo aziqinisekisi nje kuphela ukuthi une-CML kodwa futhi zisiza ekuqapheleni ukuthi ukwelashwa kusebenza kangcono kangakanani.

Udokotela wakho angase futhi ayalele ukuhlolwa kwezithombe njenge-CT scans noma ama-ultrasounds ukuhlola usayizi wespleen yakho nama-lymph nodes. Lezi zivivinyo zisiza ekuqondeni ubukhulu besifo futhi ziqondise izinqumo zokwelashwa.

Ukwelashwa kwe-Chronic Myelogenous Leukemia yini?

Ukwelashwa kwe-CML kuguquke kakhulu kule minyaka engamashumi amabili edlule, kwenza lokho okwakuyimpukane enzima ukwelashwa kube yisimo esingalawuleki esiqondile kubantu abaningi. Indlela eyinhloko yokwelapha isebenzisa imithi yokwelapha ehloselwe ukulwa ngqo neprotheni engalungile ebangela i-CML.

Abavimbi be-tyrosine kinase (TKIs) yiyona ndawo ebaluleke kakhulu ekwelapheni i-CML. Le mi thi yokunisela umlomo ivala iprotheni ye-BCR-ABL ehambisa umdlavuza, ivumela u-marrow wakho wamathambo ukuba abuyele ekukhiqizeni igazi eliqondile. I-TKI yokuqala futhi evame kakhulu ukusetshenziswa yi-imatinib (Gleevec), esisize abantu abaningi ukuba bafinyelele izinombolo zegazi eziqondile futhi baphile impilo egcwele.

Nazi izindlela eziyinhloko zokwelapha udokotela wakho angase azincoma:

• I-TKIs yesizukulwane sokuqala njenge-imatinib ye-CML yesigaba esiqondile esisha
• I-TKIs yesizukulwane sesibili njenge-dasatinib noma i-nilotinib uma i-imatinib ingasebenzi
• I-TKIs yesizukulwane sesithathu njenge-ponatinib ezimweni ezinqabile
• Izindlela zokwelapha ezihlanganisiwe zezigaba eziphambili
• Ukuhlinzwa kwe-stem cell ezimweni ezingavamile lapho i-TKIs ingasebenzi
• Ukukhathalela okusekayo ukulawula izimpawu nemiphumela emibi
• Izivivinyo zeklinikhi zezindlela ezintsha zokwelapha

Abantu abaningi baqala ukwelashwa ngokushesha ngemva kokuxilongwa, ngisho noma bengazi nawo, ngoba ukwelashwa kwasekuqaleni kuvimbela ukuqhubeka kwesifo. Umgomo ukufinyelela lokho okuthiwa yi-cytogenetic response ephelele, lapho i-chromosome yasePhiladelphia ingasatholakali ku-marrow wakho wamathambo.

Iqembu lakho lokukhathalela impilo lizoluqapha ukuphendula kwakho ekwelapheni ngokuhlola igazi okuvamile kanye ne-biopsies yamarow amathambo. Abantu abaningi bafinyelela ekuphenduleni okuhle futhi bangagcina izinombolo zegazi eziqondile iminyaka eminingi ngemithi yomlomo yansuku zonke.

Indlela yokuphatha i-Chronic Myelogenous Leukemia ekhaya?

Ukuphatha i-CML ekhaya kuhilela ukuthatha imithi yakho njalo nokusekela impilo yakho yonke ngenkathi uphila nesimo esingapheli. Izindaba ezinhle ukuthi abantu abaningi abane-CML elawulwayo kahle bangagcina nemisebenzi yabo yansuku zonke nemikhuba.

Ukuthatha imithi yakho ye-TKI ngqo njengoba kulotshiwe yiyona into ebaluleke kakhulu ongayenza. Le mithi isebenza kangcono uma ithathwa ngesikhathi esifanayo nsuku zonke, futhi ukwehluleka ukuthatha imithi kungavumela amaseli e-leukemia ukuba azale. Yenza uhlelo olusebenza kuwe, kungaba ukuthatha imithi ekuseni noma ukusebenzisa izikhumbuzo zefoni.

Nazi izindlela ezisebenzayo zokusekela impilo yakho ekhaya:

• Gcina ukudla okunomsoco okunothile izithelo, imifino, namaprotheni ahlanzekile
• Hlala usebenza ngokomzimba ngaphakathi kwamandla akho
• Thola ubuthongo obukhulu nokuphumula uma uyakudinga
• Sebenzisa ukuhlanzeka okuhle ukuvimbela ukutheleleka
• Gwema izixuku ezinkulu noma abantu abagulayo uma isimo sakho sokuvikela umzimba sibuthakathaka
• Hlala uthola amanzi, ikakhulukazi uma ubhekene nemiphumela emibi
• Lawula ukucindezeleka ngezindlela zokuphumula, imisebenzi, noma ukwelulekwa
• Gcina idayari yezimpawu ukuze uqaphele ukuthi uzizwa kanjani

Qaphela imiphumela emibi engase ivela emithini yakho, engase ihlanganise isicanucanu, ukubamba kwemisipha, ukugcinwa kwamanzi, noma isihlungu sesikhumba. Imiphimisa eminingi emibi ingaphathwa ngezindlela ezilula njengokuthatha imithi ngokudla, ukuhlala unamanzi, noma ukusebenzisa imikhiqizo yokunakekela isikhumba ebuthakathaka.

Ungangabazi ukuxhumana neqembu lakho lokunakekelwa kwezempilo uma ubhekene nezimpawu ezinkulu noma uma imiphumela emibi yemithi yakho ithonya ikhwalithi yokuphila kwakho. Ziningi izixazululo ezitholakalayo zokusiza uzizwe kangcono ngenkathi ugcina ukwelashwa okuphumelelayo.

Kufanele ulungiselele kanjani ukubona udokotela wakho?

Ukulungiselela iziqukatho zakho ze-CML kungakusiza ukuthi uthole okuningi ngesikhathi sakho neqembu lakho lokunakekelwa kwezempilo futhi kuqinisekise ukuthi uthola izimpendulo zemibuzo yakho ebalulekile. Ukulungiselela kusenza futhi kunciphisa ukukhathazeka futhi kukunikeza ukulawula okwengeziwe ngokunakekelwa kwakho.

Ngaphambi kwesikhathi sakho sokuqokwa, bhala phansi noma yiziphi izimpawu ozihluphekile, kufaka phakathi ukuthi zaqala nini nokuthi zikuthinta kanjani impilo yakho yansuku zonke. Qaphela noma yiziphi izingozi ezivela emithini yakho, ngisho noma zibonakala zincane, njengoba udokotela wakho angase akwazi ukukusiza ukuthi uzilawule.

Letha uhlu oluphelele lwazo zonke izidakamizwa ozithathayo, kufaka phakathi izidakamizwa ezingaphezu kokuthengiswa, izithasiselo, nemithi yemifino. Ezinye zalezi zingase zihlangane nemithi ye-CML, ngakho-ke udokotela wakho udinga isithombe esiphelele salokho ozithathayo.

Cabanga ukuthi ulethe ilungu lomndeni omethembayo noma umngani emihlanganweni yakho, ikakhulukazi ngezingxoxo ezibalulekile mayelana nokushintsha kokwelashwa noma imiphumela yokuhlola. Bangakusiza ukuba ukhumbule ulwazi futhi banikeze ukusekelwa ngokomzwelo phakathi kwezingxoxo ezinzima.

Lungiselela uhlu lwemibuzo okumele uyibuze udokotela wakho. Lokhu kungafaka imibuzo mayelana nemiphumela yakho yakamuva yokuhlola, noma yikuphi ukushintsha ohlelweni lwakho lokwelashwa, ukuphatha izingozi, noma ukukhathazeka ngokubuka kwakho kwesikhathi eside. Ungakhathazeki ngokubuza imibuzo eminingi kakhulu – iqembu lakho lokunakekelwa kwezempilo lifuna ukukusiza ukuthi uqonde isimo sakho nokwelashwa kwakho.

Iyini into ebaluleke kakhulu mayelana ne-Chronic Myelogenous Leukemia?

Into ebaluleke kakhulu okumele uyiqonde mayelana ne-CML ukuthi uhlobo lwe-leukemia oluphulukiswayo kakhulu, ikakhulukazi uma itholakala esigabeni esiqinile. Nakuba ukwamukela ukuxilongwa komdlavuza kungase kuzwakale kukhulu, i-CML ivame ukubhekwa njengesimo esiphatheka kahle esingapheli kunokuba yisifo esibulalayo.

Izindlela zokwelapha eziqondiswe ngqo zanamuhla ziguqule indlela yokwelapha i-CML, zenza abantu abaningi bakwazi ukuthola izinombolo zegazi ezijwayelekile futhi baphile impilo egcwele, esebenzayo. Abantu abaningi abane-CML baqhubeka besebenza, behamba, futhi belandela imigomo yabo ngenkathi baphatha isimo sabo ngemithi yomlomo yansuku zonke.

Ukuphumelela nge-CML kuncike ekubeni kutholwe ngokushesha, ekwelapheni okuqhubekayo, nasekubuyekezweni okuqhubekayo yiqembu lakho lokunakekelwa kwezempilo. Nakuba uzodinga ukuthatha imithi isikhathi eside futhi uhambe emihlanganweni yokwelapha njalo, abantu abaningi bathola ukuthi bangazenza lezi zidingo futhi bagcine ikhwalithi enhle yempilo.

Khumbula ukuthi isipiliyoni sabo bonke abantu nge-CML sihlukile, futhi iqembu lakho lokunakekelwa kwezempilo lizohlangana nawe ukuze lenze uhlelo lokwelapha oluhambisana nesimo sakho nemigomo yakho. Hlala uhileleke ekunakekelweni kwakho, buza imibuzo uma unayo, futhi ungangabazi ukufuna ukwesekwa uma usikudinga.

Imibuzo evame ukubuzwa mayelana ne-Leukemia ye-Chronic Myelogenous

Ngikwazi yini ukuphila impilo evamile nge-CML?

Yebo, abantu abaningi abane-CML abaphendula kahle ekwelapheni bangaphila impilo evamile, esebenzayo. Abantu abaningi baqhubeka besebenza, behamba, futhi behlanganyela emisebenzini abayithandayo ngenkathi baphatha isimo sabo ngemithi yansuku zonke. Okubalulekile ukuthatha imithi yakho njalo futhi uhlale uxhumana eduze neqembu lakho lokunakekelwa kwezempilo.

Ingabe i-CML iyakwelatshwa?

Nakuba i-CML ivame ukubhekwa njengesimo esingapheli esidinga ukwelashwa okuqhubekayo, abanye abantu baye bafinyelela kulokho okuvela njengokwelashwa okuphumelelayo ngokwelashwa okuqondiswe ngqo. Ingxenye encane yabantu ikwazile ukuyeka ukwelashwa ngenkathi igcina amazinga angabonakali yesifo, nakuba lokhu kufanele kwenziwe kuphela ngaphansi kokunakekelwa okunengqondo kwezokwelapha.

Ubani angaphila isikhathi esingakanani ene-CML?

Ngokwelapho olukhulu, abantu abaningi abane-CML banesikhathi sokuphila esiseduze kwesijwayelekile. Izifundo zibonisa ukuthi abantu abaxilongwe nge-CML yesigaba esiqhubekayo abaphendula kahle ekwelapheni okuqondiswe ngqo bavame ukuphila isikhathi eside njengabantu abangenayo leyo gciwane. Izinga lokuphila iminyaka eyi-10 le-CML yesigaba esiqhubekayo lingaphezu kwe-90% ngokwelapha kwamanje.

Kwenzekani uma ngiyeka ukuthatha imithi yami ye-CML?

Ukuyeka ukuthatha imithi ngezikhathi ezithile ngokuvamile akubi, kodwa ukuyeka ukuthatha imithi njalo kungavumela amakhambi e-leukemia ukuba ande futhi kungenzeka ukuthi athuthukise ukuma kanzima ekwelapheni. Uma uyeka ukuthatha umuthi, uwuthathe ngokushesha nje uma ukhumbula, ngaphandle uma sekusondele isikhathi sokuba uthathe umuthi wakho olandelayo. Ungalokothi uthathe imithi kabili, futhi xhumana neqembu lakho lokunakekelwa kwezempilo uma unezinkinga zokuthatha imithi yakho njalo.

Ingabe i-CML ingabuya emuva kokwelashwa?

I-CML ingabuya uma ukwelashwa kuphelile ngokushesha kakhulu noma uma amakhambi e-leukemia ethuthukisa ukuma kanzima kumuthi. Yingakho abantu abaningi bedinga ukuqhubeka bethatha ukwelashwa kwabo okuqondiswe ngqo isikhathi eside, ngisho noma izivivinyo zegazi zabo zingabonisi zimpawu zesifo. Udokotela wakho uzokugcina uqaphile ngokuhlola igazi njalo ukuze abone noma yiziphi izimpawu zesifo esiphindaphindayo ngokushesha.