Amanani okusinda kanye ne-Outlook ye-Acute Lymphocytic Leukemia (BONKE)

-Delile

• Ayini amazinga okusinda KONKE?
• Ezinganeni
• Yiziphi izinto ezithonya izinga lokusinda?
• Ubudala bunamuphi umphumela ezingeni lokusinda?
• LONKE uhlobo lunamuphi umphumela kuzinga lokusinda?
• Ukungajwayelekile kwe-Chromosomal
• Impendulo yokwelashwa inamuphi umphumela ezingeni lokusinda?
• Ukusabalala KONKE kunamuphi umphumela ezingeni lokusinda?
• Isibalo se-WBC sinamuphi umphumela kuzinga lokusinda?
• Umuntu angabhekana kanjani nesimo futhi afune ukusekelwa?
• Cwaninga lesi sifo
• Finyelela kuthimba lakho lokunakekelwa kwezempilo
• Cabanga ngemithi yokwengeza
• Dala iphuzu lokwabelana labangane nabathandekayo

Iyini i-acute lymphocytic leukemia (BONKE)?

I-acute lymphocytic leukemia (YONKE) uhlobo lomdlavuza. Ingxenye ngayinye yegama layo ikutshela okuthile ngomdlavuza uqobo:

• Kuyiqiniso. Umdlavuza uvame ukukhula ngokushesha futhi udinga ukutholwa nokwelashwa kusenesikhathi. Ngaphandle kokwelashwa, amangqamuzana omnkantsha wethambo awakwazi ukuvuthwa kahle, futhi umuntu ngeke abe nomnkantsha wethambo ovuthiwe ngokwanele. Umnkantsha wamathambo uthathelwa indawo ama-lymphocyte akhula ngokushesha angajwayelekile.
• I-Lymphocytic. Umdlavuza uthinta ama-lymphocyte amangqamuzana amhlophe egazi lomuntu (ama-WBCs). Elinye igama elingasetshenziswa yi-lymphoblastic.
• Umdlavuza wegazi. Umdlavuza wegazi ngumdlavuza wamaseli egazi.

Izinhlobo eziningi ZONKE zikhona. Amanani okusinda WONKE ancike ekutheni umuntu unhloboni.

WONKE umdlavuza wezingane ovame kakhulu, kodwa unamazinga aphezulu okwelashwa ezinganeni. Yize amazinga okusinda engekho phezulu uma ekhula kubantu abadala, aya ngokuya ethuthuka.

Ayini amazinga okusinda KONKE?

INational Cancer Institute (NCI) ilinganisela ukuthi bangu-5 960 abantu abazothola ukuxilongwa KONKE e-United States ngo-2018. Balinganiselwa ku-1,470 abantu abazobulawa yilesi sifo ngo-2018.

Izici eziningana zinganquma amazinga okusinda, njengobudala ekuxilongweni nasezingeni elincane LONKE.

Izinga lokusinda kweminyaka emihlanu e-United States lingamaphesenti angama-68.1, kubika i-NCI. Kodwa-ke, lezi zinombolo ziyathuthuka kancane kancane. Kusukela ngo-1975 kuya ku-1976, isilinganiso seminyaka emihlanu sokusinda kuyo yonke iminyaka singaphansi kwamaphesenti angama-40.

Yize iningi labantu elithola ukuxilongwa KONKE liyizingane, amaphesenti aphakeme kakhulu aseMelika anabo BONKE abadlulayo aphakathi kweminyaka engama-65 nengama-74.

Ngokuvamile, cishe amaphesenti angama-40 abantu abadala abanabo BONKE babhekwa njengabaphulukisiwe ngesikhathi esithile lapho belashwa, kulinganiselwa i-American Cancer Society. Kodwa-ke, lawa mazinga okwelashwa ancike ezintweni ezahlukahlukene, njenge-subtype yabo BONKE kanye nobudala ekuxilongweni.

Umuntu "uphulukiswa" BONKE uma ekhululiwe ngokuphelele noma ngaphezulu. Kodwa ngoba kunethuba lokuthi umdlavuza ubuye, odokotela abakwazi ukusho ngokuqiniseka okungamaphesenti ayi-100 ukuthi umuntu uyelapheka. Abangakusho kakhulu ukuthi zikhona noma cha izimpawu zomdlavuza ngaleso sikhathi.

Ezinganeni

Ngokusho kwe-NCI, izinga lokusinda leminyaka emihlanu lezingane zaseMelika ezinabo BONKE seliseduze. Lokhu kusho ukuthi amaphesenti angama-85 abantu baseMelika abanobuntwana BONKE baphila okungenani iminyaka emihlanu ngemuva kokuthola ukuxilongwa ngomdlavuza.

Izinga lokusinda KONKE, ikakhulukazi ezinganeni, liyaqhubeka nokwenza ngcono ngokuhamba kwesikhathi njengoba kwenziwa ukwelashwa okusha.

Odokotela bangabheka eziningi zalezi zingane ukuthi zelashwe umdlavuza wazo uma ngabe sezikhululwe ngokuphelele isikhathi esingaphezu kweminyaka emihlanu. Ukuxolelwa kusho ukuthi kunezibonakaliso nezimpawu ezinciphile zomdlavuza.

Ukuthethelelwa kungaba okuyingxenye noma okuphelele. Ekuxolelweni okuphelele, awunazo izimpawu nezimpawu zomdlavuza. BONKE bangabuya kulandela ukuxolelwa, kepha ukwelashwa kungaqala futhi.

I-NCI ithi phakathi kwezingane zaseMelika ezinazo ZONKE, kulinganiselwa ukuthi kufinyelela ukuxolelwa. Ukukhululwa kusho ukuthi ingane ayinazo izimpawu noma izimpawu zalesi simo futhi ukubalwa kwamaseli egazi kungaphakathi kwemikhawulo ejwayelekile.

Yiziphi izinto ezithonya izinga lokusinda?

Ziningi izinto ezingathinta izinga lokusinda komuntu kulandela konke UKUTHOLAKALA, okufana nobudala bomuntu noma ukubalwa kwe-WBC ngesikhathi sokuxilongwa. Odokotela babheka ngasinye salezi zici lapho behlinzeka umbono womuntu.

Kodwa-ke, kubalulekile ukukhumbula ukuthi lo mbono ukulinganisa kukadokotela ukusinda kunikezwe imininingwane yokuxilonga abanayo njengamanje.

Ubudala bunamuphi umphumela ezingeni lokusinda?

Ngokusho kwe-NCI, ezinye izifundo zithole ukuthi abantu banethuba elingcono lokusinda uma beneminyaka engama-35 noma ngaphansi. Ngokuvamile, abantu abadala asebekhulile abanabo BONKE bayoba nombono ompofu kunabantu abasha.

Izingane zibhekwa njengengozi ephezulu uma zingaphezu kweminyaka engu-10.

LONKE uhlobo lunamuphi umphumela kuzinga lokusinda?

Abantu abane-subtypes yamaseli, kufaka phakathi i-pre-B, ejwayelekile, noma i-pre-B yokuqala, ngokuvamile babhekwa njengamathuba angcono okusinda kunalawo ane-leukemia evuthiwe ye-B-cell (Burkitt).

Ukungajwayelekile kwe-Chromosomal

Izinhlobo eziningi ezahlukene ZONKE zikhona. Umdlavuza obangela KONKE ungadala ushintsho oluhlukile kuma-chromosomes womuntu. Udokotela obizwa nge-pathologist uzohlola amangqamuzana anomdlavuza ngaphansi kwesibonakhulu.

Izinhlobo ezahlukahlukene zokungajwayelekile kwe-chromosomal zihlotshaniswa nombono ompofu. Lokhu kufaka phakathi:

• Ukungajwayelekile kwe-Ph1-positive t (9; 22)
• I-leukemia ehlelwe kabusha yi-BCR / ABL
• t (4; 11)
• ukususwa kwe-chromosome 7
• i-trisomy 8

Uma udokotela wakho enza ukuxilongwa KONKE, bazokutshela ukuthi unhloboni yamaseli we-leukemia onawo.

Impendulo yokwelashwa inamuphi umphumela ezingeni lokusinda?

Abantu abasabela ngokushesha ekwelashweni kwabo BONKE bangaba nombono ongcono. Uma kuthatha isikhathi eside ukufinyelela ekuxolelweni, umbono ngokuvamile awumuhle.

Uma ukwelashwa komuntu kuthatha isikhathi esingaphezu kwamasonto amane ukungena ekuxolelweni, lokhu kungathinta umbono wabo.

Ukusabalala KONKE kunamuphi umphumela ezingeni lokusinda?

KONKE kungasakazeka ku-cerebral spinal fluid (CSF) emzimbeni. Kukhula ukusakazeka kwezitho eziseduze, kufaka phakathi i-CSF, umbono ompofu kakhulu.

Isibalo se-WBC sinamuphi umphumela kuzinga lokusinda?

Labo abanesibalo esiphakeme kakhulu se-WBC ekuxilongweni (imvamisa ephakeme kune-50,000 kuya ku-100,000) banombono ompofu.

Umuntu angabhekana kanjani nesimo futhi afune ukusekelwa?

Ukuzwa udokotela ekutshela ukuthi unomdlavuza akulula neze. Kodwa-ke, izinhlobo eziningi ZONKE ziyelapheka kakhulu. Ngenkathi uthola ukwelashwa, kunezindlela eziningi zokusekelwa ezitholakalayo ukukusiza kulolu hambo.

Ezinye zezindlela ongazisebenzisa zibhalwe ngezansi:

Cwaninga lesi sifo

Ukufunda okuningi ezinhlanganweni ezihlonishwayo, ezicwaningwe kahle kungakusiza ukuba ube nolwazi ngangokunokwenzeka ngesimo sakho nokunakekelwa kwakho.

Izibonelo zezinsizakusebenza ezinhle zifaka:

• Umdlavuza Wegazi & Lymphoma Society
• I-American Cancer Society

Finyelela kuthimba lakho lokunakekelwa kwezempilo

Ukwelashwa komdlavuza kuvame ukufaka indlela yeqembu ekunakekelweni kwakho. Izindawo eziningi zomdlavuza zinama-navigator womdlavuza angakuxhumanisa nezinsiza nokusekelwa.

Ochwepheshe abaningi bezempilo bangakusekela noma bathandane. Kubandakanya:

• odokotela bengqondo
• abasebenzi bezenhlalakahle
• izazi zokudla
• ongoti bempilo yezingane
• abaphathi bamacala
• abefundisi

Cabanga ngemithi yokwengeza

Ukwelashwa okukhuthaza ukuphumula nokukhululeka kwengcindezi kungakusiza ekwelashweni kwakho. Izibonelo zingafaka ukubhucungwa umzimba noma ukutshopa.

Njalo khuluma nodokotela wakho ngaphambi kokuqala noma yikuphi ukwelashwa okuhambisanayo njengamakhambi, amavithamini, noma ukudla okhethekile.

Dala iphuzu lokwabelana labangane nabathandekayo

Kungenzeka uhlangane nabantu abaningi abangathanda ukusiza noma ukuthola izibuyekezo zokuthi uqhuba kanjani kulo lonke unyango lwakho.

Uma uvulekele ukwabelana ngalezi zibuyekezo, cabanga ngamakhasi ewebhu anjenge-Caring Bridge. Kubangani abafuna ukusiza, kunezinsizakusebenza ezinjengeMeyal Train. Ivumela abangani ukuthi babhalisele ukulethwa kokudla.

Kubalulekile ukukhumbula ukuthi kunabangani abaningi, amalungu omndeni, nezinhlangano ezifisa ukukusiza ekwelashweni nasekululameni kwakho KONKE.