Kupona Mitengo uye Maonero eAptute Lymphocytic Leukemia (ZVESE)
Zvemukati
- Ndeapi matanho ekupona eVOSE?
- Muvana
- Ndezvipi zvinhu zvinokanganisa kupona kwehuwandu?
- Zera rinoita sei pamwero wekupona?
- Mhedzisiro yeIYO mhando yese ine chiyero chekupona?
- Chromosomal zvisizvo
- Mhedzisiro yekurapa ine chekuita nezvekupona mwero?
- Kupararira kweVOSE kune mhedzisiro yei pahuwandu hwekupona?
- Chii chinokosheswa neWBC kuverenga pahuwandu hwekupona?
- Munhu anogona sei kutsungirira uye kutsvaga rutsigiro?
- Tsvaga chirwere
- Svikira kune rako rezvehutano timu
- Funga nezvekurapa kwekuwedzera
- Gadzira nzvimbo yekugovana shamwari neshamwari
Chii chinonzi acute lymphocytic leukemia (ZVESE)?
Acute lymphocytic leukemia (ZVESE) chimiro checancer. Chikamu chimwe nechimwe chezita racho chinokuudza chimwe chinhu nezve gomarara pacharo:
- Acute. Iyo kenza inowanzo kukura-nekukurumidza uye inoda kukurumidza kuongororwa uye kurapwa. Pasina kurapwa, mapfupa emasero haakwanise kukura zvakanaka, uye munhu haazove nehutano hwakakwana, hwakakora mongo. Bone mwongo unotsiviwa neanokurumidza kukura asina kujairika ma lymphocyte.
- Lymphocytic. Gomarara rinokanganisa ma "lymphocyte" emasero machena emunhu (WBCs). Rimwe izwi rinogona kushandiswa ndere lymphoblastic.
- Leukemia. Leukemia ikenza yemasero eropa.
Mhando dzinoverengeka dzeZVO dziripo. Huwandu hwekupona kweZVESE hunoenderana nerudzi rwemunhu.
CHESE kenza yakajairika muhucheche, asi ine huwandu hwakanyanya hwekurapa muvana. Kunyangwe huwandu hwekupona husina kukwirira kana huchiwedzera muvanhu vakuru, vari kuramba vachivandudza.
Ndeapi matanho ekupona eVOSE?
Sangano reNational Cancer Institute (NCI) rinofungidzira vanhu zviuru mazana mashanu nemazana mapfumbamwe nemakumi matanhatu vachatora kuongororwa kweVOSE muUnited States muna 2018. Vanhu vanosvika chiuru nemazana mana nemakumi mana vachafa nechirwere ichi muna2018.
Zvinhu zvinoverengeka zvinogona kuona kupona kwehuwandu, senge zera pakuongororwa uye subtype yeZVESE.
Makore mashanu ekupona muUnited States i68.1 muzana, inoshuma iyo NCI. Zvisinei, idzi nhamba dziri kuwedzera zvishoma nezvishoma. Kubva muna1975 kusvika 1976, makore mashanu ekupona kweese mazera aive pasi pemakumi mana muzana.
Kunyangwe vanhu vazhinji vanogashira kuongororwa kweVOSE vari vana, chikamu chepamusoro chevaAmerican nevose vanofa vari pakati pemakore makumi matanhatu nematanhatu nematanhatu.
Pakati pese, vangangoita makumi mana muzana yevakuru vane VOSE vanoonekwa sevanorapwa pane imwe nguva panguva yekurapwa kwavo, inofungidzira American Cancer Society. Zvisinei, aya marapirwo emitengo anoenderana nezvakasiyana zvinhu, senge chikamu cheZVO uye zera pakuongororwa.
Munhu "anorapwa" ZVESE kana vari mukuregererwa kwakazara kana zvimwe. Asi nekuti pane mukana wekuti gomarara ridzoke, vanachiremba havagone kutaura zvine chokwadi chezana kuti munhu arapwa. Zvanyanya zvavanogona kutaura ndezvekuti kana pane zviratidzo zvegomarara panguva iyoyo.
Muvana
Sekureva kweNCI, makore mashanu ekupona kwevana veAmerica neZVO zvese aripo. Izvi zvinoreva kuti 85 muzana yevaAmerica vanehudiki VOSE vanorarama makore angangoita mashanu mushure mekugashira chirwere nekenza.
Kupona kwehuwandu hweZVESE, kunyanya zvevana, zvinoramba zvichivandudza nekufamba kwenguva sekurapwa kutsva.
Vanachiremba vanogona kufunga vazhinji veava vana kuti vapore kubva kugomarara ravo kana vanga vari mukuregererwa kwakakwana kweanopfuura makore mashanu. Kuregererwa zvinoreva kuti pane zvakadzikira zviratidzo nezviratidzo zvegomarara.
Kuregererwa kunogona kukwana kana kukwana. Mukuregererwa kwakazara, iwe hauna zviratidzo nezviratidzo zvegomarara. ZVESE zvinogona kudzoka zvichitevera kuregererwa, asi kurapwa kunogona kutanga zvakare.
Iyo NCI inotaura kuti pakati pevana veAmerica vane VOSE, inofungidzirwa kuwana kuregererwa. Kuregererwa zvinoreva kuti mwana haana chero zviratidzo kana zviratidzo zvechimiro uye masero eropa ari mukati memiganhu yakajairwa.
Ndezvipi zvinhu zvinokanganisa kupona kwehuwandu?
Zvinhu zvinoverengeka zvinogona kukanganisa kupona kwemunhu zvichitevera kuongororwa KWESE, senge zera remunhu kana kuverenga kweWBC panguva yekuongororwa. Vanachiremba vanofunga chimwe nechimwe chezvinhu izvi kana vachipa maonero emunhu.
Zvisinei, zvakakosha kuyeuka kuti maonero aya ndeyechiremba kufungidzira kwekupona kupihwa ruzivo rwekuongorora rwavanarwo.
Zera rinoita sei pamwero wekupona?
Sekureva kweNCI, zvimwe zvidzidzo zvakaona kuti vanhu vane mukana wakanaka wekupona kana vaine makore makumi matatu nemashanu kana pasi. Kazhinji, vakuru vakura vane ALL vanowanzove nehurombo maonero pane vechidiki.
Vana vanoonekwa sevari pamusoro penjodzi kana vapfuura makore gumi.
Mhedzisiro yeIYO mhando yese ine chiyero chekupona?
Vanhu vane maseru subtypes, anosanganisira pre-B, zvakajairika, kana kutanga pre-B, vanowanzoonekwa sevane mukana wekupona zvirinani pane avo vane B-cell yakakura (Burkitt) leukemia.
Chromosomal zvisizvo
Mhando dzakasiyana dzakasiyana dzeZVO dziripo. Magomarara anokonzera ZVESE anogona kugadzira shanduko dzakasiyana kumakromosomes emunhu. Chiremba anonzi pathologist anoongorora maseru ane cancer pasi pe microscope.
Mhando dzakasiyana dzakasiyana dzekromosomal zvisizvo zvinosanganiswa nehurombo maonero. Izvi zvinosanganisira:
- Ph1-positive t (9; 22) zvisizvo
- BCR / ABL-yakagadzirisazve leukemia
- t (4; 11)
- kubviswa kwechromosome 7
- trisomy 8
Kana chiremba wako akaita CHIRATIDZO CHESE, ivo vanokuudza iwe rudzii rweeukemia maseru auinayo.
Mhedzisiro yekurapa ine chekuita nezvekupona mwero?
Vanhu vanopindura nekukurumidza kurapwa kune VOSE vanogona kuve nemaonero ari nani.Kana zvichitora nguva yakareba kuti uwane kuregererwa, maonero acho kazhinji haana kunaka.
Kana kurapwa kwemunhu kuchitora nguva inopfuura vhiki ina kuti ipinde mukuregererwa, izvi zvinogona kukanganisa maonero avo.
Kupararira kweVOSE kune mhedzisiro yei pahuwandu hwekupona?
ZVESE zvinogona kupararira kune cerebral spinal fluid (CSF) mumuviri. Izvo zvakanyanya kupararira kune nhengo dziri pedyo, kusanganisira CSF, murombo maonero.
Chii chinokosheswa neWBC kuverenga pahuwandu hwekupona?
Avo vane yakakwira kwazvo WBC kuverenga pakuongororwa (kazhinji kwakakwirira kupfuura zviuru makumi mashanu kusvika zviuru zana) vane maonero ehurombo.
Munhu anogona sei kutsungirira uye kutsvaga rutsigiro?
Kunzwa chiremba achikuudza kuti une kenza hakumbofi kwakareruka. Nekudaro, mhando zhinji dzeZVESE dzinorapika zvakanyanya. Paunenge uchirapwa, kune nzira dzakawanda dzekutsigira dziripo kuti dzibatsire iwe parwendo urwu.
Dzimwe dzenzira dzaungashandisa dzakanyorwa pazasi:
Tsvaga chirwere
Kudzidza zvakawanda kubva kumasangano anoremekedzwa, akanyatso tsvagiswa anogona kukubatsira iwe kuva neruzivo sezvinobvira nezve mamiriro ako uye hanya.
Mienzaniso yezvakanaka zviwanikwa inosanganisira:
- Leukemia & Lymphoma Sosaiti
- American Cancer Society
Svikira kune rako rezvehutano timu
Kenza kurapwa kazhinji kunosanganisira nzira yeboka kune yako yekutarisira. Nzvimbo zhinji dzekenza dzine vanofamba nekenza vanogona kukuisa mukubata nezviwanikwa nerutsigiro.
Vazhinji vashandi vehutano vanogona kukutsigira iwe kana mudiwa. Zvinosanganisira:
- varapi vepfungwa
- vashandi vezvemagariro
- dietitians
- nyanzvi dzehupenyu hwevana
- nyaya mamaneja
- vafundisi
Funga nezvekurapa kwekuwedzera
Kurapa kunosimudzira kutandara uye kushushikana kwekushushikana kunogona kutsigira kurapa kwako. Mienzaniso inogona kusanganisira kukwiza muviri kana kugadzirira.
Nguva dzose taura nachiremba wako usati watanga chero marapirwo ekuwedzera akadai semakwenzi, mavitamini, kana chikafu chakakosha.
Gadzira nzvimbo yekugovana shamwari neshamwari
Iwe ungango sangana nevanhu vazhinji vangade kuda kubatsira kana kugashira matsva ekuti urikuita sei pakurapa kwako kwese.
Kana iwe wakavhurika kuti ugovane izvi zvidzoreso, funga mapeji ewebhu akadai seCaring Bridge. Kune shamwari dzinoda kubatsira, pane zviwanikwa senge Chidyo Chitima. Iyo inobvumira shamwari kusaina kunyorera kwekudya.
Izvo zvakakosha kuti urangarire kune dzakawanda shamwari, nhengo dzemhuri, uye masangano anoshuvira kukubatsira iwe mukurapa kwako uye kupora kubva kune VOSE.