Chirwere cheLymphoid Leukemia: chii icho, zviratidzo uye kurapwa

Zvemukati

• LLC Zviratidzo
• Maitiro ekuongororwa kunoitwa
• LLC kurapwa

Chirwere cheLymphoid Leukemia, inozivikanwawo seMicrosoft kana chisingagumi lymphocytic leukemia, rudzi rwe leukemia inoratidzirwa nekuwedzera kwehuwandu hweropa lymphocyte muropa rekumusoro, kuwedzera kuwedzera kwema lymph node, kuonda uye kuneta zvakanyanya, semuenzaniso. .

LLC inowanzoonekwa kubva pazera remakore makumi matanhatu nemashanu, nekuti chirwere ichi chine shanduko inononoka, uye zviratidzo zvinowanzoonekwa kana chirwere chacho chave padanho repamberi. Nekuda kwekunonoka pakuonekwa kwezviratidzo, chirwere ichi chinowanzoonekwa panguva yekuongororwa kweropa, kunyanya kuwanda kweropa, uko kuwedzera kwenhamba yema lymphocyte kunogona kuzivikanwa.

LLC Zviratidzo

Iyo LLC inokura pamusoro pemwedzi kana makore uye, nekudaro, zviratidzo zvinowoneka zvishoma nezvishoma, uye chirwere ichi chinowanzoonekwa kana chatova padanho repamberi. Zviratidzo zvinoratidza izvo LLC ndeizvi:

• Kuwedzera lymph node uye lymph node;
• Kuneta;
• Kufema kwekufema panguva yekuita muviri;
• Kuwedzera kwepleen, inonziwo splenomegaly;
• Hepatomegaly, ndiko kuwedzera kwechiropa;
• Zviripo zvirwere zveganda, weti nemapapu;
• Kuonda.

Sezvo hosha isingaratidzi zviratidzo muchikamu chayo chekutanga, iyo LLC inogona kuzivikanwa mushure mekuita bvunzo dzese, umo kuwedzera kwenhamba yema lymphocyte uye leukocytes kunogona kuonekwa mukuyedzwa kweropa.

Maitiro ekuongororwa kunoitwa

Kuongororwa kweChirwere cheLymphoid Leukemia kunoitwa kubva kuongororwa kwemasero eropa kuburikidza nemhedzisiro yeiyo yakazara huwandu hweropa, iyo inogadzirwa kubva kuongororwa kweropa sampuro. Mune yakazara yakazara ropa yeiyo LLC zvinokwanisika kuziva leukocytosis, kazhinji iri pamusoro pe25,000 masero / mm³ eropa, uye inoramba iine lymphocytosis, kazhinji iri pamusoro pe5000 lymphocyte / mm³ yeropa. Uye zvakare, vamwe varwere vane anemia uye thrombocytopenia, iko kuderera kwehuwandu hwemaplatelet muropa. Tarisa uone izvo machena masero eropa mareferenzi ari.

Zvisinei nekukura, maLymphocyte aripo muropa reropa ari madiki uye haana kusimba uye, nekudaro, panguva yekugadzira iyo smear yeropa vanogona kuputika vobva vapa mimvuri yenyukireya, inonziwo Gumprecht mimvuri, iyo inozotarisirwawo kuzere kuongororwa.

Kunyangwe huwandu hweropa hwakakwana kupedzisa kuongororwa kwechirwere chisingaperi cheLymphocytic leukemia, bvunzo dze immunophenotyping dzakakosha kuti uone kuvapo kwezvimakiti zvinoratidza kuti iri leukemia inoenderana nekupararira kwerudzi B lymphocyte uye kuti isingagumi. Immunophenotyping inoonekwa seyero yegoridhe yekuzivikanwa kwete chete kune iyo LLC asiwo yemamwe marudzi eleukemia.

Mune zvimwe zviitiko, chiremba anogona kukumbira myelogram, inova bvunzo inoitwa kuongorora maseru aripo mumongo wemapfupa, ayo mune iyo LLC ane anopfuura makumi matatu muzana emamymphocyte akakura. Iyi bvunzo, zvisinei, haina kukumbirwa zvakanyanya kuti uongorore chirwere ichi, asi kuti uone kushanduka, kupinda mukati meiyo ma lymphocyte uye kutsanangura kufungidzira. Nzwisisa kuti myelogram inogadzirwa sei.

LLC kurapwa

LLC kurapwa kunoitwa zvinoenderana nedanho rechirwere:

• Njodzi yakaderera: umo mune chete leukocytosis uye lymphocytosis zvinozivikanwa, pasina zvimwe zviratidzo. Nekudaro, chiremba anoperekedza murwere uye hazvidiwe kuita kurapwa;
• Njodzi yepakati: mune iyo lymphocytosis, kuwedzera kwema lymph node uye chiropa kana splenomegaly inosimbiswa, inoda kurapwa kwekutevera kutarisa shanduko yechirwere uye kurapwa ne chemo kana radiotherapy;
• Ngozi huru: mune izvo zvinozivikanwa zviratidzo zveCLL, kuwedzera kune anemia uye thrombocytopenia, uye kurapwa kunofanira kutanga ipapo. Iyo yekurapa yakakurudzirwa zvakanyanya mune ino kesi ndeye bone marrow kuisirwa, uye zvakare zvinodikanwa kuti uite chemo uye radiotherapy.

Pangosvika kuwedzera kwehuwandu hwema lymphocyte muropa reropa kunoonekwa, zvakakosha kuti chiremba aongorore mamiriro ezvinhu emurwere kuitira kuti kuongororwa kweCLL kusimbiswe uye kurapwa kunogona kutanga uye kuwedzera kwechirwere kungadzivirirwe.

Ose maradiotherapy uye chemotherapy anogona kutetepa uye kukanganisa hupenyu hwemunhu. Nekudaro, zvinonakidza kuve nehutano hwakanaka uye hwakaringana kudya kuti uve nemanzwiro ehupenyu hwakanaka uye kurerutsa zviratidzo zvine hukama nemhando idzi dzekurapa. Tarisa uone inotevera vhidhiyo pane akanakisa chikafu kuti ubvise mhedzisiro mhedzisiro yekemotherapy: