Ukuphazanyiswa kwe-hemopoiesis, eqhubeka kancane kancane, futhi iholela ekuqoqeni imizimba emhlophe emnothweni wamathambo, ama-lymph nodes kanye negazi lomzimba kuthiwa yi-chronic lymphocytic leukemia. Lesi yisifo esihamba kancane esithintekayo, esithinta, njengomthetho, abantu abaneminyaka engama-50 kuya kwengu-60. Akudingi njalo ukwelashwa okukhethekile, kodwa kuhilela ukuqapha okuqhubekayo kwe-hematologist.
Izimpawu zengculaza engelapheki i-lymphocytic
Kunezigaba ezintathu zokuqhubekela kwesifo, ngasinye esinezici zayo.
Ekuqaleni, isiteji sokuqala, ukubonakaliswa kwemitholampilo kungekho. Ngezinye izikhathi kukhona ukwanda kwama-lymph nodes ngesikhathi sesifo esithathelwanayo nesandulela ngculazi, ngemva kwalokho ubukhulu babo bubuyela emuva evamile.
Esigabeni esandisiwe kubonakala:
- izifo ezithathelwanayo ezijwayelekile;
- ukunciphisa umsebenzi wokuzivikela;
- ukunyuka okunamandla kwamanqamu emasimini ngesayizi;
- ukuthuthukiswa kwe-anemia;
- ubuthakathaka, ukukhathala;
- ubuhlungu noma ubunzima ngaphansi kwezimbambo ngakwesobunxele, esifundeni sesipula;
- ukulahlekelwa ukudla futhi, ngenxa yalokho, ukulahlekelwa isisindo;
- ukujula ebusuku;
- ukuguga amathambo nobuhlungu emalungeni;
- ukwanda kwesibindi sebindi.
Lesi sigaba se-leukemia ye-lymphocytic sesivele sihilela ukuqokwa kokwelashwa okhethekile.
Isigaba sesithathu, esibulalayo, sibonakala ngokuphulwa okuqinile kwe-hematopoiesis. Ngenxa yalokhu, i-cyanosis nokukhwa kwesikhumba kungenzeka.
Ukuxilongwa kwegazi elingelapheki i-lymphocytic leukemia
Ukuze kuqinisekiswe lesi sifo, ukuhlolwa kwezibalo eziningi kubelwa:
- ukuhlaziywa kwegazi, kufaka phakathi - i-peripheral;
- ukuhlaziywa kwezicubu zomuncu wamathambo;
- I-lymph node biopsy;
- ucwaningo lwe-cytogenetic;
- ukubala inani le-immunoglobulins;
- i-immunophenotyping.
Ukuhlaziywa kwegazi ku-lymphocytic leukemia engapheli kuvumela ukucacisa ukuba khona kwe-thrombocytopenia, i-lymphadenopathy kanye ne-anemia, ukuze uthole umthamo wesisindo somswakama wamathambo enempilo. Ngaphezu kwalokho, lolu cwaningo luyadingeka ekubaleni i-formula leukocyte, ebeka izinga lokuvuthwa kwamaseli.
Ukwelashwa kwe-chronic lymphocytic leukemia
Esikhathini sokuqala, odokotela abahlinzeki noma yikuphi ukwelapha, kodwa bahlola kuphela isiguli ukuhlola ukuqhubeka kwesifo. Ukwelashwa kuyadingeka ezimweni lapho i-leukemia lymphocytic ihambisana nokubonakaliswa okubonakalayo kwemitholampilo.
Uhlelo oluhlanganisiwe:
- ukuthatha imithi ( chemotherapy ), izidakamizwa ezisebenzayo kakhulu yi-Fludara;
- Ukwethulwa kwamagciwane omzimba we-monoclonal ekubunjweni kwe-bioimmunotherapy;
- ukusetshenziswa kwamavithamini kanye nama-microelements.
Ezifweni ezinzima kanye nezixuku ezinkulu ze-tumor, i-chemotherapy enezibalo eziphezulu zezinto ezisebenzayo, ukufakelwa kabusha kwama-stem cells okuqinisekisa ukujwayelekile kwe-hematopoiesis, kanye nokwelashwa kwemisebe kunconywa. Uma i-spleen iye yanda kakhulu, kuzodingeka ukususwa kwayo.
Futhi, kunezindlela eziningi zokwelapha i-chronic lymphocytic leukemia ngamakhambi omuntu. Odokotela bayangabaza mayelana nokwelashwa okuzimele kokwelapha, ngoba kungalimaza umzimba. Iresiphi elandelayo ibhekwa njengendlela ephephile:
- Utshani obusha kanye nezimpande ze-chicory
hlamba, ugaya futhi uphume ijusi. - Thatha isisombululo se-isipuni esingu-1 izikhathi ezintathu ngosuku.
- Gcina umkhiqizo esitsheni sesilazi esiqandisini.
Izibikezelo ze-lymphocytic chronic leukemia
Uma lesi sifo siphuthuka kancane, ngaphandle kokubuyiselwa emuva kanye nezibonakaliso eziphawulekayo, isikhathi sokuphila nesifo esingelapheki i-lymphocytic leukemia sikhulu kakhulu, kusukela eminyakeni engu-8 ukuya kwezingu-10 kusukela ngosuku lokuxilongwa.
Ezimweni lapho i-pathology inamandla kakhulu futhi ihambisane nemibonakaliso eqinile emitholampilo, ukuguquguquka kwe-tumor yamangqamuzana egazi, ukubikezela akuncane kakhulu.