Ʋumenugbagbeviɣidɔ Gɔmesese: Nukae wònye, eye ɖe wòle be nàtsi dzi? | Nirogi Lanka ƒe agbalẽ

Gɔmesese le eŋu be nya “ Ʋumenugbagbeviɣidɔ ” sese ate ŋu ado vɔvɔ̃ na ame. Enye nusi sɔ le dzɔdzɔme nu kura be nàtsi dzimaɖi ne míedze ŋgɔ nya mawo. Gake nusi tututu wònye, nusita wòdzɔna, dzesi siwo le eŋu, kple be atikewɔmɔnu nyuiwo li gɔmesese ate ŋu akpe ɖe ŋuwò ŋutɔ be vɔvɔ̃ mawo dzi naɖe akpɔtɔ. Le Nirogi Lanka la, míedi be míaƒo nu tso kansa sia si do ƒome kple ʋu ŋu le mɔ bɔbɔe aɖe si woate ŋu agblɔ nu—abe alesi xɔ̃wò alo ƒometɔ aɖe ɖe eme na wò ene.

Nukae nye Ʋumenugbagbeviɣidɔ?

Kpuie ko la, ʋumenugbagbeviɣidɔ nye ʋu me kansa . Dɔwɔƒe vevitɔ si wowɔa ʋu le wò ŋutilã me enye wò ƒumeŋuɖui . Le "dɔwɔƒe" sia me la, wò ŋutilã dzea ʋumenugbagbevi siwo mesɔ o wɔwɔ gɔme—vevietɔ ʋumenugbagbevi ɣi siwo metsi o—si dzi womate ŋu aɖu o. Woɖe nya “ʋumenugbagbeviɣidɔ” tso Helagbe me nya siwo wozãna na “yevu” (leukos) kple “ʋu” (haima) me.

To vovo na kansa bubu geɖe la , zi geɖe la, ʋumenugbagbeviɣidɔ mewɔa nu sesẽ alo (dɔdzẽ) si nàkpɔ le X-ray ( X-ray ) alo CT scan ( CT scan ) me o.

Ʋumenugbagbeviɣidɔ ƒomevi vovovowo li. Ðewo bɔ ɖe ɖeviwo me wu, evɔ bubuwo ya bɔ ɖe ame tsitsiwo me wu. Wonɔa te ɖe ʋumenugbagbeviɣidɔ ƒomevi tɔxɛ si nèxɔ, ƒe si nèxɔ, kple wò lãmesẽ ƒe nɔnɔme bliboa dzi wɔa atikewɔwɔ ŋuti nyametsotsowo ŋutɔ.

Aleke ʋumenugbagbeviɣidɔ dzɔnae?

Ʋumenugbagbeviɣidɔ dzea egɔme tso wò ƒumeŋuɖui , si nye lãkusi falɛfalɛ si le abe ƒumebɔbɔ ene si le wò ƒuwo me la me. Afi siae wò ŋutilã wɔa ʋumenugbagbeviwo le. Lãmenugbagbevi siawo toa afɔɖeɖe geɖe me hafi va tsina bliboe. Ʋu si le lãmesẽ me nye ʋu ƒomevi vevi etɔ̃:

• Ʋumenugbagbevi dzĩwo : Esiawo tsɔa ɔksidzin kple nunyiame vevi bubuwo yia wò ŋutilã katã me.
• Ʋumenugbagbevi ɣiwo : Esiawoe nye wò dɔlélenutsiŋutete ƒe ametakpɔha, si wɔa avu kple dɔlékuiwo.
• Ʋumenugbagbevi dzĩwo : Esiawo kpena ɖe ŋuwò be wò ʋu natsi ne èxɔ abi.

Lãmenugbagbevi siawo katã dzɔ tso ʋumenugbagbevi dzĩwo me. Lãmenugbagbevi siawo ƒe alɔdzewo zua mɔ eve: myeloid cells kple lymphoid cells. Ne wotsi le mɔ si sɔ nu la, wozua:

• Myeloid cells : Nusiwo wɔa ʋumenugbagbevi dzĩwo, ʋumenugbagbevi dzĩwo, kple ʋumenugbagbevi ɣi aɖewo (Basophils, Eosinophils , kple Neutrophils).
• Lymphoid cells : Nusiwo wɔa ʋumenugbagbevi ɣi bubuwo (Lymphocytes kple Natural killer cells).

Le amesi ŋu ʋumenugbagbeviɣidɔ le gome la, lãmenugbagbevi siawo siwo le tsitsim dometɔ ɖeka dzea mama gɔme kabakaba eye womate ŋu aɖu wo dzi o . Míeyɔa esiawo be “ʋumenugbagbeviɣidɔlékuiwo.” Woyɔa ƒumeŋuɖui me fũ, eye womegblẽa teƒe aɖeke ɖi na ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, alo ʋumenugbagbevi dzĩ siwo le lãmesẽ me o.

Aleke ʋumenugbagbeviɣidɔ gblẽa nu le wò ŋutilã ŋui?

Ne ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo xɔ lãmenugbagbevi siwo le lãmesẽ me dzi la, kuxi geɖe doa mo ɖa:

• Ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo mewɔa dɔ vevi siwo lãmenugbagbevi siwo le lãmesẽ me wɔna o.
• Esi ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo yɔa ƒumeŋuɖui me ta la, lãmenugbagbevi siwo le lãmesẽ me mate ŋu atsi alo atsi nyuie o .
• Esia wɔe be wò ŋutilã mete ŋu wɔa lãmenugbagbevi dzĩwo, lãmenugbagbevi ɣiwo, alo ʋumenugbagbevi dzĩ siwo wɔa dɔ nyuie o.
• Eyata ɖewohĩ wò ŋutinuwo kple lãkusiwo maxɔ ɔksidzin si sɔ o. Tsɔ kpe ɖe eŋu la, wò ŋutilã megate ŋu wɔa avu kple dɔlékuiwo alo ʋu ʋu nyuie ne èxɔ abi o.

Ʋumenugbagbeviɣidɔ ƒomevi vevi kawoe?

Zi geɖe la, wodaa ʋumenugbagbeviɣidɔ ɖe hatsotsowo me le alesi wòyi ŋgɔe kabakaba kple lãmenugbagbevi (myeloid alo lymphoid) si ŋu wògblẽa nu le nu.

To dɔlélea ƒe ŋgɔyiyi kabakaba me

• Ʋumenugbagbeviɣidɔ sesẽ : Le ƒomevi sia me la, ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo dzina ɖe edzi kabakaba ŋutɔ, si wɔnɛ be dɔlélea yia ŋgɔ kabakaba. Àte ŋu adze dɔmawɔmawɔ gɔme le kwasiɖa ʋɛ aɖewo megbe. Esia nye atikewɔwɔ kpata si hiã be woawɔ atike nɛ enumake. Enye kansa ƒomevi si bɔ ɖe ɖeviwo me wu.
• Ʋumenugbagbeviɣidɔ si nɔa anyi didi : Le ƒomevi sia me la, lãmenugbagbevi aɖewo metsi o gake bubuwo ya wɔa nu abe lãmenugbagbevi tsitsiwo ene wu. Woate ŋu awɔ dɔ aɖewo, togbɔ be womawɔ dɔ nyuie abe lãmenugbagbevi siwo le lãmesẽ me ene o hã. Dɔléle sia yia ŋgɔ blewu wu ʋumenugbagbeviɣidɔ sesẽ. Àte ŋu anɔ agbe ƒe geɖe evɔ màkpɔ dzesi ɖedzesi aɖeke o. Esia bɔ ɖe ame tsitsiwo me wu ɖeviwo.

Le lãmenugbagbevi ƒomevi nu

• Myelogenous alo Myeloid leukemia : Egblẽa nu le myeloid cells, siwo ƒe dɔe nye be wowɔa ʋumenugbagbevi dzĩwo, ʋumenugbagbevi dzĩwo, kple ʋumenugbagbevi ɣi aɖewo ŋu.
• Lãmetsiŋusẽ ƒe ʋumenugbagbeviɣidɔ : Egblẽa nu le ʋumenugbagbevi dzĩwo ŋu, siwo le vevie na wò dɔlélenutsiŋutete.

Ʋumenugbagbeviɣidɔ ƒomevi vevi ene

Ne wotsɔ hatsotso siawo ƒo ƒui la, ƒomevi vevi enee li:

1. Acute Lymphocytic Leukemia (ALL) : Eƒe ƒomevi si bɔ wu le ɖeviwo kple sɔhɛ tsitsiwo me (vaseɖe ƒe 39), togbɔ be ate ŋu adze ƒe ɖesiaɖe dzi hã.

2. Acute Myelogenous Leukemia (AML) : Dɔléle sesẽ ƒomevi si bɔ wu le ame tsitsiwo me, vevietɔ amesiwo xɔ wu ƒe 65, togbɔ be ate ŋu adzɔ le ɖeviwo hã me hã.

3. Chronic Lymphocytic Leukemia (CLL) : Dɔléle si nɔa anyi didi si bɔ wu le ame tsitsiwo me (vevietɔ amesiwo xɔ wu ƒe 65). Ate ŋu axɔ ƒe geɖe hafi dzesiawo nadze.

4. Chronic Myelogenous Leukemia (CML) : Ebɔ ɖe ame tsitsiwo me wu (vevietɔ wu ƒe 65), togbɔ be ate ŋu adzɔ le ame tsitsi ɖesiaɖe gome hã. Ƒã hafi wòdzɔna le ɖeviwo me eye ate ŋu axɔ ƒe geɖe hafi dzesiawo nadze.

Aleke gbegbee ʋumenugbagbeviɣidɔ bɔe?

Akɔntabubuwo ɖee fia be ʋumenugbagbeviɣidɔ le kansa ewo siwo bɔ wu dome. Togbɔ be amesiame ate ŋu axɔe hã la, ƒuƒoƒo aɖewo dzea ŋgɔ afɔku si lolo wu:

• Ame siwo xɔ tso ƒe 65 va ɖo ƒe 74.
• Ŋutsuwo.
• To aɖewo me tɔwo.

Ame geɖe xɔe se be ɖeviwo ƒe dɔléle koe ʋumenugbagbeviɣidɔ nye. Gake le nyateƒe me la, ƒomevi akpa gãtɔ bɔ ɖe ame tsitsiwo me wu. Togbɔ be ʋumenugbagbeviɣidɔ mebɔ ɖe ɖeviwo me o hã la, egakpɔtɔ nye kansa si wokpɔna wu le ɖeviwo kple sɔhɛ tsitsiwo me.

Nukawoe nye ʋumenugbagbeviɣidɔ ƒe dzesiwo?

Ʋumenugbagbeviɣidɔ ƒe dzesiwo nɔ te ɖe ƒomevi si koŋ le ŋuwò dzi. Le kpɔɖeŋu me, ne ʋumenugbagbeviɣidɔ si nɔa anyi didi le ŋuwò la, ɖewohĩ màkpɔ dzesi ɖedzesiwo le eƒe gɔmedzedze o.

Ʋumenugbagbeviɣidɔ ƒe dzesi kple dzesi siwo bɔ dometɔ aɖewoe nye esi:

• Ðeɖiteameŋu atraɖii alo sese le eɖokui me be ɖeɖi te ye ŋu bɔbɔe.
• Asrã alo fifia le zã me .
• Dɔlékuiwo xɔxɔ enuenu .
• Yagbɔgbɔ kpuie .
• Ŋutilã si ƒe ŋutigbalẽ le ɣie .
• Kpekpeme dzi ɖeɖe kpɔtɔ si womeɖe o .
• Ƒu alo ƒunukpeƒewo ƒe vevesese alo vevesese ne woka asi eŋu.
• Vevesese alo yɔyɔ ƒe seselelãme le wò miame akɔta te.
• Lãmetsiŋusẽ siwo vuvu le wò kɔ, abɔta, alo akɔta, alo dɔgbo alo aklã si lolo.
• Easy bruising and bleeding , abe ŋɔti me ʋu, aɖu siwo me ʋu le dodom le, teƒe dzĩ suesuesue siwo le wò ŋutigbalẽ ŋu (petechiae), alo teƒe siwo ƒe amadede nye aŋutiɖiɖi/yibɔ siwo womeɖe o.

Ne dzesi siawo dometɔ aɖe le ŋuwò la, mefia kokoko be ʋumenugbagbeviɣidɔ le ŋuwò o. Gake ne dzesi siawo le fu ɖem na wò la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ be wòada wò kpɔ.

Nukae hea ʋumenugbagbeviɣidɔ vɛ?

Zi geɖe la, ʋumenugbagbeviɣidɔ dzea egɔme kple domenyiŋusẽfianu ƒe tɔtrɔ le lãmenugbagbevi ɖeka si le wò ƒumeŋuɖui me ƒe DNA me. DNA wɔa dɔ abe mɔfiamewo ene, eye wògblɔa ɣeyiɣi si lãmenugbagbevi aɖe tsi, alesi wòawɔ dɔe, kple ɣeyiɣi si wòaku.

Le tɔtrɔ sia ta la, ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo tea dzidziɖedzi le mɔ si dzi womate ŋu aɖu o nu. Lãmenugbagbevi ɖesiaɖe si wowɔ tso lãmenugbagbevi gbãtɔ ma si wogbugbɔ trɔ me la atsɔ DNA si mesɔ o ma ke.

Togbɔ be dzɔdzɔmeŋutinunyalawo menya nusita tututu domenyiŋusẽfianu siawo dzɔna haɖe o hã la, wode dzesi tɔtrɔ aɖewo siwo bɔ siwo do ƒome kple ʋumenugbagbeviɣidɔ ƒomevi vovovowo.

Amekawoe le afɔku gã me be woaxɔ ʋumenugbagbeviɣidɔ?

Amesiame ate ŋu axɔ ʋumenugbagbeviɣidɔ, gake numekukuwo ɖee fia be nu aɖewo ate ŋu ana wò afɔkua nadzi ɖe edzi, siwo dometɔ aɖewoe nye:

• Kansa dada do ŋgɔ : Ne èxɔ atikewo abe keklẽŋusẽdɔdamɔnu alo atikewɔmɔnu ene va yi la, àte ŋu axɔ ʋumenugbagbeviɣidɔ ƒomevi aɖewo.
• Atamanono : Ne ènoa atama alo nèdoa go atamanono la, afɔku si le eme be nàxɔ ʋumenugbagbeviɣidɔ sesẽ (AML) dzina ɖe edzi.
• Atike siwo wozãna le dɔwɔƒewo ƒe amedzidzedze : Wonya be atikewo abe benzene kple formaldehyde ene nye kansadɔlékuiwutikewo. Woate ŋu akpɔ esiawo le xɔtunuwo kple aƒemenuzazã vovovowo (plastik, rababa, amadede, nudzodzoeviwutikewo, atikewo, atike siwo wotsɔna klɔa nu, adzalẽwo, kple atike siwo wotsɔna klɔa nu ŋu) me.
• Domenyiŋusẽfianu aɖewo : Domenyiŋusẽ ƒe dɔlélewo abe Neurofibromatosis, Klinefelter ƒe dɔléle, Schwachman-Diamond ƒe dɔléle, kple Down ƒe dɔléle ene ate ŋu ana wò afɔkua nadzi ɖe edzi.
• Ƒome ŋutinya : Numekukuwo ɖee fia be domenyiŋusẽfianu ate ŋu anye ʋumenugbagbeviɣidɔ ƒomevi aɖewo. Gake ne ƒometɔ aɖe si ŋu ʋumenugbagbeviɣidɔ le le asiwò la, mefia be àxɔe godoo o. Na wò ɖɔkta nanya ɣesiaɣi ne kansa alo domenyiŋusẽfianu ƒe dɔléle aɖe le wò ƒomea me kpɔ; woate ŋu aɖo aɖaŋu be woado domenyiŋusẽfianu kpɔ atsɔ akpɔ wò ŋutɔ wò afɔkua.

Aleke wokpɔa ʋumenugbagbeviɣidɔ?

Zi geɖe la, ʋudodokpɔ edziedzi ate ŋu ana wò ɖɔkta nakpɔe gbã be dɔléle aɖe si nu sẽ alo esi nɔa anyi didi ate ŋu anɔ ŋuwò, si ana nàgawɔ numekuku bubuwo. Ne dzesiwo le fu ɖem na wò la, anɔ eme be wò ɖɔkta aɖo aɖaŋu na wò be nàwɔ dodokpɔ siwo kplɔ wo nɔewo ɖo.

Dɔlélewo didi ƒe mɔnuwo ate ŋu anye:

• Lãmesẽdodokpɔ : Wò ɖɔkta adzro wò dzesiwo me eye wòado wò kpɔ be dzesiwo abe ʋuka siwo vuvu, dɔgbo alo aklã si lolo, alo ʋu le dodom le wò aɖuwo me ene hã. Woalé ŋku ɖe wò ŋutigbalẽ hã ŋu be ʋuʋudedi, abe petechiae ene, le ŋuwò hã.
• Ʋu Xexlẽme Blibo (CBC) : Dodokpɔ sia na wò ɖɔkta te ŋu léa ŋku ɖe wò ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo ƒe xexlẽme ŋu. Ne ʋumenugbagbeviɣidɔ le ŋuwò la, zi geɖe la, wò ʋumenugbagbevi ɣiwo ƒe xexlẽme sɔa gbɔ ŋutɔ wu alesi wòle dzɔdzɔmee.
• Ʋumenugbagbeviɣidɔ dodokpɔ : Wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo, abe flow cytometry alo ʋu ƒe sisi le gota ene, be woadi ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo ƒe dzesi tɔxɛwo.
• Ƒumeŋuɖui me ɖeɖe alo aspiration : Ne wò ʋu ƒe xexlẽme mesɔ o la, wò ɖɔkta ate ŋu awɔ dodokpɔ sia. Wotsɔa aŋe didi aɖe dea wò ƒu me (zi geɖe la, akɔtaƒu) be woatsɔ aƒo tsi ƒe kpɔɖeŋu nu ƒu. Emegbe dodokpɔxɔa dzroa kpɔɖeŋu sia me kpɔna be ʋumenugbagbevi dzĩwo le eme hã be yeaɖo kpe dɔlélea dzi eye yeanya lãmenugbagbevi siwo mesɔ o ƒe alafa memamã si le wò ƒumeŋuɖui me.
• Nɔnɔmetatawo ɖeɖe kple dodokpɔ bubuwo : Ne wò dzesiwo ɖee fia be ʋumenugbagbeviɣidɔa gblẽ nu le wò ƒuwo, ŋutinuwo, alo lãkusiwo ŋu la, wò ɖɔkta ate ŋu abia be woawɔ akɔta ƒe X-ray, CT scan, alo MRI. Taflatse de dzesii be zi geɖe la, womekpɔa ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo ŋutɔ le nɔnɔmetata dodokpɔ siawo me o.
• Lumbar puncture (spinal tap) : Wò ɖɔkta ate ŋu axɔ aklã me tsi ƒe kpɔɖeŋu aɖe atsɔ anya ne ʋumenugbagbeviɣidɔ kaka ɖe tsi si ƒo xlã wò ahɔhɔ̃ kple wò aklã me hã.

Aleke wodaa ʋumenugbagbeviɣidɔe?

Ʋumenugbagbeviɣidɔ dada nɔ te ɖe ƒomevi si le asiwò, ƒe si nèxɔ, wò lãmesẽ bliboa, kple ne kansa la kaka ɖe ŋutinu alo lãkusi bubuwo me dzi.

Zi geɖe la, atikewɔmɔnu siwo gbɔna dometɔ ɖeka alo wo katãe wò atikewɔha si le Nirogi Lanka zãna:

• Chemotherapy : Esiae nye ʋumenugbagbeviɣidɔdadamɔnu si bɔ wu. Ezãa atike sesẽwo tsɔ tsrɔ̃a ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo alo xea mɔ na wo be woagama o. Le wò ɖoɖowɔɖi tɔxɛ nu la, àte ŋu axɔ atike siawo to nu me, to ʋuka me, alo to atike si wodo ɖe ŋutigbalẽa te me. Zi geɖe la, wozãa atike vovovo siwo wozãna tsɔ daa dɔlékuiwoe tsɔ kpɔa egbɔ be nu nyuitɔ kekeake do tso eme.
• Dɔlélenutsiŋutete ƒe atikewɔwɔ (biologic therapy) : Atikewɔwɔ sia doa ŋusẽ wò ŋutilã ƒe dzɔdzɔme ametakpɔnu—wò dɔlélenutsiŋutete—be wòawɔ avu kple ʋumenugbagbeviɣidɔ vevie. Atike tɔxɛ siawo kpena ɖe wò dɔlélenutsiŋutete ŋu wòdea dzesi kansa lãmenugbagbeviwo nyuie wu eye wodoa ŋusẽ dɔlélenutsiŋutete ƒe lãmenugbagbeviwo be woaɖe wo ɖa.
• Atikewɔwɔ si woɖo taɖodzinu na : Mɔnu sia zãa atike siwo ŋu wotrɔ asi le koŋ be woadze ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo ƒe teƒe siwo woate ŋu adze afɔku bɔbɔe dzi, abe protein alo domenyiŋusẽfianu tɔxɛ siwo nana woƒoa ʋumenugbagbevi dzĩwo ta ene. Ne atike siawo tɔ ŋku akpa siawo koŋ dzi la, woate ŋu axe mɔ na lãmenugbagbeviawo ƒe mama, atso woƒe ʋu me, alo atsrɔ̃ wo tẽ, eye zi geɖe la, magblẽ nu boo aɖeke na lãmenugbagbevi siwo le lãmesẽ me o. Kpɔɖeŋu aɖewoe nye dɔlékuiwutike siwo nye monoclonal antibodies kple tyrosine kinase inhibitors.
• Kekeli ƒe dɔdamɔnu : Dɔdamɔnu sia zãa ŋusẽ geɖe ƒe keklẽ alo X-ray tsɔ tsrɔ̃a ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo alo xea mɔ na wo be woagatsi o. Le atikewɔwɔ me la, woate ŋu atsɔ keklẽŋusẽ aɖo teƒe aɖewo koŋ siwo kansa lãmenugbagbeviwo sɔ gbɔ ɖo pɛpɛpɛ, alo woate ŋu aɖoe ɖe ŋutilã bliboa ŋu, si wozãna ɣeaɖewoɣi abe dzadzraɖo ɖe lãmenugbagbeviwo dodo na ame ŋu ene.
• Hematopoietic cell transplant (stem cell or bone marrow transplant) : Le dɔ sia wɔwɔ me la, wotsɔa lãmenugbagbevi yeye siwo le lãmesẽ me ɖɔlia lãmenugbagbevi siwo ŋu dɔléle le, siwo naa ʋumenugbagbeviɣidɔ—siwo zi geɖe to atike alo keklẽŋusẽ si sɔ gbɔ tsrɔ̃a wo ɖa. Lãmenugbagbevi siawo ate ŋu anye wò ŋutɔ tɔwò (siwo woƒo ƒu do ŋgɔ na atikewɔwɔ) alo woatso amesi nae gbɔ. Ne wonya do lãmenugbagbevi siawo siwo le lãmesẽ me ko la, wodzina ɖe edzi eye wodzea ƒumeŋuɖui kple ʋumenugbagbevi siwo sɔ (ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, kple ʋumenugbagbevi dzĩwo) wɔwɔ gɔme.
• Chimeric Antigen Receptor (CAR) T-cell therapy : Esia nye atikewɔwɔmɔnu deŋgɔ aɖe. Ebia be nàƒo wò ŋutɔ wò T-lãmenugbagbeviwo—si nye dɔlélenutsiŋutete ƒe lãmenugbagbevi ƒomevi aɖe si le vevie ŋutɔ na avuwɔwɔ kple dɔlékuiwo— nu ƒu eye nàtrɔ asi le wo ŋu le dodokpɔxɔ me be wòade dzesi wò ʋumenugbagbeviɣidɔ ƒe lãmenugbagbevi tɔxɛwo ahadze wo dzi hafi agbugbɔ wo ade wò ʋukawo me.

Mɔnukpɔkpɔ ate ŋu asu asiwò hã be nàkpɔ gome le dɔdamɔnu dodokpɔwo me , siwo doa kansadɔdamɔnu yeyetɔ kekeake siwo wodo kpɔ la kpɔna. Kpɔ egbɔ be yedzro viɖe kple afɔku siwo ate ŋu ado tso dodokpɔ mawo me kple wò ɖɔkta.

Akpa kawoe nye ʋumenugbagbeviɣidɔ dada ƒe akpawo?

Le wò atikewɔwɔ ƒe ɖoɖoa nu la, wò mɔzɔzɔa ate ŋu abia be nàyi edzi awɔ dɔ alo amae ɖe akpa vovovowo me. Zi geɖe la, woɖoa atikewɔwɔ ɖe akpa etɔ̃ me, eye taɖodzinu aɖe koŋ le wo dometɔ ɖesiaɖe ŋu:

1. Induction therapy : Taɖodzinu vevitɔ le afisiae nye be nàtsrɔ̃ ʋumenugbagbeviɣidɔ ƒe lãmenugbagbevi geɖe siwo le wò ʋu kple ƒumeŋuɖui me alesi nàte ŋui be woakpɔe be woaɖee ɖa . Le dɔlélea ƒe tsɔtsɔke me la, wò ʋu ƒe xexlẽme gatrɔna va ɖoa eƒe nɔnɔme si sɔ, ʋumenugbagbevi dzĩwo megate ŋu dea dzesii o, eye dɔlélea ƒe dzesiwo kple dzesiwo nu yina. Zi geɖe la, induction therapy xɔa abe kwasiɖa ene va ɖo ade ene.

2. Consolidation therapy (si woyɔna hã be intensification) : Taɖodzinu si le akpa sia ŋue nye be woaɖe ʋumenugbagbevi dzĩ siwo susɔ, siwo womate ŋu ade dzesii o la ɖa be woaxe mɔ na kansa la be wòagatrɔ ava o. Zi geɖe la, wowɔa atike sia le tsatsam le ɣleti ene va ɖo ade me.

3. Beléle na ʋumenugbagbeviɣidɔ ƒe atikewɔwɔ : Akpa sia ƒe taɖodzinue nye be yeatsrɔ̃ ʋumenugbagbeviɣidɔ ƒe lãmenugbagbevi susɔe ɖesiaɖe si ate ŋu anɔ agbe le akpa siwo va yi me, si aɖe afɔku si le eme be woagadze dɔa ake dzi akpɔtɔ geɖe wu . Akpa sia ate ŋu ayi edzi vaseɖe ƒe eve.

Ne ʋumenugbagbeviɣidɔ gatrɔ va la, wò ɖɔkta afia mɔ wò to wò atikewɔwɔ ƒe ɖoɖoa gbugbɔgadze alo asitɔtrɔ le eŋu me.

Nukae nye mɔkpɔkpɔ si wokpɔ mɔ na le ʋumenugbagbeviɣidɔ ƒe dzesi xɔxɔ vɔ megbe?

Nyagblɔɖi aɖe koŋ nyanya sesẽ, elabena amesiame ƒe mɔzɔzɔa le etɔxɛ. Wò nukpɔsusu nɔ te ɖe nu vevi geɖe dzi:

• Domenyiŋusẽfianu ƒe masɔmasɔ alo tɔtrɔ : Zi geɖe la, tɔtrɔ tɔxɛ siwo wokpɔna le wò ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo me ye nyea nu vevitɔ kekeake siwo ɖea wò ŋgɔdonya fiana.
• Ʋumenugbagbeviɣidɔ ƒomevi : Ʋumenugbagbeviɣidɔ ƒomevi aɖewo wɔa nu ɖe ​​atikewɔwɔ ŋu nyuie wu bubuwo.
• Ʋumenugbagbeviɣiwo ƒe xexlẽme le dɔlélea didi me : Ʋumenugbagbeviɣidɔ ƒe lãmenugbagbevi siwo nɔ anyi esime wokpɔ dɔlélea le ŋuwò zi gbãtɔ la wɔa akpa aɖe.
• Ƒe : Zi geɖe la, dɔnɔ siwo metsi o ate ŋu akpɔ emetsonu nyuiwo wu.
• Lãmesẽ blibo : Wò ŋutilã ƒe lãmesẽ bliboa kple kamedede le ɣeyiɣi si me wokpɔ dɔlélea ate ŋu akpɔ ŋusẽ ɖe wò hayahaya dzi.
• Alesi wowɔa nui ɖe atikewɔwɔ ŋu : Alesi nèkpɔa dɔlélea ƒe tsɔtsɔke kabakabae naa kpeɖodzi vevi aɖe ku ɖe alesi wò atikewɔwɔa awɔ dɔe ŋu.
• Ʋumenugbagbeviɣidɔ ƒe anyinɔnɔ le lãmekawo ƒe dɔwɔwɔ me : Ne ʋumenugbagbeviɣidɔ ƒe lãmenugbagbeviwo le wò aklã me tsi me la, esia bia be woawɔ atike tɔxɛ aɖe na wò.

Mlɔeba la, wò ɖɔkta si le Nirogi Lanka ye nye ame nyuitɔ kekeake si akpe ɖe ŋuwò nàse nusi nu siawo fia na wò koŋ gɔme. Mègahe ɖe megbe le wò nyagblɔɖi ŋu biabia wo o.

Ðe woate ŋu ada ʋumenugbagbeviɣidɔa?

Togbɔ be ƒã hafi wozãa nya “dɔdamɔnu” le ʋumenugbagbeviɣidɔ gome hã la, dɔnɔ geɖe kpɔa dzidzedze le ʋumenugbagbeviɣidɔ ƒe dɔlélea nu ɣeyiɣi didi . Atikewɔwɔ afia be kansa la nu yi tegbee eye magatrɔ ava gbeɖe o; ke hã, le ʋumenugbagbeviɣidɔ ƒe nɔnɔme ta la, zi geɖe la, ɖɔktawo ƒe susu nɔa dɔlélea ƒe anyimanɔmanɔ atraɖii ŋu.

Ɣeyiɣi didi ƒe dɔlélea ƒe tsɔtsɔke fia be kansa ƒe dzesi aɖeke si woate ŋu ade dzesii meli o, ne woyi edzi da dɔ nɛ alo womeyi edzi o. Dɔléle sia ate ŋu anɔ anyi ƒe geɖe, eye le ame geɖe gome la, ʋumenugbagbeviɣidɔa magatrɔ ava gbeɖe o. Ne egadzɔ ake la, wò atikewɔlawo ƒe ƒuƒoƒoa anɔ klalo be yewoakafu atikewɔmɔnu yeyewo be yewoagakpɔ ŋusẽ ɖe wo dzi ake.

Ame nyuitɔ si adzro wò nɔnɔme tɔxɛa me enye wò lãmesẽnyawo gbɔ kpɔha; woalé ŋku ɖe wò ŋgɔyiyi ŋu nyuie eye woatrɔ asi le wò belélename ƒe ɖoɖoa ŋu wòasɔ ɖe wò hiahiãwo nu.

Nya kawoe wòle be nàbia wò ɖɔkta?

Sidzedze nye dɔwɔnu sẽŋu aɖe. Ne èse dɔléle si nèkpɔ kple atikewɔmɔnu siwo nàte ŋu azã gɔme la, akpe ɖe ŋuwò nàse le ɖokuiwò me be yete ŋu ɖu ye ɖokui dzi geɖe wu. Wokafui vevie be nàŋlɔ wò biabiawo ɖi hafi awɔ ɖoɖo eye ne anya wɔ la, nàtsɔ xɔ̃wò alo ƒometɔ aɖe ava kpe ɖe ŋuwò.

Nyabiase aɖewo siwo ŋu wòle be nàbu:

• Ʋumenugbagbeviɣidɔ ƒomevi kae koŋ le ŋunye, eye lãmenugbagbevi ƒomevi ka mee wòtso? Ðe esia nye ƒomevi si me wowɔa adã le alo esi tsina blewua?
• Aleke gbegbee ʋumenugbagbeviɣidɔa de ŋgɔe esime wokpɔe?
• Nukawoe nye nye atikewɔmɔnu siwo li?
• Viɖe kple afɔku kawo koŋ le atikewɔwɔmɔnu ɖesiaɖe me?
• Atikewɔwɔ ƒe ɖoɖo kae wokafu nam, eye nukatae?
• Ɣekaɣie wòle be woadze atikewɔwɔ gɔme?
• Ɣeyiɣi didi kae atikewɔwɔa (kple eƒe akpa ɖesiaɖe) anɔ anyi?
• Ðe wòahiã be manɔ kɔdzia, eye ne ele nenema la, ɣeyiɣi didi kae wòahiã?
• Nukawoe nye eƒe nugbegblẽ le ame ŋu, eye nukae woate ŋu awɔ atsɔ axe mɔ ɖe wo nu alo akpɔ wo gbɔ?
• Ne medi be madzi vi le etsɔme la, nukawoe nye tiatia siwo mate ŋu awɔ atsɔ akpɔ nye vidzidzi ta ?
• Nukae nye dzidzedzekpɔkpɔ alo agbetsitsi ƒe agbɔsɔsɔme le nye ʋumenugbagbeviɣidɔ ƒomevi tɔxɛa me?
• Ðe wòle be mabu gomekpɔkpɔ le dɔdamɔnu dodokpɔ aɖe me ŋua ?

Afikae nàte ŋu akpɔ nyatakaka bubuwo kple kpekpeɖeŋu le ku ɖe ʋumenugbagbeviɣidɔ ŋu?

Ne èdi be yeanya nu geɖe tso ʋumenugbagbeviɣidɔ ƒe dɔdamɔnu dodokpɔwo ŋu la, àte ŋu akpɔ dukɔwo dome dɔwɔƒewo abe Leukemia & Lymphoma Society, National Cancer Institute, kple American Cancer Society ene. Tsɔ kpe ɖe eŋu la, taflatse bia wò lãmesẽdɔwɔla tso kpekpeɖeŋunaha siwo le mia gbɔ kple dɔwɔnu siwo li le miaƒe nutoa me ŋu.

Kansa ƒe dɔléle ɖesiaɖe xɔxɔ doa vɔvɔ̃ na ame, gake ʋumenugbagbeviɣidɔ ƒe dzesi ate ŋu ase le eɖokui me be yegbɔdzɔ ŋutɔ. Esi wònye be dɔdzẽ sesẽ aɖeke meli woaɖe ɖa o ta la, ate ŋu asesẽ be nàkpɔ alesi wò atikewɔwɔmɔnu kple etsɔme ate ŋu anɔ le susu me. Taflatse miɖo ŋku edzi be ʋumenugbagbeviɣidɔ menye dɔléle ɖeka kolia si me tsonu si woɖo ɖi o. Wò atikewɔwɔ ƒe mɔzɔzɔ kple alesi wòanya wɔ be wò dɔlélea ƒe tsɔtsɔke ɣeyiɣi didi nɔ te ɖe nu tɔxɛ geɖe dzi. Ame aɖeke mate ŋu agblɔ wò mɔ tɔxɛa ɖi pɛpɛpɛ ne mese wò lãmesẽ kple wò ʋumenugbagbevi dzĩwo ƒe nɔnɔme tɔxɛwo gɔme nyuie o. Míele dzi dem ƒo na wò be nàɖo dze faa, anukwaretɔe kple wò ɖɔkta tso nusi dɔléle sia fia na wò ŋu.

Nu Vevi Siwo Wotsɔna Yia Nu

Míele mɔ kpɔm be nyatakaka siawo na nèse ʋumenugbagbeviɣidɔ gɔme nyuie wu. Nya vevi siwo dzi wòle be míaɖo ŋkuie nye esi:

• Ʋumenugbagbeviɣidɔ nye ʋu me kansa si dzɔna ne lãmenugbagbevi siwo mesɔ o le ƒumeŋuɖui me dzi ɖe edzi le mɔ si dzi womate ŋu aɖu o nu.
• Woma ƒomevi gbãtɔwo ɖe hatsotso siwo me dɔléle sesẽ alo esiwo nɔa anyi didi , kpakple myeloid alo lymphoid .
• Dzesiawo to vovo, gake ate ŋu anye ɖeɖiteameŋu si mebɔ o, dɔlékuiwo xɔxɔ enuenu, kple abi alo ʋu si dona bɔbɔe .
• Togbɔ be zi geɖe la, womenya nusi tututu gbɔ wòtso o hã la, domenyiŋusẽfianu ƒe tɔtrɔ, atike aɖewo zazã, kple kansa dada do ŋgɔ nye afɔku siwo wonya.
• Ʋudodokpɔ kple ƒumeŋuɖuiwo ɖeɖe koŋ mee wokpɔa dɔlélea le .
• Atikewɔwɔmɔnu geɖe li (abe atikewɔmɔnu, dɔlélenutsiŋutete ƒe atikewɔwɔ, kple atikewɔwɔ si woɖo taɖodzinu na ene), siwo wowɔ ɖe wò kple wò dɔlélea ƒe nɔnɔme nu koŋ.
• Le esi teƒe be woƒe susu nanɔ xexeame katã ƒe atikewɔwɔ ŋu la, zi geɖe la, taɖodzinuae nye be woakpɔ dɔlélea ƒe tsɔtsɔke ɣeyiɣi didi .
• Mègahe ɖe megbe gbeɖe le nyawo biabia wò ɖɔkta eye nàdi be eme nakɔ o. Menye wò ɖeka koe le mɔzɔzɔ sia me kple Nirogi Lanka o.

Míele mɔ kpɔm be nyatakaka sia ɖe vi na wò. Misẽ ŋu eye milé be na miaƒe lãmesẽ!

Nya veviwo: ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ, ƒumeŋuɖui, ʋumenugbagbeviɣiwo, ʋumenugbagbeviɣidɔ ƒe dzesiwo, ʋumenugbagbeviɣidɔ ƒe atikewɔwɔwo