Koj puas tau hnov ​​txog Chronic Lymphocytic Leukemia (CLL)? Cia peb tham txog nws kom meej!

Koj puas muaj tej lub sij hawm koj tsuas xav tias nkees heev xwb? Los yog koj puas feem ntau kub taub hau? Koj puas muaj cov pob me me uas zoo li lawv nyob ntawm koj lub caj dab, caj npab, lossis qhov chaw mos? Cov no yuav yog cov cim qhia ntawm Chronic Lymphocytic Leukemia, lossis luv luv CLL . Tab sis tsis txhob txhawj, vim tias muaj tag nrho cov tsos mob no tsis tau txhais hais tias koj muaj tus kab mob no. Tab sis nws yog ib qho tseem ceeb heev uas yuav tsum paub txog tej yam zoo li no. Yog li cia peb tham txog CLL hauv txoj kev yooj yim hnub no, puas yog?

Kab mob leukemia lymphocytic (CLL) yog dab tsi? Hais yooj yim xwb...

Kab mob leukemia lymphocytic ntev (CLL) yog ib hom mob qog ntshav hauv cov ntshav . Nws yog hom mob leukemia uas feem ntau tshwm sim rau cov neeg laus. Cov qe ntshav tsim tawm hauv cov pob txha. Qhov mob no tshwm sim thaum cov lymphocytes, ib hom qe ntshav dawb noj qab haus huv hauv cov pob txha, dhau los ua qhov tsis zoo, txhais tau tias lawv hloov pauv thiab dhau los ua mob qog noj ntshav. Cov qe ntshav qog no loj hlob ntau yam tsis tuaj yeem tswj tau, ua rau cov qe ntshav thiab cov platelets noj qab haus huv puv nkaus, uas pab cov ntshav txhaws.

CLL feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 65 xyoos. Txawm li cas los xij, nws qee zaum tuaj yeem tshwm sim rau cov neeg hnub nyoog li 30 xyoo. Ntxiv mus, qee tus neeg tuaj yeem muaj CLL yam tsis muaj tsos mob . Ntau tus neeg paub txog tus mob thaum lawv kuaj ntshav rau lwm yam mob lossis thaum lub sijhawm kuaj mob txhua xyoo.

Tam sim no, tsis muaj tshuaj kho tau CLL. Tab sis qhov ntawd tsis yog qhov ua rau txhawj xeeb. Tau kaum xyoo dhau los, cov kws kho mob tau tsim cov kev kho mob tshiab uas tuaj yeem tswj CLL thiab ua rau nws zoo . Cov kev kho mob no tau tso cai rau cov neeg uas muaj CLL kom muaj sia nyob ntev dua.

Cov hom mob CLL tseem ceeb yog dab tsi?

Muaj ob hom qe ntshav dawb tseem ceeb hauv peb lub cev, hu ua lymphocytes. CLL tsuas tuaj yeem tsim tau hauv ib qho ntawm ob hom no.

• B-lymphocytes (B-cells): Cov no yog cov cell uas tsim cov tshuaj tua kab mob, ib hom protein uas paub thiab tawm tsam cov kab mob phem, cov kab mob me me, cov kab mob sib kis, thiab txawm tias cov cell mob qog noj ntshav.
• T-lymphocytes (T-cells): Cov no tswj peb lub cev cov lus teb ntawm lub cev tiv thaiv kab mob. Lawv kuj nrhiav thiab rhuav tshem cov hlwb tsis zoo, xws li cov hlwb mob qog noj ntshav.

Hom CLL uas feem ntau pom yog B-cell CLL . Muaj ib yam mob uas cuam tshuam rau T-cells, hu ua T-cell prolymphocytic leukemia (PLL). Txawm li cas los xij, cov neeg uas muaj PLL muaj cov tsos mob sai dua li cov neeg uas muaj B- cell CLL.

Tus mob no hu ua CLL ntau npaum li cas?

Qhov tseeb, mob qog ntshav lymphocytic leukemia (CLL) yog ib hom mob qog ntshav leukemia uas feem ntau pom muaj rau cov neeg laus. Hauv Tebchaws Meskas, tus kab mob no cuam tshuam txog li 5 ntawm 100,000 tus neeg. Lub Koom Haum American Cancer Society kwv yees tias yuav muaj li 18,700 tus neeg mob CLL tshiab hauv xyoo 2023 xwb. Txhawm rau muab qhov no rau hauv kev xam pom, ntau dua 238,000 tus neeg mob qog ntshav ntsws tshiab (ib qho ntawm cov mob qog ntshav feem ntau) yuav raug tshaj tawm hauv xyoo 2023. Yog li, thaum CLL yuav tsis zoo li pom ntau, nws yog ib hom mob qog ntshav leukemia feem ntau pom ntau.

Cov tsos mob ntawm CLL yog dab tsi?

Raws li peb tau hais ua ntej lawm, qee tus neeg tuaj yeem muaj CLL yam tsis muaj tsos mob . Nws yuav siv sijhawm ntau lub hlis lossis txawm tias ntau xyoo rau cov tsos mob kom tshwm sim. Cov tsos mob feem ntau yog:

• Qaug zog: CLL tuaj yeem cuam tshuam rau koj cov qe ntshav liab, ua rau muaj ntshav tsis txaus. Qaug zog yog ib qho tsos mob ntawm ntshav tsis txaus.
• Kub taub hau: Kub taub hau yog ib qho cim qhia txog kev kis kab mob. Vim tias CLL cuam tshuam rau cov qe ntshav dawb noj qab haus huv, koj yuav muaj feem kis tau kab mob ntau dua.
• Cov qog ntshav hauv caj dab, qhov tso, qhov ncauj tsev menyuam, lossis lub plab o.
• Hws hmo ntuj.
• Poob phaus yam tsis paub.
• Mob los yog xav tias puv nkaus hauv qab koj cov tav: CLL tuaj yeem cuam tshuam rau koj lub siab lossis tus po. Thaum cov qe ntshav qog sib sau ua ke hauv cov kabmob no, lawv tuaj yeem o.

Vim li cas CLL thiaj tshwm sim? Cov yam uas ua rau muaj kev pheej hmoo yog dab tsi?

Kab mob leukemia lymphocytic leukemia (CLL) tshwm sim thaum muaj qee qhov kev hloov pauv, lossis kev hloov pauv, tshwm sim hauv peb cov chromosomes thiab cov noob caj noob ces thaum peb tseem muaj sia nyob. Txawm li cas los xij, cov kws tshawb fawb kho mob tseem tsis tau paub meej tias dab tsi ua rau muaj kev hloov pauv no. Txawm li cas los xij, lawv tau txheeb xyuas ntau yam kev pheej hmoo uas yuav cuam tshuam rau nws:

• Keeb kwm tsev neeg: Kev tshawb fawb tau qhia tias yog tias ib tug ntawm koj cov txheeb ze ze, uas yog, koj niam, txiv, cov kwv tij, lossis cov menyuam, muaj CLL, koj qhov kev pheej hmoo ntawm kev mob CLL yuav nce ntxiv ob mus rau plaub npaug.
• Hnub nyoog: Qhov nruab nrab, cov neeg mob muaj li ntawm 71 xyoo thaum kuaj pom tias muaj CLL.
• Poj Niam Txiv Neej: Cov txiv neej muaj feem yuav mob CLL ntau dua.
• Kev raug tshuaj Agent Orange: Kev tshawb fawb tau qhia txog kev sib txuas ntawm Agent Orange, ib yam tshuaj siv thaum Tsov Rog Nyab Laj, thiab CLL.
• Monoclonal B-cell lymphocytosis:Hauv qhov mob no, koj muaj ib hom B-cell ntau dua li qub hauv koj cov ntshav. Yog tias koj muaj qhov mob no, koj muaj feem me me ntawm kev mob CLL.

Cov teeb meem uas yuav muaj tau ntawm CLL yog dab tsi?

CLL cuam tshuam rau koj cov qe ntshav liab, cov qe ntshav dawb, thiab cov platelets. Xav txog nws, cov qe ntshav liab nqa cov pa oxygen thoob plaws lub cev. Cov qe ntshav dawb tiv thaiv peb ntawm kab mob. Cov platelets pab cov ntshav txhaws. Yog li, thaum koj poob cov qe ntshav thiab cov platelets noj qab haus huv no, koj tuaj yeem muaj teeb meem xws li:

• Lymphoma: Nruab nrab ntawm 2% thiab 10% ntawm cov neeg uas muaj CLL yuav tsim tau ib hom mob qog noj ntshav hu ua lymphoma.
• Mob qog nqaij hlav ntawm daim tawv nqaij, mob qog nqaij hlav ntsws, lossis mob qog nqaij hlav plab hnyuv: CLL ua rau koj lub cev tiv thaiv kab mob tsis muaj zog, ua rau nws tsis muaj peev xwm tiv thaiv koj ntawm cov neeg nkag tebchaws, suav nrog cov hlwb qog nqaij hlav. Qhov no tuaj yeem ua rau koj muaj feem yuav mob lwm hom mob qog nqaij hlav.
• Kab mob ntshav tsis txaus (Anemia): Kab mob ntshav tsis txaus tuaj yeem tshwm sim thaum tsis muaj cov qe ntshav liab txaus los nqa oxygen thoob plaws lub cev.
• Thrombocytopenia: CLL tuaj yeem cuam tshuam rau koj cov ntshav platelet. Qhov no tuaj yeem ua rau los ntshav.
• Kev kis kab mob ntau zaus: Yog tsis muaj cov qe ntshav dawb txaus, koj yuav muaj feem ntau dua rau kev kis kab mob bacterial, fungal, lossis viral.
• Cov kab mob autoimmune: Qee tus neeg uas muaj CLL yuav tsim cov mob xws li autoimmune hemolytic anemia.

Yuav kuaj mob CLL li cas?

Thaum koj mus ntsib kws kho mob, nws yuav nug koj txog koj cov tsos mob. Tom qab ntawd, lawv yuav kuaj koj lub cev thiab yuav xaj qee yam kev kuaj mob, xws li:

• Kev suav cov ntshav tag nrho (CBC) thiab qhov sib txawv: Qhov kev kuaj no ntsuas tus naj npawb ntawm cov qe ntshav liab, cov qe ntshav dawb, thiab cov platelets hauv koj cov ntshav. Nws kuj tseem xyuas seb cov hemoglobin (cov protein uas nqa oxygen) ntau npaum li cas hauv koj cov qe ntshav liab.
• Kev kuaj ntshav ntawm cov hlab ntsha sab nraud: Tus kws kho mob kuaj koj cov qe ntshav hauv qab lub tshuab microscope kom paub seb puas muaj cov qe mob qog noj ntshav.
• Flow cytometry: Qhov kev kuaj mob hauv chav kuaj no tuaj yeem muab cov ntaub ntawv ntxiv txog koj cov qe ntshav. Hauv CLL, nws yog siv los txiav txim siab seb koj cov qe ntshav dawb puas muaj cov qe ntshav CLL.
• Kev kuaj noob caj noob ces:Cov kws kho mob siv cov kev kuaj xws li fluorescent in situ hybridization (FISH) thiab immunoglobulin heavy chain (IGHV) los kuaj xyuas koj cov chromosomes thiab cov noob caj noob ces. Kev nkag siab txog cov kev hloov pauv twg tau tshwm sim hauv cov chromosomes thiab cov noob caj noob ces no pab cov kws kho mob txiav txim siab yuav kho CLL li cas.

Cov theem ntawm CLL

Cov kws kho mob txiav txim siab theem ntawm tus mob qog noj ntshav los npaj kev kho mob thiab kwv yees qhov kev kwv yees. Muaj ob txoj hauv kev tseem ceeb siv los ntsuas CLL: lub kaw lus Rai staging thiab lub kaw lus Binet staging .

Qee zaum, thaum koj nyeem cov theem no ua lej thiab ntawv, koj yuav ntshai me ntsis thiab tsis xis nyob. Tej zaum koj yuav xav tias, "Qhov no puas yog kuv tus mob piav qhia ua ib daim ntawv?" Cov kws kho mob nkag siab qhov ntawd. Yog tias koj tsis meej txog qhov uas tau hais, lossis yog tias nws ua rau koj nyuaj siab, thov nug koj tus kws kho mob kom piav qhia seb theem no siv rau koj tus mob li cas.

Rai staging system

Txoj kev no faib CLL raws li qhov yuav ua rau nws hnyav zuj zus thiab seb puas yuav tsum tau kho mob:

• Kev pheej hmoo tsawg (yav tas los hu ua Rai theem 0): Koj muaj lymphocytosis (kev nce ntxiv ntawm cov lymphocytes), thiab muaj cov qe ntshav dawb txawv txav hauv cov ntshav thiab/lossis cov pob txha.
• Kev pheej hmoo nruab nrab (yav tas los hu ua Rai theem I lossis theem II): Koj muaj lymphocytosis, cov qog ntshav o, thiab lub po thiab/lossis lub siab loj.
• Muaj feem yuav muaj mob ntau (yav tas los hu ua Rai Theem III): Koj muaj mob ntshav tsis txaus lossis mob ntshav tsawg (ntshav platelet tsawg).

Binet staging system

Txoj kev no yog raws li koj cov qe ntshav thiab cov platelet suav, nrog rau tus naj npawb ntawm cov cheeb tsam uas muaj cov qog ntshav hauv koj lub cev:

• Theem A: Koj tsis muaj mob ntshav liab (cov qe ntshav liab tsawg) lossis cov ntshav platelet tsawg. Txawm li cas los xij, koj cov qog ntshav o tsawg kawg yog ob qho chaw ntawm koj lub cev. Piv txwv li, koj yuav muaj cov qog ntshav o hauv koj lub caj dab thiab qhov chaw mos.
• Theem B: Muaj cov qog ntshav o ntawm peb qhov chaw ntawm lub cev, lossis lub siab lossis lub poo o. Txawm li cas los xij, tsis muaj ntshav liab, thiab cov ntshav platelet zoo li qub.
• Theem C: Koj muaj ntshav tsis txaus thiab cov qog ntshav o rau peb lossis ntau qhov chaw ntawm koj lub cev.

Yuav kho tus mob CLL li cas?

Cov kev xaiv kho mob yog txiav txim siab los ntawm koj cov tsos mob thiab cov txiaj ntsig ntawm kev kuaj. Piv txwv li, yog tias koj muaj CLL theem thaum ntxov, koj tus kws kho mob yuav pom zoo kom "saib xyuas / saib xyuas nquag."Koj siv tau txoj kev hu ua "kev saib xyuas." Qhov no suav nrog kev saib xyuas koj txoj kev noj qab haus huv, cov tsos mob, thiab cov txiaj ntsig ntawm kev kuaj mob yam tsis tau pib kho mob.

Cov txiaj ntsig ntawm kev kuaj noob caj ces kuj tseem tuaj yeem cuam tshuam rau kev txiav txim siab kho mob. Piv txwv li, qee qhov kev hloov pauv noob caj ces yuav txhais tau tias koj tus mob yuav hnyav zuj zus sai, lossis tias kev kho mob CLL ib txwm yuav tsis ua haujlwm zoo li qhov xav tau.

Cov kev kho mob feem ntau rau CLL yog kev kho mob tsom mus rau tus neeg mob thiab kev kho mob chemotherapy . Qee zaum kev kho mob hluav taws xob siv los txo cov tsos mob ntawm CLL. Txhua yam kev kho mob no tuaj yeem ua rau muaj kev phiv sib txawv. Koj tus kws kho mob yuav piav qhia meej txog cov txiaj ntsig, cov kev phiv, thiab cov teeb meem mus sij hawm ntev ntawm kev kho mob uas koj tau txais.

Kev kho mob tsom mus rau

Kev kho mob no ua haujlwm los ntawm kev tsom mus rau cov hlwb qog noj ntshav. Hauv cov kab mob leukemia lymphocytic ntev, kev kho mob no ua haujlwm los ntawm kev tiv thaiv kev loj hlob ntawm cov hlwb qog noj ntshav dawb. Qee qhov kev kho mob tsom mus rau tua cov hlwb qog noj ntshav yam tsis ua rau cov hlwb noj qab nyob zoo puas tsuaj. Qee cov tshuaj siv rau qhov no yog:

• Kev kho mob Bruton's tyrosine kinase (BTK) inhibitor: Kev kho mob no thaiv ib qho enzyme uas pab B-cells tsim ntau cov qe ntshav dawb. Piv txwv li: ibrutinib (Imbruvica®) , acalabrutinib (Calquence®) , thiab zanubrutinib (Brukinsa ®) .
• Kev kho mob BCL2 inhibitor: Cov tshuaj venetoclax (Venclexta®) thaiv cov protein hu ua BCL2 uas pom muaj nyob rau hauv cov hlwb leukemia, suav nrog cov hlwb CLL. Kev kho mob no tuaj yeem tua cov hlwb leukemia lossis ua rau lawv rhiab heev rau lwm cov tshuaj tiv thaiv kab mob qog noj ntshav.
• Kev kho mob Monoclonal antibody: Qhov no yog ib hom kev kho mob immunotherapy. Monoclonal antibodies yog ib hom antibody ua nyob rau hauv chav kuaj mob. Lawv nres kev loj hlob ntawm cov hlwb qog noj ntshav lossis tua cov hlwb qog noj ntshav. Piv txwv li: rituximab (Rituxan®) thiab obinutuzumab (Gazyva®) .

Kev kho mob qog noj ntshav

Koj tus kws kho mob yuav siv tshuaj chemotherapy ua kev kho mob tseem ceeb rau mob leukemia lymphocytic ntev. Qee cov tshuaj chemotherapy feem ntau siv rau CLL yog:

• Fludarabine (Fludarabine - Fludara®)
• Chlorambucil (Chlorambucil - Leukeran®)
• Cyclophosphamide (Cytoxan®)
• Bendamustine (Bendamustine - Treanda®)

Kev kho mob tiv thaiv kab mob

Txoj kev kho mob no ua haujlwm los ntawm kev kho dua lossis ua kom koj lub cev tiv thaiv kab mob muaj zog, pab rhuav tshem cov hlwb qog noj ntshav lossis qeeb lawv txoj kev loj hlob.

Rau CLL uas tsis teb rau chemotherapy, tau rov qab los (rov tshwm sim dua) CLL, lossis mob hnyav zuj zus, cov kws kho mob yuav siv cov tshuaj immunotherapy lenalidomide (Revlimid®) .

Cov kws tshawb fawb kho mob kuj tseem tab tom kawm txog kev kho mob chimeric antigen receptor (CAR-T) rau cov neeg mob CLL uas tsis teb rau cov kev kho mob ib txwm muaj.

Koj yuav muaj sia nyob nrog CLL tau ntev npaum li cas?

Feem ntau tus kab mob Chronic lymphocytic leukemia (CLL) loj hlob qeeb heev. Koj tuaj yeem nyob nrog CLL tau ntau xyoo ua ntej koj muaj cov tsos mob. Thaum cov tsos mob tshwm sim, cov kws kho mob muaj cov kev kho mob zoo heev uas tuaj yeem ua rau CLL zoo . Qhov kev zoo siab ntawm CLL no feem ntau kav ntev li ob peb xyoos ua ntej tus kab mob rov qab los. Txawm li cas los xij, koj tus kws kho mob yuav pom zoo lwm yam kev kho mob uas tuaj yeem ua rau CLL zoo siab dua. CLL tsis yog kho tau tag nrho, tab sis cov neeg uas muaj tus kab mob no tuaj yeem nyob ntev thiab muaj sia nyob.

Lub Koom Haum Kab Mob Cancer Hauv Tebchaws kwv yees tias 87.9% ntawm cov neeg mob uas muaj CLL tseem muaj sia nyob tsib xyoos tom qab kuaj pom. Txawm li cas los xij, thaum xav txog cov feem pua ​​​​​​ntawm kev ciaj sia no, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov no yog kev kwv yees raws li kev paub ntawm ib pawg neeg mob loj uas muaj CLL. Muaj ntau yam uas tuaj yeem cuam tshuam rau cov feem pua ​​​​​​ntawm kev ciaj sia no, suav nrog koj txoj kev noj qab haus huv dav dav, theem ntawm koj tus kab mob thaum kuaj pom, thiab koj tus kab mob teb zoo li cas rau kev kho mob. Yog tias koj muaj lus nug, nug koj tus kws kho mob seb yuav xav li cas raws li koj qhov xwm txheej.

Muaj dab tsi tshwm sim rau theem kawg ntawm CLL?

Lo lus "kawg theem" ​​txhais tau hais tias kev kho mob tsis muaj txiaj ntsig zoo rau kev tswj lossis tiv thaiv kab mob CLL. Thaum ntawd, koj yuav muaj kev kis kab mob uas ua rau tuag taus lossis los ntshav tsis tu ncua uas cov kws kho mob yuav tsis tuaj yeem kho tau.

Puas tiv thaiv tau qhov teeb meem no?

Tam sim no tsis muaj txoj kev paub los tiv thaiv CLL.

Nyob nrog CLL zoo li cas?

Nws nyob ntawm koj qhov teeb meem. Koj tuaj yeem muaj CLL yam tsis muaj tsos mob. Yog tias koj muaj tsos mob, muaj kev kho mob los txo lawv thiab tswj hwm tus kab mob. Txawm li cas los xij, tus kab mob yuav tsis ploj mus tag.

Nov yog qee cov lus qhia uas tuaj yeem pab koj thaum koj nyob nrog CLL:

• Tiv thaiv koj tus kheej ntawm kev kis kab mob:Cov neeg uas muaj CLL muaj feem yuav kis tau kab mob ntau dua. Qee qhov kev kis kab mob tuaj yeem ua rau tuag taus. Nug koj tus kws kho mob txog cov tshuaj tiv thaiv kab mob twg yog qhov zoo rau koj.
• Ua tib zoo saib xyuas koj txoj kev noj qab haus huv: Tej zaum koj yuav muaj feem yuav mob qog nqaij hlav ntawm daim tawv nqaij, mob qog ntsws, lossis mob qog plab hnyuv loj. Nug koj tus kws kho mob txog kev kuaj mob qog nqaij hlav.
• Tswj kev ntxhov siab: Muaj ntau tus neeg uas muaj CLL dhau los ntawm kev zam txim thiab rov qab mob dua. Thaum tus kab mob zuj zus tuaj, koj yuav ntxhov siab thiab ntshai. Yog tias muaj, nug koj tus kws kho mob txog cov kev pab cuam lossis cov kev pabcuam uas tuaj yeem pab koj tswj koj qhov kev ntxhov siab.
• Noj zaub mov kom zoo: Qee cov tsos mob ntawm CLL yuav ua rau koj tsis xav noj mov. Tham nrog koj tus kws kho mob txog kev tau txais lus qhia los ntawm tus kws noj zaub mov. Yog tias koj xav noj mov zoo, sim noj zaub mov kom sib npaug uas muaj cov protein tsis muaj roj ntau, cov nplej tag nrho, txiv hmab txiv ntoo thiab zaub, thiab cov rog noj qab haus huv. Qhov no tuaj yeem txhim kho koj txoj kev noj qab haus huv tag nrho.
• Kev Ua Si: Kev ua si yuav pab koj tswj kev ntxhov siab thiab ua rau koj zoo siab.
• So: CLL ua rau koj nkees heev. So thaum koj xav tias koj yuav tsum tau so.
• Paub seb yuav xav li cas: Kev paub yog lub hwj chim. Nug koj tus kws kho mob txog cov cim qhia tias koj tus mob yuav hnyav zuj zus. Yog tias yog li ntawd, koj tus kws kho mob yuav pom zoo lwm yam kev kho mob uas tuaj yeem pab tswj koj tus mob CLL zoo dua.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Tej zaum koj yuav xav nug cov lus nug zoo li no:

• Kuv muaj hom mob leukemia lymphocytic hom twg?
• Kuv tsis muaj tsos mob. Kuv yuav tsum pib kho mob thaum twg?
• Kuv muaj cov kev kho mob twg?
• Kuv puas yuav tau kho mob mus ib txhis?
• Kev kho mob puas yuav ua rau kuv tus mob zoo dua qub?

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Kab mob leukemia lymphocytic leukemia (CLL) yog ib hom kab mob leukemia uas feem ntau tshwm sim rau cov neeg laus. Koj tuaj yeem muaj tus mob no tau ntau xyoo yam tsis muaj tsos mob. Yog tias koj muaj CLL, koj yuav tsis tas yuav pib kho tam sim ntawd. Txawm hais tias cov kws kho mob tsis tuaj yeem kho nws tag nrho, muaj cov kev kho mob uas tuaj yeem txo cov tsos mob ntawm CLL thiab ua rau tus kab mob ploj mus . Ib txhia neeg uas muaj CLL nyob tau ntau xyoo.

Kev nyob nrog tus kab mob ntev xws li CLL tsis yog ib txwm yooj yim. Koj yuav dhau los ntawm ntau lub voj voog ntawm kev zam txim thiab rov tshwm sim. Thaum lub sijhawm txhua lub voj voog, koj yuav txhawj txog qhov yuav tshwm sim tom ntej. Koj cov kws kho mob nkag siab tias nws zoo li cas rau kev nyob nrog tus kab mob ntev. Lawv yuav zoo siab teb cov lus nug uas koj muaj thiab pab koj txhua txoj kev uas lawv ua tau. Yog li, tsis txhob ntshai tham nrog koj tus kws kho mob txog koj qhov kev txhawj xeeb.

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