Cia peb kawm txog kab mob leukemia. Nws yog dab tsi tiag tiag, thiab nws puas yog ib yam dab tsi uas yuav tsum ntshai?

Tej zaum koj yuav ntshai me ntsis thaum koj hnov ​​lo lus " leukemia ." Qhov ntawd yog ib txwm muaj, vim peb feem ntau ntshai thaum peb hnov ​​cov lus zoo li no. Tab sis thaum koj kawm paub meej tias nws yog dab tsi, vim li cas nws tshwm sim, cov tsos mob yog dab tsi, thiab seb puas muaj kev kho mob, qhov kev ntshai ntawd yuav raug txo qis heev. Yog li hnub no, peb yuav tham txog tus mob qog ntshav no hu ua leukemia hauv txoj kev yooj yim heev uas koj tuaj yeem nkag siab. Ib yam li ib tug phooj ywg lossis ib tug tswv cuab yuav qhia koj txog nws.

Kab mob ntshav dawb (Leukemia) yog dab tsi?

Hais yooj yim xwb, mob leukemia yog ib yam mob qog uas pib hauv cov ntshav . Cov pob txha yog qhov chaw tseem ceeb uas peb lub cev tsim cov ntshav. Nws zoo li lub Hoobkas. Hauv cov pob txha no, cov qe ntshav, tshwj xeeb tshaj yog cov qe ntshav dawb uas tsis tau loj hlob, pib loj hlob sai thiab tsis zoo li qub. Lo lus "leukemia" yog los ntawm cov lus Greek "leukos" (dawb) thiab "haima" (ntshav).

Tsis zoo li lwm hom mob qog noj ntshav , leukemia feem ntau tsis loj hlob ua ib lub qog uas pom tau ntawm daim duab X-ray lossis CT scan .

Muaj ntau hom kab mob leukemia. Qee hom feem ntau pom muaj rau cov menyuam yaus, thaum lwm hom feem ntau pom muaj rau cov neeg laus. Cov kev xaiv kho mob nyob ntawm ntau yam, suav nrog hom kab mob leukemia, koj lub hnub nyoog, thiab koj txoj kev noj qab haus huv tag nrho.

Kab mob leukemia tshwm sim li cas?

Kab mob Leukemia pib hauv cov pob txha , qhov mos mos thiab zoo li daim tawv nqaij ntawm peb cov pob txha. Qhov no yog qhov chaw uas cov qe ntshav uas peb lub cev xav tau raug tsim. Cov qe ntshav no tsis yog tsuas yog tsim ua ib zaug xwb, lawv dhau ntau theem ua ntej lawv loj hlob tag nrho. Muaj peb hom qe ntshav noj qab haus huv thiab loj hlob:

• Cov qe ntshav liab : Cov no yog cov uas nqa cov pa oxygen thiab lwm yam tseem ceeb thoob plaws peb lub cev.
• Cov qe ntshav dawb : Lawv txoj haujlwm yog los tawm tsam cov kab mob.
• Platelets : Cov no pab kom cov ntshav khov.

Tag nrho cov qe ntshav no pib los ntawm cov qe tshwj xeeb hu ua cov qe ntshav ntawm cov qe ntshav. Cov qe ntshav no ces faib ua ob hom: cov qe ntshav myeloid thiab cov qe ntshav lymphoid. Yog tias cov no loj hlob zoo li qub, cov qe ntshav uas loj hlob tuaj yog:

• Cov hlwb Myeloid (`(Cov hlwb Myeloid)`)Lawv ua rau muaj cov qe ntshav liab, platelets, thiab qee hom qe ntshav dawb (basophils, eosinophils , thiab neutrophils).
• Cov qe ntshav dawb (lymphoid cells) ua rau muaj lwm hom qe ntshav dawb (lymphocytes) thiab cov qe ntshav tua neeg ntuj.

Tiamsis, rau ib tug neeg uas muaj mob leukemia, ib qho ntawm cov qe ntshav uas loj hlob no pib faib sai thiab tsis tuaj yeem tswj tau . Peb hu cov qe ntshav tsis zoo no ua "leukemia cells." Cov qe ntshav leukemia no siv qhov chaw hauv cov pob txha, ua rau qhov chaw rau cov qe ntshav liab noj qab haus huv, cov qe ntshav dawb, thiab cov ntshav platelets.

Kab mob leukemia cuam tshuam li cas rau koj lub cev?

Xav txog seb yuav muaj li cas thaum muaj cov qe ntshav dawb ntau dhau thiab cov qe ntshav noj qab haus huv tsawg dhau. Qhov no ua rau muaj ntau lo lus nug:

• Cov qe ntshav dawb tsis ua dab tsi los ua kom koj lub cev noj qab nyob zoo.
• Vim tias cov qe ntshav dawb (leukemia) puv cov pob txha, cov qe ntshav noj qab haus huv tsis muaj chaw los tsim thiab loj hlob kom zoo .
• Yog li ntawd, lub cev tsis tsim cov qe ntshav liab, cov qe ntshav dawb noj qab haus huv, thiab cov platelets txaus kom muaj peev xwm sib sau ua ke hauv cov ntshav.
• Yog li ntawd, koj cov kab mob thiab cov nqaij tsis tau txais oxygen txaus. Koj lub cev tsis tuaj yeem tawm tsam cov kab mob lossis ua rau cov ntshav txhaws yog tias koj los ntshav.

Cov hom kab mob leukemia tseem ceeb yog dab tsi?

Muaj plaub hom kab mob leukemia tseem ceeb thiab ntau hom me. Cov kws kho mob faib cov kab mob leukemia raws li qhov mob kis tau sai npaum li cas thiab seb cov hlwb leukemia puas yog los ntawm cov hlwb myeloid lossis lymphoid.

Los ntawm qhov ceev ntawm kev mob nkeeg

• Kab mob leukemia mob hnyav : Hauv hom kab mob leukemia no, cov cell faib sai heev, thiab tus kab mob loj hlob sai heev. Yog tias koj muaj kab mob leukemia mob hnyav, koj yuav pib mob hauv ob peb lub lis piam. Qhov no tuaj yeem ua rau tuag taus, yog li kev kho mob yuav tsum pib tam sim ntawd . Kab mob leukemia mob hnyav yog hom kab mob qog noj ntshav feem ntau tshwm sim rau cov menyuam yaus.
• Kab mob leukemia ntev : Hauv hom no, cov qe ntshav dawb qee zaum ua zoo li cov qe ntshav tsis tau loj hlob thiab qee zaum zoo li cov qe ntshav laus. Qee cov qe ntshav loj hlob mus rau qee qhov thiab ua lawv txoj haujlwm mus rau qee qhov - tab sis tsis zoo li cov qe ntshav noj qab haus huv. Tus kab mob no loj hlob qeeb dua li cov qe ntshav dawb mob hnyav. Yog tias koj muaj kab mob leukemia ntev, koj yuav tsis muaj cov tsos mob loj rau ntau xyoo. Nws feem ntau tshwm sim rau cov neeg laus dua li cov menyuam yaus.

Los ntawm hom cell

• Kab mob ntshav dawb Myelogenous lossis Myeloid : Qhov no tshwm sim los ntawm cov hlwb myeloid. Cov hlwb myeloid ib txwm tsim cov qe ntshav liab, cov qe ntshav dawb, thiab cov platelets.
• Kab mob ntshav dawb LymphocyticQhov no yog tsim los ntawm cov qe ntshav lymphoid. Cov qe ntshav dawb uas tsim los ntawm cov qe ntshav lymphoid ib txwm yog ib feem tseem ceeb heev ntawm peb lub cev tiv thaiv kab mob.

Plaub hom kab mob leukemia tseem ceeb

Ua ke ob pawg no, muaj plaub hom kab mob leukemia tseem ceeb:

1. Kab mob ntshav dawb Acute Lymphocytic Leukemia (ALL) : Qhov no yog hom kab mob ntshav dawb uas pom ntau tshaj plaws rau cov menyuam yaus thiab cov hluas (txog li 39 xyoo). Txawm li cas los xij, nws kuj tuaj yeem tshwm sim rau cov neeg laus txhua lub hnub nyoog.

2. Kab mob ntshav dawb Acute Myelogenous Leukemia (AML) : Qhov no yog hom kab mob ntshav dawb mob hnyav uas feem ntau pom muaj rau cov neeg laus. Nws feem ntau pom muaj rau cov neeg hnub nyoog tshaj 65 xyoos. Nws kuj tseem tuaj yeem tshwm sim rau cov menyuam yaus.

3. Kab mob qog ntshav Lymphocytic Leukemia (CLL) : Qhov no yog hom kab mob qog ntshav leukemia uas feem ntau pom ntawm cov neeg laus (tshwj xeeb tshaj yog cov neeg hnub nyoog tshaj 65 xyoos). Hauv CLL, cov tsos mob yuav siv sijhawm ntau xyoo thiaj li tshwm sim.

4. Kab mob qog ntshav Myelogenous ntev (CML) : Qhov no kuj tshwm sim ntau dua rau cov neeg laus (tshwj xeeb tshaj yog cov neeg hnub nyoog tshaj 65), tab sis nws tuaj yeem cuam tshuam rau cov neeg laus txhua lub hnub nyoog. Nws tsis tshua muaj rau cov menyuam yaus. Hauv CML, cov tsos mob yuav siv sijhawm ntau xyoo kom tshwm sim.

Kab mob leukemia feem ntau tshwm sim li cas?

Raws li cov ntaub ntawv hauv qee lub tebchaws thoob ntiaj teb, leukemia yog suav tias yog mob qog noj ntshav thib kaum uas pom ntau tshaj plaws. Txawm hais tias nws tuaj yeem tshwm sim rau txhua tus neeg, qee pawg tau pom tias muaj kev pheej hmoo siab dua me ntsis:

• Cov neeg muaj hnub nyoog ntawm 65 thiab 74 xyoo.
• Txiv neej.
• Ntawm qee pawg neeg haiv neeg (piv txwv li Caucasians / dawb - cov no yog cov ntaub ntawv txawv teb chaws).

Muaj coob tus neeg xav tias mob leukemia yog ib yam kab mob uas tsuas yog cuam tshuam rau cov menyuam yaus xwb. Txawm li cas los xij, qee hom mob leukemia feem ntau tshwm sim rau cov neeg laus . Txawm hais tias mob leukemia tsis tshua muaj rau cov menyuam yaus, nws yog hom mob qog noj ntshav feem ntau tshwm sim rau cov menyuam yaus thiab cov hluas.

Cov tsos mob ntawm tus kab mob leukemia yog dab tsi?

Cov tsos mob nyob ntawm seb hom kab mob leukemia yog dab tsi. Piv txwv li, yog tias koj muaj kab mob leukemia ntev, tej zaum koj yuav tsis muaj cov tsos mob loj thaum ntxov.

Nov yog qee cov tsos mob ntawm leukemia:

• Qaug zog tam sim ntawd , yooj yim nkees.
• Kub taub hau los yog tawm hws thaum hmo ntuj .
• Kab mob sib kis ntau zaus.
• Ua pa nyuaj .
• Daim tawv nqaij daj ntseg .
• Poob phaus yam tsis muaj laj thawj.
• Mob pob txha/mob pob qij txha los yog mob nqaij.
• Mob los yog xav tias puv nkaus hauv qab tav tav sab laug.
• Cov qog ntshav hauv caj dab, qhov tso, qhov ncauj tsev menyuam, lossis lub plab o, tus po lossis lub siab loj.
• Kev mob ntshav thiab los ntshav yooj yimLos ntshav ntswg, cov pos hniav los ntshav, pob khaus uas zoo li cov pob me me liab ntawm daim tawv nqaij (petechiae) lossis cov pob ntshav/dub ntawm daim tawv nqaij.

Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, nws tsis tas txhais tau tias koj muaj mob leukemia. Txawm li cas los xij, yog tias koj muaj cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob kom tau txais kev qhia.

Dab tsi yog cov ua rau muaj mob leukemia?

Kab mob Leukemia pib nrog kev hloov pauv (kev hloov pauv) hauv DNA ntawm ib lub cell hauv koj cov pob txha. DNA zoo li "cov lus qhia." Cov DNA no qhia rau lub cell thaum twg yuav loj hlob, yuav tsim li cas, thiab yuav tuag thaum twg.

Vim yog qhov kev hloov pauv no, cov hlwb leukemia pib faib tas li. Txhua lub hlwb uas tsim los ntawm lub hlwb hloov pauv thawj zaug muaj cov DNA hloov pauv no.

Cov kws tshawb fawb tseem tsis tau paub meej tias vim li cas cov hlwb no thiaj hloov pauv, tab sis lawv tau txheeb xyuas qee qhov kev hloov pauv uas pom muaj nyob rau hauv cov neeg uas muaj ntau hom kab mob leukemia.

Leej twg muaj feem yuav mob ntshav dawb ntau dua?

Txhua tus neeg yeej muaj peev xwm mob leukemia tau. Txawm li cas los xij, kev tshawb fawb tau pom tias muaj tej yam uas yuav ua rau muaj kev pheej hmoo ntau ntxiv. Ib txhia ntawm cov yam no suav nrog:

• Tau txais kev kho mob qog noj ntshav yav dhau los : Yog tias koj tau txais kev kho mob qog noj ntshav xws li kev kho hluav taws xob lossis chemotherapy, koj yuav muaj feem ntau dua los ua qee hom mob leukemia.
• Haus Luam Yeeb : Yog tias koj haus luam yeeb lossis raug pa luam yeeb, koj muaj feem yuav mob ntshav qab zib myelogenous (AML).
• Kev raug tshuaj lom neeg hauv kev lag luam : Benzene thiab formaldehyde yog cov tshuaj lom neeg uas ua rau mob qog noj ntshav. Lawv tuaj yeem pom muaj nyob rau hauv cov khoom siv hauv tsev thiab cov tshuaj hauv tsev (yas, roj hmab, xim pleev, tshuaj tua kab, tshuaj, tshuaj ntxuav tes, xab npum, tshuaj zawv plaub hau, tshuaj ntxuav tes).
• Tej yam mob caj ces : Tej yam mob caj ces xws li neurofibromatosis, Klinefelter syndrome, Schwachman-Diamond syndrome, thiab Down syndrome yuav ua rau muaj kev pheej hmoo ntau ntxiv.
• Keeb kwm tsev neeg muaj mob leukemia : Kev tshawb fawb qhia tias qee hom mob leukemia yuav kis tau los ntawm tsev neeg. Txawm li cas los xij, feem ntau, tsuas yog vim muaj ib tug neeg hauv koj tsev neeg muaj mob leukemia tsis tau txhais hais tias koj lossis lwm tus neeg hauv koj tsev neeg yuav muaj mob leukemia. Qhia rau koj tus kws kho mob yog tias koj lossis ib tug neeg hauv koj tsev neeg muaj mob caj ces. Lawv yuav pom zoo kom kuaj mob caj ces los ntsuas koj qhov kev pheej hmoo.

Yuav kuaj mob leukemia li cas?

Cov txiaj ntsig ntawm kev kuaj ntshav niaj hnub yuav qhia rau koj tus kws kho mob tias koj yuav muaj mob leukemia sai sai lossis mob ntev, thiab xav tau kev kuaj ntxiv. Lossis, yog tias koj muaj cov tsos mob ntawm leukemia, koj tus kws kho mob yuav pom zoo kom kuaj ntau zaus.

Kev kuaj mob yuav muaj xws li:

• Kev kuaj lub cev : Tus kws kho mob yuav nug koj txog koj cov tsos mob thiab kov koj lub cev seb puas muaj cov qog ntshav o, lub qhov ntswg loj, lossis lub siab. Lawv kuj tseem yuav kuaj seb puas muaj ntshav lossis o ntawm cov pos hniav. Lawv kuj tseem yuav nrhiav seb puas muaj pob khaus ntawm daim tawv nqaij, uas tuaj yeem liab, ntshav liab, lossis xim av, thiab cuam tshuam nrog mob leukemia.
• Kev suav cov ntshav tag nrho (CBC) : Qhov kev kuaj ntshav no tuaj yeem qhia rau koj tus kws kho mob yog tias koj cov qe ntshav liab, cov qe ntshav dawb, thiab cov platelet tsis zoo li qub. Yog tias koj muaj mob leukemia, koj cov qe ntshav dawb yuav ntau dua li qub.
• Kev kuaj ntshav : Koj tus kws kho mob kuj tseem yuav kom kuaj ntshav ntxiv kom nrhiav tau cov cim ntawm cov qe ntshav dawb lossis ib hom kab mob leukemia tshwj xeeb. Flow cytometry thiab peripheral blood smear yog lwm yam kev kuaj uas koj tus kws kho mob yuav kom kuaj.
• Kev kuaj cov pob txha hauv lub cev (lossis kev rho cov pob txha hauv lub cev) : Koj tus kws kho mob yuav ua qhov kev kuaj no yog tias koj muaj qhov tsis zoo ntawm koj cov qe ntshav dawb. Hauv qhov kev kuaj no, yuav muab ib rab koob ntev tso rau hauv koj cov pob txha hauv lub duav (feem ntau yog hauv koj lub duav) kom tshem tawm cov kua dej. Tom qab ntawd yuav kuaj cov kua dej hauv chav kuaj mob kom pom tias puas muaj cov qe ntshav dawb hauv koj cov pob txha. Kev kuaj cov pob txha hauv lub cev tuaj yeem txiav txim siab qhov feem pua ​​​​​​ntawm cov qe ntshav dawb hauv koj cov pob txha hauv lub cev, uas tuaj yeem pab lees paub qhov kev kuaj mob ntawm leukemia.
• Kev kuaj duab thiab lwm yam kev kuaj : Yog tias koj cov tsos mob qhia tias leukemia tau cuam tshuam rau koj cov pob txha, cov kabmob, lossis cov nqaij, koj tus kws kho mob yuav hais kom koj thaij duab X-ray hauv siab, CT scan, lossis MRI scan. Txawm li cas los xij, cov kev kuaj duab no tsis tuaj yeem pom cov qe ntshav dawb.
• Kev tho qhov ntawm lub duav (lossis qhov tho qhov ntawm tus txha caj qaum) : Tus kws kho mob yuav kuaj cov kua dej ntawm tus txha caj qaum kom pom tias tus kab mob leukemia puas tau kis mus rau cov kua dej uas nyob ib puag ncig lub hlwb thiab tus txha caj qaum (cov kua dej ntawm tus txha caj qaum).

Yuav kho tus kab mob leukemia li cas?

Kev kho mob rau tus kab mob leukemia nyob ntawm seb koj muaj hom kab mob leukemia twg, koj lub hnub nyoog thiab kev noj qab haus huv tag nrho, thiab seb tus kab mob leukemia puas tau kis mus rau lwm yam kabmob lossis cov nqaij.

Cov kev kho mob uas feem ntau yuav suav nrog ib lossis ntau yam ntawm cov hauv qab no:

• Kev kho mob qog noj ntshav (`(Kev kho mob qog noj ntshav)`)Qhov no yog kev kho mob feem ntau rau cov kab mob leukemia. Nws siv cov tshuaj lom neeg (tshuaj) los tua cov hlwb leukemia lossis tiv thaiv lawv kom tsis txhob faib. Thaum lub sijhawm kho mob, koj tuaj yeem tau txais cov tshuaj lom neeg no (tshuaj) ua cov tshuaj ntsiav, ua kev txhaj tshuaj rau hauv cov leeg ntshav, lossis ua kev txhaj tshuaj hauv qab daim tawv nqaij. Kev kho mob chemotherapy feem ntau yog muab ua ke nrog ntau yam tshuaj.
• Kev Kho Mob Tiv Thaiv Kab Mob (lossis kev kho mob siv tshuaj) : Kev kho mob no siv cov tshuaj tshwj xeeb los txhawb koj lub cev lub cev tiv thaiv kab mob—lub cev tiv thaiv kab mob—kom tawm tsam kab mob leukemia. Kev kho mob tiv thaiv kab mob pab koj lub cev tiv thaiv kab mob paub txog cov hlwb qog noj ntshav thiab tsim ntau cov hlwb tiv thaiv kab mob los tawm tsam lawv.
• Kev kho mob tsom rau cov hlwb : Kev kho mob no siv cov tshuaj uas tsim los tawm tsam cov feem tshwj xeeb ntawm cov hlwb leukemia (xws li cov protein lossis cov noob caj noob ces). Cov feem no yog cov uas ua rau cov hlwb leukemia muaj ntau dua cov hlwb ntshav ib txwm muaj. Kev kho mob tsom rau cov hlwb leukemia tuaj yeem tiv thaiv cov hlwb leukemia kom tsis txhob faib, txiav cov hlwb cov ntshav tsis pub dhau, lossis tua lawv kiag li. Kev kho mob tsom rau cov hlwb ib txwm muaj kev puas tsuaj tsawg dua. Piv txwv ntawm cov tshuaj no suav nrog monoclonal antibodies thiab tyrosine kinase inhibitors.
• Kev Kho Mob Hluav Taws Xob : Kev kho mob no siv cov teeb ci zog siab lossis X-rays los tua cov hlwb leukemia lossis tiv thaiv lawv kom tsis txhob loj hlob. Thaum lub sijhawm kho mob, lub tshuab tuaj yeem coj cov hluav taws xob mus rau qhov chaw tseeb ntawm cov hlwb qog noj ntshav lossis faib nws thoob plaws lub cev. Kev kho mob hluav taws xob thoob plaws lub cev yuav raug muab ua ntej hloov hlwb hematopoietic.
• Kev hloov hlwb ntshav (lossis 'stem cell' lossis 'bone marrow transplant') : Hauv kev kho mob no, cov hlwb tsim ntshav uas tau raug rhuav tshem los ntawm kev kho mob chemotherapy thiab/lossis kev kho mob hluav taws xob raug hloov nrog cov hlwb ntshav tshiab, noj qab nyob zoo. Koj tus kws kho mob yuav coj cov hlwb noj qab nyob zoo no ntawm koj ua ntej kev kho mob chemotherapy thiab kev kho mob hluav taws xob, lossis lawv yuav los ntawm tus neeg pub dawb. Cov hlwb noj qab nyob zoo tshiab no faib thiab ua cov hlwb pob txha thiab cov hlwb ntshav tshiab (cov hlwb ntshav liab, cov hlwb ntshav dawb, thiab cov platelets uas koj lub cev xav tau).
• Kev kho mob Chimeric Antigen Receptor (CAR) T-cell : Qhov no yog ib hom kev kho mob tshiab. Nws suav nrog kev siv koj lub cev cov T-cells uas tawm tsam kev kis kab mob (ib hom cell tiv thaiv kab mob hu ua T-cell lossis T-lymphocyte), rov tsim kho lawv kom tawm tsam cov cell leukemia, thiab tom qab ntawd rov coj lawv rov qab rau hauv koj lub cev.

Tej zaum koj yuav muaj lub sijhawm los koom nrog kev sim tshuaj uas sim cov kev kho mob qog noj ntshav tshiab. Tham nrog koj tus kws kho mob txog qhov zoo thiab qhov tsis zoo ntawm kev koom nrog kev sim tshuaj no.

Cov theem ntawm kev kho mob leukemia yog dab tsi?

Nyob ntawm koj txoj kev npaj kho mob, koj yuav tau txais kev kho mob leukemia tas mus li ntev, lossis koj yuav tau txais kev kho mob ua ntau theem. Feem ntau, kev kho mob uas muaj peb theem. Txhua theem muaj ib lub hom phiaj tshwj xeeb.

1. Kev kho mob Induction : Lub hom phiaj ntawm qhov no yog tua cov qe ntshav dawb ntau li ntau tau hauv koj cov ntshav thiab pob txha thiab ua rau koj tsis muaj mob. Thaum koj tsis muaj mob lawm, koj cov qe ntshav rov qab mus rau qhov qub, koj cov qe ntshav dawb tsis pom hauv koj cov ntshav lawm, thiab txhua yam cim thiab tsos mob ntawm tus kab mob ploj mus. Kev kho mob Induction feem ntau kav li plaub txog rau lub lis piam.

2. Kev kho mob sib koom ua ke (tseem hu ua "(Kev ua kom loj hlob)") : Lub hom phiaj ntawm qhov no yog rhuav tshem cov hlwb leukemia uas tseem tshuav, uas tsis pom. Qhov no tuaj yeem pab tiv thaiv kom tsis txhob rov qab los ntawm mob qog noj ntshav. Kev kho mob no feem ntau yog muab ua ntau lub voj voog, dhau lub sijhawm plaub txog rau lub hlis.

3. Kev kho mob tas mus li : Lub hom phiaj ntawm qhov no yog rhuav tshem cov qe ntshav dawb uas tseem tshuav tom qab ob lub voj voog kho mob thawj zaug thiab tiv thaiv kom tus mob qog noj ntshav tsis txhob rov qab los (rov qab mob dua). Kev kho mob no yuav txuas ntxiv mus li ob xyoos.

Yog tias tus kab mob leukemia rov qab los, koj tus kws kho mob yuav rov pib dua lossis hloov koj txoj kev kho mob.

Tom qab kuaj pom tias muaj mob leukemia, kuv yuav xav tau dab tsi?

Nws nyuaj rau muab qhov kev kwv yees tseeb rau tus kab mob leukemia, vim tias txhua tus neeg txoj kev paub txawv. Qhov tshwm sim nyob ntawm ntau yam:

• Kev txawv txav ntawm cov noob caj noob ces lossis kev hloov pauv (`(Mutations)`) : Kev hloov pauv hauv cov hlwb leukemia yog qhov qhia tseem ceeb tshaj plaws ntawm qhov tshwm sim.
• Hom kab mob leukemia : Qee hom kab mob leukemia muaj cov txiaj ntsig zoo dua li lwm yam.
• Kev suav cov qe ntshav thaum kuaj pom tias muaj kab mob leukemia : Tus naj npawb ntawm cov qe ntshav dawb uas muaj thaum kuaj pom kuj tseem tuaj yeem cuam tshuam rau koj cov txiaj ntsig.
• Hnub Nyoog : Feem ntau, thaum kuaj pom tias koj muaj mob hluas dua, qhov tshwm sim yuav zoo dua.
• Kev Noj Qab Haus Huv : Feem ntau, thaum kuaj pom tias koj muaj mob zoo, qhov tshwm sim yuav zoo dua.
• Kev teb rau kev kho mob : Lub sijhawm uas tus mob qog noj ntshav yuav tsum tau zam txim (`(Kev zam txim)`) tuaj yeem muab lub tswv yim tias kev kho mob ua tiav npaum li cas.
• Muaj cov qe ntshav dawb hauv lub paj hlwb hauv nruab nrab : Yog tias muaj cov qe ntshav hauv koj cov kua dej hauv tus txha caj qaum, nws yuav nyuaj rau kho lawv.

Thaum kawg, koj tus kws kho mob yog tus neeg zoo tshaj plaws los nkag siab txog koj tus mob qog noj ntshav cuam tshuam rau koj li cas. Nug lawv txog cov txiaj ntsig ntawm kev kho mob.

Puas kho tau kab mob leukemia kom zoo tag nrho?

Tsis muaj ib yam dab tsi uas hu ua "kev kho tau tag nrho" rau tus kab mob leukemia. Tab sis qhov ntawd tsis tau txhais hais tias qee tus neeg yuav tsis zoo mus sij hawm ntev. Kev kho tus kab mob leukemia txhais tau hais tias tus kab mob cancer ploj mus lawm, nws yuav tsis rov qab los, thiab tsis tas yuav kho ntxiv lawm. Tab sis nrog tus kab mob leukemia, qhov no nyuaj rau hais kom meej.

Ntawm qhov tod tes, kev zam txim mus sij hawm ntev txhais tau tias tsis muaj cov cim qhia ntawm tus mob qog noj ntshav, txawm tias muaj lossis tsis muaj kev kho mob. Qhov kev zam txim no tuaj yeem kav ntev li ob peb lub lis piam mus rau ntau xyoo. Tus kab mob leukemia yuav tsis rov qab los. Yog tias nws rov qab los, koj tus kws kho mob yuav pom zoo cov kev kho mob tshiab kom ua tiav kev zam txim.

Koj pab neeg kho mob yuav teb tau cov lus nug zoo tshaj plaws, "Kuv tus kab mob leukemia puas kho tau zoo?" Lawv yuav saib xyuas koj txoj kev noj qab haus huv thiab tsim ib txoj kev npaj kho mob uas haum rau koj.

Koj yuav tsum nug koj tus kws kho mob li cas?

Ua kom koj tus kheej muaj zog los ntawm kev kawm ntau li ntau tau txog seb koj qhov kev kuaj mob qog noj ntshav cuam tshuam rau koj li cas. Nws yog ib lub tswv yim zoo los sau tej yam thiab coj ib tug phooj ywg nrog koj thaum koj mus ntsib koj tus kws kho mob. Tsis txhob ntshai nug cov lus nug.

Qee cov lus nug koj tuaj yeem nug:

• Kuv muaj hom mob leukemia twg? Nws muaj cov cell hom twg? Puas yog mob qog nqaij hlav loj sai lossis loj qeeb?
• Tshawb pom kab mob leukemia thaum twg?
• Kuv muaj cov kev kho mob twg?
• Cov txiaj ntsig thiab kev pheej hmoo ntawm txhua txoj kev kho mob yog dab tsi?
• Txoj kev kho mob twg zoo tshaj plaws rau kuv? Vim li cas?
• Yuav tsum pib kho mob thaum twg?
• Kev kho mob (thiab txhua theem kev kho mob) siv sijhawm ntev npaum li cas?
• Kuv yuav tau nyob hauv tsev kho mob ntev npaum li cas?
• Cov kev mob tshwm sim ntawm kev kho mob yog dab tsi? Yuav ua li cas thiaj tiv thaiv lossis txo tau lawv?
• Yog tias kuv xav muaj menyuam, yuav ua li cas? Muaj cov kev xaiv dab tsi los tswj kuv txoj kev xeeb tub?
• Tus nqi ntawm kuv hom mob leukemia yuav muaj sia nyob yog li cas?
• Kuv puas yuav tsum koom nrog kev sim tshuaj kho mob?

Kuv yuav tau cov ntaub ntawv ntxiv thiab kev txhawb nqa txog kab mob leukemia qhov twg?

Yog xav paub ntxiv txog kev sim tshuaj rau tus kab mob leukemia, koj tuaj yeem mus saib cov vev xaib thoob ntiaj teb (piv txwv li, Leukemia & Lymphoma Society, National Cancer Institute, American Cancer Society). Tsis tas li ntawd, nug koj tus kws kho mob txog cov peev txheej hauv zos thiab cov pab pawg txhawb nqa.

Txhua yam kev kuaj mob qog noj ntshav yeej txaus ntshai heev. Tiam sis kev kuaj mob leukemia yeej txaus ntshai dua. Yog tsis muaj qog nqaij hlav uas yuav tsum tau tshem tawm, nws yuav nyuaj rau paub tias kev kho mob yuav zoo li cas thiab yav tom ntej yuav zoo li cas. Nco ntsoov tias, leukemia tsis yog ib qho kev kho mob uas haum rau txhua tus. Koj txoj kev kho mob thiab lub sijhawm ntawm kev zam txim mus sij hawm ntev nyob ntawm ntau yam. Tsis muaj leej twg tuaj yeem kwv yees koj qhov tshwm sim yam tsis nkag siab txog koj txoj kev noj qab haus huv thiab leukemia, suav nrog cov yam ntxwv ntawm cov hlwb leukemia. Tham nrog koj tus kws kho mob txog qhov kev kuaj mob leukemia txhais li cas rau koj.

Cov ntsiab lus luv luv uas yuav tsum nco ntsoov

Zoo, yog li kuv vam tias koj muaj lub tswv yim zoo txog leukemia los ntawm qhov peb tau tham txog. Nov yog qee yam tseem ceeb uas yuav tsum nco ntsoov:

• Kab mob leukemia yog ib hom mob qog ntshav , uas yog los ntawm kev loj hlob tsis zoo ntawm cov hlwb pob txha hauv cov ntshav.
• Muaj ob hom tseem ceeb ntawm qhov no: mob hnyav thiab mob ntev, thiab myeloid thiab lymphoid .
• Cov tsos mob sib txawv, thiab tej zaum yuav suav nrog qaug zog tam sim ntawd, kis kab mob ntau zaus, thiab yooj yim raug mob .
• Txawm hais tias tsis paub meej tias yog vim li cas los xij, kev hloov pauv ntawm cov noob caj noob ces, qee cov tshuaj lom neeg, thiab kev kho mob qog noj ntshav yav dhau los yuav yog cov yam ua rau muaj kev pheej hmoo.
• Feem ntau kuaj pom tus kab mob no los ntawm kev kuaj ntshav thiab kuaj pob txha .
• Muaj ntau txoj kev xaiv kho mob (xws li "Chemotherapy", "Immunotherapy", "Targeted therapy"), uas nyob ntawm tus neeg mob thiab qhov xwm txheej ntawm tus kab mob.
• Es tsis txhob tham txog kev kho kom zoo tag nrho, peb tuaj yeem cia siab tias yuav tau kev zam txim mus sij hawm ntev .
• Tsis txhob ntshai nug cov lus nug thiab tau txais cov ntaub ntawv los ntawm koj tus kws kho mob . Koj tsis yog tib leeg xwb.

Peb vam tias cov ntaub ntawv no yuav pab tau koj. Nyob zoo!

` leukemia, leukemia, mob qog ntshav, pob txha pob txha, cov qe ntshav, cov tsos mob ntawm leukemia, kev kho mob leukemia