Kumva mawu oti " Leukemia " kungakhale koopsa kwambiri. N'zachibadwa kukhala ndi nkhawa mukakumana ndi mawu otere. Komabe, kumvetsetsa bwino lomwe chomwe chimayambitsa matendawa, chifukwa chake chimachitika, zizindikiro zake, komanso kuti pali mankhwala othandiza kungathandize kwambiri kuchepetsa mantha amenewo. Ku Nirogi Lanka, tikufuna kukambirana za khansa yokhudzana ndi magazi m'njira yosavuta komanso yogwirizana nayo—monga momwe mnzanu kapena wachibale wanu akukufotokozerani.
Kodi khansa ya m'magazi ndi chiyani?
Mwachidule, khansa ya m'magazi ndi khansa ya m'magazi . Fakitale yaikulu yopanga magazi m'thupi lanu ndi mafupa anu. Mkati mwa "fakitale" iyi, thupi lanu limayamba kupanga maselo amagazi osazolowereka—makamaka maselo oyera a m'magazi osakhwima—mosalamulirika. Mawu oti "leukemia" amachokera ku mawu achigiriki otanthauza "oyera" (leukos) ndi "magazi" (haima).
Mosiyana ndi khansa zina zambiri, khansa ya m'magazi nthawi zambiri siimapanga chotupa kapena chotupa chomwe mungachione pa X-ray ( X-ray ) kapena CT scan ( CT scan ).
Pali mitundu ingapo ya khansa ya m'magazi. Ina imapezeka kwambiri mwa ana, pomwe ina imapezeka kwambiri kwa akuluakulu. Zisankho za chithandizo zimasankhidwa payekhapayekha kutengera mtundu wa khansa ya m'magazi, zaka zanu, komanso thanzi lanu lonse.
Kodi khansa ya m'magazi imayamba bwanji?
Khansa ya m'magazi imayamba m'mafupa anu, minofu yofewa, yonga siponji mkati mwa mafupa anu. Apa ndi pomwe thupi lanu limapanga maselo amagazi. Maselo amenewa amadutsa masitepe angapo kuti akule bwino. Magazi abwino amapangidwa ndi mitundu itatu ikuluikulu:
- Maselo ofiira a m'magazi : Awa amanyamula mpweya ndi michere ina yofunika kwambiri m'thupi lanu lonse.
- Maselo oyera a m'magazi : Awa ndi gulu loteteza chitetezo cha mthupi lanu, lomwe limalimbana ndi matenda.
- Ma platelets : Izi zimathandiza magazi kuundana mukamavulala.
Maselo onsewa amachokera ku maselo oyambira a hematopoietic. Maselo oyambira awa amagawikana m'njira ziwiri: maselo a myeloid ndi maselo a lymphoid. Akakula bwino, amakhala:
- Maselo a Myeloid : Amene amapanga maselo ofiira a magazi, ma platelet, ndi maselo ena oyera a magazi (Basophils, Eosinophils , ndi Neutrophils).
- Maselo a Lymphoid : Amene amapanga maselo ena oyera a magazi (Lymphocytes ndi maselo achilengedwe opha).
Mu munthu amene ali ndi khansa ya m'magazi, imodzi mwa maselo amenewa imayamba kugawikana mofulumira komanso mosalamulirika . Timatcha maselo amenewa kuti “maselo a khansa ya m'magazi.” Amadzaza mafupa, osasiya malo opangira maselo ofiira a m'magazi, maselo oyera a m'magazi, kapena ma platelet athanzi.
Kodi khansa ya m'magazi imakhudza bwanji thupi lanu?
Maselo a leukemia akamawononga maselo athanzi, mavuto angapo amayamba:
- Maselo a khansa ya m'magazi sagwira ntchito zofunika kwambiri monga momwe maselo athanzi amachitira.
- Popeza maselo a khansa ya m'magazi amadzaza mafupa, maselo athanzi sangakule kapena kukhwima bwino .
- Motero, thupi lanu silingathe kupanga maselo ofiira, maselo oyera, kapena ma platelet okwanira.
- Motero, ziwalo ndi minofu yanu sizingalandire mpweya wokwanira. Kuphatikiza apo, thupi lanu limataya mphamvu zake zolimbana ndi matenda kapena kutseka magazi bwino ngati mwavulala.
Kodi mitundu ikuluikulu ya khansa ya m'magazi ndi iti?
Khansa ya m'magazi nthawi zambiri imagawidwa malinga ndi momwe imakulira mofulumira komanso mzere wa maselo (myeloid kapena lymphoid) omwe akhudzidwa.
Mwa liwiro la kupita patsogolo kwa matenda
- Khansa ya m'magazi yoopsa : Mu mtundu uwu, maselo a khansa ya m'magazi amachulukana mofulumira kwambiri, zomwe zimapangitsa kuti matendawa apitirire msanga. Mungayambe kumva kuti simuli bwino pakatha milungu ingapo. Iyi ndi ngozi yachipatala yomwe imafuna chithandizo chadzidzidzi. Ndi khansa yofala kwambiri mwa ana.
- Leukemia yosatha : Mu mtundu uwu, maselo ena amakhala osakhwima pomwe ena amachita zinthu ngati maselo okhwima. Angagwire ntchito zina, ngakhale kuti sagwira bwino ntchito ngati maselo athanzi. Matendawa amakula pang'onopang'ono kuposa leukemia yoopsa. Mutha kukhala zaka zambiri osakumana ndi zizindikiro zazikulu. Izi zimachitika kwambiri mwa akuluakulu kuposa ana.
Ndi mtundu wa selo
- Myelogenous kapena Myeloid leukemia : Imakhudza maselo a myeloid, omwe amachititsa kupanga maselo ofiira a magazi, ma platelet, ndi maselo ena oyera a magazi.
- Lymphocytic leukemia : Imakhudza maselo a lymphoid, omwe ndi ofunikira kwambiri pa chitetezo chamthupi chanu.
Mitundu inayi ikuluikulu ya khansa ya m'magazi
Kuphatikiza magulu awa, pali mitundu inayi yayikulu:
1. Acute Lymphocytic Leukemia (ALL) : Mtundu wofala kwambiri mwa ana ndi achinyamata (mpaka zaka 39), ngakhale ungakhudze gulu lililonse la anthu azaka.
2. Matenda a khansa ya m'magazi (AML) : Matendawa ndi ofala kwambiri mwa akuluakulu, makamaka omwe ali ndi zaka zoposa 65, ngakhale kuti amathanso kuchitika mwa ana.
3. Matenda a khansa ya m'magazi otchedwa Chronic Lymphocytic Leukemia (CLL) : Matendawa ndi omwe amapezeka kwambiri mwa akuluakulu (makamaka omwe ali ndi zaka zoposa 65). Zingatenge zaka zambiri kuti zizindikiro ziwonekere.
4. Matenda a khansa ya m'magazi otchedwa Chronic Myelogenous Leukemia (CML) : Amapezeka kwambiri mwa akuluakulu (makamaka azaka zopitirira 65), ngakhale kuti amatha kuchitika mwa munthu wamkulu aliyense. Sizofala kawirikawiri mwa ana ndipo zingatenge zaka zambiri kuti zizindikiro ziwonekere.
Kodi khansa ya m'magazi ndi yofala bwanji?
Ziwerengero zikusonyeza kuti khansa ya m'magazi ndi imodzi mwa khansa khumi zofala kwambiri. Ngakhale aliyense atha kudwala khansa imeneyi, magulu ena akukumana ndi chiopsezo chachikulu:
- Anthu azaka zapakati pa 65 ndi 74.
- Amuna.
- Mitundu ina.
Ambiri amakhulupirira kuti khansa ya m'magazi ndi matenda a ana okha. Komabe, mitundu yambiri ya khansa imeneyi ndi yofala kwambiri kwa akuluakulu. Ngakhale kuti khansa ya m'magazi ndi yosowa kwambiri kwa ana, ikadali khansa yofala kwambiri kwa ana ndi achinyamata.
Kodi zizindikiro za leukemia ndi ziti?
Zizindikiro za khansa ya m'magazi zimadalira mtundu womwe uli nawo. Mwachitsanzo, ngati muli ndi khansa ya m'magazi yosatha, simungakumane ndi zizindikiro zazikulu kumayambiriro.
Nazi zina mwa zizindikiro zodziwika bwino za leukemia:
- Kutopa kosalekeza kapena kumva kutopa msanga.
- Malungo kapena thukuta usiku .
- Matenda opatsirana pafupipafupi.
- Kupuma movutikira .
- Khungu lotumbululuka .
- Kuchepetsa thupi kosamveka bwino.
- Kupweteka kwa mafupa kapena mafupa kapena kupweteka kwa mafupa kukakhudzidwa.
- Kumva ululu kapena kukhuta pansi pa nthiti zako zakumanzere.
- Ma lymph nodes otupa m'khosi mwanu, m'khwapa, kapena m'mimba mwanu, kapena ndulu kapena chiwindi chokulirapo.
- Kutupa ndi kutuluka magazi mosavuta , monga kutuluka magazi m'mphuno, kutuluka magazi m'kamwa, madontho ofiira ang'onoang'ono pakhungu lanu (petechiae), kapena mawanga ofiirira/akuda osadziwika bwino.
Ngati muli ndi zizindikiro izi, sizikutanthauza kuti muli ndi khansa ya m'magazi. Komabe, ngati mukukumana ndi zizindikiro izi, ndikofunikira kuti mukaonane ndi dokotala kuti akuwunikireni.
Kodi n’chiyani chimayambitsa khansa ya m’magazi?
Khansa ya m'magazi nthawi zambiri imayamba ndi kusintha kwa majini mu DNA ya selo limodzi mkati mwa mafupa anu. DNA imagwira ntchito ngati malangizo, kuuza selo nthawi yoti ikule, momwe ingagwirire ntchito, komanso nthawi yoti imwalire.
Chifukwa cha kusintha kumeneku, maselo a khansa ya m'magazi amayamba kuchulukana mosalamulirika. Selo lililonse lopangidwa kuchokera ku selo loyambirira losinthidwa lidzakhala ndi DNA yofanana ndi yachilendo.
Ngakhale asayansi sakudziwabe chifukwa chake kusintha kumeneku kumachitika, apeza kusintha kwina komwe kumakhudzana ndi mitundu yosiyanasiyana ya khansa ya m'magazi.
Ndani ali pachiwopsezo chachikulu chotenga khansa ya m'magazi?
Aliyense akhoza kudwala khansa ya m'magazi, koma kafukufuku wasonyeza kuti zinthu zina zingawonjezere chiopsezo chanu, kuphatikizapo:
- Chithandizo cha khansa chisanachitike : Ngati mudalandirapo chithandizo monga chithandizo cha radiation kapena chemotherapy, mungakhale ndi chiopsezo chachikulu chotenga mitundu ina ya khansa ya m'magazi.
- Kusuta : Ngati mumasuta kapena mumakhala ndi utsi wa fodya womwe mumagwiritsa ntchito, chiopsezo chanu cha khansa ya m'magazi (AML) chimawonjezeka.
- Kukhudzidwa ndi mankhwala a mafakitale : Mankhwala monga benzene ndi formaldehyde amadziwika kuti amayambitsa khansa. Izi zimapezeka mu zipangizo zomangira ndi zinthu zosiyanasiyana zapakhomo (pulasitiki, rabala, utoto, mankhwala ophera tizilombo, mankhwala, sopo, ndi shampu).
- Matenda ena a majini : Matenda a majini monga Neurofibromatosis, Klinefelter syndrome, Schwachman-Diamond syndrome, ndi Down syndrome angapangitse kuti pakhale chiopsezo chachikulu.
- Mbiri ya Banja : Kafukufuku akusonyeza kuti mitundu ina ya khansa ya m'magazi ikhoza kukhala ndi cholowa. Komabe, kukhala ndi wachibale amene ali ndi khansa ya m'magazi sikutanthauza kuti mudzadwala matendawa. Nthawi zonse uzani dokotala wanu ngati muli ndi mbiri ya khansa kapena matenda a majini m'banja mwanu; angakulangizeni kuti muyesedwe majini kuti muwone ngati muli pachiopsezo.
Kodi matenda a leukemia amapezedwa bwanji?
Kawirikawiri, kuyezetsa magazi nthawi zonse kungapatse dokotala wanu chizindikiro choyamba chakuti mwina muli ndi vuto lalikulu kapena losatha, zomwe zingakupangitseni kufufuza kwina. Ngati mukukumana ndi zizindikiro, dokotala wanu angakulangizeni mayeso angapo.
Njira zodziwira matenda zingaphatikizepo:
- Kuyezetsa thupi : Dokotala wanu adzakambirana za zizindikiro zanu ndikukuyesani ngati muli ndi zizindikiro monga kutupa kwa ma lymph nodes, kutupa kwa ndulu kapena chiwindi, kapena kutuluka magazi m'kamwa mwanu. Adzayang'ananso khungu lanu ngati muli ndi ziphuphu, monga petechiae.
- Kuchuluka kwa Magazi Okwanira (CBC) : Kuyeza kumeneku kumalola dokotala wanu kuwona kuchuluka kwa maselo ofiira a magazi anu, maselo oyera a magazi, ndi ma platelet. Ngati muli ndi khansa ya m'magazi, kuchuluka kwa maselo oyera a magazi anu nthawi zambiri kumakhala kwakukulu kuposa kwachibadwa.
- Kuyezetsa maselo a magazi : Dokotala wanu angafune mayeso ena, monga flow cytometry kapena peripheral blood smear, kuti aone zizindikiro zinazake za maselo a leukemia.
- Kufufuza za m'mafupa kapena kutsuka magazi : Ngati kuchuluka kwa magazi anu sikuli bwino, dokotala wanu angachite mayesowa. Singano yayitali imayikidwa m'fupa lanu (nthawi zambiri fupa la m'chiuno) kuti itenge chitsanzo chamadzimadzi. Kenako labotale imafufuza chitsanzochi cha maselo a leukemia kuti itsimikizire kupezeka kwa matendawa ndikupeza kuchuluka kwa maselo osazolowereka m'mafupa anu.
- Kujambula ndi mayeso ena : Ngati zizindikiro zanu zikusonyeza kuti khansa ya m'magazi yakhudza mafupa anu, ziwalo, kapena minofu yanu, dokotala wanu angakupatseni X-ray pachifuwa, CT scan, kapena MRI. Dziwani kuti maselo a khansa ya m'magazi samawonekera kawirikawiri pamayeso awa.
- Kuboola msana : Dokotala wanu angatenge chitsanzo cha madzi a msana kuti adziwe ngati khansa ya m'magazi yafalikira ku madzi ozungulira ubongo wanu ndi msana wanu.
Kodi khansa ya m'magazi imachiritsidwa bwanji?
Chithandizo cha khansa ya m'magazi chimadalira mtundu wa khansa yomwe muli nayo, zaka zanu, thanzi lanu lonse, komanso ngati khansayo yafalikira ku ziwalo zina kapena minofu.
Kawirikawiri, chimodzi kapena kuphatikiza kwa mankhwala otsatirawa ndi komwe gulu lanu lachipatala ku Nirogi Lanka limagwiritsa ntchito:
- Chemotherapy : Iyi ndi njira yodziwika bwino yochizira khansa ya m'magazi. Imagwiritsa ntchito mankhwala amphamvu kuti iwononge maselo a khansa ya m'magazi kapena kuwaletsa kugawikana. Kutengera ndi njira yanu yeniyeni, mutha kulandira mankhwalawa pakamwa, kudzera mu intravenous infusion, kapena kudzera mu jakisoni pansi pa khungu. Nthawi zambiri, kuphatikiza mankhwala angapo a chemotherapy kumagwiritsidwa ntchito kuti zitsimikizire zotsatira zabwino.
- Chithandizo cha Immunotherapy (biologic therapy) : Chithandizochi chimapatsa mphamvu chitetezo chachilengedwe cha thupi lanu—chitetezo chanu cha mthupi—kuti chithane ndi khansa ya m'magazi. Mankhwala apaderawa amathandiza chitetezo chanu cha mthupi kuzindikira maselo a khansa bwino kwambiri ndikulimbikitsa kupanga maselo a chitetezo cha mthupi kuti awachotse.
- Chithandizo Cholunjika : Njira imeneyi imagwiritsa ntchito mankhwala omwe adapangidwa makamaka kuti awononge madera omwe ali pachiwopsezo cha maselo a leukemia, monga mapuloteni kapena majini enaake omwe amawalola kuti apitirire maselo athanzi a magazi. Mwa kuyang'ana zigawozi, mankhwalawa amatha kuletsa maselo kuti asagawane, kuletsa magazi awo, kapena kuwawononga mwachindunji, nthawi zambiri popanda kuwonongeka kwakukulu kwa maselo athanzi. Zitsanzo zikuphatikizapo ma antibodies a monoclonal ndi zoletsa za tyrosine kinase.
- Chithandizo cha radiation : Chithandizochi chimagwiritsa ntchito kuwala kwamphamvu kwambiri kapena ma X-ray kuti awononge maselo a leukemia kapena kuwaletsa kukula. Pa chithandizo, kuwala kumatha kuyang'ana kwambiri madera enaake kumene maselo a khansa amakhala ambiri, kapena kungayang'anitsidwe thupi lonse, lomwe nthawi zina limagwiritsidwa ntchito pokonzekera kusamutsidwa kwa maselo oyambira.
- Kusamutsa maselo a m'magazi (kusamutsa maselo oyambira kapena mafupa) : Mu njira imeneyi, maselo odwala, omwe amapanga khansa ya m'magazi—nthawi zambiri amachotsedwa ndi mankhwala amphamvu a chemotherapy kapena radiation—amalowedwa m'malo ndi maselo atsopano athanzi. Maselo amenewa akhoza kukhala anu (osonkhanitsidwa musanalandire chithandizo) kapena ochokera kwa wopereka. Maselo athanzi awa akasamutsidwa, amayamba kupanga maselo abwinobwino a m'magazi ndi m'magazi (maselo ofiira a m'magazi, maselo oyera a m'magazi, ndi ma platelet).
- Chithandizo cha maselo a T a Chimeric Antigen Receptor (CAR) : Iyi ndi njira yotsogola yochizira. Ikuphatikizapo kusonkhanitsa maselo anu a T—mtundu wa selo loteteza thupi lofunikira polimbana ndi matenda—ndikuwapanga majini mu labu kuti azindikire ndikuukira maselo anu enieni a leukemia musanawabwezeretse m'magazi mwanu.
Mungakhalenso ndi mwayi wochita nawo mayeso azachipatala , omwe amayesa njira zamakono zoyesera khansa. Onetsetsani kuti mwakambirana ndi dokotala wanu za ubwino ndi zoopsa zomwe zingabwere chifukwa cha mayeso otere.
Kodi ndi magawo ati a chithandizo cha leukemia?
Kutengera ndi dongosolo lanu la chithandizo, ulendo wanu ungaphatikizepo njira yopitilira kapena kugawidwa m'magawo osiyanasiyana. Kawirikawiri, chithandizo chimagawidwa m'magawo atatu, chilichonse chili ndi cholinga chake:
1. Chithandizo cha khansa : Cholinga chachikulu apa ndikuwononga maselo ambiri a khansa ya m'magazi ndi m'mafupa momwe mungathere kuti muchotse khansa . Pa nthawi ya khansa, kuchuluka kwa magazi anu kumabwerera mwakale, maselo a khansa ya m'magazi samawonekera, ndipo zizindikiro za matendawa zimatha. Chithandizo cha khansa nthawi zambiri chimakhala pafupifupi milungu inayi mpaka isanu ndi umodzi.
2. Chithandizo chophatikizana (chomwe chimatchedwanso intensification) : Cholinga cha gawoli ndikuchotsa maselo otsala a leukemia omwe sapezeka kuti apewe khansa kuti isabwererenso. Chithandizochi nthawi zambiri chimaperekedwa m'miyezi inayi mpaka isanu ndi umodzi.
3. Chithandizo chosamalira : Gawoli cholinga chake ndi kuwononga maselo otsala a leukemia omwe mwina adapulumuka magawo am'mbuyomu, zomwe zimachepetsa chiopsezo chobwereranso . Gawoli likhoza kupitirira mpaka zaka ziwiri.
Ngati khansa ya m'magazi ibwerera, dokotala wanu adzakutsogolerani poyambitsanso kapena kusintha dongosolo lanu la chithandizo.
Kodi chiyembekezo cha matenda a leukemia chidzakhala chotani mutapezeka ndi matendawa?
Kudziwa nthawi yeniyeni ya matenda n'kovuta, chifukwa ulendo wa aliyense ndi wapadera. Maganizo anu amadalira zinthu zingapo zofunika:
- Zolakwika za majini kapena kusintha kwa majini : Kusintha kwa majini komwe kumapezeka m'maselo anu a leukemia nthawi zambiri kumakhala chizindikiro chofunikira kwambiri cha matenda anu.
- Mtundu wa khansa ya m'magazi : Mitundu ina ya khansa ya m'magazi imayankha bwino ikalandira chithandizo kuposa ina.
- Kuwerengera maselo a magazi pamene mukudwala : Chiwerengero cha maselo a leukemia omwe alipo pamene munapezeka ndi matendawa koyamba chimachita gawo.
- Zaka : Kawirikawiri, odwala achichepere amatha kupeza zotsatira zabwino kwambiri.
- Thanzi lathunthu : Thanzi lanu lonse la thupi komanso thanzi lanu panthawi yodziwira matenda likhoza kukhudza kuchira kwanu.
- Yankho la chithandizo : Momwe mumapezera chikhululukiro mwachangu kumapereka chidziwitso chofunikira chokhudza momwe chithandizo chanu chimagwirira ntchito.
- Kupezeka kwa khansa ya m'magazi m'mitsempha yapakati : Ngati maselo a khansa ya m'magazi apezeka m'madzi amsana, izi zimafuna chithandizo chapadera kwambiri.
Pomaliza, dokotala wanu ku Nirogi Lanka ndiye munthu wabwino kwambiri wokuthandizani kumvetsetsa tanthauzo la zinthuzi kwa inu. Musazengereze kuwafunsa za matenda anu.
Kodi leukemia imachiritsidwa?
Ngakhale kuti mawu akuti "mankhwala" sagwiritsidwa ntchito kawirikawiri pankhani ya khansa ya m'magazi, odwala ambiri amachira bwino kwa nthawi yayitali . Mankhwalawa angatanthauze kuti khansa yatha kwamuyaya ndipo sidzabweranso; komabe, poganizira mtundu wa khansa ya m'magazi, madokotala nthawi zambiri amaganizira kwambiri za kusakhalapo kwa matendawa nthawi zonse.
Kuchira kwa nthawi yayitali kumatanthauza kuti palibe zizindikiro za khansa zomwe zingawonekere, kaya ndi chithandizo chopitilira kapena ayi. Kuchira kumeneku kumatha kwa zaka zambiri, ndipo kwa ambiri, khansa ya m'magazi singabwererenso. Ngati itabwereranso, gulu lanu lachipatala lidzakhala lokonzeka kupereka chithandizo chatsopano kuti libwezeretse mphamvu zake.
Munthu wabwino kwambiri wokambirana za vuto lanu ndi gulu lanu lazachipatala; adzayang'anira momwe mukuyendera bwino ndikusintha dongosolo lanu la chisamaliro kuti ligwirizane ndi zosowa zanu.
Ndi mafunso ati omwe muyenera kufunsa dokotala wanu?
Chidziwitso ndi chida champhamvu. Kumvetsetsa matenda anu ndi njira zothandizira kungakuthandizeni kudzimva kuti ndinu odziletsa. Ndikofunikira kwambiri kulemba mafunso anu musanayambe nthawi yokumana ndi dokotala, ndipo ngati n'kotheka, bweretsani mnzanu kapena wachibale wanu kuti akuthandizeni.
Mafunso ena oti muganizire:
- Kodi ndi mtundu wanji wa khansa ya m'magazi yomwe ndili nayo, ndipo imachokera ku mtundu wanji wa maselo? Kodi uwu ndi mtundu waukali kapena wokulira pang'onopang'ono?
- Kodi khansa ya m'magazi inali itakula bwanji pamene inapezeka?
- Kodi njira zanga zochiritsira zomwe zilipo ndi ziti?
- Kodi ubwino ndi zoopsa za njira iliyonse yochiritsira ndi ziti?
- Ndi dongosolo liti la chithandizo lomwe ndikulimbikitsidwa kwa ine, ndipo chifukwa chiyani?
- Kodi chithandizo chiyenera kuyamba liti?
- Kodi chithandizochi (ndi gawo lililonse) chimatenga nthawi yayitali bwanji?
- Kodi ndiyenera kukhala m'chipatala, ndipo ngati ndi choncho, kwa nthawi yayitali bwanji?
- Kodi zotsatira zake ndi ziti, ndipo n’chiyani chingachitike kuti tipewe kapena kuchepetsa?
- Ngati ndikufuna kukhala ndi ana mtsogolo, ndi njira ziti zomwe ndingatsatire kuti ndisunge chonde changa?
- Kodi chiŵerengero cha kupambana kapena chiŵerengero cha kupulumuka kwa mtundu wanga wa khansa ya m'magazi ndi chotani?
- Kodi ndiyenera kuganizira zolowa nawo mu mayeso azachipatala ?
Kodi mungapeze kuti chidziwitso chowonjezera ndi chithandizo chokhudza khansa ya m'magazi?
Kuti mudziwe zambiri zokhudza mayeso azachipatala a khansa ya m'magazi, mutha kufunsa mabungwe apadziko lonse lapansi monga Leukemia & Lymphoma Society, National Cancer Institute, ndi American Cancer Society. Kuphatikiza apo, chonde funsani wothandizira zaumoyo wanu za magulu othandizira am'deralo ndi zinthu zomwe zilipo mdera lanu.
Kupeza matenda aliwonse a khansa n'koopsa, koma matenda a khansa ya m'magazi amatha kukhala ovuta kwambiri. Popeza palibe chotupa cholimba choti chichotsedwe, zimakhala zovuta kuganizira momwe chithandizo chanu ndi tsogolo lanu zingawonekere. Kumbukirani kuti khansa ya m'magazi si vuto limodzi lokha lomwe lingakhale ndi zotsatira zokhazikika. Ulendo wanu wochiza khansa komanso mwayi wochira kwa nthawi yayitali zimadalira zinthu zambiri zapadera. Palibe amene anganene molondola njira yanu popanda kumvetsetsa bwino thanzi lanu komanso mawonekedwe enieni a maselo anu a khansa ya m'magazi. Tikukulimbikitsani kuti mukambirane momasuka komanso moona mtima ndi dokotala wanu za tanthauzo la matendawa kwa inu.
Mfundo Zofunika Kwambiri
Tikukhulupirira kuti izi zakuthandizani kumvetsetsa bwino za khansa ya m'magazi. Nazi mfundo zofunika kwambiri zomwe muyenera kukumbukira:
- Khansa ya m'magazi ndi khansa ya m'magazi yomwe imachitika pamene maselo osazolowereka m'mafupa amachulukana mosalamulirika.
- Mitundu yoyambirira imagawidwa m'magulu monga acute kapena chronic , komanso myeloid kapena lymphoid .
- Zizindikiro zimasiyana, koma zingaphatikizepo kutopa kosazolowereka, matenda opatsirana pafupipafupi, komanso kuvulala kapena kutuluka magazi mosavuta .
- Ngakhale kuti chifukwa chenicheni sichidziwika nthawi zambiri, kusintha kwa majini, kukhudzana ndi mankhwala enaake, ndi chithandizo cha khansa chomwe chinachitika kale ndi zinthu zomwe zimadziwika kuti ndi zoopsa.
- Matendawa amapezeka makamaka kudzera mu mayeso a magazi ndi biopsy ya mafupa .
- Pali njira zambiri zochiritsira zomwe zilipo (monga chemotherapy, immunotherapy, ndi therapy yolunjika), zomwe zimapangidwa mwachindunji kwa inu ndi mbiri yanu ya matenda.
- M'malo mongoganizira za mankhwala onse, cholinga chake nthawi zambiri chimakhala kupeza chikhululukiro cha nthawi yayitali .
- Musazengereze kufunsa dokotala wanu mafunso ndikufunsani momveka bwino. Simuli nokha paulendowu ndi Nirogi Lanka.
Tikukhulupirira kuti mwapeza izi zothandiza. Khalani olimba mtima ndipo samalirani thanzi lanu!
Mawu Ofunika: khansa ya m'magazi, khansa ya m'magazi, mafuta am'mafupa, maselo amagazi, zizindikiro za khansa ya m'magazi, mankhwala a khansa ya m'magazi
