Ese urimo gukora uturemangingo tw’amaraso twinshi cyane mu mubiri wawe? Reka twige kuri izi Myeloproliferative Neoplasms (MPN)!

Ese wigeze wibaza uko byagenda umwongo wawe w’amagufwa uramutse ukoze uturemangingo twinshi tw’amaraso mu mubiri wawe? Uko ni ko myeloproliferative neoplasms, cyangwa MPN mu magambo ahinnye, imeze. Iyi ni kanseri y’amaraso idakunze kugaragara, ariko ishobora kwica umuntu iyo idafashwe neza. Reka tubiganireho mu buryo bworoshye ushobora gusobanukirwa.

Iyi myeloproliferative neoplasm (MPN) ni iki?

Mu magambo make, myeloproliferative neoplasms (MPNs) ni indwara aho umwongo w'amagufwa yawe (urugingo rworoshye ruboneka mu magufwa yawe) ukora uturemangingo twinshi dutukura tw'amaraso, uturemangingo twera tw'amaraso, cyangwa uduce duto tw'amaraso (uturemangingo dufasha amaraso kubumba). Tekereza nk'uruganda rukora ibintu byinshi cyane. Ibi bibaho iyo hari ikintu kitagenda neza mu gihe cyo gukora uturemangingo tw'amaraso.

Izi ndwara za MPN zikunze kwiyongera buhoro buhoro . Bityo bamwe bashobora kumara imyaka myinshi badafite ibimenyetso. Niyo mpamvu bitwa kandi "indwara zidakira" cyangwa indwara z'igihe kirekire za myeloproliferative neoplasms. Ariko, mu bihe bidasanzwe, izi ndwara za MPN zishobora guhinduka ikintu gikomeye kurushaho.

Ariko ntugahangayike, hari uburyo bwiza bwo kuvura ibimenyetso by'iyi ndwara no kuyirinda ko irushaho gukomera.

Ni ubuhe bwoko bwa MPN buriho?

Hari ubwoko butandukanye bwa MPN. Buri bwoko bugira ingaruka ku bwoko bw'uturemangingo tw'amaraso umwongo wawe ukora cyane. Hari igihe uturemangingo dutukura gusa dushobora gukorwa, mu gihe ubundi uturemangingo tw'umweru cyangwa plaquettes gusa bishobora gukorwa. Mu bwoko bumwe na bumwe bwa MPN, uruvange rw'utu turemangingo rushobora gukorwa cyane. Indi mpamvu ni uko utwo turemangingo dukabije dushobora kwitwara mu buryo butandukanye n'uturemangingo tw'amaraso tuzima.

Ni nde urebwa cyane n'iki kibazo?

Ibintu bibiri by'ingenzi bigira ingaruka ku kugaragara kwa MPN ni imyaka yawe n'igitsina cyawe.

• Imyaka: Nubwo MPN ishobora kugaragara ku bantu b'ingeri zose, ikunze kugaragara cyane ku bantu bafite imyaka 50, 60 cyangwa irenga .
• Igitsina: Urugero, polycythemia vera, ubwoko bwa MPN, ikunze kugaragara cyane ku bagabo. Essential thrombocythemia ikunze kugaragara cyane ku bagore. Ubundi bwoko bwa MPN bushobora kugira ingaruka ku bagabo bombi kimwe.

Ni gute MPN igira ingaruka ku mubiri wawe?

Izi ndwara ziterwa n'amaraso zibaho iyo umwongo wawe w'amagufwa ukora ubwoko runaka bw'uturemangingo tw'amaraso turenze uko umubiri wawe ukeneye. Bityo rero, ingaruka ibi bigira ku mubiri wawe biterwa n'ubwoko bw'uturemangingo tw'amaraso turimo gukorwa cyane . Urugero, ubwoko bumwe bwa MPN bushobora kongera ibyago byo kurwara indwara y'umutima cyangwa indwara yo gucika imitsi. Ubundi bwoko bushobora gutera amaraso make.

Kugira ngo usobanukirwe neza izi ndwara zidasanzwe, ni byiza gusobanukirwa gato uburyo uturemangingo tw’amaraso n’uturemangingo tw’amagufwa yawe biremwa. Uturemangingo tw’amaraso twose dutangira ari uturemangingo tw’amagufwa yawe. Uyu musemburo ni uturemangingo tworoshye kandi dufite umusemburo mu magufwa yawe. Uturemangingo tw’amagufwa tuyikuramo dushobora guhinduka uturemangingo tw’amagufwa cyangwa uturemangingo tw’amagufwa twa lymphoid.

• Uturemangingo tw’amaraso twa Lymphoid ni ubwoko bw’uturemangingo tw’amaraso twera turwanya indwara.
• Uturemangingo tw’amaraso twa myeloid dushobora kubyara uturemangingo tw’amaraso dutukura (dutwara umwuka wa ogisijeni mu mubiri wose), ubundi bwoko bw’uturemangingo tw’amaraso twera, na plaquettes (zifasha guhagarika kuva amaraso iyo bibaye).

Kimwe n'izindi selile zose, izi selile zikora hakurikijwe amabwiriza zihabwa na genes. Ubusanzwe, izi selile zigabanya kandi zikuba uko bikenewe mu musokoro w'amagufwa yawe kugira ngo hakorwe selile nshya. Ariko, iyo habayeho impinduka muri izi selile, ni ukuvuga ko iyo selile zihindutse, izo selile zohereza amabwiriza atari yo ku selile zikomeza kwikuba no kwiyongera. Amaherezo, izi selile zirenze urugero zirundanya mu musokoro w'amagufwa cyangwa mu mitsi y'amaraso, bigahagarika urujya n'uruza rw'amaraso. Iyo uru rujya n'uruza rw'amaraso rufunzwe, hashobora kubaho ibibazo bikomeye by'ubuzima.

Ni ubuhe bwoko bwa MPN bukunze kugaragara cyane?

Hari ubwoko butatu bukunze kugaragara bwa MPN: polycythemia vera, thrombocythemia y'ingenzi, na myelofibrosis y'ibanze.

Polycythemia Vera

Ubu ni bwo bwoko bwa MPN bukunze kugaragara cyane . Bubaho iyo umwongo w'amagufwa yawe ukoze uturemangingo twinshi dutukura tw'amaraso . Ibi bituma amaraso yawe abyimba kandi agatinda. Abantu bafite polycythemia vera baba bafite ibyago byinshi byo kubyimba amaraso. Ibi byibasira umubiri bishobora gutera indwara z'umutima na stroke. Ni gake cyane, iyi ndwara ishobora kuvamo kanseri ikomeye y'amaraso yitwa acute leukemia.

Myelofibrose

Ubu burwayi bufatwa nk'ubwoko bwa MPN bukabije cyane . Mu ndwara ya myelofibrosis, umwobo w'amagufwa yawe ukora uturemangingo tw'inyuma tudasanzwe. Utwo turemangingo turabyimba kandi tugakora ibisebe mu mubiri w'umuyobo w'amagufwa. Uko igihe kigenda gihita, umwobo w'amagufwa wuzuyemo ibisebe. Umwobo w'amagufwa ntuba ugishobora gukora uturemangingo tw'amaraso dutukura duhagije two gutwara umwuka mu mubiri wose. Ibi bishobora gutuma urwara amaraso make. Ufite kandi plaquette nke. Hari abantu barwaye myelofibrosis bashobora no kurwara myeloid leukemia ikabije (AML).

Thrombocythemia y'ingenzi

Indwara yo mu maraso (Essential thrombocythemia) ni indwara aho umwongo w'amagufwa yawe ukora platelets nyinshi cyane.Gukora. Ubusanzwe, iyo umutsi w'amaraso uturitse, platelets zihurira hamwe zigakora akabumbano maze zigahagarika kuva amaraso. Ariko muri iki kibazo, platelets zikorwa mu musokoro w'amagufwa nta mpamvu. Izi platelets ziyongera zishobora gutera kubumbana kw'amaraso no kongera ibyago byo kurwara indwara z'umutima no gucika imitsi. Kimwe n'izindi MPN, ibimenyetso bigenda bikura buhoro buhoro. Abantu benshi bafatwa n'iyi ndwara iyo isuzuma risanzwe ry'amaraso rigaragaje urugero rwinshi rwa platelets. Kuri bamwe, iyi ndwara ishobora kugera kuri leukemia.

Ese hari ubundi bwoko bwa MPN?

Yego, hari ubundi bwoko bwinshi bwa MPN. Bumwe muri bwo ni:

• Leukemia idakira ya eosinophilic (CEL): Iyi ni indwara aho habaho kwiyongera cyane k'ubwoko bw'uturemangingo tw'amaraso tw'umweru twitwa eosinophil. Akenshi ikwirakwira mu gasabo k'amaraso. Ni gake cyane, ishobora kugera kuri leukemia ikabije ya myeloid (AML). Ibi kandi byitwa hypereosinophilic syndrome.
• Leukemia idakira ya myelogenous (CML): Iyi ni ubwoko bw'uturemangingo tw'amaraso tw'umweru twitwa granulocytes twiyongera cyane. Utu turemangingo twiyongera kandi bigatuma bigora umwongo w'amagufwa gukora utundi turemangingo tw'amaraso dukenewe.
• Leukemia idakira ya neutrophilic (CNL): Muri ibi, ubwoko bw'uturemangingo tw'amaraso tw'umweru twitwa neutrophils tukorwa cyane.
• Indwara ya Myeloproliferative, idashyirwa mu byiciro (MPN-U): Iyi ni ubwoko bwa MPN budahuye n'ibindi byiciro. Ishobora gutera ubwinshi bw'uturemangingo tw'amaraso, nk'uturemangingo tw'amaraso twera, uturemangingo dutukura, cyangwa uduce duto tw'amaraso.

Ni ibihe bimenyetso bya MPN?

Mu ntangiriro, ushobora kutabona ibimenyetso . Uko indwara ikomeza, ushobora kubona ibimenyetso by'umusemburo wabyimbye (splenomegaly). Umusemburo uba ibumoso munsi y'imbavu zawe. Ushobora kumva wuzuye, ukomeye, kandi utameze neza. Nubwo uku kubyimba k'umusemburo ari ikintu gisanzwe ku bwoko bwinshi bwa MPN, ntabwo bikunze kugaragara cyane muri essential thrombocythemia.

Ibindi bimenyetso biratandukanye bitewe n'ubwoko bwa MPN .

Leukemia idakira ya eosinophilic (CEL)

• Ikimenyetso gikunze kugaragara ni uduheri ku ruhu .
• Ushobora kumva unaniwe kandi ufite umuriro.
• Ibindi bimenyetso biterwa n'ibice by'umubiri wawe byagizweho ingaruka n'urugero rw'iyosinofili nyinshi.

Leukemia idakira ya myelogenous (CML) na leukemia idakira ya neutrophilic (CNL)

• Kubabara amagufwa
• Kubira ibyuya nijoro
• Umuriro n'umunaniro
• Gukomeretsa byoroshye
• Kubura ubushake bwo kurya no kugabanya ibiro

Indwara ya thrombocythemia y'ingenzi

• Gukomeretsa byoroshye
• Kuva amaraso mu mazuru, mu kanwa, cyangwa mu ishinya nta mpamvu
• Kuva amaraso mu nda cyangwa mu mara
• Amaraso mu nkari

Polycythemia vera

• Umutwe
• Kuzungera
• Umunaniro
• Kureba nabi cyangwa kureba kabiri

Myelofibrose y'ibanze

• Ibimenyetso by'amaraso make (umunaniro, intege nke, guhumeka nabi) bishobora kugaragara.
• Ibindi bintu:
• Uruhu rwerurutse
• Kubira ibyuya nijoro
• Umuriro
• Uruhu ruryana
• Kurya cyane cyangwa kumva ubyibushye vuba nyuma yo kurya (kurya mbere y'igihe)
• Kugabanya ibiro
• Kubabara amagufwa

Ni iki gitera MPN?

Indwara zose za MPN ni indwara zikomoka ku ngirabuzimafatizo . Ibi bivuze ko zitarazwe n'ababyeyi bawe. Zibaho iyo habayeho impinduka mu ngirabuzimafatizo zigenzura imikurire y'uturemangingo, bigatuma uturemangingo tw'amaraso dukura nabi.

Abashakashatsi mu by'ubuvuzi bavumbuye ibi bikurikira ku mpinduka mu ngirabuzimafatizo zitera MPN:

• Impinduka za Janus kinase (JAK): Indwara nka polycythemia vera, myelofibrosis y’ibanze, na thrombocythemia y’ingenzi akenshi iterwa n’impinduka za gene yitwa Janus kinase 2 (JAK2) . Iyi mpinduka ishobora gutuma uturemangingo twigabanyamo ibice mu buryo butagenzurwa.
• Impinduka mu ngirabuzimafatizo ya MPL cyangwa CALR: Abantu bafite uburwayi bwa thrombocythemia n’indwara ya myelofibrosis y’ibanze bakunze kugira impinduka mu ngirabuzimafatizo yabo ya MPL cyangwa CALR.
• Amakosa ya chromosome: Abantu barwaye leukemia idakira ya myelogenous (CML) bafite ikosa ryihariye muri chromosomes zabo (imiterere irimo genes). Muri CML, igice cya chromosome imwe gisimburana n'ikindi chromosome, bigatuma habaho "chromosome ya Philadelphia."

Nubwo ibi byavumbuwe bidasobanura neza impamvu zitera impinduka mu ngirabuzimafatizo, bifasha abaganga gusuzuma indwara no gutegura uburyo bwo kuvura bugamije izi mpinduka mu ngirabuzimafatizo.

Ni ibihe bintu bishobora gutera MPN?

Amateka y’iyi ndwara mu muryango (nubwo izi ari indwara zandujwe, imiryango imwe n’imwe ishobora kugaragaza ko iterwa n’iyi ndwara), imyaka, n’igitsina bishobora kongera ibyago byo kurwara MPN.

Abashakashatsi banabonye isano iri hagati ya MPN no guhura n’uburozi bumwe na bumwe n’imirasire . Ubushakashatsi bumwe bwerekana ko abantu bahura n’imirasire myinshi n’uburozi bumwe na bumwe, nka benzene, bafite ibyago byinshi byo kurwara MPN, nka polycythemia vera, myelofibrosis y’ibanze, na leukemia idakira ya myelogenous.

Ni gute MPN ipimwa?

Muganga wawe azabaza ibimenyetso byawe n'amateka y'ubuzima bwawe. Hanyuma, azakora isuzuma ry'umubiri kugira ngo arebe ibimenyetso bya MPN. Bazapima amaraso yawe n'umusemburo w'amagufwa kugira ngo bamenye indwara.

• Umubare wuzuye w'amaraso (CBC):Ibi bipima ingano y'ubwoko bwose bw'uturemangingo tw'amaraso yawe. Mu ndwara ya thrombocythemia y'ingenzi, urugero rwa platelets rurasuzumwa. Mu ndwara ya polycythemia vera, hemoglobin (poroteyine iboneka mu turemangingo dutukura), ndetse n'urugero rw'uturemangingo tw'amaraso twera na platelets, birasuzumwa.
• Gupima amaraso mu maraso (PBS): Iki kizamini gishobora kureba imiterere idasanzwe mu turemangingo tw'amaraso, bishobora gutanga ibimenyetso by'indwara.
• Ibipimo bya shimi y'amaraso: Ibi bishobora gupima urwego rw'ibinyabutabire bitandukanye (nk'amaporoteyine, enzymes, na glucose) mu maraso yawe. Iyi mibare ishobora gutanga ibimenyetso by'uko ingingo zawe zikora, bishobora gutera amakenga ku birebana na MPN.
• Bisipu y'umusemburo w'amagufwa: Muganga wawe ashobora gukora isuzuma ry'umusemburo w'amagufwa cyangwa isuzuma ry'umusemburo w'amagufwa. Ibi bikubiyemo gufata icyitegererezo cy'umusemburo w'amagufwa yawe no kuwusuzuma kugira ngo barebe uturemangingo tw'amaraso. Abaganga b'indwara basuzuma uturemangingo tw'amaraso n'ingingo bakoresheje mikorosikopi kugira ngo barebe itandukaniro riri hagati y'uturemangingo dusanzwe n'utudasanzwe. Bazashakisha kandi uturemangingo tw'umubiri tudasanzwe. Bazashakisha kandi impinduka za chromosomes n'ibindi bintu bidasobanutse neza bishobora kugaragaza ubwoko bwa MPN.
• Gupima imiterere y'uturemangingo: Abaganga bashobora gusesengura uturemangingo tw'amaraso kugira ngo barebe niba hari impinduka mu turemangingo zigira ingaruka ku ikorwa ry'uturemangingo tw'amaraso.

Ese MPN ishobora gukira burundu? Ni ubuhe buryo bwo kuvura?

Uburyo bwonyine bwo kuvura izi ndwara buboneka ubu ni uguteranya uturemangingo tw’ingirabuzimafatizo (allogeneic stem cells) . Ikibabaje ni uko abantu benshi badashobora guteranya uturemangingo tw’ingirabuzimafatizo kuko ari igikorwa kigoye kandi gisaba imbaraga nyinshi.

Muganga wawe azaguha uburyo bwo kuvura indwara yawe, kugabanya umubare w'uturemangingo tw'amaraso, kugabanya ibimenyetso, no gukumira ingorane. Uburyo bumwe na bumwe bushobora gutuma indwara igabanuka. Uburyo bwo kuvura MPN buratandukanye bitewe n'ubwoko:

• Leukemia idakira ya eosinophilic (CEL): Muganga wawe ashobora gukoresha imiti ya chimiotherapie, corticosteroids, cyangwa immunotherapy kugira ngo agabanye urugero rwa eosinophilic yawe.
• Leukemia idakira ya myelogenous (CML): Uburyo bukunze gukoreshwa cyane ni uburyo bwo kuvura bugamije, butuma uturemangingo tudakomeza kugwira mu buryo butunguranye. Ubundi buryo bwo kuvura burimo imiti igabanya ubukana bw'umubiri, ubuvuzi bushingiye ku budahangarwa bw'umubiri, ubuvuzi bushingiye ku mirasire, no gutera uturemangingo tw'umubiri.
• Leukemia idakira ya neutrophilic (CNL): Uburyo bwo kuvura bushobora kuba burimo imiti ivura indwara, ubuvuzi bw’ubudahangarwa bw’umubiri, no gutera uturemangingo tw’umubiri.
• Indwara y'ingenzi yo kugabanya amaraso mu maraso:Niba udafite ibimenyetso, muganga wawe ashobora gufata icyemezo cyo gukurikirana indwara yawe neza aho kuguha imiti. Niba ufite ibimenyetso, ushobora gukenera gufata imiti ibuza uturemangingo kwiyongera cyane. Ushobora kandi gukenera gufata imiti kugira ngo ugabanye ibyago byo kubyimba kw'amaraso cyangwa kugira ngo ubuze umworera wawe gukora platelets nyinshi.
• Polycythemia vera: Phlebotomy ni bwo buryo bukunze kuvura polycythemia vera. Muri ubu buryo, muganga wawe azakuramo amaraso make buri gihe (nk'amaraso yo guterwa) kugira ngo agabanye ingano y'amaraso yawe kandi akureho uturemangingo dutukura tw'amaraso. Niba ufite ibimenyetso, ushobora guhabwa uburyo bwo kuvura kugira ngo uturemangingo tudakomeza kwiyongera cyane. Ushobora kandi guhabwa imiti igabanya ibyago byo kubyimba kw'amaraso (nka aspirine) cyangwa imiti igabanya umubare w'uturemangingo dutukura tw'amaraso.
• Myelofibrosis y'ibanze: Niba nta bimenyetso ufite, muganga wawe ashobora gufata icyemezo cyo gukurikirana indwara yawe neza. Hari uburyo butandukanye cyangwa imiti ishobora gukoreshwa mu kuvura amaraso make. Urugero, niba umwongo w'amagufwa yawe udakora uturemangingo dutukura duhagije, ushobora gukenera guterwa amaraso. Ushobora kandi gukenera gufata imiti itera imbaraga umwongo w'amagufwa kugira ngo ukore uturemangingo twinshi tw'amaraso. Ubundi buryo bwo kuvura burimo uburyo bwo kuvura, imiti igabanya ubukana bw'amaraso, imiti ivura imirasire, imiti ivura imirasire, no gutera uturemangingo tw'umubiri.

Umuntu ufite MPN ashobora kubaho igihe kingana iki?

Ibi biratandukanye cyane bitewe n'umuntu ku giti cye . Hari ibintu byinshi bigira ingaruka kuri ibi, harimo ubwoko bwa MPN, uburyo indwara ivurwa hakiri kare, n'uburyo witabira kuvurwa neza. Iyo ukurikiranwe neza kandi ukavurwa neza, abantu benshi baramara imyaka myinshi . Nta gipimo kimwe cyangwa umusaruro witezwe kuri izi ndwara. Muri rusange, abantu benshi basanzwe barwaye MPN baracyariho nyuma y'imyaka itanu.

Igipimo cy'ubuzima ku bwoko bwihariye bwa MPN ni iki gikurikira:

• Leukemia idakira ya myelogenous (CML): Igipimo cyo kubaho gifitanye isano na CML cyariyongereye cyane bitewe n'uburyo bushya bwo kuvura bwagezweho. Igipimo cyo kubaho mu myaka itanu kuri CML ni 90%.
• Leukemia idakira ya neutrophilic (CNL) na polycythemia vera: Iyo abantu benshi bafashwe neza, babaho imyaka igera kuri 20 nyuma yo kurwara indwara.
• Indwara yo kugabanya amaraso mu maraso: Abantu benshi bamara imyaka myinshi iyo bafata imiti irinda ingorane zishobora guteza ubuzima nko kubyimba kw'amaraso.
• Myelofibrosis y'ibanze: Abantu benshi bafite myelofibrosis y'ibanze bamara imyaka itanu kugeza ku icumi nyuma yo kuyirwara.

Niba ufite iyi ndwara, baza muganga wawe ibyerekeye uko indwara igenda. Nibo bazi ibintu byose bigira ingaruka ku kuntu indwara igenda. Kandi ikiruta byose, bazi wowe ubwawe, imyaka yawe, n'ubuzima bwawe muri rusange, ndetse n'ibintu bishobora gutera ingaruka ku kuntu indwara igenda.

Ese izi ndwara zica?

Izi si indwara zica ubwazo , ariko zimwe mu ndwara za MPN zishobora gutera ingorane zishobora guterwa n’ubuzima nko kurwara indwara z’umutima no gucika imitsi.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

MPN ni indwara igoye. Hari uburyo bwinshi bwo kuvura, rimwe na rimwe ingaruka mbi. Nanone, hari ingorane nyinshi zishobora kubaho bitewe n'uko urwaye. Ni ngombwa kumenya ibimenyetso ugomba kumenya. Vugana na muganga wawe kugira ngo wumve uko urwaye kandi ufate ibyemezo ku bijyanye n'ubuvuzi.

Hari ibibazo ushobora kwibaza:

• Intego y'ubuvuzi ni iyihe (kugabanya indwara, kugabanya ibimenyetso, gukumira ingorane, nibindi)?
• Ni ubuhe buryo bwo kuvurwa?
• Ni izihe ngaruka mbi zishobora guterwa no kuvurwa?
• Nzakenera kuvurwa igihe kingana iki kubera ikibazo cyanjye?
• Ni kangahe nzakenera gupimwa (gufata amashusho cyangwa gukora isuzuma ry'amaraso) kugira ngo nkurikirane uburwayi bwanjye?
• Ni ibihe bimenyetso bizamfasha kumenya niba indwara yanjye irimo koroherwa cyangwa irushaho kuba mbi?
• Ni ibihe bimenyetso bimburira ku kibazo?
• Ni izihe ngorane zisaba ubuvuzi bwihutirwa?
• Ni iki giteganyijwe ku ndwara yanjye?
• Ni izihe mpinduka mu mibereho yanjye wangiriye inama yo gucunga ikibazo cyanjye n'ingaruka mbi zo kuvurwa?

Niyitaho nte? (Hari ibintu by'ingenzi kuri wewe)

Kubana na MPN bishobora gutera urujijo rimwe na rimwe. Ushobora kuba umeze neza kandi nta kibazo ufite, ariko ushobora kwibaza niba hari icyo nakora kugira ngo wirinde ibimenyetso. Niba uri kuvurwa, ushobora gukenera ubufasha mu gucunga ingaruka mbi z'ubuvuzi n'ibimenyetso. Ariko, uzagomba kubana n'iyi ndwara imyaka myinshi iri imbere. Dore bimwe mu bitekerezo bishobora kugufasha:

• Sobanukirwa uburwayi bwawe: Ibimenyetso byinshi bya MPN bisa n'iby'izindi ndwara zidakomeye cyane. Ibimenyetso bimwe na bimwe bishobora kuba ibimenyetso by'ingorane zikomeye z'ubuvuzi. Bishobora kugorana kumenya itandukaniro, kandi ushobora kumva ubuze ibimenyetso by'ingenzi. Saba muganga wawe gusobanura uburyo iyi ndwara ishobora kukugiraho ingaruka. Kumenya icyo wakwitega bishobora kugufasha kumva ufite icyizere cy'uburwayi bwawe.
• Gucunga imihangayiko yawe: Kubana n'indwara y'igihe kirekire bishobora kugutera imihangayiko. Niba wumva uhangayikishijwe n'indwara yawe, ganira na muganga wawe kuri iyo ngingo. Bashobora gusobanura icyo bashobora gukora kugira ngo bagufashe ubu n'icyo bashobora gukora kugira ngo bagufashe mu gihe kizaza.
• Kurya indyo yuzuye kandi ikungahaye ku buzima:Kurya neza bishobora kugufasha guhangana n'ikibazo cyawe. Vugana n'inzobere mu by'imirire niba ukeneye ubufasha mu kugira ingeso nziza zo kurya.
• Kora imyitozo ngororamubiri: Imyitozo ngororamubiri ni uburyo bwiza bwo gucunga imihangayiko.
• Shaka ubufasha: MPN ni indwara idakunze kugaragara. Amatsinda y'ubufasha ashobora kuba uburyo bwiza bwo kuvugana no kuganira n'abantu bazi ibyo urimo uhura na byo.

Wibuke ko nubwo waba ufite ikibazo nk'iki, ushobora kubaho ubuzima bwiza uramutse umenye kandi ugakurikiza inama z'abaganga.

Ni ryari ngomba kujya kwa muganga?

Niba ufite MPN ariko ukaba udafite ibimenyetso, cyangwa ubonye impinduka mu mubiri wawe zigaragaza ibimenyetso, hita ubonana na muganga wawe.

Mu by’ukuri MPN ni amayobera. Abashakashatsi bazi ko MPN ifitanye isano no gukura kudasanzwe kw’uturemangingo tw’amaraso. Bazi kandi ko ari indwara z’uturemangingo, ariko impamvu nyayo itera impinduka mu turemangingo zitera MPN ntabwo izwi . Kubera ko izi ari indwara zidasanzwe, abantu benshi ntibazi uko kubana na MPN bimeze. Ariko abaganga n’abashakashatsi barimo kwiga byinshi kuri MPN, cyane cyane ku buryo bwiza bwo gucunga ibimenyetso no kugabanya ibyago byo kugira ibibazo bikomeye by’uburwayi. Rero, ntugacike intege .

` Neoplasme ya Myeloproliferative, MPN, kanseri y'amaraso, umwongo w'amagufwa, uturemangingo dutukura tw'amaraso, uturemangingo tw'umweru tw'amaraso, plaquettes, ibimenyetso, uburyo bwo kuvura