Iingcebiso ezi-5 zokukunceda ukhokelo ngexesha elilukhuni
Ngelixa abaninzi abantu banqwenela ukudibanisa i -lymphoblastic leukemia (BONKE) kunye nomhlaza wengane (yindlela eqhelekileyo yomhlaza kubantwana), abantu abadala banokuphuhlisa bonke.
Ingaba wena, othandekayo, okanye umntwana wakho ufumene i-ALL (okanye ufumana unyango kubo BONKE), nantsi iinqununu ezintlanu zokukukhokela kule xesha elinzima.
Ekugqibeleni, ukuhlangabezana nayo YONKE uhambo olufuna ukuqiniswa kumntu ofunyenweyo, kunye nenkxaso eninzi engenammiselo evela kubazali, amalungu omndeni kunye nabanye abathandekayo.
Iphupha # 1: Fumana ulwazi LONKE
Ngelixa kunokuba nzima ukuba ufunde okanye uxoxe ngezinto ezithile ZONKE ukuxilongwa, abantu abaninzi banokufumanisa ukuba ulwazi lunikeza amandla kunye nokulawula imeko yabo ebuthathaka.
Ukuba wena (okanye umntanakho okanye umthandayo) sele ufunyaniswe neZONKE, kukho imigaqo emithathu eyintloko yokufunda malunga.
Ummongo wethambo
Umongo wethambo apho BONKE baqala khona. Umnkantso weThambo ngumzimba we-spongy tissue ngaphakathi kwamathambo athile omzimba wakho enza amangqamuzana omtsha wegazi:
- Iiseli zegazi ezimhlophe: Ezi iiseli zilwa nezifo.
- Iiseli zegazi ezibomvu: Ezi iiseli zithwala i-oksijini emathanjeni omzimba kwaye zisusa i-carbon dioxide.
- Iiplatesti: Ezi ziinqununu ezincinci zeeseli (ezingekho iiseli ngokwazo) ezinceda igazi le-clot.
Iisukemia Iiseli
Iiseli zomhlaza (ezibizwa ngokuba ngamaseli e-leukemia) ZONKE zivela kwiiseli zamhlophe zegazi ezimhlophe kwi-bone. Ezi seli ze-leukemia azisebenzi njengamaseli egazi ezimhlophe. Esikhundleni salokho, zikhula ngokukhawuleza kwaye zingalawuleki, zikhupha iisetyhi zegazi ezimhlophe, iiseli ezibomvu zegazi kunye neeplatelet.
Ekugqibeleni, iiseli ze-leukemia zazisasaza kwigazi, i-lymph nodes, kunye nezitho ngaphakathi komzimba womntu.
"I-Leukemia" eqhelekileyo
I-lucphoblastic leukemia ithi "i-lucphoblastic leukemia" ithetha ukuba iiseli ze-leukemia zikhula ngamandla ngethambo lomnatha kwaye zingene kwigazi ngokukhawuleza. Yingakho BONKE bafuna unyango kanye emva kokuxilongwa.
Uninzi lwabantwana lunokuxilongwa nge-acute leukemia.
Kwiphepha le-flip, i-leukemia engapheliyo ihlala idala ixesha elide ngaphambi kokuba kubangele iingxaki, nangona zingaguqulela zibe yi-leukemia "yecumu" nanini na.
Icebo # 2: Qonda iziganeko zakho
Njengoko ufunda izinto ezisisiseko zeZONKE zikhula ziphucula ukuqonda kwakho, kuyinto efanelekileyo ukuqonda ukuba kutheni zonke zikwenza uzive ngendlela oyenzayo. Ngamanye amagama, qiniseka ukuba uzifundise kwiimpawu ZONKE.
Ngenxa yokunyuka kwamaseli enempilo emnxeni wethambo, abantu abaneZONKE bangavelisa iimpawu ezifana:
- Ubuthathaka, ubunzima, kunye nokukhathala (ukusuka kwinani eliphantsi lamaseli obomvu obomvu )
- Umkhuhlane kunye nezifo (ukusuka kwinani eliphantsi lamaseli egazi ezimhlophe)
- Ukuphuma elula (ukusuka kwinani eliphantsi leeplatelets)
I-leukemia eye yasasazeka kwigazi ingabangela ukuba i-lymph nodes ivuvuke kunye neentlungu kunye neengxaki ezithile zembutho (umzekelo, intlungu yesifuba okanye ukuvuvukala esiswini). Ukongezelela, iiseli ze-leukemia zingangena emzimbeni ohlamba ingqondo kunye nomgudu wokugcoba, okukhokelela kwiintloko, ukuthintela, okanye ezinye iingxaki zegazi.
Iphulo # 3: Buza imibuzo malunga noPiliso
I-Chemotherapy yonyango lwangundoqo lekona lonke, kodwa ke akusiyo isihloko esilula kubantu abaninzi ukuba bagubungele ubuchopho babo ngeenxa zonke.
I-Chemotherapies iziyobisi ezisetyenziselwa ukubulala amangqamuzana omhlaza. KONKE, kukho izigaba ezintathu ze-chemotherapy:
- Isigaba sokunyusa : I-Chemotherapy isusa iiseli ze-leukemia egazini lakho.
- IsiGaba sokuQinisa : I-Chemotherapy icoca nayiphi na iiseli ze-leukemia. Ngethuba lesi sigaba, abanye abantu baphumelela ekutshaleni komongo (obizwa ngokuba yi-stem cell transplant).
- Isigaba sokulondoloza : I-Chemotherapy inikezelwa ngamanqanaba amancinci ukukhusela bonke bakho ukubuyela.
Qinisekisa ukuba ubuze imibuzo ukuze ucacise oko kukulindela njengoko wena (okanye umntwana wakho) ungena kwi-chemotherapy, njengemiphumo emibi (umzekelo, intlungu, isicupunu, okanye ukulahleka kweenwele) nendlela abaya kulawulwa ngayo.
Buza imibuzo enzima, njengento eyenzekayo xa i-chemotherapy ingasebenzi.
Ngaphandle kwe-chemotherapy, kukho ezinye iindlela zokwelapha umntu ofunyanwe nazo zonke i-ALL ifana ne-radiation, ityrapy ye-drug target (ukuba unoluhlobo oluthile lwe-ALL), okanye ukutshintshwa kwe-cell stem . Thetha nogqirha wakho malunga nokulindela kwezi zonyango nokuba kutheni kuboniswe.
Iphupha # 4: Finyelela kwabanye
Ukufumana ukuxilongwa kweZONKE kunye nokunyanga okunzulu kunxinzelelo kwaye kunzima. Yingakho kubalulekile ukufikelela kwabanye inkxaso, nokuba ngaba ilungu lentsapho, umhlobo, iqela lokuxhasa, umcebisi ngokomoya, okanye umcebisi.
Nangona ongeyena umntu ohlala ekwabelana ngemvakalelo okanye evula ngokukhathazayo, ukukhetha ukwesaba, izikhalazo kunye nokuxhalabisa kunokukunceda uzive ungcono. Enyanisweni, uphando lubonisa ukuba inkxaso nenkxaso kunye nokunceda ekulawuleni ukuphathwa konyango kunciphisa ukuvakalelwa kunye nokuxhalabisa nokuphucula umgangatho wobomi.
Iphupha # 5: Qaphela iziganeko zokudakumba
Kuyinto evamile ukulilazela ukuxilongwa kwaBONKE, kodwa ukuba olu lusizi luqhubeka ixesha elide kwaye / okanye lichaphazela ukusebenza kwansuku zonke, unokuba noxinzelelo. Ngaphandle kokudakumba okanye ukuphelelwa ithemba, ezinye iimpawu zokudakumba ziquka:
- Ukulahlekelwa ngumdla kwimisebenzi emva kokuzonwabisa
- Iingxaki zokulala (umzekelo, ukuvuswa kakhulu kusasa)
- Uvakalelwa ngokungaqondakali (okanye ukuphazamiseka ngokungaqhelekanga okanye ukungahlali)
- Unzima ukugxila
- Uvakalelwa unetyala
- Imiba yokuzibulala okanye yokufa
Ezinye iimpawu zoxinzelelo ezifana nokulahleka kwesidlo, ubuthathaka kunye nokukhathala kunokuba nzima ukukhupha kwiimpawu ZONKE kunye / okanye iziphumo zempembelelo yokuthatha i-chemotherapy.
Iindaba ezilungileyo kukuba izazi zengqondo kunye / okanye abasebenzi bezenhlalakahle kumaqela okuncedisa i-leukemia zihlala zibonelela ngoncedo lwabantu abadala kunye nabantwana njengengqondo yokunciphisa uxinzelelo lokuxinwa kwengqondo kunye nokunyangwa kwengqondo yokuziphatha ukunciphisa ukuxhalaba nokuxinezeleka.
Kwabantwana, izicwangciso zokujongana nomzali onempilo ezinokuphilisana nazo zinganceda zithuthuzele kwaye zinciphise uxhalabo. Oku kubaluleke kakhulu kwiinyanga emva kokuba unyango xa amaxhala akhathazekile aphezulu ngenxa yezizathu ezinjenge:
- Uloyiko lokuphindaphinda (BONKE babuya)
- Ukulahleka okanye ukunciphisa ukuxhaswa kwezonyango kunye nentlalo
- Ukuxinwa kwe-posttraumatic ezivela kwiinyanga ezidlulileyo zonyango
ILizwi
Ukufunyaniswa ukuba kunye noonakekelwa unyango kubo bonke BONKE kunokuphazamisa, ukuphelisa konke, kunye nokugqithisa, ngokusemzimbeni nangokomzwelo. Kodwa ngolwazi, uninzi lombuzo-ukubuza, kunye nenkxaso kubathandekayo wena (okanye umntwana wakho) unokufumana eli xesha elinzima.
Okubaluleke kakhulu, yibani nomusa ngokwakho, unakekele umzimba wakho nomphefumlo, kwaye uyazi ukuba kulungile ukucamngca kwaye uxoxe ngezihloko ezinobuchule, njengokuba ufuna.
Ekugqibeleni, kubalulekile ukuba ukhumbule ukuba iqela lakho lokunakekelwa kwe-leukemia likhona ukuba lingagcini nje kuphela umhlaza wakho kodwa kwakhona kukuphatha njengomntu ontle kwaye uyingqayizivele.
> Imithombo:
> I-American Cancer Society. (2017). I-Acute Lymphocytic Leukemia kubantu abadala.
> I-Leukemia & Lymphoma Society. (2012). Ukuqonda i-Leukemia.
> Kunin-Batson AS. Ubuninzi kunye nokuqikelela kwexhala kunye nokudandatheka emva kokugqitywa kwe-chemotherapy ebuntwaneni be-lymphoblastic leukemia: Uvavanyo olude lokufunda. Cancer . 2016 Meyi 15; 122 (10): 1608-1617.
> Movafagh A. Ukwelapha ngokomoya ekujonganeni nomhlaza njengendlela yokuqhelanisa yezobisi. J Cancer Prev . 2017 Juni; 22 (2): 82-88.
> Ward E, DeSantis C, Robbins A, Kohler B, Jemal A. Ubuntwaninci beengqungquthela zomhlaza wesantya, ngo-2014. IC CA Cancer J Clin 2014; 64: 83-101.