Cutar sankarar bargo ta yau da kullun (CLL)

Ciwon leukemia na lymphocytic na yau da kullun (CLL) shine ciwon daji na wani nau'in ƙwayoyin farin jini da ake kira lymphocytes. Ana samun wadannan kwayoyin a cikin kashin kashi da sauran sassan jiki. Kashin kashin nama shine laushi mai taushi a tsakiyar ƙashi wanda ke taimakawa ƙirƙirar dukkan ƙwayoyin jini.

CLL yana haifar da saurin ƙaruwa a cikin wani nau'in farin ƙwayoyin jini da ake kira B lymphocytes, ko ƙwayoyin B. Kwayoyin cutar kansa suna yaduwa ta jini da kashin kashi. CLL na iya shafar ƙwayoyin lymph ko wasu gabobin kamar hanta da baƙin ciki. CLL a ƙarshe na iya haifar da ɓacin kashi ya rasa aikinsa.

Dalilin CLL ba a sani ba. Babu hanyar haɗi zuwa radiation. Babu tabbas idan wasu sunadarai zasu iya haifar da CLL. Bayyanawa ga Orange Agent yayin Yaƙin Vietnam yana da alaƙa da ƙara haɗarin haɓaka CLL.

CLL galibi yana shafar tsofaffi, musamman waɗanda suka haura shekaru 60. Mutanen da shekarunsu ba su kai 45 ba da wuya su kamu da CLL. CLL ya fi zama ruwan dare a cikin fararen fata fiye da sauran kabilun. Ya fi faruwa ga maza fiye da na mata. Wasu mutanen da ke da CLL suna da 'yan uwa da cutar.

Kwayar cutar yawanci tana tasowa a hankali. CLL galibi baya haifar da bayyanar cututtuka da farko. Ana iya samo shi ta hanyar gwajin jini da aka yi a cikin mutane don wasu dalilai.

Kwayar cutar CLL na iya haɗawa da:

• Ymananan lymph nodes, hanta, ko saifa
• Gumi mai yawa, gumin dare
• Gajiya
• Zazzaɓi
• Cututtuka da ke ci gaba da dawowa (maimaitawa), duk da magani
• Rashin ci ko cikawa da sauri (azanci na farko)
• Rage nauyi

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambaya game da alamunku.

Gwaje-gwaje don tantance CLL na iya haɗawa da:

• Cikakken ƙididdigar jini (CBC) tare da bambancin ƙwayar jini.
• Gudura gwajin cytometry na fararen ƙwayoyin jini.
• Ana amfani da kyalli a cikin yanayin haɗuwa (FISH) don kallo da ƙididdigar kwayoyin halitta ko chromosomes. Wannan gwajin na iya taimakawa wajen tantance CLL ko kuma jagorar magani.
• Gwaji don wasu canjin canjin na iya taimakawa wajen hango yadda cutar daji za ta amsa magani.

Mutanen da ke da CLL yawanci suna da ƙwanƙolin ƙwanƙolin farin jini mai yawa.

Hakanan ana iya yin gwajin da ke kallon canje-canje a cikin DNA a cikin ƙwayoyin kansa. Sakamako daga waɗannan gwaje-gwajen da kuma daga gwajin gwaje-gwaje suna taimaka wa mai ba ku damar ƙayyade maganin ku.

Idan kana da matakin farko na CLL, mai bayarwa zai sa maka ido sosai. Ba a ba da magani gaba ɗaya don matakin farko na CLL, sai dai idan kuna da:

• Cututtuka da ke ci gaba da dawowa
• Cutar sankarar bargo da ke kara lalacewa cikin sauri
• Redananan ƙwayar jinin jini ko platelet ƙidaya
• Gajiya, rashin cin abinci, ragin nauyi, ko zufa cikin dare
• Magungunan kumbura kumbura

Chemotherapy, gami da magungunan da aka yi niyya, ana amfani dasu don magance CLL. Mai ba ku sabis zai ƙayyade wane nau'in magunguna ne daidai a gare ku.

Za a iya buƙatar ƙarin jini ko kuma yin karin jini idan jinin ya yi ƙaranci.

Za'a iya amfani da ƙwayar ƙashi ko ƙwayar ƙwayar ƙwayar ƙwayar ƙanƙara a cikin samari tare da ci gaba ko haɗari mai girma CLL. Dasawa ita ce kawai maganin da ke ba da magani mai yuwuwa ga CLL, amma kuma yana da haɗari. Mai ba ku sabis zai tattauna haɗari da fa'ida tare da ku.

Ku da mai ba ku sabis na iya buƙatar sarrafa wasu damuwa yayin cutar sankarar jini, gami da:

• Kula da dabbobinku a lokacin cutar sankara
• Matsalar zub da jini
• Bakin bushe
• Cin adadin kuzari
• Amintaccen abinci yayin maganin cutar kansa

Kuna iya sauƙaƙa damuwar rashin lafiya ta hanyar haɗuwa da ƙungiyar tallafawa kansa. Yin tarayya tare da wasu waɗanda suke da masaniya da matsaloli na yau da kullun na iya taimaka muku kada ku ji ku kaɗai.

Mai ba ku sabis zai iya tattaunawa tare da ku game da yanayin CLL ɗin ku dangane da matakin sa da kuma yadda yake amsa magani.

Matsalolin CLL da maganinsa na iya haɗawa da:

• Autoimmune hemolytic anemia, yanayin da ake lalata jajayen ƙwayoyin jini ta tsarin garkuwar jiki
• Zuban jini daga ƙarancin platelet count
• Hypogammaglobulinemia, yanayin da akwai ƙananan matakan ƙwayoyin cuta fiye da na al'ada, wanda zai iya ƙara haɗarin kamuwa da cuta.
• Idiopathic thrombocytopenic purpura (ITP), cutar zubar jini
• Cututtuka da ke ci gaba da dawowa (maimaitawa)
• Gajiya wanda zai iya zama daga mai sauƙi zuwa mai tsanani
• Sauran cututtukan daji, gami da kwayar cutar lymphoma mai saurin tashin hankali (Canjin Richter)
• Sakamakon sakamako na chemotherapy

Kira mai samarwa idan kun bunkasa kumburin lymph ko gajiyar da ba a bayyana ba, rauni, yawan gumi, ko rage nauyi.

CLL; Ciwon sankarar jini - na kullum lymphocytic (CLL); Ciwon daji na jini - cutar sankarar bargo ta lymphocytic; Ciwon kasusuwan kasusuwa - cutar sankarar bargo ta lymphocytic; Lymphoma - cutar sankarar bargo ta yau da kullun

• Marashin kashin kashi - fitarwa

• Burin kasusuwa
• Sandunan sandar
• Cutar sankarar bargo ta lymphocytic na yau da kullun - hangen nesa
• Antibodies

Awan FT, Byrd JC. Cutar sankarar bargo ta yau da kullun. A cikin: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff na Clinical Oncology. Na 6 ed. Philadelphia, PA: Elsevier; 2020: babi na 99.

Yanar gizo Cibiyar Cancer ta Kasa. Kula da cutar sankarar bargo ta lymphocytic (PDQ) - fasalin ƙwararrun masu kiwon lafiya. www.cancer.gov/types/leukemia/hp/cll-treatment-pdq. An sabunta Janairu 22, 2020. An shiga 27 ga Fabrairu, 2020.

Yanar gizo Yanar Gizon Cutar Kanjamau ta Kasa. NCCN jagororin aikin likita a cikin ilimin ilimin ilimin halittu. Kwayar cutar sankarar bargo ta lymphocytic / ƙaramin lymphocytic lymphoma. Siga 4.2020. www.nccn.org/professionals/physician_gls/pdf/cll.pdf. An sabunta Disamba 20, 2019. Iso zuwa Fabrairu 27, 2020.