Kwancen Lymphoid Leukemia na yau da kullun: menene menene, cututtuka da magani

Wadatacce

• Kwayar cutar ta LLC
• Yadda ake ganewar asali
• Kulawar LLC

Tsarin cutar sankarar bargo na Lymphoid, wanda aka fi sani da LLC ko cutar sankarar jini ta lymphocytic na yau da kullun, wani nau'in cutar sankarar bargo ne wanda ke alaƙa da karuwar adadin manyan ƙwayoyin lymphocytes a cikin jini na gefe, ban da ƙarin ƙwayoyin lymph, asarar nauyi da yawan gajiya, misali .

Ana yawan gano cutar ta LLC daga shekara 65, saboda cutar tana da saurin sauyi, kuma galibi ana lura da alamun ne yayin da cutar ta riga ta kai matakin da ya fi ta ci gaba. Saboda jinkirin bayyanar cututtuka, yawanci ana gano cutar yayin gwajin jini na yau da kullun, musamman ƙididdigar jini, inda za a iya gano ƙaruwar adadin lymphocytes.

Kwayar cutar ta LLC

LLC yana haɓaka sama da watanni ko shekaru kuma, sabili da haka, alamomin suna bayyana a hankali, kuma ana gano cutar sau da yawa lokacin da ta riga ta kasance a matakin da ya fi cigaba. Alamun alamun alamun LLC sune:

• Lara yawan ƙwayoyin lymph da ƙwayoyin lymph;
• Gajiya;
• Ofarancin numfashi yayin aikin jiki;
• Spleen fadada, wanda kuma ake kira splenomegaly;
• Hepatomegaly, wanda shine kara girman hanta;
• Sake kamuwa da cututtukan fata, fitsari da huhu;
• Rage nauyi.

Tun da cutar ba ta bayyanar da alamomi a matakin farko, ana iya gano LLC bayan yin gwaje-gwaje na yau da kullun, wanda a ciki ana iya ganin ƙaruwar adadin lymphocytes da leukocytes a gwajin jini.

Yadda ake ganewar asali

Ganewar cutar ta Lymphoid Leukemia na yau da kullun an yi shi ne daga binciken ƙwayoyin jini ta hanyar sakamakon cikakken ƙidayar jini, wanda aka yi daga binciken samfurin jini. A cikin cikakken lissafin jini na LLC yana yiwuwa a gano leukocytosis, yawanci sama da ƙwayoyin 25,000 / mm³ na jini, da lymphocytosis mai ɗorewa, yawanci sama da lymphocytes / mm³ 5000. Kari akan haka, wasu marasa lafiya suna da karancin jini da kuma maganin ciwan jini, wanda yake raguwa a cikin adadin platelet a cikin jini. Duba menene ƙimar ƙididdigar ƙwayar ƙwayar ƙwayar jini.

Duk da cewa sun balaga, sinadarin lymphocytes da ke cikin jinin gefe wasu ƙananan ne masu rauni kuma, saboda haka, a lokacin sanya jinin a jiki za su iya fashewa kuma su haifar da inuwar nukiliya, wanda ake kira inuwar Gumprecht, waɗanda kuma ana la'akari da su cikakke ganewar asali.

Kodayake ƙididdigar jinin ya isa don kammala ganewar asali na cutar sankarar ƙwayoyin lymphocytic na yau da kullun, gwaje-gwajen immunophenotyping ya zama dole don gano kasancewar alamomi waɗanda suka tabbatar da cewa cutar sankarar bargo ce da ke da alaƙa da yaɗuwar nau'in B lymphocytes kuma yana da ciwo. Immunophenotyping yana dauke da matsayin ma'aunin ganewa na zinare ba kawai ga LLC ba har ma da wasu nau'ikan cutar sankarar bargo.

A wasu lokuta, likita na iya buƙatar myelogram, wanda shine jarrabawar da aka yi don nazarin ƙwayoyin da ke cikin kashin ƙashi, wanda a cikin batun LLC yana da fiye da 30% na ƙwayoyin lymphocytes. Wannan gwajin, duk da haka, ba a neman shi da yawa don bincikar cutar, amma don tabbatar da juyin halitta, shigar kutse cikin ƙwayoyin lymphocytes da kuma ayyana hangen nesa. Fahimci yadda ake yin myelogram.

Kulawar LLC

Ana yin maganin LLC gwargwadon matakin cutar:

• Riskananan haɗari: a ciki ne kawai ake gano leukocytosis da lymphocytosis, ba tare da wasu alamun ba. Don haka, likita yana tare da mai haƙuri kuma ba lallai ba ne a gudanar da maganin;
• Matsakaicin matsakaici: a cikin abin da lymphocytosis, faɗaɗa ƙwayoyin lymph da hanta ko splenomegaly aka tabbatar, yana buƙatar bin likita don bincika ɓullar cutar da magani tare da chemo ko radiotherapy;
• Babban haɗari: wanda aka gano alamun alamun CLL, ban da ƙarancin jini da thrombocytopenia, kuma ya kamata a fara magani nan da nan. Mafi kyawun shawarar da aka ba da shawarar a wannan yanayin ita ce dashewar ƙashi, kuma ya zama dole a sha chemo da radiotherapy.

Da zaran an gano karuwar adadin kwayoyin lymphocytes a cikin jini gefe, yana da muhimmanci likita ya tantance yanayin rashin lafiyar gaba daya don a tabbatar da ganewar cutar ta CLL kuma za a iya fara magani kuma a kauce wa ci gaban cutar.

Dukansu radiotherapy da chemotherapy na iya zama masu rauni da tsoma baki tare da ingancin rayuwar mutum. Sabili da haka, yana da ban sha'awa a sami ƙoshin lafiya da daidaitaccen abinci don tabbatar da jin daɗin rayuwa da sauƙaƙe alamun bayyanar da ke tattare da waɗannan nau'ikan maganin. Duba bidiyo mai zuwa akan mafi kyawun abinci don sauƙaƙa sakamakon illa na chemotherapy: