Kusokonezeka kwa hemopoiesis, yomwe ikuyamba pang'onopang'ono, ndipo imatsogolera kuunjikana kwa matupi oyera mu fupa, mafupa a mitsempha ndi magazi amatchedwa chronic lymphocytic khansa ya m'magazi. Ichi ndi matenda osakondera omwe amakhudza, monga lamulo, anthu a zaka 50 mpaka 60. Sikuti nthawi zonse kumafuna chithandizo chapadera, koma kumaphatikizapo kufufuza nthawi zonse kwa katswiri wamatenda.
Zizindikiro za matenda aakulu a khansa ya m'magazi
Pali magawo atatu a kupita patsogolo kwa matenda, omwe ali ndi makhalidwe ake omwe.
Poyamba, kumayambiriro koyamba, mawonetseredwe am'chipatala sakupezeka. Nthawi zina pamakhala nthenda yambiri yamagulu ndi matenda opatsirana ndi tizilombo, kenako kukula kwake kumabwerera.
Pazowonjezereka zikupezeka:
- matenda opatsirana achiwerewere;
- kuchepa kwachitetezo cha chitetezo;
- Kuwonjezeka kwamphamvu kwa maselo a minofu mu kukula;
- kupititsa patsogolo magazi m'thupi;
- kufooka, kutopa;
- ululu kapena kupweteka pansi pa nthiti kumanzere, mu dera la nthata;
- kusowa kwa njala, motero, kulemera kwake;
- usiku thukuta;
- kupweteka m'mapfupa ndi kupweteka m'magulu;
- kuwonjezeka mu chiwindi cha chiwindi.
Mbali imeneyi ya khansa ya m'magazi imatanthawuza kupatsidwa mankhwala apadera.
Gawo lachitatu, lomwe limatha, limakhala ndi kuphwanya kwakukulu kwa hematopoiesis. Chifukwa cha ichi, cyanosis ndi kuyabwa kwa khungu kungachitike.
Kuzindikira matenda aakulu a khansa ya m'magazi
Pofuna kutsimikizira nthendayi, mayesero angapo a ma laboratory amapatsidwa:
- Kusanthula magazi, kuphatikizapo - podzera;
- kusanthula minofu ya fupa;
- Lymph node biopsy;
- chiwonetsero;
- kuwerengera chiwerengero cha immunoglobulins;
- immunophenotyping.
Kufufuza kwa magazi mu matenda aakulu a khansa ya m'magazi kumapangitsa kudziwa kuti pali thrombocytopenia, lymphadenopathy ndi kuchepa magazi m'thupi, kuti mudziwe ngati pali minofu yathanzi. Kuonjezera apo, phunziroli ndilofunikira pakuwerengera njira ya leukocyte, ndikukhazikitsa msinkhu wa kusasitsa kwa maselo.
Kuchiza kwa chronic lymphocytic khansa ya m'magazi
Kumayambiriro koyamba, madokotala samapereka chithandizo chilichonse, koma amangoyesa wodwalayo nthawi zonse kuti awone momwe matendawa akuyendera. Chithandizo chimafunika nthawi imene khansa ya m'magazi imaphatikizapo mawonetseredwe owonekera.
Ndondomeko Yophatikiza:
- kumwa mankhwala ( chemotherapy ), mankhwala othandiza kwambiri ndi Fludara;
- Kuyamba kwa ma antibodies monoclonal m'gulu la bioimmunotherapy;
- kugwiritsa ntchito mavitamini ndi microelements.
Matenda owopsa ndi ziphuphu zazikulu, mankhwala a chemotherapy ndi mlingo waukulu wa zinthu zowonongeka, kuziika kwa maselo ofunika omwe amatsimikizira kuti normalistiyitiis, komanso chithandizo cha ma radiation chikulimbikitsidwa. Ngati nthendayi yawonjezeka kufika pamtunda waukulu, kuchotsedwa kwake kudzafunika.
Palinso njira zambiri zothandizira matenda a khansa ya m'magazi ndi mankhwala ochiritsira. Madokotala amakayikira za mankhwala opatsirana okha, chifukwa akhoza kuvulaza thupi. Chinsinsi chotsatira chikuwoneka kuti ndi chotetezeka:
- Udzu watsopano ndi mizu ya chicory
Sambani bwino, sulani ndikupukuta madzi. - Tengani yankho la supuni imodzi katatu patsiku.
- Sungani mankhwalawo mu chidebe cha galasi mufiriji.
Malingaliro a chronic lymphocytic khansa ya m'magazi
Ngati matendawa akupita pang'onopang'ono, popanda kubwereranso komanso chizindikiro chachikulu cha matenda, chizoloƔezi cha moyo ndi matenda aakulu a khansa ya m'magazi ndi yapamwamba kwambiri, kuyambira zaka 8 mpaka 10 kuchokera pa nthawi ya matenda.
Zikakhala kuti matendawa ndi owopsa ndipo amatsatiridwa ndi machitidwe amphamvu owonetsetsa, kutaya kusintha kwa maselo a magazi, maulosi sakhala abwino.