Tšenyo ea hemopoiesis, e hlahang butle-butle, 'me e lebisa ho bokelleng ha' meleng o mosoeu, lymph nodes le mali a pherekano li bitsoa chronic lymphocytic leukemia. Ena ke boloetse bo fokolang ba tlhaho bo amang maikutlo, e le molao, batho ba lilemo li 50-60. Hase kamehla ho hlokang phekolo e khethehileng, empa e kenyelletsa nako le nako ho hlahloba lefu la lefu la mali.
Matšoao a lefu la kankere le sa foleng la lymphocytic
Ho na le mehato e meraro ea tsoelo-pele ea mafu, e 'ngoe le e' ngoe e nang le litšobotsi tsa eona.
Nakong ea pele, mekhahlelo ea pele, litšoantšiso tsa tleliniki ha li eo. Ka linako tse ling ho na le keketseho ea lymph nodes nakong ea mafu a tšoaetsanoang le a kokoana-hloko, ka mor'a moo boholo ba tsona bo khutlela ho tloaelehileng.
Nakong ea sethala se atolositsoeng ho hlokomeloa:
- maloetse a tšoaetsanoang a tloaelehileng;
- ho fokotsa tšebetso ea ho itšireletsa mafung;
- ho eketseha ka matla ho lymph nodes ka boholo;
- ho ntlafatsoa ha mali a mali;
- bofokoli, mokhathala;
- bohloko kapa boima tlas'a likhopo ka letsohong le letšehali, sebakeng sa spleen;
- ho lahleheloa ke takatso ea lijo, ka lebaka leo, ho lahleheloa ke boima ba 'mele;
- bofufu bosiu;
- ho opeloa masapong le mahlaba ka manonyeletso;
- ho eketsa sebete.
Sethaleng sena sa kankere ea mali ea lymphocytic e se e ntse e akarelletsa ho behoa ha phekolo e khethehileng.
Karolo ea boraro, e fokolang, e khetholloa ke tlōlo e matla ea hematopoiesis. Ka lebaka la sena, cyanosis le ho hlohlona ha letlalo ho ka etsahala.
Ho lemoha boloetse ba lefu la kankere e sa foleng ea lymphocytic
Ho tiisa lefu lena, liteko tse 'maloa tsa laboratori li abeloa:
- tlhahlobo ea mali, ho kenyelletsa - phallo;
- tlhahlobo ea mesifa ea bone marrow;
- Lymph node biopsy;
- tlhahlobo ea cytogenetic;
- ho bala palo ea li-immunoglobulin;
- immunophenotyping.
Ho hlahlojoa ha mali ka boloetse bo sa foleng ba lymphocytic leukemia ho lumella hore ho be le boteng ba thrombocytopenia, lymphadenopathy le phokolo ea phokolo ea mali, ho fumana molumo oa lihlahisoa tsa mongobo tse nang le bophelo bo botle. Ho phaella moo, thuto ena e hlokahala bakeng sa ho lekanya mofuta oa leukocyte, ho theha boemo ba ho nonoa ha lisele tsa lisele.
Phekolo ea lefu la kankere ea chronic lymphocytic leukemia
Mehleng ea pele, lingaka ha li laetse phekolo leha e le efe, empa li etsa tlhahlobo e tloaelehileng ea mokuli hore e shebe tsoelo-pele ea lefu lena. Kalafo ea hlokahala maemong ao lefu la kankere ea lymphocytic le tsamaeang le lits'ebiso tse hlakileng tsa kliniki.
Morero o kopanetsoeng:
- ho noa meriana ( chemotherapy ), lithethefatsi tse sebetsang ka ho fetisisa ke Fludara;
- ho kenyelletsa li-antibodies tse monoclonal ha ho etsoa li-bioimmunotherapy;
- tšebeliso ea livithamine le microelements.
Mafu a maholo le masapo a mangata a hlahala, chemotherapy e nang le litekanyetso tse phahameng tsa lintho tse sebetsang, ho fetisetsa metsoako ea lisele tse tiisang hore ho na le mokhoa o tloaelehileng oa hematopoiesis, hammoho le phekolo ea radiation e khothalletsoang. Haeba spleen e eketsehile ho isa tekanyo e kholo, ho tlosoa ha eona ho tla hlokahala.
Hape, ho na le mekhoa e mengata ea ho phekola kankere ea mali e sa foleng ea lymphocytic le mekhoa ea batho. Lingaka li belaela ka phekolo ea boipheliso ea mafu, kaha e ka lematsa 'mele. Keletso e latelang e nkoa e sireletsehile haholoanyane:
- Joang bo botala le metso ea chicory
hlatsoa ka ho feletseng, sila le ho ntša lero. - Nka tharollo ea thispone e le 'ngoe ka makhetlo a mararo ka letsatsi.
- Boloka sehlahisoa sejaneng sa khalase sehatsetsing.
Lintho tse boletsoeng esale pele bakeng sa kankere ea mali e sa foleng ea lymphocytic
Haeba lefu lena le ntse le tsoela pele butle-butle, ntle le ho khutlela morao le matšoao a matšoao a kotsi, tebello ea bophelo le lefu le sa foleng la lymphocytic leukemia le phahameng haholo, ho tloha ho lilemo tse 8 ho ea ho tse 10 ho tloha letsatsing la ho hlahlojoa.
Maemong ao lefu lena le nang le mabifi le le tsamaeang le lipontšo tse matla tsa kliniki, phetoho ea lithethefatsi tsa lisele tsa mali, ho bolela esale pele ha ho monate.