Ho senya lik'hemik'hale tsa lymphatic le litho tse itseng li bitsoa lymphatic leukemia. Lefu lena le khetholloa ka ho eketseha ha lisele tse tšoeu tsa mali meleng ea likokoana-hloko, lesapo la masapo, sebete le spleen. E le hore u atlehe ho loantša maloetse, ho hlokahala hore u fumane lefu la kankere ea lymphocytic ka nako - matšoao a iponahatsa ka potlako ka mokhoa o thata oa lefu lena, empa mofuta o sa foleng o ka khethoa habonolo.
Lipontšo tsa acute lymphocytic leukemia
Litšebetso tsa meriana ea kankere li fapane ho ea ka mofuta oa lefu lena.
Ka mokhoa o thata, lefu la lymphoblastic leukemia le na le matšoao a bontšang hore o na le matšoao:
- ho eketseha ka boholo ba spleen le lymph nodes;
- ho eketseha ka tšohanyetso mocheso oa 'mele;
- ho tsoa mali khafetsa, hangata ho itlhahisa le ka lebaka le utloahalang;
- ho tepella;
- lebala la letlalo;
- ho khohlela ho omeletseng ho tsamaea le phefumoloho e khutšoanyane;
- bohloko ka mpeng, masapo le manonyeletso a maholo;
- khaello ea mali;
- maemo a feberu.
Ha tsamaiso ea methapo ea mantlha e ameha, ho boetse ho na le hlooho e bohloko, ho halefa, ho hlatsa le ho ba le botsoa.
Setšoantšo sa mali sekheo sa mali se bitsoang acute lymphocytic leukemia se khetholloa ke ho bokella li-cells tse se nang mofuthu (li-precursors tsa lymphocytes) marung le mali. Ho boetse ho na le liphetoho ho hlophisoa ha mokelikeli oa likokoana-hloko. Smear ea mali e fapana le likhetho tse tloaelehileng ka ho ba sieo ha mekhahlelo e bohareng ea nts'etsopele ea lisele, ho na le likaroloana tse feletseng tse feletseng le ho phatloha.
Matšoao a mang a kankere ea lymphatic leukemia ho latela ts'ebetso ea mali:
- thrombocytopenia;
- leukocytosis;
- normochromic anemia;
- leukopenia .
Matšoao a lefu la kankere le sa foleng la lymphocytic
Mofuta o nahannoeng oa lefu lena o fumanoa hangata, haholo-holo ho basali ba fetang lilemo tse 55.
Ka bomalimabe, lipontšo tsa kliniki tsa lefu le sa foleng li bonahala ka morao feela, kaha mofuta ona oa lefu la lekoemia le hlahisa butle-butle 'me ha ho khonehe ho bonahala maemong a pele.
Matšoao a lefu lena a fapane haholo:
- tahlehelo ea boima;
- tšelo-pele ho mafu a mangata a tšoaetsanoang le a kokoana-hloko ka lebaka la ho senyeha ha ts'ebetsong ea tšireletso;
- ho eketseha ka boholo ba lymph nodes;
- ho lahleheloa ke takatso ea lijo, ho fihlela ho hana ka ho feletseng ho ja, anorexia;
- malaise le bofokoli;
- ho teba ka mpeng le sebakeng sa spleen;
- asthenia (bofokoli ba mesifa);
- hepatomegaly (keketseho ea sebete) le splenomegaly (ho eketseha ka boholo ba spleen);
- ho fufuleloa ka matla, hangata ho etsahala bosiu;
- ho itšoara habonolo ho palo e kholo ea ho halefa;
- khaello ea mali ;
- phefumoloho e khutšoanyane ka boiteko bo fokolang ba nama.
Tlhahlobo ea mali ea lefu la lymphatic leukemia ka mokhoa o sa foleng o boetse o tšoauoa ka neutropenia le thrombocytopenia. Sena se bolela ho fokotseha ha methapo e matla ea palo ea li-neutrophils (ka tlaase ho 500 ka 1 lik'hilograma tse 1) le liplateletse (tse ka tlase ho 200
Tumor lymphocytes e bokella lymph nodes, mali a pherekano le mofu. Ka tlhaho, li butsoitse ka botlalo, empa ha li khone ho etsa mesebetsi ea tsona e tobileng, ka hona li nkoa li le tlaase.
Ke habohlokoa ho hlokomela hore ka lebaka la keketseho ea li-lymphocyte, qetellong ba nkela lisele tsa masapo (ka 80-90%) sebaka ka ho feletseng. Leha ho le joalo, tlhahiso ea lisele tse tloaelehileng ha e khone ho lieha, ho thibela nts'etso-pele ea phokolo ea mali le ho thatafatsa haholo ho hlahloba lefu lena.