Ubwoko / leukemia / umurwayi / umusatsi-selile-kuvura-pdq
Ibirimo
- 1 Kuvura imisatsi ya selile Leukemia (®) - Indwara yabarwayi
- 1.1 Amakuru Rusange Yerekeye Akagari ka Leukemia
- 1.2 Icyiciro cya Leukemia Yumusatsi
- 1.3 Gusubiramo cyangwa Kwanga Umusatsi Uturemangingo Leukemia
- 1.4 Incamake yo kuvura
- 1.5 Hariho uburyo butandukanye bwo kuvura abarwayi bafite kanseri yimisatsi.
- 1.6 Amahitamo yo Kuvura Yasubiwemo Cyangwa Yimitsi Yumusatsi Leukemia
- 1.7 Kugira ngo Wige Byinshi Kumisatsi Yumusatsi Leukemia
Kuvura imisatsi ya selile Leukemia (®) - Indwara yabarwayi
Amakuru Rusange Yerekeye Akagari ka Leukemia
INGINGO Z'INGENZI
- Indwara ya selile leukemia ni ubwoko bwa kanseri aho igufwa ryamagufa rikora lymphocytes nyinshi (ubwoko bwamaraso yera).
- Leukemia irashobora kwanduza selile zitukura, selile yera, na platine.
- Uburinganire n'imyaka bishobora kugira ingaruka ku kanseri yo mu bwoko bwa leukemia.
- Ibimenyetso nibimenyetso bya leukemia selile yimisatsi harimo kwandura, kunanirwa, nububabare munsi yimbavu.
- Ibizamini bisuzuma amaraso n'amagufa bikoreshwa mugushakisha (gushakisha) no gusuzuma kanseri yimisatsi.
- Ibintu bimwe bigira ingaruka kumahitamo no kuvura (amahirwe yo gukira).
Indwara ya selile leukemia ni ubwoko bwa kanseri aho igufwa ryamagufa rikora lymphocytes nyinshi (ubwoko bwamaraso yera).
Indwara ya selile leukemia ni kanseri yamaraso nigifu. Ubu bwoko budasanzwe bwa leukemia bugenda bwiyongera buhoro buhoro cyangwa ntibukabije na gato. Indwara yitwa selile selile leukemia kubera ko selile ya leukemia isa "umusatsi" iyo urebye munsi ya microscope.

Leukemia irashobora kwanduza selile zitukura, selile yera, na platine.
Mubisanzwe, igufwa ryamagufa ritera ingirangingo zamaraso (selile zidakuze) zihinduka selile yamaraso ikuze mugihe runaka. Ingirabuzimafatizo y'amaraso irashobora guhinduka myeloid stem selile cyangwa lymphoide stem selile.
Ingirabuzimafatizo ya myeloid ihinduka bumwe mu bwoko butatu bw'amaraso akuze:
- Uturemangingo twamaraso dutukura dutwara ogisijeni nibindi bintu mubice byose byumubiri.
- Utugingo ngengabuzima twera turwanya indwara n'indwara.
- Amashanyarazi akora amaraso kugirango areke kuva amaraso.
Lymphoide stem selile iba lymphoblast selile hanyuma ikinjira mubwoko butatu bwa lymphocytes (selile yera):
- B lymphocytes B ikora antibodies zifasha kurwanya kwandura.
- Lymphocytes T ifasha lymphocytes B gukora antibodies zifasha kurwanya kwandura.
- Ingirabuzimafatizo zica zitera kanseri na virusi.
Muri selile selile umusatsi, selile nyinshi zamaraso ziba lymphocytes. Iyi lymphocytes ntisanzwe kandi ntabwo iba selile yera yera. Zitwa kandi selile leukemia. Ingirabuzimafatizo ya leukemia irashobora kwiyubaka mu maraso no mu magufa bityo hakaba hataboneka umwanya muto w'uturemangingo tw'amaraso yera, selile zitukura, na platine. Ibi birashobora gutera kwandura, kubura amaraso, no kuva amaraso byoroshye. Zimwe mu ngirabuzimafatizo za leukemia zishobora kwegeranya mu gihimba kandi zigatera kubyimba.
Iyi ncamake yerekeye imisatsi ya selile leukemia. Reba incamake ya ikurikira kumakuru yerekeye ubundi bwoko bwa leukemia:
- Abakuze Bavura Lymphoblastique Leukemia.
- Ubwana bwo kuvura Lymphoblastique Leukemia.
- Kuvura indwara ya Lymphocytike idakira.
- Abakuze Acute Myeloid Leukemia.
- Ubwana Bukaze Myeloid Leukemia / Ubundi buryo bwo kuvura indwara ya Myeloid.
- Umuti wa karande Myelogenous Leukemia.
Uburinganire n'imyaka bishobora kugira ingaruka ku kanseri yo mu bwoko bwa leukemia.
Ikintu cyose cyongera amahirwe yo kwandura indwara cyitwa impanuka. Kugira ibintu bishobora guteza ibyago ntibisobanura ko uzarwara kanseri; kutagira ibyago bishobora gusobanura ko utazarwara kanseri. Vugana na muganga wawe niba utekereza ko ushobora guhura n'akaga. Impamvu ya selile leukemia yimisatsi ntiramenyekana. Bibaho cyane kubagabo bakuze.
Ibimenyetso nibimenyetso bya leukemia selile yimisatsi harimo kwandura, kunanirwa, nububabare munsi yimbavu.
Ibi nibindi bimenyetso nibimenyetso bishobora guterwa na selile leukemia yimisatsi cyangwa nibindi bihe. Menyesha umuganga wawe niba ufite kimwe muri ibi bikurikira:
- Intege nke cyangwa kumva unaniwe.
- Indwara cyangwa kwandura kenshi.
- Gukomeretsa byoroshye cyangwa kuva amaraso.
- Kubura umwuka.
- Kugabanya ibiro nta mpamvu izwi.
- Kubabara cyangwa kumva wuzuye munsi y'urubavu.
- Ibibyimba bitababara mu ijosi, munsi yintoki, igifu, cyangwa igituba.
Ibizamini bisuzuma amaraso n'amagufa bikoreshwa mugushakisha (gushakisha) no gusuzuma kanseri yimisatsi. Ibizamini hamwe nuburyo bukurikira birashobora gukoreshwa:
- Ikizamini cyumubiri namateka yubuzima: Ikizamini cyumubiri kugirango ugenzure ibimenyetso rusange byubuzima, harimo no gusuzuma ibimenyetso byindwara, nk'urusenda rwabyimbye, ibibyimba, cyangwa ikindi kintu cyose gisa nkidasanzwe. Hazafatwa kandi amateka yubuzima bwumurwayi nindwara zashize hamwe nubuvuzi.
- Kubara amaraso yuzuye (CBC): Uburyo bwo gukuramo urugero rwamaraso no gusuzuma ibi bikurikira:
- Umubare w'uturemangingo tw'amaraso atukura, selile yera, na platine.
- Ingano ya hemoglobine (proteyine itwara ogisijeni) mu ngirangingo z'amaraso atukura.
- Igice cy'icyitegererezo kigizwe na selile zitukura.

- Amaraso ya periferique: Uburyo bwo gusuzuma urugero rwamaraso kugirango harebwe selile zisa "umusatsi," umubare nubwoko bwingirangingo zamaraso yera, umubare wa platine, nimpinduka mumiterere ya selile.
- Ubushakashatsi bwa chimie yamaraso: Uburyo bwo gusuzuma urugero rwamaraso kugirango bapime urugero rwibintu bimwe na bimwe bisohoka mumaraso ningingo nuduce twumubiri. Umubare udasanzwe (uri hejuru cyangwa uri munsi yubusanzwe) ibintu bishobora kuba ikimenyetso cyindwara.
- Amagufa ya marrow aspiration na biopsy: Gukuraho igufwa ryamagufa, amaraso, nigice gito cyamagufwa winjiza urushinge rudafite epfo na ruguru cyangwa amabere. Inzobere mu by'indwara ireba amagufwa, amaraso, n'amagufwa munsi ya microscope kugira ngo ishakishe ibimenyetso bya kanseri.
- Immunophenotyping: Ikizamini cya laboratoire ikoresha antibodies kugirango hamenyekane kanseri ya kanseri ukurikije ubwoko bwa antigene cyangwa ibimenyetso hejuru ya selile. Iki kizamini gikoreshwa mugufasha gusuzuma ubwoko bwihariye bwa leukemia.
- Flow cytometry: Ikizamini cya laboratoire gipima umubare w'utugingo ngengabuzima, ijanisha ry'utugingo ngengabuzima turi mu cyitegererezo, hamwe n'ibiranga ingirabuzimafatizo, nk'ubunini, imiterere, hamwe n'ibimenyetso by'ibibyimba (cyangwa ibindi) kuri Ubuso. Ingirabuzimafatizo ziva mu cyitegererezo cy'amaraso y'umurwayi, igufwa ry'amagufa, cyangwa izindi ngingo zandujwe irangi rya fluorescent, zishyirwa mu mazi, hanyuma zikanyura rimwe na rimwe binyuze mu rumuri. Ibisubizo by'ibizamini bishingiye ku kuntu ingirabuzimafatizo zandujwe irangi rya fluorescent zifata urumuri. Iki kizamini gikoreshwa mugufasha gusuzuma no gucunga ubwoko bumwe na bumwe bwa kanseri, nka leukemia na lymphoma.
- Isesengura rya Cytogenetike: Ikizamini cya laboratoire kibarwa chromosomes yingirabuzimafatizo mu cyitegererezo cyamaraso cyangwa igufwa ryamagufwa ikabarwa kandi ikagenzurwa niba hari impinduka, nko kuvunika, kubura, gutondekanya, cyangwa chromosomes ziyongera. Impinduka muri chromosomes zimwe zishobora kuba ikimenyetso cya kanseri. Isesengura rya Cytogenetike rikoreshwa mu gufasha gusuzuma kanseri, gutegura gahunda yo kuvura, cyangwa kumenya uburyo ubuvuzi bukora neza.
- Kwipimisha gene ya BRAF: Ikizamini cya laboratoire isuzumwa icyitegererezo cyamaraso cyangwa tissue kugirango habeho impinduka zimwe na zimwe muri gen BRAF. Guhindura gene ya BRAF ikunze kuboneka kubarwayi barwaye imisemburo ya selile.
- CT scan (CAT scan): Uburyo bukora urukurikirane rwamashusho arambuye yibice byimbere mumubiri, byafashwe muburyo butandukanye. Amashusho yakozwe na mudasobwa ihujwe na mashini ya x-ray. Irangi rishobora guterwa mumitsi cyangwa kumirwa kugirango bifashe ingingo cyangwa ingirangingo kugaragara neza. Ubu buryo nabwo bwitwa computing tomografiya, tomografiya ya mudasobwa, cyangwa mudasobwa ya axial tomografiya. CT scan yinda irashobora gukorwa kugirango harebwe niba lymph node yabyimbye cyangwa ururenda rwabyimbye.
Ibintu bimwe bigira ingaruka kumahitamo no kuvura (amahirwe yo gukira).
Uburyo bwo kuvura bushobora guterwa n'ibi bikurikira:
- Umubare w'uturemangingo tw'imisatsi (leukemia) hamwe na selile nzima mu maraso no mu magufa.
- Niba ururenda rwabyimbye.
- Niba hari ibimenyetso cyangwa ibimenyetso bya leukemia, nko kwandura.
- Niba leukemia yarongeye (garuka) nyuma yo kuvurwa mbere.
Kumenyekanisha (amahirwe yo gukira) biterwa nibi bikurikira:
- Niba leukemia selile yimisatsi idakura cyangwa ikura buhoro buhoro ntabwo ikeneye kuvurwa.
- Niba leukemia selile yimisatsi yitabira kuvura.
Kuvura akenshi bivamo gukira igihe kirekire (igihe ibimenyetso bimwe cyangwa ibimenyetso byose bya leukemia byashize). Niba leukemia igarutse nyuma yo gukira, umwiherero akenshi utera ikindi kibazo.
Icyiciro cya Leukemia Yumusatsi
INGINGO Z'INGENZI
- Nta sisitemu isanzwe yo kubika imisatsi ya leukemia.
Nta sisitemu isanzwe yo kubika imisatsi ya leukemia.
Gutegura ni inzira ikoreshwa mu kumenya intera kanseri imaze gukwirakwira. Nta sisitemu isanzwe yo kubika imisatsi ya leukemia.
Indwara ya leukemia itavuwe neza, bimwe cyangwa byose bikurikira bikurikira:
- Ingirabuzimafatizo (leukemia) ziboneka mumaraso no mumagufa.
- Umubare w'uturemangingo tw'amaraso atukura, selile yera, cyangwa platine irashobora kuba munsi yubusanzwe.
- Ururenda rushobora kuba runini kuruta ibisanzwe.
Gusubiramo cyangwa Kwanga Umusatsi Uturemangingo Leukemia
Gusubiramo imisatsi ya selile leukemia yagarutse nyuma yo kuvurwa. Ingirabuzimafatizo yimisatsi ya leukemia ntabwo yitabye kuvurwa.
Incamake yo kuvura
INGINGO Z'INGENZI
- Hariho uburyo butandukanye bwo kuvura abarwayi bafite kanseri yimisatsi.
- Ubwoko butanu bwo kuvura busanzwe bukoreshwa:
- Gutegereza neza
- Chimoterapi
- Ubuvuzi bwibinyabuzima
- Kubaga
- Ubuvuzi bugamije
- Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
- Umuti wo kuvura imisatsi ya leukemia urashobora gutera ingaruka.
- Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.
- Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.
- Ibizamini byo gukurikirana birashobora gukenerwa.
Hariho uburyo butandukanye bwo kuvura abarwayi bafite kanseri yimisatsi.
Ubwoko butandukanye bwo kuvura burahari kubarwayi bafite selile leukemia. Bumwe mu buryo busanzwe (ubuvuzi bukoreshwa ubu), kandi bumwe burimo kugeragezwa mubigeragezo byamavuriro. Ikigeragezo kivura ni ubushakashatsi bwakozwe bugamije gufasha kunoza imiti igezweho cyangwa kubona amakuru ku buvuzi bushya ku barwayi ba kanseri. Iyo ibizamini byo kwa muganga byerekana ko ubuvuzi bushya buruta ubuvuzi busanzwe, ubuvuzi bushya bushobora kuba ubuvuzi busanzwe. Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga. Ibigeragezo bimwe na bimwe bivura abarwayi batatangiye kwivuza.
Ubwoko butanu bwo kuvura busanzwe bukoreshwa:
Gutegereza neza
Gutegereza witonze ni ugukurikiranira hafi uko umurwayi ameze, nta gutanga ubuvuzi kugeza ibimenyetso cyangwa ibimenyetso bigaragara cyangwa bihindutse.
Chimoterapi
Chimiotherapie ni umuti wa kanseri ukoresha ibiyobyabwenge kugirango uhagarike imikurire ya kanseri, haba mu kwica selile cyangwa kubabuza gutandukana. Iyo chimiotherapie ifashwe numunwa cyangwa igaterwa mumitsi cyangwa imitsi, imiti yinjira mumaraso kandi irashobora kugera kanseri ya kanseri mumubiri (chimiotherapie sisitemu). Iyo chimiotherapie ishyizwe mumazi yubwonko, urugingo, cyangwa umwobo wumubiri nkinda, imiti yibasira kanseri ya kanseri muri utwo turere (chimiotherapie yo mukarere). Uburyo chimiotherapie itangwa biterwa nubwoko nicyiciro cya kanseri ivurwa. Cladribine na pentostatine ni imiti igabanya ubukana ikoreshwa mu kuvura kanseri y'umusatsi. Iyi miti irashobora kongera ibyago byubundi bwoko bwa kanseri, cyane cyane lymphoma ya Hodgkin na lymphoma itari Hodgkin.
Reba Ibiyobyabwenge Byemewe Kumisatsi Yumusatsi Leukemia kubindi bisobanuro.
Ubuvuzi bwibinyabuzima
Ubuvuzi bwa biologiya nubuvuzi bwa kanseri bukoresha sisitemu yumubiri yumurwayi kurwanya kanseri. Ibintu bikozwe numubiri cyangwa bikozwe muri laboratoire bikoreshwa mukuzamura, kuyobora, cyangwa kugarura umubiri kamere irinda kanseri. Ubu bwoko bwo kuvura kanseri nabwo bwitwa biotherapy cyangwa immunotherapy. Interferon alfa ni ibinyabuzima bisanzwe bikoreshwa mukuvura kanseri yimisatsi.
Reba Ibiyobyabwenge Byemewe Kumisatsi Yumusatsi Leukemia kubindi bisobanuro.
Kubaga
Splenectomy nuburyo bwo kubaga kugirango bakureho intanga.
Ubuvuzi bugamije
Ubuvuzi bugamije ni ubuvuzi bukoresha ibiyobyabwenge cyangwa ibindi bintu kugirango umenye kandi utere kanseri yihariye itangiza ingirabuzimafatizo zisanzwe. Ubuvuzi bwa antibody ya Monoclonal ni ubwoko bwubuvuzi bugamije kuvura kanseri yimisatsi.
Ubuvuzi bwa antibody ya Monoclonal ikoresha antibodies zakozwe muri laboratoire ziva mubwoko bumwe bwimikorere yumubiri. Iyi antibodies irashobora kumenya ibintu biri muri kanseri ya kanseri cyangwa ibintu bisanzwe bishobora gufasha kanseri gukura. Antibodiyite ifata ibintu kandi ikica selile ya kanseri, ikabuza gukura kwayo, cyangwa ikabuza gukwirakwira. Antibodiyite za Monoclonal zitangwa no gushiramo. Bashobora gukoreshwa bonyine cyangwa gutwara ibiyobyabwenge, uburozi, cyangwa ibikoresho bya radio bikoresha kanseri ya kanseri.
Antibody ya monoclonal yitwa rituximab irashobora gukoreshwa kubarwayi bamwe na bamwe bafite kanseri yimisatsi.
Ubundi bwoko bwubuvuzi bugamije burimo kwigwa.
Ubwoko bushya bwo kuvura burimo kugeragezwa mubigeragezo byamavuriro.
Amakuru yerekeye ibizamini byamavuriro araboneka kurubuga rwa NCI.
Umuti wo kuvura imisatsi ya leukemia urashobora gutera ingaruka.
Kumakuru yingaruka ziterwa no kuvura kanseri, reba urupapuro rwuruhande rwacu.
Abarwayi barashobora kwifuza gutekereza kubijyanye no kwipimisha kwa muganga.
Ku barwayi bamwe, kwitabira ikizamini cyamavuriro birashobora kuba uburyo bwiza bwo kuvura. Ibigeragezo bivura biri mubikorwa byubushakashatsi bwa kanseri. Igeragezwa rya Clinical rikorwa kugirango hamenyekane niba imiti mishya ya kanseri itekanye kandi ifite akamaro cyangwa nziza kuruta ubuvuzi busanzwe.
Benshi mubuvuzi busanzwe bwa kanseri bushingiye kubigeragezo byambere byubuvuzi. Abarwayi bitabiriye kwipimisha barashobora kuvurwa bisanzwe cyangwa kuba mubambere bahawe imiti mishya.
Abarwayi bitabira ibizamini byo kwa muganga nabo bafasha kunoza uburyo kanseri izavurwa mugihe kizaza. Nubwo ibigeragezo bivura bitaganisha ku buvuzi bushya, akenshi basubiza ibibazo byingenzi kandi bigafasha gutera imbere ubushakashatsi.
Abarwayi barashobora kwipimisha kwa muganga mbere, mugihe, cyangwa nyuma yo gutangira kuvura kanseri.
Igeragezwa rimwe na rimwe ririmo abarwayi bataravurwa. Ibindi bigeragezo bipima abarwayi bafite kanseri itameze neza. Hariho kandi ibizamini byo kwa muganga bipima uburyo bushya bwo guhagarika kanseri kongera kugaruka (kugaruka) cyangwa kugabanya ingaruka zo kuvura kanseri.
Igeragezwa rya Clinical ririmo kubera mu bice byinshi by'igihugu. Amakuru yerekeye ibizamini byamavuriro ashyigikiwe na NCI urashobora kubisanga kurubuga rwa NCI. Ibizamini bya Clinical bishyigikiwe nandi mashyirahamwe murashobora kubisanga kurubuga rwa ClinicalTrials.gov.
Ibizamini byo gukurikirana birashobora gukenerwa.
Bimwe mubizamini byakozwe mugupima kanseri cyangwa kumenya icyiciro cya kanseri birashobora gusubirwamo. Ibizamini bimwe bizasubirwamo kugirango harebwe uburyo ubuvuzi bukora neza. Ibyemezo bijyanye no gukomeza, guhindura, cyangwa guhagarika ubuvuzi birashobora gushingira kubisubizo byibi bizamini.
Bimwe mubizamini bizakomeza gukorwa buri gihe nyuma yubuvuzi burangiye. Ibisubizo by'ibi bizamini birashobora kwerekana niba ubuzima bwawe bwarahindutse cyangwa niba kanseri yarongeye (garuka). Ibi bizamini rimwe na rimwe byitwa gukurikirana-ibizamini cyangwa kugenzura.
Amahitamo yo kuvura kanseri yimisatsi
Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.
Kuvura kanseri yimisatsi yimisatsi irashobora kubamo ibi bikurikira:
- Chimoterapi.
- Ubuvuzi bwibinyabuzima.
- Gutandukana.
- Igeragezwa rya chimiotherapie hamwe nubuvuzi bugamije hamwe na antibody ya monoclonal (rituximab).
Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.
Amahitamo yo Kuvura Yasubiwemo Cyangwa Yimitsi Yumusatsi Leukemia
Kumakuru yerekeye imiti yavuzwe hepfo, reba igice cyo kuvura.
Umuti wa selile leukemia wongeye gusubiramo cyangwa wangiritse urashobora kubamo ibi bikurikira:
- Chimoterapi.
- Ubuvuzi bwibinyabuzima.
- Ubuvuzi bugamije hamwe na antibody ya monoclonal (rituximab).
- Chimiotherapie ikabije.
- Ikigeragezo cyamavuriro yubuvuzi bushya bwibinyabuzima.
- Ikigeragezo cyamavuriro yubuvuzi bushya bugamije.
- Igeragezwa rya chimiotherapie hamwe nubuvuzi bugamije hamwe na antibody ya monoclonal (rituximab).
Koresha ubushakashatsi bwamavuriro kugirango ushakishe NCI ifashwa na kanseri ivura abarwayi. Urashobora gushakisha ibigeragezo ukurikije ubwoko bwa kanseri, imyaka yumurwayi, n’aho ibizamini bikorerwa. Amakuru rusange yerekeye ibizamini byamavuriro nayo arahari.
Kugira ngo Wige Byinshi Kumisatsi Yumusatsi Leukemia
Ushaka amakuru menshi yikigo cyigihugu cya kanseri kubyerekeye kanseri yimisatsi yimisatsi, reba ibi bikurikira:
- Urupapuro rwa Leukemia
- Ibiyobyabwenge Byemewe Kumisatsi Yumusatsi Leukemia
- Immunotherapy yo kuvura Kanseri
- Intego zo kuvura Kanseri
Kumakuru rusange ya kanseri nibindi bikoresho biva mu kigo cyigihugu cya kanseri, reba ibi bikurikira:
- Kanseri
- Gutegura
- Chimiotherapie nawe: Inkunga kubantu barwaye Kanseri
- Ubuvuzi bwimirasire nawe: Inkunga kubantu barwaye Kanseri
- Guhangana na Kanseri
- Ibibazo byo Kubaza Muganga wawe kuri Kanseri
- Abacitse ku icumu n'abarezi