Nnukwu lymphoblastic leukemia (ALL)

Nnukwu ọrịa lymphoblastic leukemia (ALL) bụ ọrịa cancer na-eto ngwa ngwa nke ụdị mkpụrụ ndụ ọbara ọcha a na-akpọ lymphoblast.

Ihe niile na - eme mgbe ụmị ọkpụkpụ mepụtara ọnụ ọgụgụ buru ibu nke lymphoblasts akaghi aka. Ọkpụkpụ bụ anụ ahụ dị nro n’etiti ọkpụkpụ na-enyere aka ịmepụta mkpụrụ ndụ ọbara niile. Mmetụta lymphoblast ndị na-adịghị ahụkebe na-eto ngwa ngwa ma dochie mkpụrụ ndụ nkịtị na ụmị ọkpụkpụ. Ihe nile na-egbochi imepụta mkpụrụ ndụ ọbara dị mma. Ihe mgbaàmà na-eyi ndụ egwu nwere ike ime ka ọnụọgụ ọbara nkịtị na-ada.

Ọtụtụ oge, ọ nweghị ihe kpatara kpatara enwere ike ịchọta maka ALL.

Ihe ndị a nwere ike rụọ ọrụ na mmepe nke ụdị ọrịa leukemia niile:

• Problemsfọdụ nsogbu chromosome
• Ngosipụta na radieshon, gụnyere ụzarị ọkụ tupu amụọ
• Ọgwụgwọ oge gara aga na ọgwụ ọgwụ chemotherapy
• Nata ụmị ọkpụkpụ
• Toxins, dị ka benzene

Ihe ndi a mara ka iwere ohere nile:

• Ọrịa ma ọ bụ nsogbu mkpụrụ ndụ ihe nketa ndị ọzọ
• Nwanne nwoke ma obu nwanyi na-arịa oria leukemia

Typedị ọrịa leukemia a na - emetakarị ụmụaka nọ n’agbata afọ 3 ruo 7. Ihe niile bụ ọrịa kansa nke ụmụaka, mana ọ nwekwara ike ịpụta na ndị okenye.

IHE niile na-eme ka mmadụ nwee ọbara ọgbụgba ma na-efe efe. Mgbaàmà gụnyere:

• Ọkpụkpụ na nkwonkwo mgbu
• Mgbu na-agbaji ma na-agba ọbara (dịka ọbara ọgbụgba, ọbara ọgbụgba, imi imi, oge na-adịghị mma)
• Ike ọgwụgwụ ma ọ bụ ike ọgwụgwụ
• Ahụ ọkụ
• Enweghi agụụ na ọnwụ
• Mbibi
• Mgbu ma ọ bụ mmetụta zuru oke n'okpuru ọgịrịga site na imeju ma ọ bụ sppleen buru ibu
• Pinpoint uhie tụrụ na anụ (petechiae)
• Ọrịa lymph zara aza na olu, n'okpuru ogwe aka, na ukwu
• Abalị ọsụsọ

Mgbaàmà ndị a nwere ike ime na ọnọdụ ndị ọzọ. Gwa onye nlekọta ahụike banyere ihe mgbaàmà pụtara.

Onye na-eweta ahụ ga-eme nyocha anụ ahụ wee jụọ maka ihe mgbaàmà gị.

Ule ọbara nwere ike ịgụnye:

• Ọnụọgụ ọbara zuru ezu (CBC), gụnyere ọnụ ọgụgụ ọbara ọcha (WBC)
• Mbadamba platelet
• Ọkpụkpụ ụmị biopsy
• Lumbar mgbapu (azụ azụ) iji chọpụta leukemia sel na spinal ọmụmụ

A na-anwale ule iji lee anya maka mgbanwe na DNA n'ime mkpụrụ ndụ ọcha dị iche iche. Changesfọdụ mgbanwe DNA nwere ike ikpebi etu mmadụ si eme (prognosis), yana ụdị ọgwụgwọ a tụrụ aro.

Ihe mgbaru ọsọ mbụ nke ọgwụgwọ bụ ime ka ọnụọgụ ọbara laghachi na nkịtị. Ọ bụrụ na nke a mee na ụmị ọkpụkpụ na-adị mma n'okpuru microscope, ekwuru na ọrịa kansa na-agbaghara.

Chemotherapy bụ ọgwụgwọ mbụ a nwalere na ebumnuche nke iru mgbaghara.

• Onye ahụ nwere ike ọ ga-achọ ịnọ n'ụlọ ọgwụ maka ọgwụgwọ ọgwụ. Ma ọ bụ a ga-enye ya n’ụlọọgwụ ma mmadụ laa n’ụlọ ma emesịa.
• A na-enye ọgwụ na-akpata ọgwụ n'ime akwara (site na IV) na mgbe ụfọdụ n'ime mmiri gbara ụbụrụ gburugburu (ọgidigi azụ).

Mgbe emechara mgbaghara, a na-enyekwu ọgwụgwọ iji nweta ọgwụgwọ. Usoro ọgwụgwọ a nwere ike ịgụnye ọtụtụ ọgwụ nke IV ma ọ bụ radieshon na ụbụrụ. Enwere ike ime mkpịsị akwara ma ọ bụ, ụmị ọkpụkpụ, onye ọzọ. Ọgwụgwọ ọzọ dabere na:

• Afọ na ahụike mmadụ
• Mkpụrụ ndụ ihe nketa na-agbanwe n’ime mkpụrụ ndụ leukemia
• Ugboro ole omumu nke chemotherapy ka o were iji nweta nwepu
• Ọ bụrụ na a na-achọpụta mkpụrụ ndụ ndị na-adịghị mma n'okpuru microscope
• Nnweta ndị nyere onyinye maka transplant cell transplant

Gị na onye na-eweta gị nwere ike jikwaa nchegbu ndị ọzọ n'oge ọgwụgwọ ọrịa leukemia gị, gụnyere:

• Inwe ọgwụ na ụlọ ọgwụ
• Ijikwa anu ụlọ gị n'oge ọgwụgwọ ọrịa
• Nsogbu ọbara ọgbụgba
• Akọrọ ọnụ
• Iri calorie zuru oke
• Nchekwa nri n'oge ọgwụgwọ ọrịa kansa

Nwere ike belata nchekasị nke ọrịa site na isonyere ndị otu na-akwado ọrịa kansa. Kọrọ ndị ọzọ ihe ha na-eme na nsogbu niile nwere ike inyere gị aka ichewe naanị gị.

Ndị na-anabata ọgwụgwọ ozugbo na-eme nke ọma. Imirikiti ụmụaka nwere ALL gwọọ. Oftenmụaka na-enwekarị nsonazụ dị mma karịa ndị okenye.

Ma leukemia n'onwe ya na ọgwụgwọ ahụ nwere ike iduga ọtụtụ nsogbu dịka ọbara ọgbụgba, ọnwụ ọnwụ, na ọrịa.

Kpọọ onye na-ahụ maka ọrụ gị ma ọ bụrụ na gị ma ọ bụ nwa gị amalite mgbaàmà nke ALL.

Ihe ize ndụ nke ịmepụta ALL nwere ike belata site na izere ịkpọtụrụ ụfọdụ toxins, radieshon, na kemịkal.

NILE; Nnukwu lymphoblastic leukemia; Nnukwu lymphoid leukemia; Nnukwu leukemia nwata; Ọrịa cancer - ọrịa leukemia nke nwata (ALL); Ọrịa leukemia - nnukwu nwata (ALL); Nnukwu lymphocytic leukemia

• Ọkpụkpụ ụmị transplant - ihapu
• Iri calorie ndị ọzọ mgbe ha na - arịa ọrịa - ndị okenye
• Ọnụ na olu radieshon - ihapu
• Oral mucositis - nlekọta onwe onye
• Mgbe ị na-agbọ agbọ na agbọ

• Ọkpụkpụ ụmị ọkpụkpụ
• Nnukwu lymphocytic leukemia - photomicrograph
• Ogwe Auer
• Ọkpụkpụ site na hip
• Usoro usoro ihe mgbochi

Carroll WL, Bhatla T. Nnukwu ọrịa lymphoblastic leukemia. Na: Lanzkowsky P, Lipton JM, Azụ JD, eds. Ntuziaka Lanzkowsky nke Pediatric Hematology na Oncology. Nke isii. Cambridge, MA: Elsevier Academic Pịa; 2016: isi 18.

Weebụsaịtị National Cancer Institute. Adult nnukwu lymphoblastic leukemia ọgwụgwọ (PDQ) - ahụike ọkachamara version. www.cancer.gov/types/leukemia/hp/adult-all-treatment-pdq. Emelitere Jenụwarị 22, 2020. Nweta February 13, 2020.

Weebụsaịtị National Cancer Institute. Acutemụaka nnukwu lymphoblastic leukemia ọgwụgwọ (PDQ) - ahụike ọkachamara version. www.cancer.gov/types/leukemia/hp/child-all-treatment-pdq. Emelitere February 6, 2020. Nweta February 13, 2020.

National Comprehensive Cancer Network weebụsaịtị. NCCN usoro nlekọta ahụike na oncology: nnukwu lymphoblastic leukemia. Dị 4.2017. www.nccn.org/professionals/physician_gls/pdf/all.pdf. Emelitere Jenụwarị 15, 2020. Nweta February 13, 2020.