Chithandizo Cha Sekondale cha Myeloid Leukemia Chithandizo: Zomwe Muyenera Kufunsa Dotolo Wanu

Zamkati

• Kodi njira zanga zamankhwala ndi ziti?
• Kodi zoopsa zake ndi ziti?
• Kodi ndikufuna lingaliro lina?
• Ndikufuna kutsata kwamtundu wanji?
• Ndikuyembekezera chiyani?
• Kodi ndingasankhe chiyani ngati mankhwalawa sakugwira ntchito kapena AML yanga ibwerera?
• Tengera kwina

Acute myeloid leukemia (AML) ndi khansa yomwe imakhudza mafupa anu. Mu AML, mafupa amatulutsa maselo oyera oyera, maselo ofiira, kapena ma platelets. Maselo oyera amatenga matenda, maselo ofiira amatenga mpweya mthupi lonse, ndipo ma platelet amathandiza magazi kuundana.

AML yachiwiri ndi khansa ya khansa yomwe imakhudza anthu:

• yemwe anali ndi khansa yam'mafupa m'mbuyomu
• omwe anali ndi chemotherapy kapena chithandizo cha radiation kwa
  khansa ina
• omwe ali ndi vuto lamagazi lotchedwa myelodysplastic
  magulu
• omwe ali ndi vuto ndi fupa la fupa lomwe
  zimapangitsa kuti ipange maselo ofiira ochuluka kwambiri, maselo oyera amwazi, kapena ma platelets
  (zotupa za myeloproliferative)

AML yachiwiri ikhoza kukhala yovuta kuchiza, koma pali njira zingapo. Bweretsani mafunso awa pamsonkhano wanu wotsatira ndi dokotala wanu. Kambiranani zonse zomwe mungasankhe kuti mutsimikizire zomwe muyenera kuyembekezera.

Kodi njira zanga zamankhwala ndi ziti?

Chithandizo cha AML yachiwiri nthawi zambiri chimakhala chofanana ndi AML wamba. Ngati mwapezeka kuti muli ndi AML kale, mutha kupezanso chithandizo chimodzimodzi.

Njira yayikulu yochizira AML yachiwiri ndi chemotherapy. Mankhwala amphamvuwa amapha maselo a khansa kapena kuwaletsa kugawanika. Amagwira ntchito ya khansa thupi lanu lonse.

Mankhwala a Anthracycline monga daunorubicin kapena idarubicin amagwiritsidwa ntchito ngati AML yachiwiri. Wothandizira zaumoyo wanu adzakulowetsani mankhwala a chemotherapy mumtsempha m'manja mwanu, pansi pa khungu lanu, kapena mumadzi ozungulira msana wanu. Muthanso kumwa mankhwalawa ngati mapiritsi.

Kuthira kwa cell ya allogenic ndi njira ina yofunikira, ndipo yomwe imatha kuchiza AML yachiwiri. Choyamba, mudzalandira mankhwala ochuluka kwambiri a chemotherapy kuti muphe maselo ambiri a khansa momwe mungathere. Pambuyo pake, mudzalandira kulowetsedwa kwa maselo am'mafupa abwino kuchokera kwa wopereka wathanzi m'malo mwa maselo omwe mwataya.

Kodi zoopsa zake ndi ziti?

Chemotherapy imapha maselo omwe amagawa mwachangu mthupi lanu lonse. Maselo a khansa amakula msanga, komanso maselo amtsitsi, maselo amthupi, ndi mitundu ina yamaselo athanzi. Kutaya maselowa kumatha kubweretsa zovuta monga:

• kutayika tsitsi
• zilonda mkamwa
• kutopa
• nseru ndi kusanza
• njala
• kutsegula m'mimba kapena kudzimbidwa
• Matenda ambiri kuposa masiku onse
• kuvulala kapena kutuluka magazi

Zotsatira zoyipa zomwe mumakhala nazo zimadalira mankhwala a chemotherapy omwe mumamwa, kuchuluka kwake, ndi momwe thupi lanu limachitikira. Zotsatira zoyipazi ziyenera kutha mukamaliza kumwa mankhwala. Lankhulani ndi dokotala wanu za momwe mungapewere zovuta ngati muli nazo.

Kuika kwa tsinde kumapereka mpata wabwino kwambiri wochiritsa AML yachiwiri, koma itha kukhala ndi zotsatirapo zoyipa. Thupi lanu limatha kuwona ma cell a omwe akuperekawo kukhala achilendo ndikuwaukira. Izi zimatchedwa matenda opatsirana pogonana (GVHD).

GVHD imatha kuwononga ziwalo monga chiwindi ndi mapapo, ndipo imayambitsa zotsatirapo ngati:

• kupweteka kwa minofu
• mavuto opuma
• chikasu pakhungu ndi azungu amaso
  (jaundice)
• kutopa

Dokotala wanu akupatsani mankhwala kuti muteteze GVHD.

Kodi ndikufuna lingaliro lina?

Mitundu yambiri ya khansa iyi ilipo, chifukwa chake ndikofunikira kuti mupeze matenda oyenera musanayambe mankhwala. AML yachiwiri akhoza kukhala matenda ovuta kwambiri kuwachiza.

Ndi kwachilengedwe kufuna lingaliro lina. Dokotala wanu sayenera kuchitiridwa chipongwe mukafunsa. Mapulani ambiri a inshuwaransi azaumoyo amalipira malingaliro ena. Mukasankha dokotala kuti aziyang'anira chisamaliro chanu, onetsetsani kuti ali ndi luso lothandizira khansa yanu, komanso kuti mumamasuka nawo.

Ndikufuna kutsata kwamtundu wanji?

AML yachiwiri amatha - ndipo nthawi zambiri amabwerera - atalandira chithandizo. Mudzawona gulu lanu lazachipatala likamachezera pafupipafupi ndikutsata mayeso kuti akagwire msanga ngati angabwerere.

Lolani dokotala wanu adziwe za zizindikiro zatsopano zomwe mwakhala nazo.Dokotala wanu amathanso kukuthandizani kuthana ndi zovuta zilizonse zomwe mungakhale nazo mutalandira chithandizo.

Ndikuyembekezera chiyani?

AML yachiwiri samayankha mankhwala komanso AML yoyamba. Ndizovuta kukwaniritsa chikhululukiro, zomwe zikutanthauza kuti palibe umboni wa khansa mthupi lanu. Zimakhalanso zachilendo kuti khansara ibwererenso pambuyo pa chithandizo. Mwayi wanu wabwino wopita kukakhululukidwa ndikukhala ndikukula kwa selo.

Kodi ndingasankhe chiyani ngati mankhwalawa sakugwira ntchito kapena AML yanga ibwerera?

Ngati mankhwala anu sakugwira ntchito kapena khansa yanu ibwereranso, dokotala wanu akhoza kukupatsani mankhwala kapena mankhwala atsopano. Ofufuza nthawi zonse amafufuza zamankhwala atsopano kuti athetse vuto la AML yachiwiri. Zina mwa mankhwalawa zimagwira ntchito bwino kuposa zomwe zilipo pakali pano.

Njira imodzi yoyesera chithandizo chatsopano isanapezeke kwa aliyense ndikulembetsa mayeso azachipatala. Funsani dokotala ngati maphunziro omwe alipo alipo oyenera mtundu wanu wa AML.

Tengera kwina

AML yachiwiri ikhoza kukhala yovuta kwambiri kuchiza kuposa oyambira AML. Koma ndikumangika kwa ma cell am'madzi ndi chithandizo chatsopano chomwe chikufufuzidwa, ndizotheka kulowa chikhululukiro ndikukhalabe motalika.