Hoʻokomoʻia ka Hemoblastoses i kahi hui nui o nā maʻi maʻi o ka lymphatic a me ka pūnaehana hematopoietic. Uaʻikeʻia lākou e ka māhele kipi a me ka hōʻiliʻiliʻana i loko o nā pūnaewele o nā puʻupuʻu kinoʻole o nā waiola olaʻole i nalowale i ka hiki ke hoʻokalakupua.
Nāʻano o ka maʻi koko
Ua māheleʻia nāʻano o nā maʻi maʻi i nāʻanoʻelua:
- leukemia (ʻokoʻa);
- lymphomas (ka'āpana).
ʻO ka maʻi o ke koko i loko o nā wahine he mea maʻalahi ia i keʻano mua, ua kapaʻiaʻo ia ka leukemia a iʻole he proteosis. Wahi a keʻano o kēia manawa, uaʻike nuiʻia nā maʻiʻino a me nā maʻi maʻamau. I ka hihia mua, hiki mai ka leukemias i nāʻano penei:
- monoblast;
- lymphoblastic;
- mielomonoblast;
- keolaniuma;
- myeloblast;
- nā meaʻokoʻaʻole;
- megakaryoblastny.
ʻO keʻano leukemaias keʻano o ka maʻi kūlohelohe:
- myeloma;
- kumu kīʻaha;
- mielocytic;
- eosinophilic;
- myelomonocytic;
- kāpiliʻole;
- mieloid leukemia;
- ʻO ka maʻi o Cesari;
- ka nui o ka thrombocythemia;
- monocytic;
- ʻo ka polycythemia (erythremia) pono;
- leukemia lymphocytic ;
- moʻolelo histocytosis X;
- ʻO ka maʻi wīwī maʻi kaumahaʻo Franklin;
- ʻO ka macroglobulinemia mua o Waldenstrom.
ʻO nā hōʻailona mua o ke kanulau koko i loko o nā wahine
I ka holoʻana o ka maʻi leukemia, nui ka nui o nā leukocytes mau loa e hōʻiliʻili i loko o ka wai ola. Ke hōʻike nei lākou i ka maʻi kanakoko o ke koko -ʻo nā hōʻailona o nā wāhine, no ka lōʻihi o ke kaohiʻana a me ka holoʻana. Hiki i ka hoʻohui a me nā mea waiwai o ka biofluid iʻole, kahi i alakaʻiʻia ai ka hoʻopilikiaʻana i nā'ōpū a pau a hoʻonāukiuki i ka anemia.
E hōʻoia i nā hōʻailona o ke kanakē koko i ka wā mua e paʻakikī,ʻo ka'anuhi o ka hoʻolālā he kiko'ī. ʻO nā hiʻohiʻona kūlohelohe o kēiaʻano maʻi pilikino e hui pinepine pūʻia me nā maʻi o ka pūnaehana hematopoietic. ʻO nā hōʻailonaʻoi, e like me ka maʻalahi o ka manaʻo hemoblastosis, iʻikeʻia ma hope aku, i ka holomuaʻana o ka maʻi leukemia.
ʻO ka hanu koko - nā kau
Hoʻomaopopo nā kauka i 4 mau hanana o ka uluʻana o ka maʻi i haʻiʻia. Heʻokoʻa likeʻole ko lākou me kēlā me kēia. ʻO nā hōʻailona o ke kanakalā koko i ka wā mua e paʻakikī keʻano keʻano, a hikiʻole keʻikeʻia no nā mahina he nui. Inā loaʻa i ka maʻi leukemia i ka pepa maʻamau,ʻike pinepineʻia kona mau hōʻike, a ke hoʻopukaʻia nei ka clinic i nā hopena hopena o ka holomua o hemoblastosis.
Ka hanu koko - ka pahu 1
ʻO ka māhele kipiʻole o nā leukocytes unripe e hele pūʻia me ka piʻiʻana i kaʻoihana o ka pūnaewele immune. Ma muli o ka palekana o ke kino,ʻo ka pae mua o ka kanakē koko e hōʻikeʻia e ka nui o ka maʻi a me nā maʻi hanu pinepine. Hoʻolahaʻia ka nawaliwali mau, ua hoʻonuiʻia ka luhi, ka hiamoe a me kaʻikeʻole. I kŰia manawa, i kekahi manawa i kapa nui ia ke kanesa o ke koko - ke kaha o nń wahine:
- ka heleʻana o ka maʻi hānai maʻamau, stomatitis, pharyngitis;
- pōkole o ka hanu;
- piʻi ka hoʻonuiʻana i ka wela, i ke ahiahi nui;
- ua hoʻemiʻia ka makemake.
Ka maʻi o ke koko - kahua 2
ʻO ka hoʻopili pinepineʻana o nā kino keʻokeʻoʻole i hoʻolauleʻaʻia i ka hōʻiliʻiliʻana o nā leukocytes i lalo i ka hoʻopiliʻia i loko o nā mea i hanaʻia, ke kūkuluʻana i nā neoplasms tumora. ʻO kēia ke kumu o nā hōʻailona o ke kanakē koko i loko o nā wāhine:
- pauʻole kaʻili o ka maʻi hemorrhagic;
- ka hoʻonuiʻana o ke ake, nā līpī lymph a me nā mokulele;
- keʻano o nāʻeha a me ka hōʻeha liʻiliʻi;
- ka pallor a me ka maloʻo o kaʻili;
- nā'ōpū a me nā huelo koko;
- ka nui o ke kaumaha o ke kino;
- me ka maʻi maʻamau i ka maʻi ("maʻi maʻi").
Ka hanu koko - ka pahu 3
Hoʻopilikia ka hemoblastosis i ka hanaʻino ma nā pūnaewele a me nā'ōpū a pau, e uhaki i kā lākou mau hana. I kēia māhele, hiki keʻikeʻia ka kanakē koko - nā hōʻailona o ka maʻi i nā wāhine:
- nausea;
- nele i kaʻona, i kekahi manawa anorexia;
- kahe pinepine (mai ka ihu);
- ʻO ke ala hoʻi i nā meaʻoluʻolu;
- ke hoʻololi i kaʻono;
- hoʻomalu;
- kaʻeha ma ka huelo, nā iwi a me nā iwi;
- nā pūpū lymph i loko o ka huela, ma ka'ā'ī, ma lalo o nā'āpana;
- ua hoʻemiʻia ka'āpana kiʻi;
- nā pūniu;
- luaʻi;
- wela.
Aia kekahi mauʻike kāne kāne e hōʻike ana i ke kanakē koko -ʻo nā hōʻailona o nā wāhine ke komo i loko:
- ka nui o ke koko o ka wāwae;
- kēlā me kēia mahina;
- i kaʻeha hikiʻole ke hoʻouluʻia i ka hoʻomakaʻana o ka menstrual cycle.
Ka hanu koko - ka pahu 4
I ka hopena, i ka manawa i haʻaleleʻoleʻia ai ka maʻi lukemia, ua lilo i nā mea maʻi o nā mea maʻi i nā maʻi kino, a wikiwiki kokeʻia. ʻO nā hiʻohiʻonaʻikeʻole iʻikeʻia e hōʻoia i ke kanakalāʻau - ka hōʻike hope loa i nā hōʻailona:
- wela;
- ka nui o ka lolo i loko;
- kaʻokiʻana,ʻaʻole e hāʻawi i ke kīʻaha, i kaʻeha pūpū;
- cyanosis o nā kui a me nā lehelehe;
- ka nui o ka pōʻeleʻele ma lalo o nā maka, keʻike ponoʻia ma ka helehelena pale maka;
- nā hoʻomaha;
- nā maʻiʻino;
- pōʻino;
- pōʻino;
- ka hanuʻana i ka hanuʻana;
- eha i loko o ka puʻuwai;
- tachycardia;
- ka pinepine pinepine;
- ka hōʻailona hōʻeha o nāʻeha liʻiliʻi a me nā'ōpala a me nā'ikeʻike'ē aʻe.
ʻO ka maʻi maʻi koko i loko o nā wāhine - ehia nā ola o lākou?
ʻO ka prognostics for hemoblastoses e pili ana i ke kaʻina o ka hāʻawiʻana o nā leukocytes mau loa, ka hana o kā lākou mahele a me ka hōʻiliʻiliʻana i nā'ōpala. ʻAʻole ia he kumu no ka hopena o ka maʻi o ke koko i nā wāhine - pehea ka poʻe e ola nei me kēiaʻikepili, ua hoʻoholoʻia e ke kaʻina o ka leukemia, konaʻano a me keʻano o ka papa. I ka hoʻomakaʻana o ka uluʻana o nā maʻi maʻi nui, hiki i nā kūlana no ka ho'ōla piha loa he kiʻekiʻe loa, kokoke 100%.
Inā loaʻa i nā maʻi he 2-3 mau maʻi, hiki i ka maʻi maʻi i ka makahiki kūpono a iʻole ka maʻi maʻamau,ʻo ka 5 mau makahiki ola ola he 24 a 90%. I ka manawa o ka hemoblastosisʻehā mau hua'ōleloʻino e manaʻoʻoleʻia, a he mea hōʻehaʻole ia. I kēia kūlana,ʻo ka hōʻailona e hoʻonui i ka noho maikaʻi a me ke kūlana naʻau.
Ka hanu koko - nā hōʻailona i nā wāhine, nā ho'āʻo
No ka hōʻoiaʻana i ka maʻi leukemia, hoʻokolohua ka luna o nā meaʻokoʻa i ka maʻi, e hōʻiliʻili i kahi hana hana, a laila e hāʻawi i kekahi mau hana leaka a me nā mea hana. No ka hōʻailona, e nānā wale i nā hōʻailona i hōʻikeʻia no ke kanulauʻana i loko o nā wāhine, he hikiʻole. Hiki i nā hōʻailona o luna ke kuhikuhi i nāʻano maʻi'ē aʻe o ka pūnaewele hematopoiesis. ʻO ka weheweheʻana i ke kanulau koko i ka wā mua eʻoi aku ka paʻakikī ma mua o ka hoʻoholoʻana i ka hemoblastosis i ka hopena o ka holomua. No ka hōʻoiaʻana i ka maʻi maʻi i'ōleloʻia, ma nā pae a pau, hoʻohanaʻia nāʻano like.
Pehea eʻikeʻia ai ke kanulau koko i ka wā mua?
ʻO ka mea mua, ke kuhikuhi nei ke kauka i ka mea maʻi e hāʻawi i ka wai ola no kaʻike maʻamau a me ka kiko'ī. ʻO nāʻike mua loa o ke kanulauʻana i loko o nā wāhine ke mālamaʻia inā:
- ua hoʻoemi nuiʻia ke kiʻekiʻe o nā platelets;
- i loko o ka wai olaola he nui nā puʻupuʻu kinoʻole;
- kahi'āpanaʻuʻuku o ka hemoglobin.
ʻAʻole e hāʻawiʻia ka pane'eleʻaha no ka ho'āʻoʻana i ke koko, no laila, hoʻonohonoho ka mea kālaiʻike i ka noiʻana i ke kolo hemopoietic - ka iwi o ka iwi. No ka hanaʻana i kēia, hoʻohanaʻia kekahi o kēia mauʻano:
- ka lāʻauʻohana kahiko;
- punipopo ;
- i ka trepanobiopsy.
No ka hoʻoholoʻana i kahiʻano o ke kanesa e ulu ana, hoʻokōʻia ka immunophenotyping. He hana kūikawā kēia i hanaʻia e kaʻenehana cytometry holo. No kaʻikeʻanaʻoi aku, ua hoʻokōʻia nā'ōmene molepika a me nā noi cytogenetic. Hāʻawi lākou i kahiʻike o nā meaʻinoʻole o chromosomal e hoʻoholo ai i ka subtype o ka leukemia, ke kiʻekiʻe o kona kūpaʻa a me ka piʻi o ka holomua. Eia kekahi, keʻikeʻia nā maʻi pilikino ma ka laula.
Hoʻonohonoho kekahi poʻe kālaiʻike mea'ē aʻe i nā kaʻina hana diagnostics e kōkua ana eʻike i nā pūpū tumora a me nā neoplasms i loko o ke kino, e nānā i ke kaʻina o ka pōʻino o nā pūnaewele i loko a me ka uluʻana o nā metastases:
- ka nānāʻana i ka wai o ka'ōpū;
- ke kiʻi kiʻi kūhoho me ka luna kūlike;
- pōʻai X-ray;
- ka helu 'ana o ka mākau a me ka lolo;
- nā kohopilika;
- nā mea iʻikeʻia i nā'ōpū o loko;
- hoʻopōpopo.