B-Cell Acute Lymphoblastic Leukemia hauv menyuam yaus: Cov tsos mob, kev kho mob, thiab ntau dua

Cov txheej txheem:

B-Cell Acute Lymphoblastic Leukemia hauv menyuam yaus: Cov tsos mob, kev kho mob, thiab ntau dua
B-Cell Acute Lymphoblastic Leukemia hauv menyuam yaus: Cov tsos mob, kev kho mob, thiab ntau dua
Anonim

Tus mob lymphoblastic leukemia (TAG NRHO) yog hom mob qog noj ntshav ntau tshaj plaws hauv cov menyuam yaus. Nws cuam tshuam rau qee lub hlwb hauv lub cev tiv thaiv kab mob, hu ua B hlwb thiab T hlwb. Txhua yam feem ntau cuam tshuam rau B hlwb hauv cov menyuam yaus.

Nws yog ib qho kev txhawj xeeb thaum koj paub tias koj tus menyuam muaj mob qog ntshav qog ntshav ntshav, tab sis nco ntsoov tias yuav luag txhua tus menyuam tuaj yeem kho tus kabmob no.

B-cell ALL ua rau koj tus menyuam muaj feem kis tau tus kabmob, vim lawv tsis muaj kev tiv thaiv ntawm cov B hlwb.

Tus kab mob pib hauv koj tus menyuam cov pob txha, uas yog qhov chaw ntawm cov pob txha uas cov qe ntshav tshiab loj tuaj. Cov kab mob leukemia loj hlob sai heev thiab ua rau cov pob txha pob txha, yog li cov pob txha pob txha muaj teeb meem ua kom cov hlwb txaus txaus.

Koj tus menyuam yuav tau txais tshuaj khomob los kho tus kabmob. Qee cov menyuam yaus yuav xav tau kev hloov pauv ntawm cov qia, thiab. Thaum kho, nws yog ib qho tseem ceeb kom cov neeg mob nyob deb, yog li koj tus menyuam tsis tau txais qhov lawv muaj.

Thaum koj tus menyuam tau txais kev kho mob tas li, lawv yuav tsis muaj TAG NRHO. Lawv yuav tsum tau ua raws li kev teem sijhawm kws kho mob kom paub tseeb tias nws tsis rov qab los.

Caus

Feem ntau, cov kws kho mob tsis paub dab tsi ua rau B-cell TAG NRHO rau cov menyuam yaus.

Qee yam ua rau tus kab mob no muaj feem ntau, suav nrog kev kis tus kab mob X-ray thiab lwm yam kev siv hluav taws xob, lossis kev kho mob qog noj ntshav nrog kws khomob. Cov menyuam yaus uas muaj qee yam kab mob caj ces, xws li Down syndrome, kuj tseem yuav kis tau ALL.

Symptoms

TXHUA cov tsos mob pib thaum cov qog ntshav qog ntshav tawm tawm cov qe ntshav hauv cov pob txha. Cov tsos mob uas koj tus menyuam muaj yuav nyob ntawm seb cov qog nqaij hlav cancer thiab cov qe ntshav noj qab haus huv.

Cov me nyuam uas muaj B-cell ALL may:

  • ntshav lossis nqaij tawv yooj yim dua li niaj zaus
  • Nyob zoo
  • Muaj kab mob ntau dua
  • Luag lawv qab los

Lwm cov tsos mob muaj xws li:

  • pob txha lossis pob qij txha
  • liab lossis ntshav me me hu ua petechiae ntawm daim tawv nqaij
  • o cov qog nqaij hlav hauv caj dab, hauv qab caj dab, lossis puab puab

Yog tias cov qog nqaij hlav qog nqaij hlav mus rau koj tus menyuam lub siab thiab tus po, cov kabmob no tuaj yeem loj tuaj ua rau lub plab o. Hauv qee tus tub, cov noob qes tuaj yeem loj tuaj.

Kev kuaj mob

Yog xav paub seb koj tus menyuam puas muaj B-cell TAG NRHO, tus kws kho mob yuav nug koj cov lus nug xws li:

  • Thaum twg koj pom qhov hloov pauv ntawm koj tus menyuam?
  • Koj tus menyuam muaj cov tsos mob dab tsi?
  • Puas muaj leej twg hauv koj tsev neeg muaj tag nrho?
  • Koj tus menyuam puas muaj Down syndrome lossis lwm yam kab mob caj ces?

Tus kws kho mob tuaj yeem kuaj ntshav kom paub seb koj tus menyuam puas muaj TAG NRHO, thiab yog tias muaj, hom twg yog. Lawv siv cov ntshav los kuaj cov qe ntshav thiab nrhiav cov qe ntshav dawb uas muaj mob.

Koj tus menyuam yuav xav tau kev kuaj pob txha. Tus kws kho mob yuav kuaj cov pob txha, feem ntau ntawm lawv txhais ceg lossis txha nraub qaum.

Rau qhov kev xeem no, koj tus menyuam yuav pw ntawm lub rooj thiab tau txhaj tshuaj uas yuav ua rau thaj chaw. Tom qab ntawd tus kws kho mob siv rab koob nyias nyias coj me me ntawm cov kua hauv cov pob txha thiab xyuas nws hauv qab lub tshuab ntsuas, saib qhov loj thiab cov duab ntawm cov qe ntshav dawb. Cov uas zoo li lawv tsis tau tsim kho tag nrho yog qhov qhia tau tias koj tus menyuam muaj B-cell ALL.

Cov lus nug nug koj tus kws kho mob

Thaum koj tus menyuam raug kuaj mob qog noj ntshav, koj yuav tsum muaj lus nug ntau rau koj tus kws kho mob, xws li:

  • Cov kev kho twg yuav ua haujlwm zoo tshaj rau kuv tus menyuam txhua tus?
  • yuav kav ntev npaum li cas?
  • Yuav ua li cas thiaj kho tau kuv tus menyuam?
  • Nws yuav ua rau muaj kev phiv dab tsi? Cov kev mob tshwm sim no yuav kav ntev npaum li cas?
  • Kuv yuav tsum qhia kuv tus menyuam li cas txog kev mob qog noj ntshav thiab kev kho mob?

Kev kho mob

Vim txhua yam no loj hlob sai, koj tus menyuam yuav tsum pib kho sai li sai tau. Nws yog qhov zoo tshaj los ua qhov ntawd ntawm lub chaw tshwj xeeb hauv kev mob qog noj ntshav thaum yau.

Koj tus menyuam yuav tau kho nyob rau theem:

Phase one: Koj tus menyuam yuav mus tom tsev kho mob thiab tau txais cov tshuaj khomob los tua tag nrho cov kabmob leukemia uas kws kho mob tuaj yeem nrhiav tau. Lub hom phiaj yog muab cov qog nqaij hlav hauv kev zam txim. Qhov no tsis yog kev kho mob, tab sis nws yuav cia koj tus menyuam cov pob txha pob txha pib ua kom cov ntshav qab zib zoo dua. Cov menyuam yaus feem ntau nkag mus rau kev kho mob tom qab 1 lub hlis ntawm kev kho mob. Koj tus kws kho mob tuaj yeem hu rau theem no "induction."

Theem ob: Koj tus menyuam yuav tau txais tshuaj khomob los tua cov kabmob kheesxaws uas nyob hauv lawv lub cev. Koj tus kws kho mob tuaj yeem hu rau theem no kev sib sau ua ke lossis kev siv zog. Nws kav 4 mus rau 6 lub hlis.

Tom ntej no, koj tus menyuam yuav tau txais kev kho mob kom tshem tawm tag nrho cov qog nqaij hlav hauv lawv lub cev thiab tiv thaiv kom tsis txhob rov qab los. Qhov no hu ua kev saib xyuas. Lawv yuav tau txais tshuaj kho mob qis dua rau 2 txog 3 xyoos.

Koj tus kws kho mob yuav saib xyuas seb qhov kev kho mob mus li cas. Lawv yuav kuaj koj tus menyuam cov pob txha sai sai tom qab kev kho mob pib kom paub tseeb tias nws tau ntaus tus kab mob leukemia. Thaum kawg ntawm kev kho mob, tus kws kho mob yuav kuaj ntshav kom paub tseeb tias tag nrho cov qog nqaij hlav ploj mus. Yog tias tus kws kho mob pom cov qog nqaij hlav cancer, koj tus menyuam yuav xav tau kev kho mob ntxiv.

Stem cell transplant Yog tias koj tus menyuam tsis tau txais kev kho mob zoo dua, lossis tag nrho cov rov qab los, lawv yuav xav tau kev hloov cov qia cell kom cov pob txha ua haujlwm zoo dua.. Cov no tsis yog "embryonic" qia hlwb uas koj tuaj yeem hnov txog hauv xov xwm. Cov no yog cov hlwb uas nyob hauv cov pob txha thiab pab tsim cov qe ntshav tshiab.

Thaum koj tus menyuam tau txais kev hloov pauv ntawm cov qia, lawv yuav tau txais cov hlwb los ntawm tus neeg pub dawb. Tus neeg ntawd yuav yog ib tug txheeb ze ze, xws li ib tug kwv tij lossis tus muam, lossis tus neeg pub dawb uas tsis nyob hauv koj tsev neeg. Cov hlwb kuj tuaj yeem los ntawm txoj hlab ntaws pub dawb.

Txhawm rau npaj rau kev hloov pauv, cov kws kho mob tej zaum yuav muab rau koj tus menyuam kom txhaj tshuaj tiv thaiv kab mob lossis tshuaj tua kab mob los tua cov qog nqaij hlav cancer. Tom qab ntawd, lawv yuav tau txais cov qia hlwb tshiab los ntawm IV. Yuav tsis mob.

Tom qab kev hloov pauv, nws yuav siv sijhawm tsawg kawg ob peb hnub rau cov qia hlwb kom sib npaug thiab pib ua cov qe ntshav tshiab. Lub sijhawm no, tej zaum lawv yuav tau nyob hauv tsev kho mob kom txog thaum lawv cov qe ntshav dawb nce txaus los tiv thaiv lawv ntawm kev kis kab mob.

Thaum koj tus menyuam rov qab los tsev, lawv yuav tau mus ntsib kws kho mob txhua hnub ob peb lub lis piam mus kuaj. Nws tuaj yeem siv li 6 lub hlis kom txog thaum cov qe ntshav ib txwm nyob hauv lawv lub cev rov qab mus rau qhov nws yuav tsum yog.

CAR T-cell Therapy. FDA tau pom zoo ib hom kev kho noob rau cov menyuam yaus thiab cov neeg laus uas B-cell TAG NRHO tsis tau zoo dua nrog lwm cov kev kho mob.

CAR T-cell therapy siv qee yam ntawm koj tus kheej lub cev tiv thaiv kab mob, hu ua T hlwb, kho koj tus mob qog noj ntshav. Cov kws kho mob tshem cov hlwb tawm ntawm koj cov ntshav thiab hloov lawv los ntawm kev ntxiv cov noob tshiab. Cov T hlwb tshiab tuaj yeem ua haujlwm zoo dua los nrhiav thiab tua cov qog nqaij hlav cancer.

Kev saib xyuas koj tus menyuam

Kev kho mob rau B-cell TAG NRHO tuaj yeem ua rau kis tau zoo dua. Sim ua kom lawv nyob deb ntawm tus neeg mob. Txhua tus neeg uas nyob ze koj tus menyuam yuav tsum tau txhaj tshuaj tiv thaiv kab mob xws li mob khaub thuas thiab mob ntsws, thiab yuav tsum ntxuav tes ntau zaus.

Kev kuaj mob qog noj ntshav tuaj yeem nyuaj rau menyuam yaus. Tej zaum lawv yuav muaj lus nug lossis ntshai koj tsis paub txog. Xyuas kom koj tus menyuam tau txais kev txhawb siab uas lawv xav tau lub sijhawm no. Cov phooj ywg, cov neeg hauv tsev neeg, cov neeg ua haujlwm sib raug zoo, thiab cov kws kho mob tuaj yeem yog qhov kev pab loj. Koj tus menyuam kuj yuav xav tau kev qhia ntawv ntxiv kom ua rau lub sijhawm poob tom tsev kawm ntawv.

Yuav Ua Li Cas

Kev kho mob rau B-cell ALL tau txhim kho ntau yam hauv 30 xyoo dhau los. Niaj hnub no, cov me nyuam feem ntau kho mob cancer no tsis muaj mob qog noj ntshav.

Tom qab kho tau lawm, koj tus menyuam tseem yuav tau mus ntsib kws kho mob ntau zaus, kom paub tseeb tias mob qog noj ntshav tsis rov qab los. Tus kws kho mob tseem yuav kuaj xyuas cov teeb meem TXHUA cov kev kho mob tuaj yeem ua rau, suav nrog kev puas tsuaj rau lub plawv thiab lwm yam mob qog noj ntshav. Sij hawm dhau mus, koj tus menyuam yuav mus ntsib kws kho mob tsawg dua.

Tau Txais Kev Pabcuam

Xav paub ntau ntxiv txog B-cell mob lymphoblastic leukemia hauv cov menyuam yaus, lossis nrhiav pab pawg txhawb nqa hauv koj cheeb tsam, mus saib cov vev xaib ntawm Childhood Leukemia Foundation thiab Leukemia & Lymphoma Society.

Pom zoo:

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