Mob ntsws roj ntshav ntev (CLL)

Mob ntsws lymphocytic mob ntshav qab zib (CLL) yog mob qog ntshav ntshav uas hu ua lymphocytes. Cov kab mob no muaj nyob hauv cov pob txha pob txha thiab lwm yam hauv lub cev. Mob pob txha yog cov nqaij mos hauv nruab nrab ntawm cov pob txha uas pab tsim txhua cov qe ntshav.

CLL ua rau muaj qee yam ntshav dawb hu ua B lymphocytes, lossis B cell. Mob hlwb kis los ntawm cov ntshav thiab cov pob txha pob txha. CLL tseem tuaj yeem cuam tshuam cov qog ntshav lossis lwm yam hauv nruab nrog xws li lub siab thiab hnoos qeev. CLL thaum kawg tuaj yeem ua rau tus pob txha pob txha plam nws txoj haujlwm.

Cov teeb meem ntawm CLL tsis paub. Tsis muaj qhov txuas rau hluav taws xob. Nws tsis meej yog tias qee yam chemical ua tuaj yeem ua rau CLL. Raug Rau Cov Kab Mob Ntawm Cov Txiv Kab Ntxwv thaum ua tsov rog Nyab Laj tau txuas rau qhov kev pheej hmoo me me ntawm kev tsim CLL.

CLL feem ntau cuam tshuam rau cov neeg laus, tshwj xeeb tshaj yog cov neeg laus dua 60. Cov neeg tsis tau muaj hnub nyoog 45 xyoo feem ntau tsis tshua loj CLL. CLL muaj ntau nyob hauv cov neeg dawb dua li lwm haiv neeg. Cov txiv neej muaj ntau nyob hauv cov poj niam. Qee cov neeg uas muaj CLL muaj tsev neeg muaj tus mob.

Cov tsos mob feem ntau maj mam pib. CLL feem ntau tsis ua rau muaj tsos mob thaum pib. Tej zaum yuav pom los ntawm kev kuaj ntshav hauv cov neeg rau lwm qhov laj thawj.

Cov tsos mob ntawm CLL yuav suav nrog:

• Ua kom pom cov qog ntshav, lub siab, lossis hnoos qeev
• Tawm hws ntau, tsaus ntuj tawm hws
• Nkees
• Ua npaws
• Cov mob uas thim rov qab los (rov muaj dua), txawm hais tias kho
• Tsis qab los noj mov los yog yuav dhau hwv sai sai (lub sijhawm tos qhua)
• Lub cev yuag

Tus kws kho mob yuav kuaj ib ce thiab nug txog koj cov tsos mob.

Kev kuaj mob rau kuaj CLL tej zaum yuav muaj:

• Ua kom tiav cov ntshav suav (CBC) nrog cov qe ntshav muaj ntshav sib txawv.
• Flow cytometry test ntawm cov qe ntshav dawb.
• Cov tshuaj fluorescent hauv situ hybridization (FISH) yog siv los saib thiab suav cov gene lossis chromosomes. Qhov kev ntsuas no tuaj yeem pab ntsuas CLL lossis qhia kho mob.
• Kev kuaj lwm yam pauv hloov cov noob yuav pab kwv yees hais tias tus mob cancer yuav zoo npaum li cas rau kev kho mob.

Cov neeg mob CLL feem ntau muaj cov qe ntshav ntshav siab.

Kev ntsuam xyuas uas saib cov kev hloov pauv hauv DNA hauv lub qog hlwb kuj tseem yuav ua tau. Cov txiaj ntsig tau los ntawm cov ntawv xeem no thiab los ntawm kev sim ua ntu zus pab koj tus kws kho mob txiav txim siab txog kev kho koj tus mob.

Yog tias koj muaj CLL theem thaum ntxov, koj tus kws khomob yuav saib xyuas koj zoo. Feem ntau txoj kev kho yog tsis muab rau thaum ntxov CLL, tshwj tsis yog koj muaj:

• Cov mob uas rov qab los dua
• Mob ntshav uas mob sai dua tuaj
• Cov qe ntshav liab qis lossis ntshav pleev ua ntshav
• Nkees, tsis qab los noj mov, poob phaus, lossis tawm hws yav hmo ntuj
• O o cov qog ntshav

Kev siv tshuaj kho mob, nrog rau cov tshuaj kom zoo, siv los kho CLL. Koj tus kws kho mob yuav txiav txim siab txog hom tshuaj zoo twg rau koj.

Tej zaum yuav tau txhab ntshav ntxiv lossis ntxiv ntshav ntxiv yog tias cov ntshav tsawg.

Mob hlwb pob txha los yog qia hloov pauv tej zaum yuav raug siv rau cov neeg hluas uas muaj hlwb ntau dua lossis muaj qhov pheej hmoo CLL. Txoj kev hloov ntshav yog qhov kev kho mob nkaus xwb uas muaj qhov zoo kho rau CLL, tab sis nws kuj muaj kev pheej hmoo. Koj tus kws khomob yuav sib tham txog cov kev pheej hmoo thiab cov txiaj ntsig nrog koj.

Koj thiab koj tus kws kho mob tej zaum yuav xav tswj lwm yam kev txhawj xeeb thaum koj mus kho mob leukemia, suav nrog:

• Tswj koj cov tsiaj kom nruj thaum siv tshuaj
• Los ntshav teeb meem
• Lub qhov ncauj qhuav
• Noj cov calories kom txaus
• Muaj kev nyab xeeb noj thaum kho mob cancer

Koj tuaj yeem daws kev ntxhov siab ntawm kev muaj mob los ntawm kev koom nrog pawg pab txhawb mob qog noj ntshav. Faib qhia rau lwm tus uas muaj kev paub thiab teeb meem ntau yam tuaj yeem pab koj tsis txhob xav tias yog ib leeg.

Koj tus kws kho mob tuaj yeem sab laj nrog koj qhov kev xam pom ntawm koj qhov CLL raws nws theem thiab qhov nws ua tau zoo npaum li cas rau kev kho mob.

Teeb meem ntawm CLL thiab cov kev kho mob tuaj yeem suav nrog:

• Autoimmune hemolytic anemia, ib qho mob uas cov ntshav liab tau ua rau lub nruab zog tiv thaiv kab mob
• Cov ntshav tawm los ntawm cov ntshav plahaum tsawg
• Hypogammaglobulinemia, qhov xwm txheej uas muaj cov tshuaj tiv thaiv qis dua li ib txwm, uas tuaj yeem ua rau muaj kev pheej hmoo kis mob ntxiv.
• Idiopathic thrombocytopenic purpura (ITP), los ntshav tsis zoo
• Cov mob uas pheej rov qab tuaj (tshwm sim dua)
• Qaug zog uas tuaj yeem los ntawm mob me mus rau mob hnyav
• Lwm yam mob qog nqaij hlav, suav nrog ntau ntau cov qog ntshav ua qog ua ntshav ntau ntau (hloov zuj zus)
• Phiv los ntawm kws khomob

Hu rau tus muab kev pab yog tias koj muaj mob ua kom cov qog ntshav lossis nkees tsis txaus qhia, doog ntshav, tawm hws ntau dhau, los yog yuag dhau.

CLL; Mob ntsws mob - mob ntsws lymphocytic (CLL); Mob ntshav hauv ntshav - mob qog ntshav siab lymphocytic; Mob hlwb pob txha - mob qog ntshav ntshav siab; Lymphoma - mob qog ntshav

• Hloov cev pob txha - hloov ntshav tawm

• Mob hlwb pob txha tsis muaj kev cia siab
• Auer rods
• Mob ntsws lymphocytic uas mob tas mus li - saib ntawm lub tsom me me
• Tshuaj tua kabmob

Awan FT, Byrd JC. Mob ntsws lymphocytic. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 99.

Lub koom haum Cancer National website. Kev kho tus mob qe ntshav qab zib kom kho tus mob lymphocytic (PDQ) - cov kws muaj txuj ci kho mob. www.cancer.gov/types/leukemia/hp/cll-nyuj-pdq. Hloov kho Lub Ib Hlis 22, 2020. Nkag mus rau Lub Ob Hlis 27, 2020.

Lub Tebchaws National Comprehensive Cancer Network lub vev xaib. NCCN kev soj ntsuam kev coj ua hauv oncology. Mob ntsws lymphocytic mob ntsws / me me lymphocytic lymphoma. Version 4.2020. www.nccn.org/professionals/physician_gls/pdf/cll.pdf. Hloov kho thaum Lub Kaum Ob Hlis 20, 2019. Nkag mus rau Lub Ob Hlis 27, 2020.