Mob myeloid mob caj dab - neeg laus

Mob myeloid mob ntshav dawb (AML) yog mob qog nqaij hlav uas pib hauv hlwb pob txha. Nov yog cov nqaij mos hauv nruab nrab ntawm cov pob txha uas pab tsim txhua cov qe ntshav. Tus kabmob loj tuaj ntawm cov cell uas ib txwm hloov mus ua qe ntshav dawb.

Mob txhais tau hais tias tus kab mob no loj hlob sai thiab feem ntau muaj kev tawm tsam.

AML yog ib hom kev mob ntsws ntau tshaj plaws rau cov neeg laus.

AML yog cov txiv neej muaj ntau dua li poj niam.

Lub pob txha pob txha pabcuam nqa lub cev tawm tsam kev sib kis thiab ua rau lwm cov ntshav. Cov neeg mob AML muaj ntau lub hlwb tsis txaus hauv lawv cov hlwb pob txha. Cov cell loj hlob sai heev, thiab hloov cov qe ntshav uas muaj kev noj qab haus huv zoo. Raws li tau pom, cov neeg mob AML muaj feem ntau muaj kev kis mob. Lawv kuj tseem muaj feem yuav los ntshav ntau ntxiv vim cov naj npawb ntawm cov ntshav noj qab nyob zoo tsawg.

Yuav luag txhua lub sijhawm, tus kws kho mob tsis tuaj yeem qhia koj tias yog vim li cas AML. Txawm li cas los xij, cov hauv qab no tuaj yeem ua rau qee yam kab mob qog ntshav, suav nrog AML:

• Ntshav tsis txaus, nrog rau polycythemia vera, qhov tseem ceeb thrombocythemia, thiab myelodysplasia
• Qee yam tshuaj lom neeg (piv txwv li, benzene)
• Qee yam tshuaj tua kab mob, suav nrog etoposide thiab cov tshuaj hu ua alkylating tus neeg sawv cev
• Raug rau qee yam tshuaj thiab cov tshuaj phem
• Kev tawg
• Tsis muaj zog tiv thaiv kab mob vim kev hloov khoom nruab nrog cev

Teeb meem nrog koj cov noob kuj tseem tuaj yeem ua rau kev loj hlob ntawm AML.

AML tsis muaj cov tsos mob tshwj xeeb. Cov tsos mob pom feem ntau yog vim cov xwm txheej ntsig txog. Cov tsos mob ntawm AML yuav suav nrog cov hauv qab no:

• Los ntshav los ntawm lub qhov ntswg
• Los ntshav thiab o (tsis tshua muaj) hauv cov pos hniav
• Nqaij ntuag
• Mob leeg los yog rhiab
• Ua npaws thiab nkees
• Cov poj niam muaj hnub nyoog
• Tawv nqaij daj
• Ua tsis taus pa (mob heev dua nrog qoj ib ce)
• Lub cev yuag

Tus kws khomob yuav kuaj ib ce lub cev. Tej zaum yuav muaj tus tsos mob o o, lub siab, lossis cov qog ntshav. Kev Xeem ua muaj:

• Ib qho kev ua tiav ntawm cov ntshav (CBC) yuav qhia pom muaj ntshav tsawg thiab muaj cov qe ntshav tsawg. Tus kab mob ntshav dawb hauv lub cev (WBC) tuaj yeem yog ntau dua, qis lossis ib txwm ib txwm.
• Mob hlwb pob txha thiab kev kuaj xyoob hauv lub cev yuav qhia tawm yog tias muaj cov qe ntshav muaj ntshav khov.

Yog koj tus kws kho mob paub tias koj muaj mob qog ntshav no, yuav tau kuaj ntxiv los txiav txim txog hom AML. Hloov subtypes yog ua raws cov kev hloov pauv tshwj xeeb hauv cov noob (hloov chaw) thiab yuav ua li cas cov ntshav mob qog ntshav tshwm hauv qab lub tshuab tsom.

Txoj kev kho yuav tsum tau siv tshuaj (kho mob) los tua cov qog noj ntshav. Feem ntau hom tshuaj AML raug kho nrog ntau dua ib hom tshuaj khomob.

Kev siv tshuaj tua kab mob tua cov hlwb ib txwm, ib yam nkaus. Qhov no yuav ua rau muaj kev phiv xws li:

• Muaj feem yuav los ntshav
• Nce kev pheej hmoo kis mob (koj tus kws kho mob yuav xav kom koj txav deb ntawm lwm tus neeg kom tiv thaiv kev kis mob)
• Poob phaus (koj yuav tsum noj cov calories kom ntau)
• Lub qhov ncauj mob

Lwm txoj kev kho mob uas yuav pab tau AML suav nrog:

• Tshuaj tua kab mob los kho tus kab mob
• Hloov ntshav liab rau cov ntshav tawm tsam ntshav liab
• Platelet hloov ntshav los tswj kom los ntshav

Yuav tau sim cov hlwb pob txha (qia cell) mus sim. Qhov kev txiav txim siab no yog txiav txim los ntawm ntau yam, xws li:

• Koj lub hnub nyoog thiab kev noj qab haus huv tag nrho
• Qee yam hloov hauv noob qes ntshav
• Qhov muaj ntawm kev pab

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.

Thaum cov pob txha caj qaum ua rau tsis muaj pov thawj ntawm AML, tau hais kom koj nyob hauv kev zam. Koj yuav ua tau zoo npaum li cas yog nyob ntawm koj qhov kev noj qab haus huv tag nrho thiab cov caj ces ntawm AML hlwb.

Kev tshem tawm tsis zoo ib yam li kho. Yuav tsum tau muaj kev kho ntau dua, suav nrog kev kho mob ntau dua los yog hloov hlwb pob txha.

Nrog rau kev kho, cov neeg hluas nrog AML zoo li ua tau zoo dua li cov neeg uas tsim tus kabmob no thaum muaj hnub nyoog laus dua. Tus nqi 5 xyoo rau kev muaj txoj sia nyob qis dua rau cov neeg laus dua li cov neeg hluas. Cov kws tshaj lij hais tias qhov no yog ib nrab vim yog qhov tseeb tias cov neeg hluas muaj peev xwm zoo dua li cov tshuaj kho mob muaj zog. Tsis tas li, kab mob qog ntshav hauv cov neeg laus nyhav yuav tiv taus ntau cov kev kho tam sim no.

Yog hais tias tus mob cancer tsis rov mob (rov huam mob dua) nyob rau 5 xyoo ntawm kev kuaj mob, koj muaj feem yuav kho tau.

Hu mus teem sijhawm nrog koj tus kws khomob yog koj:

• Tsim cov tsos mob ntawm AML
• Muaj AML thiab ua npaws uas yuav tsis ploj mus lossis muaj lwm yam cim ntawm tus mob

Yog tias koj ua haujlwm ib puag ncig hluav taws xob lossis tshuaj lom neeg uas cuam tshuam txog kev mob qog ntshav, yuav tsum hnav cov iav tiv thaiv.

Mob myelogenous mob leukemia; AML; Mob granulocytic mob ntshav qab zib; Mob tsis muaj mob rau cov ntshav tsis haum nqaij (ANLL); Mob ntsws mob - mob myeloid (AML); Mob leukemia - mob granulocytic; Leukemia - nonlymphocytic (ANLL)

• Hloov cev pob txha - hloov ntshav tawm

• Auer rods
• Mob hlwb monocytic leukemia - daim tawv nqaij
• Cov qe ntshav

Appelbaum FR. Mob caj pas mob siab rau cov neeg laus. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: cha 95.

Faderl S, Kantarjian HM. Cov chaw kuaj mob thiab kho tus mob tus mob myeloid ceev ceev. Hauv: Hoffman R, Benz EJ, Silberstein LE, li al, eds. Hematology: Qhov Ntsiab Cai thiab Kev Coj UaCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 59.

Lub koom haum Cancer National website. Cov neeg laus muaj kev kho tus mob tus kab mob ntshav qab zib (PDQ) - cov kws kho mob kom zoo ntxiv. www.cancer.gov/types/leukemia/hp/adult-aml-nyuj-pdq. Hloov kho thaum Lub Yim Hli 11, 2020. Nkag mus Lub Kaum Hlis 9, 2020.