7 February 2023
I-leukemia evame ukuqala emnkantsheni uhlobo lomdlavuza olucekela phansi amandla omzimba okwenza amangqamuzana egazi anempilo. Ihlasela kakhulu amangqamuzana egazi amhlophe futhi ingaba nolaka noma isakazeke kancane kuye ngohlobo lwe-leukemia. Ingenye yezinhlobo zomdlavuza ezivame kakhulu ezinganeni kanye nentsha nabadala nabo basengozini enkulu. Imfiva noma ukugodola, ukukhathala, ukungenwa izifo njalo, ukuncipha komzimba, ukwanda kwesibindi noma ubende, ukopha ngamakhala ezinye zezimpawu ezivamile ze-leukemia. Ukuchayeka emisebeni namakhemikhali, izindaba zofuzo ngezinye zezizathu ezidala lo mdlavuza. Kwezinye izimo, i-leukemia ingaba nolaka lapho amangqamuzana egazi amhlophe angavuthiwe anda ngokushesha emnkantsheni. Lokhu kungaminyanisa amaseli anempilo ngokushesha futhi kungabangela ukopha okukhulu noma izifo.
"I-leukemia ingumdlavuza wamangqamuzana amhlophe egazi. Ikhona egazini, emnkantsheni, nasesimisweni se-lymphatic. I-leukemia ingaba yisifo esingelapheki futhi ibe acute ngokusekelwe ubude besikhathi sezimpawu. I-leukemia engapheli ayisongela ukuphila kodwa i-leukemia eyingozi ibeka ukuphila engozini uma ingelashwa ngokushesha. Ezinye izinhlobo ze-leukemia zivame kakhulu ezinganeni. Ngakho-ke abantu abadala abaningi abahlakulela i-leukemia emhlophe benza izinhlobo zegazi ezimhlophe. ama-agent, futhi ngokuvamile akhula futhi ahlukanise ngokuvumelana nezidingo zomzimba wakho ngendlela ehlelekile Nokho, umnkantsha ukhiqiza inani eliningi lamaseli amhlophe egazi angavamile, anesici ezigulini ze-leukemia kanye nezinye izinto eziguquguqukayo, ukwelashwa kwe-leukemia kungase kube nzima," kusho uDkt.
Izimpawu ze-leukemia nezinkomba ziyahlukahluka kuye ngohlobo lwe-leukemia. UDkt Bhethanabhotla wabelana ngezimpawu ezivame ukubonakala ne-HT Digital.
• Umkhuhlane noma amakhaza
• Ukukhathala okuqhubekayo, ubuthakathaka
• Izifo ezivame kakhulu noma ezinzima
• Ukuncipha kwesisindo okungahlosiwe
• Ukuvuvukala kwama-lymph nodes, isibindi esikhudlwana noma ubende
• Ukopha kalula noma imihuzuko
• Ukopha okuphindaphindiwe
• Amachashaza amancane abomvu esikhumbeni sakho (petechiae)
• Ukujuluka kakhulu, ikakhulukazi ebusuku
• Ubuhlungu bethambo noma ukuzwela
Ukwelashwa kwe-leukemia yakho kuncike ezintweni eziningi. Ngokusekelwe eminyakeni yakho, impilo evamile, uhlobo lwe-leukemia onalo, futhi uma isithuthukele ohlelweni lwakho lwezinzwa olumaphakathi, udokotela wakho uzonquma ukuthi welaphe kanjani i-leukemia yakho.
Imithi ejwayelekile esetshenziswa ukulwa ne-leukemia ihlanganisa ngokusho kukaDkt Bhethanabhotla yilezi:
• I-Chemotherapy: Uhlobo oluyinhloko lokwelapha i-leukemia yi-chemotherapy. Amakhemikhali asetshenziswa kulo muthi ukubulala amaseli we-leukemia. Ngokuya ngohlobo lwe-leukemia onayo, kungaba umuthi owodwa noma inhlanganisela yemithi ingase unikezwe yona. Le mithi ingajovwa ngqo emthanjeni noma idliwe njengamaphilisi.
• Ukwelapha okuhlosiwe: Ukwelashwa kwezidakamizwa okuqondise ukungahambi kahle kumaseli omdlavuza kwaziwa njengezindlela zokwelapha eziqondiwe. Imithi yokwelapha ehlosiwe ingabulala amangqamuzana omdlavuza ngokuvimbela lokhu kuphambuka. Ukuze unqume ukuthi ingabe ukwelashwa okuhlosiwe kungase kube yinzuzo kuwe, amangqamuzana akho e-leukemia azohlolwa.
• Ukufakelwa komnkantsha wethambo: Ukufakelwa komnkantsha wamathambo, okwaziwa nangokuthi ukufakelwa kwe-stem cell, esikhundleni somnkantsha onesifo kufakwe ama-stem cell angenayo i-leukemia azokwakha kabusha umnkantsha onempilo, okusiza ekubuyiselweni kwamaseli anempilo.
• I-Immunotherapy: Amasosha omzimba wakho alwa nesifo angase angawuhlaseli umdlavuza wakho ngoba amangqamuzana omdlavuza akhiqiza amaprotheni awasiza ukuba acashe kumaseli amasosha omzimba. I-Immunotherapy isebenza ngokuphazamisa leyo nqubo. Ubunjiniyela bamasosha omzimba ukulwa ne-leukemia. Ukwelashwa okukhethekile okubizwa nge-chimeric antigen receptor (CAR)-T cell therapy kuthatha amaseli T omzimba wakho alwa namagciwane, kuwenze unjiniyela ukuze alwe nomdlavuza, futhi awabuyisele emzimbeni wakho. I-CAR-T cell therapy ingase ibe inketho yezinhlobo ezithile ze-leukemia eziphikisana nokwelashwa ngamakhemikhali okuvamile.
Igama likaDokotela: UDkt. Sainath Bhethanabhotla, Uchwepheshe Wezempilo Nezingane, Izibhedlela ze-CARE, Banjara Hills, Hyderabad.
Isixhumanisi Esiyisethenjwa: https://www.hindustantimes.com/lifestyle/health/leukemia-signs-and-symptoms-how-to-detect-treat-the-aggressive-blood-cancer-101675752796185.html