Ukwelashwa komdlavuza wegazi eNdiya kwenziwa ngochwepheshe be-hematologists. Laba bodokotela abangochwepheshe bomdlavuza wegazi abanezitifiketi eziphezulu baqeqeshelwe ukuphatha zonke izinhlobo nezinhlobo zezifo eziphindaphindayo neziyinkimbinkimbi zomdlavuza wegazi. Manje izinsuku kukhona ukubikezelwa okungcono kakhulu komdlavuza wegazi ngenxa yezidakamizwa zakamuva ezisetshenziselwa ukwelapha umdlavuza wegazi eNdiya.
Uyini umdlavuza wegazi?
Lapho okuthile kungahambi kahle ngamaseli egazi bese eqala ukukhula ngokungalingani, isimo esinjalo sibizwa njengomdlavuza wegazi. Lokhu kwenza izinguquko eziningi endleleni amangqamuzana egazi aziphatha futhi asebenze ngayo emzimbeni okuholela ezinkingeni nasezifweni. Ngenxa yalesi simo iziguli umzimba uyeka ukulwa nokutheleleka bese uyama ukusiza umzimba ukulungisa amaseli omonakalo.
Kunezinhlobo ezintathu zamaseli egazi:
- Amaseli egazi amhlophe (Yilwa nokutheleleka njengengxenye yamasosha omzimba).
- Amaseli abomvu egazi (Phatha Oksijini ezicutshini nasezithweni bese ibuyisa isikhutha ku amaphaphu).
- Ama-Platelets (Isiza ekunqandeni igazi).
Izinhlobo zomdlavuza wegazi
Kunezinhlobo ezintathu zomdlavuza wegazi:
- I-leukemia
- Lymphoma
- UMyeloma
Umdlavuza wegazi: Abantu abahlushwa i-leukemia abakwazi ukukhiqiza amaseli wegazi amhlophe anele ngakho-ke abakwazi ukulwa nezifo. I-leukemia iphinde ihlukaniswe yaya ezinhlotsheni ezi-4 kuya ngohlobo lwamaseli amhlophe egazi elithintayo nokuthi ikhula ngokushesha (i-acute) noma kancane (okungamahlalakhona). Lawa yi-acute lymphocytic leukemia (ALL), i-acute myeloid leukemia (AML), i-lymphocytic leukemia (CLL) ne-chronic myeloid leukemia (CML).
I-Lymphoma: Lolu hlobo lomdlavuza umdlavuza wohlelo lwe-lymph. Lokhu kufaka phakathi ama-lymph node, ipeni futhi i-thymus indlala. Kunezinhlobo ezimbili eziyinhloko ze-lymphoma Hodgkin's lymphoma ne-Non-Hodgkin's lymphoma.
IMyeloma: Umdlavuza wamaseli e-plasma emnkantsheni wethambo ubizwa ngokuthi yi-myeloma. Lolu hlobo lomdlavuza lusakazeka ngomnkantsha kanye nemiphumela kwamanye amaseli aphilile.
Uqala kanjani umdlavuza wegazi?
Umdlavuza we-Hematologic, ovame ukubizwa ngokuthi umdlavuza wegazi, ukhula emnkantsheni, izicubu ezithambile ngaphakathi emathanjeni ethu enza amangqamuzana egazi. Kwenzeka lapho ukusebenza okuvamile kanye nokuhlanganiswa kwamangqamuzana egazi anempilo kuphazanyiswa amangqamuzana ahlakazekile emnkantsheni wethambo.
I-leukemia, i-lymphoma, ne-myeloma yizinhlobo ezintathu eziyinhloko zomdlavuza wegazi. Ngokuphambene ne-lymphoma, eba lapho ama-lymphocyte angavamile, uhlobo lwengqamuzana elimhlophe egazi, anda ngokungalawuleki esimisweni se-lymphatic, i-leukemia ibangelwa ukwanda okungalawuleki kwamangqamuzana amhlophe egazi. Ukwanda okungalawuleki kwamangqamuzana e-plasma, uhlobo oluncane lwengqamuzana elimhlophe legazi elikhiqiza amasosha omzimba, yikho okubangela i-myeloma, ngakolunye uhlangothi.
Nakuba izimbangela eziqondile zomdlavuza wegazi zingaqondwa ngokuphelele, izici ezihlukahlukene zobungozi, njengokuchayeka emisebeni ye-ionizing, amakhemikhali athile, namagciwane athile, ziye zaphawulwa. Ukukhula kwayo kungase kuthonywe izifo eziwufuzo kanye nokuguquguquka kofuzo.
Ekulawulweni komdlavuza wegazi, ukutholakala kusenesikhathi nokwelashwa kusenesikhathi kubalulekile. Ucwaningo oluthuthukisiwe, ukuxilonga, nokudalwa kwezindlela zokwelapha ezenzelwe wena zenziwa ukuba kwenzeke ngokuqonda izindlela eziyisisekelo ezisekela leli qoqo lezinkinga eziyinkimbinkimbi nezinhlobonhlobo.
Ziyini izimpawu zomdlavuza wegazi?
Njengoba kunikezwe ngezansi yizimpawu ezivame kakhulu zomdlavuza wegazi:
- Imfiva, amakhaza
- Ukukhathala okuqhubekayo, ubuthakathaka
- Ukuphelelwa isifiso sokudla, isicanucanu
- Ukulahlekelwa kwesisindo esingachaziwe
- Izithukuthuku ebusuku
- Ubuhlungu bamathambo / obuhlangene
- Ukungakhululeki esiswini
- Ukuphathwa yikhanda
- Ukuphelelwa umoya
- Izifo ezitholakala njalo
- Ukuluma kwesikhumba noma ukuqubuka kwesikhumba
- Kuvuvukele ama-lymph node entanyeni, ezingalweni noma emgodini
Yini ebangela umdlavuza wegazi?
Ezimweni eziningi asikatholi imbangela yomdlavuza wegazi. Iqiniso elaziwayo kuphela ukuthi kubangelwa i-DNA eyiphutha. Izici zobungozi yilezi:
- age
- sex
- ubuhlanga
- umlando womndeni
- ukuvezwa ngemisebe noma ngamakhemikhali
Ubudala buyithinta kanjani ingozi yami yomdlavuza wegazi?
Njengoba sikhula kunamathuba amaningi nangaphezulu wamaphutha ku-DNA (kuguquka) okuholela ekukhuleni okungalawuleki futhi okuholela kumdlavuza.
Ingabe ukuchayeka emisebeni kubangela umdlavuza wegazi?
Kwezinye izimo kutholakale ukuthi imisebe iholela ku-DNA enamaphutha futhi lokhu kuholele kumdlavuza wegazi.
Utholakala kanjani umdlavuza wegazi?
Kunezivivinyo ezahlukahlukene ezenziwa ukuqinisekisa ukutholakala komdlavuza wegazi:
- Ukuhlolwa kwegazi
- Ukuskena kwe-MRI
- I-X ray
- Ama-lymph node biopsies
- Ama-biopsies omnkantsha wamathambo
- Isivivinyo somsebenzi wesibindi
- I-flow cytometry
- I-CT Scan
- Skena Scan
- I-USG
- Ukuhlolwa kwe-cytogenetic