Nyaya yeMurwere: B-ALL ine Njodzi Yakanyanya, Kuisirwa Bone Morrow paMwedzi Mipfumbamwe, Makore maviri gare gare—Kutanga Kwakanaka kweMurwi Wechidiki
Mumwedzi yekutanga yehupenyu hwake, Shuo Shuo (zita rekunyepedzera) akasangana nechirwere chisingafanirwe kubatwa nemwana. Aine mwedzi mina chete, akaonekwa aine Acute B Lymphoblastic Leukemia (B-ALL) ine njodzi huru ine MLL-AF4 gene fusion, imwe yemhando dzakaoma uye dzinonetsa dzeleukemia yevana.
Kuongororwa kwacho kwakaitika mushure mekushanya kuchipatara nekuda kwekuvharika kwemhino, uko kuongororwa kweropa rake kwakaratidza huwandu hunotyisa—huwandu hwemasero machena eropa huchikwira pa480×10^9/L, hemoglobin pa72g/L, uye maplatelet pa39×10^9/L. Zviratidzo izvi zvairatidza chirwere cheropa chakakomba, uye mhuri yake, ichinetseka zvikuru, yakabva yatsvaga rubatsiro rwakakosha kuchipatara cheYanda Lu Daopei.
Mushure mekuongororwa kwakawedzerwa, chirwere chaShuo Shuo chakasimbiswa kuti chine MLL-AF4 positive B-ALL, rudzi rwechirwere cheleukemia chine njodzi huru muvacheche. Zvichienderana nezera rake uye hurwere hwake hwakasimba, vanachiremba vakakurudzira kuti aisirwe stem cell kuti vawane mukana wekupora.
Dr. Wei Zhijie, Mutungamiriri weDhipatimendi reKupatsanurwa kweMatumbu kuYanda Lu Daopei Hospital, nechikwata chake vakagadzira hurongwa hwakakwana hwekurapa. Muna Chivabvu 2022, Shuo Shuo akapihwa mushonga wechemotherapy wakaita kuti aregererwe zvachose. Mushure mezvo, akaitiswa mushonga we chemotherapy kuti ave nechokwadi chekuti leukemia yakaramba ichidzorwa. Munguva iyi, chikwata chekurapa chakaramba chichitaurirana nemhuri kuti chinyatsoongorora mamiriro ake.
Muna Nyamavhuvhu 2022, Shuo Shuo, uyo zvino akanga arerukirwa zvizere, akabudirira kuisirwa masero eropa asina chekuita neropa. Maitiro acho akafamba zvakanaka, masero ake machena eropa nemaplatelet zvakangobatanidzwa mavhiki maviri nemazuva manomwe mushure mekuisirwa, zvichiteerana. Kuongororwa kwakatevera kwemapfupa emubofu kwakaratidza kuti pakanga pasina masero ane malignant, uye akawana 100% chimerism neMLL-AF4 gene level ye0%. Kuisirwa kwacho kwakabudirira, uye mikana yaShuo Shuo yekurerukirwa kwenguva refu yakawedzera zvikuru.
Zvisinei, rwendo rwekuisirwa nhengo yemuviri rwakanga rwuri nematambudziko. Shuo Shuo akasangana nechirwere che graft-versus-host (GVHD) chinorwadza uye chisingaperi, icho chakakanganisa ganda rake. Chikwata chevanachiremba chakakurumidza kugadzirisa mishonga yake, uye nekungwarira kwavo, mapundu akatanga kupera, uye mamiriro ake ese akavandudzika zvishoma nezvishoma.
Nhasi, Shuo Shuo ava nemakore maviri nemwedzi mitatu mushure mekuisirwa mwana. Leukemia yake ichiri kuderera, uye asvika padanho guru: kutanga kindergarten! Mhuri yake yakazara netariro sezvavanomuona achikura akasimba zuva nezuva.
Nekutsungirira, ushingi, uye kusachinjikaAchitsigirwa nechikwata chake chekurapa, Shuo Shuo akagadzirira kugamuchira ramangwana, azere nekuseka, kunyemwerera, uye mufaro wehudiki.