Leukemias : Diagnosis and Treatment

Leukemia (leukemia - leukemia) - a systemic tumor diseases of the blood (hematological malignancies), occurring mainly affecting leukocyte bone marrow.

survey in leukemia

  • complete blood count with leukocyte formula, reticulocytes, coagulation;
  • biochemical analysis of blood (total protein and protein fractions, calcium, alkaline phosphatase, creatinine, urea);
  • sternal puncture to conduct myelography and cytochemical studies;
  • if necessary - needle biopsy of lymph node;
  • ultrasound of the abdomen, an MRI (magnetic resonance imaging);
  • endoscopic examination of the stomach and intestines;
  • chest X-ray;
  • consultation otolaryngologist, ophthalmologist, dentist and other specialists.

Basic principles of treatment of leukemia

When choosing a method of treatment, the doctor takes into account the type of leukemia, its stage of development, age and general condition of the patient, presence of concomitant diseases.

In acute leukemia requiring hospitalization, and treatment in a hospital.Held combinati

on therapy with cytostatics directional and corticosteroids.In the future, their dose reduced by choosing the optimal maintenance dose.

In the period of remission immunotherapy for the elimination of remaining leukemic foci (administration to patients with BCG vaccine or allogeneic leukemic cells).

For the treatment of chronic leukemia in acute use special cytostatics as well as radiation therapy (unless contraindicated).In the terminal phase using a combination of cytostatics.

for the treatment and prevention of infectious complications conduct courses of antibiotic therapy with broad-spectrum antibiotics, antibacterial immune serum, as well as antifungals, gamma globulin.

to treat hemorrhagic syndrome, anemia, blood transfusions and platelet and red blood cell mass, administered iron preparations and vitamin therapy.

Showing symptomatic therapy, compliance with work and rest, diet high in animal protein (up to 120 g / day), vitamins and trace elements and limiting animal fat (up to 40 g / day).

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