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Conference (leukemia) * : ... – PowerPoint PPT presentation

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Title: in the name of god


1
in the name of god
  • Conference
  • (leukemia)

2
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3
?????
  • ?????? ????? ????? ?????? ?? ?? ??? ????? ? ?????
  • ???? ????? ??? ???? ????? ?????? ?????? ?? ???
    ????? ??? ?????? ???? ?? ?????
  • ????? ?????
  • ??? ??? ????? ????? ????? ????? ???? ??????????
    ????? ?? ???? ?????
  • ???? ??? ?????? ????? ??? ???? ????????????
    ?????? ?? ???? ?????
  • ????????myelogenous
  • ???????? lymphocytic

?? ?? ??? ?????? ? ????? ????? ???? ????? ??
????? ?????? ???
4
classifications of Leukemia
  • Acute Lymphocytic Leukemia (ALL)
  • Chronic Lymphocytic Leukemia (CLL)
  • Acute Mylogenous Leukemia (AML)
  • Chronic Mylogenous Leukemia (CML)

5
ALL
  • ??????? ?? ?????
  • ??? ????? 4 ?????
  • ?????? ?????????
  • ???????? ?????? ??????
  • ???? ?? ??????? ???? ?? ??? ??????????? ?????
    ????? ??????
  • ????? ?? ????? ???? ???????RBC?Plt

6
CLL
  • ??????? ?? ?????????
  • ??????? ?? ?????60 ?????
  • ?????? ?? ?????
  • ?????? ?????? ???? ?????
  • ???? ?? ?? ???? ??????? ???? ???????? B
  • ???? ?????? ?? ???????
  • ????? ????
  • ????? ??????

7
AML
  • ?????? ??????? ????????( ?????????????RBC?????????
    ?)
  • ???? ????? ???????? ????60 ?????
  • ????? ???? ?????? ????? ?? ????? ???? ??AML
  • ?????????????????????????????????????????????????
    ???????? ??????????
  • ????? ????? ALL???
  • ??????? ? ???? ???? ?? ????? ?? ??? ????? ?????
    ???
  • ???????????? ?? DIC?? ??? ????????????

8
CML
  • ??? ??????? ?? ???????? 22??? ????? ????????
  • ???? ??? ????? ?? ??????? ?????? ?? ???? ??????
    ??????
  • ???? ?? ??? ??? ???? ?? ???
  • ?? ????? ???? ?????? 40-50 ?????
  • ?? ???? ???? ???? ?????
  • ?? ???? ????? ?? ?????

9
Acute Lymphocytic Leukemia(ALL)
  • ???????? ??? ??? ???????? ????? ?? ????? 2-6 ???
  • ???? ?????????? ???? ?? ??? ??????? ? ??? ?????
  • ?????? ????? ??? ???? ???? ????? ?? ????? ???????
    ???? ????????? ???? ? ??????? ???? ???? ???

10
?????
  • ??? ????? ?????? ?? ?????? ?? ????? ??? ???
  • 1) ???? ??????? ???? ?????
  • 2)???? ???????? ???? ??????
  • 3) ???? ??????? ???????
  • 4) ???? ??????? ?????? ?? ????? ???

11
?????
?????? ??? ?????? ?????? ????? ? ??? ??
??????? ????? ? ???? ??? ????? ?? ??????
??? ??? ??? ???? ????? ??? ??? ??????? ????
???? ???? ? ??????? ???
??? ??????? ?????? ???????? ???? ? ??? ???? ??
? ???? ???? ?????? ????? ? ???? ??? ?????????? ?
???? ????? ??????? ??? ???? ?? ????? ???
?????? ????? ????
12
Development of Leukemia in the Bloodstream
Legend
White Cell
Red Cell
Platelet
Blast
Germ
13

14
?????? ??????
  • 1. Blood examination CBC differentiate
    PBS
  • - anemia,
  • - thrombocytopenia,
  • - variable leukocyte count, usually increased,
  • - blood morphology presence of blast cells
  • 2. Bone marrow biopsy
  • - presence of blast cells,
  • - suppression of normal haematopoiesis

15
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16
???? ???? ????? ALL
  • L1?? ????????????? ??? ???? ?? ????????? ?????
    ???? ??????? ? ?????????????? ??? ???? ???? ????
    ?????? ?? ???????????????? ?? ?????
  • L2?????? ??????? ?????? ????????? ?? ??????
  • L3 ?? ?????? ALL????????? ????? ????????? ???
    ????? ????? ?????????????? ????????

17
?????? ??????
  • 3. LP
  • 4. Chest xray
  • 5. CTscan
  • 6 .MRI
  • 7.Physical examinations Hepatomegaly?
    Lymphadenopathy ?Splenomegaly

18
Pictures Of Blood
19
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20
??? ????
  • ?? ???? ?? ?? ? ????? WBC ?? ????? ?? ???
  • ?????? ??? ???? WBC???? ?? 10000 ? ?? ???? ?? 10
    ???
  • ??? ???? ????? WBC ??? 10000 -50000
  • ??? ???? ????? ????? 10 ??? ?WBC????? ?? 50000
  • ?????????? ???? ?? ??? ???? ????? ????? ?? ?????
    ??????????? ??? ?????? ????? ?? ????????? ????
    ????? ???

21
Treatment strategy in ALL
  • ??????????????????????????????????????????????????
    ?????????????????????????????????????

22
?????
  • ????? ?????? ????? ?????????? ???? ??????? ??
    ??????? ????
  • ????? ??? ???? ????? ?????? ? ??? ????????? ??
    ??? 10 ?? 12 ????? ?????? ???? ????? ? ??????? ??
    ?????
  • ????? ????? ???? ??????? ?? ???????
  • ?????????? ?? ???? ???????????

23
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24
(No Transcript)
25
(No Transcript)
26
(No Transcript)
27
(No Transcript)
28
(No Transcript)
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(No Transcript)
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???? ????? ???? ??????
  • ??? ????????? ???IT
  • ?? ?? ???? ???? ??? ????? ????? 0.9 ???? 1 ????
    ??? ??????????
  • ????????? ?? ?? ???? ???? ?? ??? ? ?? D.W ?? N.S
    ??????? ?????
  • ?? ?? ???????? ????? ???? ??? 20 ???????
    ?????????
  • ????? ?????????????? ?? ???? ???? ?????
  • ?? ?? ???????? ????? ???? ??? 20 ???? ??? ?????
    ???????
  • ??? ???????????? ????? 1 ?????? ?? ?? N.S ?
    D.W??????? ???
  • ?-??????????? ?? ???? 10000 ????? ?? 5 ???? ????
    ???? ???
  • ?? ???IM ???? ?? ?? 2 ???? ???? ?? ???? ????
    ??????
  • ????????????? ?? ?? ???? ???? ???
  • ?? ?? ???? ???? ????? ???? ??? 5 ???? ???
    ?????????????
  • ?????? ??????? ?? 10-40 ????? ??????? ???

31
???? ??????
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    ???????? 28 ???(???? ????)
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    ?? ????

32
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    ???? ??? ????? ????? ?????
  • ?????? ???? ?-???????????(IV) ????
    ???????(PO.IV)??????????? (PO)
  • 3) ??????? ?? ?????? ????? ???? ???? ??????
    ?????? ????? ???? ????? ????????????????????????
  • 4)????????? 2 ?? 3 ??? ??? ?? ???
  • ?? ??????? ??????????(??????? ??????)?
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33
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34
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    ??? ???

35
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36
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37
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38
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39
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  • 1)??????? ?????? ??????????? ????? ??????????????
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    2008
  • 3) ????? ?? ?????? ?????????????????? ????
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    ??????? ???? 1 ????? 1 ??????? 1385? 41-46
  • 8) ????? ???? ?? ???? ????? ????? ?? ????? ???
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    1387

40
Leukemia
Ahmad darvishi Nursing 86 Hormozgan university of
medical sciences Bandarabbas faculty of
nursing?midwifery and paramedical sciences 1388
41
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