I want to check if I have leukemia, what to do and how long will it take to get results

The landlord should not panic too much and give himself unnecessary psychological burden. Leukemia has certain initial symptoms, such as anemia, thrombocytopenia, etc. Patients generally present with paleness, rapid heart rate, drowsiness, easy bleeding gums, and general muscle and bone and joint aches.

The landlord can check himself first to see if he has such symptoms. If you are not worried, you can go to the local hospital to register a hematology department number, and ask the doctor to prescribe a blood routine list for you to go for a laboratory test. The general blood routine examination does not exceed 30 yuan, and the result is available in 15 minutes.

If the complete blood count is abnormal, a further bone marrow aspirate is needed to determine whether leukemia is present.

The most common symptoms are generalized lymphadenopathy, hepatosplenomegaly, anemia, and bleeding tendency.

Routine blood count shows elevated white blood cells.

However, bone puncture is required to confirm the diagnosis to see if there is pathological hematopoiesis.

The simple method is to do a routine blood test, but it is not very accurate to diagnose it. Diagnosis of various types of leukemia is best done by bone marrow aspiration and microscopic differentialization of blood cells.

Bone marrow aspiration is simple, and nowadays it can be done by piercing the iliac bone or sternum or lumbar vertebrae. Before the puncture, I will inject anesthetic, and there will be a sour feeling when the bone marrow is withdrawn, and my clinical teacher has taken me to practice before, but I have not given it to the patient now.

The diagnosis of leukemia must be very cautious, and it requires a combination of clinical manifestations, physical examination and laboratory tests to reach a final conclusion.

In the article "What are the manifestations of leukemia", it is mentioned that the common manifestations of leukemia include anemia, bleeding, infection, fever, pain in the chest and lower limbs, as well as abdominal distension and abdominal pain; The physical examination will reveal that the child is pale, lacks energy, and has lymph nodes, hepatosplenomegaly, etc., but these are not unique symptoms and manifestations of leukemia. Therefore, the doctor will also ask parents to take their children to do some laboratory tests

1. Routine blood examination: It is to take a small amount of blood from the finger or earlobe, detect the number of red blood cells, white blood cells and platelets, and classify the white blood cells. Normally, there should be no naïve blood cells in the peripheral blood.

However, in leukemia, these naïve cells cannot differentiate and mature in the bone marrow and are released into the peripheral blood, so naïve cells can be seen during routine blood tests. Sometimes the discovery of leukemia is caused by the child's physical examination at school or kindergarten, and the blood test finds that there are naïve cells, which attracts the attention of parents.

2. Routine examination of bone marrow: If leukemia is suspected, bone marrow aspirate examination must be performed to count and classify various cells in the bone marrow. Normally, there are no more than 5% of naïve cells in the bone marrow, but in leukemia, there is an increase in naïve cells, which can exceed 30%.

Especially in children with acute leukemia, the number of bone marrow naïve cells can be as high as 80-100%.

Bone marrow examination is the strongest evidence for diagnosing leukemia. If a significant increase in bone marrow naïve cells is found, combined with clinical manifestations and physical examination, leukemia is not difficult to diagnose. However, there are many types of leukemia, and the methods of different types of leukemia are also different.

Therefore, after your child is hospitalized, the following further tests will be done:

1. Immunophenotyping test: This test generally requires aspirating about 2 ml of bone marrow, and then using a reagent called "monoclonal antibody" to identify and divide the type of leukemia cells.

2. Cytogenetic examination: This examination also requires aspiration of about 2 ml of bone marrow to understand the nature of leukemia cells. Chromosomal abnormalities. Leukemia with chromosomal abnormalities tends to have a worse prognosis than leukemia without chromosomal abnormalities.

3. Cerebrospinal fluid examination: This examination is to extract a little cerebrospinal fluid from the lumbar spinal cavity of the child for laboratory testing to see whether the child's brain and spinal cord system (i.e., central nervous system) are invaded by leukemia cells. If it is invaded, it is medically called "central nervous system leukemia".

In addition, there are X-ray examinations (including chest X-rays, skull X-rays, limb bone slices, etc.), fundus examination, electrocardiogram, liver and spleen ultrasound, blood biochemistry, immune function, related virus tests, etc., which are used to understand whether the child's main organs are functioning normally, whether there is invasion of leukemia cells, and also to prepare for the next step of chemotherapy drugs.

The symptoms of leukemia are manifested in the following two aspects:1Typical symptoms, including bone and joint pain, lymphadenopathy, liver and spleen enlargement, etc.; 2.Atypical symptoms, including lack of energy, poor appetite, fatigue, night sweats, and recurrent unexplained low-grade fever.

Common leukemia symptoms are as follows:

Symptom 1: Sudden onset.

Acute leukemia has a rapid onset and a short course of illness, especially in children and young adults.

Symptom 2: Fever.

Most patients with leukemia will have irregular fever, some of which are flaccid fever, slightly lingering fever, intermittent fever or irregular fever.

Symptom 3: Bleeding.

Bleeding is a common symptom of leukemia, 90% of patients will have varying degrees of bleeding, bleeding sites throughout the body, commonly found in the mouth, nose, gums, etc.

Symptom 4: Anemia.

Anemia is the first symptom of leukemia, and patients usually present with palpitations, weakness, dizziness, tinnitus, paleness, etc.

Symptom 5: Enlargement.

Hepatosplenomegaly occurs in half of patients, with hepatosplenomegaly being the most prominent in acute lymphoblastic leukemia. Some patients also have swollen lymph nodes, often in the jaw and groin.

The above are the symptoms of leukemia, it can be very effective to remind patients to pay attention to the body, if one or more of the above symptoms appear, please go to the hospital for examination in time.

Leukemia is clinically manifested by anemia, hemorrhage, infection, and infiltration of various organs. You can go to the hematology department of a regular hospital to do a blood routine, bone puncture and other examinations to confirm the diagnosis, you can first do a blood routine examination to see if there are abnormalities in white blood cells, red blood cells, and platelets (Han Qifeng's acute cancerous heart).

This is specifically to be checked.

Leukemia is related to many factors, such as chemical elements, radioactive elements, etc. More than half of leukemia patients have a fever as the early manifestation, which can be a low-grade fever below 38 degrees Celsius or a high fever of 39 degrees Celsius or above 40 degrees. Most of them are repetitive and irregular fevers, and they often have symptoms of respiratory infections such as nasal congestion, runny nose, cough, or urinary poverty.

It can be improved by (Han Qifeng's acute cancerous heart pathway).

Analysis:

Leukemia is a malignant tumor of the blood system, and it can be preliminarily judged whether it has this disease through routine blood examination, but the confirmed type generally requires bone marrow aspiration.

Guidance: 1. In the case you described, the possibility of leukemia is still relatively large, and further examination is recommended.

2. If leukemia is diagnosed, it needs to be timely and correct.

Bone marrow examination is done for the specific diagnosis of leukemia, and the results of the complete blood count can be suggestive of most leukemias.

The data you provided for the blood routine is basically normal, please rest assured, it will not be leukemia.

Leukemia diagnostic criteria:

Laboratory diagnostic criteria: hemoglobin and red blood cells are significantly less, thrombocytopenia, leukocytes are significantly increased or significantly reduced, and the original plus premature granules, original monogram plus juvenile monolith, and protolytic lymph plus juvenile single in the blood smear are greater than 30%.

Signs: anemia, bleeding, infection, liver, spleen, lymphadenopathy, bone pain, etc.

Leukemia itself is a genetic mutation.