{"id":1557,"date":"2022-03-10T17:43:30","date_gmt":"2022-03-10T17:43:30","guid":{"rendered":"https:\/\/cmlnetwork.ca\/depistage-de-la-lmc\/"},"modified":"2022-08-04T17:36:02","modified_gmt":"2022-08-04T17:36:02","slug":"depistage-de-la-lmc","status":"publish","type":"page","link":"https:\/\/cmlnetwork.ca\/fr\/depistage-de-la-lmc\/","title":{"rendered":"D\u00e9pistage de la LMC"},"content":{"rendered":"\n<section class=\"wp-block-uagb-section uagb-section__wrap uagb-section__background-color alignfull uagb-block-4d6aa400\"><div class=\"uagb-section__overlay\"><\/div><div class=\"uagb-section__inner-wrap\">\n<section class=\"wp-block-uagb-columns uagb-columns__wrap uagb-columns__background-undefined uagb-columns__stack-mobile uagb-columns__valign-undefined uagb-columns__gap-0 alignundefined uagb-columns__reverse-mobile uagb-block-a5300d7c\"><div class=\"uagb-columns__overlay\"><\/div><div class=\"uagb-columns__inner-wrap uagb-columns__columns-2\">\n<div class=\"wp-block-uagb-column uagb-column__wrap uagb-column__background-none uagb-block-abe766da\"><div class=\"uagb-column__overlay\"><\/div><div class=\"uagb-column__inner-wrap\">\n<div class=\"wp-block-cover is-light\" style=\"min-height:500px;aspect-ratio:unset;\"><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-0 has-background-dim\"><\/span><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"400\" class=\"wp-block-cover__image-background wp-image-1499\" alt=\"Test tubes for blood collection\" src=\"https:\/\/cmlnetwork.ca\/wp-content\/uploads\/2022\/06\/rainbow_test_tubes.jpg\" style=\"object-position:45% 67%\" data-object-fit=\"cover\" data-object-position=\"45% 67%\" srcset=\"https:\/\/cmlnetwork.ca\/wp-content\/uploads\/2022\/06\/rainbow_test_tubes.jpg 600w, https:\/\/cmlnetwork.ca\/wp-content\/uploads\/2022\/06\/rainbow_test_tubes-300x200.jpg 300w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<p class=\"has-text-align-center has-large-font-size\"><\/p>\n<\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-column uagb-column__wrap uagb-column__background-color uagb-block-10c320d4\"><div class=\"uagb-column__overlay\"><\/div><div class=\"uagb-column__inner-wrap\">\n<div style=\"height:226px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"has-text-align-center has-ast-global-color-5-color has-text-color wp-block-heading\" style=\"font-size:60px;margin-top:20px;margin-right:20px;margin-bottom:20px;margin-left:20px\">D\u00e9pistage de la LMC<\/h2>\n\n\n\n<div style=\"height:90px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n<\/div><\/section>\n<\/div><\/section>\n\n<div style=\"height:22px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<section class=\"wp-block-uagb-section uagb-section__wrap uagb-section__background-undefined uagb-block-d323f7cf\"><div class=\"uagb-section__overlay\"><\/div><div class=\"uagb-section__inner-wrap\"><\/div><\/section>\n\n<section class=\"wp-block-uagb-columns uagb-columns__wrap uagb-columns__background-undefined uagb-columns__stack-mobile uagb-columns__valign-center uagb-columns__gap-10 alignundefined uagb-block-be43b102\"><div class=\"uagb-columns__overlay\"><\/div><div class=\"uagb-columns__inner-wrap uagb-columns__columns-2\">\n<div class=\"wp-block-uagb-column uagb-column__wrap uagb-column__background-undefined uagb-block-b7de6ae1\"><div class=\"uagb-column__overlay\"><\/div><div class=\"uagb-column__inner-wrap\">\n<p>Les examens que votre m\u00e9decin prescrit pour diagnostiquer et surveiller la LMC sont tr\u00e8s importants. Les r\u00e9sultats des tests fournissent des informations sur la phase de la maladie et sur la fa\u00e7on dont vous r\u00e9agissez au traitement. Cela peut vous aider, vous et votre m\u00e9decin, \u00e0 prendre les meilleures d\u00e9cisions de traitement pour vous.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-column uagb-column__wrap uagb-column__background-undefined uagb-block-8000da1a\"><div class=\"uagb-column__overlay\"><\/div><div class=\"uagb-column__inner-wrap\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cmlnetwork.ca\/wp-content\/uploads\/2022\/07\/Doctor-Blood-Slide2.svg\" alt=\"\" class=\"wp-image-1515\"\/><\/figure><\/div><\/div>\n<\/div><\/section>\n\n<section class=\"wp-block-uagb-section uagb-section__wrap uagb-section__background-color uagb-block-d4f44d11\"><div class=\"uagb-section__overlay\"><\/div><div class=\"uagb-section__inner-wrap\">\n<div style=\"height:79px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"has-ast-global-color-5-color has-text-color wp-block-heading\">Tests sanguins :<\/h2>\n\n\n\n<p class=\"has-ast-global-color-5-color has-text-color\">Un petit \u00e9chantillon de sang sera pr\u00e9lev\u00e9 dans une veine de votre bras \u00e0 l&rsquo;aide d&rsquo;une aiguille. Cet \u00e9chantillon est ensuite envoy\u00e9 dans un laboratoire pour diff\u00e9rents tests effectu\u00e9s par un pathologiste &#8211; un m\u00e9decin qui examine les cellules au microscope &#8211; ou un h\u00e9matologue, afin de rechercher des signes de maladie.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"has-ast-global-color-5-color has-text-color wp-block-heading\">Tests de la moelle osseuse :<\/h2>\n\n\n\n<p class=\"has-ast-global-color-5-color has-text-color\">Un petit \u00e9chantillon de moelle osseuse est une mati\u00e8re molle et spongieuse situ\u00e9e au centre de la plupart des os, o\u00f9 sont fabriqu\u00e9es les cellules sanguines. Un petit \u00e9chantillon de moelle osseuse sera pr\u00e9lev\u00e9 sur votre corps de deux mani\u00e8res :<\/p>\n\n\n\n<ul class=\"has-ast-global-color-5-color has-text-color wp-block-list\"><li>La <strong>ponction de moelle osseuse<\/strong> consiste \u00e0 pr\u00e9lever, \u00e0 l&rsquo;aide d&rsquo;une aiguille, un peu de liquide de moelle osseuse (appel\u00e9 \u00ab\u00a0aspirat\u00a0\u00bb) pour le tester.<\/li><li>Une <strong>biopsie de la moelle osseuse<\/strong> utilise une aiguille plus large pour retirer un petit noyau d&rsquo;os solide contenant de la moelle.<\/li><\/ul>\n\n\n<p class=\"has-ast-global-color-5-color has-text-color\">Ces tests sont g\u00e9n\u00e9ralement effectu\u00e9s en m\u00eame temps, avec une anesth\u00e9sie locale pour engourdir la surface de l&rsquo;os. Les \u00e9chantillons sont g\u00e9n\u00e9ralement pr\u00e9lev\u00e9s \u00e0 l&rsquo;arri\u00e8re de l&rsquo;os pelvien, mais le sternum peut \u00e9galement \u00eatre utilis\u00e9.3 tests sont utilis\u00e9s pour le d\u00e9pistage de la LMC. Au fil des ans, la recherche dans ce domaine a donn\u00e9 d&rsquo;excellents r\u00e9sultats. Aujourd&rsquo;hui, un simple test sanguin est suffisamment sensible pour d\u00e9tecter la moindre trace du g\u00e8ne BCR-ABL, responsable du cancer.<\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"has-ast-global-color-5-color has-text-color wp-block-heading\"><strong>Tests de laboratoire : que se passe-t-il ensuite ?<\/strong><\/h2>\n\n\n\n<p class=\"has-ast-global-color-5-color has-text-color\">Une fois que vos \u00e9chantillons de sang et de moelle osseuse sont au laboratoire, ils peuvent \u00eatre test\u00e9s de diff\u00e9rentes mani\u00e8res :<\/p>\n\n\n\n<ul class=\"has-ast-global-color-5-color has-text-color wp-block-list\"><li>Une <strong>num\u00e9ration sanguine compl\u00e8te (NFS)<\/strong> mesure le nombre de globules blancs, de globules rouges et de plaquettes dans le sang. La fonction r\u00e9nale et les enzymes h\u00e9patiques sont \u00e9galement mesur\u00e9es. En outre, un test <strong>diff\u00e9rentiel<\/strong> sera utilis\u00e9 pour v\u00e9rifier les diff\u00e9rents types de globules blancs.<\/li><li>Un test de <strong>cytochimie<\/strong> utilise des colorants pour aider \u00e0 montrer quel type de cellules leuc\u00e9miques se trouve dans un \u00e9chantillon.<\/li><li>Une <strong>\u00e9valuation de la morphologie cellulaire<\/strong> utilise un microscope pour examiner la taille, la forme, le type et la maturit\u00e9 des cellules.<\/li><li>L&rsquo;analyse <strong>cytog\u00e9n\u00e9tique <\/strong>de la <strong>moelle osseuse <\/strong>permet d&rsquo;identifier le pourcentage de cellules qui contiennent le chromosome Philadelphie responsable de la LMC.<\/li><li>Le test d&rsquo;<strong>hybridation in situ en fluorescence (FISH)<\/strong> utilise des sondes color\u00e9es pour localiser le g\u00e8ne BCR-ABL associ\u00e9 \u00e0 la LMC.<\/li><li>La <strong>r\u00e9action en cha\u00eene par polym\u00e9rase de la transcriptase inverse quantitative (QPCR<\/strong> ) est un test plus sensible qui permet d&rsquo;identifier les cellules poss\u00e9dant le g\u00e8ne BCR-ABL.<\/li><li>La <strong>cytom\u00e9trie en flux<\/strong> est un test utilis\u00e9 aux stades avanc\u00e9s de la LMC pour identifier le type et le nombre de cellules blastiques leuc\u00e9miques pr\u00e9sentes.<\/li><li>L&rsquo;<strong>analyse des mutations du g\u00e8ne BCR-ABL<\/strong> recherche de nouvelles modifications du g\u00e8ne BCR-ABL qui peuvent survenir au cours du traitement de la LMC.<\/li><li>Le test <strong>HLA (Human Leukocyte Antigen<\/strong> ) identifie les prot\u00e9ines qui sont uniques \u00e0 vos cellules sanguines. Il est effectu\u00e9 avant une greffe de cellules souches du sang pour s&rsquo;assurer que les cellules du donneur correspondent.<\/li><\/ul>\n\n\n<p class=\"has-ast-global-color-5-color has-text-color\">Le suivi des r\u00e9sultats de vos tests permet de montrer l&rsquo;efficacit\u00e9 de votre traitement. Vous pouvez conserver les r\u00e9sultats dans un classeur, ou cliquer <a href=\"http:\/\/www.llscanada.org\/content\/nationalcontent\/resourcecenter\/freeeducationmaterials\/leukemia\/pdf\/cmltrackerpages.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">ici<\/a> pour utiliser un outil en ligne tel que les pages My CML Tracker de la Soci\u00e9t\u00e9 de leuc\u00e9mie et lymphome du Canada.<\/p>\n\n\n\n<div style=\"height:79px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"<p>Les examens que votre m\u00e9decin prescrit pour diagnostiquer et surveiller la LMC sont tr\u00e8s importants. Les r\u00e9sultats des tests fournissent des informations sur la phase de la maladie et sur la fa\u00e7on dont vous r\u00e9agissez au traitement. Cela peut vous aider, vous et votre m\u00e9decin, \u00e0 prendre les meilleures d\u00e9cisions de traitement pour vous.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1557","page","type-page","status-publish","hentry"],"aioseo_notices":[],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"cancmlnet","author_link":"https:\/\/cmlnetwork.ca\/fr\/author\/cancmlnet\/"},"uagb_comment_info":0,"uagb_excerpt":"Les examens que votre m\u00e9decin prescrit pour diagnostiquer et surveiller la LMC sont tr\u00e8s importants. Les r\u00e9sultats des tests fournissent des informations sur la phase de la maladie et sur la fa\u00e7on dont vous r\u00e9agissez au traitement. Cela peut vous aider, vous et votre m\u00e9decin, \u00e0 prendre les meilleures d\u00e9cisions de traitement pour vous.","_links":{"self":[{"href":"https:\/\/cmlnetwork.ca\/fr\/wp-json\/wp\/v2\/pages\/1557","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cmlnetwork.ca\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cmlnetwork.ca\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cmlnetwork.ca\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cmlnetwork.ca\/fr\/wp-json\/wp\/v2\/comments?post=1557"}],"version-history":[{"count":0,"href":"https:\/\/cmlnetwork.ca\/fr\/wp-json\/wp\/v2\/pages\/1557\/revisions"}],"wp:attachment":[{"href":"https:\/\/cmlnetwork.ca\/fr\/wp-json\/wp\/v2\/media?parent=1557"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}