Kev kuaj ntshav yog ib qho piv txwv ntawm cov ntshav coj mus kuaj hauv chav kuaj. Ntshav muaj cov qe ntshav, tshuaj thiab cov protein. Los ntawm kev tshuaj xyuas koj cov ntshav, cov kws kho mob tuaj yeem paub ntau ntxiv txog koj txoj kev noj qab haus huv. Cov kws kho mob kuj tuaj yeem paub ntau ntxiv txog seb qhov lymphoma thiab kev kho mob cuam tshuam rau lub cev li cas.
Vim li cas thiaj xav tau kev kuaj ntshav?
Kev kuaj ntshav yuav ua tau raws li ib feem ntawm kev kuaj mob thiab ua rau lymphoma. Lawv pab pawg kws kho mob saib xyuas seb lub cev teb li cas rau kev kho mob, nrog rau muab cov duab dav dav ntawm koj txoj kev noj qab haus huv tag nrho. Nws zoo li tus neeg mob yuav kuaj ntshav ntau thoob plaws hauv kev kho mob thiab ua raws li kev saib xyuas. Thaum koj nyob hauv kev saib xyuas tom qab lossis yog tias koj tab tom saib thiab tos, koj yuav tau kuaj ntshav tsawg dua.
Kev kuaj ntshav tuaj yeem ua tau rau ntau yam laj thawj xws li:
- Saib xyuas kev noj qab haus huv
- Tshawb xyuas kev ua haujlwm ntawm lub raum thiab lub siab
- Pab nrog kev kuaj mob qee hom lymphoma
- Saib xyuas kev kho mob
- Tshawb xyuas qhov kev rov qab los ntawm ib lub voj voog kho mob ua ntej pib qhov tom ntej
Yuav ua li cas ua ntej qhov kev xeem?
Feem ntau tsis muaj dab tsi yuav tsum tau ua los npaj rau kev kuaj ntshav. Rau qee qhov kev kuaj ntshav yuav tsum yoo mov (mus yam tsis muaj zaub mov lossis haus dej) ua ntej kuaj. Qee cov tshuaj yuav tsum tau tso tseg lossis qee yam zaub mov yuav tsum zam. Yog tias koj yuav tsum ua ib yam dab tsi ua ntej qhov kev xeem no yuav raug piav qhia rau koj los ntawm koj tus kws kho mob lossis tus kws saib xyuas neeg mob. Yog tias koj tsis paub meej txog tej yam yuav tsum tau ua, nws yog ib qho tseem ceeb uas koj tau nrog koj pab neeg kho mob.
Yuav ua li cas thaum kuaj?
Yog tias koj tsis nyob hauv tsev kho mob koj tus kws kho mob lossis tus kws saib xyuas neeg mob yuav qhia koj qhov chaw koj yuav tsum mus kuaj ntshav. Qhov no yuav nyob ntawm koj lub tsev kho mob hauv zos, chaw kho mob pathology, tus kws saib xyuas neeg mob hauv zej zog lossis koj tus kws kho mob. Cov ntshav kuaj yuav muab coj los siv ib rab koob me me. Qhov no yog ntxig rau hauv cov leeg feem ntau hauv koj txhais caj npab. Nws tsuas yog siv ob peb feeb kom tau txais cov qauv, tom qab ntawd cov koob me me raug rho tawm. Yog koj muaj ib tug central venous nkag ntaus ntawv cov kws saib xyuas neeg mob tuaj yeem siv qhov no kom tau txais cov ntshav kuaj.
Yuav ua li cas tom qab kuaj?
Yog tias koj yog tus neeg mob sab nraud, feem ntau koj tuaj yeem mus ncaj nraim mus tsev tom qab qhov kev xeem tshwj tsis yog tias koj yuav tsum tau nyob hauv tsev kho mob rau kev teem caij lossis kev kho mob. Qee qhov kev kuaj ntshav muaj nyob hauv feeb thiab qee qhov yuav siv ob peb lub lis piam rov qab los. Tshawb xyuas nrog koj tus kws kho mob txog seb koj yuav tau txais cov txiaj ntsig thiab nws yuav siv sijhawm ntev npaum li cas. Tos rau qhov tshwm sim tuaj yeem nyuaj, nrog koj pab neeg tham yog tias koj ntxhov siab txog koj qhov kev xeem.
Kuv cov txiaj ntsig txhais li cas?
Koj pab neeg kho mob yuav tsum piav qhia koj qhov kev kuaj ntshav rau koj. Koj tuaj yeem tau txais ib daim qauv ntawm koj cov kev kuaj ntshav tab sis koj yuav pom tias lawv nyuaj rau kev txhais. Nws yog ib lub tswv yim zoo los zaum nrog koj tus kws kho mob lossis tus kws saib xyuas neeg mob thiab hais kom lawv piav qhia cov txiaj ntsig.
Qee zaum ntawm daim ntawv tshaj tawm koj yuav pom tias koj qhov kev kuaj ntshav yuav "tawm ntawm qhov kev siv ntau yam" lossis txawv ntawm qhov "ib txwm muaj". Tsis txhob txhawj vim qhov no tshwm sim rau ntau tus neeg. Feem ntau cov neeg cov ntshav cov txiaj ntsig yog nyob rau hauv kev siv ntau yam.
Txawm li cas los xij, nyob ib ncig ntawm 1 ntawm 20 tus neeg noj qab haus huv muaj txiaj ntsig sab nraum qhov kev siv lossis ib txwm muaj. Ntau yam tuaj yeem ua rau qhov no, piv txwv li hnub nyoog, poj niam txiv neej lossis haiv neeg.
Cov kws kho mob yuav saib xyuas koj cov ntshav thiab txiav txim siab seb puas muaj dab tsi yuav tsum txhawj xeeb txog thaum lawv paub txog koj tus kheej li cas.
Puas muaj kev txaus ntshai?
Kev kuaj ntshav feem ntau yog ib txoj kev nyab xeeb heev. Tej zaum koj yuav hnov qhov me me thaum lub koob txhaj. Tej zaum koj yuav muaj pob me me thiab mob me ntsis ntawm qhov chaw tom qab kuaj ntshav tiav. Qhov no feem ntau yog me me thiab tau zoo sai sai. Muaj qhov pheej hmoo tsawg heev ntawm kev tsim tus kab mob. Tham nrog koj pab neeg kho mob yog tias koj muaj cov tsos mob txhawj xeeb xws li mob lossis o. Qee tus neeg yuav hnov mob lossis mob taub hau thaum kuaj ntshav. Nws yog ib qho tseem ceeb qhia rau tus neeg noj koj cov ntshav yog tias qhov no tshwm sim los yog qhov no tau tshwm sim rau koj yav dhau los.
Kev kuaj ntshav rau cov neeg mob lymphoma
Muaj ntau ntau yam kev kuaj ntshav niaj hnub siv rau cov neeg muaj lymphoma. Hauv qab no yog qee qhov feem ntau.
- Ntshav Tag Nrho: Qhov no yog ib qho kev kuaj ntshav ntau tshaj plaws. Qhov kev sim no qhia cov kws kho mob txog cov lej, hom, cov duab thiab qhov loj ntawm cov hlwb hauv cov ntshav. Cov hlwb sib txawv uas tau saib hauv qhov kev sim no yog;
- Cov qe ntshav liab (RBCs) cov hlwb no nqa oxygen ncig koj lub cev
- Cov qe ntshav dawb (WBCs) sib ntaus sib tua. Muaj ntau hom WBCs (lymphocytes, neutrophils thiab lwm yam). Txhua lub cell muaj lub luag haujlwm tshwj xeeb hauv kev sib ntaus sib tua.
- Platelets pab koj cov ntshav txhaws, tiv thaiv qhov nqaij tawv thiab los ntshav
- Liver Function Tests (LFTs) siv los saib seb koj lub siab ua haujlwm zoo npaum li cas.
- Kev kuaj mob raum xws li urea, electrolytes thiab creatinine (U&Es, EUC) yog cov kev ntsuam xyuas uas siv los ntsuas lub raum (lub raum) kev ua haujlwm.
- Lactate dehydrogenase (LDH) Qhov kev sim no tuaj yeem pab txheeb xyuas cov ntaub so ntswg puas tsuaj hauv lub cev, thiab saib xyuas nws qhov kev nce qib
- C-Reactive Protein (CRP) yog siv los txheeb xyuas qhov muaj mob, txiav txim siab nws qhov hnyav, thiab saib xyuas cov lus teb rau kev kho mob
- Erythrocyte sedimentation tus nqi (ESR) tuaj yeem kuaj xyuas thiab saib xyuas cov tsos mob ntawm kev mob hauv lub cev
- Plasma Viscosity (PV) qhia qhov tuab ntawm koj cov ntshav. Qhov no yog ib qho kev sim tseem ceeb uas yuav tsum muaj yog tias koj raug kuaj mob Waldenstrom's macroglobulinemia
- Serum protein electrophoresis (SPEP) Nws yog ib qho kev ntsuam xyuas tseem ceeb uas ntsuas qhov txawv txav ntawm cov proteins hauv koj cov ntshav yog tias koj kuaj tau Waldenstrom's macroglobulinemia
- International normalized piv (INR) thiab PT cov kev ntsuam xyuas no ntsuas seb nws yuav siv sij hawm ntev npaum li cas rau koj cov ntshav pib ua cov ntshav txhaws. Koj tuaj yeem ua qhov no ua ntej cov txheej txheem phais, lumbar punctures lossis pob txha pob txha biopsies.
- Kev tshuaj ntsuam kom kis tau tus kab mob uas tuaj yeem cuam tshuam nrog lymphoma, qhov no tuaj yeem ua ib feem ntawm koj qhov kev kuaj mob. Qee cov kab mob uas koj tuaj yeem kuaj xyuas suav nrog;
- Human immunodeficiency virus (HIV)
- Kab mob siab B thiab C
- Cytomegalovirus (CMV)
- Tus kab mob Epstein Barr (EBV)
- Cov ntshav pab pawg thiab crossmatch yog xav tau kev hloov ntshav
Pab neeg kho mob yuav qhia lwm yam kev kuaj ntshav nyob ntawm seb tus neeg mob.
