Lymphoma yog ib hom mob me me uas tsis tshua muaj tshwm sim nrog tsuas yog kwv yees li 100 tus menyuam yaus hauv tebchaws Australia tau kuaj pom txhua xyoo. Txawm li cas los xij, txawm tias tsis tshua muaj, nws yog qhov thib peb feem ntau mob qog noj ntshav hauv cov menyuam yaus, cov hluas thiab cov hluas.
Ntau tus tub ntxhais hluas, txawm tias muaj cov qog ntshav qog ntshav siab tuaj yeem kho tau tom qab kev kho mob thawj zaug.
Lymphomas yog ib pawg ntawm cov qog nqaij hlav ntawm ib hom qe ntshav dawb hu ua lymphocytes, uas feem ntau nyob hauv peb cov lymphatic system. Lawv txhim kho thaum lymphocytes, uas yog hom qe ntshav dawb, tsim DNA hloov pauv uas ua rau lawv sib faib thiab loj hlob uncontrollably, ua rau lymphoma. Muaj ob hom lymphoma, Hodgkin lymphoma ua thiab tsis-Hodgkin lymphoma (NHL).
Lymphoma tuaj yeem muab faib ntxiv rau hauv:
- Indolent (kev loj hlob qeeb) lymphoma
- aggressive (hloov zuj zus) lymphoma
- B-cell qog nqaij hlav cancer txhim kho los ntawm qhov txawv txav B-cell lymphocytes & yog qhov ntau tshaj plaws, suav txog kwv yees li 85% ntawm tag nrho cov lymphomas (tag nrho cov hnub nyoog)
- T-cell lymphoma txhim kho los ntawm qhov txawv txav T-cell lymphocytes thiab suav txog kwv yees li 15% ntawm tag nrho cov lymphomas (tag nrho cov hnub nyoog).
Qhov laj thawj yog dab tsi
Feem ntau ntawm cov lymphoma, cov ua tsis paub. Tsis zoo li lwm cov qog nqaij hlav, peb tsis paub txog cov kev xaiv ntawm lub neej uas ua rau mob qog nqaij hlav, yog li tsis muaj dab tsi uas koj tau ua lossis tsis tau ua uas tau ua rau koj (lossis koj tus menyuam) tau mob qog noj ntshav. Nws tsis kis tau thiab tsis tuaj yeem kis mus rau lwm tus neeg. Qhov peb paub yog tias cov protein tshwj xeeb lossis cov noob tau raug puas tsuaj (ua hloov pauv) thiab tom qab ntawd loj hlob tsis tuaj yeem tswj tau.
Cov hluas mus kho qhov twg?
Cov menyuam yaus feem ntau yuav raug kho hauv tsev kho mob tshwj xeeb rau menyuam yaus txawm li cas los xij, cov tub ntxhais hluas hnub nyoog 15-18 xyoo tuaj yeem raug xa los ntawm lawv tus GP mus rau lub Tsev Kho Mob Me Nyuam (paediatric) lossis tsev kho mob laus. Cov tub ntxhais hluas hnub nyoog qis dua 18 xyoo feem ntau yuav raug kho hauv tsev kho mob laus.
Qee qhov kev kho mob yuav txhais tau tias koj yuav tsum tau nyob hauv tsev kho mob, thaum lwm yam kev kho mob tuaj yeem muab rau hauv chav tsev nruab hnub uas koj tau kho, thiab tom qab ntawd rov qab mus tsev rau tib hnub.
Hom lymphoma cov tub ntxhais hluas tau txais
Muaj ob hom lymphoma, Hodgkin lymphoma ua thiab tsis-Hodgkin lymphoma (NHL).
Hodgkin lymphoma ua (HL)
Hodgkin lymphoma tsis tshua muaj rau cov menyuam yaus hnub nyoog qis dua 5 xyoos, tab sis muaj ntau dua rau cov hluas thiab cov hluas. Txawm li cas los xij, nws tuaj yeem cuam tshuam rau tib neeg ntawm txhua lub hnub nyoog suav nrog cov menyuam mos thiab cov laus.
Nws yog ib qho mob qog noj ntshav ntawm B-cell lymphocytes thiab ib qho ntawm feem ntau hom mob qog noj ntshav tau txais. Ntawm tag nrho cov me nyuam hnub nyoog 0-14 xyoo uas muaj lymphoma, li ntawm 4 ntawm txhua txhua 10 xyoo yuav muaj ib tug subtype ntawm Hodgkin Lymphoma.
Ob lub ntsiab subtypes ntawm Hodgkin lymphoma (HL) yog:
- Classical Hodgkin lymphoma: Qhov ntau subtype ntawm Hodgkin lymphoma thiab yog tus yam ntxwv los ntawm lub xub ntiag ntawm loj, txawv txav Reed-Sternberg hlwb.
- Nodular lymphocyte predominant Hodgkin lymphoma: uas suav nrog cov kab sib txawv ntawm Reed-Sternberg hlwb hu ua 'popcorn' cells. Cov paj paj hlwb feem ntau muaj cov protein ntawm lawv hu ua CD20, uas Classical Hodgkin Lymphoma tsis muaj.
Tsis-Hodgkin lymphoma (NHL)
NHL tuaj yeem ua rau muaj kev txhoj puab heev (loj hlob sai) lossis ua tsis taus (loj hlob qeeb) hauv tus cwj pwm thiab tshwm sim thaum koj B-cell lossis T-cell lymphocytes ua mob qog noj ntshav.
Muaj li ntawm 75 hom subtypes ntawm non-Hodgkin lymphoma. 4 feem ntau pom hauv cov menyuam yaus muaj npe hauv qab no, koj tuaj yeem nyem rau ntawm lawv kom pom cov ntaub ntawv ntxiv.
- Pediatric Diffuse Loj B-cell Lymphoma (DLBCL)
- Pediatric Burkitt's Lymphoma
- Pediatric Lymphoblastic Lymphoma
- Pediatric Anaplastic Loj Cell Lymphoma (ALCL)
Kev kwv yees ntawm lymphoma hauv cov tub ntxhais hluas
Qhov kev kwv yees tau zoo heev rau cov tub ntxhais hluas feem coob uas muaj lymphoma. Ntau tus tub ntxhais hluas uas muaj lymphoma tuaj yeem kho tau nrog cov qauv kev kho mob uas suav nrog kev siv tshuaj khomob, txawm tias lawv tau kuaj pom thawj zaug nrog mob hnyav lossis mob qog ntshav siab. Txhawm rau kawm paub ntau ntxiv txog kev kuaj mob rau ntau hom lymphoma hauv cov tub ntxhais hluas, thov saib cov nplooj ntawv subtype uas tau teev saum toj no.
Tu siab ib tug me me ntawm cov tub ntxhais hluas tsis teb ib yam nkaus rau cov kev kho mob. Nug koj tus kws kho mob (lossis koj tus menyuam tus kws kho mob) txog dab tsi yuav xav tau thiab yuav ua li cas thiaj li yuav kho koj tus mob lymphoma.
Kev muaj sia nyob ntev thiab kev xaiv kho mob nyob ntawm ntau yam, suav nrog:
- koj lub hnub nyoog thaum koj thawj zaug kuaj mob lymphoma.
- lub theem ntawm lymphoma.
- yam subtype ntawm lymphoma koj muaj.
- lymphoma teb li cas rau kev kho mob.
Saib - Cov kev xav tau tshwj xeeb ntawm cov tub ntxhais hluas thiab cov hluas uas muaj qog ntshav qog ntshav
Hnov los ntawm Dr Orly - Haematologist ntawm St Vincents Sydney tham txog cov kev xav tau tshwj xeeb ntawm cov tub ntxhais hluas thiab cov hluas uas muaj qog ntshav qog ntshav.
Kev kho mob rau lymphoma
Koj (los yog koj tus menyuam) yuav xav tau kev kho mob thiab tej zaum yuav muaj cov kws khomob (feem ntau suav nrog immunotherapy) thiab qee zaum hluav taws xob kho ib yam nkaus. Nyob ntawm seb hom lymphoma, cov tshuaj tua kab mob sib txawv yog siv rau ntau hom lymphoma.
Cov kws kho mob yuav xav txog ntau yam txog lymphoma thiab kev noj qab haus huv ntawm koj tus menyuam los txiav txim siab thaum twg thiab yuav tsum kho li cas. Qhov no yog nyob ntawm:
- cov theem ntawm lymphoma.
- Cov tsos mob koj muaj thaum koj kuaj tau lymphoma.
- Txawm koj muaj lwm yam mob los yog noj lwm yam tshuaj.
- Koj txoj kev noj qab haus huv tag nrho suav nrog koj lub cev thiab kev puas siab puas ntsws.
- Koj nyiam (lossis koj niam koj txiv) tom qab koj muaj tag nrho cov ntaub ntawv koj xav tau.
Fertility Preservation
Cov neeg mob dab neeg
Cov ntaub ntawv thiab kev txhawb nqa rau cov niam txiv thiab cov neeg saib xyuas
Yog tias koj yog ib tus niam txiv lossis tus saib xyuas tus menyuam uas tau kuaj pom tias muaj lymphoma, nws tuaj yeem ua rau muaj kev ntxhov siab thiab kev xav. Tsis muaj qhov raug lossis tsis ncaj ncees lawm.
Nws yog ib qho tseem ceeb kom tso cai rau koj tus kheej thiab koj tsev neeg lub sijhawm los ua cov txheej txheem thiab lees paub qhov kev kuaj mob. Nws tseem yog ib qho tseem ceeb uas koj tsis txhob nqa qhov hnyav ntawm qhov kev kuaj mob no ntawm koj tus kheej vim tias muaj ntau lub koom haum txhawb nqa uas nyob ntawm no los pab koj thiab koj tsev neeg lub sijhawm no.
Koj tuaj yeem tiv tauj peb Cov Kws Kho Mob Lymphoma txhua lub sijhawm los ntawm txhaj rau hu rau peb khawm nyob hauv qab ntawm nplooj ntawv no.
Lwm cov kev pabcuam uas koj tuaj yeem pom muaj txiaj ntsig tau teev tseg hauv qab no:
Tsev kawm ntawv thiab kev qhia
Yog tias koj tus menyuam muaj hnub nyoog kawm ntawv koj yuav txhawj xeeb txog yuav ua li cas lawv thiaj tuaj kawm ntawv thaum kho. Los yog tej zaum koj tau tibneeg hu tauj coob nrog txhua yam uas koj tsis tau muaj sijhawm los xav txog nws.
Koj cov menyuam yaus kuj tuaj yeem tsis tuaj kawm ntawv yog tias koj tsev neeg yuav tsum tau mus ncig thiab nyob deb ntawm tsev thaum koj tus menyuam mob qog ntshav hauv tsev kho mob.
Tab sis kev xav txog kev kawm ntawv tseem ceeb heev. Feem ntau cov menyuam yaus uas muaj lymphoma tuaj yeem kho tau thiab yuav tsum tau rov mus kawm ntawv ntawm qee lub sijhawm. Ntau lub tsev kho mob menyuam yaus loj muaj kev pab qhia lossis tsev kawm ntawv uas koj tus menyuam mob qog ntshav qog ntshav thiab koj cov menyuam tuaj yeem tuaj koom thaum koj tus menyuam tab tom kho lossis pw hauv tsev khomob.
Cov tsev kho mob loj hauv qab no muaj tsev kawm ntawv cov kev pabcuam hauv lawv qhov kev pabcuam. Yog tias koj tus menyuam tab tom kho mob hauv tsev kho mob txawv dua li cov teev hauv no, nug lawv txog kev txhawb nqa tsev kawm ntawv rau koj tus menyuam.
QLD. - Queensland Children's Hospital School (eq.edu.au)
VIC. - Victoria, Lub Tsev Kawm Ntawv Kev Kawm: Kev Kawm Ntawv (rch.org.au)
SA - Tsev Kho Mob Tsev Kawm Ntawv ntawm South Australia cov kev kawm hauv tsev kho mob
WA - Tsev kawm ntawv hauv tsev kho mob (health.wa.gov.au)
NWS - Tsev kawm ntawv hauv tsev kho mob | Sydney Children's Hospitals Network (nsw.gov.au)
Ntsiab lus
- Lymphoma yog hom mob qog noj ntshav thib 3 hauv cov menyuam yaus, thiab feem ntau mob qog noj ntshav hauv cov hluas thiab cov hluas.
- kev kho mob tau txhim kho ntau xyoo dhau los thiab ntau cov tub ntxhais hluas uas muaj cov qog ntshav qog tuaj yeem kho tau.
- Muaj ntau hom kev kho mob thiab kev kho mob uas koj tau txais yuav nyob ntawm seb hom subtype thiab theem ntawm koj cov lymphoma.
- Nug koj tus kws kho mob txog yuav ua li cas khaws koj fertility yog li koj thiaj muaj menyuam tom qab lub neej. Nug txog qhov no ua ntej koj pib kho.
- Sab sij huam tuaj yeem tshwm sim sai tom qab kev kho mob lossis ntau xyoo tom qab. Nco ntsoov xyuas peb nplooj ntawv sab nrauv.
- Tshaj tawm txhua yam tshiab thiab tsis zoo Cov tsos mob rau koj tus kws kho mob.
- Hu rau peb Cov Kws Kho Mob Lymphoma ntawm 1800 953 081 yog tias koj xav tham txog koj, lossis koj tus menyuam cov qog ntshav qog ntshav lossis kev kho mob.
