lymphoma yog dab tsi?
Txhawm rau nkag siab txog Non-Hodgkin Lymphoma, koj yuav tsum xub nkag siab tias lymphoma yog dab tsi. Lymphoma tau hu ua ntshav qog noj ntshav, mob qog noj ntshav ntawm lymphatic system, thiab mob qog noj ntshav ntawm lub cev. Qhov no tuaj yeem ua rau tsis meej pem, vim nws tuaj yeem ua suab zoo li koj muaj ntau dua ib qho mob qog noj ntshav.
Yuav kom nws yooj yim dua peb piav qhia txog lymphoma li Qhov twg, Qhov twg thiab Yuav Ua Li Cas.
- Qhov twg - Lymphoma yog mob qog noj ntshav ntawm cov qe ntshav dawb hu ua lymphocytes.
- Qhov twg - Lymphocytes feem ntau nyob hauv peb cov kab mob lymphatic, yog li lymphoma feem ntau pib hauv cov lymphocytes hauv cov kab mob lymphatic.
- Qhov ua li cas - Lymphocytes thiab lwm cov qe ntshav dawb yog cov tshuaj tiv thaiv kab mob uas tiv thaiv peb ntawm kev kis kab mob thiab kab mob, yog li thaum koj muaj lymphoma, koj lub cev tsis muaj zog thiab koj tuaj yeem kis tau ntau dua.
Thov nias qhov txuas hauv qab no kom pom peb lub vev xaib Lymphoma yog dab tsi.
Dab tsi yog qhov txawv ntawm Non-Hodgkin thiab Hodgkin Lymphoma?
Non-Hodgkin Lymphoma txawv ntawm Hodgkin Lymphoma vim yog cov qog ntshav qog ntshav hu ua ib Reed-Sternberg hlwb uas muaj nyob rau hauv cov neeg uas muaj Hodgkin Lymphoma, tab sis tsis nyob rau hauv cov neeg uas tsis yog-Hodgkin Lymphoma.
- Txhua Hodgkin Lymphomas yog cov qog nqaij hlav ntawm B-cell lymphocytes.
- Non-Hodgkin Lymphoma tuaj yeem yog mob qog noj ntshav ntawm B-cell lymphocytes, T-cell Lymphocytes lossis Natural Killer T-cells.
Kuv yuav tsum paub dab tsi txog Non-Hodgkin Lymphoma?
Non-Hodgkin Lymphoma yog ib lo lus siv los piav txog ib pawg ntawm ntau dua 75 yam sib txawv ntawm lymphoma. Nws tuaj yeem raug faib ua aggressive lossis indolent, B-cell lossis T-cell (xws li Natural killer T-cell) thiab tej zaum yuav lossis tsis xav tau kev kho mob sai.
Aggressive and Indolent Non-Hodgkin Lymphoma (NHL)
Thaum koj muaj NHL nws yog ib qho tseem ceeb kom paub tias koj muaj dab tsi subtypes, thiab seb nws puas yog indolent lossis txhoj puab heev. Txawm hais tias koj xav tau kev kho mob, thiab hom kev kho koj yuav tau muab yog nyob ntawm ob yam no.
Aggressive Non-Hodgkin Lymphoma
Kev txhoj puab heev yog ib txoj hauv kev hais tias koj cov lymphoma loj hlob tuaj thiab tuaj yeem kis mus rau lwm qhov ntawm koj lub cev sai. Kev kawm koj muaj mob qog noj ntshav tuaj yeem ua rau ntshai heev, yog li nws tseem ceeb heev kom paub tseeb tias koj muaj cov ntaub ntawv ntau npaum li ua tau kom nkag siab txog koj tus kab mob, thiab yuav ua li cas.
Ib yam uas yuav tsum nco ntsoov yog tias ntau NHLs nruj tuaj yeem kho tau. Qhov tseeb, cov qog ntshav qog ntshav siab feem ntau teb zoo dua rau qee qhov kev kho mob ntau dua li cov qog ntshav qog ntshav tsis txaus. Kev siv tshuaj khomob ib txwm ua haujlwm los ntawm kev rhuav tshem cov hlwb uas loj hlob sai, yog li qhov hnyav dua (loj hlob sai) koj cov qog ntshav qog ntshav, qhov tshuaj kho tau zoo dua yuav ua rau lawv puas tsuaj.
Aggressive lymphomas kuj feem ntau hu ua high-grade lymphoma, txhais tau tias lawv loj hlob sai thiab zoo li txawv ntawm koj li lymphocytes ib txwm. Nrog rau cov qog lymphoma loj hlob sai heev, lawv tsis muaj lub sijhawm los txhim kho kom zoo, thiab yog li yuav tsis tuaj yeem ua haujlwm zoo ntawm kev tiv thaiv koj ntawm kev kis kab mob thiab kab mob.
Yog tias koj muaj tus kab mob qog nqaij hlav hnyav, koj yuav tau pib kho sai sai tom qab koj tau txais koj qhov kev kuaj mob. Txawm li cas los xij, ua ntej kev kho mob pib, koj yuav xav tau kev sim ntau ntxiv thiab kuaj xyuas kom pom tias koj lub cev cuam tshuam ntau npaum li cas los ntawm cov qog ntshav qog ntshav (cov qog ntshav qog koj muaj dab tsi) thiab seb puas muaj cov cim caj ces ntawm koj cov qog ntshav qog ntshav uas yuav pab koj tus kws kho mob ua haujlwm. tawm qhov kev kho mob zoo tshaj plaws rau koj.
Piv txwv ntawm kev txhoj puab heev NHL subtypes tau teev tseg hauv qab no.
Indolent Non-Hodgkin Lymphoma
Indolent yog lwm txoj hauv kev hais tias qeeb-loj hlob lymphoma. Cov lymphomas no feem ntau suav tias yog mob ntev, txhais tau tias koj yuav nyob nrog lawv mus tas koj lub neej. Txawm li cas los xij, ntau tus neeg tseem nyob ib puag ncig lub neej nrog lub neej zoo nrog cov qog ntshav qog ntshav tsis txaus.
Indolent lymphomas qee zaum tsis loj hlob tag nrho thiab tsis nyob twj ywm - lossis pw tsaug zog. Yog li, thaum koj muaj cov qog ntshav hauv koj lub cev, nws yuav tsis ua dab tsi ua rau koj raug mob, thiab yog li koj yuav tsis xav tau kev kho mob thaum koj kuaj pom thawj zaug.
Feem ntau cov lymphomas pw tsaug zog yuav tsis teb rau cov kev kho mob ib txwm muaj, thiab kev tshawb fawb tau pom tias pib kho thaum ntxov thaum lub sij hawm indolent no tsis txhim kho cov txiaj ntsig rau cov neeg mob ntau dua li cov uas tsis pib kho. Txawm li cas los xij, muaj qee qhov soj ntsuam kev sim uas tab tom saib cov kev kho mob sib txawv los saib seb lawv puas tuaj yeem ua tau zoo thiab muaj txiaj ntsig zoo thaum lub sijhawm tsis muaj zog.
Kwv yees li ntawm ib ntawm tsib tus neeg uas muaj tus mob qog nqaij hlav hauv siab yuav tsis xav tau kev kho mob, thaum lwm tus yuav xav tau kev kho mob ntawm qee lub sijhawm. Txawm hais tias koj tsis tau txais kev kho mob, koj yuav raug saib xyuas los ntawm koj tus kws kho mob hematologist lossis tus kws kho mob oncologist kom paub tseeb tias koj tsis tau txais cov tsos mob uas ua rau koj tsis xis nyob lossis tsis xis nyob, thiab lawv yuav ua kom cov qog ntshav qog tsis loj hlob. Lub sijhawm no thaum koj tsis muaj kev kho mob feem ntau hu ua Saib thiab Tos, lossis kev saib xyuas nquag.
Yog tias koj tus lymphoma sawv thiab pib loj hlob, lossis koj pib muaj cov tsos mob, koj yuav tau pib kho. Muaj tsawg zaus, koj tus mob qog nqaij hlav hauv siab tuaj yeem "hloov" mus rau qhov sib txawv ntawm cov kab mob qog nqaij hlav ntau dua. Yog xav paub ntxiv txog kev hloov pauv lymphoma nyem qhov no.
Qee qhov ntau hom subtypes ntawm indolent NHL tau teev tseg hauv qab no.
Indolent B-cell NHL
Indolent T-cell NHL
Cov tsos mob ntawm Non-Hodgkin Lymphoma
Nrog ntau tshaj 75 subtypes ntawm NHL uas tuaj yeem pib hauv txhua qhov ntawm koj lub cev, cov tsos mob rau NHL tuaj yeem sib txawv ntawm tib neeg.
Ntau tus neeg uas muaj tus kab mob qog nqaij hlav hauv plab yuav tsis muaj cov tsos mob tshwm sim, thiab tsuas yog kuaj tau tom qab kev sim niaj hnub, lossis kuaj xyuas lwm yam. Lwm tus tuaj yeem ntsib cov tsos mob uas ua rau qeeb qeeb thaum lub sijhawm.
Txawm li cas los xij, nrog kev mob qog nqaij hlav qog nqaij hlav, cov tsos mob feem ntau pib thiab mob sai sai. Qee cov tsos mob tshwm sim muaj tshwm sim hauv cov duab hauv qab no. Yog xav paub ntxiv txog cov tsos mob, thov mus saib koj cov nplooj ntawv subtype uas tuaj yeem nrhiav tau ntawm peb Hom Lymphoma lub vev xaib lossis saib peb cov nplooj ntawv Symptoms of Lymphoma.
Kev kuaj mob thiab kuaj mob
mob
Koj yuav xav tau ib qho biopsy kom tau txais kev kuaj mob ntawm lymphoma thiab nrhiav seb hom kab mob qog nqaij hlav koj muaj dab tsi. Muaj ntau hom biopsies, thiab qhov koj muaj yuav nyob ntawm thaj tsam ntawm koj lub cev cuam tshuam los ntawm lymphoma. Piv txwv ntawm biopsies muaj xws li:
- Nqaij xyoob tawv nqaij
- Lymph node biopsy
- Pob txha pob txha pob txha (ib pob txha pob txha tuaj yeem siv los kuaj xyuas qee hom lymphoma, lossis ua rau lwm tus)
staging
Staging yog hais txog pes tsawg thaj chaw, thiab qhov twg ntawm koj lub cev muaj lymphoma nyob rau hauv lawv.
Muaj ob lub ntsiab lus tseem ceeb siv rau NHL. Feem ntau NHL siv cov Ann Arbor lossis Lugano Staging System thaum cov neeg nrog CLL tuaj yeem raug teeb tsa nrog cov RAI qhov system.
Kev kho mob rau Non-Hodgkin Lymphoma (NHL)
Muaj ntau ntau hom kev kho mob rau NHL, thiab cov kev kho tshiab tshiab tau raug sim hauv kev sim tshuaj thiab tau txais kev pom zoo tsis tu ncua. Hom kev kho mob uas koj tau muab yuav nyob ntawm ntau yam xws li:
- Koj subtype thiab theem ntawm NHL
- Txawm hais tias koj cov qog nqaij hlav lymphoma muaj cov cim tshwj xeeb lossis kev hloov caj ces ntawm lawv
- Koj lub hnub nyoog thiab kev noj qab haus huv tag nrho
- Txawm hais tias koj tau kho mob qog noj ntshav lossis lwm yam qog noj ntshav yav dhau los
- Cov tshuaj koj yuav noj rau lwm yam mob
- Koj tus kheej nyiam thaum koj muaj tag nrho cov ntaub ntawv koj xav tau.
Ntsiab lus
- Non-Hodgkin Lymphoma yog ib lo lus siv los pab pawg ntau dua 75 hom qog nqaij hlav ntawm cov qe ntshav dawb hu ua lymphocytes.
- Paub koj hom subtype - Yog tias koj tsis paub dab tsi subtype ntawm NHL koj muaj, nug koj tus kws kho mob.
- NHL tuaj yeem yog cov qog nqaij hlav ntawm B-cell lymphoctyes, T-cell lymphocytes ntawm Natural killer T-cells.
- NHL tej zaum yuav txhoj puab heev los yog indolent. Aggressive NHL xav tau kev kho mob sai sai, thaum ntau tus neeg mob qog ntshav qog ntshav tsis xav tau kev kho mob rau qee lub sijhawm.
- Ib ntawm tsib tus neeg uas muaj mob qog nqaij hlav hauv plab yuav tsis xav tau kev kho mob.
- Cov tsos mob ntawm NHL yuav nyob ntawm seb hom kab mob uas koj muaj, txawm tias nws tsis quav ntsej lossis txhoj puab heev, thiab qhov twg ntawm koj lub cev muaj cov qog ntshav qog ntshav hauv lawv.
- Muaj ntau ntau hom kev kho mob rau NHL thiab cov tshiab tau txais kev pom zoo tsis tu ncua. Cov kev kho mob uas koj muaj yuav nyob ntawm ntau yam xws li koj hom subtype, cov tsos mob, hnub nyoog thiab kev noj qab haus huv, thiab seb koj puas tau kho mob qog nqaij hlav ua ntej.
- Koj tsis yog ib leeg, yog tias koj xav tham nrog ib qho ntawm peb Cov Kws Kho Mob Lymphoma nyem qhov Hu Rau Peb khawm nyob hauv qab ntawm qhov screen.
