Kodi lymphoma ndi chiyani?
Kuti mumvetsetse Non-Hodgkin Lymphoma, choyamba muyenera kumvetsetsa chomwe lymphoma ndi. Lymphoma imatchedwa khansa ya m'magazi, khansa ya m'magazi, ndi khansa ya chitetezo cha mthupi. Izi zitha kukhala zosokoneza, chifukwa zimatha kumveka ngati muli ndi khansa yopitilira imodzi.
Kuti zikhale zosavuta timalongosola lymphoma ngati Zomwe, Kumene ndi Motani.
- The chiyani - Lymphoma ndi khansa ya m'maselo oyera a magazi yotchedwa lymphocytes.
- Ku ku - Lymphocytes nthawi zambiri amakhala m'mitsempha yathu, choncho lymphoma nthawi zambiri imayambira mu lymphocytes mu lymphatic system.
- Momwe - Ma lymphocyte ndi maselo ena oyera a magazi ndi maselo oteteza thupi omwe amatiteteza ku matenda ndi matenda, kotero mukakhala ndi lymphoma, chitetezo chanu cha mthupi chimachepa ndipo mukhoza kutenga matenda ambiri.
Chonde dinani ulalo womwe uli pansipa kuti muwone tsamba lathu latsamba la Lymphoma.
Kodi pali kusiyana kotani pakati pa Non-Hodgkin ndi Hodgkin Lymphoma?
Non-Hodgkin Lymphoma ndi yosiyana ndi Hodgkin Lymphoma chifukwa cha maselo ena a lymphoma otchedwa Maselo a Reed-Sternberg Zomwe zimapezeka mwa anthu omwe ali ndi Hodgkin Lymphoma, koma osati mwa anthu omwe ali ndi Non-Hodgkin Lymphoma.
- Onse Hodgkin Lymphomas ndi khansa ya B-cell lymphocytes.
- Non-Hodgkin Lymphoma ikhoza kukhala khansa ya B-cell lymphocytes, T-cell Lymphocytes kapena Natural Killer T-cell.
Kodi ndiyenera kudziwa chiyani za Non-Hodgkin Lymphoma?
Non-Hodgkin Lymphoma ndi mawu omwe amagwiritsidwa ntchito kufotokoza gulu la mitundu yoposa 75 ya lymphoma. Itha kutchulidwa ngati yaukali kapena yaulesi, B-cell kapena T-cell (kuphatikiza Natural killer T-cell) ndipo ingafunike chithandizo chachangu kapena sichingafunike.
Aggressive and Indolent Non-Hodgkin Lymphoma (NHL)
Mukakhala ndi NHL ndikofunikira kudziwa kuti muli ndi mtundu wanji, komanso ngati ndi waulesi kapena wankhanza. Kaya mukufunikira chithandizo, komanso mtundu wa chithandizo chomwe mudzapatsidwe zimadalira zinthu ziwirizi.
Aggressive Non-Hodgkin Lymphoma
Aggressive ndi njira yonenera kuti lymphoma yanu ikukula ndipo mwina imafalikira ku ziwalo zina za thupi lanu mwamsanga. Kuphunzira kuti muli ndi khansa yoopsa kungakhale koopsa kwambiri, choncho ndikofunika kuonetsetsa kuti muli ndi zambiri zomwe mungathe kuti mumvetse matenda anu, ndi zomwe muyenera kuyembekezera.
Chinthu chimodzi choyenera kukumbukira ndi chakuti ma NHL ambiri achiwawa amatha kuchiritsidwa. M'malo mwake, ma lymphomas owopsa nthawi zambiri amayankha bwino pamankhwala ena kuposa ma indolent lymphomas. Mankhwala amtundu wa chemotherapy amagwira ntchito powononga maselo omwe akukula mofulumira, kotero kuti maselo anu a lymphoma akakhala amphamvu kwambiri (akukula mofulumira), mankhwala amphamvu kwambiri amatha kuwawononga.
Aggressive lymphomas amatchedwanso lymphoma yapamwamba kwambiri, kutanthauza kuti amakula mofulumira ndikuwoneka mosiyana kwambiri ndi ma lymphocyte anu. Ndi maselo a lymphoma omwe akukula mofulumira kwambiri, alibe mwayi woti akule bwino, choncho sangathe kugwira ntchito bwino pokutetezani ku matenda ndi matenda.
Ngati muli ndi aggressive lymphoma, muyenera kuyamba kulandira chithandizo mwamsanga mutangopeza matenda. Komabe, chithandizo chisanayambe, mungafunikire kuyezetsa ndi kuwunika kuti muwone kuchuluka kwa thupi lanu lomwe limakhudzidwa ndi lymphoma (gawo la lymphoma lomwe muli nalo) komanso ngati pali zolembera zama genetic pama cell anu a lymphoma zomwe zingathandize dokotala wanu kugwira ntchito. kukupatsirani chithandizo chabwino kwambiri.
Zitsanzo zamagulu ankhanza a NHL alembedwa pansipa.
Indolent Non-Hodgkin Lymphoma
Indolent ndi njira ina yonenera lymphoma yomwe ikukula pang'onopang'ono. Ma lymphomas awa nthawi zambiri amawonedwa ngati matenda osatha, kutanthauza kuti mudzakhala nawo moyo wanu wonse. Komabe, anthu ambiri amakhalabe ndi moyo wabwinobwino wokhala ndi indolent lymphoma.
Indolent lymphomas nthawi zina sakula konse ndipo m'malo mwake amakhala chete - kapena akugona. Chifukwa chake, mukakhala ndi lymphoma m'thupi lanu, sizingakhale zikukuvulazani, ndipo motero simungafune chithandizo chilichonse mukapezeka koyamba.
Ma lymphoma ambiri ogona sangayankhe kumankhwala achikhalidwe, ndipo kafukufuku wasonyeza kuti kuyamba chithandizo msanga panthawi yachibwanabwana sikungathandize odwala kuposa omwe sayamba kulandira chithandizo. Komabe, pali ena mayesero a zachipatala omwe akuyang'ana njira zosiyanasiyana zothandizira kuti awone ngati zingakhale zothandiza komanso zopindulitsa panthawi yopuma.
Pafupifupi munthu mmodzi mwa anthu asanu omwe ali ndi indolent lymphoma sadzafuna chithandizo chilichonse, pamene ena angafunikire chithandizo panthawi ina. Ngakhale simukulandira chithandizo, mudzayang'aniridwa mosamala ndi dokotala wanu wamagazi kapena oncologist kuti atsimikizire kuti simukupeza zizindikiro zomwe zikukupangitsani kukhala omasuka kapena osakhala bwino, ndipo adzaonetsetsa kuti lymphoma sikukula. Nthawi ino pomwe mulibe chithandizo nthawi zambiri amatchedwa Watch and Wait, kapena kuyang'anira mwachangu.
Ngati lymphoma yanu idzuka ndikuyamba kukula, kapena mukuyamba kukhala ndi zizindikiro, mungafunike kuyamba chithandizo. Nthawi zambiri, indolent lymphoma yanu imatha "kusintha" kukhala mtundu wina wankhanza kwambiri wa lymphoma. Kuti mudziwe zambiri za kusintha kwa lymphoma Dinani apa.
Zina mwazinthu zodziwika bwino za NHL zopanda pake zalembedwa pansipa.
Indolent B-cell NHL
Indolent T-cell NHL
Zizindikiro za Non-Hodgkin Lymphoma
Ndi ma subtypes opitilira 75 a NHL omwe angayambe mbali iliyonse ya thupi lanu, zizindikiro za NHL zimatha kusiyana kwambiri pakati pa anthu.
Anthu ambiri omwe ali ndi indolent lymphoma sangakhale ndi zizindikiro zoonekeratu, ndipo amapezeka pokhapokha atayesedwa mwachizolowezi, kapena cheke china. Ena amatha kukhala ndi zizindikiro zomwe zimakula pang'onopang'ono pakapita nthawi.
Ndi aggressive lymphoma komabe, zizindikiro zimayamba ndikuwonjezereka mofulumira. Zina mwa zizindikiro zodziwika bwino zikuwonetsedwa pazithunzi pansipa. Kuti mumve zambiri zazizindikiro chonde onani tsamba lanu laling'ono lomwe lingapezeke patsamba lathu la Mitundu ya Lymphoma kapena onani tsamba lathu la Zizindikiro za Lymphoma.
Kuyeza matenda ndi kachitidwe
Matendawa
Mudzafunika biopsy kuti mudziwe kuti muli ndi lymphoma komanso kuti mudziwe mtundu wanji wa lymphoma womwe muli nawo. Pali mitundu yosiyanasiyana ya biopsies, ndipo yomwe muli nayo idzadalira dera la thupi lanu lomwe lakhudzidwa ndi lymphoma. Zitsanzo za ma biopsy ndi awa:
- Khungu biopsy
- Matenda a mitsempha yambiri
- Mafupa a mafupa amatha (fupa la mafupa lingagwiritsidwe ntchito pozindikira mitundu ina ya lymphoma, kapena kupanga ena)
Kusinthana
Kuwerengera kumatanthawuza madera angati, ndi ziwalo ziti za thupi lanu zomwe zili ndi lymphoma.
Pali njira ziwiri zazikulu zomwe zimagwiritsidwa ntchito pa NHL. Ambiri a NHL amagwiritsa ntchito Ann Arbor kapena Lugano Staging System pamene anthu omwe ali ndi CLL akhoza kuchitidwa ndi Pulogalamu ya RAI.
Chithandizo cha Non-Hodgkin Lymphoma (NHL)
Pali mitundu yambiri ya chithandizo cha NHL, ndipo mankhwala atsopano akuyesedwa m'mayesero azachipatala ndikuvomerezedwa nthawi zonse. Mtundu wa chithandizo chomwe mukupatsidwa umadalira zinthu zingapo kuphatikiza:
- Subtype yanu ndi gawo la NHL
- Kaya maselo anu a lymphoma ali ndi zolembera zenizeni kapena kusintha kwa majini pa iwo
- Zaka zanu komanso thanzi lanu lonse
- Kaya mudalandirapo chithandizo cha lymphoma kapena khansa ina m'mbuyomu
- Mankhwala omwe mungakhale mukumwa a matenda ena
- Zokonda zanu mukakhala ndi zonse zomwe mukufuna.
Chidule
- Non-Hodgkin Lymphoma ndi mawu omwe amagwiritsidwa ntchito pophatikiza mitundu yopitilira 75 ya khansa yama cell oyera amagazi otchedwa lymphocytes.
- Dziwani subtype yanu - Ngati simukudziwa mtundu wanji wa NHL womwe muli nawo, funsani dokotala wanu.
- NHL ikhoza kukhala khansa ya B-cell lymphoctyes, T-cell lymphocytes ya Natural killer T-maselo.
- NHL ikhoza kukhala yaukali kapena yosasamala. Aggressive NHL amafunikira chithandizo mwachangu, pomwe anthu ambiri omwe ali ndi indolent lymphoma sangafunikire chithandizo kwakanthawi.
- Mmodzi mwa anthu asanu omwe ali ndi indolent lymphoma sangafunikire chithandizo.
- Zizindikiro za NHL zidzadalira subtype yomwe muli nayo, kaya ndi yosasamala kapena yaukali, ndi ziwalo ziti za thupi lanu zomwe zili ndi lymphoma.
- Pali mitundu yambiri yamankhwala a NHL ndipo atsopano amavomerezedwa nthawi zonse. Chithandizo chomwe mungakhale nacho chimadalira zinthu zambiri kuphatikiza mtundu wanu, zizindikiro, zaka ndi thanzi, komanso ngati mudalandirapo chithandizo cha lymphoma m'mbuyomu.
- Simuli nokha, ngati mungafune kucheza ndi mmodzi wa Anamwino Osamalira Lymphoma dinani apa Lumikizanani nafe batani pansi pazenera.
