Zvinogona dzimwe nguva kutora nguva uye miedzo yakawanda kuti iongororwe ine lymphoma. Izvi zvinodaro nekuti zviratidzo zve lymphoma zvinowanzo fanana nezviratidzo zvezvimwe, zvirwere zvinowanzoitika, saka chiremba wako anogona kukuedza kune izvi zvimwe zvirwere kutanga. Kana zviratidzo zvako zvichienderera mberi, vangasarudza kuongorora lymphoma. Ongororo dze lymphoma dzinogona kuitwa nachiremba wepanzvimbo yako asi kazhinji, kana vakafungidzira kuti une lymphoma, vanokuendesa kuna chiremba ane mazvikokota anonzi hematologist kana oncologist kuti uwane mamwe ongororo.
Iwe uchada biopsy kuti uongorore lymphoma, uye kana uine lymphoma iwe uchada mimwe miedzo kuti utarise danho uye giredhi re lymphoma yako. Iri peji richapfuura nemhando dzakasiyana dzebvunzo uye mabiopsies anoshandiswa kuongorora lymphoma, scans anoshandiswa kuita nhanho lymphoma uye mamwe marudzi ebvunzo aungade.
Chii chinonzi Diagnosis, Staging uye Grading?
kuongorora chirwere
Staging
Grading
Ko lymphoma inoratidzwa sei?
Kuti uongorore lymphoma, iwe uchada biopsy yenzvimbo yemuviri wako yakakanganiswa. Izvi zvinogona kureva kuti unoda biopsy ye lymph node yako, ganda, mvura yakatenderedza musana wako kana mwongo. Mune zvimwe zviitiko ungangoda biopsy yetishu mumapapu ako, mudumbu kana muura.
Hauzodi bvunzo dzese idzi. Chiremba wako anozogadzira yakanakisa biopsy zvichienderana nemamiriro ako wega. Dzvanya pamisoro iri pazasi kuti udzidze nezvemhando dzakasiyana dze lymph node biopsy.
Mhando dzebiopsies
Iwe uchave neanesthetic yemunharaunda yekudzikisa nzvimbo yebiopsy yako, uye mune dzimwe nguva unogona zvakare kuve neanesheti. Izvi zvinoenderana nenzvimbo ye lymph node kana matishu achaitwa biopsed, uye kuti zviri nyore sei kuti chiremba asvike pairi.
Vana vanenge vachingogara vaine mushonga wekutindivadza saka vanorara kuburikidza ne biopsy. Izvi zvinobatsira kuvamisa kubva mukushungurudzika, uye kuve nechokwadi kuti vanoramba vakanyarara panguva yekuitwa.
An excisional biopsy ibiopsy inoitwa panguva yekuvhiya kudiki. Ndiyo nzira inonyanya kushanda yekuongorora lymphoma mu lymph node nokuti lymph node yose inobviswa uye inoongororwa mune pathology.
Kana lymph node inofanira kubviswa iri padyo neganda rako, unogona kuita iyi nzira iwe wakasvinura. Iwe uchave neanotindivadza emunharaunda kuti uvhare nzvimbo kuitira kuti usanzwe kurwadziwa. Iwe unogona kunge uine mimwe misono mushure mekuita iyo inozofukidzwa nediki dressing. Chiremba wako kana mukoti achakwanisa kukuudza nguva yekubvisa matichi uye kuti ungagadzirisa sei kupfeka kwako kudzivirira kutapukirwa.
Ko kana lymph node yakadzika mukati memuviri wangu?
Kana lymph node yakadzika mukati memuviri wako, unogona kuva neanesthetic yakawanda saka unenge wakarara panguva yekuitwa. Iwe unogona kunge uine matinji uye diki kupfeka pamusoro pavo paunomuka. Chiremba wako kana mukoti achataura newe nezve mabatiro ekupfeka uye kana iwe uchida kubvisa mastitches.
Mune zvimwe zviitiko panogona kunonoka kuwana excisional biopsy, nekuti inoda kuvhiyiwa, uye panogona kuve nekumirira runyorwa kuti upinde.
An incisional biopsy yakafanana neye excisional biopsy, asi pane kubvisa lymph node yose, chikamu che lymph node chete chinobviswa.
Izvi zvinogona kuitwa kana lymph node yakakura, kana lymph nodes yako yakasanganiswa - zvinoreva kuti akabatana nemamwe ma lymph nodes. Mune zvimwe zviitiko panogona kunonoka kuwana excisional biopsy, nekuti inoda kuvhiyiwa, uye panogona kuve nekumirira mazita.
A core biopsy inoshandiswa kutora diki diki ye lymph node kana ganda rakakanganisika kana uine fungidziro yepundu kana bundu. Dzimwe nguva dzinonziwo tsono biopsy. Inowanzoitwa neanotindivadza epanzvimbo, uye zvichienderana nekwairi, chiremba anogona kushandisa Ultrasound kana CT scan kubatsira kutungamira tsono munzvimbo chaiyo.
Nekuti sample inotorwa ine buri tsono, sample idiki pane excisional kana incisional biopsy. Izvi zvinoreva kuti dzimwe nguva masero egomarara anogona kusatorwa mumuenzaniso, zvichikonzera kuti lymphoma irasikirwe. Asi core biopsies inogona kubatsira kana paine kunonoka kwenguva refu kweiyo excisional kana incisional biopsy. Iwe unogona kuda yakawanda iyo imwe yakakosha biopsy kuti uongorore lymphoma.
Tsono yakanaka biopsy inoshandisa katsono kadiki iyo inoshandiswa kune yepakati biopsy. Kazhinji hazvikurudzirwe kuongorora lymphoma nekuti haipe sampu yakakura yakakwana kuti iwane mhedzisiro yakavimbika.
Zvisinei dzimwe nguva, tsono yakanaka biopsy inogona kuitwa kutarisa zvimwe zvinhu, uye inogona kutora lymphoma masero. Iwe uchaendeswa kune dzimwe bvunzo kana zvichiita sekunge kune lymphoma masero mubiopsy yako.
Nepo vanachiremba vazhinji vachikufonera kana paine chinokunetsa mumhedzisiro yako yebvunzo, havasi vese vanoita. Uye kashoma, mhedzisiro inogona kurasika kana kupotsa. Gara uchiita musangano wekutevera nachiremba wako kuti uwane mhedzisiro yekuongororwa ropa, ma scan uye biopsies.
Nguva yekusangana nachiremba wako
Bata chiremba wako kana mukoti kuti akupe mazano kana ukawana chimwe chezviratidzo zvinotevera:
- Zviratidzo zvehutachiona zvinosanganisira tembiricha ye38º kana kudarika, kutonhora uye kuzunguza, ura kana kubuda zvisina kujairika kubva paronda.
- Kubuda ropa kusingamire mushure mekuisa paki inotonhora (kana pizi dzakaomeswa) pamusoro pesaiti, kana inozadza kupfeka kwese.
- Marwadzo asingagadzirisi neparacetamol (inozivikanwawo sePanadol, Panamax kana Dymadon).
Chii chinonzi Bone Marrow Biopsy?
A bone marrow biopsy inzira yakaitwa kubvisa sampuli yemapfupa ako kubva mukati mebhonzo rako. Inowanzotorwa kubva muhudyu bone, asi pane dzimwe nguva inogona kutorwa kubva kune mamwe mapfupa. Iyi biopsy inogona kushandiswa kubatsira kuongororwa mamwe ma subtypes e lymphoma, uye inoshandiswa kugadzirisa mamwe ma subtypes.
Chii chinonzi Lumbar puncture?
Iwe unogona kurairwa kuve ne lumbar puncture (LP) kana paine mukana wekuti une lymphoma mune yako. central nerve system (CNS), iyo inosanganisira uropi hwako, musana uye nzvimbo kuseri kwemaziso ako.
Munguva yeLP, iwe ucharara nedivi uye chiremba anokupa jekiseni reanotindivadza emunharaunda kumusana kwako. Izvi zvichaita kuti chiveve nzvimbo yacho saka haufanirwe kunzwa kurwadziwa nemaitirwo acho (kunyangwe mushonga weanesthetic wemuno unogona kuruma kwenguva pfupi).
Kana nzvimbo yacho yave chiveve, chiremba anoisa ion kumusana wako, pakati pemapfupa kumashure kwako (vertebrae) uye munzvimbo iyo cerebral spinal fluid (CSF) ndizvo. Vanobva vabvisa sampuli shoma yemvura kuti vaongorore lymphoma.
Iwe uchave uine diki kupfeka pamusoro penzvimbo iyo tsono yakapinda mukati uye ungangoda kuisa flat kwemaawa 1-4. Vanamukoti vako vachakuzivisa kuti uchada kurara kwenguva yakareba sei.
Chii chimwe chinoshandiswa kuputika kwechiuno?
Mune zvimwe zviitiko kana uine lymphoma muCNS yako, kana kuve nemukana wekuti ichapararira ipapo, kuputika kwechiuno kunoitwa kuendesa chemotherapy muCSF yako. Kana izvi zvaitwa, inonzi "intrathecal (IT) chemotherapy".
Chii chinonzi Endoscopy
Endoscopy inzira inoshandiswa kana chiremba achifunga kuti unogona kunge une lymphoma mumatumbo ako (GI) turakiti. Yako GI turakiti inosanganisira yako:
- muromo
- esophagus (inova chikafu chepombi chinodzika kubva mumuromo mako kuenda kudumbu rako)
- mudumbu
- ura hudiki (bowel)
- matumbu makuru
Munguva ye endoscopy radiologist kana chiremba anovhiya anoisa chubhu yakatetepa mumuromo mako uye inoidyisa kuburikidza nesophagus yako (pombi inotakura chikafu kubva mumuromo mako kuenda mudumbu), mudumbu uye mudiki. Izvi zvinovabvumira kuti vatarise gastrointestinal tract yako yezviratidzo zve lymphoma. Ivo vanogona zvakare kutora diki biopsy sampu panguva ye endoscopy kutumira kune pathology.
Izvi zvichaitwa ne sedative uye anesthetic saka haufanirwe kunzwa chero kurwadziwa kana kurangarira maitiro. Mune zvimwe zviitiko iwe unogona kunge uine general anesthetic saka iwe ucharara kuburikidza neendoscopy.
Ndeapi ma scan andinoda?
Kune akati wandei emhando dzema scans anobatsira kubatsira kuongorora kana nhanho lymphoma, uye kuona kuti lymphoma yako iri kupindura sei kurapwa. Usati wamboita scan, ndapota ita kuti ma radiograph azive kana iwe:
- uri, kana kuti unogona kuva nepamuviri, kana kuti uri kuyamwisa.
- kutya nzvimbo dzakapoteredzwa (claustrophobia).
- vane dambudziko rokuisa kana kumira panzvimbo dzakati.
- kuva nemarwadzo kana kusvotwa.
- ane allergies.
Kuti udzidze zvakawanda pamusoro pemhando dzakasiyana dzema scan uye kuti nei achigona kushandiswa, tinya pane misoro iri pazasi.
An Ultrasound is a scan inoshandisa masaisai enzwi kugadzira mufananidzo. Iyo ultrasonographer (munhu ari kuita Ultrasound) anoisa imwe gel pamusoro penzvimbo iri kuongororwa, uye shandisa wand-yakafanana mudziyo kumhanya pamusoro peganda rako, iyo inotumira masaisai eruzha mumuviri wako. Sezvo masaisai anodzokera kumashure inogadzira mufananidzo wemukati memuviri wako.
Ultrasounds inowanzoshandiswa kubatsira kutsvaga lymph nodes yakazvimba kuitira kuti chiremba atore biopsy. Inogonawo kushandiswa kubatsira kuwana tsinga dzakanaka kana kutarisa nhengo dzemuviri wako.
Zvichienderana nechikamu chipi chemuviri wako chiri kutariswa, ungangoda kunwa mvura uye uine dundira rakazara kune ultrasound.
A CT scan is scan inokwanisa kutarisa mukati memuviri wako uye ichipa mufananidzo we3D. Inowanzoshandiswa apo chete chikamu chakati chemuviri wako chinoda kuonekwa, zvakadai sechipfuva chako kana dumbu. Vanogona kupa mufananidzo wemuviri wako kubva mberi kusvika kumashure uye kumusoro kusvika pasi. Ma scans anowanzo shandiswa kutarisa mabundu, kuzvimba lymph nodes uye mamwe mamiriro.
Ungangoda kubaiwa jekiseni rine mvura inonzi kusiyana, inobatsira kuita mifananidzo yakajeka. Contrast inobayiwa nekukasira, uye ine mhedzisiro inoshamisa yekukuita kuti unzwe kunge wanyorova bhurugwa rako. Inogona kunzwa ichidziya uye isingafadzi, asi haigare kwenguva refu.
Iwe ucharara pamubhedha unofamba uchipinda nekubuda mumushini weCT. Inokurumidza uye kazhinji inongotora anenge 10-15 maminetsi.
MRI scans inoshandisa magineti nemasaisai eredhiyo kugadzira mufananidzo wemukati memuviri wako. Izvo zvakafanana neCT scan pakuti iwe ucharara pamubhedha uye ugotamiswa mukati uye kunze kweMRI muchina. Zvisinei, MRI scans inogona kutora nguva yakareba, uye zvichienderana nechikamu chipi chemuviri wako chiri kuongororwa, chinogona kutora 15 - 90 maminitsi (1 nehafu yeawa). Iyo zvakare ine ruzha rwakanyanya apo magineti anofamba achitenderera mukati memuchina.
Kana uchinetseka neruzha rweruzha, kana munzvimbo dzakavharirwa, ndapota ita kuti vanamukoti vazive usati waisa scan kuti vakuite kuti unzwe wakasununguka. Vanogara vaine mahedhifoni kuitira kuti uteerere mimhanzi, kana ungangoda mushonga wekuti unzwe wakadzikama – zvisinei, vanhu vazhinji havadi izvi.
Kana uine lymphoma muuropi yako kana musana, iwe unogona kunge uine MRI scan, asi iwe unogonawo kuva neMRI kune zvimwe zvikonzero zvakare apo chiremba wako anoda kutarisa zvikamu zvakasiyana zvemuviri wako.
Mifananidzo kubva kuMRI inotaridzika semufananidzo uri pazasi.
PET scans inopa mufananidzo wemukati memuviri wako wese, uye inovhenekera nzvimbo dzinenge dzabatwa ne lymphoma. Iwe uchabaiwa jekiseni remushonga weradioactive uyo chero masero ane kenza anosveta, zvichiita kuti aonekere paPET scan. Zvinotora anenge 30-60 maminetsi kuita, asi iwe unofanirwa kubvumidza angangoita 2 maawa ekugadzwa pamusoro pezvose.
Iwe unozofanirwa kuisa uye uchave nekuzorora kwakakosha kwemaoko ako nemakumbo kuti uve nechokwadi chekuti ivo vanogona kuwana yakanakisa mifananidzo. Kana uine dambudziko rekugara munzvimbo kwenguva yakareba, ndapota ita kuti vashandi vazive kuti vagone kuve nechokwadi chekuti wakasununguka sezvinobvira.
Iwe unogona kukumbirwa kuti udzivise zvimwe zvekudya uye zvinwiwa mumazuva anotungamira kune yako PET scan. Kana usina kupihwa mirairo, ndapota fonera iyo dhipatimendi remishonga yenyukireya kwauri kuwana yako PET scan kuti uwane zano.
Nekuda kwemushonga weradioactive wauchapihwa, unozofanirwa kudzivirira kuva pedyo nevakadzi vane nhumbu kana vana vadiki kusvika zuva rimwechete rizere (24 maawa).
Kuyera ropa
Iwe unogona kunge uine miedzo yakawanda yeropa paunenge uchifamba nekuongorora kuongororwa kwe lymphoma. Kana uine lymphoma uye uri kurapwa, iwe uchavawo nekuongororwa ropa mukati mekurapa kwako. Zvimwe zvekuongororwa ropa kunoshandiswa kana uine lymphoma zvakanyorwa pazasi. Zvisinei, kuongororwa ropa kwauinako kuchaenderana nemamiriro ako pachako.
Ropa Rakazara
Iyi ndiyo imwe yedzakawanda kuongororwa ropa kwauchaita. Inoudza vanachiremba nezvenhamba, mhando, chimiro uye hukuru hwemasero muropa rako. Masero akasiyana anotariswa pabvunzo iyi ndeaya;
- Red Blood Cells (RBCs) masero aya anotakura oxygen kutenderedza muviri wako.
- Masero Machena Eropa (WBCs) inhengo yakakosha ye immune system yedu uye inobatsira kuti tive neutano hwakanaka kurwisa hutachiona nezvirwere. Kune marudzi akasiyana eWBCs (neutrophils, eosinophils, basophils nevamwe). Sero rimwe nerimwe rine basa chairo mukurwisa utachiona. Lymphocytes zvakare masero machena eropa, asi nhamba diki chete dzinowanzo kuwanikwa muropa rako, sezvo dzichigara zvakanyanya muropa rako. lymphatic system.
- Platelets kubatsira ropa rako kugwamba, kudzivirira maronda uye kubuda ropa.
Boka reropa uye crossmatch
Iwe uchava neizvi kana iwe uchida kuwedzerwa ropa, kuti uve nechokwadi chokuti vanowana ropa rakakukodzera.
Chiropa basa bvunzo (LFTs)
Inoshandiswa kuona kuti chiropa chako chiri kushanda zvakanaka sei.
Kuongorora kushanda kweitsvo
Inoshandiswa kutarisa kuti itsvo dzako dziri kushanda zvakanaka sei.
Lactate dehydrogenase (LDH)
LDH inotarisa kukuvara kwesero renyama mumuviri wako.
C-Reactive Protein (CRP)
CRP inoshandiswa kutarisa zviratidzo zvekuzvimba mumuviri wako.
Erythrocyte sedimentation chiyero (ESR)
ESR inotarisawo zviratidzo zvekuzvimba mumuviri wako.
Plasma Viscosity (PV)
PV inoreva kukora kweropa rako. Uyu muyedzo wakakosha kuva nawo kana uine subtype ye lymphoma inonzi Waldenstrom's macroglobulinemia.
Serum protein electrophoresis (SPEP)
SPEP inoyera mapuroteni asina kujairika muropa rako kana uine subtype ye lymphoma inonzi Waldenstrom's macroglobulinemia.
International normalized ratio (INR) uye Prothrombin Nguva (PT)
INR uye PT bvunzo dzinoyera kuti zvinotora nguva yakareba sei kuti ropa rako ritange kuumba magwamba. Iwe unogona kunge wakaita izvi usati waitwa kuvhiya, lumbar punctures kana bone marrow biopsies.
Kuongorora kuratidzwa kune mavhairasi
Izvi zvinoedzwa sezvo mamwe lymphomas akajairika muvanhu vane mamwe mavhairasi. Kana uine mavhairasi aya, chiremba wako anozofanira kufunga nezveizvi pakusarudza chirongwa chakakukodzera chekurapa. Mamwe mavhairasi aunogona kuongororwa anosanganisira;
- Human immunodeficiency virus (HIV)
- Hepatitis B uye C
- Cytomegalovirus (CMV)
- Epstein Barr virus (EBV).
Chikwata chekurapa chinogona kupa kumwe kuongororwa ropa zvichienderana nemamiriro emunhu.
Usati watanga kurapwa, chiremba wako achadawo kuita mimwe miedzo kuti ave nechokwadi chokuti muviri wako unokwanisa kushivirira kurapwa kwakarongwa. Iwe unogona kudzidza zvakawanda nezve akasiyana ekutanga bvunzo uye organ basa bvunzo nekudzvanya chinongedzo pazasi.
Chii chinonzi Cytogenetic bvunzo?
Vamwe poeple vane lymphoma vane shanduko muDNA yavo uye majini. Shanduko idzi dzakakosha nekuti dzinogona kupa ruzivo rwekuti ndeupi rudzi rwekurapa rwakakunakira iwe. Iwe unogona kupihwa marudzi akati wandei ebvunzo anotarisa DNA uye majini pamasero ako e-lymphoma, kana kuti anotarisa mapuroteni akasiyana anowanikwa pamasero ako e-lymphoma.
Zvinogona kutora mavhiki akati wandei kuti bvunzo idzi dzidzoke.
Kuti udzidze zvakawanda nezve bvunzo idzi, tinya link iri pazasi.
Kumirira mhinduro
Iwe hausi kuzowana chero mhinduro, kana iwe uine scan kana imwe bvunzo. Chirevo chichanyorwa uye chinotumirwa kuna chiremba wako, uye chinogona kutora kusvika kuvhiki.
Bvunza kuti chiremba wako achave riinhi mareports kuitira kuti ugokwanisa kuita nguva yekuti uwane mhinduro dzako. Chiremba wako angada kumirira kusvika vawana zvese zvawanikwa zvebvunzo dzako vasati vakuona kuti vakupe ruzivo rwakanyanya. Izvi zvinodaro nekuti bvunzo dzega dzega dzinopa chikamu chimwe chete chemufananidzo, uye chiremba wako achada zvese zvawawana kuti aite kuongororwa kwakakodzera, uye kusarudza mhando dzemhando dzekurapa - kana iwe uchida kurapwa.
Inogona kuva nguva inoshungurudza kumirira mhinduro. Zvakanaka kutaura nemhuri yako neshamwari nezvemanzwiro auri kuita. Iwe unogona zvakare kusvika kune yedu Lymphoma Care Nurses nekudzvanya pane Taura nesu bhatani riri pazasi pepeji ino.
pfupiso
- Pane miedzo yakawanda yakasiyana yauchazoda kuti uwane kuongororwa kwe lymphoma, tsvaga subtype yako, nhanho lymphoma yako uye panguva yekurapa kwako lymphoma.
- Miedzo inogona kusanganisira kuongororwa ropa, biopsies, scans uye cytogenetic bvunzo.
- Zvinogona kutora mavhiki akati wandei kuti uwane zvese zvawawana, asi zvakakosha kuti chiremba wako ave neruzivo rwese vasati vakupa chirwere chekuongorora, kana kukuitira chirongwa chekurapa.
- Kana uri kunetseka uchimirira mhinduro dzebvunzo unogona kubata vanamukoti veLymphoma Australia nekudzvanya iyo Taura nesu bhatani riri pasi peji.
