Nhamba dzeLymphoma
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Lymphoma inokura apo majini ako anochinja nekuda kwekukuvadzwa kana kushanduka, zvichiita kuti chirwere chako chinorwisa lymphocytes chive chisina kujairika uye chava kenza. Majini edu anopa mirayiridzo yekuti lymphocyte inofanira kuitwa sei, kukura, kuzvibata, uye kuti inofanira kufa riini.
Somugumisiro wekuchinja kwemajini, ma lymphocytes anotanga kuita zvisina kunaka, nokuti haasisiri kuwana mirairo yakarurama kubva kumajeni ako. Panzvimbo pokukura nenzira yakarongeka panguva yakafanira, vanongoramba vachigadzira masero akakuvadzwa akawanda ane mutated gene.
Hatizivi kuti sei izvi zvichiitika. Hapana chikonzero chaicho che lymphoma uye hapana nzira yekuudza kuti ndiani achaiwana uye ndiani asingazoiwana.
Zvimwe zvengozi zvakaonekwa zvakadaro, uye izvi zvinhu zvinogona kuwedzera njodzi yako yekuwana lymphoma, asi hazvisi izvo chikonzero chayo.
Ndeupi musiyano uripo pakati pengozi nechikonzero?
A njodzi chinhu chimwe chinhu chinowedzera mikana yako yekuwana lymphoma, asi hazvirevi kuti uchawana lymphoma.
Funga nezverotari. Kana iwe ukatenga matikiti akawanda kupfuura mumwe munhu, une mikana yakawanda yekuhwina. Asi hapana vimbiso yekuti uchahwina uye, munhu ane matikiti mashoma haadiki, asi anogona kuhwina.
Zvakafanana nezvikonzero zvine ngozi. Kana iwe uine njodzi yengozi iwe une yepamusoro mukana yekuwana lymphoma kupfuura munhu asina njodzi, asi hazvirevi kuti uchaiwana. Uye, nekuda kwekuti mumwe munhu haana njodzi, hazvirevi kuti havazotori lymphoma kana.
Saka njodzi yacho yakafanana nemutambo wemukana.
Asi kana chimwe chinhu zvikonzero chirwere, tinoziva kuti kana chinhu ichocho chikaitika, chirwere chinotevera uye, kana chinhu ichocho chikasaitika, hapazovi nechirwere.
Iwe unogona kufunga nezvechikonzero chakafanana nekubika zai. Tinoziva kuti kana ukatsemura zai rivhurike, riise mupani wopisa moto rinobika. Asi kana ukaivhuna, isa mupani asi usabatidze moto, zai rinogara ipapo harina kubikwa.
Kupisa ndiko kunoita kuti zai ribike. Haisi ngozi, nokuti nguva dzose paunopisa kupisa mumamiriro ezvinhu aya mazai achabika, uye nguva dzose pasina kupisa, mazai haazobiki.
Dr Mary Ann Anderson - Hematologist kubva
Peter MacCallum Cancer Center & Royal Melbourne Hospital inotaura nezve nei lymphoma ichikura.
Ndezvipi zvinozivikanwa zvengozi zvinhu?
Pazasi iwe unowana njodzi dzinozivikanwa kuwedzera mukana wako wekuwana lymphoma kana CLL. Haasi ese ane njodzi anokonzeresa kune ese ma subtypes e lymphoma zvakadaro. Ikoko kune imwe yemhando yemhando yakabatana nehutachiona hwatakawedzera iyo subtype in. Kana pasina subtype inotaurwa, ipapo iyo njodzi inokonzeresa njodzi inogona kuwedzera njodzi yako chero ipi zvayo.
Kana iwe uchida kudzidza zvakawanda nezve subtype yako, unogona kudzvanya pane iyi link iripazasi. Zvikasadaro, tinya museve uri padivi pezvinhu zvine njodzi pazasi kuti udzidze zvakawanda.
Sezvauri kuona kubva pabhena riri pamusoro pepeji, lymphoma ndiyo kenza yakajairika muvechiri kuyaruka uye vechidiki vechidiki vane makore ari pakati pe15-29 makore. Hodgkin Lymphoma inowanzoonekwa muzera iri, asi vanogonawo kuwana Non-Hodgkin Lymphoma. Lymphoma zvakare ikenza yechitatu inowanikwa muvana vari pasi pemakore gumi nemashanu.
Zvisinei, njodzi yekuwana lymphoma inowedzera nezera. Vanhu vazhinji vane lymphoma kana CLL vane makore makumi matanhatu kana kupfuura.
Lymphoma haina kugarwa nhaka kubva kuvabereki vako asi, kana uine nhengo yemhuri ine lymphoma kana CLL unogona kunge uine njodzi yakawedzera yekuigadzira zvakare.
Izvi hazvisi nekuda kwechirwere chemhuri, asi zvinogona kunge zviri nekuti mhuri dzinogona kuratidzirwa kune dzakasiyana mhando dzengozi - senge makemikari kana hutachiona. kana zvirwere zvekudzivirira zvirwere zvinogona kuitika mumhuri.
Masoja emuviri wedu anodzivirira zvirwere anotidzivirira kubva kuutachiona nezvirwere, uye anobatsirawo kugadzirisa nekuparadza maseru akakuvadzwa kana ane kenza. Kana iwe wakatoshanyira peji redu rewebhu pa Kunzwisisa yako lymphatic uye immune system, unogona kuiona nekudzvanya pano.
Kana uine immune system yakadzvinyirirwa - zvichireva kuti haishande sezvainofanirwa, unogona kunge uri panjodzi yekutapukirwa nekuvandudza lymphoma.
Zvinhu zvinogona kukanganisa immune system yako zvinosanganisira zvinotevera.
Immunosuppressive mishonga uye kurapwa
Kana iwe uri kutora mishonga yekudzvinyirira immune system yako inogona kuwedzera njodzi yako yekuvandudza lymphoma nemamwe cancers. Mienzaniso yeiyi inogona kusanganisira mishonga inotorwa kuzvirwere zve autoimmune, kana mushure mekutapurirana nhengo kana allogeneic stem cell transplant. Lymphomas inokura mushure mekusimwa inonzi "Post-Transplant Lymphoproliferative Disorder (PTLD)".
Chemotherapy uye kumwe kurapwa kwegomarara senge radiotherapy uye mamwe masoja ekudzivirira chirwere anogona zvakare kudzvanyirira immune system yako.
Nguva dzose taura nachiremba wako nezve chero njodzi dzinogona kukonzerwa nemishonga yako uye mamwe marapirwo.
Immunodeficiency zvinetso
Immunodeficiency disorders idambudziko re immune system yako. Vanhu vanogona kuzvarwa vaine zvirwere izvi kana kuzviwana gare gare muupenyu.
Matambudziko ekutanga ekudzivirira ekudzivirira ndiwo awakazvarwa nawo uye anogona kusanganisira:
- Congenital X-yakabatana immunodeficiency
- Ataxia telangiectasia
- Wiskott-Aldrich syndrome.
Secondary immunodeficiency disorders mamiriro atino "kuwana" mukati mehupenyu hwedu, kana izvo zvinoitika nekuda kwechimwe chikonzero - senge kana chemotherapy ichikonzera. neutropenia zvichiita kuti muviri ushaye simba. Acquired immune deficiency syndrome (AIDS) nderimwe rudzi rwechipiri chekudzivirira kwezvirwere zvemuviri, zvinowanzokonzerwa nehutachiona hwehutachiona hweHIV (human immunodeficiency virus).
Zvimwe zvinetso zvekudzivirira
Autoimmune kusagadzikana mamiriro apo yako immune system inotanga kurwisa maseru ako ane hutano. Kune akawanda akasiyana marudzi e autoimmune kusagadzikana, uye mamwe akaonekwa sekuwedzera njodzi yako yemamwe ma subtypes e lymphoma anosanganisira:
- Sjogren's syndrome - kuwedzera kwengozi yekuwedzera splenic uye MALT marginal zone lymphomas.
- Hashimoto's thyroiditis - inowedzera njodzi ye MALT marginal zone lymphoma.
- Chirwere cheCeliac - chinowedzera njodzi yeEnteropathy-Associated T-Cell Lymphoma (EATL), inova chikamu che Peripheral T-Cell Lymphoma (PTCL)
- Rheumatoid arthritis - inowedzera njodzi ye splenic Marginal Zone Lymphoma uye Kuparadzira Huru B-Cell Lymphoma.
Zvimwe zvirwere zvinogona kuwedzera njodzi yako yekuvandudza lymphoma. Kazhinji zvirwere izvi zvirwere zvatinowana muhuduku uye zvizhinji hazvidziviriki. Kunyange zvazvo zvirwere izvi zvinogona kuwedzera njodzi yako yekuvandudza lymphoma gare gare muupenyu, vanhu vazhinji vane zvirwere izvi havagadziri lymphoma, uye vanhu vasina kumbova nehutachiona uhu vanogona kuwana lymphoma.
Epstein-Barr Virus (EBV)
EBV yakaonekwa sechinhu chinokonzera njodzi kune zvakasiyana-siyana zvakasiyana-siyana zve lymphoma. Imhando yeherpes virus inogona kushandura mashandiro eB-masero edu. EBV hutachiona hunokonzera glandular fever, iyo dzimwe nguva inonzi "chirwere chekutsvoda" nokuti inogona kupfuudzwa nemate. Iyo dzimwe nguva inozivikanwa se mononucleosis kana "mono". Mamwe ma subtypes e lymphoma akabatanidzwa neEBV anosanganisira:
- Burkitt Lymphoma
- Kuparadzira Huru B-cell Lymphoma
- Hodgkin Lymphoma
- T-cell Lymphomas
- Post transplant lymphoproliferative disorder mushure me an allogeneic stem cell transplant.
Helicobacter Pylori (H. Pylori)
H. Pylori chirwere chinokonzera maronda emudumbu, uye chinowedzera mukana wako wekukura Gastric MALT Marginal Zone Lymphoma.
Campylobacter jejuni uye Borrelia burgdorferi
Campylobacter jejuni ibhakitiriya inowanzokonzera chepfu yezvokudya nezviratidzo zvinowanzove fivha uye manyoka. Borrelia burgdorferi chirwere chebhakitiriya chinokonzera chirwere cheLyme.
Zvose izvi zvirwere zvebhakitiriya zvinogona kuwedzera njodzi yako yekukura MALT Marginal Zone Lymphoma.
Human T-lymphotropic virus mhando 1 uye 2
Utachiona uhwu hahuwanikwi muAustralia uye hunowanikwa kumaodzanyemba kweJapan neCaribbean zvisinei, huchiri kuwanikwa mune dzimwe nzvimbo dzeAustralia. Inopararira kuburikidza nekuita bonde nemunhu ane utachiona uhwu, ropa rine utachiona kana tsono uye nemukaka wemuzamu. Human T-lymphotropic virus inogona kuwedzera njodzi yako yekugadzira subtype ye lymphoma inonzi Munhu mukuru T-cell Leukemia/Lymphoma.
Utachiona hweHuman Immunodeficiency Virus (HIV)
HIV ndiyo utachiona hunogona kukonzera Acquired Immune Deficiency Syndrome (AIDS). Inotapuriranwa kuburikidza nekuita zvepabonde nemunhu ane utachiona husina kudzivirirwa, ropa rine utachiona netsono, uye dzimwe nguva kubva kuna amai kuenda kumwana panguva yekuzvitakura, kusununguka kana kuyamwisa. Kuva neHIV kunogona kuwedzera njodzi yako yeHodgkin neNon-Hodgkin Lymphomas. Mukondombera weHIV kana AIDS une hutsinye hune hukasha hune hukasha hune hukama hweAIDS Kuparadzira Huru B-Cell Lymphoma uye Burkitt Lymphoma, kunyangwe zvichigona kuwedzera njodzi yako ye Primary Central Nervous System Lymphoma uye Primary Effusion Lymphoma.
Human Herpesvirus-8 (HHV8) - inonziwo Kaposi Sarcoma Herpesvirus (KSHV)
HHV8 inodaidzwa zvakare kuti Kaposi Sarcoma Herpesvirus nekuti inogona kukonzera Kaposi sarcoma, rinova gomarara reropa nemidziyo yemalymph. Zvisinei, yakaonekwawo sechinhu chinokonzera njodzi yekugadzira isingawanzoitiki subtype lymphoma inonzi Primary Effusion Lymphoma.
Utachiona hweHepatitis C (HCV)
HCV chirwere chinokonzera kuzvimba kuchiropa chako. Inogonawo kukonzera chirwere chinonzi cryoglobulinemia chinogona kukonzera kukura kusingadzoreki kwemasero - asi kwete kenza. Nekudaro, inogona kuchinja nekufamba kwenguva uye kuita cancer, ichiwedzera njodzi yako ye B-cell Non-Hodgkin Lymphomas.
Kuratidzwa kune mamwe makemikari kwakaonekwa sechinhu chinokonzera njodzi kune zvose Hodgkin Lymphoma uye marudzi akasiyana eNon-Hodgkin Lymphomas. Ngozi yako inowedzerwa kana ukashandisa kana kugadzira zvigadzirwa izvi.
Iwe unogona kuva nengozi yakawanda yekuvandudza lymphoma kana ukashanda munzvimbo dzinoshandisa kana zvigadzirwa zvekugadzira zvakadai se:
- pesticides
- mishonga yesora
- fungicides
- zvipenyu zvinotapukira
- zvinonyungudutsa
- paints
- mafuta
- mafuta
- Dota
- dhayi dzebvudzi.
Kana iwe ukashanda munzvimbo idzi zvakakosha kuti ushandise yakakurudzirwa yekuzvidzivirira yemidziyo yeindasitiri yako uye chigadzirwa.
Imwe tsvakiridzo yakaratidza kuti varimi, vanogadzira matanda, vanoongorora nyama nevarapi vezvipfuyo vanogona kunge vakawedzera njodzi, zvisinei kuti pane tsvakiridzo inodiwa kusimbisa izvi.
Breast implant-yakabatana Anaplastic Large Cell Lymphoma
Kudyarwa kwemazamu kwakaonekwa sengozi yekunonoka-kukura (indolent) subtype yeT-cell Non-Hodgkin Lymphoma inonzi Anaplastic Large Cell Lymphoma (ALCL). Zvinonyanya kuwanda uko maimplants akagadzirwa akashandiswa kwete ma implants akatsetseka.
Kunyangwe zvazvo gomarara iri richitangira muzamu, harisi mhando yegomarara rezamu. Inofungidzirwa kuti inokonzerwa nehomwe dzemvura, utachiona kana kuzvimba kunovaka zvakapoteredza kudyara izvo, nekufamba kwenguva zvinogona kuchinja kuita ALCL. Kana iwe uine Breast implant-yakabatana ALCL, chiremba wako anokukurudzira kuti uite oparesheni yekubvisa iyo implant uye chero mvura kana hutachiona hunowanikwa. Iyi inogona kunge iri iyo yega kurapwa yaunoda, zvisinei kana yakapararira kune dzimwe nhengo dzemuviri wako, unozokurudzirwa mamwe marapirwo zvakare. Unogona kudzidza zvakawanda pamusoro peizvi nekudzvanya link iri pazasi.
Kurapa kenza
Sezvineiwo marapiro mazhinji anoshandiswa kurapa gomarara anogona kukonzera kenza yechipiri. Magomarara aya haana kufanana negomarara rekutanga uye haaonekwe seakareruka. Ngozi yekuva nekenza yechipiri senge lymphoma inoramba iripo kwemakore mazhinji mushure mekurapwa kwako.
Kurapa kwakadai sechemotherapy, radiotherapy uye kumwe kurapwa kunodzvanya immune system yako, kana kukuvadza malymphocyte ako kunowedzera njodzi yako yekuvandudza lymphoma.
Kana uri kurapwa chero rudzi rwegomarara kusanganisira lymphoma, bvunza chiremba wako nezve njodzi yekenza yechipiri.
Monoclonal B-cell lymphocytosis
Monoclonal B-cell lymphocytosis (MBL) chirwere chisina kenza chinokonzera kuwedzera kwehuwandu hweB-cells lymphocytes muropa. Iwo abnormal B-lymphocytes ane hunhu hwakafanana nekusingaperi lymphocytic leukemia (CLL), subtype yeNon-Hodgkin Lymphoma.
MBL inoonekwa se pre-gomarara mamiriro anogona kushandura kuita CLL nekufamba kwenguva. Nekudaro, havasi vese vane MBL vanogadzira CLL.
MBL haiwanike zvikuru muvanhu vari pasi pemakore makumi mana ekuberekwa uye njodzi yekuva neMBL inowedzera kukura kwatinoita.
Lifestyle
Kusiyana nemamwe magomarara, kune humbowo hushoma hunoratidza kuti lymphoma inokonzerwa nemararamiro esarudzo. Zvakadaro, dzimwe sarudzo (sekushaikwa kwehutsanana, bonde risina dziviriro kana kugoverana tsono) dzinogona kuwedzera njodzi yako yekuwana mamwe mavhairasi nezvimwe zvirwere, nepo zvimwe (zvakadai sokushaikwa kwekurovedza muviri, kana kudya kwakashata) zvinogona kuderedza kushanda kwemuviri wako. Izvi zvirwere, kana kusagadzikana kwekudzivirira muviri kunogona kuwedzera njodzi yako yekuvandudza lymphoma.
Kuchengeta mararamiro ane hutano kunogona kuderedza njodzi yako yekuwana lymphoma, kunyange pasina vimbiso. Vanhu vazhinji vanoonekwa kuti vane lymphoma vanorarama hupenyu hwakanaka. Zvisinei, kunyange zvazvo mararamiro ako angasakudzivirira zvakakwana kubva pakuwana lymphoma, kuva noutano hwakanaka kana uchida kutanga kurapwa, zvichabatsira muviri wako kurarama zviri nani uye kupora nokukurumidza.
Dzimwe sarudzo dzine hutano dzekufunga dzinosanganisira:
- Usatanga kusvuta, kana wana rubatsiro kuti urege.
- Dzivisa zvinodhaka zvisiri pamutemo.
- Kana uchida kushandisa tsono chero chikonzero, dzishandise kamwe chete wodziisa mumudziyo wakakodzera kuti urase. Usagovana tsono nevamwe vanhu.
- Kana ukanwa doro, inwa zvine mwero.
- Vavarira kuita maminetsi asingasviki makumi matatu ekurovedza muviri zuva rega rega. Kana kurovedza muviri kwakakuomera, ona chiremba wepanzvimbo.
- Idya kudya kunovaka muviri. Kana uchida rubatsiro neizvi, chiremba wako wepanzvimbo anogona kukuendesa kuna chiremba wezvekudya.
- Nakidzwa, asi iva wakachengeteka mukuita.
pfupiso
- Lymphoma inokura apo shanduko - inonziwo shanduko inoitika mumajeni ako inobata nzira iyo lymphocytes yako inokura nekushanda.
- Ikozvino hapana zvikonzero zvinozivikanwa zvekuchinja uku kunotungamirira ku lymphoma.
- Zvinhu zvine njodzi zvinogona kuwedzera mukana wako wekuwana lymphoma, asi kuva nenjodzi, hazvireve kuti uchawana lymphoma.
- Kusave nenjodzi hazvireve kuti haungatore lymphoma.
- Lymphoma haisi "mararamiro" kenza - hairatidzike seyakakonzerwa nemararamiro esarudzo semamwe magomarara.
