Chii chinonzi lymphoma?
Kuti unzwisise Non-Hodgkin Lymphoma, unofanira kutanga wada kunzwisisa kuti lymphoma chii. Lymphoma yave ichinzi kenza yeropa, kenza ye lymphatic system, uye kenza yemasoja anodzivirira zvirwere. Izvi zvinogona kuvhiringa, nekuti zvinogona kuita sekunge une gomarara rinopfuura rimwe.
Kuti zvive nyore tinotsanangura lymphoma se Chii, Iko kupi uye Sei.
- The chii – Lymphoma igomarara remasero machena eropa rinonzi lymphocytes.
- Iko uko - Lymphocytes inowanzogara mu lymphatic system yedu, saka lymphoma inowanzotanga mu lymphocytes mu lymphatic system.
- The sei - Lymphocytes nemamwe masero machena eropa masero ekudzivirira anotidzivirira kubva kune utachiona uye zvirwere, saka kana uine lymphoma, immune system yako inopera uye unogona kuwana zvirwere zvakawanda.
Ndokumbira tinya chinongedzo pazasi kuti uone yedu Chii chinonzi Lymphoma webpage.
Ndeupi musiyano uripo pakati peNon-Hodgkin neHodgkin Lymphoma?
Non-Hodgkin Lymphoma yakasiyana neHodgkin Lymphoma nokuda kwemamwe masero anonzi lymphoma Reed-Sternberg masero iyo inowanikwa muvanhu vane Hodgkin Lymphoma, asi kwete muvanhu vane Non-Hodgkin Lymphoma.
- Yese Hodgkin Lymphomas igomarara reB-cell lymphocytes.
- Non-Hodgkin Lymphoma inogona kuva kenza yeB-cell lymphocytes, T-cell Lymphocytes kana Natural Killer T-masero.
Chii chandinofanira kuziva nezveNon-Hodgkin Lymphoma?
Non-Hodgkin Lymphoma ishoko rinoshandiswa kutsanangura boka reanopfuura makumi manomwe neshanu emhando dzakasiyana dze lymphoma. Inogona kuverengerwa seane hasha kana kusaita basa, B-sero kana T-sero (kusanganisira Natural killer T-cell) uye inogona kana kusada kurapwa nekukurumidza.
Aggressive uye Indolent Non-Hodgkin Lymphoma (NHL)
Kana uine NHL zvakakosha kuziva kuti ndeupi mhando yaunayo, uye kuti ingombe here kana kuti ine hukasha. Kuti unoda kurapwa, uye rudzii rwekurapa rwauchapihwa zvinoenderana nezvinhu zviviri izvi.
Aggressive Non-Hodgkin Lymphoma
Aggressive inzira yekutaura kuti lymphoma yako iri kukura uye zvichida kupararira kune dzimwe nhengo dzemuviri wako nokukurumidza. Kudzidza kuti une gomarara rinotyisa kunogona kutyisa, saka zvakakosha kuve nechokwadi kuti une ruzivo rwakawanda sezvinobvira kuti unzwisise chirwere chako, uye zvaunotarisira.
Chinhu chimwe chekurangarira ndechekuti maNHL mazhinji ane hasha anogona kurapwa. Kutaura zvazviri, aggressive lymphomas anowanzopindura zviri nani kune mamwe marapirwo pane indolent lymphomas. Traditional chemotherapy inoshanda nekuparadza masero ari kukurumidza kukura, saka iyo yakanyanya hutsinye (inokurumidza-kukura) masero ako e-lymphoma, iyo inonyanya kushanda chemotherapy inogona kunge iri pakuaparadza.
Aggressive lymphomas inowanzonziwo high-grade lymphoma, zvinoreva kuti inokura nokukurumidza uye inotarisa zvakasiyana zvikuru kubva kune yako yakajairika lymphocytes. Nemaseru e-lymphoma achikura nekukurumidza, haana mukana wekukura zvakanaka, uye saka haazokwanisi kushanda nemazvo pakudzivirira kubva kuhutachiona uye zvirwere.
Kana uine lymphoma ine hukasha, iwe uchada kutanga kurapwa nekukurumidza mushure mekunge wawana kuongororwa kwako. Zvisinei, kurapwa kusati kwatanga, ungada mimwe miedzo uye mascans kuti uone kuti yakawanda sei yemuviri wako inobatwa ne lymphoma (iyi nhanho ye lymphoma yaunayo) uye kana pane chero ma genetic marker pa lymphoma cell yako iyo inobatsira chiremba wako kushanda. kunze kurapwa kwakakunakira.
Mienzaniso yehasha NHL subtypes yakanyorwa pazasi.
Indolent Non-Hodgkin Lymphoma
Indolent imwe nzira yekureva lymphoma inononoka kukura. Aya lymphomas anowanzoonekwa sezvirwere zvisingaperi, zvichireva kuti uchagara navo kwehupenyu hwako hwose. Zvisinei, vanhu vazhinji vachiri kurarama hupenyu hurefu nehupenyu hwakanaka ne indolent lymphoma.
Indolent lymphomas dzimwe nguva haikure zvachose uye panzvimbo pacho inoramba yakarara - kana kurara. Saka, nepo iwe uine lymphoma mumuviri wako, inogona kunge isiri kuita chero chinhu kukukuvadza, uye nekudaro iwe ungasada chero kurapwa paunotanga kuongororwa.
Mazhinji lymphomas akarara haapindure kurapwa kwechinyakare, uye tsvakiridzo yakaratidza kuti kutanga kurapwa nekukurumidza panguva iyi yekusaita basa hakugadzirise mhedzisiro yevarwere pane avo vasingatange kurapwa. Zvisinei, pane zvimwe kliniki miedzo vari kutarisa nzira dzakasiyana dzekurapa kuti vaone kana dzingave dzichishanda uye dzichibatsira panguva yekusaita nhanho.
Anenge mumwe muvanhu vashanu vane indolent lymphoma haazombodi kurapwa, asi vamwe vangada kurapwa pane imwe nguva. Kunyangwe iwe usiri kurapwa zvakadaro, iwe unozotariswa zvakanyanya nehematologist wako kana oncologist kuitira kuti vagone kuve nechokwadi kuti hausi kuwana chero zviratidzo zviri kuita kuti unzwe kusagadzikana kana kusanzwa zvakanaka, uye ivo vanozoita chokwadi chekuti lymphoma haisi kukura. Panguva ino iwe usina kurapwa kunowanzonzi Watch and Wait, kana kushingaira kuongorora.
Kana lymphoma yako ikamuka uye ikatanga kukura, kana iwe unotanga kuva nezviratidzo, ungada kutanga kurapwa. Muzviitiko zvisingawanzoitiki, indolent lymphoma yako inogona "kushandura" kuva imwe yakasiyana ine hutsinye subtype ye lymphoma. Kuti uwane rumwe ruzivo nezve yakashandurwa lymphoma tinya pano.
Mamwe emamwe akajairika subtypes eIndolent NHL akanyorwa pazasi.
Indolent T-cell NHL
Zviratidzo zveNon-Hodgkin Lymphoma
Uine anopfuura makumi manomwe neshanu emhando dzeNHL anogona kutanga mune chero chikamu chemuviri wako, zviratidzo zveNHL zvinogona kusiyana zvakanyanya pakati pevanhu.
Vanhu vazhinji vane indolent lymphoma vangave vasina zviratidzo zvinoonekwa, uye vanongoonekwa mushure mekuongororwa kwemazuva ose, kana cheki yechimwe chinhu. Vamwe vanogona kuona zviratidzo zvinowedzera zvishoma nezvishoma nekufamba kwenguva.
Ne aggressive lymphoma zvisinei, zviratidzo zvinowanzotanga uye zvinowedzera nokukurumidza. Zvimwe zvezviratidzo zvinowanzoitika zvinoratidzwa mumifananidzo iri pasi apa. Kuti uwane rumwe ruzivo nezve zviratidzo ndapota ona yako subtype peji inogona kuwanikwa pane yedu Mhando dzeLymphoma peji rewebhu kana kuona yedu Zviratidzo zveLymphoma peji rewebhu.
Miedzo yekuongororwa uye maitiro
kuongorora chirwere
Iwe uchada biopsy kuti uwane kuongororwa kwe lymphoma uye kuti uone kuti ndeipi subtype ye lymphoma yaunayo. Kune marudzi akasiyana-siyana e-biopsies, uye iyo yaunayo ichaenderana nenzvimbo yemuviri wako inobatwa ne lymphoma. Mienzaniso yebiopsies inosanganisira:
- Ganda biopsy
- Lymph node biopsy
- Bone marora bhiopsy (bone marrow biopsy inogona kushandiswa pakuongorora mamwe marudzi e-lymphoma, kana kuisa mamwe maitiro)
Staging
Staging inoreva kuti ingani nzvimbo, uye zvikamu zvipi zvemuviri wako zvine lymphoma mazviri.
Kune maviri mastaging masisitimu anoshandiswa kuNHL. Vazhinji veNHL vanoshandisa iyo Ann Arbor kana Lugano Staging System apo vanhu vane CLL vanogona kurongwa ne RAI staging system.
Kurapa kweNon-Hodgkin Lymphoma (NHL)
Kune marudzi akawanda akasiyana ekurapa kweNHL, uye mishonga mitsva iri kuedzwa muzviedzo zvekiriniki uye ichitenderwa nguva dzose. Rudzi rwekurapa rwaunopihwa runobva pane zvakati wandei zvinosanganisira:
- Yako subtype uye nhanho yeNHL
- Kunyangwe masero ako e-lymphoma ane chero chaiwo mamakisi kana genetic shanduko paari
- Zera rako uye kugara zvakanaka kwese
- Kunyangwe iwe wakave nekurapa lymphoma kana mamwe kenza munguva yakapfuura
- Mishonga yaungave uchitora yezvimwe zvirwere
- Zvaunoda iwe kana wawana ruzivo rwese rwaunoda.
pfupiso
- Non-Hodgkin Lymphoma izwi rinoshandiswa kuunganidza marudzi anopfuura makumi manomwe neshanu emhando dzegomarara dzemasero machena eropa anonzi lymphocytes.
- Ziva subtype yako - Kana usingazive kuti ndeupi mhando yeNHL yaunayo, bvunza chiremba wako.
- NHL inogona kuva kenza yeB-cell lymphoctyes, T-cell lymphocytes ye Natural killer T-cells.
- NHL inogona kunge ine hutsinye kana indolent. Aggressive NHL inoda kurapwa nekukurumidza, nepo vanhu vazhinji vane indolent lymphoma vasingazodi kurapwa kwenguva yakati.
- Mumwe muvanhu vashanu vane indolent lymphoma vangasamboda kurapwa.
- Zviratidzo zveNHL zvinoenderana neiyo subtype yaunayo, ingave isina indolent kana hutsinye, uye zvikamu zvipi zvemuviri wako zvine lymphoma mazviri.
- Kune marudzi akawanda akasiyana ekurapa kweNHL uye matsva ari kutenderwa nguva nenguva. Kurapa kwauinayo kuchaenderana nezvakawanda zvinosanganisira subtype yako, zviratidzo, zera uye kugara zvakanaka, pamwe nekuti wakamborapwa lymphoma.
- Hausi wega, kana uchida kutaura kune mumwe wedu Lymphoma Care Nurses tinya iyo Taura nesu bhatani pazasi pechiso.
