Mlembi: John Stephens
Tsiku La Chilengedwe: 25 Jayuwale 2021
Sinthani Tsiku: 9 Novembala 2024
Anonim
2.5 The case of  Burkitt’s lymphoma
Kanema: 2.5 The case of Burkitt’s lymphoma

Zamkati

Chidule

Burkitt's lymphoma ndi mtundu wosowa komanso wankhanza wosakhala Hodgkin's lymphoma. Non-Hodgkin lymphoma ndi mtundu wa khansa yamitsempha yamagazi, yomwe imathandiza thupi lanu kulimbana ndi matenda.

Burkitt's lymphoma imafala kwambiri kwa ana omwe amakhala kum'mwera kwa Sahara ku Africa, komwe kumakhudzana ndi kachilombo ka Epstein-Barr (EBV) ndi malungo osachiritsika.

Burkitt's lymphoma imawonekeranso kwina, kuphatikiza United States. Kunja kwa Africa, Burkitt's lymphoma nthawi zambiri imachitika mwa anthu omwe ali ndi chitetezo chamthupi chovuta.

Kodi zizindikiro za Burkitt's lymphoma ndi ziti?

Burkitt's lymphoma imatha kuyambitsa malungo, kuwonda, komanso thukuta usiku. Zizindikiro zina za Burkitt's lymphoma zimasiyana kutengera mtundu.

Sporadic Burkitt's lymphoma

Zizindikiro za ma sporadic Burkitt's lymphoma ndi monga:

  • kutupa m'mimba
  • mafupa a nkhope
  • thukuta usiku
  • kutsekeka m'matumbo
  • chithokomiro chokulitsa
  • matani okulitsidwa

Endemic Burkitt's lymphoma

Zizindikiro za Burkitt's lymphoma zomwe zimakhalapo zimaphatikizira kutupa ndi kupindika kwa mafupa akumaso ndikukula mwachangu kwa ma lymph node. Ma lymph node wokulitsa samakhala ofewa. Zotupa zimatha kukula mwachangu kwambiri, nthawi zina zimachulukitsa kukula kwake pasanathe maola 18.


Matenda okhudzana ndi chitetezo cha mthupi

Zizindikiro za immunodeficiency-related lymphoma ndizofanana ndi zomwe zimachitika kawirikawiri.

Nchiyani chimayambitsa Burkitt's lymphoma?

Chifukwa chenicheni cha Burkitt's lymphoma sichidziwika.

Zowopsa zimasiyanasiyana kutengera komwe kuli. akuwonetsa kuti Burkitt's lymphoma ndiye khansa yofala kwambiri yaubwana m'madera omwe mumapezeka malungo ambiri, monga Africa. Kwina konse, chiopsezo chachikulu ndi HIV.

Kodi mitundu ya Burkitt's lymphoma ndi iti?

Mitundu itatu ya Burkitt's lymphoma ndi yokhudzana ndi kuchepa kwa thupi, kudwala, komanso kukhudzana ndi chitetezo cha mthupi. Mitunduyi imasiyanasiyana malinga ndi malo komanso ziwalo za thupi zomwe zimakhudza.

Sporadic Burkitt's lymphoma

Sporadic Burkitt's lymphoma imachitika kunja kwa Africa, koma ndizosowa m'maiko ena padziko lapansi. Nthawi zina zimagwirizanitsidwa ndi EBV. Amakonda kukhudza pamunsi pamimba, pomwe matumbo ang'onoang'ono amatha ndipo matumbo akulu amayamba.

Endemic Burkitt's lymphoma

Mtundu wa Burkitt's lymphoma umapezeka kwambiri ku Africa pafupi ndi equator, komwe umalumikizidwa ndi malungo osachiritsika ndi EBV. Mafupa ndi nsagwada zimakhudzidwa nthawi zambiri. Koma matumbo aang'ono, impso, thumba losunga mazira, ndi mawere atha kukhala nawo.


Matenda okhudzana ndi chitetezo cha mthupi

Mtundu wa Burkitt's lymphoma umagwirizanitsidwa ndi kugwiritsa ntchito mankhwala osokoneza bongo monga omwe amagwiritsidwa ntchito popewera kukana ndikuchiza HIV.

Ndani ali pachiwopsezo cha Burkitt's lymphoma?

Burkitt's lymphoma nthawi zambiri imakhudza ana.Ndizochepa mwa akuluakulu. Matendawa amapezeka kwambiri mwa amuna ndi anthu omwe ali ndi chitetezo cha mthupi, monga omwe ali ndi HIV. Zomwe zimachitika ndi zazikulu mu:

  • Kumpoto kwa Africa
  • Kuulaya
  • South America
  • Papua New Guinea

Mitundu yosawerengeka komanso yodziwika bwino imalumikizidwa ndi EBV. Matenda a tizilombo toyambitsa matenda komanso mankhwala ochokera ku zitsamba omwe amalimbikitsa kukula kwa zotupa ndiomwe amathandizira.

Kodi Burkitt's lymphoma amapezeka bwanji?

Matenda a Burkitt's lymphoma amayamba ndi mbiri ya zamankhwala ndikuwunika kwakuthupi. Chidziwitso cha zotupa chimatsimikizira kuti ali ndi vutoli. Mafupa ndi dongosolo lamanjenje nthawi zambiri limakhudzidwa. Nthawi zambiri amafufuza mafupa a m'mafupa ndi madzimadzi a msana kuti awone momwe khansara yafalikira.


Burkitt's lymphoma imapangidwa molingana ndi lymph node komanso kutenga mbali kwa ziwalo. Kuphatikizidwa kwa mafupa kapena mafupa amkati kumatanthauza kuti muli ndi gawo la 4. Kujambula kwa CT ndi MRI kungakuthandizeni kudziwa ziwalo ndi ma lymph node omwe akukhudzidwa.

Kodi Burkitt's lymphoma amathandizidwa bwanji?

Burkitt's lymphoma nthawi zambiri imachiritsidwa ndi kuphatikiza chemotherapy. Mankhwala a chemotherapy omwe amagwiritsidwa ntchito pochiza Burkitt's lymphoma ndi awa:

  • cytarabine
  • cyclophosphamide
  • kutuloji
  • alireza
  • methotrexate
  • etoposide

Mankhwala a monoclonal antibody ndi rituximab atha kuphatikizidwa ndi chemotherapy. Chithandizo cha radiation chitha kugwiritsidwanso ntchito ndi chemotherapy.

Mankhwala a Chemotherapy amalowetsedwa mwachindunji mumtsempha wamtsempha kuti khansa isafalikire ku dongosolo lamanjenje. Njira imeneyi jakisoni amatchedwa "intrathecal." Anthu omwe amalandira chithandizo champhamvu cha chemotherapy adalumikizidwa ndi zotsatira zabwino.

M'mayiko omwe alibe chithandizo chamankhwala, chithandizo nthawi zambiri chimakhala chochepa komanso chosachita bwino.

Ana omwe ali ndi lymphoma ya Burkitt awonetsedwa kuti ali ndi malingaliro abwino.

Kupezeka kwa zotsekeka m'matumbo kumafunikira opaleshoni.

Kodi chiyembekezo chanthawi yayitali ndichotani?

Zotsatira zimadalira siteji yodziwitsa. Maganizo nthawi zambiri amakhala oyipa kwa akulu azaka zopitilira 40, koma chithandizo cha achikulire chasintha m'zaka zaposachedwa. Maganizo ake ndi osauka mwa anthu omwe ali ndi HIV. Ndibwino kwambiri kwa anthu omwe khansa yawo sinafalikire.

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