Kodi Lymphoma Yotsatira Ndi Chiyani?

Zamkati

• Zochitika
• Zizindikiro
• Matendawa
• Chithandizo
• Kudikira kudikira
• Mafunde
• Chemotherapy
• Ma antibodies a monoclonal
• Chithandizo cha radioimmunotherapy
• Kupanga khungu la tsinde
• Zovuta
• Kuchira
• Chiwonetsero

Chidule

Follicular lymphoma ndi mtundu wa khansa yomwe imayamba m'maselo oyera amthupi lanu. Pali mitundu iwiri yayikulu ya lymphoma: Hodgkin ndi non-Hodgkin. Follicular lymphoma si Hodgkin lymphoma.

Mtundu wa lymphoma nthawi zambiri umakula pang'onopang'ono, womwe madokotala amawatcha "aulesi."

Pemphani kuti mudziwe zambiri zamatenda a follicular lymphoma ndi njira zamankhwala zomwe zingapezeke.

Zochitika

Non-Hodgkin lymphoma ndi imodzi mwa khansa yofala kwambiri ku United States. Anthu opitilira 72,000 amapezeka ndi mtundu wake chaka chilichonse.

Pafupifupi imodzi mwa ma lymphomas asanu ku United States ndi follicular lymphoma.

Follicular lymphoma imakhudza achinyamata nthawi zambiri. Zaka zapakati pa munthu yemwe ali ndi khansa yamtunduwu ndi pafupifupi 60.

Zizindikiro

Zizindikiro za follicular lymphoma zitha kuphatikizira izi:

• kukulitsa ma lymph nodes m'khosi, m'mimba, m'mimba, kapena kubuula
• kutopa
• kupuma movutikira
• malungo kapena thukuta usiku
• kuonda
• matenda

Anthu ena omwe ali ndi follicular lymphoma alibe zizindikiro zilizonse.

Matendawa

Kuti mupeze follicular lymphoma, dokotala akhoza kuyesa izi:

• Chisokonezo. Biopsy imachitika kuti aunike minofu pansi pa microscope ndikuwona ngati ili ndi khansa.
• Kuyezetsa magazi. Mungafunike mayeso kuti muwone kuchuluka kwama cell anu.
• Kujambula kujambula. Dokotala wanu angakuuzeni kuti muyese kujambula kuti muwone lymphoma mthupi lanu ndikukonzekera chithandizo chanu. Makompyuta a tomography (CT) ndi positron emission tomography (PET) amagwiritsidwa ntchito kwambiri.

Chithandizo

Njira zingapo zamankhwala zimapezeka kwa anthu omwe ali ndi follicular lymphoma. Dokotala wanu adzasankha kuti ndi mankhwala ati omwe angakuthandizeni malinga ndi mtundu wa khansa komanso momwe wayendera.

Kudikira kudikira

Ngati mutapezeka msanga ndipo muli ndi zizindikiro zochepa chabe, dokotala wanu angakuuzeni kuti muziyang'ana ndikudikirira. Izi zikutanthauza kuti wothandizira zaumoyo wanu amayang'anitsitsa matenda anu, koma simulandila chithandizo chilichonse.

Mafunde

Poizoniyu amagwiritsa ntchito miyala yamphamvu kwambiri kuti awononge maselo a khansa. Nthawi zambiri amapatsidwa kwa anthu omwe ali ndi follicular lymphoma yoyambirira. Nthawi zina, radiation yokha imatha kuchiritsa khansa yamtunduwu. Mungafunike radiation komanso mankhwala ena ngati khansa yanu yakula kwambiri.

Chemotherapy

Chemotherapy imagwiritsa ntchito mankhwala kupha ma cell a khansa mthupi lanu. Nthawi zina amapatsidwa kwa anthu omwe ali ndi follicular lymphoma, ndipo nthawi zambiri amaphatikizidwa ndi mankhwala ena.

Ma antibodies a monoclonal

Ma antibodies a monoclonal ndi mankhwala omwe amalimbana ndi zotupa ndikuthandizira ma chitetezo amthupi anu kulimbana ndi khansa. Rituximab (Rituxan) ndi antioclonal antibody yomwe imagwiritsidwa ntchito kwambiri pochiza follicular lymphoma. Nthawi zambiri amaperekedwa ngati kulowetsedwa kwa IV kuofesi ya dokotala ndipo amagwiritsidwa ntchito limodzi ndi chemotherapy.

Kuphatikiza komwe kumaphatikizapo:

• r-bendamustine (rituximab ndi bendamustine)
• R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, ndi prednisone)
• R-CVP (rituximab, cyclophosphamide, vincristine, ndi prednisone)

Chithandizo cha radioimmunotherapy

Radioimmunotherapy imaphatikizapo kugwiritsa ntchito mankhwala yttrium-90 ibritumomab tiuxetan (Zevalin) kupereka ma radiation kumaselo a khansa.

Kupanga khungu la tsinde

Nthawi zina amagwiritsidwa ntchito popanga ma cell a follicular lymphoma, makamaka ngati khansa yanu ibwerera. Njirayi imaphatikizapo kulowetsa maselo amtundu wathanzi mthupi lanu kuti m'malo mwa mafupa omwe ali ndi matenda.

Pali mitundu iwiri ya maselo osunthika:

• Kuika Autologous. Njirayi imagwiritsa ntchito maselo anu am'mimba pochizira khansa yanu.
• Kuika Allogeneic. Njirayi imagwiritsa ntchito maselo amtundu wathanzi kuchokera kwa wopereka.

Zovuta

Lymphoma yomwe ikukula pang'onopang'ono, monga follicular lymphoma, imasanduka mawonekedwe omwe akukula mwachangu, amadziwika kuti lymphoma yosandulika. Kusintha kwa lymphoma nthawi zambiri kumakhala koopsa ndipo kumafuna chithandizo chovuta kwambiri.

Matenda ena am'mimba amtunduwu amatha kukhala mtundu wamatenda wofulumira wotchedwa B-cell lymphoma.

Kuchira

Pambuyo pochiritsidwa bwino, anthu ambiri omwe ali ndi follicular lymphoma adzakhululukidwa. Ngakhale kuti kukhululukiraku kumatha zaka, follicular lymphoma imawerengedwa kuti ndi yamoyo wonse.

Khansara iyi imatha kubwerera, ndipo nthawi zina, anthu omwe amabwerera m'mbuyo samayankha chithandizo.

Chiwonetsero

Chithandizo cha follicular lymphoma chimagwiritsidwa ntchito kuteteza matendawa m'malo mochiritsa vutoli. Khansara iyi imatha kusamalidwa bwino kwazaka zambiri.

Madokotala apanga Follicular Lymphoma International Prognostic Index (FLIPI) kuti athandizire kufotokozera za khansa yamtunduwu. Njirayi imathandizira kugawa follicular lymphoma m'magulu atatu:

• chiopsezo chochepa
• chiopsezo chapakatikati
• chiopsezo chachikulu

Chiwopsezo chanu chimawerengedwa kutengera "zoneneratu" zanu, zomwe zimaphatikizapo zinthu monga zaka, gawo la khansa yanu, komanso kuchuluka kwa ma lymph node.

Kuchuluka kwa zaka zisanu kwa anthu omwe ali ndi follicular lymphoma omwe ali pachiwopsezo chochepa (alibe kapena chimodzi chokha chodziwikiratu) ndi pafupifupi 91%. Kwa iwo omwe ali pachiwopsezo chapakatikati (zinthu ziwiri zosazindikira), kupulumuka kwa zaka zisanu ndi 78 peresenti. Ngati muli pachiwopsezo chachikulu (zinthu zitatu kapena kupitilira apo), zaka zisanu zapulumuka ndi 53 peresenti.

Ziwerengero za opulumuka zimatha kupereka chidziwitso chofunikira, koma ndizowerengera zokha ndipo sizinganeneratu zomwe zidzachitike munthawi yanu. Lankhulani ndi dokotala wanu za momwe mukuonera komanso njira zamankhwala zomwe zikugwirizana ndi vuto lanu.