Non-Hodgkin's lymphoma: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro za non-Hodgkin's lymphoma
• Momwe matendawa amapangidwira
• Chithandizo cha non-Hodgkin's lymphoma
• Matendawa ngati si a Hodgkin's lymphoma

Non-Hodgkin's lymphoma ndi mtundu wa khansa yomwe imakhudza ma lymph node, kulimbikitsa kuchuluka kwawo, ndipo imakhudza kwambiri maselo amtundu wa B. Zizindikiro za matendawa zimawoneka ngati chitetezo chamthupi chimayamba kuchepa, ndikuwoneka kwa zizindikilo monga thukuta usiku, malungo ndi khungu loyabwa, mwachitsanzo, komabe pakhoza kukhala zizindikilo zina kutengera komwe khansara ikukula.

Ndikofunika kuti mtundu wa lymphoma uzindikiridwe koyambirira, chifukwa ndizotheka kuteteza chotupacho kuti chikhale ndi mwayi waukulu wochiritsidwa. Chithandizo chikuyenera kutsogozedwa ndi oncologist, chomwe chingachitike kudzera mu radiotherapy, chemotherapy kapena kugwiritsa ntchito mankhwala osokoneza bongo.

Zizindikiro za non-Hodgkin's lymphoma

Nthawi zambiri, lymphoma siyimayambitsa mtundu uliwonse wazizindikiro, imangodziwika pamagulu otsogola kwambiri chifukwa cha kusintha kwa mafupa, komwe kumalepheretsa kupanga maselo athanzi lamagazi. Kuphatikiza apo, zizindikiro za non-Hodgkin's lymphoma zimatha kusiyanasiyana kutengera komwe kumayamba m'thupi. Chifukwa chake, kwakukulu, zizindikilo zazikulu zokhudzana ndi non-Hodgkin's lymphoma ndi izi:

Kuchuluka kwa ma lymph node, omwe amadziwikanso kuti lingua, makamaka m'khosi, kuseri kwamakutu, kukhwapa ndi kubuula;

• Kusowa magazi;
• Kutopa kwambiri;
• Malungo;
• Kusowa mphamvu yochitira zochitika za tsiku ndi tsiku;
• Thukuta usiku;
• Nseru ndi kusanza;
• Khungu loyabwa;
• Kutupa kumaso kapena thupi;
• Kuchepetsa thupi popanda chifukwa chomveka;
• Kutuluka magazi kosavuta;
• Kuwonekera kwa mikwingwirima pa thupi;
• Kupweteka ndi m'mimba;
• Kumva m'mimba mokwanira mutadya chakudya chochepa.

Ndikofunikira kuti munthuyo akaonane ndi dokotala nthawi zonse akangowona kuwonekera kwa zilonda, makamaka ngati zikuphatikizidwa ndi zizindikilo zina, chifukwa ndizotheka kuti atha kuyesa zomwe zingatsimikizire kuti ali ndi matendawa, motero, kuyambitsa kwambiri chithandizo choyenera, cholimbikitsa moyo wabwino.

Momwe matendawa amapangidwira

Kuzindikira kwa non-Hodgkin's lymphoma kuyenera kupangidwa koyambirira ndi dokotala kenako wodwala oncologist pofufuza zomwe zimaperekedwa ndi munthuyo ndikuwunika mbiri ya munthuyo. Kuphatikiza apo, kutsimikizira kuti ali ndi matendawa, tikulimbikitsidwanso kuti tikayezetse magazi, ma biopsies, kuyerekezera kujambula, monga tomography, kuyezetsa matenda opatsirana pogonana, monga HIV ndi hepatitis B, ndi myelogram.

Kuyezetsa kumeneku kumatsimikizira kukhalapo kwa matendawa ndikuzindikira mtundu wa chotupa ndi gawo lake, zomwe ndizofunikira posankha chithandizo.

Chithandizo cha non-Hodgkin's lymphoma

Kuchiza kwa non-Hodgkin's lymphoma kuyenera kuchitidwa molingana ndi malangizo a oncologist ndipo amasiyanasiyana kutengera mtundu ndi gawo la lymphoma, ndikuchita opareshoni ndikugwiritsa ntchito mankhwala omwe amachepetsa kuchuluka kwa chotupacho, zomwe zimapangitsa kuti maselo amwazi apangike komanso kusintha kwa munthu moyo wabwino.

Chifukwa chake, chithandizo cha mtundu uwu wa lymphoma chimapangidwa ndi kuphatikiza chemotherapy, radiotherapy ndi immunotherapy, momwe kugwiritsa ntchito mankhwala omwe amagwira ntchito ndi cholinga choletsa kuchuluka kwa maselo a khansa, kulimbikitsa kuchotsa chotupacho ndikuwonjezera kupanga maselo oteteza thupi.

Gawo la chemotherapy limatha pafupifupi maola 4, pomwe munthu amalandira mankhwala am'kamwa ndi jakisoni, komabe, ngati non-Hodgkin's lymphoma ndi yayikulu kwambiri, itha kuphatikizidwanso ndi magawo a radiotherapy patsamba la lymphoma kuti alimbikitse kuchotsa chotupa. Chemo ndi radiotherapy zimatha kuyambitsa zovuta zina monga mseru komanso kutayika tsitsi.

Kuphatikiza pa chithandizo chomwe a oncologist akuwonetsa, ndikofunikira kuti munthuyo azikhala ndi moyo wathanzi, azichita masewera olimbitsa thupi pafupipafupi ndikukhala ndi zakudya zopatsa thanzi, zomwe ziyenera kutsogozedwa ndi katswiri wazakudya.

Matendawa ngati si a Hodgkin's lymphoma

Zomwe zimachitika ngati si Hodgkin's lymphoma ndizodziwika bwino, chifukwa zimatengera zinthu zingapo monga mtundu wa chotupa chomwe munthuyo ali nacho, gawo lake, thanzi la munthu, mtundu wa chithandizo chomwe chachitika ndi pamene idayambitsidwa.

Kuchuluka kwamatenda amtunduwu ndikokwera koma kumasiyana malinga ndi:

• Zaka: wamkulu munthuyo, amakulanso mwayi woti asachiritsidwe;
• Chotupa voliyumu: pamene oposa 10 cm, poipa mwayi wa mankhwala.

Chifukwa chake, anthu azaka zopitilira 60, omwe ali ndi zotupa zopitilira masentimita 10 sachira ndipo atha kumwalira pafupifupi zaka 5.