Zizindikiro za Lymphoma
Zamkati
- Kutopa
- Kutuluka thukuta usiku, kuzizira, ndi malungo
- Kuchepetsa kunenepa kosadziwika
- Ziphuphu ndi kuyabwa
- Kupweteka pachifuwa kapena kupweteka kumbuyo
- Mitundu ya lymphoma
- Komwe kumapezeka
- Zizindikiro mwa ana
- Matendawa
- Chithandizo
- Chiwonetsero
- Q & A: Amuna vs. akazi
- Funso:
- Yankho:
Zizindikiro za lymphoma
Lymphoma itha kukhala yovuta kupeza matendawa atangoyamba kumene. Zizindikiro zoyambirira zitha kukhala zosakhalapo kapena zochepa pang'ono. Zizindikiro za lymphoma sizofanananso kwenikweni. Zizindikiro wamba zimangonyalanyazidwa kapena kunyalanyazidwa mosavuta. Zikuphatikizapo:
- kutopa
- thukuta usiku
- kuzizira
- malungo
- kuonda kosadziwika
- kuyabwa
Kutopa
Kutopa komanso kuchepa kwa mphamvu ndi chidwi zitha kukhala zizindikilo za lymphoma.
Komabe, kutopa kungakhalenso chizindikiro cha kugona mokwanira kapena kusadya bwino. Kutopa kosalekeza ndichinthu chomwe muyenera kukambirana ndi dokotala wanu. Ngakhale sichimayambitsidwa ndi lymphoma, itha kukhala chizindikiro cha vuto lina lomwe likufunika chithandizo.
Akuti pafupifupi aliyense amene ali ndi khansa adzatopa. Amadziwika kuti ndi chizindikiro chodziwika kwambiri cha lymphoma. Kutengera ndi munthuyo, kutopa kumatha kukhala kofatsa kapena koopsa.
Kutuluka thukuta usiku, kuzizira, ndi malungo
Malungo ndimachitidwe achilengedwe ku matenda, koma amathanso kukhala chizindikiro cha advanced lymphoma. Matenda ambiri okhudzana ndi lymphoma amakhala ochepa. Nthawi zambiri amakhala limodzi ndi kuzizira.
Kutuluka thukuta usiku kumatha kuchitika ngati muli ndi malungo mutagona. Thukuta lamphamvu kwambiri lomwe limalumikizidwa ndi lymphoma lingakupangitseni kuti mudzuke ndikulowetsa mapepala onyowa. Kutuluka thukuta kwambiri nthawi zina kumachitikanso masana.
Muyenera kuuza dokotala wanu za malungo osadziwika omwe amabwera ndikupita milungu iwiri, mobwerezabwereza. Amatha kukhala chizindikiro cha lymphoma.
Kuchepetsa kunenepa kosadziwika
Mwadzidzidzi, kuchepa kwa thupi kwanu kosazindikirika kwa 10% kapena kupitilira apo kumatha kukhala chizindikiro cha lymphoma. Monga zizindikiro zina za lymphoma, izi zimatha kuchititsanso matenda ena.
Ndi lymphoma, maselo a khansa amatha kuwotcha mphamvu zambiri za thupi lanu pomwe thupi lanu limayesetsa kulimbana ndi ma cell awa. Izi zimatha kuchepa mwadzidzidzi, makamaka popeza ma lymphomas ambiri amakula msanga.
Muyenera kukambirana ndi dokotala wanu zochulukirapo komanso zosafunikira. Kungakhale chizindikiro cha matenda aakulu. Ngati muchepetsa 5% ya thupi lanu m'mwezi umodzi, kapena 10% mkati mwa miyezi isanu ndi umodzi, pangani nthawi yokaonana ndi dokotala wanu.
Ziphuphu ndi kuyabwa
Lymphoma nthawi zina imatha kuyambitsa ziphuphu. Ziphuphu zimapezeka kwambiri m'matenda am'mimba. Zitha kuwoneka ngati malo ofiira kapena ofiira.
Zotupazi nthawi zambiri zimapezeka m'makola akhungu ndipo zimatha kusokonezeka mosavuta ndi zinthu zina monga chikanga. Amatha kufalikira pamene lymphoma ikupita. Lymphoma amathanso kupanga zotupa kapena zopindika mkati mwa khungu.
Pafupifupi gawo limodzi mwa atatu mwa anthu omwe ali ndi Hodgkin's lymphoma adzamva kuyabwa. Komabe, ndizochepa kwambiri kwa omwe ali ndi non-Hodgkin's lymphoma. Kuyabwa kumatha kuchitika popanda totupa.
Amakhulupirira kuti mankhwala otchedwa cytokines, omwe amatulutsidwa kuti amenyane ndi maselo a khansa, amathandizira kupangitsa khungu kuyabwa. Ngati kuphulika kulikonse sikungathetse pakatha milungu iwiri, muyenera kupita kuchipatala kuti mukawunikenso.
Kupweteka pachifuwa kapena kupweteka kumbuyo
Thymus ndi chiwalo chaching'ono chamakona awiri chomwe chili kuseli kwa sternum wanu komanso pakati pamapapu. Ndi gawo la chitetezo chanu chamthupi. Nthawi zina, lymphoma imakhudza thymus gland, yomwe imatha kupweteka pachifuwa.
Kawirikawiri, lymphoma imakhudza ma lymph node omwe ali kumapeto kwenikweni. Kutupa pamenepo kumatha kukakamiza mitsempha ya msana. Komabe, pali zifukwa zambiri zomwe zimayambitsa kupweteka kwakumbuyo kuposa lymphoma.
Muyenera kulumikizana ndi adotolo za zowawa zilizonse paliponse mthupi lanu.
Mitundu ya lymphoma
Magulu a lymphoma amagwera m'magulu awiri akulu: Hodgkin's lymphoma ndi non-Hodgkin's lymphoma (NHL). Kusiyana m'magulu awiriwa ndi momwe khansa imakhalira, kufalikira, ndikuchiritsidwa.
NHL ndi yofala kwambiri ndipo imapanga 4 peresenti ya khansa yonse ku United States.
Lymphoma imakhudza mwachindunji mitsempha yamagazi, yomwe imaphatikizapo ziwalo zingapo za thupi. Zitha kukhudza ziwalo zosiyanasiyana za thupi zomwe zimakhala ndi minofu yamitsempha, monga:
- ma lymph node ndi zotengera zam'mimba
- khungu
- ndulu
- thymus
- matani
- m'mimba
- m'matumbo
- matumbo aang'ono
- mafupa
- rectum
- adenoid
Komwe kumapezeka
Chizindikiro choyamba chowoneka cha zotheka kukhala ndi lymphoma nthawi zambiri chimakula kwambiri. Ma lymph lymph amatha kukhala achifundo kapena opweteka pakukhudza. Komabe, anthu ambiri samva kuwawa. Ma NHL amatha kuchititsa kutupa kosapweteka.
Ma lymph node amafalitsidwa kwambiri mthupi lonse. Zina ndizakuya, pomwe zina ndizoyandikira kwambiri. Kutupa m'malo opitilira muyeso kumawonekera kwambiri. Izi zimaphatikizapo ma lymph node m'khwapa, khosi, ndi kubuula.
Chotupa pa imodzi mwamasambawa sizitanthauza kuti lymphoma. Matenda otupa am'mimba amayamba chifukwa cha matenda kuposa khansa.
Mwachitsanzo, kutupa kwa ma lymph node a khosi nthawi zambiri kumalumikizidwa ndi matenda am'mero. Ma lymphocyte, kapena maselo oyera amwazi, amadzaza ma node panthawi yopewa matenda.
Kutupa m'malo am'mimba kapena pamimba kumafuna chisamaliro mwachangu. Sizingakhale zokhudzana ndi matenda opatsirana kwakanthawi.
Zizindikiro mwa ana
Lymphoma imawoneka mosiyana mwa ana kuposa momwe amachitira ndi akulu. Zizindikiro zimasiyana kutengera komwe lymphoma ili mthupi.
Zizindikiro zina za lymphoma mwa akulu zimakhudzanso ana. Izi zikuphatikiza:
- ma lymph node otupa kapena otupa, omwe atha kukhala osapweteka
- malungo
- kuonda
- thukuta usiku
- kutopa
Komabe, ana atha kukhala ndi zizindikilo zina, nawonso. Zizindikiro zodziwika bwino za ana omwe ali ndi lymphoma ndi awa:
- mimba yotupa
- kupweteka m'mimba
- Kumva kukhuta mutadya pang'ono
- chifuwa kapena kupuma movutikira
Ngati mwana wanu ali ndi matenda opatsirana pafupipafupi kapena zina mwazizindikirozi, pitani kuchipatala kuti mukayese.
Ngakhale kuti zambiri mwazizindikirozi zimatha kukhala chifukwa cha matenda ena ndi zina, ndikofunikanso kuti mwana wanu akafufuzidwe.
Matendawa
Ngati mukukumana ndi zizindikiro zomwe zimafanana ndi lymphoma, dokotala wanu amayesa mayeso kuti adziwe chomwe chimayambitsa. Ngati muli ndi lymphoma, dokotala wanu adzazindikira kuti ali ndi vutoli ndikuzindikira momwe lakulira.
Amatha kuyesa magazi koyambirira kuti aone zovuta, kuphatikiza kuchuluka kwa maselo ofiira ofiira ndi oyera. Ngati mwawonjezera ma lymph node, amathanso kutenga zitsanzo kapena ma biopsy kuchokera mu lymph node kuti ayang'ane ma cell a khansa.
Ngati dokotala akukayikira kuti lymphoma yafalikira kapena ikhoza kupezeka m'mafupa anu, akhoza kuyitanitsa mafupa. Njirayi imachitika pansi pa oesthesia yakomweko. Mafupa a mafupa amachotsedwa mkati mwa fupa ndi singano yopanda pake.
Dokotala wanu angagwiritsenso ntchito mayesero otsatirawa kuti muwone mkati mwa chifuwa, pamimba, kapena m'chiuno. Izi zikuphatikiza:
- akupanga
- Kujambula kwa CT
- Sakanizani PET
- MRI
Mayeserowa amuthandiza dokotala kuti ayang'ane ma lymph node ndi zotupa zachilendo ndikuwalola kuwunika momwe ziwalo ndi minofu zilili.
Chithandizo
Chithandizo cha lymphoma chimadalira mtundu wa lymphoma womwe muli nawo, komwe umapezeka, komanso kutukuka kwake.
Chemotherapy, immunotherapy, ndi radiation zimagwiritsidwa ntchito kwambiri pochiza mitundu yambiri ya lymphoma. Mankhwalawa amangoyang'ana kupha ma cell a khansa ndikuchepetsa kukula kwa zotupa.
Nthawi zina, kupatsira fupa la mafupa kumatha kugwiritsidwa ntchito m'malo mwa mafupa omwe ali ndi matendawa kuti thupi lithe kupanga maselo amwazi omwe amafunikira.
Nthawi zambiri, dokotala angakulimbikitseni kuchitidwa opaleshoni. Kuchita opaleshoni kumakhala kofala kwambiri ngati lymphoma isafalikire ndikuyamba m'thupi monga ndulu, m'mimba, kapena chithokomiro.
Chiwonetsero
Maganizo anu amatengera mtundu wa lymphoma womwe muli nawo komanso kutukuka kwanu panthawi yodziwitsa. Zinthu zina, monga zaka, zimathandizanso kuti anthu aziona bwino zinthu. Anthu ochepera zaka 60 amakhala ndi moyo wabwino, mwachitsanzo.
Kuchuluka kwa zaka 5 zapakati pa NHL ndi 71%. Komabe, zambiri zimadaliranso thanzi lanu lonse, mtundu ndi gawo la khansa, komanso momwe mungayankhire.
Q & A: Amuna vs. akazi
Funso:
Kodi lymphoma imasiyana pakati pa abambo ndi amai?
Yankho:
NHL, mtundu wodziwika kwambiri wa lymphoma, umakonda kwambiri amuna, koma akazi amachita bwino.
Zizindikiro zoyambirira monga kutopa, thukuta usiku, ndi ma lymph node owonjezera ali ofanana mwa amuna ndi akazi. Kunja kwa ma lymph system, m'mimba, m'mutu ndi m'khosi, ndi khungu ndi malo ofala kwambiri mwa amuna kapena akazi okhaokha. Komabe, ma lymphomas okhudzana ndi mawere, chithokomiro, ndi makina opumira amapezeka kwambiri mwa amayi. Lymphoma ya m'mawere mwa amayi ndi lymphoma ya testes mwa amuna ndizosowa kwambiri ndipo imangokhala 1-2% ya milandu yonse ya NHL.
Pankhani yothandizira lymphoma, amayi amawoneka kuti ali ndi zotsatira zabwino kuposa amuna. M'malo mwake, kupatula khansa ya chikhodzodzo, azimayi amachita bwino kuchipatala komanso kupulumuka kwa khansa yonse yodziwika bwino. Izi ndizowona makamaka kwa amayi ochepera zaka 55. Kusiyana kwamaganizidwe pakati pa azimayi ndi abambo omwe ali ndi khansa, kuphatikiza lymphoma, sikumveka bwino. pamutuwu.
Judith Marcin, MDA Answers akuyimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.