Kuwoneka paziopsezo ndi zizindikiro zatsimikiziridwa
Musanawerenge zokhudzana ndi zomwe sizinachitike ndi Hodgkin lymphoma , kapena NHL, nkofunika kudziwa kuti pali mitundu yambiri ya NHL.
Zonsezi ndi zizindikiro za maselo oyera a mitsempha yambiri, koma nthawi zambiri, mankhwala a NHL amasiyanasiyana ndi zizindikiro zawo, zimakhala ndi mtundu wa lymphocyte zomwe zimakhudzidwa. Zifukwa zazikulu za NHL ndizosiyana kwambiri malinga ndi NHL subtype yomwe mukukamba.
Izi zinati, asayansi omwe amaphunzira za matenda a mliri kapena machitidwe a lymphoma akupezekanso kulankhula zokhudzana ndi zifukwa zosiyanasiyana zomwe zimayambitsa NHL-mfundo yochotsamo ndi yakuti, ngati chinachake chimatchedwa "chiopsezo cha NHL," kapena "chogwirizana ndi NHL," Izi sizikutanthauza kuti ndizoopsa kwa mitundu yonse ya NHL.
Kulumikiza kwa Microbial
Monga Hodgkin's lymphoma, NHL yakhala ikugwirizana ndi matenda ambiri:
- Vuto la Epstein-Barr, kapena EBV, limagwirizanitsidwa ndi Burkitt lymphoma, yomwe imapezeka kwambiri ku NHL kwa ana ndi achinyamata padziko lonse lapansi.
- Odwala omwe ali ndi kachilombo ka HIV amadziwika kuti ali ndi maimfini amitundu yambiri. Burkitt lymphoma ndipo imafalitsa lalikulu B-cell lymphoma, kapena DLBCL, ndi awiri omwe amapezeka ndi mafupa amphati.
- Pamene Burkitt lymphoma imagwirizanitsidwa ndi kachilombo ka HIV, odwala 30 kapena 50 peresenti ali odwala EBV. Kuyankha kwa chitetezo cha chitetezo cha mthupi ku EBV mwa anthu omwe ali ndi kachilombo ka HIV kumalingalira kuti kumathandiza ku Burkitt lymphoma.
- Matenda a mtundu wa T-cell lymphotropic type-1, kapena HTLV-1, ndi osowa kwambiri ku North America, koma amapezeka ku Japan, Africa ndi Caribbean. HTLV-1 imayambitsa akulu T-cell leukemia-lymphoma, kapena ATL, yomwe ndi NHL ya T-lymphocytes.
- Helicobacter pylori , bacterium yomwe imayambitsidwa ndi zilonda m'mimba, imayambitsanso mankhwala ena omwe si a Hodgkin a m'mimba.
- Matenda a matenda a chiwindi a mtundu wa B ndi maselo amphongo a B-cell omwe si a Hodgkin.
Mmene Mumatetezera Mthupi
Lymphoma ndi khansa ya ma lymphocytes, ndipo ma lymphocytes ndiwo ofunika kwambiri m'thupi la munthu. Zinthu zomwe zimafooketsa chitetezo cha mthupi zingapangitse chiopsezo cha mitundu yambiri ya khansa, kuphatikizapo NHL:
- HIV imafooketsa chitetezo cha mthupi, ndipo pali mgwirizano woonekera pakati pa kuchepa kwa ma CD4 ndi matenda a nHL.
- Odwala omwe amawotchera thupi amafunika kugwiritsa ntchito mankhwala osokoneza bongo. Izi zikuwoneka kuti zikuwonjezera mwayi wa lymphoma.
- Matenda ena omwe amachokera ku chitetezo cha mthupi monga, ataxia telangiectasia ingapangitse ngozi ya lymphoma.
Zamakono ndi Zoonekera
Ndalama zamakono atsopano a NHL anawonjezeka kawiri kuchokera m'ma 1960 mpaka zaka za m'ma 1990, ndikuwatsogolera anthu kudabwa za zomwe zingayambitse. Ndi funso limene lapangitsa kufufuza kwakukulu, kuphatikizapo kufufuza za mankhwala ophera tizilombo.
Mankhwala ophera tizilombo tawonedwa kuti ndi chifukwa cha NHL, koma umboniwo sungagwirizane. Kafukufuku wowerengeka chabe wa mankhwala ophera tizilombo akhala aakulu mokwanira kuti adziwe momwe mungagwiritsire ntchito mgwirizano pakati pa NHL subtypes ndi mankhwala ophera tizilombo.
Kufufuza kwa opulumuka mabomba a atomiki ndi nuclear reactor ngozi zasonyeza kuti ali ndi chiopsezo chowonjezereka chokhazikitsa mitundu ingapo ya malungo , kuphatikizapo sanali Hodgkin lymphoma.
Chithandizo Cham'mbuyo cha Khansa Zina
Anthu omwe alandira mankhwala a chemotherapy kapena mankhwala omwe amawathandiza kuti asamakhale ndi khansa yapitayi amakhala ndi mwayi waukulu kwambiri wopanga lymphoma osati ya Hodgkin.
Zaka ndi Kugonana
Ofufuza akamaphwanya manambala, amapeza mwayi wokhala ndi NHL pamene mukukula. Amakhalanso ofala kwambiri kuposa amuna.
Mawu Ochokera
Mitundu yosiyanasiyana ya NHL ndiyo nthendayi ya maselo oyera a mitsempha yambiri, koma imakhala yosiyana kwambiri ndi momwe matenda amachitira ndi matenda.
Kwa mitundu ina ya NHL, matenda opatsirana pogonana ndi zachilengedwe amayamba kumvetsetsa bwino, ndipo zida zakhala zikupezeka ndi matenda ena ndi mayankho ndi chitetezo cha mthupi.
Zotsatira:
Peveling-Oberhag J, Arcaini L, Hansmann ML, et al. Matenda a chiwindi a mtundu wa B-cell omwe si a Hodgkin. Epidemiology, siginecha ya maselo ndi kayendedwe kachipatala. J Hepatol . 2013; 59 (1): 169-77.
National Cancer Institute. Helicobacter pylori ndi Cancer.
Lymphoma Association (UK). Gastric MALT lymphoma.
Hansson LE, Nyrén O, Hsing AW, et al. Kuopsa kwa khansa ya m'mimba kwa odwala omwe ali ndi mimba kapena zilonda zam'mimba. N Engl J Med. 2006; 335: 242-249.