Kodi Mtundu Wopanda Hodgkin Lymphoma ndi DLBCL?
Kufalitsa kwambiri B-cell lymphoma ndi mtundu wofala kwambiri wa anthu omwe si a Hodgkin's lymphoma (NHL) Ndilo lymphoma ya ma lymphocyte B, kapena "maselo B. "
Khansa Zachiwawa
DLBCL ndi khansa yaukali. Nthawi zina amatchedwa "masewera apamwamba" kapena "mapiritsi apakatikati" kusiyana ndi maselo amphamvu omwe amakula mofulumira. Izi zikutanthauza kuti akhoza kukula mofulumira ndikufalikira mofulumira kumalo ena a thupi.
Mchitidwe wamanthawu ukhoza kuwoneka woopsya mpaka mutaganizira momwe timachitira khansa. Mankhwala monga chemotherapy amawononga maselo owonjezereka. Kotero mu nthawi ino pamene tili ndi mankhwala, munthu nthawi zambiri amakhala "ochiritsidwa" kuchokera ku kalasi yapamwamba lymphoma kuposa kuchokera ku kalasi yochepa ya lymphoma. Anthu pafupifupi 70% omwe amachiritsidwa ku DLBCL adzachiritsidwa ku matenda awo.
Maonekedwe
Maselo a B a DLBCL ndi aakulu, ndipo amawoneka mosiyana kwambiri ndi maselo a B. Pamene maselo am'mimba amatha kukhalapo, maselowa ali pamtundu wonse wa mitsempha - mumagawidwe ofala omwe amachititsa dzina lake.
Amene Amalandira
Kuphwanya lalikulu B-cell lymphoma kumakhudza kwambiri anthu opitirira 50, ngakhale anthu a msinkhu uliwonse angachipeze. Amuna omwe ali ndi zaka zowunikira matendawa ndi 64. Ndizofala kwambiri kwa amuna kuposa akazi. DLBCL, mosiyana ndi mafilimu ena, samaoneka kuti amayendetsa mabanja.
Zizindikiro
DLBCL imapezeka kawirikawiri pamene wina akulemba lymph node yowonjezereka, pamutu mwawo kapena kubuula.
Anthu ena akhoza kukhala ndi zomwe zimatchedwa B zizindikiro za lymphoma zomwe zimaphatikizapo malungo komanso kutsekemera usiku.
Kodi DLBCL Zimakhudza Bwanji Thupi?
Pafupifupi 2/3 mwa anthu omwe afalitsa kwambiri B-cell lymphoma adakali ndi matenda pa nthawi ya matenda, ndipo amapita ku ziwalo zosiyanasiyana za thupi. Pafupifupi theka la odwala, matendawa amakhudza ziwalo za thupi kunja kwa maselo a m'mimba, monga m'mimba ( yotchedwa extranodal disease ).
Mafupa amakhudzidwa ndi odwala 10-20%.
Kudziwa
Kupezeka kwa lymphoma kumachitika kawirikawiri ndi maselo a minofu . Matendawa amatsimikiziridwa ngati lymphoma, ndipo mtundu wa lymphoma umatsimikiziridwa mwa kuyang'ana maselo ake pansi pa microscope ndi mayesero apadera otchedwa CD zikalata . Odwala atsopano omwe amawapeza amafunika kuyesedwa kuti aone momwe matendawa amakhudzira thupi.
Chithandizo
Chithandizo chimadalira siteji ya lymphoma ndipo ingaphatikizepo izi:
Chemotherapy ndi monoclonal antibody therapy - Pafupifupi odwala onse amalandira mankhwala a chemotherapy. Ulamuliro wofala kwambiri ndi R-CHOP kapena CHOP kwa miyezi 6-8. Mankhwalawa mu R-CHOP ndi awa:
- Rituxan (rituximab) - Rituxan ndi antioclonal antibody . Matupi athu amapanga tizilombo toyambitsa matenda omwe amabweretsa mabakiteriya ndi mavairasi omwe alowa m'matupi athu. Rituxan kwenikweni ndi mankhwala opangidwa ndi anthu, omwe m'malo momenyera mabakiteriya ndi mavairasi, amayambitsa maselo a khansa m'malo mwake.
- Cytoxan (cyclophosphamide)
- Adriamycin (doxorubicin)
- Oncovin (vincristine)
- Prednisone
Mizunguzi kawirikawiri imachitika masabata atatu aliwonse kwa maulendo asanu ndi atatu.
Mafunde - Mankhwala othandizira ma ARV angaphatikizidwe monga gawo la chithandizo kwa omwe ali ndi magawo oyambirira a DLBCL. Mafilimu amtunduwu amawunikira kumadera omwe kansalu imayambitsa.
Kubwereza kapena Kupitiriza DLBCL
Ambiri mwa anthu adzachiritsidwa ndi mankhwala oopsa a chemotherapy. Anthu omwe sanachiritsidwe kapena omwe amachiritsidwa ndi matenda awo ali ndi njira zowonjezeramo mankhwala othandizira mankhwala, antibody therapy ndi kusuntha maselo.
Kuthamangitsani
Kuvomereza kwa DLBCL kumadalira pa zinthu zingapo kuphatikizapo zaka ndi siteji ya matenda. Zinthuzi zikufotokozedwa mu gawo pazinthu zowonetsera za Non-Hodgkin Lymphoma (NHL) .
Kulimbana ndi Kuthandizidwa
Ngakhale kuti DLBCL imakhala ndi chidziwitso chabwino - poti ma lymphomas amapita - ndizoopsa kuti apeze khansa. Pitani kwa achibale ndi abwenzi.
Fufuzani ndi kuphunzira za matenda anu popeza zambiri zowona. Ganizirani kulowetsa gulu lothandizira m'deralo kapena fufuzani madera othandizira a DLBCL pa intaneti. Ndipo kumbukirani kuti mankhwala opatsirana khansa akupitirizabe kusintha - potsata njira zomwe zimapangitsa kuti anthu azikhala ndi moyo wathanzi, komanso zomwe zimapangitsa kuti zikhale zochepa.
Zotsatira:
Freedman, A., ndi J. Friedberg. Chidziwitso cha odwala: Kufalitsa zazikulu B cell lymphoma kwa anthu akuluakulu (Beyond the Basics), UpToDate. Kusinthidwa 06/30/15. http://www.uptodate.com/contents/diffuse-large-b-cell-lymphoma-in-adults-beyond-the-basics