Mankhwala opatsirana khansa ndi majekeseni, kapena zotsatira zake, amadalira mbali imodzi pa nthenda ya matenda anu. Kawirikawiri, ma stage ndi ndondomeko yothetsera matenda a munthu m'magulu, kapena magawo, omwe amadalira momwe matendawa afalikira komanso kuchuluka kwa matenda omwe ali ndi khansa kumayikidwa kale mu thupi panthawi yowunikira ndi kukonza mankhwala.
Malingana ndi American Cancer Society, madokotala angasankhe njira zosiyanasiyana kuti atenge chitsanzo cha minofu, kapena biopsy, kuti ayesedwe ndi kufufuza kwakukulu. Njira izi zimaphatikizapo njira zosiyana zogwiritsira ntchito maselo amphamvu, mafupa, kapena ziwalo.
Kawirikawiri, zotsatira za zojambula zojambula monga PET / CT zojambula ndizofunikira kwambiri pozindikira siteji ya lymphoma. Pamene PET / CT ikupezeka, imagwiritsidwa ntchito popanga. Mapulogalamu a PET / CT amagwirizanitsa CT ndi PET, kapena positron emission tomography, kuti apeze momwe khansara yafalikira komanso momwe ilili lalikulu.
Kodi Gawo Limakuuzani Chiyani?
Gawo la lymphoma lingathandizenso kudziwa njira zomwe munthu angapangire mankhwala, koma kuika patsogolo n'kofunika kwambiri kwa mitundu ina ya lymphoma kusiyana ndi ena. Mwachitsanzo, pa mitundu yambiri ya anthu omwe si a Hodgkin lymphoma (NHL), gawo lachiwiri kapena lachiwiri lachilombo losagwiritsidwa ntchito poyendetsa magazi limaonedwa ngati lochepa pamene gawo lachitatu kapena lachinayi likuyendera, ndipo chithandizo chikuyenera kulandiridwa; ndipo, chifukwa cha ma lymphomas a bulky awiri, omwe amagwiritsidwa ntchito pothandizira kudziwa ngati mankhwala a lymphoma ayenera kukhala ochepa kapena apamwamba.
Kwa mitundu ina ya NHL, lymphoma yomwe ikukula mofulumira monga Burkitt lymphoma, mwachitsanzo, siteji si yofunikira pakusankha chithandizo.
Kodi malo a Lugano ndi ati?
Ndondomeko yamakono ya NHL kwa anthu akuluakulu ndi mndandanda wa Lugano, womwe umachokera ku dongosolo lakale la Ann Arbor.
Pali magawo anai akuluakulu, pamodzi ndi zolemba ndi kusintha.
Gawo I
Matendawa ali m'magulu amodzi okha, kapena, kawirikawiri, mu chiwalo chimodzi chomwe sichiri cha lymph system.
Gawo II
Khansara imapezeka m'magulu awiri kapena ambiri a ma lymph nodes pambali imodzi ya thupi pokhudzana ndi chithunzithunzi. (Chifuwa ndi minofu yopyapyala m'munsi mwa mapapo omwe amathandiza kupuma ndi kulekanitsa chifuwa chanu pamimba). Kuonjezerapo, limba lopanda lymph lingakhale lophatikizapo pafupi ndi zigawo zomwe zimakhudzidwa.
Gawo III
Matendawa ali m'magulu a mitsempha kumbali zonse ziwiri za phokoso, nthawi zina ndi ziwalo zina zapafupi. Ngati nthendayi ikuphatikizidwa ndiye kuti matendawa amayamba gawo lachitatu.
Gawo IV
Ngati chiwindi, mafupa , kapena mapapo amayamba kugwira ntchito, matendawa ali pa stage IV. N'chimodzimodzinso ngati ziwalo zina zimaphatikizapo kutali ndi zigawo zina.
Kodi Letters A ndi B Akuyimira Chiyani?
Nthawi zambiri mumapeza malembo ena omwe amagwiritsidwa ntchito pa siteji pofotokoza za lymphoma. Zopindulitsa kwambiri ndi A ndi B. Kawirikawiri, odwala angakhale ndi malungo, kulemera kwake, kapena kutengeka kwambiri usiku monga zizindikiro. Ngati chimodzi mwa zizindikirozi (zotchedwa 'B' zizindikiro) zilipo, 'B' akuwonjezeredwa ku kufotokoza kwawo.
Ngati palibe zizindikiro izi zilipo, 'A' akuwonjezeredwa. Anthu omwe ali ndi zizindikiro za B, nthawi zina amakhala ndi zotsatira zoipa kuposa iwo omwe sali; Komabe, kukhalapo kwa zizindikiro za B kungakhale kwawonjezeka kapena kunachepetsanso tanthauzo lachipatala, malingana ndi mtundu wa lymphoma.
Ndipo Ndi E ndi S?
Ngati chiwalo chilichonse chomwe sichiri cha lymph chimakhudzidwa, chimatchulidwa ndi 'E' pambuyo pa siteji. 'E' amatanthauza kugwiritsidwa ntchito kwa thupi. Ngati nthendayi ikukhudzidwa, kalata yofanana ndi 'S'.
Mawu Ochokera
Matenda apakatikati sakhala ndi zotsatira zosauka. Matendawa ndi ofunikira kwambiri, koma odwala ambiri omwe ali ndi lymphoma yapamwamba amachiritsidwa.
Mitundu yambiri ya mtundu wa lymphoma imakhala ndi zotsatira zabwino ndi chithandizo ngakhale pa matenda apamwamba. Kawirikawiri, zinthu zina monga msinkhu wanu kapena kukula kwa matenda anu ndizofunikira kwambiri kuti ziwonongeke. Dokotala wanu ndi munthu woyenerera kuti akutsogolereni za mwayi wanu wopambana chithandizo kapena kulephera.
> Mafotokozedwe:
> American Cancer Society. Zochitika za Non-Hodgkin lymphoma. Chiwongoladzanja. Idafika pa August 28, 2017.
> American Cancer Society. Hodgkin lymphoma magawo. https://www.cancer.org/cancer/hodgkin-lymphoma/detection-diagnosis-staging/staging.html. Idafika pa August 28, 2017.