Kulephera kwa zizindikiro kumapangitsa kuti matendawa asakhale ovuta
Lymphoma ndi mtundu wa khansa yomwe imakhudza mtundu wa selo loyera la magazi lotchedwa lymphocyte . Mofanana ndi mitundu yonse ya khansara, lymphoma imaphatikizapo kukula kwa maselo osadziwika. Pankhaniyi, ma lymphocytes omwe amayamba kukula ndikuyamba kuchulukana, kupeŵa njira yolumikiza maselo (apoptosis) yomwe imalola maselo atsopano kuti asinthe maselo akale.
Popeza kuti maselo a khansa amatha kufalitsa mwazi, amatha kupanga mapuloteni m'magulu ena a mitsempha yam'mimba, makamaka amphine, thymus, tonsils, ndi adenoids.
Mafupa amatha kukhala m'madera ena a thupi, chifukwa minofu ya lymphoid ikhoza kupezeka thupi lonse. Motero, 40 peresenti ya maymphmia amapezeka kunja kwa thupi la mimba, nthaŵi zambiri m'matumbo. Chimodzi mwa mawonetseredwe ndi colorectal lymphoma.
Kumvetsetsa Colorectal Lymphoma
Mankhwalawa amathandiza kuti 15 mpaka 20 peresenti ya m'mimba azimimba (poyerekeza ndi 50 mpaka 60 peresenti m'mimba komanso 20 mpaka 30 peresenti m'mimba yaing'ono). Chomwe chimasiyanitsa m'mimba mitsempha ya m'mimba ndi zosiyana siyana nthawi zonse kusakhala ndi zizindikilo.
Zitsanzo zikuphatikizapo:
- Kuperewera kwa mitsempha yowonjezereka kuunika.
- Kuperewera kwa maselo amphamvu a X-ray.
- Kuperewera kwa maselo osapitirira malire a mitsempha kapena fupa la mafupa.
- Kuperewera kwa nthendayi kapena chiwindi.
Zina kapena zinthu zonsezi ziyenera kuyembekezedwa mu "classic" case of lymphoma.
Osati choncho ndi m'mimba m'mimba.
Zizindikiro ndi Kuzindikira
Mankhwalawa amapezeka kwambiri kwa anthu oposa 50, komanso omwe ali ndi matenda opatsirana kwambiri (IBD) , komanso anthu omwe ali ndi ziwalo zolimbitsa thupi. Ambiri amaphatikizapo mtundu wa lymphoma wotchedwa non-Hodgkin lymphoma (NHL).
Zizindikiro kawirikawiri zimachitika pokhapokha atapanga chotupa, panthawi yomwe munthu akhoza kukhala ndi zizindikiro monga:
- Kupweteka m'mimba.
- Kulemera kosayembekezeka kwaposa 5 peresenti.
- Kuchepetsa m'mimba magazi ndi / kapena magazi.
Mosiyana ndi zina za khansa zokhudzana ndi colon kapena rectum, palibe kawirikawiri kutsekedwa kwa mimba kapena kupweteka kwa matumbo kuchokera pamene chotupacho chidzakhululukidwa komanso chofewa. Mafupa ambiri amitundu yosiyanasiyana amadziwika pogwiritsira ntchito makina opanga ma CD (CT) kapena ma studio awiri a barium ndi X.
Chifukwa cha kufotokozera kwa zizindikiro, theka la mitundu yonse yambiri ya ma lymphomas imapezeka pa stage 4 matenda, pamene khansara ikhoza kufalikira kwa ziwalo zina. Ziphuphu zomwe zagonjetsedwa ndizovuta kwambiri kuchiza.
Chithandizo
Chithandizo cha colorectal lymphoma ndi chimodzimodzi ndi maonekedwe ena onse a NHL. Malingana ndi sitepe ya khansa, ikhoza kuphatikizapo:
- Chemotherapy imatumizidwa ngati zotupa m'mitsempha.
- Radiotherapy amaletsa kupanga mapangidwe atsopano (ngakhale mankhwalawa akukhudzana ndi mavuto aakulu).
- Kuchita opaleshoni kuchotsa chotupa chachikulu (ngati khansara siidakalipo).
Nthaŵi zambiri, ntchito yogwiritsira ntchito opaleshoni resection mankhwala ndi chemotherapy idzagwiritsidwa ntchito. Kugwirizanitsa ntchito kumaphatikizapo kuchotsedwa kwa gawo la coloni ndi khansara, mapeto ake omwe amakhalanso ogwirizana ndi sutures.
Pogwiritsidwa ntchito palimodzi, opaleshoni ndi chemotherapy zasonyezedwa kuti ziwonjezere nthawi zopuma ndi kulikonse kuyambira miyezi 36 mpaka 53. Zikakhala kuti metastasis yakhudza chiwalo chimodzi (mosiyana ndi ziwalo zambiri), chizoloŵezicho chachititsa 83 peresenti ya odwala amakhala zaka khumi kapena kuposerapo.
Ndi opaleshoni yokha, maola ochulukirapo amakhala ochulukirapo (74 peresenti), omwe amatha kufa chifukwa cha matenda omwe amwazika. Momwemonso, mankhwala a chemotherapy amaonedwa kuti ndi ofunikira kuti awonetsetse kuti nthawi yayitali. Popanda izo, kubwereza kumachitika makamaka mkati mwa zaka zisanu.
> Chitsime
- > Quayle, F., ndi Lowney, J. "Colorectal Lymphoma." Chipatala cha Clinol Chikulire Chokwanira. 2006; 19 (2): 49-53.