Kodi Ndalama ya CNS Lymphoma ndi Yotani Kusiyana Kwina ndi Mafupa Ena?
Kodi chofunika kwambiri ndi chiyani? Kodi zizindikiro ndi zifukwa zotani, nanga zimapezeka bwanji?
Maziko a CNS Lymphoma - Tanthauzo
Makhalidwe akuluakulu CNS Lymphoma ndi kawirikawiri mtundu wa Non-Hodgkin lymphoma (NHL) umene umakhudza ubongo wokha. Izi zingaphatikizepo ubongo wokha, meninges (nembanemba yomwe imayendera ubongo,) chingwe cha msana, kapena maso. Mitundu ina ya lymphoma ikhoza kufalikira ku ubongo pambuyo poyambitsa ziwalo zina za thupi ngati minofu.
Komabe, pachimake CNS lymphoma palibe thupi lina lomwe limakhudzidwa.
Ndani Amapeza Chithandizo Chapadera CNS Lymphoma?
Maphunziro akuluakulu a CNS amachititsa kuti anthu ambiri azitha zaka makumi asanu ndi limodzi komanso makumi asanu ndi limodzi, ngakhale kuti angathe kuchitika pa msinkhu uliwonse. Zimakhala zofala kwambiri kwa anthu omwe amadwala chitetezo cha thupi, monga AIDS. Onani nkhani ya Primary Primary CNS Lymphoma ndi HIV / Edzi ngati mukulimbana ndi matenda apamtima a CNS kuphatikizapo matenda a Edzi, popeza mankhwala ndi zizindikiro zimasiyana kwambiri. M'madera ambiri a dziko lapansi, chiwerengero cha odwala omwe ali ndi Hodgkin lymphoma chawonjezeka mochulukitsa kuyambira kumapeto kwa zaka zapitazo, chifukwa chake siziri bwino.
Zizindikiro Zochenjeza
Pafupifupi anthu onse omwe ali ndi masewera olimbitsa thupi a CNS ali ndi nkhanza za NHL. Zizindikiro zowonjezereka zowonjezera zimaphatikizapo kupweteka kwa mutu komanso kusintha kwa umunthu ndi kusamala. Zizindikilo zina zimaphatikizapo kunyoza ndi kusanza, kusintha kwa maonekedwe, kufooka kapena kufooka, kusintha kwa mawu, kapena kukumbukira kukumbukira.
Zizindikiro zimakula mofulumira, ndipo ambiri amafuna kuti awone dokotala mkati mwa masabata angapo kuti ayambe zizindikiro.
Mayeso ndi Kuzindikira
CT ndi MR akufufuza nthawi zambiri amatha kudziŵa kuti chotupa cha ubongo ndi lymphoma. Opaleshoni ya ubongo ayenera kutenga kachilombo kakang'ono kuchokera ku chotupa kuti awonetse ngati lymphoma. Izi zimachitika mwa njira yomwe imatchedwa stereotactic biopsy.
Kuchotsedwa kwathunthu kwa chotupa sikofunikira. Kufufuza kwa cerebrospinal fluid (CSF) kumachitidwa pochotsa madzi pang'ono mumsana wako pamsana ( pamphepete mwa msana kapena kupopera kwa mimba .) Mayesero amachitidwa kuti athetse matenda m'thupi lina lililonse, kuphatikizapo mafupa amatha kupweteka, ndipo mwinamwake CT amawoneka pachifuwa, mimba, ndi pakhosi. Pomwepo akhoza kutchedwa kuti primary CNS lymphoma.
Kuchiza kwa Primary Primary CNS Lymphoma
Kuchiza kwapadera kwa CNS lymphoma kuli kosiyana ndi mitundu ina ya lymphoma. Izi ndizo chifukwa mankhwala ochepa kwambiri omwe ali othandiza mu mitundu ina ya lymphoma akhoza kufika ku ubongo. Maselo amodzi omwe amadziwika kuti vuto la ubongo wamagazi amatanthauza kuteteza ubongo ku poizoni, komanso "kuteteza" ubongo ku mankhwala monga chemotherapy.
Zaka makumi angapo zapitazo, radiotherapy ku ubongo wonse ndiye mankhwala okhawo. Tsopano, chemotherapy ndi mankhwala osokoneza bongo amatha kuonetsetsa kuti matendawa ndi abwino komanso amatha kuthana ndi mavuto amene anakumana nawo poyamba chifukwa chosowa kulowa m'magazi.
Kuphatikiza pa mankhwala a chemotherapy ndi mankhwala a radiation, mayesero am'chipatala akupeza zotsatira zolimbikitsa ndi kuwonongeka kwa magazi m'magazi, kuphatikizapo mankhwala opatsirana (monoclonal antibody therapy makamaka.)
Onani nkhani yonse pa Primary Primary CNS Lymphoma Treatmentto phunzirani za mankhwala mozama kwambiri.
Zotsatira ndi Kugonjetsa
Musanayambe kupititsa patsogolo mankhwala omwe amatha kufika ku ubongo, zotsatira za chithandizo chapadera za CNS zimakhala zosauka. Kupulumuka popanda mankhwala kunali kwa miyezi isanu kapena itatu yokha. Zotsatira zapita patsogolo kwambiri pazaka makumi angapo zapitazi, ndipo mankhwala atsopano akuphunzira mwakhama m'mayesero a zachipatala. Odwala ena akhoza kuchiritsidwa tsopano, ndipo ena ambiri akhoza kukhala ndi moyo nthawi yaitali kuposa kale.
Thandizo
Ngati mwapezeka kuti muli ndi mtundu uwu wa lymphoma, musayese kupita nokha.
Yesetsani kuthandizira pakati pa abale ndi abwenzi anu. Mutha kukhala ndi gulu lothandizira kumudzi wanu, koma ngati mukufuna kulumikizana ndi ena omwe akukumana ndi matenda omwewo, mumakhala gulu labwino la lymphoma pa Intaneti ndi anthu ena ambiri omwe akulimbana ndi matenda a CNS. Ndithudi pali zotsatira za mankhwala, ndi anthu ena omwe akukumana ndi mavuto ndi kuganiza ndi kukumbukira , koma palinso njira zambiri zogwirira ntchito ndi zizindikirozi kuti mutha kuwatsogolera ngati moyo wamba. Tengani nthawi pang'ono kuti muyang'ane mayesero a kachipatala, kapena kambiranani ndi adokotala za zatsopano zomwe mungapeze.
Zotsatira:
Batchelor, T. Treatment ndi kufotokozera kwapakati papakatikati mitsempha ya mitsempha yotchedwa lymphoma. Zaposachedwa. Kusinthidwa 11/15/15. http://www.uptodate.com/contents/treatment-and-prognosis-of-primary-central-nervous-system-lymphoma
National Cancer Institute. Maphunziro a CNS Lymphoma Mankhwala - a zachipatala (PDQ). Kusinthidwa 04/02/15. http://www.cancer.gov/types/lymphoma/hp/primary-cns-lymphoma-treatment-pdq#section/_1