Kumvetsetsa Kusiyanasiyana mu Afrika (Mwakuya) ndi Lymphoma ya Burkitt yosawerengeka
Kodi Burkitt's lymphoma ndi chiyani, ndipo zimatani?
Mwachidule
Burkitt's lymphoma (kapena Burkitt Lymphoma) ndi mtundu wosadziwika wa Non-Hodgkin Lymphoma (NHL) . Burkitt's lymphoma imakhudza ana. Ndi mtundu wa B-cell lymphoma womwe umayamba nthawi zambiri ndipo umaphatikizapo ziwalo zina za thupi kusiyana ndi maselo . Ngakhale kuti chilengedwe chikukula mofulumira, Burkitt's lymphoma nthawi zambiri imachiritsidwa ndi zamakono zamakono zamakono.
Mitundu
Pali mitundu ikuluikulu ya Burkitt's lymphoma - zosavuta komanso zosawerengeka. Pali nthenda yaikulu kwambiri ya matendawa ku equatorial Africa, ndipo matenda m'derali amatchedwa Burkitt's lymphoma. Matenda m'madera ena a dziko lapansi ndi ochepa kwambiri ndipo amachedwa Burkitt's lymphoma. Ngakhale kuti ndi matenda omwewo, mawonekedwe awiriwa ndi osiyana m'njira zambiri.
Mliri wa African (Burkitt's Lymphoma)
Ku equatorial Africa, pafupifupi hafu ya khansa yonse ya ana ndi maberemma a Burkitt. Matendawa amaphatikizapo ana ambiri kuposa achikulire ndipo akugwirizana ndi matenda a Epstein-Barr (EBV) m'mabuku 98%. Makhalidwe ake ali ndi mwayi waukulu wokhudza nsagwada, chinthu chosiyana kwambiri chomwe sichipezeka mwa Burkitt. Amakhalanso ndi mimba.
Lymphoma ya Burkitt ya Sporadic
Mtundu wa Burkitt's lymphoma umene umakhudza dziko lonse lapansi, kuphatikizapo Ulaya ndi America ndizosawerengeka.
Pano, ndilo matenda ambiri mwa ana, omwe amakhala ndi udindo wa pafupifupi ana atatu a amasiye m'mabanja ku United States. Chiyanjano pakati pa Epstein-Barr Virus (EBV) sichingafanane ndi mitundu yosiyanasiyana, ngakhale umboni weniweni wa matenda a EBV alipo mwa odwala asanu mwa asanu. Kuposa momwe maselo am'mimba amathandizira, ndi mimba yomwe imakhudzidwa kwambiri ndi ana oposa 90%.
Kusakaniza mafupa a mafupa kumakhala kofala kwambiri kusiyana ndi zosiyana siyana. Kuphatikizidwa kwa nsagwada kumakhala kosavuta kwambiri.
Zochepa Zosiyanasiyana
Mitundu iwiri yochepa kwambiri ya Burkitt's lymphoma ndi izi:
- Mtundu wapakati, umene uli ndi mbali zonse za Burkitt's lymphoma ndi yaikulu B-cell lymphoma .
- Kachilombo ka HIV kamene kamagwirizanitsidwa ndi HIV.
Miyendo
Matendawa akhoza kuphwasulidwa mophweka mu magawo anayi (cholemba: izi siziri kwathunthu ndipo pakhoza kukhalapo nthawi zina.)
Gawo I - Gawo Langa Ndimatanthawuza kuti khansa ilipo pamalo amodzi okha m'thupi.
Gawo lachiwiri - Gawo lachiwiri Mafupa a Burkitt alipo pa malo amodzi, koma malo awiriwa ali mbali imodzi ya chithunzithunzi .
Gawo Lachitatu - Matenda a Stage III ali m'magulu kapena malo ena kumbali zonse ziwiri.
Gawo lachinayi - Matenda a Stage IV amaphatikizapo maselo amphongo omwe amapezeka m'mafupa kapena mu ubongo (pakatikati pa mitsempha ya mitsempha).
Zifukwa ndi Zoopsa
Monga tanenera kale, Epstein-Barr amagwirizanitsidwa ndi matenda ambiri a Burkitt's lymphoma, komanso matenda ena osokonekera. Kugonjetsedwa ndi matendawa ndi chinthu choopsa, ndipo ku Africa, amaganiza kuti malungo angapangitse ana kuti akhale ovuta kwambiri pa matenda a Epstein-Barr.
Chithandizo
Burkitt's lymphoma ndi zotupa kwambiri, ndipo nthawi zambiri zimaika moyo pachiswe. Koma ndi chimodzi mwa mitundu yambiri yochiritsira ya lymphoma. Kuti mumvetse izi kumathandiza kumvetsa kuti mankhwala omwe amachititsa mankhwalawa ndi maselo omwe akugawidwa mofulumira kwambiri. Kugwiritsa ntchito mankhwala a chemotherapy kwapangitsa ena mwaukali kwambiri la lymphoma ndi leukemias zamakedzana, omwe amachiritsidwa kwambiri komanso omwe angathe kuchiritsidwa panopa.
Ndi mankhwala omwe amachititsa mankhwala oopsa kwambiri omwe amagwiritsira ntchito mankhwala osokoneza bongo, komanso pokhala ndi njira zatsopano zothandizira anthu pa nthawi ya kuchipatala, matendawa amachiritsidwa ambiri.
Pafupifupi 80 peresenti ya anthu omwe ali ndi matenda amtunduwu komanso oposa hafu ya ana omwe ali ndi matenda ambiri amachiritsidwa. Kubwerera kumbuyo sikukuwoneka.
Kuthamangitsani
Kuvomereza kwa Burkitt's lymphoma ku United States kwasintha bwino m'zaka zaposachedwa. Pakati pa 2002 ndi 2008, zaka zisanu zapakati pa zaka zisanu ndi zisanu ndi zisanu ndi zitatu (87%) zapakati pa kubadwa ndi zaka 19 zakhala zikuchokera kwa 71 mpaka 87%. Kwa anthu a zaka zapakati pa makumi awiri ndi makumi awiri ndi makumi asanu ndi awiri (39), zaka makumi atatu ndi makumi atatu (39) zapakati pazaka makumi asanu ndi ziwiri (60) kufika makumi asanu ndi limodzi (60) Kuchokera nthawi imeneyo, chitukuko chatsopano chimapitsidwanso, komanso chithandizo cha zotsatirapo, chachitika.
Kulimbana
Zingakhale zochititsa mantha kuti zipezeke ndi lymphoma, ndipo zikhoza kukhala zovuta kwambiri ngati ndi mwana wanu yemwe amapezeka. Kulera mwana kumatenga mudzi kumayambiriro, koma mukufunikira thandizo lanu kuposa kale lonse. Yesetsani kwa ena. Chotupachi sichinthu chosowa, koma kudzera pa chitukuko, pali malo ogwira ntchito pa Intaneti omwe amatha kulimbana ndi 24/7 kuti awathandize. Mapulogalamu a Lymphoma ndi a khansa ya m'magazi angathe kukuthandizani panjira.
Zotsatira
Coghill, A., ndi A. Hildesheim. Tizilombo toyambitsa matenda a Epstein-Barr ndi chiopsezo cha zizindikiro zotsutsana: kubwereza mabuku. American Journal of Epidemiology . 2014. 180 (7): 687-95.
Costa, L., Xavier, A., Wahlquist, A., ndi E. Hill. Zotsatira za odwala omwe ali ndi Burkitt lymphoma / khansa ya m'magazi ku USA: kufufuza kwa milandu 3691. Magazi . 121 (24): 4861-6.
Dunleavy, K., Pittaluga, S., Shovlin, M, et al. Mankhwala otsika kwambiri kwa akuluakulu omwe ali ndi Burkitt's lymphoma. The New England Journal of Medicine . 2013. 369 (20): 1915-25.
National Cancer Institute. Mfundo zapakati pa khansa ya PDQ. Child Non-Hodgkin Lymphoma Treatment (PDQ). Health Professional Version. 09/29/15. http://www.ncbi.nlm.nih.gov/books/NBK65738/#CDR0000062808__1