25 Matenda Osiyana ndi Malingaliro
Mitundu iwiri ya lymphoma ndi Hodgkin lymphoma ndipo si Hodgkin Lymphoma , kapena NHL. Non-Hodgkin lymphoma ndi gulu lalikulu la matenda, nthawi zambiri ndi zizindikiro zosiyana kwambiri, mankhwala ndi zotsatira. Dzina lenileni la mtundu wanu wa NHL lingaphatikizepo mawu angapo ofotokoza omwe angakhale ovuta kumvetsa. Pano pali kufotokoza kwa ena mwa mawu awa.
T-selo kapena B-cell
Mankhwala am'mimba amachokera ku lymphocytes, mtundu wa selo loyera la magazi. Lymphocytes ndi mitundu iwiri: T maselo ndi maselo B. Zonsezi zimathandiza kupha opatsirana opatsirana koma m'njira zosiyana. Malinga ndi mtundu wanji wa lymphocyte umene unasanduka selo ya khansa m'thupi lanu, mukhoza kukhala ndi T-cell kapena B-cell lymphoma. B-cell NHL ndizosiyana kwambiri. Pali mitundu yambiri ya B cell ndi T cell lymphomas, aliyense amachita m'njira zosiyanasiyana.
Wam'mwamba, Wopakatikati, kapena Wochepa
Akatswiri a zachipatala, omwe amayang'anitsitsa chithunzithunzi cha chifuwa chanu, nthawi zambiri amafotokoza khansa pamasukulu. Lymphoma yapamwamba imakhala ndi maselo omwe amawoneka mosiyana kwambiri ndi maselo oyenera. Amakonda kukula mofulumira. Ma lymphomas omwe ali otsika amakhala ndi maselo omwe amaoneka ngati maselo enieni ndikuwonjezeka pang'onopang'ono. Mafilimmasi apakati apakati amabwera pakati. Makhalidwe a mitundu iyi akufotokozedwanso kuti ndi amwano komanso amwano.
Osauka kapena Okhwima
Zimene katswiriyu amavomereza kuti lymphoma yapamwamba kapena yapakatikati imakula mofulumira m'thupi, choncho mitundu iwiriyi ikuonedwa kuti ndi nkhanza . Chodabwitsa n'chakuti, NHL yaukali nthawi zambiri imagwira bwino mankhwala, ndipo anthu ambiri omwe ali ndi NHL amachiritsidwa amachiritsidwa ngati atapezeka kuti akuyambirira.
Mtundu wochuluka wa lymphoma wamtunduwu umasokoneza kwambiri B-cell lymphoma (DLBCL).
Koma NHL yochepa, imakula pang'onopang'ono, ndipo mafupa amtunduwu amatchedwa NHL . Gululi la NHL silinapangitse zizindikiro zambiri, koma imakhalanso nthawi yaitali ndipo sichizachiritsidwa. Mtundu wambiri wa indolent lymphoma ndi follicular lymphoma. Nthawi zina ma lymphomas osasintha angasanduke kukhala oopsa kwambiri.
Nodal kapena Extranodal
Matenda ambiri am'mimba amatha kutuluka m'mimba. Komabe n'zotheka kuti malimymasi akwere kulikonse. Pamene lymphoma imapezeka makamaka mu node yanu, imatchedwa matenda a nodal. Nthaŵi zina, ma lymphoma ambiri amatha kukhala m'gulu limene si mbali ya maselo amphamvu kwambiri-monga mimba, khungu kapena ubongo. Zikatero, mpweya wotchedwa lymphoma umatchedwa extranodal . Nodal komanso fetal nodal amatchula malo oyamba a matendawa. Lymphoma ikhoza kukhala ndi mitsempha ya mitsempha ndipo kenako imaphatikizapo zinthu zina pambuyo pake, komabe. Zikatero, zimagwiritsidwanso ntchito ngati nodal lymphoma koma zimatengedwa kuti zimakhudzidwa ndi extranodal.
Kufalikira kapena Follicular
Awa ndiwo mawu ena awiri ogwiritsidwa ntchito ndi wodwalayo.
Mu follicular lymphoma, maselo a khansa amadzipanga okha m'magulu akuluakulu otchedwa follicles. Mu NHL yofala, maselo amafalikira mozungulira popanda kuphatikiza kulikonse. Nthawi zambiri NHL yochepa imayang'ana zojambulazo, ndipo NHL yapakati kapena yapamwamba imakhala yosiyana kwambiri ndi zojambulazo.
Kawirikawiri kapena Kawirikawiri
Mafupa ena omwe si a Hodgkin amaonedwa kuti ndi ofanana kapena ochepa, omwe amawerengedwa monga chiwerengero cha masewera atsopano pachaka. Ngakhale mitundu ina ya NHL ingakhale yowonjezera kukhazikitsa miyezo ndi njira zothandizira mankhwala, ma lymphoma omwe amapezeka komanso osawoneka angathe kuthandizidwa pogwiritsa ntchito njira zosiyana siyana, ndipo chithandizo ndizopitiliza kufufuza m'mayesero a zachipatala.
B-cell lymphomas ndizofala kwambiri kuposa T-cell lymphomas. B-cell lymphomas zikuphatikizapo DLBCL-njira yowonjezereka yowopsa kwambiri ya lymphoma-ndi follicular lymphoma, yomwe imapezeka kwambiri ndi indolent lymphoma.
Mitundu yosiyanasiyana ya NHL imatengedwa kuti ndi yopapuka kwambiri. Zitsanzo zikuphatikizapo Waldenstrom Macroglobulinemia, yapakatikatikati ya mitsempha ya mitsempha yotchedwa lymphoma , ndi chithokomiro chachikulu cha chymphoma, yomwe nthawi zonse imakhala NHL.
Mawu Ochokera
Pali njira zambiri zowonjezera lymphoma, osati ma lymphoma onse akugwa bwino m'magulu omwe alipo. Nthawi zina lilimphoma lidzatchedwa "okhwima" lymphoma, monga B cell lymphoma okhwima kapena T-cell lymphoma. Mawu akuti okhwima pamatendawa amatanthauza kuti maselo a khansa amapitirirabe mu mchitidwe wa kukula kwa lymphocyte; mwa kuyankhula kwina, khansara inayamba kuchokera mu selo yomwe inali "kukula" kapena pafupi ndi gawo lomalizira la selo wamkulu.
Kumeneku kungakhale ndi mafotokozedwe a kumene khungu limayambira. Mwachitsanzo, T-cell lymphoma ikhoza kudulidwa (pakhungu). Mphumpho T-cell lymphoma ili ndi gulu lachilendo ndipo kawirikawiri ndi NHLs zankhanza zimene zimayamba kuchokera ku T-maselo okhwima.
Zotsatira:
American Cancer Society. Kodi ziwerengero zazikuluzikulu zokhudzana ndi lymphoma yomwe si ya Hodgkin ndi iti?
Rapiti E, Guarnori S, Pasitolo B, Miralbell R, Usel M. Kukonzekera zam'mbuyo: Khwerero ya khansa ku Switzerland mpaka 2019. BMC Public Health . 2014; 14: 102.
Chihara D, Ito H, Matsuda T, et al. Kusiyanasiyana kwa chikhalidwe ndi machitidwe a zizindikiro za haematological ku Japan ndi ku United States. British Journal ya Hematology . 2014; 164 (4): 536-545.
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