Yala aw bɛ ni Lymphome périphérique T-cell (PTCL) ye wa? Aw kana aw hakili ɲagami, an ka kuma o kan!

Tuma dɔw la, an bɛ se ka banaw sɔrɔ, an yɛrɛ tɛ miiri minnu na, tiɲɛ tɛ? Periférique T-cell Lymphoma, walima PTCL ni a surunyalen don, o ye bana ye min ka gɛlɛn dɔɔni, nka a nafa ka bon kosɛbɛ ka a dɔn. Tiɲɛ na, o tɛ bana kelen ye, nka bana caman faralen ɲɔgɔn kan. Yala an bɛna kuma o kan cogo nɔgɔman na, cogo la min bɛ se ka faamuya i bolo wa?

Periférique T-cell Lymphome (PTCL) tɛ bana kelen ye tiɲɛ na. O ye joli kansɛri suguya jugu caman kulu ye. Kɛrɛnkɛrɛnnenya la, a bɛ nɔ bila an ka ɲɛgɛnɛsiraw la . N’a sɔrɔ aw y’a mɛn ko Non-Hodgkin lymphoma'', wa o de don. Fɛn kelen min bɛ PTCL la, o ye ko a bɛ se ka jɛnsɛn (ka taa yɔrɔ wɛrɛw la) ka bɔ farikolo yɔrɔ dɔ la ka taa yɔrɔ wɛrɛw la . O kɔrɔ ye ko a bɛ se ka farikolo yɔrɔ bɛɛ minɛ, o la a taamasiɲɛw bɛ se ka ɲɔgɔn ta.

Kibaru duman ye ko dɔgɔtɔrɔw bɛ se ka PTCL suguya fitinin caman kunbɛn ka ɲɛ. Nka, tuma dɔw la, bana bɛ se ka segin a kan . O de kama furakɛli ɲininikɛlaw bɛ furakɛli kura ɲini tuma bɛɛ minnu bɛ se ka mɔgɔw dɛmɛ u ka mɛn ni PTCL ye.

Nin bana in bɛ wele ko PTCL wa?

Ayi, tiɲɛ na, nin tɛ bana ye min ka ca kosɛbɛ . Sɛgɛsɛgɛli dɔ kɛra diɲɛ fan bɛɛ la, o y’a jira ko mɔgɔ ba kɛmɛ fila ɲɔgɔn bɛ PTCL sɔrɔ. (Non-Hodgkin lymphoma) bɛ mɔgɔ minnu na, olu 10% ɲɔgɔn bɛ PTCL sɔrɔ.

Nin bana in bɛ ye dɔɔnin an ka Azi jamanaw na, Afiriki ani Karayibu jamanaw na ka tɛmɛ Ameriki kan. A ka ca a la a bɛ sɔrɔ mɔgɔ minnu si tɛmɛna san 60. Nka, a suguya dɔw bɛ se ka sɔrɔ denmisɛnnin fitininw ni baliku fitiniw fana na .

PTCL suguya jɔnjɔnw ye jumɛnw ye?

Diɲɛ kɛnɛyatɔnba (OMS) ye PTCL suguya fitinin 20 ni kɔ jira. Olu kelen-kelen bɛɛ n’a ka jamu taamasiɲɛ kɛrɛnkɛrɛnnenw don. An ka suguya dɔw lajɛ minnu ka ca kosɛbɛ.

T-cell périphérique lymphome, min ma ɲɛfɔ cogo wɛrɛ la (PTCL-NOS) .

nin ye suguya fitinin ye min ka ca kosɛbɛ . (PTCL-NOS) ye kulu ye min kɔnɔ, ko minnu tɛ se ka ɲɛfɔ tigitigi, wa u tɛ bɛn suguya fitinin jɛlen tɔw ma. PTCL banabagatɔ bɛɛ la 30% ɲɔgɔn bɛ don o kulu kɔnɔ. A bɛ se ka aw ka ɲɛgɛnɛsiralabanaw , kolotugudaw , sɔgɔsɔgɔninjɛ , walima sugunɛ de minɛ kosɛbɛ.

Angioimmunoblastique T-cell lymphome (AITL) .

O fana bɛ kɛ PTCL banabagatɔ 15% fo 30% la diɲɛ kɔnɔ. AITL fana bɛ se ka nɔ bila aw ka ɲɛgɛnɛsira, kolotugudaw, sɔgɔsɔgɔninjɛ walima sugunɛ na.

Banakisɛfagalanw (ALCL) .

(ALCL) suguya wɛrɛw fana bɛ yen.

• dɔ bɛ yen min bɛ wele ko ALCL farikolo fɔlɔ , o bɛ fari minɛ .
• Kelen wɛrɛ bɛ yen.ALCL sitɛmu, o min bɛ fogonfogon, fari ani farikolo yɔrɔ wɛrɛw de minɛ. Nin ALCL sitɛmu in bɛ tila ka taa a fɛ tuma dɔw la ka da fɛn caman Changements kan jamu kɛrɛnkɛrɛnnen dɔ la min bɛ wele ko ALK (anaplastic lymphoma kinase) . PTCL 15% ɲɔgɔn bɛ bin nin (ALCL) suguya in na.

Extranodal naturelle killer/T-cell lymphome, nugu suguya

Nin kelen in ye kɛrɛnkɛrɛnnen ye dɔɔnin. nin suguya fitinin in ka teli ka sɔrɔ i nugu yɔrɔw la , i nugulayɔrɔw la , ani i galaka sanfɛla la . Nka a bɛ se ka jɛnsɛn tuma dɔw la fari la, dumunikɛminɛnw na , ani farikolo yɔrɔ wɛrɛw la. Nin suguya in bɛ kɛ PTCL 10% ɲɔgɔn ye.

Banakɔtaa T-cell lymphomes (banakɔtaa T-cell lymphomes).

Tɔgɔ b’a jira, tiɲɛ tɛ? o bɛ nɔ bila dumunikɛminɛnw na . A bɛ kɛ PTCL 6% ɲɔgɔn ye. A suguya dɔw fana bɛ yen minnu bɛ wele ko enteropathie-associé T-cell lymphome (EATL) ani monomorphic epitheliotropic intestinal T-cell lymphome (MEITL) .

Balikuw ka T-cell lymphome/leukemia (ATLL) .

A bɛ se ka nɔ bila fari ni kolotugudaw la. ATLL suguya fitinin naani bɛ yen: acute, lymphome, chronic ani smoldering . A suguya fila minnu ka teli ka kɛ olu ye acute ani lymphome ye, olu ye farigan ye. suguya minnu bɛ mɛn ani minnu bɛ sisi , olu bɛ falen dɔɔni dɔɔni . ATLL suguya fitinin kelen-kelen bɛɛ bɛ farikolo yɔrɔ wɛrɛw de minɛ.

PTCL taamasiɲɛw ye jumɛnw ye?

Hali ni PTCL suguya fitinin kelen-kelen bɛɛ bɛ ni taamasiɲɛ kɛrɛnkɛrɛnnenw ye, dɔw bɛ yen minnu ka teli ka kɛ. An k’a lajɛ u ye fɛn minnu ye:

• Nɔgɔmugu funu : Aw bɛ se ka funu dimi tɛ aw kɔ la, aw kɔkiliw la walima aw kɔkiliw la. Miiri k’a filɛ kuru fitini dɔ bɛ i kɔ la min bɛ i n’a fɔ a bɛ ka bonya waati tɛmɛnen kɔfɛ, nka a tɛ dimi. O de don.
• Kisɛya min ɲɛfɔlen tɛ: Ni aw ye aw farikolo girinya bɛɛ lajɛlen 10% ɲɔgɔn bɔ kalo wɔɔrɔ kɔnɔ, k’a sɔrɔ aw ma aw jija kosɛbɛ, o ye fɛn ye min ka kan ka hami.
• Kɔnɔdimi walima funu : O bɛ se ka kɛ ni aw ka ɲɛgɛnɛsira bonyalen don. A bɛ se ka kɛ ko a man di, i n’a fɔ aw kɔnɔbara falen don.
• Sɛgɛn min bɛ to sen na: Ka sɛgɛn cogo la min tɛ deli ka kɛ tile damadɔ kɔnɔ k’a sɔrɔ kun ɲɛnama si tɛ a la. A bɛ kɛ i n’a fɔ sɛgɛn tɛ ban hali ni i ye sunɔgɔ cogo o cogo.
• Sumaya min ma ɲɛfɔ: A ka ca a la, farigan bɛ sɔrɔ ni farikolo bɛ ka banakisɛ dɔ kɛlɛ. Nka ni farigan min ka ca ni degere 39,5 ye (103 Fahrenheit) tora senna ka tɛmɛ lɛri fila kan furakɛli kɔfɛ so kɔnɔ, walima ni farigan tora ka tɛmɛ tile fila kan, o bɛ se ka kɛ fɛn jugumanba dɔ taamasiɲɛ ye.

Min nafa ka bon kosɛbɛ, o ye ko aw man kan ka hami PTCL sɔrɔli la dɔrɔn ka da a kan nin taamasiɲɛ ninnu bɛ aw la. U bɛ se ka kɛ sababu wɛrɛw ye minnu ka nɔgɔn. Nka ni o taamasiɲɛw bɛ to sen na, .A nafa ka bon kosɛbɛ ka taa dɔgɔtɔrɔso la sisan ani ka laadilikanw sɔrɔ.

Sisan an k’a lajɛ taamasiɲɛ minnu bɛ na ni suguya fitinin kɛrɛnkɛrɛnnen dɔw ye ka fara o kan.

T-cell lymphome periférique (T-cell lymphome) taamasiɲɛ wɛrɛw, minnu ma ɲɛfɔ cogo wɛrɛ la (PTCL-NOS) .

Ka fara a taamasiɲɛw kan minnu ka teli ka ye, aw bɛ se ka ninnu fana ye:

• Joli kuru bilenmanw dɔgɔyali (Jolidɛsɛ) - O bɛ se ka kɛ sababu ye ka a jɛ ani ka dɔ fara a sɛgɛn kan.
• Joli jolilabanaw hakɛ dɔgɔyali (Thrombocytopenia) - O bɛ se ka kɛ sababu ye ka joli bɔli teli.
• Nɔgɔ bilenman minnu bɛ nɛ bɔ fari la.
• Ni kansɛri bɛ disi la , disidimi walima ninakili gɛlɛya (finakilidegun).

Angioimmunoblastic T-cell lymphoma (AITL) taamasiɲɛ wɛrɛw .

Ka fara a taamasiɲɛw kan minnu ka teli ka ye:

• Su sumaya - Sumaya ka caya ka a to sunɔgɔ la fo finiw bɛ ɲigi.
• Farikolo sɔgɔsɔgɔninjɛ .
• Farikolo tangalanw ka banaw i n’a fɔ (Animie hémolytique autoimmune) .

Anaplastiki banakisɛfagalanw (ALCL) taamasiɲɛ wɛrɛw .

Farikolo ALCL fɔlɔ (suguya min bɛ fari minɛ) .

• Fɛn minnu bɛ i n’a fɔ fari ɲɛ bilenman walima bilenman-bilen min tɛ deli ka kɛ, kurukuru minnu bɛ bonya waati tɛmɛnen kɔfɛ.
• Kurukuru minnu bɛ nɛ bɔ, minnu ka bon, minnu bɛ kɛ bulama ye .
• O kurukuru ninnu bɛ se ka dimi ani ka kurukuru.

ALCL sitɛmu (suguya min bɛ kɔnɔnafɛnw minɛ) .

O cogo la, taamasiɲɛ minnu ka ca PTCL la, olu bɛ ye.

Extranodal naturelle killer/T-cell lymphome, nugu suguya

• Nu gerenni, dusukunnata min bɛ kɛ i n’a fɔ nugu datugulen don.
• Nugu joli bɔli .
• nu kɔnɔna bɛ kɛ kurukuru ye .
• Dimi bɛ kɛ ɲɛda fununi na .
• Ɲɛ gɛlɛyaw i n’a fɔ ji bɔli ɲɛw la ani ɲɛdimi.

Balikuw ka T-cell lymphome/leukemia (ATLL) .

PTCL taamasiɲɛw ka ca ATLL suguya fitinin naani bɛɛ la.

PTCL sababuw ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, Peripheral T-cell lymphoma bɛ sɔrɔ ni an farikolo T-cellw bɛ fɛn caman sɛmɛntiya ((mutate)) ka kɛ kansɛribana ye. I n’a fɔ aw b’a dɔn cogo min na, nin T-cell ninnu ye joli kuru finman suguya dɔ ye min b’an tanga binkannikɛlaw ma i n’a fɔ tumu minnu bɛ don an fari la. O la, ni o T-cellw ye fɛn caman sɛmɛntiya, u bɛ kɛ kansɛribana ye ani u bɛ daminɛ ka caya cogo la min tɛ se ka kunbɛn . Ni u cayara nin cogo la, u bɛ dalajɛ an fogonfogonw, an ka sɔgɔsɔgɔninjɛ, an sugunɛ ani farikolo yɔrɔ wɛrɛw la ka kansɛribana kuruw kɛ .

Hali bi, dɔnnikɛlaw ma dalilu jɔnjɔn Sɔrɔ min b’a To nin T-cell ninnu bɛ Yɛlɛma nin cogo in na.Nka, ɲininiw y’a jira ko a ni furakɛli cogoya dɔw bɛ tali kɛ ɲɔgɔn na.

I n'a fo:

• Diɲɛ kɔnɔ sɛgɛsɛgɛli dɔ y’a jira ko bana dɔ bɛ mɔgɔ minnu na, n’o bɛ wele ko celiac disease , olu ka PTCL suguya caman sɔrɔli farati bɛ se ka bonya, ALCL fana sen bɛ o la.
• Ani fana, Epstein-Barr banakisɛ bɛ mɔgɔ minnu na, olu farati bɛ se ka caya ka sɔrɔ ka extranodal natural killer/T-cell lymphoma sɔrɔ.
• Banakisɛ (Human T-cell lymphotropic virus Type 1 (HTLV-1)) bɛ mɔgɔ minnu na, olu farati ka bon ka (T-cell lymphome acute/leukemia) sɔrɔ.

PTCL bɛ sɔrɔ cogo di?

Dɔgɔtɔrɔw bɛ se ka sɛgɛsɛgɛli suguya caman kɛ walasa ka PTCL suguya kɛrɛnkɛrɛnnen sɔrɔ min bɛ aw ka kɛnɛyako gɛlɛyaw lase aw ma. Olu bɛ se ka kɛ joli sɛgɛsɛgɛliw ye, ja sɛgɛsɛgɛliw, biyɔpisi sɛgɛsɛgɛliw ani jamu sɛgɛsɛgɛliw walasa ka kansɛribanakisɛw ka jamu sɛgɛsɛgɛ.

Joli sɛgɛsɛgɛliw

Dɔgɔtɔrɔw bɛ joli sɛgɛsɛgɛli kɛ walasa ka banakisɛw lajɛ minnu bɛ se ka kɛ ni PTCL ye. Olu bɛ se ka kɛ ninnu ye:

• Joli jate dafalen (CBC) .
• Panneau complète métabolique (CMP) .
• Laktati dehidrojɛnazi (LDH) sɛgɛsɛgɛli
• Sugunɛbilenni B ni Sugunɛbilenni C sɛgɛsɛgɛliw
• Adamadenw ka farikolo tangalanw (VIH) sɛgɛsɛgɛli
• Adamadenw ka T-cell lymphotropic virus suguya 1 (HTLV-Type 1) sɛgɛsɛgɛliw

Jaa sɛgɛsɛgɛliw

O sɛgɛsɛgɛliw bɛ kɛ sababu ye dɔgɔtɔrɔw ka kunnafoni sɔrɔ i farikolo kɔnɔna na, kɛrɛnkɛrɛnnenya la kansɛri kuru bɛ ​​yɔrɔ minnu na.

• Tomografi (CT) min bɛ kɛ ni ɔridinatɛri ye
• Pozitron bɔli tomografi (PET) sɛgɛsɛgɛli
• Magnetic resonance imaging (MRI) sɛgɛsɛgɛli

Biopsies (banakisɛfagalanw) minnu bɛ kɛ

O ye ka farikolo yɔrɔ fitinin dɔ ta ka bɔ yɔrɔ la min bɛ sigasiga, ka o sɛgɛsɛgɛ ni mikroskɔpu ye. nin ye bana in dafacogo jɔnjɔn ye .

• Biyopisi min bɛ kɛ ni ɲɛgɛnɛsiraw ye
• Fari biyɔpisi (biopsie) kɛ
• Kolotugudaw biyopisi

PTCL taabolow ye jumɛnw ye?

Dɔgɔtɔrɔw bɛ kansɛri taamasiɲɛw kɛ walasa ka furakɛli boloda ani ka hakilina di aw ma aw bɛ se ka min makɔnɔ furakɛli la (prognose). Nin taamasiɲɛ in bɛ dɔn PTCL suguya fɛ ani kansɛribana T-cellw jɛnsɛnna yɔrɔ min na. PTCL taabolo kunbaba naani filɛ nin ye:

• Taabolo fɔlɔ : Kansɛribana T-cellw bɛ selilu kelen dɔrɔn de kɔnɔ walima selilu kulu kelen kɔnɔ.
• Taabolo filanan : Kansɛri ye ɲɛgɛnɛsira fila walima caman sɔrɔ aw farikolo fan kelen na (misali la, aw kɔ fan fila bɛɛ la, walima fan kelen na ɲɛgɛnɛsira sanfɛ walima duguma).
• Taabolo sabanan : Kansɛri jɛnsɛnna farikolo yɔrɔw la minnu bɛ aw ka ɲɛgɛnɛsira sanfɛ ani a duguma.
• Taabolo IV : Ka fara fogonfogon kan, kansɛri jɛnsɛnna farikolo yɔrɔ wɛrɛw fana na, i n’a fɔ fogonfogon, sugunɛ, kolotugudaw walima dumunikɛminɛnw.

PTCL furakɛcogo jumɛnw bɛ yen?

Ikomi PTCL suguya fitinin caman bɛ yen ani kansɛri taabolo, furakɛli kelen tɛ yen min bɛ se ka kɛ bɛɛ ye . Furakɛli suguyaw bɛ se ka ɲɔgɔn ta mɔgɔ kelen-kelen bɛɛ la. Aw ka dɔgɔtɔrɔ bɛna fura ɲuman latigɛ aw ye. Furakɛli minnu ka teli ka kɛ, olu dɔw filɛ nin ye:

• Simifura: Simifura suguya caman faralen ɲɔgɔn kan. Nin ye furakɛli kunba ye min ka teli ka kɛ.
• Fiɲɛfura: Tuma dɔw la, o bɛ kɛ ni chimiothérapie ye, kɛrɛnkɛrɛnnenya la ni kansɛri bɛ yɔrɔ dɔ la.
• Furakɛli laɲininen : Nin ye furakɛli ye min bɛ fɛn kɛrɛnkɛrɛnnenw laɲini jamu caman na (mutations) minnu bɛ kɛ sababu ye ka farikolokisɛ kɛnɛmanw kɛ kansɛribanakisɛw ye. O ni laadala chimiothérapie tɛ kelen ye.
• Chimiothérapie ni allogénique stem cellules transplantation : Nin furakɛli in bɛ se ka kɛ PTCL la min tɛ jaabi di chimiothérapie ni radiation furakɛli ma, walima min bɛ segin ka kɛ furakɛli kɔfɛ. Nin ye furakɛli ye min ka gɛlɛn dɔɔni.

Tuma dɔw la, aw bɛ se ka aw sen don PTCL furakɛli kura sɛgɛsɛgɛliw la minnu bɛ kɛ kɛnɛyaso la. Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ o ko la.

Furakɛli kɔlɔlɔ jumɛnw ka teli ka sɔrɔ?

Kansɛri furakɛcogo caman bɛ se ka kɔlɔlɔ dɔw lase mɔgɔ ma. Nka, bɛɛ tɛ nin kɔlɔlɔ ninnu bɛɛ sɔrɔ, wa a juguya bɛ se ka ɲɔgɔn ta. Misali la, chimiothérapie ni radiation furakɛli kɔlɔlɔw bɛ se ka kɛ:

• Sɛgɛn
• Chimiothérapie bɛ sɔrɔ kunsɛmɛ na - kunsɛmɛ sisi dusukunnata, hakilijagabɔbaliya, ani hakilijagabɔ gɛlɛya.
• Dusukunnata ni fɔɔnɔ
• Kunsigi bɔli
• Da kɔnɔ joginda
• A ka teli ka banakisɛw sɔrɔ

Sisan, fɛɛrɛ caman bɛ yen ka nin kɔlɔlɔ ninnu kunbɛn, o la aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ o fana kan.

PTCL ka ɲɛnamaya ɲɛfɔcogo ye mun ye?

O bɛ bɔ tiɲɛ na PTCL suguya la, kansɛri taabolo, i ka kɛnɛya bɛɛ lajɛlen, ani ni kansɛri bɛ yafa la (yafa) ni furakɛli ye.Yafa kɔrɔ ye ko taamasiɲɛ si tɛ i la ani kansɛri taamasiɲɛ si tɛ se ka sɔrɔ sɛgɛsɛgɛliw la. Tuma dɔw la, PTCL bɛ se ka kɛnɛya pewu ni furakɛlicogo kɔrɔw ye.

Nka, farikolo T-cell lymphome suguya caman bɛ se ka segin ka na ((segin)) . Ni o kɛra, aw bɛ se ka furakɛli wɛrɛw kɛ walima furakɛli suguya wɛrɛ.

A bɛ kɛ cogo min na, i b’a fɛ k’a dɔn i bɛ se ka min makɔnɔ i ka furakɛli la. Aw ka dɔgɔtɔrɔ ye mɔgɔ ɲuman ye min ka kan ka aw ka bana dɔn. O la, aw ka da mɔgɔw ɲɛ na ani ka kɛ mɔgɔ sɛbɛw ye a fɛ nin ko in na ani aw kana siran ka ɲininkaliw kɛ.

Yala PTCL bɛ se ka bali wa?

A fɔ man di nka, ayi, an b’a dɔn cogo min na, fɛɛrɛ kɛrɛnkɛrɛnnen tɛ yen min bɛ se ka nin ko in bali . Nin sɔgɔsɔgɔninjɛ in bɛ sɔrɔ T-cellw ka kɛwale jugu fɛ ani ka kɛ kansɛri ye. An tɛ se ka foyi kɛ walisa a kana kɛ. Nka, ni aw ye aw yɛrɛ tanga farati dɔw ma (misali la, HTLV-1 banakisɛ) o bɛ se ka dɔ bɔ PTCL suguya minnu bɛ tali kɛ ɲɔgɔn na, olu sɔrɔli farati la.

Ne bɛ se ka ne yɛrɛ ladon cogo di ? (Ka ɲɛnamaya kɛ ni PTCL ye)

T-cell périphérique lymphome ye kansɛri suguya ye min man teli ka sɔrɔ, a bɛ bonya joona. Ni PTCL bɛ aw la, laadilikan dɔw filɛ nin ye minnu bɛ aw dɛmɛ ka ɲɛnamaya kɛ ni bana in ye:

• Aw bɛ furakɛli kuntaalajan jateminɛ: Nin ladonni in bɛ se ka aw dɛmɛ ka furakɛli taamasiɲɛw ni a kɔlɔlɔw kunbɛn. Min ka ca ni nin ye, aw ka furakɛli jɛkulu bɛ se k’aw dɛmɛ ka dusukunnataw gɛlɛyaw (dusukasi, siran, jɔrɔnanko) kunbɛn minnu bɛ sɔrɔ ni ɲɛnamaya ye ni nin bana jugu sugu ye.
• Dɛmɛ ɲini: Ikomi PTCL ye kansɛri ye min man teli ka sɔrɔ, aw bɛ se k’a miiri ko aw kelenpe de bɛ a kunbɛn. Nka i man kan ka taa a kelen na. Aw bɛ kuma aw ka dɔgɔtɔrɔso jɛkulu fɛ ani ka dɛmɛjɛkuluw dɔn, aw bɛ se ka jɛɲɔgɔnya kɛ ni mɔgɔ wɛrɛw ye minnu bɛ ka tɛmɛ aw fɛ. Ka ko kɛlenw tila ɲɔgɔn na ani ka dɛmɛ sɔrɔ mɔgɔ wɛrɛw fɛ, o nafa ka bon kosɛbɛ nin waati in na.
• Aw bɛ waati ta aw yɛrɛ ye (Yɛrɛladon): Kansɛri ye degun ye. Yɛrɛladon nafa ka bon kosɛbɛ ni aw bɛ balo ni PTCL ye. Aw bɛ kuma aw ka kɛnɛyabaarakɛlaw fɛ degunw kunbɛncogo kan (hakilijagabɔ, ninakili degeliw, ɲɛnajɛ dɔ kɛli), ani dumuni nafama dilancogo walasa aw ka barika ka to furakɛli bɛɛ kɔnɔ. Aw bɛ sunɔgɔ ka ɲɛ.

Ne ka kan ka ɲininkali jumɛnw kɛ n ka dɔgɔtɔrɔ la?

Aw kana ɲinɛ ka nin ɲininkali ninnu kɛ ni aw bɛ taa dɔgɔtɔrɔso la:

• Periférique T-cell lymphome suguya jumɛn bɛ ne la? A bɛ wele cogo di?
• Ne ka bana in taabolo ye mun ye? A jɛnsɛnna fo yɔrɔ jumɛn?
• Furakɛli suguya jumɛnw bɛ ne bolo? Furakɛli kelen-kelen bɛɛ nafa ni a dɛsɛ jumɛnw bɛ yen?
• Ɲɛtaa sugu jumɛn bɛ se ka sɔrɔ o furakɛli ninnu na?
• Furakɛli kɔlɔlɔ jumɛnw bɛ yen? U bɛ se ka ɲɛnabɔ cogo di?
• Yala ne ka kan ka furakɛli kura jateminɛ min sinsinnen bɛ ɲininiw kan ((kɛnɛya sɛgɛsɛgɛli)) wa? Yala u bɛnnen don ne ma wa?
• Yɛlɛma jumɛnw ka kan ka kɛ ne ka ɲɛnamaya kɛcogo la?

Take-Home cikan laban

T-cell lymphoma périphérique (PTCL) ye joli kansɛri suguya ye min man teli ka sɔrɔ nka a nafa ka bon. A bɛ sɔrɔ ni T-cell minnu bɛ an farikolo lakana, olu bɛ fɛn caman sɛmɛntiya ka kɛ kansɛri ye. Hali n’u sababu jɔnjɔn ye kelen ye, u kelen-kelen bɛɛ ka jamu cogoya tɛ kelen ye. Ikomi PTCL bɛ farikolo yɔrɔ wɛrɛw de minɛ, a bɛ se ka gɛlɛya tuma dɔw la ka a sɛgɛsɛgɛ ani ka a furakɛ.

Nka, to jigiya la! Dɔgɔtɔrɔso ɲininikɛlaw bɛ furakɛli kura ɲini tuma bɛɛ, minnu bɛ se ka kɛ, minnu bɛ PTCL ka jamu caman yeli laɲini. Ni a sɔrɔla ko PTCL bɛ aw la, aw kana siran, ani ka kuma kɛnɛ kan ni aw ka dɔgɔtɔrɔso jɛkulu ye . Aw bɛ a ɲininka ni furakɛli kura dɔw bɛ yen minnu sinsinnen bɛ ɲininiw kan (kɛnɛyaso sɛgɛsɛgɛliw) minnu bɛ bɛn aw ka bana kɛrɛnkɛrɛnnen ma. Ni kunnafoni bɛnnenw ani i diyanyemɔgɔw ka dɛmɛ ye, fanga bɛna di i ma ka nin gɛlɛya in kunbɛn!