Koj puas muaj ib lub pob uas tsis mob ntawm koj lub caj dab, qhov chaw mos, lossis qhov chaw mos? Los yog koj puas ntxhov siab los ntawm kev tawm hws ntau heev uas koj daim ntaub pua chaw pw ntub thaum hmo ntuj? Cov no tuaj yeem yog qhov ib txwm muaj, tab sis qee zaum lawv tuaj yeem yog cov tsos mob ntawm ib hom mob qog ntshav hu ua B-Cell Lymphoma. Tsis txhob ntshai thaum koj hnov lub npe no. Nws tsis nyuaj rau nkag siab. Cia peb tham txog nws yooj yim, meej, thiab hauv txoj kev uas koj tuaj yeem nkag siab.
Hauv lwm lo lus, B-Cell Lymphoma yog dab tsi?
B-cell lymphoma yog ib hom mob qog ntshav uas tshwm sim hauv peb lub cev lymphatic. Zoo, tam sim no cia peb ua kom qhov no yooj yim dua.
Peb cov ntshav muaj ib hom cell hu ua cov qe ntshav dawb. Cov no zoo li peb lub cev cov tub rog. Cov cell no tiv thaiv peb los ntawm kev tawm tsam cov kab mob uas ua rau muaj kab mob. Ib hom qe ntshav dawb hu ua lymphocytes. Ntawm cov lymphocytes no, muaj ib hom tshwj xeeb hu ua B-cells. Lawv yog ib feem tseem ceeb ntawm peb lub cev cov tub rog tiv thaiv.
Thaum cov kab mob B-cell lymphoma tshwm sim, muaj qee yam tsis raug nrog cov B-cell no, ua rau lawv faib thiab loj hlob yam tsis tuaj yeem tswj tau, dhau los ua cov kab mob qog noj ntshav thiab tsim cov qog nqaij hlav.
Peb lub cev lymphatic yog ib lub network ntawm cov hlab ntsha, cov qog ntshav, thiab cov nqaij uas kis thoob plaws peb lub cev. Nws zoo li lub cev ntshav thib ob hauv peb lub cev. Qhov no yog vim li cas B-cell lymphoma tuaj yeem tshwm sim txhua qhov chaw hauv lub cev. Yog vim li cas cov tsos mob sib txawv ntawm ib tus neeg mus rau ib tus neeg.
Qhov tseem ceeb, B-cell lymphoma yog hom non-Hodgkin lymphoma uas feem ntau pom. Feem ntau, muaj cov kev kho mob zoo. Qee hom tuaj yeem kho tau tag nrho. Rau lwm hom, cov tsos mob tuaj yeem txo qis thiab mob qog noj ntshav tuaj yeem khaws cia rau hauv kev zam txim.
Cov lymphomas no feem ntau muab faib ua ob hom:
Thaum koj tus kws kho mob tham txog tus kab mob no, nws yuav siv ob lo lus: "aggressive" thiab "indolent." Nov yog lawv lub ntsiab lus:
- Hom mob ua phem (kis sai sai): Hom mob no loj hlob sai dua thiab tuaj yeem kis mus rau lwm qhov chaw sab nraud lub cev los ntawm lub cev lymphatic.
- Hom kab mob tsis loj hlob (loj hlob qeeb): Hom kab mob no loj hlob qeeb heev thiab tej zaum yuav tsis pom cov tsos mob rau ntau xyoo.
Yuav kom yooj yim to taub, cia peb saib cov hom no hauv lub rooj zoo li no.
| Hom mob lymphoma | Cov lus piav qhia yooj yim thiab cov piv txwv |
|---|---|
| Ua nruj ua tsiv (kis tau sai sai) | Cov no loj hlob sai. Piv txwv li:
|
| Indolent (loj hlob qeeb) | Cov no yuav tsis muaj tsos mob li ntawm ntau lub hlis lossis ntau xyoo. Piv txwv li:
|
Cov tsos mob ntawm B-cell lymphoma yog dab tsi?
Qee zaum koj yuav muaj B-cell lymphoma yam tsis muaj tsos mob. Tshwj xeeb tshaj yog rau cov hom mob uas loj hlob qeeb, nws feem ntau pom thaum lub sijhawm kuaj mob rau lwm yam kab mob. Txawm li cas los xij, koj yuav tsum txhawj xeeb yog tias koj muaj cov tsos mob hauv qab no:
| Cov tsos mob | Qhov no txhais li cas? |
|---|---|
| Cov qog ntshav o | Muaj pob khaus tsis mob hauv caj dab, qhov chaw mos, thiab qhov chaw mos. Qhov no yog cov tsos mob uas pom ntau tshaj plaws. |
| Tawm hws ntau dhau thaum hmo ntuj | Tawm hws sai li sai tau thaum koj cov khaub ncaws pw tsaug zog thiab cov ntaub pua chaw pw ntub. |
| Kub taub hau tsis muaj laj thawj | Kub taub hau (ntau tshaj 38 Celsius / 100.4 Fahrenheit) uas kav ntev tshaj ob hnub lossis tseem mob tas li. |
| Kev poob phaus tsis muaj laj thawj | Poob phaus sai sai yam tsis tas noj zaub mov lossis ua si. |
| qaug zog tas li | Txawm koj so npaum li cas los xij, koj yuav tsis muaj zog. Qhov laj thawj tseem ceeb rau qhov no tej zaum yog vim cov hlwb qog nqaij hlav hauv cov pob txha txo cov qe ntshav liab, ua rau muaj ntshav tsis txaus. |
| Mob plab | Muaj tej hom mob uas ua rau mob plab tas li vim lawv pib hauv plab. |
| Kev ntshaw noj mov | Yog tias tus po o, nws tuaj yeem thawb rau ntawm cov hnyuv thiab ua rau koj xav tias puv txawm tias tom qab noj me ntsis lawm los xij. |
| Khaus (Pruritus) lossis kev hloov pauv ntawm daim tawv nqaij | Muaj tej hom mob pib tshwm sim rau ntawm daim tawv nqaij thiab ua rau mob pob khaus, mob ntsws, thiab mob qog. Los yog, yog tias daim siab raug cuam tshuam, daim tawv nqaij yuav khaus. |
Nco ntsoov tias, muaj ib lossis ntau yam ntawm cov tsos mob no tsis tau txhais hais tias koj muaj mob lymphoma. Mob khaub thuas kuj tuaj yeem ua rau mob caj pas. Tab sis yog tias cov tsos mob no tseem muaj lossis hnyav zuj zus, nco ntsoov mus ntsib koj tus kws kho mob kom tau txais kev qhia.
Vim li cas ho muaj tej yam zoo li no tshwm sim?
Nws nyuaj rau nrhiav ib qho ua rau qhov no. Qhov tseem ceeb yog tias peb cov qe ntshav B ua mob qog noj ntshav vim muaj kev hloov pauv caj ces (kev hloov pauv) uas tshwm sim thaum lawv faib. Txawm li cas los xij, kev tshawb fawb tau pom tias qee yam tseem ceeb yuav ua rau muaj kev pheej hmoo ntawm qhov no me ntsis.
- Qee cov kab mob autoimmune: Piv txwv li, cov neeg uas muaj cov kab mob xws li mob rheumatoid arthritis thiab Sjörgren's syndrome.
- Qee cov kab mob viral: Kev raug cov kab mob xws li HIV (human immunodeficiency virus), Epstein-Barr virus.
- Keeb kwm tsev neeg: Yog tias ib tug neeg hauv tsev neeg tau muaj mob qog noj ntshav xws li Hodgkin lymphoma.
- Kev Rog Phem: Qhov hnyav ntau dhau ntawm lub cev kuj yog ib qho kev pheej hmoo.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob, nws yuav nug txog koj cov tsos mob thiab koj keeb kwm kev kho mob. Tom qab ntawd nws yuav kuaj lub cev thiab xyuas koj cov qog ntshav, siab, thiab tus po kom paub seb puas o. Yog tias muaj kev tsis ntseeg, nws yuav xa koj mus rau kws kho mob ntshav-kws kho mob qog ntshav. Cov kev kuaj no tuaj yeem ua tau los xyuas kom meej tias kuaj tau.
Kev kuaj ntshav
- Kev suav cov ntshav tag nrho (CBC): Ntsuas cov hom thiab ntau npaum li cas ntawm cov cell hauv cov ntshav.
- Kev Tshuaj Xyuas Txog Kev Ua Haujlwm ntawm Lub Cev (Comprehensive metabolic panel - CMP): Xyuas seb cov kabmob ua haujlwm li cas xws li lub siab thiab lub raum.
- Lactate dehydrogenase (LDH): Cov qib siab ntawm qhov no tuaj yeem yog ib qho cim ntawm lymphoma.
Kev kuaj duab
- Kev luam theej duab CT, kev luam theej duab PET, thiab kev luam theej duab ultrasound: Cov no tuaj yeem tshawb xyuas cov mob ntawm cov qog ntshav thiab cov kabmob hauv lub cev.
Kev kuaj mob
Qhov no yog tib txoj kev los paub tseeb 100% tias muaj tus kab mob.
Qhov no suav nrog kev coj ib qho qauv me me ntawm cov qog ntshav o lossis cov nqaij mos uas muaj kev txhawj xeeb thiab kuaj xyuas nws hauv qab lub tshuab kuaj mob. Qhov no tuaj yeem pab txiav txim siab seb hom lymphoma yog dab tsi.
- Kev phais tshem tawm lossis kev txiav cov nqaij hauv lub cev: Kev phais tshem tawm tag nrho lossis ib feem ntawm cov qog ntshav.
- Kev rho tawm cov qe me me (FNA): Siv koob txhaj me me los rho cov qe me me.
- Kev kuaj mob pob txha: Muab cov qauv me me ntawm cov pob txha los kuaj.
Cov kev kho mob yog dab tsi?
Tsis muaj ib txoj kev kho mob uas haum rau txhua tus neeg. Kev kho mob uas koj tau txais yuav nyob ntawm seb koj muaj hom mob lymphoma hom twg, tus kab mob tau kis mus deb npaum li cas, thiab koj txoj kev noj qab haus huv tag nrho. Koj pab neeg kho mob yuav xaiv txoj kev kho mob uas zoo tshaj plaws rau koj thiab muaj cov kev mob tshwm sim tsawg tshaj plaws.
Cov kev kho mob tseem ceeb yog:
- Kev Kho Mob Qog Noj Ntshav: Muab cov tshuaj uas tua cov hlwb qog noj ntshav.
- Kev Kho Mob Tiv Thaiv Kab Mob: Txhawb koj lub cev tiv thaiv kab mob kom tawm tsam cov hlwb qog noj ntshav.
- Kev Kho Mob Hluav Taws Xob: Tua cov hlwb qog noj ntshav siv cov hluav taws xob muaj zog heev.
- Kev kho mob uas tsom mus rau ib qho: Muab cov tshuaj uas tsom mus rau thiab tawm tsam tsuas yog cov hlwb qog noj ntshav xwb. Piv txwv li: '(kev kho mob monoclonal antibody)'.
- Kev tos saib xyuas / kev saib xyuas nquag: Rau cov hom kab mob uas loj hlob qeeb, koj tus mob yuav raug saib xyuas tas li, yam tsis tau pib kho tam sim ntawd yog tias koj tsis muaj tsos mob. Kev kho mob tsuas yog pib yog tias cov tsos mob tshwm sim.
Cov kev mob tshwm sim ntawm kev kho mob
Txhua yam kev kho mob muaj peev xwm muaj cov kev mob tshwm sim. Tej yam xws li mob plab, raws plab, qaug zog, xeev siab, thiab ntuav yog qhov tshwm sim ntau. Tsis txhob ntshai cov no. Tham nrog koj tus kws kho mob txog lawv qhib siab. Muaj cov tshuaj los pab tswj cov kev mob tshwm sim.
Thaum twg yuav tsum mus ntsib kws kho mob thiab thaum twg yuav tsum mus rau ETU
Koj yuav tsum tau mus ntsib koj tus kws kho mob tsis tu ncua thoob plaws koj txoj kev kho mob. Tom qab kev kho mob tas, koj yuav raug kuaj xyuas raws sijhawm kom paub seb tus kab mob puas tau rov qab los.
Txawm li cas los xij, yog tias muaj xwm txheej zoo li no , mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd:
- Yog koj qhov kub taub hau siab tshaj 38 Celsius (100.4 Fahrenheit) thiab tsis txo qis, qhov no yog vim tias kev kho mob yuav ua rau koj lub cev tiv thaiv kab mob tsis muaj zog thiab ua rau muaj kev kis kab mob.
- Yog tias cov kev mob tshwm sim ntawm kev kho mob hnyav dhau uas tswj tsis tau nrog cov tshuaj uas tus kws kho mob tau sau tseg.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- B-cell lymphoma yog ib hom mob qog ntshav uas pib hauv B-cell ntawm peb lub cev tiv thaiv kab mob.
- Cov tsos mob tseem ceeb yog cov pob me me uas tsis mob hauv caj dab, qhov tso, lossis qhov ncauj qhov ntswg, tawm hws ntau heev thaum hmo ntuj, qaug zog tas li, thiab poob phaus yam tsis paub meej.
- Yog tias cov tsos mob no tseem muaj, tsis txhob tsis quav ntsej lawv thiab mus ntsib kws kho mob.
- Niaj hnub nim no muaj ntau txoj kev kho mob zoo rau tus kab mob no, yog li ntawd tsis txhob tso tseg kev cia siab thaum koj tau kuaj pom tias muaj tus kab mob no lawm.
- Koj tsis tas yuav hla txoj kev no ib leeg xwb. Nrhiav kev txhawb nqa los ntawm koj pab neeg kho mob, tsev neeg, thiab cov phooj ywg. Koj txoj kev noj qab haus huv ntawm lub hlwb tseem ceeb ib yam li koj txoj kev noj qab haus huv ntawm lub cev.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus