Koj puas muaj pob ntawm koj lub cev? Tej zaum yuav yog Follicular Lymphoma. Cia peb tham txog nws!

Xav txog seb, Samantha Akka yeej ib txwm hais tias nws nkees heev, thiab nws hws thaum hmo ntuj. Qee zaum nws kuj hais tias nws muaj ib lub pob me me ntawm nws caj dab. Txawm hais tias cov no qee zaum tsis tau coj los xav txog hauv peb lub neej txhua hnub, lawv tuaj yeem yog cov tsos mob ntawm tus kab mob zoo li Follicular Lymphoma. Tsis txhob txhawj, peb yuav tham txog qhov no yooj yim, hauv txoj kev uas koj tuaj yeem nkag siab.

Follicular Lymphoma yog dab tsi?

Hais yooj yim xwb, follicular lymphoma yog ib hom mob qog nqaij hlav uas loj hlob qeeb heev . Yog hais kom meej, nws yog ib hom mob qog nqaij hlav uas loj hlob hauv peb cov qe ntshav dawb. Nws tuaj yeem loj hlob hauv koj cov qog ntshav dawb - lossis, raws li peb hu lawv, koj cov qog ntshav dawb - lossis koj cov pob txha, lossis hauv lwm yam kabmob sab hauv. Qhov zoo kawg nkaus yog tias qee tus neeg tuaj yeem muaj tus kab mob no yam tsis muaj tsos mob . Yog vim li cas cov kws kho mob thiaj li suav tias nws yog ib qho mob ntev . Qhov xov xwm zoo yog tias muaj kev kho rau nws. Txawm li cas los xij, qee zaum tus kab mob tuaj yeem rov qab los tom qab kev kho mob. Tab sis cov kws kho mob xav tias lub sijhawm tsis deb thaum tus kab mob no tuaj yeem kho tau tag nrho nrog kev kho mob tshiab.

Leej twg yuav muaj feem kis tau tus kab mob no tshaj?

Raws li kev suav txheeb, muaj li peb txog plaub tus neeg ntawm txhua ib puas txhiab tus neeg (kwv yees li 3.5 tus neeg) yuav muaj tus mob no. Cov neeg hnub nyoog tshaj 65 xyoos feem ntau yuav muaj tus mob no dua li cov neeg hluas. Kuj tseem pom tias cov txiv neej muaj feem yuav muaj tus mob no ntau dua li cov poj niam.

Follicular Lymphoma cuam tshuam li cas rau kuv lub cev?

Follicular lymphoma yog ib hom kab mob B-cell lymphoma , ib hom kab mob non-Hodgkin's lymphoma . Yog li ntawd, nws kuj tseem tuaj yeem qhia cov tsos mob ntawm cov kab mob non-Hodgkin's lymphoma, xws li cov qog ntshav o, kub taub hau, thiab hws hmo ntuj .

Txawm li cas los xij, muaj ntau tus neeg raug kuaj pom tias muaj tus kab mob ua ntej lawv muaj tsos mob . Rau ib tus neeg uas tsis muaj tsos mob thiab muaj kev noj qab haus huv zoo, cov kws kho mob yuav tsis pib kho tam sim ntawd. Hloov chaw, lawv yuav siv txoj kev hu ua 'waiting watchful' lossis 'active surveillance' . Qhov no txhais tau tias cov kws kho mob yeej ib txwm saib xyuas koj txoj kev noj qab haus huv thiab cov tsos mob.

Tus kab mob no tuaj yeem cuam tshuam rau koj lub hlwb ua ntej nws cuam tshuam rau koj lub cev. Kev tshawb fawb tsis ntev los no tau qhia tias cov neeg uas muaj follicular lymphoma thiab cov lymphomas uas loj hlob qeeb zoo sib xws raug kev ntxhov siab ntau dhau vim yog qhov tsis paub meej tias 'Thaum twg cov tsos mob yuav tshwm sim?' thiab 'Kev kho mob yuav pib thaum twg?'

Puas yog Follicular Lymphoma yog ib qho kab mob loj heev?

Yog, qhov ntawd yog qhov tseeb follicular lymphoma.Nws tuaj yeem yog ib qho mob hnyav thiab nyuaj. Muaj ntau yam ua rau qhov no:

• Kev Hloov Pauv: Qee zaum, follicular lymphoma tuaj yeem hloov mus ua ib hom mob qog nqaij hlav uas hnyav dua hu ua diffuse large B-cell lymphoma (DLBCL) . Qhov no tuaj yeem ua rau muaj cov tsos mob tshiab, hnyav dua thiab kis mus rau lwm qhov ntawm lub cev. Kwv yees li 3 feem pua ​​(3%) ntawm cov neeg uas muaj follicular lymphoma yuav hloov mus ua DLBCL. Xav txog seb nws nyuaj npaum li cas kom muaj mob hnyav tam sim ntawd.
• Rov Qab Mob Dua: Lwm qhov teeb meem nrog tus kab mob no yog tias tom qab kho mob, cov tsos mob tuaj yeem ploj mus, thiab tom qab ntawd rov qab los dua tom qab ib ntus. Lub voj voog ntawm kev rov qab mob dua-rov qab mob dua-kev zam txim no ua rau nws nyuaj rau cov neeg uas muaj tus kab mob no xav tias lawv 'dhau lawm'. Hauv lwm lo lus, lawv ib txwm yuav tsum nyob nrog me ntsis kev ntshai hauv lawv lub siab.

Cov tsos mob ntawm Follicular Lymphoma yog dab tsi?

Muaj ntau yam tsos mob uas pom tau hauv tus kab mob no. Tab sis nco ntsoov, tsuas yog vim koj muaj cov tsos mob no tsis tau txhais hais tias koj muaj tus kab mob no. Tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog cov no.

• Cov qog ntshav hauv caj dab, qhov chaw mos, lossis qhov chaw ntawm lub qhov ncauj tsis mob. Peb hu lawv ua cov qog ntshav o, yog li ntawd lawv yog.
• Kub taub hau yam tsis muaj lwm yam kab mob lossis mob nkeeg.
• Poob phaus yam tsis muaj laj thawj pom tseeb. Koj yuav tsum txhawj xeeb, tshwj xeeb yog tias koj tau poob 10% lossis ntau dua ntawm koj qhov hnyav hauv 6 lub hlis dhau los .
• Tawm hws thiab txias. Tshwj xeeb yog tias koj tawm hws ntau heev ua rau koj lub txaj ntub thaum hmo ntuj (tawm hws hmo ntuj ntub dej) thiab nws tseem nyob, nws yuav yog ib qho tsos mob ntawm tus mob.
• Qaug zog. Qhov no tsis yog qaug zog ib txwm muaj. Nws yog qaug zog heev uas ua rau nws nyuaj rau ua txawm tias cov haujlwm yooj yim tshaj plaws txhua hnub .

Dab tsi ua rau muaj Follicular Lymphoma?

Qhov tseeb, cov kws tshawb nrhiav tseem tsis tau paub txhua yam ua rau muaj tus kab mob no. Tab sis lawv tau pom tias kwv yees li 85 feem pua ​​(85%) ntawm cov neeg mob, qhov ua rau muaj tus kab mob no yog kev hloov pauv hauv peb cov chromosomes . Vim yog cov kev hloov pauv no, tsis zoo li qub, lossis mob qog noj ntshav, cov hlwb pib faib thiab loj hlob yam tsis muaj kev tswj hwm.

Cov kws kho mob kuaj mob follicular lymphoma li cas?

Cov kws kho mob siv ntau yam kev kuaj los txiav txim siab seb koj puas muaj tus kab mob no.

• Kev kuaj nqaij me me (biopsy): Qhov no suav nrog kev rho ib daim nqaij me me los ntawm cov qog ntshav o.Nws yog kev kuaj mob los ntawm kev siv lub tshuab microscopic los saib seb puas muaj cov hlwb qog noj ntshav. Qhov no yog txoj hauv kev tseem ceeb los paub meej tias muaj tus kab mob .
• PET scan (Positron Emission Tomography - PET scan): Daim scan no tuaj yeem qhia tau tias cov cell mob qog noj ntshav ua haujlwm li cas, lawv tau kis mus deb npaum li cas, thiab qib ntawm mob qog noj ntshav.
• Kev thaij duab CT (Computed Tomography - CT scan): Qhov no pab cov kws kho mob pom qhov twg mob qog noj ntshav nyob hauv lub cev, nws loj npaum li cas, thiab nws teb li cas rau kev kho mob.

Cov theem ntawm Follicular Lymphoma yog dab tsi?

Ib yam li lwm yam mob qog noj ntshav, follicular lymphoma muaj ntau theem sib txawv. Cov kws kho mob siv cov theem no los txiav txim siab seb hom kev kho mob twg zoo tshaj plaws. Muaj plaub theem tseem ceeb (I txog IV):

• Theem I: Mob qog nqaij hlav muaj nyob rau hauv ib lossis ntau thaj tsam ntawm cov qog ntshav . Kwv yees li 25 feem pua ​​(25%) ntawm cov neeg mob follicular lymphoma raug kuaj pom thaum lub sijhawm no.
• Theem Ob: Mob qog noj ntshav nyob rau hauv ob lossis ntau thaj tsam cov qog ntshav hauv qab lossis hauv qab lub diaphragm (cov leeg uas cais peb lub hauv siab thiab lub plab). Kwv yees li 15 feem pua ​​(15%) ntawm cov neeg mob raug kuaj pom tias muaj mob qog noj ntshav thaum lub sijhawm no.
• Theem III: Mob qog noj ntshav nyob rau hauv cov qog ntshav ntawm ob sab ntawm lub diaphragm (saum toj thiab hauv qab) . Kwv yees li 26 feem pua ​​(26%) ntawm cov neeg mob raug kuaj pom tias muaj mob qog noj ntshav thaum lub sijhawm no.
• Theem IV: Tus mob qog nqaij hlav tau kis mus dhau cov qog ntshav hauv lub cev, mus rau cov pob txha lossis lwm yam kab ke hauv lub cev . Kwv yees li 27 feem pua ​​(27%) ntawm cov neeg mob tau kuaj pom tias muaj tus kab mob no thaum lub sijhawm mob hnyav tshaj plaws.

Yuav kho tus mob Follicular Lymphoma li cas?

Cov kws kho mob tsis siv tib txoj kev kho mob rau txhua tus neeg thaum kho cov kab mob follicular lymphoma. Kev kho mob yog txiav txim siab los ntawm ntau yam, suav nrog tus neeg mob tus mob thiab theem ntawm tus kab mob. Qee zaum, kev sib xyaw ua ke ntawm 'kev tos saib xyuas' thiab lwm yam kev kho mob raug siv.

• Tos ntsoov lossis saib xyuas tas li: Yog tias koj tus kws kho mob pom zoo kom ua li no, koj yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua, kuaj lub cev, kuaj ntshav, thiab luam theej duab . Qhov no txhais tau tias tos kom txog thaum cov tsos mob tshwm sim lossis tus kab mob hnyav zuj zus.
• Kev Kho Mob Hluav Taws Xob: Hom kev kho mob hluav taws xob no siv tau rau cov kab mob theem pib , thaum mob qog noj ntshav tsuas yog nyob rau ib cheeb tsam xwb. Nws siv cov hluav taws xob muaj zog heev los tua cov hlwb qog noj ntshav.
• Kev kho mob monoclonal antibody:Qhov no yog ib txoj kev kho mob uas nyuaj me ntsis. Hais yooj yim xwb, nws siv ib hom tshuaj tiv thaiv kab mob uas tsim tshwj xeeb hauv chav kuaj . Cov tshuaj tiv thaiv kab mob no tuaj yeem nrhiav pom cov hlwb qog noj ntshav thiab rhuav tshem lawv.
• Kev Kho Mob Qog Ntsws: Qhov no yog ib yam dab tsi uas ntau tus neeg hnov ​​thaum tham txog kev kho mob qog noj ntshav. Nws cuam tshuam nrog kev siv cov tshuaj tshwj xeeb los rhuav tshem cov hlwb qog noj ntshav . Kev kho mob qog noj ntshav yuav muab ib leeg lossis ua ke nrog lwm yam kev kho mob.
• Kev kho mob uas tsom rau cov qog nqaij hlav: Cov tshuaj siv rau hauv hom kev kho mob no tsuas yog tsom thiab tawm tsam cov qog nqaij hlav xwb, yam tsis ua rau cov qog nqaij hlav noj qab nyob zoo puas tsuaj . Qhov no tuaj yeem txo cov kev mob tshwm sim.
• Kev Kho Mob Tiv Thaiv Kab Mob: Qhov no yog ib txoj kev kho mob uas nthuav heev. Nws ua haujlwm los ntawm kev txhawb koj lub cev tiv thaiv kab mob kom tawm tsam mob qog noj ntshav. Nws yog ua kom cov qe ntshav ntau ntxiv uas tawm tsam cov qe ntshav qog noj ntshav, lossis nws pab cov qe ntshav noj qab haus huv paub thiab tawm tsam cov qe ntshav qog noj ntshav.
• Kev hloov pob txha/cov hlwb pob txha: Yog tias cov kab mob follicular lymphoma rov qab los tom qab siv tshuaj kho mob chemotherapy, cov kws kho mob yuav pom zoo kom siv txoj kev kho no. Qhov no suav nrog kev hloov cov hlwb pob txha uas muaj mob nrog cov hlwb pob txha noj qab haus huv lossis cov hlwb pob txha.

Puas tiv thaiv tau tus kab mob follicular lymphoma?

Tu siab kawg li, cov kws tshawb nrhiav tseem tsis tau pom ib txoj hauv kev tshwj xeeb los txo qhov kev pheej hmoo ntawm kev mob no. Yog tias koj muaj kev txhawj xeeb lossis kev tsis ntseeg txog qhov no, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib koj tus kws kho mob thiab tham txog koj keeb kwm kev kho mob thiab keeb kwm kev kho mob hauv tsev neeg. Tom qab ntawd tus kws kho mob tuaj yeem muab cov lus qhia tsim nyog rau koj.

Koj tuaj yeem nyob ntev npaum li cas nrog Follicular Lymphoma?

Raws li peb tau tham ua ntej lawm, follicular lymphoma yog ib yam kab mob uas loj hlob qeeb qeeb thiab mob ntev . Qhov no txhais tau tias koj tuaj yeem nyob nrog tus kab mob no tau ntev. Cov kev tshawb fawb tau qhia tias kwv yees li ib nrab (kwv yees li 50%) ntawm cov neeg uas kuaj pom tias muaj tus kab mob no nyob tau yuav luag 20 xyoo . Tsis tas li ntawd, kwv yees li 90% ntawm cov neeg mob tseem muaj sia nyob 5 xyoos tom qab kuaj pom tus kab mob. Yog li qhov no qhia tau tias txawm tias qhov no yog kab mob tuag taus, muaj lub sijhawm los nyob nrog nws.

Kuv yuav saib xyuas kuv tus kheej li cas?

Kev saib xyuas tus kheej yog ib qho tseem ceeb heev thaum koj muaj mob qog noj ntshav. Nov yog qee yam uas tuaj yeem pab tau koj thaum koj kho tus kab mob no:

• Tsim kom muaj tus cwj pwm noj mov zoo thiab tawm dag zog zoo.Nug ib tug kws noj haus lossis kws kho mob txog kev noj zaub mov zoo uas haum rau koj. Kev tawm dag zog ntau li ntau tau kuj zoo heev rau lub cev.
• Qaug zog yog ib qho tsos mob ntawm tus kab mob no, thiab nws kuj tuaj yeem yog ib qho kev phiv ntawm kev kho mob. Yog li mloog koj lub cev. Thaum koj xav tias qaug zog, so tsis yog thaum koj ua tau xwb, tab sis kuj thaum koj xav tau.
• Tej zaum koj yuav tau nyob nrog tus mob qog noj ntshav no ntev heev . Qhov ntawd yog xov xwm zoo heev. Txawm li cas los xij, kev nyob nrog tus mob ntev tuaj yeem ua rau lub hlwb nyuaj. Yog li ntawd, tham nrog tus kws kho mob lossis koom nrog pab pawg txhawb nqa rau cov neeg uas muaj tus mob no tuaj yeem pab tau zoo rau koj txoj kev noj qab haus huv ntawm lub hlwb. Nws kuj yog lub zog zoo kom paub tias koj tsis nyob ib leeg.

Kuv yuav tsum mus ntsib kuv tus kws kho mob thaum twg?

Tom qab koj kuaj pom tias koj muaj mob follicular lymphoma, koj tus kws kho mob yuav teem sijhawm mus ntsib kws kho mob kom paub seb koj tus mob thiab kev kho mob zoo li cas. Nco ntsoov mus ntsib cov sijhawm no.

Txawm li cas los xij, yog tias koj pom muaj kev hloov pauv hauv koj lub cev lossis cov tsos mob tshiab (cov tsos mob ntawm follicular lymphoma), mus ntsib koj tus kws kho mob sai li sai tau thiab qhia rau lawv paub txog qhov ntawd. Thaum ntxov pom nws, nws yuav yooj yim dua rau kev kho mob.

Cov Lus Xaus Kawg coj mus tsev

Lo lus mob qog noj ntshav ua rau peb ntshai, puas yog? Txawm tias muaj mob qog noj ntshav uas loj hlob qeeb zoo li Follicular Lymphoma los xij, nws tsis yooj yim. Tej zaum koj yuav tsis muaj tsos mob rau ntau xyoo. Tab sis thaum cov tsos mob tshwm sim, koj yuav tsum tau dhau los ntawm kev kho mob, kev zam txim, rov tshwm sim, thiab kev kho mob dua. Tej zaum koj yuav xav tias, 'Kuv yuav tshem qhov no thaum twg?'

Tiamsis qhov tseem ceeb tshaj plaws yog tsis txhob tso tseg kev cia siab. Cov kws tshawb fawb yeej ib txwm sim nrhiav kev kho mob tshiab los ua kom tus kab mob no kho tau.

Yog koj muaj mob Follicular Lymphoma, nrog koj tus kws kho mob tham thiab qhia meej txog koj cov kev kho mob. Tsis txhob ntshai nug cov lus nug. Nrog cov ntaub ntawv thiab kev txhawb nqa zoo, koj yuav muaj zog los ntsib qhov teeb meem no!

Lymphoma Follicular , Lymphoma, Mob Cancer, Cov qog ntshav hauv lub cev, Cov tsos mob, Kev kho mob, B-Cell Lymphoma