Koj puas muaj cov tsos mob no thiab? Cia peb tham txog MALT Lymphoma!

Koj puas tau hnov ​​txog ib yam kab mob txawv txawv hu ua MALT Lymphoma? Tej zaum tsis yog. Vim tias nws tsis tshua muaj, uas txhais tau tias nws tsis yog ib yam kab mob uas cuam tshuam rau txhua tus. Tab sis nws zoo rau peb paub txog nws. Vim tias qhov no kuj yog ib hom mob qog noj ntshav. Tab sis tsis txhob ntshai, nws kis qeeb qeeb hauv lub cev. Hnub no, peb yuav tham txog nws kom meej, zoo li peb tab tom tham nrog ib tug phooj ywg.

MALT Lymphoma yog dab tsi? Hais yooj yim xwb...

Zoo, MALT Lymphoma yog ib hom me me ntawm pawg mob qog noj ntshav loj dua hu ua 'non-Hodgkin lymphoma'. Hauv lwm lo lus, nws yog ib hom mob lymphomas uas loj hlob qeeb feem ntau hu ua 'marginal zone lymphoma'.

Kab mob no feem ntau cuam tshuam rau cov neeg hnub nyoog tshaj 65 xyoo. Nws kuj tseem muaj ntau dua rau cov txiv neej dua li cov poj niam. Qhov zoo tshaj plaws yog tias cov kws kho mob muaj kev kho mob uas tuaj yeem kho tus kab mob no. Ntawd yog, lawv tuaj yeem tso tus kab mob rau hauv "kev zam txim" , lossis lub xeev pw tsaug zog. Txawm li cas los xij, peb yuav tsum nco ntsoov tias qee zaum nws tuaj yeem rov tshwm sim dua.

Cov hom MALT Lymphoma yog dab tsi?

Muaj ob hom mob MALT lymphoma tseem ceeb:

1. Gastric MALT Lymphoma: Qhov no pib hauv koj lub plab, uas yog, hauv plab. Sab hauv ntawm lub plab, uas peb hu ua 'mucosa' , yog qhov chaw nws pib. Feem ntau, hom no nyob qhov chaw nws pib, tab sis qee zaum nws tuaj yeem kis mus rau thaj chaw sab nraum lub plab. Qhov no yog hom MALT lymphoma feem ntau.

2. Mob Lymphoma uas tsis yog gastric MALT: Hom mob no tuaj yeem cuam tshuam rau cov kua muag hauv koj lub ntsws, cov qog salivary, cov qog thyroid, thiab daim tawv nqaij . Nws kuj tseem tuaj yeem cuam tshuam rau cov nqaij nyob ib puag ncig koj lub qhov muag, xws li cov kua muag .

Kab mob no feem ntau tshwm sim li cas?

MALT lymphoma yog ib yam kab mob uas tsis tshua muaj. Nws suav txog li 7% ntawm tag nrho cov non-Hodgkin lymphomas. Yog xav kom nkag siab txog qhov ntawd, raws li American Cancer Society, yuav muaj 80,550 tus neeg raug kuaj pom tias muaj non-Hodgkin lymphoma hauv xyoo 2023 xwb. Qhov ntawd piv rau 300,590 tus neeg mob qog noj ntshav mis tshiab. Yog li koj tuaj yeem pom tias qhov no tsis tshua muaj.

MALT Lymphoma kis tau sai npaum li cas?

Qhov no yog ib qho tseem ceeb. Kab mob no loj hlob qeeb heev hauv lub cev. Thaum pib, tej zaum yuav tsis muaj tsos mob loj. Qee zaum, MALT lymphoma raug pom los ntawm txoj hmoo thaum kuaj mob rau lwm yam kab mob.

Cov tsos mob ntawm qhov no yog dab tsi?

Cov tsos mob sib txawv nyob ntawm seb qhov twg ntawm cov lymphoma nyob. Txawm li cas los xij, txhua yam MALT lymphoma pib hauv:Ib daim nyias nyias ('mucosa'). Daim nyias nyias no yog ib daim ntaub ntub dej uas npog sab hauv ntawm qee cov kabmob hauv peb lub cev.

Cov tsos mob ntawm Gastric MALT Lymphoma

Qhov no yog ua los ntawm lub plab, thiab cov tsos mob yuav muaj xws li:

• Mob plab thiab mob plab zom mov: Ib yam li mob plab thiab mob plab zom mov uas peb txhua tus paub.
• Mob plab.
• Xeev siab thiab ntuav.
• Cov zaub mov tsis qab.
• Ua nyias nyias tsis muaj laj thawj.
• Kev los ntshav hauv txoj hnyuv.

Cov tsos mob ntawm Non-gastric MALT Lymphoma

Hom kab mob no tuaj yeem cuam tshuam rau ob lub qhov muag, lub ntsws, cov qog salivary, daim tawv nqaij, thiab cov qog thyroid.

Yog tias qhov muag raug cuam tshuam:

• Qhov muag poob qis.
• Qhov muag liab los yog o.
• O ntawm qhov muag.
• Pom ob zaug.

Yog tias lub ntsws raug cuam tshuam:

• Ua pa nyuaj.
• Mob hauv siab.
• Hnoos tawm los yog hnoos tawm ntshav.

Yog tias cov qog salivary raug cuam tshuam:

Kev o tuaj yeem pom:

• Cov pob ntseg nyob rau pem hauv ntej.
• Hauv qab lub puab tsaig.
• Sab hauv lub qhov ncauj.

Yog tias daim tawv nqaij raug cuam tshuam:

• Cov pob liab, xim liab dawb, lossis xim ntshav ntawm daim tawv nqaij.
• Cov pob tawv nqaij.

Yog tias cov thyroid caj pas raug cuam tshuam:

• Cov tsos mob ntawm hypothyroidism: Cov no suav nrog qaug zog heev, tawv nqaij qhuav, hnyav nce tsis paub meej, lossis ua rau mob khaub thuas ntau ntxiv.
• Ib lub pob nyob rau pem hauv ntej ntawm lub caj dab.

Dab tsi ua rau MALT Lymphoma?

Muaj ntau yam ua rau muaj tus kab mob no, suav nrog cov kab mob bacterial lossis viral thiab cov kab mob autoimmune .

• Cov kab mob thiab cov kab mob:
• Kev kis tus kab mob ntev ntev nrog cov kab mob 'H. pylori' yog qhov ua rau mob gastric MALT lymphoma. 'H. pylori' yog ib hom kab mob uas ua rau mob gastritis thiab mob qog hauv plab.
• Lwm cov kab mob, xws li `Achromobacter xylosoxidans`, `Campylobacter jejuni`, `Borrelia burgdorferi` thiab `C. psittiaci`, kuj tau pom tias muaj feem cuam tshuam nrog ob hom MALT lymphoma.
• Kab mob siab C kuj tseem tuaj yeem cuam tshuam nrog ob qho tib si gastric thiab non-gastric MALT lymphoma.

• Cov kab mob autoimmune:
• `Kab mob Hashimoto` (ib yam mob uas cuam tshuam rau lub qog thyroid) thiab `Sjögren's syndrome` (Sjögren's syndrome)(Qhov no ua rau muaj tej yam xws li qhov muag qhuav thiab qhov ncauj qhuav) tuaj yeem ua rau muaj qee cov non-gastric MALT lymphomas.

Cov yam uas ua rau muaj kev pheej hmoo ntawm MALT Lymphoma yog dab tsi?

Yog tias ib tug neeg hauv koj tsev neeg tau mob lymphoma, koj kuj yuav muaj feem yuav mob MALT lymphoma. Txawm li cas los xij, qhov no tsis yog ib qho uas tshwm sim rau txhua tus.

Yuav kuaj mob MALT Lymphoma li cas?

Cov kws kho mob ua ntau yam kev kuaj mob los kuaj mob tus kab mob no thiab saib seb nws kis mus deb npaum li cas lawm.

Kev kuaj ntshav

Cov kws kho mob yuav ua cov kev kuaj ntshav zoo li no:

• `CBC (kev suav cov ntshav tag nrho):` saib cov hom cell hauv cov ntshav.
• `LDH (lactate dehydrogenase): Qhov no tuaj yeem nce siab rau qee cov mob qog noj ntshav.
• `CMP (comprehensive metabolic panel)` (kev kuaj mob metabolic): Xyuas seb cov kabmob xws li lub raum thiab lub siab ua haujlwm li cas.
• Kev kuaj mob siab C.

Kev kuaj mob

Cov kws kho mob yuav ua cov biopsies zoo li no:

• Kev kuaj mob pob txha: Txhawm rau saib seb tus mob qog noj ntshav puas tau kis mus rau pob txha.
• Koob txhaj tshuaj: Muab ib daim nqaij me me ntawm ib lub pob uas muaj qhov txawv txav thiab kuaj.

Qee zaum, yog tias xav tias muaj mob gastric MALT lymphoma, kev kuaj mob biopsy tuaj yeem ua thaum lub sijhawm endoscopy sab saud , uas yog kev ntxig lub koob yees duab me me los ntawm qhov ncauj los kuaj lub plab.

Kev kuaj duab

Cov kev kuaj no pab nrhiav seb qhov twg lymphoma nyob thiab nws tau kis mus deb npaum li cas (theem):

• Kev thaij duab computer (CT scans).
• Kev luam theej duab Positron emission tomography (PET) scans.

Kev kuaj hauv chaw kuaj mob

Cov kws kho mob siv cov kev kuaj mob zoo li no los kuaj xyuas cov nqaij lossis cov hlwb qog nqaij hlav:

• `Kev kuaj H. pylori`: Yuav muab ib qho qauv biopsy coj mus kuaj seb puas muaj cov kab mob no.
• Flow cytometry: Ib qho kev kuaj tshwj xeeb uas pab txheeb xyuas qhov xwm txheej ntawm cov cell.

Txheeb xyuas theem ntawm mob qog noj ntshav (rau gastric MALT lymphoma) (Cancer staging)

Cov kws kho mob siv cov txheej txheem ntsuas qib mob qog noj ntshav los npaj kev kho mob thiab kwv yees qhov tshwm sim tom qab kev kho mob. Rau gastric MALT lymphoma, ib qho ntawm cov txheej txheem hauv qab no yuav siv tau:

• Theem I: Tus mob qog nqaij hlav tsuas yog nyob rau hauv txheej sab hauv ntawm lub plab xwb.
• Theem II: Tus mob qog nqaij hlav tau kis mus rau cov qog ntshav ze, rau cov qog ntshav deb, lossis rau cov kabmob thiab cov nqaij nyob ze.
• Theem IV:Tus mob qog noj ntshav tau kis mus rau ntau lub qog ntshav hauv lub cev, cov pob txha, thiab saum thiab hauv qab lub diaphragm.
• Tsis muaj ib yam dab tsi zoo li theem III rau gastric MALT lymphoma.

Yuav kho tus kab mob MALT Lymphoma li cas?

Kev kho mob nyob ntawm ntau yam, suav nrog hom MALT lymphoma, nws qhov ua rau, thiab theem ntawm tus kab mob. Piv txwv li, qee qhov kev tshawb fawb qhia tias theem pib ntawm gastric MALT lymphoma tuaj yeem kho tau tag nrho nrog cov tshuaj tua kab mob, tshwj xeeb tshaj yog tias nws yog los ntawm H. pylori tus kab mob.

Cov kev xaiv kho mob yuav muaj xws li:

• 'Tos ntsoov/saib xyuas tas li': Cov kws kho mob yuav pom zoo kom siv txoj kev no rau cov neeg uas muaj tus kab mob MALT lymphoma theem pib uas tsis muaj tsos mob dab tsi. Qhov no txhais tau tias yuav tsum saib xyuas tus kab mob yam tsis tas kho.
• Tshuaj tua kab mob: Kev kho mob no tua cov kab mob H. pylori, uas ua rau mob gastric MALT lymphoma. Qee qhov kev tshawb fawb qhia tias kev tua H. pylori tuaj yeem kho tau tus kab mob.
• Kev kho mob hluav taws xob: Cov kws kho mob yuav siv kev kho mob hluav taws xob los kho ob hom MALT lymphoma.
• Kev kho mob Monoclonal antibody: Kev kho mob no yuav pab tau cov neeg uas muaj mob gastric MALT lymphoma uas tsis teb rau kev kho mob hluav taws xob lossis cov neeg uas muaj mob non-gastric MALT lymphoma.

Puas kho tau MALT Lymphoma kom zoo tag nrho?

Yog, raws li tau hais ua ntej lawm, theem pib ntawm gastric MALT lymphoma, tshwj xeeb tshaj yog qhov tshwm sim los ntawm H. pylori, tuaj yeem kho tau nrog cov tshuaj tua kab mob. Hauv lwm cov xwm txheej, kev kho mob tuaj yeem ua rau tus kab mob "tsis muaj kev zam txim" , uas yog, lub xeev pw tsaug zog. Txawm li cas los xij, nws tuaj yeem rov qab los ("rov tshwm sim dua").

Kev kwv yees ntawm tus kab mob no yog dab tsi?

Tej zaum koj yuav zoo siab thaum hnov ​​​​​​qhov no. Cov neeg uas muaj MALT lymphoma tuaj yeem nyob tau ntau xyoo, txawm tias tus kab mob rov qab los tom qab kho mob. Qhov no yog vim nws yog ib hom kab mob uas loj hlob qeeb.

Tus nqi ntawm kev ciaj sia nyob yog dab tsi?

Raws li ib txoj kev tshawb fawb, kwv yees li 88% ntawm cov neeg uas muaj MALT lymphoma tseem muaj sia nyob tsib xyoos tom qab kuaj pom. Tab sis nco ntsoov tias cov feem pua ​​​​​​ntawm kev ciaj sia no tsuas yog kwv yees raws li kev paub ntawm lwm tus thiab cov ntaub ntawv sau los ntawm lub sijhawm. Koj qhov kev paub yuav txawv. Hauv cov rooj plaub no, koj tus kws kho mob yog tus neeg zoo tshaj plaws los muab cov ntaub ntawv rau koj.

Puas tiv thaiv tau MALT Lymphoma?

Qhov tseeb, cov kws tshawb fawb txog kev kho mob tseem tsis tau paub txog txhua yam uas ua rau tib neeg muaj tus kab mob no. Ib txoj kev tshawb fawb pom tiasKev zam kev kis tus kab mob H. pylori tuaj yeem txo qhov kev pheej hmoo ntawm kev mob gastric MALT lymphoma.

Kuv yuav saib xyuas kuv tus kheej li cas?

Muaj coob tus neeg xav tau kev kho mob tas mus li. Qhov no txhais tau tias yuav tsum mus kuaj mob tas li kom paub seb tus kab mob puas rov qab los dua. Feem ntau, koj yuav tsum tau kuaj thiab luam theej duab txhua peb txog rau lub hlis txog li tsib xyoos. Tom qab ntawd, koj yuav tsum tau mus kuaj mob ib xyoos ib zaug.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Cov neeg uas muaj MALT lymphoma feem ntau mus ntsib lawv cov kws kho mob tsis tu ncua. Txawm li cas los xij, mus ntsib koj tus kws kho mob tam sim ntawd yog tias koj muaj:

• Yog tias koj muaj MALT Lymphoma thiab pom cov kev hloov pauv tshiab (uas tej zaum yuav yog cov tsos mob) hauv koj lub cev.
• Yog tias koj tab tom kho mob thiab koj cov tsos mob hnyav zuj zus.
• Yog tias koj nyob rau hauv 'kev zam txim', uas yog, thaum tus kab mob tau zoo dua, koj pom kev hloov pauv hauv txoj kev uas nws xav, zoo li tus kab mob 'rov tshwm sim dua'.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Yog tias koj muaj MALT Lymphoma, koj yuav xav nug koj tus kws kho mob cov lus nug no:

• Kuv muaj hom MALT lymphoma twg?
• Kuv tus kab mob nyob theem twg lawm?
• Kuv puas xav tau kev kho mob?
• Yog tias kuv xav tau kev kho mob, koj yuav pom zoo kom kho mob dab tsi?
• Puas muaj tej kev sim tshuaj uas kuv yuav tsum xav txog?

Nco ntsoov: MALT Lymphoma yog ib hom mob qog nqaij hlav uas tsis tshua muaj neeg paub uas cuam tshuam rau daim ntaub ntawm peb cov kabmob thiab lwm qhov ntawm lub cev, ib hom mob qog nqaij hlav uas tsis yog Hodgkin. Nws loj hlob qeeb qeeb, yog li nws feem ntau tsis ua rau muaj cov tsos mob loj. Cov kws kho mob tuaj yeem kho nws, thiab qee zaum kho nws. Tab sis tus kab mob tuaj yeem rov qab los, yog li yuav tsum tau kho ntxiv. Yog tias koj muaj tus kab mob no, nrog koj tus kws kho mob tham txog yam uas yuav tshwm sim.

Thaum kawg, cov lus coj mus tsev

Zoo, cia kuv qhia koj ob peb yam uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• MALT Lymphoma yog ib hom mob qog nqaij hlav uas loj hlob qeeb qeeb. Tsis txhob ntshai, tab sis yuav tsum ceev faj.
• Muaj ob hom: gastric (hauv plab) thiab non-gastric (nyob rau lwm qhov chaw).
• Cov kab mob 'H. pylori' yog ib qho ua rau mob gastritis loj heev.
• Cov tsos mob nyob ntawm seb qhov twg ntawm cov lymphoma nyob, thiab tej zaum yuav tsis muaj tsos mob thaum xub thawj.
• Muaj kev kho mob, thiab qee zaum nws tuaj yeem kho tau tag nrho, tshwj xeeb tshaj yog nyob rau theem pib ntawm mob qog noj ntshav hauv plab.
• Tus kab mob no tuaj yeem rov qab tshwm sim tom qab koj zoo lawm, yog li koj yuav tsum tau mus ntsib kws kho mob kom tau kev saib xyuas ntxiv.
• Yog koj muaj lus nug lossis kev tsis ntseeg, tsis txhob ntshai tham nrog koj tus kws kho mob. Qhov ntawd yog qhov zoo tshaj plaws ua.

Vam tias cov ntaub ntawv no yuav pab tau koj. Nyob zoo!

` MALT lymphoma, non-Hodgkin lymphoma, mob qog noj ntshav, gastric MALT lymphoma, H. pylori, cov tsos mob ntawm lymphoma, kev kho mob lymphoma