Koj puas tau muaj pob khaus lossis pob khaus tawv nqaij ntawm koj daim tawv nqaij, tshwj xeeb tshaj yog nyob rau thaj chaw uas tsis raug tshav ntuj, xws li koj lub plab lossis koj ob txhais ceg? Tej zaum lawv yuav khaus lossis zoo li eczema. Txawm hais tias ntau tus neeg xav tias qhov no yog teeb meem ntawm daim tawv nqaij ib txwm muaj, qee zaum nws tuaj yeem yog ib qho cim qhia ntxov ntawm tus mob tawv nqaij tsawg tsawg hu ua Mycosis Fungoides. Tsis txhob txhawj, peb yuav tham txog qhov no kom meej.
Hauv lwm lo lus, Mycosis Fungoides yog dab tsi?
Lub npe qhia tias yog kab mob fungal, tab sis nws tsis yog. Mycosis Fungoides yog ib qho mob uas tshwm sim los ntawm T cell, ib hom qe ntshav dawb hauv peb cov ntshav, hloov mus ua cov qe mob qog noj ntshav.
Xav txog nws li no, cov T cell no zoo li cov tub rog hauv peb lub cev. Lawv txoj haujlwm yog tiv thaiv peb ntawm cov kab mob los ntawm kev tawm tsam cov kab mob xws li cov kab mob thiab cov kab mob uas nkag mus rau hauv lub cev. Tab sis hauv tus kab mob no, cov T cell no hloov mus ua cov qog nqaij hlav thiab pib cuam tshuam rau peb daim tawv nqaij.
Kab mob no yog ib pawg mob qog noj ntshav hu ua Cutaneous T-cell Lymphoma (CTCL) . Yog li ntawd, nws yog T-cell lymphoma uas cuam tshuam rau daim tawv nqaij. Yog li ntawd, nco ntsoov tias qhov no tsis yog mob qog noj ntshav ntawm daim tawv nqaij, nws yog mob qog noj ntshav ntawm cov ntshav uas cuam tshuam rau daim tawv nqaij. Nws tsis yog cov hlwb ntawm daim tawv nqaij, tab sis cov hlwb T hauv cov ntshav uas dhau los ua cov hlwb qog noj ntshav ntawm no.
Cov tsos mob ntawm tus kab mob no yog dab tsi? Nws hloov pauv li cas ntawm theem mus rau theem?
Cov tsos mob ntawm tus kab mob Mycosis Fungoides tsis tshwm sim sai sai. Lawv tshwm sim ua ntu zus, nrog rau kev hloov pauv ntawm daim tawv nqaij. Txawm li cas los xij, tsis yog txhua tus neeg yuav muaj tag nrho cov theem no. Qee tus neeg yuav muaj ntau theem tib lub sijhawm.
Yuav kom yooj yim to taub, cia peb saib cov theem no.
| Theem | Qhov tsos thiab cov tsos mob |
|---|---|
| theem premycotic | Yuav muaj pob khaus tawv nqaij. Feem ntau pom muaj nyob rau thaj chaw uas tsis raug tshav ntuj, xws li lub plab qis, ncej puab, pob tw, thiab lub mis. |
| Theem kho | Cov tawv nqaij nyob ib puag ncig cov pob khaus yuav nyias dua. Cov pob no yuav khaus thiab qhuav. Lawv yuav zoo li eczema. |
| Theem phaj | Muaj tej pob me me, tsa los yog tej daim me me uas tshwm sim rau ntawm daim tawv nqaij. Cov no yog cov pob tawv, tsa uas koj kov tau hauv tes. |
| Qib mob qog | Cov qog nqaij hlav tsim rau ntawm daim tawv nqaij. Cov no mus tob rau hauv daim tawv nqaij dua li cov plaques uas tau hais ua ntej. Feem ntau lawv tuaj yeem tshwm sim rau ntawm ob txhais ceg, qhov chaw mos, qhov chaw mos, thiab sab hauv ntawm lub luj tshib. Cov qog nqaij hlav no kuj tuaj yeem kis tau kab mob yog tias lawv raug mob. |
Thaum qhov mob no hnyav zuj zus, cov qe ntshav dawb T loj loj pib ncig hauv cov ntshav. Cov qe ntshav no hu ua Sézary cells . Yog tias cov qe ntshav no ntau dhau hauv cov ntshav, qhov mob no tuaj yeem hloov mus ua ib qho mob hu ua Sézary Syndrome . Qhov no tuaj yeem ua rau muaj pob liab thoob plaws lub cev.
Vim li cas ho muaj tej yam zoo li no tshwm sim?
Qhov ua rau qhov no tseem tsis tau paub meej , tab sis cov kws tshaj lij ntseeg tias kev hloov pauv caj ces yuav ua lub luag haujlwm. Hais yooj yim, nws xav tias qhov yuam kev hauv DNA hauv peb cov hlwb ua rau T hlwb ua mob qog noj ntshav.
Tiamsis qhov tseem ceeb yog tias cov kev hloov pauv caj ces no tsis yog kis los ntawm ib tiam dhau ib tiam. Qhov ntawd txhais tau tias koj tsis tsim lawv tsuas yog vim koj niam koj txiv muaj lawv. Cov kws tshawb fawb tseem tab tom tshawb nrhiav seb qee yam tshuaj lom lossis kab mob hauv ib puag ncig puas tuaj yeem ua rau qhov no.
Qhov tseem ceeb tshaj plaws yog tias Mycosis Fungoides tsis yog ib yam kab mob sib kis tau. Nws tsis kis tau ntawm ib tus neeg mus rau lwm tus li cas los xij.
Tus kws kho mob nrhiav tau qhov no li cas?
Kev kuaj mob no yuav nyuaj me ntsis vim tias thaum pib, nws cov tsos mob zoo ib yam li cov mob ntawm daim tawv nqaij xws li eczema lossis psoriasis. Yog li ntawd, nws nyuaj rau qhia seb puas yog Mycosis Fungoides tsuas yog saib ntawm daim tawv nqaij xwb.
Yog li ntawd, koj tus kws kho mob yuav ua ntau yam kev kuaj ntxiv kom paub meej lossis tshem tawm qhov kab mob no.
- Kev kuaj tawv nqaij: Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws. Nws suav nrog kev coj ib daim ntaub me me los ntawm thaj chaw raug mob ntawm daim tawv nqaij thiab kuaj nws hauv chav kuaj.Cov qauv nqaij no raug kuaj xyuas seb puas muaj cov hlwb mob qog noj ntshav uas cuam tshuam nrog Mycosis Fungoides. Tej zaum yuav tsum tau ua ntau qhov kev kuaj biopsy kom pom cov hlwb mob qog noj ntshav tseeb.
- Kev kuaj ntshav: Yuav muab cov ntshav kuaj thiab saib cov kev hloov pauv ntawm cov qe ntshav thiab qee cov cim tshuaj lom neeg.
- Cov txheej txheem thaij duab: Tej zaum yuav muaj kev kuaj xws li CT scan lossis PET scan los saib seb tus mob qog noj ntshav puas tau kis mus rau cov qog ntshav lossis lwm yam hauv lub cev.
Yuav txiav txim siab li cas txog theem ntawm tus kab mob?
Thaum kuaj pom tus kab mob lawm, cov kws kho mob yuav txiav txim siab seb nws 'theem'. Qhov no yog kev faib tawm ntawm seb tus kab mob cancer tau kis mus deb npaum li cas thiab nws hnyav npaum li cas, txij theem I mus txog theem IV. Qhov no tseem ceeb heev rau kev npaj txoj kev kho mob zoo tshaj plaws rau koj.
Thaum txiav txim siab txog theem no, cov ntsiab lus hauv qab no raug coj los xav:
- Qhov loj ntawm cov qhov txhab ntawm daim tawv nqaij (cov pob, cov pob khaus, cov pob khaus).
- Cov qhov txhab no tau kis mus rau ntau npaum li cas ntawm daim tawv nqaij.
- Tus mob qog nqaij hlav puas tau kis mus rau cov qog ntshav hauv lub cev?
- Puas muaj cov qe mob qog noj ntshav nkag mus rau hauv cov ntshav?
- Puas tau kis mus rau lwm yam kabmob uas tsis yog daim tawv nqaij?
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob rau Mycosis Fungoides nyob ntawm theem ntawm tus kab mob thiab kev hloov pauv ntawm koj daim tawv nqaij. Lub hom phiaj tseem ceeb ntawm feem ntau kev kho mob yog tswj cov tsos mob thiab tswj koj lub neej zoo.
Koj tus kws kho mob yuav sau ntawv kho mob xws li:
- Kev kho mob uas siv daim tawv nqaij los kho: Cov no yog cov kev kho mob uas siv ncaj qha rau cov cheeb tsam uas raug mob ntawm daim tawv nqaij. Cov no suav nrog cov tshuaj gels, cov tshuaj steroids, cov tshuaj retinoids, thiab kev kho mob los ntawm kev siv duab .
- Kev kho mob rau txhua lub cev: Cov no yog cov tshuaj uas muab ua tshuaj ntsiav lossis muab rau hauv cov hlab ntsha. Lawv cuam tshuam rau cov hlwb qog noj ntshav thoob plaws lub cev. Piv txwv li suav nrog cov tshuaj xws li methotrexate .
- Kev kho mob tiv thaiv kab mob: Qhov no cuam tshuam txog kev txhawb nqa peb lub cev tiv thaiv kab mob kom paub thiab rhuav tshem cov hlwb qog noj ntshav.
- Kev kho mob tsom mus rau ib qho: Cov tshuaj no tsuas yog txheeb xyuas thiab rhuav tshem cov hlwb qog noj ntshav xwb, yog li ua rau muaj kev puas tsuaj tsawg dua rau cov hlwb ib txwm muaj.
- Kev kho mob hluav taws xob: Kev siv cov teeb hluav taws xob muaj zog los rhuav tshem cov hlwb qog noj ntshav lossis nres lawv txoj kev loj hlob.
Kev kho mob qog noj ntshav, kev kho mob uas peb feem ntau hnov txog thaum peb tham txog mob qog noj ntshav, tsis yog siv dav rau tus kab mob no vim nws tsis zoo rau tus kab mob no thiab muaj ntau yam kev phiv.
Lub neej yuav zoo li cas yog tias muaj tus kab mob no?
Kab mob noTseem tsis tau muaj kev kho mob. Tab sis tsis txhob txhawj. Yog tias kuaj pom thiab kho thaum ntxov, ntau tus neeg tuaj yeem ua neej nyob li qub yam tsis muaj tsos mob rau ntau xyoo.
Koj qhov kev kwv yees nyob ntawm ntau yam, qhov tseem ceeb tshaj plaws yog theem ntawm tus kab mob.
Raws li cov ntaub ntawv txheeb cais, yog tias kuaj pom tias muaj tus kab mob no thaum ntxov (thaum ntxov), qhov muaj feem yuav muaj sia nyob tau 10 xyoo yog siab txog 95%. Yog tias tus kab mob hnyav zuj zus (theem siab heev), lub sijhawm no tuaj yeem txo qis mus rau peb txog tsib xyoos. Tab sis nco ntsoov tias cov no tsuas yog cov lej xwb. Muaj ntau yam cuam tshuam rau qhov no, xws li koj lub hnub nyoog thiab kev noj qab haus huv tag nrho. Yog li ntawd, tsuas yog koj tus kws kho mob thiaj li muab tau cov lus piav qhia zoo tshaj plaws txog koj tus mob.
Qhov no puas tiv thaiv tau? Kuv yuav tsum ua li cas?
Tsis muaj ib txoj kev uas tau ua pov thawj tias yuav tiv thaiv tau tus kab mob Mycosis Fungoides kom tsis txhob loj hlob tuaj. Tiam sis muaj tej yam uas koj ua tau los txo qhov kev pheej hmoo ntawm tus kab mob kom loj hlob mus rau theem hnyav dua. Yog li ntawd, mus kuaj mob tsis tu ncua.
Qhov tseem ceeb tshaj plaws yog xyuas koj daim tawv nqaij koj tus kheej tsawg kawg ib hlis ib zaug. Mus rau daim iav thiab saib thoob plaws koj lub cev. Nrhiav cov pob tshiab, cov pob me me, cov pob khaus, lossis kev hloov pauv ntawm cov xim lossis qhov loj ntawm cov uas twb muaj lawm. Yog tias koj pom muaj kev hloov pauv, tsis txhob tsis quav ntsej lawv thiab mus ntsib kws kho mob tawv nqaij tam sim ntawd. Thaum koj pom lawv sai npaum li cas, kev kho mob yuav ua tiav ntau npaum li ntawd.
Cov lus nug uas yuav tsum nug koj tus kws kho mob
Yog koj kuaj pom tias koj muaj tus kab mob no, tej zaum koj yuav muaj ntau lo lus nug hauv koj lub siab. Tsis txhob zais dab tsi, nug koj tus kws kho mob.
- Kuv muaj cov kev kho mob twg?
- Puas muaj tej yam tshwm sim tsis zoo rau cov kev kho mob no?
- Muaj feem yuav rov qab mob dua tom qab kho tas lawm li cas?
- Yog tias kuv tsis tau txais kev kho mob, yuav muaj li cas?
- Kuv yuav ua li cas thiaj li tiv thaiv tau tus kab mob kom tsis txhob rov qab los?
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Mycosis Fungoides tsis yog mob qog noj ntshav ntawm cov tawv nqaij. Nws yog mob qog noj ntshav uas tshwm sim hauv cov qe ntshav T, tab sis cuam tshuam rau daim tawv nqaij.
- Thaum pib, nws cov tsos mob zoo ib yam li cov mob ntawm daim tawv nqaij xws li eczema lossis psoriasis.
- Kab mob no tsis sib kis tau li. Tsis tas yuav ntshai tsam kis tau ntawm ib tus neeg mus rau lwm tus.
- Kev kuaj pom tus kab mob thaum ntxov yog qhov tseem ceeb heev rau kev kho mob kom zoo thiab muaj lub neej ntev thiab noj qab nyob zoo.
- Yog koj xav tias muaj tej qhov chaw tshiab, mob, lossis pob ntawm koj daim tawv nqaij uas hloov pauv tas li, mus ntsib kws kho mob tam sim ntawd.
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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