Koj puas tau pom ib lub pob me me hauv koj lub caj dab lossis qhov chaw mos? Feem ntau, cov no yog ib txwm muaj, tab sis qee zaum lawv tuaj yeem yog ib qho cim ntawm ib yam kab mob zoo li lymphoma. Hnub no peb tab tom tham txog ib hom mob qog noj ntshav, Non-Hodgkin Lymphoma. Tsis txhob ntshai thaum koj hnov lub npe no. Cia peb nkag siab txhua yam txog qhov no yooj yim thiab meej.
Hauv lwm lo lus, non-Hodgkin lymphoma (NHL) yog dab tsi?
Non-Hodgkin Lymphoma (NHL) yog ib pawg mob qog ntshav uas tshwm sim hauv peb lub cev lymphatic . Tam sim no koj yuav xav paub tias lub cev lymphatic yog dab tsi. Nws yog ib feem tseem ceeb ntawm peb lub cev tiv thaiv kab mob. Ib yam li peb lub teb chaws tiv thaiv, lub cev no tiv thaiv peb los ntawm kev tawm tsam cov kab mob uas ua rau muaj kab mob.
Muaj cov hlwb tshwj xeeb zoo li tub rog nyob rau hauv lub cev lymphatic no. Peb hu lawv ua lymphocytes . Cov no yog ib hom hlwb ntshav dawb. Thaum muaj kev hloov pauv hauv cov noob caj noob ces ntawm cov hlwb lymphocyte no, uas yog, kev hloov pauv, cov hlwb ntawd pib faib thiab loj hlob yam tsis muaj kev tswj hwm. Ntawd yog mob qog noj ntshav uas loj hlob li no, peb hu nws ua non-Hodgkin lymphoma.
Cov hlwb tsis zoo no feem ntau sib sau ua ke hauv peb cov qog ntshav thiab tsim cov qog . Lawv kuj tuaj yeem kis mus rau lwm cov kabmob hauv lub cev lymphatic, xws li peb lub po.
Tiam sis nco ntsoov qhov no: Nrog rau kev kho mob niaj hnub no, cov neeg uas muaj tus kab mob non-Hodgkin lymphoma muaj sia nyob ntev dua li yav dhau los. Qee zaum kev kho mob tuaj yeem kho tau tus kab mob tag nrho . Lwm lub sijhawm, lub hom phiaj ntawm kev kho mob yog kom tus kab mob tsis txhob mob ntev li ntev tau, tsis muaj tsos mob.
Puas muaj cov hom NHLs no?
Yog, muaj ntau tshaj 70 hom kab mob no. Tab sis feem ntau lawv raug faib raws li hom lymphocyte cell uas raug cuam tshuam.
- B-cell lymphoma: Cov no tshwm sim los ntawm ib hom lymphocyte hu ua B cells. Cov B cell no yog cov uas ua cov tshuaj tua kab mob los tawm tsam cov kab mob thaum lawv nkag mus rau hauv peb lub cev. Kwv yees li 85% ntawm cov neeg mob NHL koom nrog pawg no.
- T-cell lymphoma: Cov no tshwm sim los ntawm ib hom lymphocyte hu ua T cells. Cov T cells no tawm tsam cov kab mob ncaj qha thiab kuj pab cov B cells.
Tsis tas li ntawd xwb, cov kws kho mob kuj faib cov hom lymphoma no raws li lawv kis tau sai npaum li cas.
- Ua Phem: Hom kab mob no tuaj yeem kis tau sai thoob plaws lub cev, yog li nws yuav tsum tau kho mob hnyav.
- Kab mob tsis zoo: Hom kab mob no kis qeeb heev . Qee zaum, kev kho mob tsis tas yuav tsum tau ua thaum ntxov.
Cov tsos mob ntawm tus kab mob no yog dab tsi?
Cov tsos mob feem ntau ntawm tus kab mob no yog qhov o lossis pob tsis mob hauv caj dab, qhov chaw mos, lossis qhov chaw mos. Cov no hu ua cov qog ntshav o. Tab sis nco ntsoov, mob qog noj ntshav tsis yog tib qho ua rau cov qog ntshav o. Qhov no tuaj yeem tshwm sim txawm tias muaj mob khaub thuas lossis mob ntsws.
Tsis tas li ntawd xwb, cov tsos mob kuj txawv nyob ntawm seb cov qog nqaij hlav nyob qhov twg. Cia peb saib ze dua hauv lub rooj hauv qab no.
| Pawg tsos mob | Kev piav qhia |
|---|---|
| Cov yam ntxwv dav dav |
|
| Cov tsos mob ntsig txog lub hauv siab | |
| Cov tsos mob ntsig txog lub plab |
Qhov tseem ceeb yog tias cov tsos mob no kuj tuaj yeem pom tau hauv ntau lwm yam kab mob. Yog li ntawd, tsis txhob ntshai xav tias koj muaj lymphoma tsuas yog vim koj muaj ib lossis ntau yam ntawm cov no. Tab sis yog tias cov tsos mob no tseem muaj rau ob peb lub lis piam, nws yog ib lub tswv yim zoo kom mus ntsib kws kho mob thiab mus kuaj mob.
Cov tsos mob ntawm tus kab mob B yog dab tsi?
Thaum kuaj mob lymphoma, cov kws kho mob yuav nrhiav peb yam tsos mob tshwj xeeb hu ua "B tsos mob." Cov no yog:
1. Kub taub hau yam tsis muaj laj thawj
2. Hws ntau dhau thaum hmo ntuj
3. Poob phaus yam tsis muaj laj thawj
Txawm hais tias cov tsos mob no puas muaj los tsis muaj los xij, qhov no yuav pab txheeb xyuas hom lymphoma uas koj muaj thiab txiav txim siab qhov kev kho mob zoo tshaj plaws.
Cov yam ua rau muaj tus kab mob no yog dab tsi?
Tseem tsis tau tshawb pom qhov ua rau muaj tus kab mob non-Hodgkin lymphoma. Txawm li cas los xij, muaj ntau yam uas tau txheeb xyuas uas ua rau muaj feem lossis muaj feem yuav mob no ntau dua.
| Qhov ua rau muaj kev pheej hmoo | Kev piav qhia |
|---|---|
| Hnub nyoog | Cov neeg uas muaj hnub nyoog tshaj 60 xyoo muaj feem yuav mob ntau dua. Qhov kev pheej hmoo no yuav nce ntxiv thaum koj laus zuj zus. |
| Lub cev tiv thaiv kab mob tsis muaj zog | Kev tiv thaiv kab mob tsis muaj zog vim muaj tej yam mob xws li kev kis tus kab mob HIV . Cov neeg uas noj tshuaj tiv thaiv kab mob tom qab hloov lub cev kuj muaj feem yuav mob ntxiv. |
| Cov kab mob autoimmune | Cov neeg uas muaj cov kab mob xws li mob pob qij txha rheumatoid thiab psoriasis yuav muaj kev pheej hmoo ntxiv me ntsis. |
| Tej yam kab mob sib kis | Cov kab mob xws li H. pylori, Epstein-Barr virus, thiab Hepatitis C tuaj yeem ua rau muaj kev pheej hmoo ntawm NHL. |
| Keeb kwm tsev neeg | Yog tias koj niam koj txiv, cov kwv tij neej tsa, lossis cov menyuam tau muaj mob lymphoma lossis lwm yam mob qog ntshav, koj kuj muaj feem yuav mob ntau dua me ntsis. |
| Kev raug tshuaj tua kab | Qee qhov kev tshawb fawb tau qhia tias cov neeg uas raug tshuaj tua kab thiab tshuaj tua nroj ntau dhau yuav muaj kev pheej hmoo ntau dua me ntsis. |
Yuav kuaj mob li cas? (Kev kuaj mob)
Thaum koj mus ntsib kws kho mob, nws yuav ua raws li ob peb kauj ruam kom paub tseeb tias koj muaj tus kab mob.
- Kev kuaj lub cev: Ua ntej, tus kws kho mob yuav nug koj txog koj cov tsos mob thiab kuaj koj lub cev rau cov cim xws li cov qog ntshav o.
- Kev kuaj ntshav: Cov kev kuaj xws li kev suav ntshav tag nrho (CBC) muab ib lub tswv yim ntawm koj txoj kev noj qab haus huv tag nrho.
- Kev kuaj duab: Cov kev kuaj xws li CT scans, MRI scans, thiab PET scans tuaj yeem nrhiav cov hlwb qog noj ntshav hauv lub cev.
- Kev kuaj mob: Qhov no yog tib txoj kev los paub tseeb tias muaj tus kab mob 100% ntawm lub sijhawm. Qhov no suav nrog kev muab ib daim ntaub me me los ntawm cov qog ntshav lossis thaj chaw o thiab kuaj nws hauv qab lub tshuab microscope. Qhov no yog tib txoj kev los paub tseeb tias cov hlwb lymphoma puas muaj lossis tsis muaj.
- Immunophenotyping: Qhov no yog ib qho kev xeem tshwj xeeb uas tshuaj xyuas cov hlwb uas tau los ntawm kev kuaj nqaij los pab txheeb xyuas seb nws yog hom NHL twg.
Cov theem ntawm tus kab mob
Tom qab kuaj tas, tus kws kho mob yuav txiav txim siab seb koj tus kab mob nyob theem twg. Qhov no tseem ceeb heev rau kev npaj kho mob.
| Theem | Kev piav qhia |
|---|---|
| Theem I | Cov qe ntshav qog tsuas yog nyob rau hauv ib cheeb tsam ntawm cov qog ntshav lossis ib lub cev hauv lub cev lymphatic xwb. |
| Theem II | Muaj cov qe ntshav qog nyob rau hauv ob lossis ntau dua thaj chaw ntawm cov qog ntshav hauv tib sab (saum toj lossis hauv qab) ntawm lub diaphragm. |
| Theem III | Muaj cov qe ntshav qog nyob rau hauv cov qog ntshav ntawm ob sab (saum toj thiab hauv qab) ntawm lub diaphragm. |
| Theem IV | Tus mob qog noj ntshav tau kis mus rau sab nraud ntawm lub cev lymphatic mus rau ib lossis ntau lub cev, xws li lub siab lossis lub ntsws. |
Cov kev kho mob yog dab tsi?
Kev kho mob uas koj xav tau nyob ntawm ntau yam, suav nrog hom NHL uas koj muaj, theem ntawm tus kab mob, thiab koj txoj kev noj qab haus huv tag nrho.
- Kev saib xyuas tas li: Yog tias koj muaj mob qaug zog thiab tsis muaj tsos mob, koj tus kws kho mob yuav txiav txim siab saib xyuas koj txoj kev nce qib yam tsis tas yuav kho. Ntawm no, koj raug saib xyuas tas li thiab kev kho mob tsuas yog pib yog tias muaj tsos mob tshwm sim.
- Kev kho mob qog noj ntshav: Qhov no yog txoj kev kho mob uas siv ntau tshaj plaws. Nws suav nrog kev muab tshuaj rau lub cev uas tua cov hlwb qog noj ntshav.
- Kev kho mob tsom rau: Cov tshuaj no tsom thiab tawm tsam ib qho tsis muaj zog tshwj xeeb hauv cov hlwb qog noj ntshav. Kev kho mob monoclonal antibody yog ib qho kev kho mob zoo li no.
- Kev Kho Mob Tiv Thaiv Kab Mob: Qhov no suav nrog kev txhawb koj lub cev tiv thaiv kab mob kom rhuav tshem cov hlwb qog noj ntshav. Kev kho mob CAR T-cell yog ib qho kev kho mob siab heev.
- Kev kho mob hluav taws xob: Qhov no suav nrog kev siv cov hluav taws xob muaj zog heev (piv txwv li X-rays) los rhuav tshem cov hlwb qog noj ntshav.
- Kev hloov cov hlwb noob: Feem ntau ua qhov no yog tias lwm yam kev kho mob tsis tau ua haujlwm. Qhov no suav nrog kev muab tshuaj kho mob qog noj ntshav ntau kom tua cov hlwb noob, tom qab ntawd txhaj cov hlwb noob zoo rau hauv lub cev.
Ua ntej pib kho mob, nrog koj tus kws kho mob tham txog tej yam tshwm sim uas yuav tshwm sim. Feem ntau cov kev tshwm sim tsuas yog ib ntus xwb thiab yuav ploj mus thaum kho mob tiav lawm.
Yuav ua li cas nyob nrog tus kab mob?
Thaum nyob nrog NHL, muaj ntau yam koj ua tau los saib xyuas koj tus kheej.
- Noj cov khoom noj zoo uas muaj txiaj ntsig zoo. Khoom noj yog lub zog. Kev noj zaub mov zoo tuaj yeem pab tswj koj lub cev lub zog.
- So kom txaus li ntau tau. Kev kho mob yuav ua rau koj nkees. Kev so yuav pab koj lub cev rov qab muaj zog.
- Tswj kev ntxhov siab.Kev ua neej nrog mob qog noj ntshav tsis yooj yim. Tham nrog koj tus kws kho mob, tsev neeg, lossis ib tug phooj ywg uas koj ntseeg siab txog koj qhov kev ntshai thiab kev tsis ntseeg.
- Kev Ua Si. Nug koj tus kws kho mob kom paub txog kev ua si yooj yim uas haum rau koj.
- Kawm txog kev kho mob palliative. Qhov no yog hais txog kev pab ua kom lub neej yooj yim dua los ntawm kev txo qhov mob, kev tsis xis nyob, thiab kev ntxhov siab ntawm tus neeg mob, tsis hais tus kab mob nyob rau theem twg los xij.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj tab tom kho mob thiab koj cov tsos mob hnyav zuj zus lossis muaj cov tsos mob tshiab tshwm sim , qhia rau koj tus kws kho mob tam sim ntawd. Thaum kho tiav lawm, nco ntsoov mus ntsib koj lub tsev kho mob raws sijhawm.
Thaum twg koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU)?
Yog tias koj muaj cov tsos mob hnyav, piv txwv li, ua pa nyuaj heev lossis los ntshav ntau, mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tsis txhob tsis quav ntsej txog cov pob khaus uas tsis mob hauv caj dab, qhov chaw mos, lossis qhov chaw mos. Mus ntsib kws kho mob vim tias tej zaum lawv yuav yog ib qho cim qhia tias koj muaj mob lymphoma.
- Non-Hodgkin lymphoma (NHL) tsis yog ib yam kab mob xwb, tab sis yog ib pawg mob qog nqaij hlav uas muaj ntau hom. Kev kho mob nyob ntawm seb koj muaj hom twg.
- Cov kev kho mob niaj hnub no (xws li chemotherapy thiab immunotherapy) feem ntau tuaj yeem tswj tau tus kab mob no thiab txawm tias kho tau qee hom kab mob kom zoo.
- Tham nrog koj tus kws kho mob txog tej lus nug, kev ntshai, lossis kev tsis ntseeg uas koj muaj txog tus kab mob no. Tsis txhob raug kev txom nyem ib leeg xwb.
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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