Koj tus menyuam puas xav paub txog Non-Hodgkin's Lymphoma thiab? Cia peb tham txog nws!

Txawm tias peb cov menyuam yaus me me yuav mob khaub thuas me ntsis los, lawv ntshai heev, puas yog? Qee zaum, txawm tias koj xav tias nws yog ib qho mob ib txwm muaj los xij, nws tuaj yeem yog qee yam loj dua me ntsis. Yog lawm, ib hom mob qog noj ntshav uas tshwm sim rau cov menyuam yaus, tab sis tuaj yeem kho tau yog tias kho kom zoo, hu ua Non-Hodgkin's Lymphoma . Tsis txhob ntshai thaum koj hnov ​​lub npe no, vim nws tseem ceeb heev uas yuav tsum paub zoo txog nws. Peb puas yuav tham txog qhov no kom ntxaws me ntsis?

Tos ib pliag, qhov no yog dab tsi Non-Hodgkin's Lymphoma?

Hais yooj yim xwb, tus kab mob non-Hodgkin lymphoma yog ib hom mob qog nqaij hlav uas pib hauv lub cev lymphatic hauv cov menyuam yaus. Koj lub cev muaj ib yam hu ua lub cev lymphatic . Nws zoo li peb lub cev tiv thaiv kab mob. Nws pab tiv thaiv peb ntawm cov kab mob thiab cov kab mob . Lub cev no muaj cov qhov xws li cov qog ntshav thiab cov hlab ntshav lymph. Cov no kis thoob plaws lub cev.

Kab mob no feem ntau cuam tshuam rau cov menyuam yaus hnub nyoog ntawm 5 thiab 19. Tab sis qee zaum cov menyuam mos kuj tuaj yeem raug cuam tshuam. Qhov xov xwm zoo yog tias cov kws kho mob muaj kev kho mob zoo rau qhov no, thiab ntau tus menyuam tuaj yeem kho tau. Txawm li cas los xij, qee tus menyuam yuav muaj cov teebmeem lig ntau xyoo tom qab kev kho mob. Yog vim li cas cov kws tshawb fawb thiaj li sim nrhiav kev kho mob zoo dua uas muaj tsawg dua cov teebmeem lig.

Qhov mob no cuam tshuam li cas rau kuv tus menyuam?

Kab mob no, hu ua Non-Hodgkin's Lymphoma, tuaj yeem tshwm sim hauv cov nqaij lymphoid txhua qhov chaw hauv lub cev ntawm tus menyuam. Nws tuaj yeem cuam tshuam rau lub paj hlwb hauv nruab nrab . Cov nqaij lymphoid no kuj yog ib feem ntawm lub cev tiv thaiv kab mob.

Kab mob qog no pib hauv cov hom hlwb tshwj xeeb hauv lub cev lymphatic. Cov no yog B-lymphocytes (B-cells), T-lymphocytes (T-cells), lossis Natural Killer (NK) cells. Cov hlwb no tiv thaiv peb ntawm ntau yam kab mob bacterial thiab viral .

Muaj peb hom mob non-Hodgkin's lymphoma uas muaj rau menyuam yaus. Txhua hom mob no muaj feem cuam tshuam rau menyuam yaus txawv.

1. Cov kab mob B-cell lymphomas uas laus lawm

Cov no yog cov hom lymphoma uas tshwm sim los ntawm B-cells. Lawv suav nrog ntau dua ib nrab ntawm tag nrho cov non-Hodgkin lymphomas hauv cov menyuam yaus. Qhov xov xwm zoo yog tias ntau dua 90% ntawm cov menyuam yaus uas muaj hom lymphoma no ua rau zoo tag nrho tom qab kev kho mob. Muaj ntau hom tseem ceeb:

• Burkitt lymphoma/leukemia: Cov no yog cov kab mob sib txawv ntawm tib yam kab mob. Cov kev kho mob zoo sib xws heev. Feem ntau nws pib hauv cov qog ntshav hauv plab lossis hauv siab. Tab sis qee zaum nws tuaj yeem cuam tshuam rau cov pob txha, cov pob txha ntev hauv cov ceg, lossis lub paj hlwb hauv nruab nrab. Hauv Burkitt leukemia, muaj ntau cov hlwb tsis zoo hauv cov ntshav ntawm tus menyuam, uas los ntawm cov hlwb hauv cov pob txha. Ob qho tib si Burkitt lymphoma thiab leukemia loj hlob sai heev.
• Diffuse large B-cell lymphoma: Qhov no feem ntau tshwm sim rau cov menyuam yaus hnub nyoog ntawm 12-19 xyoo dua li cov menyuam yaus me.
• Kab mob lymphoma B-cell hauv lub ntsws (mediastinal B-cell lymphoma): Qhov no pib hauv cov hlwb B hauv lub ntsws mediastinum, ib cheeb tsam tom qab pob txha hauv siab ntawm tus menyuam. Nws kuj tseem tuaj yeem kis mus rau cov qog ntshav. Qhov no kuj tseem tshwm sim ntau tshaj plaws rau cov menyuam yaus.

2. Lymphoblastic lymphoma

Hom no yog li ib feem peb ntawm tag nrho cov mob lymphomas uas tsis yog Hodgkin hauv cov menyuam yaus. Nws kuj tseem pom ntau dua rau cov menyuam yaus me dua li cov menyuam yaus loj dua. Lymphoblastic lymphoma tuaj yeem cuam tshuam rau B-cells lossis T-cells.

Feem ntau nws pib nyob rau hauv cov qog ntshav hauv tus menyuam lub mediastinum (cheeb tsam tom qab pob txha hauv siab) lossis caj dab. Tab sis nws kuj tseem tuaj yeem cuam tshuam rau cov qog ntshav hauv plab, pob txha, lossis lwm yam kabmob. Ntau tshaj 80% ntawm cov menyuam yaus uas tau kho rau hom no ciaj sia.

3. Kab mob qog ntshav loj Anaplastic (ALCL)

Qhov no suav txog li 15% ntawm tag nrho cov mob lymphomas uas tsis yog Hodgkin hauv cov menyuam yaus. Nws cuam tshuam rau T-cells thiab feem ntau pib hauv cov qog ntshav. Nws kuj tseem tuaj yeem cuam tshuam rau daim tawv nqaij thiab pob txha. Kwv yees li 70% ntawm cov menyuam yaus uas muaj ALCL muaj sia nyob.

Tus kab mob no feem ntau tshwm sim rau cov menyuam yaus li cas?

Txhua xyoo, muaj li ntawm 800 thiab 1,000 tus menyuam yaus raug kuaj pom tias muaj tus kab mob non-Hodgkin's lymphoma. Nws feem ntau tshwm sim rau cov tub hluas dawb. Qhov kev pheej hmoo ntawm kev mob no txawv ntawm tus menyuam lub hnub nyoog, thiab qhov kev pheej hmoo yuav nce ntxiv me ntsis thaum tus menyuam loj hlob tuaj.

Cov tsos mob ntawm cov kab mob non-Hodgkin lymphoma yog dab tsi?

Cov tsos mob ntawm tus kab mob no tej zaum yuav zoo ib yam li lwm yam kab mob uas tsis hnyav heev. Yog vim li ntawd koj yuav tsum txhawj xeeb. Yog tias koj tus menyuam muaj cov qog ntshav o, ua pa nyuaj tas li, hnoos tas li, lossis ntswg ntws,Koj yuav tsum mus ntsib kws kho mob.

Lwm cov tsos mob yuav muaj xws li:

• Kub taub hau ntau zaus tsis muaj laj thawj.
• Hnoos.
• Hws hmo ntuj.
• Poob phaus tsis muaj laj thawj.
• O ntawm lub taub hau, caj dab, lub cev sab saud, lossis caj npab.
• Nyuaj nqos (dysphagia).

Nco ntsoov tias, tsuas muaj ib lossis ob qho ntawm cov tsos mob no xwb tsis tau txhais hais tias koj tus menyuam muaj tus kab mob no. Txawm li cas los xij, yog tias cov tsos mob no tseem muaj lossis hnyav zuj zus, koj yuav tsum nrhiav kev pab kho mob.

Dab tsi ua rau muaj tus kab mob no rau cov menyuam yaus?

Qhov tseeb, qhov ua rau muaj tus kab mob non-Hodgkin's lymphoma rau cov menyuam yaus tseem tsis tau pom. Txawm li cas los xij, cov kws kho mob tau txheeb xyuas ntau yam uas ua rau muaj kev pheej hmoo. Txawm tias muaj cov yam ua rau muaj kev pheej hmoo no los xij, nws tsis tau txhais hais tias tus menyuam yuav muaj tus kab mob no. Tab sis nws yog ib qho zoo kom paub txog cov no.

Yog koj tus menyuam muaj ib qho ntawm cov teeb meem kev noj qab haus huv no, nug koj tus kws kho mob txog qhov mob no:

• Yog koj tus menyuam tau raug kho rau lwm hom mob qog noj ntshav.
• Yog koj tus menyuam tau kis tus kab mob mononucleosis (Mononucleosis – Epstein-Barr virus) lossis HIV (Human Immunodeficiency Virus).
• Yog tias koj tus menyuam muaj lub cev tiv thaiv kab mob tsis muaj zog (piv txwv li, yog tias lawv tau hloov pauv lub cev lossis pob txha).
• Yog tias tus me nyuam noj tshuaj uas ua rau lub cev tiv thaiv kab mob tsis ua haujlwm zoo.
• Yog tias tus me nyuam muaj qee yam kab mob uas tau txais los ntawm noob caj ces uas cuam tshuam rau lub cev tiv thaiv kab mob.

Cov kab mob tiv thaiv kab mob uas tau txais los ntawm noob caj noob ces

Cov kab mob uas los ntawm noob caj ces xws li cov no yuav ua rau muaj kev pheej hmoo ntawm kev mob non-Hodgkin's lymphoma:

• Ataxia-telangiectasia: Qhov no yog ib qho kab mob neurological uas cuam tshuam rau lub paj hlwb hauv nruab nrab, lub cev tiv thaiv kab mob, thiab lwm yam kab ke ntawm lub cev rau cov menyuam yaus.
• Chediak-Higashi syndrome: Qhov no cuam tshuam rau lub cev tiv thaiv kab mob thiab lub paj hlwb ntawm cov menyuam yaus.
• Kev tiv thaiv kab mob tsis zoo uas feem ntau pom: Cov menyuam yaus uas muaj tus mob no muaj cov tshuaj tiv thaiv kab mob (cov protein uas tawm tsam kev kis kab mob) tsawg hauv lawv cov ntshav.
• Nijmegen breakage syndrome: Cov menyuam yaus uas muaj tus mob no muaj cov kab mob tiv thaiv kab mob tsis zoo thiab cov protein thiab T-cell hauv lub cev tiv thaiv kab mob qis.
• Kev mob hnyav ua ke ntawm kev tiv thaiv kab mob (SCID): Qhov no cuam tshuam rau cov menyuam yaus cov T-cell thiab B-cell, ua rau lub cev tiv thaiv kab mob tsis muaj zog thiab ua rau lawv muaj feem yuav mob qog noj ntshav ntau dua, suav nrog cov kab mob non-Hodgkin lymphoma.
• Cov tsos mob ntawm Wiskott-Aldrich:Qhov no cuam tshuam rau cov menyuam yaus cov qe ntshav thiab cov qe ntshav ntawm lub cev tiv thaiv kab mob. Cov menyuam yaus uas muaj tus mob no muaj cov qe ntshav tsawg. Cov qe ntshav yog cov qe ntshav uas pab kom cov ntshav khov. Thaum cov qe ntshav qis, lawv tuaj yeem ua rau mob thiab los ntshav yooj yim. Tus mob no kuj cuam tshuam rau cov qe ntshav T thiab cov qe ntshav B ntawm lub cev tiv thaiv kab mob.
• Kab mob X-linked lymphoproliferative syndrome: Qhov no cuam tshuam rau lub cev tiv thaiv kab mob ntawm cov menyuam yaus. Cov menyuam yaus uas muaj tus kab mob no yuav muaj kev teb sai heev rau tus kab mob Epstein-Barr.

Cov kws kho mob kuaj mob nonHodgkin lymphoma li cas rau cov menyuam yaus?

Kev kuaj mob no yog ib qho txheej txheem uas yuav tsum tau ua kom ntxaws me ntsis. Feem ntau, yuav muaj kev kuaj ntshav, ntau yam kev kuaj duab, thiab kev kuaj nqaij. Tus kws kho mob yuav ua tib zoo kuaj tus menyuam kom pom tias puas muaj qhov tsis zoo li qub, xws li pob lossis qog o. Lawv kuj yuav saib cov ntaub ntawv kev noj qab haus huv ntawm tsev neeg, uas yog, cov txheeb ze ze thiab cov txheeb ze deb, thiab seb puas muaj keeb kwm mob qog noj ntshav.

Kev kuaj ntshav

• Kev suav cov ntshav tag nrho (CBC): Qhov no ntsuas tus naj npawb ntawm ntau hom cell hauv koj tus menyuam cov ntshav. Cov txiaj ntsig tuaj yeem pab txiav txim siab seb koj tus menyuam puas muaj cov cim ntawm lymphoma hauv lawv cov pob txha lossis yog tias kev kho mob tau cuam tshuam rau lawv cov pob txha.
• Kev tshawb nrhiav txog cov tshuaj lom neeg hauv cov ntshav: Cov qauv ntshav raug coj los ntsuas cov qib ntawm cov tshuaj uas tso tawm rau hauv cov ntshav ntawm tus menyuam lub cev lossis cov nqaij. Cov qib siab lossis qis ntawm cov tshuaj tuaj yeem yog ib qho cim qhia txog kab mob.
• Kev kuaj mob siab ua haujlwm: Qhov no kuj yog kev kuaj ntshav. Nws ntsuas qhov ntau ntawm cov tshuaj uas lub siab tso tawm rau hauv cov ntshav. Yog tias muaj ntau dua li qhov ib txwm muaj, nws yuav yog ib qho cim ntawm mob qog noj ntshav.

Ntxiv mus, cov kws kho mob kuj siv cov kev kuaj ntshav los kuaj seb puas muaj cov kab mob uas yuav txuas nrog rau non-Hodgkin's lymphoma hauv cov menyuam yaus.

Kev kuaj duab

• Kev kuaj CT (Computed tomography – CT scan): Qhov no tuaj yeem thaij duab kom ntxaws txog cov cheeb tsam hauv koj tus menyuam lub cev. Qhov kev kuaj no yog ua los nrhiav cov qog ntshav o lossis lwm yam cim ntawm lymphoma.
• Kev thaij duab MRI (Magnetic resonance imaging – MRI): Qhov no siv lub hlau nplaum, cov nthwv dej xov tooj cua, thiab lub khoos phis tawj los ua cov duab ntxaws ntxaws ntawm sab hauv lub cev. Nws yog siv los kuaj xyuas cov cim ntawm lymphoma hauv lub hlwb lossis tus txha caj qaum ntawm tus menyuam.
• PET scan (Positron emission tomography – PET scan):Qhov no yog siv los saib seb tus menyuam puas muaj mob lymphoma lossis kev kho mob tau cuam tshuam li cas rau tus mob lymphoma. Kev ntsuas PET suav nrog kev txhaj me me ntawm cov piam thaj radioactive, lossis ib hom piam thaj, rau hauv tus menyuam lub cev. Cov hlwb qog nqaij hlav ua haujlwm ntau dua li cov hlwb ib txwm, yog li lawv siv ntau cov piam thaj. Yog li qhov kev ntsuas no tuaj yeem qhia qhov chaw uas cov hlwb qog nqaij hlav nyob.
• Ultrasound: Qhov no siv cov nthwv dej suab muaj zog heev. Cov nthwv dej no tawm ntawm cov nqaij lossis cov kabmob hauv lub cev thiab tsim cov suab rov qab. Cov suab rov qab no yog siv los tsim ib daim duab hu ua sonogram. Qhov no yog siv los nrhiav cov qog ntshav uas nyob ze rau ntawm lub cev ntawm tus menyuam, lossis hauv plab, siab, lossis tus po.

Kev kuaj mob ntawm cov nqaij

Cov kws kho mob ua cov biopsies los coj cov qauv ntawm cov qog ntshav, cov qog nqaij hlav, thiab cov pob txha thiab tshuaj xyuas lawv hauv qab lub tshuab microscope lossis hauv lwm yam kev kuaj hauv chaw kuaj mob. Kev kuaj biopsy yog tib txoj kev los kuaj mob. Qhov tseem ceeb tshaj, cov txiaj ntsig ntawm kev kuaj biopsy tuaj yeem pab txiav txim siab hom lymphoma tseeb. Qhov no tuaj yeem pab txiav txim siab qhov kev kho mob zoo tshaj plaws rau hom ntawd.

Muaj ntau hom kev kuaj nqaij. Cov kws kho mob xaiv hom kev kuaj nqaij uas yuav ua rau muaj kev phiv tsawg tshaj plaws rau tus menyuam thiab yuav tshem tawm cov hlwb thiab cov nqaij kom txaus rau kev kuaj. Thaum lub sijhawm kuaj no, tus menyuam yuav tau txais tshuaj loog, tshuaj loog, lossis tshuaj loog hauv zos lossis tshuaj loog dav dav kom paub tseeb tias lawv tsis hnov ​​​​​​mob dab tsi.

• Kev phais mob biopsy: Tag nrho cov qog ntshav hauv lub cev, ib lub pob ntawm cov nqaij, lossis ib daim me me ntawm lub qog loj dua tuaj yeem raug phais tshem tawm.
• Kev kuaj mob los ntawm koob: Kev kuaj mob los ntawm lub hauv paus lossis kev kuaj mob los ntawm koob me me yog ua los tshem tawm cov nqaij lossis qee qhov ntawm cov qog ntshav.

Lwm hom biopsies

Yog tias koj tus menyuam muaj mob lymphoma uas tsis yog Hodgkin, tej zaum yuav muaj kev kuaj ntxiv los sau cov ntaub so ntswg seb puas tau kis mus rau lwm qhov. Ib yam li lwm yam kev kuaj mob, cov no yog ua los ntawm kev siv tshuaj loog thiab/lossis tshuaj loog kom paub tseeb tias koj tus menyuam tsis hnov ​​​​​​mob dab tsi.

• Kev tho qhov mob ntawm lub duav (qhov tho qhov txha caj qaum): Qhov no yog ua los saib seb tus mob qog noj ntshav puas tau kis mus rau lub hlwb thiab tus txha caj qaum ntawm tus menyuam.
• Kev rho cov pob txha thiab kev kuaj cov pob txha: Cov kev kuaj no yog ua los saib seb cov lymphoma puas tau kis mus rau koj tus menyuam cov pob txha. Yuav ua li no, tus kws kho mob yuav muab ib rab koob khoob rau hauv koj tus menyuam lub duav thiab coj ib qho qauv me me ntawm cov pob txha thiab pob txha.
• Kev kuaj lub hauv siab:Yog tias tus kab mob lymphoma tau kis mus rau hauv daim ntaub ntawm koj tus menyuam lub hauv siab lossis daim ntaub uas npog lawv lub ntsws, cov kua dej yuav sib sau ua ke. Cov kua dej ntawd raug tshem tawm siv rab koob khoob thiab kuaj xyuas seb puas muaj cov hlwb qog noj ntshav.
• Kev phais mob plab (Paracentesis): Qhov no yog kev tshem cov kua dej tawm ntawm lub plab ntawm tus menyuam.
• Mediastinoscopy: Qhov no yog ib qho kev phais mob uas ua los ntawm kev siv tshuaj loog dav dav. Nws yog ua los nrhiav qhov tsis zoo hauv cov kabmob, cov nqaij, thiab cov qog ntshav ntawm koj tus menyuam lub ntsws. Nws yog ua los ntawm ib lub cuab yeej hu ua mediastinoscope. Nws yog ib lub cuab yeej nyias nyias, zoo li lub raj uas muaj lub teeb thiab lub lens kom pom tau, thiab ib lub cuab yeej los coj cov qauv nqaij lossis cov qog ntshav. Nws raug ntxig los ntawm ib qho kev txiav me me hauv sab saud ntawm koj tus menyuam lub hauv siab.

Cov kws kho mob puas faib cov menyuam yaus uas tsis yog Hodgkin lymphoma ua theem?

Yog, muaj cov theem los faib cov kab mob Non-Hodgkin's lymphoma. Cov txheej txheem faib cov kab mob qog noj ntshav no yog siv los tsim cov phiaj xwm kho mob.

Cov theem ntawm cov kab mob lymphoma uas tsis yog Hodgkin

• Theem I: Tus mob qog nqaij hlav tsuas yog nyob rau hauv ib cheeb tsam xwb, sab saud lossis hauv qab tus menyuam lub diaphragm (cov leeg nqaij loj uas cais lub hauv siab thiab lub plab).
• Theem II: Mob qog noj ntshav nyob rau hauv ib cheeb tsam thiab cov qog ntshav ze, lossis nyob rau hauv ob lossis ntau cov qog ntshav, lossis nyob rau hauv lwm qhov chaw ntawm tib sab ntawm lub diaphragm.
• Theem III: Tus mob qog noj ntshav yog nyob rau hauv ib qho ntawm plaub theem hauv qab no:
• Muaj mob qog noj ntshav hauv cov nqaij lossis cov qog ntshav ntawm ob sab ntawm lub diaphragm.
• Tus me nyuam muaj mob qog noj ntshav hauv lub mis.
• Tus me nyuam muaj mob qog noj ntshav hauv plab, thiab nws tsis tuaj yeem phais tshem tawm.
• Theem IV: Tus mob qog noj ntshav nyob hauv tus menyuam cov pob txha, cov hlab ntsha caj qaum, thiab/lossis lub hlwb.

Yuav kho tus kab mob non-Hodgkin lymphoma li cas rau cov menyuam yaus?

Cov kws kho mob tseem niaj hnub nrhiav kev kho mob tshiab, tshwj xeeb yog txoj hauv kev los kho tus kab mob lymphoma yam tsis ua rau muaj teeb meem loj heev. Cov teeb meem lig yog cov teeb meem kev noj qab haus huv loj heev uas tuaj yeem tshwm sim ntau xyoo tom qab kev kho mob tau xaus thiab tus menyuam tus kab mob non-Hodgkin's lymphoma ploj mus.

Muaj rau hom kev kho mob tseem ceeb:

• Kev Kho Mob Siv Tshuaj: Qhov no yog kev kho mob tseem ceeb rau cov menyuam yaus uas muaj mob lymphoma tsis yog Hodgkin. Cov kws kho mob tsuas yog siv ib hom tshuaj lossis kev sib xyaw ua ke ntawm ntau hom tshuaj.
• Kev Phais Mob: Muaj tej lub sij hawm, cov qog nqaij hlav raug phais tshem tawm tib lub sij hawm uas muab cov nqaij kuaj tawm. Txawm li ntawd los, tus me nyuam kuj yuav xav tau kev kho mob ntxiv, xws li kev siv tshuaj kho mob qog nqaij hlav lossis kev kho mob tiv thaiv kab mob.
• Kev kho mob rau lub hom phiaj:Qhov no cuam tshuam rau cov noob caj noob ces tshwj xeeb, cov protein, lossis cov khoom me me hauv cov hlwb lymphoma uas pab lawv dim ntawm cov teebmeem ntawm kev kho mob chemotherapy.
• Kev kho mob tiv thaiv kab mob: Kev kho mob no ua haujlwm los ntawm kev txhawb nqa tus menyuam lub cev tiv thaiv kab mob, lossis los ntawm kev siv cov khoom cuav ntawm lub cev tiv thaiv kab mob, los rhuav tshem cov hlwb lymphoma.
• Kev kho mob hluav taws xob: Qee zaum, kev kho mob hluav taws xob yog siv los rhuav tshem cov hlwb qog nqaij hlav uas tseem tshuav.
• Kev hloov cov hlwb noob: Cov hlwb noob uas tau los ntawm cov ntshav lossis cov pob txha yog siv los hloov cov hlwb tsis zoo nrog cov hlwb noj qab nyob zoo.

Cov teebmeem lig ntawm kev kho mob qog noj ntshav yog dab tsi?

Cov teebmeem lig ntawm kev kho mob qog noj ntshav yog cov mob uas tuaj yeem tshwm sim ntau lub hlis lossis ntau xyoo tom qab kev kho mob xaus. Qee qhov teebmeem lig tuaj yeem ua rau tuag taus. Vim tias muaj ntau tus menyuam yaus nyob ntev dua tom qab kev kho mob rau cov kab mob non-Hodgkin's lymphoma, cov kws kho mob tab tom sim txheeb xyuas thiab kho cov teebmeem lig no sai li sai tau.

Qee qhov teeb meem lig tshaj plaws uas pom muaj rau cov menyuam yaus uas muaj non-Hodgkin lymphoma yog:

• Cov mob qog nqaij hlav theem ob: Raws li lub npe qhia, cov no yog cov mob qog nqaij hlav tshiab uas tshwm sim hauv cov menyuam yaus tom qab kho mob rau cov kab mob non-Hodgkin lymphoma. Cov uas feem ntau muaj xws li mob leukemia myeloid acute myeloid, myelodysplastic syndrome, mob qog nqaij hlav mis, thiab mob qog nqaij hlav thyroid.
• Cov mob plawv: Ib txhia menyuam yaus uas tau txais kev kho mob chemotherapy yuav muaj cov mob plawv xws li mob plawv tsis ua haujlwm, lub plawv tsis muaj zog (cardiomyopathy), cov hlab ntsha tawv lossis nqaim (coronary artery disease), lub plawv dhia tsis zoo (arrhythmia), lossis puas tsuaj rau lub plawv tiv thaiv (pericarditis).
• Mob ntsws (mob ntsws): Qee cov tshuaj kho mob chemotherapy tuaj yeem cuam tshuam rau lub ntsws ntawm cov menyuam yaus.
• Teeb meem siab: Cov menyuam yaus noj qee cov tshuaj chemotherapy yuav muaj lub siab loj lossis cirrhosis ntawm lub siab.

Yuav ua li cas txog kev sim tshuaj rau cov menyuam yaus uas tsis yog Hodgkin lymphoma?

Koj tus menyuam tus kws kho mob yuav pom zoo kom koj koom nrog kev sim tshuaj kho mob rau tus kab mob non-Hodgkin's lymphoma. Hauv kev sim tshuaj, qee tus neeg tau txais kev kho mob zoo, thaum lwm tus tau txais kev kho mob uas tab tom raug soj ntsuam.

Cov kev kho mob ib txwm muaj yog cov tshuaj thiab lwm yam kev kho mob uas twb tau pom zoo lawm thiab tau ua pov thawj tias ua haujlwm. Kev kho mob sim, raws li lub npe qhia, yog cov kev kho mob uas tab tom raug sim kom pom tias lawv puas ua haujlwm zoo dua li cov kev kho mob ib txwm muaj, lossis yog tias lawv ua haujlwm tib yam tab sis muaj tsawg dua cov kev mob tshwm sim.

Kev sim tshuaj kho mob tej zaum yuav muaj cov tshuaj tshiab, cov koob tshuaj tshiab ntawm cov tshuaj uas twb muaj lawm, lossis kev sib xyaw ua ke ntawm cov kev kho mob uas twb muaj lawm. Feem ntau, cov kws kho mob ntawm cov chaw kho mob qog noj ntshav rau menyuam yaus saib xyuas cov kev sim tshuaj no. Nug koj tus kws kho mob seb qhov kev sim tshuaj kho mob puas yog kev xaiv kho mob rau koj tus menyuam.

Puas kho tau cov kab mob non-Hodgkin lymphoma rau cov menyuam yaus?

Yog, cov kws kho mob tuaj yeem kho tau ntau tus menyuam yaus uas muaj tus kab mob non-Hodgkin's lymphoma nrog cov kev kho mob uas lawv muaj. Qhov ntawd yeej nplij siab heev, puas yog?

Tus nqi ntawm cov menyuam yaus uas muaj sia nyob rau cov kab mob lymphoma uas tsis yog Hodgkin yog pes tsawg?

Tus nqi ciaj sia rau cov menyuam yaus uas muaj tus kab mob non-Hodgkin's lymphoma sib txawv nyob ntawm hom lymphoma. Qhov nruab nrab, ntawm 70% thiab 90% ntawm cov menyuam yaus uas muaj tus kab mob no ciaj sia ntau tshaj tsib xyoos tom qab kuaj pom.

Tom qab kuv tus menyuam kho mob non-Hodgkin lymphoma tas lawm, yuav muaj li cas?

Thaum kev kho mob qog noj ntshav tas lawm, koj thiab koj tus menyuam yuav xav tias zoo siab thiab kaj siab lug. Ua kev zoo siab rau qhov kev xyiv fab ntawd, tab sis nco ntsoov tias koj tus menyuam tseem yuav tsum tau sib cuag nrog tus kws kho mob rau ntau xyoo ntxiv.

Thaum ob peb xyoos tom qab kev kho mob, koj tus kws kho mob yuav pom zoo kom koj mus kuaj mob thiab kuaj mob tas li. Qhov no yuav pab saib xyuas koj tus menyuam txoj kev noj qab haus huv tag nrho, xyuas seb puas muaj kev rov qab mob qog noj ntshav, thiab saib xyuas seb puas muaj cov cim qhia tias muaj teeb meem tom qab ntawd. Koj tus menyuam yuav tsum tau kuaj ntshav thiab kuaj xyuas.

Kuv/kuv tus menyuam yuav ua li cas thiaj tswj tau cov teeb meem tom qab kev kho mob qog noj ntshav?

Cov menyuam yaus yuav muaj tej yam tshwm sim tom qab kev kho mob qog noj ntshav ntau lub hlis lossis ntau xyoo tom qab kev kho mob tas. Kev paub qhov no tuaj yeem ua rau koj thiab koj tus menyuam txhawj xeeb txog yav tom ntej. Tab sis paub tias koj tus menyuam tus kws kho mob yuav saib xyuas koj tus menyuam txoj kev noj qab haus huv tom qab kev kho mob, yog li txhua yam teeb meem tuaj yeem txheeb xyuas thiab kho tau sai.

Nug koj tus kws kho mob txog tej yam uas yuav tshwm sim tom qab uas koj tus menyuam yuav ntsib thiab tej yam uas qhia thaum ntxov yog dab tsi. Txhawb kom koj tus menyuam ceev faj txog tej yam uas tshwm sim tom qab no thaum lawv tseem hluas thiab pib saib xyuas lawv tus kheej txoj kev noj qab haus huv.

Kuv puas txo tau kuv tus menyuam txoj kev pheej hmoo ntawm kev mob non-Hodgkin lymphoma?

Cov menyuam yaus uas lub cev tiv thaiv kab mob tsis muaj zog yuav muaj feem ntau dua los mob non-Hodgkin's lymphoma. Piv txwv li, yog tias koj tus menyuam tau hloov pob txha lossis hloov lub cev, lawv yuav muaj feem yuav mob no. Tsis tas li ntawd, yog tias koj tus menyuam muaj qee yam kab mob uas cuam tshuam rau lub cev tiv thaiv kab mob, qhov kev pheej hmoo yuav nce ntxiv.

Koj tus menyuam tus kws kho mob paub txog keeb kwm kev noj qab haus huv ntawm koj tus menyuam. Yog tias koj muaj kev txhawj xeeb txog qhov no, nug koj tus kws kho mob yog tias koj tus menyuam muaj tej yam mob uas ua rau lawv muaj feem yuav mob no. Tom qab ntawd, koj tuaj yeem nrhiav cov yam tshwj xeeb uas yuav yog cov cim qhia ntxov ntawm cov kab mob non-Hodgkin lymphoma.

Kuv tus menyuam muaj mob non-Hodgkin lymphoma. Kuv yuav pab nws li cas?

Kab mob qog noj ntshav nyuaj rau txhua tus, tab sis nws nyuaj tshwj xeeb rau cov menyuam yaus. Cov menyuam yaus me me tej zaum yuav tsis loj txaus los nkag siab tias vim li cas nws thiaj nyuaj rau lawv. Lawv yuav ntshai kev kuaj mob thiab kev kho mob. Nws yog ib qho ntuj tsim rau cov menyuam yaus uas tab tom kawm txog lawv tus kab mob kom npau taws thiab ntshai txog lawv qhov xwm txheej. Yog tias koj thiab koj tus menyuam tab tom tawm tsam los daws cov teebmeem ntawm kab mob qog noj ntshav, nug koj tus kws kho mob txog cov kev pabcuam lub neej menyuam yaus. Cov kev pabcuam no yog muab los ntawm cov kws tshwj xeeb uas pab cov menyuam yaus thiab tsev neeg daws cov teeb meem ntawm kab mob qog noj ntshav.

Muaj ib pliag koj muaj ib tug menyuam noj qab nyob zoo, thiab koj xav tias lawv muaj mob ib txwm muaj. Lub sijhawm tom ntej, koj muaj ib tug menyuam uas muaj mob qog noj ntshav. Nws tsis yooj yim nrhiav pom tias koj tus menyuam muaj mob qog ntshav tsis yog Hodgkin. Txawm hais tias cov kws kho mob kho tau ntau tus menyuam uas muaj tus mob no, koj tus menyuam tseem yuav tsum ntsib kev kho mob hnyav uas cuam tshuam rau lawv lub neej txhua hnub. Txawm tias tom qab kho mob lawm, koj tus menyuam yuav muaj cov teebmeem tom qab, cov mob hnyav uas xav tau kev kho mob ntxiv. Nws nyuaj rau daws txhua yam. Tej zaum koj yuav xav tias koj lub ntiaj teb tau tig mus rau sab saud, thiab koj yuav xav tsis thoob tias nws puas yuav zoo dua.

Tiam sis nco ntsoov, koj tus menyuam tus kws kho mob nkag siab txog yam koj thiab koj tus menyuam tab tom dhau mus. Thov lawv pab, uas tuaj yeem suav nrog cov ntaub ntawv hais txog koj tus menyuam tus mob, cov peev txheej rau koj thiab koj tsev neeg, thiab lawv zoo siab ua txhua yam uas lawv ua tau.

Thaum kawg, cov lus coj mus tsev

• Non-Hodgkin's Lymphoma rau cov menyuam yaus yog ib hom mob qog nqaij hlav uas tshwm sim hauv lub cev lymphatic.
• Qhov no feem ntau kho tau zoo, tshwj xeeb yog tias kuaj pom thaum ntxov.
• Yuav tsum paub txog cov tsos mob (xws li cov qog ntshav o, hnoos tas li, kub taub hau, poob phaus). Yog tias cov tsos mob no tseem muaj, mus ntsib kws kho mob.
• Muaj ntau txoj kev kho mob (xws li kev siv tshuaj chemotherapy, phais, thiab kev siv hluav taws xob). Tus kws kho mob yuav xaiv txoj kev kho mob uas zoo tshaj plaws rau koj tus menyuam.
• Tej zaum yuav muaj cov teeb meem tom qab kho mob lawm, yog li ntawd nws yog ib qho tseem ceeb uas yuav tsum mus kuaj mob ntxiv.
• Koj tsis nyob ib leeg xwb. Cov kws kho mob, cov kws tu mob, thiab cov kws pab tswv yim yeej npaj txhij pab koj thiab koj tus menyuam. Tsis txhob ntshai thov kev pab los ntawm lawv.

Vam tias cov ntaub ntawv no tau pab koj nkag siab txog tus kab mob no. Nco ntsoov tias, yog koj muaj lub siab zoo thiab kho mob zoo, koj yuav kov yeej tau qhov teeb meem no.

` Non-Hodgkin's Lymphoma, Mob Cancer Rau Me Nyuam Yaus, Lymphoma, Lymphatic System, Cov tsos mob ntawm mob cancer, Kev kho mob cancer, Kev noj qab haus huv ntawm menyuam yaus