B-Cell Lymphoma hi eng nge ni? Hlau suh, i sawi dun ang u.

I kawr, i kawr leh i kekawrteah natna nei lo lump i nei em? A nih loh leh, zanah i puan a hnim nasa lutuk hian a tibuai che em? Hengte hi thil pangngai a ni thei a, mahse a chang chuan thisen cancer chi khat B-Cell Lymphoma an tih chhinchhiahna a ni thei bawk. He hming i hriat hian hlau suh. Hriatthiam a har lo. A awlsam zawngin, chiang takin, i hriatthiam theih tur angin i sawi ang u.

A awlsam zawngin B-Cell Lymphoma hi eng nge ni?

B-cell lymphoma hi thisen cancer chi khat, kan lymphatic system-a lo awm thin a ni. Okay, tunah chuan hei hi i ti awlsam lehzual ang u.

Kan thisenah hian cell chi khat, thisen var (white blood cells) an tih a awm a. Hengte hi kan taksa sipai rual ang mai an ni. Heng cell te hian natna thlentu hrik doin min venghim a ni. Thisen var chi khat chu lymphocytes an ti a. Heng lymphocyte zingah hian chi bik B-cells an tih hi a awm a. Kan taksa venhimna sipai peng lian ber an ni.

B-cell lymphoma a lo awm chuan heng B-cells te hi thil dik lo a awm a, chu chuan thunun theih lohvin an inthen darh a, an pung a, cancer cell an lo ni ta a, tumor an siam ta a ni.

Kan lymphatic system hi kan taksa chhunga thisen kalna kawng, lymph node leh tissue hrang hrang inzawmkhawm a ni. Kan taksaa circulatory system pahnihna ang mai a ni. Hei vang hian B-cell lymphoma hi taksa khawi hmunah pawh a lo awm thei a ni. Chuvang chuan mi hrang hrangah symptoms a inang lo.

Heng lymphomas te hi chi hnih ah then an ni ber a:

I doctor-in he natna chungchang a sawi hian thumal pahnih a hmang thei a, chungte chu: "aggressive" leh "indolent" te an ni. Hei hi an sawi tum chu a ni:

• Aggressive (rapidly spreading) type: He chi hi a thang chak zawk a, lymphatic system kaltlangin taksa pawn lama taksa peng dangteah a darh (metastasize) thei a ni.
• Indolent (slow-growing) type: Hetiang chi hi a thang zawi zawi hle. Kum tam tak chhung chu symptoms a lantir lo mai thei.

Hriatthiam awlsam zawk nan heng chi hrang hrangte hi hetiang table-ah hian han en ila.

B-cell lymphoma natna lan chhuahna chu engte nge ni?

A chang chuan B-cell lymphoma natna lanchhuahna awm lovin i nei thei bawk. A bik takin slow-growing type-ah chuan natna dang test-naah accident-in hmuhchhuah a ni fo. Mahse, a hnuaia symptoms te hi i neih chuan i ngaihtuah tur a ni:

Engvangin nge hetiang thil hi a lo thlen?

Hei hi a chhan pakhat chauh hriat chian a harsa khawp mai. A bulpui ber chu kan B-cell te hi an inthen darh huna random genetic change (mutation) a awm avangin cancer an ni ta a ni. Mahse, zirchianna chuan thil engemaw chuan hetiang hi a thlen theihna a tipung deuh thei tih hmuhchhuah a ni.

• Autoimmune natna thenkhat: Entirnan, rheumatoid arthritis leh Sjörgren’s syndrome ang chi natna nei te.
• Viral infection thenkhat: HIV (human immunodeficiency virus), Epstein-Barr virus ang chi virus laka invenna.
• Chhungkaw chanchin: Chhungkaw zinga mi tu emaw chuan Hodgkin lymphoma ang chi cancer a vei tawh a nih chuan.
• Thau lutuk: Taksa rih lutuk pawh hi a hlauhawmna a ni.

Engtin nge hei hi i hmuh theih, Doctor?

Doctor i pan hunah i symptoms leh i medical history te a zawt ang. Tichuan taksa enfiahna a nei ang a, i lymph nodes, liver leh spleen te chu a hring em tih a enfiah ang. Ringhlelna a awm chuan hematologist-oncologist hnenah a refer ang che. Heng test te hi a natna hriat chian nan tih theih a ni.

Thisen test a ni

• Complete blood count (CBC): Thisen chhunga cell chi hrang hrang leh a zat tehna a ni.
• Comprehensive metabolic panel (CMP): Liver leh kidney ang chi taksa peng hrang hrangte hnathawh dan a enfiah thin.
• Lactate dehydrogenase (LDH): Hei hi a level sang chuan lymphoma chhinchhiahna a ni thei.

Imaging test te pawh a awm

• CT scan, PET scan, leh ultrasound scan: Hengte hian taksa chhunga lymph node leh taksa peng hrang hrangte dinhmun a enfiah thei a ni.

Biopsy tih a ni

Hei hian lymph node hring emaw, rinhlelh awm emaw sample tlemte lak a, microscope hmanga enfiah a huam a ni. Hei hian lymphoma chi dik tak hriat theih nan a pui thei a ni.

• Excisional emaw incisional biopsy: Lymph node zawng zawng emaw, a then emaw surgery hmanga lakchhuah.
• Fine-needle aspiration (FNA): Needle te tak te hmanga cell tlemte hmuh.
• Bone marrow biopsy: Bone marrow sample tlemte lak a, enfiah a ni.

Enkawlnate chu engte nge ni?

Hei hi enkawlna pakhat chauh a awm lo. I enkawlna tur chu lymphoma i neih chi hrang hrang, natna a darh zau zia leh i hriselna zawng zawngah a innghat ang. I medical team chuan i tana tha ber leh side effect tlem ber nei treatment plan an thlang ang.

Enkawl dan tlangpui chu:

• Chemotherapy: Cancer cell that thei damdawi pek.
• Immunotherapy: Cancer cells do turin nangmah ngeiin immune system tihchak.
• Radiation therapy: Energy sang tak nei rays hmanga cancer cell tihchhiat.
• Targeted therapy: Cancer cell chauh target leh attack thei damdawi pek. Entirnan: `(monoclonal antibody therapy)` tih te hi a ni.
• Watchful waiting / active surveillance: Slow-growing types tan chuan i dinhmun hi enkawl chhunzawm zel a ni a, symptom i neih loh chuan enkawlna tan nghal ngai lovin. Symptoms a lo awm chuan enkawl tan chauh a ni.

Enkawlna avanga side effects awm thei

Enkawlna zawng zawng hian side effect a nei vek thei. Pum na, luak chhuak, hah, luak chhuak, leh luak chhuak ang chi thil te hi a awm fo thin. Hengte hi hlau suh. An chungchang hi i doctor nen inhawng takin sawi rawh. Side effects enkawl dan tur damdawi a awm bawk.

Doctor hmuh hun tur leh ETU pan hun tur

I enkawlna chhung zawng hian i doctor i pan fo a ngai dawn a ni. Enkawlna a zawh hnuah chuan natna a lo let leh tawh em tih chu hun bituk mumal takin enfiah i ni ang.

Mahse, chutiang a nih chuan , damdawi in Emergency Treatment Unit (ETU)-ah kal nghal rawh:

• I khawsik hi 38 Celsius (100.4 Fahrenheit) aia sang a, a tlahniam lo a nih chuan , hei hi a chhan chu enkawlna hian i taksa hriselna a tichak lo thei a, natna hrik a thlen thei a ni.
• Doctor-in damdawi a pek hmanga control theih loh khawpa a side effects a nih chuan.