I central nervous system (CNS Lymphoma) tichhe thei lymphoma chungchang kan sawi dawn em ni?

A châng chuan taksa lama harsatna kan tawk thut thei a ni lawm ni? Lu na, tawng harsa, a nih loh leh thunun theih loh anga inhriatna. A chang chuan hengte hi kan ngaihven vak lo a, mahse natna khirh tak tak eng emaw chhinchhiahna a ni thei bawk. Vawiin hian kan central nervous system tichhe thei cancer chi khat hmuh tur awm lo mahse hlauhawm tak kan sawi dawn a ni.

CNS lymphoma hi eng nge ni?

Okay, chuvangin he central nervous system lymphoma, emaw (CNS Lymphoma) hi eng nge a nih i en hmasa ang. CNS tih hi Central Nervous System tihna a ni. A awlsam zawngin, hei hi cancer chi khat, kan central nervous system , chu chu thluak, ruhro (spinal column chhunga nerve cord), cerebrospinal fluid (he nervous system hualtu tui), leh mit (mit hi thluak hnaih tak a nih avangin)-a lo awm a ni. Hei hi lymphoma chi khat (Non-Hodgkin lymphoma) tih zingah a tel a ni.

He CNS lymphoma hi kan taksa thisen var lymphocytes an tih atang hian a intan thin. Heng lymphocyte te hi kan lymphatic system-a tel an ni. I hria em, he lymphatic system hi kan immune system pawimawh tak a ni . Kan taksain natna leh hri kai a do theih nan a pui thin. Chuvangin, he lymphoma hi kan central nervous system-ah chauh a lo awm a, taksa hmun dangah a awm lo a nih chuan primary CNS lymphoma kan ti a ni. Mahse, taksa peng dang, central nervous system-ah pawh lymphoma hi hmuh a nih chuan secondary CNS lymphoma an ti a ni.

He cancer hi tu pawhah a awm thei a, mahse , taksa chak lohna nei , HIV leh AIDS vei te , a bik takin mipaah ​​a vei tam zawk. Kum 65 chunglam pawh an hlauhawm hle. Mahse, cancer hmuh tur awm lo tak a ni. United States ang ramah phei chuan kum tin hri kai thar 1,500 vel chauh an awm. Chuvangin, i dinhmun chu eng pawh ni se, i medical team chuan CNS lymphoma dona atana damdawi tha ber zawng turin an pui ang che.

CNS lymphoma natna lan chhuah dan chu engte nge ni?

Tunah chuan he CNS lymphoma symptoms te hi eng nge ni tih i lo en ang u. Dik tak chuan, tumor awmna hmun a zirin symptoms hi a inang lo . Entirnan, he tumor hi thluak leh ruhro ( the meninges ) khuh tu membrane-ah a awm a nih chuan a lan chhuahna a awm lo mai thei. Amaherawhchu, mit bulah tumor a awm chuan mit hmuh danah danglamna a awm thei. A nih loh leh, thluak chhunga chetna controltu hmunah tumor a awm chuan, rilru hahna a awm thei a, kea kal lai ang chi balance a inthlak thei bawk.

Hengte hi CNS lymphoma natna lan chhuah dan tlangpui chu an ni:

• Nausea leh luak chhuak
• Kut, ke emaw, hmai emaw a chak lohna
• Taksa sir khata chak lohna (hemiparesis) .
• Hriatna lama harsatna, bengchheng
• Chaw ei harsa (dysphagia) .
• Thluak a pressure sang (lu na nasa tak, buai, ngaihtuahna buai) symptoms .
• Mit hmuhna lama harsatna (mitdelna, mit hmuhna pahnih, floaters ) .
• Rilru dinhmun inthlak danglam (thusawi harsa, hriatrengna hloh, rilru hah lutuk) .
• Seizures (hei hi ni engemaw zat emaw, kar engemaw zat emaw chhungin a pung zauh zauh thei) .
• Zun leh bawlhhlawh control theih lohna (urinary leh fecal incontinence) .

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Eng thilin nge CNS lymphoma hi a thlen?

A dawtah chuan CNS lymphoma thlentu hi eng nge ni tih kan en ang. Lymphoma chi dang ang bawkin CNS lymphoma hi lymph node-a cell-te’n an awm dan pangngai lo an neih tan chuan a lo awm thin. Heng cell te hi thunun theih lohvin an pung a , cell hrisel te chu an tibuaitu a ni. CNS lymphoma-ah chuan cell pangngai lo taka lo thanglian tan chu lymphocytes an ni a, thisen var chi khat B cells an ti a ni.

Zirchiangtute chuan lymphocyte chu cancer cell a nih chhan chiang takin an la hre lo a, mahse CNS lymphoma vei theihna tipungtu thil engemaw zat an hmuchhuak a ni.

CNS lymphoma vei theihna tur risk factors

Immune system tichak lo thei dinhmun thenkhat chuan CNS lymphoma vei theihna a tipung thei a ni. Heng risk factors te hi:

• HIV/AIDS (a bik takin Epstein-Barr virus infection active tak i neih chuan) .
• Wiskott-Aldrich natna (WIS) natna hi a awm a.
• Immunodeficiency state (CVID) a awm tlangpui chu a inang lo hle.
• Ataxia -telangiectasia a awm thei
• Organ transplant hnua immunosuppressant damdawi hman

Engtin nge CNS lymphoma hi hmuhchhuah a nih?

I doctor chuan CNS lymphoma i vei em tih hriat nan test leh procedure hrang hrang a rawt thei ang. He diagnosis hi cancer staging an ti bawk . He cancer stage hian doctor-te chu cancer hi eng chen nge a darh tawh tih leh eng enkawlna nge hlawhtling ber tur tih hriatthiamna a pe a ni.

Heng test te hi i tih a ngai dawn a ni:

• Taksa enfiah : I doctor chuan i thluak, i ruhro leh i mit hriselna a enfiah ang. I central nervous system (CNS) enfiah turin neurological exam a ti ang. Mit hnung lama tumor awm leh awm loh enfiah nan slit lamp exam pawh an ti thei bawk.
• Imaging test : Taksa chhunga cancer awmna hmun hriat nan, (MRI), (CT scan) emawI doctor chuan PET scan a order mai thei. CNS lymphoma hi central nervous system pawn lamah a darh tam lo hle. Mahse, chu system chhungah chuan a darh chak thei hle.
• Thisen test : Thisen test hian i cell-ah cancer chhinchhiahna a awm leh awm loh a enfiah thei. Chûng zîngah chuan thisen chhiar kimchang , thisen chemistry zir chianna, leh HIV test .
• Tissue leh fluid test : I spinal fluid, bone marrow , emaw tumor ngei pawh sample lak theih a ni a, cancer cell awm leh awm loh enfiah theih a ni.

CNS lymphoma hi eng enkawlna nge ni?

Dik tak chuan CNS lymphoma enkawlna kawngah hian kawng khata hman theih a awm lo. Chu ai chuan i healthcare team chuan i kum, HIV/AIDS i vei leh vei loh, leh cancer hmuhchhuah thar emaw, enkawl hnua a lo kir leh tawh emaw (recurrent) tih te a zirin i tana tha ber tur treatment plan an rawt ang A tam zawkah chuan enkawlna hrang hrang inzawmkhawm hman a ni ang.

CNS lymphoma enkawlna hrang hrangte chu:

• Chemotherapy : Hei hian cancer cell thah nan damdawi hman a ni. Chemotherapy drug methotrexate (HD-MTX) dose sang tak hi CNS lymphoma hmuhchhuah thar enkawlna atan hman a ni fo thin.
• Radiation therapy : Hei hian energy beam hmangin cancer cell te chu a that thin. Radiation therapy chi khat, natna lan chhuahna tihziaawmna chu thluak pum pui radiation . Thluak zawng zawnga cancer cell awmte a that vek a ni.
• Targeted therapy : Hei hian cancer cells te beih nan protein leh antibodies ang chi thil a hmang thin. Rituximab leh ibrutinib te hi targeted therapies a ni a, i doctor chuan a rawt thei ang.
• Stem cell transplant : Stem cell transplant-ah hian cancer enkawlna chemotherapy leh radiation therapy hmanga thisen cell tihchhiat tawhte thlak turin thisen cell hrisel tak tak pek i ni.
• Clinical trials : I doctor chuan enkawlna thar test-na clinical trial-ah tel turin a rawt thei che a ni. Tuna trial neih mekte hian CNS lymphoma enkawlna kawngah targeted therapy damdawi thar leh chemotherapy damdawi thar inzawmkhawmte chu engtiang chiahin nge a thawh hlawk tih an zirchiang mek a ni.

HIV vei emaw, AIDS vei emaw i nih chuan CNS lymphoma enkawl lai hian antiretroviral therapy (ART) i chhunzawm tur a ni.

Enkawlna avanga harsatna leh nghawng tha lo awmte chu engte nge ni?

CNS lymphoma enkawlna hian side effect a nei thei a ni . I doctor chuan hengte hi a hrilhfiah lawk ang che. Entirnan, thluak pum pui radiation hian thluaka cancer cell te chu a that thin. Mahse, side effect na tak tak a thlen thei bawk a, chu chuan i thluak hnathawh dan a nghawng thei bawk. Enkawlna kawng zawng zawng hian hlauhawmna a nei vek.

I enkawl dan tur ruahmanna a thatna leh a hlauhawm dan tur chu i doctor nen sawiho rawh. Palliative care an rawt em tih zawt la, chu chuan side effects leh cancer-in i nun a nghawng dan zawng zawng a enkawl thei che a ni.

Hetiang dinhmun hi eng nge ka beisei theih ang?

CNS lymphoma hi cancer lian tham tak a ni a, enkawl hnuah a lo kir leh theihna chance a sang hle. Mahse, i dam leh theihna chance, a nih loh leh prognosis , chu thil chiang tak engemaw zatah a innghat a ni. Heng thilte hi:

• i kum zat
• I hriselna dinhmun zawng zawng
• I HIV dinhmun
• Tumor awmna hmun
• I thisen chemistry test result (hengte hian cancer hian i chhungril taksa peng hrang hrang a nghawng dan a tarlang thei) .

I medical team te chuan i nunphung tihhniam lovin damchhuahna chance tha ber pe thei tur treatment plan zawng turin an thawk ho ang che.

CNS lymphoma vei dam leh zat hi engzat nge ni?

Researcher-te chuan cancer damchhuah zat chu cancer pakhat vei mi engzat nge hun bituk, a tlangpuiin kum nga hnua la dam tih enin an report a ni. CNS lymphoma vei te kum nga chhunga dam rei zat chu 30% vel a ni . Chumi awmzia chu CNS lymphoma vei mi sawm zinga pathum chu kum nga hnuah an dam tihna a ni.

Mahse, heng statistics te hi a tlangpui hle a ni . Damlo damchhuah theihna chance tichhe thei thil chiang dang an ngaihtuah lo. Entirnan, i immune system a chak lo a nih chuan, emaw, lymphoma hi thluak pawn lama a darh loh chuan a rah chhuah a tha zawk tlangpui. Tin, heng damchhuah zat hian enkawlna tharin i dam rei zawng a nghawng dan a tilang lo bawk.

I doctor hi i hriselna dinhmun leh i cancer hmuhchhuah bik atanga i hmalam hun tur sawifiahtu tha ber a ni .

Engtin nge ka in enkawl ang?

Lymphoma natna vei hi a harsa thei tak zet a ni . Eng test leh treatment nge i neih a ngai dawn tih chu i lungkham hle mai thei. I rilru put hmang mi dangte hnêna hrilh dân i hre lo mai thei.

Hetiang hun lai hian a ni a, .I theih ang angin support i neih theih nan i bei tur a ni . Chu chu i hmangaih takte nêna inbiakna a ni thei a, chu chu harsa hle mah se. A nih loh leh, i doctor-a palliative care emaw, support group emaw chungchâng zawh tihna a ni thei bawk . Mi tin cancer zinkawng hi a danglam vek. Mahse, kan zinkawng zawh apiangah midang nena inzawmna neih a pawimawh.

Engtikah nge Doctor ka hmuh ang?

I CNS lymphoma chu remission-ah awm mahse (chu chu cancer chhinchhiahna leh chhinchhiahna i nei tawh lo tihna a ni), a lo lang leh leh awm loh enfiah turin check-up neih fo a ngai dawn a ni. Enkawl hnu kum nga chhungin doctor i pan fo a ngai dawn a ni. Hei hi a chhan chu CNS lymphoma lo lang leh tam zawk hi kum nga hmasa berah a awm vang a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Ka enkawlna tur ruahmanna hriat chian nan eng test nge ka neih a ngai ang?
• Enkawlna chi hrang hrang hian eng hlauhawmna leh hlawkna nge a neih?
• Cancer hian enkawlnaah engtin nge a chhan tih hriat tumin engzat nge test turin ka rawn luh a ngai ang?
• Clinical trial -ah hian ka tel thei em ? Chutianga tih chu i rawt em?
• Ka tan hian palliative care hi i recommend dawn em ni?

In lama hruai tur thuchah pawimawh ber

CNS lymphoma hi natna khirh tak a ni a, uluk taka enkawl a ngai a, i tan bik a enkawl dan tur ruahmanna siam a ngai bawk. Central nervous system (CNS) tichhe thei lymphoma emaw cancer emaw enkawlna lama tawnhriat nei medical team te nen thawhhona tha tak neih a pawimawh hle.

I medical team chuan i enkawlna kawng hrang hrangte chu an hrilhfiah thei che a, an hlawkna leh a hlauhawmna emaw, a side effect awm thei te chu tehnaah an pui thei che a, i hmalakna tur i ngaihtuah hunah thlamuanna pe thei tur palliative care specialist-te nen an inzawm tir thei bawk che a ni.