Lymphoma chungchanga i hriat tur - I sawiho ang u!

I taksaah hian hnim hring te te, a bik takin i kawr, i kawr leh i kekawrte ang chi hmunah te i nei tawh em? A nih loh leh, chhan awm lovin i chau lutuk leh i chau hle tawh em? Hêng thilte hi khawsik pangngaiah pawh a thleng thei a ni. Mahse, a châng chuan cancer chi khat lymphoma -a chhinchhiahna an ni thei bawk. Chuvangin, vawiinah hian lymphoma chu eng nge a nih, engtin nge a lo awm tih, a natna lan chhuah dan te, a enkawl dan tur a awm em tih te kan sawi dawn a ni.

Lymphoma hi eng nge ni tak tak?

A awlsam zawngin, lymphoma hi kan lymphatic system-a lo awm cancer a ni . Thisen kalna kawng ang bawkin kan taksa hian channel tha tak tak network a nei a, chu chu lymphatic system an ti a. A hna ber chu kan taksa natna laka venhimna, chu chu hrik dotu a ni. He lymphatic system hi lymph node, lymph vessel leh taksa peng dang engemaw zat atanga siam a ni.

He lymphatic system a cell chi khat bik chu lymphocytes an ti a . Hengte hi a takah chuan thisen var chi khat an ni. Lymphoma hi heng lymph cells te hi a pangngai lo, control theih loha an lo thang lian tan hian a lo awm thin. Thlai ang maiin heng cell te hi an thang lian lutuk a, an inzawm khawm a, tumor an siam thin. Hei hi thisen cancer anga ngaih a ni bawk a, a chhan chu thisen var atanga intan a nih vang a ni.

Lymphoma hi chi hnih a awm a, chungte chu:

1. Hodgkin lymphoma natna a ni

2. Hodgkin ni lo lymphoma a awm thei

Heng chi hnih bakah hian subtype dang 70 chuang a awm bawk. Lymphoma chi thenkhat chu a na hle a, thenkhat erawh chu a indolent hle thung. A tha ber chu a tam zawkah chuan lymphoma hi control (remissioned) emaw, enkawlna hmanga tihdam vek theih a ni. Tu pawhin lymphoma an vei thei a, naupang tê tê aṭanga puitling thlengin. Mahse he thuziak ah hian puitling lymphoma chungchang kan sawi ber dawn a ni.

Lymphoma hi natna tlanglawn tak a ni em?

Ni lo, lymphoma hi cancer chi dang nena khaikhin chuan natna tlanglawn tak a ni lo. Entirnan, American Cancer Society chuan kum 2023 chhung hian United States-ah lymphoma vei thar 89,000 vel hmuhchhuah an beisei a, chutih rual chuan lung cancer vei mi 236,740 vel hmuhchhuah an nih tur thu an sawi bawk. Chuvangin, lymphoma hi a tlem hle niin a lang.

Tute nge lymphoma vei theihna sang zawk?

• Non-Hodgkin lymphoma hi kum 60 leh 80 inkar ah a awm tlangpui a, hmeichhia aiin mipain an vei tam zawk.
• Hodgkin lymphoma hi kum 20 leh 39 inkar leh kum 65 chunglam ah a awm thei a, mipaah ​​pawh a tam deuh hlek bawk.

Lymphoma natna lan chhuah dan tlangpui chu engte nge ni?

Vawi tam tak chu lymphoma chhinchhiahna hi natna dang, na lo zawkte nen a inang thei a ni. Heng symptoms i neih vang mai mai hian lymphoma i vei tih ngaihtuah hlau suh. Amaherawhchu, danglamna emaw, natna lanchhuahna thar emaw, kar engemaw zat hnua a reh loh i hmuh chuan doctor pan a, thurawn lak a tha ber.

Hodgkin leh non-Hodgkin lymphoma-a natna lan chhuah dan tlangpui chu:

• Painless swelling: Kawr, kawrfual emaw, kawrfual emawa lymph node pakhat emaw a aia tam emaw a hring a, kar engemaw zat hnuah a bo lo. Chungte chu kut chhunga hriat theih tur hnah te te ang maiin a lang thei.
• Persistent fatigue: Nitin chau leh rilru hah taka awm, mut that hnuah pawh.
• Recurrent fever: Ni hnih aia tam Fahrenheit 103 (39.5 Celsius) aia sang, a nih loh leh khawsik a reh a, a lo let leh thin.
• Zan lama thawmhnaw hnim (drenching night sweats): Zanah mut laiin thawmhnaw a thawk nasa lutuk a, puan leh thawmhnaw a hnim thin.
• Dyspnea: I rilru a tight tih hriatna, thawk thei lo ang maia awm.
• Sawifiah loha taksa rihna tihtlem: Thla 6 chhunga i taksa rihna zawng zawng atanga 10% vel tihtlem, ei leh in leh exercise engmah nei lovin.

Pawimawh: Heng symptoms pakhat emaw a aia tam emaw i neih chuan lymphoma i nei tihna a ni hauh lo. Mahse, damdawi lam thurawn lak a la pawimawh hle.

Lymphoma hi engte nge ni?

Lymphoma hi lymphatic system-a thisen var cell-a genetic changes (mutations) avanga lo awm a ni a, chu chuan control theih lohvin cancer cell rang taka lo thang lian tak takah a siam a ni. Heng genetic changes te hi eng thilin nge a thlen tih chiang taka hriat a harsa fo thin. Hei hian a takin an lo awm fo tihna a ni .

Mahse, zirchianna chuan dinhmun leh harsatna thenkhat chuan lymphoma vei theihna a tipung thei tih hmuhchhuah a ni. Chung zingah chuan:

• Viral infection i neih tawh emaw, i neih mek emaw a nih chuan HIV (human immunodeficiency virus) , Epstein-Barr virus (mononucleosis emaw kissing disease thlentu virus) , emaw Kaposi sarcoma human immunodeficiency virus
• I chhungkuaa mi tu emaw chuan lymphoma (chhungkaw history) a vei tawh a nih chuan.
• Natna dang emaw, damdawi hmanga enkawlna emaw avanga i taksa hriselna a chak lo a nih chuan. Entirnan, taksa peng thlak tawhte chuan taksain taksa peng dang a hnawl loh nan immunosuppressant an tih damdawi an ei thin. Heng damdawi te hian immune system a tichak lo hle.
• If you have an autoimmune disease , hei hi i taksa immune system-in a humhim che ai chuan nangmah ngeiin a bei sual tihna a ni.

Engtin nge lymphoma hi an hriat theih?

Doctor-te hian lymphoma hmuhchhuah nan test eng emaw zat an ti ber a ni.

1. Taksa endik: A chunga kan sawi tak symptoms te hi enfiah thin ang che. Lymph node leh taksa peng hrang hrang, spleen ang chi te chu a hring em tih enfiah thin ang che.

2. Biopsy: Hei hi lymphoma finfiah nan test pawimawh ber a ni. Tissue te tak te chu lymph node hring emaw rinhlelh awm dang emaw atanga lak chhuah a ni a , microscope hmangin medical pathologist ten an enfiah thin Hei hian cancer cell a awm leh awm loh leh, a awm a nih chuan eng lymphoma nge a nih tih chiang takin a hrilh ang che.

Heng test-te hian lymphoma a nih thu a sawi a nih chuan doctor-te chuan thisen test leh imaging test dang an nei leh ang a, chu chuan a natna chungchang hi an hre chiang ang a, enkawl dan tur an ruahman ang.

Thisen test a ni

• Complete blood count (CBC) with differential: Hei hian thisen var, thisen sen, leh platelet ang chi thil awm zat a enfiah thin.
• Erythrocyte sedimentation rate (ESR): Hei hian taksaa inflammation awm dan hriat theihna a siam a ni.
• Lactate dehydrogenase (LDH): Cell te hi rang taka an lo thang lian/thih lai hian he level hi a sang thei a ni.
• Liver leh kidney function test neih a ni.
• Serum protein electrophoresis (SPEP): Hei hi lymphoma thenkhata protein pangngai lo (M proteins) lo awm thin te zawn nan a pawimawh hle.

Imaging test te pawh a awm

• CT scan (Computed tomography - CT scan): Hei hi lymph nodes, spleen emaw, taksa peng dang emaw a lo hring em tih leh cancer a darh tawh em tih hriat nan hman theih a ni.
• PET scan (Positron emissions tomography - PET scan): Hei hian cancer cell awmna hmun hriatchhuahna kawngah a pui hle. PET scan hi CT scan nen hian tih dun a ni fo thin . A chang chuan MRI (magnetic resonance imaging) scan pawh an hmang thin.

Non-Hodgkin lymphoma i neih chuan i doctor chuan a kaihhnawih gene leh protein bikte hriat theihna turin test dang a ti thei ang.

Lymphoma enkawlna tur engte nge ni?

Lymphoma enkawl dan hi lymphoma chi hrang hrang a zirin a inang lo. Entirnan, lymphoma chi khat na tak i neih chuan i doctor chuan active surveillance emaw, enkawlna i tan hmaa fimkhur taka nghah emaw an tih chu a rawt thei ang. Chumi awmzia chu i hriselna leh lymphoma symptoms te uluk taka enfiah a ni a, natna a na zual hma chuan enkawl tan a ni lo tihna a ni.

Lymphoma enkawlna atana hman tlanglawn berte chu:

• Chemotherapy hmanga enkawl a ni
• Radiation hmanga enkawlna a ni
• Targeted therapy hmanga enkawlna
• Immunotherapy hmanga enkawl a ni
• CAR T-cell hmanga enkawl a ni
• Stem cell emaw ruhro emaw thlak danglam a ni

I doctor chuan i enkawlna ruahmannaah hian palliative care a rawt thei bawk. Hei hian enkawlna atanga symptoms leh side effects te chu a enkawl thei a ni. Chu bâkah, rilru lama ṭanpuina leh thlamuanna pêk pawh a huam tel bawk.

Enkawlna hian eng side effect nge a neih?

Lymphoma enkawlna hian side effect hrang hrang a thlen thei a ni. Mi zawng zawng hian enkawlna inang an dawn dan a inang lo vek avangin, i enkawl dan tur leh a enkawl dan tur i doctor zawh a pawimawh hle.

Engtin nge lymphoma vei theihna i tihziaawm theih ang?

Researcher te chuan lymphoma vei theihna tur risk factors te chu an la zirchiang mek a ni. Virus chi hrang hrang leh chhungkaw chanchin hian lymphoma vei theihna a tipung thei tih rinna tur a awm. I medical history emaw, chhungkaw history emaw avanga lymphoma vei hlauhawma i ngaih chuan i doctor nen sawiho rawh.

Lymphoma vei chuan eng beiseina nge a neih theih ang?

I prognosis chu enkawlna i zawh hnua i beisei theih tur a ni. Hei hi thil tam takah a innghat a, chu chu lymphoma i neih chi hrang hrang, i kum leh i hriselna zawng zawngah te a innghat a ni. Mahse, a tam zawkah chuan enkawlna hian lymphoma chu remission-ah a dah thei a, a tidam vek thei bawk. Remission tih awmzia chu lymphoma symptoms i nei lo tihna a ni a, test-ah pawh lymphoma chhinchhiahna hmuh tur a awm lo tihna a ni.

Mahse, lymphoma remission-a awm chu a lo lang leh thei a ni. Lymphoma in remission i neih chuan doctor pan a ngai ang a, regular follow-up appointment neih a ngai ang. I doctor chuan lymphoma chhinchhiahna a awm leh awm loh enfiah turin test a ti ang. Symptoms hi i hriat leh sawifiah theih thil a ni. Signs chu thisen test hmanga teh theih thil inthlak danglamna a ni a, chu chu khawsik leh thisen var zat te hi a ni.

Lymphoma hi engzat nge tihdam theih?

A pum puiin data atanga a lan dan chuan Hodgkin lymphoma vei zinga 89% leh non-Hodgkin lymphoma vei zinga 74% chu an hmuhchhuah atanga kum nga hnuah an dam tawh a ni.

Heng damchhuah zat hi natna inang nei pawlte thil tawn atanga chhut a ni. Lymphoma natna vei mi pakhat chu eng chen nge a dam dawn tih chiang takin an sawi lo. Hemi chungchanga zawhna i neih chuan doctor zawt la.

Lymphoma ka vei chuan engtin nge ka in enkawl ang?

Lymphoma i vei chuan a nunpui dan tur ruahmanna siam chu a \angkai hle thei a ni. He ruahmanna hian enkawlna hmasa berah a pui ang che, chutiang bawkin follow-up visit-ah pawh a pui bawk ang che. I ruahmanna siam huna ngaihtuah tur thenkhat chu hetiang hi a ni:

• Lymphoma enkawlna hian i nitin nun a nghawng dan tur zawng rawh. Tichuan, in lama ṭanpuina i mamawh nge, engtikah nge enkawlna dawng tura i kal dawn tih chu i rel thei ang.
• Ei leh in inthlau tak ei rawh. Sa thau lo, thlai, whole grains, leh yogurt te chu i eitur ah te dah tel bawk ang che. Cancer enkawlna hian ei duhna a tichhe thei a ni. Chutiang a nih chuan enkawlna chhunga chakna nei reng tura i mamawh nutrients i hmuh theih dan tur ngaihtuah la, nutritionist nen inbia ang che.
• Nangmah tan hun siam rawh. Journaling, music ngaihthlak, pawn lama hun hman te ang chi thil ti rawh. Cancer natna nena nun hi a buaithlak hle. Meditation leh thawk lakna exercise ang chi thilte hian stress tihziaawmna kawngah a pui thei a ni.
• Exercise engemaw zat nei rawh. Research atanga a lan dan chuan exercise hian hahna leh lungkhamna a tihziaawm bakah lymphoma vei te nunphung a tichangtlung thei a ni.
• Cancer hi mahni chauha thil tawn a ni thei. I natna chungchang hi i chhungte leh i thiante hnena sawipui a harsa thei hle. I doctor hnenah i tanpui thei tur service leh programme te zawt rawh.

Engtikah nge Doctor ka hmuh ang?

I lymphoma symptoms a zual zel nia i hriat apiangin, emaw, enkawlna avanga a side effects enkawlna atana tanpuina i mamawh apiangin i doctor hmu rawh.

Engtikah nge emergency room-ah i kal a ngaih?

Cancer enkawlna tam tak hian i immune system a nghawng a ni. Chumi awmzia chu i cancer enkawlna hian natna kai theihna a tipung thei tihna a ni. Emergency room-a kal ngai thei tur symptom thenkhat chu hetiang hi a ni:

• Khawsik 100.3 Fahrenheit (39.5 Celsius) aia sang a ni.
• Khua a vawt leh khur (Chills).
• Productive emaw “wet” emaw hmanga khuh.
• Pum natna.
• Kar hnih aia rei diarrhea awm reng.

Doctor hnenah eng zawhna nge ka zawh ang?

Cancer vei i zin chhunga zawhna i neih theihte chu hun kal zelah a danglam thei a ni. Lymphoma i vei tih hmuhchhuah thar i nih chuan zawhna bulpui thenkhat i zawh theihte chu hetiang hi a ni:

• Engtin nge lymphoma ka vei tih i hriat?
• Eng ang lymphoma nge ka neih?
• Eng chen nge he lymphoma hi ka vei tawh?
• Eng enkawlna kawng nge ka neih?
• Treatment tin hian eng side effect nge a neih?
• Ka dinhmun (prognosis) chungchangah eng nge ka beisei theih ang?

Lymphoma hi cancer na tak a ni em?

Lymphoma i neih chi hrang hrangah a innghat. Entirnan, non-Hodgkin lymphoma te hi a ni.Hei hian i taksa chu nunna atana hlauhawm natna hrik, cancer chi dang, leh thinlung natna lakah a ti awlsam zawk thei a ni. Statistics atanga a lan dan chuan khawvel pumah mi 300,000 vel chu non-Hodgkin lymphoma chi khat vangin an thi a ni.

Thisen test hmangin lymphoma hi hriat theih a ni em?

Thisen test hian thisen var tamna ang chi thil a hmu thei a ni. Hengte hi thisen cancer lymphoma emaw leukemia emaw chhinchhiahna a ni thei. Mahse, thisen test ringawt pawh hian lymphoma i vei em tih a chiang thei lo. Doctor te hian lymphoma hi biopsy leh imaging test result atanga an hmuhchhuah ber a ni .

Khawi atang nge lymphoma hi a intan tam ber?

Lymphoma hi i taksa hmun hrang hrangah lymphocyte i neihna hmun apiangah a intan thei a ni. Hengte hi thisen var chi khat, natna hrik dotu an ni. I lymph node, i spleen, bone marrow leh i taksa peng dang dangah te an awm a ni. A lan chhuah hmasak ber chu kawr, rilru chunglam, kawrfual, pum, emaw, kawchhung (groin)-a lymph node hring (swellen) a ni.

Eng chen nge lymphoma hi hriat lohvin a awm theih ang?

Kum tam tak chhung lymphoma i nei thei a, symptoms engmah i nei lo. A châng chuan, chhan dang vanga routine imaging test tihnaah hian lymphoma chhinchhiahna chu a thleng mai maiin hmuhchhuah a ni ṭhin.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Lymphoma hi natna khirh tak a ni. Vanneihthlak takin lymphoma enkawl dan pawh a tha chho zel a, mite chu an dam rei thei hle. Kum tin damchhuahna rate hi a pung zel a ni. Researcher te pawhin lymphoma vei theihna tur risk factors te pawh an hmuchhuak belh zel bawk.

Lymphoma vei hlauhawma i ngaih chuan i doctor nen inbia ang che. Chutiang a nih chuan, i hrisêlna vênhim nâna i tih theihte chu a hrilhfiah ang che.

Hriat hmasak leh enkawl dan dik hi a pawimawh ber a ni tih hre reng ang che.

Hemi chungchanga zawhna dang i neih chuan doctor zawt hreh suh. Hrisel takin awm rawh!

` lymphoma, cancer, lymph nodes, a lan chhuah dan, a enkawl dan, Hodgkin lymphoma, non-Hodgkin lymphoma