Non-Hodgkin Lymphoma chungchang hi i zir dawn teh ang. Hlau suh, kan inbia ang u!

I kawr emaw, i kawrfual emaw-ah hnah te tak te i hmu tawh em? A tam zawkah chuan hengte hi thil pangngai a ni a, mahse a chang chuan lymphoma ang chi natna chhinchhiahna a ni thei. Vawiin hian chutiang cancer chi khat, Non-Hodgkin Lymphoma chungchang kan sawi dawn a ni. He hming i hriat hian hlau suh. Hemi chungchang hi awlsam tak leh chiang takin i hrethiam vek ang u.

A awlsam zawngin, non-Hodgkin lymphoma (NHL) chu eng nge ni?

Non-Hodgkin Lymphoma (NHL) hi thisen cancer pawl pakhat a ni a, kan lymphatic system a lo awm thin a ni . Tunah chuan lymphatic system hi eng nge ni tih i ngaihtuah mai thei. Kan taksa invenna peng lian tak a ni. Kan ram defence force ang bawkin he system hian natna thlentu hrik doin min venghim a ni.

He lymphatic system-ah hian sipai ang chi cell bik a awm a. Lymphocyte kan ti a . Hengte hi thisen var chi khat an ni. Heng lymphocyte cell-te gene-a inthlak danglamna, chu chu mutation a awm chuan, chu cell-te chu thunun theih lohvin an inthen darh a, an pung chho ta a ni. Chu chu hetianga cancer lo awm chu a ni a, non-Hodgkin lymphoma kan ti a ni.

Heng cell pangngai lo te hi kan lymph node ah an inkhawm fo thin a , tumor an siam fo thin . Tin, lymphatic system-a taksa peng dang, kan spleen-ah te pawh an darh thei bawk.

Mahse hei hi hre reng ang che: Tunlai enkawlna changkang tak takte nen chuan non-Hodgkin lymphoma vei te chu a hma aia rei zawkin an dam tawh a ni. A châng chuan enkawlna chuan natna chu a tidam kim thei a ni. A châng dangah chuan enkawlna tum ber chu natna chu a rei thei ang bera remission-a awm reng, symptoms awm lo.

Heng NHL chi hrang hrang hi a awm em?

Ni e, he natna hi chi hrang hrang 70 chuang a awm a, mahse a kaihhnawih lymphocyte cell chi hrang hrang a zirin an insem ber a ni.

• B-cell lymphoma: Hengte hi lymphocyte chi khat B cells an tih atanga lo chhuak a ni. Heng B cells te hi kan taksaa hrik an luh veleh do turin antibodies siamtu an ni. NHL vei zinga 85% vel chu he category-ah hian an tel a ni.
• T-cell lymphoma: Hengte hi lymphocyte chi khat T cells an tih atanga lo chhuak a ni. Heng T cell te hian natna hrik direct in an do a, B cell te pawh an pui bawk.

Hei bakah hian doctor-te pawhin heng lymphoma chi hrang hrangte hi an darh chak dan azirin an thliar hrang bawk.

• Aggressive: Hetiang chi hi taksa pumpuiah a darh chak thei a, chuvangin intensive treatment a ngai a ni.
• Indolent: Hetiang chi hi a darh zauh zauh thin . A chang chuan a tir lamah enkawl a ngai lo.

He natna lan chhuah dan engte nge ni?

He natna lan chhuahna langsar ber chu kawr, kawrfual emaw, kawrfual emawa natna nei lo taka hring emaw, lump emaw a ni. Chungte chu swollen lymph nodes an ti a. Mahse, cancer chauh hi lymph node hring chhuaktu a ni lo tih hre reng ang che. Hei hi common cold emaw flu emaw pawhin a thleng thei.

Chumi piah lamah chuan cancer cell awmna hmun azirin symptoms a inang lo thei bawk. Chu chu a hnuaia table-ah hian ngun zawkin han thlir ila.

B symptoms te hi engte nge ni?

Lymphoma an hmuhchhuah hian doctor-te chuan "B symptoms" an tih, symptom chiang tak pathum an zawng thin. Chungte chu:

1. A chhan awm lova khawsik

2. Zanah thawk hah lutuk

3. Chhan awm lova taksa rihna tihtlem

Heng symptoms te hi a awm leh awm loh chuan lymphoma i neih chi hrang hrang hriat theihna tur leh enkawlna tha ber hriat theihna turin a pui thei a ni.

He natna vei theihna tur risk factors te chu engte nge ni?

Non-Hodgkin lymphoma awm chhan dik tak hi hmuhchhuah a la ni lo. Mahse, he natna vei theihna, a nih loh leh vei theihna tipungtu thil engemaw zat hmuhchhuah a ni.

Engtin nge natna hi kan hriat theih ang? (Diagnosis) tih a ni.

Doctor hmu tura i kal chuan, a natna dik tak hriat theih nan step tlemte a zawm ang.

• Taksa enfiah: A hmasain doctor chuan i natna lan chhuah dan a zawt ang che a, i taksaah lymph node hring ang chi chhinchhiahna a awm leh awm loh a enfiah ang.
• Thisen test: Thisen chhiar kimchang (CBC) ang chi test hian i hriselna zawng zawng a hriat theih.
• Imaging test: CT scan, MRI scan, leh PET scan ang chi test te hian taksa chhunga cancer cell awmte chu a zawng thei a ni.
• Biopsy: Hei chauh hi 100% a natna finfiah theih a ni. Hei hian lymph node emaw hmun emaw hring hring atanga tissue te tak te lak a, microscope hmanga enfiah a huam a ni. Hei chauh hi lymphoma cells awm leh awm loh hriat chian theihna kawng awmchhun a ni.
• Immunophenotyping: Hei hi test bik a ni a, biopsy atanga cell lakchhuah te chu NHL chi dik tak hriat theihna tura puitu a ni.

Natna stage hrang hrang

Test neih zawhah doctor chuan i natna stage a hril ang. Hei hi enkawl dan tur ruahmanna siam nan a pawimawh hle.

Enkawlnate chu engte nge ni?

I enkawlna tur chu thil tam takah a innghat a, chung zingah chuan NHL i neih chi hrang hrang, natna stage leh i hriselna zawng zawng te pawh a tel.

• Active surveillance: Indolent form i neih a, symptom i neih loh chuan i doctor chuan enkawlna tel lovin i hmasawnna chu en turin a rel thei ang. Hetah hian enkawl reng che a ni a, symptoms a awm chuan enkawlna tan chauh a ni.
• Chemotherapy: Hei hi enkawl dan hman tlanglawn ber a ni. Cancer cells that thei damdawi taksaah pek a ni.
• Targeted therapy: Heng damdawi te hian cancer cell-a chak lohna bik pakhat chu an target a, an bei bawk. Chutiang enkawlna pakhat chu monoclonal antibody therapy a ni.
• Immunotherapy: Hei hian cancer cells tihchhiat nan nangmah ngeiin immune system tihchak a huam a ni. Chutiang enkawlna hmasawn tak pakhat chu CAR T-cell therapy hi a ni.
• Radiation therapy: Hei hi cancer cell tihchhiat nan high-energy rays (e.g. X-rays) hman a ni.
• Stem cell transplantation: Hei hi enkawlna dangin a hlawhtlin loh chuan tih a ni fo. Hei hian cancer cells te tihhlum nan chemotherapy dose sang tak pek a, chumi hnuah taksaah stem cell hrisel tak tak inject a huam a ni.

Engtin nge natna nen kan khawsak ang?

NHL nena kan awm hian mahni in enkawl dan tur thil engemaw zat a awm.

• Chaw tha tak tak ei rawh. Chaw ei hi chakna a ni. Chaw ei that hian i taksa chakna a vawng reng thei a ni.
• A theih ang angin chawlh hahdam rawh. Enkawlna chuan hahdamna a siam thei che a ni. Chawlh hahdam hian i taksa chu a chakna a neih let leh theih nan a pui thin.
• Stress control rawh.Cancer natna nena khawsak hi thil awlsam a ni lo. I hlauhthawnna leh rinhlelhnate chu i doctor emaw, chhungte emaw, i ṭhian rintlak tak emaw hnenah sawipui rawh.
• Insawizawi. I doctor hnenah i tana tha tur exercise light routine dil rawh.
• Palliative care chungchang zir rawh. Hei hi natna stage eng pawh ni se, damlo natna, a rilru hahna leh a rilru hahna tihziaawmna hmanga nun awlsam zawka puih chungchang a ni.

Engtikah nge Doctor ka hmuh ang?

Enkawlna i neih laiin i natna a zual emaw, natna thar a lo lang emaw a nih chuan , i doctor hnenah hriattir nghal rawh. Enkawlna a zawh chuan clinic appointment ruat saah pawh tel ngei ngei tur a ni.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang?

Natna lanchhuahna na tak, entirnan, thawk harsatna nasa tak emaw, thisen chhuak nasa emaw i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal tur a ni.