He ira rerekē, he puku rānei kei tō kiri? Tērā pea he mate pukupuku kiri-B tēnei?

He mea whakamiharo tō tātou kiri, kāore? I ētahi wā ka puta mai, ka ngaro atu ngā pīwariwari me ngā ira iti. Engari i ētahi wā ka ruarua pea koe mō tētahi ira hou, mō tētahi puku rānei i tō kiri, mō tētahi mea kua roa e noho ana kāore anō kia ora. I ēnei wā, me tino tupato tātou. Nā te mea, ahakoa he tino onge, ka taea hoki e ēnei panonitanga kiri te tohu i tētahi mate kino. I tēnei rā ka kōrero tātou mō tētahi mate kiri onge, engari he mea nui kia mōhiotia. He mate tēnei e kiia nei ko te lymphoma pūtau-B kiri kiri, ko te `(Cutaneous B-Cell Lymphoma)` rānei.

He aha te Lymphoma Pūtau-B o te Kiri?

He whakarāpopototanga noa iho, ko te Cutaneous B-Cell Lymphoma (CBCL) he momo mate pukupuku e tīmata ana i roto i tō kiri. He ahua onge. Nō roto i tētahi rōpū mate pukupuku e kiia nei ko te lymphoma. Engari ko te mea motuhake ko te tīmatanga i waho o ō tātou pona lymph, i roto i te kiri. Koia i kiia ai ko te lymphoma extranodal.

I te nuinga o te wā, ka puta mai tēnei `(CBCL)` hei ira, hei ponana, hei puku rānei i runga i te kiri. He tino puhoi te tipu o ēnei. Ka roa pea ngā marama, tae atu ki ngā tau, kia tupu ai. Waihoki, he onge te horapa ki ētahi atu wāhanga o te tinana. E kīia ana hoki e ētahi ko te `(B-cell skin lymphoma)`. Nō reira, ki te kite koe i tētahi mea hou, i tētahi mea rerekē rānei i runga i tō kiri, he mea pai kia aro atu koe ki tēnā.

Me pēhea te whanaketanga o tēnei lymphoma? He aha ngā pūtau-B?

Tērā pea kei te whakaaro koe he aha tēnei āhuatanga ka puta. Ki te pono, kāore anō kia kitea e ngā kaipūtaiao te tino take o tēnei `(CBCL)`. Engari kotahi te mea e mārama ana: ehara i te mea tuku iho, ehara hoki i te mea hopuhopu.

Ka tīmata i ngā pūtau toto mā e kiia nei ko ngā lymphocytes. He tino hira ēnei lymphocytes o tō tātou pūnaha ārai mate. He rite rātou ki te ope taua e tiaki ana i tō tātou whenua. E rua ngā momo matua o ngā lymphocytes: ko ngā pūtau-T me ngā pūtau-B. Ina tīmata ngā pūtau-B ki te tipu nui rawa me te kore e taea te whakahaere, ka puta tēnei āhuatanga e kiia nei ko te lymphoma pūtau-B. Ki te kī ngāwari, ka pōrangi haere ō tātou ake pūtau, ka huri hei pūtau matepukupuku.

He aha ngā momo matua o te lymphoma pūtau-B kiri?

E whā ngā momo matua o tēnei "(CBCL)". Ka whakarōpūtia ēnei i runga i te āhua o ngā pūtau i raro i te karuārai. Tērā pea he rerekē te āhua o ia momo i runga i te kiri, ā, me rerekē pea ngā maimoatanga e hiahiatia ana.

1. Te lymphoma pokapū follicle kiri tuatahi:

• Koinei te momo `(CBCL)` e kitea whānuitia ana.
• Ko te nuinga o te wā, ka puta ki te māhunga, ki te kaki, ki te uma/ki te tinana rānei.
• Ka puta mai he pupuhi (nodules) whero-parauri, he ponana rānei i runga i te kiri .
• He tino kino tēnei, ka puta i roto i ngā marama, i ngā tau rānei.

2. Te lymphoma pūtau-B o te rohe kiri taha tuatahi:

• He momo pai hoki tēnei e tupu pai ana.
• He maha ngā wā ka puta mai he whara māwhero-whero, he pona, he pukupuku rānei .
• Ko te nuinga o te wā ka puta ki te tinana, ki ngā ringa rānei.

3. Te lymphoma pūtau-B nui e horapa ana i te kiri tuatahi, momo waewae:

• He iti ake tēnei i ngā momo e rua, engari he kaha ake. Arā, ka tere te tipu, i roto i ētahi wiki, i ētahi marama rānei.
• He maha ngā wā ka puta mai hei pukupuku kotahi, neke atu rānei, i ngā pona rānei i ngā waewae, i ngā ringa, i te uma/tinana rānei.

4. Te lymphoma pūtau-B nui e horapa ana i te kiri tuatahi, ētahi atu:

• He momo tino onge tēnei, he momo nanakia hoki.
• Ka rerekē pea te āhua, engari ka tīmata i te upoko, i te tinana, me ngā peka.

Ko wai te mea tino tūpono ka pāngia e tēnei mate? He pēhea te noa o tōna pānga?

Ina hoki, ka taea e te tangata te whakawhanake i tēnei āhuatanga e kiia nei ko te ``(CBCL)``. Kāore he rerekētanga ira tangata, kāore he rerekētanga tau, ā, kua kitea kei te whanake i roto i ngā iwi rerekē. Nō reira, he uaua ki te whakaaro, "E kore tēnei e pā ki ahau."

Engari, kaua e mataku. He tino onge tēnei mate. Whakaarohia, ki te tangohia e koe te toharite o te kotahi miriona tāngata, tokowhā noa iho o rātou ka pāngia e tēnei mate. Nō reira, kāore koe e hiahia ki te mataku me te whakaaro koinei te "(CBCL)" i te wā tonu ka kite koe i tētahi mea rerekē i runga i tō kiri. Heoi, ki te mea he ruarua āu, he mea whakaaro nui kia rapu tohutohu hauora.

He aha ngā tohu? Tirohia mēnā kei a koe anō ēnei tohu

Ko te tohu matua o te `(CBCL)` ko ngā panonitanga o te kiri. Ka puta ēnei i roto i ngā momo huarahi:

• He ponana
• He puku, he puku rānei i runga i te kiri
• He puku iti (he pūkahukahu, he puku rānei)

He whero, he papura, he parauri rānei ēnei. Ko ētahi he pūmau, he mārō, engari he maeneene. Ka kiia ēnei he papule. Ko ētahi he papatahi, he rite ki ngā wāhi kiri matotoru. Ka kiia ēnei he papa. Ko ngā puku nui ake ka kiia hoki he nodules, he pukupuku rānei.

Tērā pea kotahi noa iho te wāhi/pūpū pēnei, he maha rānei. Waihoki, tērā pea ka puta mai i te wāhi kotahi o te tinana, i ētahi wāhi rānei. Tērā pea kei te tata tetahi ki tetahi, kei tawhiti rānei.

Whakaarohia, he whero iti nei te ringa o Matua Sunil mō ngā marama. I mahara ia he karawarawa noa iho. Engari ka nui haere, ka rite ki te puku. Koinei pea te tohu wawe o tēnei.

He tino onge, ka pāngia ētahi tāngata e ētahi atu tohu. Ka kiia hoki ēnei he "tohu B". Kei roto i ēnei:

• Te kirika e puta mai ana, kāore he take.
• Te werawera nui i te pō.
• Te pupuhi o ngā kōpuku lymph i te kaki, i ngā kēkē, i te uma rānei.
• Te ngaronga taumaha me te kore take.

Ko te kitea o ēnei "āhuatanga B" te tikanga he whānui ake te horapa o te mate. Heoi, he tino onge ēnei i roto i te `(CBCL)`.

Me pēhea te tautuhi a ngā tākuta i tēnei?

He tokomaha te hunga e whakaroa ana ki te rapu tohutohu hauora nā te mea ko ngā ira me ngā puku e puta ana i te kiri i roto i te CBCL ka rite ki te hakihaki noa, te ngau pepeke, te mate pāwera, te karawarawa, me ētahi atu mate kiri pēnei i te ekisema, te psoriasis rānei. Heoi, ki te mea he mea rerekē kei tō kiri kāore e ora, me toro atu koe ki te tākuta, inā koa ki te tākuta kiri.

Ka tirohia tō kiri e te tākuta i te tuatahi. Ka tirohia e rātou ngā wāhanga katoa o tō tinana, ā, ka aromatawaihia mēnā he rerekētanga kei roto.

Kātahi, hei tautuhi i te mate, me whai "koiora kiri", arā, ka tangohia he wahi iti o te kiri mai i te wāhi rerekē ka tirohia. Ka tirohia tēnei wahi iti o te kiri i raro i te karuārai e te tohunga ("tohunga mate") kia kitea ai mēnā he pūtau matepukupuku, ā, mēnā he pērā, he aha te momo. Ko te "koiora kiri" anake te huarahi hei mōhio mēnā he "lymphoma kiri" me te momo momo.

Hei tirotiro mēnā kua horapa te mate pukupuku, ka tono pea tō tākuta i ētahi atu whakamātautau ('whakamātautau whakatauranga'). Kei roto i ēnei ko:

• Ngā whakamātautau toto.
• Ngā whakamātautau whakaahua pērā i te matawai CT, te matawai PET rānei.
• Te koiora wheua.
• Te koiora o ngā kōpuku lymph.

Kia ako tātou mō ngā wāhanga me te horapa o te mate.

Ko te wāhanga o te mate (CBCL) he tohu mō te horapa o te mate pukupuku me te tawhiti o tōna horapa. He mea tino nui tēnei wāhanga nā te mea ka whakatau i te maimoatanga. Mā tō tākuta koe e whakamārama ki te wāhanga kei roto te mate me tōna pānga ki a koe.

• Wāhanga 1E: Ko te "E" he tohu mō te "extranodal," arā, kei waho o ngā pona lymph. I tēnei wā, kua noho te mate pukupuku ki te kiri anake, ā, kāore anō kia horapa ki hea atu. Mena kāore he tohu "B" tāpiri, pērā i te kirika, te whakaheke taumaha rānei, ka kiia hoki tēnei ko te "Wāhanga 1AE."

Mena kua horapa te "CBCL", ka whakamahia e ngā tākuta tētahi pūnaha e kiia nei ko te "pūnaha whakarārangi TNM".

• Puku (T): Ko te reta "T" e pā ana ki te maha o ngā papules, pona, pukupuku rānei i runga i te kiri, te rahi, me te wāhi kei reira. Ka tauhia tēnei mai i te 1 ki te 3 (mai i te iti rawa ki te tino kino).
• Ngā Pūnga (N):Ko te reta "N" e tohu ana mēnā kei te pāngia ngā kōpū lymph, e hia, me te wāhi kei reira. Ka tauhia hoki tēnei mai i te 0 ki te 3.
• Metastasis (M): Ko te reta "M" e tohu ana mēnā kua horapa te lymphoma ki tua atu i te kiri, i ngā kōpuku lymph rānei (`M1`) kāore rānei (`M0`). Ko te tikanga o te `(Metastasis)` kua horapa te mate pukupuku ki ngā whekau tawhiti.

He aha ngā maimoatanga? Ka taea te whakaora?

Ko te maimoatanga mō te `(CBCL)` e whakawhirinaki ana ki te momo me te wāhanga o te mate. He maha ngā wā ka taea te whakaora, inā koa i ngā āhua kua tino whanake. Heoi, i ētahi wā ka taea e te mate te `hoki mai anō`.

He maha ngā kōwhiringa maimoatanga:

• Te tirotiro kaha: I ētahi wā kei te tipu haere te mate, ā, kāore he raruraru nui e pā mai ana, ka whakamahia pea e ngā tākuta te huarahi "mātakitaki me te tatari". Arā, ka aroturukihia e rātou te mate kia tīmata rā anō te maimoatanga.
• Te rongoā matū: Te hoatu rongoā hei patu i ngā pūtau matepukupuku. Ka taea te tango i ēnei hei pire, hei werohanga rānei.
• Ngā rongoā ā-papa, ā-werohanga rānei: Ka taea te tāpiri i ngā rongoā pēnei i te corticosteroids ki te kiri, te werohanga tika rānei ki roto i te puku.
• Ngā paturopi monoclonal: Kei roto i tēnei rōpū ngā rongoā pēnei i te `(Rituximab)`. Ka mahi ēnei hei rongoā arotahi, ā, ka whakangaro i ngā pūtau-B.
• Whakaora irahiko: Te whakamahinga o ngā hihi kaha-nui hei whakangaro i ngā pūtau matepukupuku. He maha ngā wā ka whai hua tēnei mō ngā pukupuku ā-rohe.
• Tango pokanga: I ētahi wā, mēnā he kotahi te puku, ka taea te tango katoa mā te pokanga.

Ka matapakihia e tō tākuta te tikanga maimoatanga e pai ana mōu.

He ara kei reira hei ārai i tēnei mea kei tupu?

Engari, nā te mea kāore anō kia mōhiotia te pūtake tuturu o te `(CBCL)`, kāore anō kia kitea he huarahi kua whakamātauhia hei ārai i tēnei. Nō reira, ko te mea pai rawa atu mā tātou ko te mōhio ki ngā huringa rerekē o tō tātou kiri, me te rapu tohutohu hauora tonu mēnā ka kite tātou i tētahi mea.

He aha te matapae mō te whakaoranga? (Matapae)

Ko te matapae, te tirohanga whānui rānei, e whakawhirinaki ana ki ētahi āhuatanga, ko te momo lymphoma me te wāhanga o te mate te nuinga.

• Ko ngā momo e rua e tino kitea ana ('Primary cutaneous follicle center lymphoma' me te 'Primary cutaneous marginal zone B-cell lymphoma'): Ko te reiti oranga mō ēnei e rima tau te roa, tata ki te 95%. Ko te tikanga, e rima tau i muri i te tātaritanga, e 95 o te 100 o ēnei tūroro kei te ora tonu. He ia tino pai tēnei.
• Ko ngā momo tino pukuriri ('Te lymphoma pūtau-B nui e horapa ana i te kiri tuatahi, te momo waewae' me te 'ētahi atu'): Ko te ōrau oranga mō ēnei e rima tau te roa e tata ana ki te 60%.

He toharite noa iho ēnei tatauranga. Tērā pea ka pai ake, ka kino ake rānei tō āhua, nō reira he pai ake te kōrero ki tō tākuta mō tēnei.

Ka taea e au te hoki mai i muri i te maimoatanga?

Ae, ka taea e te lymphoma kiri te hoki mai anō i muri i te maimoatanga. Ka taea e ngā puku te hoki mai ki te wāhi kotahi, ki tētahi wāhi hou rānei. I te nuinga o te wā, ka hoki mai te momo kotahi. Heoi, he tino onge, ko te CBCL kua hoki mai anō he mate pūnaha, he momo lymphoma rānei.

Nō reira, he mea tino nui kia tirohia tō kiri i ia wā ('tirotiro kiri') me te tirotiro i ia wā e te tākuta kiri, e tetahi atu tohunga rānei.

Me pēhea koe e tiaki ai i tō hauora hei tangata whai CBCL?

Mena kei a koe (CBCL) kua pāngia rānei koe i mua, ā, kua ora, he mea tino nui kia whai i ngā tohutohu a tō tākuta. Me haere tonu ō whakamātautau kia mōhio ai kāore te mate i hoki mai anō.

Ka rerekē te auau o ēnei whakamātautau i runga i te momo CBCL me tōna kaha. Tērā pea i ia wiki torutoru, i ia marama torutoru, i te tau kotahi rānei. Tērā pea kei roto i ēnei wā tirotiro he whakamātautau kiri, he whakamātautau toto, he hihi-X, he tango koiora rānei.

Ngā pātai me pātai atu koe ki tō tākuta

Mena kua tāpaetia koe kei te mate koe i te `(Cutaneous B-Cell Lymphoma)`, kaua e wareware ki te pātai atu ki tō tākuta i ēnei pātai:

• He aha te momo momo `(CBCL)` kei a au?
• Kei tehea taumata tēnei?
• He aha te momo maimoatanga e taunaki ana koe?
• He aha ngā pānga taha me ngā mōrearea o aua maimoatanga?
• He aha taku matapae?
• Kia pēhea te roa o te wā e mōhio ai mēnā ka angitu te maimoatanga, kāore rānei?
• Kia pēhea te auau o taku kitenga i a koe kia mōhio ai kāore anō te lymphoma kia hoki mai?

Mā ngā whakautu ki ēnei pātai koe e āwhina kia pai ake ai tō māramatanga ki te mate me ngā mahi e whai ake nei.

Karere Whakahoki-Kāinga mai i Ngā Mea Kua Kōrerohia e Tātou

Ko te Lymphoma Pūtau-B o te Kiri he momo mate pukupuku onge e tīmata ana i roto i ngā pūtau e kiia nei ko ngā lymphocytes i roto i te kiri.

• He puhoi te tipu o te nuinga o ngā mate, ā, kāore e horapa ki ētahi atu wāhanga o te tinana. Heoi, ka taea e ētahi momo te horapa nui.
• Ki te kite koe i tētahi puku, ira, ponana rānei hou kāore anō kia ora i runga i tō kiri, kaua e warewaretia . Tirohia he tākuta, inā koa he tākuta kiri, tonu atu.
• He maha ngā momo CBCL ka taea te rongoā mā te kitenga wawe me te maimoatanga tika.
• Nā te mea ka hoki anō pea te mate i muri i te maimoatanga,He mea nui kia whakamātauria i ngā wā kua whakaritea e te tākuta.

Kia maumahara, he mea hei whakamōhio noa iho ēnei mōhiohio. Mena he āwangawanga hauora āu, he pai ake te rapu tohutohu hauora.

` Lymphoma Pūtau-B Kiri, Matepukupuku Kiri, Lymphoma, Pūtau-B, Puku Kiri, Mate Kiri