Kodi muli ndi chotupa chosapweteka pakhosi panu, m'khwapa, kapena m'mimba mwanu? Kapena mumavutika ndi thukuta kwambiri moti mapepala anu amanyowa usiku? Izi zitha kukhala zachilendo, koma nthawi zina zimatha kukhala zizindikiro za khansa ya m'magazi yotchedwa B-Cell Lymphoma. Musachite mantha mukamva dzinali. Sizovuta kulimvetsa. Tiyeni tikambirane mwachidule, momveka bwino, komanso m'njira yomwe mungamvetse.
Mwachidule, kodi B-Cell Lymphoma ndi chiyani?
B-cell lymphoma ndi mtundu wa khansa ya m'magazi yomwe imayamba m'thupi lathu la lymphatic. Chabwino, tsopano tiyeni tichepetse izi kwambiri.
Magazi athu ali ndi mtundu wa selo lotchedwa maselo oyera a magazi. Awa ali ngati gulu lankhondo la thupi lathu. Maselo amenewa amatiteteza polimbana ndi majeremusi omwe amayambitsa matenda. Mtundu umodzi wa maselo oyera a magazi umatchedwa ma lymphocytes. Pakati pa ma lymphocytes amenewa, pali mtundu wapadera wotchedwa maselo B. Ndiwo gawo lalikulu la gulu lankhondo loteteza thupi lathu.
Pamene maselo a B-cell lymphoma ayamba, pali vuto linalake ndi maselo a B awa, zomwe zimapangitsa kuti agawikane ndikuchulukana mosalamulirika, kukhala maselo a khansa ndikupanga zotupa.
Dongosolo lathu la lymphatic ndi netiweki ya mitsempha yamagazi, ma lymph node, ndi minofu yomwe imafalikira m'thupi lathu lonse. Ili ngati dongosolo lachiwiri la magazi m'thupi lathu. Ichi ndichifukwa chake B-cell lymphoma imatha kufalikira kulikonse m'thupi. Ichi ndichifukwa chake zizindikiro zimasiyana malinga ndi munthu.
Chofunika kwambiri n'chakuti, B-cell lymphoma ndi mtundu wofala kwambiri wa non-Hodgkin lymphoma. Nthawi zambiri, pali mankhwala othandiza. Mitundu ina imatha kuchiritsidwa kwathunthu. Nthawi zina, zizindikiro zimatha kuchepetsedwa ndipo khansa imatha kusungidwa bwino.
Ma lymphoma awa amagawidwa m'magulu awiri:
Dokotala wanu akamalankhula za matendawa, angagwiritse ntchito mawu awiri: "wankhanza" ndi "waulesi." Izi ndi zomwe amatanthauza:
- Mtundu waukali (wofalikira mofulumira): Mtundu uwu umakula mofulumira ndipo ukhoza kufalikira (kufalikira) ku ziwalo zina kunja kwa thupi kudzera mu dongosolo la lymphatic.
- Mtundu wa ulesi (wokula pang'onopang'ono): Mtundu uwu umakula pang'onopang'ono kwambiri. Sungasonyeze zizindikiro kwa zaka zambiri.
Kuti zikhale zosavuta kumvetsetsa, tiyeni tiwone mitundu iyi mu tebulo ngati ili.
| Mtundu wa lymphoma | Kufotokozera kosavuta ndi zitsanzo |
|---|---|
| Waukali (umafalikira mofulumira) | Izi zimakula mofulumira. Zitsanzo:
|
| Wosakhwima (wokula pang'onopang'ono) | Izi zitha kukhala zopanda zizindikiro kwa miyezi kapena zaka. Zitsanzo:
|
Kodi zizindikiro za B-cell lymphoma ndi ziti?
Nthawi zina mungakhale ndi B-cell lymphoma popanda zizindikiro zilizonse. Makamaka m'mitundu yomwe ikukula pang'onopang'ono, nthawi zambiri imapezeka mwangozi poyesa matenda ena. Komabe, muyenera kuda nkhawa ngati mukukumana ndi zizindikiro zotsatirazi:
| Chizindikiro | Kodi izi zikutanthauza chiyani? |
|---|---|
| Ma lymph nodes otupa | Matumbo osapweteka m'khosi, m'khwapa, ndi m'mimba. Ichi ndiye chizindikiro chofala kwambiri. |
| Thukuta kwambiri usiku | Kutuluka thukuta zovala ndi ma bedi anu akangonyowa. |
| Malungo opanda chifukwa | Malungo (oposa 38 Celsius / 100.4 Fahrenheit) omwe amakhalapo kwa masiku opitilira awiri kapena osatha. |
| Kuchepetsa thupi popanda chifukwa | Kuchepetsa thupi mwadzidzidzi popanda kudya zakudya zopatsa thanzi kapena kuchita masewera olimbitsa thupi. |
| Kutopa kosalekeza | Kumva kufooka mosasamala kanthu za mpumulo wanu wochuluka bwanji. Chifukwa chachikulu cha izi chingakhale chakuti maselo a khansa m'mafupa amachepetsa kupanga maselo ofiira a magazi, zomwe zimayambitsa kuchepa kwa magazi m'thupi. |
| Kupweteka m'mimba | Mitundu ina ingayambitse kupweteka kwa m'mimba kosalekeza chifukwa imayambira m'mimba. |
| Chilakolako cha chakudya | Ngati ndulu yatupa, imatha kukankhira matumbo ndikukupangitsani kumva kukhuta ngakhale mutadya pang'ono. |
| Kuyabwa (Pruritus) kapena kusintha kwa khungu | Mitundu ina imayamba pakhungu ndipo ingayambitse ziphuphu, zithupsa, ndi ziphuphu. Kapena, ngati chiwindi chakhudzidwa, khungu likhoza kuyabwa. |
Kumbukirani, kukhala ndi chimodzi mwa zizindikiro izi sikutanthauza kuti muli ndi lymphoma. Chimfine chingayambitsenso kupweteka pakhosi. Koma ngati zizindikirozi zikupitirira kapena kukulirakulira, onetsetsani kuti mwaonana ndi dokotala wanu kuti akupatseni malangizo.
N’chifukwa chiyani chinthu chonga ichi chimachitika?
N'zovuta kudziwa chifukwa chimodzi chomwe chimayambitsa izi. Chofunika kwambiri ndichakuti maselo athu a B amakhala khansa chifukwa cha kusintha kwa majini (kusintha kwa majini) komwe kumachitika akamagawikana. Komabe, kafukufuku wapeza kuti zinthu zina zitha kuwonjezera pang'ono chiopsezo chotenga matendawa.
- Matenda ena a autoimmune: Mwachitsanzo, anthu omwe ali ndi matenda monga rheumatoid arthritis ndi Sjörgren's syndrome.
- Matenda ena a mavairasi: Kukhudzidwa ndi mavairasi monga HIV (kachilombo kopanda chitetezo chamthupi cha munthu), kachilombo ka Epstein-Barr.
- Mbiri ya banja: Ngati wina m'banjamo adadwala khansa monga Hodgkin lymphoma.
- Kunenepa Kwambiri: Kulemera kwambiri kwa thupi nakonso ndi chinthu chomwe chingayambitse mavuto.
Kodi mwapeza bwanji izi, Dokotala?
Mukapita kwa dokotala, adzakufunsani za zizindikiro zanu komanso mbiri yanu yachipatala. Kenako adzakuyesani thupi lanu ndikuyang'ana ma lymph nodes anu, chiwindi, ndi ndulu kuti muwone ngati muli ndi kutupa. Ngati pali kukayikira kulikonse, adzakutumizani kwa katswiri wa matenda a magazi ndi khansa. Mayeso awa akhoza kuchitidwa kuti atsimikizire matendawa.
Kuyezetsa magazi
- Kuchuluka kwa magazi (CBC): Kuyeza mitundu ndi kuchuluka kwa maselo m'magazi.
- Comprehensive metabolic panel (CMP): Imayang'ana momwe ziwalo monga chiwindi ndi impso zimagwirira ntchito.
- Lactate dehydrogenase (LDH): Kuchuluka kwa izi kungakhale chizindikiro cha lymphoma.
Mayeso ojambula zithunzi
- Kujambula kwa CT, PET scan, ndi ultrasound scans: Izi zimatha kuwona momwe ma lymph nodes ndi ziwalo zilili mkati mwa thupi.
Kufufuza za thupi
Iyi ndiyo njira yokhayo yotsimikizira 100% ya matendawa.
Izi zimaphatikizapo kutenga chitsanzo chaching'ono cha lymph node yotupa kapena minofu yokayikitsa ndikuiyang'ana pansi pa maikulosikopu. Izi zingathandize kudziwa mtundu weniweni wa lymphoma.
- Kuchotsa lymph node yonse kapena gawo lake pa opaleshoni: Kuchotsa lymph node yonse kapena gawo lake pa opaleshoni.
- Kutulutsa singano pang'ono (FNA): Kupeza maselo ochepa pogwiritsa ntchito singano yopyapyala.
- Kufufuza za mafuta a m'mafupa: Kutenga chitsanzo cha mafuta a m'mafupa kuti akaonedwe.
Kodi mankhwala ake ndi otani?
Palibe chithandizo chimodzi choyenera onse pa izi. Chithandizo chomwe mungalandire chidzadalira zinthu monga mtundu wa lymphoma yomwe muli nayo, momwe matendawa afalikira, komanso thanzi lanu lonse. Gulu lanu lachipatala lidzasankha njira yochizira yomwe ili yoyenera kwa inu komanso yomwe ili ndi zotsatirapo zochepa.
Njira zazikulu zochizira ndi izi:
- Chemotherapy: Kupereka mankhwala opha maselo a khansa.
- Chithandizo cha Immunotherapy: Kulimbikitsa chitetezo cha mthupi lanu kuti chilimbane ndi maselo a khansa.
- Chithandizo cha radiation: Kuwononga maselo a khansa pogwiritsa ntchito kuwala kwamphamvu kwambiri.
- Chithandizo cholunjika: Kupereka mankhwala omwe amalimbana ndi maselo a khansa okha. Mwachitsanzo: `(mankhwala a monoclonal antibody)`.
- Kudikira mosamala / kuyang'aniridwa mwachangu: Kwa mitundu yomwe ikukula pang'onopang'ono, vuto lanu limayang'aniridwa nthawi zonse, popanda kuyamba chithandizo nthawi yomweyo ngati mulibe zizindikiro. Chithandizo chimayamba pokhapokha ngati zizindikiro zayamba.
Zotsatirapo zoyipa za chithandizo
Mankhwala onse amatha kukhala ndi zotsatirapo zake. Zinthu monga kuvutika m'mimba, kutsegula m'mimba, kutopa, nseru, ndi kusanza ndizofala. Musachite mantha ndi izi. Lankhulani ndi dokotala wanu za izi momasuka. Pali mankhwala othandizira kuchepetsa zotsatirapo zake.
Nthawi yoti mukaonane ndi dokotala komanso nthawi yoti mupite ku ETU
Muyenera kuonana ndi dokotala nthawi zonse panthawi yonse ya chithandizo chanu. Mukamaliza kulandira chithandizo, mudzayang'aniridwa nthawi zonse kuti muwone ngati matendawa abwerera.
Komabe, ngati zili choncho , pitani ku chipatala cha Emergency Treatment Unit (ETU) nthawi yomweyo:
- Ngati kutentha kwanu kuli kokwera kuposa madigiri 38 Celsius (100.4 Fahrenheit) ndipo sikutsika, izi zili choncho chifukwa chithandizochi chingafooketse chitetezo cha mthupi lanu ndikuyambitsa matenda.
- Ngati zotsatirapo za mankhwalawo ndi zazikulu kwambiri moti sizingatheke kuzithetsa ndi mankhwala omwe dokotala wakupatsani.
Uthenga Wopita Nawo Kunyumba
- B-cell lymphoma ndi mtundu wa khansa ya m'magazi yomwe imayamba m'maselo a B a chitetezo chathu chamthupi.
- Zizindikiro zazikulu ndi ziphuphu zopanda ululu pakhosi, m'khwapa, kapena m'mimba, thukuta kwambiri usiku, kutopa kosalekeza, komanso kuchepa thupi kosayembekezereka.
- Ngati zizindikirozi zikupitirira, musanyalanyaze ndipo onetsetsani kuti mwaonana ndi dokotala.
- Pali njira zambiri zochiritsira matendawa masiku ano, choncho musataye mtima mukangopezeka ndi matendawa.
- Simuyenera kuyenda ulendowu nokha. Pezani thandizo kuchokera kwa gulu lanu lachipatala, banja lanu, ndi anzanu. Thanzi lanu la maganizo ndi lofunika monga momwe thanzi lanu lakuthupi limafunikira.
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