Kodi ziphuphu ndi ziphuphu pakhungu lanu si zachilendo? Tiyeni tiphunzire za Cutaneous T-cell Lymphoma (CTCL)

Mwina mumamva ziphuphu ndi matuza osiyanasiyana pakhungu lanu, sichoncho? Nthawi zina zimatuluka ndi kuyabwa kwambiri. Nthawi zambiri timaganiza kuti izi ndi ziwengo wamba, eczema, kapena psoriasis. Koma vuto la khungu lomwe silikutha kwa zaka zambiri nthawi zina lingakhale vuto lalikulu pang'ono. Imeneyi ndi imodzi mwa matenda osowa omwe tonsefe tiyenera kudziwa.

Kodi Cutaneous T-cell Lymphoma (CTCL) ndi chiyani?

Mwachidule, CTCL ndi mtundu wosowa kwambiri wa khansa ya m'magazi yomwe imakhudza khungu lathu. Khungu ndiye chiwalo chachikulu kwambiri m'thupi lathu. Khansa iyi imakhudza khungu lathu mwachindunji. Ndi ya gulu lalikulu la khansa lotchedwa `(non-Hodgkin lymphoma)`.

Tsopano mwina mukudabwa momwe khansa m'magazi ingafikire pakhungu. Chabwino, magazi athu ali ndi mtundu wa maselo oyera amagazi otchedwa ``lymphocytes``. Awa ndi gawo lofunika kwambiri la chitetezo chamthupi lathu. Mtundu umodzi wa maselo a lymph awa amatchedwa ``T-cells``. Mu CTCL, maselo a T awa amakhala maselo a khansa ndipo amayamba kugawikana mosalamulirika. Kenako maselo a khansa awa amabwera pakhungu ndikusonkhanitsa. Pamenepo ndi pomwe zizindikiro za khungu zimayamba kuonekera.

Musaope kunena kuti ndi khansa. Anthu ambiri omwe ali ndi CTCL amatha kulamulira matendawa atalandira chithandizo (`remission`). Kotero amatha kukhala moyo wabwinobwino popanda kusokonezeka kwambiri. Koma ndi zachilendo kumva kupsinjika maganizo mukazindikira kuti muli ndi khansa. Dokotala wanu ndi gulu lachipatala nthawi zonse amakhalapo kuti akuthandizeni.

Kodi mitundu ikuluikulu ya CTCL ndi iti?

Pali mitundu ingapo ya CTCL. Koma pakati pawo, pali mitundu iwiri ikuluikulu yomwe imawoneka. Tiyeni timvetse bwino izi.

Kodi zizindikiro za matendawa zingakhale zotani?

Zizindikiro za CTCL zimatha kusiyana malinga ndi munthu. Zimafanananso kwambiri ndi matenda a pakhungu omwe amapezeka nthawi zambiri, ndichifukwa chake nthawi zambiri zimakhala zovuta kuzizindikira.

• Ziphuphu zomwe zimaonekera pakhungu. Nthawi zina izi zimatha kusweka ndikukhala zilonda.
• Kutaya tsitsi .
• Matenda ofanana ndi ziphuphu zomwe zimawonekera thupi lonse ndipo nthawi zonse zimakhala zoyabwa .
• Kuoneka kwa mawanga osintha mtundu pakhungu.
• Ma plaque oyabwa, nthawi zina okhala ndi zikhadabo, omwe atuluka pakhungu.
• Kutupa kwa glands ( pakhosi , m'khwapa, m'mimba, ndi zina zotero).
• Kukhuthala ndi kukwiya kwa khungu pa zikhatho ndi mapazi .

N’chifukwa chiyani matenda amtunduwu amapezeka?

Tauzidwa kuti mu CTCL, maselo a T amakhala maselo a khansa. Koma madokotala sakudziwabe chifukwa chake izi zimachitika. Koma pali zinthu ziwiri zomwe zimaganiziridwa kuti zimachita mbali yake.

1. Mitundu yosiyanasiyana ya majini: Majini amalamulira ntchito ya maselo athu. Ofufuza apeza kuti kusintha (kusintha kwa majini) m'majini ena kungayambitse matendawa.

2. Matenda: Tangoganizirani zomwe zimachitika matupi athu akatenga matenda oopsa. Chitetezo chathu cha mthupi chimakonzekera kumenyana. Izi zikutanthauza kuti mafuta athu a m'mafupa amayamba kupanga maselo oyera amagazi, makamaka ma lymphocytes, mwachangu kwambiri. Zili ngati fakitale ikuwonjezera kupanga mwadzidzidzi. Mukagwira ntchito mwachangu chonchi, nthawi zina zolakwika zimatha kuchitika. Umu ndi momwe zolakwika mu DNA ya maselo zingachitikire, zomwe zimawonjezera mwayi woti maselo a khansa apangidwe.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Izi ndi zinthu zoopsa chabe. Si aliyense amene ali nazo amene angadwale matendawa.

• Kwa iwo omwe ali ndi zaka zoposa 50 .
• Amuna ali pachiwopsezo chachikulu pang'ono kuposa akazi.
• Kwa anthu omwe ali ndi chitetezo chamthupi chofooka (monga omwe adasinthidwa ziwalo).
• Malinga ndi kafukufuku wina, anthu ochokera ku Africa.

Kodi dokotala amapeza bwanji izi?

Mukapita kwa dokotala chifukwa cha vuto la khungu, iye adzakufunsani kaye za zizindikiro zanu. Kenako adzafufuza khungu lanu bwino. Komabe, kuti atsimikizire ngati muli ndi CTCL, pamafunika mayeso angapo.

Kodi mankhwala a CTCL ndi otani?

CTCL imachiritsidwa kutengera mtundu, gawo, ndi thanzi lanu lonse. Palibe chithandizo chimodzi choyenera onse. Dokotala wanu adzapanga dongosolo la chithandizo lomwe lingakhale labwino kwa inu.

• Mafuta odzola ndi mafuta odzola pakhungu: Awa ndi mafuta omwe ali ndi mankhwala monga ma steroids. Izi zitha kukhala zokwanira kwa odwala omwe ali kumayambiriro.
• Chithandizo cha kuwala (Phototherapy): Mtundu wapadera wa kuwala kwa ultraviolet (UV) umalunjika pakhungu kuti uwononge maselo a khansa.
• Kuchiza kwa extracorporeal photopheresis (ECP): Uku ndi mankhwala ovuta pang'ono. Apa, magazi anu ena amatengedwa, amadutsa mu makina, komwe amachiritsidwa ndi mankhwala ndi kuwala kuti athetse maselo a khansa, kenako amabwereranso m'thupi lanu.
• Chithandizo cha radiation: Miyezi yamphamvu kwambiri imagwiritsidwa ntchito kuwononga maselo a khansa pakhungu.
• Chithandizo cha Immunotherapy: Timapereka mankhwala omwe amalimbikitsa chitetezo chathu chamthupi ndikuchipangitsa kuti chizilimbana ndi maselo a khansa.
• Chemotherapy: Mankhwala amphamvu omwe amapha maselo a khansa. Mankhwalawa angaperekedwe ngati mapiritsi kapena jakisoni.

Kodi moyo udzakhala bwanji ndi matendawa?

Funso lalikulu kwambiri lomwe aliyense amafunsa ndi ili. Mitundu yambiri ya CTCL imakula pang'onopang'ono. Chifukwa chake, siziwopseza moyo. Ngakhale madokotala sangathe kuchiritsa matendawa kwathunthu, chithandizo chimatha kuletsa zizindikiro zake.

Koma tiyeneranso kumvetsetsa zoona zake. Monga khansa iliyonse, CTCL ikhoza kupha ngati itafika pamlingo wapamwamba.

Kafukufuku wasonyeza kuti anthu 9 mwa 10 omwe adapezeka ndi matendawa kumayambiriro kwake (gawo loyamba kapena lachiwiri) amakhalabe ndi moyo patatha zaka 10. Chiŵerengero cha kupulumuka ndi 90%. Kwa iwo omwe ali ndi matenda opitilira, chiwerengerochi ndi 53% yokha. Izi ndi ziwerengero chabe. Munthu wabwino kwambiri wodziwa bwino momwe matenda anu alili ndi dokotala wanu.

Kodi tingasamalire bwanji khungu lathu ndikuchepetsa chiopsezo?

Palibe chomwe tingachite kuti tilepheretse CTCL kukula, chifukwa zinthu zomwe zimayambitsa matendawa sizingasinthidwe. Koma kusunga chitetezo chathu chamthupi chili ndi mphamvu pa matenda onse.

Komanso, ngati muli ndi CTCL, ndikofunikira kwambiri kusamalira khungu lanu.

• Sungani khungu lanu lonyowa: Gwiritsani ntchito mafuta onyowa bwino mukatha kusamba komanso tsiku lonse. Izi zithandiza kuchepetsa kuuma, kutsekeka, ndi kuyabwa.
• Dzitetezeni ku matenda a pakhungu: Gwiritsani ntchito sopo wosanunkhira ndi sopo wochapira zovala. Valani zovala zophimba khungu lanu mukapita padzuwa, ndipo pakani mafuta oteteza ku dzuwa. Valani zovala zomasuka komanso zopumira.
• Siyani kukanda: Kukanda ndiye vuto lalikulu lomwe odwalawa amakumana nalo. Akakanda, amaswa khungu ndipo mabakiteriya amatha kulowa, zomwe zimayambitsa matenda. Chifukwa chake, samalani kukandako momwe mungathere. Mutha kupeza mpumulo pochita zinthu monga kusamba ndi madzi ozizira, kusamba ndi madzi a oatmeal, komanso kugwiritsa ntchito mankhwala oletsa kupha tizilombo toyambitsa matenda omwe dokotala wanu wakupatsani.

Kodi nthawi zabwino zokaonana ndi dokotala ndi ziti?

Mukayamba kulandira chithandizo, dokotala wanu ayenera kukuonani nthawi zonse. Koma ngati zinthu ngati zimenezi zitachitika pakadali pano, onetsetsani kuti mwalankhula ndi dokotala wanu.

• Ngati muwona kusintha kulikonse kwatsopano pakhungu lanu .
• Ngati mukumva ngati muli ndi matenda a pakhungu (monga kufiira, kupweteka, kutupa, kapena mafinya akutuluka).
• Ngati muli ndi malungo opitirira 100.4 Fahrenheit (38 Celsius) .

Kawirikawiri, tikayamba kutupa kapena kutupa pakhungu lathu, timaganiza kuti ndi zachilendo. Palibe amene amaganiza kuti ikhoza kukhala khansa yosowa ngati iyi. Koma chofunika kwambiri n'chakuti, ngati muwona kusintha pakhungu lanu, musanyalanyaze ndikuwonetsa kwa dokotala. Mwina si khansa. Koma ngati ndi khansa, kuyamba chithandizo mwamsanga ndi chinthu chabwino kwambiri chomwe mungachite pa moyo wanu.