Kodi inunso muli ndi zizindikiro zimenezi? Tiyeni tikambirane za MALT Lymphoma!

Kodi mudamvapo za matenda achilendo otchedwa MALT Lymphoma? Mwina ayi. Chifukwa ndi osowa pang'ono, zomwe zikutanthauza kuti si matenda omwe amakhudza aliyense. Koma ndi bwino kuti tidziwe za matendawa. Chifukwa uwu ndi mtundu wa khansa. Koma musachite mantha, umafalikira pang'onopang'ono m'thupi. Lero, tikambirana za matendawa mwatsatanetsatane, ngati kuti tikulankhula ndi mnzanu.

Kodi MALT Lymphoma ndi chiyani? Mwachidule...

Chabwino, MALT Lymphoma ndi kagulu kakang'ono ka khansa kakang'ono kotchedwa `non-Hodgkin lymphoma`. Mwa kuyankhula kwina, ndi imodzi mwa mitundu yodziwika bwino ya ma lymphoma omwe amakula pang'onopang'ono otchedwa `marginal zone lymphoma`.

Matendawa nthawi zambiri amakhudza anthu azaka zopitilira 65. Amafalanso kwambiri mwa amuna kuposa akazi. Chabwino kwambiri ndichakuti madokotala ali ndi mankhwala omwe angachiritse matendawa. Izi zikutanthauza kuti, amatha kuyika matendawa mu "relieve" kapena kukhala chete. Komabe, tiyenera kukumbukira kuti nthawi zina amatha kubwereranso.

Kodi mitundu ya MALT Lymphoma ndi iti?

Pali mitundu iwiri ikuluikulu ya MALT lymphoma:

1. Gastric MALT Lymphoma: Izi zimayambira m'mimba mwanu, kutanthauza m'mimba. Gawo lamkati la m'mimba, lomwe timalitcha kuti `mucosa` , ndi komwe limayambira. Nthawi zambiri, mtundu uwu umakhala pomwe unayambira, koma nthawi zina ukhoza kufalikira kumadera ena kunja kwa m'mimba. Uwu ndiye mtundu wofala kwambiri wa MALT lymphoma.

2. Matenda a MALT Lymphoma omwe si a m'mimba: Mtundu uwu ungakhudze nembanemba ya mucous m'mapapo mwanu, malovu, chithokomiro, ndi khungu . Ungakhudzenso minofu yozungulira maso anu, monga njira zotulutsira misozi .

Kodi matendawa ndi ofala bwanji?

Matenda a MALT lymphoma ndi matenda osowa kwambiri. Ndi matenda omwe amakhudza pafupifupi 7% ya matenda onse a non-Hodgkin lymphomas. Kuti timvetse bwino zimenezi, malinga ndi American Cancer Society, anthu 80,550 adzapezeka ndi matenda a non-Hodgkin lymphoma mu 2023 yokha. Izi zikuyerekezeredwa ndi milandu yatsopano 300,590 ya khansa ya m'mawere. Kotero mutha kuwona momwe izi zilili zachilendo.

Kodi MALT Lymphoma imafalikira mofulumira bwanji?

Iyi ndi mfundo yofunika kwambiri. Matendawa amakula pang'onopang'ono m'thupi. Poyamba, sipangakhale zizindikiro zazikulu. Nthawi zina, MALT lymphoma imapezeka mwangozi pamene ikuyesedwa matenda ena.

Kodi zizindikiro za izi ndi ziti?

Zizindikiro zimasiyana malinga ndi komwe lymphoma ili. Komabe, lymphoma zonse za MALT zimayamba ndi:Kachiwalo ka mucous (`mucosa`). Kachiwalo ka mucous aka ndi kachiwalo konyowa komwe kamaphimba mkati mwa ziwalo zina m'thupi lathu.

Zizindikiro za Gastric MALT Lymphoma

Izi zimachitika chifukwa cha m'mimba, ndipo zizindikiro zake zingaphatikizepo:

• Kutentha pamtima ndi kusagaya chakudya: Monga momwe kutentha pamtima ndi kusagaya chakudya komwe tonse timadziwa.
• Kuwawa kwam'mimba.
• Kusanza ndi kusanza.
• Chakudyacho sichikoma.
• Kukhala woonda popanda chifukwa.
• Kutuluka magazi m'mimba.

Zizindikiro za Malt Lymphoma Yosakhala Yam'mimba

Mtundu uwu ungakhudze maso, mapapo, malovu, khungu, ndi chithokomiro.

Ngati maso akhudzidwa:

• Chikope chopindika.
• Kufiira kapena kutupa kwa maso.
• Kutupa mozungulira maso.
• Kuona kawiri.

Ngati mapapo akhudzidwa:

• Kuvuta kupuma.
• Kupweteka pachifuwa.
• Kutsokomola kapena kutsokomola magazi.

Ngati malovu akhudzidwa:

Kutupa kungawonekere:

• Makutu ali patsogolo.
• Pansi pa chibwano.
• Mkati mwa pakamwa.

Ngati khungu lakhudzidwa:

• Madontho ofiira, pinki, kapena ofiirira pakhungu.
• Ziphuphu pakhungu.

Ngati chithokomiro chakhudzidwa:

• Zizindikiro za hypothyroidism: Izi zikuphatikizapo kutopa kwambiri, khungu louma, kunenepa kwambiri, kapena kuzizira kwambiri.
• Chotupa kutsogolo kwa khosi.

Kodi n’chiyani chimayambitsa matenda a MALT Lymphoma?

Pali zifukwa zingapo zazikulu zomwe zimayambitsa matendawa, kuphatikizapo matenda a bakiteriya kapena mavairasi komanso matenda a autoimmune .

• Mabakiteriya ndi mavairasi:
• Kutenga kachilombo ka bakiteriya ka `H. pylori` kwa nthawi yayitali ndiye chifukwa chachikulu cha matenda a lymphoma a m'mimba a MALT. `H. pylori` ndi bakiteriya yomwe imayambitsa gastritis ndi zilonda zam'mimba.
• Mabakiteriya ena, monga `Achromobacter xylosoxidans`, `Campylobacter jejuni`, `Borrelia burgdorferi` ndi `C. psittiaci`, apezekanso kuti amagwirizana ndi mitundu yonse iwiri ya MALT lymphoma.
• Kachilombo ka Hepatitis C kangagwirizanenso ndi lymphoma ya MALT ya m'mimba komanso yopanda m'mimba.

• Matenda a Autoimmune:
• `Matenda a Hashimoto` (vuto lomwe limakhudza chithokomiro) ndi `Sjögren's syndrome` (Sjögren's syndrome)(Izi zimayambitsa zinthu monga maso ouma ndi pakamwa) zingayambitse matenda ena a MALT lymphoma omwe si a m'mimba.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a MALT Lymphoma?

Ngati wina m'banja mwanu wakhala ndi lymphoma, inunso mungakhale pachiwopsezo chotenga MALT lymphoma. Komabe, izi sizofala kwa aliyense.

Kodi matenda a MALT Lymphoma amachiritsidwa bwanji?

Madokotala amachita mayeso angapo kuti adziwe matendawa ndikuwona momwe afalikira.

Kuyezetsa magazi

Madokotala angachite mayeso a magazi monga awa:

• `CBC (kuchuluka kwa magazi konse):` imayang'ana mitundu ya maselo m'magazi.
• `LDH (lactate dehydrogenase): Izi zitha kukwera m'makhansa ena.
• `CMP (gawo lokwanira la kagayidwe kachakudya)` (mayeso okwanira a kagayidwe kachakudya): Amafufuza momwe ziwalo monga impso ndi chiwindi zimagwirira ntchito.
• Kuyezetsa chiwindi cha chiwindi (Hepatitis C).

Kufufuza za thupi

Madokotala amatha kuchita biopsy motere:

• Kufufuza ngati khansa yafalikira ku mafupa: Kuona ngati khansa yafalikira ku mafupa.
• Kufufuza za singano: Kachidutswa kakang'ono ka minofu kamatengedwa kuchokera ku chotupa chokayikitsa ndikuchiyang'ana.

Nthawi zina, ngati mukukayikira kuti muli ndi vuto la lymphoma ya m'mimba ya MALT, biopsy imatha kutengedwa panthawi ya endoscopy yapamwamba , yomwe imaphatikizapo kuyika kamera yaying'ono kudzera pakamwa kuti ione m'mimba.

Mayeso ojambula zithunzi

Mayeso awa amathandiza kudziwa komwe lymphoma ili komanso momwe yafalikira (gawo):

• 'Kujambula kwa CT (computed tomography)'.
• `Kujambula kwa positron emission tomography (PET)`.

Mayeso a labu

Akatswiri azachipatala amagwiritsa ntchito mayeso ngati awa poyesa minofu kapena maselo a khansa:

• `Mayeso a H. pylori`: Chitsanzo cha biopsy chimatengedwa kuti chiwone ngati pali mabakiteriya awa.
• Kuyeza kwa kayendedwe ka maselo: Kuyeza kwapadera komwe kumathandiza kuzindikira mtundu wa maselo.

Kudziwa siteji ya khansa (ya gastric MALT lymphoma) (Kukhazikitsa khansa)

Madokotala amagwiritsa ntchito njira zoyezera khansa pokonzekera chithandizo ndi kuneneratu zotsatira zomwe zikuyembekezeka pambuyo pa chithandizo. Pa lymphoma ya m'mimba ya MALT, njira imodzi mwa izi ingagwiritsidwe ntchito:

• Gawo Loyamba: Khansa ili mkati mwa m'mimba mokha.
• Gawo Lachiwiri: Khansa yafalikira ku ma lymph nodes apafupi, ku ma lymph nodes akutali, kapena ku ziwalo ndi minofu yapafupi.
• Gawo Lachinayi:Khansa yafalikira ku ma lymph nodes angapo, m'mafupa, komanso pamwamba ndi pansi pa diaphragm.
• Palibe chinthu chotchedwa Gawo III la matenda a lymphoma a m'mimba a MALT.

Kodi matenda a MALT Lymphoma amachiritsidwa bwanji?

Chithandizo chimadalira zinthu zambiri, kuphatikizapo mtundu wa MALT lymphoma, chomwe chimayambitsa, komanso gawo la matendawa. Mwachitsanzo, kafukufuku wina akusonyeza kuti MALT lymphoma ya m'mimba yomwe imayamba msanga imatha kuchiritsidwa kwathunthu ndi maantibayotiki, makamaka ngati yayamba chifukwa cha matenda a H. pylori.

Njira zochiritsira zingaphatikizepo:

• `Kudikira mosamala/kuyang'anira mwachangu`: Madokotala angalimbikitse njira iyi kwa anthu omwe ali ndi MALT lymphoma yomwe ili kumayambiriro kwa matendawa omwe sakusonyeza zizindikiro zilizonse. Izi zikutanthauza kuwona matendawa popanda chithandizo.
• Mankhwala opha mabakiteriya: Mankhwalawa amapha mabakiteriya a H. pylori, omwe amayambitsa matenda a m'mimba a MALT lymphoma. Kafukufuku wina akusonyeza kuti kupha H. pylori kumatha kuchiritsa matendawa.
• Chithandizo cha radiation: Madokotala angagwiritse ntchito chithandizo cha radiation pochiza mitundu yonse iwiri ya MALT lymphoma.
• Chithandizo cha monoclonal antibody: Chithandizochi chingathandize anthu omwe ali ndi lymphoma ya m'mimba ya MALT yomwe siiyankha chithandizo cha radiation kapena omwe ali ndi lymphoma ya MALT yomwe si ya m'mimba.

Kodi MALT Lymphoma ingachiritsidwe kwathunthu?

Inde, monga tanenera kale, matenda a MALT lymphoma omwe amayamba msanga m'mimba, makamaka omwe amayamba chifukwa cha H. pylori, amatha kuchiritsidwa ndi maantibayotiki. Nthawi zina, chithandizo chingapangitse matendawa kukhala 'osachira' , kutanthauza kuti, osachira. Komabe, amatha kubwereranso ('obwerezabwereza').

Kodi chiyembekezo cha matendawa ndi chiyani?

Mungasangalale kumva izi. Anthu omwe ali ndi MALT lymphoma amatha kukhala ndi moyo kwa zaka zambiri, ngakhale matendawa atabwereranso atalandira chithandizo. Izi zili choncho chifukwa ndi mtundu womwe ukukula pang'onopang'ono.

Kodi kuchuluka kwa kupulumuka ndi kotani?

Malinga ndi kafukufuku wina, pafupifupi 88% ya anthu omwe ali ndi MALT lymphoma akadali ndi moyo zaka zisanu atapezeka ndi matendawa. Koma kumbukirani kuti kuchuluka kwa anthu omwe akupulumuka ndi kungoyerekeza kutengera zomwe ena akumana nazo komanso deta yomwe yasonkhanitsidwa pakapita nthawi. Zomwe mwakumana nazo zingasiyane. Pazochitikazi, dokotala wanu ndiye munthu wabwino kwambiri kukupatsani chidziwitso.

Kodi MALT Lymphoma ingapewedwe?

Ndipotu, ofufuza zachipatala sakudziwabe zinthu zonse zomwe zimapangitsa kuti anthu adwale matendawa. Kafukufuku wina adapeza kutiKupewa matenda a H. pylori kungachepetse chiopsezo chotenga matenda a MALT lymphoma m'mimba.

Kodi ndimadzisamalira bwanji?

Anthu ambiri amafunika chithandizo chamankhwala kwa moyo wawo wonse. Izi zikutanthauza kuti azipimidwa nthawi zonse kuti aone ngati matendawa abwerera. Nthawi zambiri, mumafunika kuyezetsa ndi kusanthula miyezi itatu kapena isanu ndi umodzi iliyonse kwa zaka zisanu. Pambuyo pake, muyenera kupimidwa kamodzi pachaka.

Ndiyenera kupita kwa dokotala liti?

Anthu omwe ali ndi MALT lymphoma nthawi zambiri amaonana ndi madokotala awo nthawi zonse. Komabe, pitani kwa dokotala nthawi yomweyo ngati muli ndi:

• Ngati muli ndi MALT Lymphoma ndipo mwawona kusintha kwatsopano (komwe kungakhale zizindikiro) m'thupi lanu.
• Ngati mukulandira chithandizo ndipo zizindikiro zanu zikukulirakulira.
• Ngati muli mu 'release', ndiko kuti, pamene matendawa ayamba bwino, mukuwona kusintha momwe akumvera, ngati kuti matendawa 'akubwereranso'.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ngati muli ndi MALT lymphoma, mungafune kufunsa dokotala wanu mafunso awa:

• Kodi ndi mtundu wanji wa MALT lymphoma womwe ndili nawo?
• Kodi matenda anga ali pati?
• Kodi ndikufunika chithandizo?
• Ngati ndikufuna chithandizo, mungandilimbikitse chithandizo chiti?
• Kodi pali mayesero aliwonse azachipatala omwe ndiyenera kuganizira?

Kumbukirani: MALT Lymphoma ndi khansa yosowa yomwe imakhudza ziwalo zathu ndi ziwalo zina za thupi, mtundu wa non-Hodgkin lymphoma. Imakula pang'onopang'ono, kotero nthawi zambiri siimayambitsa zizindikiro zazikulu. Madokotala amatha kuchiza, ndipo nthawi zina amachiritsa. Koma matendawa amatha kubwereranso, kotero chithandizo chowonjezereka chingafunike. Ngati muli ndi matendawa, lankhulani ndi dokotala wanu za zomwe mungayembekezere.

Pomaliza, uthenga wopita nawo kunyumba

Chabwino, ndikuuzeni zinthu zingapo zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• MALT Lymphoma ndi khansa yomwe ikukula pang'onopang'ono. Musachite mantha, koma khalani maso.
• Pali mitundu iwiri: ya m'mimba (m'mimba) ndi yosalowa m'mimba (m'malo ena).
• Bakiteriya `H. pylori` ndiye chifukwa chachikulu cha gastritis.
• Zizindikiro zimadalira komwe lymphoma ili, ndipo poyamba sipangakhale zizindikiro.
• Pali mankhwala, ndipo nthawi zina amatha kuchiritsidwa kwathunthu, makamaka kumayambiriro kwa khansa ya m'mimba.
• Matendawa amatha kubwereranso akatha, choncho muyenera kupitiriza kuyang'aniridwa ndi dokotala.
• Ngati muli ndi kukayikira kapena mafunso, musaope kulankhula ndi dokotala wanu. Ndicho chinthu chabwino kwambiri kuchita.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!

` MALT lymphoma, non-Hodgkin lymphoma, khansa, gastric MALT lymphoma, H. pylori, zizindikiro za lymphoma, chithandizo cha lymphoma