Kodi mukuda nkhawa ndi mawanga ndi zilonda zachilendo pakhungu lanu? Tiyeni tiphunzire za Mycosis Fungoides.

Kodi mwadzidzidzi mwayamba kutupa kapena ziphuphu pakhungu lanu, makamaka m'malo omwe simumawotchedwa ndi dzuwa, monga m'mimba kapena ntchafu? Zingayamwe kapena kuoneka ngati eczema. Ngakhale anthu ambiri amaganiza kuti ili ndi vuto la khungu labwinobwino, nthawi zina lingakhale chizindikiro choyambirira cha matenda osowa a pakhungu otchedwa Mycosis Fungoides. Musadandaule, tidzakambirana za izi mwatsatanetsatane.

Mwachidule, kodi Mycosis Fungoides ndi chiyani?

Dzinali limasonyeza matenda a bowa, koma sichoncho. Mycosis Fungoides kwenikweni ndi vuto lomwe limayamba chifukwa cha maselo a T, mtundu wa maselo oyera m'magazi mwathu, omwe amasanduka maselo a khansa.

Taganizirani motere, maselo a T awa ali ngati asilikali m'thupi lathu. Ntchito yawo ndi kutiteteza ku matenda polimbana ndi majeremusi monga mavairasi ndi mabakiteriya omwe amalowa m'thupi. Koma mu matendawa, maselo a T omwewa amasanduka maselo a khansa ndipo amayamba kukhudza khungu lathu.

Matendawa ndi a gulu la khansa lotchedwa Cutaneous T-cell Lymphoma (CTCL) . Ndiko kuti, ndi T-cell lymphoma yomwe imakhudza khungu. Choncho kumbukirani, iyi si khansa ya pakhungu, ndi khansa ya m'magazi yomwe imakhudza khungu. Si maselo a pakhungu, koma maselo a T m'magazi omwe amakhala maselo a khansa pano.

Kodi zizindikiro za matendawa ndi ziti? Kodi zimasintha bwanji kuchokera pa siteji kupita pa siteji?

Zizindikiro za Mycosis Fungoides sizibwera mwadzidzidzi. Zimawonekera pang'onopang'ono, ndi kusintha kwa khungu. Komabe, si aliyense amene amakumana ndi magawo onsewa. Anthu ena amatha kukhala ndi magawo angapo nthawi imodzi.

Kuti zikhale zosavuta kumvetsetsa, tiyeni tiwone magawo awa.

Matendawa akakula kwambiri, maselo ambiri a khansa amayamba kufalikira m'magazi. Maselo amenewa amatchedwa maselo a Sézary . Ngati maselowa achuluka kwambiri m'magazi, matendawa amatha kukhala matenda otchedwa Sézary Syndrome . Izi zingayambitse ziphuphu zofiira thupi lonse.

N’chifukwa chiyani chinthu chonga ichi chimachitika?

Chifukwa chenicheni cha izi sichinadziwikebe , koma akatswiri amakhulupirira kuti kusintha kwa majini kungakhale ndi gawo. Mwachidule, akuganiza kuti zolakwika mu DNA m'maselo athu zimapangitsa maselo a T kukhala khansa.

Koma chofunika ndichakuti kusintha kwa majini kumeneku sikupatsidwira kuchokera ku mibadwomibadwo. Izi zikutanthauza kuti simukukula chifukwa chakuti makolo anu anali nako. Ofufuza akufufuzabe ngati poizoni kapena matenda enaake omwe amateteza chilengedwe angayambitse izi.

Kodi dokotala amapeza bwanji izi?

Kuzindikira matendawa kungakhale kovuta chifukwa poyamba, zizindikiro zake zimafanana kwambiri ndi matenda a pakhungu monga eczema kapena psoriasis. Chifukwa chake, zimakhala zovuta kudziwa ngati ndi Mycosis Fungoides pongoyang'ana khungu.

Choncho, dokotala wanu adzachita mayeso ena angapo kuti atsimikizire kapena athetse matendawa.

• Kuyeza khungu: Iyi ndi njira yofunika kwambiri yoyezera. Imafuna kutenga minofu yaying'ono kuchokera kudera lomwe lakhudzidwa ndi khungu ndikuyesa mu labu.Chitsanzo cha minofu iyi chimafufuzidwa kuti chione maselo a khansa okhudzana ndi Mycosis Fungoides. Zingakhale zofunikira kuchita mayeso angapo a biopsy kuti mupeze maselo enieni a khansa.
• Kuyezetsa magazi: Kuyezetsa magazi kumatengedwa ndipo kusintha kwa maselo a magazi ndi zizindikiro zina za mankhwala kumawonedwa.
• Njira zojambulira: Mayeso monga CT scan kapena PET scan angachitike kuti aone ngati khansa yafalikira ku ma lymph nodes kapena ziwalo zina zamkati.

Kodi siteji ya matendawa imatsimikiziridwa bwanji?

Matendawa akapezeka, madokotala adzadziwa 'gawo' lake. Ili ndi gulu la momwe khansa yafalikira komanso kuopsa kwake, kuyambira gawo loyamba mpaka lachinayi. Izi ndizofunikira kwambiri pokonzekera chithandizo chabwino kwambiri kwa inu.

Posankha gawo ili, mfundo zotsatirazi zimaganiziridwa:

• Kukula kwa zilonda pakhungu (madontho, zithupsa, zithupsa).
• Kuchuluka kwa zilondazi pakhungu.
• Kodi khansa yafalikira ku ma lymph nodes?
• Kodi maselo a khansa alowa m'magazi?
• Kodi yafalikira ku ziwalo zina kupatula pakhungu?

Kodi mankhwala ochizira izi ndi otani?

Chithandizo cha Mycosis Fungoides chimadalira gawo la matendawa komanso kusintha kwa khungu lanu. Cholinga chachikulu cha mankhwala ambiri ndikuwongolera zizindikiro ndikusunga moyo wanu wabwino.

Dokotala wanu akhoza kukupatsani mankhwala monga awa:

• Chithandizo chotsogozedwa ndi khungu: Izi ndi mankhwala omwe amagwiritsidwa ntchito mwachindunji kumadera okhudzidwa a khungu. Izi zikuphatikizapo ma gels apakhungu, ma steroids, ma retinoids, ndi phototherapy .
• Chithandizo cha dongosolo: Awa ndi mankhwala operekedwa ngati mapiritsi kapena kudzera m'mitsempha. Amakhudza maselo a khansa m'thupi lonse. Zitsanzo zikuphatikizapo mankhwala monga methotrexate .
• Chithandizo cha Immunotherapy: Izi zimaphatikizapo kulimbikitsa chitetezo chamthupi chathu kuti tizindikire ndikuwononga maselo a khansa.
• Chithandizo cholunjika: Mankhwalawa amazindikira ndikuwononga maselo a khansa okha mwachindunji, motero amawononga maselo abwinobwino pang'ono.
• Chithandizo cha radiation: Kugwiritsa ntchito mphamvu yamphamvu yowononga maselo a khansa kapena kuletsa kukula kwawo.

Chemotherapy, mankhwala omwe nthawi zambiri timamva tikamalankhula za khansa, sagwiritsidwa ntchito kwambiri pa matendawa chifukwa sagwira ntchito bwino pa matendawa ndipo ali ndi zotsatirapo zambiri.

Kodi moyo udzakhala bwanji ndi matendawa?

MatendawaPalibe mankhwala pakadali pano. Koma musadandaule. Anthu ambiri akapezeka msanga komanso kulandira chithandizo, akhoza kukhala ndi moyo wabwinobwino popanda zizindikiro kwa zaka zambiri.

Kuyezetsa matenda anu kumadalira zinthu zingapo, zomwe ndizofunikira kwambiri ndi gawo la matendawa.

Malinga ndi ziwerengero, ngati atapezeka kale m'magawo oyambirira (oyambirira), mwayi wopulumuka zaka 10 ndi wokwera kufika pa 95%. Ngati matendawa afika poipa kwambiri (oyambirira), nthawi ino akhoza kuchepetsedwa kufika pa zaka zitatu mpaka zisanu. Koma kumbukirani kuti izi ndi ziwerengero chabe. Zinthu zambiri zimakhudza izi, monga zaka zanu ndi thanzi lanu lonse. Chifukwa chake, dokotala wanu yekha ndi amene angakupatseni kufotokozera bwino za matenda anu.

Kodi izi zingathe kupewedwa? Ndiyenera kuchita chiyani?

Palibe njira yotsimikizika yopewera Mycosis Fungoides kuti isakule. Koma pali zinthu zomwe mungachite kuti muchepetse chiopsezo cha matendawa kufika pamlingo woopsa kwambiri. Ndiko kuti, pitani kukayezetsa dokotala nthawi zonse.

Chofunika kwambiri ndikudziyang'anira khungu lanu nokha kamodzi pamwezi. Pitani pagalasi ndikuyang'ana thupi lanu lonse. Yang'anani mawanga atsopano, tinthu tating'onoting'ono, ziphuphu, kapena kusintha kwa mtundu kapena kukula kwa zomwe zilipo kale. Ngati muwona kusintha kulikonse, musanyalanyaze ndipo pitani kwa dokotala wa khungu nthawi yomweyo. Mukazindikira msanga, chithandizocho chimayenda bwino kwambiri.

Mafunso oti mufunse dokotala wanu

Ngati mwapezeka ndi matendawa, mungakhale ndi mafunso ambiri m'maganizo mwanu. Musabise chilichonse, funsani dokotala wanu.

• Kodi ndi njira ziti zochiritsira zomwe ndili nazo?
• Kodi pali zotsatirapo zilizonse pa mankhwala awa?
• Kodi mwayi woti matendawa abwererenso ndi wotani mutalandira chithandizo?
• Nanga chimachitika ndi chiyani ngati sindilandira chithandizo?
• Kodi ndingachite chiyani kuti matendawa asabwererenso?