Tingataure nezve lymphoma inokanganisa sisitimu yako yetsinga (CNS Lymphoma) here?

Dzimwe nguva tinogona kusangana nematambudziko emuviri kamwe kamwe, handiti? Musoro, kuoma kutaura, kana kunzwa sekunge hatichadzoreki. Dzimwe nguva hatinyatsotarisiri izvi, asi zvinogonawo kuva zviratidzo zvehurwere hwakakomba. Nhasi, tichataura nezverudzi rwekenza rusingawanzoitiki asi rune njodzi runokanganisa sisitimu yedu yetsinga.

Chii chinonzi CNS lymphoma?

Zvakanaka, ngatitangei taona kuti iyi central nervous system lymphoma, kana kuti `(CNS Lymphoma)` chii. `CNS` inomirira `Central Nervous System`. Zvichitaurwa zviri nyore, iyi imhando yegomarara rakakomba rinokura mu central nervous system yedu, kureva, uropi, spinal cord (tsinga iri mukati me spinal column), cerebrospinal fluid (mvura inotenderedza tsinga iyi), uye maziso (nekuti maziso ari pedyo neuropi). Iyi ndeyerudzi rwe lymphoma inonzi `(Non-Hodgkin lymphoma)` .

Iyi lymphoma ye'CNS' inotanga mumasero machena eropa emuviri wedu anonzi malymphocytes . Aya malymphocytes chikamu che lymphatic system yedu. Waizviziva here, iyi lymphatic system chikamu chakakosha che immune system yedu. Inobatsira muviri wedu kurwisa zvirwere nehutachiona. Saka, kana iyi lymphoma ikangokura mu central nervous system yedu uye isingawanikwe kune imwe nzvimbo mumuviri, tinoidaidza kuti 'primary CNS lymphoma' . Zvisinei, kana lymphoma ichiwanikwawo mune dzimwe nhengo dzemuviri, kusanganisira central nervous system, inonzi 'secondary CNS lymphoma' .

Kunyangwe gomarara iri richigona kuitika kune chero munhu, rinowanzoonekwawo kune vanhu vane masoja ekudzivirira muviri asina simba , vakaita seavo vane HIV neAIDS , kunyanya varume. Vanhu vane makore anopfuura 65 vari panjodziwo. Zvisinei, igomarara risingawanzoitiki. Kunyangwe munyika yakaita seUnited States, vanhu vanosvika 1,500 chete ndivo vanoonekwa gore rega rega. Saka, zvisinei nekuti mamiriro ako akaita sei, timu yako yezvekurapa ichakubatsira kuwana mushonga wakanakisa wekurwisa CNS lymphoma.

Ndezvipi zviratidzo zveCNS lymphoma?

Iye zvino ngationei zviratidzo zve lymphoma iyi ye 'CNS'. Kutaura zvazviri, zviratidzo zvinosiyana zvichienderana nekuti bundu iri riri kupi . Semuenzaniso, kana bundu iri riri muma membrane anofukidza uropi nemusana ( the `meninges` ), rinogona kusaratidza zviratidzo. Zvisinei, kana paine bundu pedyo nemaziso, panogona kuva nekuchinja kwekuona. Kana, kana paine bundu muchikamu cheuropi chinodzora kufamba, panogona kuva nekunzwa kwekusanzwa, kuchinja kwekuenzanisa senge pakufamba.

Izvi ndizvo zviratidzo zvinowanzoonekwa zveCNS lymphoma:

• Kusvotwa nekurutsa
• Kushaya simba mumaoko, makumbo, kana kumeso
• Kushaya simba kune rumwe rutivi rwemuviri (hemiparesis)
• Kusanzwa zvakanaka, kusanzwa zvakanaka
• Kuoma kumedza (dysphagia)
• Zviratidzo zvekuwedzera kwekumanikidzwa muuropi (musoro wakanyanya, kuvhiringidzika, kuvhiringidzika)
• Matambudziko ekuona (kuona kusina kujeka, kuona kaviri, zvinhu zvinoyangarara pasi )
• Kuchinja kwepfungwa (kunetseka kutaura, kurasikirwa nendangariro, kunzwa kunonoka)
• Kubatwa nepfari (izvi zvinogona kuwedzera zvishoma nezvishoma kwemazuva kana mavhiki akati wandei)
• Kusakwanisa kudzora weti netsvina (kusagona kudzora weti netsvina)

Chii chinokonzera CNS lymphoma?

Tevere, ngatitarisei chinokonzera CNS lymphoma. Kufanana nedzimwe mhando dze lymphoma, CNS lymphoma inokura kana masero ari muma lymph nodes atanga kuita zvinhu zvisinganzwisisike. Masero aya anowanda zvisingadzoreki , achivhara masero ane hutano. MuCNS lymphoma, masero anotanga kukura zvisinganzwisisike i lymphocytes, rudzi rwemasero machena eropa anonzi B cells .

Vaongorori havasati vaziva kuti sei lymphocyte ichiva sero rekenza, asi vakaona zvimwe zvinhu zvinowedzera njodzi yekubatwa neCNS lymphoma.

Zvinhu Zvinokonzera Njodzi dzeCNS Lymphoma

Mamwe mamiriro ezvinhu anoshayisa simba masoja emuviri anogona kuwedzera njodzi yekubatwa neCNS lymphoma. Izvi zvinosanganisira:

• HIV/AIDS (kunyanya kana uine hutachiona hweEpstein-Barr )
• Chirwere cheWiskott-Aldrich (WIS)
• Mamiriro akafanana ekusakwana kwemuviri (CVID)
• Ataxia -telangiectasia
• Kushandisa mishonga inodzvinyirira muviri mushure mekuisirwa nhengo yemuviri

CNS lymphoma inoonekwa sei?

Chiremba wako anogona kukurudzira bvunzo dzakasiyana-siyana uye nzira dzekuongorora kana uine CNS lymphoma. Kuongororwa uku kunonziwo cancer staging . Danho iri regomarara rinobatsira vanachiremba kunzwisisa kuti gomarara rapararira kusvika papi uye kuti ndeapi marapirwo angangobudirira.

Uchafanirwa kuita bvunzo idzi:

• Kuongororwa kwemuviri : Chiremba wako achaongorora hutano hwepfungwa dzako, musana, nemaziso. Iye achaita bvunzo yetsinga kuti aongorore hurongwa hwetsinga dzako (CNS). Vanogonawo kuita bvunzo yerambi rakatsemuka kuti vaone bundu riri kuseri kweziso.
• Kuongororwa kwemifananidzo : Kuona kuti kenza iri kupi mumuviri, zvakaita se `(MRI)`, `(CT scan)` kanaChiremba wako anogona kukuraira kuti upiwe PET scan. CNS lymphoma haiwanzopararira kunze kwesystem yetsinga. Zvisinei, inogona kupararira nekukurumidza mukati mesystem iyoyo.
• Kuongororwa kweropa : Kuongororwa kweropa kunogona kutarisa masero ako kuti aone kana paine zviratidzo zvegomarara. Izvi zvinosanganisira kuverengwa kweropa rose , ongororo yemakemikari eropa, uye kuongororwa kweHIV .
• Kuongororwa kwenyama nemafuta : Muenzaniso wemvura yemusana wako, mupfupa , kana bundu pacharo rinogona kutorwa kuti utarise masero ekenza.

Ndezvipi zvirongwa zvekurapa CNS lymphoma?

Kutaura zvazviri, hapana nzira imwe chete yekurapa CNS lymphoma. Pane kudaro, timu yako yehutano ichakurudzira chirongwa chekurapa chinoshanda zvakanaka kwauri zvichienderana nezvinhu zvakaita sezera rako, kana uine HIV/AIDS, uye kana kenza ichangobva kuonekwa kana kuti yadzoka mushure mekurapwa (inodzokororwa) . Kazhinji, musanganiswa wemishonga uchashandiswa.

Nzira dzekurapa CNS lymphoma ndeidzi:

• Kurapa nemakemikari : Izvi zvinosanganisira kushandisa mishonga yekuuraya masero egomarara. Mishonga yakawanda yemishonga yechemotherapy inonzi methotrexate (HD-MTX) inowanzo shandiswa kurapa CNS lymphoma ichangobva kuonekwa.
• Kurapa nemwaranzi : Izvi zvinoshandisa simba remagetsi kuuraya masero ekenza. Imwe mhando yekurapa nemwaranzi inogona kubatsira kuderedza zviratidzo imwaranzi yeuropi hwese . Inouraya masero ekenza muuropi hwese.
• Kurapa kwakanangana : Izvi zvinoshandisa zvinhu zvakaita semapuroteni nema antibodies kurwisa masero egomarara. Rituximab ne ibrutinib mishonga yakanangana nayo iyo chiremba wako angakurudzira.
• Kuisirwa kwemasero eropa : Mukusirwa kwemasero eropa, unopiwa masero eropa ane hutano kuti atsive masero eropa akakuvadzwa nekurapwa kwegomarara senge chemotherapy neradiation therapy.
• Miedzo yekiriniki : Chiremba wako anogona kukukurudzira kuti utore chikamu muyedzo yekiriniki inoedza mishonga mitsva. Miedzo iripo iri kudzidza kuti mishonga mitsva yekurapa yakanangwa uye musanganiswa mutsva wemishonga yechemotherapy inoshanda sei mukurapa CNS lymphoma.

Kana uine HIV kana kuti uine AIDS, unofanira kuramba uchitora mushonga weantiretroviral therapy (ART) paunenge uchirapwa CNS lymphoma.

Ndezvipi zvinetso nemigumisiro yekurapwa?

Kurapwa kweCNS lymphoma kunogona kukonzera migumisiro yakaipa . Chiremba wako achakutsanangurira izvi pachine nguva. Semuenzaniso, mwaranzi yeuropi hwese inouraya masero ekenza muuropi. Zvisinei, inogonawo kukonzera migumisiro yakaipa inogona kukanganisa mashandiro europi hwako. Nzira dzese dzekurapa dzine njodzi.

Taura nachiremba wako nezvemabhenefiti nenjodzi dzechirongwa chako chekurapa. Bvunza kana vachikurudzira kurapwa kwekuderedza kushushikana, izvo zvinogona kukubatsira kudzora migumisiro yakaipa uye kukanganisa kwese kwegomarara muhupenyu hwako.

Chii chandingatarisira nemamiriro ezvinhu aya?

CNS lymphoma igomarara riri kukura nekukurumidza , uye rine mukana mukuru wekudzoka mushure mekurapwa. Zvisinei, mukana wako wekupora, kana kuti fungidziro , zvinoenderana nezvinhu zvakati wandei. Zvinhu izvi zvinosanganisira:

• zera rako
• Hutano hwako hwese
• Mamiriro ako eHIV
• Kunowanikwa bundu iri
• Mhedzisiro yekuongororwa kwemakemikari eropa (izvi zvinogona kuratidza kuti kenza yakakanganisa sei nhengo dzemukati memuviri wako)

Chikwata chako chezvekurapa chichashanda newe kuti uwane hurongwa hwekurapa hunokupa mukana wakanaka wekurarama pasina kuderedza hupenyu hwako.

Chii chinonzi chiyero chekupora kweCNS lymphoma?

Vaongorori vanotaura kuti vanhu vangani vane kenza vachiri vapenyu mushure menguva yakatarwa, kazhinji makore mashanu. Huwandu hwevanhu vane CNS lymphoma vanorarama kwemakore mashanu hunosvika 30% . Izvi zvinoreva kuti vanhu vatatu pavanhu gumi vane CNS lymphoma vanorarama mushure memakore mashanu.

Zvisinei, nhamba idzi dzakapararira zvakanyanya . Hadzifungi nezvezvimwe zvinhu zvinokanganisa mikana yemurwere yekupona. Semuenzaniso, kana masoja emuviri wako asina kusimba, kana kuti lymphoma isina kupararira kupfuura uropi, mhedzisiro yacho inowanzova nani. Uyewo, mwero uyu wekurarama hauratidzi kuti mishonga mitsva iri kukanganisa sei hupenyu hwako.

Chiremba wako ndiye munhu akakodzera kutsanangura ramangwana rako zvichienderana nemamiriro ako ehutano uye chirwere chako chegomarara.

Ndinozvitarisira sei?

Kurarama ne lymphoma kunogona kuoma zvikuru . Unganetseka nezvekuti ndeapi maedzo uye marapirwo auchafanira kuita. Ungasaziva kuti ungagovana sei manzwiro ako nevamwe.

Iri panguva yakaita seiyi,Unofanira kuedza kuwana rutsigiro rwese rwaunogona . Izvi zvingareva kutaura nevadikanwi vako, kunyangwe zvakaoma. Kana, zvingareva kubvunza chiremba wako nezvekuchengetedzwa kwevarwere kana mapoka ekutsigira . Rwendo rwemunhu wese rwekenza rwakasiyana. Asi zvakakosha kubatana nevamwe padanho rega rega rerwendo.

Ndinofanira kuona chiremba rini?

Kunyangwe CNS lymphoma yako yave kupora (kureva kuti, hausisina zviratidzo zvegomarara), ucharamba uchifanira kuongororwa nguva nenguva kuti uone kana chirwere chacho chichidzokazve. Uchafanira kuona chiremba wako kakawanda mumakore mashanu ekutanga mushure mekurapwa. Izvi zvinodaro nekuti nyaya zhinji dzeCNS lymphoma dzinodzoka dzinoitika mumakore mashanu ekutanga.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Heano mimwe mibvunzo yaunogona kubvunza chiremba wako:

• Ndedzipi bvunzo dzandichafanira kuita kuti ndione hurongwa hwangu hwekurapa?
• Ndezvipi njodzi uye mabhenefiti enzira dzakasiyana dzekurapa?
• Kangani pandinofanira kuuya kuzoongororwa kuti ndione kuti kenza iri kupindura sei kana yarapwa?
• Ndinokodzera here kutora chikamu mukuyedzwa kwekiriniki ? Munokurudzira kudaro here?
• Mungandikurudzira here kuti nditarisirwe zvakanaka ?

Shoko rakakosha kupfuura ose rekuenda naro kumba

CNS lymphoma chirwere chakakomba chinoda kutariswa zvakanyanya uye chirongwa chekurapa chakagadzirirwa iwe. Zvakakosha kushanda pamwe chete nechikwata chekurapa chine ruzivo rwekurapa lymphoma kana kenza inokanganisa tsinga dzemutsinga (CNS).

Chikwata chenyu chezvekurapa chinogona kutsanangura nzira dzenyu dzekurapa, kukubatsirai kuyera mabhenefiti adzo nenjodzi dzinogona kuitika kana migumisiro yadzo, uye kukubatanidzai nenyanzvi dzekurapa varwere vanogona kukupai nyaradzo pamunosarudza matanho anotevera.

CNS lymphoma, tsinga huru, kenza, kenza yeuropi, lymphoma, immune system, kurapwa