Une zviratidzo izviwo here? Ngatitaurei nezveMALT Lymphoma!

Wakambonzwa nezvechirwere chinoshamisa chinonzi MALT Lymphoma here? Pamwe kwete. Nekuti hachiwanzoitiki, zvinoreva kuti hachisi chirwere chinokanganisa munhu wese. Asi zvakanaka kuti tizive nezvacho. Nekuti ichiwo rudzi rwekenza. Asi musatya, chinopararira zvishoma nezvishoma mumuviri. Nhasi, tichataura nezvazvo zvakadzama, sekunge tiri kutaura neshamwari.

Chii chinonzi MALT Lymphoma? Zvichitaurwa zviri nyore...

Zvakanaka, MALT Lymphoma rudzi rudiki rweboka guru rekenza rinonzi `non-Hodgkin lymphoma`. Nemamwe mashoko, ndeimwe yemhando dzelymphomas dzinokura zvishoma nezvishoma dzinonzi `marginal zone lymphoma`.

Chirwere ichi chinowanzo bata vanhu vane makore anopfuura 65. Chinowanzoonekwawo nevanhurume kupfuura vakadzi. Chinhu chakanaka ndechekuti vanachiremba vane mishonga inogona kurapa chirwere ichi. Kureva kuti, vanogona kuisa chirwere ichi mu "relief" , kana kuti mumamiriro ekurara. Zvisinei, tinofanira kuyeuka kuti dzimwe nguva chinogona kudzoka.

Ndeapi marudzi eMALT Lymphoma?

Kune mhando mbiri huru dzeMALT lymphoma:

1. Gastric MALT Lymphoma: Izvi zvinotangira mudumbu mako, ndiko kuti, mudumbu. Rutivi rwemukati medumbu, rwatinoti `mucosa` , ndipo parunotangira. Kazhinji, rudzi urwu runoramba rwuri parwakatangira, asi dzimwe nguva runogona kupararira kunzvimbo dziri kunze kwedumbu. Urwu ndirwo rudzi rwakajairika rweMALT lymphoma.

2. Non-gastric MALT Lymphoma: Rudzi urwu runogona kukanganisa mucous membranes mumapapu ako, mate glands, thyroid gland, uye ganda . Runogonawo kukanganisa nyama dzakakomberedza maziso ako, dzakadai semigero yemisodzi .

Chirwere ichi chakajairika zvakadii?

MALT lymphoma chirwere chisingawanzoitiki. Chinoumba 7% yezvirwere zvese zvisiri zveHodgkin lymphomas. Kuti tinzwisise izvozvo, maererano neAmerican Cancer Society, vanhu 80,550 vachaonekwa vaine non-Hodgkin lymphoma muna 2023 chete. Izvi zvichienzaniswa nezviitiko zvitsva 300,590 zvegomarara remazamu. Saka unogona kuona kuti izvi hazviwanzoitiki.

MALT Lymphoma inopararira nekukurumidza sei?

Iyi ipfungwa inokosha. Chirwere ichi chinokura zvishoma nezvishoma mumuviri. Pakutanga, panogona kunge pasina zviratidzo zvikuru. Dzimwe nguva, MALT lymphoma inowanikwa netsaona panguva yekuongororwa kwechimwe chirwere.

Ndezvipi zviratidzo zveizvi?

Zviratidzo zvinosiyana zvichienderana nekuti lymphoma iri kupi. Zvisinei, lymphoma dzese dzeMALT dzinotanga ne:Kamucous membrane (`mucosa`). Kamucous membrane aka kanyorova kanofukidza mukati memimwe nhengo mumuviri wedu.

Zviratidzo zveGastric MALT Lymphoma

Izvi zvinokonzerwa nedumbu, uye zviratidzo zvinogona kusanganisira:

• Chirungurira uye kusagadzikana kwekugaya chikafu: Kufanana nekurwadza kwemoyo uye kusagadzikana kwekugaya chikafu kwatinoziva tese.
• Marwadzo emudumbu.
• Kusvotwa nekurutsa.
• Chikafu hachina kunaka.
• Kuonda pasina chikonzero.
• Kubuda ropa mudumbu.

Zviratidzo zveMalt Lymphoma isiri mudumbu

Rudzi urwu runogona kukanganisa maziso, mapapu, mate, ganda, uye thyroid gland.

Kana maziso akakanganiswa:

• Maziso akarembera.
• Kutsvuka kana kuzvimba kwemaziso.
• Kuzvimba kwakatenderedza maziso.
• Kuona kaviri.

Kana mapapu akanganiswa:

• Kutadza kufema zvakanaka.
• Kurwadziwa kwechipfuva.
• Kukosora kana kukosora ropa.

Kana matinji emumate akakanganiswa:

Kuzvimba kunogona kuonekwa:

• Nzeve dziri pamberi.
• Pasi pechirebvu.
• Mukati memuromo.

Kana ganda rabatwa:

• Mavara matsvuku, epingi, kana epepuru paganda.
• Mapundu eganda.

Kana gland re thyroid rikabatwa:

• Zviratidzo zve hypothyroidism: Izvi zvinosanganisira kuneta kwakanyanya, ganda rakaoma, kuwedzera uremu kusingatsananguriki, kana kuwedzera kunzwa kutonhora.
• Bundu riri pamberi pemutsipa.

Chii chinokonzera MALT Lymphoma?

Kune zvikonzero zvakawanda zvikuru zvechirwere ichi, zvinosanganisira hutachiona hwebhakitiriya kana hwehutachiona uye zvirwere zve autoimmune .

• Mabhakitiriya nemavhairasi:
• Kutapukirwa kwenguva refu nebhakitiriya rinonzi 'H. pylori' ndicho chinokonzera gastric MALT lymphoma. 'H. pylori' ibhakitiriya rinokonzera gastritis nemaronda mudumbu.
• Mamwe mabhakitiriya, akadai se'Achromobacter xylosoxidans', 'Campylobacter jejuni', 'Borrelia burgdorferi' uye 'C. psittiaci', akawanikwawo aine chekuita nemhando dzese dzeMALT lymphoma.
• Utachiona hweHepatitis C hunogonawo kusanganiswa nekenza yeMALT yemudumbu neisiri yemudumbu.

• Zvirwere zve autoimmune:
• `Hashimoto's disease` (chirwere chinokanganisa thyroid gland) uye `Sjögren's syndrome` (Sjögren's syndrome)(Izvi zvinokonzera zvinhu zvakaita semaziso akaoma nemuromo) zvinogona kukonzera mamwe ma lymphomas eMALT asiri mudumbu.

Ndezvipi zvinhu zvinokonzera njodzi yekukura kweMALT Lymphoma?

Kana mumwe munhu mumhuri mako akambova nechirwere chelymphoma, unogona kunge uri panjodzi yekubatwa nechirwere cheMALT lymphoma. Zvisinei, izvi hazviwanzoitika kune wese munhu.

MALT Lymphoma inoonekwa sei?

Vanachiremba vanoita bvunzo dzinoverengeka kuti vaone kuti chirwere ichi chapararira kusvika papi.

Kuongororwa kweropa

Vanachiremba vanogona kuita bvunzo dzeropa dzakadai sedzinotevera:

• `CBC (kuverengwa kweropa kwakazara):` inotarisa mhando dzemasero ari muropa.
• `LDH (lactate dehydrogenase): Izvi zvinogona kuwedzera mune mamwe magomarara.
• `CMP (comprehensive metabolic panel)` (comprehensive metabolic test): Inoongorora mashandiro enhengo dzakadai seitsvo nechiropa.
• Kuongororwa kweHepatitis C.

Kuongororwa kwemuviri

Vanachiremba vanogona kuita biopsy seizvi:

• Kuongororwa kwemapfupa emubofu: Kuona kana kenza yapararira kusvika kumapfupa emubofu.
• Kuongororwa kwetsono: Kanyama kadiki kanotorwa kubva pabundu rinofungidzirwa koongororwa.

Dzimwe nguva, kana gastric MALT lymphoma ikafungidzirwa, biopsy inogona kutorwa panguva ye upper endoscopy , iyo inosanganisira kuisa kamera diki nemuromo kuti iongorore dumbu.

Miedzo yemifananidzo

Miedzo iyi inobatsira kuziva kuti lymphoma iri kupi uye kuti yapararira kusvika papi (danho):

• 'Kuongororwa kweCT nekombiyuta'.
• `Positron emission tomography (PET) scans`.

Kuongororwa kwemurabhoritari

Vanachiremba vanoshandisa bvunzo dzakadai kuti vaongorore masero emudumbu kana kenza:

• `H. pylori test`: Sampuro ye biopsy inotorwa kuti ionekwe kana paine hutachiona uhu.
• Kuyerera kwemasero: Kuyedzwa kwakakosha kunobatsira kuona hunhu hwemasero.

Kuziva danho rekenza (remudumbu reMALT lymphoma) (Kuongororwa kwekenza)

Vanachiremba vanoshandisa nzira dzekuongorora kenza kuronga kurapwa uye kufanotaura mhedzisiro inotarisirwa mushure mekurapwa. Kune gastric MALT lymphoma, imwe yenzira dzinotevera inogona kushandiswa:

• Danho rekutanga: Kenza iri mudumbu chete.
• Danho rechipiri: Kenza yapararira kusvika kuma lymph nodes ari pedyo, kuma lymph nodes ari kure, kana kunhengo nematishu ari pedyo.
• Danho rechina:Kenza iyi yapararira kusvika kuma lymph nodes akawanda, mumongo wemapfupa, uye pamusoro nepasi pe diaphragm.
• Hakuna chinhu chinonzi Stage III che gastric MALT lymphoma.

MALT Lymphoma inorapwa sei?

Kurapwa kunoenderana nezvinhu zvakawanda, kusanganisira rudzi rweMALT lymphoma, chikonzero chayo, uye danho rechirwere. Semuenzaniso, zvimwe zvidzidzo zvinoratidza kuti MALT lymphoma yemudumbu inotanga kukura inogona kurapwa zvachose nemishonga inorwisa mabhakitiriya, kunyanya kana ichikonzerwa nehutachiona hweH. pylori.

Sarudzo dzekurapa dzingasanganisira:

• `Kumirira kwakanyatsojeka/kutarisa kwakasimba`: Vanachiremba vanogona kukurudzira nzira iyi kuvanhu vane MALT lymphoma iri padanho rekutanga vasingaratidzi zviratidzo. Izvi zvinoreva kutarisa chirwere ichi pasina kurapwa.
• Mishonga inorwisa mabhakitiriya: Kurapa uku kunouraya bhakitiriya H. pylori, iyo inokonzera gastric MALT lymphoma. Dzimwe ongororo dzinoratidza kuti kuuraya H. pylori kunogona kutorapa chirwere ichi.
• Kurapa nemwaranzi: Vanachiremba vanogona kushandisa mwaranzi kurapa mhando dzese dzeMALT lymphoma.
• Kurapa kweMonoclonal antibody: Kurapa uku kunogona kubatsira vanhu vane gastric MALT lymphoma isingapindure kurapwa nemwaranzi kana avo vane non-gastric MALT lymphoma.

Ko MALT Lymphoma inogona kurapwa zvizere here?

Ehe, sezvambotaurwa, chirwere cheMALT lymphoma chepakutanga, kunyanya chinokonzerwa neH. pylori, chinogona kurapwa nemishonga inorwisa mabhakitiriya. Mune zvimwe zviitiko, kurapwa kunogona kuita kuti chirwere chirege kupora , kureva kuti, chisadzoke. Zvisinei, chinogona kudzoka ('chinodzokororwa').

Chii chinonzi fungidziro yechirwere ichi?

Unganzwa kusununguka kunzwa izvi. Vanhu vane MALT lymphoma vanogona kurarama kwemakore, kunyangwe chirwere ichi chikadzoka mushure mekurapwa. Izvi zvinodaro nekuti imhando yechirwere chinokura zvishoma nezvishoma.

Chiyero chekupona ndechei?

Sekureva kweimwe ongororo, vanhu vanosvika 88% vane MALT lymphoma vachiri vapenyu makore mashanu mushure mekuonekwa vaine chirwere ichi. Asi yeuka kuti mwero wekurarama uyu ingori fungidziro yakavakirwa pane zvakaitika kune vamwe uye data rakaunganidzwa nekufamba kwenguva. Zvakaitika kwauri zvinogona kusiyana. Muzviitiko izvi, chiremba wako ndiye munhu akakodzera kukupa ruzivo.

Ko MALT Lymphoma inogona kudzivirirwa here?

Kutaura zvazviri, vaongorori vezvekurapa havasati vaziva zvese zvinokonzera kuti vanhu vabatwe nechirwere ichi. Imwe ongororo yakawana kutiKudzivirira hutachiona hweH. pylori kunogona kuderedza njodzi yekubatwa nechirwere chegomarara reMALT.

Ndinozvitarisira sei?

Vanhu vazhinji vanoda rubatsiro rwehutano rwehupenyu hwavo hwese. Izvi zvinoreva kuongororwa nguva dzose kuti uone kana chirwere chacho chadzoka. Kazhinji, muchada kuongororwa uye kuskena mwedzi mitatu kusvika mitanhatu yega yega kusvika kumakore mashanu. Mushure meizvozvo, muchada kuongororwa kamwe chete pagore.

Ndinofanira kuona chiremba rini?

Vanhu vane MALT lymphoma vanowanzoona vanachiremba vavo nguva nenguva. Zvisinei, shanyira chiremba wako nekukasika kana uine:

• Kana uine MALT Lymphoma uye ukaona shanduko itsva (inogona kunge iri zviratidzo) mumuviri wako.
• Kana uri kurapwa uye zviratidzo zvako zvikawedzera.
• Kana uri mu 'remission', kureva kuti, kana chirwere chave nani, uri kuona shanduko munzira yachinonzwa nayo, sekunge chirwere chacho chiri 'kudzoka'.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Kana uine MALT lymphoma, ungada kubvunza chiremba wako mibvunzo iyi:

• Ndine rudzii rweMALT lymphoma?
• Ndeipi danho rechirwere changu?
• Ndinoda kurapwa here?
• Kana ndichida kurapwa, ungandikurudzira kurapwa kupi?
• Pane mimwe miedzo yekiriniki yandinofanira kufunga nezvayo here?

Yeuka: MALT Lymphoma rudzi rwegomarara rusingawanzoitiki runokanganisa mitezo yenhengo dzedu nedzimwe nhengo dzemuviri, rudzi rwe non-Hodgkin lymphoma. Inokura zvishoma nezvishoma, saka kazhinji haikonzeri zviratidzo. Vanachiremba vanogona kuirapa, uye dzimwe nguva kuirapa. Asi chirwere chinogona kudzoka, saka ungangoda kurapwa kwakawanda. Kana uine chirwere ichi, taura nachiremba wako nezvezvaunotarisira.

Pakupedzisira, meseji yekudzokera nayo kumba

Zvakanaka, regai ndikuudzei zvinhu zvishoma zvamunofanira kuyeuka kubva pane zvatataura nezvazvo:

• MALT Lymphoma rudzi rwegomarara riri kukura zvishoma nezvishoma. Usatya, asi ngwarira.
• Kune mhando mbiri: dzemudumbu (mudumbu) nedzisiri dzemudumbu (mune dzimwe nzvimbo).
• Bakiteria inonzi 'H. pylori' ndiyo inonyanya kukonzera gastritis.
• Zviratidzo zvinoenderana nekuti lymphoma iri kupi, uye pakutanga panogona kunge pasina zviratidzo.
• Kune mishonga, uye dzimwe nguva inogona kurapwa zvachose, kunyanya pakutanga kwekenza yemudumbu.
• Chirwere ichi chinogona kudzoka mushure mekunge chapera, saka unofanira kuramba uchitarisirwa nachiremba.
• Kana muine kusava nechokwadi kana mibvunzo, musatya kutaura nachiremba wenyu. Ndicho chinhu chakanakisisa chekuita.

Ndinovimba ruzivo urwu ruchakubatsira. Ramba uine hutano hwakanaka!

MALT lymphoma, non-Hodgkin lymphoma, kenza, gastric MALT lymphoma, H. pylori, zviratidzo zve lymphoma, kurapwa kwe lymphoma