Mene Neke Hodgkin Lymphoma ne DLBCL?
Yaduwar babban lymphoma mai ƙwayar B-cell shine ƙwayar lymphoma ba na Hodgkin (NHL) Wannan lymphoma ne na lymphocytes na B, ko "B " .
Cutar Cancers
DLBCL na da cututtuka. A wasu lokutan ana kiranta su "lyche" ko "matsakaici" lymphomas wanda ya bambanta da lymphomas "low sa" wanda ke cigaba da girma. Wannan yana nufin cewa zasu iya girma cikin gaggawa kuma su yada hanzari zuwa wasu sassa na jiki.
Wannan mummunar hali zai iya ji tsoro har sai kunyi la'akari da yadda muka bi da cutar. Hanyoyi irin su chemotherapy suna kashe rayuka sosai. Saboda haka a cikin wannan lokacin lokacin da muke da jiyya, akwai wanda ya fi dacewa a "warke" daga lymphoma mai daraja fiye da ƙananan lymphoma. Kusan kashi 70 cikin dari na mutanen da ake bi da su don DLBCL zasu warke daga cutar.
Bayyanar
Kwayoyin B dake DLBCL suna da manyan, kuma suna da banbanci fiye da sassan B na al'ada. Lokacin da kumburi na lymph ya zama biopsied, waɗannan kwayoyin suna samuwa a duk ƙofar lymph - a cikin rarraba rarraba wanda ya haifar da sunansa.
Wanda Ya Sami Shi
Yada yawan lymphoma mai yawa na B-cell yana rinjayar wadanda ke sama da shekaru 50, kodayake mutane na kowane zamani zasu iya samun shi. Matsakaicin shekaru a ganewar asali shine 64. Ya fi kowa a cikin maza fiye da mata. DLBCL, ba kamar wasu lymphomas ba, ba ya bayyana gudu a cikin iyalai.
Cutar cututtuka
DLBCL yawanci ana gano lokacin da wani yayi rubutu akan karaɗa, amma ƙananan ƙwayar lymph a cikin wuyansa ko kullun.
Wasu mutane na iya samun abin da ake kira B bayyanar cututtuka na lymphoma wanda ya hada da fure da haɗuwa da dare.
Yaya DLBCL Zai shafi Jiki?
Kimanin 2/3 daga waɗanda suka yada babban lymphoma na B-cell suna ci gaba da cutar a lokacin ganewar asali, suna faduwa zuwa sassa daban-daban na jiki. A kusan rabin marasa lafiya, cutar tana shafar sassa na jiki a waje da ƙwayoyin lymph, irin su ciki ( wanda ake kira extranodal ).
Ƙungiyar kasusuwa ta shafi kimanin 10-20% na marasa lafiya.
Sanin asali
Ana gane yawan ganewar kwayar lymphoma tare da kwayar cutar kwayar lymph . An tabbatar da cutar a matsayin lymphoma, kuma irin lymphoma ya ƙaddara ta hanyar duban kwayoyin halitta a ƙarƙashin microscope da gwaje-gwaje na musamman da ake kira alamar CD . Sabbin magunguna marasa lafiya suna shan gwaje-gwaje don tantance irin yadda cutar ta shafi jiki.
Jiyya
Jiyya ya dogara da mataki na lymphoma kuma yana iya hada da:
Chemotherapy da monoclonal antibody far - Kusan duk marasa lafiya sami chemotherapy. Gwamnatin mafi rinjaye shine R-CHOP ko CHOP na tsawon hawan 6-8. Magunguna a R-CHOP sun hada da:
- Rituxan (rituximab) - Rituxan wata magunguna ce guda daya . Jikunanmu suna yin maganin rigakafin da ke kaiwa kwayoyin cuta da ƙwayoyin cuta waɗanda suka shiga jikin mu. Rituxan shine ainihin mutum ne wanda aka sanya mutum, wanda maimakon kama da kwayoyin cuta da ƙwayoyin cutar, ya kai hari kan kwayar cutar kanjamau a maimakon haka.
- Cytoxan (cyclophosphamide)
- Adriamycin (doxorubicin)
- Oncovin (vincristine)
- Prednisone
Ana amfani da hawan keke kowane mako uku don jimlar 8.
Radiation - Za a iya haɗa magungunan radiation a matsayin ɓangare na jiyya ga waɗanda suke da farkon matakai na DLBCL. Ana sauke radiation a cikin wannan yanayin zuwa wuraren da ciwon daji ke ciki.
DRBCL mai jinkiri ko tsayayye
Mafi yawan mutane za a warke tare da m chemotherapy. Wadanda basu warke ba ko kuma sun sake dawowa da cutar su na da damar yin amfani da ƙwayar cutar shan magani, antibody farfesa da kuma juyo da kwayar halitta.
Faɗakarwa
Mahimmancin DLBCL ya dogara ne akan wasu dalilai ciki har da shekaru da mataki na cutar. Ana bayyana abubuwan a cikin sashe a kan abubuwan da aka gano na Non-Hodgkin Lymphoma (NHL) .
Ciyar da goyon baya
Ko da yake DLBCL yana da matsala mai kyau - kamar yadda lymphomas ke tafiya - yana da tsoro don an gano shi da ciwon daji. Ku shiga wurin iyali da abokai.
Bincike da kuma koyi game da cutarka ta hanyar samun gaskiyar bayani. Yi la'akari da shiga ƙungiyar goyon baya a cikin al'ummarku ko bincika al'ummomin tallafin DLBCL a kan layi. Kuma ku tuna cewa jiyya ga ciwon daji yana ci gaba da ingantawa - a cikin jiyya da ke inganta yawan rayuwa, da kuma wadanda ke haifar da ƙananan sakamako.
Sources:
Freedman, A., da J. Friedberg. Bayanai na haƙuri: Haɗa babban lymphoma na cell B mai girma (Baya ga Basics), UpToDate. Updated 06/30/15. http://www.uptodate.com/contents/diffuse-large-b-cell-lymphome-in-adults-beyond-the-basics