PET / CT Yana taimakawa mataki na Lymphoma da yawa
Lymphomas su ne cututtukan da ke dauke da nau'in jini mai tsabta wadanda ake kira lymphocytes. Lymphomas ana kiran su a matsayin Hodgkin ko Hodgkin lymphomas .
Akwai nau'i biyar na lymphoma Hodgkin, ko HL. Kalmar HL ta al'ada tana nufin wadannan nau'ukan guda hudu masu yawa: Hull HL, Hular HL, HL, HL da HL lymphocyte.
Nau'in na biyar shine ƙwayar lymphocyte mai yawan-nau'in HL, kuma ba a ɗauke shi ba HL.
Cutar cututtuka . Mutane da ke tare da HL zasu iya haifar da alamun wariyar launin fata, amma mafi yawan alamun da aka fi sani shine ƙarar ƙirar lymph (s) kuma babu wani abu. Za a iya ƙaddamar da ramuka na wucin gadi a cikin wuyan wuyansa, ƙuƙwalwa, ko ƙuƙwalwa, ko a cikin kirji. Mafi yawancin, waɗanda suke tare da lymphoma na Hodgkin, ko HL, na iya samun asarar nauyi, zazzabi, daɗaɗa ko ƙin zazzage da dare - wanda ake kira "B alamomi." Kasancewar daya daga cikin wadannan bayyanar cututtuka ya cancanci samun ciwon B.
Dalili na Hadarin . Samun abubuwan haɗari ba yana nufin cewa za ku sami HL ba. A gaskiya ma, mutane da yawa da HL ba su da wata sanarwa. Bayanan haɗar da aka sani sun hada da mononucleosis, ko mono ; shekarun - shekarun da suka gabata na HL suna cikin 20s da 70s / 80s; tarihin iyali; matsayi mafi girma na tattalin arziki; da cutar HIV.
Binciken asali da ƙaddamarwa . A cewar Cibiyar Cancer na Amirka, likitoci za su iya zaɓar daga hanyoyi daban-daban don ɗaukar samfurin nama, ko biopsy, domin gwadawa da nazarin microscopic.
Lokacin da PET / CT yana samuwa, an yi amfani dashi don daidaitawa. PET / CT yayi kokarin hada CT da PET, ko kuma tasirin haɗari na linzamin kwamfuta don gano yadda yaduwar ciwon daji ya yada kuma yadda girman ya zama.
Game da PET da PET / CT
PET yana amfani da nau'in sukari na rediyo, ko FDG, wanda aka ɗauka, a cikin duka, ta hanyar Hodgkin lymphoma kwayoyin sosai, ko kuma kamar yadda likitoci suka ce, tare da babbar sha'awa.
A fannin ilimin lissafi, nau'i na radiation yana kama da na x-haskoki, duk da haka, haɗuwa da haɗuwa daga PET-CT shine game da 10-20 sau fi yadda zazzabi daga rayukan x-ray. Irin wannan nazarin yana hade da amfãni masu amfani amma har da hadarin da ke tattare da kwayar cutar radiation da ciwon daji. Sabili da haka, ya kamata a auna ma'aunin lamarin da ya shafi hadarin-rai ga kowane mutum kafin kowane nazarin.
Binciken PET yana da mahimmanci fiye da CT a gano kwayar lymphoma. Alal misali, PET zai iya bayyana cutar a cikin ƙwayoyin lymph na al'ada kuma ya taimaka wajen kimanta cutar da ke waje da ƙananan lymph, amma ba a bayyana a kan CT ba. An haɗu da PET tare da CT don ba da damar kwatanta yankunan da ya fi ƙarfin rediyo a kan PET tare da cikakken bayani game da wannan yanki a kan CT. Idan aka kwatanta da siffar ta al'ada, yin amfani da PET / CT a matakin asali zai iya rinjayar dabarun da kuma haifar da wani maganin daban-daban a cikin ƙwayoyin mahimmanci.
PET / CT ga Hodgkin Lymphoma
Sharuɗɗa daga Ƙungiyar Cibiyar Ƙwayar Cutar ta Duniya ta bada shawarar yin amfani da PET / CT don farawa da kuma amsawa na ƙarshe a marasa lafiya tare da HL. Saboda PET / CT yana da kyau don daidaitawa da kuma amsawa a lokacin da bayan farfadowa, ana amfani da shi don kokarin inganta farfadowa.
Tare da marasa lafiya da yawa da ke shiga gwaji na asibiti, ana iya amfani da ƙyamar kwangila don yawancin lalacewa, ciki har da HL, don gwada hangen nesa don samun maganin daban amma ba a ba da shawarar ba a halin yanzu.
PET / CT yana da kyau a gano kwayoyin lymph da suka shiga cikin lymphoma Hodgkin. Har ila yau yana da kyau a gano kwayar cuta a cikin kututtukan kasusuwa da sauran gabobin. Halin HL ya dogara ne da lambar da wurin da ake ciki da ƙwayoyin lymph da sauran sassan da suka shafi. Nazarin ya nuna cewa ikon ganowa na PET / CT zai kai kimanin kashi 10 zuwa 15 cikin dari na marasa lafiya da HL suna canzawa zuwa wani mataki na ci gaba - mafi ci gaba, wato, fiye da CT, kadai.
Saboda haka, mafi yawan marasa lafiya suna samun magani da suke bukata.
Tare da saurin radiation sau da yawa ya shirya don marasa lafiya na HL farkon, PET / CT yana da wata dama mai amfani. A wasu lokuta, ƙwarewar da aka fi sani da farko a cikin yankuna ko nodes na iya taimakawa likitoci don tsara radiation na farfadowa don yaduwa da ƙananan yanki, wanda zai iya haifar da rashin lafiya.
PET / CT a Jiyya da Fassara
Lodgkin lymphoma yana daya daga cikin nau'o'in lymphoma da yawa wadanda ake ganin sun fi dacewa. Hanyoyin ilimin halitta na zamani a cikin jikin da lymphoma ke kasancewa da girma-yana da mahimmanci a HL, ba kawai saboda yana taimakawa wajen sanar da shawarar yanke shawara, amma kuma yana taimakawa wajen hango hangen nesa.
Marasa lafiya na farko zai iya samun maganin radiation kawai, yayin da yake ci gaba da ciwo, ana bada chemotherapy kuma ana iya amfani da radiation don ƙarin cutar, kamar yadda Hutchings da abokan aiki suka yi.
Magunguna marasa lafiya da marasa lafiya a farkon lokaci suna da cikakken ci gaba fiye da kashi 90 cikin yawan gwaji. A cikin ci-gaba na ci gaba, yawancin rayuwa shine kashi 65-80. A cikin matakai na farko da kuma ci gaba da ci gaba, ƙwayar haɗuwa bisa ga abubuwan haɗari an yi sau da yawa.
Bugu da ƙari ga mafi daidaituwa, PET / CT zai iya taimakawa wajen gane kowace cuta da ta rage bayan magani. Wannan zai iya taimakawa, misali, lokacin da akwai taro, ko fadada a cikin kirji kuma ba a bayyana ko yana nuna mummunan cutar ko cuta ba.
> Sources:
> Cibiyar Ciwon Ƙwayar Yammacin Amirka. Menene halayen haɗari ga cutar Hodgkin?
> RT RT, Advani RH, Ai WZ, et al. Hodgkin lymphoma. J Natl Compr Canc Netw . 2011; 9 (9): 1020-1058.
> Hutchings M. Ta Yaya PET / CT ya taimaka wajen zaɓar farfadowa ga marasa lafiya da lymphoma Hodgkin? Hematology Am Soc Hematol Ilimin Ilimi . 2012; 2012: 322-7.
> Latsa L, Linch D. Hodgkin ta lymphoma a cikin manya. Lancet . 2012; 380 (9844): 836-47.