Lymphoma Abinda ke ciki da damuwa ga mutanen da ke dauke da kwayar cutar HIV?
Menene mahadar tsakanin HIV / AIDs da ciwon jini? Idan wani tare da AIDS yana tasowa lymphoma, yaya ake bi da shi?
HIV / AIDS da Ciwon daji
Shekaru da yawa, masu bincike sun san cewa an kawar da kwayar cutar ta hanyar ciwon daji. Magunguna waɗanda ke karbar maganin ƙwayoyi don rage tsarin su na rigakafi bayan sutura ta jiki, alal misali, na iya zama hadarin bunkasa ciwon daji wanda yake da yawa sau da yawa fiye da sauran mutanen.
Saboda haka, ba abin mamaki ba ne cewa cutar kwayar cutar mutum (HIV) ko kuma samun ciwon rashin lafiya na rashin lafiya (AIDS) - wanda ke haifar da mummunan lalacewa a cikin tsarin rigakafi - yana haɗari da ƙari ga ciwon daji.
Bugu da ƙari da yawan ciwon "ciwon tumatir", an dauke kwayar cutar HIV a matsayin wani abu mai hadarin gaske a cikin ciwon jini. A gaskiya ma, lymphoma non Hodgkin (NHL) shine karo na biyu na ciwon daji a cikin marasa lafiya na HIV. Kadan, Hodgkin lymphoma , cutar sankarar bargo , da kuma myeloma suna da alaka da cutar HIV .
Menene Danadin Ciwon Cutar Kanjamau ga marasa lafiya na HIV?
Tun da ci gaba da hanyoyin maganin cututtuka (HAART) , masu cutar HIV suna rayuwa sosai. Rahoton wannan labari mai dadi shine cewa suna rayuwa tsawon lokaci tare da tsarin ƙwayar cuta mai raguwa wanda ya ba da dama ga ciwon daji don bunkasa. A baya, an kiyasta cewa kusan 40% na marasa lafiya HIV / AIDs na iya haifar da ciwon daji na AIDS.
A farkon farkon cutar AIDS, wasu lymphoma iri-iri sun kasance sau da yawa sau da yawa a cikin kwayar cutar HIV fiye da sauran mutanen. Tun lokacin gabatarwar HAART a shekarar 1996, waɗannan ƙididdiga sun ragu sosai amma kamuwa da cutar HIV ta ci gaba da zama haɗari ga NHL.
Sakamakon binciken ba su da mahimmanci game da sakamakon da HAART ya yi akan ƙimar lymphoma Hodgkin.
Rashin haɗarin NHL daidai yake a duk faɗin mutanen HIV, ko da kuwa yadda aka kamuwa da cutar.
Waɗanne Hanyoyi na Lymphoma Ana Ruwa da HIV?
Yawancin lymphomas masu alaka da cutar AIDS sune B cell NHL. Kwayar cutar ta HIV ta haifar da ƙwayoyin B, tana ƙaruwa da nauyin haifuwa, kuma tana kunna su.
Sashen lymphoma na CNS na farko , wanda ya samo asali ne a cikin kwakwalwa, yana da kusan kusan rabin ilimin lymphoma. Yawancin NHL masu cutar AIDS suna "extranodal," wanda ke nufin cewa cutar tana samuwa a wurare a waje da tsarin lymph. Mafi yawan wuraren da NHL ke zaune a cikin wannan yawan su ne tsarin gurguntacce, hanta, zuciya, huhu, fata, da ƙashin kashi .
Shin za a iya hana Lymphoma a Cutar HIV / AIDs?
Ba gaba ɗaya ba, amma marasa lafiya a kan kulawar HAART zasu sami ragowar ƙaddamar da ciwon jini na jini. Duk da haka, ilimin da sani game da alamomin da alamomi na wuraren da ake amfani da shi na lymphoma yana da mahimmanci idan kana da HIV ko AIDS.
Masu kiwon lafiyar masu kamuwa da cutar HIV sun kamata su gaggauta nazarin damuwa game da wadannan nau'o'in bayyanar cututtuka. Cigaba da ciwon daji da fara farawa da wuri zai iya ba da dama mafi kyau don samun nasara.
Kwayoyin cututtukan cututtuka na cutar kanjamau na Lyphoma
Yawancin mutane da ke da kwayar cutar lymphoma za su fuskanci irin wannan magungunan bayyanar kamar yadda duk wani ƙwayar lymphoma:
- Asarar nauyi wadda ba za a iya bayyana ba
- Ba tare da wata alamar kamuwa da cuta ba
- Hanyar kumburi lymph da sauri
- Sweating da dare cewa soaks da bedsheets
Tun lokacin da ake gano lymphoma da ke kan cutar AIDS a waje da tsarin lymph, alamun yakamata yana da mahimmanci a inda aka samu ciwon daji. Alal misali, alamun lymphoma a cikin kwakwalwa na iya haɗa da haɗuwa, rauni ko rage hankali, rikicewa ko ciwon kai. Lymphoma a cikin tsarin gastrointestinal zai iya haifar da ciwo na ciki ko jini a cikin zubar da ƙwayar zuciya.
Jiyya na cutar AIDS-related Lymphoma
Kamar lymphoma a wasu mutane, lymphoma a cikin marasa lafiya na AIDS ana kula da su da radiation, chemotherapy, ko duka biyu. Amma ƙalubalen, duk da haka, shine mafi yawan marasa lafiya suna da karfin ɓacin jini da kuma rashin tallafi kafin maganin su fara. A sakamakon haka, suna cikin haɗari mafi girma na yin kwangila da kamuwa da ƙwaƙwalwar rayuwa a lokacin kulawarsu. Bugu da ƙari, an yi imani da cewa maye gurbin rigakafi da cututtukan kwayoyin cuta zai haifar da cutar HIV.
Bincike na ci gaba akan yadda za a magance wadannan kalubale. Ƙungiyoyin daban-daban na ƙananan ƙwayar cutar chemotherapy, ƙayyadaddun hanyoyin da aka tsara, ƙuƙwalwar ƙwayoyin cell, da kuma ƙara chemotherapy zuwa HAART ana nazarin akan abin da ke gudana. Marasa lafiya da ke fama da cutar kanjamau za su iya zabar shiga cikin wannan bincike ta hanyar gwaji.
Girma shi Up
Mutanen da ke fama da kwayar cutar HIV suna ci gaba da hadarin bunkasa ciwon daji, ciki har da lymphoma Hodgkin, myeloma , da kuma mafi yawancin, NHL. Yana da muhimmanci ga masu cutar HIV / AIDs su san abubuwan da alamun da lymphoma suke yi don a fara farawa magani.
Nazarin karatu na ci gaba da taimaka wa mutanen dake fama da cutar lymphoma da ke fama da cutar kanjamau su sami mafi kyawun maganin magani. Tun da dalilin da ya sa magungunan lymphoma da ƙananan mutanen da ke fama da cutar AIDS ya kasance mafi sauki ga karbar shan magani, jarrabawa don duba hanyoyin da za a rage sakamakon ilimin cutar kanjamau a cikin mutanen da ke fama da cutar AIDS.
Sources
Biggar, R., Jaffe, E., Goedart, J. et al. "Lymphoma Hodgkin da rashin daidaituwa a cikin mutanen da ke dauke da HIV / AIDS" Blood 2006. 108: 3786-3791
Grogg, K., Miller, R., Dogan, A. "Kamuwa da cutar HIV da Lymphoma" Journal of Clinical Pathology 2007. 60: 1365-1372
Krause, J. " Cibiyar Harkokin Sakamakon Bincike da Harkokin Kimiyya na Siriya" na SIDA. 68: 168-175.
Levine, A. " Taro na Lymphoma" na AIDS kan dangantaka da cutar kanjamau a 2006. 22 (2) pp.80-89
Lim, S., Levine, A. "Ci gaba da ci gaba da cutar rashin lafiya ta nakasassu (AIDS) mai suna Lymphoma" CA: Jaridar Cancer Journal for Clinicians 2005. 55: 229-241
Matthews GV, Bower M, Mandalia S, Powles T, Nelson MR, Gazzard BG. "Canje-canje a cikin ilimin lymphoma da ke fama da rashin lafiya wanda ba shi da ƙananan cuta tun lokacin da aka gabatar da maganin rigakafi mai tsanani" Blood. 2000; 96 (8): 2730.
Olszewski, A., da kuma J. Castillo. Sakamakon idan lymphoma Hodgkin ya kamu da cutar HIV a zamanin zamanin antiretroviral: nazarin National Cancer Data Base. AIDS . 2016 Janairu 4. (Epub gaba da bugu).
Rashin lafiyar likitocin da aka yi a Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. (eds) (2000) Ciwon daji na Nursing: Principles and Practice 5th edition Jones da Bartlett: Sudbury, MA. (shafi na 933- 949).
Wakilin Dandalin Dandalin Dandalin Kwararru na Asibitin AIDS a gabanin da lokacin HAART: 1984. zuwa 2007 " Ciwon daji. 2010; 116 (23): 5507.