Lymphoma ciwon daji ne wanda ke rinjayar lymphocytes, irin nau'in jini. Nau'o'in lymphoma guda biyu su ne lymphoma na Hodgkin da lymphoma ba Hodgkin, ko NHL. Ko da yake lymphomas sukan fara ne a cikin ƙwayoyin lymph , zasu iya tashi kusan a ko'ina cikin jiki. Lokacin da suka tashi a waje da ƙwayoyin lymph, an kira su lymphomas extranodal.
Na farko kashi lymphoma ne wanda ba a sani ba extranodal lymphoma . Lokacin da lymphoma ya fara a waje da ƙwayoyin lymph, yafi yawa don rashin lafiya ya fara a cikin gastrointestinal fili fiye da kasusuwa.
Bayani
Nauyin lymphoma na farko shine yanayin da yafi dacewa wanda lymphoma ya fara a kasusuwa. Wannan lamarin ya shafi kimanin kashi 1 zuwa 2 cikin dukan lokuta na lymphoma ba na Hodgkin , tare da matsayi mafi girma daga kashi 3 zuwa 9 cikin yara da matasa. Ciwon daji da ke farawa a wasu wurare sa'annan yada ga kasusuwa sunfi kowa fiye da kwayar lymphoma kashi.
Wanene Ya shafi ?
Matsanancin kashi na lymphomas yafi shafi manya. Maza za su iya zamawa fiye da mata. Yawanci yawancin lymphomas marasa Hodgkin ne na babban b-cell , wanda yawancin lokutta ya kasance a tsakanin shekaru 45 zuwa 60. Duk da haka, idan ya zo daga kasa na kashin baya a sacrum ko tailbone, lymphoma kashi na farko yana da maki abin da ke faruwa a cikin shekaru matasa da ashirin.
Kuma lokuta masu wuya sukan faru a cikin yara da shekaru kimanin shekaru 12.
Cutar cututtuka
Yawancin mutanen da ke fama da ƙananan lymphoma kashi na farko suna jin zafi a kasusunsu. Sau da yawa ana jin zafi yayin da hutawa. Wannan na iya ci gaba da watanni kafin wani bayyanar bayyanar ta fito. Lokacin da lymphoma ya fara girma, zai iya haifar da kumburi da ƙananan ƙafa da iyakance iyakoki na hannu ko kafa.
Sauran bayyanar cututtuka na lymphoma kamar zazzabi da asarar nauyi ba saba.
Tests
Hanyoyin kwakwalwa, haskoki na X, da ƙyallen ƙashi , ya taimaka wajen gane ƙananan lymphoma kashi na farko. Tashi na kasusuwa yana nuna halayyar halayyar bayyanar kashi a kan MRI ko CT. Za'a iya samun irin abincin nama na halakar kashi a yankunan da lymphoma ya shafa.
Don ƙayyade irin ƙwayar cuta, an yi biopsy na kashi. Ana iya yin hakan ta jiki, ta hanyar shan ƙananan ƙwayar ƙwayar ƙwayar cuta don binciken binciken microscopic. Wasu gwaje-gwaje na taimakawa wajen gane ko ƙwayar yana cike ko iyakance ga kashi. PET / CT na kirji, ciki da ƙashin ƙugu za a iya amfani dasu don ƙayyade hanzarin ƙumburi na lymph da kuma kasancewa da mummunar cuta.
Iri
Yawanci, ƙananan lymphoma kashi ne na lymphoma ko NHL marasa Hodgkin. Kwayar lymphoma na Hodgkin yana da yawa. Daga cikin nau'o'in NHL, ya yada babban lymphoma na B-cell ko DLBCL, shine mafi yawan kwayar lymphoma kashi. Irin wannan lymphoma yana jagorancin yanke shawara game da irin magani wanda za'a iya bi.
Jiyya
Saboda ƙananan lymphoma kashi kashi ne mai wuya, ba a kafa tsarin tsarin lafiya mafi kyau ba. Magunguna na yau da kullum sun kunshi chemotherapy don 'yan haɗuwa a hade da radiation far zuwa kashi.
Jiyya a kan hanyoyi daban-daban, ko magungunan jima'i, na kowa ne, duk da haka, jerin radiation da chemotherapy sun bambanta a cikin rahoto da aka wallafa. Yaduwar yawan ƙwayar lymphomas na kashi kashi ne mafi kyau fiye da sauran nau'o'in lymphoma ba Hodgkin.
Jami'ar Miami ta bada rahotanni fiye da kashi 80 cikin dari na mutanen da aka kula da su na kwayar cutar lymphoma na farko ba tare da ci gaba da cutar ba shekaru 4 daga baya - sun sami kashi 83 cikin dari na rayuwa mai ci gaba, ko PFS a cikin nazarin mutane 53. Babu bambanci a tsakanin marasa lafiya da aka bi da chemotherapy ko hada chemotherapy da radiation.
Duk da haka, akwai cigaba ga kyautatawa a cikin PFS ga marasa lafiya da DLBCL bi da su da rituximab da chemotherapy.
Kammalawa
Bayan jiyya, PET / CT scans na iya zama da amfani sosai don tantance mahimmancin maganin. Bayanan nazarin nazarin hoto na bayanan bayanan shine PET / CT scan, wanda ke taimakawa wajen rarrabe mummunan cutar daga fibrosis. Wajibi ne a kula da marasa lafiya don sake dawowa dadewa. Shine lymphoma yana da ƙananan ƙimar gida na sake dawowa kuma sau da yawa yakan dawo a wurare masu nisa daga asali na asali.
Sources
Don ƙarin bayani a kan wannan batu, bincika wadannan hanyoyin:
Alencar A, Pitcher D, Byrne G, et al. Darasi na lymphoma na farko - Jami'ar Miami kwarewa. Cutar sankarar bargo da Lymphoma . 2010; 41 (1): 39-49.
Thornton E, Krajewski KM, O'Regan KN et al. Hanyoyin hotunan na ciwon sukari na farko da na sakandare na sacrum. Jaridar British Journal of Radiology . 2012; 85 (1011): 279-284.
Hoto na Kwayoyin Tumatir da Ƙungiyar Tumor-Kamar Dabbobi: Dabaru da Aikace-aikace; A. Mark Davies, Murali Sundaram, Steven J. James. Spring Science & Media Media, 2009.
Ka'idodin da Ayyukan Radiation Oncology 4th Ed. Masu gyara: Carlos A Perez, Luther W Brady, Edward C Halperin, da Rupert K Schmidt-Ullrich. Lippincott Williams & Wilkins, 2003.
Beal K, Allen L, Yahalom J. Jakadan Farko Lymphoma: Sakamakon gwaji da kuma abubuwan da aka gano tare da tsaiko masu magunguna 82. Ciwon daji , 2006; 106 (12).
O'Connor AR, Birchall JD, O'Connor SR et al. Ƙimar tasirin 99mTc-MDP a cikin ƙaddamar da lymphoma na ƙashi na farko. Ma'aikatar Magungunan Nukiliya. 2007; 28 (7): 529-31.
Swerdlow SH, Campo E, Harris NL, da kuma al, eds. Kwararrun kwayoyin Tumors na Haematopoiet da Lymphoid Tissues. 4th ed. Geneva, Switzerland: IARC Press; 2008.