Lymphoma na Tests
Mene ne ilimin lymphoma na gwaji kuma ta yaya ya bambanta da wasu nau'o'in lymphoma ba Hodgkin?
Bayani
Lymphoma na iya rinjayar gwaji a wasu hanyoyi. Wata lymphoma zai iya farawa a cikin gwajin, a cikin wannan akwati ana kiransa lymphoma na farko, ko kuma lymphoma zai iya haɗawa da gwaje-gwajen a matsayin ɓangare na cutar da ta shafi sauran wuraren.
Tsarin jima'i
Kwararrun ba na yanar gizo ba ne don lymphoma.
A gaskiya, jarrabawan sun fi yawan ciwon daji wanda ake kira ciwon ƙwayar cutar kwayar cuta. Kasa da kashi 5 cikin dari na mutane da ciwon daji a cikin gwaji suna da lymphoma. A cikin mutane fiye da shekaru 50, duk da haka, lymphoma shine ciwon daji na yau da kullum na gwaji a matsayin ƙwayoyin ciwon ƙwayoyin cuta a cikin wannan rukunin shekara.
Iri
Lymphoma na gwaje-gwajen kusan kusan wani nau'in lymphoma ba na Hodgkin (NHL) . Mafi yawan al'ada shine ya yada babban lymphoma B-cell . Sauran nau'o'in lymphoma immunoblastic, lymphoma na Burkitt (a yara), da lymphoma follicular .
Akwai wasu kalmomi da za ku ji idan an gano ku tare da lymphoma testicular. Ɗayan shine " gabatarwa na waje ". Lymphoma primranodal ne kawai yana nufin cewa lymphoma ne da farko aka samo (samo asali) a waje da kwayar lymphatic, a wasu kalmomi, an samo shi a farkon gwaji fiye da a cikin kututture na lymph, da tsutsa, da kasusuwan kasusuwa, ko kamus.
Ana gwada gwaje-gwaje (tare da tsarin kulawa na tsakiya) kuma sune wuraren shahara .
Dalilin
Ba a san abin da ke haifar da lymphoma na gwajin ba, amma akwai wasu matsaloli masu yawa na ƙananan lymphoma ba Hodgkin . Akwai ƙungiyar da ke dauke da cututtukan cututtukan hoto, musamman EBV (cutar Epstein-Barr wanda ke haifar da wata cuta) , CMV (cutar cytomegalovirus) , parvovirus B19 (cutar da ke haifar da cutar "biyar", rashawa na yau da kullum da ke dauke da kamuwa da cuta a yara) HIV.
Alamai da cututtuka
Alamar ta kowa ita ce ƙaraɗa ɗaya daga cikin gwaji guda biyu. Yawanci kadan ko babu zafi da aka haɗa da wannan. Wannan gwaji zai iya jin nauyi. Idan lymphoma ya yada zuwa wasu sassan jiki, akwai alamun bayyanar da ya shafi sassan da ya shafi. Akwai yiwuwar daya ko fiye na B-alamar cututtuka na lymphoma - zazzabi, asarar nauyi ko gogewa da dare.
Sanin asali
Wani rubutun kara girma zai iya samun ƙwayoyi masu yawa, kuma likitan ku iya gane wasu yanayi na kowa da sauki. Idan akwai tuhumar ƙwayar ƙwayar cuta, za a ba da shawarar da za a gwada samfurin tarin samfuri ko CT na gwaje-gwajen a matsayin gwajin farko. Wasu gwaje-gwaje na jini don alamun ƙwayoyin tumatir anyi ne don gano kwayar cutar ciwon kwayar cutar kwayar cuta, yawancin kwayar cutar ta gwajin. Hanya mafi kyau don gano ainihin ƙwayar ƙwayar cuta ita ce kawar da gwaji tare da aikin tiyata. Gwajin gwaji ko biopsy yawanci ba a ba da shawarar ba saboda hadarin "cututtuka" tumbura - yada kwayoyin cutar kanjamau a kusa da yankin da aka sanya maciji. An cire nau'in jigilar kayan cirewa a ƙarƙashin kwayar halitta, kuma an gano asali na karshe.
Gwaje-gwaje Bayan Fahimtarwar
Idan ƙwararrun kwayoyin cutar ne lymphoma, ana bukatar gwaje-gwajen kafin magani zai fara. Wannan yakan hada da ƙwayar CT na ciki da kirji da gwajin kasusuwa .
Lymphoma na gwaji zai iya yada zuwa cikin ruwa mai mahimmanci (CSF) wanda ke gudana a cikin kwakwalwa da kashin baya. Za'a iya yin furanni na lumbar (cututtuka ta gefe) don cire ƙananan adadin wannan ruwan daga kashin baya a cikin kasan baya sannan kuma gwada shi don sassan lymphoma.
Jiyya
Yin jiyya na ciwon daji na gwaji yana dauke da kawar da ciwon sukari, amma ana buƙatar karin magani don hana ciwon daji daga dawowa a cikin wani jigilar kayan aiki, tsarin kulawa na tsakiya, da sauran wuraren shafukan yanar gizo.
Tiyata - Ana cire na'urar jigilar (aschiectomy) shine kashi na farko na magani kuma ana yin sau da yawa a matsayin ɓangare na ganewar asali.
Chemotherapy - Tsarin chemotherapy tsarin CHOP an ba shi tare da Rituxan. Magunguna a wannan tsarin sun haɗa da Cytoxan (cyclophosphamide), Adriamycin (doxorubicin), Oncovin (vincristine), da kuma prednisone.
Rituxan (rituximab) wani maganin wanda aka ba da shi tare da chemotherapy. Jikunanmu suna yin maganin rigakafi don yaki da kwayoyin cuta da ƙwayoyin cuta. Rituxan shine ainihin mutum wanda aka sanya shi don yaki da kwayar lymphoma.
Radiation - Ana yin gyaran sauyawa zuwa yankin pelvic, musamman don rage yiwuwar ciwon ciwon daji a cikin wani jigidar.
Tsarin tsaka-tsaki na tsarin tsakiya na tsakiya - Tsarin tsaka-tsakin tsakiya na tsakiya shine yawancin haɗuwa da shi don hana wannan lymphoma daga yadawa ko kuma sake dawowa a cikin tsarin kulawa na tsakiya.
Ajiye haihuwa
Sau da yawa ana bukatar cirewa guda daya kawai, amma duka chemotherapy da radiation na iya haifar da rashin haihuwa. Abin godiya bankin banki yana iya zama mai yiwuwa ga mutane da yawa. Tabbatar yin magana da likitanku game da adana amfanin haihuwa yayin da ake jijiyar daji don haka kuna da masaniya akan dukan zaɓinku kafin ku fara farawa.
Ciyar da goyon baya
Idan an riga an gano ku tare da lymphoma na gwaji, za ku ji tsoro. Tun da yake wannan mummunan cike ne mai yiwuwa zaku iya jin dadi, kuma kuyi mamakin wanda za ku iya magana da shi. Ku shiga wurin iyali da abokai. Ka yi la'akari da haɗawa da al'umman kankara a kan layi. Muna rayuwa ne a lokacin da za ka iya samun wasu tare da lymphoma na gwaji a ko'ina cikin duniya, kuma za su iya samun goyon baya da mutane su billa tunaninsu daga 24/7. Bincike da kuma koyi game da cutarka , kuma ka dauki wani ɓangare na cikin kulawa. Yin maganin wannan cututtuka mai tsanani ne, amma ba kamar yawancin cututtuka ba, yana ba da dama ga kula da cutar.
Sources:
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