Tambaya: Mene ne B-bayyanar cututtuka?
Amsa:
B-bayyanar cututtuka kuma za'a iya bayyana shi a matsayin "tsarin tsari" ko "bayyanar cututtuka," amma a cikin yanayin lymphoma, wannan kalma yana nufin wani samfurin guda uku na alamun bayyanar cututtuka waɗanda zasu iya hango yadda za'a iya yin mummunan hali:
- Fever (watau zazzabi> 38 ° C [> 100.4 ° F]) na kwana uku
- Rashin lalacewa ba tare da ƙoƙari ba, ya wuce kashi 10% na nauyin jiki cikin watanni 6
- Drenching dare Sats
Mutumin da ke da lymphoma da kowane daya daga cikin alamomin uku a sama an ce ana da alamun B. Akwai manyan kashi biyu na lymphoma: Hodgkin lymphoma (HL) da non Hodgkin Lymphoma (NHL). Magunguna ko dai irin lymphoma zasu iya inganta B bayyanar cututtuka. Daya daga cikin bayyanar cututtuka na lymphoma, a gaba ɗaya, shine ƙara yawan ƙwayoyin lymph. B bayyanar cututtuka na iya ko a'a ba a cikin wasu lokuta na lymphoma amma idan sun kasance, zasu iya taimakawa wajen hango yadda za a yi lymphoma da kuma wane magani zai iya zama mafi kyau don fara tare da. B bayyanar cututtuka sun fi kowa a cikin ƙwayar lymphomas da sauri.
Ƙari game da cututtuka na B da alamarsu
A wasu lokuta, alamun B na iya kasancewa nuna cewa cutar na iya kasancewa a sassa na jiki banda inda aka fara gano shi. Babu yiwuwar kasancewa ko rashin B na alamun B a lokacin ganewar asali a cikin bayanin irin cutar mutum.
Lokacin da likita ya yanke mataki na cutar kuma mutum yana da alamun B, sai ya ƙara harafin B bayan mataki (wanda zai iya zama tsakanin I zuwa IV). To, idan wani ya kasance mataki na II tare da B-bayyanar cututtuka, ana lura da mataki kamar II-B. Matakan wadanda ba su da wata alamar B a matsayin A.
Akwai su da yawa daban-daban na lymphoma, kuma daban-daban lymphoma iri na iya tasiri marasa lafiya daban. Hakazalika, kasancewar B bayyanar cututtuka na iya zama da matukar muhimmanci a wasu lokuta na lymphoma, amma ƙasa da haka a cikin sauran lymphoma iri.
B-cututtukan cututtuka da aka haɗa tare da canzawa
Biyu daga cikin nau'o'in NHL mafi yawancin su ne lymphoma (FL) da kuma rarraba babban lymphoma B-cell (DLBL). Lymphoma mai laushi an dauke shi a matsayin mai lalata ko lymphoma mai raguwa, ma'anar cewa zai iya "smolder" shekaru masu yawa kafin yayi watsi da mummunar cuta, ci gaba da sauri. Lokacin da FL ya sauya daga ɓarna zuwa mummunan, ana kiran wannan canji.
FL na iya canzawa cikin DLBCL, mafi yawan ƙwayar lymphoma da sauri. Wani lokaci, wani mutum tare da FL ba ya san cewa yana da lymphoma kuma yana zuwa likita sau ɗaya kawai lokacin da mummunan ya canza. Ɗaya daga cikin abubuwan da zasu iya haifar da wani mutum don neman likita shine haɗin B-alamu.
Kwanan nan wata ƙungiyar masu bincike sun kalli abubuwan da ke hade da sauyawa na FL a tsakanin mutane 2,652. Bayan kallon su don kimanin shekaru 6-7, kimanin kashi 14 cikin dari sun canza bayan bin ganewa na farko na FL, ciki har da 147 biopsy-tabbatar da kuma 232 da ake zargi da laifi.
Sun ƙaddara cewa yin amfani da lymphoma a waje da ƙananan lymph, hawan wani alamar jini wanda ake kira lactate dehydrogenase, da kuma alamun B a cikin ganewar sun danganta da haɗarin haɗari.
Sources
Wagner-Johnston ND, Link BK, Byrtek M, et al. Abubuwan da ake samu na lymphoma na follicular a zamanin zamani: wani rahoto daga Nazarin Harkokin LymphoCare na kasa (NLCS). Jinin jini . 2015; 126 (7): 851-857
Cigaba da Ciwon Tsira da Harkokin Kiwon Lafiyar Aikin Magungunan Halitta na Halitta wanda Martin S. Tallman yayi, Leo I. Gordon
Hematologic Malignancies. Demos Medical Publishing, Dec 17, 2012