A kutarisa pangozi zvinhu uye zvivimbiso zvinotsigirwa
Usati wadzidza nezvezvikonzero zvinokonzera kusina Hodgkin lymphoma , kana NHL, zvinokosha kuziva kuti kune marudzi akasiyana-siyana eNHL.
Izvo zvose zvinonyangadza zve lymphocyte-white white cells, asi muzviitiko zvakawanda, subtypes dzeNHL dzakasiyana nemararamiro avo, zvirevo uye rudzi rwe lymphocytes dzinobatanidzwa. Zvikonzero zvinokosha zveNHL zvinogona kunge zvakasiyana-siyana zvichienderana neNHL inonzi subtype yaunenge uchitaura.
Izvozvo zvakati, masayendisiti anoongorora epidemiology kana maitiro e lymphoma achiri kuona zvichibatsira kutaura pamusoro pemhando dzakasiyana-siyana dzinokonzera NHL-iyo nhanho yekutora ndeyokuti, kana chimwe chinhu chinonzi "ngozi yeNHL," kana kuti "inosanganiswa neNHL," izvo hazvirevi kuti ndiyo ngozi yezvinhu zvose zvakasiyana-siyana zveNHL.
The Microbial Connection
Kufanana neHodgkin's lymphoma, NHL yakabatanidzwa nehuwandu hwezvirwere:
- Epstein-Barr HIV, kana EBV, inobatanidzwa neBurkitt lymphoma, iyo inowanzozivikanwa neNHL kuvana nevechiri kuyaruka munyika yose.
- Varwere vane HIV vanofanirwa kune marudzi akasiyana-siyana easiri Hodgkin lymphomas. Burkitt lymphoma uye inoparadzanisa B-cell lymphoma, kana kuti DLBCL, ndiyo mbiri yezvirwere zvinowanzobatana neHIV-zvinosanganiswa neHIV.
- Apo Burkitt lymphoma inobatanidzwa neHIV, vamwe makumi matatu kusvika ku50 muzana yevarwere vane EBV-positive. Chiremera chemuviri chekuzvidzivirira pamusoro peEBV mune vane HIV-positive inofungidzirwa kuti inobatsira ku Burkitt lymphoma.
- Human T-cell lymphotropic virus-type-1, kana HTLV-1, inonyanya kuwanikwa muNorth America, asi inogara kune dzimwe nyika dzeJapan, Africa neCaribbean. HTLV-1 inokonzera Mukuru T-cell leukemia-lymphoma, kana ATL, iyo iri NHL yeT-lymphocytes.
- Helicobacter pylori , bhakitiriya inobatanidzwa nemaronda mumudumbu, inogona kukonzerawo vamwe vasiri Hodgkin lymphomas yemutumbo wepamuviri.
- Kurwara kwehepatitis C kusingaperi kunobatanidza B-cell kwete Hodgkin lymphomas.
System Immune Yakaneta
Lymphoma ine kenza yemakirinikiti, uye lymphocytes ndivo vanonyanya kukosha muhutachiona hwevanhu. Mamiriro ezvinhu anowedzera simba rekudzivirira zvirwere zvemuviri anogona kuwedzera njodzi yemhando dzakasiyana siyana dzekenza, kusanganisira NHL:
- HIV inowedzera simba rekudzivirira muviri, uye kune hukama hwakajeka pakati pekuregererwa kweCD4 lymphocyte kuverengwa uye mukana wekuvandudza NHL.
- Varwere vanowana kuwedzerwa kwomuviri vanofanira kushandisa zvinodhaka zvinoderedza masimba ezvirwere. Izvi zvinoitawo kuwedzera mikana ye lymphoma.
- Zvimwe zvirwere zvakagara nhaka zvakagadzirisa maitiro ezvirwere zvezvirwere semuviri, eg, ataxia telangiectasia inogona kuwedzera ngozi ye lymphoma.
Makemikari uye Zviratidzo
Nhamba yezviitiko zvitsva zveNHL zvakapetwa kaviri kubvira kuma1960 kusvikira kuma1991, zvichiita kuti vanhu vashamise pamusoro pezvinokonzera zvinokonzera. Uyu mubvunzo wakanyatsotsvaga tsvakurudzo yakawanda, kusanganisira kuongororwa kwezvipembenene.
Mishonga inoratidzirwa inonzi inokonzerwa neNHL, asi uchapupu hwave huchienderana. Zvimwe zvidzidzo zvishomanana zvezvipembenene zvakave zvakakura zvakakwana kuti zviongorore kushandiswa kunogona kuwirirana pakati peNHL subtypes nezvimwe zvirwere zvinouraya mishonga.
Zvidzidzo zvevanopukunyuka mabhomba eatomu uye njodzi dzemauto enyika dzakaratidza kuti dzine ngozi yakawanda yekuvandudza marudzi akawanda emaronda , kusanganisira kwete Hodgkin lymphoma.
Kuporesa Kwakaitwa Kwevamwe Kanzura
Vanhu vakagamuchira chemotherapy kana remishonga yehutachiona yekenza yapfuura vane mikana shomanana yekusava neHodgkin lymphoma gare gare muupenyu.
Zera uye zvepabonde
Apo vatsvakurudzi vanopedza nhamba, vanoona kuti mikana yekuwana NHL inowedzera paunokura. Inowanzoonekwawo kune varume kupfuura vakadzi.
Shoko Rinobva
Mhando dzakasiyana dzeNHL idzi dzose dzinonyangadza dzemasero eropa eropa lymphocyte, asi dzinogona kunge dzakasiyana zvakasiyana maererano nehutano hutano uye kufungidzira-uye dzinogona kusiyanisa nenzira dzinokosha maererano nechinokonzera uye zvinokonzera ngozi.
Kune dzimwe mhando dzeNHL, ruzivo rwezvemagadzirirwo ehutachiona hunotanga kunzwisiswa zviri nani, uye hutano hwakawanikwa kune dzimwe hutachiwana uye mhinduro kuburikidza nehutachiona hwemuviri.
Sources:
Peveling-Oberhag J, Arcaini L, Hansmann ML, et al. Hepatitis C-inobatanidza B-cell isiri Hodgkin lymphomas. Epidemiology, chimiro chema molecular uye kliniki yekugadzirisa. J Hepatol . 2013; 59 (1): 169-77.
National Cancer Institute. Helicobacter pylori neCancer.
Lymphoma Association (UK). Gastric MALT lymphoma.
Hansson LE, Nyrén O, Hsing AW, et al. Ngozi yekenza yepamu muvarwere vane gastric kana duodenal ulcer chirwere. N Engl J Med. 2006; 335: 242-249.