Ndeipi Mishonga Yakanakisisa yeGastric MALT Lymphoma?
Chii chinonzi gastric MALT lymphoma uye inorapwa sei?
Overview
Gastric MALT lymphoma inorudzi rwemweya isiri Hodgkin Lymphoma (NHL) inopinda mudumbu. Kuti udzidze zvakawanda nezviratidzo uye miedzo ye lymphoma iyi, ona nyaya pamusoro peMALT Lymphoma .
Mishonga
Mishonga inotevera inogona kushandiswa kugadzirisa MALT lymphomas:
- Mushonga weHelicobacter pylori marwere (antibiotics)
- Radiation therapy
- Surgery
- Chemotherapy
Mune zvimwe zviitiko, kubvisa chirwere chinenge chiripo chiripo chinogona kunge chiri chinhu chinodikanwa, asi kunyanya kurapwa kwakanyanya kunodiwa kuti uwane zvakakwana kurapa kweMALT lymphoma. Kune varwere vane hurongwa hwekutanga H. pylori- inofadza gastric MALT lymphoma, kutanga H. pylori kupedzisira kurapwa kwakatevera nekucherechedza kunogona kuva danho rokutanga pamberi peyero radiotherapy. Inenge 20 kusvika ku30 muzana yevarwere havatauri kupedza chirwere chekurapa kana kuratidza kudzokerazve munguva yekutevera, zvisinei.
Antibiotics
Zvakawanda kana zvisingawanzoitika maMALT lymphoma mudumbu zvakanyatsobatanidzwa nehutachiona neH H pylori. H. pylori ibhakitiriya inozivikanwa inokonzera gastritis uye ulonda zvepamu . Kungofanana nebhakitiriya inogona kukuvadza chigadziko chekudzivirira chemuviri uye utumbo kukonzera zvipembenene, zvinofungidzirwa kuti zvinogonawo kutungamirira mukuputi mukati mudumbu iro, zvakare, rinogona kukonzera kenza.
Sezvo inenge inenge hafu yevanhu vepasi rose yakatapukirwa nemaabhakitiriya aya, zvirwere zvakadaro hazviiti kuti zvinokonzera zvinetso kune munhu wese, uye pane zvimwe zvimwe zvinhu zvakadai sehupenyu uye mararamiro anodiwa, pamwe chete neH Hpylori hutachiona, kukonzera matambudziko.
Mune varwere vane MALT lymphoma avo vanoedzawo maonero akanaka eH pylori, ma antibiotics eH H pylori anogona kunyatsogadzirisa kenza .
Mune vanenge vanenge vatatu pavatatu vane zvirwere zvokutanga, kurapwa kweH Hori kunogona kuguma nekugadzirisa kwakakwana kwechirwere. Chirwere chacho chinoramba chichitarirwa muvarwere vakawanda. Vaya vane mhinduro yakakwana vangave vakagamuchira kuenderera mberi, kana kuongororwa, nemagumo ekupedzisira . Pasinei nokuregererwa kwakakwana, vamwe vanhu vacharamba vachiine purogiramu yakanaka yePCR yeH. H. pylori.
Zvakawanikwa kuti vamwe vanhu vanoedza kushaya hutachiona hweH H. pylori vanoporesa kurapwa nemishonga inorwisa mabhakitiriya nekuregererwa kwakakwana, saka zvinogona kutaurirana kuti anenge munhu ane gastric MALT lymphoma anofanira kurapwa nemishonga inorwisa mabhakitiriya kuti aparadze H. pylori.
Radiation Therapy
Mishonga inoshandiswa kurapwa kweMALT lymphoma apo H pylori asipo, kana kuti chirwere cheH H pylori chinokundikana. Izvozvo zvakaderera zvakanyanya maseroti anopiwa, uye maitiro aya anenge ari nguva dzose achitarisa lymphoma. Radiotherapy kurapwa, yoga, inogona kuzadzikisa mhinduro dzakakwana mune zvinopfuura 95% zvevarwere , uye varwere vazhinji vanoramba vachidzorwa munguva refu.
Surgery
Kuvhiya inobatsira kurapwa kweMALT lymphomas yemudumbu uye inoguma mukurarama kwenguva yakareba mune varwere vakawanda. Ngozi dzekuvhiya dzakakwirira kudarika dzezhizha, uye naizvozvo chirwere hachina kushandiswa pakurapa.
Kufanana radiotherapi, chirwere chinowanzokwanisa kudzora nekurapa MALT lymphomas iyo inongopera mudumbu.
Chemotherapy
Chemotherapy inowanzoshandiswa kutanga kwechitambo gastric MALT lymphomas apo maitiro ekurapa anokundikana kudzora zvirwere, kana kuti kana chirwere chichidzoka. Nokuda kwepachirwere chepachirwere chepenza, chemotherapy ndiyo kurapa kusarudzwa. Kusiyana kwakasiyana-siyana kunorapwa kunobudirira mune idzi lymphomas dzinokura.
Immunotherapy
Rituxan (rituximab) inonzi monoclonal antibody inoshanda mumhando dzakawanda dze lymphoma kusanganisira gastric MALT lymphoma. Sezvo miviri yedu ichiita zvirwere zvinorwisa mabhakitiriya uye mavairusi, Rituxan inongova "munhu akaita anti-antibody " inoshanda kurwisana nekenza masero.
Kungofanana nemasikirwo edu ega anoona zviratidzo zvisingaoneki pamusoro pebhakitiriya, mishonga iyi inocherechedza chiratidzo chepamusoro pane mamwe masero akave ane kenza.
Kutsungirira uye Kutsigira
Ndinofara, gastric MALT lymphoma imukirini inoporesa zvikuru ine maitiro akanaka kwazvo. Izvozvo zvakati, kuti zvinogona kuva zvinotyisa kuti zviongorwe neine chero kenza. Mukuwedzera, kurapa kunogona kusanganiswa nemigumisiro, kunyanya kuneta. Dzokera kumhuri yako neshamwari , uye bvumira vanhu kuti vakubatsire. Iwe unogonawo kuongorora mazano aya ayo vanhu vakawana kuti anobatsira kurwisana ne lymphoma .
Sources:
Gisbert, J., uye X. Calvet. Kudzokorora nhaurwa: maonero asina kufanirwa mune zvekutungamirirwa kweHelicobacter pylori-yakabatanidzwa gastric MALT-lymphoma. Alimentary Pharmacology uye Therapeutics . 2011. 34 (9): 1047-62.
Nakamura, S., naT. Matsumoto. Chirongwa cheGastric Mucosa-Associated Lymphoid Tissue Lymphoma. Gastroenterology Makliniki eNorth America . 2015. 44 (3): 649-60.
Nakamura, S., Sugiyama, T., Matsumoto, T. et al. Yenguva refu yekurapa kwechirwere chemuviri weMALT lymphoma mushure mekudzingwa kweHelicobater pylori: boka revanhu rekutsvakurudza kutevedzwa kwevane 429 varwere muJapan. Gut . 2012. 61 (4): 507-13.