Kanzira mishonga yekurapa uye zvirwere, kana zvichida migumisiro, zvinowedzera mune chikamu chetachiona chechirwere chako. Kazhinji, kugadzira chirongwa chekugadzirisa chirwere chomunhu mumapoka, kana zvikamu, izvo zvinotarisa kuti chirwere chakapararira zvakadini uye kuti yakawanda sei chirwere chekenza chakatosimbiswa mumuviri panguva yekuongororwa uye kuronga kurapwa.
Maererano neAmerica Cancer Society, vanachiremba vanogona kusarudza kubva nenzira dzakasiyana-siyana kuti vatore mhando yezvinyorwa zvinosanganiswa, kana bhiopsy, kuongororwa nekuongorora zvishoma. Iyi nzira inosanganisira nzira dzakasiyana dzekuenzanisa lymph nodes, bone marrow, kana nhengo dzakabatanidzwa.
Muzhinji, migumisiro yekufungidzira miedzo yakadai sePET / CT inoongorora ndiyo inonyanya kukosha pakugadzirisa danho re lymphoma. Apo PET / CT iripo, inoshandiswa pakugadzira. PET / CT zvikwata zvinosanganisira CT uye PET, kana positron emission tomography, kuti uone kuti kenza yakapararira zvakadini uye kuti yakakura sei.
Nhanho Inokuudzei?
Chikamu che lymphoma chinogona kubatsirawo kugadzirisa nzira dzomunhu dzokurapa, asi kugovera kunokosha kune mamwe marudzi e-lymphoma kune vamwe. Semuenzaniso, kune dzakawanda zvevanhu vanowanzosiyana neHodgkin lymphoma (NHL), chikwata chekutanga kana chirwere chechipiri chechirwere chisina simba chinotaridzirwa zvishoma panguva yechikamu chechitatu kana kuti IV inofungidzirwa mberi, uye kurapa kunorudzirwa zvakakodzera; uye, nokuda kwechikamu chechipiri bulky lymphomas, zvirevo zvekufananidzira zvinoshandiswa kubatsira kuziva kuti kana lymphoma inofanirwa kurapwa sechikwereti kana kupfuura.
Kune mamwe mhando dzeNHL, lymphoma inokura nokukurumidza inonzi Burkitt lymphoma, somuenzaniso, danho harina kukosha pakusarudza kurapwa.
Chii chinonzi Classification Lugano?
Ikozvino maitiro eNHL kune vanhu vakuru ndeyekugadzirwa kweLugano, iyo inobva kune yakwegura Ann Arbor system.
Kune zvikamu zvina zvikuru, pamwe chete ne descriptors uye modifiers.
Stage I
Chirwere chacho chiripo muboka rimwechete re lymph nodes , kana, kazhinji kazhinji, mune imwe nhengo isiri ye lymph system.
Stage II
Kanzira inowanikwa mumapoka maviri kana kupfuura emakirinikodhi kune rumwe rutivi rwemuviri maererano neharura. (Mutsara ndeye mutsara wakaonda pasi pemapapu anobatsira mukufema uye anoparadzanisa chifuva chako kubva mudumbu). Mukuwedzera, nhengo kwete mu lymph system inogona kuve yakabatanidzwa pedyo nenharaunda dzinobatanidzwa.
Stage III
Chirwere chacho chiripo mumapoka e-lymph node kumativi ose echeka, dzimwe nguva nekubatanidzwa kwezvimwe nhengo dziri pedyo. Kana chirwere chacho chakabatanidzwa ipapo chirwere chinova danho rechitatu pamwe chete.
Stage IV
Kana chiropa, mapfupa emapfupa , kana mapapu akabatanidzwa, chirwere chacho chiri muchitambo IV. Izvozvowo ndezvechokwadi kana dzimwe nhengo dzichibatanidza kure kure nhengo dzinobatanidzwa.
Iko Tsamba A neB Stand?
Iwe uchawanzowana mamwe mabhii akashandiswa nesiteji kurondedzera lymphoma. Zvinonyanya kukosha ndezvekuti A uye B. Kazhinji, varwere vanogona kuva nefivha, kuora muviri, kana kuwedzerwa usiku kuputika sezviratidzo. Kana chimwe chezviratidzo izvi (zvinonzi 'zviratidzo' B) zviripo, 'B' inowedzerwa kudondedzero yavo yepakati.
Kana pasina chimwe chezviratidzo izvi chiripo, 'A' yakawedzerwa. Avo vane B-zviratidzo zvinogona, pane dzimwe nguva, kuva nemigumisiro yakaipisisa kune avo vasingaiti; zvisinei, kuvapo kwezviratidzo zveB kunogona kuwedzera kana kuderedza chirongwa chekliniki, zvichienderana nerudzi rwe lymphoma.
Uye Chii E uye S?
Kana chero nhengo iyo isiri ye lymph system inobatanidzwa, inoratidzirwa ne'E 'mushure mechikamu. 'E' inoreva kuwedzera kwechiremera chekuita. Kana chirwere chacho chikabatanidzwa, tsamba inobvumirana ndeye 'S'.
Shoko Rinobva
Chirwere chepamusoro-chetachiona hazviwanzoguma nemugumisiro wakaipa. Chirwere chechirwere chinhu chakakosha chinogadzirisa kubudirira kana kukundikana, asi varwere vakawanda vane lymphoma yakagadziriswa vanoporesa.
Mhando dzakasiyana-siyana dze lymphoma dzine migumisiro yakanaka nekurapa kunyange muhutachiona hwepamusoro. Kazhinji, zvimwe zvinhu zvakadai sezera rako kana ukuru hwechirwere chako zvakakosha zvakaenzana pakufananidzira. Chiremba wako ndiye munhu akakodzera kukutungamirira maererano nemikana yako yekubudirira kurapwa kana kukundikana.
> References:
> America Cancer Society. Non-Hodgkin lymphoma stages. https://www.cancer.org/cancer/non-hodgkin-lymphoma/detection-diagnosis-staging/staging.html. Yakasvika musi waAugust 28, 2017.
> America Cancer Society. Hodgkin lymphoma zvidzidzo. https://www.cancer.org/cancer/hodgkin-lymphoma/detection-diagnosis-staging/staging.html. Yakasvika musi waAugust 28, 2017.