Ndeupi rudzi rweHasi-Hodgkin Lymphoma DLBCL?
Kupararira kukuru B-cell lymphoma ndiyo inowanzozivikanwa yeusingaiti Hodgkin's lymphoma (NHL) Ndiyo lymphoma yeB lymphocyte, kana kuti "B masero. "
Kanzuru Dzachirwere
DLBCL's inodhaka zvekenza. Iko dzimwe nguva kunonzi "grade yepamusoro" kana kuti "mapeji mapfupi" eymphmasma kusiyana ne "lower grade" lymphomas inowedzera kukura. Izvi zvinoreva kuti vanogona kukura nokukurumidza nekupararira nokukurumidza kune dzimwe nhengo dzomuviri.
Izvi zvinotyisa zvinogona kutinhira zvinotyisa kusvikira iwe uchitarisa maitiro atinoita mararamiro. Mishonga yakadai sechemotherapy inouraya masero anokura nokukurumidza. Saka munguva ino kana tine mishonga inowanika, mumwe munhu kazhinji anowanzo "kurapwa" kubva kune imwe yepamusoro lymphoma pane kubva kumucheto wegym lymphoma. Vanenge 70% yevanhu vanobatwa neDLBCL vacharapwa zvechirwere chavo.
Kuonekwa
I-ma-B-cell muDLBCL akare, uye anotarisa zvakasiyana nemasero evanhu B. Apo lymph node inogadziriswa, aya masero aripo pose pose paine lymph node - mukupararira kwakawanda kunoita kuti zita rake riwedzere.
Ndiani Anozviwana
Kuparadzanisa B-cell lymphoma yakakura kunowanzokonzera avo vanopfuura makore makumi mashanu, kunyange vanhu vezera ripi zvaro vanogona kuzviwana. Ivhareji yemakore ekuongororwa ndeye 64. Inowanzoonekwa kune varume kupfuura vakadzi. DLBCL, kusiyana nemamwe mishonga, haina kuonekwa kuti inomhanya mumhuri.
Zviratidzo
DLBCL inowanzowanikwa apo mumwe munhu akanyora chikwata chakareruka, asi chisingaregi mutsipa kana kugomera.
Vamwe vanhu vangave vane izvo zvinonzi B zviratidzo zve lymphoma izvo zvinosanganisira fevha uye kunononoka usiku.
DLBCL Inobatsira Sei Mutumbi?
Inenge 2/3 yeavo vakaparadzira B-cell lymphoma yakakura yakaita zvirwere panguva yekuongorora, ichienderera kune zvikamu zvakasiyana zvemuviri. Muchikamu chinenge hafu yevarwere, chirwere chacho chinokanganisa chikamu chemuviri kunze kwemakirini, sezvakaita mudumbu ( inonzi extranodal disease ).
Mushonga wepfupa unobatwa mune 10-20% yevarwere.
Kuziva
Kuongororwa kwe lymphoma kunowanzoitwa neine lymph node biopsy . Chirwere ichi chinosimbiswa se-lymphoma, uye rudzi rwe lymphoma runotsanangurwa nokutarisa masero ayo pasi pe microscope uye kuongororwa kwakadanwa kunonzi CD markers . Varwere vatsva vanoongororwa vanofanira kuongororwa mutsva kuti vaone kuti chirwere ichi chinokanganisa sei muviri.
Kurapa
Kurapa kunoenderana nesero re lymphoma uye rinogona kusanganisira:
Chemotherapy uye monoclonal antibody therapy - Almost all patients receive chemotherapy. Hurumende inowanzozivikanwa ndeye R-CHOP kana CHOP ye 6-8 maitiro. Mishonga iyi muR-CHOP inosanganisira:
- Rituxan (rituximab) - Rituxan inonzi monoclonal antibody . Miti yedu inoita zvirwere zvinorwisa mabhakitiriya nemavirusi anopinda miviri yedu. Rituxan inonyanya kushandiswa nevanhu, izvo zvinokurudzira mabhakitiriya nemavirusi, zvinorwisa masero ekenza panzvimbo.
- Cytoxan (cyclophosphamide)
- Adriamycin (doxorubicin)
- Oncovin (vincristine)
- Prednisone
Zvinyorwa zvinowanzoitwa mushure memavhiki matatu ehuwandu hwemasere gumi.
Radiation - Radiation therapy ingasanganiswa sechikamu chekurapa kune avo vane matanho ekutanga eDLBCL. Mazai munyaya iyi anowanzoendeswa kunzvimbo dzinobatwa nekenza.
Kudzoka kana Kushivirira DLBCL
Ruzhinji rwevanhu ruchaporeswa nemakemikari ane utsinye. Avo vasina kurapwa kana kuti vanodzokorora zvirwere zvavo vane maitiro ekuwedzera chemotherapy, antibody therapy uye stem cell transplantation.
Prognosis
Kufananidzira kweDLBCL kunoenderana nezvimwe zvinhu zvinosanganisira makore uye nhanho yezvirwere. Zvinhu izvi zvinotsanangurwa muchikamu chekufananidzira kweChina-Hodgkin Lymphoma (NHL) .
Kutsungirira uye Kutsigira
Kunyange zvazvo DLBCL ine chirevo chakanaka - kusvika kumakumbo e-lymphomas anoenda - zvinotyisa kuonekwa nekenza. Svika kumhuri neshamwari.
Tsvakurudzo uye dzidze nezvehosha yako nekuwana ruzivo rwechokwadi. Funga kubatana neboka rinotsigira munharaunda yako kana chengetedza misha yekutsigira yeDLBCL iri paIndaneti. Uye ramba uchifunga kuti kurapwa kwekenza kunovandudza nguva dzose - zvose mumarapirwo anovandudza mararamiro ehupenyu, uye mune izvo zvinounza madhara mashoma.
Sources:
Freedman, A., uye J. Friedberg. Mashoko ekushivirira: Anoparadzira chikuru B cell lymphoma muvanhu vakuru (Beyond the Basics), UpToDate. Updated 06/30/15. http://www.uptodate.com/contents/diffuse-large-b-cell-lymphoma-in-adults-beyond-the-basics