Kutadza kwezviratidzo kunoita kuti kuongororwa kunetseke
Lymphoma inorudzi rwekenza inobata rudzi rwechichena chezivo reropa rinonzi lymphocyte . Sezvo nemhando dzose dzekenza, lymphoma inosanganisira kukura kusina kukwana kwemasero. Muchiitiko ichi, lymphocytes inobatwa inotanga kukura nekuwanda isingabvumirwi, kudzivisa kutenderera kwechirongwa chema cell death (apoptosis) inobvumira masero matsva kuti atsive masero ekare.
Sezvo cancerous lymphocytes inopararira zvakasununguka kuburikidza neropa, inogona kukonzera kugadzirwa kwemakumbo mune zvikamu zve lymphatic system-zvikurukuru lymph nodes asiwo spleen, thymus, toni, uye adenoids.
Lymphomas inogona kukura mune dzimwe nhengo dzomuviri pamwe chete, nokuti mishonga ye lymphoid inogona kuwanikwa mumuviri wose. Sezvo zvakadaro, 40 muzana yemarymymmas inowanikwa kunze kwerinomutambo, kakawanda mumatomu emimba. Imwe yezviratidzo ndeyeirarectal lymphoma.
Kunzwisisa Colorectal Lymphoma
Colorectal lymphoma inokwana 15 kusvika ku20 muzana yematumbu inonzi lymphomas (inofananidzwa ne50 kusvika ku60 muzana mudumbu uye 20 kusvika ku30 muzana mumukomana muduku). Chinosiyanisa utachiona lymphomas kubva kune dzimwe mhando dzose inowanzove isina kukwana kwezviratidzo zvinoratidza.
Mienzaniso inosanganisira:
- Kushayikwa kwemazwi emakirini akawedzerwa pakuongorora kwepanyama.
- Kushayikwa kwemaitiro emakiromita akawedzerwa pa X-ray.
- Kushayikwa kwemasero masero eropa risingawanzoreki kana marora emafuta zvisiri izvo.
- Kushaikwa kwechirwere chisina kujairika kana chiropa.
Zvimwe kana zvose zvezvinhu izvi zvinotarisirwa mu "classic" case of lymphoma.
Hazvina kudaro nepamusoro pemimba yakagadzikana lymphoma.
Zviratidzo uye Kuongororwa
Colorectal lymphoma inowanzoonekwa mune vanhu vanopfuura makumi mashanu, pamwe chete nevaya vane chirwere chinoputira chirwere (IBD) , uye vanhu vane zvirwere zvakakomba zvemasimba. Zvose zvinosanganisira rudzi rwe lymphoma inonzi kwete Hodgkin lymphoma (NHL).
Zviratidzo zvinowanzoitika kana mushure mekugadzirwa kwemarara, panguva iyo munhu angave ane zviratidzo zvakadai se:
- Marwadzo emudumbu.
- Kusatsanangurira kuyerwa kwekuresikirwa kwepamusoro pe5%.
- Kucheka kwepamuviri kubuda ropa uye / kana mabheji ane ropa.
Kusiyana nemamwe makondombera anokonzera korosi kana rectum, hapana kazhinji chero chidziviriro chemuviri kana kuputika kwechidziviriro kubvira apo bundu racho pachayo richave rakakanganisika uye rakanyorova. Vazhinji maharairare lymphomas vanozivikanwa vachishandisa kombiyuta yakaitwa tomography (CT) scan kana kaviri-yeparamasi ye-barium neema-X-ray.
Nemhaka yekupedzisira kwekuratidzwa kwezviratidzo, hafu yezvose colorectal lymphomas inowanikwa padanho rechina zvirwere, apo kenza ingangopararira kune dzimwe nhengo. Mishonga yakagadziriswa yakaoma zvakanyanya kuoma kubata.
Kurapa
Kurapa kwe colorectal lymphoma kunowanzofananidzwa nedzimwewo zviratidzo zveNHL. Zvichienderana nechirwere chekenza, zvinogona kusanganisira:
- Chemotherapy inoshandiswa sevhirwere muzviputi.
- Radiotherapy inoshandiswa kupedza maumbirwo emakumbo matsva (kunyange zvazvo kurapwa kunosanganiswa nepamusoro yezvinetso).
- Kuvhiya kubvisa chiremera chikuru (kana kenza isati yasati yasvika).
Muzviitiko zvakawanda, kusanganiswa kwekuvhiya nekugadzira uye chemotherapy kunoshandiswa. Kutsvakurudza resection kunosanganisira kubviswa kwechikamu chekoloni nekenza, iyo migumo yaro inosanganiswa zvakare ne sutures.
Kana yakashandiswa pamwe chete, kuvhiyiwa uye chemotherapy zvakaratidzwa kuwedzera nguva dzekugara nekune imwe nzvimbo kubva pamakore 36 kusvika ku 53. Mumamiriro ezvinhu apo metastasis yakangobata nhengo imwechete (asi inopesana nhengo dzakawanda), chiitiko chacho chakaita kuti 83 muzana yevarwere vanorarama kwemakore gumi kana kupfuura.
Nekuvhiyiwa ndoga, kudzoka kwemitengo yakakwirira (74 muzana), ine huwandu hwekufa nekuda kwehosha yakawanda (yakapararira). Sezvo zvakadaro, chemotherapy inonzi inofanirwa kuti iwedzere kuva nechokwadi chekugara kwenguva refu. Pasina iyo, kudzoka kunowanzoitika mukati memakore mashanu.
> Source
- > Quayle, F., uye Lowney, J. "Colorectal Lymphoma." Clin Colon Rectal Surg. 2006; 19 (2): 49-53.