25 Zvirwere zvakasiyana uye Tsanangudzo
Izvo zvikamu zviviri zvakakosha zve lymphoma ndiHodgkin lymphoma uye isiri Hodgkin Lymphoma , kana NHL. Non-Hodgkin lymphoma ibato guru kwazvo rezvirwere, kazhinji neine zviratidzo zvakasiyana, kurapa uye zvibereko. Zita rakananga remhando yako yeNHL rinogona kusanganisira mamwe mazwi anotsanangura angave akaoma kunzwisisa. Heino tsanangudzo yemamwe aya mazwi.
T-cell kana B-cell
Lymphomas inobva ku-lymphocytes, rudzi rwezungu chena cheropa. Lymphocytes ndeyemarudzi maviri: T masero uye masero B. Zvose izvi zvinobatsira pakuuraya vanopfurikidza asi nenzira dzakasiyana. Zvichienderana nemhando ipi yeropaiti yakashandurwa kuva kenza yemuviri mumuviri wako, unogona kuva neT-cell kana B-cell lymphoma. B-cell NHL ndiyo inowanzosiyana-siyana. Kune marudzi mazhinji akasiyana eB cell uye T seli lymphomas, mumwe nomumwe achiita nenzira yakasiyana.
Pamusoro, Pakati pepakati, kana muzasi
Pathologists, avo vanotarisa biopsy kubva mumarara enyu, kazhinji vanotsanangura marariya maererano nesheji. A high-grade lymphoma ine masero anotarisa zvakasiyana nemasero akajairika. Vanowanzokura nokukurumidza. Low-grade-lymphomas ine masero anotarisa zvikuru semasero akajairika uye anowedzera zvishoma. Mapirasi emakirini emakemikari akaenzana anowira mune imwe nzvimbo. Maitiro emhando idzi anotsanangurwawo sekuti indolent uye utsinye.
Kuvhiringidza kana kusuruvara
Izvo zvinoratidzirwa nehutachiona semakiresi epamusoro-grade kana pakati-kati-lymphoma inowanzokura nokukurumidza mumuviri, saka idzi mbiri dzinonzi seNHL ine utsinye . Zvinoshamisa kuti NHL inotyisa inowanzoita zviri nani mukurapwa, uye vanhu vazhinji vane NHL vane utsinye vanoporesa kana vachiongororwa kare.
Rudzi rwakawanda zvikuru rwerous lymphoma runopararira chikuru B-cell lymphoma (DLBCL).
Kirasi-kirasi NHL, kune rumwe rutivi, inokura zvishoma, uye aya lymphomas saka anonzi indolent NHL . Iri boka reNHL harisi kupa zviratidzo zvakawanda, asi zvakare rakagara kwenguva refu uye hazvikwanise kurapwa. Rudzi rwakakurumbira rwe indolent lymphoma ndeye follicular lymphoma. Dzimwe nguva indolent lymphomas inogona kuchinja ichiita chimwe chinhu chinotyisa.
Nodal kana Extranodal
Ruzhinji rwe lymphomas runonzi nodal lymphomas, zvinoreva kuti dzinotanga mumakirini. Zvinogoneka, zvakadaro, kuti lymphomas dzinomuka pose pose. Apo lymphoma inonyanya kuwanikwa munharaunda dzako, inonzi chironga chinonzi nodal. Dzimwe nguva, zhinji ye-lymphoma inogona kunge iri munhengo iyo isiri chikamu che lymph system-kufanana nedumbu, ganda kana uropi. Mumamiriro ezvinhu akadaro, lymphoma inonzi inonzi extranodal . Nodal uye kuwedzeredza kunotarisa kunzvimbo yekutanga yechirwere ichi. A lymphoma inogona kukura muine lymph node uye inosvika pakubatanidzwa zvimwe zvivako gare gare, zvisinei. Mumamiriro ezvinhu akadaro, ichiri kuonekwa se nodal lymphoma asi inonzi inobatanidzwa neexranodal.
Kupararira kana Follicular
Aya ndiwo mamwe mazwi maviri anoshandiswa nehutano.
Mu follicular lymphoma, kenza dzemasero dzinoronga pachavo mumasumbu akaoma anonzi follicles. MuNHL yakapararira, masero anopararira akapoteredza pasina kubatana. Kazhinji yenguva yakaderera yeNHL inotarisa follicular, uye NHL iri pakati-kati kana yepamusoro-grade inotaridzika mune zvinyorwa zvebiopsy.
Kazhinji kana Kazhinji
Non-Hodgkin lymphomas inonziwo yakajairika kana yakawanda, yakabva pamatare akadai senhamba yezviitiko zvitsva pagore. Kunyange zvazvo miitiro yakawanda yeNHL ingave yakawanda yakagadzirirwa kuita maitiro uye zvirongwa zvekurapa, zvose zvinowanzoonekwa uye zvisingawanzovi lymphomas zvinogona kurapwa uchishandisa nzira dzakasiyana-siyana dzakasiyana, uye kurapwa ndizvo zvinowanzoendeswa kuongororwa mumakiriniki.
B-cell lymphomas yakawanda kupfuura T-cell lymphomas. B-cell lymphomas inosanganisira zvose DLBCL-iyo yakajairika yakaipisisa lymphoma-uye follicular lymphoma, iyo inonyanyozivikanwa nedolent lymphoma.
Mhando dzakasiyana-siyana dzeNHL dzinonzi dzinonzi lymphomas dzisina kukwana. Mienzaniso inosanganisira Waldenstrom Macroglobulinemia, inonyanya kunetseka nerve system lymphoma , uye nheyo yepamusoro yakakonzera lymphoma, iyo inenge iri nguva dzose NHL.
Shoko Rinobva
Kune dzimwe nzira dzakawanda dzokugadzirisa lymphoma, uye kwete lymphomas yose inowira zvakanyatsopinda mune zvekare zviripo. Dzimwe nguva lymphoma inorondedzerwa se "yakakura" lymphoma, yakadai seyakura B cell lymphoma kana kuti yakakura T-cell lymphoma. Izwi rinokura mumatambudziko aya rinoreva kuti masei anouraya anowedzera mberi mukurudzirwa kwekukura kwe lymphocyte; mune mamwe mazwi, kenza yakagadzirwa kubva muchitokisi iyo yaive "yakakura" kana kuti pedyo nekugadzirisa kwechigarire chechinyorwa chekare chinowanzove chiri.
Ikokowo inogona kunge iine zvinyorwa kune apo lymphoma inokura. Semuenzaniso, T-cell lymphoma inogona kuiswa (muganda). Peripheral T-cell lymphoma ine boka risingawanzi uye rinowanzotyisa NHLs rinokura kubva paT-seli dzakakura.
Sources:
American Cancer Society. Ndezvipi zvinyorwa zvinokosha pamusoro pevanhu vasiri Hodgkin lymphoma?
Rapiti E, Guarnori S, Pastoors B, Miralbell R, Usel M. Kugadzirira ramangwana: chirwere chekenza chinotarirwa muSwitzerland kusvika muna 2019. BMC yehutano hwehupfumi . 2014; 14: 102.
Chihara D, Ito H, Matsuda T, et al. Kusiyanisa mumagariro nemafungiro ematambudziko ehutatori muJapan neUnited States. British Journal yeHematology . 2014; 164 (4): 536-545.
Israel: Misika Yakakwirira Mukurumbira weHingodkin's Lymphoma.