Chii Chinonyanyokosha CNS Lymphoma uye Yakasiyana Sei nedzimwe maLymphomas?
Chii chinonyanya kushandiswa kweCSS lymphoma? Ndezvipi zviratidzo uye zvipingamupinyi, uye sei inowanikwa?
Primary Primary CNS Lymphoma - Tsanangudzo
Primary Primary CNS Lymphoma inoratidzika isiri yeHin-Hodgkin lymphoma (NHL) inobata chete uropi. Izvi zvinogona kusanganisira uropi pachedu, meninges (iyo micheche inowedzera uropi,) rwonzi rwepelinha, kana maziso. Mamwe maitiro e-lymphoma anogona kupararira kune uropi mushure mekukanganisa mamwe mitezo yomuviri seyine lymph nodes.
Zvisinei, mukutanga CNS lymphoma hapana imwe nhengo yemuviri inobatwa.
Ndiani Anowana Pamba Primary CNS Lymphoma?
Primary Primary CNS lymphoma inowanzoonekwa kune avo vari mumakumi mashanu uye makumi matanhatu, kunyange zvazvo inogona kuitika chero ipi zvayo. Izvo zvinowanzozivikanwa kune avo vane kudzvinyirirwa kwezvirwere zvemuviri, sezvakaitwa muAIDS. Ona nyaya pamusoro peChondomende yeNCS Lymphoma neHIV / AIDS kana uri kurwisana nekutanga kweCSS lymphoma pamwe nekuwana chirwere cheAIDS, sezvo kurapwa uye kufungidzira kwakasiyana zvikuru. Munzvimbo dzakawanda dzenyika, nhamba yevarwere vane Non-Hodgkin lymphoma yakawedzerwa kakawanda kubva pakupera kwezana remakore rapfuura, nekuda kwezvikonzero zvisingave zvakajeka.
Zviratidzo Zvinonyevera
Inenge vanhu vose vane nhengo yeCS-lymphoma inonyanya kuwirirana yeNHL. Zviratidzo zvinowanzoonekwa zvinosanganisira kuora musoro uye kuchinja unhu uye kuchenjerera. Zvimwe zviratidzo zvinogona kusanganisira kushungurudza uye kurutsira, kuonekwa kunoonekwa, kushaya simba kana kuora mwoyo, kutaura kwekutaura, kana kurasikirwa mupfungwa.
Zviratidzo zvinowedzera nokukurumidza, uye vazhinji vanoda kuti vaone chiremba mukati memavhiki madiki kutanga kwezviratidzo.
Miedzo uye Kuongororwa
CT naM MR scans vanogona kutora chivimbo chepfungwa se lymphoma. Vanachiremba veurwere vanofanirwa kutora biopsy duku kubva mumarara kuitira kuti vasimbise se lymphoma. Izvi zvinowanzoitwa kuburikidza nenzira inonzi stereotactic biopsy.
Kunyatsobvisa kubvisa kwechirwere hazvidiwi. Chirwere chinonzi cerebrospinal fluid (CSF) chinoitwa nekutora shoma shoma kubva mumutsipa wako wepelinha kuburikidza neshure (( spinal tap kana kuvhara kwemavara .) Miedzo inobva yaitwa kuti irege kutarisa zvirwere mune chimwe chikamu chemuviri, kusanganisira mafupa anonyangadza, uye zvichida CT mapundu emapfupa ako, mimba, uye mapfupa. Ndizvo chete zvinogona kunzi "primary CNS lymphoma".
Kuchengetedzwa Kwema Primary Primary CNS Lymphoma
Kurapa kwepakutanga CNS lymphoma yakasiyana nedzimwe mhando dze lymphoma. Izvi ndechokuti vashomanana mishonga inobatsira kune dzimwe mhando dzemarikirini inogona kusvika kuuropi. Nhungetedzo yemakemikari inozivikanwa sehupombwe yeropa inofanirwa kuchengetedza uropi kubva muhupfu, asiwo "inodzivirira" uropi kubva kune zvinodhaka zvakadai sekemotherapy.
Makumi makumi emakore mashomanana adzo, radiotherapi kuuropi rose ndiyo chete inoshanda mushonga. Iye zvino, chemotherapi nemamwe madhiragi pamisero yakakura inokwanisa kutarisira chirwere chiri nani uye kukwanisa kugadzirisa matambudziko akatarisana kare nekuda kwekushayikwa kwekupindira kweropa rechechi.
Mukuwedzera kune chemotherapy uye remishonga inonzi radiation, makiriniki ekuedza ari kuwana zvikurudziro zvinokurudzira neropa rekusangana kwemasero, uyewo chirongwa chinorapwa (monoclonal antibody therapy kunyanya.)
Ona nyaya yakazara pamusoro peChondomende CNS Lymphoma Treatmentto dzidza nezvehutano mukudzika zvakadzama.
Mhedzisiro uye Kuraira
Pamberi pekugadzirwa kwemakemikrasi anobudirira anokwanisa kusvika kuuropi, migumisiro yehutano hwepakutanga CNS lymphoma yakanga isina urombo. Kuponeswa pasina kurapwa kwaive pamakore chete kusvika ku3 chete. Migumisiro yakagadziriswa zvikuru mumakumi mashoma emakore apfuura, uye mushonga mutsva uri kunyatsodzidza mumatambudziko emakiriniki. Vamwe varwere vanogona kuporeswa iye zvino, uye vamwe vazhinji vanogona kurarama kwenguva yakareba kupfuura kare.
Support
Kana iwe wakamboongororwa uine chimiro che lymphoma, usaedza kuzviita uri woga.
Tsvaka rubatsiro pakati pehama yako neshamwari. Iwe unogona kuva neboka rinotsigira munharaunda yako, asi kana uchida kuyanana nevamwe vanotarisana nechirwere chakafanana newe, pane musha wakanaka we lymphoma uripo paIndaneti nevamwe vakawanda vari kurarama nekutanga CNS lymphoma. Zvechokwadi pane migumisiro yechirwere, pamwe nevamwe vanhu vane matambudziko nekufunga nekuyeuka , asi kunewo nzira dzakawanda dzekushanda pamwe nezviratidzo izvi kuitira kuti iwe utungamirire sechinyakare hupenyu sezvinogona. Tora nguva shoma kuti utarise mumakiriniki emakiriniki, kana taura nachiremba wako pamusoro pezvitsva zvitsva zviripo.
Sources:
Batchelor, T. Treatment uye prognosis yepamusoro inonzi central nervous system lymphoma. Kusvika pari zvino. Updated 11/15/15. http://www.uptodate.com/contents/treatment-and-prognosis-of-primary-central-nervous-system-lymphoma
National Cancer Institute. Primary Primary CNS Lymphoma Treatment - yevashandi vehutano (PDQ). Updated 04/02/15. http://www.cancer.gov/types/lymphoma/hp/primary-cns-lymphoma-treatment-pdq#section/_1