Follicular lymphoma: zizindikiro zimayambitsa, chithandizo. Nthawi ya chikhululukiro ndi muyambirenso follicular lymphoma

Lymphoma amatchedwa matenda imagwira minofu lymphatic. Pankhaniyi, maselo akhudzidwa kuyamba kugawa ndi mwamphamvu imfayo disruptions mu kugwira ntchito za masiku onse ziwalo za thupi la munthu. Wakutali gulu matenda: matenda Hodgkin (kapena otchedwa matenda Hodgkin a) ndi lymphoma sanali Hodgkin a (kuphatikizapo follicular sanali Hodgkin lymphoma).

Dongosolo lymphatic. Kodi ichi

Mbali ya chitetezo cha m'thupi la thupi lathuli ndi lymph, ntchito yaikulu imene - chitetezo mitundu yonse ya matenda ena. Ndi zopezera njira kudzera amene madzimadzi amasuntha mmodzi - lymph. M'kupita kwa capillaries anati lymph mfundo kumene lymph limayenda ndi maselo wapadera - lymphocytes. Pali subspecies angapo. B lymphocytes ndi udindo chitetezo chokwanira anapeza kuti matenda opatsirana. Lumikizanani ndi tizilomboto, iwo kuthetsa zotsatira zake ndi kulisunga m'maganizo mwanga. B lymphocytes - wothandizira zofunika mu mapangidwe ubwino wa katemera. Ambiri (80%) lymph akupanga T lymphocytes. Iwo ali ndi udindo kuwonongedwa kwa mitundu yonse ya mavairasi, mabakiteriya. NK-maselo zimapezeka lymph mu pang'ono (10%). Ntchito yawo yaikulu - kuwonongedwa maselo yake kuonongeka (kuphatikizapo matenda monga lymphoma follicular).

Kodi ndondomeko zilonda mu dongosolo lymphatic

Neoplastic ndondomeko ayamba kukhala ku maselo a dongosolo lymphatic (B maselo). Matendawa matenda makamaka achikulire, ana zimachitika nthawi zina. Follicular lymphoma Dzina limeneli chifukwa chakuti kwenikweni zimakhudza tsitsi follicle. Nthawi zambiri, zotupa ali anamuona pa khosi, m'khwapa, groin. The peculiarity wa lymphoma izi odwala kupempha thandizo mochedwa kwambiri. Maselo akhudzidwa kudutsa mu ziwalo zonse za mkati, kusokoneza ntchito yawo. Ngakhale follicular lymphoma iiia zokwanira labwino komanso mankhwala, magawo kenako matenda musalole kuti kwathunthu kuchotsa matenda.

zingayambitse matendawa

The zifukwa enieni amene amathandiza kuti chitukuko cha khansa, akatswiri sitinganene kuti. Komabe, pali zinthu zingapo zimene zingachititse kuti n'zotheka chotupa chija. Mmodzi wa iwo - masinthidwe jini, khromozomu. Ntchito zinthu akumane, anakumana okhazikika ndi mankhwala woopsawo ingakhalenso chothandizira wa chikhalidwe monga lymphoma follicular. The zimayambitsa matenda zingakhale motere: cheza padzuwa, immunodeficiency kufooka kwa thupi, ndi matenda autoimmune. Akatswiri ena kusiyanitsa zinthu monga kusuta fodya, kumwa mankhwala ena, ndipo ngakhale kunenepa.

symptomatology lymphoma

Zizindikiro Follicular lymphoma ndi m'malo ofooka, makamaka siteji koyamba. Choyamba, pakhala pali ena kuwonjezeka kwa mwanabele. Komabe, iwo ali sabweretsa chisoni. Characteristically, ndi kutupa pang'ono nthawi Mwamsanga, ndiye anatchulidwanso. Mfundo imeneyi iyenera makamaka tcheru. Kuwonjezera mayunitsi ndi sternum. Kunja akhoza wasonyeza kutsokomola, kufupika kwa mpweya. Chance waung'ono athamangadi-pankhope. Nthawi zina, kuvutika ndi ndulu. Zizindikiro Follicular lymphoma angakhale ndi zofala: kuwonda, kutopa ambiri, kufooka kwa thupi. Komabe, zizindikiro - kupatulapo m'malo ulamuliro, iwo anati mu mtima ndi munthu mmodzi yekha khumi. masiteji More choopsa cha matenda yodziwika ndi kuwonongeka kwa wamanjenje dongosolo, makamaka mafupa. Pa mfundo yomweyi ya chizungulire, kunyansidwa, ndi kukomoka zotheka.

Gulu la khansa ndi magawo a otaya

Pali mitundu ingapo ya lymphoma. Choyamba - follicular. Zamkatimu wa follicles mu nkhani iyi ndi 75%. Ngati pali mu osiyanasiyana 25-75%, izi follicular-akakufunsani subspecies. Mu mtundu akakufunsani chidwi zosakwana 25% follicles. Follicular lymphoma (iiia) chikuchitika mu magawo angapo. Pa siteji koyamba, malo amodzi okha zimakhudzira lymph mfundo. Gawo lachiwiri amakhala ndi ndondomeko pathological zokhudza mbali ziwiri kapena zambiri (koma kumbali womwewo wa chifundamtima). Pamene lachitatu digiri anakhudzidwa m'dera mbali zonse za chifundamtima. Mbali aakulu anayi. Zosintha zina zimachitika ziwalo ndi machitidwe (a m'mafupa, chiwindi, etc.). Nthawi zina mawerengero siteji lymphoma kuwonjezera makalata kapena B. Izi zikusonyeza ngati follicular lymphoma zizindikiro za mtundu otsatirawa: "B" - pali kusintha mu thupi kutentha (ndi kuwonjezeka nthawi zina), kuwonda, thukuta usiku. Lymphoma m'ma manambala oyambirira "A" - deta popanda zizindikiro.

Njira Kupeza Vuto lymphoma

Choyamba, Mkuluyo (onco-panthawiyi, dokotala) kuchititsa kufufuza zithunzi wodwalayo. Ndi kuvomerezedwa histological Kupenda la chitsanzo. Kuchita izi, ndi biopsy imagwiridwa. Chidutswa cha wathuyo lymph mfundo chikutha ndi kufufuza simungathe kutiona. Dziwani atatu cytological mtundu wa matenda amene amafuna chithandizo chosiyana. Yoyamba amakhala ndi kukhalapo kwa centroblasts mpaka asanu m'munda wa view wa maso pa, wachiwiri - magawo 15. Mtundu wachiwiri wa mantha cytological amafuna mankhwala amphamvu chifukwa mokwanira aukali. Follicular lymphoma 3a cytological mtundu ali kuti madokotala ananena zawo kwambiri akumane. M'munda wa view wa maso mukhoza kuona zotupa kwambiri. Komanso, wodwala ayenera kupereka magazi (zolembera chotupa, ndi kusanthula wonse), kudali ultrasound Kupenda ziwalo, CT kapena Kujambula. Pofuna kudziwa ngati anakantha chapakati mantha dongosolo, msana unachitikira mpanda kuti mudziwe zambiri pa maselo a khansa.

Follicular lymphoma. chithandizo

Mu zaka zapitazi, chiwerengero cha odwala ndi matenda amenewa chawonjezeka kwambiri. Monga ulamuliro, koyambirira sanaone zophuka bwino mwayi wodwalayo kuti apulumutse moyo wawo. Lymphoma amakhala ndi mwachilungamo waulesi, kotero zina dokotala kusankha masewera wodikira, kungokhala kusintha konse mu thupi la munthu. Ichi ndi chifukwa chakuti onse mankhwala amphamvu ndi opaleshoni si kwathunthu anayesedwa ndi kukhala mbali zawo zoipa. Follicular lymphoma chikhululukiro ukhoza kwa zaka zingapo. Ngati patsogolo khansara akuyamba, mankhwala ayenera kuchitidwa mwamsanga. Mwa njira zikuluzikulu za mankhwala ayenera kukhala poizoni mankhwala amphamvu, mankhwala mankhwala. Malinga mtundu wa lymphoma, kukhudzana dera chingalepheretse musabise zotheka. Mu gawo loyamba la nthawi matenda a chikhululukiro olembedwa odwala ambiri.

kunyamula Morning

Modzikhulupirira Morning (ndi mankhwala makamaka angapo) mu magawo oyambirira lymphoma angathe kuchepetsa mosavuta zisadzachitikenso. Kwa nthawi yaitali njira imeneyi ankaona mankhwala yaikulu ya khansa. Morning umalimbana kuwonongedwa kwa maselo chotupa pa chulutsa awo. Kuphatikiza formulations zingasokoneze ndondomeko ya kugawikana mu kosiyana, kotero ntchito yawo bwino. Komabe, mankhwala amphamvu ali mavuto aakulu pa ziwalo zina (khungu, tsitsi, ndi zina zotero. N.). Amadwala mankhwala awa ndi mafupa. Pa mankhwala, munthu amakhala kuti atengeke matenda opatsirana angaoneke mikwingwirima angapo ndipo magazi. mankhwala mankhwala zimachititsa kupanga kuzikonzanso asidi uric, imbaenda kuna mapangidwe miyala impso. Komabe, zochita zonse chowawa kutha patapita masabata angapo pambuyo maphunzirowa. Tikumbukenso kuti ena mankhwala amphamvu mankhwala akhoza kuchepetsa achiyesa umuna anthu, n'zothandiza osabereka mu akazi.

Mankhwalawa Monoclonal chitetezo

Follicular lymphoma amaliona ndi mankhwala atsopano ngati chitetezo monoclonal. Iwo purposefully kuwononga yekha maselo lymphoma. Njira imeneyi makamaka ogwira limodzi ndi mankhwala amphamvu. chitetezo Monoclonal penapake kuchepetsa kawopsedwe mankhwala. Odwala anati Kutalika kwa chikhululukiro cha lymphoma follicular. Nthawi zina, nkotheka matupi awo sagwirizana anachita, kotero utsogoleli woyamba wa chitetezo zikuchitika kwa nthawi yaitali. Pamaso mankhwala wodwala chofunika mlingo mankhwala antiallergic.

zisadzachitikenso matenda

Danae matenda yodziwika ndi kupitilira akuchedwa magawo oyambirira, nthawi chikhululukiro ukhoza kwa zaka 20. Nthawi zambiri kobwereza follicular lymphoma anati mu mtundu 3a cytology. Pankhaniyi, mungafunike maselo kupatsidwa zina. Woperekayo akhoza kukhala mbale (mlongo), ndi achibale sanali magazi. Ndondomeko anachita odwala osati zaka zoposa 70, lomwe ndi momuuza wabwino kwa mankhwala amphamvu ndipo ali ndi boma zogwira mtima wa thanzi. Pambuyo kupatsidwa zina, patsogolo ndi anati pafupifupi theka la odwala. Kupulumuka kumatengera zifukwa zambiri. Choyamba, siteji ya matenda n'kofunika, kafukufuku wakapangidwe kazachilengedwe kusintha (kuneneratu follicular lymphoma m'malo akumane mu ndime yachinayi). Tikumbukenso kuti kulimbana bwino ndi matenda a achinyamata. Nkofunika kuzindikira lymphoma nthawi, choncho musataye mayeso njira ndi akatswiri.