Non-Hodgkin lymphoma

Non-Hodgkin lymphoma (NHL) shine ciwon daji na ƙwayar lymph. Ana samun ƙwayar Lymph a cikin ƙwayoyin lymph, saifa, da sauran gabobin tsarin na rigakafi.

Ana samun farin ƙwayoyin jini, waɗanda ake kira lymphocytes, a cikin ƙwayar lymph. Suna taimakawa wajen hana kamuwa da cututtuka. Yawancin lymphomas suna farawa ne a cikin wani nau'in farin jini wanda ake kira B lymphocyte, ko B cell.

Ga yawancin mutane, ba a san dalilin NHL ba. Amma kwayar cutar lymphomas na iya bunkasa a cikin mutane masu rauni a garkuwar jiki, gami da mutanen da aka dasa musu wani bangare ko kuma wadanda ke dauke da kwayar cutar ta HIV.

NHL galibi yana shafar manya. Maza suna inganta NHL sau da yawa fiye da mata. Yara ma na iya haɓaka wasu nau'ikan na NHL.

Akwai nau'ikan NHL da yawa. Rarraba daya (rukuni) shine ta yadda saurin kamuwa da cutar kansa. Ciwon daji na iya zama ƙananan daraja (jinkirin girma), matsakaici a aji, ko babban matsayi (saurin girma).

An kara hada NHL ta yadda kwayoyin halitta suke kallon karkashin madubin hangen nesa, da wane nau'in farin jini yake samo asali, kuma ko akwai wasu canje-canje na DNA a jikin kwayoyin cutar kansa.

Kwayar cutar ta dogara da wane yanki na jiki da cutar ta kamu da yadda saurin kansa ke girma.

Kwayar cutar na iya haɗawa da:

• Zafin zufa na dare
• Zazzaɓi da sanyi da ke zuwa da tafi
• Itching
• Kumburin lymph nodes a cikin wuya, underarms, groin, ko wasu yankuna
• Rage nauyi
• Tari ko gajiyar numfashi idan kansar ta shafi hancin thymus ko kuma ƙwayoyin lymph a cikin kirji, tare da matsa lamba a kan bututun iska (trachea) ko rassanta
• Ciwon ciki ko kumburi, wanda ke haifar da rashin cin abinci, maƙarƙashiya, tashin zuciya, da amai
• Ciwon kai, matsalolin natsuwa, canjin hali, ko kamuwa idan ciwon kansa ya shafi kwakwalwa

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya bincika sassan jiki tare da ƙwayoyin lymph don jin idan sun kumbura.

Ana iya bincikar cutar bayan biopsy na abin da ake tuhuma da nama, yawanci kwayar cutar kwayar cutar lymph kumburi

Sauran gwaje-gwajen da za'a iya yi sun haɗa da:

• Gwajin jini don bincika matakan furotin, aikin hanta, aikin koda, da matakin uric acid
• Kammala ƙididdigar jini (CBC)
• Binciken CT na kirji, ciki da ƙashin ƙugu
• Gwajin kasusuwa
• PET scan

Idan gwaje-gwaje sun nuna cewa kana da NHL, za a yi ƙarin gwaje-gwaje don ganin yadda ya yadu. Wannan ana kiran sa staging. Tsarin kallo yana taimakawa jagorar kulawa da gaba.

Jiyya ya dogara da:

• Nau'in takamaiman NHL
• Mataki lokacin da aka fara gano ku
• Yawan shekarunka da cikakkiyar lafiyarka
• Kwayar cutar, gami da rage kiba, zazzabi, da gumin dare

Kuna iya karɓar chemotherapy, radiation radiation, ko duka biyun. Ko kuma bazai buƙatar magani nan da nan ba. Mai ba ku sabis zai iya gaya muku ƙarin bayani game da takamaiman magani.

Ana iya amfani da radioimmunotherapy a wasu yanayi. Wannan ya haɗa da haɗa abu mai amfani da rediyo zuwa kwayar cutar kanjamau wacce ke niyya ga ƙwayoyin ƙwayoyin cuta da allurar abin cikin jiki.

Za'a iya gwada wani nau'in ilimin kimiya wanda ake kira da niyya.Yana amfani da magani don mayar da hankali kan takamaiman manufa (kwayoyin) a cikin ko kan ƙwayoyin kansa. Amfani da waɗannan maƙasudin, maganin yana lalata ƙwayoyin cutar kansa don haka baza su iya yaɗuwa ba.

Za a iya ba da babban ƙwayar cutar sankara lokacin da NHL ta sake dawowa ko ta kasa amsa maganin farko da aka gudanar. Wannan yana biyo baya ne ta hanyar canzawar kwayar halitta ta kai tsaye (ta amfani da kwayoyin halittar ka) don ceton kashin bayan kashin bayan babban maganin cutar sankara. Tare da wasu nau'ikan NHL, ana amfani da waɗannan matakan maganin a farkon gafarar su don gwadawa da cimma magani.

Za a iya buƙatar ƙarin jini ko kuma yin karin jini idan jinin ya yi ƙaranci.

Ku da mai ba ku sabis na iya buƙatar sarrafa wasu damuwa yayin cutar sankarar jini, gami da:

• Samun chemotherapy a gida
• Kula da dabbobinku a lokacin cutar sankara
• Matsalar zub da jini
• Bakin bushe
• Cin adadin kuzari

Kuna iya sauƙaƙa damuwar rashin lafiya ta hanyar haɗuwa da ƙungiyar tallafawa kansa. Yin tarayya tare da wasu waɗanda suke da masaniya da matsaloli na yau da kullun na iya taimaka muku kada ku ji ku kaɗai.

Lananan NHL galibi ba za a iya warkar da shi ta hanyar shan magani kaɗai ba. Gradeananan marasa lafiya na NHL suna ci gaba a hankali kuma yana iya ɗaukar shekaru da yawa kafin cutar ta ƙara tsanantawa ko ma na buƙatar magani. Buƙatar magani yawanci ana gano ta bayyanar cututtuka, yadda saurin cutar ke ci gaba, kuma idan ƙidayar jini ba ta da yawa.

Chemotherapy na iya warkar da nau'o'in ƙwayoyin cuta masu girma. Idan cutar daji ba ta amsa ga maganin sankara ba, cutar na iya yin saurin mutuwa.

NHL kanta da magungunanta na iya haifar da matsalolin lafiya. Wadannan sun hada da:

• Autoimmune hemolytic anemia, yanayin da ake lalata jajayen ƙwayoyin jini ta tsarin garkuwar jiki
• Kamuwa da cuta
• Hanyoyi masu illa na magungunan ƙwayar cuta

Ci gaba da bin mai ba da sabis wanda ya san game da sa ido da hana waɗannan rikitarwa.

Kira mai ba ku sabis idan kun ci gaba da alamun wannan cuta.

Idan kana da NHL, kira mai ba ka idan ka ci gaba da zazzaɓi ko wasu alamun kamuwa da cuta.

Lymphoma - ba Hodgkin; Lymphocytic lymphoma; Tarihin kwayar cutar tarihi; Kwayar lymphoblastic; Ciwon daji - ba Hodgkin lymphoma; NHL

• Marashin kashin kashi - fitarwa
• Chemotherapy - abin da za a tambayi likita
• Radiation far - tambayoyi don tambayi likitan ku

• Lymphoma, m - CT scan
• Tsarin rigakafi

Abramson JS. Kwayoyin cutar da ba ta Hodgkin ba. A cikin: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff na Clinical Oncology. Na 6 ed. Philadelphia, PA: Elsevier; 2020: babi na 103.

Yanar gizo Cibiyar Cancer ta Kasa. Maganin lymphoma ba na Hodgkin ba (PDQ) - fasalin ƙwararrun masu kiwon lafiya. www.cancer.gov/types/lymphoma/hp/adult-nhl-treatment-pdq. An sabunta Satumba 18, 2019. An shiga Fabrairu 13, 2020.

Yanar gizo Cibiyar Cancer ta Kasa. Kula da ƙwayar lymphoma ba ta Hodgkin ba (PDQ) - fasalin ƙwararrun lafiya. www.cancer.gov/types/lymphoma/hp/child-nhl-treatment-pdq. An sabunta Fabrairu 5, 2020. An shiga Fabrairu 13, 2020.