Primary lymphoma na kwakwalwa

Firam na farko na kwakwalwa shine cutar kansa ta fararen ƙwayoyin jini waɗanda ke farawa a cikin kwakwalwa.

Ba a san dalilin lymphoma na kwakwalwa ta farko ba.

Mutanen da ke da raunin tsarin garkuwar jiki suna cikin babban hadari ga lymphoma na farko na kwakwalwa. Dalilai na yau da kullun na rashin karfin garkuwar jiki sun hada da HIV / AIDs da kuma samun dashen sassan jiki (musamman dashen zuciya).

Filayen firam na farko na kwakwalwa na iya alaƙa da cutar Epstein-Barr (EBV), musamman a cikin mutanen da ke da HIV / AIDS. EBV shine kwayar dake haifar da mononucleosis.

Kwayar lymphoma ta firamare ta fi yawa a cikin mutane masu shekaru 45 zuwa 70. Yawan kwayar cutar lymphoma ta kwakwalwa ta farko tana tashi. Kusan sababbin marasa lafiya 1,500 ana bincikar su da ƙwayar lymphoma ta farko a kowace shekara a Amurka.

Kwayar cutar lymphoma ta kwakwalwa ta farko na iya haɗawa da ɗayan masu zuwa:

• Canje-canje a cikin magana ko hangen nesa
• Rikicewa ko mafarki
• Kamawa
• Ciwon kai, jiri, ko amai
• Jingina gefe ɗaya yayin tafiya
• Rashin rauni a hannu ko rashin daidaito
• Jin ƙyama ga zafi, sanyi, da zafi
• Yanayin mutum yana canzawa
• Rage nauyi

Za'a iya yin gwaje-gwaje masu zuwa don taimakawa wajen gano asalin kwayar halitta ta kwakwalwa:

• Biopsy na ƙwaƙwalwar ƙwaƙwalwa
• Shugaban CT scan, PET scan ko MRI
• Matsalar kashin baya (hujin lumbar)

Lymphoma na farko na kwakwalwa yawanci ana fara magance su da corticosteroids. Ana amfani da waɗannan magunguna don sarrafa kumburi da haɓaka alamun bayyanar. Babban magani shine tare da chemotherapy.

Erananan yara na iya karɓar babban ƙwayar cutar sankara, mai yuwuwa ta hanyar maye gurbin ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta.

Za'a iya yin aikin kashe hasken rana na kwakwalwar gaba daya bayan shan magani.

Hakanan ana iya gwada inganta tsarin garkuwar jiki, kamar waɗanda ke da cutar HIV / AIDS.

Kuna da mai ba da sabis na kiwon lafiya na iya buƙatar sarrafa wasu damuwa yayin jiyya, gami da:

• Samun chemotherapy a gida
• Kula da dabbobinku a lokacin cutar sankara
• Matsalar zub da jini
• Bakin bushe
• Cin adadin kuzari
• Amintaccen abinci yayin maganin cutar kansa

Ba tare da magani ba, mutanen da ke da kwayar cutar lymphoma ta kwakwalwa ta farko na rayuwa kasa da watanni 6. Lokacin da aka bi da su tare da chemotherapy, rabin marasa lafiya zasu kasance cikin gafara shekaru 10 bayan an gano su. Rayuwa na iya inganta tare da dashen ƙwayar ƙwayar ƙwayar cuta.

Matsalolin da ka iya faruwa sun hada da:

• Sakamakon illa na Chemotherapy, gami da ƙarancin ƙidayar jini
• Illolin raɗaɗi, gami da rikicewa, ciwon kai, matsalolin jijiyoyi (rashin lafiyar jiki), da mutuwar nama
• Komawa (sake dawowa) na lymphoma

Kwayar lymphoma; Cutar ƙwaƙwalwar ƙwaƙwalwa; Primary lymphoma na tsarin kulawa na tsakiya; PCNSL; Lymphoma - B-cell lymphoma, kwakwalwa

• Brain
• MRI na kwakwalwa

Baehring JM, Hochberg FH. Tsarin marmari na farko a cikin manya. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 74.

Grommes C, DeAngelis LM. Primary CNS lymphoma. J Clin Oncol. 2017; 35 (21): 2410–2418. PMID: 28640701 pubmed.ncbi.nlm.nih.gov/28640701/.

Yanar gizo Cibiyar Cancer ta Kasa. Maganin kwayar cutar CNS na farko (PDQ) - fasalin masu sana'a na lafiya. www.cancer.gov/cancertopics/pdq/treatment/primary-CNS-lymphoma/HealthProfessional. An sabunta Mayu 24, 2019. An shiga cikin Fabrairu 7, 2020.

Yanar gizo Yanar Gizon Cutar Kanjamau ta Kasa. NCCN jagororin aikin likita a cikin ilimin ilimin halittar jiki (jagororin NCCN): cututtukan ƙwayoyin cuta na tsakiya. Sigar 2.2020. www.nccn.org/professionals/physician_gls/pdf/cns.pdf. An sabunta Afrilu 30, 2020. An shiga Agusta 3, 2020.