Menene B-Cell Lymphoma?
Wadatacce
- Menene subtypes na B-cell lymphoma?
- Tsayawa
- Menene alamun?
- Yaya ake magance ta?
- Radiation
- Chemotherapy
- Maganin rigakafi
- Dasawar dasa kara
- Shin akwai rikitarwa?
- Menene farfadowa kamar?
- Outlook
Bayani
Lymphoma wani nau'in ciwon daji ne wanda yake farawa a cikin kwayar halitta. Lymphocytes sune ƙwayoyin cuta a cikin tsarin garkuwar jiki. Hodgkin's da wadanda ba Hodgkin's lymphoma sune manyan nau'ikan lymphoma guda biyu.
T-cell lymphoma da B-cell lymphoma sune nau'i biyu na lymphoma wadanda ba Hodgkin ba. Akwai kuma nau'ikan nau'ikan da ake kira NK-cell lymphoma.
Daga cikin mutanen da ke da cutar lymphoma ba ta Hodgkin ba, kimanin kashi 85 cikin 100 suna da ƙwayar lymphoma ta B-cell.
Jiyya don kwayar B-cell ta dogara ne akan takamaiman nau'in nau'in cuta da kuma matakin cuta.
Menene subtypes na B-cell lymphoma?
Akwai nau'ikan subtypes na B-cell lymphoma da yawa, duka biyun suna saurin girma (indolent) da saurin girma (m), gami da:
| Nau'in B-cell | Halaye |
| Yada babban kwayar B-cell (DLBCL) | Wannan shine mafi yawan nau'in lymphoma ba na Hodgkin ba. Yana da mummunan cuta amma mai saurin magance kansa wanda zai iya ƙunsar ƙwayoyin lymph da sauran gabobi. |
| Maganin kwayar halitta | Wannan shi ne nau'i na biyu da aka fi sani a kan kwayar cutar lymphoma ba ta Hodgkin ba. Yana jinkirin girma kuma yawanci yana farawa a cikin ƙwayoyin lymph. |
| Kwayar kwayar halitta ta Mantel | Gabaɗaya ya ƙunshi ƙwayoyin lymph, ƙashin ƙashi, baƙin ciki, da tsarin ciki. |
| Kwayar cutar sankarar bargo ta yau da kullum (CLL) / Karamin lymphocytic lymphoma (SLL) | Wannan nau'in ba shi da kyau kuma yawanci yana shafar jini da ɓarke ƙashi (CLL), ko ƙwayoyin lymph da na baƙin ciki (SLL). |
| Tsarin tsarin kulawa na farko na lymphoma | Wannan nau'in yakan fara ne a cikin kwakwalwa ko lakar kashin baya. Yana da alaƙa da matsalolin rigakafi da cutar kanjamau ta haifar ko magungunan ƙin yarda da aka yi amfani da su bayan dashen sassan jikin mutum. |
| Splenic gefe-gefen yankin B-cell lymphoma | Wannan nau'in ci gaba ne mai saurin tafiya wanda ke farawa a cikin saifa da jijiyoyin ƙashi. |
| Ranananan iyakokin yankin B-cell lymphoma na MALT | Wannan nau'in yawanci ya ƙunshi ciki. Hakanan yana iya faruwa a cikin huhu, fata, thyroid, gland, ko ido. |
| Yankin yanki mara iyaka B-cell lymphoma | Wannan nau'ikan da ba kasafai ake samunsa ba, mai saurin ci gaba wanda aka samo musamman a cikin ƙwayoyin lymph. |
| Burkitt lymphoma | Wannan nau'in ci gaba ne mai sauri wanda ya fi yawa ga yara. |
| Cutar sankarar bargo | Wannan nau'in ci gaba ne mai saurin tafiya wanda ke shafar sifa, lymph nodes, da jini. |
| Lymphoma na lymphoplasmacytic (Waldenstrom macroglobulinemia) | Wannan ba kasafai ake samun irinsa ba, kwayar halittar kwayar halitta, saifa, da lymph node. |
| Kwayar cutar lymphoma ta farko | Wannan nau'ikan nau'ikan ne, masu saurin tashin hankali wanda ke faruwa a cikin mutanen da ke da rauni da garkuwar jiki. |
Tsayawa
An shirya kansar ne gwargwadon yadda ya yadu daga asalin shafin. Kwayar cutar lymphoma ba-Hodgkin an tsara ta daga 1 zuwa 4, tare da 4 kasancewa mafi ci gaba.
Menene alamun?
Kwayar cutar ta bambanta bisa ga nau'in kwayar B-cell da kuma yadda ya ci gaba. Waɗannan su ne wasu manyan alamun:
- kumburin kumburin lymph a wuyan ku, armpits, ko kuma makwancin ku
- ciwon ciki ko kumburi
- ciwon kirji
- tari
- wahalar numfashi
- zazzabi da gumin dare
- asarar nauyi
- gajiya
Yaya ake magance ta?
Wasu nau'ikan kwayar cutar lymphoma waɗanda ke da alamun rashin ƙarfi da indolent ba lallai ba ne su buƙaci magani. Likitanku na iya ba da shawarar abin da aka sani da “jira”. Wannan yana nufin za ku bi kowane bayan 'yan watanni don tabbatar da cewa ciwon daji ba ya ci gaba. A wasu lokuta, wannan na iya ci gaba har tsawon shekaru.
Jiyya na iya farawa lokacin da alamomi suka bayyana ko kuma idan alamun ci gaban cuta ne. B-cell lymphoma sau da yawa ya haɗa da haɗin jiyya, wanda na iya canzawa cikin lokaci.
Radiation
Yin amfani da katako mai ƙarfi mai ƙarfi, ana amfani da maganin fuka don kashe ƙwayoyin kansa da kuma rage ƙwanji. Yana buƙatar kwance kwance har yanzu a kan tebur yayin da ake tura katako zuwa daidai a jikinka.
Don jinkirin girma, lymphoma na gida, maganin radiation na iya zama duk abin da kuke buƙata.
Hanyoyi masu illa na iya haɗawa da gajiya da ƙyamar fata.
Chemotherapy
Chemotherapy magani ne na yau da kullun wanda za'a iya bayarwa ta baki ko intravenously. Ana iya warkar da wasu ƙwayoyin cutar B-cell masu saurin tashin hankali tare da cutar sankara, musamman a farkon cuta.
DLBCL wani nau'in ci gaba ne mai saurin girma wanda za'a iya amfani dashi tare da tsarin maganin sankara da ake kira CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone). Lokacin da aka bayar tare da monoclonal antibody rituximab (Rituxan), ana kiran sa R-CHOP. Yawanci ana bayar dashi a cikin hawan keke makonni da yawa baya. Yana da wuya a zuciya, don haka ba zaɓi bane idan kuna da matsalolin zuciya da suka gabata.
Hanyoyi masu illa na chemotherapy na iya haɗawa da tashin zuciya, gajiya, da zubar gashi.
Maganin rigakafi
Magungunan ilimin halittu suna taimakawa tsarin garkuwar ku don yaƙar cutar kansa. Rituximab yana niyya ne akan sunadarai na B, wanda yake sawwaka wa garkuwar jiki gano su da kuma lalata su. Ta rage yawan kwayoyin cutar kansa da kuma ƙwayoyin B masu ƙoshin lafiya, magani ya sa jikinka ya samar da sabbin ƙwayoyin B na lafiya. Wannan ya sa ba za a iya kamuwa da cutar kansa ba.
Magungunan Radioimmunotherapy, kamar su ibritumomab tiuxetan (Zevalin), ana yin su ne daga ƙwayoyin cuta masu ɗauke da sinadarai masu ɗauke da isotopes na rediyo. Magungunan yana taimakawa kwayoyi masu haɗuwa da ƙwayoyin cutar kansa don isar da radiation kai tsaye.
Hanyoyi masu illa na maganin rigakafi na iya haɗawa da ƙidayar ƙananan ƙwayoyin jini, gajiya, da cututtuka.
Dasawar dasa kara
Tsarin kwayar halittar kara ya hada da maye gurbin kashin ka da kashin daga mai bayarwa mai lafiya. Na farko, zaku buƙaci babban ƙwayar ƙwayar ƙwayar cuta ko radiation don kawar da tsarin ku na rigakafi, lalata ƙwayoyin kansar, da kuma ba da wuri don sabon bargo. Don cancanci, dole ne ku kasance cikin ƙoshin lafiya don jure wannan maganin.
Hanyoyi masu illa na iya haɗawa da cututtuka, ƙarancin jini, da ƙin yarda da sabon kashin ƙashi.
Shin akwai rikitarwa?
Lymphomas ya raunana garkuwar jikinka, ya sa ka zama mai saurin kamuwa da cututtuka. Wasu jiyya don lymphoma na iya haifar da rikitarwa kamar:
- rashin haihuwa
- zuciya, huhu, koda, da cutar thyroid
- ciwon sukari
- na biyu kansar
Kwayoyin lymphomas na B-na iya girma kuma su yadu zuwa gabobin nesa.
Menene farfadowa kamar?
Wasu nau'ikan kwayar B-cell ana iya warkewa. Jiyya na iya jinkirta ci gaba a cikin wasu. Idan babu alamar cutar daji bayan maganinku na farko, yana nufin kuna cikin gafara. Har yanzu kuna buƙatar bin har tsawon shekaru don saka idanu kan sake dawowa.
Outlook
Yawan shekarun rayuwar dangi na shekaru biyar na lymphoma ba na Hodgkin ba shine kashi 70 cikin dari. Wannan ya banbanta sosai gwargwadon nau'in lymphoma na B-cell da kuma matakin ganowa. Sauran abubuwan la'akari sune shekarunku da lafiyar ku gaba ɗaya.
Misali, DLBCL ana iya warkarwa a cikin rabin mutanen da suke da shi. Waɗanda suka fara jiyya a matakan farko suna da kyakkyawan hangen nesa fiye da waɗanda ke da cutar matakin-gaba.
Likitanku na iya samar muku da bayyanannen yanayinku dangane da cikakkiyar lafiyar ku.
Labarai Masu Ban Sha’Awa
Tsarin haihuwa Mesigyna
