Menene Lymphoma na Tsarin Mulki?

Wadatacce

• Faruwar lamarin
• Kwayar cututtuka
• Ganewar asali
• Jiyya
• Jiran jira
• Radiation
• Chemotherapy
• Magungunan Monoclonal
• Radioimmunotherapy
• Dasawar dasa kara
• Rikitarwa
• Farfadowa da na'ura
• Outlook

Bayani

Maganin kwayar cutar follicular lymphoma wani nau'in cutar kansa ne da ke farawa daga fararen ƙwayoyin jinin jikinku. Akwai manyan siffofin lymphoma guda biyu: Hodgkin da wadanda ba Hodgkin. Magungunan follicular lymphoma ba na Hodgkin ba ne.

Wannan nau'in lymphoma galibi yana girma a hankali, wanda likitoci ke kira "rashin ƙarfi."

Karanta don ƙarin koyo game da alamun cutar lymphoma follicular da abin da zaɓin magani ke akwai.

Faruwar lamarin

Non-Hodgkin lymphoma shine ɗayan sankara mafi yawan mutane a cikin Amurka. Fiye da mutane 72,000 ake kamuwa da wani nau'i na shi duk shekara.

Kusan ɗaya a cikin kowane kwayar cutar kwayar cuta guda biyar a cikin Amurka shine kwayar cutar kwayar cutar.

Kwayar lymphoma na follicular ba safai ke shafar matasa ba. Matsakaicin shekarun wanda ke da irin wannan cutar ta daji kusan 60.

Kwayar cututtuka

Kwayar cutar lymphoma na follicular na iya haɗawa da:

• faɗaɗa ƙwayoyin lymph a cikin wuya, underarms, ciki, ko makwancin gwaiwa
• gajiya
• karancin numfashi
• zazzabi ko gumin dare
• asarar nauyi
• cututtuka

Wasu mutanen da ke da kwayar cutar kwayar cutar follicular lymphoma ba su da wata alama ko kaɗan.

Ganewar asali

Don bincika lymphoma follicular, likitanku na iya yin waɗannan gwaje-gwajen:

• Biopsy. Ana yin biopsy don bincika nama a ƙarƙashin microscope kuma a tantance ko cutar kansa ce.
• Gwajin jini. Kuna iya buƙatar gwaji don bincika ƙididdigar ƙwayar jinin ku.
• Hoto hoto. Likitanku na iya ba da shawarar kuna da hoton hoto don ganin lymphoma a jikinku kuma don tsara maganarku. Ana amfani da sikanin da aka hada shi (CT) da sikanin fitar da ruwa (PET).

Jiyya

Akwai zaɓuɓɓukan magani da yawa don mutanen da ke da lymphoma follicular. Likitan ku zai yanke shawarar wane magani ne ya dace da ku dangane da nau'in kansar ku da kuma yadda yake ci gaba.

Jiran jira

Idan an gano ku da wuri kuma kuna da 'yan alamun kawai, likitanku na iya ba da shawarar cewa ku duba ku jira. Wannan yana nufin mai ba ku kiwon lafiya zai ci gaba da lura da yanayinku, amma ba za ku sami magani ba tukuna.

Radiation

Radiation yana amfani da katako mai ƙarfi don lalata ƙwayoyin kansa. An ba shi sau da yawa ga mutanen da ke cikin matakan farko na lymphoma follicular folmpular. A wasu lokuta, radiation kadai zai iya warkar da irin wannan cutar ta daji. Kuna iya buƙatar radiation tare da sauran hanyoyin kwantar da hankali idan kansar ku ta ci gaba.

Chemotherapy

Chemotherapy yana amfani da kwayoyi don kashe ƙwayoyin kansa a jikinku. Wani lokaci ana ba wa mutane tare da lymphoma follicular, kuma ana haɗuwa da shi sau da yawa tare da sauran jiyya.

Magungunan Monoclonal

Kwayoyin cuta na Monoclonal magunguna ne waɗanda ke ɗora keɓaɓɓun alamomi akan ciwace ciwace da taimaka wa ƙwayoyin jikinku su yaƙi kansar. Rituximab (Rituxan) wani maganin monoclonal ne wanda aka saba amfani dashi don magance lymphoma follicular. Yawanci ana bayar dashi azaman jigilar IV a ofishin likitanka kuma ana amfani dashi sau da yawa a hade tare da chemotherapy.

Haɗuwa gama gari sun haɗa da:

• r-bendamustine (rituximab da bendamustine)
• R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, da kuma prednisone)
• R-CVP (rituximab, cyclophosphamide, vincristine, da kuma prednisone)

Radioimmunotherapy

Radioimmunotherapy ya haɗa da amfani da yttrium-90 ibritumomab tiuxetan (Zevalin) don isar da radiation ga ƙwayoyin kansa.

Dasawar dasa kara

Wani lokaci ana amfani da dashen ƙwayar kara don lymphoma follicular, musamman ma idan ciwon kansa ya dawo. Wannan aikin ya kunshi shigar da lafiyayyun kwayoyin halittar cikin jikin ku don maye gurbin kasusuwan cuta.

Akwai nau'ikan dashen kwayar halitta guda biyu:

• Autologous dashi. Wannan aikin yana amfani da ƙwayoyin jikinku don magance kansar ku.
• Dasawar Allogeneic Wannan aikin yana amfani da ƙwayoyin ƙwayoyin lafiya daga mai bayarwa.

Rikitarwa

Lokacin da kwayar cutar kwayar halitta mai saurin tafiya, kamar su lymphoma follicular, ta juye zuwa wani yanayi mai saurin saurin girma, an san shi da canzawar lymphoma. Canjin lymphoma da aka canza yawanci yana da saurin rikici kuma yana iya buƙatar ƙarin tsayayyar magani.

Wasu kwayayen kwayayen kwayayen fatar za su iya juyewa zuwa wani nau'in kwayar cuta mai saurin yaduwa da ake kira babban kwayar cutar B-cell.

Farfadowa da na'ura

Bayan jiyya mai nasara, mutane da yawa da ke fama da cutar sankara a jiki za su shiga cikin gafara. Kodayake wannan gafarar na iya daɗewa har tsawon shekaru, ana ɗaukar lymphoma mai kwakwalwa a matsayin yanayin rayuwa.

Wannan ciwon daji na iya dawowa, kuma wani lokacin, mutanen da suka sake dawowa ba sa karɓar magani.

Outlook

Magunguna don lymphoma follicular yawanci ana amfani dasu don kiyaye cutar a ƙarƙashin iko maimakon warkar da yanayin. Wannan ciwon daji yawanci ana iya samun nasarar sarrafa shi tsawon shekaru.

Likitoci sun kirkiro Fibil na Lymphoma International Prognostic Index (FLIPI) don taimakawa wajen samar da hangen nesa ga wannan nau'in cutar kansa. Wannan tsarin yana taimakawa wajen rarraba sinadarin lymphoma a cikin fannoni uku:

• ƙananan haɗari
• matsakaiciyar haɗari
• babban haɗari

Ana lasafta haɗarin ku bisa ga “abubuwan hangen nesa,” wanda ya haɗa da abubuwa kamar shekaru, matakin kansar ku, da kuma yawan ƙwayoyin lymph da abin ya shafa.

Adadin rayuwa na shekaru biyar ga mutanen da ke fama da cutar kwayar cutar kwayar cutar ƙwayoyin cuta waɗanda ba su da haɗari sosai (ba su da ko kuma ɗaya ne kaɗai ke da matsala) kusan kashi 91 ne. Ga waɗanda ke da matsakaiciyar haɗari (dalilai biyu marasa kyau na hangen nesa), ƙimar rayuwa ta shekaru biyar ita ce kashi 78. Idan kana da haɗari mai girma (abubuwa uku ko fiye masu ƙarancin hasashen hangen nesa), ƙimar rayuwa ta shekaru biyar ita ce 53 bisa ɗari.

Ratesimar rayuwa na iya ba da bayani mai amfani, amma ƙididdiga ne kawai kuma ba za su iya hango abin da zai faru a cikin yanayinku na musamman ba. Yi magana da likitanka game da takamaiman ra'ayinka kuma wane shiri ne ya dace da yanayinka.