Tsis-Hodgkin lymphoma

Tsis Yog-Hodgkin lymphoma (NHL) yog mob qog nqaij hlav tawm. Cov qog ua qog ua haujlwm muaj nyob hauv cov qog ntshav, qe ntshav, thiab lwm yam kabmob ntawm lub nruab nrog cev.

Cov qe ntshav dawb, hu ua lymphocytes, pom nyob hauv cov nqaij qog. Lawv pab tiv thaiv kev kis mob. Feem ntau cov lymphomas pib hauv ib hom qe ntshav dawb hu ua B lymphocyte, lossis B cell.

Rau feem ntau ntawm cov neeg, qhov ua rau NHL tsis tau paub. Tab sis lymphomas yuav tshwm sim hauv cov neeg uas lub cev tsis muaj zog tiv thaiv kab mob, nrog rau cov neeg muaj kev hloov khoom nruab nrog lossis cov neeg muaj tus mob HIV.

NHL feem ntau cuam tshuam rau cov laus. Cov txiv neej muaj NHL ntau dua li poj niam. Cov menyuam yaus tuaj yeem tsim kho qee hom ntawv ntawm NHL.

Muaj ntau hom NHL. Ib qho kev faib ua pawg (pab pawg) yog los ntawm cov mob qog nqaij hlav mus sai npaum li cas. Kab mob qog yuav qib qis (loj hlob qeeb), qib theem nrab, lossis theem siab (nce ceev).

NHL raug txuas ntxiv los ntawm kev txheeb xyuas lub hlwb ua li cas, lub hom qe ntshav dawb nws tuaj ntawm leej twg, thiab saib puas muaj tseeb DNA hloov pauv hauv cov qog ntshav lawv tus kheej.

Cov tsos mob tsuas yog nyob ntawm thaj chaw ntawm lub cev muaj feem cuam tshuam rau mob qog nqaij hlav cancer thiab mob cancer ceev npaum li cas.

Cov tsos mob tuaj yeem suav nrog:

• Hmo ntuj tawm hws
• Ua npaws thiab ua daus no uas los thiab mus
• Khaus
• Cov qog ntshav hauv lub caj dab, tsis txaus ntseeg, puab tais, lossis lwm thaj chaw
• Lub cev yuag
• Kev hnoos lossis ua pa luv yog tias mob qog ua rau lub qog ua rau lub qog ua ntshav lossis lub qog hauv lub hauv siab, muab lub siab ua pa rau hauv txoj hlab pa (trachea) lossis nws cov ceg
• Mob plab los yog o, ua rau tsis qab los noj mov, cem quav, xeev siab thiab ntuav
• Mob taub hau, teeb meem feeb tsis meej, hloov tus kheej, lossis qaug dab peg yog hais tias mob cancer cuam tshuam rau lub hlwb

Tus kws kho mob yuav kuaj xyuas lub cev thiab kuaj lub cev nrog cov qog ntshav kom mloog tau yog tias lawv o tuaj.

Tus kab mob no yuav kuaj tom qab kuaj me me ntawm cov nqaij uas xav tias tsam, feem ntau muaj cov qog nqaij hlav ntshav.

Lwm yam kev xeem uas yuav muaj xws li:

• Kev kuaj ntshav los xyuas cov qib protein, lub siab ua haujlwm, lub raum kev ua haujlwm, thiab qib uric acid
• Ua kom tiav cov ntshav suav (CBC)
• Kev ntsuas CT ntawm lub hauv siab, plab thiab pelvis
• Nqaij pob txha caj dab
• TSIAJ scan

Yog tias kev ntsuas pom tias koj muaj NHL, yuav muaj ntau yam kev ntsuas los saib seb nws kis tau ntau npaum li cas. Qhov no hu ua staging. Cov ntawv sau yuav pab qhia txog kev kho mob yav tom ntej thiab rov qab soj ntsuam.

Kev kho mob nyob ntawm:

• Hom tshwj xeeb ntawm NHL
• Theem thaum koj kuaj pom thawj zaug
• Koj lub hnub nyoog thiab kev noj qab haus huv tag nrho
• Cov tsos mob, suav nrog kev poob phaus, kub cev thiab tawm hws hmo ntuj

Koj tuaj yeem tau txais kev siv tshuaj kho mob, kho hluav taws xob, lossis ob qho tib si. Lossis koj tsis xav tau kev kho mob sai. Koj tus kws khomob tuaj yeem qhia koj ntau ntxiv txog koj qhov kev khomob tshwjxeeb.

Siv qee lub xov tooj cua txoj kev kho mob. Qhov no suav nrog kev sib txuas ntawm cov khoom siv hluav taws xob mus rau cov tshuaj tiv thaiv uas ua rau lub hlwb mob qog ntshav thiab txhaj cov tshuaj rau hauv lub cev.

Ib hom kev kho mob hu ua phiajcim kho mob tej zaum yuav raug sim.Nws siv cov tshuaj tsom rau cov phiaj xwm tshwj xeeb (cov lwg me me) hauv lossis hauv qog nqaij hlav cancer. Siv cov hom phiaj no, cov tshuaj cuam tshuam rau cov qog nqaij hlav cancer thiaj li tsis tuaj yeem kis mus tau.

Kev muab tshuaj ntau dua los kho thaum muab NHL rov qab los yog tsis teb rau qhov kev kho thawj zaug. Qhov no tom qab los ntawm kev hloov kho qia cell hloov (siv koj tus kheej lub hlwb qia) kom cawm cov pob txha pob txha tom qab siv tshuaj kho mob ntau dua. Muaj qee hom NHL, cov kauj ruam kev kho mob no tau siv thaum xub thawj kev tso cai sim thiab ua tiav qhov kev kho tau.

Tej zaum yuav tau txhab ntshav ntxiv lossis ntxiv ntshav ntxiv yog tias cov ntshav tsawg.

Koj thiab koj tus kws kho mob tej zaum yuav xav tswj lwm yam kev txhawj xeeb thaum koj mus kho mob leukemia, suav nrog:

• Muaj tshuaj tua kab mob hauv tsev
• Tswj koj cov tsiaj kom nruj thaum siv tshuaj
• Los ntshav teeb meem
• Lub qhov ncauj qhuav
• Noj cov calories kom txaus

Koj tuaj yeem daws kev ntxhov siab ntawm kev muaj mob los ntawm kev koom nrog pawg pab txhawb mob qog noj ntshav. Faib qhia rau lwm tus uas muaj kev paub thiab teeb meem ntau yam tuaj yeem pab koj tsis txhob xav tias yog ib leeg.

Qeb tsawg NHL feem ntau tsis tuaj yeem kho los ntawm kev kho mob ib leeg. Qib NHL kawm tau nce zuj zus qeeb thiab tej zaum yuav siv sijhawm ntau xyoo ua ntej tus kab mob huam tuaj lossis tseem xav tau kev kho mob. Qhov xav tau kev kho mob feem ntau yog txiav txim siab los ntawm cov tsos mob, tus kab mob sai npaum li cas, thiab yog tias cov ntshav tsawg.

Kev siv tshuaj kho mob yuav kho ntau yam mob qog ua ntshav siab. Yog tias mob cancer tsis teb rau kev siv tshuaj, tus kab mob yuav ua rau tuag sai.

NHL nws tus kheej thiab nws cov kev kho mob tuaj yeem ua rau muaj mob. Cov no suav nrog:

• Autoimmune hemolytic anemia, ib qho mob uas cov ntshav liab tau ua rau lub nruab zog tiv thaiv kab mob
• Kab mob
• Phiv los sis kws kho tshuaj

Taug qab nrog cov kws khomob uas paub txog kev saib xyuas thiab tiv thaiv cov teeb meem no.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm qhov kev tsis zoo no.

Yog tias koj muaj NHL, hu rau koj tus kws kho mob yog tias koj ua npaws ntev los yog lwm cov cim ntawm kev kis mob.

Lymphoma - tsis-Hodgkin; Lymphocytic lymphoma; Histiocytic lymphoma; Lymphoblastic lymphoma; Kabmob - tsis-Hodgkin lymphoma; NHL

• Hloov cev pob txha - hloov ntshav tawm
• Kev siv tshuaj kho mob - dab tsi yuav nug koj tus kws kho mob
• Kev siv hluav taws xob kho - cov lus nug kom nug koj tus kws kho mob

• Lymphoma, malignant - CT scan
• Kev tiv thaiv kab ke

Abramson JS. Tsis-Hodgkin lymphomas. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: cha 103.

Lub koom haum Cancer National website. Cov neeg laus tsis kho Hodgkin kho cov mob qog mis (PDQ) - cov kws muaj txuj ci kho mob. www.cancer.gov/types/lymphoma/hp/adult-nhl-nyuj-pdq. Hloov kho Cuaj hlis 18, 2019. Nkag mus siv Lub Ob Hlis 13, 2020.

Lub koom haum Cancer National website. Kev kho me nyuam thaum tsis yog Hodgkin lymphoma kho (PDQ) - kev kho mob hauv lub neej ntev. www.cancer.gov/types/lymphoma/hp/child-nhl-nyuj-pdq. Hloov kho Lub Ob Hlis 5, 2020. Nkag mus rau Lub Ob Hlis 13, 2020.