B-Cell Lymphoma yog dabtsi?
Zoo Siab
- Dab tsi yog cov subtypes ntawm B-cell lymphoma?
- Qib
- Cov tsos mob zoo li cas?
- Yuav kho nws li cas?
- Kev tawg
- Kws khomob
- Kev siv tshuaj kho mob
- Qia cell hloov
- Puas muaj teeb meem tshwm sim?
- Qhov rov qab zoo li cas?
- Outlook
Txheej txheem cej luam
Lymphoma yog ib hom mob cancer uas pib mob lymphocytes. Lymphocytes yog cov qe ntshav hauv lub cev tiv thaiv kab mob. Hodgkin's thiab tsis-Hodgkin's lymphoma yog ob hom qog ntshav.
T-cell lymphoma thiab B-cell lymphoma yog ob hom mob uas tsis yog Hodgkin's lymphoma. Kuj tseem muaj ntau yam tsis tshua muaj siab hu ua NK-cell lymphoma.
Ntawm cov neeg tsis mob Hodgkin lymphoma, kwv yees li 85 feem pua muaj B-cell lymphoma.
Kev kho tus mob B-cell lymphomas ua raws qib tshwj xeeb thiab theem ntawm kab mob.
Dab tsi yog cov subtypes ntawm B-cell lymphoma?
Muaj ntau lub subtypes ntawm B-cell lymphoma, ob qho tib si kev loj hlob qeeb (indolent) thiab kev loj hlob sai (nruj), suav nrog:
| B-cell subtype | Cov yam ntxwv |
| Diffuse loj B-cell lymphoma (DLBCL) | Qhov no yog hom feem ntau ntawm cov tsis-Hodgkin's lymphoma. Nws yog ib yam mob qias neeg tab sis kho tau uas tuaj yeem cuam tshuam ua qog ntshav thiab lwm yam hauv nruab nrog cev. |
| Tshwj xeeb ua qog ntshav | Qhov no yog hom thib ob ntau nyob ntawm qhov tsis-Hodgkin's lymphoma. Nws tau qeeb qeeb thiab feem ntau pib hauv cov qog ntshav. |
| Mantel cell lymphoma | Feem ntau ua mob rau cov qog ntshav, hlwb pob txha, txha caj qaum, thiab lub plab zom mov. |
| Mob ntsws lymphocytic mob ntsws ntev (CLL) / Cov mob qog ntshav me me (SLL) | Hom no tsis txaus ntseeg thiab feem ntau cuam tshuam rau cov ntshav thiab cov pob txha pob txha (CLL), lossis cov qog ntshav thiab qe ntshav (SLL). |
| Thawj lub hauv nruab nrab lub paj hlwb lymphoma | Hom no feem ntau tau pib mob hlwb lossis txha caj qaum. Nws cuam tshuam nrog cov teeb meem tiv thaiv kab mob tshwm sim los ntawm AIDS lossis tshuaj tawm tsam tawm tsam uas siv tom qab hloov khoom nruab nrog. |
| Splenic marginal tsam B-cell lymphoma | Nov yog hom qeeb qeeb uas pib los ntawm tus po thiab pob txha caj qaum. |
| Extranodal marginal tsam B-cell lymphoma ntawm MALT | Hom no feem ntau cuam tshuam rau lub plab. Nws kuj tseem tuaj yeem tshwm sim hauv lub ntsws, tawv nqaij, lub qog, ua haujlwm salivary, lossis qhov muag. |
| Nodal marginal tsam B-cell lymphoma | Qhov no yog qhov tsawg, qeeb-loj hlob hom pom feem ntau nyob hauv cov qog ntshav. |
| Burkitt lymphoma | Qhov no yog hom loj hlob uas muaj ntau hom menyuam yaus. |
| Cov plaub hau ua ntshav tawm ntawm lub cev | Nov yog hom qeeb qeeb uas cuam tshuam rau tus po, ntshav khiav, thiab ntshav. |
| Lymphoplasmacytic lymphoma (Waldenstrom macroglobulinemia) | Qhov no yog qhov tsis tshua muaj tshwm sim, cov qog ntshav qeeb qeeb ntawm pob txha pob txha, hnoos qeev, thiab cov qog ntshav. |
| Thawj effusion lymphoma | Qhov no yog qhov tsis tshua muaj, txhoj puab heev uas nyiam tshwm sim rau cov neeg uas lub cev tsis muaj zog tiv thaiv kab mob. |
Qib
Mob qog nqaij hlav yog qib raws li qhov deb uas nws tau kis los ntawm qhov chaw qub. Tsis-Hodgkin's lymphoma yog ua los ntawm 1 txog 4, nrog 4 yog qhov ua tau zoo tshaj plaws.
Cov tsos mob zoo li cas?
Cov tsos mob sib txawv raws li hom B-cell lymphoma thiab nws nce qib npaum li cas. Nov yog qee tus tsos mob tseem ceeb:
- cov qog ntshav hauv koj lub caj dab, qhov tso tawm, lossis puab tais
- mob plab los yog o
- mob hauv siab
- kev hnoos
- ua pa nyuaj
- tawm hws thiab mob hmo
- poob phaus
- nkees
Yuav kho nws li cas?
Qee hom mob qog ntshav uas mob asymptomatic thiab indolent tsis tas yuav tsum tau kho. Koj tus kws kho mob yuav hais qhia kom paub qhov ua "tos kom zoo." Qhov no txhais tau tias koj yuav tau soj qab xyuas txhua ob peb hlis kom paub tseeb tias tus kabmob kheesxaws tsis nce qib. Hauv qee kis, qhov no tuaj yeem txuas mus ntau xyoo.
Txoj kev kho tuaj yeem pib thaum cov tsos mob tshwm sim lossis yog tias muaj cov cim ntawm kev mob tshwm sim. B-cell lymphoma feem ntau muaj kev sib txuam nrog kev kho mob, uas yuav hloov pauv thaum lub sijhawm.
Kev tawg
Kev siv hluav taws xob ua tau zoo ua hluav taws xob, kho hluav taws xob yog siv los tua cov qog nqaij hlav cancer thiab hlav qog. Nws yuav tsum tau dag heev tseem nyob ntawm ib lub rooj thaum cov nqaj tau qhia ncaj qha rau ntawm koj lub cev.
Txog cov kev ua kom qeeb-loj, ua qog hauv zos, kev kho hluav taws xob yuav yog txhua yam koj xav tau.
Cov kev mob tshwm sim tuaj yeem suav kev nkees thiab tawv nqaij voos.
Kws khomob
Kev siv tshuaj kho mob yog ib qho kev siv tshuaj tua kab mob uas tuaj yeem muab los ntawm ncauj lossis leeg. Qee qhov mob B-cell lymphomas muaj peev xwm kho tau nrog kev siv tshuaj lom neeg, tshwj xeeb tshaj yog cov kab mob thaum ntxov.
DLBCL yog ib hom kev loj hlob sai uas tuaj yeem kho nrog kev siv tshuaj tua kab mob hu ua CHOP (cyclophosphamide, doxorubicin, vincristine, thiab prednisone). Thaum muab nrog rau monoclonal antibody rituximab (Rituxan), nws tau hu ua R-CHOP. Nws ib txwm muab rau hauv cov voj voog ob peb lim tiam sib nrug. Nws yog qhov nyuaj ntawm lub siab, yog li nws tsis yog qhov kev xaiv yog tias koj muaj lub siab dawb preexisting lub plawv.
Kev phiv tshuaj lom neeg yuav suav nrog xeev siab, qaug zog, thiab plaub hau.
Kev siv tshuaj kho mob
Kev siv tshuaj lom neeg yuav pab koj lub cev tiv thaiv kabmob kheesxaws. Rituximab tsom cov protein nyob rau saum npoo ntawm B-hlwb, ua kom lub cev tiv thaiv kab mob tsis yooj yim txheeb xyuas thiab rhuav tshem lawv. Los ntawm txo qis tus naj npawb ntawm cov qog noj qab haus huv thiab noj qab haus huv B-hlwb, cov tshuaj ua rau koj lub cev tsim cov hlwb B-hlwb tshiab. Qhov no ua rau nws yuav muaj tsawg dua tias tus kabmob yuav rov mob ntxiv.
Radioimmunotherapy cov tshuaj, xws li ibritumomab tiuxetan (Zevalin), yog ua los ntawm cov tshuaj tua kabmob monoclonal uas coj cov isotopes radioactive. Cov tshuaj yog pab cov tshuaj tiv thaiv kab mob rau cov qog ntshav mob rau kev xa tawm hluav taws xob ncaj qha.
Cov kev mob tshwm sim ntawm kev siv tshuaj tiv thaiv kab mob tuaj yeem suav cov qe ntshav dawb tsawg, nkees, thiab kis tau.
Qia cell hloov
Txoj hlab ntshav ntawm pob qog hloov nrog rau hloov hlwb pob txha los ntawm hlwb los ntawm cov neeg pub dawb noj qab haus huv. Ua ntej, koj yuav tsum tau siv tshuaj kho mob lossis hluav taws xob ntau dua los txhawm rau tiv thaiv koj cov kev tiv thaiv, rhuav tshem cov qog nqaij hlav cancer, thiab ua chaw rau lub hlwb tshiab. Yuav kom tsim nyog, koj yuav tsum muaj kev noj qab haus huv txaus los tiv thaiv kev kho mob no.
Cov kev mob tshwm sim tuaj yeem suav nrog kev kis mob, ua kom yuag, thiab tsis kam lees lub pob txha tshiab.
Puas muaj teeb meem tshwm sim?
Lymphomas ua rau koj tsis muaj zog tiv thaiv kab mob, ua rau koj muaj kev kis mob yooj yim dua. Qee qhov kev kho mob qog ua rau mob hnyav xws li:
- ntxiv lawm tshob
- mob plawv, mob ntsws, raum, thiab mob qog
- mob ntshav qab zib
- mob cancer thib ob
B-cell lymphomas tuaj yeem loj hlob thiab kis mus rau cov kabmob sib txawv.
Qhov rov qab zoo li cas?
Qee hom B-cell lymphomas tuaj yeem kho tau. Txoj kev kho tau tuaj yeem ua rau qeeb qeeb ntawm lwm tus. Yog tias tsis muaj npe ntawm mob cancer tom qab koj thawj qhov kev kho mob, nws txhais tau tias koj yuav tau txais kev zam txim. Koj tseem yuav tsum tau taug qab ob peb xyoos los saib xyuas kom rov tshwm sim dua.
Outlook
Zuag qhia tag nrho cov neeg txheeb ze nyob rau 5 xyoo rau cov uas tsis yog Hodgkin's lymphoma yog 70 feem pua. Qhov no nws txawv ntau raws li hom B-cell lymphoma thiab theem ntawm kev kuaj mob. Lwm yam kev txiav txim siab yog koj lub hnub nyoog thiab noj qab haus huv tag nrho.
Piv txwv li, DLBCL tuaj yeem kho tau nyob hauv kwv yees li ib nrab ntawm cov neeg uas muaj tus mob no. Cov uas pib kho nyob rau theem ntxov ua ntej lawm yuav muaj kev pom zoo dua li cov neeg uas muaj tus kab mob tom qab.
Koj tus kws kho mob tuaj yeem muab koj li kev kuaj pom tus kheej raws li koj cov ntawv kho mob tag nrho.
Peb Qhia Koj Nyeem
Lomotil (diphenoxylate / atropine)
