Follicular Lymphoma yog dab tsi?

Zoo Siab

• Qhov tshwm sim
• Cov tsos mob
• Kev kuaj mob
• Kev Kho Mob
• Xyuam xim tos
• Kev tawg
• Kws khomob
• Cov kab mob monoclonal
• Txoj Kev Kho Mob Radioimmunotherapy
• Qia cell hloov
• Teeb meem
• Rov qab
• Outlook

Txheej txheem cej luam

Follicular lymphoma yog hom qog nqaij hlav uas pib tshwm rau cov ntshav dawb hauv koj lub cev. Muaj ob hom tseem ceeb ntawm cov qog ntshav: Hodgkin thiab tsis-Hodgkin. Follicular lymphoma yog ntshav tsis-Hodgkin lymphoma.

Hom mob qog no yuav maj mam loj hlob, uas cov kws kho mob hu tias “tsis lees paub.”

Nyeem rau kom paub ntau ntxiv txog cov tsos mob ntawm tus pob txha caj dab thiab seb muaj cov kev kho mob twg.

Qhov tshwm sim

Tsis-Hodgkin lymphoma yog ib hom mob qog nqaij hlav ntau tshaj plaws hauv Tebchaws Meskas. Ntau dua 72,000 tus neeg tau kuaj pom tus mob muaj mob hauv ib lub xyoo.

Kwv yees li ib ntawm tsib lub lymphomas hauv Tebchaws Meskas yog ib qho mob qog ua ntshav qab hau.

Cov kab mob ntsws tshwj xeeb feem ntau cuam tshuam rau cov hluas. Lub hnub nyoog nruab nrab rau ib tug neeg uas muaj hom mob cancer yog li ntawm 60 xyoo.

Cov tsos mob

Cov tsos mob ntawm tus mob qog nqaij hlav raws pob txha suav nrog:

• ua mob qog ua rau lub caj dab, tsis txaus ntseeg, plab, lossis puab tais
• nkees
• txog siav
• kev tawm hws lossis tsaus ntuj
• poob phaus
• kis tau tus mob

Qee cov neeg uas mob qog ua ntshav nws tsis muaj cov tsos mob kiag li.

Kev kuaj mob

Txhawm rau soj ntsuam follicular lymphoma, koj tus kws kho mob yuav ua cov kev sim nram no:

• Raug me. Yuav tso ib qho nqaij mus kuaj cov ntaub so ntswg hauv lub tshuab tsom kab mob thiab txiav txim siab seb nws puas mob cancer.
• Kuaj ntshav. Koj yuav xav tau kev ntsuam xyuas los mus kuaj koj cov ntshav.
• Kev ntsuas duab kos. Koj tus kws kho mob yuav qhia koj kom muaj ib qho kev thaij duab ntsuas seb puas pom cov qog ntshav hauv koj lub cev thiab los kho koj. Tham tomography (CT) thiab positron emission tomography (PET) scans feem ntau siv.

Kev Kho Mob

Muaj ntau hom kev kho mob rau cov neeg mob raws qab cov qog ntshav. Koj tus kws kho mob yuav txiav txim siab txoj kev kho mob twg yog qhov zoo rau koj raws li hom mob qog nqaij hlav cancer thiab nce qib siab npaum li cas.

Xyuam xim tos

Yog tias koj tau kuaj pom ntxov thiab tsuas muaj qee qhov tsos mob, koj tus kws kho mob yuav qhia koj tias tos thiab tos. Qhov no txhais tau tias koj tus kws kho mob yuav saib xyuas koj tus mob, tab sis koj yuav tsis tau txais kev kho mob dab tsi li.

Kev tawg

Hluav taws xob siv hluav taws xob siv hluav taws xob ntau los tua cov qog nqaij hlav cancer. Feem ntau nws tau muab rau cov neeg muaj ua ntej-qib follicular lymphoma. Muaj qee kis, xaim hluav taws xob nkaus xwb tuaj yeem kho tau hom mob qog noj ntshav no. Koj yuav xav tau hluav taws xob nrog rau lwm cov kev kho mob yog tias koj mob qog noj ntshav siab dua.

Kws khomob

Kev siv tshuaj kho mob siv cov tshuaj tua kab mob cancer hauv koj lub cev. Nws qee zaum muab rau cov neeg muaj mob qog ua ntshav, thiab feem ntau muab tso ua ke nrog lwm yam kev kho mob.

Cov kab mob monoclonal

Cov tshuaj monoclonal yog cov tshuaj uas tsom rau tshwj xeeb rau cov qog thiab pab koj lub cev tiv thaiv kab mob qog ntshav. Rituximab (Rituxan) yog ib qho tshuaj monoclonal antibody uas nquag siv los kho follicular lymphoma. Feem ntau nws tau tso tshuaj IV rau ntawm koj tus kws kho mob lub chaw haujlwm thiab feem ntau siv nrog kev siv tshuaj kho mob.

Cov kev sib txuas ua ke muaj xws li:

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

Txoj Kev Kho Mob Radioimmunotherapy

Radioimmunotherapy suav nrog kev siv tshuaj yttrium-90 ibritumomab tiuxetan (Zevalin) xa cov hluav taws xob mus rau cov kab mob cancer.

Qia cell hloov

Qog cell hloov qee zaus siv rau follicular lymphoma, tshwj xeeb tshaj yog tias koj mob qog rov qab los. Txoj kev ua no suav hais txog kev qia cov hlwb ua rau koj lub cev hloov cov hlwb pob txha uas muaj mob.

Muaj ob hom qia hloov ntshav ntawm tes:

• Autologous hloov. Qhov txheej txheem no siv koj tus kheej qia hlwb los kho koj cov qog ntshav.
• Allogeneic hloov. Txoj kev ua no siv cov qia hlwb zoo los ntawm tus neeg pub ntshav.

Teeb meem

Thaum cov qog ua qeeb, xws li follicular lymphoma, hloov mus ua ib hom kev loj hlob sai, nws paub tias yog hloov lymphoma. Hloov kho cov qog ntshav feem ntau muaj kev txhoj puab heev thiab xav tau kev kho kom nruj.

Qee qhov hlav ntawm lymphomas tuaj yeem hloov mus ua hom qog nqaij hlav hu ua diffuse loj B-cell lymphoma.

Rov qab

Tom qab kho tau zoo, ntau tus neeg uas muaj tus mob follicular lymphoma yuav mus rau hauv txoj kev zam txim. Txawm hais tias qhov kev zam no tuaj yeem siv sijhawm ntau xyoo, follicular lymphoma pom tias yog kev ua neej nyob ntev.

Tus kabmob no tuaj yeem rov qab los, thiab qee zaum, cov neeg tuaj yeem tsis teb rau kev kho.

Outlook

Cov kev kho mob rau follicular lymphoma feem ntau yog siv los ua kom tus mob tsis tuaj yeem tswj hwm tus mob. Tus mob khees xaws no feem ntau tuaj yeem tswj tau tau ntau xyoo.

Cov kws kho mob tau tsim Cov Qauv Kev Tiv Thaiv Kab Mob Thoob Ntiaj Teb (FLIPI) los pab qhia txog qhov mob qog nqaij hlav cancer no. Cov kab ke no pab cais cov plaub hau raws qhov ua rau peb pawg:

• pheej hmoo tsawg
• pheej hmoo nruab nrab
• ntxim pheej hmoo

Koj qhov kev pheej hmoo raug suav los ntawm koj "yam ntsuas ntsuas", uas suav nrog tej yam xws li hnub nyoog, theem ntawm koj mob qog nqaij hlav, thiab pes tsawg lub qog cuam tshuam.

Feem tsib-xyoo muaj sia nyob rau cov neeg mob qog nqaij hlav ntshav qis uas muaj qhov pheej hmoo tsawg (tsis muaj lossis tsuas yog ib tus yam ntxwv tsis zoo) yog li 91 feem pua. Rau cov muaj kev pheej hmoo nruab nrab (ob qhov laj thawj tsis zoo), tsib xyoos kev muaj sia nyob yog 78 feem pua. Yog tias koj muaj kev pheej hmoo siab (peb lossis ntau tshaj qhov laj thawj tsis zoo), tsib xyoo kev muaj sia nyob yog 53 feem pua.

Cov nqi ciaj sia tuaj yeem muab cov ntaub ntawv muaj txiaj ntsig, tab sis lawv tsuas yog kwv yees thiab tsis tuaj yeem twv tias yuav muaj dab tsi tshwm sim hauv koj qhov xwm txheej. Tham nrog koj tus kws kho mob txog koj li kev pom tseeb thiab hom phiaj xwm kho mob twg yog qhov zoo rau koj qhov xwm txheej.