Burkitt lub qog ntshav, tsos mob thiab kho yog li cas

Zoo Siab

• Cov tsos mob tseem ceeb
• Dab tsi ua
• Yuav ua li cas kom paub meej tias kuaj mob
• Cov hom loj
• Yuav kho tus mob li cas
• Puas yog Burkitt's lymphoma kho tau?

Burkitt's lymphoma yog hom mob cancer ntawm cov qog ntshav, uas tshwj xeeb cuam tshuam rau lymphocytes, uas yog lub cev tiv thaiv cov hlwb. Cov kab mob cancer no tuaj yeem cuam tshuam nrog kev kis tus kab mob Epstein Barr (EBV), tib neeg tiv thaiv kab mob (HIV), tab sis nws kuj tuaj yeem tshwm sim los ntawm qee cov kev hloov caj ces.

Feem ntau, hom mob qog nce qib hauv txiv neej menyuam ntau dua li neeg loj thiab feem ntau cuam tshuam cov kabmob hauv plab. Txawm li cas los xij, vim tias nws yog mob qog noj ntshav, uas cov qog nqaij hlav cancer loj hlob tuaj, nws tuaj yeem ncav cuag lwm yam kabmob, xws li daim siab, tus po, pob txha thiab txawm tias cov pob txha ntawm lub ntsej muag.

Thawj qhov cim npe ntawm Burkitt's lymphoma yog qhov tshwm sim ntawm o ntawm lub caj dab, qhov tsos, puab tais lossis o hauv plab lossis ntsej muag, nyob ntawm qhov chaw raug cuam tshuam los ntawm lub lymphoma. Tom qab kev txheeb xyuas cov tsos mob, tus hematologist yuav paub meej tias kev kuaj mob los ntawm kev kuaj qaij thiab ntsuas cov duab. Yog li, muaj kev paub tseeb ntawm Burkitt's lymphoma, txoj kev kho mob uas tsim nyog tshaj plaws yog qhia, uas feem ntau yog kev kho mob tshuaj lom neeg. Saib tshuaj kho mob qog ua licas.

Cov tsos mob tseem ceeb

Cov tsos mob ntawm Burkitt's lymphoma tuaj yeem sib txawv raws li hom thiab qhov chaw ntawm lub qog, tab sis cov tsos mob feem ntau ntawm hom mob qog nqaij hlav no yog:

• Nplaig nyob hauv caj dab, qhov tso thiab / lossis puab tais;
• Hmo ntuj ntau hws;
• Ua npaws;
• Thinning yam tsis muaj qhov pom tseeb pom tseeb;
• Nkees.

Nws muaj ntau heev rau Burkitt's lymphoma cuam tshuam rau thaj tsam ntawm lub puab tsaig thiab lwm cov pob txha ntawm lub ntsej muag, yog li nws tuaj yeem ua rau o ntawm ib sab ntawm lub ntsej muag. Txawm li cas los xij, cov qog kuj tseem tuaj yeem mob plab, ua rau tsam plab thiab mob plab, los ntshav thiab txoj hnyuv txuas. Thaum cov qog nqaij hlav mus rau lub hlwb, nws tuaj yeem ua rau lub cev tsis muaj zog thiab taug kev nyuaj.

Tsis tas li ntawd, qhov o tshwm sim los ntawm Burkitt's lymphoma tsis yog ib txwm ua rau mob thiab feem ntau pib los sis ua tsis zoo rau hauv ob peb hnub xwb.

Dab tsi ua

Txawm hais tias cov teeb meem ntawm Burkitt's lymphoma tsis paub meej, nyob rau qee kis, tus kabmob kheesxaws no cuam tshuam nrog kev kis tus kabmob EBV thiab HIV. Tsis tas li ntawd, muaj cov kab mob ua ntej, uas yog, tau yug los ua teeb meem caj ces ua rau lub cev tiv thaiv tsis taus, yuav cuam tshuam nrog kev loj hlob ntawm hom mob qog no.

Burkitt's lymphoma yog hom mob khees xaws rau menyuam yaus ntau tshaj nyob hauv tej thaj chaw uas muaj neeg mob npaws, xws li Africa, thiab nws kuj tseem muaj nyob rau lwm qhov chaw ntawm lub ntiaj teb uas muaj ntau tus menyuam yaus kis tus kabmob HIV.

Yuav ua li cas kom paub meej tias kuaj mob

Raws li Burkitt's lymphoma kis tau sai heev, nws yog ib qho tseem ceeb uas yuav tsum kuaj pom sai li sai tau. Tus kws kho mob lossis kws kho menyuam yaus yuav xav tias yog tus kabmob thiab xa nws mus rau oncologist lossis hematologist, thiab tom qab paub tias ntev npaum li cas cov tsos mob tshwm sim, nws yuav qhia kev ua haujlwm ntawm qhov nqaij mus rau hauv lub qog nqaij hlav. Tshawb nrhiav kev rho tawm ua li cas.

Tsis tas li ntawd, lwm qhov kev ntsuam xyuas tau ua los kuaj Burkitt's lymphoma, xws li kev suav tomography, cov duab ntawm lub ntsej muag, cov duab ntsuas lub ntsej muag, cov hlwb pob txha sau thiab CSF. Cov kev kuaj no yog rau tus kws kho mob txhawm rau txheeb xyuas qhov mob hnyav thiab cov kabmob ntau npaum li cas thiab tom qab ntawd txiav txim siab hom kev kho mob.

Cov hom loj

Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv Hauv Ntiaj Teb tau cais Burkitt's lymphoma rau peb ntau yam, lawv:

• Tus teb lossis African: nws feem ntau cuam tshuam rau cov menyuam yaus hnub nyoog 4 txog 7 xyoo thiab yog ob zaug ntau dua rau cov tub;
• Sporadic lossis tsis yog neeg Asmeskas: nws yog hom kev sib ntau thiab tuaj yeem tshwm sim rau menyuam yaus thiab cov neeg laus thoob ntiaj teb, suav txog yuav luag ib nrab ntawm cov neeg mob qog ntawm cov menyuam;
• Txuam nrog kev tiv thaiv kab mob: muaj rau cov neeg kis tus kabmob HIV thiab tus kabmob AIDS.

Burkitt's lymphoma tuaj yeem tshwm sim hauv cov neeg uas yug los ntawm caj ces uas ua rau muaj kev tiv thaiv qis thiab qee zaum muaj feem cuam tshuam rau cov neeg uas tau hloov ntshav thiab siv cov tshuaj tiv thaiv kab mob.

Yuav kho tus mob li cas

Kev kho rau Burkitt's lymphoma yuav tsum tau pib sai li sai tau thaum kev kuaj mob tau paub meej, vim nws yog hom qog loj hlob sai heev. Hematologist pom zoo rau kev kho mob raws li qhov chaw nyob ntawm cov qog thiab theem ntawm tus kabmob, tab sis feem ntau, kev kho mob rau cov qog ntshav no yog ua raws ntawm kev kho mob.

Cov tshuaj uas tuaj yeem siv ua ke hauv kev siv tshuaj yog cyclophosphamide, vincristine, doxorubicin, dexamethasone, methotrexate thiab cytarabine. Kev siv tshuaj tiv thaiv kab mob kuj tseem siv, cov tshuaj kho mob feem ntau yog rituximab, uas khi rau cov protein nyob rau hauv cov qog ntshav pab tshem tawm mob qog nqaij hlav.

Intrathecal tshuaj kho mob, uas yog cov tshuaj kho rau tus txha nqaj qaum, yog qhia rau kev kho mob Burkitt's lymphoma hauv lub hlwb thiab siv los tiv thaiv nws kom tsis txhob kis mus rau lwm qhov ntawm lub cev.

Txawm li cas los xij, lwm yam kev kho mob tej zaum yuav qhia los ntawm tus kws kho mob, xws li kev kho hluav taws xob, kev phais mob thiab hloov hlwb pob txha los yog hloov kho lub cev lossis hloov autotransplantation.

Puas yog Burkitt's lymphoma kho tau?

Txawm hais tias yog ib hom mob qog nqaij hlav, Burkitt's lymphoma yuav luag txhua qhov tuaj yeem kho tau, tab sis qhov no yuav nyob ntawm thaum kuaj pom tus kab mob, thaj chaw muaj kev cuam tshuam thiab seb puas tau kho sai. Thaum kuaj tau tus kab mob no thaum ntxov thiab thaum kho pib tom qab ntawd, muaj ntau dua qhov kev kho kom zoo.

Burkitt cov lymphomas hauv theem I thiab II muaj ntau dua 90% ntawm kev kho, qhov uas cov lymphomas nrog rau theem III thiab IV muaj qhov nruab nrab txog 80% yuav kho tau.

Thaum kawg ntawm kev kho mob, nws yuav tsum tau ua raws nrog hematologist txog li 2 xyoos thiab soj ntsuam txhua 3 lub hlis.

Tshawb xyuas cov vis dis aus nrog qee cov lus qhia yuav ua li cas kho nrog cov tsos mob kho mob cancer: