E seng Hodgkin lymphoma

Non-Hodgkin lymphoma (NHL) ke mofetše oa lisele tsa lymph. Lisele tsa lymph li fumanoa li-lymph node, spleen le litho tse ling tsa sesole sa 'mele.

Lisele tse tšoeu tsa mali, tse bitsoang li-lymphocyte, li fumanoa lisele tsa lymph. Li thusa ho thibela tšoaetso. Boholo ba li-lymphomas bo qala ka mofuta oa sele e tšoeu ea mali e bitsoang B lymphocyte, kapa B cell.

Bakeng sa batho ba bangata, sesosa sa NHL ha se tsejoe. Empa li-lymphomas li ka hlaha ho batho ba nang le boits'ireletso ba mmele bo fokolang, ho kenyeletsoa le batho ba kentsoeng setho kapa batho ba nang le ts'oaetso ea HIV.

NHL hangata e ama batho ba baholo. Banna ba hlahisa NHL khafetsa ho feta basali. Bana le bona ba ka hlahisa mefuta e meng ea NHL.

Hona le mefuta e mengata ea NHL. Sehlopha se le seng (ho arola sehlopha) ke hore na kankere e ata kapele hakae. Kankere e kanna ea ba ea boemo bo tlase (ho hola butle), sehlopha sa mahareng, kapa boemo bo holimo (ho hola ka potlako).

NHL e boetse e hlophisitsoe ka hore na lisele li shebahala joang ka tlas'a microscope, hore na e tsoa seleng e tšoeu ea mali le hore na ho na le liphetoho tse itseng tsa DNA liseleng tsa hlahala ka botsona.

Matšoao a ipapisitse le karolo ea 'mele e anngoeng ke mofets'e le hore na mofets'e o hola kapele hakae.

Matšoao a ka kenyelletsa:

• Ho kolobisa mofufutso bosiu
• Feberu le maqhubu a tlang le a fetang
• Ho hlohlona
• Ho ruruha li-lymph nodes molaleng, ka tlas'a matsoho, ka har'a mokokotlo kapa libakeng tse ling
• Ho fokotsa boima ba 'mele
• Ho khohlela kapa ho hema hanyane haeba mofets'e o ama thymus gland kapa lymph node ka sefubeng, o beha khatello ho sefefo (trachea) kapa makaleng a sona.
• Ho opeloa ke mpa kapa ho ruruha, ho lebisang ho lahleheloeng ke takatso ea lijo, ho patoa, ho nyekeloa ke pelo le ho hlatsa
• Ho opeloa ke hlooho, mathata a ho tsepamisa mohopolo, ho fetoha ha botho, kapa ho oa ha kankere e ama boko

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele le ho lekola libaka tsa' mele tse nang le lymph node ho utloa hore na li ruruhile.

Lefu lena le ka fumanoa ka mor'a tlhahlobo ea lisele tse belaelloang, hangata e le lymph node biopsy.

Liteko tse ling tse ka etsoang li kenyelletsa:

• Teko ea mali ho lekola maemo a protheine, ts'ebetso ea sebete, ts'ebetso ea liphio, le boemo ba acid ea uric
• Palo e felletseng ea mali (CBC)
• Litekanyetso tsa CT tsa sefuba, mpa le noka
• Tlhahiso ea moko oa masapo
• Scan ea PET

Haeba liteko li bontša hore u na le NHL, ho tla etsoa liteko tse ling ho bona hore na e hasane hakae. Sena se bitsoa sethaleng. Ho beha litepisi ho thusa ho tataisa kalafo ea morao-rao le ho e latela.

Kalafo e ipapisitse le:

• Mofuta o ikhethileng oa NHL
• Sethala ha o qala ho fumanoa
• Lilemo tsa hau le bophelo bo botle ka kakaretso
• Matšoao, ho kenyelletsa ho theola boima ba 'mele, feberu le ho fufuleloa bosiu

U ka fumana chemotherapy, kalafo ea radiation, kapa ka bobeli. Kapa o kanna oa hloka kalafo e potlakileng. Mofani oa hau a ka u joetsa haholoanyane ka kalafo ea hau e ikhethang.

Radioimmunotherapy e ka sebelisoa maemong a mang. Sena se kenyelletsa ho hokahanya ntho e ntšang mahlaseli a kotsi le lesole la mmele le hlaselang lisele tsa mofetše le ho kenya ntho eo 'meleng.

Mofuta oa chemotherapy o bitsoang phekolo e reretsoeng o ka lekoa.E sebelisa sethethefatsi ho tsepamisa maikutlo ho liphofu tse itseng (limolek'hule) ho lisele tsa mofetše. Ho sebelisa liphofu tsena, sethethefatsi se koala lisele tsa mofetše hore li se ke tsa hasana.

Chemotherapy e phahameng e ka fanoa ha NHL e khutlela kapa e hloleha ho arabela kalafo ea pele e fanoeng. Sena se lateloa ke autologous stem cell transplant (ho sebelisa methapo ea hau ea methapo) ho pholosa moko oa masapo kamora chemotherapy e phahameng. Ka mefuta e meng ea NHL, mehato ena ea kalafo e sebelisoa pele ho ts'oarelo ho leka ho fihlela pheko.

Litšelo tsa mali kapa liplatelete li ka hlokahala haeba lipalo tsa mali li le tlase.

Uena le mofani oa hau le kanna la hloka ho sebetsana le mathata a mang nakong ea kalafo ea kankere ea mali, ho kenyelletsa:

• Ho ba le chemotherapy lapeng
• Ho laola liphoofolo tse ruuoang lapeng nakong ea chemotherapy
• Mathata a ho tsoa mali
• Molomo o omileng
• Ho ja lik'hilojule tse lekaneng

U ka fokotsa khatello ea maikutlo ea bokuli ka ho kenela sehlopha sa ts'ehetso ea mofets'e. Ho arolelana le ba bang ba nang le liphihlelo tse tšoanang le mathata ho ka u thusa hore u se ke ua ikutloa u le mong.

NHL ea maemo a tlase hangata e ke ke ea phekoloa ka chemotherapy feela. NHL ea maemo a tlase e tsoela pele butle mme e ka nka lilemo tse ngata pele lefu le mpefala kapa le hloka kalafo. Tlhokahalo ea kalafo hangata e khethoa ke matšoao, lefu le ntse le tsoela pele kapele hakae, le haeba lipalo tsa mali li le tlase.

Chemotherapy e ka phekola mefuta e mengata ea li-lymphomas tse maemong a holimo. Haeba mofetše o sa arabele chemotherapy, lefu lena le ka baka lefu le potlakileng.

NHL ka boeona le kalafo ea eona e ka lebisa mathateng a bophelo bo botle. Tsena li kenyelletsa:

• Autoimmune hemolytic anemia, boemo boo lisele tse khubelu tsa mali li senngoang ke sesole sa 'mele
• Tšoaetso
• Litla-morao tsa chemotherapy lithethefatsi

Tsoela pele ho latela mofani ea tsebang ka ho lekola le ho thibela mathata ana.

Bitsa mofani oa hau haeba u ba le matšoao a lefu lena.

Haeba u na le NHL, letsetsa mofani oa thepa ea hau haeba u e-na le feberu e sa feleng kapa matšoao a mang a tšoaetso.

Lymphoma - e seng Hodgkin; Lymphocytic lymphoma; Histiocytic lymphoma; Lymphoblastic lymphoma; Kankere - e seng Hodgkin lymphoma; NHL

• Ho kenyelletsa 'mele oa masapo - ho tsoa
• Chemotherapy - seo u lokelang ho se botsa ngaka ea hau
• Phekolo ea radiation - lipotso tseo u ka li botsang ngaka ea hau

• Lymphoma, e kotsi - CT scan
• Meaho ea sistimi ea boits'ireletso

Abramson JS. Lymphomas tse seng tsa Hodgkin. Ka: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, bahlophisi. Abeloff's Clinical Oncology. La 6th. Philadelphia, PA: Elsevier; 2020: khaolo ea 103.

Webosaete ea National Cancer Institute. Kalafo ea batho ba baholo bao e seng Hodgkin lymphoma (PDQ) - mofuta oa litsebi tsa bophelo bo botle. www.cancer.gov/types/lymphoma/hp/dult-nhl- kalafo-pdq. E ntlafalitsoe ka Loetse 18, 2019. E fihlile ka la 13 Hlakola 2020.

Webosaete ea National Cancer Institute. Kalafo ea bongoana eo eseng ea Hodgkin lymphoma (PDQ) - mofuta oa litsebi tsa bophelo bo botle. www.cancer.gov/types/lymphoma/hp/child-nhl- kalafo-pdq. E ntlafalitsoe ka la 5 Hlakola 2020. E fihlile ka la 13 Hlakola 2020.