Lymphoma ea mantlha ea boko

Lymphoma ea mantlha ea boko ke mofetše oa lisele tse tšoeu tsa mali tse qalang bokong.

Ha ho tsejoe sesosa sa "primary brain lymphoma".

Batho ba nang le sesole sa 'mele se fokolang ba kotsing e kholo ea ho ba le "lymphoma" ea mantlha bokong. Lisosa tse tloaelehileng tsa boits'ireletso ba mmele bo fokolang li kenyelletsa HIV / AIDS le ho beoa setho (haholo-holo phetiso ea pelo).

Lymphoma e ka sehloohong ea boko e ka amahanngoa le Epstein-Barr Virus (EBV), haholo-holo ho batho ba nang le HIV / AIDS. EBV ke vaerase e bakang mononucleosis.

Primary brain lymphoma e atile haholo bathong ba lilemo tse 45 ho isa ho 70. Sekhahla sa primary brain lymphoma se ntse se phahama. Bakuli ba ka bang 1,500 ba bacha ba fumanoa ba na le brain primary lymphoma selemo se seng le se seng United States.

Matšoao a mantlha a bokong lymphoma a ka kenyelletsa tse latelang:

• Liphetoho puong kapa ponong
• Pherekano kapa lipono
• Ho oa
• Ho opeloa ke hlooho, ho nyekeloa ke pelo, kapa ho hlatsa
• Ho itšetleha ka lehlakore le le leng ha u tsamaea
• Bofokoli matsohong kapa tahlehelo ea khokahano
• Ho tepella ho chesa, ho bata le bohloko
• Botho boa fetoha
• Ho fokotsa boima ba 'mele

Liteko tse latelang li ka etsoa ho thusa ho fumana lymphoma ea mantlha ea boko:

• Biopsy ea hlahala ea boko
• Hlooho ea CT scan, PET scan kapa MRI
• Pompo ea mokokotlo (ho hlaba lumbar)

Lymphoma ea mantlha ea boko hangata e phekoloa pele ka corticosteroids. Meriana ena e sebelisetsoa ho laola ho ruruha le ho ntlafatsa matšoao. Kalafo ea mantlha ke ea chemotherapy.

Bacha ba ka fumana chemotherapy e nang le lethal dose e phahameng, mohlomong e lateloe ke ho kenya semela sa 'mele ka bongata.

Phekolo ea radiation ea boko bohle e ka etsoa kamora chemotherapy.

Ho matlafatsa sesole sa 'mele, joalo ka ho ba nang le HIV / AIDS, le hona ho ka lekoa.

Uena le mofani oa tlhokomelo ea bophelo ba hau le ka hloka ho sebetsana le mathata a mang nakong ea kalafo ea hau, 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
• Ho ja ka mokhoa o bolokehileng nakong ea kalafo ea mofets'e

Ntle le kalafo, batho ba nang le boko ba mantlha ba lymphoma ba phela nako e ka tlase ho likhoeli tse tšeletseng. Ha ba phekoloa ka chemotherapy, halofo ea bakuli e tla ts'oareloa lilemo tse 10 kamora ho fumanoa. Ho pholoha ho ka ntlafala ka ho kenya li-autologous stem cell transplant.

Mathata a ka bang teng a kenyelletsa:

• Litla-morao tsa chemotherapy, ho kenyelletsa le lipalo tse tlase tsa mali
• Litla-morao tsa mahlaseli a kotsi, ho kenyelletsa pherekano, ho opeloa ke hlooho, mathata a tsamaiso ea methapo le methapo ea lefu
• Ho khutla (ho ipheta) ha lymphoma

Bokooa ba lymphoma; Cerebral lymphoma; Lymphoma ea mantlha ea sistimi ea methapo e bohareng; PCNSL; Lymphoma - B-cell lymphoma, boko

• Boko
• MRI ea boko

Baehring JM, Hochberg FH. Matšoao a mantlha a methapo ea methapo ho batho ba baholo. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 74.

Grommes C, DeAngelis LM. CNS lymphoma ea mantlha. Kliniki ea Oncol. 2017; 35 (21): 2410-2418. PMID: 28640701 e fetotsoe.ncbi.nlm.nih.gov/28640701/.

Webosaete ea National Cancer Institute. Phekolo ea mantlha ea CNS lymphoma (PDQ) - mofuta oa litsebi tsa bophelo bo botle. www.cancer.gov/cancertopics/pdq/treatment/primary-CNS-lymphoma/HealthProfessional. E ntlafalitsoe ka Mots'eanong 24, 2019. E fihlile ka la 7 Hlakola 2020.

Webosaete ea National Comprehensive Cancer Network. Litaelo tsa NCCN tsa litloaelo tsa kliniki ho oncology (litataiso tsa NCCN): kankere ea methapo ea methapo. Mofuta oa 2.2020. www.nccn.org/professionals/physician_gls/pdf/cns.pdf. E ntlafalitsoe ka la 30 Mmesa, 2020. E fihlile ka la 3 Phato 2020.