Iyini i-CNS i-Lymphoma eyinhloko futhi ihluke kanjani kunezinye i-Lymphomas?
Iyini i-CNS i-lymphoma eyinhloko? Ziyini izimpawu kanye nezici ezingozini, futhi zitholakala kanjani?
I-CNS Primary Lymphoma - Incazelo
I-CNS Primary Lymphoma iyinhlobo engavamile ye-Non-Hodgkin lymphoma (NHL) echaphazela ubuchopho kuphela. Lokhu kungabandakanya ubuchopho ngokwayo, i-meninges (izibungu eziqondisa ubuchopho,) intambo yomgogodla, noma amehlo. Ezinye izinhlobo ze-lymphoma zingase zisakaze ebuchosheni ngemuva kokuthinta ezinye izingxenye zomzimba njengezitho zamakhemikhali.
Nokho, kwi-CNS lymphoma eyinhloko ayikho enye ingxenye yomzimba ethintekile.
Ubani Othola I-CNS Lymphoma Eyisisekelo?
I-CNS i-lymphoma eyinhloko ivame kakhulu kulabo abangamashumi amahlanu namashumi ayisithupha, nakuba kungenzeka nganoma yisiphi isikhathi. Kuvame kakhulu kulabo abanokucindezelwa kwesimiso somzimba somzimba, njenge-AIDS. Bheka isihloko se-CNS Primary Lymphoma kanye ne-HIV / AIDS uma uhlangabezana ne-CNS lymphoma eyinhloko ngaphezu kokuxilongwa nge-AIDS, ngoba ukwelashwa nokuchazwa kwesimo sengculazi kuhluke kakhulu. Ezingxenyeni eziningi zomhlaba, inani leziguli ezine-non-Hodgkin lymphoma liye landa kakhulu kusukela ekupheleni kwekhulu leminyaka elidlule, ngenxa yezizathu ezingekho ngokucacile.
Izimpawu zokuxwayisa
Cishe bonke abantu abane-CNS i-lymphoma eyinhloko banesimo esihlukumezayo se-NHL. Izimpawu ezivamile zokuxwayisa zihlanganisa ubuhlungu bekhanda kanye nezinguquko kumuntu nokuqapha. Ezinye izimpawu zingase zihlanganise ukunxanxathela nokuhlanza, izinguquko ezibukwayo, ubuthakathaka noma ukukhubazeka, izinguquko zenkulumo, noma ukulahleka kwememori.
Izimpawu zanda ngokushesha, futhi abaningi badinga ukubona udokotela phakathi kwamasonto ambalwa ekuqaleni kwezimpawu.
Ukuvivinywa nokuxilongwa
I-CT kanye noMrans scans ingase ikwazi ukubona ngokuqinisekile ukuthi i-tumor yobuchopho i-lymphoma. Odokotela abahlinzayo be-Brain kudingeka bathathe i-biopsy encane evela kulesi sifo ukuze baqinisekise ukuthi i-lymphoma. Lokhu ngokuvamile kwenziwa ngenqubo ebizwa nge-biopsy stereotactic.
Ukususwa ngokuphelele kwe-tumor akudingeki. Ukuhlolwa kwe-cerebrospinal fluid (CSF) kwenziwa ngokuthatha umthamo omncane ophuma emthonjeni wakho emgodleni ngemuva ( umcibisholo womgogodla noma ukugwedwa kwe-lumbar .) Izivivinyo zenziwa ukulawula izifo kunoma iyiphi enye ingxenye yomzimba, kubandakanya i-bone marrow biopsy, futhi cishe i-CT izicathulo zesifuba sakho, isisu nesifuba sakho. Ngaleso sikhathi kungabizwa ngokuthi yi-CNS lymphoma eyinhloko.
Ukwelashwa kwe-CNS Lymphoma Primary
Ukwelashwa kwe-CNS lymphoma eyinhloko kuhluke kwezinye izinhlobo ze-lymphoma. Yingakho imithi embalwa kakhulu ewusizo kwezinye izinhlobo ze-lymphoma ingafinyelela ebuchosheni. I-network of membranes eyaziwa ngokuthi ukuvinjelwa kwengqondo yegazi ihloselwe ukuvikela ubuchopho ebuchosheni, kodwa futhi "ivikela" ubuchopho ezidakamizwa ezifana ne-chemotherapy.
Emashumini eminyaka ambalwa emuva, i-radiotherapy kulo lonke ubuchopho kwakuwukuphela kokwelashwa okuphumelelayo. Manje, i-chemotherapy enezinye izidakamizwa ezingeni eliphezulu liyakwazi ukunakekela lesi sifo kangcono futhi sikwazi ukunqoba izinkinga ezibhekene nazo ngaphambili ngenxa yokungabi nalutho lokungena kwesibindi segazi.
Ngaphandle kwe-chemotherapy kanye nokwelashwa kwemisebe, ukuvivinywa kwemitholampilo kuthola imiphumela ekhuthazayo nge-peripheral blood stem cell transplants, kanye nokwelashwa okuhlosiwe (ikakhulukazi ukwelashwa kwe-antibody).
Bheka isihloko esiphelele kwi-Primary CNS Lymphoma Treatmentto ufunde mayelana nokwelapha ngokujulile okukhulu.
Umphumela kanye nokubikezela
Ngaphambi kokuthuthukiswa kwe-chemotherapy ephumelelayo engafinyelela ebuchosheni, imiphumela yokwelashwa kwe-CNS lymphoma eyinhloko yayimpofu. Ukuphunyuka ngaphandle kokwelashwa kwakuphakathi kwezinyanga ezi-1 kuya kwezingu-3 kuphela. Imiphumela ithuthuke kakhulu emashumini ambalwa edlule, futhi ukwelashwa okusha kufundiswa ngokujulile ekuvivinyweni kwemitholampilo. Ezinye iziguli manje zingelashwa, futhi abaningi abaningi manje bangaphila isikhathi eside kunangaphambili.
Ukusekela
Uma uthola ukuthi unaleli fomu le-lymphoma, ungazami ukuhamba yedwa.
Finyelela usizo phakathi komndeni wakho nabangani. Ungaba neqembu lokusekela emphakathini wakho, kodwa uma ufisa ukuxhuma nabanye ababhekene nesifo esifanayo nawe, kunomphakathi omangalisayo we-lymphoma otholakala ku-intanethi nabanye abantu abaningi abhekene ne-CNS lymphoma eyinhloko. Ngokuqinisekile kunemiphumela emibi yokwelapha, nabanye abantu abanenkinga yokucabanga nenkumbulo , kodwa kunezindlela eziningi zokusebenza nalezi zimpawu ukuze ukwazi ukuhola impilo evamile ngangokunokwenzeka. Thatha isikhathi esincane ukuze ubheke izivivinyo zomtholampilo, noma ukhulume nodokotela wakho mayelana nezinketho ezintsha ezitholakalayo.
Imithombo:
I-Batchelor, i-T. Ukwelashwa nokubikezelwa kwesistimu ye-central central nervous lymphoma. Kusesikhathini. Kubuyekezwe 11/15/15. http://www.uptodate.com/contents/treatment-and-prognosis-of-primary-central-nervous-system-lymphoma
I-National Cancer Institute. Ukwelashwa okuyisisekelo kwe-CNS Lymphoma - yezempilo wezempilo (PDQ). Kubuyekezwe 04/02/15. http://www.cancer.gov/types/lymphoma/hp/primary-cns-lymphoma-treatment-pdq#section/_1