Ukuntuleka kwezimpawu kuthola kunzima ukuxilongwa
I-lymphoma uhlobo lomdlavuza oluthinta uhlobo lwegazi elimhlophe elibizwa nge- lymphocyte . Njengazo zonke izinhlobo zomdlavuza, i-lymphoma ihilela ukukhula okungavamile kwamaseli. Kulesi simo, i-lymphocyte ethintekile iqala ukukhula iphindwe ingahlosiwe, igweme umjikelezo ojwayelekile wokufa kwe-cell ehleliwe (i-apoptosis) evumela amangqamuzana amasha ukuba athathe amangqamuzana endala.
Njengoba i-lymphocyte engumdlavuza ihamba ngokukhululekile ngegazi, ingabangela ukwakheka kwezifo ezinxenyeni zesimiso se-lymphatic-ngokuyinhloko i-lymph nodes kodwa futhi ne-spleen, thymus, tonsils, ne-adenoids.
Ama-lymphomas angakhula kwezinye izingxenye zomzimba futhi, ngoba izicubu ze-lymphoid zingatholakala kuwo wonke umzimba. Ngenxa yalokho, amaphesenti angu-40 e-lymphomas avela ngaphandle kwe-lymphatic system, kaningi emaphethelweni emathunjini. Enye yezibonakaliso i-colorectal lymphoma.
Ukuqonda i-Colorectal Lymphoma
Ama-Colorectal lymphoma ama-15 kuya kwezingamaphesenti angu-20 wezinyosi zamathambo (uma kuqhathaniswa namaphesenti angu-50 kuya kwangu-60 esiswini futhi amaphesenti angu-20 kuya kwangu-30 emathunjini amancane). Yini ehlukanisa i-lymphomas emathunjini kuzo zonke ezinye izinhlobo yilezi zikhathi eziningi ezingenayo izibonakaliso eziphawulekayo.
Izibonelo zifaka:
- Ukuntuleka kwama-lymph nodes ekhulisiwe ekuhloleni ngokomzimba.
- Ukuntuleka kwe-lymph nodes e-X-ray.
- Ukuntuleka kwezindinganiso ezingavamile zegazi noma umnkantsha wezintambo ezingavamile.
- Ukungabi nesiphelo esingavamile noma isibindi.
Ezinye noma zonke lezi zinto zingalindelwa ku-"classic" case of lymphoma.
Akunjalo nge-lymphoma yesisu.
Izimpawu nokuxilongwa
I-Colorectal lymphoma ngokuvamile ibonakala kubantu abangaphezu kuka-50, kanye nalabo abanesifo sofuba (IBD) esivuthayo , kanye nabantu abanamasosha omzimba acindezelwe kakhulu. Iningi libandakanya uhlobo lwe-lymphoma okuthiwa yi-non-Hodgkin lymphoma (NHL).
Izimpawu zivame ukwakhiwa kuphela ngemuva kokwakheka kwesisu, ngesikhathi umuntu angase abe nezimpawu ezifana nalezi:
- Ubuhlungu besisu.
- Ukulahlekelwa kwesisindo esingachaziwe kwamaphesenti angaba ngu-5.
- Ukusuka kwamathunjini amancane kanye / noma igazi.
Ngokungafani nezinye izinhlobo zomdlavuza ezithinta ikoloni noma i-rectum, akuvamile ukuvimbela isilwane noma ukuphazamiseka kwesilonda kusukela isisu sizobe siphenduka futhi sithobe. Ama-coloredal lymphomas amaningi ahlonishwa usebenzisa i-computer ye-tomography (CT) noma i-enema ye-barium ene-X-ray.
Ngenxa yesethulo sezimpawu, ihafu yazo zonke i-colorectal lymphomas itholakale esigabeni sesine sesifo, lapho umdlavuza uzobe usakazeka kwezinye izitho. Izicubu eziye zahlwithwa ziyanzima kakhulu ukuphatha.
Ukwelapha
Ukwelashwa kwe-colorectal lymphoma kufana nokunye okubonakalayo kwe-NHL. Kuye ngesigaba somdlavuza, kungase kuhileleke:
- I-Chemotherapy ilawulwa njenge-infusions emithanjeni.
- Ama-Radiotherapy asetshenziselwa ukuvimbela ukwakhiwa kwezicubu ezintsha (nakuba ukwelashwa kuhlobene namazinga aphezulu ezinkinga).
- Ukwelashwa ukukhipha isisu esiyisisekelo (uma umdlavuza ungakafiki kahle).
Ezimweni eziningi, inhlanganisela yokuthengiswa kokuhlinzwa kanye ne-chemotherapy izosetshenziswa. Ukuthengiswa kokuhlinzwa kuhilela ukususwa kwesigaba sekoloni ngomdlavuza, ekupheleni kwawo okuhlanganiswa ngakho nge-sutures.
Uma isetshenziselwa ndawonye, ​​ukuhlinzeka nokuhlinzwa kwamakhemikhali okuye kwaboniswa ukwandisa izikhathi zokusinda noma kuphi kusuka ezinyangeni ezingu-36 kuya ku-53. Ezimweni lapho i-metastasis isithinte isitho esisodwa (ngokungafani nezitho eziningi), umkhuba uye wabangela amaphesenti angu-83 eziguli eziphila iminyaka eyishumi noma ngaphezulu.
Ngokuhlinzwa kuphela, izinga lokuphindaphinda liphakeme (amaphesenti angama-74), elinomthelela omkhulu wokufa ngenxa yesifo esasakazeke (esasakazwa). Ngakho-ke, i-chemotherapy ibhekwa njengento edingekayo ukuze kuqinisekiswe kangcono izikhathi zokuhlala isikhathi eside. Ngaphandle kwalo, ukuphindaphinda ngokuvamile kwenzeka eminyakeni emihlanu.
> Umthombo
- > Quayle, F., noLowney, J. "Colorectal Lymphoma." I-Clin Colon Rectal Surg. 2006; 19 (2): 49-53.