I-Lymphoma Yezinhlolo
Iyini i-lymphoma ye-testicular futhi ihluke kanjani kwezinye izinhlobo ze-non-Hodgkin lymphoma?
Sibutsetelo
I-Lymphoma ingathinta ama-testes ngezindlela ezimbalwa. I-lymphoma ingase iqale kuma-testes, lapho kwenzeka khona kuthiwa yi-primary testicular lymphoma, noma i-lymphoma ingabandakanya ama-testes njengengxenye yesifo esasakazekayo okubandakanya ezinye izindawo eziningi.
Ukuvama
I-testes akuyona isayithi elivamile lymphoma.
Eqinisweni, ama-testes aphethwe kakhulu ngomunye umdlavuza okuthiwa i-germ cell tumors. Abantu abangaphansi kuka-5% abanomdlavuza ku-testes empeleni bane-lymphoma. Nokho, kubantu abangaphezu kweminyaka engama-50 ubudala, i-lymphoma ingumdlavuza ovame kakhulu we-testes njengezinambuzane zegciwane le-germ kule nkathi yobudala ayivamile.
Izinhlobo
I-lymphoma ye-testes cishe ihlobo lwe-non-Hodgkin's lymphoma (NHL) . Uhlobo oluvame kakhulu luhlukanisa i-B-cell lymphoma enkulu . Ezinye izinhlobo zi-immunoblastic lymphoma, i- Burkitt lymphoma (ezinganeni), kanye ne- follicular lymphoma .
Kunamagama ambalwa ongase uzwe uma uthola ukuthi une-testicular lymphoma. Esinye " isethulo se-extranodal ." I-extranodal primary lymphoma imane nje isho ukuthi i-lymphoma itholakala kuqala (ivela) ngaphandle kwe-lymphatic system, ngamanye amazwi, itholakala kuma-testes kuqala kune-lymph node, i-spleen, i-bone marrow, noma i-thymus.
I-testes (kanye nesistimu yomphakathi oyinhloko) nayo ibizwa ngokuthi yizindawo ezingcwele .
Izimbangela
Ayazi ukuthi izimbangela ze-testicular lymphoma ziphi, kodwa kunezici eziningana eziyingozi zokungabikho kwe-Hodgkin lymphoma . Kukhona ubudlelwane nezifo ezibangelwa amagciwane, ikakhulukazi i- EBV (igciwane le-Epstein-Barr elibangela i-mono) , i- CMV (i-cytomegalovirus ukutheleleka) , i-parvovirus B19 (igciwane elidala isifo "sesishiyagalolunye", isifo esivamile sokutheleleka kwesandulela ngculaza ezinganeni), futhi I-HIV.
Izimpawu Nezibonakaliso
Uphawu oluvame ukukhuliswa kwesinye sezivivinyo ezimbili. Kuvame ukuthi ubuhlungu obuncane noma abukho buhlobene nalokhu. I-testis ingase izwe inzima. Uma i-lymphoma isakaze kwezinye izingxenye zomzimba, kungase kube nezimpawu ezihlobene nezingxenye ezithintekile. Kungenzeka kube neyodwa noma ngaphezulu kwezimpawu ze- B ze-lymphoma- fever, ukulahlekelwa isisindo noma ukujuluka ebusuku.
Ukuxilongwa
I-testicle ekhulisiwe ingaba nezimbangela eziningi, futhi udokotela wakho angakwazi ukubona kalula izimo ezivamile nezilula. Uma kukhona ukusola kwesisu, i-ultrasound noma i-CT scan ye-testes izoconywa njengesivivinyo sokuqala. Ukuhlolwa kwegazi kwamakhamera we-tumor kwenziwa ukuze kutholakale izicubu ze-germ cell, uhlobo oluvame kakhulu lomdlavuza we-testis. Indlela engcono kakhulu yokuthola uhlobo oluqondile lwe-tumor ukususa i-testis ngokuhlinzwa okulula. Ukuhlolwa kwesinaliti noma i-biopsy ngokuvamile akukhuthazwa ngenxa yobungozi bokulimala "ukuhlwanyela" - ukusakazwa kwamangqamuzana omdlavuza ozungeza indawo lapho inaliti ifakiwe khona. Izicubu ze-testicle ezisusiwe zibhekwa ngaphansi kwesikhampasi, futhi kutholakala ukuxilongwa kokugcina.
Uvivinyo Ngemuva kokuthola ukuhlolwa
Uma i-tumor testicular i-lymphoma, isethi yokuhlolwa iyadingeka ngaphambi kokuba ukwelashwa kuqale. Ngokuvamile lokhu kuhlanganisa ukuhlolwa kwe-CT kwesisu nesifuba nokuhlolwa komnyofu wamathambo .
I-lymphoma ye-testicular nayo ingasakazeka ku-cerebrospinal fluid (CSF) egeleza ngaphakathi kobuchopho nomgogodla. Ukukhishwa kwe-lumbar (ithempini yomgogodla) kungenziwa ukuze kususwe inani elincane laleli ketshezi kusuka emgodleni osempumalanga bese ulivivinya ngamaseli lymphoma.
Ukwelapha
Ukwelashwa komdlavuza we-testicular ngokuvamile kuhilela ukukhipha isisu, kodwa ukwelashwa okwengeziwe kuyadingeka ukuvimbela umdlavuza ukuba ubuyele kwesinye isilwane, isimiso sezinzwa zomphakathi kanye nezinye izingosi ezingaphandle.
Ukwelashwa - Ukususa i-testicle (orchiectomy) yingxenye yokuqala yokwelapha futhi kuvame ukufezwa njengengxenye yokuxilongwa.
I-Chemotherapy - I- chemotherapy regimen CHOP ivame ukunikezwa kanye ne-Rituxan. Izidakamizwa kulolu hlobo zihlanganisa i-Cytoxan (cyclophosphamide), i-Adriamycin (doxorubicin), i-Oncovin (i-vincristine), ne-prednisone.
Ukwelapha okulindelekile - I- Rituxan (rituximab) i-anti-monoglonal antibody ejwayele ukunikezwa kanye ne-chemotherapy. Imizimba yethu yenza ama-antibodies alwe nama-bacterium kanye nama-virus. I-Rituxan i-antibody eyenziwe ngabantu eyenzelwe ukulwa namaseli e-lymphoma.
Imisindo - Ukushiswa kwamafutha kuvame ukuqhutshelwa esifundeni se-pelvic, ikakhulukazi ukunciphisa amathuba okuba nomdlavuza abuyele kwenye i-testicle.
I-system central ne-prophylaxis ye- nervous Central-system prophylaxis ngokuvamile ihlanganiswe njengengxenye yokwelapha ukuvimbela lokhu lymphoma ukuba isakaze noma ibuye iphinde isistimu yomphakathi.
Ukulondoloza Ukuzala
Ngokuvamile isifo esisodwa esisodwa sidinga ukususwa, kodwa kokubili ukwelashwa kwe-chemotherapy kanye nokwelashwa kwama-radiation kungabangela ukungasebenzi. Ngokubonga insimu yasebhankini iyindlela enhle kakhulu yamadoda amaningi. Qinisekisa ukuthi ukhuluma nodokotela wakho mayelana nokulondoloza ukwelashwa ngesikhathi sokwelashwa komdlavuza ngakho uyazi zonke izinketho zakho ngaphambi kokuqala ukwelashwa.
Ukubhekana nokusekela
Uma uthola ukuthi une-testicular lymphoma cishe uzizwa ukhululekile. Njengoba lokhu kuyisisu esingavamile ungase uzizwe uwedwa, futhi uzibuze ukuthi ungakhuluma nani. Finyelela emndenini nabangani. Cabanga ukuxhuma nomphakathi womdlavuza online. Siphila eneminyaka lapho ungathola khona abanye abane-lymphoma ye-testicular emhlabeni wonke, futhi bangathola ngisho nokusekelwa kanye nabantu ukuze badonsa imicabango ngomhla ka-24/7. Ucwaningo futhi ufunde ngesifo sakho , futhi uthathe ingxenye ekhuthele ekunakekeleni kwakho. Ukwelashwa kwalesi sifo kuyinto enobudlova, kodwa ngokungafani neminingi kancelisi inikeza ithuba elihle lokulawula isikhathi eside lesi sifo.
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