25 Izifo ezahlukene nezincazelo
Izigaba ezimbili eziyisisekelo ze-lymphoma yi- Hodgkin lymphoma non-Hodgkin Lymphoma , noma i-NHL. I-non-Hodgkin lymphoma yiqembu elikhulu kakhulu lezifo, ngokuvamile ngezimpawu ezihluke kakhulu, ukwelashwa nemiphumela. Igama eliqondile lohlobo lwakho lwe-NHL lingabandakanya amagama amaningi achazayo angase alula ukuwaqonda. Nansi incazelo yeminye yemigomo.
I-T-cell noma i-B-cell
Ama-lymphomas avela ku-lymphocytes, uhlobo lwe-white cell cell. Ama-lymphocytes anama-2 izinhlobo: T cells namaseli B. Bobabili basiza ekubulaweni ama-agent angenelele kodwa ngezindlela ezahlukene. Kuye ngokuthi yiluphi uhlobo lwe-lymphocyte oluphendulwa ngumzimba wesifo somdlavuza emzimbeni wakho, ungase ube ne-T-cell noma i-B-cell lymphoma. I-B-cell NHL iyinhlobonhlobo ejwayelekile kakhulu. Kunezinhlobo eziningi ezahlukene ze-B cell ne-T cell lymphomas, ngayinye eziphatha ngendlela ehlukile.
Ephakeme, ephakathi, noma ebangeni eliphansi
Ama-pathologists, abheka i-biopsy evela ku-tumor yakho, ngokuvamile echaza ukwelapha ngokwebanga lebanga. I-high-grade lymphoma inezakhi ezibukeka zihluke kakhulu kumaseli avamile. Bavame ukukhula ngokushesha. I-lymphomas ebangeni eliphansi linezinqamuzana ezibukeka kakhulu njengamaseli avamile futhi zanda kancane. I-lymphomas ebangeni eliphakathi liwela endaweni ethile phakathi. Ukuziphatha kwalezi zinhlobo kuphinde kuchazwe njenge-indolent nobudlova.
Ukuthukuthela noma Okudabukisayo
Lokho okuchazwa yi-pathologist ngokuthi i-lymphoma ephezulu noma ebangeni eliphakathi kakhulu likhula ngokushesha emzimbeni, ngakho-ke lezi zinhlobo ezimbili zibhekwa njenge- NHL enobudlova . Ngokumangazayo, i-NHL enobudlova ngokuvamile iphendula kangcono ukwelashwa, futhi abantu abaningi abane-NHL enobudlova bayaphulukiswa uma kutholakala ukuthi bangakabiphi.
Uhlobo oluvame kakhulu lwe-lymphoma enobudlova luhlukanisa kakhulu i-B-cell lymphoma (i-DLBCL).
Ngakolunye uhlangothi, i-NHL ephansi i-NHL, ikhula kancane, ngakho-ke lezi zymphomas zibizwa ngokuthi i-NHL engavamile . Leli qembu le-NHL alitholi izimpawu eziningi kakhulu, kodwa futhi limi isikhathi eside futhi alinamathuba okuphulukiswa. Uhlobo oluvame kakhulu lwe-indolent lymphoma yi-follicular lymphoma. Ngezinye izikhathi i-lymphomas engaphenduki ingashintsha ibe into enobudlova.
I-Nodal noma i-Extranodal
Iningi lama-lymphomas liyi-lymphomas nodal , okusho ukuthi iphuma emantanjeni. Kodwa kungenzeka ukuthi i-lymphomas iphakame cishe noma yikuphi. Uma i-lymphoma ikhona kakhulu kuma-node akho, ibizwa ngokuthi yi-nodal disease. Ngezinye izikhathi, iningi le-lymphoma lingase libe yimbumba engeyona ingxenye yesimiso se-lymph-njengesisu, isikhumba noma ubuchopho. Esimweni esinjalo, i-lymphoma ibizwa ngokuthi i- extranodal . I-Nodal ne-nodal eyengeziwe ibhekisela kwisayithi eliyisisekelo lesi sifo. I-lymphoma ingakhula endaweni ye-lymph node bese iqala ukubandakanya ezinye izakhiwo kamuva, noma kunjalo. Esimweni esinjalo, sisabhekwa njenge-nodal lymphoma kodwa kuthiwa sinokubandakanyeka kwe-extranodal.
Ukusakaza noma i-Follicular
Lezi yiminye eminye imigomo esetshenzisiwe yi-pathologist.
E-follicular lymphoma, amangqamuzana omdlavuza ahlela ngokwabo emasimini aphethwe yi-follicles. E-NHL ehamba phambili, amaseli asakazeka nxazonke ngaphandle kokuhlanganiswa. Iningi le-NHL eliphansi elingaphansi kwe-NHL libukeka sengathi liyi-follicular, futhi i-NHL ephakathi noma ephezulu ibukeka isakazeka kuma-slide e-biopsy.
Okuvamile noma okuvamile
I-non-Hodgkin lymphomas nayo ibhekwa njengento evamile noma ehlukumezekile, esekelwe kwizibalo ezifana nenani lamacala amasha ngonyaka. Ngenkathi izinhlobo ezijwayelekile ze-NHL zingase zibe nezindinganiso ezengeziwe zokwenza kanye nezinqubo zokwelapha, kokubili izidakamizwa ezivamile nezingavamile zingaphathwa ngendlela ehlukahlukene, futhi ukwelashwa kuyinkinga yokuphenywa okuqhubekayo ekuvivinyweni kwemitholampilo.
I-B-cell lymphomas ivame kakhulu kuneT-cell lymphomas. I-B-cell lymphomas ifaka phakathi kokubili i-DLBCL-i-lymphoma enobudlova kakhulu futhi i-follicular lymphoma, i-lymphoma engavamile kakhulu.
Izinhlobo ezihlukahlukene ze-NHL zibhekwa njenge-lymphomas ezingavamile. Izibonelo zifaka i-Waldenstrom Macroglobulinemia, isimiso esiyisisekelo sezinzwa ze-lymphoma , kanye ne-primary lymphoma ye-thyroid, esivela i-NHL njalo.
Izwi elivela
Kunezindlela eziningi ezengeziwe zokuhlukanisa i-lymphoma, futhi akuzona zonke izilonda eziwela phansi ezihlotsheni ezikhona. Ngezinye izikhathi i-lymphoma izochazwa ngokuthi i-lymphoma "evuthiwe," njenge-B cell lymphoma evuthiwe noma i-T-cell lymphoma evuthiwe. Igama elivuthiwe kulezi zimo libhekisela eqinisweni lokuthi amangqamuzana anomdlavuza aqhubeka phambili ekulandeleni ukukhula kwe-lymphocyte; Ngamanye amazwi, umdlavuza usungulwe esitokisini "esakhula" noma esiseduze nesigaba sokugcina salokho okwakungavamile ukuthi iseli elidala libe khona.
Kukhona futhi okungabhekiselwa kulokho i-lymphoma eqala khona. Ngokwesibonelo, i-T-cell lymphoma ingaba yesikhumba (esikhumbeni). I-T-cell lymphoma ye-Peripheral iqukethe iqembu lama-NHL angavamile futhi avame ukuhlukumezeka okuthuthuka kusuka kumaseli aT T avuthiwe.
Imithombo:
I-American Cancer Society. Yiziphi izibalo ezibalulekile mayelana ne-non-Hodgkin lymphoma?
Rapiti E, Guarnori S, Amadlelo B, Miralbell R, Usel M. Ukuhlela ngekusasa: umdlavuza wezehlakalo eSwitzerland kuze kube ngu-2019. Impilo Yomphakathi Ka BMC . 2014; 14: 102.
Chihara D, Ito H, Matsuda T, et al. Ukuhlukana kwezigameko nezindlela zokuhlukunyezwa kwe-haematological eJapane nase-United States. I-British Journal ye-Hematology . 2014; 164 (4): 536-545.
Ama-Israyeli: Izwe Eliphakeme Kunazo zonke zeLymphoma engeyona i-Hodgkin.