Umbuzo: Yiziphi izimpawu ze-B?
Impendulo:
I-B-izimpawu zingase zichazwe ngokuthi "izinhlelo zesistimu" noma "izimpawu ezijwayelekile," kodwa esimweni se-lymphoma, leli gama libhekisela kwisethi ethize yezimpawu ezintathu ezingase zibikezele ukuthi kungenzeka kanjani ukuthi lesi sifo sizoziphatha kanjani:
- Umkhuhlane (okungukuthi, izinga lokushisa> 38 ° C [> 100.4 ° F]) ngezinsuku ezintathu ezilandelanayo
- Ukulahlekelwa kwesisindo ngaphandle kokuzama, okungaphezu kuka-10% wesisindo somzimba ezinyangeni ezingu-6
- Ukuphuza ukuthuka ebusuku
Umuntu one-lymphoma nanoma iyiphi yezimpawu ezintathu ezingenhla kuthiwa unezinkinga zeB. Kunezigaba ezimbili ezinkulu ze-lymphoma: i-Hodgkin lymphoma (HL) ne-non-Hodgkin Lymphoma (NHL). Iziguli ezinjani uhlobo lwe-lymphoma zingase zihlakulele izimpawu zeB. Esinye sezibonakaliso ezivame kakhulu ze-lymphoma, ngokuvamile, ukukhuliswa kwama-lymph nodes. Izimpawu ze-B zingase zibe khona noma zingekho ezinhlobonhlobo ezihlukahlukene ze-lymphoma kodwa uma zikhona, zingasiza ukubikezela ukuthi i-lymphoma izoziphatha kanjani nokuthi yiziphi izindlela zokwelashwa ezingase zibe ngcono ukuqala ngazo. Izimpawu ze-B zivama kakhulu kuma-lymphomas akhula ngokushesha.
Okuningi ku-B Izimpawu nokubaluleka kwazo
Kwezinye izimo, izinkinga ze-B zingase zibonise nokuthi lesi sifo singase sibe khona kwezinye izingxenye zomzimba ngaphandle kokuthi bekutholwe kuphi. Ukuba khona noma ukungabikho kwezimpawu zeB ngesikhathi sokuxilongwa kungase kuhlanganiswe nencazelo yesifo somuntu.
Uma udokotela enquma isigaba sesifo futhi umuntu unesifo se-B, uyanezela incwadi B ngemuva kwesigaba (esingase sibe phakathi kuka-I kuya ku-IV). Ngakho-ke uma othile esiteji II nge B-izimpawu, lesi sigaba sibonakala njengoba II-B. Izigaba zalabo abangenazo zonke izimpawu zeB zibhekwa njenge-A.
Kunezinhlobo eziningi ezahlukene ze-lymphoma, futhi izinhlobo ezahlukene ze-lymphoma zingathinta iziguli ngokuhluke kakhulu. Ngendlela efanayo, ukuba khona kwezimpawu zeB kungabaluleka kakhulu kwezinye izimo ze-lymphoma, kodwa kuncane kwezinye izinhlobo ze-lymphoma.
B-Izimpawu Ezihambisana Nokuguqulwa
Izinhlobo ezimbili ezivamile kakhulu ze-NHL ziyi-follicular lymphoma (FL) futhi zihlukanisa kakhulu i-B-cell lymphoma (DLBL) enkulu. I-lymphoma yezintambo ibhekwa ngokuthi i-lymphoma engavamile noma ekhula kancane, okusho ukuthi "ingaba khona" iminyaka eminingi ngaphambi kokuba isuke isifo esinobudlova, esheshayo. Uma i-FL ishintsha esuka ekuthunjweni kobudlova, lokhu kubhekiselwa ekuguqulweni.
I-FL ingashintsha ibe yi-DLBCL, i-lymphoma ekhudlwana futhi ekhula ngokushesha. Ngezinye izikhathi, umuntu one-FL engakaze azi ukuthi unesifo se-lymphoma futhi uya kuphela ekunakekeleni ukwelashwa lapho lesi sifo sishintshile. Enye yezinto ezingase ziholele umuntu ukuba afune usizo lwezokwelapha kuba khona kwezimpawu ze-B.
Muva nje iqembu labacwaningi babheka izici ezihambisana nokuguqulwa kwe-FL phakathi kweziguli ezingu-2,652. Ngemuva kokubukela iminyaka engaba ngu-6-7, cishe amaphesenti angu-14 azoguqulwa ngemuva kokuhlolwa kokuqala kwe-FL, kufaka phakathi amacala angu-147 e-biopsy-aqinisekisiwe futhi angu-232.
Bakhetha ukuthi ukubandakanyeka kwe-lymphoma ngaphandle kwe-lymph nodes, ukuphakama kwegazi elibizwa nge-lactate dehydrogenase, futhi izimpawu zeB ezixilongwa ngazo zihlobene nengozi yokuguqula.
Imithombo
Wagner-Johnston ND, Link BK, Byrtek M, et al. Imiphumela ye-follicular lymphoma eguqulwayo ezikhathini zanamuhla: umbiko ovela ku-National LymphoCare Study (NLCS). Igazi . 2015; 126 (7): 851-857
Ukuthuthukiswa kokuxilonga nokuThera kuHematologic Malignancies ehlelwe nguMartin S. Tallman, uLobert I. Gordon
I-Hematologic Malignancies. I-Demos Medical Publishing, Dec 17, 2012