Chii Chinonzi Follicular Lymphoma?

Zvemukati

• Zviitiko
• Zviratidzo
• Kuongorora
• Kurapa
• Kurinda kumirira
• Radiation
• Chemotherapy
• Monoclonal antibodies
• Radioimmunotherapy
• Stem cell kuisirwa
• Matambudziko
• Kudzorera
• Outlook

Mhedziso

Follicular lymphoma imhando yekenza inotanga mumasero machena eropa emuviri wako. Kune maviri akakosha mafomu e lymphoma: Hodgkin uye isiri Hodgkin. Follicular lymphoma isiri-Hodgkin lymphoma.

Rudzi urwu rwe "lymphoma" runowanzokura zvishoma nezvishoma, uhwo vanachiremba vanodana kuti "kusaziva."

Verenga pamusoro kuti udzidze zvakawanda nezvezviratidzo zve follicular lymphoma uye ndedzipi nzira dzekurapa dziripo.

Zviitiko

Kwete-Hodgkin lymphoma ndeimwe yekenza yakajairika muUnited States. Vanopfuura vanhu zviuru makumi manomwe nezviviri vanoonekwa vaine chimiro chayo gore rega.

Inenge imwe chete mumashanu ma lymphomas muUnited States ndeye follicular lymphoma.

Follicular lymphoma haigone kubata vechidiki. Ivhareji zera remumwe munhu ane kenza yerudzi urwu ndeye makumi matanhatu.

Zviratidzo

Zviratidzo zve follicular lymphoma zvinogona kusanganisira:

• akawedzera lymph node mumutsipa, pasi pesimba, dumbu, kana kugomera
• kuneta
• mweya wekufema
• fivha kana kudikitira usiku
• kuonda
• zvirwere

Vamwe vanhu vane follicular lymphoma havana chero zviratidzo zvachose.

Kuongorora

Kuti uongorore follicular lymphoma, chiremba wako anogona kuita bvunzo dzinotevera:

• Biopsy. Biopsy inoitwa kuongorora zvinyama pasi pe microscope uye kuona kana iri cancer.
• Kuongorora ropa. Ungangoda bvunzo kuti utarise yako masero eropa.
• Kufananidza scan. Chiremba wako anogona kukuudza iwe uine imaging scan kuti uone iyo lymphoma mumuviri wako uye kuronga kurapwa kwako. Computed tomography (CT) uye positron emission tomography (PET) zviyero zvinowanzo shandiswa.

Kurapa

Dzimwe nzira dzekurapa dzinowanikwa kune vanhu vane follicular lymphoma. Chiremba wako achasarudza kuti ndeupi kurapwa kwakakukodzera iwe zvichienderana nerudzi rwekenza uye nekufambira mberi kwayo.

Kurinda kumirira

Kana iwe ukakurumidza kuongororwa uye uchingova nezviratidzo zvishoma, chiremba wako anogona kukurudzira kuti iwe utarise uye umirire. Izvi zvinoreva kuti mupi wako wezvehutano anoramba akatarisa pamamiriro ako, asi haugamuchire chero kurapwa.

Radiation

Radiation inoshandisa akakwira-simba matanda kuparadza gomarara maseru. Inowanzo kupihwa kune vanhu vane yekutanga-nhanho follicular lymphoma. Mune zvimwe zviitiko, radiation chete inogona kukwanisa kurapa rudzi urwu rwegomarara. Iwe ungangoda radiation pamwe nemamwe marapirwo kana kenza yako yawedzera kumberi.

Chemotherapy

Chemotherapy inoshandisa mishonga kuuraya cancer maseru mumuviri wako. Iyo dzimwe nguva inopihwa kune vanhu vane follicular lymphoma, uye inowanzo kuve inosanganiswa nemamwe marapirwo.

Monoclonal antibodies

MaMonoclonal antibodies mishonga inotarisisa mamaki pamamota uye inobatsira maseru ako ekudzivirira kurwisa gomarara. Rituximab (Rituxan) inorwisa monoclonal antibody iyo inowanzo shandiswa kurapa follicular lymphoma. Inowanzo kupihwa se IV infusion kuhofisi yechiremba wako uye inowanzo shandiswa mukubatana nekemotherapy.

Zvinowanzobatanidzwa zvinosanganisira:

• r-bendamustine (rituximab uye bendamustine)
• R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, uye prednisone)
• R-CVP (rituximab, cyclophosphamide, vincristine, uye prednisone)

Radioimmunotherapy

Radioimmunotherapy inosanganisira kushandisa mushonga yttrium-90 ibritumomab tiuxetan (Zevalin) kuendesa mwaranzi kumasero ekenza.

Stem cell kuisirwa

A stem cell transplant dzimwe nguva inoshandiswa kune follicular lymphoma, kunyanya kana kenza yako ichidzoka. Maitiro aya anosanganisira kupinza maseru ane hutano mumuviri wako kutsiva marora emapfupa ane chirwere.

Kune maviri marudzi e stem cell transplants:

• Autologous kuisazve. Maitiro aya anoshandisa ako maseru maseru kurapa kenza yako.
• Allogeneic kuisazve. Maitiro aya anoshandisa hutano maseru maseru kubva kune anopa.

Matambudziko

Kana inononoka kukura lymphoma, senge follicular lymphoma, inoshanduka kuita fomu inokurumidza kukura, inozivikanwa sekushandura lymphoma. Shanduko lymphoma inowanzo kuve nehasha uye inogona kuda kurapwa kwakanyanya.

Mamwe follicular lymphomas anogona kushanduka kuita inokurumidza kukura mhando ye lymphoma inonzi inoparadzira yakakura B-cell lymphoma.

Kudzorera

Mushure mekubudirira kurapwa, vanhu vazhinji vane follicular lymphoma vanoenda mukuregererwa. Kunyangwe ichi kuregererwa kuchigona kugara kwemakore, follicular lymphoma inoonekwa sehupenyu hwese.

Gomarara iri rinogona kudzoka, uye dzimwe nguva, vanhu vanodzokazve havapindure kurapwa.

Outlook

Mishonga ye follicular lymphoma inowanzoshandiswa kuchengetedza chirwere chiri pasi pekutonga pane kuporesa mamiriro acho. Gomarara iri rinowanzogoneswa zvinobudirira kwemakore mazhinji.

Vanachiremba vakagadzira iyo Follicular Lymphoma International Prognostic Index (FLIPI) kubatsira kubatsira kufungidzira kwerudzi urwu rwegomarara. Iyi sisitimu inobatsira kuisa follicular lymphoma muzvikamu zvitatu:

• njodzi yakaderera
• njodzi yepakati
• njodzi huru

Ngozi yako inoverengerwa zvichibva pane zvako "zvekufungidzira," izvo zvinosanganisira zvinhu senge zera, danho rekenza yako, uye kuti mangani mamodhi anokanganiswa.

Iro makore mashanu ekupona kwehuwandu hwevanhu vane follicular lymphoma vane njodzi yakaderera (vasina kana imwe chete yakasarudzika yekufungidzira chinhu) inenge 91 muzana. Kune avo vane njodzi yepakati (maviri akasarudzika fungidziro), makore mashanu ekupona mwero ndeye 78 muzana. Kana iwe uine njodzi huru (zvitatu kana kupfuura zvakashata zvekufungidzira), makore mashanu ekupona mwero i53 muzana.

Mari dzekupona dzinogona kupa ruzivo rwakakosha, asi ivo vanongo fungidzira uye havagone kufanotaura zvichaitika mune yako chaiyo mamiriro. Taura nachiremba wako nezvemaonero ako akasarudzika uye marongero erapi akakodzera mamiriro ako.