Qofka cusub ee lagu magacaabo lymphoma, fursadaha daaweynta ayaa adkaan karta in la fahmo. Waxaa jira ku dhawaad 30 nooc oo lymfoma ah, noocyo badan oo hoormooni ah, badanaana waxaa jira fursado daaweyn oo badan oo loogu talagalay cudur hal. Intaas waxaa sii dheer, daaweynta cusub ayaa si joogta ah u soo baxa, iyo waxa xaqiiqda ku saabsan fursadaha iyo natiijooyinka xitaa 10 sano ka hor wixii lymfoma ah ee laga yaabo inaysan wali xaqiiqda maanta aheyn.
Halkan waa tilmaame kooban oo lagu fahmo daaweynta lenfoma .
Daaweynta ka hor
Ka dib markii la ogaado qanjirada iyo go'aaminta nooca saxda ah ee Hodgkin's ama non-Hodgkin's lymphoma , tiro tijaabo ah ayaa weli loo baahan yahay si loo ogaado heerka cudurka - marxaladda lymphoma - iyo in la baaro arrimo kale oo go'aamiya natiijada. Marka dhammaan tijaabooyinkan iyo qiimeyaashu dhameeyaan, dhakhtarka bukaanka ayaa talobixin ku sameeya bukaanka ku saabsan fursadaha daweynta ugu fiican.
Fahamka Noocyada Daaweynta
Waxaa jira afar nooc oo daaweyn ah oo loogu talagalay lymphomas:
- Chemotherapy : Daawooyinka loo isticmaalo sida infusions ee xididdadaada ama kaniiniyada. Jadwalka kemotherabi ee caadiga ah waxaa ka mid ah ABVD , R-CHOP , iyo CHOP .
- Radioterapi: Raajooyinka tamarta sare ee lagu hayo bukaanka. Radioterapi waxaa la siin karaa meelo yaryar ( shucaaca ku lug leh ) ama meelaha ballaadhan ( shucaaca sii ballaaran ).
- Daaweynta Targeted, oo ay ku jirto daaweynta antibody : Waxaa kaloo loo yaqaan teraabiyada bayolojiga, taasina waxay sheegaysaa isticmaalka daroogada sida rituximab oo bartilmaameed u ah unugyada gaarka ah ee dusha sare ee unugyada kansarka. Iyada oo horey loo sii mariyey daawada molecular, daaweyno badan oo farsamo oo cusub oo lagu beegsanayo farsamooyin cusub ayaa lagu tijaabiyaa tijaabooyinka kiliinikada, iyo wakiillada cusub waxay sii wadaan inay ansixiyaan FDA US. Kontoroolka baaritaanka difaaca jirka waa mid ka mid ah wakiilada kooxeed ee la sameeyo, iyada oo codsiyada suurtogalka ah ee daaweynta lymphoma.
- Dhaqtarka lafaha ama xubinta taranka unugyada dhiigga: Isticmaal qiyaaso badan oo kiimiko ah ama shucaaca si loo dilo dhammaan unugyada kansarka iyada oo la badbaadinayo dhuuxa lafka leh oo lagu beddelayo unugyada dhuuxa ama unugyada stem.
Si ka duwan sida kansarrada caadiga ah sida kansarka qanjirka 'prostate' ama kansarka naasaha, isticmaalka qalliinka daaweynta lymphoma waa mid dhif ah.
Radiationka ayaa inta badan doorbidi kara qalliinka si loogu daaweeyo cudur la kala yiraahdo oo ku kooban hal meel. Hababka qalliinka ah, si kastaba ha ahaatee, waxaa loo isticmaali karaa si loo helo baaritaanka dheecaanka jidhka ee lymphoma si loo ogaado loona sheego.
Daaweynta Hodgkin's Lymphoma
Lymphoma Hodgkin waxaa badanaa lagu daaweeyaa kiimiko iyo daaweynta shucaaca. Xulashooyinka daaweynta waxay ku saleysan yihiin marxaladda lymphoma iyo waxyaallaha qotomiska ah. Ku dhowaad dhammaan bukaanjiifku wuxuu qaataa daweynta kiimikada, shucaacu waxaa laga yaabaa in loo isticmaalo marxaladda hore ee cudurka kadib markii daaweynta kemotherabi ama marmarka qaarkood daaweynta keliya.
Daaweynta Non-Hodgkin's Lymphomas (NHL)
Waxaa jira ku dhawaad 25 nooc oo kala duwan oo ah noocyada non-Hodgkin's lymphoma. Qaar ka mid ah waxay u dhaqmaan si ka duwan kuwa kale. Daaweynta dhammaantiis NHL ma aha mid isku mid ah, laakiin waxay ku xiran tahay nooca lymphoma, subtype, iyo habdhaqanka nooc hoosaadka ah. Chemotherapy badanaa waa daaweynta ugu muhiimsan. Rugaha ama daaweynta antibody monoclonal daaweynta ayaa lagu dari karaa daaweynta kemotherabi xaaladaha qaarkood ee faa'iido dheeraad ah.
- Fursadaha Daaweynta ee Loogu Talagalay Xinjirowga Non-Hodgkin's Lymphoma - waxaa ka mid ah fursado loogu talagalay kooxo ka mid ah NHL-yada caadiga ah oo ay ku jiraan Lymphoma ballaaran oo ballaaran .
- Daaweynta Lymphoma Daaweynta - Daaweynta Lymphomas gaabis ah.
- Daaweynta Lymphoma Mantle Cell - daaweynta lymphoma ee u muuqata mid gaabis ah, laakiin waxay u dhaqantaa si xad dhaaf ah.
- Gastric MALT Lymphoma Daaweynta - Daaweynta nooca lymphoma ee saameeya caloosha.
- Daweynta Lymphoma ee Asaasiga ah - daaweynta lymphoma ee saameeya inta badan maskaxda.
- Dhiigga T-cell Lymphoma Daaweynta - daaweynta lenfoma maqaarka.
- Daaweynta Lymphoma Burkitt - daaweynta lymphoma oo dhakhso u koreysa oo saameeya carruurta.
Sababtoo ah NHL waa koox noocyo kala duwan ah, waa maxay xaqiiqda mid ka mid ah nooc hoosaadka ah ma noqon karto mid kale. Tusaale ahaan, qaar ka mid ah dadka qaba lymphoma, gaabis korriin ama qallafsan NHL, uma baahna daaweyn horay loo sii wadi karo, xitaa marka laf-dhabarka ku dhaco sida B-cell unugyada waaweyn, ama DLBCL, caadi ahaan waxaa loo daweeyaa si aad u daran oo badanaaba si wanaagsan wax uga qabta chemotherapy.
Daaweynta baaritaanka
Marka la eego daaweynta kansarka iyo daweynta lymfoma, gaar ahaan, is-qoritaanka tijaabada daaweynta ayaa ku siin kara bukaano badan faa'iidooyinka kala-doorashooyinka iyo wakiilada cusub. Waxaa laga yaabaa in tani ay dhab ahaantii run tahay shakhsiyaadka haysta waxa loo yaqaan "dib u soo noqoshada ama cudur aan ciriiri lahayn." Qalabka lymphomas ayaa sidoo kale ka jawaabaya isla sidoo kale isla daaweyn la mid ah markii ay markii ugu horreysay sameeyeen, halka kuwo kalena ay muujiyeen baahida loo qabo ikhtiyaarrada cusub iyo isku dhafan kala duwan.
Maqsinka saxda ah ee u dhexeeya bukaanada iyo tijaabooyinka tijaabada ah waxaa laga yaabaa inay ku lug yeeshaan habab cusub oo kiimiko ah, daawooyinka lugta lagu hagaajiyo, xeeladaha difaaca ama daaweynta bukaanka.
Ereyga
Haddii dhawaan lagaa helay lymfoma, fahamka nooca iyo noocyada cudurkaaga waa meesha ugu fiican ee la bilaabi karo-xataa ka hor inta aanad sahamin heerarka daaweynta iyo dawooyinka kala duwan ee la heli karo.
Waa wax caadi ah in la yeesho fikrado tartiib tartiib ah iyo dareemo in laga dareemo cilad cusub (iyo, mar kale, meelaha kala duwan ee wadada ee safarkaaga kansarka). Fahmidda nooca lymphoma waxay awood u siin doontaa adiga iyo takhtarkaaga inay sahamiyaan fursadaha daaweynta ee la heli karo. Waxaa intaa dheer, daaweynta lymphoma cusub ayaa ka soo baxaysa qiyaas deg-deg ah, markaa hubso in aad sahamiso dhammaan xulashooyinkaaga.