Lymphoma dalool: calaamadaha, sababaha, daaweynta. Muddada dembidhaafka iyo lymphoma dalool noqoshada

Lymphoma loo yaqaan cudur oo ku dhaca nudaha durey. Xaaladdan oo kale, unugyada saameysey bilaabaan inay kala qaybin iyo nasasho ka cadhaysiinina khalkhal hawlaha caadiga ah ee xubnaha gudaha ee jirka aadanaha. Kooxda go'doon cudurada sida: cudurka Hodgkin (ama waxa loogu yeero cudurka Hodgkin) iyo lymphoma non-Hodgkin (oo ay ku jiraan dalool lymphoma non-Hodgkin).

Nidaamka durey. Waa maxay this

Qayb ka mid ah nidaamka difaaca ee jidhkeena waa dheecaanka, shaqada ugu weyn ee kaas - ilaalinta oo dhan cayn kasta oo ah cudurada iyo cudurrada kale ee. Waa shabakad of channels kaas oo dheecaan dhaqdhaqaaqa keli - lymph. In koorsada of qalintaanka arkay qanjidhada meesha dheecaanka waa hodan by unugyada gaarka ah - limfosaytis. Waxaa jira dhowr dacawo. limfosaytis B ayaa ka mas'uul ah xasaanadda helay in cudurrada faafa. La xiriir la pathogene ah, waxay la baabi'iyo saamaynta ay oo xajiya in aan xasuusta. limfosaytis B - yihiin wakiilada muhiim ah in formation of saamaynta wanaagsan ee tallaalka. Inta badan (80%) lymph ka kooban limfosaytis T. Waxay mas'uul ka ah burburinta cayn kasta oo fayrusyada, bakteeriyada yihiin. NK-unugyada waxaa laga helaa dheecaanka in qadar yar (ilaa 10%). Shaqadooda ugu weyn - burburinta unugyo ay waxyeello u gaar ah (oo ay ku jiraan in cudurka this sida lymphoma dalool).

Sidee waa habka malignant in nidaamka durey

habka Neoplastic bilaabmaa si ay u horumariyaan ka unugyada nidaamka durey (unugyada B). Cudurku waxa lagu baara inta badan ee dadka waayeelka ah, carruurta ka dhaca marmar dhif ah. lymphoma dalool ay magaca ay sabab u tahay xaqiiqada ah in ugu horrayn saamayn ku tintu ka helay. Inta badan, burooyinka waxaa lagu arkay qoorta, kilkilaha, gumaarka. peculiarity ee lymphoma waa in bukaanka caawimo aad u soo daahay. Unugyada saameysey dhex gelin galay dhammaan xubnaha gudaha, khalkhal shaqadooda. Inkastoo lymphoma dalool ku filan laftiisa si fiican yaridda iiia in therapy, Marxaladaha dambe ee cudurka hana u oggolaan in ay si buuxda uga takhalusi of cudurka.

sababaha suuragalka ah ee cudurka

Sababaha dhabta ah in ay gacan horumarka ah ee kansarka, khubaro ma la odhan karaa. Si kastaba ha ahaatee, waxaa jira dhowr arrimood oo sii kordhiya suurtagalnimada ee kansar. Mid ka mid ah iyaga ka mid ah - Isbedelo hiddo, koromosoomyada. Ka shaqeynta xaaladaha allifey oo, in xiriir joogto ah la kiimikooyin khatar ah ayaa sidoo kale noqon kartaa Hannaan ah xaalad sida lymphoma dalool. Sababaha cudurka laga yaabaa in sida soo socota: gaadhista shucaaca, daciifaan difaaca ee jidhka, iyo cudurka shalalka. Qaar ka mid ah khubarada kala saaro qodobada sida sigaarka, qaadashada daawooyinka qaarkood, iyo xataa cayilka.

lymphoma symptomatology

calaamadaha lymphoma dalool waa halkii daciif, gaar ahaan bilowga hore. First of dhan, waxaa jiray qaar ka mid ah koror ku dhacda mergiga. Si kastaba ha ahaatee, ay yihiin aan xanuun lahayn. Characteristically, bararka yar xilliyo baaba'aa, ka dibna reappears. Dhab ahaantii Tani waa in ay si gaar ah digniinta. Kordhi halbeegyo iyo sternum. Dibadda Lagu arki karo qufac, neefta oo ku qabata. Fursada weji-celis yar. In qaar ka mid ah xaaladaha, silica iyo beeryarada. calaamadaha lymphoma dalool yeelan karaan si caddaalad ah wax caadi ah, miisaanka oo yaraada, daal guud, itaaldarrada jidhka. Si kastaba ha ahaatee, calaamadahaan - marka laga reebo halkii xukunka, waxay arkay bukaanka kaliya hal ka mid ah tobankii. Marxaladaha More daran cudurka waxaa lagu gartaa waxyeello ku habka dareemayaasha, gaar ahaan dhuuxa lafta. Halkaa marka ay marayso la mid ah dawakhaad, lalabo, iyo miyir suurto gal.

Qoondaynta kansarka iyo marxaladaha kala duwan ee socodka

Waxaa jira dhawr nooc oo ah lymphoma. First - dalool. Tusmada ee kiishashka ay dhacdo in tani ay tahay 75%. Haddii ay jiraan kala duwan ee 25-75%, taasi waa dacawo dalool-waajihi. In nooca waajihi ee note ka yar 25% ee kiishashka. lymphoma dalool (iiia) meel dhowr marxaladood. Marka marxaladdan hore, goobta oo keliya hal saamayn qanjidhada. Heerka labaad waxa lagu gartaa-socodka bahal ah ku lug leh laba ama in ka badan qaybood (laakiin dhinaca isku mid ah diaphragm ka). Marka-degree saddexaad aagga labada dhinac ee diaphragm ka. The wareega ugu daran afar. Isbedelada sidoo kale ka dhaca xubnaha gudaha iyo nidaamyada (dhuuxa, beerka, iwm). Mararka qaarkood lymphoma stage tiro dar xarfaha A ama B. Tani waxay muujinaysaa in calaamadaha lymphoma dalool nooc soo socda: "B" - uu jiro isbeddel ah ee heerkulka jirka (kordha marmar), miisaanka oo yaraada, dhidid habeenkii. Lymphoma Horgalaha c "A" - xogta wax calaamado ah.

Hababka lymphoma ogaado

First of dhan, oo khabiir ku ah (onco-hematologist) qabashada baaritaan muuqaalka ah ee bukaanka ah. Waxaa waajib ah baaritaan histological ee tusaalaha ah. Si arrintan loo sameeyo, biopsy ah waxaa la sameeyaa. Gabal yar oo Guntin ku lymph saameysey laga saaro iyo baaritaan microscope ka yar. Waxaa xusid mudan saddex nooc cytological cudurka oo u baahan daaweyn kala duwan. Nooca ugu horeeya waxa lagu gartaa joogitaanka ilaa shan centroblasts duurka ku of view of microscope ah, kii labaadna wuxuu ahaa - 15 cutub. Nooca labaad ee lama filaan ah cytological baahan yahay chemotherapy maxaa yeelay, waa ku filan dagaal badan. Dalool nooca lymphoma cytological 3a ayaa saadaal ugu allifey. In duurka ku of view of microscope aad ka arki kartaa burooyinka ballaaran. Intaa waxaa dheer, bukaan-socodka waa in la siiyo dhiig (calamado buro, falanqaynta guud), mari baaritaan ultrasound ah xubnaha gudaha, CT ama MRI ah. Si loo go'aamiyo haddii dhuftay habka dhexe ee neerfayaasha, laf-dhabarta qabtay xayndaabka cilmi baaris dheeraad ah oo ku saabsan unugyada kansarka.

lymphoma dalool. daaweynta

Sanadihii la soo dhaafay, tirada dadka qaba cudurka noocan oo kale ah ayaa u kordhay. Sida caadiga ah, hore ku fashilantay in ay aragto in ay sameeyaan koritaan, si fiican fursadaha bukaan-socodka si loo ilaaliyo caafimaadkooda iyo nolol. Lymphoma waxa lagu gartaa si caddaalad ah daalid badan, sidaa daraadeed xaaladaha qaarkood dhakhtarka dooran ciyaarta sugitaanka, daawashada dhammaan isbeddellada ee jidhka bini'aadamka. Tan waxa u sabab xaqiiqada ah in chemotherapy iyo qalliinka labada aan si buuxda u baaro oo ay leeyihiin dhinacyada ay negative. dembidhaafka lymphoma dalool socon karaa dhowr sano. Haddii horumarka kansarka bilaabmaa, therapy, waa in si degdeg ah loo fuliyay. Waxaa ka mid ah hababka ugu muhiimsan daawaynta waa in la sameeyaa shucaaca, chemotherapy, daroogada daawo. Iyada oo ku xidhan nooca lymphoma, gaadhista gobolka hortagi kara labakaclaynta suurto gal. In marxaladda ugu horeysa ee duration cudur ah dembidhaafka diiwaangeliyey bukaanka ugu badan.

chemotherapy Qaadashada

chemotherapy gardarro (iyo daawooyin la doorbidayo badan) in marxaladaha hore ee lymphoma si weyn hoos ugu dhigi kartaa suurtagalnimada of bogsashada. Muddo dheer habkan waxaa loo tixgeliyaa inay daaweynta aasaasiga ah ee kansarka. Dawaynta kimikalka waxaa loogu talagalay burburinta ah unugyada burada inta ay isku dhufasho. daawooyinka isku dhafan saamayn ku yeelan karaan habka Qaybta galay heerar kala duwan, si tayo leh si ay u isticmaalaan. Si kastaba ha ahaatee, chemotherapy leedahay waxyeelo xubnaha kale (maqaarka, timaha, iyo N. sidaas on.). Xanuunka, kuwaas oo daroogada iyo dhuuxa lafaha. Inta lagu jiro daaweynta, qofka noqonayaa mid ka sii nugul cudurrada faafa ayaa laga yaabaa inuu burbur badan iyo dhiigbax. Daawooyinka lagu daweeyo inta badan keeni saarka wanaajiyey of acid uric, taas oo horseedaysa formation of dhagxaan kellida. Si kastaba ha ahaatee, dhan dhibaato ku dhammaadaa dhowr toddobaad ka dib markii koorsada ka dib. Waa in la ogaadaa in daawooyinka chemotherapy qaarkood waxay yarayn kartaa count manida ragga, oo iska xanaajin haweenka madhalays.

Daaweynta la Monoclonal Difaaca

lymphoma dalool waxaa lagu daaweeyaa, iyo daawooyin cusub sida antibodies monoclonal. Waxay si ujeedo baabbi'in kaliya unugyada lymphoma ah. Farsamadan waa waxtar gaar ah lagu daro chemotherapy. antibodies Monoclonal xoogaa yareeyo sumoobo ee kiimikada. Bukaan-socodka arkay duration of dembidhaafka lymphoma dalool. Xaaladaha qaarkood, fal-celinta xasaasiyadda suurto gal ah, sidaa darteed maamulka koowaad ee antibodies dhacaya wakhti dheer qaar ka mid ah. Ka hor inta daaweynta bukaanka loo baahan yahay heerka daroogada antiallergic.

cudurka xoogeystay

cudurka Danae lagu gartaa horumarka la'ahay in marxaladaha hore, muddo dembidhaafkooda socon kartaa ilaa 20 sano. More inta badan lymphoma dalool soo noqnoqday lagu arkay Cytology 3a nooca. Xaaladdan oo kale, waxaa laga yaabaa in aad u baahan tahay istaajiyo badalida cell. deeq wuxuu noqon karaa walaal (walaashiis), iyo qaraabada non-dhiig. Nidaamka waxaa la sameeyaa in bukaanka aan ka weyn yahay 70 sano, taas oo jawaab wanaagsan in chemotherapy oo ay leeyihiin gobolka oo lagu qanco caafimaadka. Ka dib markii xubin badalida, horumarka waxaa lagu arkay oo ku saabsan nus ka mid ah bukaanka. Badbaadada xidhan tahay qodobo badan. First, marxaladda cudurka muhiim ah, isbedel fataahadda (saadaasha lymphoma dalool halkii allifey in tallaabo afaraad). Waa in la ogaadaa in ay si wanaagsan qaba cudurka dhallinyarada qabsadaan. Waxaa muhiim ah in la aqoonsado lymphoma on time, ee ha quusan baaritaan ka hortag ah oo ay ku takhasusay.