Ukungabikho kwezibonakaliso kubangela nzima ukuxilongwa
I-Lymphoma yindlela yomhlaza echaphazela uhlobo lwegazi elimhlophe elibizwa nge- lymphocyte . Njengoko zonke iintlobo zomhlaza, i-lymphoma ibandakanya ukukhula okungavamile kweeseli. Kule meko, i-lymphocyte ezichaphazelekayo ziqala ukukhula nokuphindaphinda zingakhange zihlolwe, ukuphepha umjikelezo oqhelekileyo wokufa kweeselingi (i-apoptosis) evumela iiseli ezintsha ukuba zitshintshe iiseli zamandulo.
Njengoko i-lymphocytes yomhlaza isasazeka ngokukhululeka ngegazi, inokubangela ukubunjwa kweempawu kwiindawo ze-lymphatic system-ngokuyinhloko i-lymph nodes kodwa i-lleen, i-thymus, i-tonsils kunye ne-adenoids.
I-Lymphomas iyakhula nakwezinye iindawo zomzimba ngokunjalo, kuba izicubu ze-lymphoid zifumaneka kuwo wonke umzimba. Ngaloo ndlela, iipesenti ezingama-40 ze-lymphomas zivela ngaphandle kwe-lymphatic system, ngokuqhelekileyo kwisigxina somzimba. Enye yeembonakalo i-colorectal lymphoma.
Ukuqonda iColorectal Lymphoma
I-Colorectal lymphoma i-akhawunti ye-15% ukuya kuma-20 ekhulwini we-lymphomas esiswini (xa kuthelekiswa nama-50 ukuya kuma-60 ekhulwini kwisisu kunye nama-20 ukuya kuma-30 ekhulwini kumathumbu amancinci). Yintoni eyahlula i-lymphomas esiswini kuzo zonke ezinye iintlobo ngokuqhelekileyo ukungabikho kwezibonakaliso ezibonakalayo.
Imizekelo ibandakanya:
- Ukungabikho kwe-lymph nodes ephakamileyo ekuhloleni ngokomzimba.
- Ukungabikho kwe-lymph nodes e-X-ray.
- Ukungabikho kweengqungquthela zegazi ezingavamile okanye umongo weethambo ezingavumelekanga.
- Ukungabikho kwesiphelo esingavamile okanye isibindi.
Ezinye okanye zonke ezi zinto zikulindeleke kwimeko ye "classic" ye-lymphoma.
Akunjalo ngesisu esiswini somzimba.
Iimpawu kunye nokuxilongwa
I-Colorectal lymphoma ibonakala ngokubanzi kubantu abangaphezu kwama-50, kunye nalabo abanezifo zesibindi sokuvuvukala (IBD) , kunye nabantu abaneenkqubo zokuzivikela ezikhuselekileyo. Uninzi luquka uhlobo lwe-lymphoma ebizwa nge-Hodgkin lymphoma (NHL).
Iimpawu zivame ukukhula kuphela emva kokubunjwa kwe-tumor, ngelo xesha umntu unokufumana iimpawu ezifana:
- Intlungu zesisu.
- Ukulahlekelwa kwesisindo esingazange sichazwe ngaphezulu kwama-5 ekhulwini.
- Ukuphuma kwegazi kunye / okanye izitovu zamanzi.
Ngokungafani nezinye i-cancer ezichaphazela i-colon okanye i-rectum, akukho ncinane nayiphi na isithintelo sokukhusela okanye ukugqithiswa kwebilini ngenxa yokuba isisu siyakwazi ukuthoba kwaye sithobe. Uninzi lwe-lorphom lymphomas luchongwa usebenzisa i-computer ye-tomography (CT) okanye i-enum ye-barium ne-X-ray.
Ngenxa yokungeniswa kweempawu, isiqingatha sazo zonke i-colorectal lymphomas zifunyanwe kwisigaba se-4 , xa umhlaza uza kusasazeka kwezinye izitho. Izidumbu eziye zazinziwayo ziyanzima kakhulu ukunyanga.
Unyango
Unyango lwe-colorectal lymphoma ufana neyiphi enye imbonakalo ye-NHL. Ngokuxhomekeke kwisigaba somhlaza, kunokubandakanya:
- I-Chemotherapy ilawulwa njenge-infusions kwiimvini.
- I-Radiotherapy isetyenziselwa ukunqanda ukubunjwa kwamathambo amasha (nangona unyango luhambelana namazinga aphezulu eengxaki).
- Ugqirha ukususa i-tumor yokuqala (ukuba umhlaza awukabiwo umgangatho).
Kwiimeko ezininzi, ukuhlanganiswa kokuthengiswa kwe-optic and chemotherapy kuya kusetyenziswa. Uphando lokuphanda luquka ukususwa kwecandelo lekoloni nomhlaza, ekupheleni kwayo ibuye ihlangane kunye ne-sutures.
Xa zisetyenzisene kunye, utyando kunye ne-chemotherapy baye baboniswa ukwandisa amaxesha okuphila ngukuphi na kwiinyanga ezingama-36 ukuya kwi-53. Kwiimeko apho i-metastasis iye yachaphazela kuphela ilungu elinye (ngokuchasene namalungu amaninzi), lo mkhuba uye wabangela ama-83 eepesenti zezigulane eziphila iminyaka eli-10 okanye ngaphezulu.
Ngokuhlinzwa kuphela, ukuphindaphinda kwamazinga aphakamileyo (ama-74 ekhulwini), enokuphila okubangelwa ukufa ngenxa yesifo esisasazekayo (esasazekayo). Ngaloo ndlela, i-chemotherapy ithathwa njengento kufuneka ukuba kuqinisekiswe kangcono ixesha elide lokuphila. Ngaphandle kwalo, ukuphindaphinda ngokuqhelekileyo kwenzeka kwiminyaka emihlanu.
> Umthombo
- > Quayle, F., kunye neLowney, J. "I-Lolorectal Lymphoma." Klinikhi Colon Rectal Surg. 2006; 19 (2): 49-53.