Iimpawu kunye neMpawu zoMxwayiso zeLymphoma

I-Lymphoma ngumhlaza we-lymphocytes, ezisezantsi ezimaseli zegazi ezihlala zikhona kwi-lymphatic body system system, kodwa zikhona kwigazi nakwezinye izicubu zomzimba. Zininzi iintlobo ezahlukeneyo ze-lymphoma, kwaye iimpawu ezininzi ezahlukeneyo zinokwenzeka, ngenxa yoko.

I-lymphocytes, amaseli egazi ezimhlophe achaphazelekayo kwi-lymphoma, inokufumaneka kwi-lymphatic system- inethiwekhi yeenqanawa ezithwala i-lymph- kunye nezakhiwo ezihambelanayo. I-lymphocytes ilwa ne-bacterial and viral infections kwaye idlala indima ebalulekileyo kumzimba womzimba. I-lymph nodes , nenye inxalenye yenkqubo ye-lymphatic, iindawo ezincinci zamathambo ezihlakazeka kuwo wonke umzimba, njengama-checkpoints kunye nenkqubo yeenqwelo zomzimba. Injongo yabo kukucoca i-lymph njengoko idlula kubo. Ngokuqhelekileyo, i-lymph node zandiswe kwi-lymphoma, kwaye yilokho ebangela ukuba inqumle ibonakale phantsi kwesikhumba.

Kwiimeko eziqhelekileyo, i-lymphocytes enempilo ingena kunye nokuphuma kwimizimba ye-lymph ukuqhuba imisebenzi yayo kumzimba womzimba. Xa i-lymphoma ikhula, amangqamuzana e-lymphoma angakha kwi-lymph nodes, kunye nasentolongeni yethambo, i-spleen kunye nezinye iindawo zomzimba. Nangona i-lymphomas iqala kwii-lymph nodes, zinokuvela naphi na.

Zininzi iintlobo ezahlukeneyo ze-lymphoma, kodwa ngenxa yezizathu zembali, i-lymphoma ihlukaniswe ngokubini kwiindidi ezibalulekileyo : i-Hodgkin's lymphoma (HL) -kubizwa ngokuba yi-Hodgkin's-and non-Hodgkin's lymphoma (NHL), okubhekiselele kuyo yonke i-lymphomas.

Iimpawu zeLymphoma

Iimpawu ezilumkiso ze-lymphoma zingakhohlisa kangangokuba kungathatha iminyaka ngaphambi kokuba umntu onesifo eso aqaphele ukuba kukho into ephosakeleyo. Ukongezelela, ezininzi iimpawu ze-lymphoma aziyiyo ekhethekileyo, nto leyo ithetha ukuba nayo ingenzeka kwiimeko eziqhelekileyo kunye ezingekho yingozi, ezingekho komhlaza. Ngoko ke, kubalulekile ukudibana nogqirha wakho ukuze uxilongwe ngokuchanekileyo .

Umphunga ongenasiphelo kwiNtshontsho yakho, i-Armpits, okanye iGroin

Iifoto ze-Blend - Jose Luis Pelaez Inc ../ Ibhendi X Imifanekiso / Getty Izithombe

Eli liphawu oluqhelekileyo, kwaye kaninzi luphawu oluphela kuphela. Ezi zivalo zandisa i-lymph nodes . Uninzi lwabantu luqala ukuqaphela lezi ziphahla ngexesha lokuhlamba okanye ukutshintsha, okanye iqabane okanye iqabane elithile linokuqala ukuziva. Amanxeba awandisiweyo ayisoloko ebonakalisa i-lymphoma.

Ngokuqhelekileyo, ihlunu ephuma kwi-node ekhulisiweyo ayibuhlungu, kodwa ngamanye amaxesha inokuba yintlungu emva kokusela utywala, echazwe kwiimeko ezininzi ze-Hodgkin lymphoma.

Ukuba unomphunga otyumkileyo kwaye awuqinisekanga ukuba ngaba lymph node okanye enye into, jonga ugqirha wakho. Oogqirha banolwazi olunzulu malunga neepatheni zokuhambisa amanzi, kunye neendawo eziqhelekileyo ze-lymph nodes ezithile. Ngokukubona nokwenza uvavanyo lomzimba, ugqirha wakho uya kukwazi ukukhawuleza ukuxelela umahluko phakathi kweempawu eziqhelekileyo kunye ne-bumps, ukuxhaphaza kwe-lymph node okanye into enxulumene nayo.

Amanqwelana ngaphandle kwe-lymphoma angabangela ukuba i-lymph nodes ivuvuke. Kwaye, kufuneka kuqatshelwe ukuba amaninzi amatyala e-lymph nodes awandisiweyo ngenxa yezinye izinto, ezifana nokusuleleka, kunokuba i-cancer. Oku kunyanisekileyo kubantwana. Amanqaku awandisiweyo ngenxa yokusuleleka ngokuphindaphindiweyo abuyele kubukhulu bawo obuqhelekileyo kwiiveki okanye kwiinyanga emva kokusulela isifo.

Ukulahlekelwa kwesisindo esingachazwanga

Ukulahlekelwa kwesisindo kwimeko ye-lymphoma ngokuqhelekileyo kwenzeka ngokukhawuleza kwaye kunokuthi kube nezizathu ezahlukahlukeneyo. Kwezinye iimeko, kwenzeka ngenxa yokuba iiseli zomhlaza zidinga amandla angakumbi ngelixa umzimba usebenza nzima ukuzama ukuwuqeda. Olu hlobo lokulahleka kwesisindo esingakhange lubonakalise luba yinto ebonakalayo yimizimba ye-lymphomas ekhula ngokukhawuleza.

Ngokuqhelekileyo umntu unokulahlekelwa iipounds ezilishumi ukuya kwelishumi elinesihlanu kwiinyanga ezimbalwa. Kubalulekile ukubona ugqirha wakho xa ulahlekelwa ngaphezu kwe-5 ekhulwini lomzimba wakho ubunzima ngaphezu kwenyanga okanye ngaphezu kweepesenti ezili-10 ngaphezu kweenyanga ezintandathu.

Izifundo ezininzi ziye zazama ukucacisa ukubaluleka kokulahlekelwa kwesisindo kunye nesisindo somzimba okanye isalathisi somzimba (BMI) kwi-lymphoma. Akwacaci ukuba ubunzima bomzimba ngexesha lokuxilongwa kaninzi luba nefuthe kumntu ohlawulayo okanye iindleko zokusinda. Ucwaningo luye lwaphakamisa ukuba isicatshulwa somzimba esiphezulu sinokuqhagamshelana nokuphila okungcono kwezinye iimeko, kodwa kungabikho abanye. Uvavanyo olutshanje olutshanje luye lwafumanisa ukuba i-BMI eyandisiweyo yahlanganiswa nokuphucula ngokubanzi okuqhubekayo kwizigulane ezingekho ngeHodgkin's lymphoma (NHL) kunye neHodgkin's lymphoma (HL); Kodwa iifundo ezimbini kwizigulane ezineNHL, nangona kunjalo, zifumene ukuba i-BMI eyongeziweyo yayixhomekeke ekuhlaleni, kwaye enye ibone ukuba i-BMI ayinakunxulumene ngokukodwa neziphumo zekliniki ezigulane ezine-B cell cell lymphoma (DLBCL), i-HL okanye i-follicular lymphoma (FL ).

Ukulahlekelwa kwesisindo yenye yeempawu ezintathu ezibizwa ngokuba yi 'B iimpawu.' Eminye emibini ingumkhuhlane kunye nokuthuthumela.

Fever

Umkhuhlane oqhubekayo okanye ovela ngaphakathi phakathi kwexesha kwaye ungabonakali uhambelana nesifuba okanye usulelo lwe-urinary luphawu olubalulekileyo lokuba kufuneka uvumele ugqirha wakho ukuba azi. Imfiva ehambelana ne-node-inflammation ivela ngokuqhelekileyo ngezifo, kwaye ezininzi i- lymphomas zihlala ziphosakele ngenxa yokusuleleka kwiintshukumo zokuqala. Ngamanye amaxesha, kulabo bachaphazelekayo yiHodgkin lymphoma , i-fever ebizwa ngokuba yi- Pel-Ebstein fever ivela. Lo ngumzekelo othile wefiva apho abaninzi oogqirha bafunda malunga nokuqeqeshwa kwabo, kodwa kunokuba kungabonakali ukufumana i-lymphoma.

I-Fever yenye yeempawu ezintathu ezibizwa ngokuba 'neempawu zeB.' Eminye emibini iyakhupha kunye nokulahleka kwesisindo.

Ukugubha ngokugqithiseleyo ebusuku

Wonke umntu ngezinye izihlandlo uyavusa ukuba afune ukuba ahlakule, ikakhulukazi xa elala phantsi kweengubo ezininzi kakhulu okanye egumbini lokufudumala ngaphandle komqhubi. Ezi ntlobo zamava ngokuqhelekileyo aziqwalaselwe njengento yokugubungela ebusuku kwaye aqhelekanga kubonisa ingxaki yonyango.

Ukunyuka kwangempela ebusuku kudla ngokumangalisayo. Unokuvuka ebusuku udibene ngesithukuthezi ngaphandle kwesizathu esicacileyo. Kulo busuku ukuphosa kudla ngokwaneleyo kukufuna ukuba utshintshe iimpahla zakho kunye neenkontsho zokulala. Iipasjama zakho kunye neenkonkxa zokulala ziba zimanzi. Inqaku, ukukhwaza ebusuku kungase kwenzeke ngamanye amaxesha emini.

Nangona inyaniso ukuba ubusuku busizi bungaba ngumqondiso we-lymphoma, kunyanisekileyo ukuba yonke into ebulala izinto ingavelisa izithukuthukuzo zobusuku, kubandakanywa iziyobisi kunye notywala, izifo ezifana ne-HIV / AIDS, izifo ezithile zokulala, kunye nokukhathazeka kwezinye iimeko. Kwaye, ngokuqinisekileyo, ubusuku obushushu kunye nokutshisa okutshisa kakhulu kakhulu phakathi kwabasetyhini malunga nexesha lokumisa.

Izimpawu ezintathu ezandulelayo-umkhuhlane, ukulahleka kwesisindo kunye nokukhupha-ngamanye amaxesha kuthiwa 'iimpawu zeB.' Eli yigama elisetyenziswe kwisigxina sesifo. Kwezinye i-lymphomas, ukuba khona kweempawu zeB kungabalulekile; kwezinye iintlobo ze-lymphoma, azincinci.

Ukucoca

Ukutshiza kuqheleke kakhulu kubantu abaneHodgkin lymphoma kunokuba kungekhona i-Hodgkin lymphoma. Enyanisweni, malunga neyabantu abathathu abane-Hodgkin lymphoma baya kubetha, ngokuqhelekileyo bengabikho nantoni na. Ukubetha ngokuthe rhoqo kuthinta izandla, iinyawo, imilenze ephantsi, okanye umzimba wonke. Ukubetheka kunokubandezeleka, ingakumbi kwimeko eshushu, kwaye ngokuqhelekileyo kuqhutywe ebusuku ebusuku.

Isizathu sohlobo oluthile olwenzeka kwi-lymphoma alukwazi, kodwa izibonakaliso zeseli ezibizwa ngokuba yi-cytokines zikholelwa ukuba zinoxanduva, ubuncinci kwinqanaba, ukuvakala. Ngeentlobo ze-lymphoma ezichaphazela ulusu, ukubetheka kubonakala kwintlanzi yolusu echaphazelekayo sisifo.

Ukulahleka kwesidlo

Njengoko i-lymphomas isasazeka ngaphakathi emzimbeni kwaye ikhula, abaninzi abantu banomuva wokulahleka kokutya, ukuphucula ukulahleka kwesisindo. Kukho izizathu ezahlukeneyo zokulahleka kwesidlo esinokufumaneka kwi-lymphoma.

Kwezinye iimeko, i-lymphomas eqala okanye ikhule kwisisu ingabangela ukuvuvukala okanye intlungu kwisisu. Oku kunokwenzeka ukusuka kwii-lymph nodes eziye zaba zikhulu, okanye zivela kwizitho ezinjengeestile okanye isibindi esiye sabandakanywa nezifo. Ukuzaliseka kwisisu kusenokubangelwa ukwakhiwa kwamanzi amaninzi kwisisu. I-spleen ekhulisiwe ingacinezela esiswini, oko kungabangela ukulahlekelwa kwesidlo kunye nesifo esipheleleyo emva kwesidlo esincinci kuphela. I-Lymphomas esiswini okanye emathumbu nayo ingabangela intlungu yesisu, isicupunu okanye ukuhlanza.

Ukuvakalelwa kobuthathaka

Njengoko iiseli zomhlaza zihlala zikhula, zisebenzisa izakhi zomzimba ngaphezulu, zishiya umzimba ungaphantsi. Le yezona zininzi iinkqubo ezinokubangela ukuba umntu one-lymphoma abe buthathaka. Ubuthakathaka bunokubangelwa yi-anemia ukuba i-lymphoma ihlala emnxeni wethambo apho kuveliswa khona iiseli ezibomvu zegazi.

I-anemia ngokuqhelekileyo ithetha ukuba umzimba awunalo okwaneleyo iiseli zegazi ezibomvu kwi-circulation ukwenza umsebenzi wokuhambisa i-oksijini kwizicubu-kuquka imisipha kunye nengqondo. Ngoko, i-anemia inokuvelisa amandla obuthathaka, kodwa kwakhona ingqondo yokukhathala okanye ukhathala kumntu one-lymphoma.

Ukuphefumula kunye nokuvuvukala kwe-Face and neck

Ngokungaqhelekanga, xa i-lymphoma entanyeni okanye kwindawo yesifuba ikhula kakhulu, inokubangela ukuhamba kweempahla ezithile kwaye iholele ekuvufuseni ubuso kunye nentamo kunye nomoya wokuphefumla. Ukuphefumula nokuphefumula kungaphinda kube iimpawu xa i-lymphoma ikhula kwi-mediastinum, indawo yesifuba esakha intliziyo kwaye iphelelwe yimiphunga kunye nezakhiwo ze-anatomical zombini ngasentla nangezantsi.

Njengoko i-lymphomas inokuthi yenzeke kunoma iyiphi nayiphi na into, inokuthi ivelise ezinye iimpawu ezingavamile. I-lymphoma esiswini isenokubangela intlungu kwisisu, kwaye i-lymphoma engqondweni ingabangela intloko okanye ubuthathaka bomlenze, umzekelo.

ILizwi

Ukuba unamava amaninzi kule mpawu okanye uvakalelwa kukuba unakho i-lymphoma, khangela ugqirha wakho. Ezi zimpawu ziba ngumqondiso wento enye, okanye akukho nto. Kuphela uchwepheshe wezobugqirha angakwazi ukufumanisa kakuhle imbangela yeempawu zakho.

Imithombo:

> Li YJ, Yi PY, Li JW, et al. Ukongezwa komnxeba womzimba kuhambelana nokuphucula ngokubanzi ukuhlaselwa kombulali wendalo / T-cell lymphoma, uhlobo lomzimba. Oncotarget . 2017; 8 (3): 4245-4256.

> I-American Cancer Society, 2017. Izimpawu neempawu ze-non-Hodgkin lymphoma.