Lymphoma follicular: tohumate, take, maimoatanga. Ko te wā o te murunga, me te matahoki lymphoma follicular

ka karanga a lymphoma te mate e pānga te kiko lymphatic. I roto i tenei take, timata nga pūtau pāngia ki te wehe, me te kauwhau whakapataritari feia faahuehue i roto i te mahi noa o whekau o te tinana tangata. rōpū taratahi taua mate: mate o Hodgkin (ranei pera-ka karanga mate o Hodgkin) me lymphoma kore-Hodgkin o (tae atu follicular lymphoma kore-Hodgkin).

Ko te pūnaha lymphatic. He aha te tenei

Wāhanga o te pūnaha ārai mate o to tatou tinana ko te waitinana, te mahi matua o e - tiaki mo nga mea katoa o mate, me te tahi atu mate. Ko reira he whatunga o takere i roto i nei neke inu motuhia - waitinana. I roto i te akoranga o tōiti kitea taikiri te wahi taonga waitinana e pūtau motuhake - lymphocytes. He maha ngā momo. He kawenga mō te wātea i te mate riro ki mate hopuhopu lymphocytes B. Whakapā ki te tukumate, te whakakore ratou ona pānga, me te pupuri i te reira i roto i toku mahara. lymphocytes B - he māngai nui i roto i te hanganga o te pānga pai o te werohanga. Te nuinga (80%) waitinana Kei T lymphocytes. Ko ratou kawenga mo te whakangaromanga o nga mea katoa o wheori, huakita. E kitea NK-pūtau i roto i te waitinana i roto i te nui iti (ki runga, ki te 10%). Ratou mahi matua - te whakangaromanga o ona ake pūtau pakaru (tae atu i roto i tenei mate pērā i lymphoma follicular).

Kia pehea te Ko te tukanga mārere i roto i te pūnaha lymphatic

haamata tukanga Neoplastic ki te whakawhanake i te pūtau o te pūnaha lymphatic (B pūtau). pāngia te mate te nuinga i roto i te paari, i roto i ngā tamariki puta i roto i te wā onge. riro lymphoma follicular tona ingoa e tika ana ki te meka e matua ka pā te ruahuru makawe. Tino maha, e kitea pukupuku i te kaki, peke, tapatapa. Ko te taa o tenei lymphoma ko e rapu tūroro tokoni mutunga rawa. Ko te pūtau pā tomo ki nga whekau katoa, ia mutu ratou mahi. Ahakoa lymphoma follicular IIIA nui ohaoha pai ano ki te therapy, e kore e tukua te wāhanga i muri mai o te tātaritanga ki rawa kia whakakahoretia o te mate.

take ka taea o te mate

Ko te take tangohia e whai wāhi ki te whanaketanga o te mate pukupuku, e kore e taea te huaina tohunga. Heoi, i reira e rave rahi āhuatanga e whakanui i te taea o te repara. Ko tētahi o ratou - irakētanga ira, pūira. Te mahi i roto i ngā āhuatanga kino, i roto i te whakapā pūmau ki matū mōrearea e taea hoki e te whakakōkī o te huru pērā i lymphoma follicular. pea te take o te mate e whai ake: radiation te rongo, ārai he vaivai o te tinana, me te mate autoimmune. Ētahi tohunga wehewehe āhuatanga pērā i kai paipa, tango etahi rongoā, a tae noa te mōmonatanga.

lymphoma tohutanga

tohu lymphoma follicular ko kaua ngoikore, rawa te wāhanga tuatahi. Tuatahi o te katoa, i reira kua etahi hua i roto i te taikiri. Heoi, he ongonoa ratou. Characteristically, te puku iti wā ngaro, ka te kitea. kia rawa mataara tenei meka. Whakanuia i roto i ngā waeine me te whaturei. Waho e taea te whakaaturia te reira te maremare, hāhā o te manawa. Chance o te mata oma-atu iti. I roto i ētahi wā, te mauiui, me te kōateate. Ka taea e whai i te tika noa tohu lymphoma follicular: mate taimaha, rohirohi whānui, ngoikore o te tinana. Heoi, enei tohu - te okotahi, nui atu i te ture, kua kitea e ratou i roto i te kotahi anake manawanui i roto i o tekau. Kei te āhuatanga e kino ki te pūnaha io, ngā te hinu wheua wheua wāhanga More nui o te mate. I te wāhi ano o whanoke, whakapairuaki, a taea aita.

Whakarōpū o pukupuku, me ngā wāhanga o te rere

He maha ngā momo o te lymphoma. Tuatahi - follicular. Tirotiro o nga follicles i roto i tenei take, ko te 75%. Ki te mea i reira e i roto i te whānuitanga o 25-75%, he momo follicular-E ruia ana tenei. I roto i te momo E ruia ana tuhipoka iti iho i te 25% o follicles o. lymphoma follicular (IIIA) e wahi i roto i te maha o ngā wāhanga. I te wāhanga tuatahi, pāngia kotahi anake te wāhi e taikiri. āhuatanga te atamira tuarua e te tukanga pathological pā ana rua, neke atu rānei wahi (engari i te taha ano o te HWM). A, no te pāngia tuatoru-tohu rohe i runga i ngā taha e rua o te HWM. Ko te atamira tino kino e wha. puta hoki ngā huringa i roto i te whēkau, me ngā pūnaha (hinu wheua, ate, me ētahi atu) ā. I te tahi taime tāpiri nama lymphoma atamira nga reta A ranei B. tenei tohu ranei tohu lymphoma follicular o te ahua e whai ake nei: "B" - sweating reira he he huringa i roto i te pāmahana tinana (ki hua wā), mate taimaha, i te po. Lymphoma c kuhimua "A" - te raraunga kahore tohu.

Methods o Tātarihia te lymphoma

Tuatahi o te katoa, te tohunga (onco-hematologist) whakahaere i te whakamātautau ataata o te manawanui. Ko reira whakahauanga whakamātautau histological o te tauira. Ki te mahi i tenei, whakamana te unuhanga te. nekehia te wahi o te pona taikiri kua pā te ka te uiui i raro i te karu. E tano ia tapao e toru momo cytological o te mate e rapua e maimoatanga rerekē. āhuatanga te momo tuatahi e te aroaro o runga ki te rima centroblasts i te mara o te tirohanga o te karu, te tuarua - ki 15 wae. titau te momo tuarua o te ru cytological hahau no te mea te reira feunga pukuriri. Follicular momo lymphoma 3a cytological kua te waitohunga tino kino. I roto i te mara o te tirohanga o te karu e taea kite koe i te pukupuku whānui. I tua atu, me homai e te manawanui toto (tohu puku, te tātari whānui), haere he whakamātautau ultrasound o whekau, CT MRI ranei. I roto i te tikanga ki te whakatau mehemea patua te pūnaha io pokapū, puritia ua te taiepa mo te rangahau atu i runga i te pūtau mate pukupuku.

lymphoma follicular. maimoatanga

I roto i nga tau tata nei, kua nui haere te maha o te tūroro ki te tātaritanga taua tino. Ka rite ki te tikanga, i taka te mua ki te kite growths, te pai tūponotanga o te manawanui ki te tiaki i to ratou hauora, me te ora. āhuatanga lymphoma e te tika puhoi ki runga, na i roto i ētahi wā i te tākuta whiriwhiri i te kēmu tatari, e matakitaki ana i nga huringa katoa i roto i te tinana tangata. Ko e tika ana ki te meka e kore te tino whakamatauria me e rua kimó mo e tafa i o ratou taha e kino tenei. murunga lymphoma follicular taea muri mo te maha o nga tau. Ki te tīmata te ahunga whakamua o te mate pukupuku, kia kawea te therapy i roto i tonu. I roto i nga tikanga matua o te maimoatanga kia hanga radiation, hahau, taero rongoā. Tei runga i te momo o te lymphoma, Ka taea e te rongo rohe ārai relapses taea. I roto i te wāhanga tuatahi o te mate roa o murunga tuhia i roto i te nuinga o ngā tūroro.

e mau ana te hahau

hahau kaitaua (me taero pai maha) i roto i ngā wāhanga wawe o te lymphoma tino e taea te whakaiti i te tūponotanga o te hohokitanga. Hoki te wa roa whakaaro tenei tikanga i te maimoatanga tuatahi o te mate pukupuku. hāngai hahau i te whakangaromanga o ngā pūtau puku i roto i to ratou whakarea. Ka taea e formulations huinga whakaawe i te tukanga o te wehenga ki ngā wāhanga rerekē, kia ratou te whakamahi atu tōtika. Heoi, he pānga e totohu i runga i ētahi atu whēkau (kiri, makawe, a na i runga i. N.) hahau. Mamae i enei taero me wheua wheua. I roto i therapy, riro te tangata ngoikore ake ki ngā mate hopuhopu kia puta karawarawa maha, me te toto. meinga maha rongoā maimoatanga production whakarei o mua, e arata'i ki te hanganga o kohatu tākihi. Heoi, ngaro tauhohe kino katoa i muri i te torutoru wiki i muri i te akoranga. Me kï reira e taea etahi taero hahau whakaiti tatau parāoa i roto i nga tangata, whakapataritari pākoko i roto i nga wahine.

Maimoatanga ki Monoclonal paturopi

Kei te tukinotia lymphoma follicular, me taua taero hou rite paturopi monoclonal. Ratou whakangaro pūtake anake te pūtau lymphoma. Ko rawa whai hua i roto i ngā ki te hahau tenei tikanga. paturopi Monoclonal ahua whakaiti i te tāoke o ngā matū. kite tūroro roanga o murunga o lymphoma follicular. I roto i ētahi wā, ka taea te tauhohenga pāwera, na te whakahaere tuatahi o paturopi tupu mo etahi wa tino. I mua i te maimoatanga e hiahiatia ana te manawanui auau taero antiallergic.

hohokitanga mate

mate Danae āhuatanga e te haereraa puhoi i roto i te tīmatanga o nga wāhanga, ka taea e te wā murunga muri ake ki te 20 tau. More maha kitea recurrent lymphoma follicular i roto i te momo 3a cytology. I roto i tenei take, e hiahia ana kia koe aukati transplantation pūtau. he teina (tuahine), me whanaunga toto-kore e taea e te kaituku kia. whakamana te tukanga i roto i tūroro kore pakeke atu i te 70 nga tau, i te mea whakautu tino pai ki te hahau, ka whai i te āhua pai o te hauora. I muri i transplantation, kua kitea ngā whakapaitanga i roto i pā ana ki te hawhe o tūroro. Tei Survival i runga i ngā āhuatanga maha. Tuatahi, he nui wā o te mate, huringa Morphology (matapae follicular lymphoma kaua kino i roto i te wha o nga taahiraa). Me kï reira e ki te whakaea pai ki te mate o te iwi taitamariki. He mea nui ki te mohio ki lymphoma runga wa, na e kore e hoatu ki runga whakamātautau ārai i tohunga.