I-lymphoma ephambili yengqondo

I-lymphoma ephambili yengqondo ngumhlaza weeseli ezimhlophe zegazi eziqala kwingqondo.

Isizathu se-primary brain lymphoma asiyazi.

Abantu abanamajoni omzimba abuthathaka basemngciphekweni omkhulu we-lymphoma ephambili yengqondo. Izizathu eziqhelekileyo zokungabi namandla komzimba zibandakanya i-HIV / AIDS kunye nokufakelwa komzimba (ngakumbi ukufakelwa kwentliziyo).

I-lymphoma ephambili yengqondo inokudibaniswa ne-Epstein-Barr Virus (EBV), ngakumbi kubantu abane-HIV / AIDS. I-EBV yintsholongwane ebangela i-mononucleosis.

I-primary lymphoma yengqondo ixhaphake kakhulu kubantu abaneminyaka engama-45 ukuya kuma-70. Phantse i-1,500 yezigulana ezitsha zifunyaniswa zine-primary brain lymphoma minyaka le e-United States.

Iimpawu zengqondo yokuqala ye-lymphoma inokubandakanya nayiphi na kwezi zinto zilandelayo:

• Utshintsho kwintetho okanye umbono
• Ukudideka okanye ukubona izinto ezingekhoyo
• Ukuxhuzula
• Intloko ebuhlungu, isicaphucaphu, okanye ukugabha
• Ukoyama kwelinye icala xa uhamba
• Ubuthathaka ezandleni okanye ukulahleka koququzelelo
• Ubumdaka kushushu, kubanda, kunye neentlungu
• Ubuntu buyatshintsha
• Ukuhla ukusinda

Olu vavanyo lulandelayo lunokwenziwa ukunceda ukufumanisa i-lymphoma ephambili yengqondo:

• I-Biopsy yethumba lobuchopho
• Ukuskena iNtloko ye-CT, ukuskena kwe-PET okanye iMRI
• Impompo yomqolo (i-lumbar puncture)

I-lymphoma ephambili yengqondo ihlala iphathwa kuqala nge-corticosteroids. La mayeza asetyenziselwa ukulawula ukudumba kunye nokuphucula iimpawu. Unyango oluphambili kukunyanga ngamakhemikhali.

Abantu abancinci banokufumana i-chemotherapy yedosi ephezulu, ekusenokwenzeka ukuba ilandelwe kukufakelwa kweeseli ezizimeleyo.

Ukunyanga ngemitha ngengqondo iphela kunokwenziwa emva kwekhemotherapy.

Ukunyusa amajoni omzimba, njengalawo ane-HIV / AIDS, nako kungazama.

Wena kunye nomboneleli wakho wezempilo unokufuna ukulawula ezinye iinkxalabo ngexesha lonyango lwakho, kuquka:

• Ukuba ne-chemotherapy ekhaya
• Ukulawula izilwanyana zakho ngexesha lekhemotherapy
• Iingxaki zokopha
• Umlomo owomileyo
• Ukutya iikhalori ezaneleyo
• Ukutya okukhuselekileyo ngexesha lonyango lomhlaza

Ngaphandle konyango, abantu abane-primary brain lymphoma basinda ngaphantsi kweenyanga ezili-6. Xa uphathwa nge-chemotherapy, isiqingatha sezigulana siya kuba kuxolelo kwiminyaka eli-10 emva kokuba ufunyanisiwe. Ukusinda kunokuphucula ngokufakelwa kweeseli ezizimeleyo.

Iingxaki ezinokubakho zibandakanya:

• Iziphumo ebezingalindelekanga zeChemotherapy, kubandakanya ukubalwa kwegazi okuphantsi
• Iziphumo zemitha ye-radiation, kubandakanya ukudideka, iintloko, inkqubo ye-neva (neurologic) iingxaki, kunye nokufa kwethishu
• Buyisela (ukuphindaphinda) kwe-lymphoma

Ubuchopho be-lymphoma; ICerebral lymphoma; I-lymphoma ephambili yenkqubo ye-nervous central; I-PCNSL; I-Lymphoma-B-cell lymphoma, ingqondo

• Ingqondo
• I-MRI yengqondo

I-Baehring JM, iHochberg FH. Amathumba enkqubo yokuqala yeemvakalelo kubantu abadala. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2016: isahl. 74.

IGrommes C, iDeAngelis LM. Iiprayimari ze-CNS eziphambili. J Ikliniki ye-Oncol. Ngo-2017; 35 (21): 2410-2418. IINKCUKACHA: 28640701 pubmed.ncbi.nlm.nih.gov/28640701/.

Kwiwebhusayithi yeZiko loMhlaza weSizwe. Unyango lokuqala lwe-CNS lymphoma (PDQ) -uhlobo lobungcali kwezempilo. www.cancer.gov/cancertopics/pdq/treatment/primary-CNS-lymphoma/HealthProfessional. Ukuhlaziywa ngoMeyi 24, 2019. Kufikeleleke ngoFebruwari 7, 2020.

Iwebhusayithi yeNethiwekhi yeCancer epheleleyo yoMhlaza. Izikhokelo ze-NCCN zokuziqhelanisa neklinikhi kwi-oncology (izikhokelo ze-NCCN): inkqubo yeeseli yomhlaza. Inguqulelo 2.2020. www.nccn.org/professionals/physician_gls/pdf/cns.pdf. Ukuhlaziywa ngo-Epreli 30, 2020. Ifikeleleke ngo-Agasti 3, 2020.