Sheba mabaka a kotsi le lihlopha tse tiisitsoeng
Pele u bala ka lisosa tsa ha e le Hodgkin lymphoma , kapa NHL, ke habohlokoa ho tseba hore ho na le mefuta e fapaneng ea NHL.
Tsena kaofela ke lithethefatsi tsa lisele tsa mali tse tšoeu tsa lymphocyte, empa maemong a mangata, li-subtypes tsa NHL li fapane matšoao a tsona, li-prognosis le mofuta oa lymphocyte tse amehang. Lisosa tsa bohlokoa tsa NHL le tsona li ka 'na tsa fapana ho ea ka NHL subtype e itseng eo u buang ka eona.
Seo se boletse hore bo-rasaense ba hlahlobang lefu lena la lefu lena kapa litsela tsa lymphoma ba ntse ba fumana ho le molemo ho bua ka lisosa tse fapaneng tse ka hlahisang NHL-ntlha e nkiloeng ke hore, haeba ho thoe ke "kotsi ea NHL," kapa "ho amahanngoa le NHL," seo ha se bolele hore ke ts'oaetso ea kotsi bakeng sa mefuta eohle ea NHL.
Tlhaloso ea Microbial
Joaloka Hodgkin's lymphoma, NHL e 'nile ea amahanngoa le tšoaetso e' maloa:
- Lefu la Epstein-Barr, kapa EBV, le amahanngoa le Burkitt lymphoma, e leng NHL e tloaelehileng ka ho fetisisa ho bana le lichabeng ho pota lefatše.
- Bakuli ba nang le tšoaetso ea kokoana-hloko ea HIV ba fuoa li-lymphomas tse sa tšoaneng tsa Hodgkin. Burkitt lymphoma le ho arola B-cell lymphoma e kholo, kapa DLBCL, ke li-lymphomas tse tloaelehileng ka ho fetisisa tse amanang le HIV.
- Ha Burkitt lymphoma e amahanngoa le HIV, bakuli ba ka bang 30 ho ea ho 50 lekholong ba boetse ba na le EBV-positive. Phoso ea 'mele ea ho itšireletsa mafung khahlanong le EBV ka batho ba nang le HIV e nahanoa hore e tlatsetsa Burkitt lymphoma.
- T-cell T-cell lymphotropic mofuta oa 1, kapa HTLV-1, ha e fumanehe haholo Amerika Leboea, empa ho tloaelehile libakeng tsa Japane, Afrika le Caribbean. HTLV-1 e baka bongata ba T-cell leukemia-lymphoma, kapa ATL, e leng NHL ea L-lymphocyte.
- Helicobacter pylori , e leng baktheria e amanang le lisosa ka mpeng, e ka boela ea baka lymphomas tse ling tseo e seng tsa Hodgkin tsa pampiri ea mali.
- Tšoaetso e sa foleng ea lefu la sebete la mofuta oa C ke B-cell non-Hodgkin lymphomas.
Tsamaiso ea Immune e fokolitsoeng
Lymphoma ke kankere ea lymphocyte, 'me li-lymphocyte ke tsona tse bohlokoa haholo tsamaisong ea' mele ea motho ea ho itšireletsa mafung. Maemo a fokolisang sesole sa 'mele a ka eketsa kotsi ea mefuta e fapaneng ea kankere, ho kenyelletsa NHL:
- HIV e fokolisa tsamaiso ea 'mele ea ho itšireletsa mafung,' me ho na le kamano e hlakileng lipakeng tsa ho fokotsa lintlha tsa CD4 lymphocyte le kotsi ea ho hlahisa NHL.
- Bakuli ba fumanang phetoho ea 'mele ba lokela ho sebelisa lithethefatsi tse thibelang tsamaiso ea' mele ea ho itšireletsa mafung. Hona ho bonahala hape ho eketsa menyetla ea lymphoma.
- Tse ling tsa maloetse a futsitsoeng a amang tsamaiso ea 'mele ea ho itšireletsa mafung, mohlala, telxectasia ea ataxia e ka eketsa kotsi ea lymphoma.
Lik'hemik'hale le Liphoso
Litekanyetso tsa linyeoe tse ncha tsa NHL li imenne habeli ho tloha lilemong tsa bo-1960 ho fihlela lilemong tsa bo-1990, li etsa hore batho ba ipotse ka lisosa tse ka khonehang. Ke potso e entseng lipatlisiso tse ngata, ho kenyelletsa le patlisiso ea likokoanyana tse bolaeang likokoana-hloko.
Likokoana-hloko li nkoa e le sesosa sa NHL, empa bopaki bo sa lumellane. Liphuputso tse 'maloa feela tsa likokoanyana tse bolaeang likokoanyana li se li lekaneng ho lekanya bokhoni bo ka sebelisoang pakeng tsa NHL subtypes le lihlahisoa tse khethehileng tsa likokoana-hloko.
Liphuputso tsa baphonyohi ba libomo tsa athomo le likotsi tsa nyutlelie li bontšitse hore li na le kotsing e eketsehileng ea ho hlahisa mefuta e mengata ea lipolao tse kotsi , ho akarelletsa le bao e seng Hodgkin lymphoma.
Kalafo e fetileng bakeng sa Cancer
Batho ba amohetseng chemotherapy kapa phekolo ea mahlaseli bakeng sa lik'hemik'hale tse fetileng ba na le menyetla e fokolang ea ho hlahisa li-non-Hodgkin lymphoma hamorao bophelong.
Lilemo le thobalano
Ha bafuputsi ba senya linomoro, ba fumana menyetla ea ho fumana NHL e eketseha ha u ntse u hōla. E boetse e tloaelehile haholo ho banna ho feta basali.
Lentsoe le Tsoang ho
Mefuta e sa tšoaneng ea NHL ke lits'oaelo tsohle tsa lisele tsa mali tse tšoeu tsa lymphocyte, empa li ka fapana ka ho fapaneng le ka litloaelo tsa mafu le ho hlakola-'me li ka fapana ka litsela tsa bohlokoa mabapi le lisosa le maemo a kotsi.
Bakeng sa mefuta e meng ea NHL, mekhoa ea mafu a liphatsa tsa lefutso le tikoloho e qala ho utloisisoa hamolemo, 'me li-link li fumanoe ho tšoaetso le likarabo tse itseng ka tsamaiso ea' mele ea ho itšireletsa mafung.
Lisebelisoa:
Peveling-Oberhag J, Arcaini L, Hansmann ML, le al. Hepatitis C-e amanang le li-lymphomas tsa B-cell tse se nang Hodgkin. Epidemiology, mokotlana oa limolek'hule le tsamaiso ea meriana. J Hepatol . 2013; 59 (1): 169-77.
National Cancer Institute. Helicobacter pylori le kankere.
Lymphoma Association (UK). Gastric MALT lymphoma.
Hansson LE, Nyrén O, Hsing AW, et al. Kotsi ea kankere ea mala ho bakuli ba nang le lefu la thobalano kapa la lesea la seso. N Engl J Med. 2006; 335: 242-249.