O le a le Follicular Lymphoma?

Anotusi

• Faʻalavelave
• Faʻailoga
• Faʻamaoniga
• Togafitiga
• Faatalitali ma le mataala
• Susulu
• Chemotherapy
• Monoclonal sela
• Radioimmunotherapy
• Tauiina sela sela
• Faʻafitauli
• Toe Faʻaleleia
• Manatu

Vaaiga aoao

Ole Follicular lymphoma ole ituaiga kanesa e amata ile sela papaʻe o lou tino. E lua ituaiga autu ole lymphoma: Hodgkin ma le-Hodgkin. Ole Follicular lymphoma ole ole-Hodgkin lymphoma.

O lenei ituaiga lymphoma e masani ona tupu lemu, lea e taʻua e fomai o le "paie."

Faitau pea e aoao atili e uiga i faʻailoga o le follicular lymphoma ma pe o a togafitiga filifiliga o avanoa.

Faʻalavelave

Ole non-Hodgkin lymphoma o se tasi o kanesa masani i le Iunaite Setete. Sili atu i le 72,000 tagata e faʻamaonia e maua ai latou ituaiga i tausaga taʻitasi.

E tusa o le tasi i le lima lymphomas i le Iunaite Setete o le follicular lymphoma.

E seasea aafia le autalavou i le follicular lymphoma. O le averesi tausaga mo se tasi ma lenei ituaiga o kanesa e tusa ma le 60.

Faʻailoga

Faʻailoga o le follicular lymphoma ono aofia ai:

• faʻalauteleina lymph nodes i le ua, underarm, manava, poʻo oga
• lelava
• manava puupuu
• fiva poʻo afu i le po
• paʻu pauna
• faʻamaʻi pipisi

Nisi tagata e maua i le follicular lymphoma leai ni auga.

Faʻamaoniga

Ina ia faʻamaonia le follicular lymphoma, e mafai e lau fomaʻi ona faia ia suʻega ia:

• Biopsy. O le biopsy e faia e suʻesuʻe ai le tino i lalo o le microscope ma iloa ai pe o le kanesa.
• Tofotofoga toto. Oe ono manaʻomia se suʻega e siaki ai lou sela sela faitauina.
• Suʻega ata. Atonu e fautuaina oe e lau fomaʻi o loʻo iai sau faʻataʻitaʻiga faʻapitoa e vaʻai ai le lymphoma i lou tino ma fuafua ai ou togafitiga. Comprehensive tomography (CT) ma positron emission tomography (PET) scans e masani ona faʻaaogaina.

Togafitiga

E tele togafitiga e avanoa mo tagata e iai le follicular limfoma. O lau fomaʻi o le a filifili poʻo le a le togafitiga e talafeagai mo oe faʻavae i luga o lau ituaiga o kanesa ma pe o le a lona tulaga i luma.

Faatalitali ma le mataala

A faʻapea e te vave iloaina ma e i ai ni nai faʻailoga, atonu e fautua atu lau fomaʻi e te matamata ma faʻatali. O lona uiga o lau tausi soifua maloloina o le a vaʻaia lelei lau mataala i lou tulaga, ae o le ae le mauaina se togafitiga i le taimi nei.

Susulu

E faʻaaogaina e le susulu le susulu malosiʻaga e faʻatamaʻia ai sela kanesa. E masani ona tuʻuina atu i tagata e maua i le amataga o le follicular lymphoma. I nisi tulaga, radiation lava atonu mafai ona faʻamalolo lenei ituaiga o kanesa. Oe ono manaʻomia le faʻasologa faʻatasi ma isi togafitiga pe a fai o lou kanesa ua sili atu le alualu i luma.

Chemotherapy

Chemotherapy faʻaaogaina fualaʻau e fasioti kanesa sela i lou tino. O nisi taimi e tuʻuina atu i tagata e maua i le follicular lymphoma, ma e masani ona tuʻufaʻatasia ma isi togafitiga.

Monoclonal sela

O le monoclonal antibodies o vailaʻau ia e faʻatatau i faʻailoga faapitoa i tumors ma fesoasoani i ou sela puipuia e teteʻe ile kanesa. Rituximab (Rituxan) o le monoclonal antibody e masani ona faʻaaoga e togafitia ai le follicular lymphoma. E masani ona tuʻuina atu ile IV faʻasusuga ile ofisa ole fomaʻi ma e masani ona faʻaaogaina faʻatasi ma chemotherapy.

Faʻatasiga masani e aofia ai:

• r-bendamustine (rituximab ma bendamustine)
• R-CHOP (rituximab, cyclophosphamide, doxorubicin, vincristine, ma le prednisone)
• R-CVP (rituximab, cyclophosphamide, vincristine, ma le prednisone)

Radioimmunotherapy

Radioimmunotherapy aofia ai le faʻaaogaina o vailaʻau yttrium-90 ibritumomab tiuxetan (Zevalin) e faʻaoʻo atu ai le radiation i sela kanesa.

Tauiina sela sela

O le sela sela tui e masani ona faʻaaoga mo follicular lymphoma, aemaise lava pe a toe maua lou kanesa. O lenei faiga e aofia ai le tuiina o sela maloloina i lou tino e sui ai le ponaivi ponaivi.

E lua ituaiga o totoga sela transplants:

• Togafitiga otometi. O lenei faiga e faʻaaogaina ai ou lava sela sela e togafitia ai lou kanesa.
• Fetuunaiga o le Allogeneic O lenei auala e faʻaaoga ai sela maloloina mai le tagata foaʻi.

Faʻafitauli

A o se lemu tupu lemu, pei o le follicular lymphoma, liliu i se sili atu vave-tupuola foliga, e taʻua o suia liʻo. O le lymphoma ua liua e masani ona sili atu le faʻamalosi ma ono manaʻomia ni togafitiga e sili atu ona faigata.

O nisi follicular lymphomas mafai ona liua i se vave-tupu ituaiga o lymphoma valaʻaulia tele B-sela lymphoma.

Toe Faʻaleleia

A maeʻa togafitiga manuia, o le tele o tagata ma le follicular lymphoma o le a o i le faʻamagaloga. E ui lava o lenei faʻamagaloga e mafai ona tumau mo le tele o tausaga, follicular lymphoma ua manatu o se olaga atoa tulaga.

O lenei kanesa e mafai ona toe foi mai, ma o nisi taimi, tagata e toe solomuli e le tali atu i togafitiga.

Manatu

Togafitiga mo le follicular lymphoma e masani ona faʻaaogaina e taofi ai le faʻamaʻi nai lo le faʻamaloloina o le tulaga. O lenei kanesa e masani ona mafai ona faʻatautaia lelei mo le tele o tausaga.

Fomaʻi ua atiaʻe le Follicular Lymphoma International Prognostic Index (FLIPI) e fesoasoani e maua ai se faʻailoga mo lenei ituaiga kanesa. Lenei faiga fesoasoani fesoasoani faʻavasega follicular lymphoma i tolu vaega:

• maualalo le lamatiaga
• tulaga lamatia i le va
• lamatiaga maualuga

O lou tulaga lamatia e fuafua faʻavae i luga o lau "prognostic factor," lea e aofia ai mea e pei o tausaga, o le tulaga o lou kanesa, ma pe fia lymph node ua afaina.

O le lima-tausaga le saoasaoa fua faatatau mo tagata ma follicular limfoma oe maualalo le lamatiaga (leai pe na o le tasi leaga le vavalo tulaga) e tusa ma le 91 pasene. Mo i latou e i ai le tulaga faʻaletonu tulaga lua (lua matitiva tulaga vavalo), o le lima-tausaga ola fua o le 78 pasene. Afai o oe maualuga-tulaga lamatia (tolu pe sili atu matitiva mea vavalo), o le lima-tausaga ola fua o le 53 pasene.

E mafai e tau o le ola ona ofoina mai ni faʻamatalaga aoga, ae ua naʻo ni fua faatatau ma e le mafai ona valoʻia le mea o le a tupu i lou tulaga faʻapitoa. Talanoa i lau fomaʻi e uiga i lau vaʻai faʻapitoa ma o a togafitiga togafitiga e talafeagai mo lou tulaga.