So worehyia akuru wɔ wo nipadua so? Ebetumi ayɛ Follicular Lymphoma. Momma yɛnka ho asɛm!

Fa no sɛ, Samantha Akka ka bere nyinaa sɛ wabrɛ paa, na ne ho fifiri anadwo. Ɛtɔ da bi nso a ɔka sɛ ne kɔn mu yɛ akuru ketewaa bi. Ɛwom sɛ ɛtɔ mmere bi a wonsusuw eyinom ho wɔ yɛn da biara da asetra mu de, nanso ebetumi ayɛ yare bi te sɛ Follicular Lymphoma ho sɛnkyerɛnne. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne Follicular Lymphoma?

Sɛ yɛbɛka no tiawa a, follicular lymphoma yɛ kokoram a ɛkɔ so brɛoo yiye . Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ kokoram a ɛba yɛn ntini mu nkwammoaa mu. Ebetumi aba wo ntini mu - anaase, sedee yefre no, wo ntini mu - anaase wo nnompe mu, anaase wo mu akwaa afoforo mu. Nea ɛyɛ nwonwa ne sɛ nnipa binom betumi anya saa yare yi a wɔrenkyerɛ yare no ho sɛnkyerɛnne biara . Ɛno nti na nnuruyɛfo bu no sɛ ɛyɛ yare a enni sabea no . Asɛmpa no ne sɛ, ayaresa ahorow wɔ hɔ a wɔde sa no. Nanso, ɛtɔ mmere bi a, yare no tumi san ba bere a wɔasa no yare awie no. Nanso nnuruyɛfo susuw sɛ bere no nware koraa a wobetumi de ayaresa foforo asa yare yi koraa.

Hena na ɛda adi sɛ obenya saa yare yi?

Sɛnea akontaabu kyerɛ no, nnipa mpem ɔha biara mu bɛyɛ baasa kosi baanan (bɛyɛ 3.5) betumi anya saa tebea yi. Nnipa a wɔadi boro mfe 65 na ɛda adi sɛ wobenya saa yare yi titiriw sen mmerante ne mmabaa. Wɔahu nso sɛ mmarima taa nya saa yare yi sɛ wɔde toto mmea ho a.

Ɔkwan bɛn so na Follicular Lymphoma ka me nipadua?

Follicular lymphoma yɛ B-cell lymphoma , a ɛnyɛ Hodgkin lymphoma , no fã ketewaa bi. Enti, ebetumi nso ada ntini a ɛnyɛ Hodgkin ho sɛnkyerɛnne adi, te sɛ ntini a ɛho ahonhon, atiridiinini, ne fifiri a ɛba anadwo .

Nanso, wohu sɛ nnipa pii anya yare no ansa na wɔanya yare no ho sɛnkyerɛnne biara mpo . Wɔ obi a onni yare no ho sɛnkyerɛnne biara na n’apɔwmuden fam no, ebia nnuruyɛfo mfi ayaresa ase ntɛm ara. Mmom no, wɔde ɔkwan bi a wɔfrɛ no ‘ɔwɛn a wɔtwɛn’ anaa ‘anibere a wɔde hwɛ nneɛma so’ bɛkɔ . Eyi kyerɛ sɛ nnuruyɛfo rehwɛ w’akwahosan ne wo yare no ho sɛnkyerɛnne bere nyinaa.

Saa yare yi betumi aka wo wɔ adwene mu ansa na aka wo honam fam. Nnansa yi nhwehwɛmu bi ada no adi sɛ nnipa a wɔwɔ follicular lymphoma ne lymphomas a ɛte saa ara a enyin brɛoo no hu amane wɔ dadwen a ɛboro so esiane adwenem naayɛ a ɛne sɛ ‘Bere bɛn na sɛnkyerɛnne ahorow bɛda adi?’ nti. ne ‘Bere bɛn na wobefi ase ayɛ ayaresa?’

So Follicular Lymphoma yɛ yare a emu yɛ den?

Yiw, ɛno ne follicular lymphoma ankasa.Ebetumi ayɛ aduruyɛ mu tebea a ɛho hia na ɛyɛ den. Nneɛma pii nti na ɛte saa:

• Nsakrae: Ɛtɔ mmere bi a, follicular lymphoma betumi adan kokoram a ano yɛ den kɛse a wɔfrɛ no diffuse large B-cell lymphoma (DLBCL) . Eyi betumi de sɛnkyerɛnne foforo a emu yɛ den aba na kokoram no atrɛw akɔ nipadua no afã afoforo. Nnipa a wɔwɔ follicular lymphoma no mu bɛyɛ ɔha biara mu nkyem 3 (3%) bɛdan DLBCL. Wo de susuw sɛnea ɛyɛ den sɛ obi benya yare a emu yɛ den mpofirim no ho hwɛ.
• Ɛsan ba bio: Asɛnnennen foforo a ɛwɔ saa yare yi ho ne sɛ, sɛ wɔsa yare no wie a, yare no ho sɛnkyerɛnne betumi akɔ so agyae, na afei asan asɔre bio wɔ bere tiaa bi akyi. Saa kyinhyia a ɛfa yareɛ a ɛsan ba-remission ho yi ma ɛyɛ den ma nnipa a wɔwɔ saa yareɛ yi sɛ wɔbɛte nka da sɛ ‘wɔawie’. Ɔkwan foforo so no, ɛsɛ sɛ wɔde ehu kakra tra wɔn komam bere nyinaa.

Dɛn ne Follicular Lymphoma ho sɛnkyerɛnne ahorow?

Nsɛnkyerɛnne ahorow pii wɔ hɔ a ɛtaa ba a wobetumi ahu wɔ yare yi mu. Nanso kae sɛ, esiane sɛ wowɔ saa sɛnkyerɛnne ahorow yi nti, ɛnkyerɛ sɛ wowɔ saa yare yi. Nanso ɛho hia sɛ yɛma yɛn ani da hɔ wɔ saa nneɛma yi ho.

• Ntini a ɛho ahonhon wɔ kɔn, abasa, anaa akyi berɛmo mu a ɛyaw biara nni ho. Yɛfrɛ wɔn lymph nodes a ahonhon, ɛno ne nea wɔyɛ.
• Atiridiinini a ɔyare mmoawa anaa yare foforo biara nni mu.
• Mu duru a ɛso tew a ntease biara nni mu. Ɛsɛ sɛ wohaw wo ho, titiriw sɛ wo nipadua mu duru so atew 10% anaa nea ɛboro saa wɔ asram 6 a atwam no mu a .
• Fifiri ne awɔw a wɔte nka. Titiriw sɛ wo ho fifiri dɔɔso araa ma woma wo mpa yɛ nwini anadwo (fifiri a ɛba anadwo a ɛyɛ nwini) na ɛkɔ so tra hɔ a, ebetumi ayɛ aduruyɛ tebea bi ho sɛnkyerɛnne.
• Ɔbrɛ. Eyi nyɛ ɔbrɛ a ɛfata. Ɛyɛ ɔbrɛ a ɛtra so na ɛma ɛyɛ den sɛ wobɛyɛ da biara da nnwuma atitiriw mpo .

Dɛn na ɛde Follicular Lymphoma ba?

Nokwarem no, nhwehwɛmufo da so ara nnim nea ɛde yare yi ba ankasa nyinaa . Nanso wɔahu sɛ wɔ bɛyɛ ɔha biara mu 85 (85%) mu no, nea ɛde yare yi ba titiriw ne nsakrae a ɛba yɛn nkwaadɔm mu . Esiane nsakrae yi, nea ɛnteɛ, anaa kokoram nti, nkwammoaa fi ase kyekyɛ na ɛdɔɔso a wontumi nni so.

Ɔkwan bɛn so na nnuruyɛfo hu sɛ obi anya follicular lymphoma?

Nnuruyɛfo de nhwehwɛmu ahorow pii di dwuma de hu sɛ ebia wowɔ saa yare yi anaasɛ wunni bi.

• Biopsy: Nea ɛka eyi ho ne sɛ wobegye ntini ketewaa bi afi ntini a ɛho ahonhon mu.Ɛyɛ nhwehwɛmu a wɔde afiri ketewaa bi yɛ de hwɛ sɛ kokoram nkwammoaa wɔ hɔ anaa. Eyi ne ɔkwan titiriw a wɔfa so si yare no so dua .
• PET scan (Positron Emission Tomography - PET scan): Saa scan yi betumi akyerɛ sɛnea kokoram nkwammoaa no yɛ adwuma, baabi a wɔatrɛw, ne kokoram no dodow.
• CT scan (Computed Tomography - CT scan): Eyi boa nnuruyɛfo ma wohu baabi a kokoram no wɔ wɔ nipadua no mu, sɛnea ɛsõ, ne sɛnea ɛreyɛ n’ade wɔ ayaresa ho.

Dɛn ne Follicular Lymphoma no fã ahorow?

Te sɛ kokoram biara no, ɛsono sɛnea follicular lymphoma kɔ so. Nnuruyɛfo na wɔde saa akwan horow yi di dwuma de si ayaresa ko a eye sen biara ho gyinae. Nneɛma atitiriw anan na ɛwɔ hɔ (I kosi IV):

• Ɔfã I: Kokoram wɔ ntini a ɛma mogya tu no fã biako anaa nea ɛboro saa mu . Wohu nnipa a wɔwɔ follicular lymphoma no mu bɛyɛ ɔha biara mu nkyem 25 (25%) wɔ saa bere yi mu.
• Ɔfã II: Kokoram wɔ ntini abien anaa nea ɛboro saa mu wɔ diaphragm (ntini a ɛtetew yɛn koko ne yafunu mu) no atifi anaa ase . Wohu ayarefo bɛyɛ ɔha biara mu nkyem 15 (15%) wɔ saa bere yi mu.
• Ɔfã III: Kokoram wɔ ntini a ɛwɔ ahurututu no afã abien no nyinaa (atifi ne ase) . Wohu ayarefo bɛyɛ ɔha biara mu nkyem 26 (26%) wɔ saa bere yi mu.
• Ɔfã IV: Kokoram no atrɛw akɔ akyiri sen ntini a ɛma mogya tu no, akɔ nnompe mu ntini anaa akwaa afoforo mu . Wohu ayarefo bɛyɛ ɔha biara mu nkyem 27 (27%) wɔ saa bere a ɛkɔ akyiri sen biara yi mu.

Ɔkwan bɛn so na wɔsa Follicular Lymphoma?

Nnuruyɛfo mfa ayaresa koro nni dwuma mma obiara bere a wɔresa follicular lymphoma no. Nneɛma pii na ɛkyerɛ ayaresa, a ɔyarefo no tebea ne baabi a yare no kɔ ka ho. Ɛtɔ da bi a, wɔde ‘ɔwɛn a wɔtwɛn’ ne ayaresa afoforo a wɔaka abom di dwuma.

• Ɔwɛn a wobɛtwɛn anaasɛ wobɛhwɛ wo so denneennen: Sɛ wo duruyɛfo kamfo saa kwan yi kyerɛ a, ebehia sɛ wokɔ wo duruyɛfo nkyɛn daa, woyɛ wo nipadua mu nhwehwɛmu, wo mogya mu nhwehwɛmu, na woyɛ scan . Eyi kyerɛ sɛ wɔbɛtwɛn akosi sɛ yare no ho sɛnkyerɛnne bɛda adi anaasɛ yare no mu bɛyɛ den.
• Mframa a wɔde sa yare: Wobetumi de mframa a wɔde sa yare yi adi dwuma wɔ yare a edi kan mu , bere a kokoram no wɔ beae biako pɛ no. Ɛde mframa a ahoɔden wom kɛse di dwuma de sɛe kokoram nkwammoaa.
• Monoclonal antibody ayaresa:Eyi yɛ ayaresa a ɛyɛ den kakra. Sɛ yɛbɛka no tiawa a, ɛde nnuru bi a ɛko tia nyarewa a wɔayɛ titiriw wɔ aduruyɛdan mu na edi dwuma . Saa nnuru a ɛko tia nyarewa yi betumi ahu kokoram nkwammoaa na asɛe wɔn.
• Nnuru a wɔde sa yare: Eyi yɛ biribi a nnipa pii te bere a wɔreka kokoram ayaresa ho asɛm no. Nea ɛka nnuru titiriw a wɔde sɛe kokoram nkwammoaa ho . Wobetumi de nnuru a wɔde sa yare no nkutoo ama anaasɛ wɔde aka ayaresa afoforo ho.
• Ayaresa a wɔde wɔn ani asi so: Nnuru a wɔde di dwuma wɔ ayaresa a ɛte sɛɛ mu no de wɔn ani si kokoram nkwammoaa nkutoo so na wɔtow hyɛ so, a ɛnpira nkwammoaa a ɛte apɔw a ɛteɛ . Eyi betumi atew nsunsuanso bɔne a efi mu ba no so.
• Nkwammoaa a ɛko tia nyarewa no ayaresa: Eyi yɛ ayaresa a ɛyɛ anigye yiye. Ɛyɛ adwuma denam w’ankasa nipadua mu tumi a ɛko tia nyarewa a ɛkanyan no ma ɛko tia kokoram no so. Ɛma nkwammoaa a ɛko tia kokoram nkwammoaa no yɛ kɛse, anaasɛ ɛboa nkwammoaa a wɔwɔ apɔwmuden ma wohu kokoram nkwammoaa na wɔtow hyɛ wɔn so.
• Nnompe mu ntini/ntini mu nkwammoaa a wɔde si ananmu: Sɛ follicular lymphoma san ba bio wɔ nnuru a wɔde sa yare akyi a, nnuruyɛfo betumi akamfo saa ayaresa yi akyerɛ. Nea ɛka eyi ho ne sɛ wɔde nnompe mu ntini anaa ntini mu nkwammoaa a ɛte apɔw besi nnompe mu ntini a yare no ananmu.

So wobetumi asiw follicular lymphoma ano?

Nea ɛyɛ awerɛhow no, nhwehwɛmufo nnya nhuu ɔkwan pɔtee biara a wɔbɛfa so atew asiane a ɛwɔ hɔ sɛ wobenya saa yare yi so. Sɛ wowɔ asɛm bi a ɛhaw wo anaa w’adwene mu yɛ wo naa wɔ eyi ho a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ wo duruyɛfo nkyɛn na woaka w’ayaresa ho abakɔsɛm ne w’abusua aduruyɛ ho abakɔsɛm ho asɛm. Afei oduruyɛfo no betumi de afotu a ɛho hia ama wo.

Bere tenten ahe na wubetumi atra ase wɔ Follicular Lymphoma ho?

Sɛnea yɛadi kan aka ho asɛm no, follicular lymphoma yɛ yare a ɛkɔ so brɛoo na enni sabea . Eyi kyerɛ sɛ wubetumi ne saa yare yi atra ase akyɛ. Nhwehwɛmu ahorow ada no adi sɛ nnipa a wohu sɛ wɔwɔ saa yare yi mu bɛyɛ fã (bɛyɛ 50%) tra ase mfe 20 . Afei nso, ayarefoɔ bɛyɛ 90% da so te ase wɔ mfeɛ 5 akyi wɔ berɛ a wɔahu yareɛ no. Enti eyi kyerɛ sɛ ɛwom sɛ eyi yɛ yare a ekum nnipa de, nanso hokwan wɔ hɔ sɛ wo ne no bɛtra ase.

Mɛyɛ dɛn ahwɛ me ho?

Wɔn ho a wɔbɛhwɛ no ho hia yiye bere a wo ne kokoram retra ase no. Nneɛma bi a ebetumi aboa wo bere a woredi yare yi ho dwuma ni:

• Nya adidi ne apɔw-mu-teɛteɛ ho su pa.Bisa aduan pa ho ɔbenfo anaa oduruyɛfo bi fa aduan pa a ɛfata wo ho asɛm. Apɔw-mu-teɛteɛ sɛnea ɛbɛyɛ yiye biara nso ye ma nipadua no yiye.
• Ɔbrɛ yɛ yare yi ho sɛnkyerɛnne a ɛtaa ba, na ebetumi nso ayɛ ayaresa mu nsunsuanso bɔne. Enti tie wo nipadua. Sɛ wote nka sɛ woabrɛ a, ɛnyɛ bere a wubetumi nko na gye w’ahome, na mmom bere a ɛho hia nso.
• Ebia ɛsɛ sɛ wo ne kokoram yi tra ase bere tenten . Ɛno yɛ asɛmpa ankasa. Nanso, yare a enni sabea a obi bɛtra ase no betumi ayɛ nea ɛyɛ den wɔ adwene mu. Enti, sɛ wo ne oduruyɛfo bi bɛkasa anaasɛ wobɛka kuw bi a wɔboa nnipa a wɔwɔ saa tebea yi ho a, ebetumi aboa w’adwene kɛse. Ɛyɛ ahoɔden kɛse nso sɛ wubehu sɛ ɛnyɛ wo nkutoo na wowɔ hɔ.

Bere bɛn na ɛsɛ sɛ mekɔ me duruyɛfo nkyɛn?

Sɛ wohu sɛ wowɔ follicular lymphoma wie a, wo duruyɛfo bɛyɛ nhyehyɛe akɔhwɛ wo tebea ne ayaresa. Hwɛ hu sɛ wubedi saa nhyehyɛe ahorow yi so.

Nanso, sɛ wuhu nsakrae bi wɔ wo nipadua mu anaa sɛnkyerɛnne foforo (follicular lymphoma sɛnkyerɛnne) a, kɔ wo duruyɛfo nkyɛn ntɛm ara na ka ho asɛm kyerɛ wɔn. Dodow a wohu no ntɛm no, dodow no ara na ɛyɛ mmerɛw sɛ wɔbɛsa.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Asɛmfua kokoram no ma yɛbɔ hu, ɛnte saa? Sɛ wowɔ kokoram a ɛrenyin nkakrankakra te sɛ Follicular Lymphoma mpo a, ɛnyɛ mmerɛw. Ebia worennya yare no ho sɛnkyerɛnne biara mfe pii. Nanso sɛ sɛnkyerɛnne ahorow no da adi pɛ a, ebia ɛsɛ sɛ wofa ayaresa a ɛkɔ so kyinhyia mu, wo ho fi wo ho, wosan ba bio, na wosan sa yare bio. Ebia wubebisa mpo sɛ, ‘Bere bɛn na mɛyi eyi afi hɔ?’

Nanso nea ehia paa ne sɛ worennyae anidaso. Nhwehwɛmufo rebɔ mmɔden bere nyinaa sɛ wobenya ayaresa foforo a ɛbɛma saa yare yi ayɛ yare a wobetumi asa.

Sɛ wowɔ Follicular Lymphoma a, wo ne wo duruyɛfo nkasa na ma emu nna hɔ wɔ ayaresa a wubetumi apaw ho. Nsuro sɛ wubebisa nsɛm. Sɛ wonya nsɛm ne mmoa a ɛfata a, wɔbɛma wo tumi a wode begyina asɛnnennen yi ano!

` Follicular Lymphoma, Lymphoma, Kokoram, Ntini a Ɛma Ntini, Nsɛnkyerɛnne, Ayaresa, B-Cell Lymphoma