Ðe ƒunukpeƒetetedɔ aɖe le wò kɔ, akɔta, alo akɔta si me vevesese aɖeke mele oa? Alo ɖe fifia ɖea fu na wò ale gbegbe be wò agbalẽwo tsia le zã mea? Esiawo ate ŋu anye nusiwo sɔ, gake ɣeaɖewoɣi la, woate ŋu anye ʋumenugbagbeviɣidɔ ƒomevi aɖe si woyɔna be B-Cell Lymphoma ƒe dzesiwo. Mègavɔ̃ ne èse ŋkɔ sia o. Mesesẽ be woase egɔme o. Mina míaƒo nu tso eŋu bɔbɔe, eme nakɔ, eye le mɔ si gɔme nàte ŋu ase nu.
Kpuie ko la, nukae nye B-Cell Lymphoma?
B-cell lymphoma nye ʋumenugbagbeviɣidɔ ƒomevi aɖe si dona le míaƒe ʋumenugbagbeviɣidɔ me. Enyo, azɔ mina míana esia nanɔ bɔbɔe wu.
Lãmenugbagbevi ƒomevi aɖe si woyɔna be ʋumenugbagbevi ɣiwo le míaƒe ʋu me. Esiawo le abe míaƒe ŋutilã ŋutɔ ƒe aʋakɔ ene. Lãmenugbagbevi siawo kpɔa mía ta to avuwɔwɔ kple dɔlékui siwo hea dɔléle vɛ me. Woyɔa ʋumenugbagbevi ɣi ƒomevi ɖeka be ʋumenugbagbevi dzĩwo. Le ʋumenugbagbevi siawo dome la, ƒomevi tɔxɛ aɖe li si woyɔna be B-cells. Woawoe nye míaƒe ŋutilã takpɔha ƒe akpa vevitɔ.
Ne B-cell lymphoma do la, nane gblẽna le B-cell siawo ŋu, si wɔnɛ be woma hedzina ɖe edzi le mɔ si dzi womate ŋu aɖu o nu, eye wozua kansa lãmenugbagbeviwo eye wowɔa dɔdzẽ.
Míaƒe ʋukawo nye ʋukawo, ʋukawo, kple lãkusi siwo kaka ɖe míaƒe ŋutilã katã me ƒe kadodo. Ele abe ʋu ƒe sisi ƒe ɖoɖo evelia ene le míaƒe ŋutilã me. Esia tae B-cell lymphoma ate ŋu adzɔ le ŋutilãa ƒe akpa sia akpa. Esia tae dzesiawo toa vovo tso ame ɖeka gbɔ yi bubu gbɔ ɖo.
Vevietɔ la, B-cell lymphoma ye nye ʋumenugbagbeviɣidɔ si menye Hodgkin o ƒomevi si bɔ wu. Zi geɖe la, atikewɔmɔnu siwo wɔa dɔ nyuie li. Woate ŋu ada gbe le ƒomevi aɖewo ŋu keŋkeŋ. Le bubuwo me la, woate ŋu aɖe dzesiawo dzi akpɔtɔ eye woate ŋu ana kansa la nagbɔdzɔ.
Woma ʋumenugbagbeviɣidɔ siawo ɖe hatsotso eve me koŋ:
Ne wò ɖɔkta le nu ƒom tso dɔléle sia ŋu la, ate ŋu azã nya eve: "aggressive" kple "indolent." Esiae nye nusi wofia:
- Aggressive (si kaka kabakaba) ƒomevi: Esia ƒomevi tsina kabakaba wu eye ateŋu akaka (metastasize) ɖe ŋutinu bubu siwo mele ŋutilãa godo o to ʋukawo me.
- Indolent (si tsina blewu) ƒomevi: Esia ƒomevi tsina blewu ŋutɔ eye ɖewohĩ maɖe dzesi aɖeke afia o ƒe geɖe.
Be gɔmesese nanɔ bɔbɔe la, mina míalé ŋku ɖe ƒomevi siawo ŋu le kplɔ̃ si le abe esia ene dzi.
| Lãmetsiŋusẽ ƒe dɔléle ƒomevi | Numeɖeɖe bɔbɔe kple kpɔɖeŋuwo |
|---|---|
| Aggressive (ekaka kabakaba) . | Esiawo tsina kabakaba. Kpɔɖeŋuwo:
|
| Indolent (si tsina blewu) . | Esiawo ate ŋu anye esiwo me dzesi aɖeke mele o ɣleti alo ƒe geɖe. Kpɔɖeŋuwo:
|
Nukae nye B-cell lymphoma ƒe dzesiwo?
Ɣeaɖewoɣi la, àte ŋu axɔ B-cell lymphoma evɔ dzesi aɖeke manɔ ŋuwò o. Vevietɔ le ƒomevi siwo tsina blewu gome la, zi geɖe la, woke ɖe eŋu le vo me ne wole dɔléle bubu dodokpɔ wɔm. Gake ele be nàtsi dzi ne èkpɔ dzesi siwo gbɔna:
| Dzesi si dzena | Nukae esia fia? |
|---|---|
| Lãmetsiŋusẽ ƒe ʋuka siwo vuvu | Kuku siwo me vevesese mele o le kɔ, akɔta, kple akɔta. Esiae nye dzesi si bɔ wu. |
| Fifia si gbɔ eme le zã me | Fifia ne wò alɔ̃mewuwo kple abadzivɔwo tsi ko. |
| Asrã si metso o | Asrã (si wu Celsius 38 / Fahrenheit 100.4) si nɔa anyi wu ŋkeke eve alo nɔa anyi ɖaa. |
| Lolo dzi ɖeɖe kpɔtɔ le susu aɖeke manɔmee | Lolo dzi ɖeɖe kpɔtɔ kpata nuɖuɖu alo kamedede manɔmee. |
| Ðeɖiteameŋu ɣesiaɣi | Sese le ɖokuiwò me be yegbɔdzɔ aleke kee nèɖagbɔ ɖe emee o. Nusi koŋ gbɔ esia tso ate ŋu anye be kansadɔlékui siwo le ƒumeŋuɖui me ɖea ʋumenugbagbevi dzĩwo wɔwɔ dzi kpɔtɔna, si wɔnɛ be ʋusɔgbɔdɔ vɛ. |
| Dɔgbo ƒe vevesese | Ƒomevi aɖewo ate ŋu ana dɔgbo nase veve atraɖii elabena wodzea egɔme tso dɔgboa me. |
| Nudzroame | Ne dɔgboa vuvu la, ate ŋu atutu dɔgboa eye wòana nàse le ɖokuiwò me be yeɖi ƒo ne èɖu nu vi aɖe gɔ̃ hã. |
| Ʋuʋudedi (Pruritus) alo ŋutigbalẽ ƒe tɔtrɔ | Wo dometɔ aɖewo dzea egɔme tso ŋutigbalẽ dzi eye woate ŋu ana aɖuɖɔ, abi, kple ƒuƒu nado. Alo, ne aklãa gblẽ la, ŋutigbalẽa ate ŋu avuvu. |
Ðo ŋku edzi be ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, mefia be ʋumenugbagbeviɣidɔ le ŋuwò o. Aɖuɖɔtoe si bɔ hã ate ŋu ana ame nase veve le ŋɔti me. Gake ne dzesi siawo gakpɔtɔ li alo gagblẽ ɖe edzi la, kpɔ egbɔ be yeyi ɖɔkta gbɔ hena aɖaŋuɖoɖo.
Nukatae nane si le abe esia ene dzɔna?
Esesẽ be woade dzesi nu ɖeka aɖe si gbɔ esia tso. Nu vevitɔe nye be míaƒe B-lãmenugbagbeviwo va zua kansa le domenyiŋusẽfianu ƒe tɔtrɔ (trɔtrɔ) si dzɔna le vome ne woma ta. Gake numekukuwo ɖee fia be nu aɖewo ate ŋu ana afɔku si le esia xɔxɔ me nadzi ɖe edzi vie.
- Dɔléle aɖewo siwo dɔlélenutsiŋutete hena vɛ: Le kpɔɖeŋu me, amesiwo ŋu dɔlélewo abe ƒunukpeƒetetedɔ kple Sjörgren ƒe dɔléle ene le.
- Dɔlékui aɖewo: Dɔlékuiwo abe HIV (amegbetɔ ƒe dɔlélenutsiŋutete ƒe dɔlékui), Epstein-Barr dɔlékui.
- Ƒome ŋutinya: Ne kansa abe Hodgkin lymphoma ene xɔ ame aɖe le ƒomea me kpɔ.
- Lolo akpa: Lãmetsi si gbɔ eme hã nye afɔku.
Aleke nèwɔ kpɔ esia, Ðɔkta?
Ne èyi ɖɔkta gbɔ la, abia wò dzesiwo kple wò atikewɔwɔ ŋutinya. Emegbe ado wò ŋutilã kpɔ eye wòalé ŋku ɖe wò ʋukawo, aklã, kple dɔgbo ŋu be wovuvu hã. Ne ɖikeke aɖe li la, aɖo wò ɖe ʋumenugbagbeviɣidɔdala-kansadɔdala gbɔ. Woate ŋu awɔ dodokpɔ siawo atsɔ aɖo kpe dɔlélea dzi.
Ʋudodokpɔwo
- Ʋu ƒe xexlẽme blibo (CBC): Edzidzea lãmenugbagbevi ƒomevi kple agbɔsɔsɔme si le ʋua me.
- Comprehensive metabolic panel (CMP): Eléa ŋku ɖe ŋutinuwo abe aklã kple ayiku ene ƒe dɔwɔwɔ ŋu.
- Lactate dehydrogenase (LDH): Esia ƒe agbɔsɔsɔ si dzi ɖe edzi ate ŋu anye ʋumenugbagbeviɣidɔ ƒe dzesi.
Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo
- CT scan, PET scan, kple ultrasound scan: Esiawo ate ŋu alé ŋku ɖe ʋukawo kple ŋutinu siwo le ŋutilãa me ƒe nɔnɔme ŋu.
Biopsy ƒe dɔwɔwɔ
Esia koe nye mɔ si dzi woato aɖo kpe dɔlélea dzi 100%.
Esia bia be woaɖe ʋuka si vuvu alo lãkusi si ŋu ɖikeke le ƒe kpɔɖeŋu sue aɖe atsɔ adoe kpɔ le nusuekpɔmɔ̃ me. Esia ate ŋu akpe ɖe ame ŋu woanya ʋumenugbagbeviɣidɔ ƒomevi si tututu.
- Excisional alo incisional biopsy: Amekoko ƒe ʋuka si me ʋu sina tona la katã alo eƒe akpa aɖe ɖeɖe ɖa.
- Fine-needle aspiration (FNA): Lãmenugbagbevi sue aɖe xɔxɔ to aŋe tsɛ aɖe zazã me.
- Ƒumeŋuɖui ƒe lãmenugbagbeviwo ɖeɖe: Ƒumeŋuɖui sue aɖe ɖeɖe ɖa be woadoe kpɔ.
Nukawoe nye atikewɔmɔnuawo?
Atikewɔwɔ ɖeka aɖeke meli na esia o. Atike si nàxɔ la anɔ te ɖe nusiwo le abe ʋumenugbagbeviɣidɔ ƒomevi si le ŋuwò, afisi dɔlélea kaka ɖo, kple wò lãmesẽ bliboa dzi. Wò atikewɔlawo atia atikewɔwɔ ƒe ɖoɖo si nyo na wò eye eƒe nugbegblẽ le ame ŋu ʋɛ wu.
Dɔdamɔnu vevitɔwoe nye:
- Atikewɔwɔ: Atike siwo wua kansadɔlékuiwo nana.
- Dɔlélenutsiŋutete ƒe atikewɔwɔ: Wò ŋutɔ wò dɔlélenutsiŋutete dodo ɖe ŋgɔ be wòawɔ avu kple kansa lãmenugbagbeviwo.
- Kekeli ƒe atikewɔwɔ: Kansa lãmenugbagbeviwo tsɔtsrɔ̃ to keklẽŋusẽ si me ŋusẽ geɖe le zazã me.
- Atikewɔwɔ si woɖo taɖodzinu na: Atike siwo tɔa ŋku kansa lãmenugbagbeviwo ko dzi hedzea wo dzi nana. Le kpɔɖeŋu me: `(monoclonal antibody therapy)`.
- Lala ŋudzɔnɔnɔ / ŋkuléle ɖe nu ŋu vevie: Le ƒomevi siwo le tsitsim blewu gome la, woléa ŋku ɖe wò nɔnɔmea ŋu ɣesiaɣi, eye womedzea atikewɔwɔ gɔme enumake ne dzesi aɖeke mele ŋuwò o. Ne dzesiawo do mo ɖa ko hafi wodzea atikewɔwɔ gɔme.
Atikewɔwɔ ƒe nugbegblẽ le ame ŋu
Dɔdamɔnuawo katã ate ŋu agblẽ nu le ame ŋu. Nuwo abe dɔgbo ƒe fuɖename, aɖuɖɔtoe, ɖeɖiteameŋu, ʋuʋudedi, kple ʋuʋudedi bɔ. Mègavɔ̃ nusiawo o. Ƒo nu tso wo ŋu na wò ɖɔkta gaglãa. Atikewo li siwo akpe ɖe ŋuwò nàɖu eƒe nugbegblẽ le ame ŋu dzi.
Ɣekaɣie woakpɔ ɖɔkta kple ɣeyiɣi si woayi ETU
Ahiã be nàkpɔ wò ɖɔkta edziedzi le wò atikewɔwɔa katã me. Ne wowu atikewɔwɔ nu la, woalé ŋku ɖe ŋuwò le ɖoɖowɔɖi si wowɔna edziedzi me akpɔe ɖa be dɔlélea gatrɔ gbɔ hã.
Gake le nɔnɔme sia tɔgbe me la , yi kɔdzia ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) enumake:
- Ne wò dzoxɔxɔa wu Celsius 38 (Fahrenheit 100.4) eye meɖiɖi o la, esia le alea elabena atikewɔwɔa ate ŋu ana wò dɔlélenutsiŋutete nagbɔdzɔ eye wòana nàxɔ dɔlékuiwo.
- Ne atikewɔwɔa ƒe nugbegblẽ le ame ŋu nu sẽ akpa be woate ŋu atsɔ atike si ɖɔktaa ŋlɔ nɛ la aɖu wo dzi.
Gbedasi si Wotsɔ Yi Aƒeme
- B-cell lymphoma nye ʋumenugbagbeviɣidɔ ƒomevi aɖe si dzea egɔme tso míaƒe dɔlélenutsiŋutete ƒe B-lãmenugbagbeviwo me.
- Dzesi vevitɔwoe nye ƒuƒu siwo me vevesese aɖeke mele o le kɔ, akɔta, alo akɔta, fifia fũ le zã me, ɖeɖiteameŋu ɣesiaɣi, kple lolo dzi ɖeɖe kpɔtɔ si womate ŋu aɖe o.
- Ne dzesi siawo gakpɔtɔ li la, mègaŋe aɖaba ƒu wo dzi o eye nàkpɔ ɖɔkta godoo.
- Dɔléle sia ƒe dɔdamɔnu nyui geɖewo li egbea, eyata mègana mɔkpɔkpɔ ne wonya kpɔ dɔlélea le ŋuwò ko o.
- Mehiã be wò ɖeka nàto mɔzɔzɔ sia me o. Di kpekpeɖeŋu tso wò atikewɔlawo, ƒometɔwo, kple xɔlɔ̃wo gbɔ. Wò susu ƒe lãmesẽ le vevie abe alesi wò ŋutilã ƒe lãmesẽ le vevie ene.
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