Nukae nye Burkitt Lymphoma? Mina míaƒo nu tso eŋu bɔbɔe!

Ðewohĩ ède dzesi ƒodo le viwò suea ŋu, alo ƒu aɖe le kɔ alo akɔta, eye ɖewohĩ ètsi dzi vie. Zi geɖe la, nusiawo nye nusiwo sɔ. Gake kansa ƒomevi aɖe li si mebɔ kura o si ate ŋu akaka kabakaba ŋutɔ le ŋutilã bliboa me . Emae nye nusi ŋu míele nu ƒom tsoe egbea. Woyɔe be Burkitt Lymphoma ƒe dɔléle. Mègavɔ̃ ne èse ŋkɔa o, elabena nu vevitɔ kekeakee nye be nànya nu tso eŋu nyuie.

Nuka tututue nye Burkitt Lymphoma?

Kpuie ko la, Burkitt lymphoma nye kansa si le tsitsim kabakaba ŋutɔ si dzɔna ɖe B-cells , si nye ʋumenugbagbevi ɣi ƒomevi aɖe si le míaƒe ŋutilã me la me. Ele kansa ƒe ƒuƒoƒo si woyɔna be ʋumenugbagbeviɣidɔ me, eye wònye ʋumenugbagbeviɣidɔ si menye Hodgkin tɔ o ƒomevi aɖe . Wokpɔnɛ zi geɖe le ɖevi suewo kple sɔhɛ tsitsiwo gome. Ame aɖewo hã yɔnɛ be Burkitt ƒe dɔléle, Burkitt ƒe ʋumenugbagbeviɣidɔ, alo Burkitt ƒe dɔdzẽ.

Zi geɖe la, edzea egɔme tso ʋuka siwo le wò ƒodo alo akɔta me. Gake ate ŋu akaka kabakaba ɖe wò ŋutilã ƒe akpa bubuwo, abe:

• Ƒodo (dɔgbo ƒe akpa aɖe) .
• Ƒumeŋuɖui
• Dɔgbo ƒe dɔwɔwɔ
• Aɖu ƒe nuto
• Aɖuɖɔtoe
• Vetome
• Tonsil ƒe lãkusiwo

Esi wòyia ŋgɔ kabakaba alea ta la, ate ŋu ade ame ƒe agbe afɔku me ɣeaɖewoɣi. Gake nu nyuitɔ kekeakee nye be ne wodze atikewɔwɔ gɔme kaba la, woate ŋu ada ame akpa gãtɔ keŋkeŋ . Ema fia be dzesiawo nu yina eye àte ŋu anɔ lãmesẽ me evɔ womagatrɔ ava o. Míeyɔa esia be yiyi ɖe `ɣeyiɣi didi ƒe tsɔtsɔke` me.

Burkitt Lymphoma ƒomevi vevi kawoe nye?

Esia ƒomevi vevi etɔ̃e li:

1. Endemic type: Esia bɔ ɖe Afrika ƒe akpa aɖewo wu. Wokpɔe be edo ƒome kple dɔlékui aɖe si woyɔna be Epstein-Barr dɔlékui (EBV) .

2. Ƒomevi si dzɔna ɣeaɖewoɣi: Wokpɔa esia le dukɔwo abe United States ene me, vevietɔ le ɖevi suewo dome. Esia ƒomevie nyea ʋumenugbagbeviɣidɔ si menye Hodgkin o ƒe 40% kple edzivɔ le ɖeviwo me.

3. Dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ: Esia dzɔna le amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ, le dɔlélewo abe HIV/AIDS alo nu bubuwo ta.

Aleke gbegbee esia bɔe? Amekae xɔae zi geɖe wu?

Le nyateƒe me la, Burkitt lymphoma nye kansa si mebɔ kura o. Le kpɔɖeŋu me, le United States la, ƒomevi si dzɔna ɣeaɖewoɣi la dzena le ɖevi siwo mexɔ ƒe 16 haɖe o dometɔ ene le miliɔn ɖesiaɖe me.Exɔa ʋumenugbagbeviɣidɔ siwo katã le ame tsitsiwo me ƒe 1% va ɖo 2%.

Esia bɔ ɖe ɖevi suewo dome wu , zi geɖe la, woxɔa tso ƒe 3 va ɖo ƒe 12.

Nukawoe nye dzesiawo? Aleke nèwɔ de dzesi esia?

Dzesiawo ate ŋu adze kpata. Wo dometɔ aɖewoe nye:

• Dɔgbo ƒe vevesese, ʋuʋudedi, ʋuʋudedi
• Asrã, lãmetutudɔ, fifia le zã me
• Nuɖuɖudzroame ƒe vɔvɔ kple lolo dzi ɖeɖe kpɔtɔ le vome
• Lãmetsiŋusẽ ƒe ʋuka siwo vuvu (ate ŋu adze abe ƒunukpeƒewo ene le teƒewo abe kɔ, akɔta, kple akɔta ene) .

Tsɔe be viwòa le nyatoƒoe tom le dɔgbo ƒe veve ŋu ŋkeke geɖee nye esia, be mete ŋu ɖua nu o, eye fifia le fifiam fũ le zã me. Ðewohĩ àsusu be dɔlékui ƒe dzoxɔxɔ si sɔ koe esia nye. Gake ne dzesi siawo le sesẽm ɖe edzi gbesiagbe la, ele be nàkpɔ ɖɔkta godoo. Elabena Burkitt lymphoma ƒe dɔdzẽwo ƒe lolome ate ŋu adzi ɖe edzi zi gbɔ zi eve le ŋkeke ʋɛ aɖewo ko me. Esia tae wòle vevie be nàwɔ afɔɖeɖe kaba ɖo.

Nukatae dɔléle sia dzɔna? Nukawoe gbɔ wòtsona?

Ðɔktawo menya nusi tututu hea Burkitt ƒe ʋumenugbagbeviɣidɔ vɛ haɖe o. Gake wokpɔe be edo ƒome kple tɔtrɔ siwo va le domenyiŋusẽfianu si woyɔna be MYC, si kpɔa míaƒe lãmenugbagbeviwo ƒe tsitsi dzi. MYC domenyiŋusẽfianu sia ate ŋu awɔ dɔ akpa le domenyiŋusẽfianu ƒe gbɔdzɔgbɔdzɔ tɔxɛ aɖe si woyɔna be translocation ta .

Le Sri Lanka, abe alesi wòle le dukɔ bubuwo me le xexeame godoo ene la, ame aɖewo siwo ŋu Epstein-Barr dɔlékui (EBV) le la xɔa Burkitt lymphoma. Gake ele vevie be míaɖo ŋku edzi be menye amesiame si ŋu EBV le lae axɔ kansa sia o.

Kuxi kawoe ate ŋu ado tso nɔnɔme sia me?

Kansa sia ate ŋu ahe kuxi aɖewo vɛ, siwo dometɔ aɖewoe nye:

• Ʋumenugbagbevi dzĩwo ƒe xexlẽme dzi ɖe kpɔtɔ (ʋusɔgbɔdɔ, ʋumenugbagbevi ɣiwo ƒe xexlẽme, ʋumenugbagbevi dzĩwo ƒe xexlẽme). Esia ate ŋu abia be woado ʋu.
• Tumor Lysis Syndrome : Esia nye nɔnɔme kpata aɖe si me ŋutilãa ƒe atikewo ƒe dadasɔ me gblẽna le esi nusiwo dona le kansa lãmenugbagbeviwo me ne wole kukum kabakaba ta.
• Dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ (si te ŋu dzea dɔ bɔbɔe).

Ne esesẽ na wò alo viwò be nàɖu dzesi siawo dzi la, gblɔe na wò ɖɔkta enumake.

Aleke ɖɔktawo wɔa nya sia tututue?

Be wò ɖɔkta anya kakaɖedzitɔe ne Burkitt Lymphoma le ŋuwò la, ate ŋu awɔ ʋumenugbagbeviɣidɔ gbã , si bia be woaɖe ʋuka si vuvu ƒe kpɔɖeŋu sue aɖe ahalé ŋku ɖe eŋu le nusuekpɔmɔ̃ me.

Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ siwo gbɔna:

• CT scan: Be woatsɔ akpɔe ɖa be dɔdzẽ le akɔta, ƒodo, kple akɔta ƒe akpa aɖe hã.
• PET scan: Scan sia ɖea ŋutilã ƒe akpa siwo kansa le la fiana koŋ.
• Ƒumeŋuɖui ŋuti numekuku: Be woakpɔe ɖa be kansa la kaka ɖe ƒumeŋuɖui me hã.
• Lumbar puncture: Be woalé ŋku ɖe kansa lãmenugbagbeviwo le tsi si le aklã me ŋu.

Aleke wowɔna nyaa kansa ƒe afɔɖeɖewoe?

Ðɔktawo zãa afɔɖeɖe siawo tsɔ nyaa afisi kansa la kaka ɖo:

• Afɔɖeɖe I (1): Teƒe ɖeka koe kansa la le, alo le ʋuka ɖeka ko me.
• Afɔɖeɖe II (2): Kansa le teƒe eve alo esi wu nenema le diaphragm , si nye lãmeka si kpena ɖe mía ŋu míegbɔa ya, ƒe akpa ɖeka.
• Afɔɖeɖe III (3): Kansa le lãkusia ƒe akpa eveawo.
• Afɔɖeɖe IV (4): Kansa la kaka ɖe ʋukawo godo, yi teƒewo abe aklã, lãkusi, kple ƒumeŋuɖui ene.

Nukawoe nye atikewɔmɔnuawo?

Esi wònye be Burkitt Lymphoma kaka kabakaba ŋutɔ ta la, ele be woadze edada gɔme kaba ale si woate ŋui. Atikewɔwɔmɔnu vevi siwo li enye:

• Atikewo zazã: Esiae nye atikewɔwɔ vevitɔ. Zi geɖe la, wozãa atike sesẽ ŋutɔ, eye ne wonya kpɔ dɔlélea ko dzea egɔme.
• Dɔlélenutsiŋutete ƒe atikewɔwɔ: Esia wɔa dɔ to kpekpeɖeŋu nana wò ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete be wòake ɖe kansa lãmenugbagbeviwo ŋu ahagblẽ wo dome.
• Kekeli ƒe dɔdamɔnu: Wozãnɛ kple atikewɔmɔnu ɣeaɖewoɣi, gake zi geɖe la, wonaa ame tsitsiwo.
• Lãmenugbagbeviwo dodo na ame: Esia ate ŋu akpe ɖe ame ŋu ne kansa la gatrɔ va le atikewɔwɔ vɔ megbe.
• Amekoko: Ƒã ŋutɔ hafi wozãa esia. Le kpɔɖeŋu me, le nɔnɔme siwo me dɔdzẽ aɖe le dɔgboa xem me.

Ɣekaɣie wòhiã be nàyi ɖɔkta gbɔ?

Wò ɖɔkta awɔ ɖoɖo ɖe kplɔkplɔ ɖo ŋu be wòalé ŋku ɖe wò lãmesẽ ŋu. Le ɣeyiɣi siawo me la, ate ŋu awɔ ʋudodokpɔ kple CT-dɔdamɔnu hã.

Ne dzesi siawo dometɔ aɖe le ŋuwò alo viwòa ŋu la, yi ɖɔkta gbɔ enumake :

• Akɔtave alo gbɔgbɔ sesẽ
• Ne dzoxɔxɔa nu sẽ wu Celsius 38 (100.4 Fahrenheit) .
• Ʋu si dona le ŋɔti me alo ʋu si le dodom le aɖuwo me
• Vevesese si nɔa anyi ɖaa
• Ŋutilã si le ɣie alo abi si le bɔbɔe

Nya kawoe wòle be nàbia ɖɔktaa?

Ne ènya nya be Burkitt Lymphoma le ye alo viwò ŋu ko la, àte ŋu abia nya siawo abe esiawo ene na wò ɖɔkta:

• Afikae kansa la le?
• Afɔɖeɖe ka mee esia le?
• Atikewɔwɔ kae nèkafu?
• Ðe nye/vinyea ate ŋu ayi dɔme/sukua?
• Ðe wòhiã be nàwɔ dodokpɔ geɖe wua?
• Nukae míate ŋu akpɔ mɔ na le etsɔme (nukpɔsusu)?

Nukae nàte ŋu akpɔ mɔ na ne Burkitt Lymphoma dze dziwò?

Burkitt Lymphoma nye kansa si woate ŋu ada le go geɖe me.. Ewɔa nu ɖe ​​atikewɔwɔ ŋu nyuie, vevietɔ le ɖevi suewo kple sɔhɛ tsitsiwo dome. Ðeviwo doa dzi le atikewɔmɔnuwo zazã me nyuie wu ame tsitsiwo. Lãmesẽkuxi bubuwo ate ŋu anɔ ame tsitsiwo ŋu, eyata atikewɔwɔ ate ŋu asesẽ vie.

Nukae nye alesi wohayanae?

Togbɔ be Burkitt Lymphoma nye dɔléle sesẽ aɖe si kaka kabakaba hã la, ame akpa gãtɔ wɔa nu nyuie ne wodae. Agbetsitsi ƒe agbɔsɔsɔme le mama dedie nue nye esi:

• Eƒe gɔmedzedze: Ðevi siwo wu 90% hayana le ɣeyiɣi didi me.
• Le ɖevi siwo le ŋgɔ yim gome la: Woƒe 80% va ɖo 90% hayana.
• Ame tsitsiwo: Dzesi siwo wu 50% nu yina le atikewɔwɔ vɔ megbe (`remission`).

Esiawo nye asixɔxɔ siwo le mama dedie nu ko. Ðewohĩ wò nɔnɔmea ato vovo. Eyata ƒo nu kple wò ɖɔkta be nànya nu geɖe tso wò ŋutɔ wò nɔnɔmea ŋu. Mègavɔ̃ o, ele vevie ŋutɔ be dzi nanɔ ƒowò.

Nu kawoe nàte ŋu awɔ? (Aɖaŋuɖoɖo siwo ku ɖe ameɖokuidzikpɔkpɔ ŋu)

Atikewɔwɔ ƒe ɣeyiɣia ate ŋu asesẽ vie, gake nanewo li siwo ate ŋu akpe ɖe ŋuwò nànɔ te ɖe enu:

• Di kpekpeɖeŋu: Nuƒoƒo na amesiwo to nuteƒekpɔkpɔ mawo tɔgbe me ate ŋu anye ŋusẽtsoƒe gã aɖe. Kpekpeɖeŋunahawo li siwo me amewo abe wò ene ate ŋu akpɔ kpekpeɖeŋu le.
• Gbɔ ɖe eme geɖe: Na ɣeyiɣi wò ŋutilã be wòada gbe le eŋu.
• Ƒo nu nyuie: Di aɖaŋuɖoɖo tso nuɖuɖuŋutinunyala gbɔ eye nàɖu nuɖuɖu siwo ana ŋusẽ nanɔ wò ŋutilã ŋu le atikewɔwɔ me.
• Wɔ ɖoɖo do ŋgɔ: Bia wò ɖɔkta nusi nàkpɔ mɔ na.
• Di kpekpeɖeŋu tso wò lɔlɔ̃tɔwo gbɔ: Ƒometɔwo kple xɔlɔ̃wo le klalo be yewoakpe ɖe ŋuwò.
• Do alɔ viwòa: Eŋutinunyala bibi aɖewo li siwo ate ŋu akpe ɖe ɖeviwo ŋu woakpɔ dɔléle sia ƒe seselelãme ƒe akpaa gbɔ (e.g., ɖeviwo ƒe agbenɔnɔ ŋuti nunyala).

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Enye nusi sɔ be nàse le ɖokuiwò me be yegbɔdzɔ eye yetsi dzi ne èva nya be Burkitt Lymphoma le ye alo viwò ŋu. Ðewohĩ nyabiase kple vɔvɔ̃ geɖe anɔ asiwò. Gake menye wò ɖeka koe o.

Togbɔ be kansa sia kaka kabakaba hã la, atikewɔmɔnu siwo woate ŋu azã la wɔa dɔ ŋutɔ. Wò atikewɔlawo ƒe ƒuƒoƒoa adze atikewɔwɔ gɔme kaba eye woado alɔ wò le mɔa ƒe afɔɖeɖe ɖesiaɖe me. Eyata ele vevie ŋutɔ be nàbu tame nyuie eye nàwɔ ɖe aɖaŋuɖoɖo siwo wò ɖɔktawo na dzi.

` Burkitt ʋumenugbagbeviɣidɔ, kansa, ɖevime kansa, ʋumenugbagbeviɣidɔ, dzesiwo, atikewɔwɔ, B lãmenugbagbeviwo