Ðe nèle ƒunukpeƒewo kpɔm le wò ŋutilã ŋua? Ðe wòate ŋu anye Hodgkin Lymphoma? Mina míaƒo nu!

Ðe nède dzesi ƒuƒu sue aɖe le wò kɔ, akɔta, alo akɔta kpɔa? Alo ɖe ɖeɖi te ŋuwò vevie ŋkeke geɖe, alo ɖe asrã le ŋuwò kpataa? Ɣeaɖewoɣi la, nusiawo ate ŋu anye nusiwo sɔ. Gake ne dzesi siawo le ŋuwò la, anyo be nàtsi dzi vie. Elabena esiawo ate ŋu anye dɔléle aɖe si woyɔna be Hodgkin Lymphoma ƒe dzesiwo. Togbɔ be ŋkɔa aɖi vɔvɔ̃ hã la, esia nye dɔléle si woate ŋu ada ahadae zi geɖe. Eyata, egbea míaƒo nu tso Hodgkin Lymphoma ŋu tsitotsito.

Nukae nye Hodgkin Lymphoma?

Kpuie ko la, Hodgkin Lymphoma nye kansa ƒomevi aɖe si dona le míaƒe ʋukawo me , si nye ɖoɖo si wɔa avu kple dɔlékui siwo le míaƒe ŋutilã me. Wogayɔe be Hodgkin ƒe dɔléle tsã. Lãmetsiŋusẽdɔléle ƒomevi vevi evee li. Ðekae nye Hodgkin ʋumenugbagbeviɣidɔ, eye evelia nye Non-Hodgkin Lymphoma. Kansa siawo evea siaa gblẽa nu le ʋumenugbagbevi dzĩwo, si nye ʋumenugbagbevi ɣi ƒomevi aɖe si le vevie na míaƒe dɔlélenutsiŋutete ŋu.

Hodgkin ʋumenugbagbeviɣidɔ tsoa tɔtrɔ si va le míaƒe B ʋumenugbagbevi dzĩwo (B lãmenugbagbeviwo) ƒe domenyiŋusẽfianuwo me gbɔ. Tɔtrɔ siawo dzɔna le agbemeŋkekewo katã me. Zi geɖe la, ʋumenugbagbeviɣidɔ sia dzea egɔme tso ʋuka siwo le kɔ alo akɔta ƒe do me. Ɣeaɖewoɣi la, ate ŋu adze le ʋuka siwo le abɔta, akɔta, ƒodo, alo akɔta hã me.

Nya nyuiae nye be amesiwo wodaa Hodgkin lymphoma eye wonɔa agbe didi wu ƒe xexlẽme le dzidzim ɖe edzi ƒe sia ƒe. Le go geɖe me la, atikewɔwɔ ate ŋu ada Hodgkin ʋumenugbagbeviɣidɔ keŋkeŋ. Ke hã, ɣeaɖewoɣi la, dɔlélea ate ŋu agava. Ne edzɔ alea la, atikewɔwɔ ŋuti numekulawo le atike yeyewo dim ɣesiaɣi.

Nukawoe nye Hodgkin Lymphoma ƒomevi veviwo?

Hodgkin ƒe ʋumenugbagbeviɣidɔ ƒomevi vevi enee li. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• Nodular sclerosis Hodgkin lymphoma: Esiae nye Hodgkin ʋumenugbagbeviɣidɔ ƒomevi si bɔ wu. Edzɔna zi geɖe le sɔhɛwo me, vevietɔ nyɔnuwo. Zi geɖe la, egblẽa nu le ʋuka siwo le akɔta titina ŋu.
• Mixed cellularity Hodgkin lymphoma: Zi geɖe la, esia ƒomevi dzɔna le amesiwo xɔ ƒe 60-awo me. Ate ŋu adze le ƒodo (ƒodo) me ɣeaɖewoɣi.
• Lymphocyte-rich classic Hodgkin lymphoma: Esia ƒomevi dzɔna le amesiwo ŋu Hodgkin lymphoma le ƒe abe 6% ene me. Ebɔ ɖe ŋutsuwo me wu.
• Hodgkin ʋumenugbagbeviɣidɔ si me ʋumenugbagbevi dzĩwo mesɔ gbɔ ɖo o: Esia mebɔ kura o. Edzɔna le amesiwo ŋu Hodgkin lymphoma le ƒe 1% lɔƒo me. Ebɔ ɖe amesiwo xɔ wu ƒe 60 kple...Esia ate ŋu adzɔ ɖe amesiwo ŋu HIV/AIDS le dzi wu.

Aleke gbegbee Hodgkin Lymphoma bɔe?

Hodgkin lymphoma nye dɔléle si mebɔ o . Ame siwo ade etɔ̃ le 100,000 ɖesiaɖe me koe wòdzena ƒe sia ƒe. Gake nukutɔe la, eyae nye kansa ƒomevi si bɔ wu le ɖeviwo kple sɔhɛ tsitsi siwo xɔ tso ƒe 15 va ɖo ƒe 19 me.

Gake Hodgkin ƒe ʋumenugbagbeviɣidɔ mebɔ kura o wu esi menye Hodgkin ƒe ʋumenugbagbeviɣidɔ o.

Nukae nye Hodgkin Lymphoma ƒe dzesiwo?

Hodgkin ʋumenugbagbeviɣidɔ ƒe dzesi gbãtɔ si bɔ wue nye ʋuka siwo vuvu le kɔ, akɔta, alo akɔta si me vevesese mele o . Tsɔ kpe ɖe eŋu la, dzesi bubu geɖewo ate ŋu anɔ eŋu:

• Ðeɖiteameŋu atraɖii: Ðeɖiteameŋu ƒe seselelãme wu alesi wònɔna ŋkeke geɖe. Abe ɖe ŋusẽ aɖeke mele wò ŋutilã ŋu o ene.
• Asrã si womeɖe o: Asrã sesẽ si nu metsina le gaƒoƒo eve ƒe atikewɔwɔ le aƒeme megbe o, alo esi nɔa anyi wu ŋkeke eve la ate ŋu anye nu sesẽ aɖe ƒe dzesi.
• Fifia si gbɔ eme le zã me: Fifia fifia le zã me ale gbegbe be avɔwo kple awuwo tsina.
• Kpekpeme dzi ɖeɖe kpɔtɔ si womeɖe o: Kpekpeme dzi ɖeɖe kpɔtɔ agbagbadzedze manɔmee. Ne èɖe wò kpekpeme bliboa ƒe 10% alo esi wu nenema le ɣleti ade me la, enye nusi ŋu wòle be nàtsi dzi ɖo.
• Ʋuʋudedi (Pruritus): Ame aɖewo ƒe ŋutigbalẽ ɖua wo fũu akpa ne wono aha alo le tsi.
• Dɔgbo ƒe veve alo fuɖename: Menye dɔgbo ƒe vevesesewo katãe nye dɔléle sesẽ aɖe ƒe dzesi o. Gake ne dɔgbo ƒe veve sesẽ si nu metsina o le ŋuwò atraɖii la, yi ɖɔkta gbɔ.
• Akɔtave: Dzesi sia ate ŋu adze ne Hodgkin ʋumenugbagbeviɣidɔ le lãkusi alo ʋuka siwo le akɔta me.
• Yagbɔgbɔ sesẽ: Esia ate ŋu anye Hodgkin lymphoma ƒe dzesi le lãkusiwo me alo ƒu gã aɖe le akɔta.

Ðɔktawo yɔa dzesi etɔ̃ siawo hã—asrã, lolo dzi ɖeɖe kpɔtɔ, kple fifia le zã me—“B dzesiwo.” Dzesi siawo ƒe anyinɔnɔ kpena ɖe ɖɔktawo ŋu wowɔa ɖoɖo ɖe wò ŋgɔdonya kple atikewɔwɔ ŋu.

Nukae hea Hodgkin Lymphoma vɛ?

Abe alesi míegblɔe va yi ene la, Hodgkin ʋumenugbagbeviɣidɔ dzɔna ne domenyiŋusẽfianu ƒe tɔtrɔwo va le wò B lãmenugbagbeviwo me . Tɔtrɔ siawo menye nane si wodzi wò kplii o, ke boŋ nane si su asiwò le agbe me.

Ne B lãmenugbagbeviwo trɔ alea la, wowɔa kansa lãmenugbagbevi ƒomevi aɖe si lolo wu lãmenugbagbevi siwo sɔ. Woyɔa esiawo be Reed-Sternberg lãmenugbagbeviwo . Reed-Sternberg lãmenugbagbevi siawo wɔa cytokines.Cytokine siawo hea lãmenugbagbevi siwo sɔ la yia ʋuka siwo me lãmenugbagbevi siwo mesɔ o le la gbɔ. Emegbe, nusiwo lãmenugbagbevi siawo siwo sɔ la ɖena ɖe go nana Reed-Sternberg lãmenugbagbeviawo gatsina ɖe edzi. Esia wɔnɛ be ʋuka siwo me ʋu sina tona la vuvu.

Kansa sia ate ŋu akaka to wò ʋukawo me ayi ʋuka bubuwo abe thymus kple dɔgbo ene me . Ate ŋu akaka ɖe ʋuka siwo me ʋu sina tona me le ŋutilã bliboa me hã. Ƒã hafi ate ŋu agblẽ nu le ŋutinu bubuwo abe lãkusi, aklã, kple ƒumeŋuɖui ene ŋu .

Nukawoe nye afɔku siwo le eme?

Ðɔktawo de dzesi nu geɖe siwo nana Hodgkin Lymphoma xɔxɔ ƒe afɔkua dzina ɖe edzi:

• Wò ƒexɔxɔ: Ne èxɔ tso ƒe 20 va ɖo ƒe 39, alo wu ƒe 65 la, anɔ eme be dɔléle sia adze dziwò.
• Wò ŋutsu alo nyɔnu nyenye: Ŋutsuwo ate ŋu axɔ Hodgkin lymphoma. Gake ƒomevi si ŋu míeƒo nu tsoe va yi, si nye nodular sclerosis, bɔ ɖe nyɔnuwo me wu.
• Wò ƒomea ƒe atikewɔwɔ ŋutinya: Ne Hodgkin lymphoma le nɔviwòwo alo dziwòlawo ŋu la, mɔnukpɔkpɔ asɔ gbɔ vie be wò hã nàxɔe.
• Ne wodo ŋutinu na wò kpɔ: Ne wodo ŋutinu na wò kpɔ la, ahiã be nàno atike siwo tsia tre ɖe gbegbe ŋu, si wɔnɛ be ʋumenugbagbeviɣidɔ xɔxɔ ƒe afɔkua dzina ɖe edzi.
• Dɔlékui aɖewo: Ne dɔlékuiwo abe HIV , amegbetɔ ƒe T-lymphotropic dɔlékui ƒomevi 1, alo Epstein-Barr dɔlékui ene le ŋuwò la, ate ŋu ana Hodgkin ʋumenugbagbeviɣidɔ xɔxɔ ƒe afɔkua nadzi ɖe edzi.

Aleke wowɔna dea dzesi Hodgkin Lymphoma?

Ðɔkta ado wò kpɔ le ŋutilã me gbã be yeakpɔe ɖa be Hodgkin ʋumenugbagbeviɣidɔ ƒe dzesiwo, abe ʋuka siwo vuvu ene, le ŋuwò hã. Woabia nya tso tɔtrɔ ɖesiaɖe si nèsena le ɖokuiwò me tsã hã ŋu, abe dzoxɔxɔ si nu metsina o alo lolo dzi ɖeɖe kpɔtɔ si womenya o ene. Woate ŋu awɔ dodokpɔ geɖe atsɔ anya Hodgkin lymphoma. Esiawo ate ŋu anye ʋudodokpɔ, nɔnɔmetatawo dodokpɔ, kple ŋutilã ƒe akpa aɖewo ɖeɖeɖa .

Ʋudodokpɔwo

Ʋudodokpɔ ate ŋu ana wò ɖɔkta nakpɔ wò lãmesẽ bliboa. Woate ŋu ade dzesi kansa ƒe dzesiwo hã. Dodokpɔ siwo nàte ŋu awɔ dometɔ aɖewoe nye:

• Ʋu ƒe xexlẽme blibo (CBC): Esia léa ŋku ɖe ʋumenugbagbevi dzĩwo ƒe xexlẽme si le ʋɛ ŋu ne ʋumenugbagbeviɣidɔ le ʋu alo ƒumeŋuɖui me.
• Ʋu ƒe lãmenugbagbeviwo ŋuti numekuku: Esia dzidzea wò elektrikŋusẽ ƒe agbɔsɔsɔ, aklã kple ayiku ƒe dɔwɔwɔ, eye wòdia nusiwo ƒoa ƒu ɖe ʋua me ne ŋutinuwo kple lãkusiwo gblẽ.
• Erythrocyte sedimentation rate (ESR): Esia dzidzea dɔdzẽ le ŋutilãa me. Woate ŋu adzi asixɔxɔ sia ɖe dzi le Hodgkin ʋumenugbagbeviɣidɔ me.
• Lactate dehydrogenase (LDH) dodokpɔ: Esia dzidzea protein si dona ne lãmenugbagbeviwo gblẽ. LDH ƒe agbɔsɔsɔ dzina ɖe edzi ɣeaɖewoɣi ne ʋumenugbagbeviɣidɔ.
• Dɔlékui dodokpɔwo: Dodokpɔ siawo ate ŋu ade dzesi dɔlékui siwo li fifia alo esiwo va yi siwo ate ŋu ado ƒome kple Hodgkin ʋumenugbagbeviɣidɔ, abe HIV , aklãdɔléle B , kple aklãdɔléle C. Nusiwo do tso eme ate ŋu akpe ɖe wò ɖɔkta ŋu wòawɔ ɖoɖo ɖe wò atikewɔwɔ ŋu.

Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo

Scan ate ŋu adi kansa ƒe dzesiwo le wò ŋutilã me. Scan ƒomevi si nèhiã la anɔ te ɖe afisi kansa la le kple ne èfɔ fu dzi. (Skan siwo zãa X-ray ate ŋu agblẽ nu le fugboea ŋu.) Dodokpɔ siawo dometɔ aɖewoe nye:

• Akɔta ƒe X-ray
• CT scan (CT scan - Kɔmpiuta dzi tomography scan) .
• PET-dɔdamɔnu (Positron emission tomography ƒe fotoɖeɖe) .
• MRI scan (Magnetic resonance imaging scan) (ele dedie le fufɔɣi) .
• Ultrasound scan (ele dedie le fufɔɣi) .

Biopsy ƒe dɔwɔwɔ

Zi geɖe la ɖɔktawo tsɔa ʋumenugbagbeviɣidɔ dea dzesi Hodgkin ʋumenugbagbeviɣidɔ . Le dɔ sia wɔwɔ me la, ɖɔkta ɖea ʋuka si me ʋu sina tona la katã alo eƒe akpa aɖe ɖa. Emegbe dɔléleŋutinunyala aɖe léa ŋku ɖe lãkusia ŋu le nusuekpɔmɔ̃ me be yeakpɔe ɖa be Reed-Sternberg lãmenugbagbeviwo, siwo ŋu míeƒo nu tsoe va yi la li hã. (Reed-Sternberg lãmenugbagbevi siawo ƒe anyinɔnɔ fia be Hodgkin lymphoma le ŋuwò, ke menye non-Hodgkin lymphoma o.)

Ɣeaɖewoɣi la, woate ŋu anɔ te ɖe nusiwo do tso lãmenugbagbevi siwo woɖe tso teƒe bubu, abe lãkusi, aklã, dɔgbo, alo ƒumeŋuɖui ene me tsonu dzi anya Hodgkin ʋumenugbagbeviɣidɔ hã.

Nukawoe nye Hodgkin Lymphoma ƒe afɔɖeɖewo?

Ne wò ɖɔkta kpɔe be Hodgkin lymphoma le ŋuwò vɔ la, wò dodokpɔwo me tsonu aɖee afia afisi dɔlélea le. Ne ɖɔktawo nya afisi wò kansa le la, ekpena ɖe wo ŋu wokpɔa afisi kansa la kaka ɖo, alesi wòanya kaka kabakabae, kple atikewɔwɔ si nyo na wò. Hodgkin lymphoma ƒe afɔɖeɖewoe nye esi:

• Afɔɖeɖe I: Kansa ƒe lãmenugbagbeviwo le ʋuka ƒe akpa ɖeka alo ŋutinu aɖe me le ʋuka me (e.g., thymus, spleen, bone marrow). Alo ʋumenugbagbeviɣidɔa le ŋutinu ɖeka ƒe akpa ɖeka le ʋumenugbagbeviɣidɔa godo.
• Afɔɖeɖe II: Wò lãkusiKansa lãmenugbagbeviwo le ʋukawo ƒe hatsotso eve alo esi wu nenema me le akpa ɖeka (ʋuka bubu siwo te ɖe ʋukaa ŋu hã ate ŋu agblẽ nu le eŋu).
• Afɔɖeɖe III: Lãmetsiŋusẽ ƒe lãmenugbagbeviwo le ʋuka siwo le ʋukaa ƒe akpa eveawo, alo kansa lãmenugbagbeviwo le ʋuka siwo le ʋuka si le ʋukaa tame kple esiwo le ʋuka me.
• Afɔɖeɖe IV: Lãmetsiŋusẽ ƒe dɔléle le ŋutinu ɖeka ya teti me le ʋumenugbagbeviɣidɔa godo (e.g., aklã, lãkusi, ƒumeŋuɖui).

Ðɔktawo zãa nya "favorable" kple "unfavorable" hã tsɔ dea Hodgkin lymphoma ƒe hatsotsowo me, le nenye be ewɔa nu nyuie ɖe atikewɔwɔ ŋu kple nenye be egakpɔtɔ nye dzesi aɖeke manɔmee (eƒe tsɔtsɔke).

Aleke wodaa Hodgkin Lymphoma ƒe dɔléleae?

Ðɔktawo zãa atike vovovowo na Hodgkin ʋumenugbagbeviɣidɔ, le afisi kansa la le nu. Dɔdamɔnu siawo wua kansa lãmenugbagbeviwo alo xea mɔ na wo be womama o. Atikewɔwɔ ƒe tiatia aɖewoe nye:

• Atikewɔwɔ: Esiae nye Hodgkin ʋumenugbagbeviɣidɔ ƒe atike si bɔ wu. Ezãa atike ɖeka alo esi wu nenema tsɔ wua kansa lãmenugbagbeviwo alo xea mɔ na wo be woagadzi ɖe edzi o. Ðɔktawo ate ŋu azã atikewɔmɔnu ɖeka alo atikewɔmɔnu ƒomevi vovovowo ƒe ƒuƒoƒo.
• Kekeli ƒe atikewɔwɔ: Dɔdamɔnu sia zãa ŋusẽ si me ŋusẽ geɖe le tsɔ wua kansadɔlékui siwo le ʋuka siwo ŋu dɔlélea le alo teƒe siwo kansa la kaka ɖo. Wozãnɛ hã kple atikewɔmɔnu le Hodgkin ʋumenugbagbeviɣidɔ si le gɔmedzedzea me dada me.
• Dɔlélenutsiŋutete ƒe atikewɔwɔ: Dɔdamɔnu sia wɔa dɔ to wò ŋutilã ƒe dɔlélenutsiŋutete ƒe dɔwɔwɔ me be wòakpe ɖe eŋu wòade dzesi kansa lãmenugbagbeviwo ahagblẽ wo dome. Checkpoint inhibitors nye dɔlélenutsiŋutete ƒe dɔdamɔnu vevi aɖe na Hodgkin ʋumenugbagbeviɣidɔ.
• Atikewɔwɔ si woɖo taɖodzinu na: Atikewɔwɔ si woɖo taɖodzinu na zãa atikewo alo nu bubuwo tsɔ dzea kansa lãmenugbagbeviwo dzi ko. Le kpɔɖeŋu me, atike aɖe si woyɔna be antibody-drug conjugates . Le esia me la, wotsɔa dɔlékuiwutike siwo wowɔ le dodokpɔxɔ me kpena ɖe atike aɖe si wozãna tsɔ daa dɔlékuiwoe ŋu, eye emegbe wòdia kansa lãmenugbagbeviwo hetsrɔ̃a wo.
• Atikewɔwɔ kple lãmenugbagbeviwo dodo na ame: Zi geɖe la, wozãa atikewɔwɔ sia ne Hodgkin ʋumenugbagbeviɣidɔa gadze egɔme le esi wòyi ɖaɖe ɖa vɔ megbe alo mele dɔdamɔnua wɔm o. Le go sia me la, woana atike si to vovo na esi wona wò le gɔmedzedzea me la wò. Ne kansa la wɔ nu ɖe ​​eŋu la, wò ɖɔkta ado lãmenugbagbeviwo na wò.

Atikewɔwɔwo ƒe nugbegblẽ le ame ŋu

Atikewɔwɔ ɖesiaɖe ate ŋu agblẽ nu le ame ŋu le mɔ vovovowo nu. Le kpɔɖeŋu me, atikewɔmɔnu ate ŋu ana ɖa navuvu eye wòana ame natsi. Kekeli ƒe atikewɔwɔ ate ŋu ana ɣe naxɔ dzo le teƒe si woda dɔa le. Dɔlélenutsiŋutete ƒe dɔdamɔnu ƒe nugbegblẽ ate ŋu anye ŋutigbalẽ ƒe ʋuʋu, aɖuɖɔtoe, kple aɖuɖɔtoewo ƒe dɔdzẽ, si ate ŋu ana gbɔgbɔ kple kɔdzidɔ nasesẽ.

Bia wò ɖɔkta tso nusiwo ate ŋu ado tso eme ŋu hafi nàdze atikewɔwɔ gɔme. Akpe ɖe ŋuwò nàda nugbegblẽ siwo ate ŋu ado tso eme la akpɔ kple viɖe siwo le atikewɔwɔ me.

Nukae nye mɔkpɔkpɔ na Hodgkin Lymphoma?

Ðɔktawo bua Hodgkin lymphoma be enye kansa si woate ŋu ada eye eƒe akpa gãtɔ ate ŋu ada. Wò nukpɔsusu nɔ te ɖe afisi dɔlélea le kple nu bubuwo dzi. Wò ɖɔkta ate ŋu aƒo nu tso esia ŋu na wò. Gake ɣeaɖewoɣi la, atikewɔwɔ medzea edzi o eye kansa la ate ŋu atrɔ ava. Bia wò ɖɔkta alesi hatsotso siawo kpɔa ŋusẽ ɖe wò ŋgɔdonya dzii hã.

Nukae nye agbetsitsi le Hodgkin Lymphoma ŋu?

Hodgkin lymphoma ƒe agbetsitsi ƒe agbɔsɔsɔme yi edzi le nyonyom ɖe edzi esi ɖɔktawo le atike yeye siwo nyo wu wɔm. United States Dukɔa ƒe Kansa Dɔwɔƒe gblɔ be ame siwo ŋu wokpɔ Hodgkin lymphoma le le ƒe 2014 kple 2020 dome la dometɔ 88% gakpɔtɔ nɔ agbe ƒe atɔ̃ le atikewɔwɔ vɔ megbe.

Agbetsitsi ƒe agbɔsɔsɔme toa vovo le afisi kansa la le nu. Le akɔntabubu ma ke nu la, amesiwo wokpɔ be dɔlélea le wo ŋu le gɔmedzedzea me la dometɔ 92% va ɖo 95% gakpɔtɔ nɔ agbe ƒe atɔ̃ le dɔlélea kpɔkpɔ vɔ megbe. Ame siwo ŋu wokpɔ dɔlélea le emegbe la dometɔ 81% va ɖo 87% gakpɔtɔ nɔ agbe ƒe atɔ̃ le dɔlélea kpɔkpɔ vɔ megbe. Esia ɖe alesi gbegbe wòle vevie be woade dzesi dɔlélea kaba, alo?

Aleke mawɔ alé be na ɖokuinye?

Àte ŋu akpɔ gbɔdzɔe ne ènya be yeƒe Hodgkin lymphoma ƒe dzesiwo nu yina ne wowɔ atike na ye. Ke hã, àte ŋu atsi dzi alo anɔ vɔvɔ̃m hã be nɔnɔmea agatrɔ ava. Aɖaŋuɖoɖo siawo ate ŋu akpe ɖe ame ŋu be agbenɔnɔ kple Hodgkin lymphoma nanɔ bɔbɔe vie:

• Gbɔɖeme: Kansa kple kansa dada siaa ate ŋu ana ɖeɖi nate ame ŋu vevie. Na wò susu kple ŋutilã nagbɔ ɖe eme si wohiã.
• Ƒo nuɖuɖu si da sɔ, si me nunyiame le: Kadodo aɖeke si me kɔ aɖeke mele nusi nèɖuna kple Hodgkin lymphoma dome o. Gake nuɖuɖu nyuie ate ŋu akpe ɖe ŋuwò nàkpɔ wò dɔlélenutsiŋutete ta eye wòaɖe dɔlékuiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ. Ne èdi be yeanya nu geɖe tso nuɖuɖu nyuie ŋu la, ƒo nu kple nuɖuɖuŋutinunyala aɖe.
• Kpɔ nuteɖeamedzi dzi: Hodgkin lymphoma ate ŋu atrɔ ava le atikewɔwɔ vɔ megbe. Dzimaɖitsitsi be yeagadze dɔ ake ate ŋu ate ɖe ame dzi. Ne ètsi dzi ɣesiaɣi be yeƒe nɔnɔmea agatrɔ ava la, ƒo nu kple wò ɖɔkta. Eyae nye ame nyuitɔ kekeake si nànya tso wò nɔnɔmea ŋu. Nusi nàkpɔ mɔ na nyanya ate ŋu akpe ɖe ŋuwò nàɖe wò nuteɖeamedzi dzi akpɔtɔ.
• Kamedede: Menye ɖeko kamedede edziedzi kpena ɖe wò dɔlélenutsiŋutete ŋu ko o, ke ekpena ɖe ŋuwò hã be nàɖu nuteɖeamedzi dzi. Enye mɔ nyui aɖe hã si dzi woato awɔ avu kple ɖeɖiteameŋu, si nye kansa dada ƒe nugbegblẽ le ame ŋu si bɔ.

Nu vevitɔe nye be ne wokpɔe be Hodgkin lymphoma le ŋuwò la, mefia be màte ŋu anɔ agbe bliboe o. Ele be nàwɔ tɔtrɔ aɖewo hafi akpɔ eƒe nugbegblẽ le ame ŋu gbɔ. Ele be nàyi wò ɖɔkta gbɔ zi geɖe wu amesi ŋu womekpɔ kansa le o. Gake, vivivi la, àkpɔ ɖoɖowɔɖi kple afɔɖeɖe si awɔ dɔ na wò.

Ɣekaɣie wòle be makpɔ nye ɖɔkta?

Ne wole Hodgkin lymphoma dam na wò la, yi wò ɖɔkta gbɔ ne ède dzesi dzesi aɖewo be wò nɔnɔmea le gbegblẽm ɖe edzi togbɔ be wowɔ atike nɛ hã (e.g., ƒunukpeƒetetedɔ yeyewo, dzoxɔxɔ). Ne èwu atikewɔwɔ nu ko la, woawɔ ɖoɖo ɖe ŋuwò be nàlé ŋku ɖe wò lãmesẽ bliboa ŋu eye nàkpɔe ɖa be dɔlélea gadze egɔme hã.

Ɣekaɣie wòle be mayi xɔ si me wowɔa dɔ kpata le?

Ne atikewɔwɔ ƒe nugbegblẽ le ŋuwò siwo medzona le atike si woŋlɔ na wò nono vɔ megbe o, nu sẽ wu alesi nèsusui, alo nɔa anyi didi wu la, yi xɔ si me wowɔa dɔ kpata le. Wò ɖɔkta kple atikewɔlawo ƒe ƒuƒoƒoa aƒo nu tso esia ŋu na wò.

Nya kawoe wòle be mabia nye ɖɔkta?

Nyabiase geɖe ate ŋu anɔ asiwò le Hodgkin ʋumenugbagbeviɣidɔ didi kple edada me. Nya aɖewo siwo wòle be nàbia wò ɖɔktae nye esi:

• Hodgkin ƒe ʋumenugbagbeviɣidɔ ka ƒomevie le ŋunye?
• Afikae nye dɔlélea le?
• Atikewɔwɔ kae nèkafu?
• Nugbegblẽ kawoe wòle be woakpɔ mɔ na tso atikewɔwɔa me?
• Àte ŋu ada nye nɔnɔmea?
• Mɔnukpɔkpɔ kae li be kansa la nagatrɔ ava?

Vovototo kae le Hodgkin Lymphoma kple Non-Hodgkin Lymphoma dome?

Hodgkin lymphoma kple non-Hodgkin lymphoma siaa nye kansa siwo gblẽa nu le wò ʋumenugbagbeviɣiwo ŋu, gake vovototo ʋɛ aɖewo le wo ame evea dome.

Ðɔktawo bua Hodgkin lymphoma be enye kansa ƒomevi siwo woate ŋu ada wu la dometɔ ɖeka. Atike yeyewo ate ŋu aɖe Hodgkin ʋumenugbagbeviɣidɔ ƒe dzesiwo ɖa eye wòada dɔlélea keŋkeŋ kloe.

Gake wò nukpɔsusu nɔ te ɖe Hodgkin lymphoma ƒomevi kple afisi kansa la le dzi. Numekukuwo ɖee fia be amesiwo wu 90% siwo woda dɔ na le Hodgkin lymphoma ƒe gɔmedzedze la gakpɔtɔ le agbe ƒe atɔ̃ le dɔlélea kpɔkpɔ vɔ megbe. Ne míagblɔe bubui la, zi alesi wokpɔe kaba la, zi nenemae wòanyo wu.

Kpɔ nyuie le tɔtrɔ siwo va le wò ŋutilã me, abe ʋuka siwo vuvu, dzoxɔxɔ si nu metsina o, kple ɖeɖiteameŋu ene ŋu. Dzesi siawo ƒe amesinɔnɔ mefia be Hodgkin lymphoma le ŋuwò o, gake anyo be woadoe kpɔ. Ne míeƒo nu tso dɔléle sia ŋu la, ne èkpɔ dɔléle sia kaba la, ate ŋu ana mɔnukpɔkpɔ si asu asiwò be nànɔ agbe kansa manɔmee.

Mlɔeba la, gbedasi si nàtsɔ ayi aƒemee:

Enye nusi sɔ be vɔvɔ̃ naɖo ame ne èse ŋkɔ Hodgkin Lymphoma. Gake ɖo ŋku edzi be esia nye kansa si ƒe akpa gãtɔ woate ŋu ada. Nu vevitɔe nye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo ne ènya de dzesi dɔlélea ƒe dzesiwo ko. Vevietɔ ne dzesiwo abe kɔ, akɔta, alo akɔta ƒe ƒuƒu siwo me vevesese mele o, ɖeɖiteameŋu atraɖii, dzoxɔxɔ si womenya o, fifia si gbɔ eme le zã me, kple lolo dzi ɖeɖe kpɔtɔ ene le ŋuwò la, ele be nàkpɔ ɖɔkta godoo.

Ne wokpɔ dɔlélea dze sii kaba eye wodae nyuie la, ame geɖe te ŋu haya keŋkeŋ tso Hodgkin ʋumenugbagbeviɣidɔa me eye wonɔa agbe si sɔ. Eyata, mègana mɔkpɔkpɔ gbeɖe o. Gbedasi vevitɔ kekeake si le asinye na wò enye be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba ne dzesi siawo le ŋuwò alo ame aɖe si nènya.

` Hodgkin ʋumenugbagbeviɣidɔ, kansa, ʋukawo, dzesiwo, atikewɔwɔ, B lãmenugbagbeviwo, Reed-Sternberg lãmenugbagbeviwo