Ðe viwò hã di be yeanya nu tso Non-Hodgkin’s Lymphoma ŋua? Mina míaƒo nu tso eŋu!

Ne vuvɔ le mía vi suewo ŋu vie hã la, vɔvɔ̃ ɖoa wo ŋutɔ, alo? Ɣeaɖewoɣi la, ne èsusu be dɔléle si sɔ hã la, ate ŋu anye nusi nu sẽ vie wu. Enyo, woyɔa kansa ƒomevi aɖe si dzɔna ɖe ɖeviwo dzi, gake woate ŋu adae ne wodae nyuie la, Non-Hodgkin’s Lymphoma . Mègavɔ̃ ne èse ŋkɔ sia o, elabena ele vevie ŋutɔ be nànya nu tso eŋu nyuie. Ðe míaƒo nu tso esia ŋu tsitotsito viea ?

Lala vie, nukae nye Non-Hodgkin ƒe Lãmetsiŋusẽ sia?

Kpuie ko la, non-Hodgkin lymphoma nye kansa ƒomevi aɖe si dzea egɔme tso ʋumenugbagbeviɣidɔ me le ɖeviwo me. Nane le wò ŋutilã me si woyɔna be ʋumenugbagbeviɣidɔ . Ele abe míaƒe ŋutilã ƒe ametakpɔnu ene. Ekpena ɖe mía ŋu míekpɔa mía ta tso dɔlélewo kple dɔlékuiwo si me . Akpa aɖewo abe ʋuka siwo me ʋu sina tona kple ʋuka siwo me ʋu sina tona ene le ɖoɖo sia si. Esiawo kaka ɖe ŋutilã bliboa me.

Zi geɖe la, dɔléle sia dzea ɖevi siwo xɔ tso ƒe 5 va ɖo ƒe 19. Gake ɣeaɖewoɣi la, ate ŋu adze vidzĩ yeyewo hã dzi. Nya nyuiae nye be atikewɔmɔnu nyuiwo le ɖɔktawo si na esia, eye woate ŋu ada dɔ na ɖevi geɖe. Gake ɖevi aɖewo ate ŋu axɔ dɔléle siwo tsi megbe ƒe geɖe le atikewɔwɔ vɔ megbe. Esia tae numekulawo le agbagba dzem ɣesiaɣi be yewoadi atikewɔmɔnu siwo wɔa dɔ nyuie wu siwo mekpɔa ŋusẽ boo aɖeke le megbe o.

Aleke nɔnɔme sia kpɔa ŋusẽ ɖe vinye dzii?

Dɔléle sia, si woyɔna be Non-Hodgkin’s Lymphoma, ate ŋu adze le ʋumenugbagbevi dzĩwo me le ɖevi ƒe ŋutilã ƒe akpa ɖesiaɖe. Ate ŋu akpɔ ŋusẽ ɖe lãmeka siwo le titina gɔ̃ hã dzi . Lãmetsiŋusẽ sia hã nye dɔlélenutsiŋutete ƒe akpa aɖe.

Kansa sia dzea egɔme tso lãmenugbagbevi tɔxɛ siwo le ʋukawo me. Esiawo nye B-ʋumenugbagbeviwo (B-lãmenugbagbeviwo), T-ʋumenugbagbeviwo (T-lãmenugbagbeviwo), alo Dzɔdzɔme Amewula (NK) lãmenugbagbeviwo. Lãmenugbagbevi siawo kpɔa mía ta tso dɔlékui kple dɔlékui vovovowo ƒe dɔlékuiwo me .

non-Hodgkin ƒe ʋumenugbagbeviɣidɔ ƒomevi vevi etɔ̃e le ɖeviwo ŋu. Ƒomevi ɖesiaɖe ate ŋu akpɔ ŋusẽ ɖe ɖeviwo dzi le mɔ vovovowo nu.

1. B-cell lymphomas tsitsiwo

Esiawo nye ʋumenugbagbeviɣidɔ ƒomevi siwo dona tso B-lãmenugbagbeviwo me. Woawoe nye ʋumenugbagbeviɣidɔ siwo katã menye Hodgkin o ƒe afã kple edzivɔ le ɖeviwo me. Nya nyuiae nye be ɖevi siwo ŋu ʋumenugbagbeviɣidɔ sia ƒomevi le dometɔ siwo wu 90% hayana bliboe le atikewɔwɔ vɔ megbe. Wole ƒomevi vevi geɖe:

• Burkitt lymphoma/leukemia: Esiawo nye dɔléle ɖeka ƒomevi vovovowo. Dɔdamɔnuawo ɖi wo nɔewo ŋutɔ. Zi geɖe la, edzea egɔme tso ʋuka siwo le ƒodo alo akɔta me. Gake ɣeaɖewoɣi la, ate ŋu agblẽ nu le ƒumeŋuɖui, ƒu didi siwo le abɔ kple afɔwo me, alo lãmeka siwo le titina ŋu. Le Burkitt ʋumenugbagbeviɣidɔ me la, lãmenugbagbevi gbogbo aɖewo siwo mesɔ o le ɖevia ƒe ʋu me, eye wotsoa lãmenugbagbevi siwo le ƒumeŋuɖui me. Burkitt ƒe ʋumenugbagbeviɣidɔ kple ʋumenugbagbeviɣidɔ siaa tsina kabakaba ŋutɔ.
• Diffuse large B-cell lymphoma: Esia bɔ ɖe ɖevi sue siwo xɔ tso ƒe 12-19 me wu ɖevi suewo.
• Mediastinal B-cell lymphoma gbãtɔ: Esia dzea egɔme tso B-cell siwo le mediastinum, si nye teƒe aɖe si le ɖevi ƒe no me ƒu megbe la me. Ate ŋu akaka ɖe ʋuka siwo me ʋu sina tona hã me. Esia bɔ ɖe ɖevi suewo hã me wu.

2. Lãmetsiŋusẽ ƒe ʋumenugbagbeviɣidɔ

Esia ƒomevie nye ʋumenugbagbeviɣidɔ siwo katã menye Hodgkin o ƒe akpa etɔ̃lia lɔƒo le ɖeviwo me. Ebɔ ɖe ɖevi suewo hã me wu ɖevi tsitsiwo. Lymphoblastic lymphoma ate ŋu adze B-lãmenugbagbeviwo alo T-lãmenugbagbeviwo dzi.

Zi geɖe la, edzea egɔme tso ʋuka siwo le ɖevia ƒe mediastinum (teƒe si le akɔtaƒu megbe) alo kɔ me. Gake ate ŋu agblẽ nu le ʋuka siwo le ƒodo, ƒumeŋuɖui, alo ŋutinu bubuwo hã ŋu. Ðevi siwo wowɔ atike na le esia ƒomevi ta la dometɔ siwo wu 80% tsia agbe.

3. Anaplastic lãmenugbagbevi gãwo ƒe ʋumenugbagbeviɣidɔ (ALCL) .

Esia nye ʋumenugbagbeviɣidɔ siwo katã menye Hodgkin o ƒe 15% lɔƒo le ɖeviwo me. Ekpɔa ŋusẽ ɖe T-lãmenugbagbeviwo dzi eye zi geɖe la, edzea egɔme tso ʋukawo me. Ate ŋu agblẽ nu le ŋutigbalẽ kple ƒuwo hã ŋu. Ðevi siwo ŋu ALCL le ƒe 70% lɔƒo tsi agbe.

Aleke gbegbee dɔléle sia bɔ ɖe ɖeviwo domee?

Ƒe sia ƒe la, wokpɔa ɖevi siwo ade 800 va ɖo 1,000 be woxɔ non-Hodgkin’s lymphoma. Ebɔ vie le ŋutsuvi yevuwo me. Dɔléle sia xɔxɔ ƒe afɔkua toa vovo le ɖevi ƒe ƒexɔxɔ nu, eye afɔkua ate ŋu adzi ɖe edzi vie ne ɖevia le tsitsim.

Nukae nye ʋumenugbagbeviɣidɔ si menye Hodgkin o ƒe dzesiwo?

Dɔléle sia ƒe dzesiwo ate ŋu asɔ kple dɔléle bubu siwo mesẽ boo o ƒe dzesiwo ɣeaɖewoɣi. Esia tae wòle be nàtsi dzi ɖo. Ne ʋuka siwo me ʋu sina tona vuvu, gbɔgbɔtsixe tsia viwòa, kɔdziyiyi atraɖii, alo ŋɔti me tsi le dodom la, .Ele be nàkpɔ ɖɔkta godoo.

Dzesi bubuwo ate ŋu anye:

• Asrã si nɔa ame ŋu enuenu le susu aɖeke manɔmee.
• Kpe.
• Zã me fifia.
• Lolo dzi ɖeɖe kpɔtɔ le susu aɖeke manɔmee.
• Ta, kɔ, ame ƒe tame, alo abɔwo ƒe vuvu.
• Nu mimi sesẽ (dysphagia).

Ðo ŋku edzi be ne dzesi siawo dometɔ ɖeka alo eve koe le viwòa ŋu la, mefia be dɔléle sia le viwòa ŋu o. Gake ne dzesi siawo gakpɔtɔ li alo wogagblẽ ɖe edzi la, ele be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo godoo.

Nukae hea dɔléle sia vɛ na ɖeviwo?

Le nyateƒe me la, womekpɔ nusi tututu gbɔ non-Hodgkin ƒe ʋumenugbagbeviɣidɔ tsona le ɖeviwo ŋu haɖe o. Gake ɖɔktawo de dzesi afɔku geɖe. Ne afɔku siawo li hã la, mefia be dɔléle sia axɔ ɖevi godoo o. Gake enyo be nànya nusiawo.

Ne lãmesẽkuxi siawo dometɔ aɖe le viwòa ŋu la, bia wò ɖɔkta tso nɔnɔme sia ŋu:

• Ne woda kansa ƒomevi bubu aɖe na viwòa kpɔ.
• Ne viwòa xɔ mononucleosis (Mononucleosis – Epstein-Barr dɔlékui) alo HIV (Amegbetɔ ƒe Dɔlélenutsiŋutete ƒe Dɔlékui).
• Ne viwòa ƒe dɔlélenutsiŋutete gbɔdzɔ (le kpɔɖeŋu me, ne wodo ŋutinu alo ƒumeŋuɖui nɛ kpɔ).
• Ne ɖevia le atike siwo tea dɔlélenutsiŋutete ɖe to zãm.
• Ne domenyiŋusẽfianu ƒe dɔléle aɖewo le ɖevia ŋu siwo gblẽa nu le dɔlélenutsiŋutete ŋu.

Dɔlélenutsiŋutete ƒe dɔléle siwo ƒe dome wonyi

Domenyinudɔlélewo abe esiawo ene ate ŋu ana afɔku si li be woaxɔ non-Hodgkin’s lymphoma nadzi ɖe edzi:

• Ataxia-telangiectasia: Esia nye ahɔhɔ̃medɔléle si gblẽa nu le ɖeviwo ƒe lãmekawo, dɔlélenutsiŋutete, kple ŋutilã ƒe dɔwɔwɔ bubuwo ŋu.
• Chediak-Higashi ƒe dɔléle: Esia gblẽa nu le ɖeviwo ƒe dɔlélenutsiŋutete kple lãmekawo ŋu.
• Dɔlélenutsiŋutete ƒe gbɔdzɔgbɔdzɔ si trɔna si bɔ: Ðevi siwo ŋu dɔléle sia le ƒe dɔlékuiwutikewo (protein siwo wɔa avu kple dɔlékuiwo) mesɔ gbɔ ɖe woƒe ʋu me o.
• Nijmegen ƒe gbagbã ƒe dɔléle: Dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie le ɖevi siwo ŋu dɔléle sia le ŋu eye dɔlélenutsiŋutete ƒe protein kple T-lãmenugbagbeviwo mesɔ gbɔ o.
• Dɔlélenutsiŋutete ƒe dɔmawɔmawɔ nyuie (SCID): Esia gblẽa nu le ɖeviwo ƒe T-cells kple B-cells ŋu, si nana dɔlélenutsiŋutete gbɔdzɔna eye wònana wodzea afɔku gã aɖe me be woaxɔ kansa aɖewo, siwo dome non-Hodgkin lymphoma hã le.
• Wiskott-Aldrich ƒe dɔlélea:Esia gblẽa nu le ɖeviwo ƒe ʋumenugbagbeviwo kple dɔlélenutsiŋutete ƒe lãmenugbagbeviwo ŋu. Ðevi siwo ŋu dɔléle sia le ƒe ʋumenugbagbevi dzĩwo mesɔ gbɔ o. Ʋumenugbagbevi dzĩwo nye lãmenugbagbevi siwo kpena ɖe ʋu ŋu. Ne esiawo mesɔ gbɔ o la, woate ŋu ana ame naxɔ abi bɔbɔe eye ʋu nado le eme. Dɔléle sia gblẽa nu le dɔlélenutsiŋutete ƒe T-lãmenugbagbeviwo kple B-lãmenugbagbeviwo hã ŋu.
• X-linked lymphoproliferative syndrome: Esia gblẽa nu le ɖeviwo ƒe dɔlélenutsiŋutete ŋu. Ðevi siwo ŋu dɔléle sia le ate ŋu awɔ nu ɖe ​​Epstein-Barr dɔlékui ƒe dɔléle ŋu vevie le mɔ si mebɔ o nu.

Aleke ɖɔktawo wɔa dea dzesi ʋumenugbagbeviɣidɔ si menye Hodgkin o le ɖeviwo ŋu?

Dɔléle sia didi nye nusi wowɔna tsitotsito vie. Zi geɖe la, wowɔa ʋudodokpɔ, nɔnɔmetatawo dodokpɔ vovovowo, kple ŋutilã ƒe akpa aɖewo ɖeɖeɖa ɖe wo nɔewo yome. Ðɔktaa alé ŋku ɖe ɖevia ŋu nyuie akpɔe ɖa be nanewo mesɔ o, abe ƒunukpeƒetetedɔ alo lãkusi siwo vuvu ene hã. Woalé ŋku ɖe ƒomea ƒe lãmesẽnyatakakawo hã ŋu, si nye ƒometɔ kplikplikpliwo kple ƒometɔ siwo le didiƒe ʋĩ, kple nenye be kansa le ŋutinya me hã.

Ʋudodokpɔwo

• Ʋu ƒe xexlẽme blibo (CBC): Esia dzidzea lãmenugbagbevi vovovo siwo le viwò ƒe ʋu me ƒe xexlẽme. Nusiwo do tso eme ate ŋu akpe ɖe ŋuwò nànya ne ʋumenugbagbeviɣidɔ ƒe dzesiwo le viwòa ŋu le woƒe ƒumeŋuɖui me alo ne atikewɔwɔa gblẽ nu le woƒe ƒumeŋuɖui ŋu.
• Ʋu ƒe lãmenugbagbeviwo ŋuti numekukuwo: Woɖea ʋu tsɔ dzidzea nu aɖewo siwo dona ɖe ʋua me tso ɖevia ƒe ŋutinuwo alo lãkusiwo me ƒe agbɔsɔsɔ. Nu aɖe ƒe agbɔsɔsɔ si mesɔ o alo esi mesɔ o ate ŋu anye dɔléle ƒe dzesi.
• Aklã ƒe dɔwɔwɔ dodokpɔ: Esia hã nye ʋudodokpɔ. Edzidzea nu aɖewo siwo aklãa ɖena ɖe ʋua me ƒe agbɔsɔsɔ. Ne agbɔsɔsɔ si sɔ gbɔ wu esi sɔ la, ate ŋu anye kansa ƒe dzesi.

Tsɔ kpe ɖe eŋu la, ɖɔktawo zãa ʋudodokpɔwo hã tsɔ léa ŋku ɖe dɔlékui siwo ate ŋu ado ƒome kple non-Hodgkin ƒe ʋumenugbagbeviɣidɔ le ɖeviwo ŋu hã.

Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo

• CT scan (Computed tomography – CT scan): Esia ate ŋu aɖe teƒe siwo le viwòa ƒe ŋutilã me ƒe foto tsitotsito. Wowɔa dodokpɔ sia be woatsɔ adi ʋuka siwo vuvu alo ʋumenugbagbeviɣidɔ ƒe dzesi bubuwo.
• MRI scan (Magnetic resonance imaging – MRI): Esia zãa magnet, radio ƒutsotsoewo, kple kɔmpiuta tsɔ wɔa ŋutilãa ƒe akpa si le eme ƒe nɔnɔmetata tsitotsito ɖe wo nɔewo yome. Wozãnɛ tsɔ léa ŋku ɖe ʋumenugbagbeviɣidɔ ƒe dzesiwo ŋu le ɖevia ƒe ahɔhɔ̃ alo aklã me.
• PET scan (Positron ƒe dodo ƒe tomography – PET scan):Wozãa esia tsɔ kpɔae ɖa be ʋumenugbagbeviɣidɔ le ɖevi aɖe ŋu alo alesi atikewɔwɔ kpɔ ŋusẽ ɖe ʋumenugbagbeviɣidɔa dzii hã. PET scan bia be woado sukli si me keklẽŋusẽ le, alo sukli ƒomevi aɖe, sue aɖe ɖe ɖevia ƒe ŋutilã me. Kansa lãmenugbagbeviwo wɔa dɔ wu lãmenugbagbevi siwo sɔ sã, eyata wozãa sukli geɖe. Eyata scan sia ate ŋu afia afisi kansa lãmenugbagbeviwo le.
• Ultrasound: Esia zãa gbeɖiɖi ƒe ƒutsotsoe siwo ŋu ŋusẽ geɖe le. Ƒutsotsoe siawo ƒua du tso lãkusi alo ŋutinu siwo le ŋutilãa me dzi eye wowɔa gbeɖiɖiwo. Wozãa gbeɖiɖi siawo tsɔ wɔa nɔnɔmetata aɖe si woyɔna be sonogram. Wozãa esia tsɔ dia ʋuka siwo te ɖe vidzĩa ƒe ŋutilã ŋu, alo le ƒodo, aklã, alo dɔgbo me.

Nu gbagbewo ƒe ŋutilã ƒe akpa aɖewo ɖeɖeɖa

Ðɔktawo wɔa lãmenugbagbeviwo ƒe dɔwɔwɔ tsɔ xɔa ʋuka siwo me ʋu sina tona, kansa ƒe ƒuƒu, kple ƒumeŋuɖui ƒe kpɔɖeŋuwo hedoa wo kpɔ le nusuekpɔmɔ̃ me alo le dodokpɔ bubuwo me le dodokpɔxɔ me. Biopsy koe nye mɔ si dzi woato anya dɔlélea godoo. Vevietɔ wu la, lãmenugbagbeviwo ƒe dɔwɔwɔ me tsonu ate ŋu akpe ɖe ame ŋu woanya ʋumenugbagbeviɣidɔ ƒomevi si tututu. Emegbe esia ate ŋu akpe ɖe ame ŋu wòanya atikewɔwɔ nyuitɔ kekeake na ƒomevi ma.

Biopsies ƒomevi vovovowo li. Ðɔktawo tiaa lãmenugbagbeviwo ƒe dɔwɔwɔ si ƒomevi magblẽ nu le ɖevia ŋu boo o eye wòaɖe lãmenugbagbeviwo kple lãkusi siwo sɔ gbɔ be woadoe ɖa. Le dodokpɔ siawo me la, wonaa atike siwo naa ame ƒe dzi dzea eme, atike siwo naa ame ƒe lãme gbãna, alo atike si naa alɔ̃dɔdɔ ɖevia le teƒea alo atike si naa alɔ̃dɔdɔ bliboa be woakpɔ egbɔ be mese veve aɖeke o.

• Amekoko ƒe lãmenugbagbeviwo ɖeɖe: Woate ŋu awɔ dɔ na ʋuka blibo aɖe, lãkusi ƒe ƒuƒoƒo aɖe, alo kansa ƒe ƒu si lolo wu ƒe akpa sue aɖe.
• Needle biopsies: Wowɔa core biopsies alo fine-needle biopsies tsɔ ɖea lãkusi alo ʋuka ƒe akpa aɖewo ɖa.

Biopsies ƒomevi bubuwo

Ne ʋumenugbagbeviɣidɔ si menye Hodgkin tɔ o le viwòa ŋu la, woate ŋu awɔ dodokpɔ bubuwo atsɔ aƒo lãkusiwo nu ƒu akpɔe ɖa be ʋumenugbagbeviɣidɔa kaka hã. Abe alesi wòle le lãmenugbagbeviwo ƒe ɖeɖe bubuwo gome ene la, wowɔa esiawo le atike si naa ame ƒe dzi dzea eme kple/alo atike si naa alɔ̃dɔdɔ ame me be woakpɔ egbɔ be viwòa mese veve aɖeke o.

• Lumbar puncture (spinal tap): Wowɔa esia be woakpɔe ɖa be kansa la kaka ɖe ɖevia ƒe ahɔhɔ̃ kple aklã me hã.
• Ƒumeŋuɖui ƒe ʋuʋu kple ƒumeŋuɖui ƒe lãmenugbagbeviwo ɖeɖe: Wowɔa dodokpɔ siawo be woakpɔe ɖa be ʋumenugbagbeviɣidɔa kaka ɖe viwò ƒe ƒumeŋuɖui me hã. Be ɖɔkta nawɔ esia la, etsɔa aŋe si me do le dea viwòa ƒe akɔta eye wòɖea ƒumeŋuɖui kple ƒu sue aɖe.
• Akɔta ƒe dɔwɔwɔ:Ne ʋumenugbagbeviɣidɔa kaka ɖe viwòa ƒe akɔta alo lãkusi si tsyɔ woƒe lãkusiwo dzi la, tsi ate ŋu aƒo ƒu. Wozãa aŋe si me do le tsɔ ɖea tsi la ɖa eye woléa ŋku ɖe kansa lãmenugbagbeviwo ŋu hã.
• Paracentesis: Esia bia be woaɖe tsi le vidzĩa ƒe ƒodo me.
• Mediastinoscopy: Esia nye amekoko si wowɔna le atike si naa alɔ̃dɔdɔ ame katã me. Wowɔa esia be woatsɔ adi nusiwo mesɔ o le ŋutinuwo, lãkusiwo, kple ʋuka siwo le viwòa ƒe lãkusiwo dome la me. Wotsɔa mɔ̃ aɖe si woyɔna be mediastinoscope wɔa esia. Enye dɔwɔnu tsɛ aɖe si le abe mɔ̃ ene si me kekeli kple ŋkumeɖonu le be wòate ŋu akpɔ nu to eme, eye wònye dɔwɔnu si wotsɔ ɖea lãkusi alo ʋukawo ƒe kpɔɖeŋuwo. Wotoa nu sue aɖe si woɖe ɖe viwòa ƒe no ƒe akpa si le etame la me.

Ðe ɖɔktawo ma ɖeviwo ƒe ʋumenugbagbeviɣidɔ si menye Hodgkin o me ɖe akpa vovovowo mea?

Ẽ, afɔɖeɖe aɖewo li siwo dzi woato ade Non-Hodgkin ƒe ʋumenugbagbeviɣidɔa me. Wozãa kansa ƒe ɖoɖo siawo tsɔ wɔa atikewɔwɔ ƒe ɖoɖowo.

Non-Hodgkin lymphoma ƒe afɔɖeɖewo

• Afɔɖeɖe I: Teƒe ɖeka koe kansa la le, le ɖevia ƒe akɔtaƒu (lãmeka gã si ma akɔta kple dɔgbo dome) tame alo ete.
• Afɔɖeɖe II: Kansa le teƒe ɖeka kple ʋuka siwo te ɖe eŋu, alo ʋuka eve alo esi wu nenema, alo le teƒe bubu siwo le ʋuka ƒe akpa ɖeka.
• Afɔɖeɖe III: Kansa la le akpa ene siwo gbɔna la dometɔ ɖeka me:
• Kansa le lãkusiwo alo ʋuka siwo le lãkusia ƒe akpa eveawo me.
• No me dɔdzẽ le ɖevia ŋu.
• Dɔgbo me dɔdzẽ le ɖevia ŋu, eye womate ŋu aɖee ɖa ne wowɔ dɔ nɛ o.
• Afɔɖeɖe IV: Kansa la le ɖevia ƒe ƒumeŋuɖui, aklã, kple/alo ahɔhɔ̃ me.

Aleke wodaa non-Hodgkin lymphoma le ɖeviwo ŋui?

Ðɔktawo yi edzi le atike yeyewo dim, vevietɔ mɔ siwo dzi woato ada ʋumenugbagbeviɣidɔ evɔ womahe dɔléle sesẽ aɖeke vɛ le megbe o. Nusiwo dona tso eme megbe nye lãmesẽkuxi sesẽ siwo ate ŋu ado mo ɖa le ƒe geɖe le atikewɔwɔ vɔ megbe eye ɖevi ƒe ʋumenugbagbeviɣidɔ si menye Hodgkin o nu yi vɔ megbe.

Atikewɔwɔ ƒomevi vevi ade ye li:

• Atikewɔwɔ: Esiae nye atike vevitɔ na ɖevi siwo ŋu non-Hodgkin lymphoma le. Ðɔktawo ate ŋu azã atike ɖeka ko alo atike geɖe ƒokpli.
• Amekoko: Le go aɖewo me la, wowɔa dɔ na kansa ƒe ƒuƒuwo le ɣeyiɣi ma ke me esime woɖea lãmenugbagbeviwo ɖa. Ɣemaɣi gɔ̃ hã la, ɖevia ate ŋu ahiã atikewɔwɔ bubuwo, abe atikewɔmɔnu alo dɔlélenutsiŋutete ƒe dɔdamɔnu ene.
• Atikewɔwɔ si ŋu woɖo taɖodzinu ɖo:Esia gblẽa nu le kansa ƒe domenyiŋusẽfianu, protein, alo nu suesuesue siwo le ʋumenugbagbeviɣidɔlékuiwo me koŋ ŋu siwo kpena ɖe wo ŋu wotsia agbe le atikewɔmɔnu ƒe ŋusẽkpɔɖeamedziwo me.
• Dɔlélenutsiŋutete ƒe dɔdamɔnu: Dɔdamɔnu sia wɔa dɔ to ɖevia ƒe dɔlélenutsiŋutete ƒe dɔwɔwɔ me, alo to dɔlélenutsiŋutete ƒe akpa siwo wowɔ kple asi zazã me, tsɔ tsrɔ̃a ʋumenugbagbeviɣidɔlékuiwo.
• Kekelidɔdamɔnu: Le go aɖewo me la, wozãa keklẽŋusẽdɔdamɔnu tsɔ tsrɔ̃a kansadɔlékui ɖesiaɖe si susɔ.
• Lãmenugbagbeviwo dodo na ame: Wozãa lãmenugbagbevi siwo woɖe tso ʋu alo ƒumeŋuɖui me tsɔ tsɔa lãmenugbagbevi siwo le lãmesẽ me ɖɔlia lãmenugbagbevi siwo mele lãmesẽ me o.

Nukae nye dɔdzẽ dada ƒe ŋusẽkpɔɖeamedzi siwo tsi megbe?

Kansa dada ƒe ŋusẽkpɔɖeamedzi siwo tsi megbe nye lãmesẽkuxi siwo ate ŋu ado mo ɖa ɣleti alo ƒe geɖe le atikewɔwɔa ƒe nuwuwu megbe. Nusiwo dona tso eme megbe dometɔ aɖewo ate ŋu ade ame ƒe agbe afɔku me. Esi ɖevi geɖe wu le agbe didi wu le atike si nye non-Hodgkin’s lymphoma dada vɔ megbe la, ɖɔktawo le agbagba dzem be yewoade dzesi dɔléle siawo siwo tsi megbe la ahada wo kaba ale si yewoate ŋui.

Nusiwo wokpɔna le ɖevi siwo ŋu ʋumenugbagbeviɣidɔ si menye Hodgkin o le megbe wu dometɔ aɖewoe nye:

• Kansa evelia: Abe alesi ŋkɔa ɖee fia ene la, esiawo nye kansa yeye siwo dona le ɖeviwo me le atike na non-Hodgkin lymphoma megbe. Wo dometɔ siwo bɔ dometɔ aɖewoe nye ʋumenugbagbeviɣidɔ sesẽ, myelodysplastic syndrome, no me dɔdzẽ, kple ʋumenugbagbeviɣidɔ.
• Dzidɔ: Ðevi aɖewo siwo wodoa atike na ate ŋu axɔ dzidɔ abe dzi ƒe dɔmawɔmawɔ nyuie, dzi ƒe gbɔdzɔgbɔdzɔ (dzitodzito me dɔléle), ʋukawo ƒe sesẽ alo woƒe tsitsi (dzitodzito me dɔléle), dzi ƒe tsotso si mesɔ o (dzitodzito ƒe ʋuʋu), alo dzia ƒe ametakpɔnu ƒe gbegblẽ (dzitodzito me dɔléle).
• Pneumonitis (aɖuɖɔtoe me dɔdzẽ): Atike aɖewo siwo wozãna tsɔ daa dɔe ate ŋu agblẽ nu le ɖeviwo ƒe lãkusi ŋu.
• Aklã me kuxiwo: Ðevi siwo noa atike aɖewo ate ŋu axɔ aklã si lolo alo aklã ƒe ʋuka me ʋu ƒe sisi.

Ke ɖeviwo ƒe ʋumenugbagbeviɣidɔ si menye Hodgkin o ƒe dɔdamɔnu dodokpɔwo ya ɖe?

Viwò ƒe ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàkpɔ gome le dɔdamɔnu dodokpɔ aɖe si woawɔ atsɔ ada non-Hodgkin’s lymphoma la me. Le dɔdamɔnu dodokpɔ aɖe me la, ame aɖewo xɔa beléle ƒe dzidzenu, eye bubuwo ya xɔa atike siwo ŋu wole ŋku lém ɖo.

Dɔdamɔnu siwo wozãna ɖaa nye atikewo kple atike bubu siwo dzi woda asi ɖo xoxo eye woɖo kpe edzi be wowɔa dɔ. Dɔdamɔnu siwo wodo kpɔ, abe alesi ŋkɔa ɖee fia ene, nye atike siwo wole dodokpɔ wɔm be woawɔ dɔ nyuie wu atikewɔmɔnu siwo wozãna ɖaa hã, alo ne wowɔa dɔ le mɔ ɖeka nu gake woƒe nugbegblẽ le ame ŋu ʋɛ aɖewo koe.

Dɔdamɔnu dodokpɔwo ate ŋu alɔ atike yeyewo, atike siwo li xoxo ƒe agbɔsɔsɔme yeyewo, alo atike siwo li xoxo ƒe ƒuƒoƒo yeyewo ɖe eme. Zi geɖe la, ɖɔkta siwo le ɖeviwo ƒe dɔdzẽdɔwɔƒewo kpɔa dɔdamɔnu dodokpɔ siawo dzi. Bia wò ɖɔkta nenye be dɔdamɔnu dodokpɔ ate ŋu anye atikewɔwɔ na viwòa.

Ðe woate ŋu ada non-Hodgkin lymphoma le ɖeviwo mea?

Ẽ, ɖɔktawo ate ŋu atsɔ atike siwo le wo si ada ɖevi geɖe siwo ŋu non-Hodgkin ƒe ʋumenugbagbeviɣidɔ le. Ema fa akɔ na ame ŋutɔŋutɔ, alo?

Nukae nye agbetsitsi ƒe agbɔsɔsɔme le ɖeviwo ƒe ʋumenugbagbeviɣidɔ si menye Hodgkin o ta?

Ðevi siwo ŋu ʋumenugbagbeviɣidɔ si menye Hodgkin o le ƒe agbetsitsi ƒe agbɔsɔsɔme toa vovo le ʋumenugbagbeviɣidɔ ƒomevi si le wo ŋu nu. Le mama dedie nu la, ɖevi siwo ŋu dɔlélea le ƒe 70% va ɖo 90% nɔa agbe wu ƒe atɔ̃ le dɔlélea kpɔkpɔ vɔ megbe.

Nukae dzɔna ne vinye wu atike na non-Hodgkin lymphoma nu?

Ne kansa dada wu enu la, ɖewohĩ mia kple viwòa miakpɔ gbɔdzɔe kple dzidzɔ gã aɖe. Miɖu dzidzɔ ma ƒe azã, gake ɖo ŋku edzi be ahiã kokoko be viwòa nayi edzi anɔ kadodo me kple ɖɔktaa ƒe geɖe.

Le ƒe ʋɛ gbãtɔ siwo le atikewɔwɔ vɔ megbe la, anɔ eme be wò ɖɔkta aɖo aɖaŋu be nàdoe kpɔ ahadoe kpɔ edziedzi. Esia akpe ɖe ŋuwò nàlé ŋku ɖe viwòa ƒe lãmesẽ bliboa ŋu, akpɔe ɖa be kansa la gadze ake hã, eye nàlé ŋku ɖe dzesi siwo fia be kansa la adze edzi hã. Viwòa ahiã be woado ʋu kpɔ ahawɔ scan.

Aleke nye/vinye mate ŋu akpɔ kansa dada ƒe emetsonuwo gbɔe?

Ðeviwo ate ŋu akpɔ nusiwo dona tso kansa dada megbe ɣleti alo ƒe geɖe le atikewɔwɔ vɔ megbe gɔ̃ hã. Esia nyanya ate ŋu ana mia kple viwòa miatsi dzimaɖi ɖe etsɔme ŋu. Gake nyae be viwòa ƒe ɖɔkta alé ŋku ɖe viwòa ƒe lãmesẽ ŋu le atikewɔwɔ vɔ megbe, ale be woate ŋu ade dzesi kuxi ɖesiaɖe ahadae kaba.

Bia wò ɖɔkta tso nusiwo ate ŋu agblẽ le viwòa megbe kple nusiwo nye dzesi gbãtɔwo ŋu. De dzi ƒo na viwòa be wòanɔ ŋudzɔ ɖe nusiwo dona tso eme siawo ƒe dzesiwo ŋu ne ele sue eye wòdze woawo ŋutɔ ƒe lãmesẽ dzi kpɔkpɔ gɔme.

Ðe mate ŋu aɖe mɔnukpɔkpɔ si li be vinyea be wòaxɔ non-Hodgkin lymphoma dzi akpɔtɔa?

Ðevi siwo ƒe dɔlélenutsiŋutete gbɔdzɔ ate ŋu axɔ non-Hodgkin ƒe ʋumenugbagbeviɣidɔ. Le kpɔɖeŋu me, ne wodo ƒumeŋuɖui alo ŋutinu aɖe na viwòa kpɔ la, ate ŋu anɔ afɔku me be woaxɔ dɔléle sia. Azɔ hã, ne domenyiŋusẽfianu ƒe dɔléle aɖewo le viwòa ŋu siwo gblẽa nu le dɔlélenutsiŋutete ŋu la, afɔkua ate ŋu adzi ɖe edzi.

Viwòa ƒe ɖɔkta nya viwòa ƒe lãmesẽ ŋutinya. Ne ètsi dzi ɖe esia ŋu la, bia wò ɖɔkta nenye be nɔnɔme aɖewo le viwòa ŋu si ana wòate ŋu axɔ dɔléle sia. Emegbe, àte ŋu alé ŋku ɖe nu tɔxɛ siwo ate ŋu anye non-Hodgkin lymphoma ƒe dzesi gbãtɔwo ŋu.

non-Hodgkin lymphoma le vinye ŋu. Aleke mate ŋu akpe ɖe eŋu?

Kansa sesẽna na amesiame, gake esesẽna na ɖeviwo koŋ. Ðewohĩ ɖevi suewo mate ŋu ase nusita wòsesẽna na wo alea gbegbe gɔme o. Ðewohĩ wovɔ̃na na dodokpɔwo kple atikewɔwɔwo. Enye nusi sɔ le dzɔdzɔme nu be ɖevi sue siwo le nu srɔ̃m tso woƒe dɔlélea ŋu nado dziku ahanɔ vɔvɔ̃m le woƒe nɔnɔmea ta. Ne mia kple viwò miele agbagba dzem be yewoanɔ te ɖe kansa ƒe nugbegblẽwo nu la, bia wò ɖɔkta tso ɖeviwo ƒe agbenɔnɔ ŋuti dɔwɔnawo ŋu. Eŋutinunyala bibi siwo kpena ɖe ɖeviwo kple ƒomewo ŋu wonɔa te ɖe kansa ƒe kuxiwo nue wɔa dɔ siawo.

Ɣeaɖeɣi la, vi si le lãmesẽ me le asiwò, eye nèsusu be dɔléle si sɔ le wo ŋu. Le ɣeyiɣi si kplɔe ɖo me la, vi aɖe si ŋu kansa le le asiwò. Mele bɔbɔe be nànya be non-Hodgkin lymphoma le viwòa ŋu o. Togbɔ be ɖɔktawo daa dɔ na ɖevi geɖe siwo ŋu dɔléle sia le hã la, ele kokoko be viwòa nadze ŋgɔ atikewɔwɔ sesẽ siwo doa kplamatse eƒe gbesiagbegbenɔnɔ. Le atikewɔwɔ vɔ megbe gɔ̃ hã la, viwòa ate ŋu axɔ nusiwo dona tso eme, si nye lãmesẽkuxi sesẽ siwo ahiã be woagawɔ atike nɛ bubuwo. Wo katã sesẽ be woanɔ te ɖe wo nu. Ðewohĩ àse le ɖokuiwò me abe ɖe wotrɔ wò xexeame ene, eye àbia ɖokuiwò be ɖe wòagadzɔ ake hã.

Gake ɖo ŋku edzi be viwò ƒe ɖɔkta se nu si me tom mia kple viwòa miele la gɔme. Bia kpekpeɖeŋu wo, si ate ŋu anye nyatakaka siwo ku ɖe viwòa ƒe nɔnɔmea ŋu, nunɔamesiwo na wò kple wò ƒomea, eye adzɔ dzi na wo be yewoawɔ nusianu si yewoate ŋui.

Mlɔeba la, gbedasi si woatsɔ ayi aƒemee

• Non-Hodgkin’s Lymphoma le ɖeviwo me nye kansa si dzɔna le ʋukawo me.
• Zi geɖe la, woate ŋu ada esia dzidzedzetɔe, vevietɔ ne wokpɔe kaba.
• Nya nyuie le dzesiawo ŋu (abe ʋuka siwo vuvu, kɔdzidɔ si nu metsina o, dzoxɔxɔ, lolo dzi ɖeɖe kpɔtɔ ene). Ne nusiawo gakpɔtɔ li la, yi ɖɔkta gbɔ.
• Atikewɔwɔmɔnu vovovowo li (abe atikewɔmɔnu, amekoko, kple keklẽŋusẽdɔdamɔnu ene). Ðɔktaa atia atike si anyo na viwòa.
• Nusiwo dona tso eme ate ŋu adzɔ le atikewɔwɔ vɔ megbe, eyata ele vevie be woayi edzi anɔ atikewɔlawo ƒe dodokpɔ wɔm.
• Menye wò ɖeka koe o. Ðɔktawo, dɔnɔdzikpɔlawo, kple aɖaŋuɖolawo le afima be yewoakpe ɖe mia kple viwòa ŋu. Mègavɔ̃ be yeabia kpekpeɖeŋu tso wo gbɔ o.

Mele mɔ kpɔm be nyatakaka sia kpe ɖe ŋuwò nèse dɔléle sia gɔme vie. Ðo ŋku edzi be ne nɔnɔme nyui le asiwò eye wowɔ atike na wò nyuie la, àte ŋu aɖu kuxi sia dzi.

` Non-Hodgkin ƒe Lãmetsiŋusẽ, Ðeviwo ƒe Kansa, Lãmetsiŋusẽ, Lãmetsiŋusẽ, Kansa ƒe Dzesiwo, Kansa Dada, Ðeviwo ƒe Lãmesẽ