Yu gɛt wan tin we nɔ de mek yu fil pen na yu nɛk, yu armpit, ɔ yu groin? Ɔ yu de mɔna yu we yu de swet so dat yu sheet dɛn kin wet na nɛt? Dɛn tin ya kin bi nɔmal, bɔt sɔmtɛm dɛn kin bi sayn fɔ wan kayn blɔd kansa we dɛn kɔl B-Sɛl Limfoma. Nɔ fred we yu yɛri dis nem. I nɔ at fɔ ɔndastand. Lɛ wi tɔk bɔt am simpul wan, klia wan, ɛn di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na B-Sɛl Limfoma?
B-sεl limfoma na wan kayn bכdi kεnsar we de divεlכp na wi limfatik sistεm. Okay, naw mek wi simplify dis ivin mo.
Wi blɔd gɛt wan kayn sɛl we dɛn kɔl wayt blɔd sɛl. Dɛn tin ya tan lɛk wi bɔdi in yon ami. Dɛn sɛl ya de protɛkt wi bay we dɛn de fɛt di jem dɛn we de mek wi gɛt sik. Wan kayn wayt blɔd sɛl dɛn kɔl am limfosayt. pan dεn limfosayt dεm ya, wan spεshal tכp de we dεn kכl B-sεl dεm. Na dɛn na di men pat pan wi bɔdi in difɛns ami.
we B-sεl limfoma de divεlכp, sכmtin de go rכng wit dεn B-sεl dεm ya, we de mek dεn sheb εn bכku we dεn nכ ebul fכ kכntro, bi kεnsar sεl dεm εn fכm tכmכro.
wi limf sistεm na wan nεtwכk we de fכm di vessel dεm, limf no dεm, εn tisu dεm we de spre כlsay na wi bכdi. I tan lεk sεkכn sεkyulatri sistεm na wi bכdi. dis na di rizin we mek B-sεl limfoma kin divεlכp εnisay na di bכdi. Na dat mek de sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin.
di imכtant tin na dat, B-sεl limfoma na di mכst kכmכn tכp fכ nכn-Hכdgkin limfoma. Bɔku tɛm, tritmɛnt dɛn de we go wok fayn. Sɔm kayn dɛn kin mɛn kpatakpata. Na ɔda wan dɛm, dɛn kin ridyus di sayn dɛm ɛn dɛn kin kip di kansa na rɛmishɔn.
Dɛn limfoma ya kin sheb mɔ to tu kayn:
We yu dɔktɔ tɔk bɔt dis sik, i kin yuz tu wɔd dɛn: "aggressive" ɛn "indolent." Dis na wetin dɛn min:
- agresiv (we de spre kwik kwik wan) tכp: Dis kayn de gro kwik kwik wan εn i kin spre (mεtastas) to כda כgan dεm we de autsay di bכdi tru di limfatik sistεm.
- Indolent (slow-growing) type: Dis kayn kin gro sloslo ɛn i nɔ kin sho di sayn fɔ lɔng tɛm.
Fɔ mek i izi fɔ ɔndastand, lɛ wi luk dɛn kayn ya na tebul lɛk dis.
| Tayp fɔ di limfoma | Simpul diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| Agresiv (i de skata kwik kwik wan) . | Dɛn tin ya kin gro kwik kwik wan. Ɛgzampul dɛn:
|
| Indolent (we de gro sloslo) . | Dɛn tin ya kin nɔr gɛt ɛni sayn fɔ sɔm mɔnt ɔr ia. Ɛgzampul dɛn:
|
Wetin na di sayn dɛm fɔ B-sɛl limfoma?
Sɔntɛnde yu kin gɛt B-sɛl limfoma we nɔ gɛt ɛni sayn. Ɛspɛshali pan di kayn dɛn we de gro sloslo, bɔku tɛm dɛn kin no am bay we dɛn de tɛst fɔ ɔda sik. Bɔt yu fɔ wɔri if yu gɛt dɛn sik ya:
| Di sayn we de sho se di sik de | Wetin dis min? |
|---|---|
| Di limf no dɛm we dɔn swel | Lump dɛn we nɔ de pen na di nɛk, di armpit, ɛn di groin. Dis na di sayn wae kin kam pan pɔrsin. |
| Fɔ swet pasmak na nɛt | Swet jɔs afta yu slip klos ɛn bed sheet wet. |
| Fiva we nɔ gɛt ɛni rizin | Fiva (we pas 38 Celsius / 100.4 Fahrenheit) we kin las fɔ pas tu dez ɔ we kin kɔntinyu fɔ de. |
| We yu de lɔs yu wet fɔ natin | We yu de lɔs yu wet wantɛm wantɛm we yu nɔ de it ɔ ɛksesaiz. |
| Fɔ taya ɔltɛm | Fɔ fil wik ilɛksɛf yu rɛst. di men rizin fכ dis kin bi biכs di kεnsar sεl dεm we de na di bon mכro de ridyus di rεd bכdi sεl dεm we de mek rεd bכdi sεl dεm, we de mek di bכdi bכku bכku bכku wan. |
| Bɛlɛ de pen | Sɔm kayn kin mek yu bɛlɛ pen ɔltɛm bikɔs dɛn kin bigin na di bɛlɛ. |
| Fil fɔ it | If di splin dɔn swel, i kin push pan di insay ɛn mek yu fil ful ivin afta yu dɔn it smɔl. |
| I de it (Pruritus) ɔ yu skin de chenj | Sɔm kayn dɛn kin bigin na di skin ɛn kin mek yu gɛt rash, bɔyl, ɛn gɛt lumps. Ɔ if di liva afɛkt, di skin kin it. |
Mɛmba se if yu gɛt wan ɔ mɔ pan dɛn sayn ya, dat nɔ min se yu gɛt lymphoma. Kɔmɔn kol kin mek yu trot at bak. Bɔt if dɛn sik ya kɔntinyu ɔ wɔs, mek shɔ se yu go to yu dɔktɔ fɔ advays.
Wetin mek sɔntin lɛk dis kin apin?
I at fɔ pinpoint wan singl kɔz fɔ dis. di men tin na dat wi B-sεl dεm de bi kεnsar bikoz fכ wan random jεnεtik chenj (mכtεshכn) we de apin we dεn divayd. Bɔt risach dɔn sho se sɔm tin dɛn kin mek pɔsin gɛt dis sik smɔl.
- Sɔm sik dɛm wae kin kam wit ɔtoimyun: Fɔ ɛgzampul, pipul dɛm wae gɛt sik lɛk rεumatoid arthritis ɛn Sjörgren’s syndrome.
- Sɔm vayral infɛkshɔn: We pɔsin gɛt vayrɔs lɛk HIV (human immunodeficiency virus), Epstein-Barr vayrɔs.
- Famili histri: If pɔsin na di famili dɔn gɛt kansa lɛk Hodgkin lymphoma.
- Fat pasmak: If yu bɔdi wet pasmak, dat kin mek yu gɛt dis sik bak.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ, i go aks yu bɔt di sik dɛn we yu gɛt ɛn yu mɛdikal istri. Dɔn i go du wan ɛgzam pan yu bɔdi ɛn chɛk yu limf no dɛm, yu liva, ɛn yu splin fɔ si if yu swel. If ɛni dawt de, i go rifer yu to wan dɔktɔ we de mɛn yu blɔd-ɔnkɔlɔjis. Dɛn kin du dɛn tɛst ya fɔ kɔnfirm di diagnosis.
Blɔd tɛst dɛn
- Kɔmplit blɔd kɔnt (CBC): I de mɛzhɔ di kayn ɛn di kayn sɛl dɛn we de na di blɔd.
- kכmprεhεnsiv mεtabolik panεl (CMP): I de chεk di wok we di כgan dεm lεk di liva εn di kidni dεm de du.
- Laktat dihaydrojenεz (LDH): we dis lεvεl dεm de εlevεt kin bi sayn fכ limfoma.
Test dɛn fɔ tek imej
- CT skan, PET skan, ɛn ɔltra saund skan: Dɛn tin ya kin chɛk aw di limf no dɛn ɛn di ɔgan dɛn we de insay di bɔdi de.
Bayopsi we dɛn kin du
Dis na di onli we fɔ 100% kɔnfɔm di sik.
Dis min se yu fɔ tek smɔl sampul pan wan limf node we dɔn swel ɔ di tisu we yu tink se dɔn swɛla ɛn chɛk am ɔnda maykroskɔp. Dis kin ɛp fɔ no di rayt kayn limfoma.
- Excisional or incisional biopsy: Dɛn kin du ɔpreshɔn fɔ pul ɔl ɔ pat pan wan limf node.
- fayn-nidul aspirashכn (FNA): fכ gεt sכm sכm sεl dεm we yu de yuz wan tin nidul.
- Bon mכro bayopsi: fכ tek sכm sכm sכm sכm bon mכro fכ egzamin.
Wetin na di tritmɛnt dɛn?
No wan saiz tritmɛnt nɔ de fɔ dis. De tritmɛnt wae yu go gɛt go dipen pan tin dɛm lɛk di kayn lymphoma wae yu gɛt, aw fa de sik dɔn skata, ɛn yu ɔl wɛl bɔdi. Yu mɛdikal tim go pik di tritmɛnt plan we go fayn fɔ yu ɛn we nɔ gɛt bɛtɛ sayd ɛfɛkt.
Di men we dɛn fɔ trit am na:
- Kimotɛrapi: Fɔ gi mɛrɛsin dɛn we de kil kansa sɛl dɛn.
- Immunotherapy: Fɔ mek yu yon imyun sistɛm fɔ fɛt di kansa sɛl dɛn.
- Radieshɔn tɛrapi: Fɔ pwɛl di kansa sɛl dɛn we yu de yuz ay ɛnaji rayt.
- Targeted therapy: Fɔ gi drɔgs we de target ɛn atak ɔl di kansa sɛl dɛm. fכ egzampl: `(monoklonal antibodi tεrapi)`.
- Wachful waiting / active surveillance: Fɔ di kayn pipul dɛm wae de gro sloslo, dɛn kin de wach yu kɔndishɔn ɔltɛm, wae nɔr kin stat fɔ trit yu kwik kwik wan if yu nɔr gɛt ɛni simptom. Dɛn kin jɔs bigin fɔ trit am if di sayn dɛm de kam.
Di sayd ɛfɛkt dɛn we di tritmɛnt kin gɛt
Ɔl di tritmɛnt dɛn kin gɛt sayd ɛfɛkt. Tin dɛn lɛk we yu bɛlɛ de at, dayarɛa, taya, nɔs, ɛn vɔmit kin bɔku. Nɔ fred dɛn tin ya. Tɔk to yu dɔktɔ bɔt dɛn opin wan. Mɛrɛsin dɛn de fɔ ɛp fɔ kɔntrol di sayd ɛfɛkt dɛn.
Ustɛm fɔ si di dɔktɔ ɛn ustɛm fɔ go na di ETU
Yu go nid fɔ go to yu dɔktɔ ɔltɛm ɔl di tɛm we yu de trit yu. Afta di tritmɛnt dɔn, dɛn go de chɛk yu ɔltɛm fɔ si if di sik dɔn kam bak.
Bɔt if dis kayn tin apin , go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm:
- If yu fiva pas 38 sɛlshiɔs (100.4 Fahrenheit) ɛn nɔ go dɔŋ, dis na bikɔs di tritmɛnt kin mek yu imyun sistɛm wik ɛn mek yu gɛt infɛkshɔn.
- If di sayd ɛfɛkt dɛm fɔ di tritmɛnt tu bad fɔ kɔntrol wit di mɛrɛsin we di dɔktɔ gi yu.
Mɛsej we dɛn kin kɛr go na os
- B-sεl limfoma na wan kayn bכdi kεnsar we de bigin na di B-sεl dεm na wi imyun sistεm.
- Di men sayn dɛm na fɔ lɛ yu gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
- If dɛn sik ya kɔntinyu, nɔ ignore dɛn ɛn go mɔs go to dɔktɔ.
- Bɔrku tritmɛnt de fɔ dis sik tide, so nɔr giv ɔp wae dɛn dɔn no se yu gɛt dis sik.
- Yu nɔ nid fɔ go tru dis waka yu wan. Gɛt sɔpɔt frɔm yu mɛdikal tim, famili, ɛn padi dɛn. Yu maynd wɛlbɔdi impɔtant jɔs lɛk aw yu bɔdi impɔtant.
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