Yu de gɛt lumps na yu bɔdi? I kin bi Fɔlikul Limfoma. Lɛ wi tɔk bɔt am!

Imajin, Samantha Akka kin tɔk ɔltɛm se i taya bad bad wan, ɛn i kin swet na nɛt. Sɔntɛnde, i kin tɔk bak se i kin gɛt smɔl smɔl tin na in nɛk. Pan ɔl we sɔm tɛm dɛn nɔ kin tek dɛn tin ya na wi layf ɛvride, dɛn kin bi sayn fɔ sik lɛk Fɔlikul Limfoma. Nɔ wɔri, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin na Fɔlikul Limfoma?

Fɔ tɔk am simpul wan, fɔlikul limfoma na wan kayn kansa we de gro sloslo . Fɔ tɔk di kɔrɛkt tin, na kansa we kin apin na wi limf sɛl dɛn. i kin divεlכp na yu limf no dεm - כ, as wi kin kכl dεm, yu limf no dεm - כ yu bon mכro, כ insay כda intanεt כgan dεm. Di wɔndaful tin na dat sɔm pipul dɛn kin gɛt dis sik we dɛn nɔ kin sho ɛni sayn . Na dat mek dɔktɔ dɛn kin tek am se na sik we nɔ de mɛn . Di gud nyus na dat, tritmɛnt dɛn de fɔ am. Bɔt sɔntɛnde, di sik kin kam bak afta dɛn dɔn trit am. Bɔt dɔktɔ dɛn tink se di tɛm nɔ de fa we dɛn go ebul fɔ mɛn dis sik kpatakpata wit nyu tritmɛnt dɛn.

Udat kin gɛt dis sik pas ɔlman?

Frɔm wetin dɛn dɔn tɔk bɔt, na lɛk tri to 4 pipul dɛn pan ɛvri ɔndrɛd tawzin (lɛk 3.5) kin gɛt dis sik. Pipul wae dɔn pas 65 ia kin gɛt dis sik pas yɔŋ pipul dɛm. Dɛn dɔn si bak se man dɛn kin gɛt dis sik pas uman dɛn.

Aw Fɔlikul Limfoma kin afɛkt mi bɔdi?

fכlikul limfoma na wan sכbtayp fכ B-sεl limfoma , we na wan kayn nכn-Hכdgkin limfoma . So, i kin sho bak sayn dɛm fɔ non-Hodgkin’s lymphoma, lɛk fɔ swel limf no dɛm, fiva, ɛn fɔ swet na nɛt .

Bɔt dɛn kin no se bɔku pipul dɛn gɛt dis sik bifo dɛn ivin gɛt ɛni sayn . Fɔ pɔsin we nɔ gɛt ɛni sayn ɛn we gɛt wɛlbɔdi, dɔktɔ dɛn nɔ kin bigin fɔ trit am wantɛm wantɛm. Bifo dat, dɛn go go wit wan strateji we dɛn kɔl ‘watchful waiting’ ɔ ‘active surveillance’ . Dis min se dɔktɔ dɛn de wach yu wɛlbɔdi ɛn di sik dɛn ɔltɛm.

Dis sik kin afɛkt yu maynd bifo i afɛkt yu bɔdi. Wan stɔdi we dɛn jɔs du dɔn sho se pipul dɛn we gɛt fɔlikul limfoma ɛn di sem kayn limfoma we de gro sloslo kin sɔfa wit bɔku wɔri bikɔs dɛn nɔ kin shɔ se ‘Ustɛm di sayn dɛn go apia?’. ɛn ‘Ustɛm di tritmɛnt go bigin?’

Fɔlikul Limfoma na siriɔs sik?

Yes, dat na rili folikul limfoma.I kin bi wan impɔtant ɛn chalenj mɛdikal kɔndishɔn. Bɔku rizin dɛn de fɔ dis:

• Transfכmeshכn: sכmtεm, fכlikul limfoma kin tכn to wan mכr agrεsiv tכp kεnsar we dεn k כl difכs big B-sεl limfoma (DLBCL) . Dis kin mek yu gɛt nyu, mɔr siriɔs sayn dɛm ɛn dis kin skata di kansa to ɔda pat dɛm na di bɔdi. lεk 3 pasεnt (3%) pan pipul dεm we gεt fכlikul limfoma go tכn to DLBCL. Imajin aw i nɔ kin izi fɔ lɛ pɔsin gɛt siriɔs sik wantɛm wantɛm.
• Rilaps: Wan ɔda prɔblɛm wit dis sik na dat afta dɛn dɔn trit am, di sayn dɛm kin go to remission, ɛn afta dat i kin flay bak afta sɔm tɛm. Dis saykl fɔ rεmishכn-rilaps-rεmishכn de mek i at fɔ mek pipul dεm wit dis sik εva fil lεk se dεn dɔn ‘ɔva’. In ɔda wɔd, dɛn fɔ liv ɔltɛm wit smɔl fred na dɛn at.

Wetin na di sayn dɛm fɔ Fɔlikul Limfoma?

Bɔrku kɔmɔn sayn dɛm de wae yu kin si pan dis sik. Bɔt mɛmba se, jɔs bikɔs yu gɛt dɛn sik ya nɔ min se yu gɛt dis sik. Bɔt i impɔtant fɔ mek wi no bɔt dɛn tin ya.

• di limf no dεm we swεla na di nεk, di armpit, כ di groin εria we nכ de fil pen. Wi kin kɔl dɛn swɛlin limf no dɛm, na dat dɛn bi.
• Fiva we nɔ gɛt ɛni ɔda infɛkshɔn ɔ sik.
• We yu de lɔs yu wet fɔ no rizin. Yu fɔ wɔri, mɔ if yu dɔn lɔs 10% ɔ mɔ pan yu bɔdi wet insay di pas 6 mɔnt .
• Swet ɛn fil kol. Ɛspɛshali if yu swet sote yu wet yu bed na nɛt (drɛnch nayt swet) ɛn i nɔ de chenj, i kin bi sayn fɔ wan mɛrɛsin.
• Taya. Dis nɔto nɔmal taya. Na we pɔsin taya pasmak we kin mek i nɔ izi fɔ du ivin di men wok dɛn we pɔsin kin du ɛvride .

Wetin kin mek pɔsin gɛt Fɔlikul Limfoma?

Infakt, di wan dɛn we de stɔdi bɔt dis sik stil nɔ no ɔl di rayt tin dɛn we kin mek pɔsin gɛt dis sik. Bɔt dɛn dɔn kam fɔ no se pan lɛk 85 pasɛnt (85%) pan di wan dɛn we gɛt dis sik na di chenj we de apin na wi kromozom dɛn . Bikɔs ɔf dɛn chenj ya, abnɔmal, ɔ kansa, di sɛl dɛn kin bigin fɔ sheb ɛn bɔku we dɛn nɔ ebul fɔ kɔntrol.

Aw dɔktɔ dɛn kin no if pɔsin gɛt fɔlikul limfoma?

Dɔktɔ dɛn kin yuz bɔku tɛst fɔ no if yu gɛt dis sik ɔ yu nɔ gɛt am.

• Bayopsi: Dis na fɔ tek wan smɔl pat pan di tisu frɔm wan limf node we dɔn swel.Na maykroskɔpik ɛgzamin fɔ si if kansa sɛl dɛn de. Dis na di men we fɔ kɔnfirm di sik .
• PET skan (Positron Emission Tomography - PET scan): Dis skan kin sho aw di kansa sɛl dɛn de wok, aw fa dɛn dɔn skata, ɛn di gred we di kansa gɛt.
• CT scan (Computed Tomography - CT scan): Dis kin ɛp dɔktɔ dɛn fɔ si usay di kansa de na di bɔdi, aw i big, ɛn aw i de ansa to tritmɛnt.

Wetin na di stej dɛm fɔ Fɔlikul Limfoma?

Lεk εni kεnsar, fכlikul limfoma gεt difrεn stej dεm. Dɛn stej ya na dɛn dɔktɔ dɛn kin yuz fɔ disayd us kayn tritmɛnt we bɛtɛ. Fo men stej dεm de (I to IV):

• Stej I: Kansa de na wan ɔ mɔ limf node rijyɔn dɛn . lεk 25 pasεnt (25%) pan di fכlikul limfoma kes dεm dεn kin no na dis stej.
• Stej II: Kεnsar de na tu כ mכr limf node rijyכn dεm we de oba כ dכn di dayafragm (di mכsul we de separet wi chεst εn bεlε). Na lɛk 15 pasɛnt (15%) pan di sik pipul dɛn kin no bɔt dis stej.
• Stej III: Kansa de na di limf no dεm na di tu say dεm na di dayafragm (abov εn dכn) . Na lɛk 26 pasɛnt (26%) pan di sik pipul dɛn kin no bɔt dis stej.
• Stej IV: Di kansa dɔn spre pas di limf no dɛm, to di bon mɛro ɔ ɔda ɔgan sistɛm dɛm . Na lɛk 27 pasɛnt (27%) pan di sik pipul dɛn kin no se dɛn gɛt dis sik na dis stej we dɔn go bifo pas ɔl.

Aw dɛn kin trit Fɔlikul Limfoma?

Dɔktɔ dɛn nɔ kin yuz di sem tritmɛnt fɔ ɔlman we dɛn de trit fɔlikul limfoma. Bɔrku tin kin no aw fɔ trit am, lɛk aw pɔrsin de fil ɛn aw di sik de stej. Sɔntɛnde, dɛn kin yuz kɔmbayn ‘watchful waiting’ ɛn ɔda tritmɛnt dɛn.

• Wachful wet ɔ aktif wach: If yu dɔktɔ tɛl yu fɔ du dis, yu go nid fɔ go to yu dɔktɔ ɔltɛm, tek yu bɔdi ɛgzam, blɔd tɛst, ɛn skan . Dis min se yu fɔ wet te di sik sho ɔr de sik go wɔs.
• Radiation therapy: Dɛn kin yuz dis kayn redyushɔn tɛrapi pan di fɔs stej sik, we di kansa de na wan eria nɔmɔ. I de yuz rayt we gɛt bɔku ɛnaji fɔ pwɛl di kansa sɛl dɛn.
• Mɔnoklɔnal antibɔdi tɛrapi:Dis na tritmɛnt we kɔmpleks smɔl. Fɔ tɔk am simpul wan, i de yuz wan kayn antibodi we dɛn mek spɛshal wan na lab . Dɛn antibodi ya kin fɛn di kansa sɛl dɛn ɛn pwɛl dɛn.
• Kimotɛrapi: Dis na sɔntin we bɔku pipul dɛn kin yɛri we dɛn de tɔk bɔt kansa tritmɛnt. I gɛt fɔ du wit fɔ yuz spɛshal mɛrɛsin dɛn fɔ pwɛl di kansa sɛl dɛn . Dɛn kin gi kemotɛrapi in wan ɔ dɛn kin gi am wit ɔda tritmɛnt dɛn.
• Targeted therapy: Di drɔgs wae dɛn kin yuse fɔ dis kayn tritmɛnt kin tɔch ɛn atak di kansa sɛl dɛm nɔmɔ, ɛn nɔr kin ambɔg di nɔmal wɛl bɔdi sɛl dɛm . Dis kin mek di sayd ɛfɛkt dɛn nɔ bɔku.
• Immunotherapy: Dis na tritmɛnt we rili intrestin. I de wok bay we i de mek yu yon imyun sistɛm fɔ fɛt kansa. I de mek di sɛl dɛn we de fɛt di kansa sɛl dɛn bɔku, ɔ i de ɛp di sɛl dɛn we gɛt wɛlbɔdi fɔ no ɛn atak di kansa sɛl dɛn.
• Bon mכro/stεm sεl transplant: If fכlikul limfoma kam bak afta kemothεrapi, dכkta dεm kin rεkכmand dis tritmεnt. Dis involv fɔ riples di bon mɛrɔ we gɛt sik wit wɛlbɔdi bon mɛrɔ ɔ stem sɛl dɛn.

Yu tink se dɛn kin mek dɛn nɔ gɛt fɔlikul limfoma?

Bɔt i sɔri fɔ no se, sɔm pipul dɛn we de stɔdi bɔt dis nɔ dɔn fɛn wan patikyula we yet fɔ ridyus di risk fɔ gɛt dis sik. If yu gɛt ɛni wɔri ɔ dawt bɔt dis, di bɛst tin fɔ du na fɔ go to yu dɔktɔ ɛn tɔk bɔt yu mɛdikal istri ɛn yu famili mɛdikal histri. Dɔn di dɔktɔ kin gi yu di advays we yu nid.

Aw lɔŋ yu kin liv wit Fɔlikul Limfoma?

As wi bin dɔn tɔk bifo tɛm, fɔlikul limfoma na sik we de gro sloslo ɛn we nɔ de mɛn . Dis min se yu kin liv wit dis sik fɔ lɔng tɛm. Stɔdi dɔn sho se lɛk af (lɛk 50%) pan di pipul dɛn we dɛn kin no se gɛt dis sik kin liv fɔ lɛk 20 ia so . Dɔn bak, lɛk 90% pan di sik pipul dɛn stil de alayv 5 ia afta dɛn dɔn no di sik. So dis de sho se pan ɔl we dis na sik we de kil pɔsin, chans de fɔ liv wit am.

Aw a go tek kia ɔf misɛf?

Fɔ kia fɔ yusɛf rili impɔtant we yu de liv wit kansa. Na sɔm tin dɛm wae kin ɛp yu as yu de dil wit dis sik:

• Mek yu gɛt gud abit fɔ it ɛn ɛksesaiz.Aks pɔsin we sabi bɔt it ɔ dɔktɔ bɔt aw fɔ it fayn fayn wan we go fayn fɔ yu. Fɔ ɛksesaiz as mɔ as yu ebul, kin rili fayn bak fɔ di bɔdi.
• Taya na wan kɔmɔn sayn fɔ dis sik, ɛn i kin bi bak wan sayd ɛfɛkt fɔ tritmɛnt. So lisin to yu bɔdi. We yu fil taya, nɔ jɔs rɛst we yu ebul, bɔt bak we yu nid fɔ rɛst.
• Yu kin gɛt fɔ liv wit dis kansa fɔ lɔng tɛm . Dat na rili gud nyus. Bɔt fɔ liv wit sik we nɔ de dɔn, kin tranga fɔ yu maynd. So, fɔ tɔk to dɔktɔ ɔr jɔyn sɔpɔt grup fɔ pipul dɛm wae gɛt dis sik kin rili ɛp yu fɔ yu maynd wɛl bɔdi. Na big trɛnk bak fɔ no se nɔto yu wangren de.

Ustɛm a fɔ go to mi dɔktɔ?

Afta dɛn dɔn no se yu gɛt fɔlikul limfoma, yu dɔktɔ go sɛtul fɔ fala yu fɔ wach yu kɔndishɔn ɛn tritmɛnt. Mek shɔ se yu kip dɛn apɔntin dɛn ya.

Bɔt if yu notis ɛni chenj na yu bɔdi ɔr nyu sayn dɛm (fɔlikul limfoma simptom dɛm), go to yu dɔktɔ kwik kwik wan ɛn tɛl dɛm bɔt am. Di kwik we dɛn no am, na di mɔ i izi fɔ trit.

Faynal Mɛsej fɔ Tek-Hom

Di wɔd kansa de mek wi fred, nɔto so? Ivin wit kansa we de gro sloslo lɛk Fɔlikul Limfoma, i nɔ izi. Yu nɔ go gɛt ɛni sayn fɔ lɔng tɛm. Bɔt wans di sayn dɛm dɔn sho, yu kin gɛt fɔ go tru wan saykl fɔ tritmɛnt, fɔ lɛf fɔ du am, fɔ kam bak, ɛn fɔ gɛt tritmɛnt bak. Yu go ivin de wɔnda se, ‘Ustɛm a go ɛva pul dis sik?’

Bɔt di tin we impɔtant pas ɔl na fɔ lɛ wi nɔ giv ɔp. Risach pipul dɛn de tray ɔltɛm fɔ fɛn nyu tritmɛnt fɔ mek dis sik bi sik we pɔsin kin mɛn.

If yu gɛt Fɔlikul Limfoma, tɔk to yu dɔktɔ ɛn tɔk klia wan bɔt di tritmɛnt dɛn we yu go pik. Nɔ fred fɔ aks kwɛstyɔn. If yu gɛt di rayt infɔmeshɔn ɛn sɔpɔt, yu go gɛt pawa fɔ bia wit dis prɔblɛm!

` Fɔlikul Limfoma, Limfoma, Kansa, Limf No dɛm, Simptom dɛm, Tritmɛnt, B-Sɛl Limfoma