Yu gɛt dɛn sayn ya? Lɛ wi tɔk bɔt Nɔn-Hɔdgkin Limfoma (NHL) .

Yu dɔn ɛva notis se yu nɛk, yu an, ɔ yu swɛlin dɔn swel? Yu go dɔn fil bak taya ɔ yu de fil pen. Dɛn tin ya kin bi nɔmal, bɔt sɔntɛnde dɛn kin bi sayn fɔ wan kayn blɔd kansa we dɛn kɔl Nɔn-Hɔdgkin Limfoma (NHL) . Nɔ wɔri, lɛ wi kip dis simpul.

Wetin na Nɔn-Hɔdgkin Limfoma (NHL)? Lɛ wi ɔndastand am simpul wan!

Fɔ tɔk am simpul wan, Nɔn-Hɔdgkin Limfoma (NHL) na wan grup fɔ blɔd kansa we de divɛlɔp na di limfatik sistɛm na wi bɔdi. Yu go dɔn yɛri bɔt wan kayn kansa we dɛn kɔl lymphoma. NHL na wan pan di tu men kayn limfoma. Dɛn kansa ya kin bigin na sɛl dɛn we dɛn kɔl limfosayt , we na wan kayn wayt blɔd sɛl na wi bɔdi. Dɛn limfosayt ya tan lɛk di polis ɔfisa dɛn na wi bɔdi. Na dɛn de protɛkt wi bay we dɛn de fɛt sik ɛn infɛkshɔn.

Naw imajin, wetin go apin if chenj, muteshon, de na di jin dεm we de insay dεn limfosayt sεl dεm ya? Na da tɛm de dɛn abnɔmal limfoma sɛl dɛn ya kin bigin fɔ fɔm. Dɛn tin ya kin apin na wi limf no dɛm. Na de dɛn sɛl ya kin gɛda ɛn mek tumbu. כltu, dis nכ de nכmכ na di limf no dεm, bכt i kin divεlכp bak na כda כgan dεm na wi limf sistεm, lεk di taymus gland, di splin, כ insay di limf tisu na כda ples dεm. Di tin we impɔtant pas ɔl na dat if dɛn nɔ trit dɛn NHL ya fayn, dɛn kin skata ɔlsay na di bɔdi.

Bɔt nid nɔ de fɔ wɔri. Wit nyu tritmɛnt wae de, bɔrku pipul dɛm wae gɛt NHL de wɛl ɛn liv lɔng. Sɔmtɛm, tritmɛnt kin ``krɔs`` di sik kɔmplit wan. Ɔda tɛm, di gol fɔ tritmɛnt na fɔ kɔntrol di sik, put am na ``rɛmishɔn``, ɛn kip am da we de fɔ as lɔng as i pɔsibul.

Wetin na di men kayn NHL?

Yu go sɔprayz fɔ no se i pas 70 kayn NHL dɛn! Dɔktɔ dɛn kin klas dɛn bay di kayn limfosayt we di sik afɛkt:

• B-sεl limfoma: Dis kεnsar de kכmכt frכm B sεl dεm. B-sεl dεm na wan kayn sεl we de mek antibodi dεm fכ fכt di jεm dεm na wi bכdi. B-sεl limfoma de mek 85% pan di NHL diagnosis dεm.
• T-sεl limfoma: Dis kεnsar de kכmכt frכm T sεl dεm. T sel dεm na wan kayn sεl we de tכk εn atak jεm dεm εn fכrin invayda dεm εn de εp di B sεl dεm fכ mek antibodi dεm.

Dɔktɔ dɛn kin klas bak di B-sɛl ɛn T-sɛl limfoma dɛn as “agresiv” ɛn “indolent .” Agresiv NHL dɛn kin skata kwik kwik wan pas indolent NHL dɛn. So, agresiv NHL dεm kin nid mכr intensiv tritmεnt.

Aw kɔmɔn tin we dɛn kɔl dis sik NHL?

Fɔ tru, na wan kayn kansa we nɔ kin bɔku. Fɔ ɛgzampul, na Amɛrika, dɛn tink se na lɛk 80,620 nyu pipul dɛn go gɛt NHL insay 2024. Na di nɔmba 11 kansa bak we bɔku pipul dɛn kin gɛt na di wɔl. Nɔn-Hɔdgkin limfoma kin bɔku pas Hodgkin limfoma , we na ɔda kayn limfoma.

Wetin na di sayn dɛm wae de sho se yu gɛt Nɔn-Hɔdgkin Limfoma?

Di sayn we kin apin mɔ na we yu swel ɔ 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. Dis na sayn fɔ sho se di limf no dɛm na dɛn say dɛn de dɔn swel. כda sayn dεm de dipכnt pan usay di limfoma sεl dεm de. Ɔda NHL simptom dɛn kin inklud:

• Fɔ taya ɔltɛm
• Chɛst de pen
• Kɔf
• I nɔ izi fɔ blo (dyspnea) .
• Bɛlɛ de pen ɔ blo
• Fɔ fil ful ivin afta yu dɔn it smɔl
• Fiva we dɛn nɔ ɛksplen (especially fiva we pas 39.5 digri sɛlshiɔs (103 Fahrenheit) we nɔ de stɔp afta tu awa ɔ mɔ wit tritmɛnt na os, ɔ if di fiva dɔn de fɔ pas tu dez)
• Swet na nɛt sote di sheet dɛn kin wet
• di wet we yu nכ εksplen fכ lכs lεk 10% pan di bכdi wet (insay 6 mכnt) .

De impɔtant tin fɔ mɛmba na dat, bɔrku pan dɛn sik ya kin kam wit ɔda kayn sik. If yu gɛt wan ɔr mɔr pan dɛn sik ya nɔr min se yu gɛt NHL. Bɔt if yu notis ɛni chenj na yu bɔdi, mɔ nyu tin we dɔn de apin fɔ sɔm wiks, i go fayn fɔ go to dɔktɔ wantɛm wantɛm.

Wetin na "B" simptom dɛm?

We dɔktɔ dɛn no se yu gɛt limfoma, dɛn kin luk bak fɔ "B" simptom dɛm . Dɛn "B" simptom ya na:

• Fiva we nɔ gɛt ɛni rizin
• Fɔ swet pasmak na nɛt
• We yu de lɔs yu wet fɔ natin

If yu gɛt dɛn sik ya ɔ yu nɔ gɛt am, dat go ɛp yu dɔktɔ fɔ no us kayn NHL yu gɛt ɛn wetin na di bɛst tritmɛnt.

Wetin mek Nɔn-Hɔdgkin Limfoma kin apin?

Nɔn-Hɔdgkin Limfoma kin kam we yu bɔdi de mek tumɔs limfosayt dɛn (B-sɛl dɛn, T-sɛl dɛn, ɔ nɔ kin apin so ɔltɛm, natura kil (NK) sɛl dɛn). dis de bi fכ di akwyayz jεnεtik mכtεshכn dεm na di jin dεm we de afekt di limfosayt divεlכpmεnt. "Acquired" min se nɔto sɔntin we dɛn bɔn yu wit, bɔt na sɔntin we de apin insay yu layf.

we di limfosayt dεm nכ de nכmal, dεn de sheb εn bכku kwik kwik wan, εn leta dεn de fכm tכmכro. dis tכmכro dεm kin stat na di limf no dεm. biכs wi limfatik sistεm kכnekt to kכlכsכl כl pat dεm na wi bכdi, bכku tεm nכn-Hכdgkin Limfoma kin spre to כda כgan dεm na di limf sistεm.

Wetin na di risk factor dɛm fɔ mek yu gɛt NHL?

Bɔku tin dɛn de we kin mek pɔsin gɛt Nɔn-Hɔdgkin Limfoma. "Risk factor" na wan kכntribyushכn, aktiviti, כ kכndishכn we de mek di chans fכ gεt sik bכku. Fɔ ɛgzampul, dɛn wan ya kin gɛt mɔ chans fɔ gɛt NHL:

• Pipul dɛn we dɔn pas 60 ia (di risk fɔ gɛt NHL kin bɔku we dɛn de ol) .
• Fɔ man dɛn
• Fɔ wayt pipul (dis na sɔntin we dɛn kin tɔk na fɔrin stɔdi)

Ɔda tin dɛn we kin mek pɔsin gɛt prɔblɛm na:

• di imyun sistεm we wik: We di imyun sistεm wik bikoz fכ kכndishכn lεk HIV kin mek di risk fכ NHL bכku. Dɔn bak, fɔ tek mɛrɛsin dɛn we de mek yu bɔdi nɔ gɛt bɛtɛ wɛlbɔdi afta yu dɔn transplant yu ɔgan na sɔntin we kin mek yu gɛt prɔblɛm.
• Ɔtoimyun sik dɛm: Pipul dɛm wae gɛt sik dɛm lɛk inflammatory bowel disease (IBD), rεumatoid arthritis, ɛn psoriasis kin gɛt mɔ risk fɔ gɛt NHL.
• Infεkshכn: dεn fכnshכn se baktri εn vayral infεkshכn lεk H. pylori infεkshכn, hυman T-limfotropik vayrus Tayp I, εpataytis C, εn Epstein-Barr vayrus de sho se dεn gεt NHL.
• We pɔsin gɛt peshɛnt sayd: Sɔm risach dɔn sho se pipul dɛn we gɛt bɔku mɛrɛsin ɛn insɛktisayd kin gɛt smɔl risk fɔ gɛt NHL.
• Famili istri: If wan pan yu mama ɛn papa, brɔda, sista, ɔ pikin dɛn gɛt lymphoma ɔ ɔda blɔd kansa, yu kin gɛt mɔ risk bak.

Aw dɛn kin no se pɔsin gɛt Nɔn-Hɔdgkin Limfoma?

Fɔ no di Nɔn-Hɔdgkin Limfoma na wan tin we gɛt bɔku tin dɛn fɔ du. Fɔs, dɛn go du tɛst fɔ no ɔda kɔmɔn tin dɛn we kin de mek yu gɛt di sik. fכ egzampl, di limf no dεm we swel kin kכmכt fכ infεkshכn pas limfכma. Wae yu dɔktɔ dɔn no se yu gɛt Nɔn-Hɔdgkin Limfoma, dɛn go du mɔ tɛst fɔ no di kayn ɛn aw fa i dɔn skata (di `stej`).

Ɔda tɛst ɔ prosidur dɛm wae yu kin gɛt fɔ no bɔt Nɔn-Hɔdgkin Limfoma na:

• Fizik ɛgzam: Yu dɔktɔ go aks bɔt yu sik ɛn chɛk fɔ sayn dɛm fɔ Nɔn-Hɔdgkin Limfoma, lɛk we di limf no dɛm dɔn swel.
• Blɔd tɛst: Blɔd tɛst, lɛk fɔ kɔmplit blɔd kɔnt (CBC), kin gi yu aidia bɔt yu ɔl wɛlbɔdi. Dɛn kin luk bak fɔ vayrɔs dɛn we gɛt fɔ du wit Nɔn-Hɔdgkin Limfoma ɔ tin dɛn we de na yu blɔd we de sho se di tisu dɔn pwɛl bikɔs ɔf di sik.
• Imej tɛst: Dɛn tɛst ya de sho usay kansa sɛl dɛn de insay yu bɔdi. Dipen usay di limfoma sɛl dɛn de, yu kin nid fɔ gɛt CT skan, MRI, ɔltra saund skan, ɔ PET skan.
• Bayɔpsi tɛst: .di onli we fכ no fכ sכri if di abnכmal sεl dεm na NHL na wit bayopsi. Insay dis, di dɔktɔ kin tek wan smɔl pat pan di tisu frɔm wan limf no ɔ di say we di sik afɛkt ɛn sɛn am na lɛbɔtri. Na de, wan dɔktɔ we de stɔdi bɔt di sik kin chɛk di tisu ɔnda maykroskɔp fɔ si if limfoma sɛl dɛn de.
• Immunophenotyping: Dis tεst de εp fכ no di spεshal tכp dεm fכ NHL. i de klas di kεnsar sεl dεm bay di mak dεm (antijen dεm) we de na dεn sεf.

Wetin na di stej dɛm fɔ Nɔn-Hɔdgkin Limfoma?

Di tɛst rizɔlt kin ɛp dɔktɔ dɛn fɔ no di stej we di kansa de (kansa stej). Dɛn kin yuz di stej we di kansa gɛt fɔ plan di tritmɛnt ɛn gi wan aidia bɔt di tin we dɛn de ɛkspɛkt (prognosis). Di stej dɛm fɔ Nɔn-Hɔdgkin Limfoma na dɛn wan ya:

• Stej I: di kεnsar sεl dεm de na wan limf node rijyכn כ כgan na di limf sistεm. כ, limfoma de na wan rijyכn na wan כgan we de ausayd di limfatik sistεm.
• Stej II: Limfoma de insay tu ɔ mɔ limf node grup dɛn na di sem say (ɔ nia) di dayafragm.
• Stej III: kεnsar sεl dεm de na di limf no dεm we de oba εn dכn di dayafragm, כ na di limf no dεm we de oba di dayafragm εn insay di splin.
• Stej IV: Di limfoma dɔn spre to at le wan ɔgan we de na do na di limfatik sistɛm, lɛk di liva ɔ di lכng.

Wetin na di tritmɛnt fɔ Nɔn-Hɔdgkin Limfoma?

Bɔku tritmɛnt dɛn de fɔ Nɔn-Hɔdgkin Limfoma. De tritmɛnt wae yu nid de dipen pan tin dɛm lɛk di kayn NHL, di stej wae de kansa de, ɛn yu ɔl wɛl bɔdi. Di tritmɛnt dɛn we yu kin gɛt na:

• Aktiv sɔvɛlayshɔn: If yu gɛt indolent non-Hodgkin lymphoma ɛn yu nɔ de sho ɛni sayn, yu dɔktɔ kin delay fɔ bigin tritmɛnt. Dɛn kɔl dis aktif sɔvɛlayshɔn ɔ "watchful waiting." Dɔktɔ dɛn go de wach yu wɛlbɔdi ɔltɛm, so dɛn kin bigin fɔ trit yu jɔs afta yu si di sik.
• Kimotɛrapi: Kimotɛrapi na tritmɛnt we de yuz drɔgs fɔ kil kansa sɛl dɛn ɔlsay na di bɔdi. Dis na di tritmɛnt we dɛn kin yuz mɔ fɔ NHL. Yu kin gɛt kemotɛrapi yu wan ɔ yu kin gɛt am wit ɔda tritmɛnt dɛn.
• Targeted therapy: Dɛn tritmɛnt ya de target sɔm patikyula wikɛd tin dɛm na di kansa sɛl dɛm ɛn pwɛl dɛn. Monoklonal antibodi tεrapi na wan tεrapi we dεn kin yus tכk tכk fכ NHL.
• Imyunotɛrapi: .Dis tritmɛnt de mek yu yon imyun sistɛm wok, ɛn dis de mek i strɔng fɔ pwɛl di kansa sɛl dɛn. CAR-T sel tεrapi na wan kayn imyuno tεrapi we dεn kin yus fכ NHL. Bispecific antibodies na nyu klas fɔ drɔgs. Dɛn tin ya de tɔch yu yon T-sɛl dɛn ɛn kil di kansa limfoma sɛl dɛn.
• Radiation therapy: Dis tritmɛnt de yuz ay ɛnaji rayt frɔm mashin fɔ kil kansa sɛl dɛn. Dis kin bi inof fɔ di fɔs stej NHL. Dɔktɔ dɛn kin yuz dis we bak fɔ kil di limfoma sɛl dɛn we kin lɛf afta dɛn dɔn tek di kemotɛrapi.
• Kimotɛrapi wit stem sɛl transplant: Insay dis tritmɛnt, dɛn kin gi bɔku bɔku kemotɛrapi fɔ trit di kansa. Dɔn, di blɔd sɛl dɛn we nɔ machɔ we dɔn pwɛl bikɔs ɔf kemotɛrapi, dɛn kin chenj di stem sɛl dɛn we gɛt wɛlbɔdi frɔm yu yon bɔdi ɔ frɔm pɔsin we gi yu. Yu kin nid dis transplant if ɔda NHL tritmɛnt dɛn nɔ ɛp.

Wetin na di sayd ɛfɛkt dɛm we di tritmɛnt kin gɛt?

Di kɔmɔn kansa tritmɛnt fɔ Nɔn-Hɔdgkin Limfoma, lɛk kemotɛrapi, redyushɔn tɛrapi, ɛn imyunotɛrapi, kin mek yu gɛt sayd ɛfɛkt. Bɔrku pan dɛn tin ya na fɔ shɔt tɛm ɛn dɛn kin go wans dɛn dɔn dɔn di tritmɛnt. Bɔt sɔm sayd ɛfɛkt dɛn kin las fɔ lɔng tɛm.

Bifo yu bigin fɔ trit yu, mek shɔ se yu aks yu dɔktɔ bɔt di bad tin dɛn we kin apin to yu. I kin ɛksplen di bɛnifit dɛn we di tritmɛnt kin gi ɛn di prɔblɛm dɛn we kin kam wit di sayd ɛfɛkt dɛn.

Aw layf go tan lɛk wit di NHL? (Autluk/Prɔgnosis)

insay sכm kayn we dεm, tritmεnt kin kכmplit `kכl` Nכn-Hכdgkin Limfoma. Dis min se ɔl di kansa sɛl dɛn kin pwɛl fɔ ɔltɛm we dɛn de trit dɛn. Bɔku tɛm dɛn kin si dis afta dɛn dɔn trit di agresiv B-sɛl limfoma dɛn. If Nɔn-Hɔdgkin Limfoma kam bak, i kin apin insay di fɔs tu ia afta dɛn dɔn trit am. If nɔto dat, sɔntɛm i nɔ go ɛva kam bak. Bɔt yu go nid fɔ de chɛk yu ɔltɛm fɔ chɛk if yu gɛt di sik bak.

Ɔda kayn Nɔn-Hɔdgkin Limfoma, mɔ di wan dɛn we de spre sloslo (indolent), kin las fɔ lɔng tɛm. Dis min se yu kin nid fɔ gɛt tritmɛnt ɔltɛm ɔ wan wan tɛm ɔlsay na yu layf.

Bɔt, di tin we impɔtant pas ɔl na dat pan ɔl we dɛn nɔ go ebul fɔ mɛn Nɔn-Hɔdgkin Limfoma, di tritmɛnt dɛn we dɛn de gi naw de alaw pipul dɛn fɔ liv lɔng, gladi layf wit di sik . Bɔrku pipul dɛm wae gɛt lymphoma wae de gro sloslo kin day bikɔs ɔf ɔda tin dɛm, ivin if dɛn nɔr kin ebul fɔ mɛn di lymphoma.

Wetin na di rikavari ret frɔm NHL?

Akɔdin to di US Nashɔnal Kɛnsa Instityut, 74% pan di pipul dɛm wae gɛt Nɔn-Hɔdgkin Limfoma kin alayv fayv ia afta dɛn dɔn no se dɛn gɛt am.

Jɛnɛral wan, pipul dɛm wae dɛn kin no bifo dis sik skata kin liv lɔng pas di wan dɛm wae dɛn kin no afta di kansa dɔn skata. di fayv ia rεt fכ pipul dεm we gεt εli stej Nכn-Hכdgkin Limfoma (stej I εn II) de bitwin 79% εn 87%. Fɔ pipul dɛm wae gɛt advans stej sik (stej III ɛn IV), di rεt de bitwin 64% ɛn 73%.

Aw yu go tek kia ɔf yusɛf as pɔsin we gɛt NHL?

Bɔrku tin de wae yu kin du fɔ manej fɔ liv wit Nɔn-Hɔdgkin Limfoma. Dɛn tin ya nɔr go mek yu sik go, bɔt dɛn kin ɛp yu fɔ fil mɔr gɛt kɔnfidɛns fɔ liv wit am:

• It fayn it dɛn: Fɔ it na ɛnaji. Fɔ it fayn na wan we fɔ mek yu kɔntinyu fɔ gɛt trɛnk. Aks pɔsin we sabi bɔt it fɔ mɔ infɔmeshɔn ɔ aydia bɔt it ɛn snek.
• Gɛt bɔku rɛst as yu ebul: Tritmɛnt lɛk kemotɛrapi kin mek yu fil taya bad bad wan. Rɛst de ɛp yu bɔdi fɔ gɛt trɛnk bak ɛn gɛt in trɛnk bak.
• Manej strɛs: Fɔ liv wit Nɔn-Hɔdgkin Limfoma nɔr izi. Yu kin wɔri bɔt aw de sik ɛn tritmɛnt go afɛkt yu ɛvride layf. If yu de wɔri bɔt yu prɔgnosis, tɔk to yu dɔktɔ. I kin ansa yu kwɛstyɔn dɛn ɛn tɛl yu bɔt program dɛn we go ɛp, lɛk sɔpɔt grup dɛn.
• Ɛksesaiz: Ɛksesaiz ɔltɛm na wan pan di bɛst we fɔ mek yu maynd ɛn bɔdi gɛt wɛlbɔdi. Tɔk to yu dɔktɔ bɔt di kayn ɛksesaiz ɛn di kayn ɛksesaiz we fayn fɔ yu.
• Gɛt ɛkstra ɛp: If yu de liv wit Nɔn-Hɔdgkin Limfoma, luk insay palliativ kia. Palliative care de gi di symptom relief ɛn sɔpɔt to pipul dɛm wae gɛt kansa, ilɛksɛf dɛn gɛt stej ɔf sik ɔr prognosis.

Ustɛm a fɔ go to dɔktɔ?

If dɛn de trit yu fɔ Nɔn-Hɔdgkin Limfoma, go to yu dɔktɔ wantɛm wantɛm if yu sik kam bak ɔr wɔs. Afta yu dɔn dɔn yu tritmɛnt, mek shɔ se yu atɛnd ɔl di fɔlɔp visit dɛn lɛk aw dɛn dɔn plan fɔ du am.

Ustɛm yu fɔ go na imejensi rum?

If yu gɛt siriɔs sik, ɔr if yu sik de wɔs ɛn nɔr gɛt ɛni rilif frɔm de tin dɛm wae yu de du fɔ ridyus yu diskɔmfɔt, go na imejensi rum.

Impɔtant kwɛstyɔn dɛn fɔ aks yu dɔktɔ

Na sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• Us kayn Nɔn-Hɔdgkin Limfoma a gɛt?
• Wetin na di stej fɔ mi sik?
• Us tritmɛnt dɛn yu kin advays?
• Wetin na di bad tin dɛn we dɛn tritmɛnt dɛn de kin du?
• Yu tink se dɛn kin mɛn mi Nɔn-Hɔdgkin Limfoma?
• Wetin na di chans fɔ mek di kansa kam bak?

Fɔ no se yu gɛt Nɔn-Hɔdgkin Limfoma (NHL) kin tranga fɔ bɔku rizin dɛn. Difrɛn kayn sik de, ɛn ɛni wan pan dɛn kin gɛt difrɛn tin dɛn we kin apin. Sɔm kayn wae kin skata kwik kwik wan kin nid fɔ gɛt mɔ tritmɛnt ɛn kin gɛt sayd ɛfɛkt dɛm wae nɔr fayn - bɔt dɛn kin dɔn te fɔ mɛn. Ɔda kayn dɛn nɔ kin nid fɔ gɛt tritmɛnt kwik kwik wan, bɔt dɛn go nid fɔ kɔntrol dɛn fɔ lɔng tɛm. Nɔr izi ansa nɔr de wit dis diagnosis.

Yu dɔktɔ kin ɛksplen aw yu NHL diagnosis go afɛkt yu fiuja wɛlbɔdi. Insai da tɛm de, mɛmba se pipul dɛm wae gɛt dis sik de liv lɔng naw. Aks yu dɔktɔ bɔt yu prɔgnosis bay yu kɔndishɔn.

Impɔtant pɔynt dɛn we yu fɔ mɛmba (Take-Home Message) .

Pan ɔl we Nɔn-Hɔdgkin Limfoma (NHL) na sɔntin we yu fɔ fred, i impɔtant fɔ no bɔt am ɛn go to dɔktɔ kwik kwik wan. Mɛmba:

• If yu gɛt sɔm sayn dɛn lɛk fɔ swel we yu nɔ ebul fɔ ɛksplen, fɔ taya ɔltɛm, fɔ swet na nɛt, ɔ fɔ lɔs yu wet we yu nɔ ɛksplen , go to dɔktɔ.
• Naw, dɛn dɔn gɛt fayn tritmɛnt fɔ NHL, ɛn bɔku pipul dɛn de liv fayn fayn wan wit dis sik.
• Tɔk wit yu dɔktɔ opin wan ɛn aks ɔl yu kwɛstyɔn dɛn.
• Fɔ de pɔsitiv tin ɛn fɔ kia fɔ yusɛf fayn fayn wan rili impɔtant pan dis joyn.

Nɔto yu wan de. Wi op se dis infɔmeshɔn go gi yu trɛnk.

` Nɔn-Hɔdgkin Limfoma, Limfoma, Kansa, Limf No dɛm, Simptom dɛm, Tritmɛnt, NHL