Kodi mukuyamba kutupa m'thupi lanu? Mwina ndi Follicular Lymphoma. Tiyeni tikambirane za izi!

Tangoganizirani, Samantha Akka nthawi zonse amanena kuti watopa kwambiri, ndipo amatuluka thukuta usiku. Nthawi zina amanenanso kuti amatuluka chotupa pang'ono pakhosi pake. Ngakhale kuti nthawi zina izi sizimaganiziridwa m'miyoyo yathu ya tsiku ndi tsiku, zitha kukhala zizindikiro za matenda monga Follicular Lymphoma. Musadandaule, tidzakambirana izi mosavuta, m'njira yomwe mungamvetse.

Kodi Follicular Lymphoma ndi chiyani?

Mwachidule, follicular lymphoma ndi khansa yomwe ikukula pang'onopang'ono . Kunena zoona, ndi khansa yomwe imayamba m'maselo athu a lymph. Imatha kukula m'maselo anu a lymph - kapena, monga momwe timawatchulira, ma lymph nodes - kapena m'mafupa anu, kapena m'ziwalo zina zamkati. Chodabwitsa n'chakuti anthu ena amatha kukhala ndi matendawa popanda kusonyeza zizindikiro zilizonse . Ndicho chifukwa chake madokotala amaona kuti ndi matenda osatha . Nkhani yabwino ndi yakuti pali mankhwala ochizira matendawa. Komabe, nthawi zina matendawa amatha kubwerera pambuyo pa chithandizo. Koma madokotala amaganiza kuti nthawi siili kutali kwambiri kuti matendawa athe kuchiritsidwa kwathunthu ndi mankhwala atsopano.

Ndani amene ali ndi mwayi waukulu wopeza matendawa?

Malinga ndi ziwerengero, anthu pafupifupi atatu kapena anayi mwa anthu 100,000 (pafupifupi 3.5) akhoza kukhala ndi vutoli. Anthu azaka zopitirira 65 ndi omwe ali ndi mwayi waukulu wopeza matendawa kuposa achinyamata. Zapezekanso kuti amuna ndi omwe ali ndi mwayi waukulu wopeza matendawa poyerekeza ndi akazi.

Kodi Follicular Lymphoma imakhudza bwanji thupi langa?

Follicular lymphoma ndi mtundu wa B-cell lymphoma , mtundu wa non-Hodgkin's lymphoma . Chifukwa chake, imathanso kuwonetsa zizindikiro za non-Hodgkin's lymphoma, monga kutupa kwa ma lymph nodes, malungo, ndi thukuta la usiku .

Komabe, anthu ambiri amapezeka ndi matendawa asanakhale ndi zizindikiro zilizonse . Kwa munthu amene alibe zizindikiro ndipo ali ndi thanzi labwino, madokotala sangayambe kulandira chithandizo nthawi yomweyo. M'malo mwake, adzagwiritsa ntchito njira yotchedwa 'waiting waiting' kapena 'active surveillance' . Izi zikutanthauza kuti madokotala nthawi zonse amayang'anira thanzi lanu ndi zizindikiro zanu.

Matendawa angakukhudzeni maganizo musanakukhudzeni mwakuthupi. Kafukufuku waposachedwapa wasonyeza kuti anthu omwe ali ndi follicular lymphoma ndi ma lymphoma ena omwe akukula pang'onopang'ono amakhala ndi nkhawa kwambiri chifukwa cha kusatsimikizika kwa 'Kodi zizindikiro zidzaonekera liti?' ndi 'Kodi chithandizo chidzayamba liti?'

Kodi Follicular Lymphoma ndi matenda oopsa?

Inde, kwenikweni ndi follicular lymphoma.Ikhoza kukhala vuto lalikulu komanso lovuta lachipatala. Pali zifukwa zingapo zomwe zimapangitsa izi:

• Kusintha: Nthawi zina, follicular lymphoma imatha kusanduka khansa yamtundu woopsa kwambiri yotchedwa diffuse large B-cell lymphoma (DLBCL) . Izi zingayambitse zizindikiro zatsopano komanso zoopsa komanso kufalikira kwa khansa ku ziwalo zina za thupi. Pafupifupi 3 peresenti (3%) ya anthu omwe ali ndi follicular lymphoma amasanduka DLBCL. Tangoganizirani momwe zimakhalira zovuta kukhala ndi matenda oopsa mwadzidzidzi.
• Kubwereranso: Vuto lina ndi matendawa ndilakuti pambuyo polandira chithandizo, zizindikiro zimatha kubwereranso, kenako nkuyambiranso pakapita kanthawi. Kubwerera kumeneku kwa kubwereranso, kubwereranso, kupangitsa kuti zikhale zovuta kwa anthu omwe ali ndi matendawa kumva ngati 'atha'. Mwa kuyankhula kwina, nthawi zonse amakhala ndi mantha pang'ono m'mitima yawo.

Kodi zizindikiro za follicular lymphoma ndi ziti?

Pali zizindikiro zingapo zomwe zimaonekera mu matendawa. Koma kumbukirani, kungoti muli ndi zizindikirozi sizikutanthauza kuti muli ndi matendawa. Koma ndikofunikira kudziwa zinthu izi.

• Ma lymph nodes otupa m'khosi, m'khwapa, kapena m'mimba popanda kupweteka kulikonse. Timawatcha kuti ma lymph nodes otupa, ndicho chimene ali.
• Malungo opanda matenda ena kapena matenda ena.
• Kuchepetsa thupi popanda chifukwa chomveka. Muyenera kuda nkhawa, makamaka ngati mwachepetsa thupi lanu ndi 10% kapena kuposerapo m'miyezi 6 yapitayi .
• Kutuluka thukuta komanso kumva kuzizira. Makamaka ngati thukuta kwambiri mpaka kunyowetsa bedi lanu usiku (kutuluka thukuta usiku) ndipo likupitirira, kungakhale chizindikiro cha matenda.
• Kutopa. Uku si kutopa kwachibadwa. Kutopa kwambiri ndi komwe kumapangitsa kuti zikhale zovuta kuchita ngakhale ntchito zoyambira za tsiku ndi tsiku .

Kodi n’chiyani chimayambitsa matenda a follicular lymphoma?

Ndipotu, ofufuza sakudziwabe zonse zomwe zimayambitsa matendawa. Koma apeza kuti pafupifupi 85 peresenti (85%) ya milandu, chifukwa chachikulu cha matendawa ndi kusintha kwa ma chromosome athu . Chifukwa cha kusintha kumeneku, zachilendo, kapena khansa, maselo amayamba kugawikana ndikuchulukana popanda kulamulira.

Kodi madokotala amazindikira bwanji follicular lymphoma?

Madokotala amagwiritsa ntchito mayeso angapo kuti adziwe ngati muli ndi matendawa kapena ayi.

• Kufufuza za matenda: Izi zimaphatikizapo kutenga chidutswa cha minofu kuchokera ku node yotupa ya lymph.Ndi kufufuza kwa microscope kuti muwone ngati pali maselo a khansa. Iyi ndiyo njira yayikulu yotsimikizira matendawa .
• Kujambula kwa PET (Positron Emission Tomography - PET scan): Kujambula kumeneku kungasonyeze momwe maselo a khansa alili ogwira ntchito, momwe afalikira, komanso kuchuluka kwa khansa.
• Kujambula kwa CT (Computed Tomography - CT scan): Izi zimathandiza madokotala kuona komwe khansa ili m'thupi, kukula kwake, komanso momwe imayankhira chithandizo.

Kodi magawo a Follicular Lymphoma ndi ati?

Monga khansa iliyonse, follicular lymphoma ili ndi magawo osiyanasiyana. Magawo awa amagwiritsidwa ntchito ndi madokotala kusankha mtundu wa chithandizo chabwino kwambiri. Pali magawo anayi akuluakulu (1 mpaka IV):

• Gawo Loyamba: Khansa imapezeka m'dera limodzi kapena angapo a lymph node . Pafupifupi 25 peresenti (25%) ya milandu ya follicular lymphoma imapezedwa pagawoli.
• Gawo Lachiwiri: Khansa imapezeka m'malo awiri kapena angapo a lymph node pamwamba kapena pansi pa diaphragm (minofu yomwe imalekanitsa chifuwa chathu ndi mimba). Pafupifupi 15 peresenti (15%) ya odwala amapezeka pagawoli.
• Gawo Lachitatu: Khansa ili m'maselo a m'mimba mbali zonse ziwiri za diaphragm (pamwamba ndi pansi) . Pafupifupi 26 peresenti (26%) ya odwala amapezeka pagawoli.
• Gawo Lachinayi: Khansa yafalikira kupitirira ma lymph nodes, mpaka ku mafupa kapena ziwalo zina . Pafupifupi 27 peresenti (27%) ya odwala amapezeka pagawo lotsogola kwambiri ili.

Kodi Follicular Lymphoma imachiritsidwa bwanji?

Madokotala sagwiritsa ntchito mankhwala ofanana kwa aliyense akamachiza follicular lymphoma. Chithandizocho chimatsimikiziridwa ndi zinthu zambiri, kuphatikizapo mkhalidwe wa wodwalayo komanso gawo la matendawa. Nthawi zina, kuphatikiza 'kudikira mwatcheru' ndi mankhwala ena kumagwiritsidwa ntchito.

• Kudikira mosamala kapena kuyang'aniridwa mwachangu: Ngati dokotala wanu akulangizani njira iyi, muyenera kupita kwa dokotala wanu nthawi zonse, kuyesedwa thupi, kuyezetsa magazi, ndi kusanthula . Izi zikutanthauza kudikira mpaka zizindikiro zitayamba kapena matendawo atakula kwambiri.
• Chithandizo cha radiation: Mtundu uwu wa chithandizo cha radiation ungagwiritsidwe ntchito pa matenda oyamba , pamene khansa imangokhala pamalo amodzi. Umagwiritsa ntchito kuwala kwamphamvu kwambiri kuwononga maselo a khansa.
• Chithandizo cha ma antibodies a monoclonal:Uwu ndi mankhwala ovuta pang'ono. Mwachidule, umagwiritsa ntchito mtundu wa antibody womwe umapangidwa mwapadera mu labu . Ma antibodies amenewa amatha kupeza maselo a khansa ndikuwawononga.
• Chemotherapy: Ichi ndi chinthu chomwe anthu ambiri amamva akamalankhula za chithandizo cha khansa. Chimaphatikizapo kugwiritsa ntchito mankhwala apadera kuti awononge maselo a khansa . Chemotherapy ingaperekedwe yokha kapena pamodzi ndi mankhwala ena.
• Chithandizo Cholunjika: Mankhwala omwe amagwiritsidwa ntchito mu mtundu uwu wa chithandizo amalimbana ndi maselo a khansa okha, popanda kuvulaza maselo athanzi . Izi zitha kuchepetsa zotsatirapo zake.
• Chithandizo cha Immunotherapy: Ichi ndi chithandizo chosangalatsa kwambiri. Chimagwira ntchito polimbikitsa chitetezo cha mthupi lanu kuti chizilimbana ndi khansa. Chimawonjezera kupanga kwa maselo omwe amalimbana ndi maselo a khansa, kapena chimathandiza maselo athanzi kuzindikira ndi kuukira maselo a khansa.
• Kusamutsa maselo a mafupa/tsinde: Ngati follicular lymphoma ibwereranso pambuyo pa chemotherapy, madokotala angalimbikitse chithandizochi. Izi zikuphatikizapo kusintha mafuta a mafupa omwe ali ndi matenda ndi mafuta a mafupa kapena maselo athanzi.

Kodi follicular lymphoma ingapewedwe?

Mwatsoka, ofufuza sanapeze njira yeniyeni yochepetsera chiopsezo chotenga matendawa. Ngati muli ndi nkhawa kapena kukayikira kulikonse pa izi, chinthu chabwino kuchita ndikuwona dokotala wanu ndikukambirana za mbiri yanu yachipatala komanso mbiri yachipatala ya banja lanu. Kenako dokotalayo angakupatseni upangiri wofunikira.

Kodi mungakhale ndi nthawi yayitali bwanji ndi Follicular Lymphoma?

Monga tafotokozera kale, follicular lymphoma ndi matenda omwe amakula pang'onopang'ono komanso osatha . Izi zikutanthauza kuti mutha kukhala ndi matendawa kwa nthawi yayitali. Kafukufuku wasonyeza kuti pafupifupi theka (pafupifupi 50%) la anthu omwe amapezeka ndi matendawa amakhala ndi moyo kwa zaka pafupifupi 20. Komanso, pafupifupi 90% ya odwala amakhalabe ndi moyo zaka 5 kuchokera pamene matendawa apezeka. Izi zikusonyeza kuti ngakhale kuti ndi matenda oopsa, pali mwayi wokhala nawo.

Kodi ndingadzisamalire bwanji?

Kudzisamalira n'kofunika kwambiri mukakhala ndi khansa. Nazi zinthu zina zomwe zingakuthandizeni pamene mukudwala matendawa:

• Khalani ndi zizolowezi zabwino zodya ndi kuchita masewera olimbitsa thupi.Funsani katswiri wa zakudya kapena dokotala za zakudya zabwino zomwe zingakukomereni. Kuchita masewera olimbitsa thupi momwe mungathere kumathandizanso thupi.
• Kutopa ndi chizindikiro chofala cha matendawa, ndipo chingakhalenso zotsatirapo zina za mankhwala. Choncho mverani thupi lanu. Mukatopa, pumulani osati nthawi yokhayo, komanso nthawi ina iliyonse yomwe mukufuna.
• Mwina mungafunike kukhala ndi khansa iyi kwa nthawi yayitali . Nkhani yabwino kwambiri imeneyo. Komabe, kukhala ndi matenda osatha kungakhale kovuta m'maganizo. Chifukwa chake, kulankhula ndi katswiri wa zamaganizo kapena kulowa nawo gulu lothandizira anthu omwe ali ndi vutoli kungakuthandizeni kwambiri pa thanzi lanu la maganizo. Ndi mphamvu yodziwa kuti simuli nokha.

Ndiyenera kupita kwa dokotala liti?

Mukapezeka ndi follicular lymphoma, dokotala wanu adzakonza nthawi yokumana ndi dokotala kuti ayang'anire momwe mulili komanso chithandizo chanu. Onetsetsani kuti mwasunga nthawi yokumana ndi dokotala.

Komabe, ngati muwona kusintha kulikonse m'thupi lanu kapena zizindikiro zatsopano (zizindikiro za follicular lymphoma), pitani kwa dokotala mwamsanga ndipo muwauze za izo. Zikapezeka msanga, zimakhala zosavuta kuchiza.

Uthenga Womaliza Wopita Nawo Kunyumba

Mawu akuti khansa amatiopseza, sichoncho? Ngakhale khansa yomwe ikukula pang'onopang'ono monga Follicular Lymphoma, sizophweka. Mwina simungakhale ndi zizindikiro kwa zaka zambiri. Koma zizindikiro zikayamba kuonekera, mungafunike kudutsa munthawi ya chithandizo, kuchira, kubwereranso, ndi chithandizo kachiwiri. Mungadabwe kuti, 'Ndidzachotsa liti izi?'

Koma chofunika kwambiri ndi kusataya mtima. Ofufuza nthawi zonse akuyesetsa kupeza njira zatsopano zochiritsira matendawa.

Ngati muli ndi Follicular Lymphoma, lankhulani ndi dokotala wanu ndipo muuzeni momveka bwino njira zomwe mungasankhire chithandizo. Musaope kufunsa mafunso. Ndi chidziwitso choyenera ndi chithandizo, mudzakhala ndi mphamvu zothana ndi vutoli!

` Follicular Lymphoma, Lymphoma, Khansa, Lymph Nodes, Zizindikiro, Chithandizo, B-Cell Lymphoma