Kodi munayamba mwaonapo chotupa chaching'ono pakhosi panu, m'khwapa, kapena m'mimba mwanu? Kapena mwakhala mukutopa kwambiri kwa masiku ambiri, kapena kutentha thupi mwadzidzidzi? Nthawi zina izi zimakhala zachilendo. Komabe, ngati muli ndi zizindikirozi, ndi bwino kuda nkhawa pang'ono. Chifukwa izi zitha kukhala zizindikiro za matenda otchedwa Hodgkin Lymphoma. Ngakhale dzinalo lingamveke loopsa, ili ndi matenda omwe nthawi zambiri amatha kuchiritsidwa ndikuchiritsidwa. Chifukwa chake, lero tikambirana mwatsatanetsatane za Hodgkin Lymphoma.
Kodi Hodgkin Lymphoma ndi chiyani?
Mwachidule, Hodgkin Lymphoma ndi mtundu wa khansa yomwe imayamba m'thupi lathu, lomwe limalimbana ndi majeremusi m'thupi lathu. Kale linkatchedwanso matenda a Hodgkin. Pali mitundu iwiri ikuluikulu ya lymphoma. Imodzi ndi Hodgkin lymphoma, ndipo inayo ndi Non-Hodgkin Lymphoma. Khansa zonsezi zimakhudza ma lymphocyte, mtundu wa maselo oyera amagazi omwe ndi ofunikira kwambiri ku chitetezo chathu chamthupi.
Matenda a Hodgkin lymphoma amayamba chifukwa cha kusintha kwa majini a maselo athu a B (maselo a B). Kusintha kumeneku kumachitika moyo wonse. Nthawi zambiri, matendawa amayamba m'malo olumikizirana mafupa m'khosi kapena pachifuwa. Nthawi zina, amathanso kukula m'malo olumikizirana mafupa m'khwapa, m'mimba, m'mimba, kapena m'chiuno.
Nkhani yabwino ndi yakuti chiwerengero cha anthu omwe amalandira chithandizo cha Hodgkin lymphoma ndikukhala ndi moyo wautali chikuwonjezeka chaka chilichonse. Nthawi zambiri, chithandizo chimatha kuchiritsa kwathunthu Hodgkin lymphoma. Komabe, nthawi zina matendawa amatha kubwereranso. Ngati zimenezo zitachitika, ofufuza azachipatala nthawi zonse amafunafuna njira zatsopano zothandizira.
Kodi mitundu ikuluikulu ya Hodgkin Lymphoma ndi iti?
Pali mitundu inayi ikuluikulu ya matenda a Hodgkin lymphoma. Tiyeni tiwone zomwe zili:
- Nodular sclerosis Hodgkin lymphoma: Uwu ndi mtundu wofala kwambiri wa Hodgkin lymphoma. Umapezeka kawirikawiri mwa achinyamata, makamaka akazi. Nthawi zambiri umakhudza ma lymph nodes pakati pa chifuwa.
- Matenda osakanikirana a Hodgkin lymphoma: Mtundu uwu nthawi zambiri umapezeka mwa anthu azaka za m'ma 60. Nthawi zina umatha kufalikira m'mimba (m'mimba).
- Matenda a Hodgkin lymphoma olemera kwambiri m'maselo a m'magazi: Mtundu uwu umapezeka mwa anthu pafupifupi 6% omwe ali ndi matenda a Hodgkin lymphoma. Umapezeka kwambiri mwa amuna.
- Lymphocyte-depleted Hodgkin lymphoma: Izi sizichitika kawirikawiri. Zimapezeka pafupifupi 1% ya anthu omwe ali ndi Hodgkin lymphoma. Zimapezeka kwambiri mwa anthu azaka zopitilira 60 komansoIzi zitha kuchitika kwambiri mwa anthu omwe ali ndi kachilombo ka HIV/AIDS.
Kodi matenda a Hodgkin Lymphoma ndi ofala bwanji?
Matenda a Hodgkin lymphoma ndi matenda osowa kwambiri . Amakhudza anthu atatu okha pa anthu 100,000 chaka chilichonse. Koma modabwitsa, ndi mtundu wa khansa wofala kwambiri mwa ana ndi achinyamata azaka zapakati pa 15 ndi 19.
Komabe, Hodgkin lymphoma ndi yocheperako kuposa non-Hodgkin lymphoma.
Kodi zizindikiro za Hodgkin Lymphoma ndi ziti?
Chizindikiro choyamba chodziwika bwino cha Hodgkin lymphoma ndi kutupa kwa ma lymph nodes m'khosi, m'khwapa, kapena m'mimba popanda kupweteka . Kuphatikiza apo, pakhoza kukhala zizindikiro zina zingapo:
- Kutopa kosalekeza: Kumva kutopa kwambiri kuposa masiku onse kwa masiku angapo. Ngati kuti thupi lako lilibe mphamvu.
- Malungo Osamveka: Malungo amphamvu omwe satha pambuyo pa maola awiri a chithandizo cha kunyumba, kapena omwe amatenga masiku opitilira awiri, akhoza kukhala chizindikiro cha vuto lalikulu.
- Thukuta kwambiri usiku: Thukuta kwambiri usiku moti mapepala ndi zovala zimanyowa.
- Kuchepetsa thupi mosadziwika: Kuchepetsa thupi popanda khama. Ngati mutachepetsa thupi ndi 10% kapena kuposerapo pa kulemera konse mkati mwa miyezi isanu ndi umodzi, ndi chinthu chodetsa nkhawa.
- Kuyabwa (Pruritus): Anthu ena amamva kuyabwa kwambiri pakhungu akamamwa mowa kapena kusamba.
- Kupweteka m'mimba kapena kudzimbidwa: Si ululu wonse wa m'mimba womwe ndi chizindikiro cha matenda aakulu. Koma ngati muli ndi ululu wopitirira komanso woopsa m'mimba womwe sumatha, pitani kwa dokotala.
- Kupweteka pachifuwa: Chizindikiro ichi chikhoza kuchitika ngati Hodgkin lymphoma ilipo m'mafupa a mapapo kapena m'maselo a lymph mkati mwa chifuwa.
- Kuvuta kupuma: Ichi chikhoza kukhala chizindikiro cha Hodgkin lymphoma m'mapapo kapena chotupa chachikulu pachifuwa.
Madokotala amatchanso zizindikiro zitatu izi—malungo, kuchepa thupi, ndi thukuta usiku—“zizindikiro za B.” Kupezeka kwa zizindikirozi kumathandiza madokotala kukonzekera nthawi yomwe mudzadwala komanso chithandizo.
Kodi n’chiyani chimayambitsa matenda a Hodgkin Lymphoma?
Monga tanenera kale, matenda a Hodgkin lymphoma amayamba pamene kusintha kwa majini kumachitika m'maselo anu a B. Kusintha kumeneku si chinthu chomwe mumabadwa nacho, koma chinthu chomwe chimapezeka mu moyo wanu wonse.
Maselo a B akasintha motere, amapanga mtundu wa selo la khansa lomwe ndi lalikulu kuposa maselo wamba. Maselo amenewa amatchedwa maselo a Reed-Sternberg . Maselo a Reed-Sternberg amenewa amapanga ma cytokine.Ma cytokine amenewa amakoka maselo abwinobwino ku ma lymph node omwe ali ndi maselo osazolowereka. Kenako, zinthu zomwe zimatulutsidwa ndi maselo abwinobwinowa zimapangitsa maselo a Reed-Sternberg kukula kwambiri. Izi zimapangitsa kuti ma lymph node atukuke.
Khansa iyi imatha kufalikira kudzera m'thupi lanu kupita ku ma lymph node ena, monga thymus ndi spleen . Imathanso kufalikira ku ma lymph node m'thupi lonse. Nthawi zambiri, imatha kukhudza ziwalo zina, monga mapapo, chiwindi, ndi mafupa .
Kodi zinthu zoopsa ndi ziti?
Madokotala apeza zinthu zingapo zomwe zimawonjezera chiopsezo chotenga Hodgkin Lymphoma:
- Zaka zanu: Ngati muli ndi zaka pakati pa 20 ndi 39, kapena kupitirira 65, muli ndi mwayi waukulu wopeza matendawa.
- Jenda lanu: Amuna ali ndi mwayi waukulu wopeza Hodgkin lymphoma. Komabe, mtundu womwe takambirana kale, nodular sclerosis, ndi wofala kwambiri mwa akazi.
- Mbiri ya matenda a m'banja mwanu: Ngati abale anu kapena makolo anu adadwalapo Hodgkin lymphoma, muli ndi mwayi waukulu woti nayonso ikule.
- Ngati mwaikidwa chiwalo: Ngati mwaikidwa chiwalo, muyenera kumwa mankhwala oletsa kukana, zomwe zimawonjezera chiopsezo chanu chokhala ndi lymphoma.
- Matenda ena a mavairasi: Kukhala ndi matenda a mavairasi monga HIV , kachilombo ka T-lymphotropic mtundu 1, kapena kachilombo ka Epstein-Barr kungakulitse chiopsezo chanu chotenga Hodgkin lymphoma.
Kodi matenda a Hodgkin lymphoma amachiritsidwa bwanji?
Dokotala adzayamba kaye wakuyezani thupi kuti aone ngati pali zizindikiro za Hodgkin lymphoma, monga kutupa kwa ma lymph nodes. Adzakufunsaninso za kusintha kulikonse komwe mwakhala mukumva, monga kutentha thupi kosalekeza kapena kuchepa thupi kosazolowereka. Mayeso angapo angachitike kuti adziwe Hodgkin lymphoma. Izi zitha kuphatikizapo kuyezetsa magazi, kuyezetsa zithunzi, ndi biopsy .
Kuyezetsa magazi
Kuyezetsa magazi kungapatse dokotala wanu lingaliro la thanzi lanu lonse. Kungathenso kuzindikira zizindikiro za khansa. Mayeso ena omwe mungakhale nawo ndi awa:
- Kuchuluka kwa magazi (CBC): Izi zimayang'ana kuchuluka kwa maselo a m'magazi otsika ngati pali lymphoma m'magazi kapena m'mafupa.
- Kuphunzira za chemistry ya magazi: Izi zimayesa kuchuluka kwa ma electrolyte anu, momwe chiwindi ndi impso zimagwirira ntchito, ndipo zimafufuza zinthu zomwe zimasonkhana m'magazi ziwalo ndi minofu zikawonongeka.
- Erythrocyte sedimentation rate (ESR): Izi zimayesa kutupa m'thupi. Mtengo uwu ukhoza kukwera mu Hodgkin lymphoma.
- Kuyesa kwa Lactate dehydrogenase (LDH): Izi zimayesa mapuloteni omwe amatulutsidwa maselo akawonongeka. Nthawi zina kuchuluka kwa LDH kumawonjezeka ndi lymphoma.
- Mayeso a kachilombo: Mayesowa amatha kuzindikira matenda omwe alipo kapena akale omwe angagwirizane ndi Hodgkin lymphoma, monga HIV , hepatitis B , ndi hepatitis C. Zotsatira zake zingathandize dokotala wanu kukonzekera chithandizo chanu.
Mayeso ojambula zithunzi
Ma scan angayang'ane zizindikiro za khansa m'thupi lanu. Mtundu wa scan yomwe mukufuna idzadalira komwe khansa ili komanso ngati muli ndi pakati. (Ma scan omwe amagwiritsa ntchito X-ray akhoza kukhala oopsa kwa mwana wosabadwayo.) Mayeso awa akuphatikizapo:
- X-ray pachifuwa
- Kujambula kwa CT (CT scan - Kujambula kwa Computed tomography)
- Kujambula kwa PET (Positron emission tomography scan)
- Kujambula kwa MRI (Magnetic resonance imaging scan) (kotetezeka panthawi ya mimba)
- Kujambula kwa Ultrasound (kotetezeka panthawi ya mimba)
Kufufuza za thupi
Madokotala nthawi zambiri amazindikira matenda a Hodgkin lymphoma pogwiritsa ntchito biopsy ya lymph node . Mu njirayi, dokotala amachotsa lymph node yonse kapena gawo lake. Kenako katswiri wa matenda amafufuza minofuyo pogwiritsa ntchito maikulosikopu kuti awone ngati pali maselo a Reed-Sternberg, omwe tidakambirana kale. (Kupezeka kwa maselo a Reed-Sternberg kumatanthauza kuti muli ndi Hodgkin lymphoma, osati non-Hodgkin lymphoma.)
Nthawi zina, Hodgkin lymphoma imatha kupezekanso pogwiritsa ntchito zotsatira za biopsy ya minofu yomwe yatengedwa kuchokera kwina, monga mapapo, chiwindi, ndulu, kapena mafupa.
Kodi magawo a Hodgkin Lymphoma ndi ati?
Dokotala wanu akadzakupezani ndi matenda a Hodgkin lymphoma, zotsatira za mayeso anu zidzatsimikizira gawo la matendawa. Kudziwa gawo la khansa yanu kumathandiza madokotala kudziwa momwe khansa yafalikira, momwe ingafalikire mwachangu, komanso chithandizo chomwe chili chabwino kwa inu. Nazi magawo a Hodgkin lymphoma:
- Gawo Loyamba: Maselo a khansa ali m'dera limodzi la lymph node kapena chiwalo mu dongosolo la lymphatic (monga thymus, spleen, bone marrow). Kapena lymphoma ili m'dera limodzi la chiwalo chimodzi kunja kwa dongosolo la lymphatic.
- Gawo Lachiwiri: Chiwalo chanu chamkatiPali maselo a khansa m'magulu awiri kapena kuposerapo a ma lymph node kumbali imodzi (ma lymph node ena omwe ali pafupi ndi diaphragm nawonso angakhudzidwe).
- Gawo Lachitatu: Pali maselo a lymphoma m'maselo a lymph mbali zonse ziwiri za diaphragm, kapena pali maselo a khansa m'maselo a lymph pamwamba pa diaphragm ndi mu ndulu.
- Gawo Lachinayi: Lymphoma imapezeka m'chiwalo chimodzi kunja kwa dongosolo la lymphatic (monga chiwindi, mapapo, mafupa).
Madokotala amagwiritsanso ntchito mawu oti "okoma" ndi "osakoma" poika Hodgkin lymphoma m'magulu, kutengera ngati imayankha bwino chithandizo komanso ngati ikukhalabe yopanda zizindikiro (kukhululuka).
Kodi Hodgkin Lymphoma imachiritsidwa bwanji?
Madokotala amagwiritsa ntchito njira zosiyanasiyana zochizira matenda a Hodgkin lymphoma, kutengera gawo la khansa. Mankhwalawa amapha maselo a khansa kapena kuwaletsa kugawikana. Njira zina zochizira ndi izi:
- Chemotherapy: Iyi ndi njira yodziwika bwino yochizira matenda a Hodgkin lymphoma. Imagwiritsa ntchito mankhwala amodzi kapena angapo kupha maselo a khansa kapena kuwaletsa kuti asachuluke. Madokotala angagwiritse ntchito mtundu umodzi wa chemotherapy kapena kuphatikiza mitundu ingapo ya chemotherapy.
- Chithandizo cha radiation: Chithandizochi chimagwiritsa ntchito mphamvu zambiri kuti chiphe maselo a khansa m'malo omwe khansa yafalikira kapena m'malo omwe khansa yafalikira. Chimagwiritsidwanso ntchito ndi chemotherapy pochiza matenda a Hodgkin lymphoma omwe ali pamlingo woyambirira.
- Chithandizo cha Immunotherapy: Chithandizochi chimagwira ntchito polimbikitsa chitetezo cha mthupi lanu kuti chithandize kuzindikira ndikuwononga maselo a khansa. Zoletsa zofufuzira ndi mankhwala ofunikira kwambiri a immunotherapy a Hodgkin lymphoma.
- Chithandizo Cholunjika: Chithandizo cholunjika chimagwiritsa ntchito mankhwala kapena zinthu zina kuti ziukire maselo a khansa okha. Mwachitsanzo, chithandizo chotchedwa antibody-drug conjugates . Mu izi, ma antibodies opangidwa mu labu amamangiriridwa ku mankhwala a chemotherapy, omwe kenako amafufuza ndikuwononga maselo a khansa.
- Chithandizo cha chemotherapy pogwiritsa ntchito kuyika maselo oyambira: Chithandizochi chimagwiritsidwa ntchito nthawi zambiri ngati Hodgkin lymphoma yabwereranso pambuyo poti yayamba kuchira kapena sikuyankha chithandizo. Pankhaniyi, mudzapatsidwa mtundu wina wa chemotherapy kuposa womwe mudapatsidwa poyamba. Ngati khansayo yayankha, dokotala wanu adzakuikani maselo oyambira.
Zotsatirapo zoyipa za mankhwala
Chithandizo chilichonse chingakhale ndi zotsatirapo zosiyanasiyana. Mwachitsanzo, chemotherapy ingayambitse kutayika kwa tsitsi ndi nseru. Chithandizo cha radiation chingayambitse kutentha kwa dzuwa m'dera lomwe lachiritsidwa. Zotsatirapo za chithandizo cha immunotherapy zingaphatikizepo ziphuphu pakhungu, kutsegula m'mimba, ndi kutupa kwa mapapo, zomwe zingayambitse kuvutika kupuma ndi kutsokomola.
Funsani dokotala wanu za zotsatirapo zake musanayambe kulandira chithandizo. Iye adzakuthandizani kuyeza zotsatirapo zake poyerekeza ndi ubwino wa chithandizocho.
Kodi chiopsezo cha Hodgkin Lymphoma ndi chiyani?
Madokotala amaona kuti Hodgkin lymphoma ndi khansa yochiritsika komanso yochiritsika. Malingaliro anu amadalira gawo la matendawa ndi zinthu zina. Dokotala wanu akhoza kukuuzani za izi. Komabe, nthawi zina chithandizo sichikuyenda bwino ndipo khansayo ingabwererenso. Funsani dokotala wanu momwe maguluwa amakhudzira matenda anu.
Kodi chiŵerengero cha kupulumuka kwa Hodgkin Lymphoma ndi chiyani?
Chiŵerengero cha anthu omwe ali ndi matenda a Hodgkin lymphoma chikupitirirabe kukula pamene madokotala akupanga njira zatsopano komanso zabwino. Malinga ndi US National Cancer Institute, 88% ya anthu omwe adapezeka ndi matenda a Hodgkin lymphoma pakati pa 2014 ndi 2020 anali akadali ndi moyo zaka zisanu pambuyo pa chithandizo.
Chiwerengero cha anthu opulumuka chimasiyana malinga ndi gawo la khansa. Malinga ndi ziwerengero zomwezo, pakati pa 92% ndi 95% ya anthu omwe adapezeka ndi matenda oyamba anali amoyo zaka zisanu atapezeka ndi matendawa. Pakati pa 81% ndi 87% ya anthu omwe adapezeka ndi matenda otsiriza anali amoyo zaka zisanu atapezeka ndi matendawa. Izi zikusonyeza kufunika kozindikira matendawa msanga, sichoncho?
Kodi ndingadzisamalire bwanji?
Mungamve bwino kudziwa kuti zizindikiro zanu za Hodgkin lymphoma zikutha mukalandira chithandizo. Komabe, mungakhalenso ndi nkhawa kapena mantha kuti vutoli lidzabwereranso. Malangizo awa angathandize kuti kukhala ndi Hodgkin lymphoma kukhale kosavuta:
- Mpumulo: Mankhwala a khansa ndi khansa angayambitse kutopa kwambiri. Perekani maganizo ndi thupi lanu mpumulo womwe mukufunikira.
- Idyani zakudya zopatsa thanzi komanso zopatsa thanzi: Palibe mgwirizano womveka bwino pakati pa zomwe mumadya ndi Hodgkin lymphoma. Komabe, kudya bwino kungathandize kuteteza chitetezo chamthupi chanu ndikuchepetsa chiopsezo chanu chotenga mavairasi. Ngati mukufuna kudziwa zambiri za kudya bwino, lankhulani ndi katswiri wa zakudya.
- Kusamalira kupsinjika: Hodgkin lymphoma ikhoza kubwereranso mutalandira chithandizo. Kuda nkhawa kuti mudzadwalanso kungakhale kovuta. Ngati nthawi zonse mukuda nkhawa kuti vuto lanu lidzabwereranso, lankhulani ndi dokotala wanu. Iye ndiye munthu wabwino kwambiri woti mudziwe za vuto lanu. Kudziwa zomwe mungayembekezere kungathandize kuchepetsa kupsinjika kwanu.
- Kuchita Masewera Olimbitsa Thupi: Kuchita masewera olimbitsa thupi nthawi zonse sikungothandiza chitetezo cha mthupi lanu, komanso kumathandiza kuchepetsa nkhawa. Ndi njira yabwino yothanirana ndi kutopa, komwe ndi zotsatira zoyipa zomwe zimachitika chifukwa cha chithandizo cha khansa.
Chofunika kwambiri ndichakuti kupezeka ndi matenda a Hodgkin lymphoma sikutanthauza kuti simungathe kukhala ndi moyo wanu wonse. Muyenera kusintha zina kuti muthane ndi zotsatirapo zake. Muyenera kupita kwa dokotala wanu pafupipafupi kuposa munthu amene sanapezeke ndi khansa. Koma pang'onopang'ono, mudzapeza njira yochitira zinthu komanso liwiro lomwe lingakuthandizeni.
Ndiyenera kupita liti kwa dokotala wanga?
Ngati mukulandira chithandizo cha Hodgkin lymphoma, onani dokotala wanu ngati muwona zizindikiro zilizonse zosonyeza kuti vuto lanu likuipiraipira ngakhale mutalandira chithandizo (monga ziphuphu zatsopano, malungo). Mukamaliza kulandira chithandizo, mudzakhala ndi nthawi yokumana ndi dokotala kuti muwone ngati thanzi lanu lonse likubwereranso.
Kodi ndiyenera kupita ku chipinda chadzidzidzi liti?
Ngati muli ndi zotsatirapo zoyipa zomwe sizimatha mutamwa mankhwala omwe mwapatsidwa, zomwe zimakhala zoopsa kuposa momwe mumayembekezera, kapena zomwe zimakhalapo nthawi yayitali, pitani kuchipatala chadzidzidzi. Dokotala wanu ndi gulu lachipatala adzakambirana nanu za izi.
Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?
Mungakhale ndi mafunso ambiri panthawi yopeza matenda a Hodgkin lymphoma. Nazi mafunso ena oti mufunse dokotala wanu:
- Kodi ndili ndi mtundu wanji wa Hodgkin lymphoma?
- Kodi matenda anga ali pati?
- Kodi mumalimbikitsa chithandizo chanji?
- Kodi ndi zotsatirapo ziti zomwe ziyenera kuyembekezera kuchokera ku chithandizochi?
- Kodi mungandichiritse vuto langa?
- Kodi mwayi woti khansa ibwererenso ndi wotani?
Kodi pali kusiyana kotani pakati pa Hodgkin Lymphoma ndi Non-Hodgkin Lymphoma?
Hodgkin lymphoma ndi non-Hodgkin lymphoma zonse ndi khansa zomwe zimakhudza maselo anu a lymphocyte, koma pali kusiyana pang'ono pakati pa ziwirizi.
Madokotala amaona kuti Hodgkin lymphoma ndi imodzi mwa mitundu ya khansa yochiritsidwa kwambiri. Mankhwala atsopano amatha kuchotsa zizindikiro za Hodgkin lymphoma ndikuchiritsa matendawa pafupifupi kwathunthu.
Komabe, momwe mukuonera zinthu zimadalira mtundu wa Hodgkin lymphoma ndi momwe khansa yafalikira. Kafukufuku akusonyeza kuti anthu opitilira 90% omwe amalandira chithandizo cha Hodgkin lymphoma yoyambirira amakhalabe ndi moyo zaka zisanu kuchokera pamene anapezeka ndi matendawa. Mwanjira ina, matendawa akapezeka msanga, zimakhala bwino.
Dziwani kusintha kwa thupi lanu, monga kutupa kwa ma lymph nodes, kutentha thupi kosalekeza, ndi kutopa. Kukhala ndi zizindikiro izi sizikutanthauza kuti muli ndi Hodgkin lymphoma, koma ndi bwino kukayezetsa. Ponena za matendawa, kuzindikira msanga kungakulitse mwayi wanu wokhala wopanda khansa.
Pomaliza, uthenga wopita nawo kunyumba:
Ndizachibadwa kuchita mantha mukamva dzina lakuti Hodgkin Lymphoma. Koma kumbukirani, iyi ndi khansa yomwe imachiritsidwa kwambiri. Chofunika kwambiri ndikufunsa upangiri wa dokotala mukangozindikira zizindikiro. Makamaka ngati muli ndi zizindikiro monga zotupa zopanda ululu m'khosi, m'khwapa, kapena m'mimba, kutopa kosalekeza, kutentha thupi kosadziŵika, thukuta kwambiri usiku, komanso kuchepa thupi, muyeneradi kuonana ndi dokotala.
Ndi matenda oyamba komanso kulandira chithandizo choyenera, anthu ambiri atha kuchira kwathunthu ku Hodgkin lymphoma ndikukhala moyo wabwinobwino. Chifukwa chake, musataye mtima. Uthenga wofunika kwambiri womwe ndili nawo kwa inu ndikufunsani upangiri wachipatala mwachangu momwe mungathere ngati inu kapena munthu amene mumamudziwa ali ndi zizindikirozi.
Hodgkin lymphoma, khansa, ma lymph nodes, zizindikiro, chithandizo, maselo a B, maselo a Reed-Sternberg











💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu