Ese urimo kugira ibibyimba ku mubiri wawe? Ese byaba ari Hodgkin Lymphoma? Reka tuganire!

Ese wigeze ubona akantu gato ku ijosi, mu kwaha, cyangwa mu kibuno? Cyangwa umaze iminsi wumva unaniwe cyane, cyangwa ufite umuriro utunguranye? Hari igihe ibi bishobora kuba ibisanzwe. Ariko, niba ufite ibi bimenyetso, ni byiza kugira impungenge gato. Kuko ibi bishobora kuba ibimenyetso by'indwara yitwa Hodgkin Lymphoma. Nubwo izina rishobora kumvikana nk'aho riteye ubwoba, iyi ni indwara ishobora kuvurwa no gukira. Rero, uyu munsi turaganira birambuye kuri Hodgkin Lymphoma.

Hodgkin Lymphoma ni iki?

Muri make, Hodgkin Lymphoma ni ubwoko bwa kanseri itera mu mitsi yacu, iyi ikaba ari yo irwanya mikorobe mu mubiri wacu. Yanakwitwaga indwara ya Hodgkin mu bihe byashize. Hari ubwoko bubiri bw'ingenzi bwa lymphoma. Bumwe ni Hodgkin lymphoma, ubundi ni Non-Hodgkin Lymphoma. Izi kanseri zombi zifata lymphocytes, ubwoko bw'uturemangingo tw'amaraso tw'umweru dukenewe cyane ku budahangarwa bw'umubiri wacu.

Hodgkin lymphoma iterwa n'impinduka mu ngirabuzimafatizo za lymphocytes B (uturemangingo twa B). Izi mpinduka ziba mu buzima bwose. Akenshi, iyi lymphocytes itangirira mu turemangingo tw'imitsi mu ijosi cyangwa mu gituza. Hari igihe ishobora no gukurira mu turemangingo tw'imitsi mu kwaha, mu gituza, mu nda, cyangwa mu kibuno.

Inkuru nziza ni uko umubare w'abantu bavurwa indwara ya Hodgkin lymphoma kandi bakabaho igihe kirekire ugenda wiyongera buri mwaka. Kenshi na kenshi, ubuvuzi bushobora gukiza burundu Hodgkin lymphoma. Ariko, rimwe na rimwe indwara ishobora kongera kugaruka. Iyo bibaye, abashakashatsi mu by'ubuvuzi bahora bashaka uburyo bushya bwo kuvura.

Ni ubuhe bwoko bw'ingenzi bwa Hodgkin Lymphoma?

Hari ubwoko bune bw'ingenzi bwa lymphoma ya Hodgkin. Reka turebere hamwe ibyo ari byo:

• Udukoko two mu bwoko bwa Hodgkin lymphoma: Ubu ni bwo bwoko bukunze kugaragara cyane bwa lymphoma ya Hodgkin. Ikunze kugaragara cyane mu rubyiruko, cyane cyane abagore. Ikunze kwibasira utunyangingo two mu gituza hagati.
• Uturemangingo twinshi twa Hodgkin lymphoma: Ubu bwoko bukunze kugaragara ku bantu bari mu kigero cy'imyaka 60. Rimwe na rimwe bushobora kumera mu nda (mu nda).
• Lymphoma ya Hodgkin ikunze kugaragara mu maraso: Ubu bwoko bugaragara ku bantu bagera kuri 6% bafite lymphoma ya Hodgkin. Ikunze kugaragara cyane ku bagabo.
• Lymphoma ya Hodgkin yangiritse mu maraso: Iyi ni imburagihe cyane. Ibaho hafi 1% by'abantu bafite lymphoma ya Hodgkin. Ikunze kugaragara cyane ku bantu barengeje imyaka 60 kandiIbi bishobora kubaho cyane ku bantu bafite ubwandu bwa virusi itera SIDA.

Hodgkin Lymphoma ikunze kugaragara ku rugero rungana iki?

Hodgkin lymphoma ni indwara idakunze kugaragara . Yibasira abantu batatu gusa mu 100.000 buri mwaka. Ariko igitangaje ni uko ari yo kanseri ikunze kugaragara cyane mu bana n'urubyiruko ruri hagati y'imyaka 15 na 19.

Ariko, lymphoma ya Hodgkin ntabwo ikunze kugaragara cyane ugereranyije na lymphoma itari iya Hodgkin.

Ni ibihe bimenyetso bya Hodgkin Lymphoma?

Ikimenyetso cya mbere gikunze kugaragara cya lymphoma ya Hodgkin ni utunyangingo tw’imitsi tubyimba mu ijosi, mu kwaha, cyangwa mu kibuno . Byongeye kandi, hashobora kubaho ibindi bimenyetso byinshi:

• Umunaniro uhoraho: Kumva unaniwe cyane kuruta uko bisanzwe mu gihe cy'iminsi myinshi. Nk'aho umubiri wawe udafite imbaraga.
• Umuriro utazwi: Umuriro mwinshi utagabanuka nyuma y'amasaha abiri yo kuvurwa mu rugo, cyangwa ukamara iminsi irenga ibiri, ushobora kuba ikimenyetso cy'ikintu gikomeye.
• Kubira ibyuya byinshi nijoro: Kubira ibyuya byinshi nijoro ku buryo amashuka n'imyenda bitose.
• Kugabanya ibiro mu buryo butunguranye: Kugabanya ibiro nta mbaraga. Niba ugabanyije ibiro 10% cyangwa birenga mu mezi atandatu, ni ikintu cyo guhangayikishwa.
• Kuryarya (Pruritus): Hari abantu bagira uruhu rushyuha cyane nyuma yo kunywa inzoga cyangwa kwiyuhagira.
• Kubabara mu gifu cyangwa kubyimba: Si ububabare bwose bwo mu gifu buba ikimenyetso cy'indwara ikomeye. Ariko niba ufite ububabare bukomeye mu gifu budashira, gana muganga.
• Ububabare mu gituza: Iki kimenyetso gishobora kubaho iyo lymphoma ya Hodgkin igaragara mu bihaha cyangwa mu tunyangingo tw’imitsi mu gituza.
• Guhumeka bigoranye: Iki gishobora kuba ikimenyetso cya lymphoma ya Hodgkin mu bihaha cyangwa ikibyimba kinini mu gituza.

Abaganga kandi babyita ibi bimenyetso bitatu—umuriro, kugabanya ibiro, no kubira ibyuya nijoro—“ibimenyetso B.” Kuba ibi bimenyetso bifasha abaganga gutegura igihe uzarwara n’uburyo uzavurwa.

Ni iki gitera Hodgkin Lymphoma?

Nkuko twabivuze mbere, Hodgkin lymphoma itera iyo impinduka mu ngirabuzimafatizo za B. Izi mpinduka si ikintu uvukana, ahubwo ni ikintu kiboneka mu buzima bwawe.

Iyo uturemangingo twa B duhindutse muri ubu buryo, dukora ubwoko bw'uturemangingo twa kanseri tunini kurusha uturemangingo dusanzwe. Utwo turemangingo twitwa uturemangingo twa Reed-Sternberg . Utwo turemangingo twa Reed-Sternberg dukora cytokines.Izi cytokine zikurura uturemangingo dusanzwe ku turemangingo tw’imitsi dukubiyemo uturemangingo tudasanzwe. Hanyuma, ibintu birekurwa n’utu turemangingo dusanzwe bituma uturemangingo twa Reed-Sternberg dukura cyane. Ibi bituma uturemangingo tw’imitsi tubyimba.

Iyi kanseri ishobora gukwirakwira mu buryo bwa lymphatic system yawe ikagera no ku zindi lymph nodes, nka thymus na spleen . Ishobora no gukwirakwira no mu lymph nodes mu mubiri wose. Ni gake cyane ishobora kugira ingaruka ku zindi ngingo, nko mu bihaha, mu mwijima no mu musemburo w'amagufwa .

Ni ibihe bintu bishobora gutera ibyago?

Abaganga bagaragaje ibintu byinshi byongera ibyago byo kurwara Hodgkin Lymphoma:

• Imyaka yawe: Niba uri hagati y'imyaka 20 na 39, cyangwa urengeje imyaka 65, ushobora kurwara iyi ndwara.
• Igitsina cyawe: Abagabo bafite amahirwe menshi yo kurwara lymphoma ya Hodgkin. Ariko, ubwoko twavuze mbere, nodular sclerosis, bukunze kugaragara cyane ku bagore.
• Amateka y'ubuzima bw'umuryango wawe: Niba abavandimwe bawe cyangwa ababyeyi bawe bararwaye Hodgkin lymphoma, nawe ufite amahirwe menshi yo kuyirwara.
• Niba waratewe urugingo: Niba waratewe urugingo, uzakenera gufata imiti igabanya kwangwa, ibyo byongera ibyago byo kurwara lymphoma.
• Hari ubwandu bwa virusi: Kugira ubwandu bwa virusi nka VIH , virusi ya T-lymphotropic yo mu bwoko bwa 1, cyangwa virusi ya Epstein-Barr bishobora kongera ibyago byo kurwara lymphoma ya Hodgkin.

Ni gute indwara ya Hodgkin Lymphoma ipimwa?

Umuganga azabanza kugusuzuma kugira ngo arebe ibimenyetso bya lymphoma ya Hodgkin, nko kubyimba kw'uturemangingo tw'imitsi. Bazakubaza kandi impinduka zose wagiye wumva, nko kugira umuriro udashira cyangwa kugabanya ibiro mu buryo butari bwo. Ibizamini byinshi bishobora gukorwa kugira ngo hamenyekane lymphoma ya Hodgkin. Ibi bishobora kuba birimo gupimwa amaraso, gupimwa amashusho, no gupimwa .

Gupima amaraso

Gupima amaraso bishobora guha muganga wawe igitekerezo cy'ubuzima bwawe muri rusange. Bishobora kandi kugaragaza ibimenyetso bya kanseri. Bimwe mu bizamini ushobora kuba warakoze birimo:

• Umubare wuzuye w'amaraso (CBC): Ibi bireba niba uturemangingo tw'amaraso turi hasi niba hari lymphoma mu maraso cyangwa mu musemburo w'amagufwa.
• Inyigo ku maraso: Ibi bipima urugero rwa electrolyte yawe, imikorere y'umwijima n'impyiko, kandi bigashaka ibintu byirundanya mu maraso iyo ingingo n'imitsi byangiritse.
• Igipimo cy'imitsi y'amaraso (ESR): Ibi bipima ububyimbirwe mu mubiri. Iki gipimo gishobora kwiyongera muri lymphoma ya Hodgkin.
• Ikizamini cya Lactate dehydrogenase (LDH): Iki gipimo ni poroteyine irekurwa iyo uturemangingo twangiritse. Rimwe na rimwe urugero rwa LDH ruriyongera hamwe na lymphoma.
• Ibizamini bya virusi: Ibi bizamini bishobora kugaragaza ubwandu bwa virusi busanzweho cyangwa ubwa kera bushobora kuba bufitanye isano na lymphoma ya Hodgkin, nka VIH , hepatite B , na hepatite C. Ibisubizo bishobora gufasha muganga wawe gutegura uburyo bwo kuvura.

Ibizamini byo gushushanya

Gupima bishobora kureba ibimenyetso bya kanseri mu mubiri wawe. Ubwoko bw'isuzuma ukeneye buzaterwa n'aho kanseri iherereye n'uko utwite. (Gupima hakoreshejwe imirasire ya X bishobora kwangiza umwana uri mu nda.) Ibi bizamini birimo:

• X-ray yo mu gituza
• Isuzuma rya CT (Isuzuma rya CT - Isuzuma rya tomography ryakozwe na mudasobwa)
• Gupima PET (Positron emission tomography scan)
• MRI scan (Magnetic resonance imaging scan) (ifite umutekano mu gihe cyo gutwita)
• Gupima hakoreshejwe ultrasound (bitekanye mu gihe cyo gutwita)

Isuzuma ry'ibinyabuzima

Ubusanzwe abaganga bapima Hodgkin lymphoma bakoresheje biopsy ya lymph node . Muri ubu buryo, muganga akuraho lymph node yose cyangwa igice cyayo. Hanyuma umuganga w’indwara asuzuma ingingo akoresheje mikorosikopi kugira ngo arebe niba hari uturemangingo twa Reed-Sternberg, nk’uko twabivuze mbere. (Kuba hari utwo turemangingo twa Reed-Sternberg bivuze ko ufite lymphoma ya Hodgkin, ntabwo ari lymphoma itari iya Hodgkin.)

Hari igihe, Hodgkin lymphoma ishobora no gupimwa hashingiwe ku bisubizo bya biopsy y'inyama zafashwe ahandi hantu, nko mu bihaha, umwijima, urwagashya, cyangwa umwongo w'amagufwa.

Ni ibihe byiciro bya Hodgkin Lymphoma?

Nyuma yuko muganga wawe akumenyeshe ko urwaye Hodgkin lymphoma, ibisubizo by'ibizamini byawe bizagaragaza aho indwara igeze. Kumenya aho kanseri yawe igeze bifasha abaganga kumenya aho kanseri yakwirakwiriye, uburyo ishobora gukwirakwira vuba, n'uburyo bwo kuvura bukubereye. Dore ibyiciro bya Hodgkin lymphoma:

• Icyiciro cya mbere: Uturemangingo twa kanseri tuba mu gace kamwe k’uturemangingo twa lymphatic cyangwa mu rugingo ruri mu turemangingo twa lymphatic (urugero: thymus, spleen, mu musokoro w’amagufwa). Cyangwa lymphoma iba mu gace kamwe k’urugingo rumwe hanze y’uturemangingo twa lymphatic.
• Icyiciro cya II: Diaphragm yaweHari uturemangingo twa kanseri mu matsinda abiri cyangwa menshi y’uturemangingo tw’umubiri turi ku ruhande rumwe (izindi turemangingo tw’umubiri turi hafi ya diaphragm na zo zishobora kwangirika).
• Icyiciro cya gatatu: Hari uturemangingo twa lymphoma mu tunyangingo tw’amaraso ku mpande zombi za diaphragm, cyangwa hari uturemangingo twa kanseri mu tunyangingo tw’amaraso turi hejuru ya diaphragm no mu gasabo k’amaraso.
• Icyiciro cya kane: Lymphoma iboneka nibura mu rugingo rumwe rutari urw'imitsi (urugero: umwijima, ibihaha, umwongo w'amagufwa).

Abaganga bakoresha kandi amagambo "good" na "ungood" mu gushyira Hodgkin lymphoma mu byiciro, hashingiwe ku kuba yakira neza iyo ivuwe ndetse niba ikomeza kutagira ibimenyetso (remission).

Indwara ya Hodgkin Lymphoma ivurwa ite?

Abaganga bakoresha uburyo butandukanye bwo kuvura Hodgkin lymphoma, bitewe n'urwego rwa kanseri. Ubu buryo bwo kuvura bwica uturemangingo twa kanseri cyangwa bukayibuza kwigabanyamo ibice. Uburyo bwo kuvura burimo:

• Chimiotherapie: Ubu ni bwo buryo bukunze kuvura Hodgkin lymphoma. Bukoresha umuti umwe cyangwa myinshi kugira ngo bwice uturemangingo twa kanseri cyangwa buhagarike ko tugwira. Abaganga bashobora gukoresha ubwoko bumwe bwa chimiotherapie cyangwa ubwoko butandukanye bwa chimiotherapie.
• Ubuvuzi bushingiye ku mirasire: Ubu buvuzi bukoresha ingufu nyinshi mu kwica uturemangingo twa kanseri mu duce twangiritse cyangwa aho kanseri yakwirakwiriye. Bukoreshwa kandi hamwe na chimiotherapie mu kuvura lymphoma ya Hodgkin mu cyiciro cya mbere.
• Ubuvuzi bw'imyororokere: Ubu buvuzi bukora mu gukangura ubudahangarwa bw'umubiri wawe kugira ngo buwufashe kumenya no gusenya uturemangingo twa kanseri. Ibyuma bigabanya ubukana ni uburyo bw'ingenzi bwo kuvura indwara z'imyororokere kuri Hodgkin lymphoma.
• Uburyo bwo kuvura hifashishijwe imiti: Uburyo bwo kuvura hifashishijwe imiti cyangwa ibindi bintu mu kwibasira uturemangingo twa kanseri gusa. Urugero, uburyo bwo kuvura bwitwa antibody-drug conjugates . Muri ibi, uturemangingo twakorewe muri laboratwari dushyirwa ku muti wa chimiotherapie, hanyuma ugashaka uturemangingo twa kanseri hanyuma ukatwica.
• Ugutera imiti hakoreshejwe uburyo bwo gutera uturemangingo: Ubu buryo bukunze gukoreshwa iyo indwara ya Hodgkin lymphoma yongeye kugaruka nyuma yo koroherwa cyangwa itarakira neza. Muri iki gihe, uzahabwa ubwoko butandukanye bwa chemotherapy n'ubwo wahawe bwa mbere. Iyo kanseri ibaye irakira, muganga wawe azagutera stem cell.

Ingaruka mbi z'ubuvuzi

Buri buryo bwo kuvura bushobora kugira ingaruka zitandukanye. Urugero, imiti ya chimiotherapie ishobora gutera gutakaza umusatsi no kugira isesemi. Imirasire ishobora gutera ubushyuhe bw'izuba mu gace kavuwe. Ingaruka mbi zo kuvura indwara zishobora kuba zirimo uduheri ku ruhu, impiswi, no kubyimba ibihaha, bishobora gutera kugorwa no guhumeka no gukorora.

Baza muganga wawe ingaruka mbi zishobora kubaho mbere yo gutangira kuvurwa. Azagufasha gupima ingaruka mbi zishobora kubaho ugereranyije n'inyungu zo kuvurwa.

Ni iki kizere cy’uko Hodgkin Lymphoma izagenda?

Abaganga babona ko Hodgkin lymphoma ari kanseri ivurwa kandi ivurwa cyane cyane. Uko ubona ibintu biterwa n'urwego rw'indwara n'ibindi bintu. Muganga wawe ashobora kukuganiriza kuri ibi. Ariko, hari igihe ubuvuzi budatanga umusaruro kandi kanseri ishobora kugaruka. Baza muganga wawe uburyo ibi byiciro bigira ingaruka ku mibereho yawe.

Ni iki gipimo cyo kubaho kwa Hodgkin Lymphoma?

Igipimo cy’abarokotse indwara ya Hodgkin lymphoma gikomeje kwiyongera uko abaganga bakurikirana uburyo bushya kandi bwiza bwo kuvura. Nk’uko Ikigo cy’Igihugu gishinzwe kurwanya kanseri cya Amerika kibitangaza, 88% by’abantu basanzwe barwaye Hodgkin lymphoma hagati ya 2014 na 2020 bari bakiriho imyaka itanu nyuma yo kuvurwa.

Igipimo cy'abakira indwara kiratandukanye bitewe n'urwego rwa kanseri. Dukurikije imibare imwe, hagati ya 92% na 95% by'abantu basanzwe bafite indwara mu ntangiriro z'ikigero bari bakiriho imyaka itanu nyuma yo kuyisanganwa. Hagati ya 81% na 87% by'abantu basanzwe bafite indwara mu cyiciro cya nyuma bari bakiriho imyaka itanu nyuma yo kuyisanganwa. Ibi bigaragaza akamaro ko kuyimenya hakiri kare, si byo se?

Ni gute nakwiyitaho?

Ushobora kumva uhumurijwe no kumenya ko ibimenyetso bya lymphoma ya Hodgkin biri kugenda bishira iyo uvuwe. Ariko, ushobora kandi guhangayika cyangwa gutinya ko iyo ndwara izagaruka. Ibi bitekerezo bishobora gufasha koroshya kubaho na lymphoma ya Hodgkin:

• Kuruhuka: Kuvura kanseri no kuvura kanseri bishobora gutera umunaniro ukabije. Ha ubwenge bwawe n'umubiri wawe ikiruhuko bakeneye.
• Kurya indyo yuzuye kandi ifite intungamubiri: Nta sano igaragara hagati y'ibyo urya na lymphoma ya Hodgkin. Ariko, kurya neza bishobora gufasha kurinda ubudahangarwa bw'umubiri wawe no kugabanya ibyago byo kwandura virusi. Niba ushaka kumenya byinshi ku bijyanye no kurya neza, vugana n'inzobere mu mirire.
• Gucunga stress: Hodgkin lymphoma ishobora kugaruka nyuma yo kuvurwa. Guhangayikishwa no kongera kurwara bishobora gutera stress. Niba uhora uhangayikishijwe n'uko indwara yawe izagaruka, vugana na muganga wawe. Ni we muntu mwiza wo kumenya indwara yawe. Kumenya icyo wakwitega bishobora kugufasha kugabanya stress yawe.
• Imyitozo ngororamubiri: Gukora imyitozo ngororamubiri buri gihe ntibifasha gusa ubudahangarwa bw'umubiri wawe, ahubwo binafasha mu gucunga stress. Ni uburyo bwiza kandi bwo kurwanya umunaniro, ingaruka zikunze kugaragara zo kuvura kanseri.

Igikuru ni uko kuba waranduye Hodgkin lymphoma bitavuze ko udashobora kubaho ubuzima bwawe bwose. Ugomba kugira impinduka zimwe na zimwe kugira ngo uhangane n'ingaruka mbi. Ugomba kujya kwa muganga wawe kenshi kurusha umuntu udafite kanseri. Ariko, buhoro buhoro, uzabona gahunda n'umuvuduko bikubereye.

Ni ryari ngomba kubonana na muganga wanjye?

Niba uri kuvurwa indwara ya Hodgkin lymphoma, gana muganga wawe niba ubona ibimenyetso byerekana ko indwara yawe ikomeje kwiyongera nubwo wavuwe (urugero: ibibyimba bishya, umuriro). Umaze kuvurwa, uzaba ufite gahunda zo gukurikirana ubuzima bwawe muri rusange no kugenzura niba indwara ishobora kongera kugaruka.

Ni ryari nkwiye kujya mu cyumba cy’ubutabazi bw’ibanze?

Niba ufite ingaruka mbi zo kuvurwa zitarangira nyuma yo gufata imiti wahawe, zikaba zikomeye kurusha uko wabyiteze, cyangwa zikaba zimara igihe kirekire, jya mu cyumba cy’ubutabazi bw’ibanze. Muganga wawe n’itsinda ry’abaganga bazakubwira kuri ibi.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Ushobora kuba ufite ibibazo byinshi mu gihe cyo gusuzuma no kuvura indwara ya Hodgkin lymphoma. Dore bimwe mu bibazo ugomba kubaza muganga wawe:

• Ni ubuhe bwoko bwa lymphoma ya Hodgkin mfite?
• Ingano y'indwara yanjye ni iyihe?
• Ni ubuhe buryo bwo kuvura usaba?
• Ni izihe ngaruka mbi zikwiye kwitegwa mu buvuzi?
• Ese ushobora kunkiza indwara yanjye?
• Ni amahirwe angahe yo kugaruka kwa kanseri?

Ni irihe tandukaniro riri hagati ya Hodgkin Lymphoma na Non-Hodgkin Lymphoma?

Hodgkin lymphoma na non-Hodgkin lymphoma byombi ni kanseri zigira ingaruka ku turemangingo twa lymphocyte, ariko hari itandukaniro rito hagati yabyo.

Abaganga babona ko Hodgkin lymphoma ari imwe mu ndwara za kanseri zishobora kuvurwa neza. Uburyo bushya bwo kuvura bushobora gukuraho ibimenyetso bya Hodgkin lymphoma ndetse no gukiza hafi indwara burundu.

Ariko, uko ubibona biterwa n'ubwoko bwa lymphoma ya Hodgkin n'urwego rwa kanseri. Ubushakashatsi bwerekana ko abantu barenga 90% bavurwa lymphoma ya Hodgkin mu ntangiriro z'ikigero baracyariho imyaka itanu nyuma yo kuyisanganwa. Mu yandi magambo, uko igaragaye vuba, ni ko irushaho kuba nziza.

Menya impinduka mu mubiri wawe, nko kubyimba kw'uturemangingo tw'amaraso, umuriro udashira, n'umunaniro. Kugira ibi bimenyetso ntibivuze ko ufite Hodgkin lymphoma, ariko ni byiza kwipimisha. Ku bijyanye n'iyi ndwara, kuyisuzuma hakiri kare bishobora kongera amahirwe yo kubaho udafite kanseri.

Hanyuma, ubutumwa bwo kujyana mu rugo:

Ni ibisanzwe kumva ufite ubwoba iyo wumvise izina Hodgkin Lymphoma. Ariko ibuka ko iyi ari kanseri ivurwa cyane. Ikintu cy'ingenzi ni ukujya kwa muganga ukimara kubona ibimenyetso. Cyane cyane niba ufite ibimenyetso nk'ibibyimba bitababaza mu ijosi, mu kwaha, cyangwa mu kibuno, umunaniro udashira, umuriro udasobanutse, ibyuya byinshi nijoro, no kugabanya ibiro, ugomba kujya kwa muganga.

Iyo abantu benshi bamaze kwisuzumisha hakiri kare bakavurwa neza, bashoboye gukira burundu indwara ya Hodgkin lymphoma no kubaho ubuzima busanzwe. Rero, ntugacike intege. Ubutumwa bw'ingenzi mfite kuri wewe ni ugushaka inama z'abaganga vuba bishoboka niba wowe cyangwa undi muntu uzi afite ibi bimenyetso.

` Hodgkin lymphoma, kanseri, lymph nodes, ibimenyetso, uburyo bwo kuvura, B cells, Reed-Sternberg cells