Une bundu risingarwadzi here pamutsipa wako, muhapwa, kana pahudyu? Kana kuti unonetseka nekudikitira zvakanyanya zvekuti machira ako anonyorova husiku? Izvi zvinogona kunge zvakajairika, asi dzimwe nguva zvinogona kunge zviri zviratidzo zverudzi rwekenza yeropa inonzi B-Cell Lymphoma. Usatye kana ukanzwa zita iri. Hazvina kuoma kunzwisisa. Ngatitaure nezvazvo zviri nyore, zvakajeka, uye nenzira yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi B-Cell Lymphoma?
B-cell lymphoma rudzi rwekenza yeropa inokura mu lymphatic system yedu. Zvakanaka, ngatizvirerutsirei zvakanyanya.
Ropa redu rine rudzi rwesero rinonzi masero machena eropa. Aya akafanana neuto remuviri wedu. Masero aya anotidzivirira nekurwisa utachiona hunokonzera zvirwere. Rumwe rudzi rwesero machena eropa runonzi lymphocytes. Pakati pemalymphocytes aya, pane rudzi rwakakosha runonzi B-cells. Ndiwo chikamu chikuru cheuto rekudzivirira remuviri wedu.
Kana lymphoma yeB-cell ikatanga, pane chimwe chinhu chinokanganisika nemasero aya eB-cell, zvichiita kuti apatsanuke nekuwanda zvisingadzoreki, ova masero ekenza uye oita mabundu.
Sisitimu yedu yelymphatic network yemidziyo yeropa, ma lymph nodes, uye matishu akapararira mumuviri wedu wese. Zvakafanana nesystem yechipiri yeropa mumuviri wedu. Ndokusaka B-cell lymphoma inogona kukura chero kupi mumuviri. Ndosaka zviratidzo zvichisiyana kubva kumunhu kusvika kumunhu.
Chinonyanya kukosha ndechekuti B-cell lymphoma ndiyo inonyanya kuwanikwa ye non-Hodgkin lymphoma. Kazhinji, kune mishonga inoshanda. Mamwe marudzi anogona kurapwa zvachose. Mune mamwe, zviratidzo zvinogona kuderedzwa uye kenza inogona kuramba iri yakasununguka.
Ma lymphoma aya akakamurwa kuita mhando mbiri:
Kana chiremba wako achitaura nezvechirwere ichi, anogona kushandisa mazwi maviri: "ane hasha" uye "asina usimbe." Izvi ndizvo zvavanoreva:
- Rudzi rweAggressive (runopararira nekukurumidza): Rudzi urwu runokura nekukurumidza uye runogona kupararira (metastasize) kune dzimwe nhengo dziri kunze kwemuviri kuburikidza ne lymphatic system.
- Rudzi rwechisikigo (runokura zvishoma nezvishoma): Rudzi urwu runokura zvishoma nezvishoma uye runogona kusaratidza zviratidzo kwemakore.
Kuti zvive nyore kunzwisisa, ngatitarisei mhando idzi mutafura yakaita seiyi.
| Rudzi rwe lymphoma | Tsananguro iri nyore uye mienzaniso |
|---|---|
| Hukasha (hunopararira nekukurumidza) | Izvi zvinokura nekukurumidza. Mienzaniso:
|
| Isina simba (inokura zvishoma nezvishoma) | Izvi zvinogona kusaratidza zviratidzo kwemwedzi kana makore. Mienzaniso:
|
Ndezvipi zviratidzo zveB-cell lymphoma?
Dzimwe nguva unogona kuva neB-cell lymphoma usina zviratidzo. Kunyanya mumhando dzinokura zvishoma nezvishoma, dzinowanzoonekwa netsaona panguva yekuongororwa kwechimwe chirwere. Zvisinei, unofanira kunetseka kana ukaona zviratidzo zvinotevera:
| Chiratidzo | Izvi zvinorevei? |
|---|---|
| Manodhi elymph akazvimba | Mapundu asingarwadzi mumutsipa, muhapwa, uye muzvidya. Ichi ndicho chiratidzo chinowanzoitika. |
| Kudikitira zvakanyanya usiku | Kudikitira kana mbatya dzako dzekurara nemachira emubhedha zvanyorova. |
| Fivha isina chikonzero | Fivha (inopfuura 38 Celsius / 100.4 Fahrenheit) inogara kwemazuva anopfuura maviri kana kuti inogara kwenguva refu. |
| Kuderedza uremu pasina chikonzero | Kudzikira uremu kamwe kamwe pasina kudya zvishoma kana kurovedza muviri. |
| Kuneta nguva dzose | Kunzwa usina simba zvisinei nekuti unowana zororo rakadini. Chikonzero chikuru cheizvi chingave chekuti masero egomarara ari mubhonzo anoderedza kugadzirwa kwemasero matsvuku eropa, zvichikonzera anemia. |
| Kurwadziwa kwedumbu | Mamwe marudzi anogona kukonzera kurwadziwa kwemudumbu nguva dzose nekuti anotangira mudumbu. |
| Kuda kudya | Kana chiropa chakazvimba, chinogona kusunda ura hwako uye chinoita kuti unzwe wakaguta kunyangwe mushure mekudya zvishoma. |
| Kukwenya (Pruritus) kana kuchinja kweganda | Mamwe marudzi anotangira paganda uye anogona kukonzera mapundu, mamota, uye mapundu. Kana, kana chiropa chikakanganiswa, ganda rinogona kuvava. |
Yeuka kuti kuva nechimwe chezviratidzo izvi hazvirevi kuti une lymphoma. Dzihwa rinogonawo kukonzera kurwadziwa pahuro. Asi kana zviratidzo izvi zvikaramba zviripo kana kuti zvikawedzera, iva nechokwadi chekuona chiremba wako kuti akupe mazano.
Sei chimwe chinhu chakadai chichiitika?
Zvakaoma kutaura chikonzero chimwe chete cheizvi. Chinhu chikuru ndechekuti masero edu eB anova negomarara nekuda kwekuchinja kwemajini (mutation) kunoitika kana akapatsanuka. Zvisinei, tsvakurudzo yakawana kuti zvimwe zvinhu zvinogona kuwedzera njodzi yekubatwa nechirwere ichi.
- Zvimwe zvirwere zve autoimmune: Semuenzaniso, vanhu vane zvirwere zvakaita se rheumatoid arthritis uye Sjörgren's syndrome.
- Zvimwe zvirwere zvinotapukira: Kusangana nemavhairasi akadai seHIV (human immunodeficiency virus), Epstein-Barr virus.
- Nhoroondo yemhuri: Kana mumwe munhu mumhuri akamborwara nekenza yakaita seHodgkin lymphoma.
- Kufuta: Kurema kwakanyanya kwemuviri kunewo njodzi.
Unoona sei izvi, Chiremba?
Paunoenda kuna chiremba, achakubvunza nezvezviratidzo zvako uye nhoroondo yako yehutano. Zvadaro achakuongororwa muviri uye oongorora ma lymph nodes ako, chiropa, uye spleen kuti aone kana paine kuzvimba. Kana paine kusava nechokwadi, achakutumira kuna chiremba weropa-oncologist. Miedzo iyi inogona kuitwa kusimbisa chirwere chacho.
Kuongororwa kweropa
- Kuverengwa kweropa kwakazara (CBC): Kuyera mhando uye huwandu hwemasero ari muropa.
- Comprehensive metabolic panel (CMP): Inotarisa mashandiro enhengo dzakadai sechiropa neitsvo.
- Lactate dehydrogenase (LDH): Kuwanda kweizvi kunogona kuva chiratidzo che lymphoma.
Miedzo yemifananidzo
- Kuongororwa kweCT, PET scans, uye ultrasound scans: Izvi zvinogona kutarisa mamiriro ema lymph nodes nenhengo dziri mumuviri.
Kuongororwa kwemuviri
Iyi ndiyo nzira chete yekusimbisa chirwere ichi zvizere.
Izvi zvinosanganisira kutora sampuli diki yelymph node yakazvimba kana nyama inofungirwa woiongorora uchishandisa maikorosikopu. Izvi zvinogona kubatsira kuona rudzi chairwo rwelymphoma.
- Kuvhiyiwa kwekubvisa kana kuchekwa: Kubviswa kwese kana chikamu che lymph node.
- Kusveta netsono diki (FNA): Kuwana masero mashoma uchishandisa tsono diki.
- Kuongororwa kwemwongo wemapfupa: Kutorwa kwemuenzaniso mudiki wemwongo wemapfupa kuti uongororwe.
Ndezvipi zviri kurapwa?
Hapana mushonga mumwe chete wekurapa izvi. Kurapwa kwaunowana kunoenderana nezvinhu zvakaita serudzi rwe lymphoma yaunayo, kuti chirwere chacho chapararira kusvika papi, uye hutano hwako hwese. Chikwata chako chekurapa chichasarudza chirongwa chekurapa chakakunakira uye chine migumisiro mishoma.
Nzira huru dzekurapa ndeidzi:
- Kurapa nemakemikari: Kupa mishonga inouraya masero ekenza.
- Kurapa nekudzivirira kenza: Kukurudzira masoja emuviri wako kurwisa masero ekenza.
- Kurapa nemwaranzi: Kuparadza masero egomarara uchishandisa mwaranzi ine simba rakawanda.
- Kurapa kwakanangana: Kupa mishonga inorwisa masero ekenza chete. Semuenzaniso: `(monoclonal antibody therapy)`.
- Kumirira nekungwarira / kutarisa: Kune mhando dzinokura zvishoma nezvishoma, mamiriro ako anotariswa nguva dzose, pasina kutanga kurapwa nekukasika kana usina zviratidzo. Kurapwa kunongotanga chete kana zviratidzo zvikaonekwa.
Migumisiro yekurapwa
Kurapa kwese kunogona kuva nemigumisiro yakaipa. Zvinhu zvakaita sekurwadziwa mudumbu, manyoka, kuneta, kuda kurutsa, uye kurutsa zvinowanzoitika. Usatya izvi. Taura nachiremba wako nezvazvo pachena. Kune mishonga inobatsira kudzora migumisiro yakaipa.
Nguva yekuona chiremba uye nguva yekuenda kuETU
Uchafanira kuona chiremba wako nguva dzose panguva yekurapwa kwako. Kana kurapwa kwapera, uchaongororwa nguva nenguva kuti uone kana chirwere chacho chadzoka.
Zvisinei, kana zvakadaro , enda kuEmergency Treatment Unit (ETU) yechipatara nekukasika:
- Kana fivha yako yakakwira kupfuura 38 Celsius (100.4 Fahrenheit) uye isingaderere, izvi zvinokonzerwa nekuti kurapwa kunogona kuderedza simba remuviri wako uye kukonzera hutachiona.
- Kana migumisiro yekurapa yakanyanya kuipa zvekuti haigone kudzorwa nemushonga wakanyorwa nachiremba.
Mharidzo Yekuenda Nayo Kumba
- B-cell lymphoma rudzi rwekenza yeropa inotangira muB-cells dzemuviri wedu wekudzivirira muviri.
- Zviratidzo zvikuru mapundu asingarwadzi mumutsipa, muhapwa, kana muzvidya, kudikitira zvakanyanya husiku, kuneta nguva dzose, uye kudzikira kwehuremu kusingatsananguriki.
- Kana zviratidzo izvi zvikaramba zviripo, usazviregeredza uye taura nachiremba.
- Kune mishonga yakawanda inoshanda yekurapa chirwere ichi nhasi, saka usarasikirwa netariro kana wangoonekwa kuti une chirwere ichi.
- Hamufanirwe kufamba rwendo urwu muri mega. Wana rubatsiro kubva kuchikwata chevanachiremba, mhuri, neshamwari. Hutano hwepfungwa dzenyu hwakakosha sehutano hwemuviri wenyu.
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