Uri kunzwa mapundu mumuviri wako here? Anogona kunge ari Follicular Lymphoma. Ngatitaurei nezvazvo!

Fungidzira, Samantha Akka anogara achiti aneta zvikuru, uye anodikitira husiku. Dzimwe nguva anotiwo anowana bundu diki pamutsipa wake. Kunyangwe izvi dzimwe nguva zvisingafungidzirwe muhupenyu hwedu hwezuva nezuva, zvinogona kuva zviratidzo zvechirwere chakadai seFollicular Lymphoma. Usanetseke, tichataura nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.

Chii chinonzi Follicular Lymphoma?

Zvichitaurwa zviri nyore, follicular lymphoma igomarara rinokura zvishoma nezvishoma . Kutaura chokwadi, igomarara rinokura mumasero edu elymph. Rinogona kukura mumasero ako elymph - kana, sezvatinodana, malymph nodes ako - kana mumapfupa ako, kana mune dzimwe nhengo dzemukati. Chinhu chinoshamisa ndechekuti vamwe vanhu vanogona kuva nechirwere ichi vasina kuratidza zviratidzo . Ndosaka vanachiremba vachichiona sechirwere chisingaperi . Mashoko akanaka ndeekuti kune mishonga yekurapa. Zvisinei, dzimwe nguva chirwere chinogona kudzoka mushure mekurapwa. Asi vanachiremba vanofunga kuti nguva haisi kure apo chirwere ichi chinogona kurapwa zvizere nemishonga mitsva.

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Zvichienderana nehuwandu hwevanhu, vanhu vanosvika vatatu kusvika vana kubva pazviuru zana (vanenge 3.5) vanogona kuva nechirwere ichi. Vanhu vane makore anopfuura 65 ndivo vane mukana mukuru wekuwana chirwere ichi kupfuura vechidiki. Zvakaonekwawo kuti varume ndivo vane mukana mukuru wekuwana chirwere ichi zvichienzaniswa nevakadzi.

Follicular Lymphoma inokanganisa sei muviri wangu?

Follicular lymphoma rudzi rweB -cell lymphoma , rudzi rwenon-Hodgkin's lymphoma . Nokudaro, inogonawo kuratidza zviratidzo zvenon-Hodgkin's lymphoma, zvakaita sekuzvimba kwema lymph nodes, fivha, uye kudikitira husiku .

Zvisinei, vanhu vazhinji vanoonekwa vaine chirwere ichi vasati vatombova nezviratidzo . Kune munhu asina zviratidzo uye ari muhutano hwakanaka, vanachiremba vanogona kusatanga kurapwa nekukasika. Pane kudaro, vanozoshandisa nzira inonzi 'waiting waiting' kana kuti 'active surveillance' . Izvi zvinoreva kuti vanachiremba vanogara vachitarisa hutano hwako nezviratidzo zvako.

Chirwere ichi chinogona kukanganisa pfungwa dzako chisati chakubata panyama. Ongororo yakaitwa munguva pfupi yapfuura yakaratidza kuti vanhu vane follicular lymphoma nemamwe lymphomas akafanana anokura zvishoma nezvishoma vanotambura nekuzvidya mwoyo zvakanyanya nekuda kwekusaziva kuti 'Zviratidzo zvichaonekwa rini?' uye 'Kurapwa kuchatanga rini?'

Ko Follicular Lymphoma chirwere chakakomba here?

Ehe, ndiyo follicular lymphoma.Inogona kuva chirwere chakakosha uye chinonetsa. Pane zvikonzero zvakawanda zveizvi:

• Kuchinja: Dzimwe nguva, follicular lymphoma inogona kushanduka kuita mhando yekenza ine simba inonzi diffuse large B-cell lymphoma (DLBCL) . Izvi zvinogona kukonzera zviratidzo zvitsva, zvakanyanya uye kupararira kwekenza kune dzimwe nhengo dzemuviri. Vanhu vanosvika 3 muzana (3%) vane follicular lymphoma vanoshanduka kuita DLBCL. Fungidzira kuti zvakaoma sei kuva nechirwere chakakomba kamwe kamwe.
• Kudzokera shure: Chimwe chinetso nechirwere ichi ndechekuti mushure mekurapwa, zviratidzo zvinogona kupera, uye zvozotangazve mushure mechinguva. Kutenderera uku kwekuregererwa-kudzoka-kuregererwa kunoita kuti zviomere vanhu vane chirwere ichi kunzwa sekunge 'vapera'. Nemamwe mashoko, vanogara vachirarama nekutya mumoyo mavo.

Ndezvipi zviratidzo zveFollicular Lymphoma?

Kune zviratidzo zvakawanda zvinowanzoonekwa muchirwere ichi. Asi yeuka, kungova nezviratidzo izvi hazvirevi kuti une chirwere ichi. Asi zvakakosha kuziva zvinhu izvi.

• Malymph nodes akazvimba mumutsipa, muhapwa, kana munzvimbo yegokora pasina kurwadziwa. Tinoati malymph nodes akazvimba, ndizvo zvazviri.
• Fivha isina chimwe chirwere kana hutachiona.
• Kudzikira kwehuremu pasina chikonzero chakajeka. Unofanira kunetseka, kunyanya kana wakadzikira huremu hwemuviri wako ne10% kana kupfuura mumwedzi mitanhatu yapfuura .
• Kudikitira uye kunzwa kutonhora. Kunyanya kana udikitira zvakanyanya zvekuti unonyorovesa mubhedha wako husiku (kudikitira husiku) uye zvikaramba zviripo, zvinogona kunge zviri chiratidzo chechirwere.
• Kuneta. Uku hakusi kuneta kwakajairika. Kuneta kwakanyanya ndiko kunoita kuti zviome kuita mabasa ezuva nezuva .

Chii Chinokonzera Follicular Lymphoma?

Kutaura zvazviri, vaongorori havasati vaziva zvese zvinokonzera chirwere ichi. Asi vakaona kuti muzviitiko zvinenge 85 muzana (85%) , chikonzero chikuru chechirwere ichi kuchinja kwemachromosomes edu . Nekuda kwekuchinja uku, kusajairika, kana kenza, masero anotanga kupatsanurana nekuwanda pasina kudzora.

Vanachiremba vanoongorora sei follicular lymphoma?

Vanachiremba vanoshandisa bvunzo dzakawanda kuti vaone kana une chirwere ichi kana kuti kwete.

• Kuongororwa kwemuviri: Izvi zvinosanganisira kutora chidimbu chidiki chenyama kubva pa lymph node yakazvimba.Kuongorora nemaikorosikopu kuti uone kana paine masero ekenza. Iyi ndiyo nzira huru yekusimbisa chirwere .
• Kuongororwa kwePET (Positron Emission Tomography - PET scan): Kuongororwa uku kunogona kuratidza kuti masero ekenza anoshanda zvakadii, kuti apararira kusvika papi, uye kuti kenza yacho yakakura zvakadii.
• Kuongororwa kweCT (Computed Tomography - CT scan): Izvi zvinobatsira vanachiremba kuona kuti kenza iri mumuviri, yakakura sei, uye kuti iri kupindura sei pakurapwa.

Matanho eFollicular Lymphoma ndeapi?

Kufanana nechero kenza, follicular lymphoma ine matanho akasiyana. Matanho aya anoshandiswa navanachiremba kusarudza kuti ndeipi nzira yekurapa yakanakisa. Kune matanho mana makuru (I kusvika IV):

• Danho Rokutanga: Gomarara riripo munzvimbo imwe chete kana kupfuura dzema lymph node . Vanhu vanosvika 25 muzana (25%) vema follicular lymphoma vanoonekwa padanho iri.
• Danho rechipiri: Gomarara rinowanikwa munzvimbo mbiri kana kupfuura dzema lymph node dziri pamusoro kana pasi pe diaphragm (tsandanyama dzinoparadzanisa chipfuva nedumbu redu). Vanenge gumi nemashanu muzana (15%) yevarwere vanoonekwa panguva ino.
• Danho rechitatu: Gomarara riri muma lymph nodes kumativi ese e diaphragm (kumusoro nepazasi) . Vanenge 26 muzana (26%) yevarwere vanoonekwa panguva ino.
• Danho rechina: Gomarara rapararira kupfuura ma lymph nodes, kusvika kumapfupa kana mamwe masisitimu enhengo . Varwere vanosvika 27 muzana (27%) vanoonekwa vari padanho iri rakakwirira.

Follicular Lymphoma inorapwa sei?

Vanachiremba havashandisi mushonga mumwe chete kune wese munhu pakurapa follicular lymphoma. Kurapa kunoenderana nezvinhu zvakawanda, kusanganisira mamiriro emurwere uye danho rechirwere. Dzimwe nguva, musanganiswa we 'kumirira wakarinda' nedzimwe nzira dzekurapa dzinoshandiswa.

• Kumirira nekungwarira kana kutarisa: Kana chiremba wako akakurudzira nzira iyi, uchafanirwa kuona chiremba wako nguva dzose, kuongororwa muviri, kuongororwa ropa, uye kuskenwa . Izvi zvinoreva kumirira kusvika zviratidzo zvaonekwa kana kuti chirwere chacho chawedzera kuipa.
• Kurapa nemwaranzi: Rudzi urwu rwekurapa nemwaranzi runogona kushandiswa muzvirwere zvepakutanga , kana kenza iri panzvimbo imwe chete. Inoshandisa mwaranzi ine simba guru kuparadza masero ekenza.
• Kurapa kweMonoclonal antibody:Iyi imishonga yakaoma. Zvichitaurwa zviri nyore, inoshandisa rudzi rweantibody yakagadzirwa murabhoritari . Maantibody aya anogona kuwana masero ekenza oaparadza.
• Kurapa nekenza: Izvi zvinonzwikwa nevanhu vazhinji pavanenge vachitaura nezvekurapa kenza. Zvinosanganisira kushandiswa kwemishonga yakakosha kuparadza masero ekenza . Kurapa nekenza kunogona kuitwa yoga kana pamwe chete nedzimwe nzira dzekurapa.
• Kurapa kwakanangana: Mishonga inoshandiswa murudzi urwu rwekurapa inorwisa uye inorwisa masero ekenza chete, pasina kukuvadza masero ane hutano hwakanaka . Izvi zvinogona kuderedza migumisiro yakaipa.
• Kurapa nekudzivirira kenza: Uku kurapa kunonakidza zvikuru. Kunoshanda nekukurudzira masoja emuviri wako kuti arwise kenza. Kunowedzera kugadzirwa kwemasero anorwisa kenza, kana kuti kunobatsira masero ane hutano kuziva nekurwisa masero ekenza.
• Kuisirwa masero emapfupa ane mamongo/stem cell: Kana follicular lymphoma ikadzokera shure mushure me chemotherapy, vanachiremba vanogona kukurudzira kurapwa uku. Izvi zvinosanganisira kutsiva mapfupa ane chirwere nemapfupa ane mamongo kana masero emapfupa ane hutano.

Ko follicular lymphoma inogona kudzivirirwa here?

Zvinosuwisa kuti vaongorori havasati vawana nzira chaiyo yekuderedza njodzi yekubatwa nechirwere ichi. Kana uine zvinokunetsa kana kusava nechokwadi nezvazvo, chinhu chakanakisa chekuita ndechekuona chiremba wako wotaura nezvenhoroondo yako yezvekurapa uye nhoroondo yemhuri yako yezvekurapa. Ipapo chiremba anogona kukupa mazano anodiwa.

Unogona kurarama kwenguva yakareba sei neFollicular Lymphoma?

Sezvatakambotaura, follicular lymphoma chirwere chisingaperi chinokura zvishoma nezvishoma . Izvi zvinoreva kuti unogona kurarama nechirwere ichi kwenguva yakareba. Zvidzidzo zvakaratidza kuti hafu (inenge 50%) yevanhu vanoonekwa vaine chirwere ichi vanorarama kwemakore anoda kusvika makumi maviri . Uyewo, vanenge 90% yevarwere vachiri vapenyu makore mashanu mushure mekuonekwa kwechirwere ichi. Saka izvi zvinoratidza kuti kunyangwe ichi chirwere chinouraya, pane mukana wekurarama nacho.

Ndingazvitarisira sei?

Kuzvitarisira kwakakosha zvikuru kana uchirarama negomarara. Heano mamwe matipi anogona kukubatsira paunenge uchirwara nechirwere ichi:

• Iva netsika dzakanaka dzekudya uye kurovedza muviri.Bvunza nyanzvi yezvekudya kana chiremba nezvekudya kwakanaka kunokukodzera. Kurovedza muviri zvakanyanya sezvinobvira kwakanakirawo muviri.
• Kuneta chiratidzo chinowanzoitika chechirwere ichi, uye chinogonawo kuva mhedzisiro yekurapwa. Saka teerera muviri wako. Kana uchinzwa kuneta, zorora kwete chete kana uchikwanisa, asiwo kana uchida.
• Ungangofanira kurarama negomarara iri kwenguva yakareba . Aya mashoko akanaka zvechokwadi. Zvisinei, kurarama nechirwere chisingaperi kunogona kunetsa pfungwa. Saka, kutaura nenyanzvi yekurapa kana kubatana neboka rekutsigira vanhu vane chirwere ichi kunogona kubatsira zvikuru pahutano hwepfungwa dzako. Isimba guruwo kuziva kuti hausi wega.

Ndinofanira kuona chiremba wangu rini?

Mushure mekunge maonekwa kuti mune follicular lymphoma, chiremba wenyu acharonga nguva yekutevera kuti aongorore mamiriro enyu uye marapirwo enyu. Iva nechokwadi chekuti machengeta nguva idzi.

Zvisinei, kana ukaona shanduko mumuviri wako kana zviratidzo zvitsva (zviratidzo zve follicular lymphoma), enda kuna chiremba wako nekukurumidza uye muvaudze nezvazvo. Kana zvikaonekwa nekukurumidza, zvinova nyore kurapa.

Mharidzo Yekupedzisira Yekuenda Kumba

Izwi rekuti kenza rinotityisa, handiti? Kunyangwe nekenza iri kukura zvishoma nezvishoma seFollicular Lymphoma, hazvisi nyore. Ungasava nezviratidzo kwemakore. Asi kana zviratidzo zvangoonekwa, ungangofanira kupfuura nemunhevedzano yekurapwa, kurerukirwa, kudzoka, uye kurapwa zvakare. Ungatozvibvunza kuti, 'Ndichabvisa riini izvi?'

Asi chinonyanya kukosha kusarasa tariro. Vaongorori vari kuramba vachiedza kutsvaga mishonga mitsva yekuita kuti chirwere ichi chive chirwere chinorapika.

Kana uine Follicular Lymphoma, taura nachiremba wako uye taura zvakajeka nezvesarudzo dzako dzekurapa. Usatya kubvunza mibvunzo. Neruzivo rwakakodzera uye rutsigiro, uchasimbiswa kutarisana nedambudziko iri!

` Follicular Lymphoma, Lymphoma, Kenza, Lymph Nodes, Zviratidzo, Kurapwa, B-Cell Lymphoma