Zvaunofanira kuziva nezveLymphoma - Ngatikurukurei!

Wakambova nemapundu madiki pamuviri wako here, kunyanya munzvimbo dzakadai semutsipa wako, muhapwa, uye muzvidya? Kana kuti wakambonzwa kuneta zvakanyanya uye kuneta pasina chikonzero? Zvinhu izvi zvinogona kuitika kunyangwe kana uine dzihwa. Zvisinei, dzimwe nguva zvinogona kuva zviratidzo zverudzi rwekenza inonzi lymphoma . Saka, nhasi tichataura nezve lymphoma chii, kuti inokura sei, zviratidzo zvipi, uye kana paine kurapwa.

Chii chinonzi Lymphoma?

Zvichitaurwa zviri nyore, lymphoma igomarara rinokura mu lymphatic system yedu. Kungofanana netsinga dzeropa, muviri wedu une network yenzira dzakanaka dzinonzi lymphatic system. Basa rayo guru nderekudzivirira muviri wedu kubva kuzvirwere, ndiko kuti, kurwisa utachiona. Iyi lymphatic system inoumbwa ne lymph nodes, lymph vessels, nedzimwe nhengo dzinoverengeka.

Rudzi rwakakosha rwesero muhurongwa uhwu hwelymphatic runonzi lymphocytes . Idzi imhando yemasero machena eropa. Lymphoma inoitika kana masero aya elymph anotanga kukura zvisina kujairika, asingadzoreki. Kufanana nesora, masero aya anokura zvakanyanya uye anoungana pamwe chete kuti aumbe bundu. Izvi zvinoonekwawo sekenza yeropa, nekuti zvinotanga mumasero machena eropa.

Kune mhando mbiri huru dze lymphoma:

1. Hodgkin lymphoma

2. Non-Hodgkin lymphoma

Pamusoro pemhando mbiri idzi, kune dzimwe mhando dzinopfuura makumi manomwe. Dzimwe mhando dze lymphoma dzine hukasha , nepo dzimwe dzisina simba. Chinhu chakanakisa ndechekuti kazhinji, lymphoma inogona kudzorwa (kubviswa) kana kurapwa zvachose nekurapwa. Munhu wese anogona kuwana lymphoma, kubva kuvana vadiki kusvika kuvakuru. Asi munyaya ino, tichanyanya kutaura nezve lymphoma muvakuru.

Ko lymphoma chirwere chinowanzoitika here?

Kwete, lymphoma haisi chirwere chakajairika kana tichienzanisa nedzimwe mhando dzekenza. Semuenzaniso, American Cancer Society inotarisira kuti vanhu vanosvika 89,000 vachaonekwa muUnited States muna 2023. Panguva imwe chete, zvinonziwo vanhu vanosvika 236,740 vachaonekwa vaine kenza yemapapu. Saka, zvinoita sekunge lymphoma haiwanzoonekwi.

Ndiani ari panjodzi huru yekubatwa ne lymphoma?

• Non-Hodgkin lymphoma inowanzoonekwa muvanhu vane makore ari pakati pe60 ne80. Varume ndivo vanowanzoiwana kupfuura vakadzi.
• Hodgkin lymphoma inogona kukura muvanhu vane makore ari pakati pe20 ne39 uye muvanhu vane makore anopfuura 65. Inowanzoonekwawo zvishoma muvarume.

Ndezvipi zviratidzo zvinowanzoonekwa zve lymphoma?

Kazhinji, zviratidzo zve lymphoma zvinogona kufanana nezvezvimwe zvirwere zvisina kunyanya kuoma. Usatya kufunga kuti une lymphoma nekuti une zviratidzo izvi. Zvisinei, kana ukaona shanduko kana zviratidzo zvitsva zvisingaperi mushure memavhiki mashoma, zvakanaka kuona chiremba kuti akupe mazano.

Zviratidzo zvinogona kuonekwa kune Hodgkin neNon-Hodgkin lymphoma zvinosanganisira:

• Kuzvimba kusingarwadzi: Rimwe kana kupfuura ma lymph nodes mumutsipa, muhapwa, kana muzvidya zvinozvimba uye zvisingabvi mushure memavhiki mashoma. Izvi zvinogona kunzwa semapundu madiki anogona kunzwikwa muruoko.
• Kuneta kunogara kwenguva refu: Kunzwa kuneta uye kunonoka mukati mezuva rose, kunyangwe mushure mekurara zvakanaka.
• Fivha inodzokororwa: Fivha inodarika 103 Fahrenheit (39.5 Celsius) kwemazuva anopfuura maviri, kana fivha inodzikira yozodzoka.
• Kudikitira husiku: Kudikitira zvakanyanya usiku wakarara zvekuti machira nembatya zvinonyorova.
• Kushaya simba: Kunzwa kubatwa muchipfuva, sekunge haugone kufema.
• Kudzikira kwehuremu kusingatsananguriki: Kudzikira kwehuremu hwako hwese ne10% mukati memwedzi mitanhatu, pasina kudya kana kurovedza muviri.

Zvakakosha: Kana uine chimwe chezviratidzo izvi kana kupfuura, hazvirevi kuti une lymphoma. Zvisinei, zvichiri kukosha kutsvaga mazano echiremba.

Ndezvipi zvikonzero zve lymphoma?

Lymphoma inokonzerwa nekuchinja kwemajini (kuchinja kwemajini) mumasero machena eropa mu lymphatic system, izvo zvinoita kuti ave masero ekenza anokura nekukurumidza pasina kudzora. Kazhinji zvakaoma kuziva kuti chii chaizvo chinokonzera kuchinja kwemajini uku. Izvi zvinoreva kuti kazhinji kunoitika pasina chikonzero .

Zvisinei, tsvakurudzo yakawana kuti mamwe mamiriro nematambudziko zvinogona kuwedzera njodzi yekubatwa nechirwere chelymphoma. Izvi zvinosanganisira:

• Kana wakambova nehutachiona hweHIV (human immunodeficiency virus) , Epstein-Barr virus (hutachiona hunokonzera mononucleosis kana kissing disease) , kana Kaposi sarcoma human immunodeficiency virus .
• Kana mumwe munhu mumhuri yako akambova ne lymphoma (nhoroondo yemhuri).
• Kana masoja emuviri wako asina simba nekuda kwezvimwe zvirwere kana kurapwa. Semuenzaniso, vanhu vakamboisirwa nhengo dzemuviri vanotora mishonga inonzi immunosuppressants kudzivirira muviri kuti usarambe nhengo yakaisirwa. Mishonga iyi inoshayisa simba masoja emuviri.
• Kana uine chirwere che autoimmune , ichi chirwere apo masoja emuviri wako anorwisa muviri wako zvisiri izvo pachinzvimbo chekukudzivirira.

Lymphoma inoonekwa sei?

Vanachiremba vanowanzoita bvunzo dzinoverengeka kuti vaongorore lymphoma.

1. Kuongororwa kwemuviri: Tarisa zviratidzo zvataurwa pamusoro apa. Tarisa kana ma lymph nodes nenhengo dzakazvimba dzakadai sechirebvu.

2. Biopsy: Iyi ndiyo bvunzo inonyanya kukosha yekusimbisa lymphoma. Kanyama kadiki kanotorwa kubva pa lymph node yakazvimba kana imwe nyama inofungirwa kuti inokanganisa kenza yoongororwa nemaikorosikopu nachiremba wezvirwere . Izvi ndizvo zvinokuudza kana masero ekenza aripo uye, kana zvakadaro, rudzii rwe lymphoma.

Kana bvunzo idzi dzichiratidza kuti chirwere chelymphoma, vanachiremba vachaita bvunzo dzeropa dzekuwedzera uye bvunzo dzemifananidzo kuti vawane rumwe ruzivo nezvechirwere ichi uye kuronga kurapwa.

Kuongororwa kweropa

• Kuverengwa kweropa kwakazara (CBC) nekusiyana: Izvi zvinotarisa huwandu hwezvinhu zvakaita semasero machena eropa, masero matsvuku eropa, uye maplatelet.
• Erythrocyte sedimentation rate (ESR): Izvi zvinobatsira kunzwisisa kuzvimba kuri kuitika mumuviri.
• Lactate dehydrogenase (LDH): Huremu uhwu hunogona kuwedzera kana masero achikura/achifa nekukurumidza.
• Kuongororwa kwebasa rechiropa neitsvo.
• Serum protein electrophoresis (SPEP): Izvi zvakakosha pakutsvaga mapuroteni asina kujairika (M proteins) anogadzirwa mune mamwe ma lymphomas.

Miedzo yemifananidzo

• CT scan (Computed tomography - CT scan): Izvi zvinogona kushandiswa kuona kana lymph nodes, spleen, kana dzimwe nhengo dzemuviri dzakazvimba, uye kana kenza yapararira.
• Kuongororwa kwePET (Positron emissions tomography - PET scan): Izvi zvinobatsira zvikuru pakuona nzvimbo dzine masero ekenza. Kuongororwa kwePET kunowanzoitwa pamwe chete neCT scan . Dzimwe nguva kuongororwa kweMRI (magnetic resonance imaging) kunoshandiswawo.

Kana uine lymphoma isiri Hodgkin , chiremba wako anogona kuraira mimwe miedzo yekuona majini nemapuroteni ane chekuita nayo.

Ndezvipi zvirongwa zvekurapa lymphoma?

Kurapwa kwelymphoma kunosiyana zvichienderana nerudzi rwelymphoma. Semuenzaniso, kana uine rudzi rwelymphoma rwakanyanya kurwadza, chiremba wako anogona kukurudzira chinonzi active surveillance kana kumirira watchful usati watanga kurapwa. Izvi zvinoreva kuti hutano hwako nezviratidzo zvelymphoma zvinoongororwa zvakanyanya, uye kurapwa hakutangi kusvika chirwere chacho chanyanya kuipa.

Mishonga inonyanya kushandiswa yekurapa lymphoma ndeiyi:

• Kurapwa nemakemikari
• Kurapa nemwaranzi
• Kurapa kwakanangana
• Kurapa nekudzivirira muviri
• Kurapa kweCAR T-cell
• Kuisirwa kwemasero emuviri kana kuti bone marrow

Chiremba wako anogonawo kukurudzira rubatsiro rwekuderedza kushushikana sechikamu chechirongwa chako chekurapa. Izvi zvinokubatsira kudzora zviratidzo nemigumisiro yekurapwa. Zvinosanganisirawo kupa rutsigiro rwepfungwa nekunyaradza.

Ndezvipi migumisiro yekurapwa?

Kurapwa kweLymphoma kunogona kukonzera migumisiro yakasiyana-siyana. Nekuti munhu wese anopindura zvakasiyana pakurapwa kwakafanana, zvakakosha kubvunza chiremba wako nezvemigumisiro yekurapwa kwako uye kuti ungaigadzirisa sei.

Ungaderedza sei njodzi yekukura kwe lymphoma?

Vaongorori vachiri kuferefeta zvinhu zvinokonzera lymphoma. Pane chikonzero chekutenda kuti mamwe marudzi emavhairasi uye nhoroondo yemhuri zvinogona kuwedzera njodzi yako yekuva nelymphoma. Kana uchifunga kuti ungangove uri panjodzi ye lymphoma nekuda kwenhoroondo yako yehutano kana nhoroondo yemhuri, taura nachiremba wako nezvazvo.

Munhu ane lymphoma angava netariro yei?

Fambiro mberi yako ndiyo yaunogona kutarisira mushure mekupedza kurapwa. Izvi zvinoenderana nezvinhu zvakawanda, zvakaita serudzi rwe lymphoma yaunayo, zera rako, uye hutano hwako hwese. Zvisinei, kazhinji, kurapwa kunogona kuita kuti lymphoma iderere kana kutoirapa zvachose. Kurerukirwa kunoreva kuti hauna zviratidzo zve lymphoma uye hapana zviratidzo zve lymphoma zvinowanikwa pabvunzo.

Zvisinei, lymphoma iri kurerukirwa inogona kudzoka. Kana uine lymphoma iri kurerukirwa, uchafanirwa kuona chiremba wako kuti ugare uchiongororwa. Chiremba wako achaita bvunzo kuti aone kana paine zviratidzo zve lymphoma. Zviratidzo zvinhu zvaunonzwa uye zvaunogona kutsanangura. Zviratidzo kuchinja kwezvinhu zvinogona kuyerwa nekuongororwa kweropa, zvakaita sefivha uye huwandu hwemasero machena eropa.

Ndeipi chiyero chekurapa lymphoma?

Zvose, data rinoratidza kuti 89% yevanhu vane Hodgkin lymphoma uye 74% yevanhu vane non-Hodgkin lymphoma vapenyu makore mashanu mushure mekuonekwa kuti vane chirwere ichi.

Mwero wekurarama kwechirwere ichi unobva pane zvakaitika kumapoka ane chirwere chimwe chete. Havapi fungidziro chaiyo yekuti munhu achararama kwenguva yakareba sei nechirwere chelymphoma. Kana uine mibvunzo nezveizvi, bvunza chiremba wako.

Ndinofanira kuzvitarisira sei kana ndine lymphoma?

Kana uine lymphoma, zvinogona kubatsira zvikuru kugadzira hurongwa hwekurarama nayo. Hurongwa uhwu huchakubatsira panguva yekutanga kurapwa, pamwe nekushanya kwekutevera. Heano zvimwe zvinhu zvekufunga nezvazvo paunenge uchigadzira hurongwa hwako:

• Tsvaga kuti kurapwa kwelymphoma kuchakanganisa sei hupenyu hwako hwezuva nezuva. Zvadaro unogona kusarudza kana uchida rubatsiro kumba kana kuti nguva yaunoenda kunorapwa.
• Idya chikafu chine mwero. Isa zvekudya zvakaita senyama isina mafuta akawanda, miriwo, zviyo zvese, uye yogati mukudya kwako. Kurapwa negomarara kunogona kukonzera kuti usade kudya. Kana izvi zvikaitika, taura nenyanzvi yezvekudya nezvenzira dzekuwana zvinovaka muviri zvaunoda kuti urambe uine simba panguva yekurapwa.
• Zviwanire nguva. Ita zvinhu zvakaita sekunyora pasi, kuteerera mimhanzi, kupedza nguva uri panze. Kurarama negomarara kunoshungurudza. Zvinhu zvakaita sekufungisisa uye kurovedza muviri kufema zvinogona kubatsira kuderedza kushushikana.
• Ita maekisesaizi. Tsvagiridzo inoratidza kuti maekisesaizi anogona kuderedza kuneta nekushushikana uye kuvandudza hupenyu hwevanhu vane lymphoma.
• Gomarara rinogona kuva chiitiko chekusurukirwa. Zvinogona kuoma kutaura nemhuri yako neshamwari nezvechirwere chako. Bvunza chiremba wako nezvemabasa nezvirongwa zvinogona kukubatsira.

Ndinofanira kuona chiremba rini?

Ona chiremba wako chero nguva yaunofunga kuti zviratidzo zve lymphoma zviri kuwedzera, kana chero nguva yaunoda rubatsiro rwekutarisira migumisiro yekurapwa.

Unofanira kuenda kuchipatara panguva ipi?

Mishonga yakawanda yegomarara inokanganisa masoja emuviri wako. Izvi zvinoreva kuti kurapwa kwako gomarara kunogona kuwedzera njodzi yako yekubatwa nezvirwere. Heano mamwe ezviratidzo zvingada kuti uende kuchipatara che emergency:

• Fivha ye100.3 Fahrenheit (39.5 Celsius) kana kupfuura.
• Kunzwa kutonhora uye kudedera (kutonhora).
• Kukosora kunobereka kana kuti "kwakanyorova".
• Kurwadziwa kwemudumbu.
• Manyoka anogara kwenguva inopfuura mavhiki maviri.

Mibvunzo ipi yandinofanira kubvunza chiremba?

Mibvunzo yaungave nayo panguva yerwendo rwako negomarara inogona kuchinja nekufamba kwenguva. Kana uchangobva kuonekwa kuti une lymphoma, heano mimwe mibvunzo inokosha yaungabvunza:

• Unoziva sei kuti ndine lymphoma?
• Ndine rudzii rwe lymphoma?
• Ndava nenguva yakareba sei ndiine lymphoma iyi?
• Ndedzipi nzira dzekurapa dzandinadzo?
• Ndezvipi migumisiro yekurapa kwega kwega?
• Chii chandingatarisira nezvechirwere changu (kufanotaura zvichaitika)?

Lymphoma ikenza yakakomba here?

Zvinoenderana nerudzi rwe lymphoma yaunayo. Semuenzaniso, non-Hodgkin lymphoma.Izvi zvinogona kuita kuti muviri wako uve nyore kubatwa nezvirwere zvinouraya, mamwe marudzi ekenza, uye chirwere chemwoyo. Zvichienderana nehuwandu hwevanhu, vanhu vanosvika zviuru mazana matatu vanofa pasi rose nekuda kwerudzi rwe non-Hodgkin lymphoma.

Ko lymphoma inogona kuongororwa nekuongororwa kweropa here?

Kuongororwa kweropa kunogona kuona zvinhu zvakaita sekuwedzera kwehuwandu hwemasero machena eropa. Izvi zvinogona kuva zviratidzo zvegomarara reropa rakadai selymphoma kana leukemia. Zvisinei, kuongororwa kweropa chete hakugone kuratidza zvechokwadi kana uine lymphoma. Vanachiremba vanoongorora lymphoma zvakanyanya zvichibva pamhedzisiro ye biopsy uye mifananidzo .

Kazhinji lymphoma inotanga kupi?

Lymphoma inogona kutanga chero kupi zvako mumuviri wako kwaune malymphocytes. Aya ndiwo rudzi rwemasero machena eropa anorwisa hutachiona. Anowanikwa mumalymph nodes ako, spleen, bone marrow, nedzimwe nhengo dzemuviri wako. Chiratidzo chekutanga chinowanzoonekwa kuzvimba kwemalymph nodes mumutsipa, pachipfuva chepamusoro, muhapwa, mudumbu, kana muhudyu.

Lymphoma inogona kuvapo kwenguva yakareba sei pasina kuzivikanwa?

Unogona kuva nelymphoma kwemakore usingaone zviratidzo. Dzimwe nguva, zviratidzo zve lymphoma zvinowanikwa netsaona panguva yekuongororwa kwemifananidzo kunoitwa nechimwe chikonzero.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Lymphoma chirwere chakakomba. Nerombo rakanaka, kurapwa kwe lymphoma kuri kuvandudzika, zvichibatsira vanhu kurarama kwenguva yakareba. Huwandu hwevanhu vanopona huri kuwedzera gore rega rega. Vaongorori vari kuwanawo zvakawanda nezvezvinhu zvinokonzera lymphoma.

Kana uchifunga kuti ungangove uri panjodzi yekubata lymphoma, taura nachiremba wako. Kana zvakadaro, iye achakutsanangurira zvaungaita kuti udzivirire hutano hwako.

Yeuka, kuongororwa kwechirwere nekukurumidza uye kurapwa kwakakodzera ndizvo zvinhu zvinonyanya kukosha.

Kana muine mimwe mibvunzo nezvenyaya iyi, musazeza kubvunza chiremba. Rambai muine hutano hwakanaka!

lymphoma , kenza, lymph nodes, zviratidzo, kurapwa, Hodgkin lymphoma, non-Hodgkin lymphoma