Ngaba uneqhubu elingenabuhlungu entanyeni yakho, ekhwapheni, okanye emqolo? Okanye ukhathazwa kukubila kakhulu kangangokuba amashiti akho atsho abe manzi ebusuku? Ezi zinokuba zizinto eziqhelekileyo, kodwa ngamanye amaxesha zinokuba ziimpawu zohlobo lomhlaza wegazi olubizwa ngokuba yi-B-Cell Lymphoma. Musa ukoyika xa usiva eli gama. Akunzima ukuliqonda. Masithethe ngalo ngokulula, ngokucacileyo, nangendlela onokuliqonda ngayo.
Ngamafutshane, yintoni i-B-Cell Lymphoma?
I-B-cell lymphoma luhlobo lomhlaza wegazi oluvela kwinkqubo yethu ye-lymphatic. Kulungile, ngoku masiyenze lula le nto nangakumbi.
Igazi lethu liqulathe uhlobo lweseli olubizwa ngokuba ziiseli ezimhlophe zegazi. Ezi zifana nomkhosi womzimba wethu. Ezi seli zisikhusela ngokulwa neentsholongwane ezibangela izifo. Olunye uhlobo lweseli emhlophe yegazi lubizwa ngokuba zii-lymphocytes. Phakathi kwezi lymphocytes, kukho uhlobo olukhethekileyo olubizwa ngokuba zii-B-cells. Ziyinxalenye ephambili yomkhosi wokuzikhusela womzimba wethu.
Xa kuvela i-B-cell lymphoma, kukho into engalunganga ngezi B-cells, nto leyo ebangela ukuba zahlukane kwaye zande ngokungalawulekiyo, zibe ziiseli zomhlaza kwaye zenze iithumba.
Inkqubo yethu ye-lymphatic yinethiwekhi yemithambo yegazi, ii-lymph nodes, kunye nezicubu ezisasazeka emzimbeni wethu. Ifana nenkqubo yesibini yokujikeleza kwegazi emzimbeni wethu. Yiyo loo nto i-B-cell lymphoma inokukhula naphi na emzimbeni. Yiyo loo nto iimpawu zahlukile kumntu nomntu.
Okubalulekileyo kukuba, i-B-cell lymphoma lolona hlobo luqhelekileyo lwe-non-Hodgkin lymphoma. Kwiimeko ezininzi, kukho unyango olusebenzayo. Ezinye iintlobo zinokunyangwa ngokupheleleyo. Kwezinye, iimpawu zinokuncitshiswa kwaye umhlaza ungagcinwa uphilile.
Ezi lymphomas zahlulwe zibe ziintlobo ezimbini:
Xa ugqirha wakho ethetha ngesi sifo, angasebenzisa amagama amabini: "umsindo" kunye "nobuvila." Nantsi into abathetha ngayo:
- Uhlobo oluhlaselayo (olusasazeka ngokukhawuleza): Olu hlobo lukhula ngokukhawuleza kwaye lunokusasazeka (lusasazeka) kwamanye amalungu angaphandle komzimba ngenkqubo ye-lymphatic.
- Uhlobo lokungakhathali (olukhula kancinci): Olu hlobo lukhula kancinci kakhulu kwaye lusenokungabonakalisi zimpawu kangangeminyaka.
Ukuze kube lula ukuqonda, makhe sijonge ezi ntlobo kwitheyibhile efana nale.
| Uhlobo lwe-lymphoma | Inkcazo elula kunye nemizekelo |
|---|---|
| Ubundlobongela (busasazeka ngokukhawuleza) | Ezi zikhula ngokukhawuleza. Imizekelo:
|
| I-Indolent (ekhula kancinci) | Ezi zinokuba zingabonakali kangangeenyanga okanye iminyaka. Imizekelo:
|
Ziziphi iimpawu ze-B-cell lymphoma?
Ngamanye amaxesha unokuba ne-B-cell lymphoma ngaphandle kweempawu. Ingakumbi kwiintlobo ezikhula kancinci, idla ngokufunyanwa ngengozi ngexesha lovavanyo lwesinye isifo. Nangona kunjalo, kufuneka ukhathazeke ukuba ufumana ezi mpawu zilandelayo:
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Ii-lymph nodes ezivuvukileyo | Amaqhuma angenabuhlungu entanyeni, emakhwapheni, nasezingxoweni. Olu lolona phawu luqhelekileyo. |
| Ukubila kakhulu ebusuku | Ukubila kwangoko xa impahla yakho yokulala kunye neengubo zokulala zimanzi. |
| Umkhuhlane ngaphandle kwesizathu | Umkhuhlane (ongaphezulu kwama-38 Celsius / 100.4 Fahrenheit) ohlala iintsuku ezingaphezu kwezimbini okanye oqhubeka ixesha elide. |
| Ukunciphisa umzimba ngaphandle kwesizathu | Ukwehla kobunzima ngequbuliso ngaphandle kokunciphisa ukutya okanye ukwenza umthambo. |
| Ukudinwa rhoqo | Ukuziva ubuthathaka nokuba ufumana ukuphumla okungakanani na. Isizathu esiphambili soku kukuba iiseli zomhlaza ezikumongo wethambo zinciphisa ukuveliswa kweeseli ezibomvu zegazi, nto leyo ebangela i-anemia. |
| Intlungu yesisu | Ezinye iintlobo zinokubangela iintlungu zesisu ezingapheliyo kuba ziqala esiswini. |
| Umnqweno wokutya | Ukuba i-spleen idumbile, inokutyhala amathumbu ize ikwenze uzive ugcwele nasemva kokutya kancinci. |
| Ukurhawuzelela (Pruritus) okanye utshintsho lolusu | Ezinye iintlobo ziqala eluswini kwaye zingabangela ukurhawuzelela, amathumba, kunye namaqhuma. Okanye, ukuba isibindi sichaphazelekile, ulusu lunokurhawuzelelwa. |
Khumbula, ukuba nenye okanye ngaphezulu kwezi mpawu akuthethi ukuba une-lymphoma. Umkhuhlane oqhelekileyo unokubangela nomphimbo obuhlungu. Kodwa ukuba ezi mpawu ziyaqhubeka okanye ziyanda, qiniseka ukuba ubona ugqirha wakho ukuze akunike ingcebiso.
Kutheni kusenzeka into enje?
Kunzima ukukhomba unobangela omnye woku. Eyona nto iphambili kukuba ii-B-cells zethu ziba nomhlaza ngenxa yotshintsho olungaqhelekanga lwemfuza (uguquko) olwenzeka xa zahlukana. Nangona kunjalo, uphando lufumanise ukuba izinto ezithile zinokunyusa kancinci umngcipheko wokufumana oku.
- Ezinye izifo ezibangelwa kukuzikhusela komzimba: Umzekelo, abantu abanezifo ezifana ne-rheumatoid arthritis kunye ne-Sjörgren's syndrome.
- Ezinye izifo ezibangelwa ziintsholongwane: Ukuchanabeka kwiintsholongwane ezifana ne-HIV (intsholongwane yokungakwazi ukuzikhusela komzimba), intsholongwane ye-Epstein-Barr.
- Imbali yosapho: Ukuba kukho umntu kusapho okhe waba nomhlaza ofana neHodgkin lymphoma.
- Ukutyeba kakhulu: Ubunzima bomzimba obugqithisileyo bukwangumngcipheko.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Emva koko uza kwenza uvavanyo lomzimba aze ajonge ii-lymph nodes zakho, isibindi kunye ne-spleen ukuba azidumbanga na. Ukuba kukho amathandabuzo, uza kukuthumela kwi-hematologist-oncologist. Ezi mvavanyo zingenziwa ukuqinisekisa ukuxilongwa.
Uvavanyo lwegazi
- Ubalo lwegazi olupheleleyo (CBC): Lulinganisa iintlobo kunye nobungakanani beeseli egazini.
- Iphaneli epheleleyo ye-metabolic (CMP): Ijonga ukusebenza kwamalungu anjengesibindi kunye nezintso.
- I-Lactate dehydrogenase (LDH): Amanqanaba aphezulu oku angaba luphawu lwe-lymphoma.
Uvavanyo lokufota
- Ii-CT scans, ii-PET scans, kunye nee-ultrasound scans: Ezi zinokujonga imeko yee-lymph nodes kunye namalungu omzimba ngaphakathi emzimbeni.
I-Biopsy
Le yindlela kuphela yokuqinisekisa i-100% yesi sifo.
Oku kuquka ukuthatha isampuli encinci ye-lymph node evuvukileyo okanye izicubu ezirhanelekayo uze uzihlolisise phantsi kwe-microscope. Oku kunokunceda ekufumaneni uhlobo oluchanekileyo lwe-lymphoma.
- I-biopsy yokususa okanye yokusika: Ukususwa ngotyando kwayo yonke okanye inxalenye ye-lymph node.
- Ukufunxwa kwenaliti encinci (i-FNA): Ukufumana inani elincinci leeseli usebenzisa inaliti encinci.
- I-Bone marrow biopsy: Ukuthatha isampuli encinci yomongo ukuze ihlolwe.
Zithini iindlela zonyango?
Akukho nyango lufanayo olufanele bonke abantu koku. Unyango olufumanayo luya kuxhomekeka kwizinto ezifana nohlobo lwe-lymphoma onayo, ukuba isifo sisasazeke kangakanani, kunye nempilo yakho iyonke. Iqela lakho lezonyango liya kukhetha isicwangciso sonyango esikulungeleyo kwaye esingenazo iziphumo ebezingalindelekanga ezininzi.
Iindlela eziphambili zonyango zezi:
- Unyango lweKhemotherapy: Ukunika amayeza abulala iiseli zomhlaza.
- Unyango lwe-Immunotherapy: Ukuvuselela amasosha omzimba wakho ukuze alwe neeseli zomhlaza.
- Unyango lwemitha: Ukutshabalalisa iiseli zomhlaza kusetyenziswa imitha enamandla aphezulu.
- Unyango olujoliswe kulo: Ukunika amayeza ajolise kwaye ahlasele iiseli zomhlaza kuphela. Umzekelo: `(unyango lwe-monoclonal antibody)`.
- Ukulinda ngononophelo/ukubeka esweni okusebenzayo: Kwiintlobo ezikhula kancinci, imeko yakho ijongwa rhoqo, ngaphandle kokuqala unyango kwangoko ukuba awunazo iimpawu. Unyango luqalwa kuphela xa kuvela iimpawu.
Iziphumo ebezingalindelekanga zonyango
Zonke iindlela zonyango zinokuba neziphumo ebezingalindelekanga. Izinto ezifana nokuphazamiseka kwesisu, urhudo, ukudinwa, isicaphucaphu, kunye nokuhlanza ziqhelekile. Musa ukoyika ezi zinto. Thetha nogqirha wakho ngazo ngokukhululekileyo. Kukho amayeza okunceda ukulawula iziphumo ebezingalindelekanga.
Ixesha lokubona ugqirha nexesha lokuya kwi-ETU
Kuya kufuneka ubone ugqirha wakho rhoqo kulo lonke unyango lwakho. Emva kokuba unyango luphelile, uza kuhlolwa ngokweshedyuli eqhelekileyo ukuze kubonwe ukuba isifo sibuyile na.
Nangona kunjalo, kwimeko enjalo , yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko:
- Ukuba umkhuhlane wakho ungaphezulu kwama-38 Celsius (100.4 Fahrenheit) kwaye awunciphi, oku kungenxa yokuba unyango lunokwenza buthathaka amasosha omzimba wakho kwaye lukhokelele kwiintsholongwane.
- Ukuba iziphumo ebezingalindelekanga zonyango zinzima kakhulu ukuba zingalawulwa ngamayeza anikwe ngugqirha.
Umyalezo Wokuya Ekhaya
- I-B-cell lymphoma luhlobo lomhlaza wegazi oluqala kwii-B-cells zenkqubo yethu yokuzikhusela komzimba.
- Iimpawu eziphambili ziziqwenga ezingenabuhlungu entanyeni, emakhwapheni, okanye emathunjini, ukubila kakhulu ebusuku, ukudinwa rhoqo, kunye nokunciphisa umzimba ngendlela engachazekiyo.
- Ukuba ezi mpawu ziyaqhubeka, musa ukuzityeshela kwaye ngokuqinisekileyo bonana nogqirha.
- Kukho iindlela ezininzi zonyango ezisebenzayo zesi sifo namhlanje, ngoko ke musa ukuphelelwa lithemba xa sele ufunyenwe ukuba unayo.
- Akunyanzelekanga ukuba uhambe wedwa kolu hambo. Fumana inkxaso kwiqela lakho lezonyango, kusapho, nakubahlobo. Impilo yakho yengqondo ibaluleke njengempilo yakho yomzimba.
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