Xa unyangwa emva kokuba ufunyaniswe une-B-Cell Lymphoma, ngenye imini ugqirha wakho uthi, "Ngoku 'ukwi-remission'." Elo ligama elithuthuzelayo nelinika ithemba. Lilinyathelo elibaluleke kakhulu kuhambo lwakho lonyango. Ngamafutshane, kuthetha ukuba umhlaza wakho awusasebenzi, okanye ukuba ngoku uphumile emzimbeni wakho.
Ziziphi iintlobo 'zokukhululwa'?
Ugqirha wakho uza kukuxelela ukuba 'ukwimeko yokuxolelwa' ukuba iiskeni zibonisa ukuba umhlaza unciphile kakhulu emzimbeni wakho, okanye ukuba akukho zimpawu zomhlaza ezifumanekayo. Kukho iintlobo ezimbini eziphambili zale nto. Makhe sijonge ukuba zeziphi.
| Uhlobo lokuxolelwa | Ithetha ntoni le nto? |
|---|---|
| Uxolelo oluyinxenye | Oku kuthetha ukuba umhlaza wakho we-B-cell lymphoma mncinane kunangaphambili, kodwa usesemzimbeni wakho. Oku kuthetha ukuba ubuncinane isiqingatha somhlaza sinciphile. |
| Ukuxolelwa Okupheleleyo | Kwimeko enjalo, ugqirha wakho akanakufumana zimpawu zomhlaza kwiiskeni okanye kwezinye iimvavanyo. Nangona kunjalo, kusenokuba kukho iiseli zomhlaza ezisele emzimbeni. Kodwa zincinci kakhulu kangangokuba azinakubonwa ngovavanyo. |
Oogqirha bonke bazama ukukunceda uphumle ngokupheleleyo. Ngeentlobo ezithile ze-lymphoma, kukho ithuba elihle lokufezekisa loo njongo. Kodwa kwezinye iintlobo, kwanophumlo oluncinci luthathwa njengempumelelo enkulu.
Ngaba 'ukuxolelwa' kuthetha ukuba uphile ngokupheleleyo?
Nantsi into ebaluleke kakhulu. Nangona 'ukwi-remission', kukho ithuba lokuba i-lymphoma yakho ingabuya. Kodwa ngenxa yokuba umhlaza awusebenzi ngelo xesha, unokukwazi ukuyeka unyango okanye uthathe ikhefu kunyango.
Akukho mntu unokutsho ngokuthe ngqo ukuba ukuphumla kuya kuhlala ixesha elingakanani , yiyo loo nto wena nogqirha wakho kufuneka nihlale niyijongile loo nto.
Ngenxa yesi sizathu, kuya kufuneka uqhubeke ubona ugqirha wakho ukuze kwenziwe uvavanyo ukuqinisekisa ukuba i-lymphoma yakho ayikhuli okanye ayibuyi. Abanye oogqirha basebenzisa igama elithi "cured" kuphela kwizigulana ebezisele ziphilile iminyaka emi-5 nangaphezulu.
Kwabanye abantu, i-lymphoma ayipheli ngokupheleleyo. Iba sisifo esingapheliyo, njengesifo seswekile okanye isifo samathambo. Kwiimeko ezinjalo, unokufuna ukuqhubeka nokuthatha uhlobo oluthile lonyango ukuze uthintele umhlaza ukuba ungasasazeki kwaye ulawule iimpawu zakho.
Ugqirha ujonga njani ukuba umhlaza awuphinde ubuye? (Ukubuyela kwakhona komhlaza)
Ugqirha wakho uza kukujonga ngokusondeleyo ukuba akukho nanye imiqondiso yokuba i-lymphoma iyabuya (ukubuyela umva). Ukuba oko kuyenzeka, unyango luya kufuneka luqalwe kwakhona.
Ekuqaleni, kuya kufuneka ubone ugqirha wakho rhoqo emva kweenyanga ezimbalwa. Kodwa njengoko uhlala ungenaso isifo somhlaza kangangeenyanga okanye iminyaka, amaxesha okuhlolwa anokwehla.
Ngalo lonke ixesha, ugqirha uza kukuxilonga aze akubuze ukuba unazo na iimpawu ezintsha. Banokwenza uvavanyo lwegazi kwaye ngamanye amaxesha bangenza ii-CT scans okanye ii-PET scans .
Ukuba ezi mvavanyo zibonisa naziphi na iimpawu zomhlaza, kwenziwa i-biopsy ukuqinisekisa ukuba i-lymphoma ibuye ngokwenene na. Kolu vavanyo, ugqirha ususa iqhekeza elincinci okanye lonke iqhuma kwi-lymph node aze alithumele kwilebhu ukuze ahlole iiseli zomhlaza.
Zithini iimpawu zokubuyela umva kwesi sifo?
Iimpawu zihlala zisenzeka xa i-B-cell lymphoma ibuya (iphinda ibuyele kwi-relapse). Usenokuba neempawu ezifanayo owawunazo xa wawuqala ukuba nesi sifo, okanye usenokuba neempawu ezahlukeneyo ngeli xesha.
Into ebalulekileyo kukuba ezi mpawu zinokubangelwa zezinye izifo. Umzekelo, umkhuhlane kunye nokudumba kwamadlala kungaba ziimpawu zosulelo, njengomkhuhlane. Ngoko ke ungoyiki ukuba umhlaza ubuyile kuba nje ubunazo ezi mpawu. Kodwa ukuba ubona into efana nale, kungcono ukuba ubonane nogqirha uze uhlolwe.
| Iimpawu eziqhelekileyo zokubuyela kwakhona kwe-lymphoma | |
|---|---|
| Ii-lymph nodes ezidumbileyo (iimpawu) | Ukudumba kwentamo, emakhwapheni, okanye emathunjini. |
| Ifiva | Umkhuhlane oqala ngaphandle kwesizathu esithile. |
| Ukubila ebusuku | Ukubila kakhulu ebusuku kangangokuba amalaphu okulala ayamanzi. |
| Umsebenzi onzima | Ukudinwa kakhulu, ngaphezu kwesiqhelo. |
| Ukuhla ukusinda | Ukunciphisa umzimba ngengozi ngaphandle komzamo. |
Ziziphi iindlela zonyango zokubuyela kwimeko yesiqhelo?
Ugqirha wakho unokucebisa ukuba uphinde unyango olufanayo owawunikwe lona ngaphambili, okanye banokucebisa unyango olutsha. Unyango olufumanayo luya kuxhomekeka kwizinto ezahlukeneyo.
- Uhlobo lwe-B-cell lymphoma onayo.
- Zeziphi iindlela zonyango ozifumeneyo ngaphambili kwaye ziphumelele kangakanani.
- Zeziphi iziphumo ebezingalindelekanga owazifumanayo ngexesha lonyango lwangaphambili kunye nokuba bezikukhathaza kangakanani.
- Iziphumo zovavanyo lwakho.
- Iimpawu zakho.
- Kudlule ixesha elingakanani ukusukela kunyango lwakho lokugqibela?
Unyango lokubuyela kwi-lymphoma lungabandakanya:
- Uhlobo olwahlukileyo lwe-chemotherapy kunolo lwangaphambili.
- Unyango ngemitha .
- Ukufakelwa kweeseli ze-stem .
- Amayeza ajoliswe kuwo .
Ukongeza, ugqirha wakho angacebisa unyango lwe-immunotherapy . Umzekelo:
- Ii-antibodies ze-monoclonal
- Unyango lweeseli ze-T ze-CAR
Amaxesha amaninzi, unyango olunikwayo xa isifo siphinda sivela lunokuba namandla ngakumbi kunonyango olunikwayo xa wawuqala ukufunyanwa une-B-cell lymphoma.
Umyalezo Wokuya Ekhaya
- 'Ukuxolelwa' linyathelo elihle kakhulu kuhambo lwakho lokunyanga umhlaza. Oku kuthetha ukuba umhlaza awusasebenzi, okanye unciphile ngobukhulu.
- Kukho iintlobo ezimbini 'zokuxolelwa': 'Inxalenye' kunye 'nokuGqibela'.
- Ukuba 'kwi-remission' akuthethi ukuba "uphile ngokupheleleyo." Ke ngoko, kubalulekile ukubona ugqirha wakho ngexesha lokuhlolwa okulandelayo.
- Ukuba iimpawu ezinje ngomkhuhlane kunye nee-lymph nodes ezivuvukileyo ziyavela kwakhona, musa ukoyika, kodwa ungazithathi lula kwaye qhagamshelana nogqirha wakho ngokukhawuleza ukuze akunike ingcebiso.
- Ngethamsanqa, nokuba i-lymphoma iphinda ibuyele (iphinde ibuyele), kukho unyango olusebenzayo lwaloo nto. Ngoko ke musa ukuphelelwa lithemba.
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