Ngaba unamaqhuma emzimbeni wakho? Isenokuba yiFollicular Lymphoma. Makhe sithethe ngayo!

Khawucinge nje, uSamantha Akka uhlala esithi udiniwe kakhulu, kwaye uyabila ebusuku. Ngamanye amaxesha uthi ufumana iqhuma elincinci entanyeni yakhe. Nangona ezi ngamanye amaxesha zingathathelwa ingqalelo kubomi bethu bemihla ngemihla, zinokuba ziimpawu zesifo esifana neFollicular Lymphoma. Ungakhathazeki, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni iFollicular Lymphoma?

Ngamafutshane, i-follicular lymphoma luhlobo lomhlaza olukhula kancinci . Ukuchaneka, ngumhlaza okhula kwiiseli zethu ze-lymph. Usenokukhula kwii-lymph nodes zakho - okanye, njengoko sizibiza njalo, ii-lymph nodes zakho - okanye kwi-bone marrow yakho, okanye kwezinye izitho zangaphakathi. Into emangalisayo kukuba abanye abantu banokuba nesi sifo ngaphandle kokubonisa zimpawu . Yiyo loo nto oogqirha besijonga njengesifo esingapheliyo . Iindaba ezimnandi zezokuba kukho unyango lwaso. Nangona kunjalo, ngamanye amaxesha isifo sinokubuya emva konyango. Kodwa oogqirha bacinga ukuba ixesha alikude apho esi sifo sinokunyangwa ngokupheleleyo ngonyango olutsha.

Ngubani onokuthi afumane esi sifo?

Ngokwezibalo, malunga nabantu abathathu ukuya kwabane kwikhulu lamawaka (malunga ne-3.5) banokuba nale meko. Abantu abangaphezu kweminyaka engama-65 ubudala banokuba nale meko ngakumbi kunabaselula. Kukwafunyaniswe ukuba amadoda anokuba nale meko xa kuthelekiswa nabafazi.

I-Follicular Lymphoma ichaphazela njani umzimba wam?

I-follicular lymphoma luhlobo lwe -B-cell lymphoma , uhlobo lwe- non-Hodgkin's lymphoma . Ke ngoko, inokubonisa neempawu ze-non-Hodgkin's lymphoma, ezinje ngokudumba kwama-lymph nodes, umkhuhlane, kunye nokubila ebusuku .

Nangona kunjalo, abantu abaninzi bafunyanwa benale sifo bengekabi nazo naziphi na iimpawu . Kumntu ongenazo iimpawu kwaye esempilweni entle, oogqirha basenokungaqali unyango kwangoko. Endaweni yoko, baya kuhamba necebo elibizwa ngokuba 'kukulinda ngononophelo' okanye 'ukubeka esweni okusebenzayo' . Oku kuthetha ukuba oogqirha bahlala bejonga impilo yakho kunye neempawu zakho.

Esi sifo sinokukuchaphazela ngengqondo ngaphambi kokuba sikuchaphazele ngokwasemzimbeni. Uphando lwakutshanje lubonise ukuba abantu abane-follicular lymphoma kunye ne-lymphomas efanayo ekhula kancinci banengxaki yokuxhalaba kakhulu ngenxa yokungaqiniseki kokuba 'Ziya kuvela nini iimpawu?' kunye 'Luya kuqala nini unyango?'

Ngaba i-Follicular Lymphoma sisifo esibi kakhulu?

Ewe, yiyo loo nto ibizwa ngokuba yi-follicular lymphoma.Isenokuba yimeko yezonyango ebalulekileyo neyinzima. Kukho izizathu ezahlukeneyo zoku:

• Utshintsho: Ngamanye amaxesha, i-follicular lymphoma inokuguquka ibe luhlobo lomhlaza olunamandla ngakumbi olubizwa ngokuba yi -diffuse large B-cell lymphoma (DLBCL) . Oku kunokubangela iimpawu ezintsha nezinzima ngakumbi kunye nokusasazeka komhlaza kwezinye iindawo zomzimba. Malunga ne-3% (3%) yabantu abane-follicular lymphoma baya kuguquka babe yi-DLBCL. Khawuthelekelele indlela ekunzima ngayo ukuba nesifo esinzima ngequbuliso.
• Ukubuyela Umva: Omnye umceli mngeni ngesi sifo kukuba emva konyango, iimpawu zinokubuyela ekuphumleni, zize ziphinde zivele emva kwexesha elithile. Lo mjikelo wokubuyela umva-ukubuyela umva-ukukhululwa kwenza kube nzima kubantu abanesi sifo ukuba bazive ngathi 'baphelile'. Ngamanye amazwi, kufuneka bahlale benoloyiko oluncinci ezintliziyweni zabo.

Ziziphi iimpawu zeFollicular Lymphoma?

Kukho iimpawu ezininzi eziqhelekileyo ezinokubonakala kwesi sifo. Kodwa khumbula, ukuba nje unale mpawu akuthethi ukuba unesi sifo. Kodwa kubalulekile ukuba uzazi ezi zinto.

• Ama-lymph nodes avuvukileyo entanyeni, emakhwapheni, okanye kwindawo yemiphunga engenantlungu. Siwabiza ngokuba ngama-lymph nodes avuvukileyo, yiloo nto ayiyo.
• Umkhuhlane ongenalo naluphi na olunye usulelo okanye isifo.
• Ukunciphisa umzimba ngaphandle kwesizathu esicacileyo. Ufanele ukhathazeke, ingakumbi ukuba ulahlekelwe yi-10% okanye ngaphezulu kobunzima bomzimba wakho kwiinyanga ezi-6 ezidlulileyo .
• Ukubila nokuziva ubanda. Ingakumbi ukuba ubila kakhulu kangangokuba umanzise ibhedi yakho ebusuku (ukubila ebusuku kuphuma amanzi) kwaye kuqhubeke, oko kusenokuba luphawu lwesifo esithile.
• Ukudinwa. Oku akukokudinwa okuqhelekileyo. Kukudinwa kakhulu okwenza kube nzima ukwenza imisebenzi yemihla ngemihla esisiseko .

Yintoni ebangela i-Follicular Lymphoma?

Enyanisweni, abaphandi abakazazi zonke izizathu ezichanekileyo zesi sifo. Kodwa bafumanise ukuba malunga nama-85 ekhulwini (85%) amatyala, imbangela ephambili yesi sifo kukutshintsha kwee-chromosomes zethu . Ngenxa yolu tshintsho, olungaqhelekanga, okanye umhlaza, iiseli ziqala ukwahlukana kwaye zande ngaphandle kolawulo.

Oogqirha bafumanisa njani i-follicular lymphoma?

Oogqirha basebenzisa iimvavanyo ezininzi ukuze bafumanise ukuba unaso na esi sifo okanye awunaso.

• I-Biopsy: Oku kuquka ukuthatha iqhekeza elincinci lesicwili kwi-lymph node evuvukileyo.Luvavanyo oluthathwa ngemicroscope ukuze kubonwe ukuba kukho iiseli zomhlaza na. Le yindlela ephambili yokuqinisekisa isifo .
• I-PET scan (i-Positron Emission Tomography - i-PET scan): Le scan ingabonisa indlela iiseli zomhlaza ezisebenza ngayo, ukuba zisasazeke kangakanani, kunye nomgangatho womhlaza.
• I-CT scan (i-Computed Tomography - i-CT scan): Oku kunceda oogqirha babone ukuba umhlaza uphi emzimbeni, ukuba mkhulu kangakanani, kwaye usabela njani kunyango.

Ziziphi iinqanaba zeFollicular Lymphoma?

Njengayo nayiphi na umhlaza, i-follicular lymphoma inamanqanaba ahlukeneyo. La manqanaba asetyenziswa ngoogqirha ukugqiba ukuba loluphi uhlobo lonyango olungcono. Kukho amanqanaba amane aphambili (ukusuka kwi-I ukuya kwi-IV):

• Inqanaba lokuQala: Umhlaza ukho kwindawo enye okanye ezingaphezulu ze-lymph node . Malunga nama-25 ekhulwini (25%) eemeko ze-follicular lymphoma zifunyaniswa kweli nqanaba.
• Inqanaba lesiBini: Umhlaza ufumaneka kwiindawo ezimbini okanye ngaphezulu ze-lymph node ngaphezulu okanye ngaphantsi kwe-diaphragm (umsipha owahlula isifuba nesisu sethu). Malunga ne-15% (15%) yezigulana zifunyaniswa zinesifo kweli nqanaba.
• Inqanaba lesi-3: Umhlaza ukwiindawo ze-lymph nodes kumacala omabini e-diaphragm (ngasentla nangaphantsi) . Malunga nama-26 ekhulwini (26%) ezigulana zifunyaniswa zinesifo kweli nqanaba.
• Inqanaba lesi-4: Umhlaza usasazeke ngaphaya kwama-lymph nodes, uye kumongo wethambo okanye kwezinye iinkqubo zamalungu omzimba . Malunga nama-27 ekhulwini (27%) ezigulana zifunyaniswa zikweli nqanaba liphezulu.

Iphathwa njani i-Follicular Lymphoma?

Oogqirha abasebenzisi unyango olufanayo kubo bonke abantu xa benyanga i-follicular lymphoma. Unyango lumiselwa zizinto ezininzi, kuquka imeko yesigulana kunye nenqanaba lesi sifo. Ngamanye amaxesha, kusetyenziswa indibaniselwano 'yokulinda ngononophelo' kunye nezinye iindlela zonyango.

• Ukulinda ngononophelo okanye ukujongwa ngokucokisekileyo: Ukuba ugqirha wakho ucebisa le ndlela, kuya kufuneka ubone ugqirha wakho rhoqo, uhlolwe ngokwasemzimbeni, uvavanywe igazi, kwaye uskeniwe . Oku kuthetha ukulinda de kuvele iimpawu okanye isifo sibe sibi kakhulu.
• Unyango ngemitha: Olu hlobo lonyango ngemitha lungasetyenziswa kwisifo esikwinqanaba lokuqala , xa umhlaza uphelela kwindawo enye. Lusebenzisa imitha enamandla aphezulu ukutshabalalisa iiseli zomhlaza.
• Unyango lwe-antibody ye-monoclonal:Olu lunyango oluntsonkothileyo. Ngamafutshane, lusebenzisa uhlobo lwe-antibody eyenziwe ngokukodwa kwilebhu . Ezi antibodies zinokufumana iiseli zomhlaza kwaye zizitshabalalise.
• Unyango lweKhemotherapy: Le yinto abantu abaninzi abayivayo xa bethetha ngonyango lomhlaza. Lubandakanya ukusetyenziswa kwamayeza akhethekileyo ukutshabalalisa iiseli zomhlaza . Unyango lweKhemotherapy lunokunikwa lodwa okanye ludityaniswe nolunye unyango.
• Unyango olujoliswe kulo: Amayeza asetyenziswa kolu hlobo lonyango ahlasela kwaye ahlasele iiseli zomhlaza kuphela, ngaphandle kokulimaza iiseli ezisempilweni eziqhelekileyo . Oku kunokunciphisa iziphumo ebezingalindelekanga.
• Unyango lwe-Immunotherapy: Olu lonyango olunomdla kakhulu. Lusebenza ngokuvuselela amasosha omzimba wakho ukuze alwe nomhlaza. Luyandisa imveliso yeeseli ezilwa neeseli zomhlaza, okanye lunceda iiseli eziphilileyo ukuba ziqaphele kwaye zihlasele iiseli zomhlaza.
• Ukufakelwa kweseli yethambo/i-stem cell: Ukuba i-follicular lymphoma iphinda ibuye emva kwe-chemotherapy, oogqirha banokucebisa olu nyango. Oku kubandakanya ukutshintsha umongo wethambo onesifo ngeeseli zethambo okanye ii-stem cells eziphilileyo.

Ngaba i-follicular lymphoma ingathintelwa?

Ngelishwa, abaphandi abakafumani ndlela ithile yokunciphisa umngcipheko wokufumana esi sifo. Ukuba uneenkxalabo okanye amathandabuzo malunga noku, eyona nto ilungileyo onokuyenza kukubona ugqirha wakho uze uthethe ngembali yakho yezonyango kunye nembali yezonyango yosapho. Emva koko ugqirha angakunika icebiso elifunekayo.

Ungaphila ixesha elingakanani neFollicular Lymphoma?

Njengoko besikhe sathetha ngaphambili, i-follicular lymphoma sisifo esikhula kancinci nesingapheliyo . Oku kuthetha ukuba ungaphila nesi sifo ixesha elide. Izifundo zibonise ukuba malunga nesiqingatha (malunga nama-50%) sabantu abafunyenwe benale sifo baphila phantse iminyaka engama-20 . Kwakhona, malunga nama-90% ezigulana zisaphila emva kweminyaka emi-5 emva kokuba isifo sifunyenwe. Ngoko ke oku kubonisa ukuba nangona esi sisifo esibulalayo, kukho ithuba lokuphila naso.

Ndingazinyamekela njani?

Ukuzinyamekela kubaluleke kakhulu xa uphila nomhlaza. Nazi ezinye izinto ezinokukunceda njengoko ujongene nesi sifo:

• Hlakulela imikhwa emihle yokutya nokuzilolonga.Buza ingcali yesondlo okanye ugqirha malunga nokutya okunempilo okufanelayo. Ukuzilolonga kangangoko kunokwenzeka nako kulungile emzimbeni.
• Ukudinwa luphawu oluqhelekileyo lwesi sifo, kwaye lunokuba yimpembelelo ecaleni yonyango. Ngoko ke mamela umzimba wakho. Xa uziva udiniwe, phumla kungekuphela nje xa unako, kodwa naxa kufuneka.
• Kusenokufuneka uphile nalo mhlaza ixesha elide . Ziindaba ezimnandi ngokwenene ezo. Nangona kunjalo, ukuhlala unesifo esinganyangekiyo kunokuba nzima engqondweni. Ke ngoko, ukuthetha nogqirha okanye ukujoyina iqela lenkxaso labantu abanale meko kunokuba luncedo kakhulu kwimpilo yakho yengqondo. Kwakhona kukwanamandla amakhulu ukwazi ukuba awuwedwa.

Ndifanele ndimbone nini ugqirha wam?

Emva kokuba ufunyaniswe une-follicular lymphoma, ugqirha wakho uza kucwangcisa amaxesha okulandela ukuze ajonge imeko yakho kunye nonyango lwakho. Qiniseka ukuba uyawagcina la madinga.

Nangona kunjalo, ukuba ubona naluphi na utshintsho emzimbeni wakho okanye iimpawu ezintsha (iimpawu ze-follicular lymphoma), bona ugqirha wakho ngokukhawuleza kwaye umxelele ngayo. Okukhona ibonwa kwangoko, kokukhona kulula ukuyinyanga.

Umyalezo Wokugqibela Wokuya Ekhaya

Igama elithi umhlaza liyasoyikisa, akunjalo? Nokuba umhlaza okhula kancinci njengeFollicular Lymphoma, akulula. Usenokungabi nazimpawu kangangeminyaka. Kodwa xa kuvela iimpawu, kunokufuneka udlule kumjikelo wonyango, ukuphumla, ukuphinda ubuye, kunye nonyango kwakhona. Usenokuzibuza, 'Ndiza kuyiphelisa nini le nto?'

Kodwa eyona nto ibalulekileyo kukungalahli ithemba. Abaphandi bahlala bezama ukufumana unyango olutsha lokwenza esi sifo sibe sisifo esinyangekayo.

Ukuba une-Follicular Lymphoma, thetha nogqirha wakho kwaye ucacise ngeendlela zonyango lwakho. Ungoyiki ukubuza imibuzo. Ngolwazi oluchanekileyo kunye nenkxaso, uya kuba namandla okujongana nalo mceli mngeni!

I- Follicular Lymphoma, i-Lymphoma, umhlaza, ii-lymph nodes, iimpawu, unyango, i-B-Cell Lymphoma