Ngaba unamaqhuma emzimbeni wakho? Ngaba yiHodgkin Lymphoma? Masithethe!

Ngaba wakha waphawula iqhuma elincinci entanyeni yakho, ekhwapheni, okanye emqolo? Okanye ngaba uzive udiniwe kakhulu kangangeentsuku, okanye unomkhuhlane ngequbuliso? Ngamanye amaxesha ezi zinokuba zizinto eziqhelekileyo. Nangona kunjalo, ukuba unale mpawu, kulungile ukuba nexhala kancinci. Kuba ezi zisenokuba ziimpawu zesifo esibizwa ngokuba yiHodgkin Lymphoma. Nangona igama lisenokuvakala lisoyikisa, esi sisifo esinokunyangwa kwaye sinyangeke. Ngoko ke, namhlanje siza kuthetha ngokweenkcukacha ngeHodgkin Lymphoma.

Yintoni iHodgkin Lymphoma?

Ngamafutshane, iHodgkin Lymphoma luhlobo lomhlaza olukhula kwinkqubo yethu ye-lymphatic , inkqubo elwa neentsholongwane emzimbeni wethu. Yayikwabizwa ngokuba sisifo sikaHodgkin ngaphambili. Kukho iintlobo ezimbini eziphambili ze-lymphoma. Enye yiHodgkin lymphoma, kwaye enye yiNon-Hodgkin Lymphoma. Zombini ezi cancer zichaphazela ii-lymphocytes, uhlobo lweseli emhlophe yegazi olubalulekileyo kwinkqubo yethu yokuzikhusela.

I-Hodgkin lymphoma ibangelwa kukuguquka kwezakhi zofuzo ze-B lymphocytes (iiseli ze-B). Olu tshintsho lwenzeka ubomi bonke. Ngokuqhelekileyo, le lymphoma iqala kwi-lymph nodes entanyeni okanye esifubeni. Ngamanye amaxesha, inokuvela nakwii-lymph nodes emakhwapheni, emqolo, esiswini, okanye entlafunweni.

Iindaba ezimnandi zezokuba inani labantu abanyangwa i-Hodgkin lymphoma nabaphila ixesha elide liyanda minyaka le. Kwiimeko ezininzi, unyango lunokuyinyanga ngokupheleleyo i-Hodgkin lymphoma. Nangona kunjalo, ngamanye amaxesha isifo sinokuphinda sibuye. Ukuba oko kuyenzeka, abaphandi bezonyango bahlala bekhangela unyango olutsha.

Ziziphi iintlobo eziphambili zeHodgkin Lymphoma?

Kukho iintlobo ezine eziphambili zeHodgkin lymphoma. Makhe sijonge ukuba zeziphi:

• I-Nodular sclerosis I-Hodgkin lymphoma: Olu lolona hlobo luqhelekileyo lwe-Hodgkin lymphoma. Ihlala isenzeka kubantu abancinci, ingakumbi abafazi. Ihlala ichaphazela ii-lymph nodes eziphakathi kwesifuba.
• I-Mixed cellularity Hodgkin lymphoma: Olu hlobo ludla ngokuvela kubantu abakwiminyaka yabo yama-60. Ngamanye amaxesha lunokuvela esiswini (esiswini).
• I-lymphoma ye-Hodgkin etyebileyo kwi-lymphocyte: Olu hlobo lwenzeka malunga ne-6% yabantu abane-Hodgkin lymphoma. Ixhaphake kakhulu kumadoda.
• I-lymphoma ye-Hodgkin ephelelwe yi-lymphocyte: Le ayiqhelekanga kakhulu. Iyenzeka malunga ne-1% yabantu abane-Hodgkin lymphoma. Ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-60 ubudala kwayeOku kunokwenzeka kakhulu kubantu abane-HIV/AIDS.

Ixhaphake kangakanani iHodgkin Lymphoma?

I-Hodgkin lymphoma sisifo esingaqhelekanga . Sichaphazela abantu abamalunga nabantu abathathu kuphela kwi-100,000 ngonyaka. Kodwa okumangalisayo kukuba, lolona hlobo lomhlaza luxhaphakileyo ebantwaneni nakubantu abadala abaneminyaka eli-15 ukuya kweli-19 ubudala.

Nangona kunjalo, i-Hodgkin lymphoma ayixhaphakanga kakhulu kune-non-Hodgkin lymphoma.

Ziziphi iimpawu zeHodgkin Lymphoma?

Uphawu lokuqala oluqhelekileyo lwe-Hodgkin lymphoma kukudumba kwe-lymph nodes entanyeni, emakhwapheni, okanye emqolo . Ukongeza, kunokubakho nezinye iimpawu ezininzi:

• Ukudinwa okungapheliyo: Ukudinwa ngaphezu kwesiqhelo kangangeentsuku ezininzi. Ngokungathi umzimba wakho awunawo amandla.
• Umkhuhlane ongachazwanga: Umkhuhlane ophezulu ongapheliyo emva kweeyure ezimbini zonyango lwasekhaya, okanye ohlala iintsuku ezingaphezu kwezimbini, unokuba luphawu lwento enzulu.
• Ukubila kakhulu ebusuku: Ukubila kakhulu ebusuku kangangokuba amashiti neempahla ziyamanzi.
• Ukwehla kobunzima ngendlela engachazekiyo: Ukwehla kobunzima ngaphandle komzamo. Ukuba ulahlekelwa yi-10% okanye ngaphezulu kobunzima bakho buphela kwiinyanga ezintandathu, yinto ekufuneka uyixhalabele.
• Ukurhawuzelela (Pruritus): Abanye abantu bafumana ukurhawuzelela okugqithisileyo kwesikhumba emva kokusela utywala okanye ukuhlamba.
• Intlungu yesisu okanye ukudumba: Ayizizo zonke iintlungu zesisu eziluphawu lwesifo esinzulu. Kodwa ukuba unentlungu yesisu engapheliyo nengapheliyo, bona ugqirha.
• Intlungu yesifuba: Olu phawu lunokwenzeka ukuba i-Hodgkin lymphoma ikhona kwizicubu zemiphunga okanye kwi-lymph nodes ngaphakathi kwesifuba.
• Ubunzima bokuphefumla: Oku kungaba luphawu lweHodgkin lymphoma emiphungeni okanye iqhubu elikhulu esifubeni.

Oogqirha bakwabiza ezi mpawu zintathu—umkhuhlane, ukwehla kobunzima, kunye nokubila ebusuku—“iimpawu ze-B.” Ukubakho kwezi mpawu kunceda oogqirha bacebe ukuba uza kuqikelela isifo sakho kunye nonyango.

Yintoni ebangela iHodgkin Lymphoma?

Njengoko besitshilo ngaphambili, iHodgkin lymphoma ikhula xa utshintsho lwemfuza lusenzeka kwiiseli zakho ze-B . Olu tshintsho aluyonto ozalwa nayo, kodwa yinto efunyanwa ebomini bakho.

Xa iiseli ze-B zitshintsha ngale ndlela, zivelisa uhlobo lweseli yomhlaza olukhulu kuneeseli eziqhelekileyo. Ezi zibizwa ngokuba ziiseli zeReed-Sternberg . Ezi seli zeReed-Sternberg zivelisa ii-cytokines.Ezi cytokines zitsala iiseli eziqhelekileyo kwii-lymph nodes eziqulethe iiseli ezingaqhelekanga. Emva koko, izinto ezikhutshwa zezi seli ziqhelekileyo zibangela ukuba iiseli zeReed-Sternberg zikhule ngakumbi. Oku kubangela ukuba ii-lymph nodes zidumbe.

Lo mhlaza ungasasazeka kwinkqubo yakho ye-lymphatic uye kwezinye ii-lymph nodes, ezifana ne -thymus kunye ne-spleen . Ungasasazeka nakwii-lymph nodes kuwo wonke umzimba. Amaxesha amaninzi, unokuchaphazela amanye amalungu omzimba, njengemiphunga, isibindi, kunye nomongo wethambo .

Zithini izinto ezibangela umngcipheko?

Oogqirha baye bafumanisa izinto ezininzi ezandisa umngcipheko wokuphuhlisa i-Hodgkin lymphoma:

• Ubudala bakho: Ukuba uphakathi kweminyaka engama-20 ukuya kwengama-39 ubudala, okanye ungaphezulu kwama-65 ubudala, unamathuba amaninzi okufumana esi sifo.
• Isini sakho: Amadoda anokuba nesifo seHodgkin lymphoma. Nangona kunjalo, uhlobo esixoxe ngalo ngaphambili, i-nodular sclerosis, luxhaphake kakhulu kwabasetyhini.
• Imbali yezonyango yosapho lwakho: Ukuba abantakwenu okanye abazali bakho baye baba neHodgkin lymphoma, nawe unethuba elingaphezulu kancinci lokuba nayo ibe nayo.
• Ukuba ukhe wafakelwa amalungu omzimba: Ukuba ukhe wafakelwa amalungu omzimba, kuya kufuneka uthathe amayeza okulwa nokungavumi, nto leyo eyandisa umngcipheko wokuba ne-lymphoma.
• Iintsholongwane ezithile: Ukuba neentsholongwane ezifana ne -HIV , intsholongwane ye-T-lymphotropic type 1 yabantu, okanye intsholongwane ye-Epstein-Barr kunokunyusa umngcipheko wakho wokuba ne-Hodgkin lymphoma.

Ifunyanwa njani iHodgkin Lymphoma?

Ugqirha uza kuqala akuhlole ngokwasemzimbeni ukuze ajonge iimpawu zeHodgkin lymphoma, ezifana ne-lymph nodes ezivuvukileyo. Baza kukubuza nangaluphi na utshintsho oye waluva, njengomkhuhlane ongapheliyo okanye ukwehla kobunzima obungachazwanga. Kunokwenziwa uvavanyo oluninzi ukuze kufunyanwe i-Hodgkin lymphoma. Oku kungabandakanya uvavanyo lwegazi, uvavanyo lwemifanekiso, kunye ne-biopsies .

Uvavanyo lwegazi

Uvavanyo lwegazi lunokunika ugqirha wakho umbono ngempilo yakho iyonke. Lunokubona neempawu zomhlaza. Ezinye zeemvavanyo onokuba unazo ziquka:

• Ubalo lwegazi olupheleleyo (CBC): Oku kujonga ukuba kukho inani eliphantsi leeseli zegazi ukuba kukho i-lymphoma egazini okanye kumongo wethambo.
• Uphononongo lwekhemikhali yegazi: Olu phononongo lulinganisa amanqanaba akho e-electrolyte, ukusebenza kwesibindi kunye nezintso, kwaye lukhangela izinto eziqokelelana egazini xa amalungu kunye nezicubu zonakele.
• Izinga lokutsalwa kwe-Erythrocyte (ESR): Oku kulinganisa ukudumba emzimbeni. Eli xabiso linokunyuswa kwi-Hodgkin lymphoma.
• Uvavanyo lwe-Lactate dehydrogenase (LDH): Olu vavanyo lulinganisa iproteni ekhutshwayo xa iiseli zonakele. Amanqanaba e-LDH ngamanye amaxesha aphakanyiswa yi-lymphoma.
• Uvavanyo lwentsholongwane: Olu vavanyo lunokufumanisa usulelo lwentsholongwane lwangoku okanye lwangaphambili olunokunxulunyaniswa ne-Hodgkin lymphoma, njenge -HIV , i-hepatitis B , kunye ne-hepatitis C. Iziphumo zinokunceda ugqirha wakho ukuba acwangcise unyango lwakho.

Uvavanyo lokufota

Iiskeni zinokukhangela iimpawu zomhlaza emzimbeni wakho. Uhlobo lweskeni olufunekayo luya kuxhomekeka ekubeni umhlaza ukuphi na nokuba ukhulelwe na. (Iiskeni ezisebenzisa ii-X-ray zinokuba yingozi kumntwana ongekazalwa.) Ezi mvavanyo ziquka:

• I-X-reyi yesifuba
• I-CT scan (i-CT scan - I-computer tomography scan)
• Iskeni yePET (iskeni yePositron emission tomography)
• Iskeni ye-MRI (iskeni ye-Magnetic resonance imaging) (ikhuselekile ngexesha lokukhulelwa)
• Iskeni ye-ultrasound (ikhuselekile ngexesha lokukhulelwa)

I-Biopsy

Oogqirha badla ngokuxilonga i-Hodgkin lymphoma nge-lymph node biopsy . Kule nkqubo, ugqirha ususa yonke okanye inxalenye yayo. Emva koko ingcali yezifo ihlola izicwili phantsi kwe-microscope ukuze ibone ukuba kukho iiseli zeReed-Sternberg, esithethe ngazo ngaphambili. (Ukubakho kwezi seli zeReed-Sternberg kuthetha ukuba une-Hodgkin lymphoma, hayi i-non-Hodgkin lymphoma.)

Ngamanye amaxesha, i-Hodgkin lymphoma inokufunyanwa ngokusekelwe kwiziphumo ze-biopsy yezicubu ezithathwe kwenye indawo, njengemiphunga, isibindi, i-spleen, okanye umongo wethambo.

Ziziphi iinqanaba zeHodgkin Lymphoma?

Emva kokuba ugqirha wakho ekufumanise ukuba une-Hodgkin lymphoma, iziphumo zovavanyo lwakho ziya kuqinisekisa inqanaba lesifo. Ukwazi inqanaba lomhlaza wakho kunceda oogqirha bafumanise ukuba umhlaza usasazeke kangakanani, ukuba usasazeka ngokukhawuleza kangakanani, kunye nonyango olulungele wena. Nazi izigaba ze-Hodgkin lymphoma:

• Inqanaba lokuQala: Iiseli zomhlaza zikwindawo enye ye-lymph node okanye kwilungu elithile kwinkqubo ye-lymphatic (umz., i-thymus, i-spleen, i-bone marrow). Okanye i-lymphoma ikwindawo enye yelungu elinye elingaphandle kwenkqubo ye-lymphatic.
• Inqanaba lesiBini: I-diaphragm yakhoKukho iiseli zomhlaza kumaqela amabini okanye ngaphezulu ee-lymph nodes kwicala elinye (nezinye ii-lymph nodes ezikufutshane ne-diaphragm nazo zinokuchaphazeleka).
• Inqanaba lesi-3: Kukho iiseli ze-lymphoma kwii-lymph nodes kumacala omabini e-diaphragm, okanye kukho iiseli zomhlaza kwii-lymph nodes ezingaphezulu kwe-diaphragm nakwi-spleen.
• Isigaba sesi-4: I-Lymphoma ikhona kwilungu elinye elingaphandle kwenkqubo ye-lymphatic (umz., isibindi, imiphunga, umongo wethambo).

Oogqirha basebenzisa amagama athi "favorable" kunye "unfavorable" ukwahlula iHodgkin lymphoma, ngokusekelwe ekubeni isabela kakuhle na kunyango kwaye ayibonakali na (remission).

Iphathwa njani iHodgkin Lymphoma?

Oogqirha basebenzisa iindlela ezahlukeneyo zonyango lwe-Hodgkin lymphoma, kuxhomekeke kwinqanaba lomhlaza. Ezi ndlela zonyango zibulala iiseli zomhlaza okanye ziyeke ukwahlukana. Iindlela zonyango ziquka:

• I-Chemotherapy: Olu lolona nyango luqhelekileyo lwe-Hodgkin lymphoma. Isebenzisa iyeza elinye okanye ngaphezulu ukubulala iiseli zomhlaza okanye ukuzithintela ukuba zingaphindaphindani. Oogqirha banokusebenzisa uhlobo olunye lwe-chemotherapy okanye indibaniselwano yeentlobo ezahlukeneyo ze-chemotherapy.
• Unyango ngemitha: Olu nyango lusebenzisa amandla anamandla aphezulu ukubulala iiseli zomhlaza kwiindawo ezichaphazelekileyo ze-lymph nodes okanye kwiindawo apho umhlaza usasazeke khona. Lukwasetyenziswa kunye ne-chemotherapy kunyango lwe-Hodgkin lymphoma ekwinqanaba lokuqala.
• Unyango lwe-Immunotherapy: Olu nyango lusebenza ngokuvuselela amajoni omzimba wakho ukuze ancede aqaphele kwaye atshabalalise iiseli zomhlaza. Izithinteli zokuhlola ziyindlela ebalulekileyo yonyango lwe-immunotherapy kwi-Hodgkin lymphoma.
• Unyango olujoliswe kuko: Unyango olujoliswe kuko lusebenzisa amayeza okanye ezinye izinto ukuhlasela iiseli zomhlaza kuphela. Umzekelo, unyango olubizwa ngokuba yi-antibody-drug conjugates . Kule nto, ii-antibodies ezenziwe elebhu zincamathiselwa kwiyeza le-chemotherapy, elithi emva koko lifune kwaye litshabalalise iiseli zomhlaza.
• I-Chemotherapy ngokufakelwa kweeseli ze-stem: Olu nyango lusetyenziswa rhoqo ukuba i-Hodgkin lymphoma iphinde yabuya emva kokuba iye yaphola okanye ayiphenduli kunyango. Kule meko, uya kunikwa uhlobo olwahlukileyo lwe-chemotherapy kunaleyo wawunikwe yona ekuqaleni. Ukuba umhlaza uyasabela kuwo, ugqirha wakho uya kwenza utyando lwe-stem cell.

Iziphumo ebezingalindelekanga zonyango

Unyango ngalunye lunokuba nemiphumo eyahlukileyo. Umzekelo, i-chemotherapy inokubangela ukulahleka kweenwele kunye nokucaphuka. Unyango lwemitha lunokubangela ukutsha lilanga kwindawo enyangiweyo. Iziphumo ezingalindelekanga zonyango lwe-immunotherapy zingabandakanya ukurhawuzelela kwesikhumba, urhudo, kunye nokudumba kwemiphunga, okunokubangela ubunzima bokuphefumla nokukhohlela.

Buza ugqirha wakho malunga nemiphumo emibi enokubakho ngaphambi kokuba uqale unyango. Uza kukunceda ulinganisele iziphumo ebezingalindelekanga ezinokubakho kunye neenzuzo zonyango.

Iyintoni imbonakalo yeHodgkin Lymphoma?

Oogqirha bacinga ukuba iHodgkin lymphoma ngumhlaza onyangekayo kwaye onyangekayo kakhulu. Imbono yakho ixhomekeke kwinqanaba lesifo kunye nezinye izinto. Ugqirha wakho angathetha nawe ngale nto. Nangona kunjalo, ngamanye amaxesha unyango aluphumeleli kwaye umhlaza ungabuya. Buza ugqirha wakho ukuba olu hlobo lohlalutyo luyichaphazela njani ingqikelelo yakho.

Ingakanani izinga lokusinda kwiHodgkin Lymphoma?

Amanqanaba okusinda kwi-Hodgkin lymphoma ayaqhubeka nokuphucuka njengoko oogqirha besenza unyango olutsha noluphucukileyo. Ngokutsho kwe-US National Cancer Institute, ama-88% abantu abafunyaniswe bene-Hodgkin lymphoma phakathi kowama-2014 nowama-2020 babesaphila iminyaka emihlanu emva konyango.

Amanani okusinda ayahluka ngokuxhomekeke kwinqanaba lomhlaza. Ngokwezibalo ezifanayo, phakathi kwama-92% nama-95% abantu abafunyaniswe benesifo esikwinqanaba lokuqala babesaphila kwiminyaka emihlanu emva kokufunyaniswa. Phakathi kwama-81% nama-87% abantu abafunyaniswe benesifo esikwinqanaba lokugqibela babesaphila kwiminyaka emihlanu emva kokufunyaniswa. Oku kubonisa indlela ekubaluleke ngayo ukufunyaniswa kwesi sifo kwangethuba, akunjalo?

Ndingazinyamekela njani?

Ungaziva ukhululekile xa usazi ukuba iimpawu zakho ze-Hodgkin lymphoma ziyaphela xa unyangwa. Nangona kunjalo, usenokuba nexhala okanye woyike ukuba imeko iza kubuya. Ezi ngcebiso zinokunceda ukwenza ukuphila ne-Hodgkin lymphoma kube lula kancinci:

• Ukuphumla: Unyango lomhlaza kunye nomhlaza lunokubangela ukudinwa okukhulu. Nika ingqondo nomzimba wakho ukuphumla abakudingayo.
• Yitya ukutya okunesondlo nokulinganiselayo: Akukho nxibelelwano lucacileyo phakathi koko ukutyayo kunye ne-Hodgkin lymphoma. Nangona kunjalo, ukutya kakuhle kunokunceda ukukhusela amasosha omzimba wakho kunye nokunciphisa umngcipheko wokufumana iintsholongwane. Ukuba ufuna ukufunda okungakumbi ngokutya kakuhle, thetha nogqirha wezondlo.
• Lawula uxinzelelo: I-Hodgkin lymphoma inokubuya emva konyango. Ukuxhalabela ukugula kwakhona kunokuba yingxaki. Ukuba uhlala uxhalabile ukuba imeko yakho iza kubuya, thetha nogqirha wakho. Nguye umntu ofanelekileyo ukwazi ngemeko yakho. Ukwazi into onokuyilindela kunokunceda ukunciphisa uxinzelelo lwakho.
• Ukuzilolonga: Ukuzilolonga rhoqo akuncedi nje kuphela amajoni omzimba wakho, kodwa kunceda nokulawula uxinzelelo. Kukwayindlela elungileyo yokulwa nokudinwa, isiphumo esiqhelekileyo sonyango lomhlaza.

Into ebalulekileyo kukuba ukufunyaniswa une-Hodgkin lymphoma akuthethi ukuba awunakuphila ubomi bakho ngokupheleleyo. Kuya kufuneka wenze utshintsho oluthile ukuze ujongane nemiphumo emibi. Kuya kufuneka ubonane nogqirha wakho rhoqo kunomntu ongenalo umhlaza. Kodwa, kancinci kancinci, uya kufumana inkqubo kunye nesantya esikusebenzelayo.

Ndifanele ndimbone nini ugqirha wam?

Ukuba unyangwa i-Hodgkin lymphoma, bonana nogqirha wakho ukuba ubona naziphi na iimpawu zokuba imeko yakho iya isiba mandundu nangona unyango luqhubeka (umz., amaqhuma amatsha, umkhuhlane). Wakuba ugqibile unyango, uya kuba nentlanganiso yokulandelela ukuze ujonge impilo yakho iyonke kwaye ujonge ukuba isifo siphinde sibuye na.

Ndingaya nini kwigumbi likaxakeka?

Ukuba uneziphumo ebezingalindelekanga zonyango ezingapheli emva kokusela amayeza owanikwe ngugqirha, zinzima kakhulu kunokuba ubulindele, okanye zihlala ixesha elide, yiya kwigumbi likaxakeka. Ugqirha wakho kunye neqela lezonyango baza kuthetha nawe ngale nto.

Ndingayibuza yiphi imibuzo ugqirha wam?

Usenokuba nemibuzo emininzi ngexesha lokufunyaniswa kunye nonyango lwe-Hodgkin lymphoma. Nazi ezinye zemibuzo onokuzibuza ugqirha wakho:

• Luhlobo luni lwe-Hodgkin lymphoma endinayo?
• Ithini inqanaba lesifo sam?
• Ucebisa luphi unyango?
• Zeziphi iziphumo ebezingalindelekanga ekufuneka zilindelwe kunyango?
• Ungayinyanga imeko yam?
• Lithini ithuba lokuba umhlaza uphinde ubuye?

Yintoni umahluko phakathi kweHodgkin Lymphoma kunye neNon-Hodgkin Lymphoma?

I-Hodgkin lymphoma kunye ne-non-Hodgkin lymphoma zombini zi-cancer ezichaphazela iiseli zakho ze-lymphocyte, kodwa kukho umahluko phakathi kwezi zimbini.

Oogqirha bacinga ukuba i-Hodgkin lymphoma yenye yezona ntlobo zomhlaza ezinyangekayo. Unyango olutsha lunokuphelisa iimpawu ze-Hodgkin lymphoma kwaye phantse lunyange esi sifo ngokupheleleyo.

Nangona kunjalo, indlela ocinga ngayo ixhomekeke kuhlobo lwe-Hodgkin lymphoma kunye nenqanaba lomhlaza. Izifundo zibonisa ukuba abantu abangaphezu kwama-90% abanyangwa kwi-Hodgkin lymphoma kwinqanaba lokuqala basaphila emva kweminyaka emihlanu bexilongiwe. Ngamanye amazwi, okukhona ifunyanwa ngokukhawuleza, kokukhona ingcono.

Lumka utshintsho emzimbeni wakho, olufana nokudumba kwee-lymph nodes, umkhuhlane ongapheliyo, kunye nokudinwa. Ukuba nezi mpawu akuthethi ukuba une-Hodgkin lymphoma, kodwa licebo elihle ukuvavanya. Xa kufikwa kwesi sifo, ukuxilongwa kwangethuba kunokunyusa amathuba akho okuphila ungenawo umhlaza.

Okokugqibela, umyalezo oya ekhaya:

Kuqhelekile ukuba uzive usoyika xa usiva igama elithi Hodgkin Lymphoma. Kodwa khumbula, lo ngumhlaza onyangekayo kakhulu. Eyona nto ibalulekileyo kukufuna ingcebiso kagqirha kwangoko nje ukuba uqaphela iimpawu. Ingakumbi ukuba uneempawu ezifana namaqhuma angenabuhlungu entanyeni, emakhwapheni, okanye emathunjini, ukudinwa okungapheliyo, umkhuhlane ongachazwanga, ukubila ebusuku kakhulu, kunye nokunciphisa umzimba, ngokuqinisekileyo kufuneka ubone ugqirha.

Ngokuchongwa kwangoko kunye nonyango olufanelekileyo, abantu abaninzi baye bakwazi ukuchacha ngokupheleleyo kwi-Hodgkin lymphoma kwaye baphila ubomi obuqhelekileyo. Ngoko ke, ungaze ulahle ithemba. Umyalezo obalulekileyo endinawo kuwe kukufuna iingcebiso zonyango ngokukhawuleza ukuba wena okanye umntu omaziyo unezi mpawu.

I- Hodgkin lymphoma, umhlaza, ii-lymph nodes, iimpawu, unyango, ii-B cells, ii-Reed-Sternberg cells