Uma uthola ukwelashwa ngemva kokuxilongwa ukuthi une-B-Cell Lymphoma, ngolunye usuku udokotela wakho uthi, "Manje 'usekuphumuleni'." Lelo yigama eliduduzayo nelinika ithemba. Liyingqophamlando ebaluleke kakhulu ohambweni lwakho lokwelashwa. Kalula nje, kusho ukuthi umdlavuza wakho awusasebenzi, noma ukuthi usuphumile emzimbeni wakho.
Yiziphi izinhlobo 'zokukhululwa'?
Udokotela wakho uzokutshela ukuthi 'usekukhululweni' uma ama-scan ebonisa ukuthi umdlavuza unciphe kakhulu emzimbeni wakho, noma uma kungekho zimpawu zomdlavuza ezitholakalayo. Kunezinhlobo ezimbili eziyinhloko zalokhu. Ake sibheke ukuthi ziyini.
| Uhlobo lokuhoxiswa | Kusho ukuthini lokho? |
|---|---|
| Ukuxolelwa Okungaphelele | Lokhu kusho ukuthi umdlavuza wakho we-B-cell lymphoma mncane kunangaphambili, kodwa usesemzimbeni wakho. Lokhu ngokuvamile kusho ukuthi okungenani ingxenye yomdlavuza isinciphile. |
| Ukuxolelwa Okuphelele | Kulesi simo, udokotela wakho akakwazi ukuthola noma yiziphi izimpawu zomdlavuza kuma-scan noma kwezinye izivivinyo. Kodwa-ke, kungase kube namaseli omdlavuza asele emzimbeni. Kodwa mancane kakhulu kangangokuthi awakwazi ukubonwa yizivivinyo. |
Bonke odokotela bazama ukukufaka ekuphumuleni okuphelele. Ngezinhlobo ezithile ze-lymphoma, kunethuba elihle lokufeza lowo mgomo. Kodwa ngezinye izinhlobo, ngisho nokuphumula okuyingxenye kubhekwa njengempumelelo enkulu.
Ingabe 'ukuxolelwa' kusho ukuthi usuphulukisiwe ngokuphelele?
Nansi into ebaluleke kakhulu. Ngisho noma 'usekukhululweni,' kunethuba lokuthi i-lymphoma yakho ingabuya. Kodwa ngenxa yokuthi umdlavuza awusebenzi ngaleso sikhathi, ungase ukwazi ukuyeka ukwelashwa noma uthathe ikhefu ekwelashweni.
Akekho ongasho ukuthi ukuphulukiswa kuzothatha isikhathi esingakanani , yingakho wena nodokotela wakho kudingeka nikuqaphele.
Ngenxa yalesi sizathu, kuzodingeka uqhubeke ubona udokotela wakho ukuze ahlolwe ukuqinisekisa ukuthi i-lymphoma yakho ayikhuli futhi ayibuyi. Abanye odokotela basebenzisa igama elithi "cured" kuphela ezigulini esezikhulile iminyaka emihlanu noma ngaphezulu.
Kwabanye abantu, i-lymphoma ayipheli ngokuphelele. Iba yisifo esingamahlalakhona, njengesifo sikashukela noma i-arthritis. Ezimweni ezinjalo, kungadingeka uqhubeke nokwelashwa okuthile ukuze umise umdlavuza ukuthi ungasabalali futhi ulawule izimpawu zakho.
Udokotela uhlola kanjani ukuthi umdlavuza uphinde ubuye? (Ukubuyela emuva komdlavuza)
Udokotela wakho uzokuqapha ngokucophelela ukuze athole noma yiziphi izimpawu ze-lymphoma ezibuyayo (ukubuyela emuva). Uma lokho kwenzeka, ukwelashwa kuzodingeka kuqalwe kabusha.
Ekuqaleni, kuzodingeka ubonane nodokotela wakho njalo ezinyangeni ezimbalwa. Kodwa njengoba uhlala ungenawo umdlavuza izinyanga noma iminyaka, imvamisa yokuhlolwa ingancipha.
Isikhathi ngasinye, udokotela uzokuxilonga futhi akubuze ukuthi unezimpawu ezintsha yini. Bangase futhi benze ukuhlolwa kwegazi futhi ngezinye izikhathi bahlole i-CT noma i-PET scans .
Uma lezi zivivinyo zibonisa noma yiziphi izimpawu zomdlavuza, kwenziwa i-biopsy ukuqinisekisa ukuthi i-lymphoma isibuyile ngempela. Kulokhu kuhlolwa, udokotela ususa ingxenye encane noma yonke i-node ku-lymph node bese eyithumela elabhorethri ukuze ihlole amangqamuzana omdlavuza.
Ziyini izimpawu zokubuyela emuva?
Izimpawu zivame ukwenzeka uma i-B-cell lymphoma ibuya (iphinde ibuyele emuva). Ungase ube nezimpawu ezifanayo owawunazo lapho uqala ukuba nalesi sifo, noma ungase ube nezimpawu ezahlukene kulokhu.
Into ebalulekile ukuthi lezi zimpawu zingabangelwa nezinye izifo. Isibonelo, umkhuhlane kanye nezindlala ezivuvukile kungaba izimpawu zokutheleleka, njengomkhuhlane. Ngakho-ke ungesabi ukuthi umdlavuza ubuyile ngoba nje ube nalezi zimpawu. Kodwa uma ubona into efana nale, kungcono ukubona udokotela bese uhlolwa.
| Izimpawu ezivamile zokubuyela kwe-lymphoma | |
|---|---|
| Ama-lymph node avuvukele (izimpawu) | Ukuvuvukala kwentamo, emakhwapheni, noma embotsheni. |
| Imfiva | Umkhuhlane oqala ngaphandle kwesizathu esithile. |
| Ukujuluka ebusuku | Ukujuluka ebusuku kangangokuthi amashidi okulala awanamanzi. |
| Umsebenzi onzima | Ukukhathala ngokweqile, okungaphezu kokuvamile. |
| Ukwehlisa isisindo | Ukwehlisa isisindo ngokungahlosiwe ngaphandle komzamo. |
Yiziphi izindlela zokwelapha ukubuyela emuva kwesifo?
Udokotela wakho angase akuncome ukuthi uphinde ukwelashwa okufanayo owakunikezwa ngaphambili, noma angase akuphakamisele ukwelashwa okusha. Ukwelashwa okutholayo kuzoncika ezintweni eziningana.
- Uhlobo lwe-B-cell lymphoma onayo.
- Yiziphi izindlela zokwelapha ozitholile esikhathini esidlule nokuthi ziphumelele kangakanani.
- Yimiphi imiphumela emibi owayithola ngesikhathi sokwelashwa kwangaphambilini nokuthi yayikukhathaza kangakanani.
- Imiphumela yokuhlolwa kwakho.
- Izimpawu zakho.
- Sekuyisikhathi esingakanani kusukela ekwelashweni kwakho kokugcina?
Ukwelashwa kokubuyela emuva kwe-lymphoma kungafaka:
- Uhlobo oluhlukile lwe-chemotherapy kunohlobo lwangaphambilini.
- Ukwelashwa ngemisebe .
- Ukufakelwa kweseli le-stem .
- Izidakamizwa eziqondiwe .
Ngaphezu kwalokho, udokotela wakho angase akuphakamisele ukwelashwa nge-immunotherapy . Isibonelo:
- Ama-antibodies e-monoclonal
- Ukwelashwa ngamaseli e-CAR T
Ngokuvamile, ukwelashwa okunikezwayo lapho lesi sifo siphinde sibuye kungase kube namandla kancane kunokwelashwa okunikezwayo lapho utholakala une-B-cell lymphoma okokuqala.
Umlayezo Wokuya Nawe Ekhaya
- 'Ukuxolelwa' kuyisinyathelo esihle kakhulu ohambweni lwakho lokwelashwa komdlavuza. Kusho ukuthi umdlavuza awusasebenzi, noma usunciphile ngobukhulu.
- Kunezinhlobo ezimbili 'zokuxolelwa': 'Okungaphelele' kanye 'nokuphelele'.
- Ukuba 'sekukhululweni' akusho ngaso sonke isikhathi ukuthi "usuphulukisiwe ngokuphelele." Ngakho-ke, kubalulekile ukubona udokotela wakho ngesikhathi sokuhlolwa okulandelayo.
- Uma izimpawu ezifana nomkhuhlane kanye nama-lymph node avuvukele ziphinde zivele, ungesabi, kodwa ungakuthathi kalula bese uthintana nodokotela wakho ngokushesha ukuze uthole iseluleko.
- Ngenhlanhla, noma ngabe i-lymphoma iphinda ibuye (iphinde ibuyele), kunezindlela zokwelapha ezisebenzayo zalokho futhi. Ngakho ungalilahli ithemba.
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