Uyafuna yini ukuthi ingane yakho yazi nge-Non-Hodgkin's Lymphoma? Ake sixoxe ngayo!

Ngisho noma izingane zethu ezincane zikhwehlela kancane, zizizwa zesaba kakhulu, akunjalo? Ngezinye izikhathi, noma ngabe ucabanga ukuthi kuyisifo esivamile, kungaba yinto engathi sína kakhulu. Kulungile, uhlobo lomdlavuza oluvela ezinganeni, kodwa olungelapheka uma lwelashwa kahle, lubizwa ngokuthi i-Non-Hodgkin's Lymphoma . Ungesabi uma uzwa leli gama, ngoba kubaluleke kakhulu ukuba nolwazi oluhle ngalo. Ingabe singakhuluma ngalokhu ngemininingwane eyengeziwe ?

Linda kancane, iyini le Non-Hodgkin's Lymphoma?

Kalula nje, i-non-Hodgkin lymphoma uhlobo lomdlavuza oluqala ohlelweni lwe-lymphatic ezinganeni. Umzimba wakho unento ebizwa ngokuthi uhlelo lwe-lymphatic . Lufana nohlelo lokuzivikela lomzimba wethu. Lusisiza ekusivikeleni ezifweni namagciwane . Lolu hlelo lunezingxenye ezifana nama-lymph node kanye nemithambo ye-lymph. Lokhu kusakazeka kuwo wonke umzimba.

Lesi sifo sivame ukuthinta izingane eziphakathi kweminyaka emi-5 neyi-19. Kodwa ngezinye izikhathi izinsana ezisanda kuzalwa nazo zingathinteka. Izindaba ezinhle ukuthi odokotela banezindlela zokwelapha ezisebenzayo zalokhu, futhi izingane eziningi zingelapheka. Kodwa-ke, ezinye izingane zingase zibe nemiphumela ebuhlungu eminyakeni eminingi ngemva kokwelashwa. Yingakho abacwaningi bezama njalo ukuthola izindlela zokwelapha eziphumelelayo kakhulu ezinemiphumela embalwa ebuhlungu.

Lesi simo siyithinta kanjani ingane yami?

Lesi sifo, esibizwa ngokuthi i-Non-Hodgkin's Lymphoma, singakhula ezicutshini ze-lymphoid noma kuphi emzimbeni wengane. Singathinta ngisho nesistimu yezinzwa ephakathi . Lesi zicubu ze-lymphoid nazo ziyingxenye yesistimu yomzimba yokuzivikela.

Lo mdlavuza uqala ezinhlotsheni ezikhethekile zamaseli ohlelweni lwe-lymphatic. Lawa angama-B-lymphocytes (amaseli e-B), ama-T-lymphocytes (amaseli e-T), noma amaseli e-Natural Killer (NK). Lawa maseli asivikela ezifweni ezahlukahlukene zamagciwane kanye namagciwane .

Kunezinhlobo ezintathu eziyinhloko ze-non-Hodgkin's lymphoma ezinganeni. Uhlobo ngalunye lungathinta izingane ngendlela ehlukile.

1. Ama-lymphoma e-B-cell avuthiwe

Lezi yizinhlobo ze-lymphoma ezivela kuma-B-cell. Zibalelwa ngaphezu kwengxenye yazo zonke izinhlobo ze-non-Hodgkin lymphoma ezinganeni. Izindaba ezinhle ukuthi izingane ezingaphezu kuka-90% ezinalolu hlobo lwe-lymphoma zithola ukululama okuphelele ngemva kokwelashwa. Kunezinhlobo eziningana eziyinhloko:

• I-Burkitt lymphoma/leukemia: Lezi yizinhlobo ezahlukene zesifo esifanayo. Ukwelashwa kufana kakhulu. Ngokuvamile kuqala kuma-lymph node esiswini noma esifubeni. Kodwa ngezinye izikhathi kungathinta umongo wamathambo, amathambo amade ezithweni, noma uhlelo lwezinzwa oluphakathi. Ku-Burkitt leukemia, kunenani elikhulu lamaseli angajwayelekile egazini lengane, avela kumaseli asemmongo wamathambo. Kokubili i-Burkitt lymphoma kanye ne-leukemia kukhula ngokushesha kakhulu.
• I-lymphoma enkulu ye-B-cell esabalalayo: Lokhu kuvame kakhulu ezinganeni ezincane eziphakathi kweminyaka eyi-12-19 kunasezinganeni ezincane.
• I-mediastinal B-cell lymphoma eyinhloko: Lokhu kuqala kuma-B-cells ku-mediastinum, indawo engemuva kwethambo lesifuba lengane. Kungasakazeka futhi kuma-lymph node. Lokhu kuvame kakhulu ezinganeni ezincane.

2. I-lymphoma ye-lymphoblastic

Lolu hlobo luhlanganisa cishe ingxenye yesithathu yazo zonke izinhlobo ze-non-Hodgkin lymphomas ezinganeni. Luvame kakhulu ezinganeni ezincane kunasezinganeni ezindala. I-lymphoma ye-lymphoblastic ingathinta ama-B-cell noma ama-T-cell.

Ngokuvamile kuqala kuma-lymph node ku-mediastinum yengane (indawo engemuva kwethambo lesifuba) noma entanyeni. Kodwa kungathinta nama-lymph node esiswini, emnkantsheni, noma kwezinye izitho zomzimba. Izingane ezingaphezu kuka-80% ezelashwa ngalolu hlobo ziyasinda.

3. I-Anaplastic large cell lymphoma (i-ALCL)

Lokhu kubala cishe u-15% wazo zonke izinhlobo ze-non-Hodgkin lymphomas ezinganeni. Kuthinta ama-T-cell futhi kuvame ukuqala kuma-lymph node. Kungathinta nesikhumba namathambo. Cishe u-70% wezingane ezine-ALCL ziyasinda.

Sivame kangakanani lesi sifo ezinganeni?

Unyaka ngamunye, izingane eziphakathi kuka-800 no-1,000 zitholakala zine-non-Hodgkin's lymphoma. Ivame kakhulu kubafana abamhlophe. Ingozi yokuthola lesi sifo iyahlukahluka kuye ngeminyaka yengane, futhi ingozi inganda kancane njengoba ingane ikhula.

Ziyini izimpawu ze-non-Hodgkin lymphoma?

Izimpawu zalesi sifo ngezinye izikhathi zingafana nezezinye izifo ezingatheni kangako. Yingakho kufanele ukhathazeke. Uma ingane yakho inama-lymph node avuvukele, ubunzima bokuphefumula obuqhubekayo, ukukhwehlela okuqhubekayo, noma impumulo egobhozayo,Kufanele nakanjani ubonane nodokotela.

Ezinye izimpawu zingase zihlanganise:

• Ukushisa njalo ngaphandle kwesizathu.
• Ukukhwehlela.
• Ukujuluka ebusuku.
• Ukwehlisa isisindo ngaphandle kwesizathu.
• Ukuvuvukala kwekhanda, intamo, umzimba ongaphezulu, noma izingalo.
• Ubunzima bokugwinya (i-dysphagia).

Khumbula, ukuba nesibonakaliso esisodwa noma ezimbili nje akusho ukuthi ingane yakho inalesi sifo. Kodwa-ke, uma lezi zimpawu ziqhubeka noma ziba zimbi kakhulu, kufanele nakanjani ufune iseluleko sezokwelapha.

Yini ebangela lesi sifo ezinganeni?

Eqinisweni, imbangela eqondile ye-non-Hodgkin's lymphoma ezinganeni ayikatholakali. Kodwa-ke, odokotela bathole izici eziningana eziyingozi. Ngisho noma lezi zici eziyingozi zikhona, akusho ukuthi ingane izoyithola nakanjani lesi sifo. Kodwa kuhle ukuzazi lezi.

Uma ingane yakho inanoma iyiphi yalezi zinkinga zempilo, buza udokotela wakho ngalesi simo:

• Uma ingane yakho ike yelashwa olunye uhlobo lomdlavuza.
• Uma ingane yakho itheleleke nge-mononucleosis (i-Mononucleosis - i-Epstein-Barr virus) noma i-HIV (i-Human Immunodeficiency Virus).
• Uma ingane yakho inesimiso somzimba esibuthakathaka (isibonelo, uma ike yafakelwa isitho noma umnkantsha).
• Uma ingane ithatha imithi ecindezela amasosha omzimba.
• Uma ingane inezifo ezithile ezizuzwe njengefa ezithinta amasosha omzimba.

Izifo zesimiso sokuzivikela ezifweni ezizuzwe njengefa

Izifo ezizuzwe njengefa ezifana nalezi zingandisa ingozi yokuthola i-non-Hodgkin's lymphoma:

• I-Ataxia-telangiectasia: Lesi yisifo sezinzwa esithinta uhlelo lwezinzwa oluphakathi, uhlelo lokuzivikela komzimba, kanye nezinye izinhlelo zomzimba ezinganeni.
• I-Chediak-Higashi syndrome: Lokhu kuthinta isimiso somzimba sokuzivikela kanye nesimiso sezinzwa ezinganeni.
• Ukuntuleka kwamasosha omzimba okuvamile: Izingane ezinalesi simo zinamazinga aphansi ama-antibodies (amaprotheni alwa nokutheleleka) egazini lazo.
• I-Nijmegen breakage syndrome: Izingane ezinalesi simo zine-immunodeficiency kanye namazinga aphansi amaprotheni esistimu yokuzivikela komzimba kanye nama-T-cell.
• Isifo esibucayi sokuntuleka kwamasosha omzimba esihlanganisiwe (i-SCID): Lokhu kuthinta ama-T-cell nama-B-cell ezingane, kwenze buthaka amasosha omzimba futhi kuzibeke engcupheni enkulu yokuthola umdlavuza othile, okuhlanganisa ne-non-Hodgkin lymphoma.
• I-Wiskott-Aldrich syndrome:Lokhu kuthinta amangqamuzana egazi ezingane kanye namaseli esistimu yokuzivikela komzimba. Izingane ezinalesi simo zinamazinga aphansi ama-platelet. Ama-platelet amaseli asiza ukujiya kwegazi. Uma lawa ephansi, angabangela ukuklwebheka nokuphuma kwegazi kalula. Lesi sifo sithinta nama-T-cell kanye nama-B-cell esistimu yokuzivikela komzimba.
• I-X-linked lymphoproliferative syndrome: Lokhu kuthinta amasosha omzimba ezinganeni. Izingane ezinalesi sifo zingase zibe nempendulo enzima kakhulu ekuthelelekeni ngegciwane le-Epstein-Barr.

Odokotela bahlonza kanjani i-non-Hodgkin lymphoma ezinganeni?

Ukuthola lesi sifo kuyinqubo eningiliziwe. Ngokuvamile, kwenziwa uchungechunge lokuhlolwa kwegazi, ukuhlolwa okuhlukahlukene kwezithombe, kanye nokuhlolwa kwe-biopsy. Udokotela uzohlola ingane ngokucophelela ukuze abone ukuthi kukhona yini ukukhubazeka, njengezigaxa noma izindlala ezivuvukele. Bazobheka nolwazi lwezempilo lomndeni, okungukuthi, izihlobo eziseduze nezihlobo ezikude, nokuthi ngabe kukhona yini umlando womdlavuza.

Ukuhlolwa kwegazi

• Ukubalwa kwegazi okuphelele (i-CBC): Lokhu kulinganisa inani lezinhlobo ezahlukene zamaseli egazini lengane yakho. Imiphumela ingasiza ekunqumeni ukuthi ingane yakho inezimpawu ze-lymphoma emnkantsheni wayo noma ukuthi ukwelashwa kuye kwathinta umnkantshe wayo.
• Izifundo ze-blood chemistry: Kuthathwa amasampula egazi ukuze kulinganiswe amazinga ezinto ezithile ezikhishwa egazini ezivela ezithweni noma ezicutshini zengane. Amazinga aphezulu noma aphansi ngendlela engavamile ento angaba uphawu lwesifo.
• Ukuhlolwa kokusebenza kwesibindi: Lokhu futhi ukuhlolwa kwegazi. Kulinganisa inani lezinto ezithile ezikhishwa yisibindi egazini. Uma kuneziningi ezingaphezu kwezijwayelekile, kungaba uphawu lomdlavuza.

Ngaphezu kwalokho, odokotela basebenzisa nokuhlolwa kwegazi ukuhlola amagciwane angase ahlotshaniswe ne-non-Hodgkin's lymphoma ezinganeni.

Ukuhlolwa kwezithombe

• I-CT scan (i-computed tomography – i-CT scan): Lokhu kungathatha izithombe ezinemininingwane zezindawo ezingaphakathi komzimba wengane yakho. Lokhu kuhlolwa kwenzelwa ukubheka ama-lymph node avuvukele noma ezinye izimpawu ze-lymphoma.
• I-MRI scan (i-Magnetic resonance imaging – i-MRI): Lokhu kusebenzisa i-magnet, amaza omsakazo, kanye nekhompyutha ukwenza uchungechunge lwezithombe ezinemininingwane yengaphakathi lomzimba. Kusetshenziselwa ukuhlola izimpawu ze-lymphoma ebuchosheni bomntwana noma emgogodleni.
• Ukuskena kwe-PET (i-Positron emission tomography – ukuskena kwe-PET):Lokhu kusetshenziselwa ukubona ukuthi ingane ine-lymphoma noma ukuthi ukwelashwa kuyithinte kanjani i-lymphoma. I-PET scan ihilela ukufaka inani elincane le-glucose enemisebe, noma uhlobo oluthile lukashukela, emzimbeni wengane. Amaseli omdlavuza asebenza kakhulu kunamaseli avamile, ngakho asebenzisa i-glucose eningi. Ngakho-ke lokhu kuskena kungabonisa ukuthi akuphi amaseli omdlavuza.
• I-Ultrasound: Lokhu kusebenzisa amaza omsindo anamandla aphezulu. Lawa maza agxuma ezicutshini noma ezithweni zomzimba ngaphakathi komzimba futhi adale ama-echo. Lawa ma-echo asetshenziselwa ukudala isithombe esibizwa ngokuthi i-sonogram. Lokhu kusetshenziselwa ukubheka ama-lymph node aseduze nobuso bomzimba womntwana, noma esiswini, esibindini, noma e-spleen.

Ukuhlolwa kwe-Biopsies

Odokotela benza ama-biopsies ukuze bathathe amasampula ama-lymph node, amaqhubu anomdlavuza, kanye nomnkantsha bese bewahlola ngaphansi kwe-microscope noma kwezinye izivivinyo zelebhu. I-biopsy iyindlela kuphela yokuthola lesi sifo ngokunembile. Okubaluleke kakhulu, imiphumela ye-biopsy ingasiza ekutholeni uhlobo oluqondile lwe-lymphoma. Lokhu kungasiza ekutholeni ukwelashwa okungcono kakhulu kwalolo hlobo.

Kunezinhlobo eziningana ze-biopsy. Odokotela bakhetha uhlobo lwe-biopsy oluzobangela imiphumela emibi emincane enganeni futhi luzosusa amangqamuzana nezicubu ezanele zokuhlolwa. Phakathi nalezi zivivinyo, ingane inikezwa imithi yokudambisa ubuhlungu, imithi yokubulala izinzwa, noma i-anesthesia yendawo noma ejwayelekile ukuqinisekisa ukuthi ayizizwa ingakhululekile.

• Ukuhlolwa kwe-biopsy ngokuhlinzwa: I-lymph node yonke, i-dump yezicubu, noma ucezu oluncane lwe-dump enkulu enomdlavuza lungasuswa ngokuhlinzwa.
• Ukuhlolwa kwe-Needle Biopsies: Kuyenziwa noma yikuphi ukuhlolwa kwe-core biopsies noma ukuhlolwa kwe-needle biopsies ukuze kususwe izicubu noma izingxenye ze-lymph node.

Ezinye izinhlobo ze-biopsy

Uma ingane yakho ine-non-Hodgkin's lymphoma, kungase kwenziwe ezinye izivivinyo ukuze kuqoqwe izicubu ukuze kubonakale ukuthi i-lymphoma isisabalele yini. Njengakwezinye izinhlobo ze-biopsy, lokhu kwenziwa ngaphansi komuthi wokudambisa kanye/noma i-anesthesia ukuqinisekisa ukuthi ingane yakho ayizizwa ingakhululekile.

• Ukubhoboza i-Lumbar (umpompi womgogodla): Lokhu kwenzelwa ukubona ukuthi umdlavuza ususakazekele ebuchosheni bomntwana kanye nasemgogodleni.
• Ukufuthwa komnkantsha wethambo kanye ne-bone marrow biopsy: Lokhu kuhlolwa kwenziwa ukuze kubonakale ukuthi i-lymphoma isisabalele yini emnkantsha wethambo wengane yakho. Ukuze enze lokhu, udokotela ufaka inaliti engenalutho ethanjeni le-hip yengane yakho bese ethatha isampula encane yomnkantsha wethambo kanye nethambo.
• I-Thoracentesis:Uma i-lymphoma isisabalale olwelwesini lwesifuba sengane yakho noma olwelwesini olumboze amaphaphu ayo, uketshezi lungase luqoqeke. Uketshezi lususwa kusetshenziswa inalithi engenalutho bese kuhlolwa ukuthi alunawo yini amangqamuzana omdlavuza.
• I-Paracentesis: Lokhu kuhilela ukukhipha uketshezi esiswini somntwana.
• I-Mediastinoscopy: Lena inqubo yokuhlinzwa eyenziwa ngaphansi kwe-anesthesia ejwayelekile. Yenzelwa ukubheka ukukhubazeka kwezitho zomzimba, izicubu, kanye nama-lymph node phakathi kwamaphaphu engane yakho. Yenziwa ngedivayisi ebizwa ngokuthi i-mediastinoscope. Iyithuluzi elincane, elifana nethubhu elinokukhanya kanye nelensi yokubona, kanye nethuluzi lokuthatha amasampula ezicubu noma ama-lymph. Ifakwa ngokusikwa okuncane engxenyeni engenhla yethambo lesifuba lengane yakho.

Ingabe odokotela bahlukanisa i-lymphoma yezingane engeyona i-Hodgkin ngezigaba?

Yebo, kunezigaba zokuhlukanisa i-Non-Hodgkin's lymphoma. Lezi zinhlelo zokulinganisa umdlavuza zisetshenziselwa ukudala izinhlelo zokwelapha.

Izigaba ze-non-Hodgkin lymphoma

• Isigaba I: Umdlavuza usesigabeni esisodwa kuphela, kungaba ngaphezulu noma ngaphansi kwe-diaphragm yengane (umsipha omkhulu ohlukanisa isifuba nesisu).
• Isigaba II: Umdlavuza usendaweni eyodwa kanye nama-lymph node aseduze, noma kuma-lymph node amabili noma ngaphezulu, noma kwezinye izindawo ohlangothini olufanayo lwe-diaphragm.
• Isigaba III: Umdlavuza ukwesinye sezigaba ezine ezilandelayo:
• Kukhona umdlavuza ezicutshini noma kuma-lymph node kuzo zombili izinhlangothi ze-diaphragm.
• Ingane inomdlavuza webele.
• Ingane inomdlavuza wesisu, futhi ayinakususwa ngokuhlinzwa.
• Isigaba IV: Umdlavuza usemongweni wethambo, emgogodleni, kanye/noma ebuchosheni bengane.

Iphathwa kanjani i-non-Hodgkin lymphoma ezinganeni?

Odokotela bayaqhubeka nokufuna izindlela ezintsha zokwelapha, ikakhulukazi izindlela zokwelapha i-lymphoma ngaphandle kokubangela imiphumela emibi kakhulu kamuva. Imiphumela emibi yizimo zempilo ezimbi ezingakhula eminyakeni eminingi ngemva kokuphela kokwelashwa futhi i-non-Hodgkin's lymphoma yengane isiphelile.

Kunezinhlobo eziyisithupha eziyinhloko zokwelapha:

• Ukwelashwa ngamakhemikhali: Lokhu kuyindlela yokwelapha eyinhloko yezingane ezine-non-Hodgkin lymphoma. Odokotela bangasebenzisa umuthi owodwa noma inhlanganisela yemithi eminingana.
• Ukuhlinzwa: Kwezinye izimo, izigaxa ezinomdlavuza zisuswa ngokuhlinzwa ngesikhathi esifanayo ne-biopsy. Ngisho nalapho, ingane ingadinga ukwelashwa okwengeziwe, njengokwelashwa ngamakhemikhali noma nge-immunotherapy.
• Ukwelashwa okuqondiwe:Lokhu kuthinta izakhi zofuzo zomdlavuza ezithile, amaprotheni, noma izinhlayiya ezincane ngaphakathi kwamaseli e-lymphoma ezisiza ukuba zisinde emiphumeleni ye-chemotherapy.
• Ukwelashwa Ngezifo Ezingalawuleki: Lokhu kwelashwa kusebenza ngokuvuselela amasosha omzimba wengane, noma ngokusebenzisa izingxenye zokwenziwa zamasosha omzimba, ukubhubhisa amangqamuzana e-lymphoma.
• Ukwelashwa ngemisebe: Kwezinye izimo, ukwelashwa ngemisebe kusetshenziselwa ukubhubhisa noma yimaphi amangqamuzana omdlavuza asele.
• Ukufakelwa kwamaseli e-stem: Amaseli e-stem athathwe egazini noma emnkantsheni wamathambo asetshenziselwa ukufaka amaseli anempilo esikhundleni samaseli angenampilo.

Iyini imiphumela yokwelashwa komdlavuza efika sekwephuzile?

Imiphumela yokwelashwa komdlavuza sekwephuzile yizimo zempilo ezingavela ezinyangeni noma eminyakeni ngemva kokuphela kokwelashwa. Eminye imiphumela sekwephuzile ingaba yingozi empilweni. Njengoba izingane eziningi ziphila isikhathi eside ngemva kokwelashwa kwe-non-Hodgkin's lymphoma, odokotela bazama ukuthola nokwelapha le miphumela sekwephuzile ngokushesha okukhulu.

Eminye yemiphumela evame kakhulu ebonakala ezinganeni ezine-non-Hodgkin lymphoma yile:

• Umdlavuza wesibili: Njengoba igama lisho, lo mdlavuza omusha okhula ezinganeni ngemva kokwelashwa kwe-non-Hodgkin lymphoma. Okuvamile kufaka phakathi i-acute myeloid leukemia, i-myelodysplastic syndrome, umdlavuza webele, kanye nomdlavuza we-thyroid.
• Izimo zenhliziyo: Ezinye izingane ezithola ukwelashwa ngamakhemikhali zingase zibe nezimo zenhliziyo ezifana nokwehluleka kwenhliziyo okubangelwa ukuminyana, ubuthakathaka benhliziyo (cardiomyopathy), ukuqina noma ukuncishiswa kwemithambo yegazi (isifo semithambo yegazi), ukushaya kwenhliziyo okungavamile (arrhythmia), noma ukulimala kwesembozo sokuvikela senhliziyo (pericarditis).
• I-Pneumonitis (ukuvuvukala kwamaphaphu): Eminye imithi yokwelapha ngamakhemikhali ingathinta amaphaphu ezinganeni.
• Izinkinga zesibindi: Izingane ezithatha imithi ethile ye-chemotherapy zingase zibe nesibindi esikhulu noma zibe nesifo sokuqina kwesibindi.

Kuthiwani ngezivivinyo zemitholampilo ze-non-Hodgkin lymphoma yezingane?

Udokotela wengane yakho angase akuncome ukuthi uhlanganyele esivivinyweni sokwelashwa kwe-non-Hodgkin's lymphoma. Esivivinyweni somtholampilo, abanye abantu bathola izinga lokunakekelwa, kanti abanye bathola ukwelashwa okuhlolwayo.

Ukwelashwa okujwayelekile yimithi kanye nezinye izindlela zokwelapha esezivunyiwe futhi esezifakazelwe ukuthi ziyasebenza. Ukwelashwa okuvivinywayo, njengoba igama lisho, kuyindlela yokwelapha ehlolwa ukuze kubonakale ukuthi isebenza kangcono yini kunezindlela zokwelapha ezijwayelekile, noma ukuthi isebenza ngendlela efanayo kodwa inemiphumela emibi embalwa.

Izivivinyo zemitholampilo zingase zibandakanye imithi emisha, imithamo emisha yemithi ekhona, noma inhlanganisela emisha yokwelashwa okukhona. Ngokuvamile, odokotela ezikhungweni zomdlavuza wezingane baqondisa lezi zivivinyo zemitholampilo. Buza udokotela wakho ukuthi ingabe isivivinyo semitholampilo singaba yindlela yokwelapha ingane yakho.

Ingabe i-non-Hodgkin lymphoma ezinganeni ingelapheka?

Yebo, odokotela bangelapha izingane eziningi ezine-non-Hodgkin's lymphoma ngezindlela zokwelapha abanazo. Lokho kuyaduduza ngempela, akunjalo?

Lingakanani izinga lokusinda kwe-non-Hodgkin lymphoma yezingane?

Izinga lokusinda kwezingane ezine-non-Hodgkin's lymphoma liyahlukahluka kuye ngohlobo lwe-lymphoma. Ngokwesilinganiso, phakathi kuka-70% no-90% wezingane ezinalesi sifo ziphila iminyaka engaphezu kwemihlanu ngemva kokuxilongwa.

Kwenzekani ngemva kokuba ingane yami isiqedile ukwelashwa kwe-non-Hodgkin lymphoma?

Uma ukwelashwa komdlavuza sekuphelile, wena nengane yakho cishe nizozizwa nikhululekile futhi nijabule. Gubhani leyo njabulo, kodwa khumbulani, ingane yakho kusazodingeka ihlale ixhumana nodokotela iminyaka eminingana.

Eminyakeni embalwa yokuqala ngemva kokwelashwa, udokotela wakho cishe uzoncoma ukuhlolwa nokuhlolwa okuvamile. Lokhu kuzosiza ekuqapheni impilo yengane yakho iyonke, kuhlolwe noma yikuphi ukuphindaphinda komdlavuza, futhi kuqaphe izimpawu zemiphumela. Ingane yakho izodinga ukuhlolwa kwegazi kanye nokuskena.

Mina/ingane yami ngingayiphatha kanjani imiphumela yokwelashwa komdlavuza?

Izingane zingabhekana nemiphumela yokwelashwa komdlavuza ezinyangeni noma ngisho neminyaka ngemva kokuphela kokwelashwa. Ukwazi lokhu kungenza wena nomntanakho nizizwe nikhathazekile ngekusasa. Kodwa yazi ukuthi udokotela wengane yakho uzoqapha impilo yengane yakho ngemva kokwelashwa, ngakho-ke noma yiziphi izinkinga zingatholakala futhi zelashwe ngokushesha.

Buza udokotela wakho ngemiphumela engaba khona ingane yakho engase ibhekane nayo nokuthi yiziphi izimpawu zokuqala. Khuthaza ingane yakho ukuba iqaphele izimpawu zale miphumela njengoba ikhula futhi iqala ukunakekela impilo yayo.

Nginganciphisa yini amathuba engane yami okuthola i-non-Hodgkin lymphoma?

Izingane ezinezinhlelo zokuzivikela ezibuthakathaka zingase zibe sengozini enkulu yokuthola i-non-Hodgkin's lymphoma. Isibonelo, uma ingane yakho ike yafakwa umnkantsha noma yafakelwa isitho, ingaba sengozini yalesi sifo. Futhi, uma ingane yakho inezifo ezithile ezizuzwe njengefa ezithinta isimiso sokuzivikela, ingozi inganda.

Udokotela wengane yakho uyazi umlando wempilo yengane yakho. Uma ukhathazekile ngalokhu, buza udokotela wakho ukuthi ingane yakho inazo yini izimo eziyifaka engozini yokuthola lesi sifo. Ngemuva kwalokho, ungabheka izinto ezithile ezingaba yizimpawu zokuqala ze-non-Hodgkin lymphoma.

Ingane yami ine-non-Hodgkin lymphoma. Ngingamsiza kanjani?

Umdlavuza unzima kuwo wonke umuntu, kodwa unzima kakhulu ezinganeni. Izingane ezincane zingase zingakhuli ngokwanele ukuqonda ukuthi kungani kunzima kangaka kuzo. Zingase zesabe ukuhlolwa nokwelashwa. Kungokwemvelo ukuthi izingane ezincane ezifunda ngokugula kwazo zizwe zithukuthele futhi zesaba ngesimo sazo. Uma wena nengane yakho nizabalaza ukubhekana nemiphumela yomdlavuza, buza udokotela wakho ngezinsizakalo zokuphila kwengane. Lezi zinsizakalo zinikezwa ochwepheshe abasiza izingane nemindeni ukubhekana nezinselele zomdlavuza.

Ngesinye isikhathi uba nengane enempilo, bese ucabanga ukuthi inesifo esivamile. Ngesinye isikhathi, uba nengane enomdlavuza. Akulula ukuthola ukuthi ingane yakho ine-non-Hodgkin lymphoma. Ngisho noma odokotela belapha izingane eziningi ezinalesi simo, ingane yakho kusadingeka ibhekane nokwelashwa okunamandla okuphazamisa impilo yazo yansuku zonke. Ngisho nangemva kokwelashwa, ingane yakho ingase ibe nemiphumela emibi, izimo zempilo ezimbi ezidinga ukwelashwa okwengeziwe. Konke kunzima ukubhekana nakho. Ungase uzizwe sengathi umhlaba wakho ushintshiwe, futhi ungase uzibuze ukuthi uzophinde ulunge yini.

Kodwa khumbula, udokotela wengane yakho uyaqonda ukuthi wena nengane yakho nibhekene nani. Cela usizo kubo, olungafaka ulwazi ngesimo sengane yakho, izinsiza zakho nomndeni wakho, futhi bayajabula ukwenza noma yini abangayenza.

Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya

• I-Non-Hodgkin's Lymphoma ezinganeni ingumdlavuza owenzeka ohlelweni lwe-lymphatic.
• Lokhu kungelashwa ngempumelelo, ikakhulukazi uma kutholakale kusenesikhathi.
• Qaphela izimpawu (ezifana nokuvuvukala kwama-lymph node, ukukhwehlela okuqhubekayo, umkhuhlane, ukwehla kwesisindo). Uma lokhu kuqhubeka, bona udokotela.
• Kunezindlela eziningana zokwelapha (njengokwelashwa ngamakhemikhali, ukuhlinzwa, kanye nokwelashwa ngemisebe). Udokotela uzokhetha ukwelashwa okufanele ingane yakho.
• Imiphumela yangemva kokwelashwa ingase ivele ngemva kokwelashwa, ngakho-ke kubalulekile ukuqhubeka nokuhlolwa kwezokwelapha.
• Awuwedwa. Odokotela, abahlengikazi, nabeluleki bakhona ukukusiza wena nomntwana wakho. Ungesabi ukucela usizo kubo.

Ngiyethemba ukuthi lolu lwazi lukusizile ukuthi uqonde lesi sifo. Khumbula, ngesimo sengqondo esihle kanye nokwelashwa okufanele, unganqoba le nselele.

I- Non-Hodgkin's Lymphoma, Umdlavuza Wobuntwana, I-Lymphoma, Uhlelo Lwe-Lymphatic, Izimpawu Zomdlavuza, Ukwelashwa Komdlavuza, Impilo Yabantwana