Ukwelashwa kwe-lymphoma kuthatha iinyanga ukugqiba. Ekupheleni kolu bunzima, ufuna ukwazi apho umi khona. Ngaba unyango? Kutheni ezinye i-lymph node zivakalelwa? Ingaba isifo sakho selapho? Ngaba unokubuya kwakhona? Oogqirha bazama ukuchaza imeko ngokusebenzisa amagama anjengokuthi "ukuxolelwa," "ukuphinda," kunye "nokunyanga," kodwa bathetha ntoni ngempela?
Ukutyelela kwakho kokuQala kokuQala
Usuku ofumene unyango lwakho lokugqibela akulona usuku ugqirha anokukuvavanya ngalo ukuphendula.
Kungenxa yokuba unyango lwamayeza ludla ixesha lokuthatha isenzo. Ngokuqhelekileyo, ugqirha wakho uya kukubiza ukuze uhlolwe emva kweveki ezi-4 ukuya kwezi-8. Oku kunika ithuba lophilisa ixesha lokugqiba isenzo sayo kumhlaza. Ugqirha ke wenza iimvavanyo ukuvavanya ukuxolelwa.
Ukuqonda ukuxolelwa
Ukuxolelwa kuthetha ukuba i-lymphoma yakho ichithwe okanye iyancishiswa. Xa i-tumor iphela, oogqirha bakubiza ngokuthi "ukuxolelwa ngokupheleleyo." Xa i-tumor iyancitshiswa kakhulu kodwa isalokhu ihlala, ibizwa ngokuba "ukuxolelwa okuyingxenye." KwiHodgkin lymphoma kunye ne-aggressive non-Hodgkin lymphoma (NHL), oogqirha bahlala benenjongo yokuxolelwa ngokupheleleyo. I-NHL ye-indolent okanye ye-low-grade-edla ukukhula okanye inkqubela phambili ngokuthe ngcembe - ngokuphindaphindiweyo ukuxolelwa ngokukodwa kuya kukwanela.
Ukuxolelwa kunye nokunyanga
Nangona isifo sakho siphelile emva kokuba unyango luphelile, alubizwa ngokuba unyango. I-Lymphomas inethuba lokuphindaphinda, kwaye ugqirha uya kuhlala elinde iminyaka embalwa ngaphambi kokuba aqiniseke ukuba isifo sakho asiyi kubuya.
Kwi-Hodgkin lymphoma, umzekelo, i- PET / CT inokukunceda ukufumanisa nasiphi na isifo esala emva kokunyanga. Oku kunokuba luncedo, umzekelo, xa kukho ubunzima bokusalela, okanye ukwandiswa kwisifuba kwaye akucaci ukuba kubonakala ukuba kubonakala isifo esinqabileyo okanye esisebenzayo.
Kuphela emva koko unokuxelela ukuba uphiliswa.
KuHodgkin kunye neentlanzi ezingenalo i-Hodgkin lymphomas, eso sifo sinethuba elihle lokubuyela kwiminyaka emibini. I-NHL ye-Indol ikwazi ukubuyela emva kweminyaka emininzi.
Ukutyelela rhoqo ukutyelela
Ukutyelela rhoqo ugqirha yindlela efanelekileyo yokugcina izibongo kwisifo sakho. Ugqirha uyakukuhlola ngexesha lokutyelela. Unokuphinde ulayishe iimvavanyo kunye neengcingo. Ukufumanisa kwangaphambili ukubuyela kwesifo sakho kunokubangela iziphumo ezingcono kunye nezokwelapha ezilandelayo. Ukuba akukho sifo sifumaneka, unokuqinisekiswa ngempilo yakho.
Izifo kwakhona
I-lymphomas ingabuya, okanye iphinde ibuye, emva kokuba isuswe ekuqaleni. Oku kwenzeka kuphela kwiqela elincinci labantu. Xa kunjalo, iyakwazi ukulawulwa kakuhle kunye nonyango olulandelayo. Ukuphindaphinda kungafumaneka kwiindawo eziye zabandakanyeka ngaphambili, okanye ziyakwenzeka kwimimandla emitsha yomzimba. Kufuneka unike ingxelo malunga neengxaki ezitsha okanye iingxaki zempilo kwi-oncologist yakho.
Ukulawula Ukukhathazeka Kwakho
Ukuxolelwa ngokupheleleyo emva kokuba unyango luphawu oluhle kakhulu. Uninzi lwabantu luhlala lukhululekile kwizifo. Ukuyeka ukuhanjelwa ngenxa yokwesaba ukuphindaphinda kuphendulwa ngokupheleleyo ngabantu kwaye kuyaqondakala kakhulu, ekubeni ukusebenzisana nale nto akunakuze kube yinto eyamkelekileyo yohambo.
Kodwa musa ukulibazisa ukubona ugqirha wakho. Ezi tyelelo zikunika ithuba lokuthetha nogqirha kwaye uchaze ukungathandabuzeki kwakho. Nangona ukubuyela kuphinda kwenzeke, ungakhathazeki. Kukho unyango oluninzi olusebenzayo ukulawula isifo sakho.
Ukuhlaziywa kukaJanuwari 2016, iTI.
Imithombo:
Cheson BD, Fisher RI, Barrington SF et al. Iziphakamiso zokuvavanya kokuqala, ukuhlola nokuphendula iimpendulo zeHodgkin kunye ne-non-Hodgkin lymphoma: i-lugano. J Clin Oncol . 2014; 32 (27) 3059-3068.
Barrington SF, Mikhaeel NG, Kostakoglu L, et al. Indima yokucinga ngeendlela zokuhlola kunye nokuphendula impendulo ye-lymphoma: ukuvumelana kwemibutho yamazwe ngamazwe ngamaqela asebenzayo angama-lymphomas. J Clin Oncol. 2014; 32 (27): 3048-358.
Hutchings M. Uncedo lwe-PET / CT njani ekukhetheni unyango kwizigulane ngeHodgkin lymphoma? I-Hematology I-Soc Hematol yoLwazi lweNkqubo . 2012; 2012: 322-7.
I-Townsend W, iLinch D. Hodgkin's lymphoma kubantu abadala. Lancet . 2012; 380 (9844): 836-47.