Ukugxekwa komhlaza kungabalinganisa izinto ezimbalwa ezahlukeneyo kwaye kunokubhekisela kwindlela umntu azakuphendula ngayo unyango, okanye ixesha elide kulindeleke ukuba umntu aphile. Ngaloo ndlela, ukulinda komntu kunokupheliswa ngezindlela ezininzi. Sivame ukusebenzisa amazinga okusinda ukuthetha malunga nokuba umntu oqhelekileyo uya kuphila kangakanani-umzekelo, umhlaza unokuba neminyaka emihlanu yokusinda kwe-79%.
Ngamanye amaxesha kunye ne-lymphomas, unokuva kwakhona malunga nokuphila kwangaphakathi. Ukusinda komlambo kubhekisela kwi-50%-ixesha elithile emva kokuxilongwa xa ama-50% abantu ephila, kwaye ama-50% adlulile.
Kubalulekile ukukhumbula ukuba zonke ezi qi Bathetha ngeziphumo "eziqhelekileyo", kodwa akukho mntu "ngokwenene" kwaye kukho izinto ezininzi eziza kuqikelela ukuba ukunyanzeliswa komntu kungcono okanye kukubi kunokuba kulindeleke.
Yintoni ebaluleke kakhulu ukuyikhumbula kule nkqubela-ngokukodwa ngokubhekiselele kwi-lymphoma enobudlova engekho i-Hodgkin, ngaba ezobalo "ziindaba zakudala." Ngokwenene, bakuxelela indlela umntu ayenokwenza ngayo ngexesha elidlulileyo nomhlaza wakho, kodwa ngaphandle kweyiphi na imishana emitsha esenza umehluko. Ngamanye amazwi, akuthethi kakhulu. Yintoni ebaluleke ngakumbi ukuba ufuna ukuqikelelwa kwendlela oya kwenza ngayo, ukhangele ukuba zeziphi izinto ezichaphazela ukuxela kwakho.
Izinto eziQinisekisa IsiPhumo seNyango
IBanga eliPhakamileyo (elixhatshazelisayo) Elingekho iHodgkin Lymphoma sisifo esikhula ngokukhawuleza. Nangona kunjalo uyayiphendula kakuhle unyango kwaye izigulane ezininzi zingaphiliswa. Isiphumo sixhomekeke kwizinto ezi-5 ezichazwe kakuhle ezenza i-International Prognostic Index (IPI). Nantsi inkcazo yale mibandela yokuxela kunye nokuba ichaphazela njani iziphumo.
Abaphandi bavame ukubeka ingongoma e-1 nganye kulezi zigaba ukuze ufumane inombolo phakathi kwe-0 no-5 ekufuneka uqikelele ukuxela kunye nokuqhathanisa ukuxela kwangoku ngoku ukuxela kwangaphambili.
Ubudala
Ubudala buyinto ebalulekileyo yokuxeliswa kwi-NHL ephezulu. Abo bantu abahlakulela iNHL abangaphantsi kweminyaka engama-60 benza ngcono kunabo abangaphezu kweminyaka engama-60. (1 iphuzu elingaphezu kweminyaka engama-60, ama-0 amanqaku angaphantsi kweminyaka engama-60.)
I-LDH (Iziphumo zoVavanyo lwegazi)
I- serum lactate dehydrogenase (i-LDH) ibonakaliso sokuba isifo singakanani emzimbeni. Ingakumbi isifo, ngakumbi ixabiso le-LDH. Abantu abanamazinga aphezulu e-LDH egazini labo benza okubi kunabo abanamazinga aqhelekileyo. (1 iphuzu lezinga eliphakamileyo, amanqaku a-0 kwinqanaba eliqhelekileyo.)
Isimo sokuSebenza
Isimo sokusebenza sisalathisi esilinganisa umzimba womntu onomdlavuza. Ilinganisela ukuba umntu uyayimpawu kwaye umde kangakanani umntu okwaneleyo kwimisebenzi yakhe yemihla ngemihla. Kwi-NHL, njengamanye amaninzi kanomdlavuza, abo banamazinga angcono okusebenza benza ngcono emva kokonyango kunabo abagula kakhulu okanye abaxhomekeke kwimisebenzi yemihla ngemihla. (1 ngongoma xa ufuna uncedo oluninzi kwimisebenzi yemihla ngemihla, amanqaku angu-0 ukuba unako ukulawula imisebenzi yansuku zonke ngaphandle koncediso.)
Isigaba
Isigaba seLymphoma sibaluleke kakhulu . Kwixesha lokuqala isifo-izigaba I no-II zinemiphumo engcono kunezigaba eziphambili zesifo III-IV. (1 iphuzu lesigaba III okanye IV, amanqaku a-0 kwisigaba I okanye II.)
Ukubandakanywa kwamalungu ngaphandle kweLymph System
I-Lymphoma ngumhlaza wesimiso se-lymph. Ukuba i-lymphoma ichaphazela izitho ezingaphandle kwenkqubo ye-lymph, njengobindi, umlenze okanye ingqondo, iziphumo zonyango ziphantsi. (I-1 iphuzu linye okanye ezinye izitho ezingaphandle kwenkqubo ye-lymph, amanqaku angu-0 ukuba awukho ukubandakanyeka kwamalungu angaphandle kwenkqubo ye- lymph .)
IziPhuculo ziPhuculo
Abaphandi baye bajonga ukutshintsha kwezinga lokusinda ngokuhamba kwexesha ngokuthelekisa abantu abanezinto ezichazayo.
Ngokomzekelo, kungekude kudlulileyo inani leminyaka elingu-5 lokusinda kwabantu abantu abanamaqondo angama-0 ukuya kwe-1 angentla abe ngama-75% kunye no-30% kulabo abaneengongoma ezi-4 ukuya kuma-5. Ukuphononongwa okwakutshanje kubhekiselele kule mibandela yokuxela ngeendlela ezintsha zokufumana unyango ukuba abantu abanama-0 ukuya ku-1 banomlinganiselo weminyaka emihlanu wokusinda kwama-95% kunye nalabo abanamaqondo angama-4 ukuya kuma-5, ama-55%.
Ukujamelana nokukhula
Enye into engaqhelekanga ekuthethwa ngayo ngomhlaza, yinto enokuthi ivela kumhlaza. Intoni? Ngokuqinisekileyo, akukho mntu oza kugqitha ngumhlaza ngenxa "yokumnandi" kwayo, kodwa njengoko ujamelana noyiko lwakho kunye nazo zonke izinto abantu abaza kuhamba ngazo kunyango, qaphela ukuba uphando luyasitshela ngokwenene ukuba umdlavuza unokuthi utshintshe abantu ukuba bangcono . Ixesha abazisebenzisayo basebenzisa ukukhula kwesikhokelo, kwaye kubonakala ngathi kuzo zonke izinto oye uhamba ngazo, unokubonakalisa inceba ngakumbi kwabanye ngenxa yohambo lwakho.
Imithombo:
American Cancer Society. Izinga lokusinda kunye neemeko ezichaphazela ukuchazwa (imbono) ye-non-Hodgkin lymphoma. Ukuhlaziywa 01/22/16.