Kumntu osandul 'ufumane i-lymphoma, ukhetho olunokuba lunokuluqonda lunzima ukuluqonda. Kukho malunga neentlobo ezingama-30 ze-lymphoma, amaninzi amaninzi, kwaye kaninzi kukho iindlela ezininzi zokwelapha kwisifo esinye. Ukongezelela, iindlela ezitsha zonyango zivela ngokukhawuleza, kwaye yintoni eyinyaniso malunga nokukhetha kunye neziphumo kwiminyaka eyi-10 edlulileyo ukuba nayiphi na i-lymphoma enokuthi ingabi yinyaniso namhlanje.
Nasi isikhokelo esifutshane sokuqonda unyango lwe- lymphoma .
Ngaphambi kokuba unyango
Emva kokuxilongwa kwe-lymphoma kunye nokuchonga uhlobo oluchanekileyo lwe- Hodgkin okanye engekho i-Hodgkin's lymphoma , kukho iimvavanyo eziliqela ukufumanisa ubungakanani besifo- isigaba se-lymphoma - kwaye uhlole ezinye izinto ezenza isigxina. Xa zonke ezi vavanyo kunye nokuvavanywa zigqibile, i-oncologist icebisa isigulane malunga neendlela ezifanelekileyo zokunonyango ezikhoyo.
Ukuqonda iintlobo zonyango
Kukho iintlobo ezine eziphambili zonyango lwe-lymphomas:
- I-Chemotherapy : Izidakamizwa ezilawulwa njengezonyango emithanjeni yakho okanye njengeepilisi. Iishedyuli eziqhelekileyo ze-chemotherapy ziquka i- ABVD , i- R-CHOP kunye ne- CHOP .
- I-Radiotherapy: Iimitha eziphezulu zamandla ezijoliswe kwi-tumor. I-Radiotherapy inokuhanjiswa kwiindawo ezincinci (i- radiation field engabandakanyiyo ) okanye imimandla emikhulu (i- radiation field extension ).
- Ulwaphulo olujoliswe kulo, olubandakanya unyango lwama-antibody : Lwabizwa nangokuthi unyango lwe-biologic, oku kubhekisela ekusebenziseni iziyobisi ezifana ne-rituximab ejolise kwii-molecule ezikhethekileyo kummandla weeseli zomhlaza. Ngaphambili kweyeza le-molecule, iziganeko ezingaphezulu kunye neendlela ezijolise kuzo iinkqubo ezintsha zihlolisiswa kwizilingo zeeklinikhi, kwaye ii-agent ezitsha ziyaqhubeka zivunywe yi-US FDA. I- immune checkpoint inhibitors yilapho iqela lee-agents liphuhliswa, kunye nezicelo ezinokwenzeka kwi-lymphoma therapy.
- Umnayile we-Bone okanye ukutshintshwa kwe-cell stem: Ukusebenzisa amaqondo aphezulu okhemotherapy okanye i-radiation ukubulala zonke iiseli zomhlaza xa ulondoloza umongo wethambo ngokutshintshwa komnkantso okanye amaseli.
Ngokungafani nomdlavuza oqhelekileyo onjengomdlavuza wesifo somhlaza okanye umdlavuza webele, ukusetyenziswa kotyando ekwenzeni unyango lwe-lymphoma akunqabile.
I-radiation idla ngokukhethekileyo ukuhlinzwa ukuze ilawule izifo ezikude ezigcinwe kwindawo enye. Uphando lusetyenziswa, nangona kunjalo, lungasetyenziselwa ukufumana isampuli ye-biopsy ye-lymphoma ukuze ifumaneke kwaye ihlelwe.
Unyango lwe-Hodgkin's Lymphoma
I-lodphokin yeHodgkin ivame ukuphathwa nge-chemotherapy kunye ne-radiotherapy. Izinyathelo zokwelapha zisekelwe kwisigaba se-lymphoma kunye nezinye izinto ezichazayo. Phantse zonke izigulane zifumana i-chemotherapy, kwaye i-radiation ingasetyenziselwa izifo zesantya ngokuqhelekileyo emva kwe-chemotherapy okanye ngamanye amaxesha njengonyango kuphela.
Unyango lwee-non-Hodgkin's Lymphomas (NHL)
Kukho iintlobo ezahlukeneyo ezingama-25 ze-non-Hodgkin's lymphoma. Abanye babo baziphatha ngokungafaniyo nabanye. Unyango lwama-NHL alufani kodwa luxhomekeke kwihlobo lymphoma, i-subtype, kunye nokuziphatha kwe-subtype ethile. I-Chemotherapy iqhelekileyo yonyango oluphambili. Izaphulo okanye unyango lwe-antioclonal antibody lungongezwa kwi-chemotherapy kwezinye iimeko xa kunenzuzo eyongeziweyo.
- Izinyathelo zokwelapha kwi-Lgphoptic Non-Hodgkin ye-Lymphoma - iquka ukhetho lweqela lama-NHL aqhelekileyo kuquka i -B-cell lymphoma enkulu .
- Ulwaphulo lwe-Follicular (i-Low Grade) Lymphoma Ukwelashwa - unyango lwe-lymphomas ekhula ngokukhawuleza.
- Unyango lwe- Mantle Cell Lymphoma Treatment - unyango lwe-lymphoma ebonakala ikhula ngokukhawuleza, kodwa iziphatha ngokugqithiseleyo.
- Ukwelashwa kwe-Gastric MALT Lymphoma - unyango lwelo lymphoma oluchaphazela isisu.
- Ukwelashwa kwe-CNS ye-Lymphoma Primary - unyango lwe-lymphoma echaphazela ikakhulu ingqondo.
- Ukwelashwa kwe-T-cell Lymphoma - unyango lwe-lymphoma yesikhumba.
- Ukwelashwa kweLymphoma kaBurkitt - unyango lwe-lymphoma ekhula ngokukhawuleza echaphazela abantwana.
Ngenxa yokuba i-NHL injalo iqela elihlukileyo, yintoni eyinyaniso enye ye-subtype ayinakwenyaniso kwenye. Ngokomzekelo, abanye abantu abane-lymphoma ye-follicular, i-NHL ekhulayo okanye engahlaziyiyo, abanakho ukufuna unyango ekuseni, ngelixa i-lymphomas ezinamandla ezifana nokusabalalisa i-B-cell lymphoma okanye i-DLBCL, ngokuqhelekileyo iphathwa ngokugqithiseleyo kwaye ihlala isabela kakuhle chemotherapy.
ZoPhando lwezoPhando
Ngokubhekiselele kwonyango lomhlaza kunye nonyango lwe-lymphoma, ngokukodwa, ukubhalisela iimvavanyo zekliniki kunokunika izigulane ezininzi izibonelelo ezinokukhetha kunye nabasebenzi abasha. Mhlawumbi oku kubaluleke ngokwenene kubantu abanezinto ezibhekiselwe kuzo ngokuthi "izifo eziphinda ziphinda zihlawulelwe okanye zichithwe." Ezinye i-lymphomas ziphendula ngokufanayo nangonyango olufanayo njengokuba beqala oko, ngelixa abanye babonisa imfuneko yokukhetha ezintsha kunye nokudibanisa ezahlukeneyo.
Umdlalo ofanelekileyo phakathi kwezigulane kunye nokuvavanywa klinikhi kunokubandakanya iindlela ezintsha zendlela yokwenza i-chemotherapy, iindlela ezilawulwa yindlela, izicwangciso zokuzivikela kumzimba okanye izilwanyana ezilawulwa yi-tumor.
ILizwi
Ukuba usandul 'ukuba ufumane i-lymphoma, ukuqonda uhlobo kunye ne-subtype yesifo sakho yindawo efanelekileyo yokuqala-nangaphambi kokuba uhlole amazinga okunyanga kunye neendlela ezahlukeneyo ezikhoyo.
Kuyinto eqhelekileyo ukuba ube neengcamango zokuxilonga kwaye uzive ukhululekile ngokuxilongwa ngokutsha (kwaye kwakhona, kwiindawo ezifaniyo endleleni endleleni yakho yomhlaza). Ukuqonda uhlobo lwe-lymphoma yakho kuya kukunika amandla kunye nodokotela wakho ukuba ahlolisise iindlela ezahlukeneyo zonyango ezikhoyo. Ukongezelela, iindlela ezintsha zokwelapha i-lymphoma ziphuma ngokukhawuleza, ngoko ke qiniseka ukuba uphonononge zonke iinketho zakho.