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Maulalo othandiza kwa inu

Mitundu ina ya Lymphoma

Dinani apa kuti muwone mitundu ina ya lymphoma

Kubwereranso ndi Refractory Lymphoma

Anthu ambiri omwe ali ndi lymphoma amayankha bwino kuchipatala. Komabe, nthawi zina, lymphoma ikhoza kubwereranso pambuyo pa kukhululukidwa (kubwereranso) kapena kukana kulandira chithandizo, kutanthauza kuti sichiyankha chithandizo.

Mukakhala ndi kachilombo koyambitsa matenda a lymphoma kapena refractory muyenera kuyamba chithandizo chamtundu wina. Mtundu wa chithandizo umadalira mkhalidwe wanu. Ngakhale zingakhale zokhumudwitsa kudziwa kuti mwayambiranso, kapena kuti lymphoma yanu ndi yotsutsana ndi chithandizo, anthu ambiri amatha kuyankha bwino pamtundu wotsatira wa chithandizo.

Patsambali:

Kodi Kukhululukidwa, Kubwereranso ndi Refractory Lymphoma ndi Chiyani?

Chikhululukiro

Pitani pa khadi kuti mudziwe zambiri
Kukhululukidwa kungakhale kwathunthu kapena pang'ono.
Kukhululukidwa kwathunthu ndi pamene ma scan & mayeso anu samawonetsa chizindikiro cha lymphoma m'thupi lanu mutalandira chithandizo.
Kukhululukidwa pang'ono ndi pamene pali lymphoma m'thupi lanu, koma ndi yocheperapo theka la zomwe zinalipo musanalandire chithandizo.

Kubwereranso

Pitani pa khadi kuti mudziwe zambiri
Kubwereranso ndi pamene lymphoma imabwerera pambuyo pa nthawi ya chikhululukiro. Zitha kutengedwa mutangoyamba kupeza zizindikiro za lymphoma, kapena mutatha kufufuza ndi kuyezetsa.

Kutsutsa

Pitani pa khadi kuti mudziwe zambiri
Refractory lymphoma ndi pamene lymphoma yanu siimayankha pa chithandizo chanu chamakono. M'malo mwake, lymphoma imakhala yofanana kapena ikupitiriza kukula ndikufalikira panthawi ya chithandizo.

Kubwereranso kapena Refractory Lymphoma Factory

Kukhululukidwa ndi machiritso

Chithandizo ndi pamene mulibe zizindikiro za lymphoma zomwe zatsala m'thupi lanu ndipo sizingatheke kubwerera. Madokotala nthawi zambiri amakonda kugwiritsa ntchito mawu akuti chikhululukiro, chifukwa timadziwa kuti lymphoma imatha kubwerera. 

Mukakhala mu chikhululukiro nthawi zambiri zimakhala zovuta kuti lymphoma yowopsya ibwerere, kotero dokotala wanu akhoza kunena kuti mwachiritsidwa, koma nthawi zambiri amagwiritsa ntchito mawu akuti chikhululukiro. Izi zili choncho chifukwa ngakhale kuti anthu ambiri sangabwererenso, sitikudziwa kuti ndani adzabwereranso.

Anthu ena akhoza kukhala ndi zifukwa zina zomwe zimapangitsa kuti abwerere, koma muyenera kulankhula ndi dokotala wanu za zomwe zingakuchititseni kuti mukhale ndi chiopsezo komanso mwayi wochiritsidwa, kukhululukidwa kapena kubwereranso.

Kodi chimachitika ndi chiyani pamene lymphoma ikuyambiranso?

Dokotala wanu adzapitiriza kukuyang'anirani mukamaliza mankhwala, ndipo chimodzi mwa zifukwa zomwe amachitira izi ndikuyang'ana zizindikiro ndi zizindikiro za kubwereranso kwanu kwa lymphoma. Mwa kupitiriza kukuwonani nthawi zonse, adzatha kuyambiranso kuyambiranso msanga, ndi kuyitanitsa mayeso enanso kapena kuyambanso kulandira chithandizo pakafunika kutero.

Ngakhale zingakhale zokhumudwitsa kudziwa kuti lymphoma yanu yabwereranso, ndikofunika kudziwa kuti ngakhale lymphoma yobwereranso imayankha bwino kuchipatala, ndipo zingapangitse kuti mukhululukidwenso.

Kubwereranso kumakhala kofala kwambiri kwa anthu omwe ali ndi indolent lymphoma chifukwa indolent lymphomas samatengedwa kuti ndi ochiritsira. M'malo mwake, mudzakhala ndi indolent lymphoma kwa moyo wanu wonse. Komabe, pakati pa chithandizo ndi nthawi yachikhululukiro, anthu ambiri amakhala ndi moyo wabwinobwino ndipo ambiri amakhala ndi moyo wabwinobwino.

Nthawi zina, indolent lymphoma ingasinthe kukhala yosiyana, komanso yoopsa kwambiri ya lymphoma. Kusintha kwa lymphoma kumasiyana ndi kubwereranso. Kuti mudziwe zambiri za kusintha kwa lymphoma dinani ulalo womwe uli pansipa.

Kuti mumve zambiri onani
Kusintha kwa lymphoma

Chifukwa chiyani lymphoma imayambiranso?

Kuyambiranso kumatha kuchitika pazifukwa zingapo. Zina mwa izi ndi:

  • Palibe mankhwala odziwika a ma lymphomas, makamaka a indolent lymphomas. Choncho, ngakhale kuti mankhwalawa ndi othandiza polimbana ndi matendawa, sangathe kuchiza. Mukakhala ndi indolent lymphoma, nthawi zonse pamakhala ma cell a lymphoma omwe amatha kudzuka ndikukula.
  • Kusintha kwina kwa majini sikungathe kuchiritsidwa ndi mankhwala omwe alipo. Choncho, ngakhale palibe chizindikiro cha lymphoma chotsalira m'thupi lanu, kusintha kwa majini kungayambitse lymphoma kukula kachiwiri.
  • Ngakhale ma scan ndi mayeso akuwonetsa kuti mulibe lymphoma yotsala m'thupi lanu, nthawi zina pamakhala ma cell a microscopic lymphoma omwe ndi ochepa kwambiri kapena ochepa kuti azindikire ndi kuyezetsa komwe kulipo. Ngati izi zilipo, zimatha kukula ndikuchulukana pakatha mankhwala.

Kodi kuyambiranso kumachitika mwachangu bwanji?

Ngati muli ndi lymphoma yoopsa monga Hodgkin Lymphoma kapena yoopsa kwambiri (yomwe ikukula mofulumira) Non-Hodgkin Lymphoma, machiritso ndi otheka. Komabe, ngati mutayambiranso, izi zimachitika pakatha zaka zingapo mutamaliza kulandira chithandizo. 

Ngati muli ndi vuto losachita bwino (lokula pang'onopang'ono) Non-Hodgkin Lymphoma, kubwereranso kumakhala kofala. Ngakhale kuti kuyambiranso kumatha kuchitika pakangotha ​​miyezi yomaliza chithandizo, nthawi zambiri kukhululukidwa kumatenga zaka zambiri kusanayambikenso. 

Phunzirani za kuchiza lymphoma yobwereranso ndi Dr Michael Dickinson
Hematologist

Kodi mungadziwe bwanji ngati lymphoma yabwereranso?

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B-zizindikiro ndi gulu la zizindikiro zomwe nthawi zina zimachitika pamodzi mwa anthu omwe ali ndi Lymphoma. Ndikofunikira kuti mudziwitse dokotala wanu nthawi yomweyo ngati mukupeza zizindikiro izi pamodzi.

Lymphoma ikhoza kubwerera ku gawo lomwelo la thupi lanu kapena ingakhudze gawo lina la thupi lanu kuchokera pamene munali ndi lymphoma kale. Mutha kukhala ndi kapena mulibe zizindikiro ndipo ngati mutero, zingaphatikizepo:

  • Zatsopano kapena zam'mimba kapena zotupa zomwe sizikugwirizana ndi matenda kapena matenda
  • Kuthira thukuta usiku
  • Kutaya kosawerengeka kosadziwika
  • Kutopa kumene kuli koipitsitsa kuposa kwachibadwa
  • Kuyabwa
  • Kuthamanga kwa khungu
  • Kutsekula m'mimba 
  • Kupweteka kosadziwika kapena kusapeza bwino
  • B-zizindikiro.

Zomwe zimachitika ngati lymphoma ibwereranso

  • Biopsy ya ma lymph nodes atsopano kapena zotupa
  • Mayeso a magazi
  • Positron emission tomography (PET) scan
  • Scut tomography (CT) Scan
  • Lumbar puncture ngati lymphoma ikuganiziridwa m'kati mwa mitsempha.

Kodi chimachitika ndi chiyani ngati lymphoma yanga ikukana chithandizo?

Zingakhale zokhumudwitsa kudziwa kuti chithandizo chanu chamakono sichikugwira ntchito, kuyimitsa kapena kuchepetsa lymphoma yanu. Kukhala ndi mantha, kukwiya kapena kuda nkhawa ndi zachilendo. Ndikofunika kumvetsetsa kuti, chifukwa chithandizochi sichinagwire ntchito monga momwe tinakonzera, sizikutanthauza kuti chiyembekezo chatha. Ma lymphoma ambiri omwe samayankha bwino chithandizo chamzere woyamba, amatha kukhalabe ndi mayankho abwino kumankhwala amzere wachiwiri kapena wachitatu.

Refractory lymphoma ikhoza kuchitika pamene maselo a lymphoma amapanga zotchinga zachitetezo kapena zowunikira zomwe zimawapangitsa kuti asalandire chithandizo choyenera. Kusintha kwina kwa majini kungapangitsenso kuti mankhwala ena odana ndi khansa asamagwire bwino ntchito. 

Izi zikachitika dokotala wanu adzafuna kuyesa mtundu wina wa chithandizo chomwe chimagwira ntchito mosiyana ndi mankhwala omwe muli nawo panopa.

Kodi ndingadziwe bwanji ngati lymphoma yanga ndi refractory?

Mutha kukhala ndi masikelo mukamaliza magawo awiri kapena atatu amankhwala anu. Ndendende mukakhala ndi masikani awa zimatengera momwe mulili, subtype ndi mtundu wamankhwala. Funsani dokotala wanu pamene mudzakhala ndi ma scans ambiri ndi mayesero.

Nthawi zambiri mukangoyamba kulandira chithandizo, mumawona kuti kutupa kwa ma lymph node kapena zizindikiro zina zimayamba kusintha mukangolandira chithandizo. Komabe nthawi zina mungazindikire, kapena kuwunika kungasonyeze kuti lymphoma sinasinthe ndipo mutha kukhala ndi madera atsopano a lymphoma. 

Dokotala wanu akhoza kupitiriza ndi chithandizo chanu chamakono ndikuchita masewero ambiri pambuyo pa chithandizo chochulukirapo, kapena angasankhe kusintha mankhwala anu nthawi yomweyo. Adzalankhula nanu za zosankha zabwino kwambiri pazochitika zanu.

Njira zochizira matenda obwereranso kapena refractory lymphoma

Njira zochiritsira zomwe mumapatsidwa ngati muli ndi lymphoma yobwereranso kapena refractory idzadalira zinthu zambiri, kuphatikizapo:

  • subtype, siteji ndi malo / malo a lymphoma yanu
  • kusintha kwa majini komwe kumakhudzidwa ndi lymphoma yanu
  • ngati munali ndi nthawi yokhululukidwa, ndipo ngati ndi choncho, mudakhala nthawi yayitali bwanji mu chikhululukiro
  • msinkhu wanu ndi ubwino wonse
  • momwe munapiririra chithandizo cham'mbuyomu
  • kuyenerera kwanu ku mayesero azachipatala
  • zomwe mumakonda.

Mitundu ya chithandizo cha relapsed kapena refractory lymphoma

Ndi mayesero azachipatala ndi machiritso atsopano akuvomerezedwa kuti achiritsidwe kapena kuwongolera lymphoma ku Australia, tili ndi zisankho zambiri zamankhwala amzere wachiwiri ndi wachitatu kuposa kale. Momwemo, chifukwa chazifukwa zomwe zili pamwambazi, palibe njira imodzi yokha yochitira chithandizo. Komabe, mankhwala ena omwe amapezeka pamzere wachiwiri ndi wachitatu ndi awa:

  • Kutenga nawo gawo pazachipatala
  • Kuphatikiza chemotherapy
  • Salvage chemotherapy (mankhwala apamwamba kwambiri a chemotherapy)
  • Stem cell transplant (autologous & allogeneic)
  • Njira yochiritsira
  • immunotherapy
  • Mankhwala achilengedwe
  • Radiotherapy
  • Chimeric antigen receptor (CAR) T-cell therapy
  • Kupeza mankhwala osalembapo.

Kupeza mankhwala osalembapo

Nthawi zina, mutha kupeza mankhwala omwe salipidwa pagulu, koma amanenedwa kuti ndi otetezeka komanso ovomerezeka kuti agwiritsidwe ntchito ku Australia ndi Therapeutic Goods Administration (TGA).

Zinthu zofunika kuzidziwa:

  • Izi sizingakhale zosankha kwa aliyense chifukwa boma lililonse lili ndi malamulo ndi malamulo osiyanasiyana.
  • Mungafunike kuyenda kukalandira chithandizo china kapena chonse.
  • Zitha kukhala zodula kwambiri chifukwa muyenera kudzipezera nokha ndalama, kapena kulipira nokha. Chifukwa chake, ndichinthu chomwe chiyenera kuganiziridwa mosamala ndikukambirana ndi dokotala wanu wamagazi kuti mumvetsetse bwino.
  • Nthawi zina, mutha kupeza mankhwalawo pa "zifukwa zachifundo" pomwe kampani yopanga mankhwala imalipira zina kapena mtengo wonse wamankhwala osalemba. Funsani dokotala ngati izi ndi njira kwa inu.

Kupeza lingaliro lachiwiri 

Si zachilendo kwa odwala kupemphanso maganizo ena. Iyi ndi njira yabwino kuti mumve maganizo a dokotala wachiwiri wa haematologist yemwe angathe kutsimikizira zomwe mwapatsidwa ndi dokotala wanu woyamba wa magazi, kapena kukupatsani njira zosiyanasiyana. Palibe chifukwa chodziipira pofunsanso lingaliro lachiwiri. Madokotala ambiri a hematologists amakhala omasuka ndi inu kufunafuna lingaliro lachiwiri - Ndi thanzi lanu. 

Ngati mungafune kupatsidwanso lingaliro lachiwiri lankhulani ndi dokotala wamagazi. Nthawi zambiri, amatha kukukonzerani zinazake, kapena mutha kulankhula ndi GP wanu. Ili ndi gawo lofunikira pakuwonetsetsa kuti mwapeza zomwe mukufuna kuti mupeze chithandizo choyenera chazochitika zanu.  

Ngati mukufuna zambiri za izi
Chonde lemberani namwino wathu wa lymphoma hotline 1800953081

Dziwani zambiri za 'off label access' mu kanema pansipa

Kuti mumve zambiri onani
Kumvetsetsa Mayesero Achipatala
Kuti mumve zambiri onani
Matenda, sikani ndi mayeso

Kukonzekera chithandizo

Kulimbana ndi zovuta zamaganizo ndi zakuthupi zokhala ndi lymphoma, ndipo chithandizo chingakhale chotopetsa. Ndikofunikira kufikira ndikupeza chithandizo mukachifuna. Nthawi zambiri timakhala ndi anthu m'miyoyo yathu omwe akufuna kutithandiza, koma osadziwa momwe angachitire. Anthu enanso amada nkhawa akamalankhula za momwe mukuyendera chifukwa akuda nkhawa kuti anganene zolakwika, kukupitirirani kapena kukukhumudwitsani. Izi sizikutanthauza kuti sasamala. 

Zingathandize kuti anthu adziwe zomwe mukufuna. Mwa kumveketsa bwino zimene mukufunikira, mungapeze chithandizo ndi chichirikizo chimene mukufunikira, ndipo okondedwa anu angakhale ndi chimwemwe chokhoza kukuthandizani m’njira yatanthauzo. Pali mabungwe ena omwe apanga mapulani omwe mungagwiritse ntchito kugwirizanitsa zina mwa chisamaliro. Mungakonde kuyesa:

Kuti mumve zambiri onani
Zotsatira za mankhwala

Kukonzekera kwapatsogolo chisamaliro

Kukonzekera pasadakhale ndi njira yabwino yowonetsetsa kuti gulu lanu lachipatala ndi banja lanu akudziwa chithandizo chomwe mukuchita, ndipo simukufuna kudzakhala nacho mtsogolo.

Aliyense ayenera kukhala ndi dongosolo la chisamaliro pasadakhale. Mafomu ofunikira ndi ndondomeko yopangira dongosolo lachisamaliro likhoza kusiyana m'mayiko ndi mayiko. Kuti mumve zambiri pakukonzekera chisamaliro chapamwamba, komanso kuti mupeze mafomu oyenera a boma lanu, dinani ulalo womwe uli pansipa.

Kuti mumve zambiri onani
Kukonzekera kwapachaka kwa Australia

Kusamalidwa

Anthu ambiri amaganiza kuti chisamaliro chapalliative ndi chisamaliro chakumapeto kwa moyo. Ngakhale iyi ndi imodzi mwa maudindo, ali ndi udindo wina waukulu. Amathandizanso kuthana ndi zizindikiro ndi zotsatira zake zomwe zimakhala zovuta kuchiza zomwe mungakumane nazo nthawi iliyonse mukakhala ndi lymphoma. Cholinga chachikulu ndikukuthandizani kuti mukhale ndi moyo wabwino kwambiri panthawi yamankhwala komanso kumapeto kwa moyo wanu.

Kuwongolera zizindikiro / zotsatira zoyipa

Lymphoma ndi mankhwala ake angayambitse zizindikiro zosiyanasiyana ndi zotsatira zake. Ngakhale dokotala wanu wamagazi kapena oncologist atha kukuthandizani zambiri mwa izi, nthawi zina zizindikiro kapena zovuta zina zimafunikira chisamaliro chapadera. Gulu losamalira odwala ndi akatswiri pakuwongolera izi. Amakhalanso ndi mwayi wopeza mankhwala omwe dokotala wanu wamagazi kapena oncologist saloledwa kukupatsani. Gulu lothandizira odwala matenda ashuga ndi chida chabwino kwambiri chosinthira moyo wanu.

Zizindikiro zina kapena zovuta zomwe angakuthandizeni kuthana nazo ndi izi:

  • ululu - kuphatikizapo zotumphukira neuropathy
  • nseru ndi kusanza kapena popanda
  • nkhawa
  • kupuma movutikira

Mapeto a chisamaliro cha moyo

Mayesero achipatala opambana, amatanthauza kuti pali mankhwala ambiri atsopano omwe asintha kwambiri zotsatira za anthu omwe ali ndi lymphoma - ngakhale kubwereranso komanso refractory lymphoma. Anthu ambiri amakhala ndi moyo wautali komanso wathanzi ngakhale atapezeka ndi matenda a lymphoma. Tsoka ilo, nthawi zina anthu amafa ndi lymphoma. 

Ntchito yodziwika bwino ya chithandizo chamankhwala ndikuthandiza anthu omwe atsala pang'ono kutha moyo wawo kuti azilamulira momwe angakhalire moyo wawo wonse. Ndizosangalatsa kukupatsani mphamvu kuti muganizire, ndikukonzekera zosowa zanu ndi komwe mungafune kuwonongera nthawi yanu, ndikuwonetsetsa kuti muli otetezeka, ndi moyo wabwino panthawiyi.

Thandizani pamene mukuyandikira mapeto a moyo wanu

Kusamalidwa bwino kungathandizenso banja lanu ndi okondedwa anu kumvetsetsa zomwe zikuchitika, ndikuwonetsetsa kuti ali ndi chithandizo chomwe akufunikira panthawiyi. Zina zomwe angathandize ndi izi:

  • kukonza zida zomwe mungagwiritse ntchito kunyumba ngati mukufuna kukhala kunyumba
  • kulankhula ndi okondedwa anu nkhani zovuta monga kutha kwa moyo wanu ndi ndondomeko ya maliro
  • kukulumikizani kuzinthu zosiyanasiyana mdera lanu
  • onetsetsani kuti zikhulupiriro zanu zachikhalidwe ndi zauzimu zimakhazikika paimfa yanu
  • uphungu ndi chithandizo chamaganizo.
Kuti mumve zambiri za chisamaliro chapalliative, lankhulani ndi dokotala wanu wamagazi kapena oncologist kapena dinani ulalo womwe uli pansipa.
Kuti mumve zambiri onani
Palliative chisamaliro ku Australia

Chidule

  • Chithandizo ndi pamene palibe lymphoma yotsala m'thupi lanu ndipo sichibwerera.
  • Kukhululukidwa kungakhale kokwanira kapena pang'ono chifukwa palibe zizindikiro za lymphoma m'thupi lanu (zokwanira), kapena pamene maselo a lymphoma achepa ndi theka (gawo). 
  • Lymphoma ikhoza kubwereranso (kubwerera) pambuyo pa nthawi ya chikhululukiro. Kukhululukidwa kumatha masabata, miyezi kapena zaka zambiri.
  • Ma lymphomas owopsa akayambiranso, nthawi zambiri amakhala zaka zingapo atamaliza chithandizo. Mukakhala mu chikhululukiro kwa nthawi yayitali, mwayi wochira umakulirakulira.
  • Indolent lymphomas nthawi zambiri imayambiranso, komanso nthawi zambiri imayankha bwino kuchipatala. Mudzakhala ndi indolent lymphoma kwa moyo wanu wonse, koma mutha kukhala ndi moyo wabwino panthawi yokhululukidwa.
  • Nthawi zina, matenda a lymphoma sakhala bwino ndi chithandizo choyamba - izi zimatchedwa refractory.
  • Refractory lymphoma imatha kuyankha bwino pamankhwala achiwiri ndi achitatu.
  • Kukonzekera pasadakhale ndikofunikira kuti muwonetsetse kuti banja lanu ndi madokotala akudziwa zomwe mukufuna pazaumoyo wanu.
  • Chisamaliro cha Palliative chingathandize ndi zizindikiro ndi kuwongolera zotsatira zake.
  • Anthu ena adzafunika chisamaliro chakumapeto kwa moyo ngati ma lymphoma awo sayankha chithandizo. Chisamaliro chapalliative chingakhale chithandizo chachikulu, ndikuwonetsetsa kuti muli ndi moyo wabwino kwambiri panthawi yomaliza, ndikupereka chithandizo chofunikira kwa okondedwa anu.

Thandizo ndi chidziwitso

Dziwani zambiri za kuyezetsa magazi anu apa - Mayeso a labu pa intaneti

Dziwani zambiri zamankhwala anu apa - eviQ mankhwala oletsa khansa - Lymphoma

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