Kana uine lymphoma inononoka kukura (indolent) kana CLL, ungasada kurapwa. Pane kudaro, chiremba wako anogona kusarudza wachi uye kumirira nzira.
Izwi rekuti watch uye kumirira rinogona kutsausa zvishoma zvakadaro. Zvakanyanya kutaura kuti "active monitoring", nekuti chiremba wako achakutarisisa panguva ino. Munoonana nachiremba nguva nenguva, uye moongororwa ropa nezvimwe zvinongororwa kuti muve neutano hwakanaka, uye chirwere chenyu hachisi kuramba chichiwedzera.
Kana chirwere chako chikawedzera, unogona kutanga kurapwa.
Kunzwisisa wachi uye kumirira (inoshanda kutarisa)
Tarisa uye kumirira inogona kunge iri sarudzo yakakunakira iwe kana usina zviratidzo zvakawanda, kana njodzi dzinoda kurapwa nekukurumidza.
Zvinogona kuoma kuziva kuti une rudzi rwegomarara, asi hapana zvauri kuita kuti ubvise. Vamwe varwere vanotofona nguva iyi "tarisa uye uzvidye mwoyo", nokuti inogona kunge isina kugadzikana kusaita chero chinhu kurwisana nayo. Asi, tarisa uye kumirira inzira yakanaka yekutanga. Zvinoreva kuti lymphoma iri kukura zvishoma nezvishoma kuti ikukonzere kukuvadza, uye immune system yako iri kurwisa, uye kuita basa rakanaka kuchengetedza lymphoma yako iri pasi pesimba. Saka muchokwadi, uri kutoita zvakawanda kurwisa cancer, uye kuita basa rakanaka pairi. Kana immune system yako irikuichengeta pasi pesimba, hauzodi rumwe rubatsiro panguva ino.
Mushonga wekuwedzera unogona kuita kuti unzwe kurwara zvakanyanya kana kukonzera mhedzisiro yenguva refu, hazvibatsire panguva ino. Tsvagiridzo inoratidza kuti hapana bhenefiti yekutanga kurapwa nekukurumidza, kana uine lymphoma inononoka kukura kana CLL uye pasina zviratidzo zvinonetsa. Rudzi urwu rwegomarara harupindure zvakanaka kune nzira dzekurapa dzazvino. Hutano hwako hausi kuzovandudzwa, uye hauzorarama kwenguva refu nekutanga kurapwa pachine nguva. Kana lymphoma yako kana CLL ikatanga kukura zvakanyanya, kana ukatanga kuwana zviratidzo kubva kuchirwere chako, unogona kubva watanga kurapwa.
Mchero varwere vangangoda kuve nekuita kurapa kwakafanana chemotherapy uye immunotherapy pane imwe nguva zvakadaro. Zvisinei, vamwe varwere vane indolent lymphomas havambodi kurapwa. Mushure mekurapwa, munokwanisa kuenderera mberi nekuona nekumirira.
Prof Judith Trotman, Hematologist, Concord Hospital, Sydney
Sei wachi uye kumirira zvichishandiswa?
Muzviitiko zvakawanda Indolent (inokura zvishoma) lymphoma hairapike. Izvi zvinoreva kuti uchararama nechirwere chako kwehupenyu hwako hwese. Asi vanhu vazhinji vanorarama hupenyu hurefu uye hune hutano kunyangwe vane indolent lymphoma kana CLL.
Iwe unogona kunge uine nguva dzaunenge wakarinda uye womirira kwechinguva, ipapo kumwe kurapwa, uye wozodzoka kuti utarise uye kumirira. Inogona kunge iri rollercoaster. Asi, kana iwe uchinzwisisa kuti wachi uye kumirira dzimwe nguva zvakanaka, kana chiitiko chiri nani pane kushingaira kurapwa nemishonga mune dzimwe nguva, zvinogona kuva nyore kurarama nazvo. Ongororo dzinoratidza kuti varwere vanotanga pa 'watch and wait', vanorarama nguva yakareba sevanhu vatanga kurapwa kare.
Kubatsira kwekumirira kurapa lymphoma kana CLL, ndeyokuti hauzove nemigumisiro isingadikanwi yemishonga inoshandiswa kurapa lymphoma. Zvinoreva zvakare kuti iwe uchave uine dzimwe sarudzo, kana iwe uchifanira kuve neanoshanda kurapwa mune ramangwana.
Ndiani angarapwa nenzira ye'watch and wait'?
Tarisa uye kumirira inogona kuve yakanakisa sarudzo kune varwere vane indolent lymphomas senge:
- Follicular lymphoma (FL)
- Marginal zone lymphomas (MZL)
- Chronic lymphocytic leukemia (CLL) kana diki lymphocytic lymphoma (SLL)
- Waldenstroms macroglobulinemia (WM)
- Cutaneous T-cell lymphoma (CTCL)
- Nodular lymphocyte depleted Hodgkin lymphoma (NLPHL)
Nekudaro, tarisa uye kumirira kwakakodzera chete kana iwe usina zviratidzo zvinonetsa. Chiremba wako angasarudza kukupa kurapa kunoshanda kana ukaona zvinotevera zviratidzo:
- B zviratidzo - izvo zvinosanganisira kunyorova dikita husiku, fivha isingaperi uye kuonda kusingatarisirwe
- Matambudziko neuwandu hweropa rako
- Organ kana bone marrow kukanganisa nekuda kwe lymphoma
Kurinda nekumirira kunosanganisirei?
Iwe unozonyatsotariswa iwe uri pakutarisa uye kumirira. Iwe unogona kuona chiremba wako mwedzi 3-6 yega yega, asi chiremba wako achakuzivisa iwe kana ichida kuwedzera kana kushoma pane izvi. Chiremba wako anogona kuraira chero bvunzo dzinotevera kuti ave nechokwadi chekuti uchiri muhutano, uye kuti chirwere chako hachisi kuwedzera.
Miedzo inogona kusanganisira:
- Kuongororwa ropa kutarisa hutano hwako
- Ongororo yemuviri yekutarisa kana uine malymph nodes akazvimba kana zviratidzo zvekufambira mberi
- Kuongororwa kwemuviri & nhoroondo yezvokurapa
- Iwe uchave neRopa rako, tembiricha, uye kurova kwemoyo kutariswa (izvi zvinowanzonzi zvakakosha zviratidzo)
- Chiremba wako achakubvunza kana wakambova nezviratidzo zveB
- Iwe unogona zvakare kukumbirwa kuve neCT scan kana PET. Aya ma scan anoratidza zviri kuitika mukati memuviri wako
Kana mune zvipi zvinokunetsai pakati penguva dzenyu, tapota taurai neboka renyu revarapi kuchipatara kana kukiriniki kuti mutaure nezvazvo. Usamirire kusvika pakusangana kunotevera sezvo zvimwe zvinonetsa zvingada kugadziriswa nekukurumidza.
Zvakakosha kuyeuka kuti kutarisa kumirira inzira yakajairika yekugadzirisa indolent lymphoma's uye CLL. Kana ukaona nzira ye'watch and wait' ichikushungurudza, ndapota taura nevechiremba vako nezvazvo.
