Kuva nekurapa kwe lymphoma kazhinji isarudzo inoponesa hupenyu. Nekudaro, zvakare zvinokuisa iwe panjodzi huru yekuva nekenza yechipiri gare gare muhupenyu. Muzviitiko zvakawanda kenza yechipiri inogona kuitika makore anopfuura gumi mushure mekutanga kurapwa kwako lymphoma. Muzviitiko zvisingawanzoitiki zvinogona kuitika kare.
Kudzikira immune system, chemotherapy uye radiation therapy zvese zvinogona kuwedzera njodzi yako yekenza yechipiri yakasiyana neyako yekutanga lymphoma. Mamwe marapirwo anogona kuwedzera njodzi yako.
Haasi munhu wese akamborapwa achabatwa kechipiri gomarara, asi zvakakosha kuti uzive njodzi iyi kuitira kuti ugone kubata hutano hwako uye kuwana mazano ekuchipatara nekukurumidza. Kugara uchiongororwa nachiremba wako (GP), hematologist, oncologist kana radiation oncologist chikamu chakakosha pakuona kuti chero gomarara rechipiri rinotorwa nekukurumidza uye kurapwa pazvinenge zvichidikanwa.
Peji rino rinopa ruzivo rwezvekutsvagisa, ndezvipi zvekuongororwa zvaunofanira kuita, uye nguva yekuona chiremba nezvezviratidzo zvitsva.
Chii chinonzi kenza yechipiri
Kenza yechipiri kukura kwegomarara idzva risingaenderane neyako yekutanga lymphoma kana CLL kuongororwa. Zviri kwete kudzokorora kana kushandurwa ye lymphoma / CLL yako.
Kuti uwane rumwe ruzivo nezve kudzokazve kana kushandurwa lymphoma, tinya zvinongedzo pazasi.
Sei kenza yechipiri ichiitika?
Mamwe marapirwo anoshanda nekushandura mashandiro anoita immune system yako, nepo mamwe achikonzera kukanganisa kwakananga kuDNA yemasero ako. Izvi zvakakosha nekuti zvinobatsira kuparadza masero e-lymphoma. Nekudaro, zvinogona zvakare kuwedzera njodzi yako yekenza yechipiri sezvo immune system yako isisina simba, kana kukuvara kweDNA kunogona kupedzisira kwakonzera mamwe maseru ane hutsinye (akakuvadzwa) kutiza immune system yako uye kuwanda kusvika aita cancer.
Vanhu vazhinji havaiti kenza yechipiri. Zvakadaro, zvakakosha kuti uzive nezvenjodzi yako kuitira kuti ugone kugara uchiongororwa uye kuwana mazano ekurapwa nekukurumidza.
Masero anowanzokura sei?
Kazhinji maseru anokura uye kuwanda nenzira yakanyatso kudzorwa uye yakarongeka. Iwo akarongedzerwa kukura uye kuzvibata neimwe nzira, uye kuwanda kana kufa pane dzimwe nguva.
Masero ega ane microscopic - zvichireva kuti madiki zvekuti hatikwanise kuaona. Asi, kana zvese zvabatana zvinoumba nhengo dzese dzemuviri wedu kusanganisira ganda redu, nzara, mapfupa, bvudzi, lymph nodes, ropa uye nhengo dzemuviri.
Kune akawanda macheki nemabharanzi anoitika kuti ave nechokwadi chekuti masero anokura nenzira kwayo. Izvi zvinosanganisira "immune checkpoints". Midziyo yekutarisa mapoinzi panguva yekukura kwesero uko immune system yedu "inotarisa" kuti sero ishe, rine hutano sero.
Kana sero rikatariswa uye rikawanikwa riine hutano, rinoramba richikura. Kana iine hosha, kana kukuvadzwa neimwe nzira, inogadziriswa kana kuparadzwa (inofa), uye inobviswa mumuviri wedu kuburikidza ne lymphatic system yedu.
- Kana masero awanda, anodanwa kupatsanurwa kwemasero.
- Kana masero afa anodanwa apoptosis.
Iyi nzira yekuparadzaniswa kwesero uye apoptosis inodzorwa nemajini muDNA yedu, uye iri kuitika mumiviri yedu nguva dzese. Isu tinogadzira matiririyoni emasero zuva rega rega kutsiva ekare anenge apedza basa rawo kana kukuvara.
Genes uye DNA
Mukati mesero rega rega (kunze kwemasero matsvuku eropa) mune nucleus ine mapeya makumi maviri nematatu emakromosomes.
MaChromosomes anoumbwa neDNA yedu, uye DNA yedu inoumbwa nemajini akawanda akasiyana ayo anopa "recipe" yekuti masero edu anofanira kukura sei, kuwanda, kushanda uye pakupedzisira kufa.
Gomarara rinoitika kana kukuvara kana kukanganisa kunoitika mumajini edu. Mimwe mishonga ye lymphoma inogona kukonzera kukanganisa kusingaperi kune majini.
Dzidza zvakawanda pamusoro pezvinoitika kana majini edu neDNA zvakuvadzwa muvhidhiyo iri pasi apa. Usanetseka zvakanyanya pamusoro pemazita ese emapuroteni uye maitiro, mazita haana kukosha sezvaanoita.
Chii chinonzi cancer?
Gomarara iri genechirwere cheta. Zvinoitika kana kukanganisa kana kukanganisa kunoitika mukati medu genes, zvichikonzera kukura kusina kujairika, kusingadzoreki kwemasero.
Chirwere chegomarara chinoitika kana kusadzora uye kusakura kwemaseru kuchienderera mberi nekuumba bundu, kana kuwedzera kwemasero egomarara muropa rako kana lymphatic system.
Idzi shanduko kuDNA yedu dzimwe nguva dzinonzi genetic mutations kana genetic variations.
Gomarara rechipiri rinoitika nekuda kwekukuvadzwa kurapwa kwegomarara rako rekutanga - lymphoma kana CLL inokonzeresa kuDNA yako, majini kana immune system.
Ndeupi rudzi rwegomarara rechipiri rinogona kuitika?
Kuva nekurapa lymphoma kunogona kukuisa panjodzi yakanyanya yemhando ipi neipi yegomarara. Zvisinei, njodzi yeimwe kenza yechipiri inogona kuva yakakwirira zvichienderana nerudzi rwekurapa kwaunayo, uye nzvimbo ye lymphoma iri kurapwa.
Kurapa nechemotherapy kunogona kuwedzera njodzi yako kwesekondi gomarara reropa senge myeloma kana leukemia kana, kana wakambova neHodgkin Lymphoma, unogona kugadzira subtype yeNon-Hodgkin Lymphoma. Mota T-cell therapy inogona kuwedzera njodzi yako yekuva neT-cell lymphoma, leukemia kana kenza yeganda, kunyangwe njodzi ichitendwa idiki.
Ngozi yegomarara rechipiri mushure mekurapwa kwemwaranzi ine hukama nenzvimbo yemuviri wako uko kurapwa nemwaranzi kwakanangana.
Dzvanya pamisoro iri pazasi kuti udzidze zvakawanda nezve njodzi yemhando dzakajairika dzekenza yechipiri.
Gomarara reganda rinogona kuva:
- Basal cell carcinomas
- Squamous cell carcinoma
- melanoma
- Merkel cell carcinomas.
Gomarara remuzamu rakawanda muvakadzi kupfuura varume, asi varume vanogona kuramba vachibatwa negomarara rezamu. Kana wakave nemwaranzi pachipfuva chako, unogona kunge uri panjodzi yakawedzera yekuva negomarara rezamu gare gare muhupenyu.
Iwe unofanirwa kutanga kuongororwa gore rega rega semammogram uye Ultrasound kubva pazera remakore makumi matatu, kana makore masere mushure mekutanga kurapwa lymphoma/CLL - chero chinouya chekutanga.
Ngozi yako yekuva nekenza yemazamu semhedzisiro yenguva refu yekurapa kwako lymphoma yakakwirira kana iwe uine radiation pachipfuva chako pawanga usingasviki makore makumi matatu.
Bvunza Chiremba wako (Chiremba wepanzvimbo) kuti akuratidze kuti ungatarise sei mazamu ako kuti hauna mapundu. Tarisa uone mapundu pamwedzi uye taura chero shanduko kuna Chiremba wako.
Iwe unogona kukura yechipiri uye isina hukama lymphoma. Ichi chi zvakasiyana nekudzokazve kana kuchinjwa lymphoma.
Semuenzaniso, kana wakamborapwa Hodgkin Lymphoma, unogona kugadzira lymphoma yechipiri inova subtype yeNon-Hodgkin Lymphoma (NHL). Kana wakambove neNHL munguva yakapfuura, unogona kugadzira imwe mhando yeNHL kana Hodgkin Lymphoma.
Vamwe vanhu vakagadzira T-cell lymphoma mushure meCAR T-cell therapy yeB-cell lymphoma.
Click pano kubva kune rumwe ruzivo pane zviratidzo zve lymphoma uye nguva yekuona chiremba wako.
Zvichienderana nerudzi rwekurapa kwawakaita, unogona kunge uri panjodzi yakawedzerwa yekuva nerudzi rweleukemia inonzi Acute Myeloid Leukemia (AML). Zviratidzo zve AML zvinosanganisira:
- Kubuda ropa kana maronda kuri nyore pane zvamazuva ese, kana pepuru kana dzvuku maronda ane mavara.
- Kuneta uye kushaya simba kwese
- Kurasikirwa nehuremu kana pasina kurasikirwa nechido
- Maronda asingapore sezvaanotarisirwa
- Fivha uye/kana kutonhora
- Zvirwere zvinoramba zvichidzoka kana kusapera
- Kutadza kufema, kutadza kufema kana kurwadziwa muchipfuva
- Shanduko mukuongororwa ropa rako.
Bvunza chiremba wako kana iwe uri panjodzi yakawedzera yekuvandudza AML uye chii chekutevera chaungade.
Iwe unogona kunge uri panjodzi yakawedzera yekuva nekenza yemapapu gare gare muhupenyu kana uine radiation pachipfuva chako. Iyi njodzi inowedzerwa kana ukasvuta, zvisinei kunyange vasingasvuti vanogona kuiwana.
Maitiro matsva ekurapwa kwemwaranzi arikuita kuti ive yakachengeteka uye kudzikisira njodzi, asi iwe unofanirwa kuudza chero zviratidzo zvekufema kuna chiremba wako kana zvakagara kwenguva inodarika mavhiki maviri. Izvi zvinosanganisira:
- Kunzwa kupera simba pasina chikonzero
- Kunzwa kuneta kana kupera simba nekukurumidza kupfuura zvawaitarisira paunenge uchisimbisa muviri
- Marwadzo muchipfuva chako
- Kusagadzikana kana uchifema
- Kukosora uine kana pasina phlegm
- Kukosora ropa.
Iwe unogona kunge uri panjodzi yekuwedzera kenza yethyroid kana iwe uine radiation kumutsipa wako kana huro.
Zviratidzo zvegomarara rethyroid zvinosanganisira:
- Kurwadza kwehuro kana kurwadziwa pamberi pemutsipa wako izvo zvinogona kufamba kusvika munzeve dzako
- Bundu pamberi pehuro yako
- Kuzvimba muhuro mako
- Kutadza kumedza kana kufema
- Shanduko kuzwi rako
- Chikosoro chisingapere.
Ona chiremba wako (GP) kana chimwe chezviratidzo izvi chakanyanya, kana kuti chikatora nguva yakareba kupfuura mavhiki maviri.
Radiation kudumbu rako kana ura kunogona kuwedzera njodzi yako yekuva negomarara remudumbu gare gare muhupenyu. Taura zvese zvachinja kuna chiremba wako kuti aongororwe. Shanduko dzaunogona kuwana dzinosanganisira:
- Dharare kana kuvimbiswa
- Kuputika kana kurwadziwa mudumbu rako uye mudumbu
- Ropa paunoenda kuchimbuzi - izvi zvinogona kuita seropa rakatsvuka kana kuti dema dema
- Kutadza kudya nekuda kwekunzwa kuguta
- Nausea uye kurutsa
- Kurasikirwa uremu pasina kuedza.
Unogona kunge uri panjodzi yegomarara reprostate kana uine radiation kudumbu rako kana nzvimbo yepelvic, kana uine mamwe marudzi emishonga inorwisa gomarara senge chemo, yakanangwa kana immunotherapies.
Gara uchitariswa prostate naChiremba wako uye taura chero shanduko se:
- kuomerwa nekuyerera kweweti (weeing) kana kuda kuenda zvakanyanya kupfuura zvamazuva ese
- shanduko pakuwana erection kana ropa mumbeu yako
- kurwadziwa, kuzvimba kana kusagadzikana mudumbu mako.
Ndedzipi kenza dzegomarara dzaungave uri panjodzi, uye ndedzipi dzekutevera bvunzo uye ma scans aunofanirwa kuve nawo. Chiremba wezvirwere zvese achakwanisa kukubatsira kuronga ongororo idzi.
Zvakakodzera here njodzi yekurapwa?
Ichi chisarudzo chomunhu oga. Ngozi yekuva nekenza yechipiri, kunyange yakakwirira kudarika kune avo vasina kumborapwa lymphoma, ichiri pasi.
Nekurapwa ikozvino, unogona kutarisira kuwana kuregererwa kana kurapa kubva kune yako yazvino lymphoma. Izvi zvinogona kukupa mamwe makore akawanda ehupenyu hwakanaka.
Kuziva kuti kune njodzi yekenza yechipiri kunogona kukonzera kusagadzikana, asi zvakare zvinoreva kuti unoziva zviratidzo zvekutarisa uye nguva yekuona chiremba. Izvi zvinoreva zvakare kuti iwe uchateverwa zvakanyanya uye uine scanner kana bvunzo kuti utore chero ingangoita kechipiri kenza nekukurumidza. Izvi zvinozokupa mukana wakanakisa wekuti urapwe zvinobudirira.
Zvisinei, iwe chete ndiwe unogona kusarudza kuti ndedzipi njodzi dzaunoda kutora nehutano hwako. Bvunza mibvunzo yako yehematologist nezve njodzi yekusave nekurapa kwavanokurudzira. Vabvunze nezvenjodzi dzako dzegomarara rechipiri uye kuti ndedzipi ongororo dzaunofanira kuita.
Zvadaro, taura nevaunoda kana chiremba wepfungwa kana uchida. Ita sarudzo yako zvichienderana neruzivo rwawakapihwa, uye chii chakakunakira iwe. Kana iwe uchinzwa kuti hauna ruzivo rwakakwana, unogona zvakare kukumbira maonero echipiri pakurapa kwako. Hematologist wako kana GP vanogona kukubatsira kuronga imwe pfungwa.
Ndedzipi bvunzo dzekutevera dzandinofanira kuita?
Iko hakuna chaiyo protocol yekuita yekutevera kuongororwa kwekenza yechipiri mushure mekurapwa. Izvi zvinodaro nekuti izvo zvaunoda zvinoenderana nerudzi rwe lymphoma yawaive nayo, marapiro api awaive nawo, uye nzvimbo dzemuviri wako dzakabatwa.
Taura nehematologist yako kana oncologist nezve mhando dzekutevera bvunzo dzaunofanirwa kuva nazvo. Nekudaro, pazasi pane gwara kune izvo zvaunofanira kufunga nezvazvo.
- Kugara uchiongororwa ropa sekurudziro yako oncologist kana haematologist.
- Mwedzi wega wega kuzviongorora mazamu (kuzivisa nezvekuchinja kwaChiremba wako nekukurumidza), uye mammogram uye/kana ultrasound sezvakakurudzirwa nachiremba wako.
- Gore negore mammogram uye ultrasound kubva pazera remakore 30 kana makore 8 mushure memwaranzi pachipfuva chako kana kurapwa kwanga kusati kwasvika makore makumi matatu.
- Pap smears sezvakakurudzirwa nachiremba wako.
- Kuongororwa kweganda kwegore - kakawanda kana kukurudzirwa nachiremba wako.
- Kuongororwa kwematumbu gore rega rega rechipiri kubva pazera remakore makumi mashanu, uye mberi kana kukurudzirwa nachiremba wako.
- Prostate inotarisa gore negore kubva pamakore makumi mashanu, uye mberi kana yakakurudzirwa nachiremba wako.
- Majekiseni sezvakakurudzirwa nachiremba wako.
pfupiso
- Mishonga yeLymphoma inogona kuponesa hupenyu, asi marudzi ese ekurapa anokuisawo panjodzi huru yekuwana kenza yechipiri gare gare muhupenyu.
- Kenza yechipiri haisi kudzoka kana kushandurwa kweiyo lymphoma yako yepakutanga. Irwo rudzi rwakasiyana rwekenza isina hukama ne lymphoma yako.
- Kurapwa neradiotherapy kunogona kukuisa panjodzi huru yegomarara rechipiri munzvimbo yakanangwa nemwaranzi.
- Chemotherapy inogona kuwedzera njodzi yako yekenza yechipiri yeropa, kana mamwe marudzi emamota akasimba.
- Gomarara reganda ndiro gomarara rechipiri rinonyanyozivikanwa. Kuongororwa kweganda kwegore negore kwakakosha.
- Varume nevakadzi vose vanogona kubatwa negomarara rezamu asi richinyanya kuwanda kuvakadzi. Kana wakave nemwaranzi pachipfuva chako, tanga kuita mwedzi wega wega wega, uye taura zvese shanduko kuna chiremba wako.
- Ramba uine ruzivo nezvese zvakakurudzirwa kuongorora bvunzo, scans, uye majekiseni.
- Bvunza wako haematologist, oncologist kana radiation oncologist nezve njodzi dzako dzekenza yechipiri uye gadzira hurongwa navo hwekutevera kutarisirwa.
- Kana musati mave naChiremba wezvirwere zvese wamunovimba naye, tsvagai mumwe muvazivise nezve marapirwo enyu uye njodzi dzinogara dziripo. Vakumbire kuti vataurirane nevehematologist wako, oncologist kana radiation oncologists kuti vawane gwara rekuenderera mberi kwekuchengeta.
