Yintoni i-lymphoma?
Ukuze uqonde i-Non-Hodgkin Lymphoma, kufuneka uqale uqonde ukuba yintoni i-lymphoma. I-Lymphoma ibizwa ngokuba ngumhlaza wegazi, umhlaza we-lymphatic system kunye nomhlaza we-immune system. Oku kunokubhida, kuba kunokuvakala ngathi unomhlaza ongaphezulu kwesinye.
Ukwenza kube lula sichaza i-lymphoma njenge Yintoni, phi kwaye njani.
- Yintoni – I-Lymphoma ngumhlaza weeseli ezimhlophe zegazi ezibizwa ngokuba yi-lymphocytes.
- Apho - I-lymphocytes idla ngokuhlala kwinkqubo yethu ye-lymphatic, ngoko i-lymphoma idla ngokuqala kwii-lymphocytes kwinkqubo ye-lymphatic.
- Indlela - I-Lymphocytes kunye nezinye iiseli ezimhlophe zegazi zisikhusela kwiintsholongwane kunye nezifo, ngoko ke xa une-lymphoma, i-immune system iyancipha kwaye unokufumana izifo ezininzi.
Nceda ucofe ikhonkco elingezantsi ukuze ubone yethu Yintoni iphepha lewebhu leLymphoma.
Nguwuphi umahluko phakathi kwe-Non-Hodgkin kunye neHodgkin Lymphoma?
I-Non-Hodgkin Lymphoma yahlukile kwi-Hodgkin Lymphoma ngenxa yeeseli ezithile ze-lymphoma ezibizwa ngokuba yi-lymphoma. Iiseli zeReed-Sternberg ezifumaneka kubantu abane-Hodgkin Lymphoma, kodwa hayi kubantu abane-Non-Hodgkin Lymphoma.
- Zonke ii-Hodgkin Lymphomas zinomhlaza we-B-cell lymphocytes.
- I-Non-Hodgkin Lymphoma ingaba ngumhlaza we-B-cell lymphocytes, i-T-cell Lymphocytes okanye i-Natural Killer T-cells.
Yintoni ekufuneka ndiyazi malunga ne-Non-Hodgkin Lymphoma?
I-Non-Hodgkin Lymphoma ligama elisetyenziselwa ukuchaza iqela lee-subtypes ezingaphezulu kwama-75 ezahlukeneyo ze-lymphoma. Inokuthi ihlelwe njenge-aggressive okanye ivila, i-B-cell okanye i-T-cell (kuquka i-Natural killer T-cell) kwaye inokufuna unyango olungxamisekileyo okanye ayifuni.
I-Aggressive and Indolent Non-Hodgkin Lymphoma (NHL)
Xa une-NHL kubalulekile ukwazi ukuba yeyiphi i-subtype onayo, kwaye ingaba ivila okanye inomsindo. Ukuba ufuna unyango, kwaye loluphi uhlobo lonyango oya kulunikwa luxhomekeke kwezi zinto zimbini.
I-Aggressive Non-Hodgkin Lymphoma
I-Aggressive yindlela yokuthetha ukuba i-lymphoma yakho ikhula kwaye mhlawumbi isasazeka kwezinye iindawo zomzimba wakho ngokukhawuleza. Ukufunda ukuba unomhlaza ondlongondlongo kunokoyikisa kakhulu, ngoko ke kubalulekile ukuba uqiniseke ukuba unolwazi oluninzi kangangoko ukuze usiqonde isifo sakho, kwaye ulindele ntoni.
Into enye ekufuneka uyikhumbule kukuba ii-NHL ezininzi ezinobundlobongela zinokunyangeka. Enyanisweni, i-lymphomas enobudlova idla ngokuphendula kangcono kwezinye iindlela zonyango kune-lymphomas engapheliyo. I-chemotherapy yesiko isebenza ngokutshabalalisa iiseli ezikhula ngokukhawuleza, ngoko ke ukuba zinobundlobongela (zikhula ngokukhawuleza) iiseli zakho ze-lymphoma, i-chemotherapy esebenzayo inokutshabalalisa.
I-lymphomas enobudlova ikwabizwa ngokuba yi-high-grade lymphoma, oku kuthetha ukuba zikhula ngokukhawuleza kwaye zibukeka zihluke kakhulu kwii-lymphocytes zakho eziqhelekileyo. Ngeeseli ze-lymphoma ezikhula ngokukhawuleza, abanalo ithuba lokuphuhlisa ngokufanelekileyo, kwaye ngoko abayi kukwazi ukusebenza ngokufanelekileyo ekukhuseleni usulelo kunye nezifo.
Ukuba une-lymphoma eyingozi, kuya kufuneka uqale unyango ngokukhawuleza emva kokuba ufumene ukuxilongwa kwakho. Nangona kunjalo, ngaphambi kokuba unyango luqale, unokufuna iimvavanyo ezingakumbi kunye neskeni ukuze ubone ukuba ungakanani umzimba wakho ochatshazelwa yi-lymphoma (leliphi inqanaba le-lymphoma onalo) kwaye ingaba kukho naziphi na iimpawu zofuzo kwiiseli zakho ze-lymphoma eziza kunceda ugqirha wakho asebenze. ukhuphe olona nyango lungcono kuwe.
Imizekelo ye-NHL subtypes enobundlobongela idweliswe ngezantsi.
I-Aggressive (ikhula ngokukhawuleza) i-T-cell NHL
I-Indolent Non-Hodgkin Lymphoma
I-Indolent yenye indlela yokuthetha i-lymphoma ekhula ngokucothayo. Ezi lymphoma zihlala zithathwa njengezifo ezingapheliyo, oku kuthetha ukuba uya kuhlala nabo ubomi bakho bonke. Nangona kunjalo, abantu abaninzi basaphila ubomi obuqhelekileyo kunye nomgangatho omhle wobomi kunye ne-lymphoma engenamsebenzi.
I-indolent lymphomas ngamanye amaxesha ayikhuli kwaphela kwaye endaweni yoko ihlala ithe cwaka - okanye ilele. Ngoko ke, ngelixa une-lymphoma emzimbeni wakho, inokuthi ingenzi nantoni na ukukulimaza, kwaye ngenxa yoko awuyi kufuna naluphi na unyango xa ufunyaniswa okokuqala.
Uninzi lwee-lymphomas zokulala aziyi kuphendula kunyango lwesintu, kwaye uphando lubonise ukuba ukuqala unyango kwangoko ngeli nqanaba lokungasebenzi akuphuculi iziphumo zezigulane ngaphezu kwabo bangaqali unyango. Nangona kunjalo, kukho ezinye zilingo ze kliniki abajonga iindlela ezahlukeneyo zonyango ukubona ukuba zingasebenza kwaye zibe luncedo ngexesha lenqanaba lokuvila.
Malunga nomntu omnye kwabahlanu abane-lymphoma engasebenziyo abanakuze bafune naluphi na unyango, ngelixa abanye banokufuna unyango ngaxa lithile. Nangona ungafumani nyango, uya kujongwa ngeliso elibukhali yi-hematologist yakho okanye i-oncologist ukuze baqinisekise ukuba awufumani naziphi na iimpawu ezikwenza ungakhululeki okanye ungaphili, kwaye baya kuqinisekisa ukuba i-lymphoma ayikhuli. Eli xesha ngelixa ungenalo unyango luhlala lubizwa ngokuba yi-Watch and Linda, okanye ukubeka iliso okusebenzayo.
Ukuba i-lymphoma yakho ivuka kwaye iqala ukukhula, okanye uqala ukuba neempawu, unokufuna ukuqala unyango. Kwiimeko ezinqabileyo, i-indolent lymphoma yakho "inokuguqula" ibe yintlupheko eyahlukileyo ye-lymphoma. Ukufumana ulwazi oluthe kratya malunga nokuguqulwa kwe-lymphoma Cofa apha.
Ezinye zee-subtypes eziqhelekileyo ze-NHL ezivilaphayo zidweliswe ngezantsi.
Indolent B-cell NHL
- I-Follicular lymphoma (FL)
- I-Cronic lymphocytic leukemia (CLL)
- I-lymphoma ye-Marginal zone (MZL) kuquka i-MALT, i-Nodal kunye ne-Splenic
- I-Waldenstrom's macroglobulinemia (WM)
- Iseli yeleukemia enoboya
- I-Cutaneous B-cell lymphoma (CBCL)
- I-Nodular Lymphocyte Predominant B-cell Lymphoma (eyayisakuba yi-NLPHL)
Indolent T-cell NHL
Iimpawu ze-Non-Hodgkin Lymphoma
Ngaphezulu kwe-75 subtypes ye-NHL enokuqala kuyo nayiphi na indawo yomzimba wakho, iimpawu ze-NHL zinokwahluka kakhulu phakathi kwabantu.
Abantu abaninzi abane-indolent lymphoma abanako naziphi na iimpawu ezibonakalayo, kwaye baxilongwa kuphela emva kovavanyo lwesiqhelo, okanye isheke enye into. Abanye banokuba neempawu eziba mandundu ngokuthe ngcembe ngokuhamba kwexesha.
Nangona kunjalo, nge-lymphoma enobudlova, iimpawu zihlala ziqala kwaye ziba nzima ngokukhawuleza. Ezinye zeempawu eziqhelekileyo ziboniswa kwimifanekiso engezantsi. Ngolwazi oluthe kratya oluthe ngqo malunga neempawu nceda ubone iphepha lakho le-subtype elinokufumaneka kwiintlobo zethu ze-Lymphoma webpage okanye ubone iimpawu zethu ze-Lymphoma webpage.
Uvavanyo lokuxilongwa kunye nenqanaba
Ukuqondwa
Uya kufuna i-biopsy ukuze ufumane ukuxilongwa kwe-lymphoma kunye nokufumanisa ukuba yeyiphi i-subtype ye-lymphoma onayo. Kukho iintlobo ezahlukeneyo ze-biopsies, kwaye enye onayo iya kuxhomekeka kwindawo yomzimba wakho echaphazelekayo yi-lymphoma. Imizekelo ye-biopsies iquka:
- I-skin biopsy
- I-lymph node biopsy
- Umongo wethambo (i-biopsy yomongo wethambo ingasetyenziselwa ukuxilonga ezinye iintlobo ze-lymphoma, okanye ukwenza ezinye izigaba)
Ukucwangcisa
Ukulinganisa kubhekisela kwiindawo ezininzi, kwaye zeziphi iindawo zomzimba wakho ezine-lymphoma kuzo.
Kukho iinkqubo ezimbini eziphambili zeqonga ezisetyenziselwa i-NHL. Uninzi lwe-NHL lusebenzisa Ann Arbor okanye iLugano Staging System ngelixa abantu abane-CLL banokudlalwa kunye ne Inkqubo yokubonisa iRAI.
Unyango lwe-Non-Hodgkin Lymphoma (NHL)
Zininzi iindidi ezahlukeneyo zonyango lwe-NHL, kwaye unyango olutsha luyavavanywa kulingo lwezonyango kwaye luvunywa rhoqo. Uhlobo lonyango olunikwayo luya kuxhomekeka kwizinto ezininzi eziquka:
- I-subtype yakho kunye nenqanaba le-NHL
- Ingaba iiseli zakho ze-lymphoma zineempawu ezithile okanye utshintsho lwemfuza kubo
- Ubudala bakho kunye nempilo yonke
- Ingaba uye wafumana unyango lwe-lymphoma okanye ezinye ii-cancer kwixesha elidlulileyo
- Amayeza onokuthi uwathathe kwezinye izigulo
- Izinto ozikhethayo xa sele unalo lonke ulwazi oludingayo.
isishwankathelo
- I-Non-Hodgkin Lymphoma ligama elisetyenziselwa ukudibanisa ngaphezu kwe-75 yeentlobo ezahlukeneyo zomhlaza weeseli ezimhlophe zegazi ezibizwa ngokuba yi-lymphocytes.
- Yazi uhlobo lwakho olungaphantsi - Ukuba akulwazi ukuba loluphi uhlobo lwe-NHL onalo, buza ugqirha wakho.
- I-NHL ingaba ngumhlaza we-B-cell lymphoctyes, i-T-cell lymphocytes ye-Natural killer T-cells.
- I-NHL inokuba ndlongondlongo okanye ingenzi nto. I-NHL enobudlova idinga unyango ngokukhawuleza, ngelixa abantu abaninzi abane-lymphoma engenamsebenzi abayi kufuna unyango ixesha elithile.
- Umntu omnye kwabahlanu abane-indolent lymphoma akanakuze afune unyango.
- Iimpawu ze-NHL ziya kuxhomekeka kwi-subtype onayo, nokuba i-indolent okanye inobudlova, kwaye zeziphi iindawo zomzimba wakho ezine-lymphoma kuzo.
- Zininzi iintlobo ezahlukeneyo zonyango lwe-NHL kwaye ezintsha zivunywa rhoqo. Unyango onalo luya kuxhomekeka kwizinto ezininzi ezibandakanya i-subtype yakho, iimpawu, ubudala kunye nempilo, kunye nokuba ubukhe walufumana unyango lwe-lymphoma ngaphambili.
- Awuwedwa, ukuba ungathanda ukuncokola nomnye wabongikazi bethu beLymphoma Care cofa apha Qhagamshelana nathi iqhosha ezantsi kwesikrini.
