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Ezinye iintlobo zeLymphoma

Cofa apha ukujonga ezinye iintlobo ze-lymphoma

I-Chronic Lymphocytic Leukemia (CLL) kunye neLymphocytic Lymphoma encinci (SLL)

Nangona iChronic Lymphocytic Leukemia (CLL) inegama leukemia egameni layo, iye yahlelwa nguMbutho wezeMpilo weHlabathi njengenxalenye yesifo segazi. i-lymphoma, kuba ngumhlaza weeseli zegazi obizwa ngokuba yi-B-cell i-lymphoiicytes.

Imfundo yesigulana yonyango lwe-lymphocytic leukemia engapheliyo okanye i-lymphocytic lymphoma encinci
Ukufunda nge-CLL/SLL yakho kukunceda ukuba uphile kakuhle kwaye uzive uzithembile.

I-Chronic lymphocytic leukemia (CLL) kunye ne-lymphocytic lymphoma encinci (SLL) ngumhlaza wegazi owenzeka xa iiseli ezithile emzimbeni wakho ezibizwa ngokuba yi-B-cell lymphocytes (B-cells) ziba nomhlaza. Bobabini bakhula kade (abavilaphayo) B-cell blood cancers. Eli phepha lewebhu liza kunika lonke ulwazi oludingayo ukuze ukwazi malunga neempawu ze-SLL okanye ze-CLL, ukuxilongwa; unyango kunye nokuhlala ne-CLL/SLL.

Yahluke njani i-CLL kunye ne-SLL?

Umahluko phakathi kwe-CLL kunye ne-SLL ngulo:

  • I-Chronic Lymphocytic Leukemia (CLL): uninzi lweeseli ze-lymphoma zikwinkqubo yakho yokujikeleza kwegazi – oku kuquka umongo wethambo lakho negazi (kungoko ibizwa ngokuba yi-leukemia).
  • I-Lymphocytic Lymphoma (SLL) encinci: Uninzi lweeseli ze-lymphoma zikwi-lymph nodes kunye ne-lymphatic system.

Ngenxa yokuba i-CLL kunye ne-SLL zifana kakhulu iimvavanyo, ulawulo kunye nonyango lwazo ziyafana.

Kulo lonke eli phepha, uya kusibona sibhala i-CLL / SLL apho ulwazi lubhekiselele kuzo zombini, kunye ne-CLL okanye i-SLL ukuba ibhekiselele kwenye kuphela kwezi.

Kweli phepha:

Ukuqonda i-CLL kunye ne-SLL yencwadana yePDF

Ukuphila neCLL & SLL PDF Fact sheet

Isishwankathelo seCronic Lymphocytic Leukemia (CLL) / Small Lymphocytic Lymphoma (SLL)

I-CLL ixhaphake kakhulu kune-SLL kwaye ingowesibini umhlaza we-B-cell oqhelekileyo, kubantu abangaphezu kweminyaka engama-70 ubudala. Ixhaphake kakhulu emadodeni kunakwabasetyhini, kwaye ayifane ichaphazele abantu abangaphantsi kweminyaka engama-40 ubudala.

Uninzi lwe-lymphomas indolent ayinyangeki, okuthetha ukuba xa ufunyaniswe ukuba une-CLL/SLL, uya kuba nayo ubomi bakho bonke. Nangona kunjalo, ngenxa yokuba ikhula kancinane abanye abantu banokuphila ubomi obupheleleyo ngaphandle kweempawu kwaye bangaze bafune naluphi na unyango. Abanye abaninzi, nangona kunjalo, baya kufumana iimpawu kwinqanaba elithile kwaye bafune unyango.

Ukuqonda i-CLL / SLL, kufuneka wazi kancinane malunga ne-B-Cell lymphocytes yakho

I-CLL iqala egazini nakumongo wethambo lakho
Umongo wethambo lakho yindawo ethambileyo, esipontshi embindini wamathambo akho. Iiseli zakho zegazi zenziwe kumongo wakho wethambo.

I-B-Cell lymphocytes: 

  • zenziwa kumongo wethambo lakho (inxalenye yesponji embindini wamathambo akho), kodwa ihlala ihlala kwi-spleen yakho kunye ne-lymph nodes zakho.
  • luhlobo lweseli emhlophe yegazi.
  • ukulwa usulelo kunye nezifo ukuze uhlale usempilweni. 
  • khumbula usulelo obunalo kwixesha elidlulileyo, ngoko ke ukuba ufumana usulelo olufanayo kwakhona, umxokomezelo womzimba wakho unokulwa nalo ngempumelelo ngakumbi kwaye ngokukhawuleza. 
  • unokuhamba nge-lymphatic system, ukuya kulo naliphi na ilungu lomzimba wakho ukulwa usulelo okanye izifo. 

Kwenzeka ntoni kwii-B-cell zakho xa une-CLL / SLL?

Xa une-CLL / SLL yakho ye-B-cell lymphocytes:

  • Iba yinto engaqhelekanga kwaye ikhule ngokungalawulekiyo, nto leyo ekhokelela kwi-B-cell lymphocyte ezininzi. 
  • zingafi xa kufuneka zenze indlela yeeseli ezintsha ezisempilweni.
  • zikhula ngokukhawuleza kakhulu, ngoko zihlala zingakhuli kakuhle kwaye azikwazi ukusebenza kakuhle ukulwa usulelo kunye nezifo.
  • inokuthatha indawo eninzi kumongo wakho wethambo kangangokuba ezinye iiseli zakho zegazi, ezinjengeeseli ezibomvu zegazi kunye neeplatelets zisenokungakwazi ukukhula kakuhle.
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Iiseli zakho zegazi zenziwe kumongo wakho wethambo ngaphambi kokuba ungene kwinkqubo yakho ye-lymphatic, equka i-lymph nodes, i-spleen, i-thymus, ezinye izitho kunye nemithambo ye-lymphatic.
I-CLL iqala kwiSetyhula okanye kwinkqubo yakho. Inkqubo yakho yokujikeleza kwegazi iquka igazi kunye nomongo wamathambo.
Inkqubo yakho yokujikeleza kwegazi yenziwe yimithambo yakho, imithambo yegazi kunye nemithambo yegazi emincinci.

Ukuqonda i-CLL/ SLL

Unjingalwazi uCon Tam, ingcaphephe ye-CLL/SLL esekwe eMelbourne kwi-hematologist ucacisa i-CLL/SLL kwaye uphendula eminye yemibuzo onokuba unayo. 

Le vidiyo yenziwa ngoSeptemba ka-2022

Amava esigulane nge-CLL

Nokuba lungakanani na ulwazi olufumana koogqirha kunye nabongikazi bakho, kusenokunceda ukuva kumntu onamava e-CLL/SLL buqu.

Apha ngezantsi sinevidiyo yebali likaWarren apho yena nenkosikazi yakhe uKate babelane ngamava abo kunye ne-CLL. Cofa kwividiyo ukuba ungathanda ukuyibukela.

Iimpawu zeCLL / SLL

Iimpawu eziphambili ze-CLL okanye i-SLL
Iimpawu ze-B liqela leempawu eziquka umkhuhlane, ukubila ebusuku kunye nokuncipha komzimba. Qhagamshelana nogqirha wakho ngokukhawuleza ukuba unazo ezi zinto.

I-CLL / SLL zikhula ngokucothayo zomhlaza, ngenxa yoko usenokungabi nazimpawu ngexesha ufunyaniswa ngalo. Ngokuqhelekileyo, uya kufunyaniswa emva kovavanyo lwegazi, okanye uvavanyo lomzimba lwenye into. Ngapha koko, abantu abaninzi abane-CLL/SLL baphila ubomi obude obusempilweni. Nangona kunjalo, unokuhlakulela iimpawu ngexesha elithile ngelixa uhlala ne-CLL / SLL.

Iimpawu onokuzifumana

  • ukudinwa ngokungaqhelekanga (ukudinwa). Olu hlobo lokudinwa alubi ngcono emva kokuphumla okanye ukulala
  • ngaphandle komphefumlo 
  • ukugruzuka okanye ukopha ngokulula kunesiqhelo
  • usulelo olungasukiyo, okanye luqhubeke lubuya 
  • ukubila ebusuku ngaphezu kwesiqhelo
  • ukunciphisa umzimba ngaphandle kokuzama
  • iqhuma elitsha entanyeni yakho, phantsi kweengalo zakho, i-groin yakho, okanye ezinye iindawo zomzimba wakho-ezi zihlala zingenabuhlungu.
  • Ubalo lwegazi olusezantsi olunje:
    • I-anemia - i-hemoglobin ephantsi (Hb). I-Hb yiprotheyini kwiiseli zakho ezibomvu zegazi ezithwala ioksijini emzimbeni wakho.
    • I-Thrombocytopenia - iiplatelet eziphantsi. IiPlatelets zinceda igazi lakho ukuba lijije ukuze ungophi kwaye ugruzuke ngokulula. Iiplatelets zikwabizwa ngokuba zii-thrombocytes.
    • Neutropenia – Iiseli ezimhlophe zegazi eziphantsi ezibizwa ngokuba zii-neutrophils. Iineutrophils zilwa nosulelo kunye nezifo.
    • B-Iimpawu (jonga umfanekiso)

Xa ufuna iingcebiso zonyango

Kudla ngokubakho ezinye izizathu zezi mpawu, ezifana nosulelo, amanqanaba omsebenzi, uxinzelelo, amayeza athile okanye ukwaliwa. Kodwa kubalulekile ukuba wena bonana nogqirha wakho ukuba ufumana nayiphi na yezi mpawu ezihlala ngaphezu kweveki, okanye ukuba zifika ngokukhawuleza ngaphandle kwesizathu esaziwayo.

Ukuze uthole ulwazi oluthe xaxa bonani
Iimpawu zeLymphoma

Ifunyaniswa njani i-CLL / SLL

Kunokuba nzima kugqirha wakho ukuxilonga i-CLL / SLL. Iimpawu zihlala zingacacanga, kwaye ziyafana nezo unokuba nazo kunye nezinye izifo ezixhaphakileyo, ezinje ngosulelo kunye nokwaliwa. Usenokungabi nazo naziphi na iimpawu, ngoko ke kunzima ukwazi ukuba ungayijonga nini i-CLL / SLL. Kodwa ukuba uya kugqirha wakho nayo nayiphi na kwezi mpawu zingasentla, banokufuna ukwenza uvavanyo lwegazi kunye novavanyo lomzimba. 

Ukuba bakrokrela ukuba unokuba nomhlaza wegazi njenge-lymphoma okanye i-leukemia, baya kucebisa iimvavanyo ezingaphezulu ukufumana umfanekiso ongcono wento eyenzekayo.

Izinto eziphilayo

Ukuxilonga i-CLL / SLL uya kufuna ii-biopsies ze-lymph nodes zakho ezidumbileyo, kunye nomongo wethambo lakho. I-biopsy kuxa iqhekeza elincinci lethishu lisusiwe kwaye lihlolwe elebhu phantsi kwe-microscope. I-pathologist iya kujonga indlela, kunye nokuba iiseli zakho zikhula ngokukhawuleza kangakanani.

Kukho iindlela ezahlukeneyo zokufumana eyona biopsy ilungileyo. Ugqirha wakho uya kuba nako ukuxoxa uhlobo ilungileyo imeko yakho. Ezinye ze-biopsies eziqhelekileyo ziquka:

Excisional node biopsy 

Olu hlobo lwe-biopsy lususa yonke i-lymph node. Ukuba i-lymph node yakho ikufuphi nolusu lwakho kwaye ivakale ngokulula, uya kuba ne-anesthetic yendawo yokuthoba indawo. Emva koko, ugqirha wakho uya kwenza ukusikwa (okukwabizwa ngokuba yi-incision) esikhumbeni sakho kufuphi, okanye ngaphezu kwe-lymph node. I-lymph node yakho iya kususwa ngokusikwa. Unokuba nemithungo emva kwale nkqubo kunye nokunxiba kancinci ngaphezulu.

Ukuba i-lymph node inzulu kakhulu ukuba ugqirha angayiva, kungafuneka ukuba wenze i-excision biopsy yenziwe kwithiyetha yotyando esibhedlele. Usenokunikwa iyeza lokuthomalalisa eliqhelekileyo – eliyeza lokukwenza ulale ngelixa kukhutshwa i-lymph node. Emva kwe-biopsy, uya kuba nesilonda esincinci, kwaye unokuba nemithungo enesinxibo esincinci ngaphezulu.

Ugqirha wakho okanye umongikazi uya kukuxelela indlela yokunyamekela inxeba, kwaye xa befuna ukukubona kwakhona ukuze basuse imithungo.

I-Core okanye inaliti ye-biopsy

I-Biopsy ye-Swollen Lymph node yokuvavanya i-CLL okanye i-SLL
I-fine inaliti biopsy ye-lymph node edumbileyo phantsi kwengalo.

Olu hlobo lwe-biopsy luthatha kuphela isampuli kwi-lymph node echaphazelekayo - ayisusi yonke i-lymph node. Ugqirha wakho uya kusebenzisa inaliti okanye esinye isixhobo esikhethekileyo ukuthatha isampuli. Uya kufumana iyeza lokuthomalalisa lasekuhlaleni. Ukuba i-lymph node inzulu kakhulu ukuba ugqirha wakho angayibona kwaye azive, unokwenza i-biopsy yenziwe kwisebe le-radiology. Oku kuluncedo kwii-biopsies ezinzulu kuba i-radiologist inokusebenzisa i-ultrasound okanye i-X-reyi ukubona i-lymph node kwaye iqinisekise ukuba bafumana inaliti kwindawo efanelekileyo.

Inaliti engundoqo ye-biopsy ibonelela ngesampulu ye-biopsy enkulu kune-naliti ecolekileyo ye-biopsy.

I-Bone Marrow biopsy

Le biopsy ithatha isampuli kumongo wakho wethambo phakathi kwethambo lakho. Ngokuqhelekileyo kuthathwa kwi-hip, kodwa kuxhomekeke kwiimeko zakho, kunokuthatyathwa kwamanye amathambo afana nethambo lakho lesifuba (sternum). 

Uya kunikwa iyeza lokuthomalalisa lendawo kwaye unokuba ne-sedation, kodwa uya kube uvukile ukulungiselela inkqubo. Usenokunikwa amayeza okuphelisa iintlungu. Ugqirha uya kufaka inaliti esikhumbeni sakho nakwithambo lakho ukususa isampuli yomongo omncinci.

Usenokunikwa igawuni ukuba uyitshintshe okanye ukwazi ukunxiba ezakho iimpahla. Ukuba unxiba iimpahla zakho, qiniseka ukuba zikhululekile kwaye zinikeze ukufikelela okulula kwi-hip yakho.

I-biopsy yomongo wethambo ye-CLL
Ngexesha le-biopsy yomongo wethambo ugqirha wakho uya kufaka inaliti esinqeni sakho kwaye athathe isampuli yomongo wakho.

Ukuvavanya i-biopsies yakho

Uvavanyo lwakho lwe-biopsy kunye negazi luya kuthunyelwa kwi-pathology kwaye lujongwe phantsi kwe-microscope. Ngale ndlela oogqirha banokufumanisa ukuba i-CLL / SLL ikumongo wethambo lakho, igazi kunye ne-lymph nodes, okanye ukuba ilinganiselwe kuphela kwindawo enye okanye ezimbini kwezi ndawo.

I-pathologist iya kwenza olunye uvavanyo kwii-lymphocytes zakho ezibizwa ngokuba yi-"flow cytometry". Olu luvavanyo olukhethekileyo lokujonga naziphi na iiprotheyini okanye “iziphawuli zomphezulu weseli” kwii-lymphocytes zakho ezinceda ukufumanisa i-CLL / SLL, okanye ezinye ii-subtypes ze-lymphoma. Ezi proteni kunye neziphawuli zinokunika ugqirha ulwazi malunga nokuba loluphi uhlobo lonyango olunokusebenzela ngcono.

Ilinde iziphumo

Kungathatha ukuya kwiiveki ezininzi ukufumana zonke iziphumo zovavanyo lwakho. Ukulinda ezi ziphumo kunokuba lixesha elinzima kakhulu. Kungakunceda ukuthetha nosapho okanye izihlobo, uceba okanye uqhagamshelane nathi eLymphoma Australia. Ungaqhagamshelana nabongikazi bethu beLymphoma ngokuthumela i-imeyile nurse@lymphoma.org.au okanye utsalele umnxeba ku-1800 953 081. 

Ungaphinda uthande ukujoyina elinye lamaqela ethu eendaba zentlalo ukuze uthethe nabanye abaye bakwimeko efanayo. Ungasifumana kwi:

Ukuze uthole ulwazi oluthe xaxa bonani
Iimvavanyo, ukuxilongwa kunye ne-Staging

Ukumiselwa kweCLL / SLL

Isiteji yindlela ugqirha wakho onokuchaza ngayo ukuba ungakanani umzimba wakho ochaphazelekayo yi-lymphoma, kunye nendlela iiseli ze-lymphoma ezikhula ngayo.

Kusenokufuneka ube novavanyo olongezelelweyo ukufumana inqanaba lakho.

Ukufumana ngakumbi malunga nesiteji, nceda ucofe kwi-toggles engezantsi.

PET yokuhlola
I-PET scan siscan somzimba wonke esikhanyisa iindawo ezichatshazelwe yi-lymphoma okanye i-CLL/SLL

Uvavanyo olongezelelweyo onokuthi ulubone ukuba iCLL / SLL yakho isasazeke kangakanani ibandakanya:

  • I-Positron emission tomography (PET) scan. Esi siskena sakho umzimba wonke elayita iindawo ezinokuchatshazelwa yi-CLL/SLL. Iziphumo zinokubonakala zifana nomfanekiso ongasekhohlo. 
  • I-Computed tomography (CT) scan. Oku kubonelela ngokuskena okuneenkcukacha ngakumbi kuneX-reyi, kodwa yendawo ethile efana nesifuba okanye isisu sakho.
  • I-Lumbar puncture - Ugqirha wakho uya kusebenzisa inaliti ukuthatha isampuli yolwelo olusuka kufutshane nomnqonqo wakho. Oku kwenziwa ukujonga ukuba i-lymphoma yakho ikwingqondo okanye intambo yomgogodla. Usenokungalufuni olu vavanyo, kodwa ugqirha wakho uya kukwazisa ukuba uyalufuna.

Omnye umahluko ophambili kwi-CLL / SLL (ngaphandle kwendawo yazo) yindlela ezibekwe ngayo.

Kuthetha ukuthini ukwenziwa kweqonga?

Emva kokuba ufunyanisiwe, ugqirha wakho uya kujonga zonke iziphumo zovavanyo lwakho ukuze afumanise ukuba ikweliphi inqanaba i-CLL/SLL yakho. Iqonga lixelela ugqirha: 

  • ingakanani i-CLL / SLL emzimbeni wakho
  • zingaphi iindawo zomzimba wakho ezinomhlaza we-B-cell kunye
  • indlela umzimba wakho ohlangabezana ngayo nesi sifo.
Ukudumba kwe-lymph node
I-lymph nodes ezizaliswe zi-B-cells ezinomhlaza zinokudumba kunye neqhuma elibonakalayo.

Le nkqubo yeqonga iya kujonga kwi-CLL yakho ukubona ukuba uyayenza na, okanye awunayo nanye kwezi zilandelayo:

  • amanqanaba aphezulu e-lymphocytes egazini lakho okanye umongo wethambo - oku kubizwa ngokuba yi-lymphocytosis (lim-foe-cy-toe-sis)
  • ukudumba kwe-lymph nodes - lymphadenopathy (limf-a-den-op-ah-thee)
  • udakada olwandisiweyo – i<em>splenomegaly (i-splen-oh-meg-ah-lee)
  • Amanqanaba aphantsi eeseli ezibomvu zegazi egazini lakho-i-anemia (a-nee-mee-yah)
  • amanqanaba asezantsi eplatelet egazini lakho – thrombocytopenia (throm-bow-cy-toe-pee-nee-yah)
  • isibindi esandisiweyo – hepatomegaly (hep-at-o-meg-a-lee)

Inqanaba ngalinye lithetha ntoni

 
Inqanaba le-RAI 0I-Lymphocytosis kwaye akukho kwandiswa kwee-lymph nodes, i-spleen, okanye isibindi, kunye neeseli zegazi ezibomvu eziqhelekileyo kunye nezibalo zeplatelet.
Inqanaba le-RAI 1I-Lymphocytosis kunye ne-lymph nodes eyandisiweyo. Udakada nesibindi azondiswanga kwaye iseli ebomvu yegazi kunye nezibalo zeplatelet ziqhelekile okanye ziphantsi kancinci.
Inqanaba le-RAI 2I-Lymphocytosis kunye ne-spleen eyandisiweyo (kwaye mhlawumbi nesibindi esandisiweyo), kunye okanye ngaphandle kwee-lymph nodes. Iseli ebomvu yegazi kunye nezibalo zeplatelet ziqhelekile okanye ziphantsi kancinci
Inqanaba le-RAI 3I-Lymphocytosis kunye ne-anemia (iiseli ezibomvu zegazi ezimbalwa kakhulu), kunye okanye ngaphandle kwe-lymph nodes, i-spleen, okanye isibindi. Ubalo lwePlatelet lusondele kwisiqhelo.
Inqanaba le-RAI 4I-Lymphocytosis kunye ne-thrombocytopenia (iiplatelets ezimbalwa kakhulu), kunye okanye ngaphandle kwe-anemia, i-lymph nodes eyandisiweyo, i-spleen, okanye isibindi.

*I-Lymphocytosis ithetha i-lymphocyte ezininzi kakhulu egazini lakho okanye umongo wethambo

Ukucwangcisa
Inqanaba lakho lixhomekeke apho ikhoyo iCLL / SLL yakho, kwaye ukuba ingasentla, ngezantsi okanye kumacala omabini ediaphragm yakho.

Inqanaba lakho lisekwe kwi:

  • inani kunye nendawo ye-lymph nodes echaphazelekayo
  • ukuba ii-lymph nodes ezichaphazelekayo zingasentla, ngaphantsi okanye kumacala omabini e-diaphragm (I-diaphragm yakho sisihlunu esikhulu, esime njengedome phantsi kwembambo yakho esahlula isifuba sakho kwisisu sakho)
  • ukuba isibetho siqhenqethile emongoni, nokuba siqhenqele kwezinye izitho zesibindi, nemiphunga, nethambo, nolusu
 Inqanaba ngalinye lithetha ntoni
 
Inqanaba 1enye indawo ye-lymph node iyachaphazeleka, nokuba ngaphezulu okanye ngaphantsi kwe-diaphragm*
Inqanaba 2iindawo ezimbini okanye ngaphezulu ze-lymph node zichaphazeleka kwicala elinye le-diaphragm*
Inqanaba 3Ubuncinci indawo ye-lymph node ngaphezulu kunye nommandla we-lymph node enye ngaphantsi kwe-diaphragm* iyachaphazeleka
Inqanaba 4i-lymphoma ikwii-lymph nodes ezininzi kwaye isasazeke kwamanye amalungu omzimba (umzekelo, amathambo, imiphunga, isibindi)

Ukongeza, kunokubakho unobumba "E" emva kweqonga. I-E ithetha ukuba une-SLL kwilungu elingaphandle kwenkqubo ye-lymphatic, njengesibindi sakho, imiphunga, amathambo okanye ulusu.

Isifayili
I-diaphragm yakho sisihlunu esimile njengedome esahlula isifuba sakho kwisisu sakho. Ikwakunceda ukuba uphefumle ngokuhambisa imiphunga yakho uyinyuse uyinyuse.

Imibuzo kugqirha wakho phambi kokuba uqale unyango

Ukuqeshwa koogqirha kunokubangela uxinzelelo kwaye ukufunda ngesifo sakho kunye nonyango olunokubakho kunokufana nokufunda ulwimi olutsha. Xa ufunda

Kunokuba nzima ukwazi ukuba yeyiphi imibuzo omawuyibuze xa uqala unyango. Ukuba awuyazi, into ongayaziyo, ungazi njani into omawuyibuze?

Ukuba nolwazi oluchanekileyo kunokukunceda uzive uzithembile kwaye wazi ukuba ulindele ntoni. Inokukunceda ukuba ucwangcise kwangaphambili oko unokukufuna.

Sidibanisa uluhlu lwemibuzo onokuyifumana iluncedo. Kambe ke, imeko yomntu wonke yahlukile, ngoko ke le mibuzo ayiquki yonke into, kodwa inika isiqalo esihle. 

Cofa kwikhonkco elingezantsi ukukhuphela iPDF eprintwayo yemibuzo kagqirha wakho.


Ukuqonda i-CLL / SLL yofuzo yakho

I-Cytogenetics ibalulekile ekuphatheni i-CLL kunye ne-SLL
Iichromosomes zakho zenziwe yimisonto emide yeDNA enemizila yemfuza emininzi kuyo. I-Cytogenetics ijonga naluphi na utshintsho onokuthi ube nalo.

 

Zininzi izinto zofuzo ezinokubandakanyeka kwi-CLL / SLL yakho. Abanye basenokuba negalelo ekukhuleni kwesifo sakho, kwaye abanye babonelela ngolwazi oluluncedo malunga nokuba loluphi uhlobo lonyango olulungele wena. Ukufumana ukuba zeziphi izinto zofuzo ezibandakanyekayo kuya kufuneka ukuba wenze iimvavanyo ze-cytogenetic.

Iimvavanyo zeCytogenetic

Iimvavanyo ze-Cytogenetics zenziwa kwigazi lakho kunye ne-biopsies ukujonga utshintsho kwiichromosomes zakho okanye izakhi zofuzo. Siqhele ukuba neeperi ezingama-23 zeechromosomes, kodwa ukuba une-CLL/SLL iichromosomes zakho zinokubonakala zahluke kancinane.

IiChromosomes

Zonke iiseli zomzimba wethu (ngaphandle kweeseli ezibomvu zegazi) zinenucleus kulapho zifumaneka khona iichromosomes zethu. Iichromosome ezingaphakathi kweeseli ziyimisonto emide yeDNA (deoxyribonucleic acid). I-DNA yeyona ndawo iphambili yechromosome egcina imiyalelo yeseli kwaye le nxalenye ibizwa ngokuba yimfuza.

IGenesis

Imfuza ixelela iiproteni kunye neeseli ezisemzimbeni wakho ukuba zijongeka njani okanye zenze njani. Ukuba kukho utshintsho (ukutshintsha okanye ukuguqulwa) kwezi chromosomes okanye iijini, iiprotheyini zakho kunye neeseli aziyi kusebenza kakuhle kwaye unokuphuhlisa izifo ezahlukeneyo. Nge-CLL / SLL olu tshintsho lunokutshintsha indlela i-B-cell lymphocytes yakho ekhula ngayo kwaye ikhule, ibangele ukuba babe nomhlaza.

Iinguqu ezintathu eziphambili ezinokuthi zenzeke nge-CLL / SLL zibizwa ngokuba kukucinywa, ukutshintshwa kunye nokuguqulwa.

Iinguqu eziqhelekileyo kwi-CLL / SLL

Ukucima kuxa inxalenye yechromosome yakho ilahlekile. Ukuba ucimo lwakho yinxalenye yechromosome ye-13 okanye ye-17 ibizwa ngokuba yi-“del(13q)” okanye “del(17p)”. U-“q” kunye no-“p” baxelela ugqirha ukuba yeyiphi indawo yechromosome engekhoyo. Kuyafana nakwezinye izinto ezicinyiweyo.

Ukuba une-translocation, oko kuthetha ukuba inxalenye encinci yeechromosomes ezimbini - i-chromosome 11 kunye ne-chromosome ye-14 umzekelo, tshintshisa iindawo kunye nomnye. Xa oku kusenzeka, kuthiwa “t(11:14)”. 

Ukuba unotshintsho, oko kunokuthetha ukuba unechromosome eyongezelelweyo. Oku kubizwa ngokuba yiTrisomy 12 (ichromosome ye-12 eyongezelelweyo). Okanye unokuba nolunye utshintsho olubizwa ngokuba yi-IgHV mutation okanye Tp53 mutation. Lonke olu tshintsho lunokunceda ugqirha wakho akwenzele olona nyango lungcono., ke nceda uqiniseke ukuba ucela ugqirha wakho akuchazele utshintsho lwakho.

Kuya kufuneka ukuba ube novavanyo lwe-cytogenetic xa ufunyaniswa une-CLL / SLL naphambi konyango. Iimvavanyo ze-Cytogenetic xa isazinzulu sijonga igazi lakho kunye nesampulu ye-tumor, ukujonga ukuhluka kofuzo (ukuguqulwa) okunokuthi kubandakanyeke kwisifo sakho. 

Wonke umntu one-CLL/SLL kufuneka abe novavanyo lwemfuzo phambi kokuba uqale unyango. 

Ezinye zezi mvavanyo kuya kufuneka ube kanye kuphela kuba iziphumo zihlala zifana kubomi bakho bonke. Olunye uvavanyo, kunokufuneka ube nalo ngaphambi kwalo lonke unyango, okanye ngamaxesha ahlukeneyo kuhambo lwakho nge-CLL / SLL. Oku kungenxa yokuba ekuhambeni kwexesha, utshintsho olutsha lwemfuzo lunokwenzeka ngenxa yonyango, isifo sakho okanye ezinye izinto.

Iimvavanyo eziqhelekileyo ze-cytogenetic oya kuba nazo ziquka:

Ubume botshintsho lwe-IgHV

Kufuneka ube nale nto phambi konyango lokuqala kuphela. I-IgHV ayitshintshi ekuhambeni kwexesha, ngoko ke ifuna ukuvavanywa kube kanye kuphela. Oku kuya kuxelwa njenge-IgHV eguqulweyo okanye i-IgHV engaguqukiyo.

FISH uvavanyo

Kufuneka ube nale nto phambi kokuqala kunye nalo lonke unyango. Utshintsho lwemfuza kuvavanyo lwakho lwe-FISH lunokutshintsha ngokuhamba kwexesha, ngoko kuyacetyiswa ukuba luvavanywe phambi kokuba uqalise unyango okokuqala, kwaye rhoqo kulo lonke unyango lwakho. Ingabonisa ukuba ucinyiwe, ufuduko okanye ichromosome eyongezelelweyo. Oku kuya kuxelwa njenge del(13q), del(17p), t(11:14) okanye iTrisomy 12. Ngelixa ezi zezona ntlobo zixhaphakileyo kubantu abane-CLL/SLL unokuba nokwahluka okwahlukileyo, nangona kunjalo ingxelo iya kuba ezifanayo nezi. 

(INHLANZI imele Filuorescent ISyona HI-ybridation kwaye yindlela yokuvavanya eyenziwa kwi-pathology)

TP53 ubume botshintsho

Kufuneka ube nale nto phambi kokuqala kunye nalo lonke unyango. I-TP53 inokutshintsha ekuhambeni kwexesha, ngoko kuyacetyiswa ukuba ivavanywe phambi kokuba uqalise unyango okokuqala, kwaye rhoqo kulo lonke unyango lwakho. I-TP53 sisijini esibonelela ngekhowudi yeprotheyini ebizwa ngokuba yi-p53 ukuba yenziwe. p53 lithumba elicinezela iprotheni kwaye linqanda iiseli ezinomhlaza ekukhuleni. Ukuba unotshintsho lwe-TP53, awunakukwazi ukwenza iprotheni ye-p53, okuthetha ukuba umzimba wakho awukwazi ukunqanda iiseli ezinomhlaza ekuphuhliseni.

 

Kutheni ibalulekile?

Kubalulekile ukukuqonda oku njengoko sisazi ukuba asingabo bonke abantu abane-CLL / SLL abaneenguqu ezifanayo zofuzo. Iiyantlukwano zinika ulwazi kugqirha wakho malunga nodidi lonyango olunokuthi lusebenze, okanye aluyi kusebenza kwi-CLL / SLL yakho. 

Nceda uthethe nogqirha wakho malunga nolu vavanyo kwaye iziphumo zakho zithetha ntoni kwiinketho zakho zonyango.

Ngokomzekelo, siyazi ukuba unotshintsho lwe-TP53, i-IgHV engaguqukiyo okanye i-del(17p) akufanele ufumane ichemotherapy njengoko ayiyi kusebenza kuwe. Kodwa oku akuthethi ukuba akukho nyango. Kukho unyango olujoliswe kuyo olukhoyo olunokusebenza kakuhle kubantu abanale mahluko. Ezi siza kuzixubusha kwicandelo elilandelayo.

Unyango lwe-CLL / SLL

Nje ukuba zonke iziphumo zakho ezivela kwi-biopsy, uvavanyo lwe-cytogenetic kunye nezikena zesiteji zigqityiwe, ugqirha wakho uya kuphonononga ezi zinto ukuze agqibe ngonyango olungcono kuwe. Kwamanye amaziko omhlaza, ugqirha wakho usenokudibana neqela leengcaphephe ukuze axoxe ngonyango olululo. Oku kubizwa ngokuba yi-a iqela lezinto ezininzi (MDT) ntla nganiso.

Sikhethwa njani isicwangciso sam sonyango?

Ugqirha wakho uya kuthathela ingqalelo izinto ezininzi malunga ne-CLL / SLL yakho. Izigqibo ngexesha okanye xa kufuneka uqale kwaye loluphi unyango olungcono lusekwe koku:

  • isigaba sakho ngasinye se-lymphoma, utshintsho lwemfuza kunye neempawu
  • ubudala bakho, imbali yonyango elidlulileyo kunye nempilo jikelele
  • impilo yakho yangoku yomzimba nengqondo kunye nokhetho lwesigulana.
Ukuqala unyango lwe-CLL / SLL
Phambi kokuba uqale unyango, umongikazi wakho womhlaza uya kukuxelela yonke into ekufuneka uyazi

Olunye uvavanyo

Ugqirha wakho uya kuodola iimvavanyo ezininzi phambi kokuba uqale unyango ukuze aqinisekise ukuba intliziyo yakho, imiphunga kunye nezintso ziyakwazi ukumelana nonyango. Iimvavanyo ezongezelelweyo zinokubandakanya iECG (electrocardiogram), uvavanyo lokusebenza kwemiphunga okanye ukuqokelela umchamo iiyure ezingama-24.

Ugqirha wakho okanye umongikazi womhlaza unokukuchazela isicwangciso sakho sonyango kunye neziphumo ebezingalindelekanga ezinokwenzeka kuwe. Basenokuphendula nawuphi na umbuzo onokuba nawo. Kubalulekile ukuba ubuze ugqirha wakho kunye/okanye umongikazi womhlaza imibuzo ngayo nantoni na ongayiqondiyo.

Qhagamshelana nathi

Ukulinda iziphumo zakho kunokuba lixesha loxinzelelo olongezelelweyo kunye nexhala kuwe kunye nabo ubathandayo. Kubalulekile ukuphuhlisa uthungelwano oluqinileyo lwenkxaso ngeli xesha. Uyakuwafuna ukuba unonyango nawe. 

I-Lymphoma Australia ingathanda ukuba yinxalenye yenethiwekhi yakho yenkxaso. Ungafowunela okanye uthumele i-imeyile kwiNombolo yoNcedo yoMongikazi e-Lymphoma Australia ngemibuzo yakho kwaye sinokukunceda ufumane ulwazi olululo. Ungajoyina amaphepha ethu eendaba zoluntu ukufumana inkxaso eyongezelelweyo. I-Lymphoma yethu Phantsi Ngaphantsi kwephepha kuFacebook ikwayindawo entle yokunxibelelana nabanye abangqonge iOstreliya naseNew Zealand abaphila ne-lymphoma.

Umnxeba womongikazi weLymphoma:
Ifowuni: 1800 953 081
email: nurse@lymphoma.org.au

Ukhetho lonyango lunokubandakanya nayiphi na kwezi zilandelayo:

Bukela kwaye ulinde (ukubeka iliso okusebenzayo)

Malunga nomntu omnye kwabalishumi abane-CLL/SLL banokungaze bafune unyango. Inokuhlala izinzile kwaye ingabi nazimpawu kwiinyanga okanye iminyaka emininzi. Kodwa abanye benu banokuba nemijikelo emininzi yonyango elandelwa luxolelo. Ukuba ngaba awufuni unyango kwangoko okanye ube nexesha phakathi koxolelo, uya kulawulwa ngewotshi kunye nokulinda (ekwabizwa ngokuba luhlolo olusebenzayo). Kukho unyango olulungileyo lwe-CLL olukhoyo, kwaye ke lunokulawulwa iminyaka emininzi.

Unonophelo oluxhasayo 

Uncedo lwenkxaso luyafumaneka ukuba ujongene nesifo esibi. Inokukunceda ukuba ube neempawu ezimbalwa, kwaye ubengcono ngokukhawuleza.

Iiseli ze-leukemic (iiseli ze-B ezinomhlaza egazini lakho umongo wethambo) zinokukhula ngokungalawulekiyo kwaye zixine umongo wakho wethambo, umsinga wegazi, i-lymph nodes, isibindi okanye udakada. Kuba umongo wethambo ugcwele iiseli ze-CLL / SLL zincinci kakhulu ukuba zisebenze kakuhle, iiseli zakho zegazi eziqhelekileyo ziya kuchaphazeleka. Unyango oluxhasayo lunokuquka izinto ezifana nokuba utofelwe igazi okanye utofelo-gazi lweplatelet, okanye unokufumana amayeza okubulala iintsholongwane ukuthintela okanye ukunyanga usulelo.

Ukhathalelo oluxhasayo lunokubandakanya ukubonisana neqela elikhethekileyo lokhathalelo (njenge-cardiology ukuba unemiba entliziyweni yakho) okanye ukhathalelo lwe-palliative ukulawula iimpawu zakho. Isenokuba neengxoxo malunga nezinto ozikhethayo kwiimfuno zokhathalelo lwempilo kwixesha elizayo. Oku kubizwa ngokuba yi-Advanced Care Planning. 

Ukunyamekela

Kubalulekile ukwazi ukuba iqela le-Palliative Care lingabizwa nangaliphi na ixesha ngexesha lendlela yakho yonyango hayi nje ekupheleni kobomi. Amaqela okhathalelo lwempilo entle ekuxhaseni abantu ngezigqibo ekufuneka bezenzile ukuya esiphelweni sobomi babo. kodwa, abajongi nje abantu abafayo. Baziingcali zokulawula kunzima ukulawula iimpawu nangaliphi na ixesha kulo lonke uhambo lwakho nge-CLL / SLL. Ngoko musa ukoyika ukucela igalelo labo. 

Ukuba wena kunye nogqirha wakho uthatha isigqibo sokusebenzisa ukhathalelo lwenkxaso, okanye uyeke unyango lokunyanga i-lymphoma yakho, zininzi izinto ezinokwenziwa ukukunceda ukuba uhlale usempilweni kwaye ukhululekile kangangoko kunokwenzeka ixesha elithile.

Ikhemotherapy (ikhemo)

Ungawafumana la mayeza njengepilisi kwaye/okanye unikwe njengethontsi (ukufakwa) kumthambo wakho (kwigazi lakho) kwikliniki yomhlaza okanye esibhedlele. Amayeza amaninzi ahlukeneyo e-chemo anokudityaniswa neyeza le-immunotherapy. I-Chemo ibulala iiseli ezikhula ngokukhawuleza ngoko inokuchaphazela ezinye zeeseli zakho ezilungileyo ezikhula ngokukhawuleza ezibangela iziphumo ebezingalindelekanga.

I-Monoclonal Antibody (MAB)

Unokuba ne-MAB yokufakwa kwiklinikhi yomhlaza okanye esibhedlele. Ii-MAB zincamathela kwiseli ye-lymphoma kwaye zitsale ezinye izifo ezilwa neeseli ezimhlophe zegazi kunye neeproteni kumhlaza. Oku kunceda amajoni akho omzimba ukulwa ne-CLL / SLL.

I-Chemo-immunotherapy 

I-Chemotherapy (umzekelo, i-FC) idibene ne-immunotherapy (umzekelo, i-rituximab). Ukuqala kweyeza le-immunotherapy lidla ngokudityaniswa kwisifinyezo serejimeni yechemotherapy, efana neFCR.

Unyango ekujoliswe kulo

Unokuzithatha ezi njengethebhulethi nokuba sekhaya okanye esibhedlele. Unyango olujoliswe kuyo luncamathela kwiseli ye-lymphoma kwaye ibhloko imiqondiso efunekayo ukuze ikhule kwaye ivelise iiseli ezininzi. Oku kunqanda ukukhula komhlaza, kwaye kubangela ukuba iiseli ze-lymphoma zife. Ukuze ufumane inkcazelo engakumbi ngolu nyango, nceda ujonge eyethu Iphepha leenkcukacha zonyango lomlomo.

Ufakelo lwe-Stem-cell (SCT)

Ukuba umncinci kwaye unobundlobongela (ukhula ngokukhawuleza) i-CLL / SLL, i-SCT ingasetyenziswa, kodwa oku kunqabile. Ukuze ufunde ngakumbi malunga nokufakelwa kweeseli ze-stem nceda ujonge i-factsheets Ukutshintshwa kwi-Lymphoma

Ukuqala unyango

Abantu abaninzi abane-CLL/SLL abayi kufuna unyango xa befunyaniswa okokuqala. Kunoko, uya kuhlala ulindile kwaye ulinde. Oku kuqhelekile kubantu abanesifo sesigaba 1 okanye se-2, kunye nabanye abantu abanesifo sesigaba sesi-3.

Ukuba unenqanaba lesi-3 okanye lesi-4 CLL/SLL unokufuna ukuba uqale unyango. Xa uqala unyango okokuqala, lubizwa ngokuba lunyango lodidi lokuqala. Unokuba namayeza angaphezu kwelinye, kwaye anokubandakanya ichemotherapy, i-antibody ye-monoclonal okanye unyango olujoliswe kuyo. 

Xa unalo olu nyango, uya kuba nalo kwimijikelo. Oko kuthetha ukuba uya kuba nonyango, emva koko ikhefu, emva koko omnye umjikelo (umjikelo) wonyango. Kubantu abaninzi abane-CLL/SLL chemoimmunotherapy iyasebenza ekufezekiseni uxolelo (akukho zimpawu zomhlaza).

Ukuguqulwa kofuzo kunye nonyango

Ezinye izinto ezingaqhelekanga zofuzo zinokuthetha ukuba unyango olujoliswe kuyo luya kusebenza kakuhle kuwe, kunye nezinye izinto ezingaqhelekanga zofuzo - okanye i-genetics eqhelekileyo inokuthetha ukuba i-chemoimmunotherapy iya kusebenza kakuhle.

I-IgHV eqhelekileyo (I-IgHV engaguqulwanga) OKANYE 17p ukucinywa OKANYE a ukuguqulwa kofuzo kwi-TP53 yakho 

I-CLL/SLL yakho mhlawumbi akayi kusabela kwi-chemotherapy, kodwa inokusabela kolunye lwezi nyango ekujoliswe kuzo endaweni yoko: 

  • Ibrutinib - unyango olujoliswe kuyo olubizwa ngokuba yi-BTK inhibitor
  • I-Acalabrutinib – unyango olujoliswe kuyo (BTK inhibitor) kunye okanye ngaphandle kwe-antibody monoclonal ebizwa ngokuba yi-obinutuzumab
  • I-Venetoclax kunye ne-Obinutuzumab - i-venetoclax luhlobo lonyango olujoliswe kuyo olubizwa ngokuba yi-BCL-2 inhibitor, i-obinutuzumab yi-monoclonal antibody.
  • Idelalisib kunye ne-rituximab – idelalisib lunyango ekujoliswe kulo olubizwa ngokuba yi-PI3K inhibitor, kwaye i-rituximab yi-monoclonal antibody.
  • Usenokufaneleka ukuthatha inxaxheba kulingo lwezonyango – Buza ugqirha wakho malunga noku

Ulwazi olubalulekileyo -Ibrutinib kunye ne-Acalabrutinib okwangoku zivunyiwe yi-TGA, oku kuthetha ukuba ziyafumaneka e-Australia. Nangona kunjalo, okwangoku azikho i-PBS edweliswe njengonyango lodidi lokuqala kwi-CLL/SLL. Oku kuthetha ukuba babiza imali eninzi ukufikelela. Kunokwenzeka ukuba ufumane ufikelelo kumayeza "kwimihlaba yemfesane", okuthetha ukuba ixabiso liyinxenye okanye ligutyungelwe ngokupheleleyo yinkampani yoxubo mayeza. Ukuba unayo eqhelekileyo (unmutated) IgHV, okanye 17p ukucinywa, cela ugqirha wakho malunga nokufikelela ngovelwano kula mayeza. 

I-Lymphoma Australia ikhuthaza abantu abane-CLL / SLL ngokufaka ukuthunyelwa kwiKomiti yeNgcebiso ye-Pharmaceutical Benefits Advisory Committee (PBAC) yokwandisa uluhlu lwe-PBS kula mayeza kunyango lokuqala; ukwenza la mayeza afikeleleke ngakumbi kubantu abaninzi abane-CLL/SLL.

Unokunceda ekunyuseni ulwazi kwaye ufake eyakho into oyingenise kwi-PBAC kuluhlu lwe-PBS njengonyango lodidi lokuqala ngonyango. nqakraza apha.

Mwafumana i-IgHV, okanye ukwahluka ngaphandle kwezi zingasentla

Unokunikwa unyango oluqhelekileyo lwe-CLL/SLL kuquka ichemotherapy okanye i-chemoimmunotherapy. I-immunotherapy (i-rituximab okanye i-obinutuzumab) iya kusebenza kuphela ukuba iiseli zakho ze-CLL/SLL zinemakishi yomhlaba weseli ebizwa ngokuba CD20 phezu kwabo. Ugqirha wakho angakwazisa ukuba iiseli zakho zine-CD20.

Kukho amayeza ambalwa ahlukeneyo kunye neendibaniselwano ugqirha wakho angakhetha kuzo ukuba unayo I-IgHV itshintshile . Ezi ziquka:

  • Bedamustine & rituximab (BR) – i-bendamustine yi-chemotherapy kunye ne-rituximab yi-antibody ye-monoclonal. Zombini zinikwa njenge-infusion.
  • Fludarabine, cyclophosphamide & rituximab (FC-R). I-Fludarabine kunye ne-cyclophosphamide zi-chemotherapy kwaye i-rituximab yi-antibody ye-monoclonal.   
  • I-Chlorambucil kunye ne-Obinutuzumab – i-chlorambucil yipilisi ye-chemotherapy kunye ne-obinutuzumab yi-antibody ye-monoclonal. Inikwa ikakhulu abantu abadala, ababuthathaka ngakumbi. 
  • I-Chlorambucil - ithebhulethi ye-chemotherapy
  • Usenokufaneleka ukuba uthathe inxaxheba kulingo lwezonyango

Ukuba uyalazi igama lonyango oza kuba nalo, ungalufumana ulwazi oluninzi apha.

Unyango lwesibini lwe-CLL / SLL ephindaphindayo
Unyango lomgca wesibini lunyango olufumana emva kwexesha loxolelo, okanye ukuba i-CLL/SLL yakho ayiphenduli kunyango lodidi lokuqala.

Ukuxolelwa kunye nokuBuyisela kwakhona

Emva konyango uninzi lwenu luya kuxolelwa. Uxolelo lixesha apho ungenazo iimpawu ze-CLL/SLL ezisele emzimbeni wakho, okanye xa i-CLL/SLL iphantsi kolawulo kwaye ayifuni unyango. Uxolelo lunokuhlala iminyaka emininzi, kodwa ekugqibeleni i-CLL idla ngokubuya (iphinde ibuyele kwakhona) kwaye unyango olwahlukileyo luyanikezelwa. 

I-Refractory CLL / SLL

Bambalwa kuni abanokulufumana uxolelo ngonyango lwakho lodidi lokuqala. Ukuba oku kuyenzeka, i-CLL/SLL yakho ibizwa ngokuba “yi-refractory”. Ukuba ngaba une-CLL/SLL ye-refractory ugqirha wakho uya kufuna ukuzama iyeza elahlukileyo.

Unyango onalo ukuba ngaba une-CLL/SLL engafunekiyo okanye emva kokuba ubuyele kwakhona lubizwa ngokuba lunyango lodidi lwesibini. Injongo yonyango lodidi lwesibini kukukufaka eluxolweni kwakhona.

Ukuba unoxolelo olongezelelweyo, emva koko ubuyele kwakhona kwaye ube nonyango olongezelelweyo, olu nyango lulandelayo lubizwa ngokuba lunyango lodidi lwesithathu, unyango lodidi lwesine kunye nokunye.

Unokufuna iintlobo ezininzi zonyango kwi-CLL/SLL yakho. Iingcali zifumanisa unyango olutsha nolusebenzayo ngakumbi olwandisa ubude boxolelo. Ukuba i-CLL/SLL yakho ayiphenduli kakuhle kunyango okanye kukho ukuphindaphinda ngokukhawuleza emva konyango (kwisithuba seenyanga ezintandathu) oku kwaziwa ngokuba yi-CLL/SLL ye-refractory kunye nohlobo olwahlukileyo lonyango luya kufuneka.

Lukhethwa njani unyango lodidi lwesibini

Ngexesha lokuphinda, ukhetho lonyango luya kuxhomekeka kwizinto ezininzi ezibandakanya.

  • Uxolelwe ixesha elingakanani
  • Impilo yakho jikelele kunye nobudala bakho
  • Loluphi unyango lwe-CLL olufumene kwixesha elidlulileyo
  • Ukhetho lwakho.

Lo mzekelo unokuphinda uphindaphinde iminyaka emininzi. Unyango olutsha olujoliswe kuyo luyafumaneka kwisifo esiphinda-phindayo okanye esichasayo kwaye unyango oluqhelekileyo lwe-CLL/SLL ebuyiselweyo lunokubandakanya oku kulandelayo:

Ulwazi oluthe kratya malunga nonyango olujoliswe kuyo lunokufumaneka Apha.

Ukuba usemncinci kwaye ulungile (ngaphandle kokuba ne-CLL/SLL) unganakho ukuba ne Ukutshintshwa kwe-Allogeneic Stem cell.

Kucetyiswa ukuba nangaliphi na ixesha kufuneka uqalise unyango olutsha ubuze ugqirha wakho malunga nolingo lwezonyango onokuthi ulufanelekele. Ulingo lwezonyango lubalulekile ukufumana amayeza amatsha, okanye indibaniselwano yamayeza ukuphucula unyango lwe-CLL/SLL kwixesha elizayo. 

Basenokukunika ithuba lokuzama iyeza elitsha, indibaniselwano yamayeza, okanye olunye unyango ongenakukwazi ukulufumana ngaphandle kolingo. Ukuba unomdla wokuthatha inxaxheba kulingo lwezonyango, buza ugqirha wakho ukuba loluphi ulingo lwezonyango olufanelekileyo. 

Olunye unyango luvavanyelwa i-CLL / SLL

Kukho unyango oluninzi kunye nendibaniselwano zonyango olutsha oluvavanywayo ngoku kulingo lwezonyango kwihlabathi jikelele kwizigulana ezine-CLL esandula ukufunyaniswa kunye ne-CLL ephinde yabuya. Amanye amayeza aphantsi kophando ngala;

Unokufunda eyethu 'Ukuqonda izilingo zeklinikhi' iphepha lenyaniso okanye undwendwele yethu iphepha lewebhu ngolwazi oluthe kratya malunga nolingo lwezonyango

Ukuze uthole ulwazi oluthe xaxa bonani
Unyango
Ukuze uthole ulwazi oluthe xaxa bonani
Iziphumo ebezingalindelekanga zonyango

Iprognosis ye-CLL / SLL - kwaye kwenzeka ntoni xa unyango luphela

Uqikelelo lujonga ukuba siya kuba yintoni isiphumo esilindelekileyo se-CLL/SLL yakho, kwaye yintoni echaphazela unyango lwakho ekunokwenzeka ukuba lube nayo.

I-CLL / SLL ayinyangeki ngonyango lwangoku. Oku kuthetha ukuba xa ufunyanisiwe, uya kuba ne-CLL/SLL ubomi bakho bonke….Kodwa, abantu abaninzi basaphila ubomi obude nobunempilo nge-CLL/SLL. Injongo, okanye injongo yonyango kukugcina i-CLL/SLL ikwinqanaba elilawulekayo kwaye uqinisekise ukuba awunazo iimpawu ezichaphazela umgangatho wobomi bakho. 

Wonke umntu one-CLL / SLL unemingcipheko eyahlukeneyo ebandakanya iminyaka, imbali yonyango kunye nemfuza. Ngoko ke, kunzima kakhulu ukuthetha nge-prognosis ngokubanzi. Kucetyiswa ukuba uthethe nogqirha wakho oyingcali malunga nemiba yakho yomngcipheko, kunye nokuba ezi zinokukuchaphazela njani ukuxilonga kwakho.

Ukusinda – Ukuphila nomhlaza

Indlela yokuphila esempilweni, okanye utshintsho oluthile lwendlela yokuphila entle emva konyango lunokuba luncedo olukhulu ekuchacheni kwakho. Zininzi izinto onokuzenza ukukunceda ukuba uphile kakuhle nge-CLL/SLL. 

Abantu abaninzi bafumanisa ukuba emva kokuxilongwa komhlaza, okanye unyango, ukuba iinjongo zabo kunye nezinto eziphambili ebomini ziyatshintsha. Ukwazi ukuba yintoni 'yesiqhelo sakho esitsha' kunokuthatha ixesha kwaye kuyakukhathaza. Ulindelo losapho lwakho nezihlobo lunokwahluka kolwakho. Unokuziva ulilolo, udiniwe okanye naliphi na inani leemvakalelo ezahlukeneyo ezinokutshintsha suku ngalunye. Ezona njongo ziphambili emva konyango lwe-CLL / SLL yakho kukubuyela ebomini kwaye:

  • khuthala kangangoko unako emsebenzini wakho, kusapho, nakwezinye iindima zobomi
  • ukunciphisa iziphumo ebezingalindelekanga kunye neempawu zomhlaza kunye nonyango lwawo
  • chonga kwaye ulawule naziphi na iziphumo ebezingalindelekanga emva kwexesha
  • kukunceda uhlale uzimele kangangoko
  • phucula umgangatho wobomi bakho kwaye ugcine impilo entle yengqondo
UkuBuyiselwa koMhlaza

Iindidi ezahlukeneyo zokubuyisela umhlaza zingacetyiswa kuwe. Oku kungathetha naluphi na uluhlu olubanzi lweenkonzo ezifana nezi:

  • unyango lomzimba, ulawulo lweentlungu 
  • isicwangciso sesondlo kunye nokuzilolonga 
  • ingcebiso ngokweemvakalelo, umsebenzi kunye nemali 

Sinezinye iingcebiso ezintle kwiinkcukacha zethu ezingezantsi:

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Ukugqiba Unyango

Ukuguqulwa kweLymphoma (utshintsho lukaRichter)

Yintoni inguqu

I-lymphoma eguquliweyo yi-lymphoma eqale yafunyaniswa njenge-indolent (ikhula kancinane) kodwa iguquke yaba sisifo esinamandla (esikhula ngokukhawuleza).

Utshintsho aluqhelekanga, kodwa lunokwenzeka ukuba izakhi zofuzo kwiiseli ze-lymphoma ezingenamsebenzi zonakaliswa ngokuhamba kwexesha. Oku kunokwenzeka ngokwemvelo, okanye ngenxa yonyango oluthile, kubangela ukuba iiseli zikhule ngokukhawuleza. Xa oku kusenzeka kwi-CLL/SLL kuthiwa yi-Richter's Syndrome (RS).

Ukuba oku kuyenzeka i-CLL/SLL yakho inokutshintsha ibe luhlobo lweLymphoma ebizwa ngokuba yi-Diffuse Large B-cell Lymphoma (DLBCL) okanye kunqabile ukuba yi-T-cell Lymphoma.

Ukufumana ulwazi oluthe kratya malunga noTshintsho lweLymphoma nceda ujonge yethu kwiphepha leenyani apha.

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Lymphoma etshintshileyo

Inkxaso kunye nolwazi

Funda ngakumbi malunga novavanyo lwegazi lakho apha - Iimvavanyo zaseLab kwi-intanethi

Funda ngakumbi malunga nonyango lwakho apha - eviQ unyango lwe-anticancer-Lymphoma

Bhalisela incwadana yeendaba

Yabelana Lo
inqwelana

Ileta yeendaba Bhalisa

Qhagamshelana neLymphoma Australia Today!

Nceda uqaphele: Abasebenzi baseLymphoma Australia bayakwazi ukuphendula kuphela ii-imeyile ezithunyelwe ngolwimi lwesiNgesi.

Kubantu abahlala eOstreliya, sinokubonelela ngenkonzo yokuguqulela ngeefowuni. Cela umongikazi wakho okanye isizalwane sakho esithetha isiNgesi asitsalele ukuba silungiselele oku.