Iimpawu ze-lymphoma zihlala zingacacanga, kwaye zifana neempawu zezinye izifo ezinjengosulelo, ukunqongophala kwentsimbi kunye nezifo ezizimelayo. Zisenokufana neziphumo ebezingalindelekanga ezivela kwamanye amayeza. Oku kwenza ukuxilonga i-lymphoma kube nzima ngamanye amaxesha, ngakumbi kwi-lymphomas engapheliyo ehlala ingakhuli ngokukhawuleza.
Ukongeza, kukho malunga nama-80 ee-subtypes ezahlukeneyo ze-lymphoma ezibandakanya i-Chronic Lymphocytic Leukemia (CLL) kwaye iimpawu zinokwahluka phakathi kwee-subtypes.
Kuqhelekile ukuba iimpawu zihambelane nenye into ngaphandle kwe-lymphoma. Nangona kunjalo, ngabantu abamalunga nama-7400 e-Australia abafunyaniswa bene-lymphoma okanye i-CLL ngonyaka ngamnye, kufanelekile ukuba uyazi. Ukuba iimpawu zakho ziphucula emva kweeveki ezimbalwa, akunakwenzeka ukuba i-lymphoma. Nge-lymphoma, iimpawu zihlala ziqhubeka kwiiveki ezimbini ezidlulileyo kwaye zinokuba zibi nakakhulu.
Umzekelo woku kukudumba kwe-lymph node (okanye indlala) ethi idumbe. Olu luphawu oluxhaphake kakhulu olunokuthi lwenzeke kwiintlobo ezahlukeneyo zosulelo, ngamanye amaxesha nangaphambi kokuba sazi ukuba sinosulelo. Kule meko, i-lymph node ihlala ibuyela kubukhulu obuqhelekileyo kwiiveki ezimbini okanye ezintathu. Nangona kunjalo, ukuba une-lymph node ehlala inkulu kunesiqhelo, okanye iqhubeleka ukuba nkulu kuyanceda ukubuza "Ingaba le lymphoma?".
ukuqonda yintoni i-lymphoma, kwaye zeziphi iimpawu ezinokukunceda ekulungiseleleni ukubuza imibuzo efanelekileyo xa uya kugqirha wakho njenge:
- Ngaba le nto ingaba yi-lymphoma?
- Ndingayifumana i-ultrasound okanye i-CT scan ukuyijonga?
- Ndingayifumana i-biopsy?
- Ndingalufumana phi uluvo lwesibini?
Iimpawu eziqhelekileyo ze-lymphoma
I-lymphomas engapheliyo ikhula ngokukhawuleza kwaye inokukhula kwiinyanga ezininzi ukuya kwiminyaka ngaphambi kokubonisa naziphi na iimpawu. Kungaba lula ukuphosakela iimpawu okanye ukuzichaza kwezinye izizathu xa i-lymphoma yakho ingenasiphelo.
Abanye abantu basenokungabinazo naziphi na iimpawu, kwaye bafunyanwe ngempazamo xa beskena enye imeko yezempilo.
Ukuba une-lymphoma enobudlova (ekhula ngokukhawuleza), uya kuqaphela iimpawu zakho njengoko zikhula ngexesha elifutshane, njengeentsuku ukuya kwiiveki.
Ngenxa yokuba i-lymphoma inokukhula kuyo nayiphi na indawo yomzimba wakho, kukho iimpawu ezininzi ezahlukeneyo onokuzifumana. Uninzi luya kuhambelana nenxalenye yomzimba wakho ochaphazelekayo yi-lymphoma, kodwa ezinye zinokukuchaphazela ngokubanzi.
I-lymph node ezidumbileyo
Ukudumba kwe-lymph nodes luphawu oluqhelekileyo lwe-lymphoma. Kodwa zikwaluphawu lwezinye izifo ezinje ngosulelo lwebhaktiriya okanye lwentsholongwane.
Ukudumba kwee-lymph nodes ezibangelwa lusulelo zikholisa ukuba buhlungu kwaye ziphele kwiiveki ezimbini ukuya kwezintathu. Ngamanye amaxesha xa unentsholongwane inokuhlala ixesha elide kuneveki ezimbalwa.
Ii-lymph glands ezidumbileyo ezibangelwa yi-lymphoma zidla ngokufumaneka entanyeni, kwi-groin kunye ne-armpit. Nangona kunjalo lymph nodes kuwo wonke umzimba wethu ngoko banokudumba naphi na. Sidla ngokuqaphela ezo zisezintanyeni, emakhwapheni okanye emanqeni kuba zikufutshane eluswini lwethu.
Malunga ne-lymph nodes
Ii-lymph nodes zihlala zigudile, zijikeleze, zihamba (hamba xa uchukumisa okanye ucinezele kuzo) kwaye ube ne-rubber texture. Iilymph nodes ezidumbileyo kwi-lymphoma azihambi emva kweeveki ezimbalwa kwaye zinokuqhubeka ziba nkulu. Oku kungenxa yokuba iiseli ze-lymphoma ezinomhlaza ziyaqokelelana kwaye zakhe kwii-lymph nodes.
Kwezinye iimeko, i-lymph evuvukileyo inokubangela intlungu, kodwa kaninzi akukho ntlungu. Oku kuya kuxhomekeka kwindawo kunye nobukhulu be-lymph nodes zakho ezidumbileyo.
Kubalulekile ukuqaphela, ukuba kwezinye ii-subtypes ze-lymphoma, awukwazi ukubona nayiphi na i-lymph nodes edumbileyo.
Akukho mntu uthanda iqhuma
Ukukhathala
Ukudinwa okunxulumene ne-lymphoma kuhluke ngokudinwa rhoqo. Kukudinwa okugqithisileyo ngaphandle kwesizathu esicacileyo. Ayikhululekanga kukuphumla okanye ukulala, kwaye ihlala ichaphazela imisebenzi elula efana nokunxiba.
Unobangela wokudinwa akwaziwa, kodwa kusenokwenzeka ukuba kungenxa yeeseli zomhlaza zisebenzisa amandla ethu ukukhula nokwahlulahlula. Ukudinwa kunokubangelwa zezinye izizathu ezifana noxinzelelo kunye nezinye izigulo.
Ukuba kubonakala ngathi akukho sizathu sokudinwa kwakho, yiya kugqirha wakho akuxilonge.
Ukulahleka kwesisindo esingachazwanga
Ukulahleka kwesisindo esingenakuchazwa kuxa ulahlekelwa ubunzima ngexesha elifutshane ngaphandle kokuzama. Ukuba ulahlekelwa ngakumbi ukuba I-5% yobunzima bomzimba wakho kwiinyanga ezi-6 Kufuneka ubone ugqirha wakho ukuba ahlolwe, njengoko oku kunokuba luphawu lwe-lymphoma.
Ukuncipha komzimba kwenzeka ngenxa yokuba iiseli ezinomhlaza zisebenzisa izixhobo zakho zamandla. Umzimba wakho ukwasebenzisa amandla awongezelelweyo ukuzama ukukhupha iseli yomhlaza.
Imizekelo ye-5% yokulahlekelwa kwesisindo
Ukuba ubunzima bakho obuqhelekileyo bu: | I-5% yokunciphisa umzimba iya kuba: |
50 kg | 2.5 kg - (ubunzima ukuya kuma-47.5 kg) |
60 kg | 3 kg - (ubunzima ukuya kuma-57 kg) |
75 kg | 3.75 kg - (ubunzima ukuya kuma-71.25 kg) |
90 kg | 4.5 kg - (ubunzima ukuya kuma-85.5 kg) |
110 kg | 5.5 kg - (ubunzima ukuya kwi-104.5 kg) |
Ukukhupha ebusuku
Ukubila ebusuku kwahlukile nokubila ngenxa yemozulu eshushu okanye impahla eshushu kunye neebhedi. Kuyinto eqhelekileyo ukubila ebusuku ukuba igumbi lakho okanye indawo yokulala ikwenza ube shushu kakhulu, kodwa ukubila ebusuku kunokwenzeka nokuba imozulu injani, kwaye kubangele iimpahla zakho kunye neebhedi zimanzi.
Ukuba unokubila ebusuku ngenxa ye-lymphoma, unokufuna ukutshintsha iimpahla zakho okanye ukulala ebusuku.
Oogqirha abazi kakuhle ukuba yintoni ebangela ukubila ebusuku. Ezinye iingcamango malunga nokuba kutheni ukubila ebusuku kunokuthi kwenzeke ziquka:
Iiseli zeLymphoma zinokwenza kwaye zithumele iikhemikhali ezahlukeneyo emzimbeni wakho. Ezi khemikhali zinokuchaphazela indlela umzimba wakho olawula ngayo ubushushu bakho.
Xa i-lymphoma ikhula ngokukhawuleza, inokusebenzisa ezininzi zokugcina amandla akho. Oku kusetyenziswa kongeziweyo kwamandla kunokubangela ukuba ubushushu bomzimba wakho bunyuke ngokugqithisileyo.
Iifiva ezizingisayo ezingachazwanga
Umkhuhlane kukunyuka kobushushu bomzimba wakho ngaphezu komgangatho oqhelekileyo. Ubushushu bomzimba wethu obuqhelekileyo buphakathi kwama-36.1 - 37.2 degrees celcius.
Akuqhelekanga ukuba namaqondo obushushu aqhelekileyo angama-37.5 degrees okanye ngaphezulu. Imikhuhlane ngenxa ye-lymphoma inokuza kwaye ihambe ngaphezu kweentsuku ezininzi okanye iiveki ngaphandle kwesizathu esithile, esinjengosulelo.
I-Lymphoma ibangela umkhuhlane ngenxa yokuba iiseli ze-lymphoma zivelisa iikhemikhali ezitshintsha indlela umzimba wakho olawula ngayo ukushisa kwakho. Le fiva idla ngokuba buthathaka kwaye inokuza iphinde ihambe.
Qhagamshelana nogqirha wakho ukuze ubazise ukuba ufumana amaqondo obushushu aqhelekileyo ngolu hlobo.
Ubunzima bokufumana usulelo
I-Lymphocytes ziiseli ezimhlophe zegazi ezixhasa amajoni akho omzimba ngokulwa nosulelo kunye nezifo, kunye nokunceda ukutshabalalisa nokususa iiseli ezonakeleyo. Kwi-lymphoma, i-lymphocytes iba ziiseli ze-lymphoma ezinomhlaza kwaye azikwazi ukwenza umsebenzi wazo ngokufanelekileyo. Oku kukwenza ukuba ufumane usulelo kwaye usulelo lwakho lunokuhlala ixesha elide.
Umzimba orhawuzelelwa
Abantu abaninzi abane-lymphoma banokulunywa ulusu. Oku kuhlala kungqonge indawo enye apho ii-lymph nodes zakho zidumbile okanye, ukuba une-subtype ye-cutaneous (skin) lymphoma, unokurhawuzelelwa naphi na apho uchatshazelwa yi-lymphoma. Kwezinye iimeko, unokuziva urhawuzelelwa wonke umzimba wakho.
Kucingelwa ukuba ukurhawuzelelwa kungenxa yeekhemikhali ezikhutshwa yi-immune system, njengoko izama ukulwa neeseli ze-lymphoma. Ezi khemikhali zinokucaphukisa imithambo-luvo esikhumbeni sakho kwaye zenze ukuba zirhawuzele.
B-impawu?
B-Iimpawu
Iimpawu ze-B ziimpawu oogqirha abazibiza ngokuba ziimpawu ezithile. Ezi mpawu zihlala kuthethwa ngazo xa i-lymphoma isenziwa. Inqanaba lithuba phambi kokuba unyango luqale apho kwenziwa iskeni kunye novavanyo ukuze kubonwe ukuba iphi na i-lymphoma emzimbeni wakho. Iimpawu ezibizwa ngokuba ziimpawu ze-B ziquka:
- Ukukhupha ebusuku
- Iifiva ezizingileyo
- Ukulahleka kwesisindo esingachazwanga
Oogqirha baya kuqwalasela ezi mpawu xa becwangcisa unyango lwakho.
Ngamanye amaxesha unokubona ileta eyongezelelweyo yongezwe kwi uqeqesho kwi-lymphoma yakho. Umzekelo:
Inqanaba 2a = I-lymphoma yakho ingaphezulu okanye ingaphantsi kweyakho isaci ichaphazela ngaphezu kweqela elinye le-lymph nodes - Kwaye awunazo iimpawu ze-B okanye;
Inqanaba le-2b = I-lymphoma yakho ingaphezulu okanye ingaphantsi kwe-diaphragm yakho echaphazela ngaphezu kweqela elinye le-lymph nodes - Kwaye uneempawu ze-B.
Ingaba indawo ye-lymphoma ichaphazela njani iimpawu zakho?
Iintlobo ezahlukeneyo ze-lymphoma zizibonakalisa ngokwahlukileyo. Iimpawu zakho zinokuthi zithe ngqo kwindawo ye-lymphoma, kodwa zifana kakhulu neempawu kwezinye izifo okanye izifo. Itheyibhile engezantsi ichaza ezinye zeempawu onokuzifumana, ngokusekelwe kwindawo ye-lymphoma yakho.
Indawo ye-lymphoma | Iimpawu eziqhelekileyo |
Isisu okanye isisu |
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Imiba | Amaxesha amaninzi awuzukuba neempawu okanye iimpawu ezimbalwa kodwa unokuba nokhohlokhohlo, ukuphelelwa ngumphefumlo, ukukhohlela igazi okanye iintlungu esifubeni. |
Izibilini ze-salivary |
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ulusu | Utshintsho lwesikhumba lunokuphuhla kwindawo enye, okanye kwiindawo ezininzi ezijikeleze umzimba wakho. Olu tshintsho lwenzeka ixesha elide, ngoko ke lusenokungabonakali kakhulu.
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Idlala lengqula | Unokuqaphela iqhuma (i-lymph node edumbileyo) phambi kwentamo yakho okanye ube nelizwi elirhabaxa. Unokufumana kwakhona ukuphefumula okufutshane kwaye ube nengxaki yokuginya (dysphagia). Ukuba i-thyroid gland yakho ayisebenzi kakuhle, unoku:
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Ummongo wethambo | Iiseli zegazi zenziwa kumongo wakho wethambo ngaphambi kokuba udlulele kumjelo wegazi lakho. Ezinye iiseli zegazi ezimhlophe ezifana ne-lymphocytes zenziwe kumongo wakho wethambo, kodwa emva koko ungene kwinkqubo yakho ye-lymphatic. Ukuba umongo wakho wethambo uchaphazeleka yi-lymphoma, uya kuba nokwakhiwa kweeseli ze-lymphoma ezinomhlaza kumathambo akho. Oku kuthetha ukuba kukho indawo encinci yokuba ezinye iiseli zegazi zenziwe. Iimpawu ze-lymphoma kumathambo akho angabandakanya: Intlungu Yamathambo – njengoko ithambo kunye nomongo wethambo udumba ngenxa yokwanda kweeseli ezinomhlaza eziqokelelana apho. Igazi eliphantsi libala
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Ipere | Igazi eliphantsi libala
Iiprotheyini ezingaqhelekanga Ezi proteni ziyadibana xa ugodola, zikhokelela ku:
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Inkqubo yeNervous esembindini-kuquka ingqondo yakho kunye nentambo yomgogodla |
Iimpawu ezingacacanga kakhulu zinokuquka:
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Amehlo |
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Ndingenza ntoni ukuba ndineempawu ze-lymphoma?
Kubalulekile ukuqonda ukuba zonke ezi mpawu zingasentla zinokubangelwa zezinye iimeko ezininzi ezingaphantsi kobunzima. Nangona kunjalo, ukuba unayo nayiphi na inkxalabo, okanye ukuba yakho iimpawu Ihlala ixesha elide kuneveki ezimbalwa, qhagamshelana nogqirha wakho okanye ingcali. Ukongeza, ukuba ufumana B-impawu, kufuneka uqhagamshelane nogqirha wakho ukuze ubazise.
Ugqirha wakho uya kukwenza uvavanyo lomzimba kwaye akubuze ngeempawu zakho kunye nenye imbali yezempilo, ukugqiba ukuba ngaba uvavanyo olongezelelweyo olufana ne-ultrasound, i-CT scan okanye i-ultrasound luyafuneka.