Igazi lethu lenziwe lulwelo olubizwa ngokuba yiplasma, iiseli ezibomvu zegazi, iiseli ezimhlophe zegazi kunye neeplatelet. Iiseli zethu ezimhlophe zegazi ziyinxalenye yamajoni ethu omzimba kwaye zilwa nosulelo kunye nezifo.
Sineentlobo ezahlukeneyo zeeseli ezimhlophe zegazi, nganye inoxanduva lokulwa neentlobo ezahlukeneyo zosulelo. Iineutrophils ziiseli ezimhlophe zegazi esinazo uninzi lwazo. Ngabokuqala ukuqaphela nokulwa usulelo.
I-Neutropenia ligama lezonyango elisetyenziswa xa ungenayo i-neutrophils eyaneleyo - ikubeka emngciphekweni wokosuleleka.
Yintoni ekufuneka uyazi malunga neutrophils
Iineutrophils zenza uninzi lweeseli zethu ezimhlophe zegazi. Ngaphezulu kancinane kwesiqingatha sazo zonke iiseli zethu ezimhlophe zegazi ziineutrophils.
Iineutrophils zenziwe kumongo wethu wamathambo - indawo ephakathi emathanjeni ethu. Bachitha malunga neentsuku ezili-14 kumongo wethu ngaphambi kokuba bakhululwe kwigazi lethu.
Basenokuphuma egazini ukuba bafuna ukulwa nosulelo kwindawo eyahlukileyo yomzimba wethu.
Iineutrophils ziiseli zokuqala eziqaphelayo kwaye zilwe neentsholongwane, usulelo kunye nezifo.
Iintsholongwane, usulelo kunye nezifo Amagciwane. Ii-pathogens yiyo nantoni na engeyonxalenye yethu, enokuthi isenze sigule. Intsholongwane isenokuba yenye yeeseli zethu eziye zakhula ngendlela eyingozi kuthi, njengeseli ethe yaba ngumhlaza.
Amanqanaba e-neutrophil egazini lethu anokutshintsha (utshintsho) yonke imini njengoko amatsha enziwa kwaye abanye bayafa.
Umzimba wethu wenza malunga ne-100 lamawaka ezigidi zeeneutrophils yonke imihla! (Oko malunga nesigidi esi-1 rhoqo ngesekhondi). Kodwa nganye nganye iphila kuphela iiyure ezisi-8 ukuya kwezili-10 emva kokuba ingene kumsinga wethu wegazi. Abanye basenokuphila kude kube lusuku.
Ngokungafaniyo nezinye iiseli ezimhlophe zegazi ezilwa nee-pathogens ezithile, i-neutrophils ayithethi ngokuthe ngqo. Oku kuthetha ukuba banokulwa nayiphi na i-pathogen. Nangona kunjalo, ngokwabo abanako ukuhlala beyiphelisa i-pathogen.
I-neutrophils ivelisa iikhemikhali ezibizwa ngokuba ziicytokines xa zilwa neentsholongwane. Ezi cytokines zithumela imiyalezo kwezinye iiseli ezimhlophe zegazi, ukuze zazi ukuba kukho i-pathogen efuna ukupheliswa. Iiseli zegazi ezimhlophe ezikhethekileyo ezenzelwe ukulwa naloo pathogen ethile emva koko iqala ukusebenza kwaye iyisuse.
Imizimba yethu idibana neentsholongwane ngalo lonke ixesha! Iineutrophils zethu zisizathu sokuba singaguli ngalo lonke ixesha.
Iineutrophils zethu vula inkqubo yethu yomzimba yokuzikhusela ukuphelisa i-pathogen, rhoqo nangaphambi kokuba bafumane ithuba lokusigulisa.
Eli phepha ligxile kwi-neutropenia - amanqanaba aphantsi e-neutrophils. Nangona kunjalo, ngamanye amaxesha unokuba namanqanaba aphezulu e-neutrophil onokuthi ube nemibuzo ngawo. I-neutrophils ephezulu inokubangelwa:
- steroids (ezifana nedexamethasone okanye iprednisolone)
- iyeza lokukhula (elifana neGCSF, filgrastim, pegfilgrastim)
- usulelo
- ukukrala
- izifo ezifana ne-leukemia.
Inqanaba lakho lesiqhelo le-neutrophils lixhomekeke kwizinto ezininzi. Oku kunokubandakanya:
- iminyaka yakho (iintsana, abantwana, abafikisayo, abantu abadala kunye nabantu abadala baya kuba namanqanaba "aqhelekileyo" ahlukeneyo).
- Unyango onalo – amanye amayeza aya kubangela amanqanaba aphezulu, kwaye amanye anokubangela amanqanaba asezantsi.
- nokuba ulwa nosulelo okanye ukudumba.
- izixhobo ezisetyenziswa kwi-pathology kunye neendlela zokunika ingxelo.
Yunelungelo lokucela ikopi eprintiweyo yeziphumo zegazi lakho. Kwiimeko ezininzi, ingxelo iya kubonisa inqanaba lakho le-neutrophils kwaye emva koko kwizibiyeli (….) bonisa uluhlu oluqhelekileyo. Oku kuya kukunceda ukuba ubone ukuba iziphumo zakho ziqhelekile okanye hayi. Nangona kunjalo, uya kufuna ugqirha wakho ukuba akucacisele ezi zinto, kuba ingxelo ye-pathologist ayizazi iimeko zakho. Ugqirha wakho uya kuba nakho ukukwazisa ukuba amanqanaba aqhelekileyo kwimeko yakho.
Unokuqaphela ukuba umphumo awubonakali kwimida eqhelekileyo. Oku kunokubangela ukuxhalaba kunye nexhala - kwaye emva koko ubhideke xa ugqirha wakho engabonakali exhalabile. Kubalulekile ukukhumbula ukuba uvavanyo lwegazi lakho liqhekeza elinye lephazili enkulu kakhulu enguWE. Ugqirha wakho uya kujonga iimvavanyo zakho zegazi kunye nalo lonke olunye ulwazi abanalo ngawe, ngaphambi kokuba enze izigqibo malunga nokuba uvavanyo lwegazi luyinto yokukhathazeka ngayo.
Cela ugqirha wakho ukuba akuchazele iziphumo zakho, ngokusekelwe kwiimeko zakho zonyango.
Yintoni ekufuneka uyazi ngeNeutropenia
I-Neutropenia sisiphumo esixhaphake kakhulu sonyango lwe-lymphoma. Unyango oluninzi lusebenza ngokuhlasela iiseli ezikhula ngokukhawuleza. Khumbula ukuba sitshilo ngasentla, umzimba wethu wenza ii-neutrophils ezibhiliyoni ezili-100 yonke imihla? Oku kuthetha ukuba banokujoliswa kunyango olulwa ne-lymphoma.
I-Neutropenia kuxa amanqanaba akho e-neutrophils ephantsi kakhulu. Ukuba une-neutropenia, unayo i-neutropenic. Ukuba neutropenic kukubeka kumngcipheko owongezelelweyo wosulelo.
Ukuba yi-neutropenic ayikokubeka ubomi esichengeni. Nangona kunjalo, ukuba ufumana usulelo ngelixa i-neutropenic, olu sulelo lunokubeka ubomi esichengeni ngokukhawuleza. Kufuneka ufumane inkxaso yezonyango ngokukhawuleza. Ulwazi oluninzi malunga noku luphantsi kwephepha phantsi kwe-Febrile Neutropenia.
Unokwenzeka ukuba ube neutropenic kwiintsuku ezi-7-14 emva kokuba ube nechemotherapy. Nangona kunjalo, i-neutropenia ingenzeka nanini na ngexesha lonyango lwakho lwe-lymphoma. Ukuba iineutrophils zakho ziphantsi kakhulu, kungafuneka ukuba ulibazise unyango lwakho olulandelayo de zifike kwinqanaba elikhuselekileyo. Xa ufumana unyango lwe-lymphoma, inqanaba elikhuselekileyo lonyango lisenokuba linqanaba elingaphantsi kunomgangatho oqhelekileyo.
I-Neutropenia inokuba yi-side-effect yezinye ii-monoclonal antibodies ezifana ne-rituximab kunye ne-obinutuzumab. Iziphumo ebezingalindelekanga zinokwenzeka emva kweenyanga okanye iminyaka emva kokuba ugqibile unyango.
Ukuba unyango lwakho lunokwenza ukuba ube ne-neutropenic, i-hematologist yakho okanye i-oncologist inokukuqalisa ngeyeza elithile leprophylactic. Iprophylactic ithetha ukuthintela. Ezi zinikwa nokuba awunalo usulelo, ukuzama ukunqanda ukuba ugule kamva.
Ezinye iintlobo zamayeza onokuthi uqalise ngawo ziquka:
- Iyeza elichasayo lokungunda njenge-fluconazole okanye i-posaconazole. Ezi kuthintela okanye ukunyanga usulelo lomngundo ezifana thrush, ukuba unako ukungena emlonyeni wakho okanye amalungu esini.
- Iyeza elichasayo njenge-valacyclovir. Oku kunqanda ukuvutha okanye ukunyanga izifo zentsholongwane ezifana ne-herpes simplex virus (HSV), ebangela izilonda ezibandayo emlonyeni wakho okanye izilonda kumalungu akho angasese.
- Iyeza elichasayo njenge-trimethoprim. Oku kuthintela usulelo oluthile lwebhaktiriya njengenyumoniya yebhaktiriya.
- Izinto zokukhula ukonyusa iiseli zakho zegazi ezimhlophe ezinje ngeGCSF, pegfilgrastim okanye ifilgrastim ukunceda iiseli zakho ezimhlophe zegazi ukuba zibuyele ngokukhawuleza emva kwechemotherapy.
Mna iimeko ezininzi i-neutropenia ayinakuthintelwa ngexesha lonyango. Nangona kunjalo, kukho izinto onokuzenza ukunciphisa impembelelo enayo kuwe.
- Thatha amayeza akho eprophylactic (othintelo) ngendlela ugqirha wakho akuyalela ngayo.
- Umgama ngokwentlalo. Gcina i-1 -1.5 yeemitha phakathi kwakho nabanye abantu xa ungaphandle esidlangalaleni. Nxiba imaski ukuba awukwazi ukude ngokwasentlalweni.
- Gcina i-sanitiser yesandla ebhegini okanye emotweni yakho, okanye uhlambe izandla zakho ngesepha namanzi. Coca izandla phambi nasemva kokutya, okanye ukubamba nantoni na emdaka okanye esetyenziswa ngabantu abaninzi - njengeetroli zokuthenga, izibane zokukhanyisa nezibambo zomnyango nasemva kokuya kwindlu yangasese okanye ukutshintsha inapkeni.
- Sebenzisa isithambiso esilungileyo kwizandla ezomileyo kunye nolusu ukuthintela iintanda ezinokuvumela iintsholongwane zingene emzimbeni wakho.
- Ukuba uya kuthenga, yiya ngexesha elizolileyo lemini xa kukho abantu abancinci.
- Baphephe abantu xa besandula kufumana isitofu sokugonya esiphilayo - njengamachiza amaninzi okugonya abantwana kunye nogonyo lweshingles.
- Xelela abahlobo kunye nosapho ukuba bangandwendweli ukuba banazo naziphi na iimpawu zokugula ezinje ngempumlo evuzayo, ukhohlokhohlo, umkhuhlane, irhashalala okanye uziva ungaphilanga kwaye udiniwe. Cela iindwendwe ukuba zihlambe izandla zazo xa zifika.
- Ziphephe iitreyi zenkunkuma okanye inkunkuma. Hlamba okanye ucoce izandla zakho emva kokubamba izilwanyana.
- Bamba nakuphi na ukusikeka ngaphantsi kwamanzi abalekayo imizuzwana engama-30-60 ukususa naziphi na iintsholongwane, sebenzisa isibulala-ntsholongwane xa sele ucocekile kwaye womile, kwaye ufake ibhendi yokuncedisa okanye enye into yokunxiba engcolileyo phezu kwesisikiweyo de uphole.
- Ukuba unomgca osembindini njenge-PICC, i-port eFakelweyo okanye i-HICKMANS qinisekisa ukuba nayiphi na i-dressing igcinwa icocekile kwaye yomile, kwaye ungaphakamisi esikhumbeni sakho. Xela naziphi na iintlungu okanye ukukhutshwa kumongikazi wakho ngoko nangoko. Ukuba isinxibo sakho ngaphaya komgca osembindini siba mdaka, okanye akunamatheli eluswini lwakho, xela kumongikazi wakho ngoko nangoko.
- Yitya ukutya okunempilo okuneprotheyini eninzi. Umzimba wakho udinga amandla angaphezulu ukuze ubuyisele iiseli ezisempilweni eziquka iineutrophils, ezonakaliswe okanye zitshatyalaliswe lunyango lwakho. Iprotheyini iyafuneka ukwenza ezi seli.
- Hlamba iziqhamo nemifuno phambi kokuba utye okanye upheke. Yitya kuphela ukutya okusanda kulungiswa okanye oko kukhenkcezisiweyo kanye emva kokupheka. Phinda utshise ukuze ukutya kushushu yonke indlela. Ziphephe ii-buffets kunye nayo yonke into onokuthi uyitye kwindawo zokutyela.
- Yitya ukutya okunethuba eliphantsi lokubangela usulelo – Jonga itheyibhile engezantsi.
Ukutya kweNeutropenic | |
Yitya | VUYA |
Ubisi lwePasteurized Pasteurized iyogathi Iitshizi ezinzima I-ayisikrimu enzima jeli Isonka esitsha (akukho masuntswana anongunda) Cereal Amazimba chips I-Pasta ephekiweyo Amaqanda - aphekwe Inyama - iphekwe ukuba yenziwe kakuhle Inyama yetoti amanzi Ikofu ekhawulezileyo okanye ephekiweyo kunye neti Iziqhamo nemifuno esandul' ukuhlanjwa. | Ubisi olungatyiwayo kunye neyogathi Iitshizi ezithambileyo kunye netshizi ezinomngundo (ezifana nebrie, feta, cottage, itshizi eluhlaza, icammbert) I-ayisikrimu ethambileyo Amaqanda abalekayo Iqanda leqanda okanye i-smoothies enamaqanda akrwada Inyama engaphekwanga - Inyama enegazi okanye iinxalenye eziluhlaza Inyama ebandayo Ukutya okutshaywayo Sushi Intlanzi eluhlaza yesilwanyana saselwandle esineqokobhe Iziqhamo ezomileyo IiBuffets kunye nemivalo yesaladi Iisaladi azizange zenziwe ngokutsha Indawo eseleyo I-Apple cider Iiprobiotics kunye neenkcubeko eziphilayo. |
Ukuphathwa kokutya
- Hlala uhlamba izandla kakuhle phambi kokuba utye.
- Hlala uhlamba izandla phambi nasemva kokulungisa ukutya.
- Ngalo lonke ixesha sebenzisa iibhodi zokunqunqa ezahlukeneyo zenyama, inkukhu kunye nentlanzi.
- Gcina inyama ekrwada, ukutya kwaselwandle, kunye namaqanda kude nokulungele ukutyiwa. Yiphephe inyama ekrwada nengavuthwanga ngokwaneleyo okanye inkukhu. Musa ukutya ukutya okuneqanda elikrwada. Musa ukutya inyama etshayiweyo okanye intlanzi.
- Lahla izipontshi kwaye uhlambe iitawuli zokutya rhoqo.
- Kupheke ngokucokisekileyo ukutya kumaqondo obushushu afanelekileyo.
- Gquba uze ufake efrijini okushiyekileyo okanye umkhenkce kwiyure enye yokulungiselela ukunciphisa ukukhula kweebhaktheriya.
- Qinisekisa ukuba ubusi kunye nobisi zifakwe kwi-pasteurised. Ziphephe iitshizi ezivuthwe ngumngundo, itshizi eziluhlaza kunye neetshizi ezithambileyo.
- Musa ukutya ukutya okugqithileyo kwimihla yokuphelelwa.
- Musa ukuthenga okanye ukusebenzisa ukutya kwiitoti ezibotshiweyo okanye ezonakeleyo.
- Kuphephe ukutya kwi-deli-counters.
Usulelo kunye neutropenia
Usulelo lungaqala naphi na emzimbeni wakho xa uneutropenic. Olona sulelo luxhaphakileyo onokulufumana lubandakanya usulelo kwindawo yakho:
- iindlela zomoya-ezifana ne-infuenza (Flu), imikhuhlane, inyumoniya kunye ne-COVID
- inkqubo yokwetyisa - njengetyhefu ekutyeni, okanye ezinye iintsholongwane ezinokubangela urhudo okanye ukugabha
- Usulelo lwesinyi okanye umchamo
- imigca esembindini okanye amanye amanxeba.
Ukuba neutropenic kuthetha ukuba umzimba wakho awukwazi ukulwa usulelo njengoko uqhele ukwenza. Uninzi lweempawu esizifumanayo xa sinosulelo luvela kwimpendulo yamajoni omzimba kusulelo kunosulelo ngokwalo. Usenokungafumani zonke iimpawu ezifanayo zosulelo njengoko ubuya kwenza ngesiqhelo.
Iimpawu eziqhelekileyo zosulelo
Ukuphendula okuqhelekileyo komzimba kwintsholongwane kukhupha ii-cytokines kunye nezinye iikhemikhali kwiiseli zethu zokuzivikela kunye neentsholongwane ezitshabalalisayo. Le nkqubo, kunye nokususwa kweeseli ezitshatyalalisiwe yintoni ebangela ezininzi iimpawu zethu. Iimpawu eziqhelekileyo zale nkqubo ziquka:
- ububomvu kunye nokudumba.
- ububovu – ubhobhozo olutyheli okanye olumhlophe.
- intlungu.
- umkhuhlane (ubushushu obuphezulu) - Ubushushu obuqhelekileyo bungama-36 degrees ukuya kuma-37.2 degrees. Okunye ukuguquguquka kuqhelekile. Kodwa ukuba ubushushu bakho bunjalo 38 degrees okanye ngaphezulu, yazisa ugqirha wakho okanye umongikazi ngoko nangoko.
- umkhuhlane ophantsi ongaphantsi kwama-35.5 degrees ingabonisa kwakhona usulelo.
- ivumba elibi.
I-neutropenia yomkhuhlane
I-Febrile neutropenia ehambelana nosulelo yi- Unyango olungxamisekileyo. I-Febrile neutropenia ithetha ukuba une-neutropenic, kwaye unobushushu obungaphezulu kwama-38 degrees. Nangona kunjalo, ukuba neqondo lobushushu elingaphantsi kwe-35.5 degrees kungabonakalisa usulelo kwaye kunokubeka ubomi esichengeni.
Yazisa umongikazi okanye ugqirha wakho ukuba uneqondo lobushushu le-38 degrees okanye ngaphezulu, okanye ukuba ubushushu bakho bungaphantsi kwama-36 degrees.
Nangona kunjalo, ayizizo zonke iimeko ze-febrile neutropenia ezibangelwa zizifo. Kwezinye iimeko, unokuba nomkhuhlane ngaphezu kwama-38 degrees, nokuba awunalo usulelo. Ukuba oku kuyenzeka ngelixa u-neutropenic, iya kuphathwa ngokungathi unosulelo de usulelo lukhutshwe. Amanye amayeza afana ne-chemotherapy cytarabine anokubangela ukunyuka kobushushu bakho, ngaphandle kosulelo.
Nini ukuya kwigumbi likaxakeka
Njengoko kukhankanyiwe ngasentla, i-febrile neutropenia yimeko kaxakeka yonyango. Ungalibazisi ukufowunela i-ambulensi okanye ufumane umntu akuqhubele kwigumbi likaxakeka kwisibhedlele esikufutshane nawe ukuba uye wafumana unyango lwe-lymphoma kwaye unazo naziphi na kwezi mpawu zilandelayo:
- umkhuhlane we 38 degrees okanye ngaphezulu – nokuba yehlile oko ugqibele ukuyijonga
- ubushushu bakho bu ngaphantsi kwama-36 degrees
- ubushushu bakho butshintshile ngaphezulu kwe-1 degree ukusuka kwinto eqhelekileyo - Umzekelo - Ukuba ubushushu bakho buqhelekile ngama-36.2 degrees kwaye ngoku ngama-37.3 degrees. Okanye ukuba iqhelekile yi 37.1 degrees kwaye ngoku yi 35.9 degrees
- ii-rigors - (ukungcangcazela) okanye ukugodola
- isiyezi okanye utshintsho kwindlela obona ngayo – oku kunokubonisa ukuba uxinzelelo lwegazi luyehla nto leyo enokuba luphawu losulelo
- utshintsho ekubetheni kwentliziyo yakho, okanye ukuva intliziyo yakho ibetha ngaphezu kwesiqhelo
- urhudo, isicaphucaphu okanye ukugabha
- ukukhohlela, ukuphefumla kancinci okanye ukuphefumla
- naziphi na iimpawu zosulelo njengoko zidweliswe ngasentla
- uziva ungaphilanga kakhulu
- yiba nengqiqo ukuba kukho undonakele.
Ulindele ntoni xa usiya esibhedlele
Xa ufowunela i-ambulensi okanye ufika kwisebe likaxakeka, bazise:
- Une-lymphoma (kunye ne-subtype)
- Loluphi unyango oluye walufumana kwaye nini
- Usenokuba neutropenic
- Unomkhuhlane
- Naziphi na ezinye iimpawu onazo.
Uya kuba novavanyo lwegazi olwenziwayo ukujonga amanqanaba akho e-neutrophils, kunye nesikrini se-septic.
I-septic screen ligama elisetyenziselwa iqela lovavanyo ukujonga usulelo. Ezi ziquka ezi zilandelayo:
- Uvavanyo lwegazi olubizwa ngokuba “ziinkcubeko zegazi”. Oku kuya kuthathwa kuzo zonke iilumens zomgca wakho osembindini ukuba unayo, kunye ngqo nengalo yakho ngenaliti.
- X-Ray yesifuba.
- Isampulu yomchamo.
- Isampulu yesitulo (poo) ukuba unorhudo.
- Iiswabs kuzo naziphi na izilonda emzimbeni wakho okanye emlonyeni wakho.
- Iiswabs ezijikeleze umgca wakho osembindini ukuba ukhangeleka ngathi wosulelekile.
- Iiswabs zokuphefumla ukuba uneempawu ze-COVID, ingqele, umkhuhlane okanye inyumoniya.
Ukuba usulelo luyakrokrelwa, uya kuqaliswa ngamayeza okubulala iintsholongwane naphambi kokuba iziphumo zingene. Uya kuqaliswa ngesithinteli-ntsholongwane esibanzi esisebenzayo ekunyangeni iintlobo ezininzi ezahlukeneyo zosulelo. Usenokuba neentlobo ezingaphezu kolunye lwamayeza okubulala iintsholongwane.
Uya kwamkelwa esibhedlele ukuze amayeza okubulala iintsholongwane anikwe emithanjeni (kwigazi lakho ngecannula okanye ngomgca osembindini) ukuze asebenze ngokukhawuleza.
Nje ukuba iziphumo ze-swabs zakho, iimvavanyo zegazi kunye nezinye iisampuli zingene, ugqirha wakho unokutshintsha i-antibiotics yakho. Oku kungenxa yokuba xa besazi ukuba yeyiphi intsholongwane ekwenza ugule, banokukhetha iyeza lokubulala iintsholongwane elahlukileyo elisebenza ngakumbi ekulweni le ntsholongwane. Nangona kunjalo, kunokuthatha iintsuku ezininzi ukuba ezi ziphumo zingene, ke uya kuhlala kwi-antibiotics ebanzi ngeli xesha.
isishwankathelo
- I-Neutropenia sisiphumo esixhaphake kakhulu sonyango lwe-lymphoma.
- Unokwenzeka ukuba ube neutropenic kwiintsuku ezisi-7 ukuya kwezi-14 emva kwechemotherapy, nangona kunjalo, i-neutropenia inokuba sisiphumo sasemva kolunye unyango, ukuqala iinyanga ukuya kwiminyaka emva konyango.
- Kunokwenzeka ukuba ufumane usulelo xa uneutropenic.
- Thatha onke amayeza akho eprophylactic njengoko uyalelwe, kwaye uthathe amanyathelo okuthintela usulelo.
- Ukuba une-neutropenic, kuthintele ukutya okunokuphatha iintsholongwane.
- Usulelo ngelixa une-neutropenic lunokubeka ubomi esichengeni ngokukhawuleza.
- Ukuba uye wafumana unyango lwe-lymphoma, okanye uyazi ukuba uneutropenic, fumana uncedo lwezonyango olukhawulezileyo ukuba unayo nayiphi na imiqondiso yosulelo. Fowunela i-ambulensi okanye uye kwisebe elikufutshane nawe likaxakeka
- Awunako ukufumana iimpawu eziqhelekileyo zosulelo ngelixa i-neutropenic.
- Ukuba une-febrile neutropenia, uya kwamkelwa esibhedlele ukuze ufumane amayeza okubulala iintsholongwane.
- Ukuba awuqinisekanga, unayo nayiphi na imibuzo, ungathandabuzi ukuqhagamshelana nabongikazi beLymphoma Care ngoMvulo-ngoLwesihlanu ixesha eliqhelekileyo laseMpuma.
