I-Hodgkin Lymphoma, i-Non-Hodgkin Lymphoma kunye ne-Chronic Lymphocytic Leukemia (CLL) zizo zonke iintlobo zomhlaza wegazi ezinoluhlu lweendlela ezahlukeneyo zonyango. Unyango lwe-lymphoma lunokujolisa ukunyanga okanye ukulawula isifo sakho ngelixa lukunika owona mgangatho wobomi ubalaseleyo. Ingabandakanya iintlobo ezahlukeneyo zonyango olubandakanya i-chemotherapy, i-radiation, i-monoclonal antibodies, i-immunotherapy, unyango olujoliswe kuyo, i-stem cell transplants, unyango lwe-CAR T-cell kunye nokunye.
Eli phepha siza kubonelela ngombono weentlobo ezahlukeneyo zonyango kunye nezinto eziphathekayo ekufuneka ziqwalaselwe ngexesha lonyango. Nangona kunjalo, ngolwazi oluthe kratya malunga ne-CLL kunye nonyango lwe-lymphoma kuhlobo lwakho olusezantsi, nceda ubone iphepha lethu lewebhu. Iintlobo zeLymphoma.
Iinjongo zonyango
Injongo yonyango lwakho lwe-lymphoma iya kuxhomekeka kwiimeko zakho. Oku kunokubandakanya:
- I-subtype yakho ye-lymphoma (okanye i-CLL)
- Ingaba isifo sakho sisonqena (sikhula kancinane) okanye sinobundlobongela (sikhula ngokukhawuleza)
- Inqanaba kunye nebakala le-lymphoma yakho
- Impilo yakho iyonke kunye nokukwazi ukunyamezela unyango.
Ngokuxhomekeke kwizinto zakho zomntu ngamnye, injongo inokuba kukunyanga kwi-lymphoma, kukunceda ukuba uhambe uye kuxolelo olupheleleyo okanye uxolelo oluyinxenye.
ukunyanga
Uxolelo olupheleleyo
Uxolelo oluyinxenye
Iivesi zikaRhulumente kwiSibhedlele saBucala kunye neeNgcali
Kubalulekile ukuqonda ukhetho lwakho lokhathalelo lwempilo xa ujongene ne-lymphoma okanye ukuxilongwa kwe-CLL. Ukuba une-inshurensi yezempilo yabucala, kungafuneka ukuba ucinge ukuba uyafuna na ukubona ingcali kwinkqubo yabucala okanye kwinkqubo karhulumente. Xa ugqirha wakho ekuthumelela umntu, xoxa naye ngoku. Ukuba awunayo i-inshorensi yezempilo yabucala, qiniseka ukuba umazisa ugqirha wakho ngale nto, njengoko abanye banokukuthumela ngokuzenzekelayo kwinkqubo yabucala ukuba abazi ukuba ungakhetha inkqubo karhulumente. Oku kunokukhokelela ekuhlawulisweni ukuze ubone ingcali yakho.
Ungasoloko utshintsha ingqondo yakho kwaye ubuyele umva nokuba ngasese okanye esidlangalaleni ukuba utshintsha ingqondo yakho.
Cofa izihloko ezingezantsi ukuze ufunde malunga neenzuzo kunye namahlantsi okuba nonyango kwiinkqubo zikawonke-wonke nezabucala.
Okuzuzwayo kwiNkqubo yoLuntu
- Inkqubo yoluntu ihlawula iindleko ze-PBS ezidweliswe zonyango lwe-lymphoma kunye nophando lwe
i-lymphoma efana ne-PET scans kunye ne-biopsy's. - Inkqubo yoluntu ikwahlawula iindleko zamanye amayeza angadweliswanga phantsi kwe-PBS
njenge-dacarbazine, eliyeza le-chemotherapy elisetyenziswa ngokuqhelekileyo kwi-
unyango lwe-Hodgkin's lymphoma. - Ekuphela kweendleko eziphuma epokothweni zonyango kwinkqubo kawonke-wonke idla ngokuba yeyesigulana esingalaliswanga
imibhalo yamayeza owathatha ngomlomo ekhaya. Oku kuqhelekile kuncinci kwaye kunjalo
nokuba unenkxaso yezempilo okanye ikhadi lomhlalaphantsi. - Uninzi lwezibhedlele zikarhulumente zineqela leengcaphephe, abongikazi kunye nabasebenzi bezempilo abamanyeneyo, ababizwa ngokuba yi
Iqela le-MDT elijongene nenkathalo yakho. - Uninzi lwezibhedlele ezikhulu eziphezulu zinokubonelela ngonyango olungafumanekiyo kwi
inkqubo yabucala. Umzekelo iintlobo ezithile zokufakelwa, unyango lwe-CAR T-cell.
Amazantsi enkqubo yoluntu
- Usenokungasoloko ubona ingcali yakho xa unedinga. Uninzi lwezibhedlele zikarhulumente zingamaziko oqeqesho okanye amaziko emfundo ephakamileyo. Oku kuthetha ukuba unokubona irejistra okanye ababhalisi abaqeqeshwayo abakwikliniki, abaya kuthi ke banike ingxelo kwingcali yakho.
- Kukho imigaqo engqongqo malunga ne-co-pay okanye ukufikelela kweleyibhile kumayeza angafumanekiyo kwi-PBS. Oku kuxhomekeke kwinkqubo yakho yokhathalelo lwempilo karhulumente kwaye inokwahluka phakathi kwamazwe. Ngenxa yoko, amanye amayeza asenokungafumaneki kuwe. Useza kukwazi ukufumana umgangatho, unyango oluvunyiweyo lwesifo sakho nangona kunjalo.
- Usenokungakwazi ukufikelela ngokuthe ngqo kwi-hematologist yakho kodwa kungafuneka uqhagamshelane nonesi oyingcali okanye umamkeli.
Izibonelelo zenkqubo yabucala
- Uyakuhlala ubona i-hematologist efanayo njengoko kungekho gqirha abaqeqeshwayo kumagumbi abucala.
- Akukho mithetho malunga ne-co-pay okanye yokuvala ukufikelela kwilebhile kumayeza. Oku kunokuba luncedo ngakumbi ukuba unesifo esiphindaphindiweyo okanye i-lymphoma subtype engenalo unyango oluninzi. Nangona kunjalo, unokubiza kakhulu ngeendleko ezibalulekileyo eziphuma epokothweni kuya kufuneka uzihlawule.
- Iimvavanyo ezithile okanye iimvavanyo ze-work up zingenziwa ngokukhawuleza kwizibhedlele zabucala.
Ngaphantsi kwezibhedlele zabucala
- Uninzi lwenkxaso-mali yokhathalelo lwempilo ayikhuphi iindleko zazo zonke iimvavanyo kunye/okanye nonyango. Oku kusekelwe kwingxowa-mali yakho yezempilo, kwaye kusoloko kungcono ukujonga. Uya kufumana umrhumo wokungena ngonyaka.
- Ayizizo zonke iingcaphephe zetyala elikhulu kwaye zinokubiza ngaphezulu kwe-cap. Oku kuthetha ukuba kukho iindleko eziphuma epokothweni zokubona ugqirha wakho.
- Ukuba ufuna ukwamkelwa ngexesha lonyango lwakho, umlinganiselo wabongikazi uphezulu kakhulu kwindawo yabucala ezibhedlele. Oku kuthetha ukuba umongikazi kwisibhedlele sabucala unezigulane ezininzi ekufuneka azijongile kunesibhedlele sikarhulumente.
- I-hematologist yakho ayisoloko ikwisiza esibhedlele, ikholisa ukundwendwela ixesha elifutshane kanye ngemini. Oku kusenokuthetha ukuba awuphilanga okanye ufuna ugqirha ngokukhawuleza, asiyongcali yakho yesiqhelo.
Unyango lwe-Lymphoma ene-indolent kunye ne-lymphoma enobudlova kunye ne-CLL
I-Aggressive B-cell lymphomas ihlala isabela kakuhle kunyango kuba ikhula ngokukhawuleza, kwaye unyango lwe-chemotherapy yesiko lujolise kwiiseli ezikhula ngokukhawuleza. Ngaloo ndlela, i-lymphomas ezininzi ezinobundlobongela zihlala ziphathwa ngenjongo yoku ukunyanga okanye ukucela ukuxolelwa ngokupheleleyo. Nangona kunjalo, i-T-cell lymphomas enobundlongondlongo ihlala ifuna unyango olunobundlobongela kwaye inokufikelela uxolelo, kodwa ihlala iphinda ibuyele kwaye idinga unyango olongezelelweyo.
Uninzi lwe-indolent lymphomas nangona kunjalo, alunyangeki ngoko ke injongo yonyango kukubangela a uxolelo olupheleleyo okanye oluyinxenye. Abantu abaninzi abane-indolent lymphomas kunye ne-CLL abayi kufuna unyango xa befunyaniswa okokuqala. Ukuba une-lymphoma engasebenziyo, unokuqhubeka nokubukela kwaye ulinde ukuqala, kwaye uqale unyango olusebenzayo kuphela ukuba i-lymphoma / CLL yakho iqala ukukhula (ukukhula), okanye uneempawu. Ukuqhubela phambili kunokubonwa ngovavanyo lwakho lwegazi kunye nokuskena, kwaye kunokwenzeka ngaphandle kokuba uqaphele naziphi na iimpawu.
Ulwazi oluthe vetshe kwiwotshi kunye nokulinda luphantsi kweli phepha.
Thetha noGqirha wakho oyiNgcali
Kubalulekile ukuba uqonde ukuba kutheni ufumana unyango, kwaye ulindele ntoni. Ukuba awuqinisekanga, buza uGqirha wakho ukuba une-lymphoma engenzi lutho okanye enobundlobongela, kwaye yintoni injongo (okanye injongo) yonyango lwakho.
Ukulinda phambi kokuba uqale unyango
Phambi kokuba uqalise unyango kuya kufuneka ukuba ube novavanyo oluninzi ukuze ubone ukuba loluphi uhlobo lwe-lymphoma okanye i-CLL onayo, leliphi inqanaba kunye nebakala, kwaye uphile kakuhle kangakanani na jikelele. Kwezinye iimeko, ugqirha wakho unokucebisa ukuba wenze iimvavanyo zofuzo kuvavanyo lwakho lwegazi, ummongo wethambo kunye nezinye biopsy. Ezi mvavanyo zijonga ukuba ngaba unazo naziphi na iinguqu zemfuza ezinokuchaphazela ukuba loluphi unyango oluya kusebenza kakuhle kuwe.
Ngamanye amaxesha kungathatha iiveki ukufumana zonke iziphumo zakho, kwaye eli xesha linokuba lixesha loxinzelelo kunye nexhala. Kubaluleke kakhulu ukuthetha ngendlela oziva ngayo nomntu omthembileyo. Usenokuba nelungu losapho okanye umhlobo onokuthetha naye, kodwa usenokuthetha nogqirha wasekuhlaleni okanye usitsalele umnxeba kumnxeba wethu woncedo ongumongikazi. Cofa kwi "Qhagamshelana nathi” iqhosha ezantsi kwesi sikrini ukufumana iinkcukacha zethu.
Iisayithi zethu zemidiya yoluntu zikwayindlela enhle yokuba uqhagamshelane nabanye abantu abaphila ne-lymphoma okanye i-CLL.
Qokelela abasebenzi bakho - Uya kufuna inethiwekhi yenkxaso
Uya kufuna inkxaso eyongezelelweyo njengoko usiya kunyango. Uhlobo lwenkxaso efunekayo yahlukile kumntu nomntu kodwa inokuquka:
- inkxaso yeemvakalelo okanye ngokwasengqondweni
- ncedisa ekulungiseleleni ukutya okanye ngomsebenzi wasekhaya
- uncedo lokuthenga
- iilifti ukuya kwidinga
- ukunakekelwa kwabantwana
- emali
- umphulaphuli olungileyo
Kukho inkxaso yobungcali onokufikelela kuyo. Thetha neqela lakho lonyango malunga nokuba ziyintoni na iimfuno zakho, kwaye ubabuze ukuba yeyiphi inkxaso ekhoyo kwindawo ohlala kuyo. Uninzi lwezibhedlele ziyakwazi ukufikelela kunontlalontle, ingcali yokunyanga umsebenzi okanye iinkonzo zokucetyiswa ezinokuba yinkxaso enkulu.
Unokusinika umnxeba kwiLymphoma Australia. Sinokubonelela ngolwazi malunga nenkxaso eyahlukeneyo ekhoyo, kunye nolwazi oluhlaziyiweyo kwi-lymphoma / i-CLL subtype yakho kunye neendlela zonyango.
Ukuba ungumzali onabantwana okanye abafikisayo kwaye wena okanye banomhlaza, i-CANTEEN ikwabonelela ngenkxaso kuwe nakubantwana bakho.
Kodwa, sikwacebisa ukuba ufikelele kusapho kunye nabahlobo ubazise ukuba zithini na iimfuno zakho, kwaye unokufuna uncedo kwixesha elizayo. Rhoqo abantu bafuna ukunceda, kodwa bengayazi into oyifunayo, ngoko ke ukunyaniseka kwasekuqaleni kunceda wonke umntu.
Kukho usetyenziso oluhle onokuthi ulukhuphele kwifowuni yakho, okanye ufikelele kwi-intanethi ebizwa ngokuba “Hlanganisa abasebenzi bam” ede incede ukulungelelanisa inkxaso eyongezelelweyo. Sincamathele amakhonkco kuzo zombini i-CANTEEN kwaye Siqokelele iiwebhusayithi zam zabasebenzi ezantsi kweli phepha phantsi kwecandelo "Ezinye izixhobo zakho".
Olunye ulwazi malunga neengcebiso ezisebenzayo ngelixa uhlala ne-lymphoma kwaye unonyango unokufumaneka kumaphepha ethu ewebhu angezantsi.
Ukulondolozwa kokuchuma
Unyango lwe-lymphoma lunokunciphisa ukuchuma kwakho (ubuchule bokwenza abantwana). Olunye lolu nyango lunokubandakanya ichemotherapy, ezinye izilwa-buhlungu ze-monoclonal ezibizwa ngokuba “yi-immune checkpoint inhibitors” kunye ne-radiotherapy kwi-pelvis yakho.
Imiba yokuchuma ebangelwa olu nyango ibandakanya:
- Ukuyeka ukuya exesheni kwangoko (ukutshintsha kobomi)
- Ukungaphumeleli kwe-Ovarian (kungekhona ukuyeka ukuya exesheni kodwa utshintsho kumgangatho okanye inani lamaqanda onawo)
- Ukuncipha kwenani lamadlozi okanye umgangatho wedlozi.
Ugqirha wakho kufuneka athethe nawe malunga nokuba yintoni echaphazela unyango lwakho olunokuthi lube nalo kwinzala yakho, kwaye zeziphi iindlela ezikhoyo zokukunceda ukukhusela. Ukugcinwa kokuchuma kunokwenziwa ngamayeza athile okanye ngokukhenkceza kweqanda (amaqanda), isidoda, i-ovarian okanye izicubu zamatyhalarha.
Ukuba ugqirha wakho akazange abe nale ncoko nawe, kwaye uceba ukuba nabantwana kwixesha elizayo (okanye ukuba umntwana wakho omncinci uqala unyango) babuze ukuba zeziphi iindlela ezikhoyo. Le ncoko kufuneka yenzeke phambi kokuba wena okanye umntwana wakho aqalise unyango.
Ukuba ungaphantsi kweminyaka engama-30 ubudala usenokukwazi ukufumana inkxaso kwiSony Foundation ebonelela ngenkonzo yasimahla yogcino lokuchuma kulo lonke elaseOstreliya. Banokuqhagamshelwana nabo ku-02 9383 6230 okanye kwiwebhusayithi yabo https://www.sonyfoundation.org/youcanfertility.
Ukufumana ulwazi oluthe kratya malunga nokugcinwa kokuchuma, jonga ividiyo engezantsi kunye nengcali yokuchuma, A/Prof Kate Stern.
Ngaba kufuneka ubone ugqirha wamazinyo?
Awunakuba nomsebenzi wamazinyo ngexesha lonyango ngenxa yomngcipheko owongeziweyo wosulelo kunye nokopha. Ukuba uhlala uneengxaki ngamazinyo okanye ucinga ukuba ungafuna ukuzaliswa okanye kwenziwe omnye umsebenzi, thetha nogqirha wakho wegazi okanye i-oncologist yakho malunga nelona xesha lilungileyo lokwenza oku. Ukuba kukho ixesha, banokucebisa ukuba wenze oku ngaphambi kokuba unyango luqale.
Ukuba une-allogeneic stem cell transplant uya kucetyiswa ukuba amazinyo akho ahlolwe phambi kwe-dose ephezulu ye-chemotherapy kunye ne-stem cell transplant.
Lugqitywe njani unyango lwakho?
Ugqirha wakho uya kuphonononga lonke uvavanyo lwakho kunye neziphumo zokuskena ngaphambi kokuba athathe isigqibo ngezona ndlela zonyango zingcono kuwe. Ukongeza kwiziphumo zakho, ugqirha wakho uya kuqwalasela oku kulandelayo, xa esenza isigqibo malunga nonyango lwakho:
- impilo yakho jikelele
- naziphi na iimeko zempilo zangaphambili okanye zangoku ezingahambelaniyo ne-lymphoma okanye i-CLL yakho
- luluphi uhlobo lwe-lymphoma onayo
- ngokukhawuleza i-lymphoma ikhula - isigaba sakho kunye nebakala le-lymphoma okanye i-CLL
- naziphi na iimpawu ozifumanayo
- iminyaka yakho kunye
- naziphi na izinto ozikhethayo kuquka iinkolelo zomoya nezenkcubeko. Ukuba ezi azikaxoxwa xelela ugqirha wakho ngazo naziphi na izinto ozikhethayo.
Abanye oogqirha banokunikezela ngolwazi lwakho kwiqela le-multidisciplinary team (MDT). Ii-MDTs zenziwe ngoochwephesha bezempilo abahlukeneyo abaquka oogqirha, abongikazi, i-physiotherapist, iitheraphisti zemisebenzi, oosokhemesti, iisayikholojisti nabanye. Ngokunikezela ngemeko yakho kwintlanganiso ye-MDT, ugqirha wakho unokuqinisekisa ukuba zonke iinkalo zeemfuno zakho zempilo ziyafezekiswa.
Isicwangciso sakho sonyango sisoloko sibizwa ngokuba “yirejimeni yonyango” okanye “irejimeni yonyango”. Uninzi lweenkqubo zonyango lwe-lymphoma okanye i-CLL zicwangciswe kwimijikelo. Oku kuthetha ukuba uya kuba nomjikelo wonyango, emva koko ube nekhefu kunye nonyango olongezelelweyo. Mingaphi imijikelo onayo kwiprothokholi yakho yonyango iya kuxhomekeka kuhlobo olusezantsi, impilo iyonke, indlela umzimba wakho ophendula ngayo kunyango, kunye nenjongo yonyango lwakho.
Isicwangciso sakho sonyango sinokubandakanya amayeza afana nechemotherapy, i-monoclonal antibodies okanye unyango olujoliswe kuyo, kodwa lunokubandakanya utyando okanye unyango lweradiyo. Usenokufumana unyango oluxhasayo lokukunceda ugcine ukhuselekile kwaye ulawule naziphi na iziphumo ebezingalindelekanga ozifumana kunyango.
Awuyi kuba nalo lonke uhlobo lonyango - thetha nogqirha wakho malunga nokuba isicwangciso sakho sonyango siya kuba yintoni.
Isishwankathelo sonyango ngalunye sichazwe ngakumbi kweli phepha. Cofa nje kwisihloko sonyango ofuna ukufunda ngakumbi ngalo.
Kulilungelo lakho ngokupheleleyo ukufumana uluvo lwesibini nangaliphi na ixesha kuyo yonke indlela yakho ye-lymphoma. Ungazikhathazi ngokukhubekisa ugqirha wakho wokuqala, ukufumana uluvo lwesibini yinto eqhelekileyo, kwaye ikwazisa ngeenketho ezahlukeneyo ezinokuthi zifumaneke, okanye unokuqinisekisa ukuba sele unikwe eyona nto ingcono.
Ukuba ungathanda uluvo lwesibini ungacela ugqirha wakho wegazi okanye i-oncologist ukuba akudlulisele komnye umntu. Uninzi lweengcali zoogqirha abazithembileyo kwisicwangciso sonyango abakunike lona, abayi kuba nangxaki yokuseta oku.
Nangona kunjalo, ukuba uziva ungenakuthetha nogqirha wakho wegazi okanye i-oncologist, okanye ukuba baye bala ukukuthumela ukuthunyelwa, thetha noGqirha wakho. Ugqirha wakho uya kukwazi ukuthumela ukuthunyelwa kwenye ingcali, kwaye kufuneka abe nokufikelela kwiirekhodi zakho ukuze azithumele kugqirha omtsha.
Ukufuna uluvo lwesibini akusoloko kuthetha ukutshintsha oogqirha. Unokubona omnye ugqirha oqinisekisa ukuba ufumana ulwazi oluchanekileyo kwaye usendleleni efanelekileyo kunye nogqirha wakho wangoku. Kodwa ukuba ukhetha ukuhlala nogqirha omtsha nalo lilungelo lakho.
Phambi kokuba uqalise unyango lwakho lwe-lymphoma okanye i-CLL, ugqirha wakho oyingcali okanye umongikazi uya kuhlala phantsi nawe akuxelele yonke into ekufuneka uyazi. Kukho ulwazi oluninzi malunga nokuthatha ngeli xesha, ngoko luluvo oluhle ukuthatha usiba kunye nephepha ukuze ubhale phantsi naziphi na iingongoma ezibalulekileyo. Kananjalo baya kukunika ulwazi olubhaliweyo olufana namaphepha eengxelo okanye iincwadana onokuthi uye nazo ekhaya.
Unokukhuphela ezinye izixhobo ezintle kwiNkxaso yethu yekhasi lewebhu. Cofa apha ukuze ubone into esinayo.
Ukuba ukhetha ukufunda ngendlela eyahlukileyo, okanye awufuni ukuthetha okanye ukufunda ngesiNgesi, yazisa ugqirha wakho okanye umongikazi wakho ngeyona ndlela ingcono onokufunda ngayo. Ezinye iindawo zisenokukwazi ukukunika iividiyo ezimfutshane onokuzibukela, okanye imifanekiso eyenza inkcazelo ibe lula ukuyiqonda. Ukuba ukhetha, unokuphinda ucele ugqirha wakho okanye umongikazi ukuba kulungile ukuba urekhode incoko kwifowuni yakho ukuze umamele kamva.
Ukuba isiNgesi ayilolwimi lwakho lokuqala, kwaye ungathanda ukufumana ulwazi ngolwimi oqhelene nalo, bacele ukuba balungiselele itoliki ukuze ikuncede ekuguquleleni ulwazi. Kungumbono olungileyo ukulungiselela oku kwangethuba xa unako. Ukuba kukho ixesha, ungabiza ikliniki okanye isibhedlele sakho phambi kokuba udibane. Bacele ukuba babhukishe itoliki kwidinga lakho kunye neseshoni yokuqala yonyango.
Emva kokuba unikwe lonke ulwazi kwaye uneempendulo kwimibuzo yakho, kufuneka wenze isigqibo malunga nokuba uya kulufumana unyango okanye hayi. Oku kukhetha kwakho.
Ugqirha wakho kunye namanye amalungu eqela lakho lezempilo anokubonelela ngolwazi malunga nento abakholelwa ukuba lolona khetho lungcono kuwe, kodwa ukhetho lokuqalisa, okanye ukuqhubeka nonyango luhlala luyinto yakho.
Ukuba ukhetha ukufumana unyango, kuya kufuneka usayine ifomu yemvume, eyindlela esemthethweni yokunika iqela lokhathalelo lwezempilo imvume yokukunika unyango. Kuya kufuneka ukuba uvume kuhlobo ngalunye olwahlukileyo lonyango ngokwahlukeneyo, olufana nechemotherapy, utyando, utofelo-gazi okanye ngemitha.
Usenokurhoxisa imvume kwaye ukhethe ukungaqhubeki nonyango nangaliphi na ixesha ukuba awusakholelwa ukuba lolona khetho lulungileyo kuwe. Nangona kunjalo, kufuneka uthethe neqela lakho lezempilo malunga nobungozi bokuyeka unyango, kwaye yeyiphi inkxaso ekhoyo kuwe ukuba uyeka unyango olusebenzayo.
Ukuvuma unyango kufuneka uchaze ukuba uyabuqonda kwaye uyayamkela imingcipheko kunye neenzuzo zonyango olucetywayo. Awunako ukulufumana unyango ngaphandle kokuba wena, umzali wakho (ukuba ungaphantsi kweminyaka eli-18) okanye umkhathaleli osemthethweni usayine ifomu yemvume.
Ukuba isiNgesi asilolwimi lwakho lokuqala kwaye ungathanda ukuba nomguquleli akhoyo akucacisele ngobungozi kunye neenzuzo zonyango kuwe phambi kokuba usayine imvume, qiniseka ukuba wazisa iqela lezempilo ukuba ufuna umguquleli. Apho kunokwenzeka, luluvo oluhle ukuba kubekho umntu otsalela umnxeba esibhedlele okanye ekliniki phambi kokuba udibane naye ukuze amazise ukuba aququzelele umguquleli.
Iintlobo zonyango
Kukho iintlobo ezininzi ezahlukeneyo ze-lymphoma kunye ne-CLL, ngoko ungamangaliswa ukuba unyango olufumanayo luhluke komnye umntu one-lymphoma. Nangona une-subtype efanayo ye-lymphoma, ukuguqulwa kofuzo kunokwahluka phakathi kwabantu kunye nefuthe loluphi unyango oluya kusebenza kakuhle kuwe.
Ngezantsi sinikeze isishwankathelo sohlobo ngalunye lonyango. Ukufunda malunga neentlobo ezahlukeneyo zonyango, cofa kwizihloko ezingezantsi.
Ukuba une-lymphoma ekhula kade (indolent) okanye i-CLL, unokungadingi unyango. Endaweni yoko, ugqirha wakho unokukhetha iwotshi kunye nokulinda indlela.
Ixesha lokulinda kunye nokulinda kunokuba yinkohliso encinci nangona kunjalo. Kuchaneke ngakumbi ukuthi "ukubeka iliso okusebenzayo", kuba ugqirha wakho uya kukubeka esweni ngenkuthalo ngeli xesha. Uya kudibana nogqirha rhoqo, kwaye wenze uvavanyo lwegazi kunye nezinye izikena zokuqinisekisa ukuba uhlala usempilweni, kwaye isifo sakho asibi kakhulu. Nangona kunjalo, ukuba isifo sakho siba mandundu, unokuqalisa unyango.
Kunini ukubukela & Linda eyona ndlela ilungileyo?
Bukela kwaye ulinde inokuba lolona khetho lufanelekileyo kuwe ukuba awunazo iimpawu ezininzi, okanye iimeko ezinobungozi ezifuna unyango olungxamisekileyo.
Kunokuba nzima ukwazi ukuba unohlobo lomhlaza, kodwa awenzi nto ukuwususa. Ezinye izigulana zide zibize eli xesha ngokuthi "bukela kwaye ukhathazeke", kuba kunokungakhululeki ukuba ungenzi nantoni na ukulwa nayo. Kodwa, jonga kwaye ulinde yindlela entle yokuqala. Kuthetha ukuba i-lymphoma ikhula ngokucothayo ukuba ikubangele nayiphi na ingozi, kwaye amajoni akho omzimba alwa, kwaye wenza umsebenzi olungileyo ukugcina i-lymphoma yakho iphantsi kolawulo. Ke eneneni, sele usenza okuninzi ukulwa nomhlaza, kwaye wenza umsebenzi olungileyo kakhulu kuwo. Ukuba amajoni akho omzimba ayawugcina phantsi kolawulo, awuyi kufuna uncedo olongezelelweyo okwangoku.
Kutheni unyango olungafunekiyo?
Iyeza elongezelelweyo elinokukwenza uzive ugula kakhulu okanye libangele iziphumo ebezingalindelekanga zexesha elide, aliyi kunceda okwangoku. Uphando lubonisa ukuba akukho nzuzo yokuqalisa unyango kwangoko, ukuba une-lymphoma ekhula kancinci okanye i-CLL kwaye akukho zimpawu zinzima. Olu hlobo lomhlaza aluyi kuphendula kakuhle kwiinketho zonyango lwangoku. Impilo yakho ayisayi kuphucuka, kwaye awuzukuphila ixesha elide ngokuqalisa unyango kwangoko. Ukuba i-lymphoma okanye i-CLL yakho iqala ukukhula ngakumbi, okanye uqala ukufumana iimpawu kwisifo sakho, ungaqalisa unyango.
Izigulana ezininzi zinokufuna ukuba nonyango olusebenzayo olufana nezo zidweliswe ngakumbi kweli phepha ngexesha elithile. Emva kokuba ulufumene unyango, unokuphinda uqhubeke ubukele kwaye ulinde. Nangona kunjalo, ezinye izigulana ezine-indolent lymphomas azizange zifune unyango.
Kunini ukubukela kunye nokuLinda ingeyiyo eyona ndlela ilungileyo?
Jonga kwaye ulinde kufanelekile kuphela ukuba une-lymphoma ekhula kancinci okanye i-CLL, kwaye awunazo iimpawu ezinzima. Ugqirha wakho usenokukhetha ukukunika unyango olusebenzayo ukuba ufumana ezi mpawu zilandelayo:
- Iimpawu ze-B - ezibandakanya ukubila ebusuku, umkhuhlane ongapheliyo kunye nokwehla kobunzima obungalindelekanga
- Iingxaki kumanani akho egazi
- Umonakalo welungu okanye umongo wethambo ngenxa ye-lymphoma
UGqirha uzakundigcina njani ndikhuselekile ngelixa ndikwiWatch & Linda?
Ugqirha wakho uya kufuna ukukubona rhoqo ukujonga inkqubela yakho. Uya kubabona rhoqo kwiinyanga ezi-3-6, kodwa baya kukwazisa ukuba kufuneka ibe ngaphezulu okanye ngaphantsi koku.
Baya kukucela ukuba wenze iimvavanyo kunye nezikena ukuqinisekisa ukuba i-lymphoma okanye i-CLL ayikhuli. Ezinye zezi mvavanyo zinokuquka:
- uvavanyo lwegazi ukujonga impilo yakho jikelele
- Uvavanyo lomzimba ukujonga ukuba ngaba unayo na ii-lymph nodes ezidumbileyo okanye iimpawu zokuqhubela phambili
- iimpawu ezibalulekileyo kuquka uxinzelelo lwegazi, ubushushu, kunye nesantya sentliziyo
- imbali yempilo - ugqirha wakho uya kukubuza malunga nokuba ubuziva njani, kwaye ukuba unayo naziphi na iimpawu ezintsha okanye ezimbi
- I-CT okanye i-PET scan ukubonisa okwenzeka ngaphakathi emzimbeni wakho.
Ukuba unayo nayiphi na inkxalabo phakathi kwedinga lakho, nceda uqhagamshelane neqela lakho lonyango esibhedlele okanye ekliniki ukuze nixoxe ngezi. Sukulinda de kufike ixesha ledinga elilandelayo njengoko ezinye iinkxalabo zinokufuna ukulawulwa kwangethuba.
Kufuneka ndiqhagamshelane nini nogqirha wam?
Kubalulekile ukukhumbula ukuba ukulinda kuyindlela eqhelekileyo yokulawula i-indolent lymphoma kunye ne-CLL. Nangona kunjalo, ukuba ufumana indlela 'yokulinda kwaye ulinde' iyakhathaza, nceda uthethe neqela lakho lezonyango ngayo. Baza kukwazi ukuchaza ukuba kutheni becinga ukuba le yeyona ndlela ilungileyo kuwe, kwaye bakunike nayiphi na inkxaso eyongezelelweyo onokuyidinga.
Ukuba unayo nayiphi na inkxalabo phakathi kokuqeshwa kwakho, okanye ufumana iimpawu ezintsha okanye ezimbi ngakumbi, nceda uqhagamshelane neqela lakho lezonyango esibhedlele. Sukulinda de kufike ixesha elilandelayo, njengoko ezinye izinto ezikuxhalabisayo okanye iimpawu onazo zinokufuna ukulawulwa kwangethuba.
Ukuba ufumana iimpawu ze-B, qhagamshelana neqela lakho lonyango, musa ukulinda idinga lakho elilandelayo.
I-Radiotherapy ingasetyenziselwa ukunyanga i-lymphoma, okanye ukuphucula iimpawu zakho
Iradiationtherapy isebenzisa ii-x-reyi zamandla aphezulu (radiation), ukubulala iiseli zomhlaza. Ingasetyenziswa njengonyango lodwa, okanye nolunye unyango olufana nechemotherapy.
Kukho izizathu ezahlukeneyo apho ugqirha unokucebisa unyango lwemitha kuwe. Ingasetyenziselwa ukunyanga kwaye mhlawumbi ukunyanga i-lymphomas yokuqala, okanye ukuphucula iimpawu. Ezinye iimpawu ezinjengeentlungu okanye ubuthathaka zinokuthi zenzeke ukuba isisu sakho se-lymphoma siba sikhulu kakhulu, okanye sibeka uxinzelelo kwimithambo-luvo okanye intambo yomgogodla. Kule meko, i-radiation inikezelwa ukunciphisa i-tumor kunye nokunciphisa uxinzelelo. Noko ke, ayenzelwanga ukusetyenziswa njengonyango.
Isebenza njani iradiotherapy?
I-X-reyi ibangela umonakalo kwi-DNA yeseli (izinto zofuzo zeseli) nto leyo eyenza kube nzima ukuba i-lymphoma ikwazi ukuzilungisa. Oku kubangela ukuba iseli ife. Ngokuqhelekileyo kuthatha iintsuku ezimbalwa okanye iiveki emva kokuba unyango lwemitha luqalisile ukuba iiseli zife. Oku kuchaphazela kunokuhlala iinyanga ezininzi nangona kunjalo, emva kweenyanga emva kokugqiba unyango, iiseli ze-lymphoma ezinomhlaza zisenokutshatyalaliswa.
Ngelishwa, i-radiation ayikwazi ukuxelela umahluko phakathi kweeseli zakho ezinomhlaza kunye nezingenawo umhlaza. Ke ngoko, unokufumana iziphumo ebezingalindelekanga ezichaphazela ulusu lwakho kunye namalungu kufutshane nendawo onyangwa kuyo ngemitha. Uninzi lweendlela zokusasazeka kwemitha kwezi ntsuku ziya zichaneka ngakumbi nangakumbi zijolise kumhlaza ngokuchanekileyo ngakumbi, nangona ii-X-rays kufuneka zidlule eluswini lwakho nakwezinye iithishu ukufikelela kwi-lymphoma, zonke ezi ndawo zinokuchaphazeleka.
I-radiation oncologist yakho (ugqirha oyingcali osebenza ngemitha) okanye umongikazi uya kukwazi ukuthetha nawe malunga nokuba zeziphi iziphumo ebezingalindelekanga onokuzifumana, ngokuxhomekeke kwindawo elikuyo ithumba. Baya kuba nakho ukukucebisa kwiimveliso zolusu ezilungileyo ukulawula nakuphi na ukudumba kwesikhumba okufumanayo.
Iintlobo zeradiotherapy
Kukho iintlobo ezahlukeneyo zonyango lwe-radiotherapy, kwaye into onayo inokuxhomekeka ekubeni iphi na i-lymphoma emzimbeni wakho, indawo apho unonyango, kwaye kutheni unonyango lwe-radiation. Ezinye iintlobo zonyango lwemitha zidweliswe ngezantsi.
Ubunzulu-modulated radiotherapy (IMRT)
I-IMRT ivumela iidosi ezahlukeneyo zeradiotherapy ukuba zinikwe kwiindawo ezahlukeneyo zommandla onyangwayo. Inokunciphisa iziphumo ebezingalindelekanga ezibandakanya iziphumo ebezingalindelekanga kade. I-IMRT isoloko isetyenziselwa ukunyanga umhlaza osondele kumalungu abalulekileyo kunye nezakhiwo.
Unyango lweradiyo olubandakanyekayo (IFRT)
I-IFRT iphatha yonke indawo ye-lymph node, njenge-lymph nodes entanyeni yakho okanye kwi-groin.
Unyango lwerediyo olubandakanyekayo (INRT)
I-INRT iphatha ii-lymph nodes ezichaphazelekayo kunye nomda omncinci ngeenxa zonke.
Ukukhanya kwemitha yomzimba ngokupheleleyo (TBI)
I-TBI isebenzisa i-radiotherapy yamandla aphezulu kumzimba wakho uphela. Ingasetyenziswa njengenxalenye yonyango lwakho phambi kokuba i-allogeneic (donor) i-stem cell transplant ukutshabalalisa umongo wakho wethambo. Oku kwenziwa ukwenza isithuba seeseli zestem ezintsha. Kuba itshabalalisa umongo wamathambo akho, i-TBI inokuchaphazela amajoni akho omzimba ikwenza ube semngciphekweni wosulelo.
Iyonke ulusu lwe-electron radiotherapy
Le yindlela ekhethekileyo ye-lymphoma yolusu (i-cutaneous llymphomas). Isebenzisa ii-elektroni ukunyanga ulusu lwakho lonke.
Unyango lweProton beam (PBT)
I-PBT isebenzisa iiproton endaweni yee-X-reyi. Iproton isebenzisa i-positive charge, isuntswana lamandla aphezulu ukutshabalalisa iiseli zomhlaza. Imitha yemitha evela kwi-PBT inokujolisa kwiiseli ngokuchanekileyo ngakumbi, ngoko inceda ukukhusela izicubu ezisempilweni ezijikeleze ithumba.
Yintoni ongayilindela
Unyango ngerediyo lukholisa ukwenziwa kwiikliniki ezizinikeleyo zokhathalelo lomhlaza. Uya kuba neseshini yokuqala yokucwangcisa, apho i-radiation therapist inokuthatha iifoto, i-CT scans, kwaye isebenze kakuhle indlela yokucwangcisa umatshini we-radiation ukujolisa i-lymphoma yakho.
Uya kuba nenye ingcaphephe ebizwa ngokuba yiDosimetrist, ecwangcisa idosi ngqo yemitha oyifumana kunyango ngalunye.
Umvambo wemitha
Iingcali zonyango ngemitha ziya kukunika inaliti/iinaliti ezincinci ezenza amabala amancinci njenge tattoos eluswini lwakho. Oku kwenzelwa ukuqinisekisa ukuba bakulayinisa kumatshini ngokuchanekileyo yonke imihla ukuze i-radiation isoloko ifikelela kwi-lymphoma yakho hayi kwamanye amalungu omzimba wakho. Ezi tattoos zincinci zisisigxina, kwaye abanye abantu bajonga njengesikhumbuzo sento abaye bayinqoba. Abanye banokufuna ukongeza kuzo ukuze bazenze zibe yinto ekhethekileyo.
Nangona kunjalo, ayinguye wonke umntu ofuna isikhumbuzo. Ezinye iivenkile ze tattoo zibonelela ngokukhutshwa kwe tattoo simahla kwabo banayo ngenxa yezizathu zonyango. Fowuna nje okanye ungene kwindawo yakho ye tattoo kwaye ubuze.
Nantoni na ukhetha ukuyenza ngee tattoos zakho - musa ukwenza utshintsho de uthethe nogqirha wakho malunga nokuba elona xesha lilungileyo lokongeza, okanye lisuse liyakuba nini.
Ndingalufumana kangaphi unyango lwemitha??
Idosi yemitha yohlulwe ibe lunyango oluninzi. Ngokwesiqhelo uya kungena kwisebe lemitha yonke imihla (ngoMvulo ukuya ngoLwesihlanu) kangangeeveki ezi-2 ukuya kwezi-4. Oku kwenziwa kuba kuvumela ixesha leeseli zakho ezisempilweni ukuba zibuyele phakathi konyango. Kwakhona ivumela iiseli ezininzi zomhlaza ukuba zitshatyalaliswe.
Iseshoni nganye idla ngokuthatha imizuzu eyi-10-20. Unyango ngokwalo luthatha kuphela imizuzu emi-2 okanye emi-3. Ixesha eliseleyo kukuqinisekisa ukuba ukwindawo elungileyo kwaye imiqadi yeX-reyi ilungelelaniswe ngokufanelekileyo. Umatshini unomsindo, kodwa awuyi kuva nantoni na ngexesha lonyango.
Leliphi ithamo lemitha yemitha endizakulifumana?
Idosi iyonke yeradiotherapy ilinganiswa kwiyunithi ebizwa ngokuba yiGrey (Gy). I-Grey yahlulwe yalunyango olwahlukeneyo olubizwa ngokuba 'ngamaqhezu'.
I-Grey yakho iyonke kunye nendlela amaqhezu asebenza ngayo iya kuxhomekeka kuhlobo olungaphantsi, indawo kunye nobukhulu bethumba lakho. Ugqirha wakho weradiation oncologist uya kukwazi ukuthetha nawe ngakumbi malunga nedosi abakumisela yona.
Iziphumo ebezingalindelekanga zonyango lwemitha
Utshintsho kulusu lwakho kunye nokudinwa okugqithisileyo okungaphuculwanga xa uphumle (ukudinwa) ziziphumo ebezingalindelekanga eziqhelekileyo kubantu abaninzi abanonyango lwemitha. Ezinye iziphumo ebezingalindelekanga zinokuxhomekeka ekubeni kujongwe phi na emzimbeni wakho ukusasazeka kwemitha.
Iziphumo ebezingalindelekanga zonyango lwemitha zihlala zibandakanya ukusabela kolusu kwindawo yakho enonyango. Ukudinwa kukwasisiphumo esiqhelekileyo kuye nabani na ononyango. Kodwa kukho ezinye iziphumo ebezingalindelekanga ezixhomekeke kwindawo yonyango-okanye yeyiphi indawo yomzimba wakho ene-lymphoma enyangwayo.
Ukusabela kolusu
Ukusabela kwesikhumba kunokubonakala ngathi lilanga elibi elitshisayo kwaye, nangona kunokubangela ukugqabhuka kunye ne "tan line" esisigxina ayikutshisi. Luhlobo lwe-dermatitis okanye ukukrala kwesikhumba okwenzeka kuphela kwesikhumba ngaphezu kwendawo ephathwayo.
Ukuchaphazeleka kolusu ngamanye amaxesha kunokuqhubeka nokuba mandundu kangangeeveki ezi-2 emva kokuba unyango luphelile, kodwa kufanele ukuba luphuculwe kwisithuba senyanga yokugqiba unyango.
Iqela lakho lokusasazeka ngemitha liya kukwazi ukuthetha nawe malunga neyona ndlela ilungileyo yokulawula oku kuchaphazeleka kolusu kwaye zeziphi iimveliso ezifana nezinto zokuthambisa okanye iikhrimu ezinokukusebenzela ngcono. Nangona kunjalo, ezinye izinto ezinokunceda ziquka:
- Ukunxiba iimpahla ezikhululekileyo
- Ukusebenzisa ilinen entle yokulala
- Umgubo wokuhlamba ophakathi kumatshini wakho wokuhlamba - ezinye zenzelwe ulusu olubuthathaka
- Ukuhlamba ulusu lwakho ngobunono ngeendlela "ezingenasepha", okanye isepha ephakathi
- Ukuthatha iibhafu ezimfutshane, ezidikidiki okanye iishawari
- Ukuphepha iimveliso ezisekelwe kutywala esikhumbeni
- Kuphephe ukuhlikihla ulusu
- Gcina ulusu lwakho lupholile
- Zigqume xa ungaphandle, kwaye ukuphephe ukukhanya kwelanga kwindawo onyangwa kuyo apho kunokwenzeka. Nxiba umnqwazi kunye ne-sunscreen xa ungaphandle
- Kuphephe ukuqubha
Ukukhathala
Ukudinwa kukudinwa ngokugqithiseleyo nasemva kokuphumla. Oku kunokubangelwa luxinzelelo olongezelelweyo umzimba wakho ophantsi konyango, kwaye uzama ukwenza iiseli ezintsha ezinempilo, unyango lwemihla ngemihla, kunye noxinzelelo lokuhlala ne-lymphoma kunye nonyango lwayo.
Ukudinwa kunokuqala kamsinya nje emva kokuba unyango lwemitha luqalisile, kwaye luqhubeke iiveki ezininzi emva kokuba lugqibile.
Ezinye izinto ezinokukunceda ukulawula ukudinwa kwakho zinokubandakanya:
- Cwangcisa kwangaphambili ukuba kukho ixesha, okanye ucele abantu obathandayo ukuba balungiselele ukutya kwangaphambili okufunayo nje ukutshisa. Ukutya okuneprotheyini eninzi okufana nenyama ebomvu, amaqanda kunye nemifuno eluhlaza enamagqabi kunokunceda umzimba wakho wenze iiseli ezintsha ezisempilweni.
- Umthambo olula ubonakalise ukuphucula amanqanaba amandla kunye nokudinwa, ngoko ke ukuzigcina usebenza kunokunceda ngokungabikho kwamandla kunye nokulala.
- Mamela umzimba wakho kwaye uphumle xa kufuneka
- Landela umkhondo wakho ukudinwa, ukuba uyazi ukuba kudla ngokuba kubi kakhulu ngexesha elithile losuku, unokucwangcisa imisebenzi malunga naloo nto
- Gcina ipateni eqhelekileyo yokulala – nokuba uziva udiniwe, zama ukuya kulala nokuvuka ngamaxesha akho esiqhelo. Unyango olongezelelweyo lunokunceda kubandakanya unyango lokuphumla, i-yoga, ukucamngca, kunye nengqondo.
- Luphephe uxinezeleko xa kunokwenzeka.
Kwezinye iimeko, ukudinwa kunokubangelwa zezinye izinto ezifana nenani eliphantsi legazi. Ukuba oku kunjalo, unokutofelwa igazi ukuphucula amanani akho egazi.
Kubalulekile ukuba umazise ugqirha wakho ukuba unengxaki yokudinwa.
Ezinye iziphumo ebezingalindelekanga zinokubandakanya:
- Ukulahleka kweenwele - kodwa kuphela kwindawo enyangwayo
- I sizathu
- Urhudo okanye isisu esibuhlungu
- Ukudumba – kumalungu akho akufutshane nesiza esinyangwayo
Ividiyo engezantsi kweli candelo leentlobo zonyango ibonelela ngolwazi oluthe kratya malunga nokuba ungalindela ntoni ngonyango lwemitha equka iziphumo ebezingalindelekanga.
I-Chemotherapy (i-chemo) isetyenziswe ukunyanga umhlaza iminyaka emininzi. Kukho iintlobo ezahlukeneyo zamayeza e-chemo kwaye unokuba nolunye uhlobo lwe-chemotherapy ukunyanga i-CLL okanye i-lymphoma. Naziphi na iziphumo ebezingalindelekanga ozifumanayo ziya kuxhomekeka kunyango lwechemotherapy onawo.
Isebenza njani ichemo?
I-Chemotherapy isebenza ngokuhlasela ngokuthe ngqo iiseli ezikhula ngokukhawuleza. Yiyo loo nto ihlala isebenza kakuhle kwi-lymphomas enomsindo-okanye ekhula ngokukhawuleza. Nangona kunjalo ikwalinyathelo elichasene neeseli ezikhula ngokukhawuleza ezinokubangela iziphumo ebezingalindelekanga ezingafunekiyo kwabanye abantu, ezinje ngokulahleka kweenwele, izilonda zomlomo kunye neentlungu (i-mucositis), isicaphucaphu kunye norhudo.
Ngenxa yokuba i-chemo inokuchaphazela nayiphi na iseli ekhula ngokukhawuleza, kwaye ayikwazi ukuchaza umahluko phakathi kweeseli eziphilileyo kunye neeseli ze-lymphoma ezinomhlaza - ibizwa ngokuba "lunyango lwenkqubo", oku kuthetha ukuba nayiphi na inkqubo yomzimba wakho inokuchatshazelwa yimiphumo emibi ebangelwa yi-chemo.
Ii-chemotherapies ezahlukeneyo zihlasela i-lymphoma kumanqanaba ahlukeneyo okukhula. Enye ichemotherapy ihlasela iiseli zomhlaza eziphumleyo, ezinye zihlasela ezo zisanda kukhula, kwaye ezinye zihlasela iiseli ze-lymphoma ezinkulu kakhulu. Ngokunika i-chemo's esebenza kwiiseli kwizigaba ezahlukeneyo, kukho ithuba lokubulala iiseli ze-lymphoma ezininzi kunye nokufumana iziphumo ezingcono. Ngokusebenzisa iikhemotherapies ezahlukeneyo, sinokuthoba iidosi kancinci nto leyo eya kuthetha ukuba neziphumo ebezingalindelekanga ezincinci kwiyeza ngalinye, ngelixa sifumana ezona ziphumo zingcono.
Inikwa njani ikhemo?
I-Chemo inokunikwa ngeendlela ezahlukeneyo, kuxhomekeke kwi-subtype yakho kunye nemeko. Ezinye iindlela zekhemo ezinokunika ngazo ziquka:
- Nge-intravenously (IV) - ngokuthontsiza kwi-vein yakho (eyona ixhaphakileyo).
- Iipilisi zomlomo, ii-capsules okanye ulwelo - zithathwe ngomlomo.
- I-Intrathecal - enikwe ngugqirha ngenaliti emqolo wakho, kunye nolwelo olujikeleze intambo yakho yomgogodla kunye nengqondo.
- I-subcutaneous – inaliti (inaliti) enikwa kwithishu enamafutha phantsi kwesikhumba sakho. Idla ngokunikezelwa kwisisu sakho (indawo yesisu) kodwa inokunikwa nakwingalo yakho engaphezulu okanye emlenzeni.
- Izihloko - ezinye ii-lymphomas zolusu (ezibukhali) zinokunyangwa ngekhrimu yechemotherapy.
Yintoni umjikelo wechemotherapy?
I-Chemotherapy inikezelwa "kwimijikelo", okuthetha ukuba uya kuba nekhemo yakho ngaphezulu kweentsuku enye okanye ngaphezulu, emva koko ube nekhefu kwiiveki ezimbini okanye ezintathu ngaphambi kokuba ube nekhemo engaphezulu. Oku kwenziwa kuba iiseli zakho ezisempilweni zifuna ixesha lokuchacha phambi kokuba ufumane unyango olongezelelekileyo.
Khumbula apha ngasentla sikhankanye ukuba i-chemo isebenza ngokuhlasela iiseli ezikhula ngokukhawuleza. Ezinye zeeseli zakho ezikhula ngokukhawuleza zinokubandakanya iiseli zakho zegazi ezisempilweni. Oku kunokuba sezantsi xa une-chemo.
Iindaba ezilungileyo kukuba iiseli zakho eziphilileyo zibuyela ngokukhawuleza kuneeseli zakho ze-lymphoma. Ke emva komjikelo ngamnye - okanye umjikelo wonyango, uya kuba nekhefu ngelixa umzimba wakho usebenza ukwenza iiseli ezilungileyo ezintsha. Nje ukuba ezi seli zibuyele kwinqanaba elikhuselekileyo, uya kuba nomjikelo olandelayo - oku kuhlala iiveki ezimbini okanye ezintathu ngokuxhomekeke kwiprothokholi onayo nangona kunjalo, ukuba iiseli zakho zithatha ixesha elide ukuchacha, ugqirha wakho unokucebisa ikhefu elide. Basenokunikezela ngonyango oluxhasayo ukunceda iiseli zakho ezilungileyo ukuba ziphile. Ulwazi oluthe kratya ngonyango oluxhasayo lunokufumaneka ngakumbi apha phantsi kweli phepha.
Ulwazi oluthe vetshe kwiiprothokholi zonyango kunye neziphumo ebezingalindelekanga zazo
Ngokuxhomekeke kwi-subtype yakho ye-lymphoma unokwenza imijikelezo emine, emithandathu okanye ngaphezulu. Xa yonke le mijikelo idityanisiwe ibizwa ngokuba yiprotocol okanye irejimeni yakho. Ukuba uyalazi igama leprotocol yakho yechemotherapy, unako Fumana ulwazi oluninzi, kuquka iziphumo ebezingalindelekanga ezilindelekileyo kuyo apha.
Ngolwazi oluthe kratya malunga nechemotherapy, cofa kwiqhosha elisezantsi kwicandelo leentlobo zonyango ukubukela ividiyo emfutshane.
Izilwa-buhlungu ze-Monoclonal (MABs) zaqala ukusetyenziswa ukunyanga i-lymphoma ekupheleni kweminyaka yee-1990. Noko ke, kwiminyaka yakutshanje kuye kwaveliswa izilwa-buhlungu ezininzi ze-monoclonal. Banokusebenza ngokuthe ngqo kwi-lymphoma yakho okanye batsale iiseli zakho zokuzivikela kwiiseli zakho ze-lymphoma ukuba zihlasele kwaye ziyibulale. Ii-MABs kulula ukuzichonga kuba xa usebenzisa amagama azo aqhelekileyo (hayi igama lebrand), zihlala ziphela ngoonobumba abathathu “mab”. Imizekelo yee-MAB eziqhele ukusetyenziswa ukunyanga i-lymphoma ziquka i-rituximab, obinutuzumab, pembrolizumab.
Ezinye ii-MAB, ezifana ne-rituximab kunye ne-obinutuzumab zisetyenziswa ecaleni kwe-chemo ukunyanga i-lymphoma yakho. Kodwa zikwasetyenziswa rhoqo njenge a “ugcino” unyango. Oku kuxa ulugqibile unyango lwakho lokuqala kwaye ube nempendulo entle. Emva koko uyaqhubeka nokuba ne-MAB kuphela malunga neminyaka emibini. Oku kunceda ukugcina i-lymphoma yakho ixolelwe ixesha elide.
Zisebenza njani ii-monoclonal antibodies?
Ii-antibodies ze-Monoclonal zisebenza kuphela ngokuchasene ne-lymphoma ukuba zineeprotheyini ezithile okanye iindawo zokuhlola i-immune kuzo. Ayizizo zonke iiseli ze-lymphoma ziya kuba nezi mpawu, kwaye ezinye zinokuba nommakishi omnye, ngelixa ezinye zinokuba nokunye. Imizekelo yezi ibandakanya i-CD20, i-CD30 kunye ne-PD-L1 okanye i-PD-L2. Ii-antibodies ze-Monoclonal zinokulwa nomhlaza wakho ngeendlela ezahlukeneyo:
Ngqo
Ukubandakanyeka kwamajoni omzimba
Ii-MAB ezibandakanya amajoni omzimba zisebenza ngokuzincamathela kwiiseli zakho ze-lymphoma kunye nokutsala ezinye iiseli zesistim somzimba wakho kwi-lymphoma. Ezi seli ze-immune zinokuthi zihlasele ngokuthe ngqo i-lymphoma.
Imizekelo ye-MABs yokuzibandakanya ngokuthe ngqo kunye ne-immune esetyenziselwa ukunyanga i-lymphoma okanye i-CLL ibandakanya yitshba kwaye obinutuzumab.
Iinhibitors ze-immune-checkpoint
I-immune checkpoint inhibitors luhlobo olutsha lwe-monoclonal antibody olujolise ngqo kumajoni akho omzimba.
Ezinye ii-cancer, kubandakanywa ezinye iiseli ze-lymphoma zilungele ukukhula "iindawo zokuhlola amajoni omzimba" kuzo. Iindawo zokujonga amajoni omzimba yindlela yokuba iiseli zakho zizazise njengesiqhelo "i-self-cell" . Oko kuthetha ukuba amajoni akho omzimba abona i-immune checkpoint, kwaye ucinga ukuba i-lymphoma yiseli ephilileyo. Ngoko isistim somzimba sakho sokuzivikela asihlaseli i-lymphoma, endaweni yoko sivumela ukuba sikhule.
Imizekelo ye-immune checkpoint inhibitors esetyenziselwa ukuphatha i-lymphoma ibandakanya fumanisumab kwaye umyovi.
I-immune checkpoint inhibitors incamathela kwindawo yokuhlola i-immune kwiseli yakho ye-lymphoma ukuze amajoni akho omzimba angakwazi ukubona indawo yokukhangela. Oku ke kuvumela amajoni akho omzimba ukuba aqaphele i-lymphoma njengomhlaza, kwaye aqale ukulwa nawo.
Kanye nokuba yi-MAB, ii-Immune Checkpoint Inhibitors zikwaluhlobo lwe-immunotherapy, kuba zisebenza ngokujolisa amajoni akho omzimba.
Ezinye iziphumo ezingalindelekanga ezinqabileyo ezivela kwi-immune checkpoint inhibitors zingakhokelela kutshintsho olusisigxina njengeengxaki ze-thyroid, i-diabetes Type 2 okanye iingxaki zokuzala. Ezi zinokufuna ukulawulwa ngamanye amayeza okanye nogqirha oyingcali owahlukileyo. Thetha nogqirha wakho malunga nokuba yintoni ingozi ngonyango.
I-Cytokine inhibitors
Kanye nokuba yi-MAB, i-Cytokine Inhibitors nayo luhlobo lwe-immunotherapy, kuba lusebenza ngokujolisa amajoni akho omzimba.
Ezinye iziphumo ezingaqhelekanga ezivela kwi-cytokine inhibitors zingakhokelela ekutshintsheni okusisigxina njengeengxaki ze-thyroid, i-diabetes Type 2 okanye iingxaki zokuzala. Ezi zinokufuna ukulawulwa ngamanye amayeza okanye nogqirha oyingcali owahlukileyo. Thetha nogqirha wakho malunga nokuba yintoni ingozi ngonyango.
I-Bispecific monoclonal antibodies
Ukudityaniswa
Iinkcukacha ezithe xaxe
Iziphumo ebezingalindelekanga ze-Monoclonal antibodies (MABs)
- Umkhuhlane, ukugodola okanye ukungcangcazela (ukuqaqanjelwa)
- Iintlungu zemisipha
- Uhudo
- Irhashalala phezu kolusu lwakho
- Isicaphucaphu okanye ukugabha
- Uxinzelelo lwegazi oluphantsi (hypotension)
- Iimpawu ezinjengomkhuhlane.
I-Immunotherapy ligama elisetyenziselwa unyango olujolise kumajoni akho omzimba kunokuba i-lymphoma yakho. Benza oku ukutshintsha into malunga nendlela amajoni akho omzimba abona ngayo kwaye alwe ne-lymphoma yakho.
Iindidi ezahlukeneyo zonyango zinokuthathwa njenge-immunotherapy. Ezinye ii-MABs ezibizwa ngokuba yi-Immune Checkpoint Inhibitors okanye i-Cytokine Inhibitors luhlobo lonyango lwamajoni omzimba. Kodwa olunye unyango olufana nonyango ekujoliswe kulo okanye unyango lwe-CAR T-cell nazo ziintlobo zonyango lwe-immunotherapy.
Ezinye iiseli ze-lymphoma zikhula kunye ne-marker ethile kwiseli ezingenayo iiseli zakho eziphilileyo. Unyango olujoliswe kuyo ngamayeza aqaphela kuphela ukuba uphawu oluthile, ngoko luyakwazi ukuxelela umahluko phakathi kwe-lymphoma kunye neeseli eziphilileyo.
Iindlela zonyango ezijoliswe kuzo zifakela kwi-marker kwi-cell lymphoma kwaye ziyeke ukuba zingafumani naziphi na iimpawu zokukhula nokusabalalisa. Oku kubangela ukuba i-lymphoma ingakwazi ukufumana izondlo kunye namandla afunekayo ukuze ikhule, okubangela ukuba i-lymphoma cell ife.
Ngokuncamathela kuphela kumakishi kwiiseli ze-lymphoma, unyango olujoliswe kuyo lunokuphepha ukonakalisa iiseli zakho eziphilileyo. Oku kukhokelela kwiziphumo ebezingalindelekanga ezincinci kunonyango lwenkqubo olufana ne-chemo, olungakwaziyo ukuxela umahluko phakathi kwe-lymphoma kunye neeseli ezisempilweni.
Imiphumo emibi yonyango olujoliswe kuyo
Usenokufumana iziphumo ebezingalindelekanga kunyango olujoliswe kuko nangona kunjalo. Ezinye zinokufana neziphumo ebezingalindelekanga zolunye unyango oluchasene nomhlaza, kodwa zilawulwa ngokwahlukileyo. Qinisekisa ukuba uthetha nogqirha wakho okanye umongikazi oyingcali malunga nokuba zeziphi iziphumo ebezingalindelekanga ekufuneka uziqwalasele, kwaye kufuneka wenze ntoni xa uzifumana.
Iziphumo eziqhelekileyo zonyango olujoliswe kuzo zinokubandakanya:
- isifo sohudo
- umzimba ubuhlungu kunye neentlungu
- ukopha kunye nokugruzuka
- usulelo
- ukhathala
Uninzi lwezonyango ezijoliswe kuzo, ezinye iikhemotherapies kunye ne-immunotherapies zithathwa ngomlomo njengethebhulethi okanye i-capsule. Unyango oluchasene nomhlaza oluthathwa ngomlomo lukwabizwa ngokuba "lunyango lomlomo". Kubalulekile ukwazi ukuba unyango lwakho lomlomo lunyango olujoliswe kuyo okanye ichemotherapy. Ukuba awuqinisekanga buza ugqirha wakho okanye umongikazi.
Iziphumo ebezingalindelekanga ekufuneka uziqwalasele, nendlela ozilawula ngayo ziya kwahluka ngokuxhomekeke kuhlobo lonyango lomlomo oluthathayo.
Ezinye iindlela zonyango zomlomo eziqhelekileyo ezisetyenziselwa ukunyanga i-lymphoma zidweliswe ngezantsi.
Unyango ngomlomo - Chemotherapy
Igama lamayeza | Uninzi lweziphumo ebezingalindelekanga |
Chlorambucil | Amanani aphantsi egazi Sulelo Isicaphucaphu kunye nokugabha Uhudo |
ICyclophosphamide | Amanani aphantsi egazi Sulelo Isicaphucaphu kunye nokugabha Ukuphelelwa kwesidlo |
I-Etoposide | Isicaphucaphu kunye nokugabha Ukuphelelwa kwesidlo Uhudo Ukukhathala |
Unyango ngomlomo - ekujoliswe kuyo kunye ne-Immunotherapy
Igama lamayeza | Ujoliso okanye i-immunotherapy | Iintlobo ezincinci zeLymphoma / CLL zisetyenziswa | Iziphumo ebezingalindelekanga eziphambili |
Acalabrutinib | Ekujoliswe kuko (BTK Inhibitor) | intloko ebuhlungu Uhudo Ukutyeba kwakho | |
| Zanubrutinib | Ekujoliswe kuko (BTK Inhibitor) | Amanani aphantsi egazi Rash Uhudo | |
Ibrutinib | Ekujoliswe kuko (BTK Inhibitor) |
| Iingxaki zesingqi sentliziyo Iingxaki zokuhlamba Usulelo loxinzelelo lwegazi oluphezulu |
Idelalisib | Ekujoliswe kuko (Pl3K Inhibitor) | Uhudo Iingxaki zesibindi Iingxaki zemiphunga Ukosuleleka | |
Igama Lenidomide | immunotherapy | Isetyenziswa kwezinye Ii-NHL | Ukugqithisa isikhumba I sizathu Uhudo |
Ukunyanga | Ekujoliswe kuko (BCL2 Inhibitor) | I sizathu Uhudo Iingxaki zokuhlamba Sulelo | |
Vorinostat | Ekujoliswe kuko (HDAC Inhibitor) | Ukuphelelwa kwesidlo Umlomo omile Ukulahleka kweenwele Infections | |
Yintoni i-stem cell?
Ukuqonda i-stem cell okanye i-bone marrow transplants, kufuneka uqonde ukuba yintoni i-stem cell.
Iiseli ze-Stem ziiseli zegazi ezikhulayo ezikhula kumongo wakho wethambo. Zikhethekile kuba ziyakwazi ukuphuhla kwiseli yegazi efunwa ngumzimba wakho, kubandakanya:
- iiseli ezibomvu zegazi – ezithwala ioksijini zijikeleze umzimba wakho
- naziphi na iiseli zakho ezimhlophe zegazi kuquka i-lymphocytes kunye ne-neutrophils ezikukhusela kwisifo kunye nosulelo
- iiplatelets – ezinceda igazi lakho ukuba lijije xa uthe waqhuma okanye wenzakala, ukuze ungophi okanye ugruzuke kakhulu.
Imizimba yethu yenza iibhiliyoni zeeseli ezitsha mihla le kuba iiseli zethu zegazi azenzelwanga ukuba ziphile ngonaphakade. Ke yonke imihla, imizimba yethu isebenza nzima ukugcina iiseli zethu zegazi kwinani elifanelekileyo.
Yintoni i-stem cell okanye uqhaqho lomongo wethambo?
Ukufakelwa kwe-stem cell yinkqubo enokuthi isetyenziswe ukunyanga i-lymphoma yakho, okanye ukugcina uxolelo ixesha elide ukuba kukho ithuba elikhulu lokuba i-lymphoma yakho iya kuphinda ibuyele (ibuyele kwakhona). Ugqirha wakho unokuncoma ukutshintshwa kwe-stem cell yakho xa i-lymphoma yakho iphinda ibuyele.
Ukufakelwa kwe-stem cell yinkqubo enzima kwaye ehlaselayo eyenzeka ngezigaba. Izigulana ezenza uqhaqho-fakelo lwe-stem cell zilungiswa kuqala ngechemotherapy yedwa okanye zidityaniswe neradiotherapy. Unyango lwe-chemotherapy olusetyenziswa kufakelo lwe-stem cell lunikezelwa ngamadosi aphezulu kunesiqhelo. Ukhetho lwe-chemotherapy olunikwe kweli nqanaba luxhomekeke kuhlobo kunye nenjongo yofakelo. Kukho iindawo ezintathu apho iiseli ze-stem ezinokuthi ziqokelelwe kuzo:
Iiseli zomongo wethambo: iiseli ze-stem ziqokelelwa ngokuthe ngqo kumongo wethambo kwaye zibizwa ngokuba yi-a 'uqhaqho lomongo wethambo' (BMT).
Iiseli ze-peripheral stem: iiseli stem ziqokelelwa kwi peripheral blood kwaye oku kubizwa ngokuba a 'i-peripheral blood stem cell transplant' (PBSCT). Lo ngowona mthombo uqhelekileyo weeseli ze-stem ezisetyenziselwa ukutshintshwa.
Igazi lentambo: Iiseli ze-stem ziqokelelwa kwi-umbilical cord emva kokuzalwa komntwana osanda kuzalwa. Oku kubizwa ngokuba yi-a 'ufakelo lwegazi ngentambo', apho ezi zingaxhaphakanga kakhulu kunotyando lwe-peripheral okanye umongo wethambo.
Ulwazi oluthe vetshe ngoTshintsho lweStem Cell
Ukufumana ulwazi oluthe kratya malunga nokufakelwa kweeseli ze-stem bona amaphepha ethu ewebhu alandelayo.
Ufakelo lwe-stem cell – isishwankathelo
Ukutshintshwa kwe-autologous stem cell – usebenzisa ezakho iiseli stem
Ukutshintshwa kwe-allogeneic stem cell – usebenzisa iiseli stem zomnye umntu (zomnikeli).
Unyango lwe-CAR T-cell lunyango olutsha olusebenzisa kunye nokuphucula amajoni akho omzimba ukulwa ne-lymphoma yakho. Ifumaneka kuphela kubantu abaneentlobo ezithile ze-lymphoma ezibandakanya:
- I-Primary Mediastinal B-Cell Lymphoma (PMBCL)
- Iphinde yabuyela umva okanye iRefractory Diffuse Enkulu yeB-Cell Lymphoma (DLBCL)
- I-Follicular Lymphoma eGuquliweyo (FL)
- I-B-cell Acute Lymphoblastic Lymphoma (B-ALL) kubantu abaneminyaka engama-25 ubudala okanye abancinci
Wonke umntu wase-Australia one-subtype efanelekileyo ye-lymphoma, kwaye ahlangabezane neendlela eziyimfuneko unokufumana unyango lwe-CAR T-cell. Nangona kunjalo kwabanye abantu, unokufuna ukuhamba kwaye uhlale kwisixeko esikhulu okanye kwilizwe elahlukileyo ukuze ufikelele kolu nyango. Iindleko zoku zihlawulelwa ngeemali zonyango, ngoko ke akufanelanga ukuba uhlawulele uhambo okanye indawo yokuhlala ukuze ufikelele kolu nyango. Iindleko zomkhathaleli omnye okanye umntu oxhasayo nazo ziyahlawulwa.
Ukufumana ulwazi malunga nokuba ungafikelela njani kolu nyango nceda ubuze ugqirha wakho malunga neenkqubo zenkxaso yesigulana. Ungabona kwakhona wethu Ikhasi lewebhu le-CAR T lonyango apha ngolwazi oluthe vetshe ngonyango lwe-CAR T-cell.
Lunikezelwa phi unyango lwe-CAR T-cell?
EOstreliya, unyango lwe-CAR T-cell lunikezelwa ngoku kula maziko angezantsi:
- Intshona yeOstreliya-Isibhedlele saseFiona Stanley.
- ENew South Wales-iNkosana yaseRoyal uAlfred.
- ENew South Wales-Isibhedlele saseWestmead.
- Victoria - iziko lomhlaza likaPeter MacCallum.
- Victoria – Isibhedlele saseAlfred.
- IQueensland-Royal Brisbane kunye neSibhedlele sabaseTyhini.
- UMzantsi Australia - hlala ubukele.
Kukwakho nolingo lwezonyango olujonge unyango lwe-CAR T-cell kwezinye ii-subtypes ze-lymphoma. Ukuba unomdla, buza ugqirha wakho malunga nalo naluphi na ulingo lwezonyango onokuthi ulufanele.
Ngolwazi ngonyango lwe-CAR T-cell, Cofa apha. Eli khonkco liyakukusa kwibali likaKim, apho athetha ngamava akhe okudlula unyango lwe-CAR T-cell ukunyanga i-Diffuse enkulu ye-B-cell lymphoma (DLBCL). Amanye amakhonkco olwazi oluthe vetshe ngonyango lwe-CAR T-cell nawo anikezelwe.
Unokuqhagamshelana nathi kwiLymphoma Australia ngokucofa iqhosha elithi "qhakamshelana nathi" ezantsi kweli phepha.
Ezinye ii-lymphomas zinokubangelwa lusulelo. Kwezi meko zinqabileyo, i-lymphoma inokunyangwa ngokunyanga usulelo.
Kwezinye iintlobo ze-lymphoma, ezifana ne-malt zone ye-malt lymphomas, i-lymphoma iyeka ukukhula kwaye ekugqibeleni iyafa ngokwemvelo xa usulelo luphelile. Oku kuqhelekileyo kwi-MALT yesisu esibangelwa yi-H. pylori usulelo, okanye kwii-MALT ezingekho esiswini apho unobangela usulelo ngaphakathi okanye malunga namehlo.
Utyando lungasetyenziselwa ukususa i-lymphoma ngokupheleleyo. Oku kunokwenziwa ukuba unendawo enye yendawo ye-lymphoma enokususwa ngokulula. Kungafuneka kwakhona ukuba une-splenic lymphoma ukususa yonke i-spleen yakho. Olu tyando lubizwa ngokuba yi-splenectomy.
I-spleen yakho lilungu eliphambili le-immune system kunye ne-lymphatic systems. Kulapho uninzi lwe-lymphocytes yakho luhlala khona, nalapho ii-B-cell zakho zenza izilwa-buhlungu ukulwa usulelo.
Udakada lwakho lukwanceda ekuhluzeni igazi lakho, luqhekeza iiseli ezibomvu ezindala ukuze zenze iiseli ezintsha zempilo nokugcina iiseli ezimhlophe zegazi kunye neeplatelets, ezinceda igazi lakho ukuba lijije. Ukuba ufuna i-splenectomy, ugqirha wakho uya kuthetha nawe malunga nezilumkiso onokuthi uzithathe emva kokuhlinzwa kwakho.
Ulingo lwezonyango yindlela ebalulekileyo yokufumana unyango olutsha, okanye indibaniselwano yonyango ukuphucula iziphumo kwizigulane ezine-lymphoma okanye i-CLL. Basenokukunika ithuba lokuzama iintlobo ezintsha zonyango ezingazange zamkelwe ngaphambili uhlobo lwe-lymphoma.
Ukuze ufunde ngakumbi malunga nolingo lwezonyango, nceda undwendwele iphepha lethu lewebhu Ukuqonda iiMvavanyo zeklinikhi ngokucofa apha.
Ukufumana unyango lukhetho lwakho. Nje ukuba unalo lonke ulwazi olufanelekileyo, kwaye ube nethuba lokubuza imibuzo, ukuba uqhuba njani kuxhomekeke kuwe.
Ngelixa abantu abaninzi bekhetha ukulufumana unyango, abanye basenokukhetha ukungalufumani unyango. Kusekho ukhathalelo oluninzi lwenkxaso onokulufumana ukukunceda ukuba uphile kakuhle ixesha elide, kwaye ulungelelanise imicimbi yakho.
Amaqela okhathalelo lwe-Palliative kunye nabasebenzi bezentlalo bancedisa kakhulu ekuncedeni ukulungelelanisa izinto xa ulungiselela ukuphela kobomi, okanye ukulawula iimpawu.
Thetha nogqirha wakho malunga nokufumana ukuthunyelwa kula maqela.
Iziphumo ebezingalindelekanga zoNyango
Ngolwazi malunga neziphumo ebezingalindelekanga ezithile zonyango lwe-lymphoma/CLL kunye nendlela yokulawula, nceda ucofe kwikhonkco elingezantsi.
Ukwabelana ngesondo kunye nokwabelana ngesondo ngexesha lonyango lwe-lymphoma
Ubomi bezesondo obunempilo kunye nobudlelwane bezesondo buyinto eqhelekileyo kunye nebalulekileyo yokuba ngumntu. Ngoko ke kubalulekile ukuthetha malunga nokuba unyango lwakho lunokuchaphazela njani na ngokwesondo.
Abaninzi kuthi bakhuliswe becinga ukuba akulunganga ukuthetha ngesini. Kodwa eneneni yinto eqhelekileyo, kwaye ukuthetha ngayo kubaluleke kakhulu xa une-lymphoma kwaye uqala unyango.
Oogqirha bakho kunye nabongikazi bangumthombo omkhulu wolwazi, kwaye abayi kucinga ngendlela eyahlukileyo ngawe, okanye bakuphathe ngendlela eyahlukileyo ukuba ubabuza malunga neenkxalabo ezinxulumene nesondo. Zive ukhululekile ukubuza nantoni na ofuna ukuyazi ngayo.
Ungaphinda usitsalele umnxeba kwi-Lymphoma Australia, nqakraza nje kwiqhosha loqhagamshelwano nathi ezantsi kweli phepha ngeenkcukacha zethu.
Ngaba ndingabelana ngesondo ngelixa ndifumana unyango lwe-lymphoma?
Ewe! Kodwa kukho izilumkiso ekufuneka uzithathe.
Ukuba ne-lymphoma, kunye nonyango lwayo lunokukwenza uzive udiniwe kwaye uswele amandla. Kwezinye iimeko, usenokungaziva uthanda ukwabelana ngesondo, kwaye oko kulungile. Ukufuna nje ukugonwa okanye ukudibana nomzimba ngaphandle kwesondo kulungile, kwaye ukufuna ukwabelana ngesondo kulungile. Xa ukhetha ukwabelana ngesondo, kunokunceda ukusebenzisa isithambiso njengoko ezinye zonyango zinokubangela ukoma kwelungu lobufazi okanye ukungasebenzi kakuhle kwe-erectile.
Ukuthandana akufuneki ukuba kukhokelele kwisondo, kodwa kusenokuzisa ulonwabo kunye nentuthuzelo. Kodwa ukuba udiniwe kwaye ungafuni ukubanjwa oko kuqhelekile. Nyaniseka neqabane lakho malunga nezidingo zakho.
Unxibelelwano oluvulekileyo nolunentlonipho kunye neqabane lakho lubaluleke kakhulu ukuqinisekisa ukuba nobabini nigcinwe nikhuselekile, kwaye nokukhusela ubudlelwane benu.
Umngcipheko wosulelo kunye nokopha
I-lymphoma yakho, okanye unyango lwayo lunokwenza kube lula ukuba ufumane usulelo okanye wophe kwaye ugruzuke ngokulula. Oku kufuneka kuthathelwe ingqalelo xa usabelana ngesondo. Ngenxa yoku, kunye nokubanakho ukuziva udinwe ngokulula, unokufuna ukujonga iindlela ezahlukeneyo kunye nezikhundla zesini.
Ukusebenzisa i-lubrication kunokunceda ukukhusela i-microtears ehlala isenzeka ngexesha lokwabelana ngesondo, kwaye inokunceda ukukhusela usulelo kunye nokopha.
Ukuba ukhe wanosulelo lwangaphambili olunosulelo oludluliselwa ngeentlobano zesini, olufana ne-herpes okanye iintsumpa zangasese usenokuba nogqabhuko-dubulo. Ugqirha wakho unokukwazi ukukumisela amayeza e-anti-viral ngexesha lonyango lwakho ukukhusela, okanye ukunciphisa ubunzulu bokuqhambuka. Thetha nogqirha wakho okanye umongikazi ukuba ukhe wanosulelo oludluliselwa ngeentlobano zesini kwixesha elidlulileyo.
Ukuba wena okanye iqabane lakho ukhe waba nesifo esosulela ngesondo, okanye awuqinisekanga, sebenzisa ukhuseleko lomqobo olufana nedama lamazinyo okanye ikhondom ene-spermicide ukuthintela usulelo.
Ngaba iqabane lam lifuna ukukhuselwa?
Amanye amayeza e-anticancer anokufunyanwa kuwo wonke ulwelo lomzimba kuquka amadlozi kunye nencindi yelungu lobufazi. Ngesi sizathu, kubalulekile ukusebenzisa ukhuseleko lomqobo njengamadama wamazinyo okanye iikhondom kunye nesibulali-zidlozi. Ukwabelana ngesondo okungakhuselekanga ngexesha leentsuku zokuqala ezi-7 emva konyango lwe-anticancer kunokubangela ingozi kwiqabane lakho. Ukhuseleko lomqobo lukhusela iqabane lakho.
Ngaba ndingakhulelwa (okanye ndifumane omnye umntu) ngexesha lonyango?
Ukukhulelwa ngexesha lonyango kuya kuchaphazela ukhetho lwakho lonyango, kwaye kunokukhokelela ekulibazisekeni kunyango olufunayo ukulawula i-lymphoma yakho.
Iinkcukacha ezithe xaxe
Ukufumana ulwazi oluthe vetshe, thetha neqela lakho lonyango esibhedlele okanye kwikliniki yakho, okanye ncokola nogqirha wakho wengingqi (GP). Ezinye izibhedlele zinabongikazi abakhethekileyo kwiinguqu zesini ngexesha lonyango lomhlaza. Ubuza ugqirha okanye umongikazi wakho ukuba ungathunyelwa na kumntu oqondayo nonamava okunceda izigulana ezinolu tshintsho.
Ungaphinda ucofe iqhosha elingezantsi ukuze ukhuphele i-factsheet yethu.
Ukukhulelwa ngexesha lonyango lwe-lymphoma
Nangona sithethile malunga nokukhulelwa, okanye ukufumana omnye umntu okhulelweyo ngexesha lokunyanga, kwabanye abantu, ukuxilongwa kwe-lymphoma kwenzeka emva kokuba sele ukhulelwe. Kwezinye iimeko, ukukhulelwa kunokumangalisa ngexesha lonyango.
Kubalulekile ukuthetha neqela lakho lonyango malunga nokuba zeziphi na iindlela onokukhetha kuzo.
Unyango oluXhasayo - iimveliso zegazi, izinto zokukhula, ii-steroids, ulawulo lweentlungu, unyango oluxhasayo kunye nolunye unyango
Unyango oluxhasayo alusetyenziselwa ukuphatha i-lymphoma yakho, kodwa kunokuphucula umgangatho wobomi ngelixa unonyango lwe-lymphoma okanye i-CLL. Uninzi luya kuba kukunceda ukunciphisa iziphumo ebezingalindelekanga, ukuphucula iimpawu okanye ukuxhasa amajoni akho omzimba kunye nokubuyisela inani legazi.
Cofa kwizihloko ezingezantsi ukufunda malunga nonyango oluxhasayo onokulunikwa.
I-Lymphoma kunye ne-CLL kunye nonyango lwabo lunokubangela ukuba ube nenani eliphantsi leeseli zegazi ezinempilo. Umzimba wakho unokuhlala ulungelelanisa kumanqanaba asezantsi, kodwa kwezinye iimeko, unokufumana iimpawu. Kwiimeko ezinqabileyo ezi mpawu zinokubeka ubomi esichengeni.
Utofelo-gazi lunokunceda ukwandisa amanani akho egazi ngokukunika utofelo lweeseli ozifunayo. Oku kunokubandakanya utofelo-gazi olubomvu, utofelo-gazi lweplatelet okanye ukutshintshwa kweplasma. I-Plasma yinxalenye yolwelo lwegazi lakho kwaye ithwala amajoni omzimba kunye nezinye izinto zokujiyisa ezinceda ekuqinisekiseni ukuba amahlwili egazi ngokufanelekileyo.
IOstreliya inelona gazi likhuselekileyo ehlabathini. Igazi eliphuma kumntu onikelayo liyavavanywa (lithelekiswe) kwigazi lakho ukuqinisekisa ukuba liyahambelana. Igazi labanikeli likwavavanyelwa iintsholongwane egazini eziquka i-HIV, iHepatitis B, iHepatitis C kunye nentsholongwane ye-T-lymphotropic yabantu. Oku kuqinisekisa ukuba awukho semngciphekweni wokufumana ezi ntsholongwane kutofelo-gazi lwakho.
Utofelo-gazi olubomvu
Iiseli ezibomvu zegazi zineproteni ekhethekileyo kuzo ebizwa ngokuba yihemoglobin (hee-moh-glow-bin). Ihemoglobin yeyona nto inika igazi lethu umbala obomvu kwaye inoxanduva lokuthwala ioksijini ijikeleze imizimba yethu.Iiplatelets
IiPlatelets zinombala otyheli kwaye zinokutofelwa - zinikezelwe kuwe kwimithambo yakho ukwandisa amanqanaba eplatelet.
Intragam (IVIG)
I-Intragam kukufakwa kwe-immunoglobulins - ngenye indlela eyaziwa njenge-antibodies.
I-B-cell lymphocytes yakho ngokwemvelo yenza amajoni omzimba ukulwa usulelo kunye nezifo. Kodwa xa une-lymphoma, iiseli zakho ze-B zingenako ukwenza izilwa-buhlungu ezaneleyo ukuze uhlale usempilweni.
Ukuba uhlala ufumana usulelo, okanye unengxaki yokukhupha usulelo, ugqirha wakho unokukucebisa nge-intragam.
Izinto zokukhula ngamayeza asetyenziselwa ukunceda ezinye zeeseli zakho zegazi zikhule ngokukhawuleza. Isetyenziswa ngokuqhelekileyo ukuvuselela umongo wakho ukuba uvelise iiseli ezimhlophe zegazi, ukukunceda ukukhusela kusulelo.
Unokuba nazo njengenxalenye ye-chemo protocol yakho ukuba kunokwenzeka ukuba uya kufuna inkxaso eyongezelelweyo ukwenza iiseli ezintsha. Unokuba nazo ukuba une-stem cell transplant ukuze umzimba wakho wenze iiseli ezininzi ze-stem ukuba ziqokelelwe.
Kwezinye iimeko ukukhula kungasetyenziselwa ukuvuselela umongo wakho wethambo ukuvelisa iiseli ezibomvu ezininzi, nangona oku kungaqhelekanga kubantu abane-lymphoma.
Iintlobo zezinto zokukhula
I-Granulocyte-colony stimulating factor (G-CSF)
I-Granulocyte-colony stimulating factor (G-CSF) yinto eqhelekileyo yokukhula esetyenziselwa abantu abane-lymphoma. I-G-CSF yihomoni yendalo eyenziwa yimizimba yethu, kodwa inokwenziwa njengeyeza. Amanye amayeza e-G-CSF asebenza ixesha elifutshane ngelixa amanye esebenza ixesha elide. Iindidi ezahlukeneyo ze-G-CSF ziquka:
- ILenograstim (iGranocyte®)
- I-Filgrastim (Neupogen®)
- I-Lipegfilgrastim (Lonquex®)
- I-Pegylated filgrastim (Neulasta®)
Iziphumo ebezingalindelekanga zenaliti ye-G-CSF
Kuba i-G-CSF ivuselela umongo wakho ukuba uvelise iiseli zegazi ezimhlophe ngokukhawuleza kunesiqhelo, unokufumana iziphumo ebezingalindelekanga. Ezinye iziphumo ebezingalindelekanga zinokubandakanya:
- Fever
- Ukukhathala
- Ukulahleka kweenwele
- Uhudo
- Utywala
- Rash
- Intloko
- Intlungu yethambo.
Phawula: Ezinye izigulana zinokubandezeleka ngenxa yeentlungu ezinzima zethambo, ngakumbi kumqolo wakho ophantsi. Oku kwenzeka ngenxa yokuba inaliti ye-G-CSF ibangela ukwanda ngokukhawuleza kwe-neutrophils (iiseli ezimhlophe zegazi), okubangela ukudumba kumongo wakho wethambo. Umongo wethambo uhlala kwindawo yakho ye-pelvic (i-hip / esezantsi), kodwa ikhona kuwo onke amathambo akho.
Le ntlungu idla ngokubonisa ukuba iiseli zakho ezimhlophe zegazi ziyabuya.
Abantu abancinci ngamanye amaxesha bafumana iintlungu ezingakumbi kuba umongo wethambo usaxinene xa usemncinci. Abantu abadala banomongo oxinene kakhulu, ngoko kukho indawo eninzi yokuba iiseli ezimhlophe zikhule ngaphandle kokudumba. Oku kudla ngokukhokelela kwiintlungu ezincinci - kodwa hayi rhoqo. Izinto ezinokunceda ukunciphisa ukungonwabi:
- Paracetamol
- Ipakethi yobushushu
- I-Loratadine: i-antihistamine engaphezulu kwe-counter counter, enciphisa impendulo yokuvuvukala
- Qhagamshelana neqela lezonyango ukufumana i-analgesia enamandla ukuba oku ngasentla akuncedi.
Isiphumo esingathandekiyo
Kwiimeko ezinqabe kakhulu udakada lwakho lunokudumba ( lube lukhulu), izintso zakho zinokonakala.
Ukuba ufumana naziphi na ezi mpawu zilandelayo ngelixa une-G-CSF, qhagamshelana nogqirha wakho ngoko nangoko ukufumana iingcebiso.
- Ukuziva ugcwele okanye ukungonwabi kwicala lasekhohlo lesisu, ngaphantsi kweembambo
- Iintlungu kwicala lasekhohlo lesisu
- Iintlungu kwincam yegxalaba lasekhohlo
- Ingxaki yokukhupha umchamo (wee), okanye ukudlula ngaphantsi kwesiqhelo
- Utshintsho kumbala womchamo wakho kumbala obomvu okanye omnyama omdaka
- Ukudumba emilenzeni okanye ezinyaweni
- Ukuphefumla
Erythropoietin
IErythropoietin (EPO) nguthunywashe wokukhula okhuthaza ukukhula kweeseli ezibomvu zegazi. Ayiqhelekanga ukusetyenziswa kuba iiseli ezibomvu zegazi eziphantsi zidla ngokulawulwa ngokutofelwa igazi.
Ukuba awukwazi ukutofelwa igazi ngenxa yezizathu zonyango, ezomoya okanye ezinye, unokunikwa i-erythropoietin.
Iisteroids luhlobo lwehomoni eyenziwa yimizimba yethu ngokwemvelo. Nangona kunjalo zisenokwenziwa elabhoratri njengeyeza. Iintlobo eziqhelekileyo ze-steroids ezisetyenziswa ekunyangeni abantu abane-lymphoma luhlobo olubizwa ngokuba yi-corticosteroids. Oku kuquka amayeza iprednisolone, imethylprednisolone kwaye idexamenthasone. Ezi zihluke kwiintlobo ze-steroids abantu abazisebenzisayo ukwakha izihlunu zomzimba.
Kutheni i-steroids isetyenziselwa i-lymphoma?
Iisteroids zisetyenziswa ecaleni kwechemotherapy yakho, kunye kufuneka ithathwe kuphela ixesha elifutshane njengoko kuchaziwe yi-hematologist yakho okanye oncologist. I-Steroids isetyenziselwa izizathu ezininzi kunyango lwe-lymphoma.
Oku kunokubandakanya:
- Ukunyanga i-lymphoma ngokwayo.
- Ukunceda olunye unyango olufana nechemotherapy ukusebenza ngcono.
- Ukunciphisa ukungahambi kakuhle kwamanye amayeza.
- Ukuphucula iziphumo ebezingalindelekanga ezifana nokudinwa, isicaphucaphu, kunye nokungacaceli ukutya.
- Ukunciphisa ukudumba okunokubangela iingxaki. Umzekelo ukuba unoxinzelelo lwe-spinal cord.
Iziphumo ebezingalindelekanga ze-steroids
Iisteroids zinokubangela iziphumo ebezingalindelekanga ezininzi ezingafunekiyo. Uninzi lwezi zinto zifutshane kwaye ziba ngcono kwiintsuku ezimbalwa emva kokuba uyekile ukuzithatha.
Iziphumo ebezingalindelekanga eziqhelekileyo ziquka:
- Iintlungu zesisu okanye utshintsho kwindlela yakho yangasese
- Ukonyuka kokutya kunye nokuzuza ubunzima
- Uxinzelelo lwegazi oluphezulu kunesiqhelo
- I-Osteoporosis (amathambo abuthathaka)
- Ukugcinwa kwamanzi
- Ukwanda komngcipheko wosulelo
- Ukuhamba kweemvakalelo
- Ubunzima bokulala (ukuphuthelwa)
- Ubuthakathaka obuthathaka
- Amanqanaba aphezulu eswekile yegazi (okanye uhlobo lwe-2 yeswekile). Oku kunokuphumela kuwe
- ukuziva unxaniwe
- ufuna ukuchama (wee) rhoqo
- ukuba neglucose ephezulu yegazi
- ukuba namaqondo aphezulu eswekile emchameni
Kwezinye iimeko, ukuba amanqanaba eswekile yegazi anyuke kakhulu, unokufuna unyango nge-insulin okwethutyana, de uphume kwi-steroids.
Ukutshintsha kweemvakalelo kunye nokuziphatha
Iisteroids zinokuchaphazela umoya kunye nokuziphatha. Zinokubangela:
- iimvakalelo zokuxhalaba okanye ukungazinzi
- iimood swings (iimvakalelo ezihla zinyuka)
- umoya ophantsi okanye ukudakumba
- imvakalelo yokufuna ukwenzakalisa wena okanye abanye.
Utshintsho kwimo kunye nokuziphatha kunokoyikeka kakhulu kumntu othatha i-steroids, kunye nabathandekayo babo.
Ukuba ubona naluphi na utshintsho lwakho, okanye ubathandayo imo kunye nokuziphatha ngelixa uthatha i-steroids, thetha nodokotela wakho ngoko nangoko. Ngamanye amaxesha utshintsho lwedosi, okanye ukutshintshela kwi-steroid eyahlukileyo kunokukwenza konke ukuhluka ukukunceda uzive ungcono. Xelela ugqirha okanye umongikazi ukuba kukho naluphi na utshintsho kwimo yakho okanye kwindlela oziphethe ngayo. Kusenokubakho utshintsho oluthile kunyango ukuba iziphumo ebezingalindelekanga zibangela iingxaki.
Iingcebiso zokuthatha i-steroids
Nangona singenako ukunqanda iziphumo ebezingalindelekanga ezingafunekiyo ezivela kwi-steroids, kukho ezinye izinto onokuzenza ukunciphisa ukuba zimbi kangakanani iziphumo ebezingalindelekanga kuwe. Ngezantsi kukho iingcebiso onokuthanda ukuzama.
- Zithathe kusasa. Oku kuya kunceda ngamandla emini, kwaye ngethemba lokuba uphele ebusuku ukuze ube nokulala ngcono.
- Zithathe kunye nobisi okanye ukutya ukukhusela isisu sakho kwaye unciphise ukukrala kunye neemvakalelo zesicaphucaphu
- Musa ukuyeka ngokukhawuleza ukuthatha i-steroids ngaphandle kweengcebiso zoogqirha - oku kunokubangela ukuhoxiswa kwaye kungabi mnandi kakhulu. Amanye amayeza aphezulu anokufuna ukuyeka kancinci kancinci ngedosi encinci yonke imihla.
Uqhagamshelane nini nogqirha wakho
Kwezinye iimeko kunokufuneka uqhagamshelane nogqirha wakho ngaphambi kokuba ufumane idinga lakho elilandelayo. Ukuba naziphi na ezi zingezantsi zenzeka ngelixa uthatha i-steroids, nceda uxelele ugqirha wakho ngokukhawuleza.
- iimpawu zokugcina ulwelo olufana nokuphefumula okufutshane, ubunzima bokuphefumla, ukudumba kweenyawo okanye imilenze esezantsi, okanye ukufumana ubunzima ngokukhawuleza.
- utshintsho kwimo yakho okanye kwindlela oziphethe ngayo
- iimpawu zosulelo ezifana nobushushu obuphezulu, ukhohlokhohlo, ukudumba okanye nakuphi na ukudumba.
- ukuba unazo naziphi na ezinye iziphumo ebezingalindelekanga ezikukhathazayo.
Amanye amayeza anxibelelana neesteroids ezinokwenza ukuba elinye okanye omabini angasebenzi ngendlela ebemele ukuba asebenze ngayo. Thetha nogqirha wakho okanye usokhemisti malunga nawo onke amayeza kunye nezongezelelo ozithathayo ukuze baqinisekise ukuba akukho namnye oya kuba nentsebenziswano eyingozi kunye ne-steroids yakho.
Ukuba umiselwe i-steroids, thetha nogqirha wakho okanye usokhemesti ngaphambi kokuba:
- Ukuba nazo naziphi na izitofu zokugonya (kubandakanywa ugonyo lwerhashalala, imasisi, uqwilikana kunye nerubella, ipoliyo, ishingles, isifo sephepha)
- Ukuthatha izongezo zemifuno okanye ngaphezulu kwe-counter amayeza
- Ukukhulelwa okanye ukuncancisa
- Ukuba unemeko echaphazela amajoni akho omzimba (ngaphandle kwe-lymphoma yakho).
Umngcipheko wosulelo
Ngelixa uthatha i-steroids uya kuba semngciphekweni wokosuleleka. Baphephe abantu abanalo naluphi na uhlobo lweempawu ezosulelayo okanye izigulo.
Oku kuquka abantu abanerhashalala yenkukhu, ishingles, ukubanda kunye neempawu zomkhuhlane (okanye i-COVID), i-pneumocystis jiroveci pneumonia (PJP). Nangona uke waba nosulelo kwixesha elidlulileyo, ngenxa ye-lymphoma yakho, kunye nokusetyenziswa kwe-steroids, uya kuba semngciphekweni omkhulu.
Ziqhelanise nococeko lwezandla kunye nokuba kude ekuhlaleni xa usesidlangalaleni.
I-lymphoma okanye unyango lwakho lunokubangela iintlungu kunye neentlungu kuwo wonke umzimba wakho. Kwabanye abantu, intlungu inokuba mbi kakhulu kwaye idinga inkxaso yezonyango ukuyiphucula. Kukho iintlobo ezininzi zeentlungu ezifumanekayo zokukunceda ulawule intlungu yakho, kwaye xa ulawulwa ngokufanelekileyo ayiyi kukhokela ukuba likhoboka lamayeza okuphelisa iintlungu.
Ulawulo lweempawu kunye nokhathalelo lwePalliative - Azikho nje ukhathalelo lokuphela kobomi
Ukuba intlungu yakho inzima ukuyilawula, unokuzuza ngokubona iqela lokhathalelo lokuthomalalisa. Abantu abaninzi banenkxalabo ngokubona iqela lokhathalelo lokuthomalalisa ngenxa yokuba babazi kuphela ukuba bayinxalenye yokhathalelo bokuphela kobomi. Kodwa, ukukhathalelwa kokuphela kobomi yinxalenye yento eyenziwa liqela lokhathalelo lokuthomalalisa.
Amaqela okhathalelo lwentlungu ziingcali zolawulo olunzima ukunyanga iimpawu ezifana neentlungu, isicaphucaphu kunye nokugabha kunye nokuphelelwa ngumdla wokutya. Bayakwazi kananjalo ukukumisela uluhlu olukhulu lwamayeza okuphelisa iintlungu kunokuba unyange ugqirha wegazi okanye i-oncologist ekwaziyo ukwenza. Ke ukuba iintlungu zichaphazela umgangatho wobomi bakho, kwaye akukho nto ibonakala isebenza, kunokuba luncedo ukucela ugqirha wakho ukuba akuthumele kukhathalelo lonyango lolawulo lweempawu.
Unyango olongezelelweyo nololunye luya luxhaphaka ngakumbi. Zinokubandakanya:
Iinkqubo eziPheleleyo | Zonyango |
ukuphulula umzimba womntu ngobunono Ukwenza i-Acupuncture I-Reflexology Ukucamngca kunye nokunaka kwengqondo I-Thai Chi kunye neQi Gong Unyango lobugcisa ITree Treatment Aromatherapy Iingcebiso kunye nePsychology | I-Naturopathy I-Vitamin infusions I-Homeopathy Amayeza amaTshayina Izidosi Ayurveda Bio-electromagnetics Ukutya okunemiqathango kakhulu (umzekelo ketogenic, akukho swekile, i-vegan) |
Unyango olongezelelweyo
Unyango olongezelelweyo lujolise ekusebenzeni ecaleni konyango lwakho lwesintu. Ayenzelwanga ukuthatha indawo yonyango lwakho olucetyiswa ngugqirha wakho oyingcali. Azisetyenziselwa ukunyanga i-lymphoma okanye i-CLL, kodwa kunoko uncede ukuphucula umgangatho wobomi bakho ngokunciphisa ubukhali, okanye ixesha lemiphumo emibi. Zinokunceda ukunciphisa uxinzelelo kunye noxinzelelo, okanye zikuncede ukuba umelane noxinzelelo olongezelelweyo ebomini bakho ngelixa uhlala ne-lymphoma / CLL kunye nonyango lwayo.
Ngaphambi kokuba uqalise naluphi na unyango olongezelelweyo, thetha nogqirha wakho oyingcali okanye umongikazi. Amanye amayeza okuncedisana nawo asenokungakhuseleki ngexesha lonyango, okanye anokufuna ukulinda de iiseli zakho zegazi zibe kumgangatho oqhelekileyo. Umzekelo woku kukuba uneeplatelet ezisezantsi, i-massage okanye i-acupuncture inokunyusa umngcipheko wakho wokopha kunye nokugruzuka.
Olulolunye unyango
Unyango olulolunye lwahlukile kunyango oluxhasayo kuba injongo yolunye unyango kukubuyisela unyango lwesintu. Abantu abakhetha ukungalufumani unyango olusebenzayo ngechemotherapy, radiotherapy okanye olunye unyango lwesintu basenokukhetha uhlobo oluthile lonyango olulolunye.
Unyango oluninzi olulolunye alukhange luvavanywe ngokwenzululwazi. Kubalulekile ukubuza ugqirha wakho ukuba ucinga ngolunye unyango. Baza kukunika ulwazi malunga nezibonelelo zonyango lwesintu kunye nendlela ezi zithelekisa ngayo nolunye unyango. Ukuba ugqirha wakho akazithembanga ukuthetha nawe malunga nolunye unyango, bacele ukuba bakuthumele kumntu onamava angakumbi ngezinye iindlela zonyango.
Imibuzo onokuyibuza ugqirha wakho
1) Ngawaphi amava onawo ngonyango oluncomekayo kunye okanye olulolunye?
2) Loluphi uphando lwamva nje (loluphi na unyango onomdla kulo)?
3) Kudala ndijonge ku (uhlobo lonyango), ungandixelela ntoni ngalo?
4) Ingaba ukhona omnye umntu onokuthi ndithethe naye malunga nolu nyango?
5) Ngaba kukho naluphi na unxibelelwano nonyango lwam ekufuneka ndiluqaphele?
Thatha uxanduva lonyango lwakho
Akunyanzelekanga ukuba wamkele unyango olunikwayo, kwaye unelungelo lokubuza ngeendlela ezahlukeneyo ongakhetha kuzo.
Ngokuqhelekileyo ugqirha wakho uya kukunika unyango oluqhelekileyo oluvunyiweyo kwiintlobo zakho ze-lymphoma. Kodwa ngamanye amaxesha kukho amanye amayeza anokusebenza kuwe asenokungadweliswa kuLawulo lweeMpahla zoNyango (TGA) okanye iSikimu sokuBhenefitha kwiPharmaceutical (PBS).
Jonga ividiyo Thatha intlawulo: Ufikelelo olulolunye kumayeza angadweliswanga kwi-PBS ufuna ulwazi olungolunye.
Ukugqiba unyango lwakho lwe-lymphoma kunokubangela iimvakalelo ezidibeneyo. Usenokuziva uchulumancile, ukhululekile kwaye ufuna ukubhiyoza, okanye usenokuba nexhala kwaye uxhalabe malunga nokuza kulandela. Kukwayinto eqhelekileyo ukuba nexhala malunga nokubuya kwe-lymphoma.
Ubomi buya kuthatha ixeshana ukubuyela esiqhelweni. Unokuqhubeka nokuba neziphumo ebezingalindelekanga kunyango lwakho, okanye ezintsha zinokuqala kuphela emva kokuba unyango luphelile. Kodwa akuyi kuba wedwa. I-Lymphoma Australia ilapha kuwe nasemva kokuba unyango luphelile. Ungaqhagamshelana nathi ngokucofa iqhosha elithi "Qhagamshelana nathi" ezantsi kweli phepha.
Uya kuqhubeka nokubonana nogqirha wakho oyingcali rhoqo. Bazakufuna ukukubona kwaye benze uvavanyo lwegazi kunye nescan ukuqinisekisa ukuba uphilile. Olu vavanyo lwesiqhelo luqinisekisa ukuba naziphi na iimpawu ze-lymphoma ebuyayo zithathwa kwangoko.
Ukubuyela kwimeko yesiqhelo, okanye ukufumana into eqhelekileyo
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.
Iinjongo eziphambili emva konyango lwe-lymphoma okanye unyango lwe-CLL 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.
Iindidi ezahlukeneyo zokubuyisela umhlaza kwimo yesiqhelo zinokuba nomdla kuwe. Ukubuyisela kwisimo somhlaza kunokubandakanya uluhlu olubanzi lweenkonzo ezifana nezi:
- unyango lomzimba, ulawulo lweentlungu
- isicwangciso sesondlo kunye nokuzilolonga
- ingcebiso ngokweemvakalelo, ngomsebenzi nangemali.
Okulusizi kukuba, kwezinye iimeko unyango alusebenzi njengoko sinethemba. Kwezinye iimeko, unokwenza isigqibo esifundisiweyo sokungabi nalo unyango kwaye ubone iintsuku zakho ngaphandle kokuphazamiseka kokuqeshwa kunye nonyango. Nokuba yeyiphi na indlela, kubalulekile ukuqonda omawukulindele kwaye uzilungiselele njengoko usondela esiphelweni sobomi bakho.
Kukho inkxaso efumanekayo kuwe kunye nabo ubathandayo. Thetha neqela lakho lonyango malunga nokuba yeyiphi inkxaso oyifumanayo kwindawo ohlala kuyo.
Ezinye zezinto ongathanda ukucinga ngazo ukubuza ziquka:
- Ngubani endidibana naye xa ndiqala ukufumana iimpawu, okanye iimpawu zam ziba mandundu kwaye ndifuna uncedo?
- Ngubani endinokuqhagamshelana naye ukuba ndiyasokola ukuzinyamekela ekhaya?
- Ngaba ugqirha wam wengingqi (GP) uyabonelela ngeenkonzo ezinjengokundwendwela ekhaya okanye ngefowuni?
- Ndiqinisekisa njani ukuba ukhetho lwam luyahlonelwa ekupheleni kobomi bam?
- Yiyiphi isiphelo senkxaso yobomi ekhoyo kum?
Unokufumana ulwazi oluthe kratya malunga nokucwangciswa kokuphela kokhathalelo lobomi ngokucofa amakhonkco angezantsi.
Ukucwangcisa isiphelo sakho sokhathalelo lobomi
Ezinye izixhobo zakho
Inkxaso yeLymphoma yaseOstreliya yephepha lakho lewebhu – ngamakhonkco amaninzi
INANI - kubantwana kunye nolutsha abanomhlaza, okanye abo banabazali abanomhlaza.
Qokelela abasebenzi bam -ukukunceda wena kunye nabo ubathandayo nilungelelanise uncedo olongezelelweyo onokulufuna.
Ezinye ii-apps zokulawula iimfuno zenkxaso kunye nosapho kunye nabahlobo:
Iiprotokholi zonyango lwe-eviQ lymphoma – kuquka amayeza kunye neziphumo ebezingalindelekanga.
Izibonelelo zomhlaza kwezinye iilwimi – nguRhulumente weVictorian
