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.
Ukuba isifo sakho siba mandundu, unokuqalisa unyango.
Ukuqonda iwotshi kunye nokulinda (ukubeka iliso okusebenzayo)
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 izigulane zide zifowune ngeli xesha "bukela kwaye ukhathazeke", kuba kunokungakhululeki 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.
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.
Mnaziphi na izigulane unokufuna ukuba unyango olusebenzayo ezifana chemotherapy kwaye immunotherapy ngelinye ixesha nangona. Nangona kunjalo, ezinye izigulana ezine-lymphomas ezingenamsebenzi azifuni unyango. Emva kokuba ulufumene unyango, unokuphinda uqhubeke ubukele kwaye ulinde.
UNjingalwazi Judith Trotman, ugqirha wegazi, iSibhedlele saseConcord, eSydney
Kutheni kusetyenziswa iwotshi kunye nokulinda?
Kwiimeko ezininzi Indolent (ikhula kancinane) i-lymphoma ayinyangeki. Oku kuthetha ukuba uya kuphila nesifo sakho ubomi bakho bonke. Kodwa abantu abaninzi baphila ubomi obude kunye nobunempilo kunye ne-lymphoma engenamsebenzi okanye i-CLL.
Unokuba namaxesha apho ubukele kwaye ulinde ixeshana, emva koko unyango oluthile, kwaye emva koko ubukele kwaye ulinde. Inokuba yinto encinci ye-rollercoaster. Kodwa, ukuba uyakuqonda ukuba iwotshi kunye nokulinda ngamanye amaxesha kulungile, okanye isiganeko esingcono kunonyango olusebenzayo ngamayeza kwezinye iimeko, kunokuba lula ukumelana nayo. Uphononongo lubonisa ukuba izigulane eziqala 'kwiwotshi kwaye zilinde', ziphila kanye njengabantu abaqale kunyango kwangethuba.
Inzuzo yokulinda ukunyanga i-lymphoma okanye i-CLL, kukuba awuyi kuba nemiphumo engafunekiyo yamayeza asetyenziselwa ukunyanga i-lymphoma. Kukwathetha ukuba uya kuba neendlela ezininzi zokukhetha, ukuba ufuna ukuba nonyango olusebenzayo kwixesha elizayo.
Ngubani onokuphathwa ngendlela 'yokulinda nokulinda'?
Ukubukela kunye nokulinda kunokuba yeyona ndlela ilungileyo kwizigulana ezine-indolent lymphomas ezifana:
- I-Follicular lymphoma (FL)
- Ii-lymphomas zone zone (MZL)
- I-Cronic lymphocytic leukemia (CLL) okanye i-lymphocytic lymphoma encinci (SLL)
- I-Waldenstroms macroglobulinemia (WM)
- I-Cutaneous T-cell lymphoma (CTCL)
- I-Nodular lymphocyte iphelelwe yiHodgkin lymphoma (NLPHL)
Nangona kunjalo, ukubukela kunye nokulinda kufanelekile kuphela ukuba 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
Kubandakanya ntoni ukubukela nokulinda?
Uya kubekwa esweni ngenkuthalo ngelixa ubukele kwaye ulindile. Uya kubona ugqirha wakho rhoqo kwiinyanga ezi-3-6, kodwa ugqirha wakho uya kukwazisa ukuba kufuneka ibe ngaphezulu okanye ngaphantsi koku. Ugqirha wakho unoku-odola naluphi na olu vavanyo lulandelayo ukuze aqinisekise ukuba uphilile, kwaye isifo sakho asibi mandundu.
Uvavanyo lungabandakanya:
- Uvavanyo lwegazi ukujonga impilo yakho jikelele
- Uvavanyo lomzimba ukujonga ukuba ngaba unayo na ii-lymph nodes ezidumbileyo okanye iimpawu zokuqhubela phambili
- Uvavanyo lomzimba kunye nembali yonyango
- Uya kujongwa uxinzelelo lweGazi, ubushushu, kunye nezinga lentliziyo (ezi zidla ngokubizwa ngokuba ziimpawu ezibalulekileyo)
- Ugqirha wakho uya kukubuza ukuba ngaba unazo naziphi na iimpawu ze-B
- Usenokucelwa ukuba ube ne-CT scan okanye iPET. Ezi scan zibonisa okwenzekayo 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.
Kubalulekile ukukhumbula ukuba ukulinda yindlela eqhelekileyo yokulawula i-indolent lymphoma kunye ne-CLL. Ukuba ufumana indlela 'yokulinda kwaye ulinde' iyakhathaza, nceda uthethe neqela lakho lezonyango ngayo.
