Izimpawu ze-lymphoma ngokuvamile azicacile, futhi zifana nezimpawu zezinye izifo ezifana nezifo, ukuntuleka kwensimbi kanye nezifo ezizimele. Angase futhi afane nemiphumela engemihle yeminye imithi. Lokhu kwenza ukuxilonga i-lymphoma kube nzima ngezinye izikhathi, ikakhulukazi kuma-lymphoma angenalutho avame ukungakhuli ngokushesha.
Ukwengeza, kunezinhlobo ezingaba ngu-80 ezihlukene ze-lymphoma kuhlanganise ne-Chronic Lymphocytic Leukemia (CLL) futhi izimpawu zingahluka phakathi kwama-subtypes.
Kuvame kakhulu ukuthi izimpawu zihlotshaniswe nenye into ngaphandle kwe-lymphoma. Kodwa-ke, njengoba cishe abantu abangama-7400 e-Australia betholakala bene-lymphoma noma i-CLL unyaka ngamunye, kufanelekile ukukuqaphela. Uma izimpawu zakho ziba ngcono ngemva kwamasonto ambalwa, akunakwenzeka ukuthi kube i-lymphoma. Nge-lymphoma, izimpawu ngokuvamile ziqhubeka emasontweni amabili edlule futhi zingaba zimbi nakakhulu.
Isibonelo salokhu i-lymph node (noma indlala) evuvukele. Lolu uphawu oluvame kakhulu olungenzeka ngezinhlobo ezahlukene zokutheleleka, ngezinye izikhathi ngisho nangaphambi kokuba sazi ukuthi sinezifo. Kulokhu, i-lymph node ngokuvamile ibuyela kusayizi ojwayelekile phakathi namasonto amabili noma amathathu. Kodwa-ke, uma une-lymph node ehlala inkulu kunokuvamile, noma iqhubeka iba nkulu kuyafaneleka ukubuza ukuthi “Ingabe lokhu kungaba i-lymphoma?”.
Ukuqonda yini i-lymphoma, futhi yiziphi izimpawu ezingakusiza ekulungiseleleni ukubuza imibuzo efanele lapho uya kudokotela wakho njenge:
- Ingabe lokhu kungaba i-lymphoma?
- Ngingathola i-ultrasound noma i-CT scan ukuze ngihlole?
- Ngingakwazi ukwenza i-biopsy?
- Ngingawutholaphi umbono wesibili?
Izimpawu ezivamile ze-lymphoma
I-Indolent lymphomas ikhula kancane futhi ingakhula ezinyangeni eziningi kuya eminyakeni ngaphambi kokubonisa noma yiziphi izimpawu. Kungaba lula ukuphuthelwa izimpawu noma ukuzichaza kwezinye izimbangela lapho i-lymphoma yakho ingenzi lutho.
Abanye abantu bangase bangabi nazo nhlobo izimpawu, futhi batholakala ngephutha lapho behlolwa esinye isimo sezempilo.
Uma une-lymphoma enolaka (ekhula ngokushesha), cishe uzobona izimpawu zakho njengoba zikhula isikhathi esifushane, njengezinsuku kuya emavikini.
Ngenxa yokuthi i-lymphoma ingakhula kunoma iyiphi ingxenye yomzimba wakho, kunezimpawu eziningi ezahlukene ongase ube nazo. Iningi lizohlotshaniswa nengxenye yomzimba wakho ethintekile yi-lymphoma, kodwa ezinye zingakuthinta ngokujwayelekile.
Izimbali ezivuvukala ze-lymph
Ukuvuvukala kwama-lymph nodes kuwuphawu oluvamile lwe-lymphoma. Kodwa futhi ziyizimpawu zezinye izifo ezifana nezifo ezibangelwa amagciwane noma amagciwane.
Ama-lymph nodes avuvukele abangelwa ukutheleleka ngokuvamile abuhlungu futhi ayanyamalala phakathi namasonto amabili kuya kwamathathu. Kwesinye isikhathi uma unegciwane lingahlala isikhathi eside kunamasonto ambalwa.
Izindlala ze-lymph ezivuvukele ezibangelwa i-lymphoma zivame ukutholakala entanyeni, emathangeni nasekhwapheni. Nokho sinakho ama-lymph nodes kuwo wonke umzimba wethu ngakho zingavuvuka noma yikuphi. Sivame ukuqaphela lezo ezisentanyeni, emakhwapheni noma ezinqeni ngoba ziseduze nesikhumba sethu.
Mayelana nama-lymph Nodes
Ama-lymph nodes ngokuvamile abushelelezi, ayindilinga, ahambayo (hamba lapho uwathinta noma uwacindezela) futhi abe nokuthungwa kwerabha. Ama-lymph nodes avuvukele ku-lymphoma awapheli ngemva kwamasonto ambalwa futhi angase aqhubeke nokukhula. Lokhu kungenxa yokuthi amaseli e-lymphoma anomdlavuza aqoqana futhi akhe kuma-lymph nodes.
Kwezinye izimo, i-lymph evuvukile ingabangela ubuhlungu, kodwa ngokuvamile abukho ubuhlungu. Lokhu kuzoncika endaweni kanye nosayizi wama-lymph nodes akho avuvukele.
Kubalulekile ukuqaphela, ukuthi kwezinye izinhlobo ze-lymphoma, ungase ungaboni noma yimaphi ama-lymph nodes avuvukele.
Akekho othanda isigaxa
Ukukhathala
Ukukhathala okuhlobene ne-lymphoma kuhlukile kunokukhathala okuvamile. Kuwukukhathala okumangalisayo ngaphandle kwesizathu esisobala. Ayikhululwa ngokuphumula noma ukulala, futhi ngokuvamile ithinta imisebenzi elula njengokugqoka.
Imbangela yokukhathala akwaziwa, kodwa kungenzeka ukuthi kungenxa yamangqamuzana omdlavuza asebenzisa amandla ethu ukukhula nokuhlukanisa. Ukukhathala kungabangelwa ezinye izizathu ezifana nokucindezeleka nezinye izifo.
Uma kubonakala kungenasizathu sokukhathala kwakho, hamba uye kudokotela wakho ukuze uyohlolwa.
Ukulahlekelwa kwesisindo esingachaziwe
Ukuncipha kwesisindo okungachazeki yilapho ulahlekelwa isisindo isikhathi esifushane ngaphandle kokuzama. Uma ulahlekelwa ngaphezulu kwalokho U-5% wesisindo somzimba wakho ezinyangeni eziyisi-6 kufanele ubone udokotela wakho ukuze ahlolwe, njengoba lokhu kungase kube uphawu lwe-lymphoma.
Ukuncipha kwesisindo kwenzeka ngoba amaseli anomdlavuza asebenzisa izinsiza zakho zamandla. Umzimba wakho nawo usebenzisa amandla engeziwe ukuzama ukuqeda ingqamuzana lomdlavuza.
Izibonelo zokuncipha kwesisindo esingu-5%.
Uma isisindo sakho esijwayelekile siyi: | 5% ukwehla kwesisindo kungaba: |
50 kg | 2.5 kg - (isisindo sifika ku-47.5 kg) |
60 kg | 3 kg - (isisindo sifika ku-57 kg) |
75 kg | 3.75 kg - (isisindo sifika ku-71.25 kg) |
90 kg | 4.5 kg - (isisindo sifika ku-85.5 kg) |
110 kg | 5.5 kg - (isisindo sifika ku-104.5 kg) |
Izithukuthuku ebusuku
Izithukuthuku zasebusuku zihlukile nokujuluka ngenxa yesimo sezulu esishisayo noma izingubo ezifudumele nezokulala. Kuvamile ukujuluka ebusuku uma ikamelo lakho noma okokulala kukwenza ushise kakhulu, kodwa ukujuluka ebusuku kungenzeka kungakhathaliseki ukuthi isimo sezulu sinjani, futhi kubangele izingubo zakho nezingubo zokulala zibe manzi.
Uma ujuluka ebusuku ngenxa ye-lymphoma, kungase kudingeke ushintshe izingubo zakho noma izingubo zokulala ebusuku.
Odokotela abazi kahle ukuthi yini ebangela ukujuluka ebusuku. Eminye imibono yokuthi kungani ukujuluka ebusuku kungenzeka ihlanganisa:
Amaseli e-Lymphoma angenza futhi athumele amakhemikhali ahlukene emzimbeni wakho. Lawa makhemikhali angathinta indlela umzimba wakho olawula ngayo izinga lokushisa lakho.
Lapho i-lymphoma ikhula ngokushesha, ingasebenzisa izitolo zakho eziningi zamandla. Lokhu kusetshenziswa okwengeziwe kwamandla kungase kubangele izinga lokushisa lomzimba wakho lenyuke kakhulu.
Imikhuhlane engapheli engachazeki
Umkhuhlane ukukhuphuka kwezinga lokushisa lomzimba wakho ngaphezu kwezinga elivamile. Ukushisa komzimba wethu okujwayelekile kungama-36.1 - 37.2 degrees Celsius.
Akuvamile ukuba nezinga lokushisa elivamile elingu-37.5 degrees noma ngaphezulu. Imfiva ngenxa ye-lymphoma ingase ifike futhi idlule izinsuku ezimbalwa noma amasonto ngaphandle kwanoma iyiphi enye imbangela, njengokutheleleka.
I-Lymphoma idala imfiva ngoba amangqamuzana e-lymphoma akhiqiza amakhemikhali ashintsha indlela umzimba wakho olawula ngayo izinga lokushisa lakho. Le mikhuhlane ivamise ukuba mnene futhi ingafika idlule.
Xhumana nodokotela wakho ukuze ubazise uma uthola amazinga okushisa avamile njengala.
Ubunzima bokudlula izifo
Ama-Lymphocyte amangqamuzana amhlophe egazi asekela isimiso sakho somzimba sokuzivikela ezifweni ngokulwa nokutheleleka nezifo, futhi asize ukubhubhisa nokukhipha amangqamuzana alimele. Ku-lymphoma, ama-lymphocyte aba amaseli e-lymphoma anomdlavuza futhi awakwazi ukwenza umsebenzi wawo ngendlela efanele. Lokhu kukwenza ube maningi amathuba okuthola izifo futhi izifo zakho zingahlala isikhathi eside.
Umzimba Olumayo
Abantu abaningi abane-lymphoma bangathola isikhumba esilumayo. Lokhu kuvame ukuzungeza indawo efanayo lapho ama-lymph nodes akho evuvukele khona noma, uma une-lymphoma yesikhumba (isikhumba), ungaluma noma yikuphi lapho uthintwe khona i-lymphoma. Kwezinye izimo, ungase uzizwe uluma wonke umzimba wakho.
Kucatshangwa ukuthi ukulunywa kungenxa yamakhemikhali akhishwa amasosha akho omzimba, njengoba ezama ukulwa namaseli e-lymphoma. Lawa makhemikhali angacasula izinzwa ezisesikhunjeni sakho futhi asenze silume.
B-izimpawu?
B-Izimpawu
Izimpawu ze-B yizo odokotela abazibiza ngezimpawu ezithile. Lezi zimpawu zivame ukukhulunywa ngazo lapho i-lymphoma ihlelwa. Isiteji yinkathi ngaphambi kokuba ukwelashwa kuqale lapho kwenziwa izikena nokuhlolwa ukuze kutholakale ukuthi i-lymphoma ikuphi emzimbeni wakho. Izimpawu ezibizwa ngezimpawu ze-B zihlanganisa:
- Izithukuthuku ebusuku
- Imfiva ephikelelayo
- Ukulahlekelwa kwesisindo esingachaziwe
Odokotela bazocabangela lezi zimpawu lapho behlela ukwelashwa kwakho.
Kwesinye isikhathi ungabona enye incwadi yengezwe ku- isigaba ye-lymphoma yakho. Ngokwesibonelo:
Isigaba 2a = I-lymphoma yakho ingaphezulu noma ingaphansi kweyakho kuphela isichazamazwi okuthinta ngaphezu kweqembu elilodwa lama-lymph nodes - Futhi awunazo B-zimpawu noma;
Isigaba 2b = I-lymphoma yakho ingaphezulu noma ngaphansi kwe-diaphragm yakho ethinta ngaphezu kweqembu elilodwa lama-lymph nodes - Futhi une-B-symptoms.
Indawo ye-lymphoma ithinta kanjani izimpawu zakho?
Izinhlobo ezahlukene ze-lymphoma zizibonakalisa ngendlela ehlukile. Izimpawu zakho zingaba ngokuqondile endaweni ye-lymphoma, kodwa futhi zifane kakhulu nezimpawu zezinye izifo noma izifo. Ithebula elingezansi libonisa ezinye zezimpawu ongase ube nazo, ngokusekelwe endaweni ye-lymphoma yakho.
Indawo ye-lymphoma | Izimpawu ezijwayelekile |
Isisu noma amathumbu |
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Amapulazi | Ngokuvamile ngeke ube nezimpawu noma zibe mbalwa kodwa ungase ube nokukhwehlela, ukuphelelwa umoya, ukukhwehlela igazi noma ubuhlungu besifuba. |
Izindlala zamathe |
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Skin | Izinguquko zesikhumba zingakhula endaweni eyodwa, noma ezindaweni ezimbalwa ezizungeze umzimba wakho. Lezi zinguquko zenzeka isikhathi eside, ngakho-ke zingase zingabonakali kakhulu.
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Indlala yegilo | Ungase ubone isigaxa (i-lymph node evuvukele) ngaphambili kwentamo yakho noma ube nezwi eliyisihosha. Ungathola nokuphefumula kanzima futhi ube nenkinga yokugwinya (dysphagia). Uma indlala yakho yegilo ingasebenzi kahle, ungase:
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Umkantsha | Amangqamuzana egazi enziwa emnkantsheni wakho ngaphambi kokuthuthela emgudwini wegazi lakho. Amanye amangqamuzana egazi amhlophe njenge-lymphocyte enziwa emnkantsheni wakho, kodwa adlulele ohlelweni lwakho lwe-lymphatic. Uma umnkantsha wakho wethambo uthintwa i-lymphoma, uzoba nokwakhiwa kwamaseli e-lymphoma anomdlavuza emnkantsheni wakho wethambo. Lokhu kusho ukuthi sincane indawo yokuthi amanye amaseli egazi enziwe. Izimpawu ze-lymphoma emnkantsheni wakho zingabandakanya: Ubuhlungu Bamathambo - njengoba ingaphakathi lethambo nethambo likhukhumala ngenxa yokwanda kwamangqamuzana anomdlavuza abuthana lapho. Igazi eliphansi libala
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ubende | Igazi eliphansi libala
Amaprotheni Angavamile Lawa maprotheni ahlangana ndawonye uma ubanda, okuholela ku:
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Isistimu Yezinzwa Emaphakathi - okuhlanganisa ubuchopho bakho nomgogodla |
Izimpawu ezingabonakali kakhulu zingabandakanya:
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Amehlo |
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Yini okufanele ngiyenze uma nginezimpawu ze-lymphoma?
Kubalulekile ukuqonda ukuthi zonke lezi zimpawu ezingenhla zingabangelwa ezinye izimo ezingabucayi kakhulu. Nokho, uma kukhona okukukhathazayo, noma uma kwakho izimpawu hlala isikhathi esingaphezu kwamasonto ambalwa, thintana nodokotela wakho noma uchwepheshe. Ukwengeza, uma uthola B-izimpawu, kufanele futhi uxhumane nodokotela wakho ukuze ubazise.
Udokotela wakho cishe uzokuhlola umzimba futhi akubuze ngezimpawu zakho nomunye umlando wezempilo, ukuze anqume ukuthi kudingeka yini ukuhlolwa okwengeziwe okufana ne-ultrasound, i-CT scan noma i-ultrasound.
