Ngaphambi kokuba noma ubani abone uchwepheshe, kudingeka ukudluliselwa kudokotela kulowo chwepheshe. Ukudluliselwa kuthatha unyaka ongu-1 kuphela bese kudingeka enye i-aphoyintimenti nodokotela ukuze uthole ukudluliselwa okusha.
Inqubo yokudlulisela
Ezigulini eziningi uphawu lokuqala lokuthi kukhona okungahambi kahle ukuthi azizwa kahle futhi avakashele uDokotela Omkhulu (GP) azohlolwa. Ukusuka lapha uDokotela angase akuthumele noma akudlulisele kwezinye izivivinyo futhi ukudluliselwa kumane kuyisicelo sokuhlolwa okwengeziwe noma isicelo sokuba ubonane nodokotela onguchwepheshe ukuze uthole umbono.
Udokotela ngokuvamile akakwazi ukuhlonza i-lymphoma kodwa angase asole noma angakusoli kodwa ukuhlolwa abakuyalayo kuzosiza ekuxilongeni. Udokotela angadlulisela isiguli kudokotela wegazi ukuze kuqhutshekwe nophenyo. Udokotela angancoma i-hematologist, noma iziguli nazo zingacela ukubonana nodokotela wegazi ezikhethele zona.
Kulinda isikhathi esingakanani ukubona udokotela wegazi?
Isikhathi sokulinda sincike ekutheni isidingo siphuthuma kangakanani. Kwezinye izimo, udokotela uzobe eseyalile ukuhlolwa kwegazi futhi ngokunokwenzeka CT scan futhi i-biopsy. Bazobhala incwadi yokudlulisela kudokotela wegazi futhi lo kungaba udokotela wegazi esibhedlela esiseduze. Kodwa-ke, akuzona zonke izibhedlela ezinodokotela begazi noma ukufinyelela kuma-scans adingekayo futhi ezinye iziguli zingadinga ukuya endaweni ehlukile.
Ezinye iziguli kungenzeka zingaphili kahle futhi zidinga ukulaliswa esibhedlela. Kulezi zimo, zingase ziyiswe emnyangweni wezimo eziphuthumayo futhi udokotela wegazi uzonikezwa ukuthi azinakekele.
Ifuna umbono wesibili
Noma yisiphi isiguli singacela a umbono wesibili kusuka komunye uchwepheshe futhi lokhu kungase kube yingxenye ebalulekile yenqubo yakho yokuthatha izinqumo. I-hematologist yakho noma udokotela wakho angakudlulisela komunye uchwepheshe. Ezinye iziguli zingazizwa zingakhululekile ukucela umbono wesibili, kodwa izazi ze-hematologists zijwayele lesi sicelo. Qiniseka ukuthi noma yiziphi izikena, ama-biopsies, noma imiphumela yokuhlolwa kwegazi ithunyelwa kudokotela enikeza umbono wesibili.
Ukunakekelwa Kwezempilo Komphakathi noma Ezizimele?
Kubalulekile ukuqonda izinketho zakho zokunakekelwa kwezempilo lapho ubhekene ne-lymphoma noma ukuxilongwa kwe-CLL. Uma unomshwalense wezempilo ozimele, kungase kudingeke ucabangele ukuthi uyafuna yini ukubonana nochwepheshe ohlelweni oluzimele noma ohlelweni lukahulumeni. Uma udokotela wakho ekuthumela ngokudluliselwa, xoxa naye ngalokhu. Uma ungenawo umshwalense wezempilo ozimele, qiniseka ukuthi wazisa udokotela wakho ngalokhu, njengoba abanye bangase bakuthumele ohlelweni oluzimele uma bengazi ukuthi ungakhetha uhlelo lukahulumeni. Lokhu kungaholela ekukhokhisweni ukuze ubone uchwepheshe wakho.
Odokotela begazi abaningi abasebenza ezindaweni ezizimele, nabo basebenza ezibhedlela ukuze ukwazi ukucela ukubabona ohlelweni lukahulumeni uma uthanda. Ungakwazi futhi ukushintsha umqondo wakho futhi ubuyele kokuyimfihlo noma esidlangalaleni uma ushintsha umqondo wakho.
Ukunakekelwa Kwezempilo Ohlelweni Lomphakathi
Izinzuzo Zohlelo Lomphakathi
- Uhlelo lomphakathi luhlanganisa izindleko zokwelashwa kwe-lymphoma esohlwini lwe-PBS nophenyo lwazo
i-lymphoma efana ne-PET scan kanye ne-biopsy's. - Uhlelo lomphakathi luphinde luhlanganise izindleko zeminye imithi engabaliwe ngaphansi kwe-PBS
njenge-dacarbazine, okuwumuthi we-chemotherapy ovame ukusetshenziswa ku-
ukwelashwa kwe-Hodgkin's lymphoma. - Izindleko eziphuma ephaketheni zokwelashwa ohlelweni lukahulumeni ngokuvamile ezeziguli ezilaliswayo
imibhalo yemithi oyiphuza ngomlomo ekhaya. Lokhu ngokuvamile kuncane kakhulu futhi kuncane
ngisho nokuxhaswa okwengeziwe uma unekhadi lokunakekelwa kwezempilo noma lempesheni. - Izibhedlela eziningi zikahulumeni zinethimba lochwepheshe, abahlengikazi kanye nabasebenzi bezempilo abahlangene, ababizwa ngokuthi
Ithimba le-MDT elibhekele ukunakekelwa kwakho. - Izibhedlela eziningi ezinkulu zemfundo ephakeme zingahlinzeka ngezinketho zokwelapha ezingatholakali
uhlelo lwangasese. Isibonelo izinhlobo ezithile zokufakelwa, i-CAR T-cell therapy.
Ububi besistimu yomphakathi
- Ungase ungahlali ubona uchwepheshe wakho uma unama-aphoyintimenti. Izibhedlela eziningi zikahulumeni ziyizikhungo zokuqeqesha noma zemfundo ephakeme. Lokhu kusho ukuthi ungase ubone umbhalisi noma ababhalisi abaseqophelweni eliphezulu abaqeqeshwayo abasemtholampilo, abazobe sebebika kuchwepheshe wakho.
- Kunemithetho eqinile mayelana nokukhokha ngokubambisana noma ukuvala ukufinyelela kwelebula emithini engatholakali ku-PBS. Lokhu kuncike ohlelweni lwakho lwezempilo lombuso futhi kungase kwehluke phakathi kwezifunda. Ngenxa yalokho, eminye imithi ingase ingatholakali kuwe. Usazokwazi ukuthola ukwelashwa okujwayelekile, okugunyaziwe kwesifo sakho.
- Ungase ungakwazi ukufinyelela ngokuqondile kudokotela wakho wegazi kodwa ungase udinge ukuthintana nomhlengikazi onguchwepheshe noma umamukeli.
Ukunakekelwa Kwezempilo Ohlelweni Oluzimele
Izinzuzo zesistimu yangasese
- Uyohlala ubona i-hematologist efanayo njengoba bengekho odokotela abasaqeqeshwa emakamelweni azimele.
- Ayikho imithetho mayelana nokukhokha ngokubambisana noma ukuvala ukufinyelela kwelebula emithini. Lokhu kungasiza ikakhulukazi uma unesifo esiningi esibuyele emuva noma i-lymphoma subtype engenazo izindlela eziningi zokwelapha. Kodwa-ke, ingabiza kakhulu ngezindleko ezinkulu eziphuma ephaketheni ozodinga ukuzikhokha.
- Ukuhlolwa okuthile noma ukuhlola okusebenzayo kungenziwa ngokushesha ezibhedlela ezizimele.
Ngaphansi kwezibhedlela ezizimele
- Izimali eziningi zokunakekelwa kwezempilo azikhokhi zonke izindleko zokuhlolwa kanye/noma ukwelashwa. Lokhu kusekelwe esikhwameni sakho sezempilo ngasinye, futhi kuhle ngaso sonke isikhathi ukuhlola. Uzophinda uthole imali yokungena minyaka yonke.
- Akubona bonke ochwepheshe abayinqwaba yebhili futhi abangakhokhisa ngaphezu kwekepisi. Lokhu kusho ukuthi kungase kuphume izindleko zokubona udokotela wakho.
- Uma udinga ukwamukelwa ngesikhathi sokwelashwa kwakho, izilinganiso zabahlengikazi ziphezulu kakhulu ezindaweni ezizimele ezibhedlela. Lokhu kusho ukuthi unesi esibhedlela esizimele ngokuvamile uneziguli eziningi okufanele azibheke kunasesibhedlela sikahulumeni.
- I-hematologist yakho ayihlali isendaweni esibhedlela, ijwayele ukuvakashela isikhashana kanye ngosuku. Lokhu kungasho ukuthi uma ugula noma udinga udokotela ngokushesha, akuyena uchwepheshe wakho ojwayelekile.
Ngokuqokwa kwakho
Ukuxilongwa kwe-lymphoma kungaba isikhathi esicindezelayo nesicasulayo. Kungase kube nzima ukukhumbula yonke imininingwane futhi eminye imibuzo ishaywe indiva ngakho kungase kusize ukuyibhala phansi ngokuvakashela okulandelayo.
Kungase futhi kube usizo ukubhala amaphuzu ngesikhathi sokubonana futhi nokuyisa ilungu lomkhaya noma umngane esikhathini esimisiwe kungaba usizo kakhulu. Bangakunikeza ukusekelwa ngokomzwelo futhi bangenise ulwazi ongase uluphuthe. Uma kukhona ongakuqondi ungacela udokotela ukuthi akuchazele futhi. Ngeke bacasuke, kubalulekile kubo ukuthi ukuqonde abakutshele kona.
Ungase futhi uthande ukulanda Imibuzo yethu ukuze ubuze Udokotela wakho njengomhlahlandlela.
