I-Hodgkin Lymphoma, Non-Hodgkin Lymphoma kanye neChronic Lymphocytic Leukemia (CLL) zonke izinhlobo zomdlavuza wegazi ezinohlu lwezinketho zokwelapha ezihlukene. Ukwelashwa kwe-lymphoma kungahlose ukwelapha noma ukuphatha isifo sakho kuyilapho futhi kukunikeza izinga eliphezulu lempilo. Kungabandakanya izinhlobo ezahlukene zokwelapha ezihlanganisa i-chemotherapy, imisebe, amasosha omzimba e-monoclonal, i-immunotherapy, izindlela zokwelapha ezihlosiwe, ukufakelwa kwe-stem cell, ukwelashwa kwe-CAR T-cell nokunye.
Leli khasi sizohlinzeka ngokubukezwa kwezinhlobo ezahlukene zokwelashwa kanye nezinto ezingokoqobo okufanele zicatshangelwe ngesikhathi sokwelashwa. Kodwa-ke, ukuze uthole ulwazi oluthe xaxa mayelana nokwelashwa kwe-CLL kanye ne-lymphoma yohlobo lwakho oluncane olulodwa, sicela ubheke ikhasi lethu lewebhu ku- Izinhlobo ze-Lymphoma.
Izinjongo Zokwelashwa
Inhloso yokwelashwa kwakho kwe-lymphoma izoncika ezimweni zakho ngazinye. Lokhu kungafaka:
- I-subtype yakho ye-lymphoma (noma i-CLL)
- Ukuthi isifo sakho siyavilapha (sikhula kancane) noma sinolaka (sikhula ngokushesha)
- Isiteji kanye nebanga le-lymphoma yakho
- Impilo yakho iyonke kanye nekhono lakho lokubekezelela ukwelashwa.
Kuye ngezici zakho ngazinye, inhloso kungase kube ukukwelapha i-lymphoma, ikusize ungene ekuxolelweni okuphelele noma ekuxolelweni okuyingxenye.
Cure
Ukuxolelwa okuphelele
Ukuxolelwa okuyingxenye
Amavesi omphakathi Isibhedlela Esizimele kanye Nochwepheshe
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.
Ungakwazi ukushintsha umqondo wakho futhi ubuyele kokuyimfihlo noma esidlangalaleni uma ushintsha umqondo wakho.
Chofoza izihloko ezingezansi ukuze ufunde mayelana nezinzuzo kanye nobubi bokuthola ukwelashwa ezinhlelweni zikahulumeni nezizimele.
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.
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.
Ukwelashwa kwe-Lymphoma nge-lymphoma engenzi lutho futhi enolaka kanye ne-CLL
Ama-B-cell lymphoma anolaka ngokuvamile asabela kahle ekwelashweni ngoba akhula ngokushesha, futhi ukwelapha ngamakhemikhali okungokwesiko kuqondise kumaseli akhula ngokushesha. Ngakho-ke, ama-lymphomas amaningi anolaka ngokuvamile aphathwa ngenhloso yoku yelaphe noma yenza ukuxolelwa okuphelele. Kodwa-ke, ama-T-cell lymphomas anolaka ngokuvamile adinga ukwelashwa okunolaka futhi angase azuze ukuthethelelwa, kodwa ngokuvamile abuyele futhi adinga ukwelashwa okwengeziwe.
Ama-lymphoma amaningi angasebenzi kodwa awakwazi ukwelapha ngakho-ke inhloso yokwelashwa ukunxenxa a ukuxolelwa okuphelele noma okuyingxenye. Abantu abaningi abane-lymphomas engasebenzi kanye ne-CLL ngeke badinge ukwelashwa lapho betholwa okokuqala. Uma une-indolent lymphoma, ungahlala ubukele futhi ulinde ukuqala, futhi uqale ukwelashwa okusebenzayo kuphela uma i-lymphoma/CLL yakho iqala ukuqhubeka (ikhula), noma unezimpawu. Ukuqhubekela phambili kungabonwa ngokuhlolwa kwakho kwegazi okuvamile nokuskena, futhi kungenzeka ngaphandle kokuqaphela noma yiziphi izimpawu.
Ulwazi olwengeziwe ngokubuka nokulinda lungaphansi kuleli khasi.
Khuluma noDokotela wakho onguchwepheshe
Kubalulekile ukuthi uqonde ukuthi kungani uthola ukwelashwa, nokuthi yini okufanele uyilindele. Uma ungaqiniseki, buza Udokotela wakho uma une-lymphoma engenzi lutho noma enolaka, nokuthi iyini inhloso (noma inhloso) yokwelashwa kwakho.
Ukulinda ngaphambi kokuba uqale ukwelashwa
Ngaphambi kokuba uqale ukwelashwa uzodinga ukuthi ube nokuhlolwa okuningi ukuze uthole ukuthi yiluphi uhlobo oluncane lwe-lymphoma noma i-CLL onalo, isiphi isigaba kanye nebanga, nokuthi uphila kahle kangakanani ngokujwayelekile. Kwezinye izimo, udokotela wakho angase futhi asikisele ukwenza ukuhlolwa kofuzo ekuhlolweni kwegazi lakho, umkantsha namanye ama-biopsies. Lezi zivivinyo zibheka ukuthi unazo yini izinguquko zofuzo ezingase zibe nomthelela ekutheni yikuphi ukwelashwa okuzokusebenzela kangcono.
Ngezinye izikhathi kungathatha amasonto ukuthola yonke imiphumela yakho, futhi lesi sikhathi kungaba isikhathi sokucindezeleka nokukhathazeka. Kubaluleke kakhulu ukukhuluma ngendlela ozizwa ngayo nomuntu omethembayo. Ungase ube nelungu lomndeni noma umngane ongakhuluma naye, kodwa futhi ungakhuluma nodokotela wangakini noma usishayele ucingo ngenombolo yethu yocingo yomhlengikazi. Chofoza inkinobho ethi "Xhumana nathi” inkinobho engezansi kwalesi sikrini ukuze uthole imininingwane yethu.
Izingosi zethu zenkundla zokuxhumana nazo ziyindlela enhle yokuthi uxhumane nabanye abantu abaphila ne-lymphoma noma i-CLL.
Qoqa iqembu lakho - Uzodinga inethiwekhi yosekelo
Uzodinga ukwesekwa okwengeziwe njengoba uqhubeka nokwelashwa. Uhlobo lokwesekwa oludingekayo luhlukile kumuntu nomuntu kodwa lungahlanganisa:
- ukwesekwa ngokomzwelo noma ngokwengqondo
- ukusiza ukulungisa ukudla noma ngomsebenzi wasekhaya
- usizo lokuthenga
- ama-lift ukuya kuma-aphoyintimenti
- ukunakekela izingane
- zezimali
- isilaleli esihle
Kukhona ukwesekwa kochwepheshe ongafinyelela kukho. Khuluma nethimba lakho labelaphi mayelana nokuthi izidingo zakho zingaba yini, futhi ubabuze ukuthi yiluphi usizo olutholakala endaweni yangakini. Izibhedlela eziningi ziyakwazi ukuthola usonhlalakahle, owelapha emsebenzini noma izinsiza zokwelulekwa okungaba usizo olukhulu.
Ungasinikeza futhi e-Lymphoma Australia ucingo. Singakunikeza ulwazi ngosekelo oluhlukene olutholakalayo, kanye nolwazi lwakamuva lwe-lymphoma/CLL subtype yakho kanye nezinketho zokwelapha.
Uma ungumzali onezingane noma intsha futhi wena noma banomdlavuza, i-CANTEEN iphinde inikeze ukwesekwa kwakho nezingane zakho.
Kodwa, futhi sincoma ukuthi uxhumane nomndeni nabangane ukuze ubazise ukuthi ziyini izidingo zakho, nokuthi ungase udinge usizo ngokuzayo. Ngokuvamile abantu bafuna ukusiza, kodwa abazi ukuthi yini oyidingayo, ngakho ukwethembeka zisuka nje kusiza wonke umuntu.
Kukhona uhlelo lokusebenza oluhle kakhulu ongaludawuniloda ocingweni lwakho, noma ulufinyelele ku-inthanethi olubizwa ngokuthi “Hlanganisa abasebenzi bami” olusiza ngisho nokuxhumanisa ukwesekwa okwengeziwe. Sinamathisele izixhumanisi kukho kokubili i-CANTEEN futhi Siqoqe amawebhusayithi eqembu lami ngaphansi kwaleli khasi ngaphansi kwesigaba esithi “Ezinye izinsiza zakho”.
Ulwazi olwengeziwe ngamathiphu awusizo ngenkathi uphila ne-lymphoma futhi welashwa lungatholakala emakhasini ethu ewebhu angezansi.
Ukulondolozwa Kwenzalo
Ukwelashwa kwe-lymphoma kunganciphisa inzalo yakho (ikhono lokwenza abantwana). Okunye kwalokhu kwelashwa kungabandakanya ukwelashwa ngamakhemikhali, amanye amasosha omzimba e-monoclonal abizwa ngokuthi “ama-immune checkpoint inhibitors” kanye ne-radiotherapy okhalweni lwakho.
Izinkinga zokuzala ezibangelwa yilokhu kwelashwa zihlanganisa:
- Ukunqamuka kokuya esikhathini kwangaphambi kwesikhathi (ushintsho lwempilo)
- Ukungasebenzi kahle kwe-Ovarian (hhayi ukunqamuka kokuya esikhathini kodwa izinguquko kwikhwalithi noma inani lamaqanda onawo)
- Isibalo sesidoda esinciphile noma ikhwalithi yesidoda.
Udokotela wakho kufanele akhulume nawe mayelana nokuthi yini ethinta ukwelashwa kwakho okungenzeka ibe nayo ekuzaleni kwakho, nokuthi yiziphi izinketho ezitholakalayo zokukusiza ukuyivikela. Ukulondoloza inzalo kungenzeka ngemithi ethile noma ngokuqanda iqanda (amaqanda), isidoda, i-ovary noma izicubu zamasende.
Uma udokotela wakho engazange abe nale ngxoxo nawe, futhi uhlela ukuba nezingane esikhathini esizayo (noma uma ingane yakho encane iqala ukwelashwa) mbuze ukuthi yiziphi izinketho ezitholakalayo. Le ngxoxo kufanele yenzeke ngaphambi kokuthi wena noma ingane yakho niqale ukwelashwa.
Uma ungaphansi kweminyaka engama-30 ubudala ungase ukwazi ukuthola ukwesekwa kwaSony foundation abahlinzeka ngesevisi yamahhala yokulondoloza inzalo kulo lonke elase-Australia. Bangathintwa ku-02 9383 6230 noma kusizindalwazi sabo https://www.sonyfoundation.org/youcanfertility.
Ukuze uthole ulwazi olwengeziwe ngokulondolozwa kokuzala, bukela ividiyo engezansi nochwepheshe wenzalo, u-A/Prof Kate Stern.
Ingabe udinga ukubona udokotela wamazinyo?
Cishe ngeke ukwazi ukuba nomsebenzi wamazinyo ngesikhathi sokwelashwa ngenxa yokwanda kwengozi yokutheleleka nokopha. Uma uvamise ukuba nezinkinga ngamazinyo akho noma ucabanga ukuthi ungase udinge ukugcwaliswa noma kwenziwe omunye umsebenzi, khuluma nodokotela wakho wegazi noma oncologist mayelana nesikhathi esingcono kakhulu sokwenza lokhu. Uma kunesikhathi, bangaphakamisa ukuthi wenze lokhu ngaphambi kokuthi kuqale ukwelashwa.
Uma une-allogeneic stem cell transplant uzonconywa ukuthi uhlole amazinyo akho ngaphambi kokwelashwa ngamakhemikhali okunomthamo omkhulu kanye nokufakelwa kwe-stem cell.
Kunqunywa kanjani ukwelashwa kwakho?
Udokotela wakho uzobuyekeza zonke izivivinyo zakho futhi askene imiphumela ngaphambi kokunquma ngezinketho ezingcono kakhulu zokwelashwa kuwe. Ngaphezu kwemiphumela yakho, udokotela wakho uzophinde acabangele okulandelayo, lapho enza isinqumo mayelana nokwelashwa kwakho:
- impilo yakho jikelele
- noma yiziphi izimo zempilo zangaphambilini noma zamanje ezingahlobene ne-lymphoma noma i-CLL yakho
- yiluphi uhlobo lwe-lymphoma onayo
- ukuthi i-lymphoma ikhula ngokushesha kangakanani - isigaba sakho kanye nebanga le-lymphoma noma i-CLL
- noma yiziphi izimpawu ohlangabezana nazo
- iminyaka yakho futhi
- noma yikuphi okuthandwayo onakho okuhlanganisa nezinkolelo zomoya nezamasiko. Uma lokhu kungakaxoxiswanga yazisa udokotela wakho nganoma yikuphi okuncamelayo onakho.
Abanye odokotela bangase bethule imininingwane yakho ethimbeni le-multidisciplinary (MDT). Ama-MDT akhiwe ngongoti abahlukene bezempilo okuhlanganisa odokotela, abahlengikazi, i-physiotherapist, occupational Therapists, osokhemisi, odokotela bengqondo nabanye. Ngokwethula udaba lwakho emhlanganweni we-MDT, udokotela wakho angaqinisekisa ukuthi zonke izici zezidingo zakho zempilo ziyahlangatshezwa.
Uhlelo lwakho lokwelapha luvame ukubizwa ngokuthi “uhlelo lokwelashwa” noma “uhlelo lokwelapha”. Izinqubo eziningi zokwelapha ze-lymphoma noma i-CLL zihlelwa ngemijikelezo. Lokhu kusho ukuthi uzoba nomjikelezo wokwelashwa, bese uthatha ikhefu bese ulandela ukwelashwa okwengeziwe. Mingaki imijikelezo onayo kuphrothokholi yakho yokwelashwa kuzoncika ohlotsheni lwakho oluncane, impilo iyonke, ukuthi umzimba wakho usabela kanjani ekwelashweni, kanye nenjongo yokwelashwa kwakho.
Uhlelo lwakho lokwelapha lungase luhlanganise imithi efana nokwelapha ngamakhemikhali, amasosha omzimba e-monoclonal noma ukwelapha okuhlosiwe, kodwa kungase kuhlanganise ukuhlinzwa noma ukwelashwa nge-radiotherapy. Ungase futhi uthole ezinye izindlela zokwelapha ezisekelayo ezizokusiza ukuthi uhlale uphephile futhi ulawule noma yimiphi imiphumela emibi oyithola ekwelashweni.
Ngeke ube nalo lonke uhlobo lokwelashwa - khuluma nodokotela wakho ngokuthi lizoba yini uhlelo lwakho lokwelapha.
Uhlolojikelele lokwelashwa ngakunye luchazwa kabanzi kuleli khasi. Vele uchofoze esihlokweni sokwelashwa ofuna ukufunda kabanzi ngakho.
Kuyilungelo lakho ngokuphelele ukuthola umbono wesibili nganoma yisiphi isikhathi kuyo yonke indlela yakho ye-lymphoma. Ungakhathazeki ngokucasula udokotela wakho wangempela, ukuthola umbono wesibili kuyinto evamile, futhi ikwazisa ngezinketho ezahlukene ezingase zitholakale, noma zingaqinisekisa ukuthi unikezwe okungcono kakhulu kakade.
Uma ungathanda umbono wesibili ungacela udokotela wakho wegazi noma i-oncologist ukuthi akudlulisele komunye umuntu. Odokotela abaningi abangochwepheshe abazethembayo ngohlelo lokwelapha abakunike lona, ngeke babe nenkinga yokukumisa lokhu.
Kodwa-ke, uma unomuzwa wokuthi ungakwazi ukukhuluma nodokotela wakho wegazi noma i-oncologist, noma uma benqabile ukukuthumela ukudluliselwa, khuluma nodokotela wakho. Udokotela wakho uzokwazi ukuthumela ukudluliselwa komunye uchwepheshe, futhi kufanele abe nokufinyelela kumarekhodi akho ukuze awathumele kudokotela omusha.
Ukufuna umbono wesibili akusho ngaso sonke isikhathi ukushintsha odokotela. Ungase ubone omunye udokotela oqinisekisa ukuthi uthola ulwazi olulungile futhi usendleleni efanele nodokotela wakho wamanje. Kodwa uma ukhetha ukuhlala nodokotela omusha nakho kuyilungelo lakho.
Ngaphambi kokuba uqale ukwelashwa kwakho kwe-lymphoma noma i-CLL, udokotela wakho onguchwepheshe noma unesi uzohlala nawe futhi akutshele konke okudingeka ukwazi. Kunolwazi oluningi ongaluthatha ngalesi sikhathi, ngakho-ke kuwumqondo omuhle ukuthatha ipeni nephepha ukuze ubhale phansi amaphuzu abalulekile. Bazophinde bakunike ulwazi olubhaliwe olunjengamaphepha amaqiniso noma izincwajana ongaya nazo ekhaya.
Ungakwazi futhi ukulanda ezinye izinsiza ezinhle ekhasini lethu lewebhu Lokusekela. Chofoza lapha ukuze ubone ukuthi yini esinayo etholakalayo.
Uma ukhetha ukufunda ngendlela ehlukile, noma ukhetha ukungakhulumi noma ukufunda isiNgisi, yazisa udokotela wakho noma umhlengikazi wakho indlela engcono kakhulu ongafunda ngayo. Ezinye izinsiza zingase zikwazi ukukunikeza amavidiyo amafushane ongawabuka, noma izithombe ezenza ulwazi luqondeke kalula. Uma uthanda, ungaphinda ubuze udokotela noma unesi wakho ukuthi kulungile yini ukuthi uqophe ingxoxo ocingweni lwakho ukuze uyilalele kamuva.
Uma isiNgisi kungelona ulimi lwakho lokuqala, futhi ungathanda ukuthola ulwazi ngolimi olwazi kangcono, bacele bakuhlelele umhumushi ozokusiza ekuhumusheleni ulwazi. Kungumqondo omuhle ukuhlela lokhu kusenesikhathi lapho ungakwazi. Uma kunesikhathi, ungafonela umtholampilo noma isibhedlela sakho ngaphambi kokubonana kwakho. Bacele ukuthi babhukhe umhumushi ozokubona kanye nesikhathi sokuqala sokwelashwa.
Ngemuva kokuthi unikezwe lonke ulwazi futhi unezimpendulo zemibuzo yakho, udinga ukuthatha isinqumo mayelana nokuthi uzokuthola yini ukwelashwa noma cha. Lokhu kuyisinqumo sakho.
Udokotela wakho kanye namanye amalungu ethimba lakho lezempilo angakunikeza ulwazi ngalokho abakholelwa ukuthi iyindlela engcono kakhulu kuwe, kodwa ukukhetha ukuqala, noma ukuqhubeka nokwelashwa kuhlala kungokwakho ongakwenza.
Uma ukhetha ukuthola ukwelashwa, uzodinga ukuthi usayine ifomu lemvume, okuyindlela esemthethweni yokunikeza ithimba lezokunakekelwa kwempilo imvume yokukunikeza ukwelashwa. Uzodinga ukuvuma uhlobo ngalunye oluhlukene lokwelashwa ngokwehlukana, njengokwelashwa ngamakhemikhali, ukuhlinzwa, ukumpontshelwa igazi noma ngemisebe.
Ungakwazi futhi ukuhoxisa imvume bese ukhetha ukungaqhubeki nokwelashwa nganoma yisiphi isikhathi uma ungasakholwa ukuthi iyindlela engcono kakhulu kuwe. Kodwa-ke, kufanele ukhulume nethimba lakho lokunakekelwa kwezempilo mayelana nezingozi zokuyeka ukwelashwa, nokuthi yiluphi usizo olutholakalayo uma uyeka ukwelashwa okusebenzayo.
Ukuze uvume ukwelashwa udinga ukusho ukuthi uyaziqonda futhi uyazamukela ubungozi kanye nezinzuzo zokwelashwa okuhlongozwayo. Awukwazi ukuthola ukwelashwa ngaphandle uma wena, umzali wakho (uma ungaphansi kweminyaka eyi-18) noma umnakekeli osemthethweni nisayina ifomu lemvume.
Uma isiNgisi kungelona ulimi lwakho lokuqala futhi ungathanda ukuthi kube khona umhumushi ozokuchazela ngezingozi nezinzuzo zokwelashwa ngaphambi kokuba usayine imvume, qiniseka ukuthi wazisa ithimba lezempilo ukuthi udinga umhumushi. Lapho kungenzeka khona, kuwumqondo omuhle ukuba nomuntu othile ashayele isibhedlela noma umtholampilo ngaphambi kwesikhathi sakho ukuze amazise ukuze ahlele umhumushi.
Izinhlobo zokwelapha
Kunezinhlobo eziningi ezahlukene ze-lymphoma ne-CLL, ngakho ungamangali uma ukwelashwa okutholayo kuhlukile komunye umuntu one-lymphoma. Ngisho noma une-subtype efanayo ye-lymphoma, ukuguqulwa kofuzo kungahluka phakathi kwabantu futhi kube nomthelela ukuthi yikuphi ukwelashwa okungase kukusebenzele kangcono.
Ngezansi sinikeze umbono wohlobo ngalunye lokwelashwa. Ukuze ufunde ngezinhlobo ezahlukene zokwelapha, chofoza izihloko ezingezansi.
Uma une-lymphoma ekhula kancane (indolent) noma i-CLL, ungase ungadingi ukwelashwa. Kunalokho, udokotela wakho angase akhethe iwashi nendlela yokulinda.
Itemu lokubuka nokulinda lingadukisa kancane nokho. Kunembile kakhulu ukusho ukuthi "ukuqapha okusebenzayo", ngoba udokotela wakho uzokuqapha ngenkuthalo ngalesi sikhathi. Uyobonana nodokotela njalo, futhi uyohlolwa igazi nokunye ukuskena ukuze uqiniseke ukuthi unempilo, futhi isifo sakho asibi kakhulu. Nokho, uma isifo sakho siba sibi kakhulu, ungase uqale ukwelashwa.
Inini Buka & Linda iyona ndlela engcono kakhulu?
Ukubuka nokulinda kungase kube inketho engcono kakhulu kuwe uma ungenazo izimpawu eziningi, noma izici eziyingozi ezidinga ukwelashwa okuphuthumayo.
Kungaba nzima ukwazi ukuthi unohlobo lomdlavuza, kodwa awenzi lutho ukuwuqeda. Ezinye iziguli zize zibize lesi sikhathi ngokuthi “buka futhi ukhathazeke”, ngoba kungase kungakhululeki ungenzi lutho ukulwa nakho. Kodwa, ukubuka nokulinda kuyindlela enhle yokuqala. Kusho ukuthi i-lymphoma ikhula kancane kakhulu ukuze ikubangele noma yikuphi ukulimala, futhi amasosha akho omzimba alwa, futhi wenza umsebenzi omuhle ukugcina i-lymphoma yakho ilawulwa. Ngakho-ke empeleni, usuvele wenza okuningi ukulwa nomdlavuza, futhi wenza umsebenzi omuhle ngempela kuwo. Uma amasosha akho omzimba ewugcina ulawulwa, ngeke udinge usizo olwengeziwe ngalesi sikhathi.
Kungani ukwelashwa kungadingeki?
Umuthi owengeziwe ongakwenza uzizwe ugula kakhulu noma ubangele imiphumela engemihle yesikhathi eside, ngeke usize kuleli qophelo. Ucwaningo lubonisa ukuthi akukho nzuzo yokuqala ukwelashwa kusenesikhathi, uma une-lymphoma ekhula kancane noma i-CLL futhi kungekho zimpawu ezikhathazayo. Lolu hlobo lomdlavuza ngeke luphendule kahle ezindlekweni zokwelashwa zamanje. Impilo yakho ngeke ibe ngcono, futhi ngeke uphile isikhathi eside ngokuqala ukwelashwa kusenesikhathi. Uma i-lymphoma noma i-CLL yakho iqala ukukhula kakhulu, noma uqala ukuthola izimpawu zesifo sakho, ungase uqale ukwelashwa.
Iziguli eziningi zingadinga ukwelashwa okusebenzayo njengalezo ezibalwe ngezansi kuleli khasi ngesikhathi esithile. Ngemva kokwelashwa, ungase futhi uqhubeke ubukele futhi ulinde. Kodwa-ke, ezinye iziguli ezine-lymphomas indolent azidingi ukwelashwa.
Kunini lapho i-Watch & Wait ingeyona inketho engcono kakhulu?
Ukubuka nokulinda kufanele kuphela uma une-lymphoma ekhula kancane noma i-CLL, futhi ungenazo izimpawu ezinzima. Udokotela wakho angase akhethe ukukunikeza ukwelashwa okusebenzayo uma uhlangabezana nalezi zimpawu ezilandelayo:
- Izimpawu ze-B - ezihlanganisa ukujuluka ngokweqile ebusuku, imfiva engapheli nokuncipha kwesisindo okungahlosiwe
- Izinkinga ngezibalo zegazi lakho
- Ukulimala kwesitho noma umnkantsha ngenxa ye-lymphoma
Udokotela uzongigcina kanjani ngiphephile ngenkathi ngisaku-Watch & Wait?
Udokotela wakho uzofuna ukukubona njalo ukuze aqaphe ngenkuthalo ukuqhubeka kwakho. Cishe uzobabona njalo ezinyangeni ezi-3-6, kodwa bazokwazisa uma kudingeka ukuba ngaphezulu noma ngaphansi kwalokhu.
Bazokucela ukuthi wenze izivivinyo futhi uhlole ukuze uqiniseke ukuthi i-lymphoma noma i-CLL ayikhuli. Okunye kwalokhu kuhlola kungase kuhlanganise:
- ukuhlolwa kwegazi ukuhlola impilo yakho jikelele
- ukuhlolwa komzimba ukuhlola ukuthi awunawo yini ama-lymph nodes avuvukele noma izimpawu zokuqhubekela phambili
- izimpawu ezibalulekile ezihlanganisa umfutho wegazi lakho, izinga lokushisa, nokushaya kwenhliziyo
- umlando wezempilo - udokotela wakho uzobuza ukuthi ubuzizwa kanjani, futhi uma unezimpawu ezintsha noma eziya ziba zimbi
- I-CT noma i-PET scan ukukhombisa okwenzeka ngaphakathi emzimbeni wakho.
Uma unokuthile okukukhathazayo phakathi nesikhathi sakho sokuqokwa, sicela uxhumane nethimba lakho lezokwelapha esibhedlela noma emtholampilo ukuze nixoxe ngalokhu. Ungalindi kuze kube i-aphoyintimenti elandelayo njengoba ezinye izinkathazo zingadinga ukuphathwa kusenesikhathi.
Kufanele ngithinte nini udokotela wami?
Kubalulekile ukukhumbula ukuthi ukulinda kuyindlela evamile yokuphatha i-indolent lymphoma kanye ne-CLL. Kodwa-ke, uma uthola indlela 'yokubuka nokulinda' icindezela, sicela ukhulume nethimba lakho lezokwelapha ngakho. Bazokwazi ukuchaza ukuthi kungani becabanga ukuthi lena iyindlela engcono kakhulu kuwe, futhi banikeze noma yikuphi ukwesekwa okwengeziwe ongase ukudinge.
Uma unokuthile okukukhathazayo phakathi nesikhathi sakho esimisiwe, noma unezimpawu ezintsha noma ezimbi kakhulu, sicela uxhumane nethimba lakho lezokwelapha esibhedlela. Ungalindi kuze kube i-aphoyintimenti elandelayo, njengoba ezinye izinto ezikukhathazayo noma izimpawu onazo zingadinga ukulawulwa kusenesikhathi.
Uma uthola izimpawu ze-B, xhumana nethimba lakho labelaphi, ungalindi isikhathi sakho esilandelayo.
I-Radiotherapy ingasetshenziselwa ukwelapha i-lymphoma, noma ukuthuthukisa izimpawu zakho
I-Radiotherapy isebenzisa ama-x-ray (imisebe) enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingasetshenziswa njengendlela yokwelapha ngokwayo, noma ngezinye izindlela zokwelapha ezifana ne-chemotherapy.
Kunezizathu ezehlukene lapho udokotela angase akuphakamisele khona ukwelashwa ngemisebe. Ingasetshenziselwa ukwelapha futhi mhlawumbe ukwelapha i-lymphomas yokuqala, noma ukuthuthukisa izimpawu. Ezinye izimpawu ezinjengobuhlungu noma ubuthakathaka zingase zenzeke uma isimila sakho se-lymphoma siba sikhulu kakhulu, noma sicindezela izinzwa noma umgogodla. Kulokhu, imisebe inikezwa ukunciphisa isimila futhi ikhulule ingcindezi. Nokho, akuhloselwe ukusetshenziswa njengekhambi.
I-radiotherapy isebenza kanjani?
I-X-ray idala umonakalo ku-DNA yeseli (izakhi zofuzo zeseli) okwenza kungenzeki ukuthi i-lymphoma ikwazi ukuzilungisa. Lokhu kubangela ukufa kweseli. Ngokuvamile kuthatha izinsuku ezimbalwa noma ngisho amasonto ngemva kokuqala kokwelashwa ngemisebe ukuze amangqamuzana afe. Lokhu kuthinta kungathatha izinyanga ezimbalwa noma kunjalo, ngakho-ke ngisho nezinyanga ngemuva kokuqeda ukwelashwa, amaseli e-lymphoma anomdlavuza asengabhujiswa.
Ngeshwa, imisebe ayikwazi ukuhlukanisa phakathi kwamaseli akho anomdlavuza nangenawo umdlavuza. Kanjalo, ungathola imiphumela emibi ethinta isikhumba sakho nezitho eziseduze nendawo olashwa kuyo ngemisebe. Izindlela eziningi zokwenza imisebe kulezi zinsuku ziya ngokuya ziba nembe kakhulu ziqondise umdlavuza ngokunembe kakhudlwana, nokho njengoba ama-X-ray kudingeka adlule esikhunjeni sakho nakwezinye izicubu ukuze afinyelele i-lymphoma, zonke lezi zindawo zisengathinteka.
Udokotela wakho we-radiation oncologist (udokotela onguchwepheshe osebenza ngemisebe) noma unesi uzokwazi ukukhuluma nawe ngokuthi yimiphi imiphumela engemihle ongase uyithole, kuye ngendawo yesimila sakho. Bazokwazi futhi ukukweluleka ngemikhiqizo yesikhumba emihle ukuze ulawule noma yikuphi ukucasuka kwesikhumba okutholayo.
Izinhlobo ze-radiotherapy
Kunezinhlobo ezahlukene ze-radiotherapy, futhi lokho onakho kungase kuncike ekutheni i-lymphoma ikuphi emzimbeni wakho, indawo lapho welashwa khona, nokuthi kungani ulashwa ngemisebe. Ezinye izinhlobo zokwelashwa ngemisebe zibalwe ngezansi.
I-Intensity-modulated radiotherapy (IMRT)
I-IMRT ivumela imithamo eyahlukene ye-radiotherapy ukuthi inikezwe izingxenye ezahlukene zendawo eselashwayo. Inganciphisa imiphumela engemihle kuhlanganise nemiphumela engemihle sekwephuzile. I-IMRT ivame ukusetshenziselwa ukwelapha umdlavuza oseduze nezitho ezibalulekile nezakhiwo.
I-Involved-field radiotherapy (IFRT)
I-IFRT iphatha yonke indawo ye-lymph node, njengama-lymph nodes entanyeni yakho noma i-groin.
I-Involved-node radiotherapy (INRT)
I-INRT yelapha ama-lymph nodes athintekile kanye nemajini amancane azungezile.
Isamba sokukhanya komzimba (TBI)
I-TBI isebenzisa i-radiotherapy yamandla aphezulu kuwo wonke umzimba wakho. Ingasetshenziswa njengengxenye yokwelashwa kwakho ngaphambi kokufakelwa kwe-stem cell allogeneic (donor) ukubhubhisa umongo wakho wethambo. Lokhu kwenzelwa ukwenza isikhala samaseli amasha. Ngenxa yokuthi ibhubhisa umnkantsha wakho, i-TBI ingaphinda ithinte amasosha akho omzimba ikwenze ube sengcupheni yokutheleleka ngezifo.
Isamba se-electron radiotherapy yesikhumba
Lena indlela ekhethekile ye-lymphoma yesikhumba (i-cutaneous lymphomas). Isebenzisa ama-electron ukwelapha isikhumba sakho sonke.
I-Proton beam therapy (PBT)
I-PBT isebenzisa ama-proton esikhundleni se-X-ray. I-proton isebenzisa inhlayiyana egcwele amandla, egcwele amandla ukubhubhisa amaseli omdlavuza. I-radiation beam evela ku-PBT ingakhomba amaseli ngokunembe kakhudlwana, ngakho isiza ukuvikela izicubu ezinempilo ezizungeze isimila.
Yini ongayilindela
I-Radiotherapy ngokuvamile yenziwa emitholampilo yokunakekelwa komdlavuza. Uzoba neseshini yokuqala yokuhlela, lapho umelaphi we-radiation engathatha izithombe, ama-CT scan, futhi athole ukuthi uhlela kanjani umshini wemisebe ukuze uqondise i-lymphoma yakho.
Uzophinde ube nomunye uchwepheshe obizwa nge-Dosimetrist, ohlela umthamo oqondile wemisebe oyitholayo ngokwelashwa ngakunye.
Ama-tattoos emisebe
Abelaphi bemisebe bazokunikeza inaliti/izinaliti ezincane ezenza ama-reckle amancane njengama-tattoos esikhumbeni sakho. Lokhu kwenzelwa ukuqinisekisa ukuthi bakulayini kahle emshinini usuku nosuku ukuze imisebe ihlale ifinyelela ku-lymphoma yakho hhayi kwezinye izingxenye zomzimba wakho. Lawa ma-tattoos amancane ahlala unomphela, futhi abanye abantu bawabheka njengesikhumbuzo salokho abakunqobile. Abanye bangase bafune ukuzingeza ukuze bazenze zibe okuthile okukhethekile.
Nokho, akuwona wonke umuntu ofuna isikhumbuzi. Ezinye izitolo ze-tattoo zinikeza ukukhishwa kwe-tattoo mahhala kulabo abaye baba nazo ngenxa yezizathu zezokwelapha. Vele ufonele noma ungene endaweni yangakini ye-tattoo bese ubuza.
Kungakhathaliseki ukuthi ukhetha ukwenzani ngama-tattoos akho - ungenzi izinguquko uze ukhulume nodokotela wakho mayelana nokuthi isikhathi esingcono kakhulu sokwengeza, noma ukuwasusa kungaba nini.
Ngizokuthola kangaki ukwelashwa ngemisebe??
Umthamo wemisebe uhlukaniswa waba izindlela zokwelapha ezimbalwa. Imvamisa uzongena emnyangweni wemisebe nsuku zonke (ngoMsombuluko kuya kuLwesihlanu) amaviki ama-2 kuye kwamane. Lokhu kwenziwa ngoba kuvumela amaseli akho anempilo isikhathi sokululama phakathi nokwelashwa. Iphinde ivumele amangqamuzana omdlavuza amaningi ukuthi abhujiswe.
Iseshini ngayinye ngokuvamile ithatha imizuzu eyi-10-20. Ukwelashwa ngokwako kuthatha imizuzu emi-2 noma emi-3 kuphela. Isikhathi esisele wukuqinisekisa ukuthi usendaweni efanele futhi imishayo ye-X-ray iqondaniswe kahle. Umshini unomsindo, kodwa ngeke uzwe lutho ngesikhathi sokwelashwa.
Imuphi umthamo wemisebe engizowuthola?
Isamba esiphelele se-radiotherapy silinganiswa ngeyunithi ebizwa ngokuthi iGrey (Gy). I-Gray ihlukaniswe ngemithi ehlukene ebizwa ngokuthi 'izingxenye'.
Isamba sakho esimpunga nokuthi amafrakshini asetshenzwa kanjani kuzoncika ohlotsheni lwakho oluncane, indawo kanye nobukhulu besimila sakho. Udokotela wakho we-radiation oncologist uzokwazi ukukhuluma nawe kabanzi mayelana nomthamo akuyalela wona.
Imiphumela engemihle yokwelashwa ngemisebe
Izinguquko esikhumbeni sakho kanye nokukhathala okukhulu okungathuthukisiwe lapho uphumule (ukukhathala) kuyimiphumela engemihle evamile kubantu abaningi abalashwa ngemisebe. Eminye imiphumela emibi ingase incike ekutheni imisebe iqonde kuphi emzimbeni wakho.
Imiphumela engemihle yokwelashwa ngemisebe ngokuvamile ihilela ukusabela kwesikhumba engxenyeni yomzimba wakho eselashwayo. Ukukhathala futhi kuwumphumela ovamile kunoma ubani othola ukwelashwa. Kodwa kuneminye imiphumela emibi encike endaweni yokwelashwa - noma iyiphi ingxenye yomzimba wakho ene-lymphoma eselashwayo.
Ukusabela kwesikhumba
Ukusabela kwesikhumba kungase kubukeke njengokusha kwelanga elibi futhi, nakuba kungabangela amabhamuza kanye “nomugqa we-tan” unomphela akukhona ukusha empeleni. Kuwuhlobo lwe-dermatitis noma ukuvuvuka kwesikhumba okwenzeka kuphela esikhumbeni esingaphezu kwendawo eselashwayo.
Ukusabela kwesikhumba kwesinye isikhathi kungaqhubeka nokuba kubi cishe amasonto ama-2 ngemuva kokuphela kokwelashwa, kodwa kufanele ngabe kuthuthukile phakathi nenyanga yokuqeda ukwelashwa.
Ithimba lakho lemisebe lizokwazi ukukhuluma nawe ngendlela engcono kakhulu yokulawula lokhu kusabela kwesikhumba nokuthi yimiphi imikhiqizo efana namamoisturiser noma okhilimu engakusebenzela kangcono. Nokho, ezinye izinto ezingasiza zihlanganisa:
- Ukugqoka izingubo ezixegayo
- Ukusebenzisa ilineni elihle lombhede
- Impushana yokuwasha emaphakathi emshinini wakho wokuwasha - ezinye zenzelwe isikhumba esibucayi
- Ukugeza isikhumba sakho ngobumnene ngezinye izindlela “ezingenayo insipho,” noma insipho ethambile
- Ukugeza okugeza okufushane, okusivivi noma okugeza
- Ukugwema imikhiqizo esekelwe utshwala esikhumbeni
- Gwema ukuhlikihla isikhumba
- Gcina isikhumba sakho sipholile
- Zimboze lapho ungaphandle, futhi ugweme ukukhanya kwelanga endaweni yakho yokwelapha lapho kungenzeka khona. Gqoka isigqoko nokuvikela ilanga lapho ungaphandle
- Gwema amadamu okubhukuda
Ukukhathala
Ukukhathala kuwumuzwa wokukhathala ngokweqile ngisho nangemva kokuphumula. Lokhu kungabangelwa ingcindezi eyengeziwe umzimba wakho ongaphansi kwayo ngesikhathi sokwelashwa, nokuzama ukwenza amaseli amasha anempilo, ukwelashwa kwansuku zonke, kanye nengcindezi yokuphila ne-lymphoma kanye nokwelashwa kwayo.
Ukukhathala kungaqala ngokushesha ngemva kokuqala kokwelashwa ngemisebe, futhi kuqhubeke amasonto ambalwa ngemva kokuqeda.
Ezinye izinto ezingakusiza ukuthi ulawule ukukhathala kwakho zingabandakanya:
- Hlela kusenesikhathi uma kunesikhathi, noma cela obathandayo ukuthi bakulungisele ukudla kusenesikhathi odinga ukukushisisa. Ukudla okunamaprotheni amaningi njengenyama ebomvu, amaqanda nemifino eluhlaza enamahlamvu kungasiza umzimba wakho wenze amaseli amasha anempilo.
- Ukuzivocavoca okulula kubonise ukuthuthukisa amazinga wamandla nokukhathala, ngakho-ke ukuzigcina usebenza kungasiza ngokuntula amandla kanye nokulala.
- Lalela umzimba wakho futhi uphumule lapho udinga
- Landelela ukukhathala kwakho, uma wazi ukuthi ngokuvamile kubi kakhulu ngesikhathi esithile sosuku, ungakwazi ukuhlela imisebenzi eseduze nalokho
- Gcina iphethini evamile yokulala - ngisho noma uzizwa ukhathele, zama ukulala nokuvuka ngezikhathi zakho ezivamile. Imithi yokwelapha ehambisanayo ingasiza okuhlanganisa ukwelapha okuphumuzayo, i-yoga, ukuzindla, nokucabanga.
- Gwema ukucindezeleka lapho kungenzeka.
Kwezinye izimo, ukukhathala kungase kubangelwe ezinye izici ezifana nenani eliphansi legazi. Uma kunjalo, ungase unikezwe ukumpontshelwa igazi ukuze uthuthukise amanani akho egazi.
Kubalulekile ukwazisa udokotela wakho uma uhlushwa ukukhathala.
Eminye imiphumela emibi ingabandakanya:
- Ukulahlekelwa izinwele - kodwa kuphela endaweni ephathwayo
- I-nausea
- Uhudo noma amajaqamba esiswini
- Ukuvuvukala - ezithweni zakho eduze nendawo olashwayo
Ividiyo engezansi kwalesi sigaba sezinhlobo zokwelashwa inikeza ulwazi olwengeziwe mayelana nokuthi yini ongayilindela ngokwelashwa ngemisebe okuhlanganisa nemiphumela engemihle.
I-Chemotherapy (i-chemo) isetshenziswe iminyaka eminingi ukwelapha umdlavuza. Kunezinhlobo ezahlukene zemithi ye-chemo futhi ungase ube nezinhlobo ezingaphezu kweyodwa ze-chemotherapy ukuze uphathe i-CLL yakho noma i-lymphoma. Noma yimiphi imiphumela emibi oyitholayo izoncika ekutheni imiphi imithi ye-chemotherapy onayo.
Isebenza kanjani i-chemo?
I-Chemotherapy isebenza ngokuhlasela amaseli akhula ngokushesha. Yingakho ngokuvamile isebenza kahle kuma-lymphomas anolaka - noma akhula ngokushesha. Nokho futhi lesi senzo esimelene namaseli akhula ngokushesha angabangela imiphumela engemihle kwabanye abantu, njengokuqothuka kwezinwele, izilonda zomlomo nobuhlungu (mucositis), isicanucanu kanye nesifo sohudo.
Ngenxa yokuthi i-chemo ingathinta noma yiliphi iseli elikhula ngokushesha, futhi ayikwazi ukubona umehluko phakathi kwamaseli e-lymphoma anomdlavuza - ibizwa ngokuthi "ukwelashwa okuhlelekile", okusho ukuthi noma yiluphi uhlelo lomzimba wakho lungathinteka ngenxa yemiphumela emibi ebangelwa i-chemo.
Imithi yokwelapha ehlukene ihlasela i-lymphoma ezigabeni ezihlukene zokukhula. Amanye amakhemikhali ahlasela amangqamuzana omdlavuza aphumule, amanye ahlasela lawo asanda kukhula, kanti amanye ahlasela amangqamuzana e-lymphoma amakhulu kakhulu. Ngokunikeza ama-chemo's asebenza kumaseli ngezigaba ezahlukahlukene, kukhona ithuba lokubulala amaseli e-lymphoma amaningi futhi athole umphumela ongcono. Ngokusebenzisa ama-chemotherapies ahlukene, singehlisa imithamo kancane okuzophinde kusho ukuba nemiphumela engemihle emincane emithini ngayinye, kuyilapho sithola umphumela ongcono kakhulu.
I-chemo inikezwa kanjani?
I-Chemo inganikezwa ngezindlela ezahlukene, kuye ngokuthi uhlobo oluncane lwakho lomuntu siqu nesimo sakho. Ezinye izindlela ze-chemo ezinganikeza ngazo zihlanganisa:
- Nge-intravenously (IV) – ngokusebenzisa i-drip emthanjeni wakho (okuvamile).
- Amaphilisi omlomo, amaphilisi noma uketshezi - kuthathwe ngomlomo.
- I-Intrathecal - oyinikezwe udokotela enenaliti emhlane wakho, futhi ungene oketshezini oluzungeze umgogodla kanye nobuchopho.
- I-subcutaneous – umjovo (inaliti) onikezwa esicutshini esinamafutha ngaphansi kwesikhumba sakho. Ngokuvamile inikezwa esiswini sakho (indawo yesisu) kodwa inganikezwa nasengalweni yakho engenhla noma emlenzeni.
- I-Topical - amanye ama-lymphomas esikhumbeni (okucutaneous) angelashwa ngokhilimu we-chemotherapy.
Uyini umjikelezo we-chemotherapy?
I-Chemotherapy inikezwa “ngemijikelezo”, okusho ukuthi uzoba nekhemo yakho ngaphezu kosuku olulodwa noma ngaphezulu, bese uthola ikhefu amasonto amabili noma amathathu ngaphambi kokuba ube nekhemo eyengeziwe. Lokhu kwenziwa ngoba amaseli akho anempilo adinga isikhathi sokululama ngaphambi kokuba uthole ukwelashwa okwengeziwe.
Khumbula ngenhla sishilo ukuthi i-chemo isebenza ngokuhlasela amaseli akhula ngokushesha. Amanye amaseli akho akhula ngokushesha angahlanganisa namaseli akho egazi anempilo. Lezi zingaba phansi uma unekhemo.
Izindaba ezinhle ukuthi amaseli akho anempilo alulama ngokushesha kunamaseli akho e-lymphoma. Ngakho-ke ngemva komzuliswano ngamunye - noma umjikelezo wokwelashwa, uzoba nekhefu ngenkathi umzimba wakho usebenza ukwenza amaseli amasha amahle. Uma lawa maseli esebuyele ezingeni eliphephile, uzoba nomjikelezo olandelayo - lokhu kuvame ukuba amasonto amabili noma amathathu kuye ngokuthi iyiphi iphrothokholi onayo nokho, uma amaseli akho ethatha isikhathi eside ukululama, udokotela wakho angase aphakamise ikhefu elide. Bangase futhi banikeze ezinye izindlela zokwelapha ezisekelayo ukusiza amaseli akho amahle ukuthi alulame. Ulwazi olwengeziwe mayelana nokwelashwa okusekelayo lungatholakala ngokuqhubekayo kuleli khasi.
Ulwazi olwengeziwe ngezinqubo zokwelapha kanye nemiphumela yazo emibi
Ngokuya nge-subtype yakho ye-lymphoma ungase ube nemijikelezo emine, eyisithupha noma ngaphezulu. Uma yonke le mijikelezo ihlanganiswa ibizwa ngokuthi iphrothokholi yakho noma uhlobo lwemithi. Uma ulazi igama lephrothokholi yakho ye-chemotherapy, ungakwazi thola ulwazi olwengeziwe, kuhlanganise nemiphumela engemihle elindelekile kuyo lapha.
Ukuze uthole ulwazi olwengeziwe nge-chemotherapy, chofoza inkinobho engezansi kwesigaba sezinhlobo zokwelashwa ukuze ubuke ividiyo emfushane.
Amasosha omzimba e-Monoclonal (MABs) aqala ukusetshenziselwa ukwelapha i-lymphoma ngasekupheleni kwawo-1990. Nokho, eminyakeni yamuva nje kuye kwasungulwa amasosha omzimba amaningi angama-monoclonal. Bangasebenza ngokuqondile ngokumelene ne-lymphoma yakho noma bahehe amangqamuzana akho omzimba omzimba kumaseli akho e-lymphoma ukuze ayihlasele futhi ayibulale. Ama-MAB kulula ukuwabona ngoba uma usebenzisa igama lawo elejwayelekile (hhayi igama lawo lomkhiqizo), ahlala egcina ngezinhlamvu ezintathu ezithi “mab”. Izibonelo zama-MAB ajwayele ukusetshenziselwa ukwelapha i-lymphoma zifaka i-rituximab, inhlanhlamab, pembrolizumab.
Amanye ama-MAB, afana ne-rituximab ne-obinutuzumab asetshenziswa eceleni kwe-chemo ukwelapha i-lymphoma yakho. Kodwa futhi zivame ukusetshenziswa njengendlela "isondlo" ukwelashwa. Kulapho usuqedile ukwelashwa kwakho kokuqala futhi waba nempendulo enhle. Bese uqhubeka nokuba ne-MAB cishe iminyaka emibili. Lokhu kusiza ukugcina i-lymphoma yakho ixolelwe isikhathi eside.
Asebenza kanjani amasosha omzimba e-monoclonal?
Amasosha omzimba e-Monoclonal asebenza kuphela ngokumelene ne-lymphoma uma enamaprotheni athile noma izindawo zokuhlola amasosha omzimba kuwo. Akuwona wonke amaseli e-lymphoma azoba nalezi zimpawu, futhi amanye angase abe nomaka owodwa kuphela, kanti amanye angase abe nokuningi. Izibonelo zalokhu zifaka i-CD20, i-CD30 ne-PD-L1 noma i-PD-L2. Amasosha omzimba e-Monoclonal angalwa nomdlavuza wakho ngezindlela ezahlukene:
oqondile
Amasosha omzimba
Ama-MAB abandakanya amasosha omzimba asebenza ngokuzinamathisela kumaseli akho e-lymphoma futhi ahehe amanye amaseli amasosha akho omzimba ku-lymphoma. Lawa mangqamuzana omzimba angahlasela ngokuqondile i-lymphoma.
Izibonelo ze-MAB ezibandakanya ngqo namasosha omzimba asetshenziselwa ukwelapha i-lymphoma noma i-CLL zifaka umabhebhana futhi obinutuzumab.
Ama-immune-checkpoint inhibitors
Ama-immune checkpoint inhibitors awuhlobo olusha lwe-monoclonal antibody oluqondise ngqo amasosha akho omzimba.
Eminye imidlavuza, okuhlanganisa namaseli e-lymphoma ajwayele ukukhula “izindawo zokuhlola amasosha omzimba” kuwo. Izindawo zokuhlola amasosha omzimba ziyindlela yokuthi amangqamuzana akho azibonakalise “njengamaseli azimele” ajwayelekile . Lokho kusho ukuthi amasosha akho omzimba abona indawo yokuhlola amasosha omzimba, futhi acabange ukuthi i-lymphoma iyingqamuzana enempilo. Ngakho amasosha akho omzimba awayihlaseli i-lymphoma, kunalokho ayivumela ukuba ikhule.
Izibonelo ze-immune checkpoint inhibitors ezisetshenziselwa ukwelapha i-lymphoma zihlanganisa pembrolizumab futhi nivolumab.
Ama-immune checkpoint inhibitors anamathisela endaweni yokuhlola amasosha omzimba kuseli lakho le-lymphoma ukuze amasosha akho omzimba angakwazi ukubona indawo yokuhlola. Lokhu bese kuvumela amasosha akho omzimba ukuthi abone i-lymphoma njengomdlavuza, futhi aqale ukulwa nawo.
Kanye nokuba yi-MAB, ama-Immune Checkpoint Inhibitors nawo awuhlobo lwe-immunotherapy, ngoba asebenza ngokuqondisa amasosha akho omzimba.
Eminye imiphumela emibi engavamile evela kuma-immune checkpoint inhibitors ingaholela ezinguqukweni ezihlala njalo njengezinkinga zegilo, isifo sikashukela soHlobo lwesi-2 noma izinkinga zokuzala. Lokhu kungase kudinge ukulawulwa ngeminye imithi noma nodokotela onguchwepheshe ohlukile. Khuluma nodokotela wakho mayelana nokuthi ziyini izingozi ngokwelashwa.
Ama-Cytokine inhibitors
Kanye nokuba yi-MAB, ama-Cytokine Inhibitors nawo awuhlobo lwe-immunotherapy, ngoba asebenza ngokuqondisa amasosha akho omzimba.
Eminye imiphumela emibi engavamile evela kuma-cytokine inhibitors ingaholela ezinguqukweni ezihlala njalo njengezinkinga zegilo, isifo sikashukela soHlobo lwesi-2 noma izinkinga zokuzala. Lokhu kungase kudinge ukulawulwa ngeminye imithi noma nodokotela onguchwepheshe ohlukile. Khuluma nodokotela wakho mayelana nokuthi ziyini izingozi ngokwelashwa.
I-Bispecific monoclonal antibodies
Kuhlanganiswe
Olunye ulwazi
Imiphumela emibi ye-Monoclonal antibodies (MABs)
- Imfiva, ukugodola noma ukuqhaqhazela (ukuqina)
- Ubuhlungu bemisipha nezinhlungu
- Uhudo
- I-Rash phezu kwesikhumba sakho
- Isicanucanu noma ukuhlanza
- Umfutho wegazi ophansi (hypotension)
- Izimpawu ezinjengomkhuhlane.
I-Immunotherapy yigama elisetshenziselwa ukwelashwa okuqondise amasosha omzimba wakho kune-lymphoma yakho. Benza lokhu ukuze baguqule okuthile mayelana nendlela amasosha akho omzimba abona ngayo futhi alwe ne-lymphoma yakho.
Izinhlobo ezahlukene zokwelapha zingabhekwa njenge-immunotherapy. Amanye ama-MAB abizwa ngokuthi ama-Immune Checkpoint Inhibitors noma ama-Cytokine Inhibitors awuhlobo lwe-immunotherapy. Kodwa ezinye izindlela zokwelapha ezifana nokwelapha okuhlosiwe noma i-CAR T-cell therapy nazo ziyizinhlobo ze-immunotherapy.
Amanye amaseli e-lymphoma akhula anomaka othize kuseli amangqamuzana akho anempilo angenawo. Izindlela zokwelapha ezihlosiwe ziyimithi eqaphela kuphela lowo makaka othile, ngakho-ke ingakwazi ukubona umehluko phakathi kwe-lymphoma namaseli anempilo.
Izindlela zokwelapha ezihlosiwe zibe sezinamathisela kumaka kuseli ye-lymphoma futhi ziyimise ekutholeni noma yiziphi izimpawu zokuthi zikhule futhi zisakazeke. Lokhu kubangela ukuthi i-lymphoma ingakwazi ukuthola imisoco namandla ewadingayo ukuze ikhule, okuholela ekufeni kweseli le-lymphoma.
Ngokunamathisela kuphela kumaka kumaseli e-lymphoma, ukwelashwa okuhlosiwe kungagwema ukulimaza amaseli akho anempilo. Lokhu kubangela imiphumela engemihle emincane kunemithi yokwelapha ehlelekile efana ne-chemo, engakwazi ukuhlukanisa phakathi kwe-lymphoma namaseli anempilo.
Imiphumela engemihle yokwelashwa okuqondisiwe
Usengathola imiphumela engemihle ekwelapheni okuqondisiwe. Eminye ingafana nemiphumela engemihle kwezinye izindlela zokwelapha umdlavuza, kodwa iphathwa ngendlela ehlukile. Qiniseka ukuthi ukhuluma nodokotela wakho noma unesi okhethekile mayelana nokuthi yimiphi imiphumela emibi okufanele uyibheke, nokuthi yini okufanele uyenze uma uyitholile.
Imiphumela emibi evamile yokwelashwa okuqondisiwe ingabandakanya:
- isifo sohudo
- ubuhlungu bomzimba nobuhlungu
- ukopha kanye nemihuzuko
- ukutheleleka
- ukhathala
Izindlela zokwelapha eziningi ezihlosiwe, ezinye ze-chemotherapies kanye ne-immunotherapies zithathwa ngomlomo njengethebhulethi noma i-capsule. Imithi yokwelapha elwa nomdlavuza ethathwe ngomlomo nayo ivame ukubizwa ngokuthi “imithi yokwelapha yomlomo”. Kubalulekile ukwazi ukuthi ukwelashwa kwakho ngomlomo kuwukwelashwa okuhlosiwe noma i-chemotherapy. Uma ungaqiniseki buza udokotela noma unesi wakho.
Imiphumela emibi okudingeka uyibhekisise, nokuthi uyilawula kanjani izohluka kuye ngokuthi yiluphi uhlobo lokwelapha ngomlomo oluthathayo.
Ezinye izindlela zokwelapha ezivamile zomlomo ezisetshenziselwa ukwelapha i-lymphoma zibalwe ngezansi.
Ukwelashwa ngomlomo - Chemotherapy
Igama lomuthi | Imiphumela emibi evame kakhulu |
I-Chlorambucil | Izibalo zegazi eziphansi Ukutheleleka Isicanucanu nokuhlanza Uhudo |
ICyclophosphamide | Izibalo zegazi eziphansi Ukutheleleka Isicanucanu nokuhlanza Ukulahlekelwa kwesifiso |
I-Etoposide | Isicanucanu nokuhlanza Ukulahlekelwa kwesifiso Uhudo Ukukhathala |
Ukwelashwa ngomlomo - Okuhlosiwe kanye ne-Immunotherapy
Igama lomuthi | Okuhlosiwe noma i-immunotherapy | Izinhlobo ezingaphansi zeLymphoma / CLL zisetshenziswa | Imiphumela emibi eyinhloko |
I-Acalabrutinib | Okuqondisiwe (I-BTK Inhibitor) | bekhanda Uhudo Inzuzo yesisindo | |
| Zanubrutinib | Okuqondisiwe (I-BTK Inhibitor) | Izibalo zegazi eziphansi Rash Uhudo | |
Ibrutinib | Okuqondisiwe (I-BTK Inhibitor) |
| Izinkinga zesigqi senhliziyo Izinkinga zokuphuza Umfutho wegazi ophezulu Amagciwane |
Idelalisib | Okuqondiwe (Pl3K Inhibitor) | Uhudo Izinkinga zesibindi Izinkinga zamaphaphu Ukutheleleka | |
Lenalidomide | immunotherapy | Isetshenziswa kwezinye Ama-NHL | Ukukhwabanisa isikhumba I-nausea Uhudo |
IVenetoclax | Okuqondisiwe (BCL2 Inhibitor) | I-nausea Uhudo Izinkinga zokuphuza Ukutheleleka | |
I-Vorinostat | Okuqondisiwe (I-HDAC Inhibitor) | Ukulahlekelwa kwesifiso Umlomo omile Ukulahlekelwa izinwele Izifo | |
Iyini i-stem cell?
Ukuze uqonde i-stem cell noma ukufakelwa komnkantsha, udinga ukuqonda ukuthi iyini i-stem cell.
Ama-stem cell angamangqamuzana egazi angavuthiwe akhula emnkantsheni wakho. Akhethekile ngoba anamandla okuthuthuka abe yiliphi ingqamuzana legazi elidingwa umzimba wakho, okuhlanganisa:
- amangqamuzana egazi abomvu - athwala umoya-mpilo emzimbeni wakho
- noma imaphi amangqamuzana akho amhlophe egazi okuhlanganisa ama-lymphocyte akho nama-neutrophils akuvikela ezifweni nasekuthelelekeni
- ama-platelet - asiza igazi lakho ukuthi lihlule uma uqhuma noma uzilimaza, ukuze ungophi noma ulimale kakhulu.
Imizimba yethu yenza izigidigidi zama-stem cells amasha nsuku zonke ngenxa yokuthi amangqamuzana ethu egazi awenziwanga ukuba aphile phakade. Ngakho nsuku zonke, imizimba yethu isebenza kanzima ukugcina amangqamuzana egazi ethu enenombolo efanele.
Iyini i-stem cell noma ukufakelwa komnkantsha?
Ukufakelwa kwe-stem cell kuyinkambiso engase isetshenziselwe ukwelapha i-lymphoma yakho, noma ukukugcina uxolelwe isikhathi eside uma kunethuba elikhulu lokuthi i-lymphoma yakho izophinde ibuyele (buya). Udokotela wakho angase futhi akuncomele ukufakelwa kwe-stem cell uma i-lymphoma yakho ibuyela emuva.
Ukufakelwa kwe-stem cell kuyinqubo eyinkimbinkimbi futhi ehlaselayo eyenzeka ngezigaba. Iziguli ezifakelwa i-stem cell ziqale zilungiswe ngokwelashwa ngamakhemikhali kuphela noma kuhlanganiswe ne-radiotherapy. Ukwelashwa ngamakhemikhali okusetshenziselwa ukufakelwa kwe-stem cell kunikezwa ngemithamo ephezulu kunokujwayelekile. Ukukhethwa kwe-chemotherapy okunikezwa kulesi sigaba kuncike ohlotsheni kanye nenjongo yokufakelwa. Kunezindawo ezintathu lapho ama-stem cells okufakelwa kabusha angaqoqwa kuzo:
Amaseli omnkantsha: ama-stem cells aqoqwa ngokuqondile emnkantsheni futhi abizwa ngokuthi a 'ukufakelwa komnkantsha' (BMT).
Amaseli e-stem e-peripheral: ama-stem cells aqoqwa egazini le-peripheral futhi lokhu kubizwa ngokuthi a 'i-peripheral blood stem cell transplant' (PBSCT). Lona umthombo ovame kakhulu wama-stem cell asetshenziselwa ukufakelwa kabusha.
Igazi lentambo: ama-stem cells aqoqwa enkabeni ngemva kokuzalwa komntwana osanda kuzalwa. Lokhu kubizwa ngokuthi a 'ukufakelwa igazi ngentambo', lapho lezi zingavamile kakhulu kunokufakelwa kwe-peripheral noma umnkantsha wamathambo.
Ulwazi olwengeziwe mayelana nokufakelwa kwe-Stem Cell
Ukuze uthole ulwazi olwengeziwe mayelana nokufakelwa kwe-stem cell bheka amakhasi ethu ewebhu alandelayo.
Ukufakelwa kwe-stem cell – isifinyezo
I-Autologous stem cell transplants - usebenzisa ama-stem cell akho
Ukufakelwa kwe-Allogeneic stem cell – ukusebenzisa ama-stem cells (womnikeli) womunye umuntu
I-CAR T-cell therapy yindlela yokwelapha entsha esebenzisa futhi ethuthukisa amasosha akho omzimba ukuze alwe ne-lymphoma yakho. Itholakala kuphela kubantu abanezinhlobo ezithile ze-lymphoma ezihlanganisa:
- I-Primary Mediastinal B-Cell Lymphoma (PMBCL)
- I-Relapse or Refractory Diffuse Large B-Cell Lymphoma (DLBCL)
- I-Follicular Lymphoma eguquliwe (FL)
- I-B-cell Acute Lymphoblastic Lymphoma (B-ALL) yabantu abaneminyaka engama-25 noma ngaphansi
Wonke umuntu e-Australia one-subtype efanelekile ye-lymphoma, futhi ohlangabezana nemibandela edingekayo angathola ukwelashwa kwe-CAR T-cell. Nokho, kwabanye abantu, ungase udinge ukuhamba futhi uhlale edolobheni elikhulu noma kwesinye isimo ukuze uthole lokhu kwelashwa. Izindleko zalokhu zikhokhwa ngezimali zokwelashwa, ngakho akufanele ukhokhele uhambo lwakho noma indawo yokuhlala ukuze uthole lokhu kwelashwa. Izindleko zomnakekeli oyedwa noma umuntu owesekayo nazo ziyakhava.
Ukuze uthole ulwazi lokuthi ungakuthola kanjani lokhu kwelashwa sicela ubuze udokotela wakho mayelana nezinhlelo zokweseka isiguli. Ungabona futhi yethu Ikhasi lewebhu le-CAR T-cell therapy lapha ukuze uthole ulwazi olwengeziwe ngokwelashwa kwe-CAR T-cell.
Inikezwa kuphi i-CAR T-cell therapy?
E-Australia, ukwelashwa kwe-CAR T-cell okwamanje kunikezwa kulezi zikhungo ezingezansi:
- I-Western Australia - Isibhedlela i-Fiona Stanley.
- I-New South Wales - I-Royal Prince Alfred.
- New South Wales - Isibhedlela saseWestmead.
- Victoria – Peter MacCallum isikhungo somdlavuza.
- Victoria - Isibhedlela i-Alfred.
- I-Queensland - iRoyal Brisbane kanye neSibhedlela Sabesifazane.
- I-South Australia - hlala ubukele.
Kukhona futhi izivivinyo zomtholampilo ezibheka ukwelashwa kwe-CAR T-cell kwezinye izinhlobo ezincane ze-lymphoma. Uma unentshisekelo, buza udokotela wakho mayelana nanoma yiziphi izivivinyo zomtholampilo ongase ukufanelekele.
Ukuze uthole ulwazi ngokwelashwa kwe-CAR T-cell, Chofoza lapha. Lesi sixhumanisi sizokuyisa endabeni kaKim, lapho ekhuluma ngolwazi lwakhe lokudlula ekwelashweni kwe-CAR T-cell ukuze alaphe i-Diffuse big B-cell lymphoma (DLBCL). Izixhumanisi ezengeziwe zokuthola ulwazi olwengeziwe ngokwelashwa kwe-CAR T-cell nazo zinikeziwe.
Ungaphinda usithinte e-Lymphoma Australia ngokuchofoza inkinobho ethi "thintana nathi" ezansi kwaleli khasi.
Amanye ama-lymphomas angabangelwa izifo. Kulezi zimo ezingavamile, i-lymphoma ingelashwa ngokwelapha ukutheleleka.
Kwezinye izinhlobo ze-lymphoma, njenge-marginal zone MALT lymphomas, i-lymphoma iyeka ukukhula futhi ekugcineni ife ngokwemvelo uma izifo seziphelile. Lokhu kuvamile ku-MALT yesisu ebangelwa ukutheleleka kwe-H. pylori, noma kuma-MALT angewona awesisu lapho imbangela kuwukutheleleka emehlweni noma eduze kwamehlo.
Ukuhlinzwa kungase kusetshenziselwe ukususa i-lymphoma ngokuphelele. Lokhu kungenziwa uma unendawo eyodwa yendawo ye-lymphoma engasuswa kalula. Kungase kudingeke futhi uma une-splenic lymphoma ukuze ususe wonke u-spleen wakho. Lokhu kuhlinzwa kubizwa ngokuthi i-splenectomy.
Ubende lwakho luyisitho esikhulu samasosha akho omzimba kanye ne-lymphatic. Kulapho ama-lymphocyte akho amaningi ahlala khona, nalapho ama-B-cell akho enza khona amasosha omzimba ukulwa nokutheleleka.
Ubende lwakho lusiza nasekuhlungeni igazi lakho, luhlephule amangqamuzana abomvu amadala enze amangqamuzana ezempilo amasha futhi agcine amangqamuzana egazi amhlophe namaplatelet, asiza igazi lakho ukuthi lihlule. Uma udinga i-splenectomy, udokotela wakho uzokhuluma nawe mayelana nezinyathelo ongase udinge ukuzithatha ngemva kokuhlinzwa kwakho.
Izivivinyo zemitholampilo ziyindlela ebalulekile yokuthola ukwelashwa okusha, noma inhlanganisela yokwelapha ukuthuthukisa imiphumela yeziguli ezine-lymphoma noma i-CLL. Futhi bangakunikeza ithuba lokuzama izinhlobo ezintsha zokwelapha ezingakagunyazwa ngaphambilini kuwe uhlobo lwe-lymphoma.
Ukuze ufunde kabanzi mayelana nezivivinyo zomtholampilo, sicela uvakashele ikhasi lethu lewebhu ku Ukuqonda Izilingo Zomtholampilo ngokuchofoza lapha.
Ukuthola ukwelashwa kuyisinqumo sakho. Uma usunalo lonke ulwazi olufanele, futhi uthole ithuba lokubuza imibuzo, ukuthi uqhubeka kanjani kukuwe.
Nakuba abantu abaningi bekhetha ukuthola ukwelashwa, abanye bangakhetha ukungayitholi imithi. Kusenokunakekelwa okuningi okusekelayo ongakuthola ukuze ukusize uphile kahle isikhathi eside ngangokunokwenzeka, futhi uhlele izindaba zakho.
Amathimba okunakekela i-palliative kanye nosonhlalakahle bawusekelo olukhulu lokusiza ukuhlela izinto lapho ulungiselela ukuphela kwempilo, noma ukulawula izimpawu.
Khuluma nodokotela wakho mayelana nokudluliselwa kulawa maqembu.
Imiphumela emibi yokwelashwa
Ukuze uthole ulwazi ngemiphumela ethile engemihle yokwelashwa kwe-lymphoma/CLL nokuthi ungayilawula kanjani, sicela uchofoze isixhumanisi esingezansi.
Ubulili kanye nokusondelana ngokocansi ngesikhathi sokwelashwa kwe-lymphoma
Impilo yocansi enempilo kanye nokusondelana ngokocansi kuyingxenye evamile futhi ebalulekile yokuba umuntu. Ngakho-ke kubalulekile ukukhuluma ngokuthi ukwelashwa kwakho kungathinta kanjani ubulili bakho.
Abaningi bethu bakhuliswe becabanga ukuthi akulungile ukukhuluma ngocansi. Kodwa empeleni kuyinto evamile kakhulu, futhi ukukhuluma ngakho kubaluleke kakhulu uma une-lymphoma futhi uqala ukwelashwa.
Odokotela bakho nabahlengikazi bawumthombo omkhulu wolwazi, futhi ngeke bacabange ngendlela ehlukile ngawe, noma bakuphathe ngendlela ehlukile uma ubabuza mayelana nokukhathazeka okuhlobene nocansi. Zizwe ukhululekile ukubuza noma yini odinga ukuyazi ngayo.
Ungaphinda usishayele ucingo e-Lymphoma Australia, vele uchofoze inkinobho yokuxhumana nathi ezansi kwaleli khasi ukuze uthole imininingwane yethu.
Ngingakwazi ukuya ocansini ngenkathi ngilashelwa i-lymphoma?
Yebo! Kodwa kunezinyathelo ezithile zokuphepha okudingeka uzithathe.
Ukuba ne-lymphoma, nokwelashwa kwayo kungakwenza uzizwe ukhathele kakhulu futhi untula amandla. Kwezinye izimo, ungase ungazizwa uthanda ukuya ocansini, futhi lokho kulungile. Ukufuna nje ukugona noma ukuxhumana ngokomzimba ngaphandle kocansi kulungile, futhi ukufuna ucansi nakho kulungile. Uma ukhetha ukuya ocansini, kungase kusize ukusebenzisa okokugcoba njengoba ezinye izindlela zokwelapha zingadala ukoma kwesitho sangasese sowesifazane noma ukungasebenzi kahle kwe-erectile.
Ukusondelana akudingi kuholela ocansini, nokho kusengaletha injabulo nenduduzo eningi. Kodwa uma ukhathele futhi ungafuni ukuthintwa lokho nakho kuyinto evamile. Thembeka kumlingani wakho mayelana nezidingo zakho.
Ukukhulumisana okuvulekile nenhlonipho nophathina wakho kubaluleke kakhulu ukuqinisekisa ukuthi nobabili nigcinwa niphephile, nokuvikela ubudlelwano benu.
Ingozi yokutheleleka nokopha
I-lymphoma yakho, noma ukwelapha kwayo kungenza kube lula ukuthi uthole isifo noma wophe futhi ulimele kalula. Lokhu kudinga ukucatshangelwa uma uya ocansini. Ngenxa yalokhu, kanye namandla okuzizwa ukhathele kalula, kungase kudingeke uhlole izitayela nezikhundla ezahlukene zocansi.
Ukusebenzisa ukugcoba kungasiza ekuvimbeleni ama-microtears avame ukwenzeka phakathi nocansi, futhi kungasiza ekuvimbeleni ukutheleleka nokopha.
Uma uke waba nezifo zangaphambilini ezinezifo ezithathelwana ngocansi, njenge-herpes noma izinsumpa zangasese ungase ube nokuqubuka. Udokotela wakho angase akwazi ukukunikeza imithi elwa namagciwane ngesikhathi sokwelashwa kwakho ukuze uvimbele, noma anciphise ubukhali bokuqubuka. Khuluma nodokotela noma unesi wakho uma uke waba nezifo ezithathelwana ngocansi esikhathini esidlule.
Uma wena noma umlingani wakho wake waba nesifo esithathelwana ngocansi, noma ungenaso isiqiniseko, sebenzisa ukuvikela okuvimbayo okufana nedamu lamazinyo noma ikhondomu ene-spermicide ukuze uvimbele ukutheleleka.
Ingabe umlingani wami udinga ukuvikelwa?
Eminye imithi elwa nomdlavuza ingatholakala kuwo wonke uketshezi lomzimba okuhlanganisa isidoda nokuphuma kwesitho sangasese sowesifazane. Ngenxa yalesi sizathu, kubalulekile ukusebenzisa ukuvikelwa kwesithiyo njengamadamu wamazinyo noma amakhondomu kanye nesibulala-zinambuzane. Ucansi olungavikelekile phakathi nezinsuku zokuqala eziyi-7 ngemuva kokwelashwa okulwa nomdlavuza lungadala umonakalo kumlingani wakho. Ukuvikelwa kwesithiyo kuvikela uzakwenu.
Ngingakwazi yini ukukhulelwa (noma ukukhulelwa omunye umuntu) ngesikhathi sokwelashwa?
Ukukhulelwa ngesikhathi sokwelashwa nakho kuzothinta izinketho zakho zokwelapha, futhi kungase kuholele ekubambezelekeni ekwelashweni okudingayo ukuze ulawule i-lymphoma yakho.
Olunye ulwazi
Ukuze uthole ulwazi olwengeziwe, khuluma nethimba lakho lezokwelapha esibhedlela noma emtholampilo wakho, noma xoxa nodokotela wangakini (GP). Ezinye izibhedlela zinabahlengikazi abasebenza ngokukhethekile ekushintsheni ubulili ngesikhathi sokwelashwa komdlavuza. Ubuza udokotela noma unesi wakho ukuthi ungadluliselwa yini kumuntu oqondayo nonolwazi lokusiza iziguli ezinalezi zinguquko.
Ungaphinda uchofoze inkinobho engezansi ukuze ulande iphepha lethu lamaqiniso.
Ukukhulelwa ngesikhathi sokwelashwa kwe-lymphoma
Nakuba sikhulume ngokungakhulelwa, noma ukukhulelwa omunye umuntu ngesikhathi sokwelashwa, kwabanye abantu, ukuxilongwa kwe-lymphoma kwenzeka ngemva kokuba usuvele ukhulelwe. Kwezinye izimo, ukukhulelwa kungase kwenzeke njengesimangaliso ngesikhathi sokwelashwa.
Kubalulekile ukukhuluma nethimba lakho labelaphi mayelana nezinketho onazo.
Izindlela Zokwelapha Ezisekelayo - imikhiqizo yegazi, izici zokukhula, ama-steroid, ukuphathwa kobuhlungu, ukwelapha okuhambisanayo nokuhlukile
Ukwelashwa okusekelayo akusetshenziselwa ukwelapha i-lymphoma yakho, kodwa kunalokho kuthuthukisa izinga lakho lempilo ngenkathi uthola ukwelashwa kwe-lymphoma noma i-CLL. Okuningi kuzoba ukusiza ukunciphisa imiphumela emibi, ukuthuthukisa izimpawu noma ukusekela amasosha akho omzimba kanye nokululama kwenani legazi.
Chofoza izihloko ezingezansi ukuze ufunde ngezinye izindlela zokwelapha ezisekelayo ongase unikezwe zona.
I-Lymphoma ne-CLL kanye nokwelashwa kwazo kungabangela ukuba ube nezibalo eziphansi zamaseli egazi anempilo. Umzimba wakho ungakwazi ukuzivumelanisa namazinga aphansi, kodwa kwezinye izimo, ungase ube nezimpawu. Ezimweni ezingavamile lezi zimpawu zingaba yingozi empilweni.
Ukumpontshelwa igazi kungasiza ekwandiseni izibalo zakho zegazi ngokukunikeza ukuthakwa kwamaseli owadingayo. Lokhu kungabandakanya ukumpontshelwa kwamangqamuzana egazi abomvu, ukumpontshelwa kweplatelet noma ukushintshwa kwe-plasma. I-Plasma iwuketshezi oluyingxenye yegazi lakho futhi ithwala amasosha omzimba nezinye izici zokujiyisa ezisiza ekuqinisekiseni ukuthi amahlule egazi akho aqine ngendlela efanele.
I-Australia inegazi eliphephe kakhulu emhlabeni. Igazi eliphuma konikelayo liyahlolwa (lifaniswe ngokuphambene) egazini lakho siqu ukuze kuqinisekiswe ukuthi liyahambisana. Igazi labanikelayo libe selihlolelwa amagciwane atholakala egazini ahlanganisa i-HIV, i-Hepatitis B, i-Hepatitis C kanye negciwane le-T-lymphotropic. Lokhu kuqinisekisa ukuthi awukho engcupheni yokuthola lawa magciwane ngokumpontshelwa kwakho.
Ukumpontshelwa kwamangqamuzana egazi abomvu
Amangqamuzana egazi abomvu anephrotheni ekhethekile kuwo ebizwa ngokuthi i-hemoglobin (hee-moh-glow-bin). I-hemoglobin yiyo eyenza igazi lethu libe nombala obomvu futhi inesibopho sokuthwala umoya-mpilo emizimbeni yethu.Amapulatifomu
Ama-platelet anombala ophuzi futhi angampontshelwa - unikezwa emithanjeni yakho ukuze ukhulise amazinga akho e-platelet.
I-Intragam (IVIG)
I-Intragam iwukufakwa kwama-immunoglobulins - okunye aziwa njengama-antibodies.
Ama-B-cell lymphocyte akho ngokwemvelo enza amasosha omzimba ukulwa nokutheleleka kanye nezifo. Kodwa uma une-lymphoma, ama-B-cell akho angase angakwazi ukwenza amasosha omzimba anele ukuze akugcine unempilo.
Uma uqhubeka nokuthola izifo, noma unenkinga yokuqeda izifo, udokotela wakho angase akuphakamisele i-intragam.
Izici zokukhula imithi esetshenziselwa ukusiza amanye amangqamuzana akho egazi ukuthi akhule ngokushesha. Isetshenziswa kakhulu ukukhuthaza umnkantsha wakho ukuthi ukhiqize amangqamuzana egazi amhlophe engeziwe, ukusiza ukukuvikela ekuthelelekeni.
Ungaba nawo njengengxenye yephrothokholi yakho ye-chemo uma kungenzeka ukuthi uzodinga ukwesekwa okwengeziwe ukuze wenze amaseli amasha. Ungase futhi ube nawo uma ufaka i-stem cell ukuze umzimba wakho wenze ama-stem cell amaningi azoqoqwa.
Kwezinye izimo izici zokukhula zingase zisetshenziselwe ukugqugquzela umnkantsha wakho ukuba ukhiqize amangqamuzana abomvu engeziwe, nakuba lokhu kuvamile kubantu abane-lymphoma.
Izinhlobo zezinto zokukhula
I-Granulocyte-colony stimulating factor (G-CSF)
I-Granulocyte-colony stimulating factor (G-CSF) iyisici esivamile sokukhula esisetshenziselwa abantu abane-lymphoma. I-G-CSF ihomoni yemvelo ekhiqizwa imizimba yethu, kodwa futhi ingenziwa njengomuthi. Eminye imithi ye-G-CSF isebenza kafushane kuyilapho eminye isebenza isikhathi eside. Izinhlobo ezahlukene ze-G-CSF zifaka:
- I-Lenograstim (Granocyte®)
- I-Filgrastim (Neupogen®)
- I-Lipegfilgrastim (Lonquex®)
- I-Pegylated filgrastim (Neulasta®)
Imiphumela engemihle yemijovo ye-G-CSF
Ngenxa yokuthi i-G-CSF ivuselela umnkantsha wakho ukuthi ukhiqize amangqamuzana egazi amhlophe ngokushesha kunokujwayelekile, ungathola imiphumela engemihle. Eminye imiphumela emibi ingabandakanya:
- Fever
- Ukukhathala
- Ukulahlekelwa izinwele
- Uhudo
- isiyezi
- Rash
- Ukuphathwa yikhanda
- Ubuhlungu bamathambo.
Qaphela: Ezinye iziguli zingabhekana nobuhlungu obukhulu bethambo, ikakhulukazi emhlane wakho ophansi. Lokhu kwenzeka ngoba imijovo ye-G-CSF ibangela ukwanda okusheshayo kwama-neutrophils (amangqamuzana amhlophe egazi), okuholela ekuvuvukeni komnkantsha wakho. Umnkantsha utholakala kakhulu endaweni ye-pelvic (hip/low back), kodwa ukhona kuwo wonke amathambo akho.
Lobu buhlungu ngokuvamile bubonisa ukuthi amangqamuzana akho amhlophe egazi ayabuya.
Abantu abasha ngezinye izikhathi baba nobuhlungu obuningi ngoba umnkantsha usaminyene kakhulu lapho ubancane. Abantu asebekhulile banomongo wamathambo ongaminyene kakhulu, ngakho kunendawo eyengeziwe yokuthi amangqamuzana amhlophe akhule ngaphandle kokubanga ukuvuvukala. Lokhu ngokuvamile kubangela ubuhlungu obuncane - kodwa hhayi njalo. Izinto ezingasiza ukunciphisa ukungakhululeki:
- I-Paracetamol
- Iphakethe lokushisa
- I-Loratadine: i-antihistamine engaphezu kwekhawunta, enciphisa impendulo yokuvuvukala
- Xhumana nethimba lezokwelapha ukuze uthole i-analgesia eqinile uma okungenhla kungasizi.
Umphumela omubi ongavamile
Ezimweni ezingavamile kakhulu ubende lwakho lungase luvuvuke (lukhule), izinso zakho zilimale.
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngenkathi une-G-CSF, thintana nodokotela wakho ngokushesha ukuze uthole iseluleko.
- Umuzwa wokugcwala noma ukungakhululeki ohlangothini lwesobunxele lwesisu, ngaphansi kwezimbambo
- Ubuhlungu ohlangothini lwesobunxele lwesisu
- Ubuhlungu ekugcineni kwehlombe lesokunxele
- Inkinga ngokukhipha umchamo (wee), noma ukudlula ngaphansi kokujwayelekile
- Izinguquko kumbala womchamo wakho ube umbala obomvu noma omnyama onsundu
- Ukuvuvukala emilenzeni noma ezinyaweni
- Ukuphefumula kanzima
I-Erythropoietin
I-Erythropoietin (EPO) iyisici sokukhula esikhuthaza ukukhula kwamangqamuzana abomvu egazi. Akuvamile ukusetshenziswa ngoba amangqamuzana abomvu egazi aphansi ngokuvamile aphathwa ngokumpontshelwa igazi.
Uma ungakwazi ukumpontshelwa igazi ngezizathu zezokwelapha, ezingokomoya noma ezinye, ungase unikezwe i-erythropoietin.
Ama-steroid awuhlobo lwehomoni eyenziwa yimizimba yethu ngokwemvelo. Nokho zingenziwa futhi elabhorethri njengomuthi. Izinhlobo ezivame kakhulu ze-steroids ezisetshenziswa ekwelapheni abantu abane-lymphoma uhlobo olubizwa ngokuthi i-corticosteroids. Lokhu kuhlanganisa nemithi i-prednisolone, imethylprednisolone futhi i-dexamenthasone. Lezi zihlukile ezinhlotsheni ze-steroids abantu abazisebenzisayo ukwakha imisipha yomzimba.
Kungani i-steroids isetshenziswa ku-lymphoma?
Ama-steroid asetshenziswa kanye ne-chemotherapy yakho, futhi kufanele kuthathwe isikhathi esifushane kuphela njengoba kunqunywe udokotela wakho wegazi noma i-oncologist. I-Steroids isetshenziselwa izizathu eziningana ekwelapheni i-lymphoma.
Lokhu kungafaka:
- Ukwelapha i-lymphoma ngokwayo.
- Ukusiza ezinye izindlela zokwelapha ezifana ne-chemotherapy ukuthi zisebenze kangcono.
- Ukunciphisa ukungezwani komzimba neminye imithi.
- Ukuthuthukisa imiphumela emibi njengokukhathala, isicanucanu, nokungathandi ukudla.
- Ukunciphisa ukuvuvukala okungase kukubangele izinkinga. Isibonelo uma unokucindezelwa komgogodla.
Imiphumela emibi ye-steroids
Ama-steroid angabangela imiphumela emibi eminingi engadingeki. Eziningi ziphila isikhashana futhi ziba ngcono ezinsukwini ezimbalwa ngemva kokuba uyekile ukuzithatha.
Imiphumela emibi evamile ihlanganisa:
- Amajaqamba esiswini noma izinguquko endleleni yakho yangasese
- Ukwenyuka kwesifiso sokudla kanye nesisindo somzimba
- Umfutho wegazi ophakeme kunokuvamile
- I-Osteoporosis (amathambo abuthakathaka)
- Ukugcinwa kwe-Fluid
- Ingozi eyengeziwe yokutheleleka
- I-Mood iyashintsha
- Ubunzima bokulala (ukuqwasha)
- Ubuthakathaka bemisipha
- Amazinga aphezulu kashukela egazini (noma uhlobo 2 sikashukela). Lokhu kungaphumela kuwe
- ezwa ukoma
- edinga ukuchama (wee) kaningi
- ukuba neglucose ephezulu yegazi
- ukuba namazinga aphezulu kashukela emchameni
Kwezinye izimo, uma amazinga kashukela egazini eba phezulu kakhulu, kungase kudingeke ukuthi uthole ukwelashwa nge-insulin isikhashana, uze uphume kuma-steroid.
Imizwa nokuziphatha kuyashintsha
Ama-steroid angathinta imizwa nokuziphatha. Zingabangela:
- imizwa yokukhathazeka noma yokungahlaliseki
- ukushintsha kwemizwa (imizwa eyehlayo neyehlayo)
- isimo sengqondo esiphansi noma ukucindezeleka
- umuzwa wokufuna ukuzilimaza wena noma abanye.
Ukushintsha kwemizwa nokuziphatha kungase kwesabe kakhulu kumuntu odla ama-steroid, kanye nabathandekayo babo.
Uma ubona noma yiziphi izinguquko kumizwa yakho, noma obathandayo ngenkathi uthatha ama-steroids, khuluma nodokotela wakho ngokushesha. Ngezinye izikhathi ukushintsha umthamo, noma ukushintshela ku-steroid ehlukile kungenza umehluko ukukusiza uzizwe ungcono. Tshela udokotela noma unesi uma kukhona izinguquko esimweni sakho sengqondo noma ekuziphatheni kwakho. Kungase kube nezinguquko ezithile ekwelashweni uma imiphumela engemihle idala izinkinga.
Amathiphu ngokuthatha ama-steroid
Nakuba singakwazi ukumisa imiphumela emibi engadingeki evela kuma-steroid, kukhona ezinye izinto ongazenza ukuze unciphise ukuthi mibi kangakanani imiphumela emibi kuwe. Ngezansi amanye amathiphu ongase uthande ukuwazama.
- Bathathe ekuseni. Lokhu kuzosiza ngamandla emini, futhi ngethemba ukuthi kuzophela ebusuku ukuze uthole ukulala okungcono.
- Wathathe nobisi noma ukudla ukuze uvikele isisu sakho futhi unciphise amajaqamba kanye nemizwa yesicanucanu
- Ungayeki ngokuzumayo ukuphuza ama-steroid ngaphandle kweseluleko sikadokotela wakho - lokhu kungabangela ukuhoxiswa futhi kungajabulisi kakhulu. Eminye imithamo ephezulu ingase idinge ukuthi iyekwe kancane kancane ngomthamo omncane usuku ngalunye.
Uzoxhumana nini nodokotela wakho
Kwezinye izimo kungase kudingeke ukuthi uxhumane nodokotela wakho ngaphambi kokubonana kwakho okulandelayo. Uma okunye kwalokhu okungezansi kwenzeka ngenkathi uthatha ama-steroids, sicela wazise udokotela wakho ngokushesha ngangokunokwenzeka.
- izimpawu zokugcina uketshezi njengokuphelelwa umoya, ukuphefumula kanzima, ukuvuvukala kwezinyawo noma imilenze ephansi, noma ukukhuluphala ngokushesha.
- izinguquko esimweni sakho noma ekuziphatheni kwakho
- izimpawu zokutheleleka ezifana nokushisa okuphezulu, ukukhwehlela, ukuvuvukala nanoma yikuphi ukuvuvukala.
- uma uneminye imiphumela emibi ekukhathazayo.
Eminye imithi isebenzisana nama-steroid angenza eyodwa noma yomibili ingasebenzi ngendlela okufanele isebenze ngayo. Khuluma nodokotela wakho noma usokhemisi mayelana nayo yonke imithi nezithako zokudla ozithathayo ukuze baqinisekise ukuthi akekho ozoba nokuxhumana okuyingozi nama-steroids akho.
Uma unqunywe ama-steroids, khuluma nodokotela wakho noma usokhemisi ngaphambi:
- Ukuba nanoma yimiphi imigomo ephilayo (okuhlanganisa nemithi yokugomela inkukhu, isimungumungwane, umvukuzane kanye nerubella, uvendle, ishingles, isifo sofuba)
- Ukuthatha izithasiselo ze-herbal noma imishanguzo ye-counter
- Ukukhulelwa noma ukuncelisa
- Uma unesimo esithinta amasosha akho omzimba (ngaphandle kwe-lymphoma yakho).
Ingozi yokutheleleka
Ngenkathi uthatha ama-steroids uzoba sengozini enkulu yokutheleleka. Gwema abantu abananoma yiluphi uhlobo lwezimpawu ezithathelwanayo noma izifo.
Lokhu kuhlanganisa abantu abane- chicken pox, i-shingles, umkhuhlane kanye nezimpawu zomkhuhlane (noma i-COVID), i-pneumocystis jiroveci pneumonia (PJP). Ngisho noma uke waba nalezi zifo esikhathini esidlule, ngenxa ye-lymphoma yakho, kanye nokusetshenziswa kwe-steroids, uzobe usengozini enkulu.
Zijwayeze ukuhlanzeka kwezandla okuhle kanye nokuqhelelana nomphakathi lapho usesidlangalaleni.
I-lymphoma noma ukwelashwa kwakho kungabangela izinhlungu nezinhlungu kuwo wonke umzimba wakho. Kwabanye abantu, ubuhlungu bungase bube nzima kakhulu futhi badinge usizo lwezokwelapha ukuze buthuthuke. Kunezinhlobo eziningi ezahlukene zokudambisa izinhlungu ezitholakalayo ukuze zikusize ulawule ubuhlungu bakho, futhi uma ulawulwe ngendlela efanele ngeke ahole ekubeni umlutha wemithi yokudambisa izinhlungu.
Ukuphathwa kwezimpawu ngokunakekelwa kwe-Palliative - Akuzona nje ezokunakekelwa kokuphela kwempilo
Uma kunzima ukulawula ubuhlungu bakho, ungase uzuze ngokubona ithimba lokunakekelwa kwe-palliative. Abantu abaningi bakhathazeka ngokubona ithimba lokunakekelwa kwe-palliative ngoba bazi kuphela ukuthi bayingxenye yokunakekelwa kokuphela kwempilo. Kodwa, ukunakekelwa kokuphela kwempilo kuyingxenye yalokho okwenziwa ithimba lokunakekelwa kwe-palliative.
Amathimba okunakekelwa kwe-Palliative angochwepheshe ekulawuleni kanzima ukwelapha izimpawu njengobuhlungu, isicanucanu nokuhlanza kanye nokungathandi ukudla. Bayakwazi futhi ukukunikeza uhla olukhulu lwemithi yokudambisa izinhlungu kunokuba ukwelapha i-hematologist noma i-oncologist yakho akwazi ukwenza. Ngakho-ke uma ubuhlungu buthinta izinga lakho lempilo, futhi kungekho lutho olubonakala lusebenza, kungase kube kuhle ukucela udokotela wakho ukuthi akudlulisele ekunakekelweni kokwelapha ukuze kulawuleke izimpawu.
Izindlela zokwelapha ezihambisanayo nezinye seziyanda kakhulu. Angafaka:
Izindlela Zokwelapha Ezihambisanayo | Ezinye izindlela zokwelapha |
Massage I-acupuncture Reflexology Ukuzindla nokuzindla I-Thai Chi ne-Qi Gong Ukwelapha Ubuciko Ukwelapha Umculo yokwelapha Ukwelulekwa kanye Psychology | I-Naturopathy I-Vitamin infusions isixazululi nkinga yehadiwe nezinsiza Umuthi wamakhambi waseShayina Ama-detoxes I-Ayurveda I-Bio-electromagnetics Ukudla okunemikhawulo kakhulu (isb. i-ketogenic, akukho ushukela, i-vegan) |
Ukwelashwa okuhambisanayo
Imithi yokwelapha ehambisanayo ihloselwe ukusebenzisana nokwelashwa kwakho kwendabuko. Ayihloselwe ukuthatha indawo yokwelashwa kwakho okunconywe udokotela wakho onguchwepheshe. Azisetshenziselwa ukwelapha i-lymphoma noma i-CLL, kodwa kunalokho zisiza ukuthuthukisa izinga lakho lempilo ngokunciphisa ubukhali, noma isikhathi semiphumela emibi. Zingasiza ekwehliseni ingcindezi nokukhathazeka, noma zikusize ukuthi ubhekane nezingcindezi ezengeziwe empilweni yakho ngenkathi uhlala ne-lymphoma/CLL kanye nokwelashwa kwayo.
Ngaphambi kokuba uqale noma yikuphi ukwelashwa okuhambisanayo, khuluma nodokotela wakho onguchwepheshe noma unesi. Ezinye izindlela zokwelapha ezihambisanayo zingase zingaphephile phakathi nokwelashwa, noma kungase kudingeke ukuba ulinde kuze kube yilapho amangqamuzana akho egazi esesezingeni elivamile. Isibonelo salokhu ukuthi uma une-platelet ephansi, ukubhucungwa umzimba noma ukutshopa kungase kwenyuse ingozi yokopha kanye nemihuzuko.
Ezinye izindlela zokwelapha
Izindlela zokwelapha ezihlukile zihlukile kunezo ezihambisanayo ngoba inhloso yezinye izindlela zokwelapha iwukuthatha indawo yokwelashwa kwendabuko. Abantu abakhetha ukungatholi ukwelashwa okusebenzayo nge-chemotherapy, i-radiotherapy noma okunye ukwelashwa kwendabuko bangakhetha uhlobo oluthile lokwelapha okuhlukile.
Izindlela eziningi zokwelapha ezihlukile azikahlolwa ngokwesayensi. Kubalulekile ukubuza udokotela wakho uma ucabangela ezinye izindlela zokwelapha. Bazokwazi ukukunikeza ulwazi ngezinzuzo zokwelapha zendabuko nokuthi lezi ziqhathaniswa kanjani nezinye izindlela zokwelapha. Uma udokotela wakho engazizwa enesibindi sokukhuluma nawe ngezinye izindlela zokwelapha, mcele ukuthi akudlulisele kumuntu onolwazi oluningi lwezinye izindlela ongakhetha kuzo.
Imibuzo ongayibuza udokotela wakho
1) Yikuphi okuhlangenwe nakho onakho ngemithi yokuncoma noma ehlukile?
2) Iluphi ucwaningo lwakamuva (noma yikuphi ukwelashwa onentshisekelo kukho)?
3) Bengilokhu ngibheka ku (uhlobo lokwelashwa), ungangitshelani ngakho?
4) Ingabe ukhona omunye ongancoma ukuthi ngikhulume naye mayelana nalezi zindlela zokwelapha?
5) Ingabe kukhona ukusebenzisana nokwelashwa kwami okufanele ngikuqaphele?
Lawula ukwelashwa kwakho
Akudingekile ukuthi wamukele ukwelashwa okunikezwayo, futhi unelungelo lokubuza mayelana nezinketho ezahlukene.
Ngokuvamile udokotela wakho uzokunikeza ukwelashwa okujwayelekile okuvunyelwe izinhlobo zakho ze-lymphoma. Kodwa ngezikhathi ezithile kuba neminye imithi engase isebenze kuwe engase ingafakwa ohlwini lwe-Therapeutic Goods Administration (TGA) noma i-Pharmaceutical Benefits Scheme (PBS).
Buka ividiyo Thatha amandla: Ukufinyelela okuhlukile emithini engekho ohlwini lwe-PBS ukuze uthole olunye ulwazi.
Ukuqeda ukwelashwa kwakho kwe-lymphoma kungabangela imizwelo exubile. Ungase uzizwe ujabule, ukhululekile futhi ufuna ukugubha, noma ungase ukhathazeke futhi ukhathazeke ngokulandelayo. Kuyinto evamile futhi ukukhathazeka mayelana ne-lymphoma ebuyayo.
Impilo izothatha isikhashana ukubuyela kwesijwayelekile. Ungaqhubeka nokuba nemiphumela engemihle yokwelashwa kwakho, noma emisha ingaqala kuphela ngemva kokuphela kokwelashwa. Kodwa ngeke ube wedwa. I-Lymphoma Australia ilapha kuwe ngisho nangemva kokuphela kokwelashwa. Ungasithinta ngokuchofoza inkinobho ethi “Thintana nathi” ezansi kwaleli khasi.
Uzoqhubeka nokubonana nodokotela wakho onguchwepheshe njalo. Basazofuna ukukubona bakuhlole igazi nokuskena ukuze baqinisekise ukuthi uphilile. Lokhu kuhlola okuvamile futhi kuqinisekisa ukuthi noma yiziphi izimpawu ze-lymphoma ebuyayo zithathwa kusenesikhathi.
Ukubuyela kokujwayelekile, noma ukuthola okwejwayelekile kwakho okusha
Abantu abaningi bathola ukuthi ngemva kokuxilongwa umdlavuza, noma ukwelashwa, ukuthi izinhloso zabo nezinto eziza kuqala ekuphileni ziyashintsha. Ukwazi ukuthi kuyini 'okujwayelekile kwakho okusha' kungase kuthathe isikhathi futhi kukhungathekise. Okulindelekile komndeni wakho nabangane kungase kwehluke kokwakho. Ungase uzizwe uhlukanisiwe, ukhathele noma iyiphi imizwa ehlukene engashintsha usuku ngalunye.
Imigomo eyinhloko ngemva kokwelashwa kwe-lymphoma noma i-CLL iwukuba ubuyele ekuphileni futhi:
- khuthala ngangokunokwenzeka emsebenzini wakho, emndenini, nakwezinye izindima zempilo
- nciphisa imiphumela emibi kanye nezimpawu zomdlavuza kanye nokwelashwa kwawo
- khomba futhi ulawule noma yimiphi imiphumela emibi ngemva kwesikhathi
- ukusiza ukugcina uzimele ngangokunokwenzeka
- ngcono izinga lakho lempilo futhi ugcine impilo enhle yengqondo.
Izinhlobo ezahlukene zokuvuselela umdlavuza zingase zikuthakasele. Ukuvuselelwa komdlavuza kungabandakanya izinsiza eziningi ezifana nalezi:
- ukwelashwa ngokomzimba, ukuphathwa kobuhlungu
- ukuhlela okunomsoco nokuzivocavoca
- ukwelulekwa ngokomzwelo, kwezemisebenzi nakwezezimali.
Ngokudabukisayo, kwezinye izimo ukwelashwa akusebenzi ngendlela esithemba ngayo. Kwezinye izimo, ungenza isinqumo esifundisiwe sokungaphinde uthole ukwelashwa futhi ubone izinsuku zakho ngaphandle kokuhlupheka kokuqokwa nokwelashwa. Noma iyiphi indlela, kubalulekile ukuqonda ukuthi yini ongayilindela futhi uzilungiselele njengoba usondela ekupheleni kwempilo yakho.
Kukhona ukwesekwa okutholakalayo kwakho nabathandekayo bakho. Khuluma nethimba lakho labelaphi mayelana nokuthi yiluphi usizo olutholakalayo endaweni yangakini.
Ezinye zezinto ongase uthande ukucabanga ngazo ukuzibuza zihlanganisa:
- Ngixhumana nobani uma ngiqala ukuthola izimpawu, noma izimpawu zami ziba zimbi kakhulu futhi ngidinga usizo?
- Ngixhumana nobani uma ngikuthola kunzima ukuzinakekela ekhaya?
- Ingabe udokotela wami wendawo (GP) uyahlinzeka ngezinsizakalo ezifana nokuvakashela ekhaya noma ngefoni?
- Ngiqinisekisa kanjani ukuthi ukukhetha kwami kuyahlonishwa ekupheleni kwempilo yami?
- Yikuphi ukusekelwa kokuphela kwempilo engikutholayo?
Ungathola ulwazi olwengeziwe mayelana nokuhlelela ukunakekelwa kokuphela kwempilo ngokuchofoza izixhumanisi ezingezansi.
Ukuhlela ukunakekelwa kwakho kokuphela kwempilo
Ezinye izinsiza zakho
Ikhasi lakho lewebhu le-Lymphoma Australia – ngezixhumanisi ezengeziwe
I-CanTEEN - izingane kanye nentsha enomdlavuza, noma labo abazali babo abanomdlavuza.
Qoqa iqembu lami - ukukusiza wena kanye nobathandayo ukuthi nixhumanise usizo olwengeziwe ongase uludinge.
Ezinye izinhlelo zokusebenza zokuphatha izidingo zosekelo nomndeni nabangane:
I-eviQ lymphoma treatment protocols – okuhlanganisa imithi kanye nemiphumela engemihle.
Izinsiza zomdlavuza kwezinye izilimi - nguHulumeni waseVictoria
