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.
Uma isifo sakho siba sibi kakhulu, ungase uqale ukwelashwa.
Ukuqonda iwashi nokulinda (ukuqapha okusebenzayo)
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 zishaye ucingo ngalesi sikhathi “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.
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.
Mnoma yiziphi iziguli zingase zidinge ukuba nokwelashwa okusebenzayo njenge imiphumela emibi yokwelashwa ngamakhemikhali futhi immunotherapy ngesinye isikhathi nokho. Kodwa-ke, ezinye iziguli ezine-lymphomas indolent azidingi ukwelashwa. Ngemva kokwelashwa, ungase futhi uqhubeke ubukele futhi ulinde.
USolwazi Judith Trotman, Udokotela Wegazi, Isibhedlela iConcord, eSydney
Kungani kusetshenziswa iwashi nokulinda?
Ezimweni eziningi i-Indolent (ikhula kancane) i-lymphoma ayelapheki. Lokhu kusho ukuthi uzophila nesifo sakho impilo yakho yonke. Kodwa abantu abaningi baphila impilo ende futhi enempilo ngisho ne-lymphoma engenzi lutho noma i-CLL.
Ungase ube nezikhathi lapho ulindile futhi ulinde isikhashana, bese uthatha ukwelashwa, bese ubuyela emuva ukuze ubuke futhi ulinde. Kungaba i-rollercoaster encane. Kodwa, uma uqonda ukuthi iwashi nokulinda ngezinye izikhathi kuhle, noma umcimbi ungcono kunokwelashwa okusebenzayo ngemithi kwezinye izimo, kungaba lula ukubhekana nakho. Ucwaningo lubonisa ukuthi iziguli eziqala 'ukulinda futhi zilinde', ziphila isikhathi eside njengabantu abaqale imishanguzo kusenesikhathi.
Inzuzo yokulinda ukwelapha i-lymphoma noma i-CLL, ukuthi ngeke ube nemiphumela emibi engadingeki yemithi esetshenziselwa ukwelapha i-lymphoma. Kusho futhi ukuthi uzoba nezinketho eziningi, uma udinga ukwelashwa okusebenzayo esikhathini esizayo.
Obani abangase baphathwe ngendlela 'yokulinda nokulinda'?
Ukubuka nokulinda kungaba yindlela engcono kakhulu ezigulini ezine-lymphomas engasebenzi njenge:
- I-Follicular lymphoma (FL)
- I-Marginal zone lymphomas (MZL)
- I-Chronic lymphocytic leukemia (CLL) noma i-lymphocytic lymphoma encane (SLL)
- I-Waldenstroms macroglobulinemia (WM)
- I-Cutaneous T-cell lymphoma (CTCL)
- I-Nodular lymphocyte iphelile i-Hodgkin lymphoma (NLPHL)
Kodwa-ke, ukubuka nokulinda kufanelekile kuphela uma 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
Kubandakanyani ukubuka nokulinda?
Uzogadwa ngesikhathi usalindile futhi ulindile. Cishe uzobona udokotela wakho njalo ezinyangeni ezi-3-6, kodwa udokotela wakho uzokwazisa uma kudingeka ukuthi kube ngaphezulu noma ngaphansi kwalokhu. Udokotela wakho angase a-ode noma yikuphi ukuhlolwa okulandelayo ukuze aqinisekise ukuthi usaphilile, nokuthi isifo sakho asibi kakhulu.
Ukuhlola kungase kuhlanganise:
- Ukuhlolwa kwegazi ukuhlola impilo yakho jikelele
- Ukuhlolwa komzimba ukuhlola ukuthi awunawo yini ama-lymph nodes avuvukele noma izimpawu zokuqhubekela phambili
- Ukuhlolwa komzimba nomlando wezokwelapha
- Uzohlolwa umfutho wegazi lakho, izinga lokushisa, nezinga lokushaya kwenhliziyo (lokhu kuvame ukubizwa ngezimpawu ezibalulekile)
- Udokotela wakho uzokubuza ukuthi uke waba nezimpawu B
- Ungase futhi ucelwe ukuthi wenze i-CT scan noma i-PET. Lezi zikena zibonisa ukuthi kwenzekani 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.
Kubalulekile ukukhumbula ukuthi ukulinda kuyindlela ejwayelekile yokuphatha i-indolent lymphoma kanye ne-CLL. Uma uthola indlela 'yokubuka nokulinda' icindezela, sicela ukhulume nethimba lakho lezokwelapha ngakho.
