Iyini i-lymphoma?
Ukuze uqonde i-Non-Hodgkin Lymphoma, okokuqala udinga ukuqonda ukuthi iyini i-lymphoma. I-Lymphoma iye yabizwa ngokuthi umdlavuza wegazi, umdlavuza wesimiso se-lymphatic, nomdlavuza wesimiso sokuzivikela komzimba. Lokhu kungase kudide, ngoba kungase kuzwakale sengathi unomdlavuza ongaphezu kowodwa.
Ukwenza kube lula sichaza i-lymphoma njenge Yini, kuphi futhi Kanjani.
- Yini – I-Lymphoma ingumdlavuza wamangqamuzana amhlophe egazi abizwa ngokuthi ama-lymphocyte.
- Lapho Ama-lymphocyte ngokuvamile ahlala ohlelweni lwethu lwe-lymphatic, ngakho-ke i-lymphoma ivame ukuqala kuma-lymphocyte ohlelweni lwe-lymphatic.
- Indlela – Ama-lymphocyte namanye amangqamuzana egazi amhlophe angamasosha omzimba asivikela ekuthelelekeni nasezifweni, ngakho uma une-lymphoma, amasosha akho omzimba aba buthaka futhi ungathola izifo eziningi.
Sicela uchofoze isixhumanisi esingezansi ukuze ubone ukuthi Yini ikhasi lewebhu le-Lymphoma.
Uyini umehluko phakathi kwe-Non-Hodgkin ne-Hodgkin Lymphoma?
I-Non-Hodgkin Lymphoma yehlukile kune-Hodgkin Lymphoma ngenxa yamangqamuzana athile e-lymphoma abizwa ngokuthi i-lymphoma. Amaseli e-Reed-Sternberg ezitholakala kubantu abane-Hodgkin Lymphoma, kodwa hhayi kubantu abane-Non-Hodgkin Lymphoma.
- Wonke ama-Hodgkin Lymphomas angumdlavuza we-B-cell lymphocyte.
- I-Non-Hodgkin Lymphoma ingaba umdlavuza we-B-cell lymphocyte, T-cell Lymphocytes noma i-Natural Killer T-cells.
Yini Okufanele Ngiyazi Nge-Non-Hodgkin Lymphoma?
I-Non-Hodgkin Lymphoma yigama elisetshenziselwa ukuchaza iqembu lama-subtypes angaphezu kwama-75 e-lymphoma. Ingahlukaniswa njengenolaka noma evilaphayo, i-B-cell noma i-T-cell (okuhlanganisa i-Natural killer T-cell) futhi ingase idinge noma ingadingi ukwelashwa okuphuthumayo.
I-Aggressive and Indolent Non-Hodgkin Lymphoma (NHL)
Uma une-NHL kubalulekile ukwazi ukuthi yiluphi uhlobo oluncane onalo, nokuthi luyavilapha noma lunolaka. Ukuthi udinga ukwelashwa, nokuthi yiluphi uhlobo lokwelashwa ozonikezwa kuncike kulezi zinto ezimbili.
I-Aggressive Non-Hodgkin Lymphoma
I-Aggressive yindlela yokusho ukuthi i-lymphoma yakho ikhula futhi mhlawumbe isakazekela kwezinye izingxenye zomzimba wakho ngokushesha. Ukufunda ukuthi unomdlavuza ohlaselayo kungase kwesabe kakhulu, ngakho-ke kubalulekile ukuqiniseka ukuthi unolwazi oluningi ngangokunokwenzeka ukuze uqonde isifo sakho, nokuthi yini ongayilindela.
Into eyodwa okufanele uyikhumbule ukuthi ama-NHL amaningi anolaka angelapheka. Eqinisweni, i-lymphomas enolaka ngokuvamile isabela kangcono kwezinye izindlela zokwelapha kunama-lymphomas angenalutho. Ukwelapha ngamakhemikhali endabuko kusebenza ngokubhubhisa amangqamuzana akhula ngokushesha, ngakho-ke lapho amaseli akho e-lymphoma eba nolaka (akhula ngokushesha), i-chemotherapy esebenza kangcono ingase iwabhubhise.
Ama-lymphoma anamandla nawo avame ukubizwa nge-high-grade lymphoma, okusho ukuthi akhula ngokushesha futhi abukeka ehluke kakhulu kuma-lymphocyte akho avamile. Njengoba amangqamuzana e-lymphoma ekhula ngokushesha kangaka, awabi nalo ithuba lokukhula kahle, ngakho-ke ngeke akwazi ukusebenza ngempumelelo ekuvikeleni ezifweni nasezifweni.
Uma une-aggressive lymphoma, uzodinga ukuthi uqale ukwelashwa ngokushesha ngemva kokuthola ukuxilongwa kwakho. Kodwa-ke, ngaphambi kokuba ukwelashwa kuqale, ungase udinge ukuhlolwa okwengeziwe nokuskena ukuze ubone ukuthi ungakanani umzimba wakho othintwa i-lymphoma (isiphi isigaba se-lymphoma onaso) nokuthi ingabe zikhona yini izimpawu zofuzo kumaseli akho e-lymphoma ezizosiza udokotela wakho asebenze. uthole ukwelashwa okungcono kakhulu kwakho.
Izibonelo ze-NHL subtypes ezinolaka zibalwe ngezansi.
I-Aggressive (ekhula ngokushesha) T-cell NHL
I-Indolent Non-Hodgkin Lymphoma
I-Indolent ingenye indlela yokusho i-lymphoma ekhula kancane. Lawa ma-lymphoma avame ukubhekwa njengezifo ezingelapheki, okusho ukuthi uzohlala nawo impilo yakho yonke. Kodwa-ke, abantu abaningi basaphila isikhathi sokuphila esivamile ngekhwalithi enhle yokuphila nge-lymphoma engasebenzi.
I-Indolent lymphomas kwesinye isikhathi ayikhuli nhlobo futhi kunalokho ihlala ithule - noma ilele. Ngakho-ke, ngenkathi une-lymphoma emzimbeni wakho, kungenzeka ukuthi akwenzi lutho ukukulimaza, futhi ngenxa yalokho ungase ungadingi noma yikuphi ukwelashwa lapho utholakala okokuqala.
Iningi lama-lymphomas alele ngeke lisabele ekwelashweni kwendabuko, futhi ucwaningo luye lwabonisa ukuthi ukuqala ukwelashwa kusenesikhathi phakathi nalesi sigaba sokuvilapha akuthuthukisi imiphumela yeziguli kunalezo ezingaqali ukwelashwa. Nokho, zikhona izivivinyo zokwelashwa ababheka izindlela zokwelashwa ezihlukene ukuze babone ukuthi zingasebenza futhi zibe nenzuzo ngesikhathi sokuvilapha.
Cishe umuntu oyedwa kwabahlanu abane-lymphoma engenzi lutho akasoze adinga ukwelashwa, kanti abanye bangase badinge ukwelashwa ngesikhathi esithile. Ngisho noma ungalashwa, uzogadwa ngeso elibukhali udokotela wakho wegazi noma i-oncologist ukuze aqinisekise ukuthi awutholi zimpawu ezikwenza ungakhululeki noma ungaphatheki kahle, futhi bazoqinisekisa ukuthi i-lymphoma ayikhuli. Ngalesi sikhathi ngenkathi ungakutholi ukwelashwa kuvame ukubizwa ngokuthi Buka futhi Ulinde, noma ukuqapha okusebenzayo.
Uma i-lymphoma yakho ivuka futhi iqala ukukhula, noma uqala ukuba nezimpawu, kungase kudingeke ukuthi uqale ukwelashwa. Ezimweni ezingavamile, i-indolent lymphoma yakho ingase "iguqule" ibe uhlobo oluhlukile lwe-lymphoma olunolaka. Ukuze uthole olunye ulwazi mayelana ne-lymphoma eguquliwe Chofoza lapha.
Ezinye zezinhlobo ezingaphansi ezivame kakhulu ze-Indolent NHL zibalwe ngezansi.
I-Indolent B-cell NHL
- I-Follicular lymphoma (FL)
- I-lymphocytic leukemia engapheli (CLL)
- I-Marginal zone lymphoma (MZL) ehlanganisa i-MALT, i-Nodal ne-Splenic
- I-macroglobulinemia ye-Waldenstrom (WM)
- I-Hary cell leukemia
- I-Cutaneous B-cell lymphoma (CBCL)
- I-Nodular Lymphocyte Predominant B-cell Lymphoma (ngaphambilini eyayiyi-NLPHL)
I-Indolent T-cell NHL
Izimpawu ze-Non-Hodgkin Lymphoma
Ngama-subtypes angaphezu kuka-75 e-NHL angaqala kunoma iyiphi ingxenye yomzimba wakho, izimpawu ze-NHL zingahluka kakhulu phakathi kwabantu.
Abantu abaningi abane-indolent lymphoma bangase bangabi nazo izimpawu eziphawulekayo, futhi batholakala kuphela ngemva kokuhlolwa okujwayelekile, noma isheke lokunye okuthile. Abanye bangase babe nezimpawu eziba zimbi kakhulu ngokuhamba kwesikhathi.
Nokho, nge-aggressive lymphoma, izimpawu zivame ukuqala futhi ziba zimbi ngokushesha. Ezinye zezimpawu ezivame kakhulu ziboniswa ezithombeni ezingezansi. Ukuze uthole ulwazi oluthe xaxa ngezimpawu sicela ubone ikhasi lakho le-subtype elingatholakala ekhasini lethu lewebhu le-Izinhlobo ze-Lymphoma noma ubone ikhasi lewebhu le-Izimpawu Ze-Lymphoma.
Ihlola ukuxilongwa kanye nesiteji
Sifo
Uzodinga i-biopsy ukuze uthole ukuxilongwa kwe-lymphoma futhi uthole ukuthi yiluphi uhlobo lwe-lymphoma onayo. Kunezinhlobo ezahlukene ze-biopsies, futhi leyo onayo izoncika endaweni yomzimba wakho ehlaselwe yi-lymphoma. Izibonelo ze-biopsies zifaka:
- Isikhumba biopsy
- I-lymph node biopsy
- I-bone yomnkantsha i-biopsy (i-bone marrow biopsy ingase isetshenziselwe ukuxilonga ezinye izinhlobo ze-lymphoma, noma ukumisa ezinye)
Isiteji
Isiteji sibhekisela ezindaweni ezingaki, futhi yiziphi izingxenye zomzimba wakho ezine-lymphoma kuzo.
Kunezinhlelo ezimbili zesiteji eziyinhloko ezisetshenziselwa i-NHL. Iningi le-NHL lisebenzisa i- Ann Arbor noma Lugano Staging System kuyilapho abantu abane-CLL bengase bahlelwe nge- Uhlelo lwesiteji lwe-RAI.
Ukwelashwa kwe-Non-Hodgkin Lymphoma (NHL)
Kunezinhlobo eziningi ezahlukene zokwelapha ze-NHL, futhi izindlela zokwelapha ezintsha ziyahlolwa ezivivinyweni zomtholampilo futhi zigunyazwa njalo. Uhlobo lokwelashwa olunikezwayo luzoncika ezintweni ezimbalwa ezihlanganisa:
- I-subtype yakho nesiteji se-NHL
- Ukuthi amaseli akho e-lymphoma anezimpawu ezithile noma izinguquko zofuzo kuwo
- Iminyaka yakho kanye nempilo yonke
- Kungakhathaliseki ukuthi uke welashelwa i-lymphoma noma amanye ama-cancer esikhathini esidlule
- Imithi okungenzeka ukuthi uyithatha kwezinye izifo
- Izintandokazi zakho uma usunalo lonke ulwazi oludingayo.
Isifinyezo
- I-Non-Hodgkin Lymphoma yigama elisetshenziselwa ukuhlanganisa izinhlobo ezingaphezu kuka-75 zomdlavuza wamangqamuzana amhlophe egazi abizwa ngokuthi ama-lymphocyte.
- Yazi uhlobo lwakho oluncane - Uma ungazi ukuthi yiluphi uhlobo oluncane lwe-NHL onalo, buza udokotela wakho.
- I-NHL ingaba umdlavuza wama-B-cell lymphoctyes, ama-T-cell lymphocyte ama-Natural killer T-cells.
- I-NHL ingase ibe nolaka noma ivimbe. I-NHL enolaka idinga ukwelashwa ngokuphuthumayo, kuyilapho abantu abaningi abane-lymphoma engenzi lutho ngeke badinge ukwelashwa isikhathi esithile.
- Umuntu oyedwa kwabahlanu abane-indolent lymphoma angase angadingi ukwelashwa.
- Izimpawu ze-NHL zizoncika ku-subtype onayo, kungakhathaliseki ukuthi ivila noma inobudlova, futhi yiziphi izingxenye zomzimba wakho ezine-lymphoma kuzo.
- Kunezinhlobo eziningi ezahlukene zokwelapha ze-NHL futhi ezintsha ezigunyazwa njalo. Ukwelashwa onakho kuzoncika ezintweni eziningi ezihlanganisa uhlobo lwakho oluncane, izimpawu, iminyaka nokuphila kahle, kanye nokuthi wake welashelwa yini i-lymphoma ngaphambilini.
- Awuwedwa, uma ungathanda ukuxoxa nomunye wabahlengikazi bethu be-Lymphoma Care chofoza inkinobho ethi Xhumana nathi inkinobho ezansi kwesikrini.