I-Grey Zone Lymphoma (GZL) – nayo ngezinye izikhathi ebizwa ngokuthi i-Mediastinal Gray Zone Lymphoma, iwuhlobo oluncane oluyivelakancane futhi olunolaka lwe-B-cell Non-Hodgkin Lymphoma. Ukuba nolaka kusho ukuthi ikhula ngokushesha okukhulu, futhi inamandla okusabalala emzimbeni wakho wonke. Kwenzeka lapho uhlobo olukhethekile lwengqamuzana elimhlophe legazi elibizwa ngokuthi i-B-cell lymphocytes liguquka libe nomdlavuza.
Ama-B-cell lymphocyte (ama-B-cell) ayingxenye ebalulekile yamasosha ethu omzimba. Asekela amanye amaseli omzimba ukuze asebenze ngempumelelo, futhi enze amasosha omzimba ukusiza ukulwa nokutheleleka kanye nezifo.
Uhlelo lwe-Lymphatic
Kodwa-ke, ngokungafani namanye amangqamuzana egazi, awavamile ukuhlala egazini lethu, kodwa esikhundleni salokho ohlelweni lwethu lwe-lymphatic oluhlanganisa:
- ama-lymph node
- imithambo ye-lymphatic kanye ne-lymph fluid
- i-thymus
- ipeni
- izicubu ze-lymphoid (njenge-Peyer's Patches okungamaqembu e-lymphocyte emathunjini ethu nakwezinye izindawo zomzimba wethu)
- isithasiselo
- amalaka
Uhlolojikelele lweGrey Zone Lymphoma
I-Grey Zone Lymphoma (GZL) yisifo esihlaselayo okungaba nzima ukuselapha. Nokho, ingelapheka ngokwelashwa okujwayelekile.
I-GZL iqala phakathi kwesifuba sakho endaweni ebizwa ngokuthi i-mediastinum. Kucatshangwa ukuthi ama-B-cell ahlala ku-thymus yakho (i-thymic B-cell), ehlelwa izinguquko eziwenza abe nomdlavuza. Kodwa-ke, ngenxa yokuthi ama-B-cell angahambela kunoma iyiphi ingxenye yemizimba yethu, i-GZL ingasakazekela kwezinye izingxenye zomzimba wakho.
Isizathu sokuthi ibizwe ngeGrey Zone ingoba inezici zako zombili i-Hodgkin ne-Non-Hodgkin Lymphoma, okuyenza ibe maphakathi nalezi zigaba ezimbili ezinkulu ze-lymphoma, futhi kube nzima ukuyixilonga ngokunembile.
Ngubani othola iGrey Zone Lymphoma?
I-Grey Zone Lymphoma ingathinta noma ubani wanoma iyiphi iminyaka noma uhlanga. Kodwa livame kakhulu kubantu abaneminyaka ephakathi kuka-20 no-40 ubudala, futhi livame kakhulu emadodeni kunakwabesifazane.
Okwamanje asazi ukuthi yini ebangela izinhlobo eziningi ze-lymphoma, futhi lokhu kuyiqiniso nange-GZL. Kucatshangwa ukuthi abantu abangenwe igciwane le-Epstein-Barr - igciwane elibanga i-glaular fever, bangase babe sengcupheni enkulu yokuthola i-GZL, kodwa abantu abangabanga nalesi sifo bangathola i-GZL nabo. Ngakho-ke, nakuba igciwane lingase likhulise ingozi yakho, akuyona imbangela ye-GZL. Ukuze uthole ulwazi olwengeziwe ngezici zobungozi nezimbangela, bheka isixhumanisi esingezansi.
Izimpawu ze-Grey Zone Lymphoma
Imiphumela emibi yokuqala ongase uyiqaphele ngokuvamile iqhubu elivela esifubeni sakho (isimila esibangelwa ukuvuvuka kwe-thymus noma ama-lymph nodes njengoba egcwala amaseli e-lymphoma enomdlavuza). Ungase futhi:
- ube nenkinga yokuphefumula
- ukuphelelwa umoya kalula
- zwa izinguquko ezwini lakho nomsindo ohoshozayo
- ukuzwa ubuhlungu noma ingcindezi esifubeni sakho.
Lokhu kwenzeka njengoba isimila siba sikhulu futhi siqala ukufaka ingcindezi emaphashini akho noma emigudwini yomoya.
Izimpawu ezijwayelekile ze-lymphoma
Ezinye izimpawu zivamile kuzo zonke izinhlobo ze-lymphoma ngakho ungase uthole noma yiziphi izimpawu ezilandelayo:
Ama-lymph nodes avuvukele abukeka noma azwakale njengesigaxa ngaphansi kwesikhumba sakho ngokuvamile entanyeni, emakhwapheni noma embeleni.
Ukukhathala - ukukhathala ngokweqile akuthuthukisiwe ukuphumula noma ukulala.
Ukulahlekelwa ukudla - ukungafuni ukudla.
Isikhumba esilumayo.
Ukopha noma imihuzuko ngaphezu kokujwayelekile.
B-izimpawu.
Ukuxilongwa kanye nesiteji seGrey Zone Lymphoma (GZL)
Lapho udokotela wakho ecabanga ukuthi ungaba ne-lymphoma, bazohlela izivivinyo eziningi ezibalulekile. Lezi zivivinyo zizoqinisekisa noma zikhiphe i-lymphoma njengembangela yezimpawu zakho.
Igazi ukuhlolwa
Ukuhlolwa kwegazi kuthathwa uma uzama ukuxilonga i-lymphoma yakho, kodwa futhi kulo lonke ukwelashwa kwakho ukuze uqiniseke ukuthi izitho zakho zisebenza kahle, futhi zingakwazi ukubhekana nokwelashwa.
Ama-biopsies
Uzodinga i-biopsy ukuze uthole ukuxilongwa okuqondile kwe-lymphoma. I-biopsy iyinqubo yokukhipha ingxenye, noma yonke i-lymph node ethintekile kanye/noma isampula yomnkantsha. I-biopsy ibe ihlolwa ososayensi elabhorethri ukuze babone ukuthi azikho yini izinguquko ezisiza udokotela ahlonze i-GZL.
Uma wenza i-biopsy, ungase ube ne-anesthesia yendawo noma evamile. Lokhu kuzoncika ohlotsheni lwe-biopsy nokuthi ithathwe kuyiphi ingxenye yomzimba wakho. Kunezinhlobo ezahlukene ze-biopsies futhi ungase udinge ezingaphezu kweyodwa ukuze uthole isampula engcono kakhulu.
I-Core or fine inaliti biopsy
I-core or finele biopsies yenaliti ithathwa ukuze kukhishwe isampula ye-lymph node evuvukele noma isimila ukuze kuhlolwe izimpawu ze-GZL.
Udokotela wakho ngokuvamile uzosebenzisa isibulali-zinzwa sendawo ukuze enze indawo ibe ndikindiki ukuze ungezwa zinhlungu phakathi nenqubo, kodwa uzobe uphapheme phakathi nalokhu biopsy. Bazobe sebefaka inaliti ku-lymph node evuvukele noma isigaxa bese bekhipha isampula lesicubu.
Uma i-lymph node yakho evuvukele noma isigaxa sijule ngaphakathi emzimbeni wakho i-biopsy ingenziwa ngosizo lwe-ultrasound noma i-x-ray ekhethekile (imaging).
Ungase ube nesibulali-zinzwa esivamile salokhu (okukwenza ulale isikhashana). Ungase futhi ube nezitishi ezimbalwa kamuva.
I-Core inaliti biopsy ithatha isampula enkulu kune-biopsy yenaliti enhle, ngakho-ke inketho engcono uma uzama ukuxilonga i-lymphoma.
Ukwelashwa kwe-lymphoma
Uma usuwazi ukuthi uneGrey Zone Lymphoma, udokotela wakho uzofuna ukwenza izivivinyo ezengeziwe ukuze abone ukuthi i-lymphoma iku-mediastinum yakho kuphela, noma uma isakazekele kwezinye izingxenye zomzimba wakho. Lezi zivivinyo zibizwa nge-staging.
Okunye ukuhlola kuzobheka ukuthi amaseli akho e-lymphoma ahluke kanjani kuma-B-cell akho avamile nokuthi akhula ngokushesha kangakanani. Lokhu kubizwa ngokuthi ukugreda.
Chofoza izihloko ezingezansi ukuze ufunde kabanzi.
Isiteji sibhekisela ekutheni ungakanani umzimba wakho othintwa i-lymphoma yakho noma, ukuthi isisakazeke kangakanani kusukela lapho iqale khona.
Ama-B-cell angahamba aye kunoma iyiphi ingxenye yomzimba wakho. Lokhu kusho ukuthi amaseli e-lymphoma (ama-B-cell anomdlavuza), angaphinde ahambe kunoma iyiphi ingxenye yomzimba wakho. Kuzodingeka wenze izivivinyo ezengeziwe ukuze uthole lolu lwazi. Lezi zivivinyo zibizwa ngokuthi yi-staging test futhi uma uthola imiphumela, uzothola ukuthi unesigaba sokuqala (I), isigaba sesibili (II), isigaba sesithathu (III) noma isigaba sesine (IV) GZL.
Isigaba sakho se-GZL sizoncika kulokhu:
- Zingaki izindawo zomzimba wakho ezine-lymphoma
- Lapho i-lymphoma ifaka phakathi uma ingaphezulu, ngezansi noma nhlangothi zombili zakho isichazamazwi (umsipha omkhulu, omise okwedome ngaphansi kwezimbambo zakho ohlukanisa isifuba sakho nesisu sakho)
- Ukuthi i-lymphoma isisabalele kumnkantsha wakho wethambo noma ezinye izitho ezinjengesibindi, amaphaphu, isikhumba noma ithambo.
Izigaba I no-II zibizwa ngokuthi 'isigaba sokuqala noma esilinganiselwe' (okubandakanya indawo elinganiselwe yomzimba wakho).
Izigaba III kanye ne-IV zibizwa ngokuthi 'isiteji esithuthukisiwe' (sabalale kakhulu).
1 internship | indawo eyodwa ye-lymph node iyathinteka, noma ngaphezulu noma ngaphansi kwe-diaphragm |
2 internship | izindawo ezimbili noma ngaphezulu ze-lymph node zithinteka ohlangothini olulodwa lwe-diaphragm |
3 internship | okungenani indawo eyodwa ye-lymph node ngaphezulu futhi okungenani indawo eyodwa ye-lymph node ngaphansi kwe-diaphragm iyathinteka |
4 internship | i-lymphoma itholakala kuma-lymph nodes amaningi futhi isisakazekele kwezinye izingxenye zomzimba (isb. amathambo, amaphaphu, isibindi) |
Ulwazi lwesiteji olwengeziwe
Udokotela wakho angase futhi akhulume ngesiteji sakho esebenzisa incwadi, efana no-A,B, E, X noma S. Lezi zincwadi zinikeza ulwazi olwengeziwe mayelana nezimpawu onazo noma ukuthi umzimba wakho uthinteka kanjani i-lymphoma. Lonke lolu lwazi lusiza udokotela wakho ukuthi akutholele uhlelo olungcono kakhulu lwezokwelapha.
Incwadi | Okusho | Ukubaluleka |
A noma B |
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E & X |
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S |
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(Ubende lwakho luyisitho ohlelweni lwakho lwe-lymphatic oluhluza futhi luhlanze igazi lakho, futhi luyindawo lapho ama-B-cell akho aphumula khona futhi enze amasosha omzimba) |
Ukuhlolwa kwesiteji
Ukuze uthole ukuthi yisiphi isigaba onaso, ungacelwa ukuthi wenze ezinye zalezi zivivinyo ezilandelayo:
Icwecwe le-computer tomography (CT)
Lezi zithwebuli zithatha izithombe zengaphakathi lesifuba sakho, isisu noma i-pelvis. Banikeza izithombe ezinemininingwane enikeza ulwazi olwengeziwe kune-X-ray evamile.
Ukuskena kwe-Positron emission tomography (PET)
Lesi iskena esithatha izithombe zengaphakathi lomzimba wakho wonke. Uzonikezwa futhi ufake inaliti ngomuthi othile othathwa amaseli anomdlavuza - njengamaseli e-lymphoma. Umuthi osiza ukuskena kwe-PET ukukhomba lapho i-lymphoma ikuphi kanye nosayizi nokuma ngokugqamisa izindawo ezinamaseli e-lymphoma. Lezi zindawo ngezinye izikhathi zibizwa ngokuthi "ezishisayo".
Ukukhishwa kwe-Lumbar
Ukubhoboza i-lumbar kuyinqubo eyenziwa ukuhlola ukuthi i-lymphoma isisabalele yini kuwe isimiso sezinzwa esiyinhloko (CNS), okuhlanganisa ubuchopho bakho, umgogodla kanye nendawo ezungeze amehlo akho. Kuzodingeka uhlale unganyakazi phakathi nenqubo, ukuze izingane nezingane zingase zibe nesibulali-zinzwa esivamile ukuze zilalise lapho kwenziwa inqubo. Abantu abadala abaningi bazodinga kuphela umuthi obulala izinzwa wasendaweni ukuze inqubo iqede indawo.
Udokotela wakho uzokufaka inaliti emhlane wakho, futhi akhiphe uketshezi oluncane olubizwa ngokuthi “uketshezi lwe-cerebral spinal” (CSF) kusuka eduze komgogodla wakho. I-CSF iwuketshezi olusebenza kancane njengesibambisi sokwethuka ku-CNS yakho. Iphinde ithwale amaprotheni ahlukene kanye nokutheleleka okulwa namaseli omzimba afana ne-lymphocyte ukuvikela ubuchopho bakho nomgogodla. I-CSF ingasiza futhi ukukhipha noma iluphi uketshezi olwengeziwe okungenzeka unalo ebuchosheni bakho noma eduze komgogodla wakho ukuvimbela ukuvuvukala kulezo zindawo.
Isampula ye-CSF izobe isithunyelwa ku-pathology futhi ihlolwe noma yiziphi izimpawu ze-lymphoma.
I-bone yomnkantsha i-biopsy
- I-Bone marrow aspirate (BMA): lokhu kuhlola kuthatha inani elincane loketshezi olutholakala endaweni yomnkantsha.
- I-Bone marrow aspirate trephine (BMAT): lokhu kuhlola kuthatha isampula elincane lomnkantsha wethambo.
Amasampula abe esethunyelwa ku-pathology lapho ehlolelwa khona izimpawu ze-lymphoma.
Inqubo ye-biopsies yomnkantsha ingahluka kuye ngokuthi ulashwa kuphi, kodwa ngokuvamile izofaka isibulali-zinzwa sasendaweni ukuze ndikindiki indawo.
Kwezinye izibhedlela, ungase unikezwe i-sedation elula ekusiza ukuthi uphumule futhi ingakuvimba ekukhumbuleni inqubo. Nokho abantu abaningi abakudingi lokhu futhi esikhundleni salokho bangase babe “nempempe eluhlaza” abangayincela. Le nlozi eluhlaza inomuthi obulala izinhlungu kuwo (obizwa ngePenthrox noma i-methoxyflurane), owusebenzisa njengoba kudingeka kuyo yonke inqubo.
Qiniseka ukuthi ubuza udokotela wakho ukuthi yini etholakalayo ukuze ukhululeke kakhudlwana phakathi nenqubo, futhi ukhulume nabo ngalokho ocabanga ukuthi kuyoba inketho engcono kakhulu kuwe.
Ulwazi olwengeziwe mayelana nama-biopsies omnkantsha lungatholakala ekhasini lethu lewebhu lapha
Amaseli akho e-lymphoma anephethini yokukhula ehlukile, futhi abukeka ehlukile kumaseli avamile. Ibanga le-lymphoma yakho yindlela amaseli akho e-lymphoma akhula ngayo ngokushesha, okuthinta indlela yokubukeka ngaphansi kwe-microscope. Amabanga amabanga 1-4 (aphansi, aphakathi nendawo, aphezulu). Uma une-lymphoma yebanga eliphakeme, amaseli akho e-lymphoma azobukeka ehluke kakhulu kumaseli avamile, ngoba akhula ngokushesha kakhulu ukuze athuthuke kahle. Uhlolojikelele lwamabanga angezansi.
- I-G1 – ibanga eliphansi – amaseli akho abukeka esondele kokujwayelekile, futhi akhula futhi asakazeke kancane.
- I-G2 - ibanga eliphakathi nendawo - amaseli akho aqala ukubukeka ehlukile kodwa amanye amaseli avamile akhona, futhi akhula futhi asakazeke ngesilinganiso esimaphakathi.
- I-G3 - ibanga eliphezulu - amaseli akho abukeka ehluke kakhulu ngamaseli ambalwa avamile, futhi akhula futhi asakazeke ngokushesha.
- I-G4 – ibanga eliphezulu – amaseli akho abukeka ehluke kakhulu kokujwayelekile, futhi akhula futhi asakazeke ngokushesha.
Lonke lolu lwazi lwengeza kuso sonke isithombe esakha udokotela wakho ukusiza ukunquma uhlobo olungcono kakhulu lokwelashwa kwakho.
Kubalulekile ukuthi ukhulume nodokotela wakho mayelana nezici zakho eziyingozi ukuze ube nombono ocacile wokuthi yini ongayilindela ekwelashweni kwakho.
Ilinde imiphumela
Ukulinda imiphumela yakho kungaba isikhathi esicindezelayo nesikhathazayo. Kubalulekile ukukhuluma ngendlela ozizwa ngayo. Uma unomngane omethembayo noma ilungu lomndeni kungaba kuhle ukukhuluma naye. Kodwa, uma unomuzwa wokuthi ungakwazi ukukhuluma nanoma ubani empilweni yakho siqu, khuluma nodokotela wangakini, bangasiza ukuhlela ukwelulekwa noma okunye ukwesekwa ukuze ungabi wedwa njengoba udlula ezikhathini zokulinda nokwelashwa kwe-GZL.
Ungaphinde uthinte Abahlengikazi bethu Be-Lymphoma Care ngokuchofoza inkinobho ethi Xhumana nathi ngaphansi kwesikrini. Noma uma uku-Facebook futhi ungathanda ukuxhuma ezinye iziguli eziphila ne-lymphoma ungajoyina yethu I-Lymphoma Phansi Ngaphansi ikhasi.
Ngaphambi kokuqala ukwelashwa
I-Grey Zone Lymphoma inolaka futhi ingasakazeka ngokushesha, ngakho-ke uzodinga ukuqala ukwelashwa ngokushesha ngemva kokuxilonga. Nokho kunezinto okumele uzicabangele ngaphambi kokuthi uqale ukwelashwa.
Ukuzala
Ezinye izindlela zokwelapha i-lymphoma zingathinta ukuzala kwakho, kwenze kube nzima ukukhulelwa, noma ukukhulelwa omunye umuntu. Lokhu kungenzeka ngezinhlobo ezahlukene zokwelashwa kwe-anticancer okuhlanganisa:
- imiphumela emibi yokwelashwa ngamakhemikhali
- i-radiotherapy (uma kuyi-pelvis yakho kakhulu)
- ama-antibody therapy (ama-monoclonal antibodies kanye ne-immune checkpoint inhibitors)
- ukufakelwa kwe-stem cell (ngenxa ye-chemotherapy enedosi ephezulu ozoyidinga ngaphambi kokufakelwa).
Imibuzo okufanele uyibuze Udokotela wakho
Ukwelashwa kweGrey Zone Lymphoma (GZL)
Udokotela wakho uzocabangela lonke ulwazi analo lapho enquma ngezinketho zokwelashwa ezingcono kakhulu ongakunikeza zona. Lokhu kuzobandakanya:
- uhlobo oluncane kanye nesiteji se-lymphoma yakho
- noma yiziphi izimpawu ozitholayo
- iminyaka yakho kanye nempilo yonke
- noma yiziphi ezinye izinkinga zezokwelapha onazo, kanye nokwelashwa okungenzeka ukuthi uyakuthola
- izintandokazi zakho uma usunalo lonke ulwazi oludingayo, futhi ube nesikhathi sokubuza imibuzo.
Izinketho zokwelashwa ezijwayelekile ongazinikezwa
- I-DA-EPOCH-R (i-chemotherapy elungisiwe umthamo ohlanganisa i-etoposide, i-vincristine, i-cyclophosphamide ne-doxorubicin, i-monoclonal antibody ebizwa ngokuthi i-rituximab, kanye ne-steroid ebizwa ngokuthi i-prednisolone).
- Radiotherapy (ngokuvamile ngemva kokwelashwa ngamakhemikhali).
- Ukufakelwa kwe-stem cell kwe-Autologous (ukufakelwa kwe-stem cell usebenzisa ama-stem cell akho). Lokhu kungase kuhlelwe ngemva kokuba i-chemotherapy yakho ikugcine ekuxolelweni isikhathi eside futhi mhlawumbe umise i-lymphoma ebuyayo (iphinde ibuyele emuva).
- Cisivivinyo se-linical
Imfundo yesiguli ngaphambi kokuba uqale ukwelashwa
Uma wena nodokotela wakho seninqume ngenketho yokwelapha engcono kakhulu uzonikezwa ulwazi mayelana nalokho kwelashwa okuqondile, okuhlanganisa ubungozi nezinzuzo zokwelashwa, imiphumela engemihle okufanele uyibheke futhi ubikele ithimba lakho lezokwelapha, nokuthi yini ongayilindela. kusukela ekwelashweni.
Ithimba lezokwelapha, udokotela, umhlengikazi womdlavuza noma usokhemisi, kufanele anikeze ulwazi mayelana:
- Iyiphi impatho ozoyinikwa.
- Imiphumela emibi evamile futhi enzima ongayithola.
- Ungaxhumana nini nodokotela noma unesi wakho ukuze ubike imiphumela emibi noma okukukhathazayo.
- Izinombolo zokuxhumana, nokuthi ungaya kuphi esimweni esiphuthumayo izinsuku eziyi-7 ngesonto namahora angama-24 ngosuku.
Imiphumela emibi evamile yokwelashwa
Kunemiphumela emibi eminingi ehlukene yokwelashwa okulwa nomdlavuza futhi lokhu kuncike ohlotsheni lokwelashwa onalo. Udokotela wakho owelaphayo kanye/noma unesi womdlavuza angakuchazela imiphumela emibi yokwelashwa kwakho okuthile. Eminye yemiphumela emibi evame kakhulu yokwelashwa ibhalwe ngezansi. Ungafunda kabanzi ngabo ngokuchofoza kubo.
- I-anemia (amangqamuzana abomvu egazi aphansi athwala umoya-mpilo emzimbeni wakho)
- Thrombocytopenia (amaplatelet aphansi asiza ihlule legazi lakho ukuthi liyeke imihuzuko nokopha)
- I-Neutropenia (amangqamuzana amhlophe egazi aphansi asiza ukulwa nezifo)
- Izilonda emlonyeni kanye nezilonda
- Ukulahlekelwa izinwele (i-alopecia)
- I-nausea nokuhlanza
- Uhudo noma ukuqunjelwa
- Ukukhathala (ukukhathala noma ukungabi namandla)
- I-neipathy neuropathy (ushintsho emizweni ezandleni zakho, ezinyaweni, ezithweni zangasese)
- Ukuzala okuncishisiwe.
Ukwelashwa komugqa wesibili kwe-Relapsed or Refractory GZL
Ngemva kokwelashwa cishe uzongena ekuxolelweni. Ukukhululwa yisikhathi lapho ungenazo izimpawu ze-GZL ezisele emzimbeni wakho, noma lapho i-GZL ilawulwa futhi ingadingi ukwelashwa. Ukukhululwa kungathatha iminyaka eminingi, kodwa ngezinye izikhathi, i-GZL ingaphinde ibuyele (ibuye). Uma lokhu kwenzeka uzodinga ukwelashwa okwengeziwe. Ukwelashwa okulandelayo oyokuthola kuzoba ukwelashwa komugqa wesibili.
Ezimweni ezingavamile ungase ungakutholi ukuthethelelwa ngokwelashwa kwakho komugqa wokuqala. Uma lokhu kwenzeka, i-lymphoma ibizwa ngokuthi "i-refractory". Uma une-GZL ephikisayo, udokotela wakho uzofuna ukuzama uhlobo oluhlukile lokwelashwa. Nalokhu kubizwa ngokuthi ukwelashwa komugqa wesibili, futhi abantu abaningi basazosabela kahle ekwelashweni komugqa wesibili.
Umgomo wokwelashwa komugqa wesibili uwukukufaka ekwephuleni (futhi) futhi ungabandakanya izinhlobo ezahlukene zokwelashwa ngamakhemikhali, i-immunotherapy, ukwelapha okuhlosiwe noma ukufakelwa kwe-stem cell.
Ukuthi ukwelashwa kwakho komugqa wesibili kunqunywa kanjani
Ngesikhathi sokubuyela emuva, ukukhetha ukwelashwa kuzoncika ezintweni eziningana ezihlanganisa:
- Isikhathi esingakanani uxolelwe
- Impilo yakho jikelele kanye neminyaka yakho
- Ikuphi ukwelashwa/ukwelashwa kwe-GZL okuthole esikhathini esidlule
- Izintandokazi zakho.
Izivivinyo zemitholampilo
Kunconywa ukuthi noma nini lapho udinga ukuqala ukwelashwa okusha, ubuze udokotela wakho mayelana nezivivinyo zomtholampilo ongase ukufanelekele. Izivivinyo zomtholampilo zibalulekile ukuthola imithi emisha, noma izinhlanganisela zemithi yokuthuthukisa ukwelashwa kwe-GZL ngokuzayo.
Bangakunikeza nethuba lokuzama umuthi omusha, inhlanganisela yemithi noma ezinye izindlela zokwelapha ongeke ukwazi ukuzithola ngaphandle kohlolo.
Kukhona izindlela zokwelapha eziningi nezinhlanganisela ezintsha zokwelapha okwamanje ezihlolwayo ezivivinyweni zemitholampilo emhlabeni wonke ezigulini ezine-GZ esanda kuxilongwa kanye nephinde yabuyela emuva.L.
Ongakulindela lapho ukwelashwa sekuphelile
Uma uqeda ukwelashwa kwakho i-hematologist yakho isazofuna ukukubona njalo. Uyohlolwa njalo okuhlanganisa ukuhlolwa kwegazi kanye nezikena. Ukuthi ukwenze kangaki lokhu kuhlola kuzoncika esimweni sakho somuntu ngamunye, futhi udokotela wakho wegazi uzokwazi ukukutshela ukuthi ufuna ukukubona kangaki.
Kungaba isikhathi esijabulisayo noma isikhathi esicindezelayo lapho uqeda ukwelashwa - ngezinye izikhathi kokubili. Ayikho indlela elungile noma engalungile yokuzizwa. Kodwa kubalulekile ukukhuluma ngemizwa yakho nalokho okudingayo nabantu obathandayo.
Ukwesekwa kuyatholakala uma unenkinga yokubhekana nokuphela kokwelashwa. Khuluma nethimba lakho elelaphayo - udokotela wakho wegazi noma umhlengikazi onguchwepheshe womdlavuza njengoba engakwazi ukukuthumela ukuze uthole usizo lokwelulekwa esibhedlela. Udokotela wangakini (udokotela ojwayelekile - GP) angasiza kulokhu.
Abahlengikazi Be-Lymphoma Care
Ungakwazi futhi ukunikeza omunye wabahlengikazi bethu be-Lymphoma Care noma i-imeyili. Vele uchofoze inkinobho ethi “Thintana nathi” ezansi kwesikrini ukuze uthole imininingwane yokuxhumana.
Late Effects
Kwesinye isikhathi umphumela ongathandeki ovela ekwelashweni ungaqhubeka, noma ube nezinyanga noma iminyaka ngemuva kokuqeda ukwelashwa. Lokhu kubizwa ngokuthi a umphumela sekwephuzile. Kubalulekile ukubika noma yimiphi imiphumela sekwephuzile ethimbeni lakho lezokwelapha ukuze likubuyekeze futhi likweluleke ukuthi ungayiphatha kanjani le miphumela. Eminye imiphumela yakamuva ingafaka:
- Izinguquko kusigqi senhliziyo yakho noma ukwakheka
- Imiphumela emaphashini akho
- I-neipathy neuropathy
- Izinguquko ze-Hormonal
- Isimo sengqondo siyashintsha.
Uma uhlangabezana nanoma yimiphi yale miphumela sekwephuzile, i-hematologist yakho noma udokotela ojwayelekile angancoma ukuthi ubone omunye uchwepheshe ukuze alawule le miphumela futhi athuthukise impilo yakho. Kubalulekile nokho ukubika yonke imiphumela emisha, noma ehlala njalo ngokushesha ngangokunokwenzeka ukuze uthole imiphumela engcono kakhulu.
Ukusinda - Ukuphila nomdlavuza futhi ngemva kwalokho
Indlela yokuphila enempilo, noma ezinye izinguquko ezinhle zokuphila ngemva kokwelashwa zingaba usizo olukhulu ekululameni kwakho. Ziningi izinto ongazenza ukukusiza ukuthi uphile kahle ne-GZL.
Abantu abaningi bathola ukuthi ngemva kokuxilongwa noma ukwelashwa komdlavuza, 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-GZ yakhoL
- 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 zinganconywa kuwe. Lokhu kungasho noma yiluphi uhlobo olubanzi yezinkonzo ezifana nalezi:
- ukwelashwa ngokomzimba, ukuphathwa kobuhlungu
- ukuhlela okunomsoco nokuzivocavoca
- ukwelulekwa ngokomzwelo, kwezemisebenzi nakwezezimali.
Kungasiza futhi ukukhuluma nodokotela wangakini mayelana nokuthi yiziphi izinhlelo zempilo zendawo ezitholakalayo kubantu abelulama ekuxilongweni komdlavuza. Izindawo eziningi zasendaweni ziqhuba ukuzivocavoca noma amaqembu omphakathi noma ezinye izinhlelo zempilo ukuze zikusize ubuyele esimweni sakho sokwelashwa kwangaphambili.
Isifinyezo
- IGrey Zone Lymphoma (GZL) iwuhlobo oluncane lwe-Non-Hodgkin Lymphoma enezici zako zombili i-Hodgkin, ne-Non-Hodgkin Lymphoma.
- I-GZL iqala kweyakho i-mediastinum (maphakathi nesifuba sakho) kodwa ingasakazekela kunoma iyiphi ingxenye yomzimba wakho.
- Izimpawu zingabangelwa ukukhula okungavamile kwama-B-cell anda ku-thymus yakho noma ama-lymph nodes esifubeni sakho, futhi afake ingcindezi emaphashini akho noma emigudwini yomoya.
- Abanye izimpawu zivame kakhulu ezinhlotsheni eziningi ze-lymphoma - B-izimpawu kufanele njalo kubikwe ethimbeni lakho lezokwelapha
- Kunezinhlobo ezahlukene zokwelashwa kwe-GZL futhi wena dokotela uzokhuluma nawe mayelana nezinketho ezingcono kakhulu zesimo sakho.
- Okuqhamuka uma udla imishanguzo ingaqala ngokushesha ngemva kokuqala ukwelashwa, kodwa futhi ungathola imiphumela sekwephuzile. Kokubili imiphumela yangaphambi kwesikhathi kanye nephuzile kufanele ibikwe ethimbeni lakho lezokwelapha ukuze libuyekezwe.
- Ngisho nesiteji sesi-4 GZL singelapheka kaningi, nakuba ungase udinge izinhlobo ezingaphezu koyedwa zokwelashwa ukuze uzuze lokhu.
- Buza udokotela wakho ukuthi angakanani amathuba okwelashwa.
- Awuwedwa, uchwepheshe noma udokotela wendawo (GP) angakusiza ukukuxhumanisa namasevisi ahlukene kanye nokwesekwa. Ungaphinde uthinte Abahlengikazi bethu Be-Lymphoma ngokuchofoza inkinobho ethi Xhumana nathi ngaphansi kwaleli khasi.
