Ukuchazwa komdlavuza kungaba ukulinganisa izinto ezimbalwa ezihlukene futhi kungabhekisela endleleni umuntu ozophendula ngayo empilweni, noma kungakanani umuntu kulindeleke ukuba aphile. Kanti, isikhathi sokuphila singaphulwa ngezindlela eziningi. Sivame ukusebenzisa amazinga okusinda ukukhuluma ukuthi umuntu ophakathi uzohlala isikhathi eside kangakanani-ngokwesibonelo, umdlavuza ungaba nesilinganiso seminyaka engu-5 sokusinda esingu-79%.
Ngezinye izikhathi nge-lymphomas, ungase uzwe ngokuphila okuphakathi. Ukusinda kweMedian kubhekisela ku-50% iphuzu-isikhathi esithile ngemva kokuxilongwa lapho abantu abangu-50% bephila, kanti 50% sebedlulile.
Kubalulekile ukukhumbula ukuthi zonke lezi zilinganiso zokubikezelwa yizinombolo-hhayi abantu. Bakhuluma ngemiphumela "ejwayelekile," kodwa akekho umuntu "ophakathi" futhi kunezici eziningi ezithathayo ekunqumeni ukuthi ukuthunjwa komuntu kungcono noma kubi kunalokho okulindelekile.
Yini ebaluleke nakakhulu ukuyikhumbula kule nkathi-ikakhulukazi mayelana nokuhlukunyezwa okungenayo i-Hodgkin lymphoma, ukuthi lezi zibalo "zindaba zakudala." Empeleni, bakutshela ukuthi ngabe umuntu ngabe wenzeni esikhathini esidlule ngomdlavuza wakho, kodwa ngaphandle kwemithi emisha eyenza umehluko. Ngamanye amazwi, akusho neze okuningi. Okubaluleke nakakhulu uma ufuna ukulinganisa ukuthi uzokwenzenjani, ubheka ukuthi iziphi izinto ezithinta ukubikezela kwakho.
Izingosi Ezikhomba Umphumela Wokwelapha
I-Grade Ephakeme (Ebudlova) Engekho-Hodgkin Lymphoma yisifo esakhula ngokushesha. Kodwa isabela kahle ekwelapheni kanti iziguli eziningi zingelashwa. Umphumela uxhomeke ezintweni eziyisihlanu ezibikezelwe kahle ezakha i-International Prognostic Index (IPI). Nansi incazelo yalezi zici zokubikezela nokuthi zithinta kanjani imiphumela.
Abacwaningi bavame ukubeka iphuzu elilodwa kulezi zigaba ukuze uthole inombolo ephakathi kuka-0 no-5 okumele ukubikezele ukubikezela bese uqhathanisa ukubikezela manje ngokubikezela esikhathini esidlule.
Ubudala
Ubudala buyinto ebalulekile yokubikezela ku-NHL ephezulu. Labo bantu abahlakulela i-NHL engaphansi kweminyaka engu-60 benza kangcono kunabo abangaphezu kweminyaka engama-60. (1 iphuzu elingaphezu kweminyaka engama-60, amaphuzu angu-0 angaphansi kweminyaka engu-60.)
I-LDH (Imiphumela Yokuhlolwa Kwegazi)
I- serum lactate dehydrogenase (i-LDH) iyinkomba yokuthi izifo zikhona kangakanani emzimbeni. Lapho isifo singaphezu, inani le-LDH lingaphezulu. Abantu abanamazinga aphezulu e-LDH egazini labo benza okubi kunalabo abanamazinga avamile. (1 iphuzu lezinga eliphezulu, amaphuzu angu-0 wezinga elivamile.)
Isimo sokusebenza
Isimo sokusebenza sibonakaliso esilinganisa ukuqina komuntu onomdlavuza. Ihlola ukuthi ngabe umuntu uyingozi yini futhi ukuthi umuntu uqobo kangakanani ngokwanele emisebenzini yakhe yansuku zonke. E-NHL, njengamanye amaningi kansela, labo abanezibalo ezingcono kakhulu zokusebenza benza kangcono emva kokwelashwa kunabo abagula kakhulu noma abancike emisebenzini yansuku zonke. (1 iphuzu uma udinga usizo oluningi emisebenzini yansuku zonke, amaphuzu angu-0 uma ungakwazi ukuphatha imisebenzi yansuku zonke ngaphandle kosizo.)
Isiteji
Isigaba seLymphoma yisici esibaluleke kakhulu . Esikhathini sokuqala izifo-izigaba I no-II zinomphumela ongcono kunezifo eziphezulu zesigaba-III no-IV. (Iphuzu elilodwa lesigaba III noma IV, amaphuzu angu-0 esiteji I noma II.)
Ukubandakanywa kwama-Organe ngaphandle kweLymph System
I-Lymphoma ingumdlavuza wesimiso se-lymph. Uma i-lymphoma ithinta izitho ezingaphandle kwesistimu ye-lymph, njengobindi, umgogodla noma ubuchopho, imiphumela yokwelashwa ngokuvamile ephansi. (1 iphuzu linye noma ezinye izitho ezingaphandle kwesistimu ye-lymph, amaphuzu angu-0 uma ungenalo ukubandakanyeka kwezitho ezingaphandle kwesistimu ye-lymph .)
Imiphumela iyathuthukisa
Abacwaningi baye babheka ukuguqulwa kwamazinga okusinda ngokuhamba kwesikhathi ngokuqhathanisa nabantu abanezici ezahlukene zokubikezela.
Isibonelo, kungekudala nje izinga lokusinda iminyaka engu-5 jikelele labantu abanamaphuzu angu-0 kuya kwangu-1 ngenhla kwakungu-75% no-30% kulabo abanamaphuzu angu-4 kuya ku-5. Ukuhlola okwakamuva okubheka lezi zici zokubikezela ngezinkinga ezintsha zitholwe ukuthi abantu abanamaphuzu angu-0 kuya kwangu-1 banesilinganiso seminyaka engu-5 sokusinda esingu-95% nalabo abanamaphuzu angu-4 kuya ku-5, ama-55%.
Ukubhekana nokukhula
Into eyodwa engeke ikhulunywe kaningi uma ukhuluma ngomdlavuza, yilokho okuhle okungavela emdlavuza. Ini? Ngokuqinisekile, akekho umuntu ozobhekana nomdlavuza ngenxa yokuthi "uyamjabulisa", kodwa njengoba ubhekene nokwesaba kwakho nakho konke okudingeka abantu bakwenze ekwelapheni, bayaqaphela ukuthi ucwaningo lusitshela ngempela ukuthi umdlavuza ngezinye izikhathi ungashintsha abantu kube ngcono . Igama elithi ososayensi lisetshenziselwa ukukhula kokuhamba ngemva kwesikhathi, futhi kubonakala sengathi kubo bonke ozobhekana nakho, kungenzeka ubonise ububele obuningi kwabanye ngenxa yohambo lwakho.
Imithombo:
I-American Cancer Society. Izinga lokusinda kanye nezici ezithinta ukubikezelwa (umbono) we-non-Hodgkin lymphoma. Kubuyekezwe 01/22/16.