Ukwelashwa kwe-lymphoma ngokuvamile kuthatha izinyanga ukuqedela. Ekupheleni kwalesi simo esibucayi, ufuna ukwazi lapho ukhona khona. Ulashwa? Kungani amanye amangqamuzana e-lymph aqhubeka ezwa? Ingabe isifo sakho sisekhona lapho? Ingabe ingabuya futhi? Odokotela bazama ukuchaza lesi simo ngokusebenzisa amagama anjengokuthi "ukuxolelwa," "ukuphindaphinda," futhi "ukwelashwa," kodwa kusho ukuthini ngempela?
Ukuvakasha kwakho kokuqala okulandelwayo
Usuku oluthola ukwelashwa kwakho kokugcina akuwona usuku udokotela azokuhlola ngalo impendulo.
Lokhu kungenxa yokuthi ukwelashwa kwemithi kaningi kuthatha isikhathi sokuthatha isinyathelo. Ngokujwayelekile, udokotela wakho uzokubiza ukuze uhlole emva kwamaviki angu-4 kuya kwangu-8. Lokhu kunikeza ukwelapha isikhathi esithile ukuqedela isenzo sayo emdlalweni. Udokotela bese enza ukuhlolwa okunye ukukuhlola ukuze uthole ukuxolelwa.
Ukuqonda Ukulahlwa
Ukukhululwa kusho ukuthi i-lymphoma yakho isusiwe noma isinciphile. Lapho lesi sifo siphelile ngokuphelele, odokotela bakubiza ngokuthi "ukuxolelwa okuphelele." Lapho lesi sifo sinciphise kakhulu kodwa sisalokhu, sabizwa ngokuthi "ukukhululwa okuncane." I-Hodgkin lymphoma ne-aggressive non-Hodgkin lymphoma (NHL), odokotela bahlale behlose ukuxolelwa okuphelele. Ku-NHL engabonakali noma ephansi-okuvame ukukhula noma ithuthuke kancane kancane - ngokuvamile ukukhululwa okuyingxenye kuyokwanela.
Ukukhunjulwa Kwezimpikiswano
Ngisho noma isifo sakho sichithwa ngemuva kokuba ukwelashwa sekuphelile, akukabizwa ngokuthi ukwelashwa. I-Lymphomas inethuba lokuphindaphindiwe, futhi udokotela uzovame ukulinda iminyaka embalwa ngaphambi kokuba aqiniseke ukuthi isifo sakho ngeke sibuyele.
E-Hodgkin lymphoma, isibonelo, i- PET / CT ingasiza ekutholeni noma yisiphi isifo esisele ngemuva kokwelashwa. Lokhu kungasiza, isibonelo, uma kunesisindo sokusala, noma ukukhulisa esifubeni futhi akucaci ukuthi ngabe kubonisa yini ukugula okushiya noma okusebenzayo.
Kuphela emva kwalokho angakutshela ukuthi uphulukiswa.
I-Hodgkin ne-aggressive non-Hodgkin lymphomas, lesi sifo sinethuba elihle kakhulu lokubuyela eminyakeni embalwa. Indolent NHL ingabuyela emuva emva kweminyaka eminingi.
Ukuvakashelwa okuqhubekayo njalo
Ukuvakashelwa kudokotela njalo kuyindlela engcono yokugcina amathebhu ngesifo sakho. Udokotela uzokuhlola ngesikhathi sokuvakashelwa ngalunye. Angase futhi ahlele ezinye izivivinyo kanye nokuhlola. Ukutholakala kokuqala kokubuya kwesifo sakho kungabangela imiphumela emihle ngezokwelapha ezilandelayo. Uma kungekho sifo sitholakala, ungaqinisekiswa ngempilo yakho.
Izifo zibuyela emuva
Ama-lymphomas angabuya, noma abuyele emuva, ngemva kokuqedwa ekuqaleni. Lokhu kwenzeka kuphela kubantu abambalwa. Uma kuyenzeka, kungase kulawulwe kahle nge ukwelashwa okulandelayo. Ukubuyela emuva kungenzeka ezindaweni eziye zabandakanyeka ngaphambilini, noma zingenzeka ezindaweni ezintsha zomzimba. Kufanele ubike noma yiziphi izinkinga ezintsha noma izinkinga zempilo ku-oncologist yakho.
Ukuphatha Ukukhathazeka Kwakho
Ukuxolelwa okuphelele emva kokwelashwa kuyisignali enhle kakhulu. Iningi labantu lihlala likhululekile. Ukuyeka ukuvakashelwa ngokwesaba ukuphindaphinda kuyisiphetho sabantu ngokuphelele futhi kuyaqondakala kakhulu, ngoba ukubhekana nalokhu kungenzeka akuyona ingxenye eyamukelekile yohambo.
Kodwa ungasheshi ukubona udokotela wakho. Lokhu ukuvakasha kukunika ithuba lokukhuluma nodokotela futhi uchaze ukungabaza kwakho. Ngisho noma ukubuyela emuva kwenzeka, ungethuki. Kunezindlela eziningana zokwelapha ezitholakalayo ukulawula isifo sakho.
Kubuyekezwe uJanuwari 2016, iTI.
Imithombo:
Cheson BD, Fisher RI, Barrington SF et al. Izincomo zokuhlola kokuqala, ukuhlolwa kwesiteleka nokuphendula kweHodgkin kanye ne-non-Hodgkin lymphoma: ukuhlelwa kwe-lugano. J Clin Oncol . 2014; 32 (27) 3059-3068.
Barrington SF, Mikhaeel NG, Kostakoglu L, et al. Indima yokucabangela ekuhloleni kwesimo sokuphendula nokuphendula kwe-lymphoma: ukuvumelana kwengqungquthela yamazwe ngamazwe ngeqembu elisebenzayo le-lymphomas imaging. J Clin Oncol. 2014; 32 (27): 3048-358.
Hutchings M. Kanjani usizo lwe-PET / CT ekukhetheni ukwelashwa kweziguli ezine-Hodgkin lymphoma? Uhlelo lwe-Hematology Uhlelo lwe-Soc Hematol Educ Educator . 2012; 2012: 322-7.
I-Townsend W, i-Linch D. Hodgkin's lymphoma kubantu abadala. I-Lancet . 2012; 380 (9844): 836-47.