Ukusinda okuphelele, noma i-OS, noma ngezinye izikhathi nje "ukusinda" yiphesenti labantu eqembu eliphila ngemva kwesikhathi eside - ngokuvamile iminyaka eminingana.
Isibonelo: "I-OS engu-5 yesigaba sesibili i-Hodgkin lymphoma cishe ngamaphesenti angama-90."
Lokhu kusho ukuthi, kuzo zonke iziguli ezine-Hodgkin lymphoma abacwaningi ababebukele ekutadisheni kwabo, labo abahlala okungenani iminyaka emihlanu kusukela ngesikhathi sokuxilongwa babe ngamaphesenti angama-90.
I-OS eneminyaka emihlanu ivame ukubikwa ngabantu abaziwa ukuthi banesigaba esithile somdlavuza, noma ngezinye izikhathi abantu abanesigaba esithile somdlavuza abaye bathola ukwelashwa okukhethekile kwesithakazelo . Ngakho-ke, kulezi zimo, kungase kucaciswe ukuthi ama-OS ama-5 weminyaka akhombisa inani labantu abaphila eminyakeni emihlanu emva kokuxilongwa noma eminyakeni emihlanu emva kokuqala ukwelashwa .
Ukusinda ngokuphambene nokuPhepha
Ngomqondo othile, i-OS ingabonakalisa amazinga okuphulukisa, kepha lokhu akusiyo njalo. "Amagundane" ahlukene asetshenziselwa ukulinganisa ukusinda kwezigameko zomdlavuza, futhi ngamunye ngamunye unamandla akhe kanye nokulinganiselwa. I-OS eneminyaka engu-5 isetshenziselwa ama-cancer amaningi amaningi kufaka phakathi i-high-grade lymphomas ngenxa yokuthi labo abaphila iminyaka emihlanu kungenzeka baphulukiswe esifozweni sabo. Kwezinye izifo ezincane ezikhulayo neziphansi njenge-follicular lymphoma, noma kunjalo, ukusinda okuphelele kweminyaka engu-10 kungase kubonakale ngokwengeziwe lokho okuzobhekwa njengokwelapha.
Ngamanye amazwi, ukuphila iminyaka emihlanu emva kokuxilongwa kwe-follicular lymphoma akusho ukuthi lesi sifo asihambanga kahle.
Ukusinda ngokungafani Nokusinda-Ngokuqondile
Uma ulwazi mayelana nesibangela sokufa lufakiwe, lokhu kungase kubhekiswe njengokusinda okulungiselelwe noma ukusinda ngokuqondile . Ukuphila okuyisimo esithile kungenzeka ukuthi kuhluke kakhulu ku-OS.
Ukusinda okubangela imbangela kubhekwa njengendlela evumelekile yokulinganisa ukuthi ukufa okungakanani eqenjini kunomdlavuza ngokwayo. Ngokwesibonelo, cabanga ngomdlavuza otholakala kubantu abanesifo senhliziyo esibi. Uma ubheka kuphela ukusinda okuphelele futhi ungabangeli ukusinda-okungazi lutho ngenani lokufa ngenxa yesifo senhliziyo, hhayi umdlavuza-futhi lokhu kungenza kubonakale sengathi umdlavuza ubhubhisa kakhulu kunalokho .
Ukusinda ngamaqembu okuPrognostic
Ngezinye izikhathi abantu abanomdlavuza bafakwa emaqenjini ahlukene ukuze bathole isithombe esingcono sokusinda. La maqembu angase abizwe njengeqembu lokubikezela. Ake sithathe isibonelo se-follicular lymphoma.
Ngokusho kwe-American Cancer Society, i- follicular lymphoma , i-Follicular Lymphoma International Prognostic Index noma i-FLIPI yasungulwa ngoba inkomba yokubikezela ekhona yayinganele. Kukhona i-International Agent International Prognostic Index, noma i-IPI, ewusizo kuma-lymphomas amaningi, kodwa akusizi usizo lwe-follicular lymphomas, okuvame ukukhula kancane.
I-FLIPI isebenzisa izici zokuchasisa kancane ezihlukile kune-IPI, njengezilandelayo:
Izici ezinhle zokubikezela
- Ubudala obungama-60 noma ngezansi
- Isigaba I noma II
- I-blood hemoglobin 12 g / dL noma ngenhla
- Izindawo ezine ze-lymph node ezithintekile
- I-Serum LDH ivamile
Izimo ezimbi zokubikezela
- Ubudala ngaphezu kuka-60
- Isigaba III noma IV
- Igazi le-hemoglobin level ngaphansi kwe-12 g / dL
- Izindawo ezingaphezu kwezingu-4 ze-lymph node zithintekile
- I-Serum LDH iphezulu
Iziguli zinikezwa iphuzu lesici ngasinye sokuhlushwa okubi. Abantu abangenazo izimo zokubikezela abampofu bazoba nezinombolo ezingu-0, kuyilapho labo abanezimo ezimbi zokubikezela babezokwazi ukuthola amaphuzu angu-5. Uhlu luhlukanisa abantu abane-follicular lymphoma ngamaqembu amathathu:
- Ingozi ephansi: ayikho noma 1 isici sokubikezela esimpofu (s)
- Ingozi ephakathi: 2 izinto ezimbi zokubikezela
- Ingozi enkulu: izici ezintathu zokubikezela ezimbi
Isifundo esasetshenziselwa ukuthuthukisa i-FLIPI ibike amazinga alandelayo okusinda: *
- Ubungozi obuphansi: i-OS engu-5 yama-91 wamaphesenti; I-OS engama-10 yamaphesenti angu-71
- Ingozi ephakathi: OS oneminyaka emihlanu ye-78 yamaphesenti angu-78; Unyaka we-OS ongama-51 wamaphesenti
- Inengozi enkulu: OS engu-5 weminyaka engama-53 wamaphesenti; U-OS oneminyaka engu-10 wamaphesenti angu-36
* I-American Cancer Society ibhala lokhu okulandelayo:
" Lezi zindleko zibonisa inani labantu abahlala okungenani iminyaka emihlanu noma eyishumi emva kokutholakala ukuthi - abantu abaningi baphila isikhathi eside kunalokhu. Amanani asekelwe kubantu ababhekene ne-follicular lymphoma ngawo-1980 nangama-1990. Izindlela zokwelapha ezintsha zakhiwe kusukela ngaleso sikhathi, ngakho-ke amanani okusinda amanje cishe angaphezulu. "
Izwi kusuka
Izinga lokusinda zingamathuluzi omuhle, kodwa ngezinye izindlela, zinjengezindaba zamaphephandaba aphuzi - ngoba zithatha iminyaka ukuthuthukisa, ziyiqiniso ngesikhathi esithile futhi zibonisa ukwelashwa okusetshenziswe ngaleso sikhathi. Ngomuntu oqala ukwelapha okusha namuhla isilinganiso sokusinda seminyaka eyishumi esishicilelwe singahle noma singafaneleki.