Isibikezelo yilona ulwazi olulandelayo lomphumela wesifo. Ukuze ukwazi ukuthola ukuthi isifo singase siphendule kanjani, noma ngaphandle kokwelapha, kubalulekile ukwazi amaqiniso athile ngesifo. Lezi zibizwa ngokuthi izici zokubikezela.
Izinto ezibikezela imiphumela engcono zibizwa ngokuthi 'okuhle' noma 'ezihle' zokubikezela. Labo ababikezela imiphumela emibi kuthiwa yizici 'ezimbi' zokubikezela.
Kwezinye izifo nemibandela, njenge-non-Hodgkin lymphomas, izici zenzelwe ukunikeza inkomba yokubikezela.
Izinto zokubikezela eziseLymphoma
Ngezifo ezinjenge-lymphoma, izici eziningi zinquma umphumela wesiguli ngasinye. Ezinye zihlobene ngokuqondile nesifo, njengesizinda sesifo ekuxilongweni, ukuthi lesi sifo sikhulu kangakanani emzimbeni, noma yiziphi izitho ezihilelekile. Ezinye izici zixhomeke kumuntu ohilelekile, kufaka phakathi iminyaka yokuhlolwa, ubulili bomuntu ngamunye, noma amandla akhe okubekezelela ukwelashwa okujulile.
Imiphumela nayo ixhomeke kulohlobo oluqondile lwezokwelapha ezitholiwe. Izindlela ezahlukene zokwelashwa azikho emiphumela efanayo, ezinye zinezinga eliphakeme lokuphumelela kanti abanye abenzi. Ngokwazi izibikezelo futhi uzibeke ezinkampanini zokubikezela, udokotela wakho angakhetha inkambo yokwelapha ephumelela kakhulu.
I-Lymphoma ye-Follicular
Lezi zici zihlanganiswe futhi zilandelwe ku- Follicular Lymphoma International Prognostic Index, i-FLIPI.
Lokhu kufaka phakathi isifo sesiteji, inani lamasayithi e-lymph node abathintekayo, imiphumela yokuhlolwa kwegazi ye-LDH ne-hemoglobin nesiguli sesiguli. Amaphuzu alezi zici zokubikezela kubangela amaqembu amathathu okubikezela: ingozi ephansi, ingozi ephakathi, kanye nengozi enkulu. Izifundo zibonisa izinga lokusinda eminyakeni emihlanu neminyaka eyishumi ngokulandela amaphuzu engozini, ngokulinganiselwa kweminyaka engu-91% yokusinda kwengozi ephansi engozini uma kuqhathaniswa no-53% weqembu eliphezulu lokubikezela inhlekelele.
I-High-Grade (Iggressive) engeyona i-Hodgkin Lymphoma
Izici zokubikezela eziphezulu ze-non-Hodgkin lymphoma zitholakala kuyi-International Prognostic Index (IPI). Zihlanganisa iminyaka, ukuhlolwa kwegazi le-LDH, isimo sokusebenza (kungakanani usizo oludingekayo ngemisebenzi yansuku zonke), isigaba, nokubandakanyeka kwezitho ezingaphandle kwesistimu ye-lymph. Amanani we-IPI asetshenziselwa ukunikeza ukubikezela ngesilinganiso kusuka phansi kuya phezulu, ngokuhle okuphansi. Inkomba iye yabuyekezwa kubantu abamukela i-rituximab, ehlukanisa izikolo zibe ngamaqembu amathathu engozini kakhulu, okuhle, futhi abampofu. Abantu abangaba ngu-95% eqenjini eliyingozi kakhulu baphila okungenani iminyaka emine.
I-Hodgkin Lymphoma
Izimo zokubikezela i- Hodgkin lymphoma zihlanganisa isifo sesifo, isifo se-B (ukulahlekelwa kwesisindo, imfiva, ukuhlunga ebusuku), inombolo nenani lamalungu omzimba we-lymph node, ukubandakanyeka kwezitho ezingaphandle kwesistimu ye-lymph, isibalo segazi esimhlophe, isibalo segazi elibomvu, i-lymphocyte ubale, izinga le-albinini yegazi, isilinganiso se-erythrocyte sedimentation, ubudala nobulili.
Lezi zici nezibalo zizosiza ukuqondisa udokotela wakho ohlelweni olungcono lwezokwelapha lymphoma yakho. Abakwazi ukubikezela ngokugcwele ukuthi izinga lakho lokusinda liyoba yini noma ukuthi yimpumelelo kanjani ukwelashwa kwakho, kodwa ziqondiswa ngokusekelwe ocwaningweni olungcono kakhulu wamanje.
> Imithombo:
> I-American Cancer Society. Izinga lokusinda kanye nezici ezithinta ukubikezelwa (umbono) we-non-Hodgkin lymphoma.
> I-American Cancer Society. Izinga lokusinda kwesifo seHodgkin ngesigaba.