Izimpawu zeLymphoma

-Delile

• Ukukhathala
• Ukujuluka ebusuku, ukugodola, nomkhuhlane
• Ukwehla kwesisindo okungachazeki
• Ukuqhuma nokunwaya
• Ubuhlungu besifuba noma ubuhlungu obuphansi emuva
• Izinhlobo ze-lymphoma
• Lapho itholakala khona
• Izimpawu ezinganeni
• Ukuxilongwa
• Ukwelashwa
• Umbono
• I-Q & A: Abesilisa nabesifazane
• Q:
• A:

Izimpawu ze-Lymphoma

I-Lymphoma ingaba yinselele ukuxilonga ekuqaleni kwayo. Izimpawu zokuqala zingase zingabi khona noma zibe mnene. Izimpawu ze-lymphoma nazo azicacisi. Izimpawu ezivamile azinakwa kalula noma azinakwa. Kubandakanya:

• ukukhathala
• ukujuluka ebusuku
• Ukugodola
• imfiva
• ukuncipha kwesisindo okungaqondakali
• ukulunywa

Ukukhathala

Ukukhathala kanye nokuntuleka kwamandla nentshisekelo kungaba yizimpawu ze-lymphoma.

Kodwa-ke, ukukhathala kungaba futhi uphawu lokulala ngokwanele noma ukungadli kahle. Ukukhathala okuqhubekayo yinto okufanele ukhulume nodokotela wakho ngayo. Noma kungabangelwa yi-lymphoma, kungaba uphawu lwesinye isimo esidinga ukwelashwa.

Kulinganiselwa ukuthi cishe wonke umuntu onomdlavuza uzoba nokukhathala. Kubhekwa njengesifo esivame kakhulu se-lymphoma. Ngokuya komuntu, ukukhathala kungaba mnene noma kube nzima.

Ukujuluka ebusuku, ukugodola, nomkhuhlane

Imfiva iyimpendulo engokwemvelo ekuthelelekeni, kodwa futhi ingaba uphawu lwe-lymphoma ephakeme. Imfiva eminingi ehlobene ne-lymphoma ibanga eliphansi kakhulu. Zivame ukuhambisana nokubanda.

Ukujuluka ebusuku kungenzeka uma unomkhuhlane ngenkathi ulele. Ukujuluka okukhulu ebusuku okuhambisana ne-lymphoma kungadala ukuthi uvuke ucwilisa amashidi amanzi. Ukujuluka ngokweqile kwesinye isikhathi kungavela nasemini.

Kufanele utshele udokotela wakho nganoma yimiphi imfiva engachazeki eza futhi idlule amasonto amabili, iphindaphindekile. Zingaba uphawu lwe-lymphoma.

Ukwehla kwesisindo okungachazeki

Ngokuphazima kweso, ukulahleka kwesisindo okungaqondakali kwamaphesenti ayi-10 noma ngaphezulu kwesisindo somzimba wakho kungaba uphawu lwe-lymphoma. Njengezinye izimpawu ze-lymphoma, lokhu kungabangelwa nezinye izimo zezokwelapha.

Nge-lymphoma, amangqamuzana omdlavuza angashisa izinsizakusebenza zamandla omzimba wakho ngenkathi umzimba wakho uzama ukulwa nala maseli. Lokhu kungaholela ekulahlekelweni kwesisindo okungazelelwe, ikakhulukazi njengoba ama-lymphomas amaningi evame ukukhula ngokushesha.

Kufanele uxoxe nganoma yikuphi ukulahleka kwesisindo okubanzi nokungahlosiwe nodokotela wakho. Kungaba uphawu lwenkinga enkulu yempilo. Uma ulahlekelwa amaphesenti ama-5 wesisindo somzimba wakho ngenyanga, noma amaphesenti ayi-10 ezinyangeni eziyisithupha, yenza isikhathi sokubonana nodokotela wakho.

Ukuqhuma nokunwaya

I-Lymphoma kwesinye isikhathi ingadala ukuqubuka okungathandeki. Ama-Rashes abonakala kakhulu kuma-lymphomas esikhumba. Zingabonakala njengezindawo ezibomvu ezibomvu noma ezibubende.

Lezi ziqubu zivame ukuvela emaphethweni esikhumba futhi zingadideka kalula nezinye izimo ezifana ne-eczema. Zingasakazeka njengoba i-lymphoma iqhubeka. I-Lymphoma nayo ingakha izigaxa noma amaqhuqhuva esikhunjeni.

Cishe ingxenye eyodwa kwezintathu zabantu abane-lymphoma kaHodgkin bazozwa ukulunywa. Kodwa-ke, akuvamile kakhulu kulabo abane-non-Hodgkin's lymphoma. Ukulunywa kungenzeka ngaphandle kokuqubuka.

Kukholakala ukuthi amakhemikhali abizwa ngokuthi ama-cytokines, akhishwa ukulwa namaseli omdlavuza, afaka isandla ekwenzeni isikhumba silume. Uma noma yikuphi ukuqubuka kungazixazululi ngokwakho ngemuva kwamasonto amabili, kufanele ubone udokotela wakho ukuze aqhubeke nokuhlolwa.

Ubuhlungu besifuba noma ubuhlungu obuphansi emuva

I-thymus iyisitho esincane, esinezicucu ezimbili esitholakala ngemuva kwe-sternum yakho naphakathi kwamaphaphu. Kuyingxenye yamasosha akho omzimba. Ngezinye izikhathi, i-lymphoma ithinta i-thymus gland, engabangela ubuhlungu besifuba.

Imvamisa, i-lymphoma ithinta ama-lymph node atholakala emuva engezansi. Ukuvuvukala lapho kungabeka ingcindezi emithanjeni yomgogodla. Kodwa-ke, kunezimbangela eziningi ezingaba khona zobuhlungu obuphansi emuva kune-lymphoma.

Kufanele uxhumane nodokotela wakho mayelana nanoma yibuphi ubuhlungu obuqhubekayo nomaphi emzimbeni wakho.

Izinhlobo ze-lymphoma

Ama-subtypes e-lymphoma awela ezigabeni ezimbili eziyinhloko: iHodgkin's lymphoma ne-non-Hodgkin's lymphoma (NHL). Umehluko kule mikhakha emibili yindlela umdlavuza okhula ngayo, osakazeka futhi welashwe ngayo.

I-NHL ivame kakhulu futhi yenza amaphesenti ama-4 awo wonke umdlavuza e-United States.

I-Lymphoma ithinta ngqo uhlelo lwe-lymphatic, olufaka izingxenye eziningi zomzimba. Kungathinta izingxenye ezahlukahlukene zomzimba eziqukethe izicubu ze-lymph, njenge:

• ama-lymph node nemikhumbi ye-lymph
• isikhumba
• ubende
• i-thymus
• amalaka
• isisu
• ikholoni
• amathumbu amancane
• umkantsha
• unxande
• adenoids

Lapho itholakala khona

Isibonakaliso sokuqala esibonakalayo se-lymphoma esivame ukuvame ukuba yi-lymph node ekhulisiwe. Ama-lymph node angahle abe nethenda noma ababuhlungu ekuthinteni. Kodwa-ke, abantu abaningi abanabo ubuhlungu. Ama-NHL kungenzeka ukuthi abangele ukuvuvukala okungenabuhlungu.

Ama-lymph node asatshalaliswa kabanzi kuwo wonke umzimba. Amanye ajulile, kanti amanye asondele kakhulu ngaphezulu. Ukuvuvukala ezindaweni ezingaphezulu kungabonakala kakhulu. Lokhu kufaka phakathi ama-lymph node emakhwapheni, entanyeni, nasemgodini.

Isigaxa kwesinye salezi zingosi asikhombisi ukuthi yi-lymphoma. Ama-lymph node avuvukile kungenzeka ukuthi abangelwe ukutheleleka kunomdlavuza.

Isibonelo, ukuvuvukala kuma-lymph node entanyeni kuvame ukuxhunyaniswa nokutheleleka komphimbo. Ama-lymphocyte, noma amangqamuzana amhlophe egazi, agcwalisa ama-node ngesikhathi sokutheleleka.

Ukuvuvukala ezindaweni zomakhwapheni noma kwesisu kudinga ukunakwa ngokushesha. Amathuba amancane okuthi zihlobane nezifo zesikhashana.

Izimpawu ezinganeni

I-Lymphoma ingabukeka ngokuhlukile ezinganeni kunakubantu abadala. Izimpawu zingahluka ngokuya ngokuthi i-lymphoma ikuphi emzimbeni.

Ezinye izimpawu ezijwayelekile ze-lymphoma kubantu abadala zingathinta nezingane futhi. Lokhu kufaka phakathi:

• ama-lymph node akhulisiwe noma avuvukile, okungenzeka noma angabi buhlungu
• imfiva
• ukuncipha komzimba
• ukujuluka ebusuku
• ukukhathala

Kodwa-ke, izingane zingaba nezinye izimpawu, futhi. Izimpawu ezivamile izingane ezine-lymphoma zifaka:

• isisu esivuvukile
• ubuhlungu besisu
• ngizizwe ngisuthi ngemuva kokudla okuncane kakhulu
• ukukhwehlela noma ukuphelelwa umoya

Uma ingane yakho ibhekene nokutheleleka okuvamile noma enye yalezi zimpawu, bheka udokotela wakho ukuze ahlolwe.

Yize iningi lalezi zimpawu kungenzeka ukuthi liwumphumela wezinye izifo nemibandela, kusabalulekile ukuthi ingane yakho ihlolwe.

Ukuxilongwa

Uma uhlangabezana nezimpawu ezifana ne-lymphoma, udokotela wakho uzokwenza izivivinyo ukuthola imbangela eyisisekelo. Uma une-lymphoma, udokotela wakho uzoxilonga lesi simo bese enquma ukuthi sithuthuke kangakanani.

Bangase bahlole ukuhlolwa kwegazi kokuqala ukuze babheke okungahambi kahle, kufaka phakathi ukubalwa kwamaseli egazi abomvu namhlophe angajwayelekile. Uma unwebise ama-lymph node, kungenzeka futhi ukuthi athathe isampula lezicubu noma i-biopsy kusuka ku-lymph node ukufuna amaseli womdlavuza.

Uma udokotela wakho esola ukuthi i-lymphoma isakaze noma kungenzeka ibe khona emnkantsheni wakho wethambo, bangalawula i-bone marrow biopsy. Le nqubo yenziwa ngaphansi kwe-anesthesia yendawo. Umnkantsha wethambo uthathwa ngaphakathi kwethambo ngenaliti engenalutho.

Udokotela wakho futhi angasebenzisa izivivinyo ezilandelayo ukuthola umbono wangaphakathi wesifuba sakho, isisu noma i-pelvis. Lokhu kufaka phakathi:

• i-ultrasound
• Iskena se-CT
• Ukuskena kwe-PET
• I-MRI

Lezi zivivinyo zizosiza udokotela wakho ukuthi abheke ama-lymph node angajwayelekile nezicubu futhi azivumele ukuthi zihlole isimo sezitho nezicubu zomzimba.

Ukwelashwa

Ukwelashwa kwe-Lymphoma kuzoya ngohlobo lwe-lymphoma onayo, lapho itholakala khona, nokuthi ithuthuke kangakanani.

I-Chemotherapy, i-immunotherapy, ne-radiation zivame ukusetshenziselwa ukwelapha izinhlobo eziningi ze-lymphoma. Lokhu kwelashwa konke kugxile ekubulaleni amangqamuzana omdlavuza nasekunciphiseni ubukhulu bezimila.

Kwesinye isikhathi, ukufakelwa umnkantsha wethambo kungasetshenziselwa ukubuyisela umongo wethambo onesifo ukuze umzimba ukwazi ukukhiqiza amaseli egazi aphilayo awadingayo.

Ezimweni ezingavamile, udokotela wakho angancoma ukuhlinzwa. Ukuhlinzwa kuvame kakhulu lapho i-lymphoma ingasakazeki futhi iqala ezingxenyeni zomzimba ezinjenge-spleen, isisu noma i-thyroid.

Umbono

Umbono wakho uncike kakhulu kuhlobo luni lwe-lymphoma onayo nokuthi luthuthuke kangakanani ngesikhathi sokuxilongwa. Ezinye izinto, ezinjengeminyaka yobudala, zinomthelela ekubukeni nasekubukekeni. Abantu abangaphansi kweminyaka engama-60 ubudala banamazinga okusinda angcono, isibonelo.

Izinga lokusinda leminyaka emihlanu le-NHL lingamaphesenti angama-71. Kodwa-ke, okuningi futhi kuya ngempilo yakho iyonke, uhlobo nesigaba somdlavuza, kanye nempendulo yakho ekwelashweni.

I-Q & A: Abesilisa nabesifazane

Q:

Ingabe i-lymphoma iyahluka phakathi kwamadoda nabesifazane?

A:

I-NHL, ukuhlukaniswa okuvame kakhulu kwe-lymphoma, kuvame kakhulu emadodeni, kepha abesifazane bahamba kangcono.

Izimpawu ezijwayelekile zokuqala njengokukhathala, ukujuluka ebusuku, nama-lymph node akhulisiwe ziyefana kwabesilisa nabesifazane. Ngaphandle kohlelo lwe-lymph, umgudu wamathumbu, ikhanda nentamo, nesikhumba yizindawo ezivame kakhulu kubo bobabili ubulili. Kodwa-ke, ama-lymphomas ahlanganisa isifuba, i-thyroid, nesistimu yokuphefumula zivame kakhulu kwabesifazane. I-Lymphoma yesifuba kwabesifazane kanye ne-lymphoma yama-testes emadodeni ayivamile kakhulu futhi i-akhawunti ye-1-2% kuphela yazo zonke izimo ze-NHL.

Uma kukhulunywa ngokwelashwa kwe-lymphoma, abesifazane babonakala benomphumela ongcono kunamadoda. Eqinisweni, ngaphandle komdlavuza wesinye, abesifazane benza kangcono ngokwelashwa kanye nokusinda kwawo wonke umdlavuza ovamile. Lokhu kuyiqiniso ikakhulukazi kwabesifazane abangaphansi kweminyaka engama-55 ubudala. Umehluko kumbono phakathi kwabesifazane nabesilisa abanomdlavuza, kufaka phakathi i-lymphoma, awuqondakali kahle. ngalesi sihloko.