Lymphoma ya Non-Hodgkin ni iki? Ibimenyetso, Intandaro, & Ubuvuzi

Lymphoma ya Non-Hodgkin ni ubwoko bwa kanseri butangira mu mikaya ya lymph, igice cy’urukuta rw’umubiri urwanya indwara. Bitandukanye n’izindi kanseri ziguma ahantu hamwe, iyi ndwara igira ingaruka ku mitsi ya lymph, umwijima, n’ibindi bice by’umubiri bifasha kurinda indwara.

Urukuta rwa lymph rukora nk’urukuta rw’umutekano mu mubiri wose, aho imiyoboro ya lymph ikora nk’ibice by’igenzura bikuraho ibintu byangiza. Iyo Lymphoma ya Non-Hodgkin ibayeho, zimwe mu z’amaraso yera zizwi nka lymphocytes zitangira gukura nabi kandi zikagwira cyane. Ibi bishobora kuba mu mitsi ya lymph cyangwa mu bindi bice by’umubiri nka mu gifu, mu mara, cyangwa mu mugozi w’amagufa.

Ni ibihe bimenyetso bya Lymphoma ya Non-Hodgkin?

Ikimenyetso cya mbere gikunze kugaragara ni kubyimba kw’imitsi ya lymph mu ijosi, munsi y’amaboko, cyangwa mu gice cy’imboro, bidatera ububabare. Iyi mitsi yabyimbye ishobora kumvikana nk’ibice bikomeye, bisa n’ikawa, biri munsi y’uruhu, bidatera ububabare iyo ubinyuzeho.

Abantu benshi bafite Lymphoma ya Non-Hodgkin bagaragaza ibyo abaganga bita “ibimenyetso B,” bishobora kumera nk’ibimenyetso by’umurwayi wa grippe uhoraho. Reka turebe ibimenyetso ushobora kubona:

• Kubyimbagira kw’imitsi ya lymph bidatera ububabare, bidakira nyuma y’ibyumweru bike
• Umuhango udakira uza ukagenda
• Imyeyo ikaze nijoro ku buryo ishobora kunyonyora imyenda cyangwa ibitanda
• Gutakaza ibiro bidateganijwe birenga 10% by’uburemere bw’umubiri mu mezi atandatu
• Uruguruka rukomeye rudakira nubwo uruhuye
• Inkorora idakira cyangwa guhumeka bigoranye
• Kubabara mu nda cyangwa kubyimbagira
• Kubabara mu gituza cyangwa igitutu

Bamwe bashobora kandi kugira uruhu rukururuka hatari ibinya, gutakaza ubushake bwo kurya, cyangwa kumva bwuzuye nyuma yo kurya bike. Mu bihe bitoroshye, ushobora kubona kubyimbagira mu maso cyangwa mu ijosi, bishobora kubaho iyo imitsi ya lymph yabyimbye ikozanya n’imitsi y’amaraso.

Ni ingenzi kwibuka ko ibi bimenyetso bishobora guturuka ku bintu byinshi bitandukanye, kandi kuba ufite ibi bimenyetso ntibihamya ko ufite lymphoma. Ariko rero, niba ufite bimwe muri ibi bimenyetso bikakugiraho igihe kirekire kirenze ibyumweru bike, birakwiye kubiganiraho na muganga wawe.

Ni iyihe mitype ya lymphoma idahuje na Hodgkin?

Lymphoma idahuje na Hodgkin si indwara imwe gusa ahubwo ni itsinda ry’ubwoko bw’indwara za kanseri zisa ariko zikagira imikorere itandukanye. Abaganga basobanura izi lymphoma bashingiye ku buryo bw’ubukura bwayo n’ubwoko bw’uturemangingo tw’amaraso y’umweru twibasiwe.

Ibyiciro bibiri by’ingenzi ni lymphoma ya B-cell na lymphoma ya T-cell, izina ryazo rifite aho rihuriye n’uturemangingo tw’amaraso y’umweru aho kanseri itangirira. Lymphoma ya B-cell ni yo igaragara cyane, igize hafi 85% by’abantu bose barwaye.

Abaganga kandi bagabanya izi lymphoma bakurikije uburyo bw’ubukura bwayo:

• Lymphoma zidatera imbere vuba (zitinda gukura): Izi zikura gahoro gahoro mu mezi cyangwa imyaka, kandi zishobora kutazigaragaza ibimenyetso mu gihe kirekire
• Lymphoma zikura vuba (zitera imbere vuba): Izi zikura kandi zikwirakwira vuba, zisaba kuvurwa vuba
• Lymphoma zikura cyane: Izi ni nke ariko zikura vuba cyane kandi zisaba kuvurwa byihuse

Ubwoko bugaragara cyane harimo diffuse large B-cell lymphoma, follicular lymphoma, na mantle cell lymphoma. Buri bwoko bufite uburyo bwabwo bw’ubukura kandi bugira uburyo butandukanye bwo kuvurwa, niyo mpamvu kubona ubuvuzi nyakuri ari ingenzi cyane kuri gahunda yawe y’ubuvuzi.

Ni iki gatera lymphoma idahuje na Hodgkin?

Intandaro nyakuri ya lymphoma idahuje na Hodgkin ntiyumvikana neza, ariko ibaho iyo impinduka za ADN ziba mu uturemangingo tw’amaraso y’umweru, zikabatera gukura no kwiyongera mu buryo budasanzwe. Izi mpinduka za genetike zisanzwe ziba mu gihe cy’ubuzima bw’umuntu aho kuba zaraherwe ababyeyi.

Ubushakashatsi bugaragaza ibintu byinshi bishobora gutera impinduka muri ADN, nubwo kugira ibyo bintu bidateye ubwoba bitavuze ko uzagira lymphoma. Dore ibyo tuzi ku bintu bishobora gutera lymphoma:

• Ibibazo by’urukingo: Indwara zigabanya ubudahangarwa bw’umubiri, nka virusi itera SIDA cyangwa imiti igabanya ubudahangarwa bw’umubiri nyuma yo kubagwa
• Dukurire zimwe na zimwe: Virusi, udukoko, n’udusimba bimwe bishobora kongera ibyago, harimo Epstein-Barr virus, hepatite C, na H. pylori bacteria
• Indwara ziterwa no kudahangana kw’umubiri: Indwara nka rhumatoïde arthritis, lupus, cyangwa celiac disease
• Kuvurwa kanseri mbere: Chemotherapy cyangwa radiotherapy yavuweho kanseri izindi mbere
• Kuhura n’ibintu by’imiti: Guhura igihe kirekire n’imiti imwe n’imwe yica udukoko, imiti yica ibyatsi, cyangwa ibintu by’inganda

Imyaka nayo igira uruhare, kuko lymphoma idahangayikishije iba myinshi uko abantu bakura, aho abenshi bayirwara bafite imyaka irenga 60. Ariko, ishobora kwibasira abantu b’imyaka yose, harimo abana n’urubyiruko.

Ni ngombwa kumva ko kuri benshi bafite lymphoma idahangayikishije, nta mpamvu isobanutse neza. Iyi ndwara ikunda kugaragara mu bantu badafite ibyago byamenyekanye, nuko rero ntukwiye kwibasira niba ubonye iyi ndwara.

Ni ryari ukwiye kujya kwa muganga kubera lymphoma idahangayikishije?

Wagomba kuvugana n’abaganga bawe niba ubona kubyimba mu mitsi y’amaraso bidakomeretsa igihe kirekire kurusha ibyumweru bibiri. Nubwo kubyimba kw’imitsi y’amaraso biterwa n’indwara zisanzwe, kubyimba bihoraho bisaba ubuvuzi.

Byakubera ingenzi cyane gufata gahunda yo kubonana na muganga niba ufite ibimenyetso byinshi hamwe, nka nodes za lymph zifunitse zifatanije n’umuriro utasobanuwe, iminsi y’umubabaro nijoro, cyangwa igabanuka rikomeye ry’ibiro. Iyi mivangire y’ibimenyetso, nubwo ishobora kuba ifite izindi mpamvu, isaba isuzuma ryihuse.

Shaka ubufasha bwa muganga ako kanya niba ufite ibimenyetso bikomeye nko kugira ikibazo cyo guhumeka, ububabare bwo mu gituza, ububabare bukomeye mu nda, cyangwa kubyimbagira kw’ihutirwa mu maso cyangwa mu ijosi. Mu bihe bitoroshye, lymphoma ishobora guteza ibibazo byihutirwa bisaba ubuvuzi bwihuse.

Ibuka ko kumenya hakiri kare akenshi biganisha ku musaruro mwiza w’ubuvuzi. Niba hari ikintu kibangamiye umubiri wawe kandi ibimenyetso bikomeza, gira icyo ukora wizeye kandi ubanze ubwira itsinda ry’abaganga bawe kugira ngo bagufashe.

Ni ibihe bintu byongera ibyago bya lymphoma idahuje na Hodgkin?

Hari ibintu byinshi bishobora kongera amahirwe yo kurwara lymphoma idahuje na Hodgkin, nubwo kuba ufite kimwe cyangwa ibindi bintu byongera ibyago ntibisobanura ko uzayirwara rwose. Gusobanukirwa ibi bintu bishobora kugufasha wowe n’umuganga wawe gufata ibyemezo byuzuye bijyanye no kugenzura no kwirinda.

Imyaka ni yo ntandaro ikomeye y’ibyago, aho amahirwe yo kurwara iyi lymphoma yongera uko ugenda ukura. Abantu benshi babimenyeko bararenze imyaka 60, nubwo ishobora kubaho mu myaka yose.

Dore ibintu by’ingenzi byongera ibyago abashakashatsi bamenye:

• Ubudahangarwa bw’umubiri bufite ikibazo: Kubera virusi itera SIDA/AIDS, imiti ikoreshwa mu kwimura imyanya y’umubiri, cyangwa indwara z’ubudahangarwa wavukanye.
• Indwara ziterwa n’ubudahangarwa bw’umubiri: Harimo indwara ya rhumatoïde, indwara ya Sjögren, lupus, cyangwa indwara y’umwijima.
• Ivuriro rya kanseri mbere: Chemotherapy cyangwa radiotherapie wakorewe kanseri zindi.
• Amazimwe amwe: Virusi ya Epstein-Barr, virusi ya human T-lymphotropic, hepatite C, cyangwa udukoko twa H. pylori.
• Kuhura n’ibintu by’ikimicro: Guhora uhura n’imiti yica udukoko, imiti yica ibyatsi, benzene, cyangwa ibindi bintu by’inganda.
• Amateka y’umuryango: Kugira umubyeyi cyangwa umuvandimwe ufite lymphoma byongera gato ibyago byawe.
• Igitsina: Abagabo bafite ibyago byinshi kurusha abagore.

Bimwe mu bintu biterwa ibyago bitari byinshi birimo kuba warashyizweho ibintu byo mu gituza (bifitanye isano n’ubwoko buke cyane bwitwa anaplastic large cell lymphoma) cyangwa kuba utuye mu duce tumwe na tumwe dufite umubare munini w’indwara zimwe na zimwe.

Ni ngombwa kumenya ko abantu benshi bafite ibi bintu biterwa ibyago batagira lymphoma, kandi abantu benshi bafite iyi ndwara nta bintu biterwa ibyago na kimwe bamenyekanye.

Ni iki gishobora kuba ingaruka mbi za lymphoma idahuje na Hodgkin?

Lymphoma idahuje na Hodgkin rimwe na rimwe ishobora gutera ingaruka mbi, haba ku ndwara ubwayo cyangwa nk’ingaruka mbi z’ubuvuzi. Gusobanukirwa ibyo bishoboka bifasha wowe n’itsinda ry’abaganga bawe kureba ibimenyetso by’uburwayi no guhangana n’ibibazo vuba bishoboka.

Lymphoma ubwayo ishobora gutera ibibazo iyo imiyoboro y’amaraso cyangwa imikaya ikomeye ikazanika ibice by’ingenzi by’umubiri wawe. Ibi bishobora gutera ibibazo byo guhumeka niba imiyoboro y’amaraso mu gituza cyanyu ikomeye cyane, cyangwa ibibazo byo kugira ibyo mufasha mu gifu niba lymphoma igira ingaruka ku gifu.

Ingaruka mbi zisanzwe wowe n’itsinda ryawe ry’abaganga muzajya mukora isuzuma harimo:

• Indwara zandura: Ubudahangarwa bw’umubiri buke bugutera kwibasirwa n’indwara zandura ziterwa na bagiteri, virusi, cyangwa imiti y’ibinyampeke
• Superior vena cava syndrome: Kubyimba mu maso no mu ijosi niba ibinyamisogwe byo mu gituza bikomeretsa imiyoboro minini y’amaraso
• Kubera imbogamizi mu mara: Lymphoma yo mu nda rimwe na rimwe ishobora kubangamira amabara yawe
• Tumor lysis syndrome: Kwangirika k’uturemangingo twa kanseri vuba mu gihe cy’ubuvuzi bishobora guhangayikisha impyiko zawe
• Kanseri y’uburyo bwa kabiri: Bimwe mu buvuzi bishobora kongera gato ibyago byo kurwara kanseri izindi nyuma y’imyaka myinshi

Ingaruka zishobora guterwa n’ubuvuzi zishobora kuba harimo isereri, umunaniro, kugwa kw’imisatsi, cyangwa ibyago byo kwandura byiyongereye mu gihe cy’ubuvuzi bwa chemotherapy. Bamwe bashobora kugira ibibazo by’umutima cyangwa ibibazo by’ibihaha biturutse ku miti imwe n’imwe, nubwo ibi bikurikiranwa neza.

Mu bihe bitoroshye, lymphoma ikomeye ishobora gutera ibibazo byihutirwa nko gukomera kw’umugongo cyangwa kudahuza neza kwa metabolisme. Ikipe yawe y’ubuvuzi izakuganira ku bibazo byihariye hashingiwe ku bwoko bwa lymphoma yawe na gahunda y’ubuvuzi, ikwizeza ko uzi ibimenyetso ugomba kwitondera.

Uburyo bwo kwirinda lymphoma idahuje na Hodgkin?

Ikibabaje ni uko nta buryo bwemewe bwo kwirinda lymphoma idahuje na Hodgkin kuko ubusanzwe ibyinshi mu bihe bibaho nta mpamvu zisobanutse neza ziboneka. Ariko rero, ushobora gufata ingamba zo kugabanya bimwe mu bintu bimenyekanye byongera ibyago no kubungabunga ubuzima rusange.

Kwirinda imyanda imwe n’imwe ishobora kugufasha kugabanya ibyago byawe. Ibi birimo gukora imibonano mpuzabitsina y’umutekano kugira ngo wirinde HIV na hepatite C, no kuvura indwara ya H. pylori niba igaragaye mu buvuzi busanzwe.

Dore intambwe zifatika zishobora kugufasha kugabanya ibyago byawe:

• Komeza ubudahangarwa bw'umubiri: Funga indyo yuzuye, ikora imyitozo ngororamubiri buri gihe, ubone ibitotsi bihagije, kandi ugenzure umunaniro
• Kugabanya ibintu byangiza: Koresha ibikoresho birinda igihe ukoresha imiti yica udukoko cyangwa ibinyabutabire by'inganda
• Kwirinda kwandura: Fata inkingo zisabwa kandi ube umuntu ufite isuku
• Ugenza indwara ziterwa no kudahangana kw'umubiri: Korana n'umuganga wawe kugira ngo ubu burwayi bugende neza
• Kwirinda itabi: Ntukore itabi kandi wirinde itabi rya kabiri

Niba ufite ubudahangarwa bw'umubiri butameze neza bitewe n'uburwayi cyangwa imiti, korana bya hafi n'itsinda ry'abaganga bawe kugira ngo mugabanye ibyago byo kwandura. Ibi bishobora kuba harimo kwirinda imihana mu gihe cy'icyorezo cya grippe cyangwa gufata imiti irinda kwandura mu bihe bimwe na bimwe.

Wibuke ko n'abantu bakora ibintu byose “neza” bashobora kwandura lymphoma, nuko ntukwiye kwibasira niba ubonye iyi ndwara. Ibanda ku byo ushobora kugenzura kandi ube ufite itumanaho ryiza n'abaganga bawe.

Lymphoma ya Non-Hodgkin imenyekanwa gute?

Kumenya lymphoma ya Non-Hodgkin bisaba intambwe nyinshi kugira ngo hemezwe ko iyi ndwara iriho kandi hamenyekane neza ubwoko bwayo. Uru rugendo rusanzwe rutangira muganga abonye imiyoboro y'amaraso yaguka mu isuzuma rya kimwe cyangwa igihe umuntu avuga ibimenyetso bishishikaje.

Isuzuma ry'ingenzi ni ugusuzumwa kw'umusemburo w'umwanya waguka, aho igice cy'umusemburo waguka gikurwaho maze kigasuzumwa muri mikoroskopi. Ni bwo buryo bwonyine bwo kumenya lymphoma neza no kumenya ubwoko bwayo.

Urugendo rwawe rwo kuvura rushobora kuba rurimo ibizamini bikurikira:

• Suzuma ry’umubiri: Muganga wawe azasuzumira aho imiyoboro y’amaraso yagutse, umwijima cyangwa umwijima
• Biopsie y’umunyota: Gukuraho igice cyangwa byose by’umunyota kugira ngo bisuzumwe hakoreshejwe microscope
• Ibizamini by’amaraso: Igipimo cyuzuye cy’amaraso, ibizamini by’imikorere y’umwijima n’impimba, n’igipimo cya lactate dehydrogenase
• Isuzuma ry’amashusho: CT scan, PET scan, cyangwa MRI kugira ngo harebwe uburemere bw’indwara mu mubiri wawe wose
• Biopsie y’amasogwe y’inyuma: Igice gito kivuye mu gice cy’ugufa ryo mu kibuno kugira ngo harebwe niba lymphoma yarahaciye

Ibindi bizamini byihariye bikorwa ku mubiri wavuye mu buzima bifasha kumenya neza ubwoko bwa lymphoma. Ibi birimo immunohistochemistry, flow cytometry, na rimwe na rimwe ibizamini bya gene kugira ngo harebwe impinduka runaka mu mubiri.

Uburyo bwose bwo kuvura busanzwe bwarama ibyumweru bike, nubwo itsinda ryanyu ry’ubuvuzi rizashyira imbere ibintu byihutirwa. Iyo ibisubizo byose bibonetse, muganga wawe azasobanura uburwayi bwawe bw’umwihariko kandi azaganira ku buryo bwiza bwo kuvura buhuye n’imimerere yawe.

Ni iki kivura lymphoma idahuje na Hodgkin?

Kuvura lymphoma idahuje na Hodgkin bitandukanye cyane bitewe n’ubwoko bw’indwara ufite, aho yageze, n’ubuzima bwawe muri rusange. Zimwe muri lymphoma zikura buhoro zishobora kutakeneye kuvurwa vuba, mu gihe ubwoko bw’indwara bukorana ubukana bukenera kuvurwa vuba.

Gahunda yawe yo kuvura izahuzwa n’ibintu nk’imyaka yawe, ubuzima bwawe muri rusange, ubwoko bwa lymphoma, n’icyiciro cy’indwara. Intego ishobora kuba iyo gukiza kuri bimwe mu bwoko, mu gihe kuri ibindi ari ukugumisha indwara mu gihe kirekire mugihe ubuzima bwawe bumeze neza.

Uburyo busanzwe bwo kuvura burimo:

• Gutegereza no gukurikirana: Gukurikirana lymphoma ikura buhoro itazigera itera ibimenyetso
• Chimiothérapie: Imiti ihitana cellules z’imikaya, ikunze gutangwa mu buryo bwa gahunda zihuriweho
• Immunothérapie: Ubuvuzi bufasha système y’ubudahangarwa bwawe kurwanya lymphoma
• Ubuvuzi bugamije: Imiti igaba igitero ku bintu byihariye bya cellules z’imikaya
• Radiothérapie: Imbaraga nyinshi zibanda ku turere dufite lymphoma
• Gusimbuza cellules souches: Ku bintu bimwe na bimwe, cyane cyane niba lymphoma isubiye nyuma yo kuvurwa bwa mbere

Abantu benshi bakira ubuvuzi buhuriweho, nka chimiothérapie hamwe na immunothérapie. Ubuvuzi busanzwe butangwa mu bihe, aho igihe cyo kuvurwa gikurikirwa n’igihe cyo kuruhuka kugira ngo umubiri wawe ubone uko uruhukira.

Itsinda ryawe ry’ubuvuzi rizakurikirana uko ubuvuzi bugufasha binyuze mu bipimo by’amaraso bisanzwe n’ubushakashatsi bw’amashusho. Bazanagenzura ingaruka zose uzagira kandi bagahindura gahunda yawe y’ubuvuzi uko bikenewe. Ubuvuzi bugezweho bwateje imbere cyane ibyavuye mu bantu benshi bafite lymphoma idahuje na Hodgkin.

Nigute wakwitwara ibimenyetso murugo mu gihe cyo kuvurwa lymphoma idahuje na Hodgkin?

Kwitwara ibimenyetso n’ingaruka mbi murugo ni igice cy’ingenzi cy’inzira yawe yo kuvurwa lymphoma. Ukorana bya hafi n’itsinda ryawe ry’ubuvuzi, ushobora gufata intambwe nyinshi kugira ngo wumve wishimye kandi ukomeze imbaraga zawe mu gihe cyo kuvurwa.

Uburwayi ni kimwe mu bibazo bisanzwe ushobora guhura na byo. Tega amatwi umubiri wawe kandi uruhuke igihe ukeneye, ariko gerageza kuguma ukora imyitozo myoroheje nko kugenda utoroshye cyangwa kwicara uko imbaraga zawe zibikwemerera.

Dore ingamba zifatika abantu benshi babona ko zifasha:

• Ubufasha mu mirire: Funga ibiryo bike, bikunze, kandi uhore wisukura amazi; tekereza ku bijyanye n’imiti y’imirire niba byagutegetswe
• Kwirinda kwandura: Koga intoki kenshi, wirinde imihana iyo ubudahangarwa bw’umubiri bwawe buri hasi, kandi ubwira umuganga ako kanya igihe ufite umuriro
• Gucunga isesemi: Funga ibiryo bidakomeye, gerageza icyayi cya jinja, kandi ufate imiti yo kurwanya isesemi nk’uko wagendewe
• Kwita ku ruhu: Koresha ibintu bidakomeye, bidafite impumuro nziza, kandi urinde uruhu rwawe izuba
• Ubufasha bwo mu mutwe: Jya mu matsinda y’ubufasha, kora imyitozo yo kwiruhura, cyangwa tekereza ku bijyanye n’ubujyanama

Komeza ibitabo by’ibimenyetso kugira ngo ukurebe uko wumva kandi usangire ayo makuru n’itsinda ryawe ry’ubuvuzi. Bashobora guhindura imiti cyangwa bagatanga ingamba z’inyongera hashingiwe ku byo ukeneye.

Ntuzuzagira ikibazo cyo guhamagara itsinda ryawe ry’abaganga niba ufite umuriro, ibimenyetso by’ubwandu, isesemi cyangwa kuruka bikomeye, cyangwa ibindi bimenyetso bikubangamira. Bahari kugufasha mu ntambwe zose zo kuvurwa.

Wategura gute uruzinduko rwawe kwa muganga?

Gutegura gahunda yawe bifasha guhamya ko ukoresha neza igihe cyawe n’itsinda ryawe ry’ubuvuzi. Zana urutonde rw’ibimenyetso byawe byose, igihe byatangiye, n’uko byahindutse uko iminsi igenda.

Tekereza kuzana umuntu wo mu muryango cyangwa inshuti yizewe mu nama z’ingenzi. Bashobora kugufasha kwibuka amakuru no gutanga ubufasha bwo mu mutwe mu biganiro ku bijyanye n’uburwayi bwawe n’uburyo bwo kuvurwa.

Dore ibyo ugomba gutegura mbere y’uruzinduko rwawe:

• Igihe cy’ibimenyetso: Igihe buri kimwe mu bimenyetso cyatangiye n’ukuntu cyagiye gikura
• Imiti ukoresha ubu: Harimo imiti ivugwa na muganga, imiti igurwa mu maduka, n’ibindi biyongera
• Amateka y’ubuzima: Indwara wari wararwaye, ibyabaga wari warakoze, n’amateka y’umuryango wawe ku bijyanye na kanseri
• Amakuru y’ubwisungane: Zana amakarita yawe y’ubwisungane kandi menya uko ukingiwe
• Urutonde rw’ibibazo: Andika byose ushaka kubaza kugira ngo utabyibagirwa

Tegura ibibazo ku bijyanye n’uburwayi bwawe, uburyo bwo kuvura, ingaruka zishoboka, n’icyo witeze mu gihe cyo kuvurwa. Baza ku bijyanye n’ubufasha bwo mu mutwe, inama ku mirire, cyangwa ubufasha bwamafaranga niba bikenewe.

Ntukabe unyotewe no kubaza ibibazo byinshi cyangwa kwandika mu gihe cy’isuzumwa ryawe. Itsinda ry’abaganga bawe rishaka ko wumva uburwayi bwawe kandi ukaba wizeye gahunda yawe yo kuvurwa.

Ni iki gikuru wakuramo ku bijyanye na lymphoma idahuje na Hodgkin?

Lymphoma idahuje na Hodgkin ni kanseri ikomeye ariko ikunda kuvurwa, ikaba igira ingaruka ku mikorere ya lymph. Nubwo kubona iyi ndwara bishobora kuguha ikibazo, ni ingenzi kumenya ko uburyo bwo kuvura bwarateye imbere cyane mu myaka ya vuba, kandi abantu benshi bakomeza kubaho ubuzima buzuye kandi bukorwa.

Ipfundo ry’igikorwa cyiza ni ugukorana bya hafi n’itsinda ry’abaganga bafite ubunararibonye, bashobora gutegura gahunda yo kuvura ihuye n’ubwoko bwa lymphoma ufite n’imimerere yawe bwite. Urugendo rwa buri muntu ni rwose, kandi itsinda ryawe ry’abaganga rizakuyobora mu ntambwe zose.

Wibuke ko kugira ubufasha bigira uruhare runini mu byo uba uhangayikishijwe. Yaba umuryango, inshuti, amatsinda y’ubufasha, cyangwa abajyanama b’abahanga, ntutinye kwiringira abandi muri iki gihe.

Komeza umenye uko uhagaze, ariko kandi wizeye ubumenyi bw’abaganga bawe. Ibanda ku byo ushobora kugenzura, nko gukurikiza gahunda yawe yo kuvurwa, kugira imirire myiza, no kwita ku mimerere yawe yo mu mutwe. Hamwe n’ubuvuzi bukwiye n’ubufasha, abantu benshi barwaye lymphoma idahuje na Hodgkin babayeho neza imyaka myinshi.

Ibibazo bikunze kubaho ku lymphoma idahuje na Hodgkin

Ese lymphoma idahuje na Hodgkin irazimukira?

Lymphoma idahuje na Hodgkin ntabwo ikunze kuzimukira uhereye ku babyeyi ku bana. Nubwo kuba ufite umuntu wo mu muryango ufite lymphoma byongera gato ibyago byawe, umubare munini w’ababirwaye baba badafite amateka y’iyo ndwara mu muryango wabo. Ihinduka rya gene rijyana na lymphoma rikunze kuba mu gihe umuntu abaho aho kuba ryakomotse mu muryango.

Lymphoma idahuje na Hodgkin ikwirakwira vuba gute?

Umuvuduko wo gukwirakwira utandukanye cyane bitewe n’ubwoko bwa lymphoma idahuje na Hodgkin ufite. Ubwoko butinda gukura bushobora gutinda amezi cyangwa imyaka nta bimenyetso bigaragara, mu gihe ubwoko bukomeye bushobora gukura no gukwirakwira mu byumweru bike. Muganga wawe azakubwira uburyo ubwoko bwawe bw’umwihariko butera imbere kandi impamvu ibi bigira ingaruka ku gihe cyawe cyo kuvurwa.

Ese lymphoma idahuje na Hodgkin irashobora gukira?

Uduce twinshi twa lymphoma idahuje na Hodgkin dushobora gukira, cyane cyane iyo ifashwe hakiri kare kandi ivuwe uko bikwiye. Ubwoko bumwe bukomeye bufite ijanisha ryinshi ry’abakira hamwe n’ubuvuzi bugezweho, mu gihe ubwoko butinda gukura bushobora gufatwa nk’indwara zidakira imyaka myinshi. Ibyiringiro byawe biterwa n’ibintu nko kumenya ubwoko, icyiciro cyo kuvumburwa, imyaka yawe, n’ubuzima bwawe muri rusange.

Ni iki gitandukanya lymphoma ya Hodgkin na lymphoma idahuje na Hodgkin?

Itandukaniro nyamukuru riri mu bwoko bw’uturemangingo tugize indwara n’uburyo kanseri ikwirakwira. Lymphoma ya Hodgkin ikubiyemo uturemangingo twihariye twitwa Reed-Sternberg, kandi isanzwe ikwirakwira mu buryo buteganijwe kuva ku itsinda ry’ingingo z’amaraso rimwe ujya ku rindi. Lymphoma idahuje na Hodgkin nta turemangingo nk’utwo ifite, kandi ishobora kugaragara mu bice byinshi by’umubiri, bitandukanye, icyarimwe.

Mbese nzatakaza umusatsi wanjye mu gihe cyo kuvurwa?

Gutakaza umusatsi biterwa n’uburyo bw’ivura uhabwa. Bimwe mu buryo bwo kuvura kanseri binyuze mu miti isanzwe bituma umusatsi utakara, mu gihe ibindi bishobora gutuma ugabanuka gusa. Uburyo bwo kuvura binyuze mu kurasa imirasire isanzwe bugira ingaruka ku musatsi wo mu gice kivuwe gusa. Itsinda ry’abaganga bakuvura rizaganira namwe ku byo kwitega mu buryo bwanyu bw’ivura, kandi bazabafasha kubona amakuru yerekeye imisatsi y’imiti, amakariso, cyangwa ibindi bintu byo kwambara ku mutwe mu gihe bibaye ngombwa.