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Lymphoma rudzi rwekenza yeruoko inotanga munzira yako yer lymphatic, iri chikamu chechikamu chemuviri wako chinorwisa hutachiona. Fungidzira nzira yako yer lymphatic sehwai yezvikepe nezvikwereti zvinobatsira sisitimu yako yekudzivirira kubva kune zvipembenene nezvirwere.
Kana uine lymphoma, mamwe masero machena eropa anonzi lymphocytes anotanga kukura zvisina kujairika uye kuwanda zvisina kumira. Aya masero ekenza anogona kuunganidzwa mu lymph nodes dzako, spleen, bone marrow, nezvimwe zvikamu zvemuviri wako. Kunyange kunzwa kuti "kenza" kunogona kunzwa kwakanyanya, marudzi mazhinji e lymphoma anopindura zvakanaka pakurapa, uye mamirioni evanhu vanorarama hupenyu hwazvo hwese, hwakanaka mushure mekuongororwa.
Vanachiremba vanoparadzanisa lymphoma mumapoka maviri makuru zvichienderana nekuti masero ekenza anoita sei pasi pemikroskopu. Kunzwisisa rudzi rwuri newe kunobatsira timu yako yekurapa kusarudza nzira yekurapa inonyanya kushanda.
Hodgkin lymphoma ine masero asingawanzoitika anonzi Reed-Sternberg masero anoita zvakasiyana ne lymphocytes dzakajairwa. Rudzi urwu runowanzopararira munzira yakarongeka kubva kuboka rimwe re lymph node kuenda kune rimwe riri pedyo. Anenge 10% ye lymphoma yese ndiyo Hodgkin lymphoma, uye kazhinji ine migumisiro yakanaka yekurapa.
Non-Hodgkin lymphoma inosanganisira mamwe marudzi ese e lymphoma asingasanganisi Reed-Sternberg masero. Boka iri rinozivikanwa zvikuru, richigadzira anenge 90% ye lymphoma kesi. Non-Hodgkin lymphoma inogona kupararira munzira isina kurongeka mumuviri wako uye inosanganisira mazana emarudzi akasiyana.
Mukati memapoka makuru aya, lymphomas inoramba ichinyorwa se indolent (inokura zvishoma nezvishoma) kana aggressive (inokura nekukurumidza). Lymphomas dzinoenda zvishoma nezvishoma hadzifanire kurapwa nekukurumidza, nepo marudzi anokurumidza kazhinji anoda kutarisirwa kwakakurumidza kwemishonga.
Zviratidzo zve lymphoma kazhinji zvinoonekwa zvishoma nezvishoma uye zvinogona kunzwa zvakafanana nezvirwere zvakajairika senge chikosoro kana fivha. Vanhu vazhinji havazivi kuti chimwe chinhu chakakomba chiri kuitika pakutanga, izvo zvakajairwa chaizvo.
Zviratidzo zvakajairika izvo muviri wako ungaratidza zvinosanganisira:
Vamwe vanhu vanonzwawo zviratidzo zvisingawanzoitika senge kurwadziwa pabvudzi, kurwadziwa mudumbu kana kuzvimba, kana kunzwa vakazara mushure mekudya zvishoma. Yeuka kuti kuva nezviratidzo izvi hazvirevi kuti une lymphoma, sezvo mamiriro akawanda anogona kukonzera zviratidzo zvakafanana.
Chikonzero chaicho che lymphoma hachizivisike zvizere, asi vatsvakurudzi vanotenda kuti chinoitika kana DNA yako ikakuvadzwa mu lymphocytes dzakati. Kukuvadzwa uku kunokonzera masero kukura uye kuwanda zvisina kumira panzvimbo yekutevera hupenyu hwavo hwenguva dzose.
Zvinhu zvakati zvinogona kuita kuti kukuvadzwa uku kumasero kuitike:
Mu zviitiko zvisingawanzoitika, zvinhu zve genetic zvinogona kutamba basa, kunyanya kana uine nhoroondo yemhuri ye lymphoma kana mamwe marudzi ekensa eropa. Nekudaro, vanhu vazhinji vane lymphoma havazivi zvinhu zvinokonzera njodzi, uye kuva nezvinhu zvinokonzera njodzi hazvirevi kuti ucharwara nechirwere ichi.
Kunyangwe ani zvake anogona kuwana lymphoma, zvinhu zvakati zvinogona kuwedzera mikana yako yekuwana rudzi urwu rwekensa. Kunzwisisa izvi zvinhu zvinokonzera njodzi kunogona kukubatsira kuva nehurukuro dzakarongeka nachiremba wako.
Zera rinotamba basa rakakura, nemarudzi mamwe ayo anowanzoitika muvakuru vakwegura nepo mamwe achikanganisa vanhu vaduku. Mazhinji e Non-Hodgkin lymphomas anoitika kune vanhu vane makore anopfuura 60, nepo Hodgkin lymphoma ine mapoka maviri ezera: vanhu vari mumakore avo makumi maviri nematatu, uye avo vane makore anopfuura 55.
Zvimwe zvinhu zvinogona kuwedzera njodzi yako zvinosanganisira:
Zvinhu zvisingawanzoitika zvinokonzera njodzi zvinosanganisira kuonekwa ne atomic bomb radiation, mamwe ma syndromes e genetic akafanana ne ataxia-telangiectasia, uye kuonekwa kwakakosha mukurima kana maindasitiri emakemikari. Kuva nezvinhu zvinokonzera njodzi hazvirevi kuti ucharwara ne lymphoma, uye vanhu vazhinji vane zvinhu zvakawanda zvinokonzera njodzi havazombotauri chirwere ichi.
Unofanira kubata nehutano hwako kana ukaona zviratidzo zvinoramba zvichiitika kwemavhiki anopfuura maviri pasina kugadziriswa. Kunyangwe zviratidzo izvi zvine tsananguro dzakanaka, zvakakosha kuti uzviongorore.
Rongedza musangano nekukurumidza kana ukaona lymph nodes dzakazvimba dzisingarwadzi uye dzisingadzikami mushure memavhiki mashoma. Lymph nodes dzakajairwa kazhinji dzinozvimba kana uri kurwisa hutachiona wobva wadzoka kukukura kwadzo kazhinji, asi kuzvimba kunokonzerwa ne lymphoma kazhinji kunoramba kuripo.
Tsvaka rubatsiro rwekurapa nekukurumidza kana uine:
Usanetseka kufona chiremba wako kunyangwe usina chokwadi kana zviratidzo zvako zvakakomba zvakakwana. Kuonekwa kwakakurumidza nekurapa kunotungamira kumigumisiro iri nani, uye timu yako yekurapa inoda kuongorora zviratidzo zvinoratidzika kuva zvakanaka pane kusapotsa chimwe chinhu chakakosha.
Lymphoma inogona kukonzera matambudziko akasiyana-siyana, kubva muchirwere pachacho uye dzimwe nguva kubva kurapa. Kunzwisisa izvi zvinogona kukubatsira kushanda nechikwata chako chekurapa kudzivirira kana kudzora zvakanyanya.
Kenza pachayo inogona kukonzera matambudziko sezvo ichifambira mberi:
Matambudziko anokonzerwa nekurapa anogonawo kuitika, kunyange zvazvo kurapa kwazvino kwave kwakachengeteka zvikuru nekufamba kwenguva. Chemotherapy inogona kuderedza nhamba yemasero eropa ako, kuwedzera njodzi yehutachiona, kana kukonzera kusvotwa nekuneta. Vamwe vanhu vanonzwa neuropathy (kukuvadzwa kwetatu) kana matambudziko emwoyo kubva kumishonga yakati.
Zvinetso zvisingawanzoitika asi zvakakomba zvinosanganisira tumor lysis syndrome, uko masero ekensa anoparara nekukurumidza zvokuti anokanganisa itsvo dzako, uye kuchinja kwe lymphomas dzinoenda zvishoma nezvishoma kuita marudzi anokurumidza. Kensa yechipiri inogona kuitika makore gare gare kune vamwe vanhu vakagamuchira radiation therapy kana mishonga yakati yekemotherapy.
Kuziva lymphoma kunosanganisira nhanho dzakati dzinoita kuti chiremba wako aone chirwere ichi uye aone rudzi rwakakosha rwaunaro. Maitiro acho kazhinji anotanga nekuongororwa kwemuviri uye hurukuro yenhoroondo yekurapa.
Chiremba wako achaona lymph nodes dzakazvimba muchiuno chako, armpits, uye groin area, uye achakubvunza nezvezviratidzo zvako uye kuti wakanga uchizvinzwa kwenguva yakareba sei. Kuongororwa kweropa kunogona kuratidza mazinga asingawanzoitika emamwe masero kana makemikari anoratidza lymphoma, kunyange zvazvo asingagoni kuziva zvizere.
Kuongororwa kwakakosha kwazvo ndiko lymph node biopsy, uko chiremba wako anobvisa zvese kana chikamu che lymph node yakazvimba kuti iongororwe pasi pemikroskopu. Maitiro aya anogona kuitwa ne local anesthesia munzvimbo yekurapa kwevarwere. Dzimwe nguva, vanachiremba vanoda kushandisa imaging guidance kana kuita maitiro maduku ekurapa kuti vasvike ku lymph nodes dziri mukati memuviri wako.
Kuongororwa kuwedzerwa kunobatsira kuona kuti lymphoma yakapararira sei:
Kuongororwa uku kunobatsira timu yako yekurapa kuisa lymphoma yako, zvinoreva kuona kuti yakakura sei uye zvikamu zvemuviri wako zvakakanganiswa. Ruzivo urwu rwekuisa rwakakosha pakuronga nzira yekurapa inonyanya kushanda.
Kurapa kwe lymphoma kwakavandudzwa zvikuru mumakore mashoma apfuura, nevanhu vazhinji vachiwana remission yakazara uye vachirarama hupenyu hwenguva dzose. Chirongwa chako chekurapa chinotsamira parudzi rwe lymphoma raunaro, kuti yakakura sei, uye hutano hwako hwese.
Kune lymphomas dzinoenda zvishoma nezvishoma (indolent) dzisingakonzere zviratidzo, chiremba wako anogona kukurudzira active surveillance, inonziwo "tarisa uye mirira." Nzira iyi inosanganisira kuongororwa nguva dzose pasina kurapwa nekukurumidza, sezvo lymphomas idzi kazhinji dzinoenda zvishoma nezvishoma zvokuti kurapwa kunogona kunonoka pasina kukuvadza.
Kana kurapwa kuchidikanwa, sarudzo dzakawanda dzinoshanda dziripo:
Vanhu vazhinji vanowana kurapwa kwakabatana kunoshanda pamwe chete zvakanyanya kupfuura kurapa kwakasiyana. CAR T-cell therapy, kurapa kwatsva, kunosanganisira kuchinja masero ako e immune kuti arwise lymphoma zviri nani. Oncologist wako achakutsanangurira kurapa kunonyanya kukodzera mamiriro ako chaiwo.
Nguva yekurapa inosiyana zvikuru, kubva mwedzi mishoma kusvika kupfuura gore, zvichienderana nerudzi rwe lymphoma yako uye kupindura kurapa. Kurapa kwakawanda kunopiwa mumapoka nemazororo pakati kuti muviri wako udzore.
Kutarisira iwe pachako kumba kunotamba basa rinokosha mukurapa kwako kwe lymphoma nekudzoreredzwa. Matanho ari nyore anogona kukubatsira kunzwa zvakanaka uye kuderedza njodzi yako yematambudziko panguva yekurapa.
Kuzvidzivirira kubva kuhutachiona kunova kwakakosha zvikuru sezvo lymphoma nekurapa kwayo kunogona kuderedza immune system yako. Geza maoko ako kazhinji, dzivisa mapoka panguva yemavhiki ekutonhora nechikoro, uye usaswedera pedyo nevanhu vanorwara zvakajeka.
Kuchengetedza chikafu chakanaka kunobatsira muviri wako kubata nekurapa uye kurapa zvakanyanya:
Kuita zvemitambo zvishoma nezvishoma, kana uchizvinzwa, kunogona kubatsira kuchengetedza simba rako nemaitiro ako. Kunyange kufamba kwenguva pfupi kana kutambanudza kwakapfava kunogona kuita musiyano mukunzwa kwako. Teerera kumuviri wako uye zorora kana uchida.
Kutarisira kushushikana uye hutano hwepfungwa kwakakoshawo. Funga kubatana nechikwata chekutsigira, kuita matekiniki ekusununguka, kana kutaura nemunyori anokwanisa kubatsira vanhu vane kenza. Nzvimbo dzakawanda dzekensa dzinopfumisa masevhisi aya sechibvumirano chekurapa kwakazara.
Zvinosuruvarisa, hapana nzira yakavimbika yekudzivirira lymphoma sezvo kazhinji kesi dzinowanikwa kune vanhu vasina zvinhu zvinozivikanwa zvinokonzera njodzi. Nekudaro, unogona kutora matanho kuderedza njodzi yako uye kuchengetedza hutano hwese.
Kudzivirira immune system yako kunobatsira kuderedza njodzi yako yehutachiona hunogona kuita kuti lymphoma ibude. Izvi zvinosanganisira kuwana majekiseni akakurudzirwa, kuita zvepabonde zvakachengeteka kudzivirira HIV nehepatitis infections, uye kurapa chero zvirwere zve autoimmune zvakanaka nekurayirwa kwachiremba wako.
Sarudzo dzehupenyu dzinosimudzira hutano hwako hwese dzinogona kubatsirawo:
Kana uine zvinhu zvinokonzera njodzi senge nhoroondo yemhuri yekensa eropa kana kurapwa kwekare kwekensa, kurukura nezvekuongororwa kwakakodzera nachiremba wako. Kuongororwa nguva dzose kunogona kubatsira kuona chero matambudziko pakutanga kana ari kurapika zvikuru.
Kune vanhu vane immune systems dzakasimba nekuda kwekusimudzira nhengo kana HIV, kushanda pedyo nevanachiremba kuti vadzore mamiriro aya zvakanyanya kunogona kubatsira kuderedza njodzi ye lymphoma.
Kuagadzirira musangano wako kunobatsira kuve nechokwadi chekuti unowana zvakanyanya kubva panguva yako nehutano hwako uye usakanganwa kukurukura zvinhu zvakakosha kana zviratidzo.
Usati wasvika, nyora zviratidzo zvako zvese, kusanganisira kuti zvakatanga riini uye zvakachinja sei nekufamba kwenguva. Sanganisira ruzivo senge kana lymph nodes dzakazvimba dzichinzwika, kuti wakarasikirwa uremu hwakawanda sei, kana kuti night sweats dzinoita sei kurara kwako.
Unganidza ruzivo rwakakosha kuti uunze newe:
Gadzira runyorwa rwemibvunzo yaunoda kubvunza chiremba wako. Mibvunzo yakakosha inogona kusanganisira kuti kuongororwa kupi kunodiwa, kuti migumisiro inorevei, kuti ndeapi maitiro ekurapa aripo, uye kuti chii chaunofanira kutarisira panguva yekurapa.
Funga kuunza nhengo yemhuri yakavimbika kana shamwari kumusangano wako. Vanogona kukubatsira kuyeuka ruzivo rwakakurukurwa panguva yekushanya uye kupa rutsigiro rwepfungwa. Vanhu vazhinji vanowana kubatsira kunyora kana kubvunza kana vanogona kurekodha hurukuro yacho kuti vaishandisa gare gare.
Lymphoma boka rakaoma remakenza eropa, asi tarisiro kune vanhu vazhinji vakawana chirwere ichi nhasi ine tariro yakawanda kupfuura zvaive kare. Kuvandudzwa mukurapa kwachinja lymphoma kubva muchirwere chinouraya zvese kuenda kune chimwe chinhu apo vanhu vazhinji vanowana remission yakazara uye vanorarama hupenyu hwenguva dzose.
Kuonekwa kwakakurumidza kunokosha kwazvo mumigumisiro yekurapa, saka usarega zviratidzo zvinoramba zvichiitika senge lymph nodes dzakazvimba dzisingarwadzi, kuneta kusina kujairika, kana kurasikirwa uremu kusina kujairika. Kunyangwe zviratidzo izvi zvine zvikonzero zvakanaka, zviri nani nguva dzose kuti zviongororwe nehutano hwehutano.
Yeuka kuti lymphoma inokanganisa munhu wese zvakasiyana, uye ruzivo rwako runogona kusiyana zvachose nezvaunoverenga online kana kunzwa kubva kune vamwe. Timu yako yekurapa ichaita newe kuti ugadzire chirongwa chekurapa chakagadzirirwa iwe pachako zvichienderana nerudzi rwe lymphoma yako, nhanho yayo, uye hutano hwako hwese.
Rutsigiro rwuripo mukufamba kwako kwese, kubva kune vanachiremba kusvika kumapoka ekutsigira kusvika kumhuri neshamwari. Usanetseka kukumbira rubatsiro kana uchida, kungava rubatsiro rwakakosha mumabasa ezuva nezuva kana rutsigiro rwepfungwa kuti ubate nematambudziko ekurapa nekurapa.
Kwete, lymphoma haiurayi nguva dzose. Marudzi mazhinji e lymphoma anorapika zvikuru, uye huwandu hwevanorarama hwakavandudzwa zvikuru mumakore mashoma apfuura. Mamwe lymphomas anoenda zvishoma nezvishoma anogona kutarisirwa kwemakore mazhinji, nepo mamwe anogona kupora zvachose. Tarisiro inotsamira parudzi rwe lymphoma, kuti yakakura sei kana yakawanikwa, uye kuti inopindura sei kurapa. Oncologist wako anogona kukupa ruzivo rwakakosha zvichienderana nemamiriro ako chaiwo.
Hongu, lymphoma inogona kupararira kubva kwaakatanga kuenda kune dzimwe nzvimbo dzesystem yako yer lymphatic uye kupfuura. Kusiyana nemamwe marudzi ekensa anopararira munzira dzakafanotaurwa, lymphoma inogona kuoneka munzvimbo dzakawanda panguva imwe chete kana kuenda kune dzimwe nzvimbo. Nekudaro, izvi hazvirevi kuti prognosis yakaipa, sezvo kurapa kwakawanda kwe lymphoma kwakagadzirirwa kushanda mumuviri wako wese. Timu yako yekurapa ichaita bvunzo dzekuisa kuti ione kuti lymphoma yakapararira sei uye kuronga kurapa zvakakodzera.
Nguva yekurapa inosiyana zvikuru zvichienderana nerudzi rwe lymphoma yako uye chirongwa chekurapa. Vamwe vanhu vanopedza kurapa mumazuva matatu kusvika ku6, nepo vamwe vangada kurapwa kweanopfuura gore. Lymphomas dzine simba kazhinji dzinoda nguva pfupi, kurapwa kwakanyanya, nepo marudzi anoenda zvishoma nezvishoma angada nzira refu, dzakapfava. Vamwe vanhu vane indolent lymphomas vangasada kurapwa nekukurumidza. Oncologist wako achakukurukura nguva inotarisirwa yechirongwa chako chekurapa.
Hongu, vana vanogona kuwana lymphoma, kunyange zvazvo isingawanzoitika kupfuura muvakuru. Hodgkin lymphoma kazhinji inokanganisa vechidiki nevakuru vaduku, nepo mamwe marudzi e Non-Hodgkin lymphoma anogona kuitika kuvana vaduku. Lymphomas yevana kazhinji inopindura zvakanaka pakurapa, nehuwandu hwekuporesa hunowanzova hwakakwirira kupfuura hunoonekwa muvakuru. Pediatric oncologists vanokwanisa kurapa vana vane lymphoma uye vanoshandisa nzira dzekurapa dzakagadzirirwa miviri inokura.
Vanhu vazhinji vanokwanisa kuramba vachishanda panguva yekurapa kwe lymphoma, kunyange zvazvo ungada kuita mamwe marongero kune chirongwa chako kana mabasa. Kukanganisa pakukwanisa kwako kushanda kunotsamira parudzi rwekurapa rwako, kuti unopindura sei, uye rudzi rwebasa rako. Vamwe vanhu vanoshanda nguva yakazara nemarongero maduku, vamwe vanoshanda hafu yenguva, uye vamwe vanotora zororo rechipatara panguva yekurapa kwakanyanya. Kurukura mamiriro ako ebasa nechikwata chako chekurapa, uye usanetseka kutsvaga nzvimbo dzebasa kana rubatsiro rwekusagadzikana kana zvichidikanwa.