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Lymphoma isiri yeHodgkin rudzi rwekenza inotanga munhevedzano yako yer lymphatic, iri chikamu chechikamu chemuviri wako chekurwisa hutachiona. Kusiyana nekenza dzimwe dzinosara panzvimbo imwe chete, mamiriro ezvinhu aya anoita kuti lymph nodes, spleen, uye mamwe matunhu anokudzivirira kubva pakurwara.
System yako yer lymphatic inoshanda senetwork yekuchengetedza mumuviri wako wese, ine lymph nodes ichishanda semakiriniki anobvisa zvinhu zvinokuvadza. Kana Lymphoma isiri yeHodgkin ikakura, mamwe masero machena eropa anonzi lymphocytes anotanga kukura zvisina kujairika uye kuwanda zvisina kumira. Izvi zvinogona kuitika mu lymph nodes kana mamwe matunhu senge mudumbu rako, matumbo, kana bone marrow.
Chiratidzo chekutanga chinonyanya kuzivikanwa kuzvimba kwem lymph nodes mumutsipa wako, armpits, kana groin area. Aya ma nodes akabvaruka anogona kunzwa sekunge ma lumps akasimba, akafanana nemabhandi pasi peganda rako asingakuvadzi kana wawabata.
Vanhu vazhinji vane Lymphoma isiri yeHodgkin vanosangana nezvinotaurwa nachiremba kuti "Zviratidzo zveB," izvo zvinogona kunzwa zvakafanana nekuneta kwenguva refu. Ngationei zviratidzo zvaunogona kuona:
Vamwe vanhu vanogonawo kuona ganda rinonyanya kukwenya pasina kuonekwa kwemavara, kurasikirwa nechido chekudya, kana kunzwa vakazara mushure mekudya zvishoma. Muzviitiko zvisingawanzoitika, unogona kuona kuzvimba pachiso chako kana mutsipa, izvo zvinogona kuitika kana lymph nodes yakakura ikamanikidza ropa.
Zvakakosha kuyeuka kuti zviratidzo izvi zvinogona kuva nezvikonzero zvakasiyana-siyana, uye kuva nazvo hazvirevi kuti une lymphoma. Zvisinei, kana uri kuratidza zviratidzo zvakawanda izvi zvinoramba kwenguva inopfuura mavhiki mashoma, zvinokosha kutaura nachiremba wako.
Non-Hodgkin's lymphoma haisi chirwere chimwe chete asi boka rekenza dzakabatana dzinoita zvakasiyana. Vanachiremba vanoronga lymphoma idzi zvichienderana nekuti inokura nekukurumidza sei uye rudzi rwe lymphocyte runokanganiswa.
Makirasi maviri makuru ndiwo B-cell lymphomas neT-cell lymphomas, mazita acho akatorwa kubva kumasero machena eropa kwaanoitwa kenza. B-cell lymphomas ndizvo zvakajairika zvikuru, zvichiita 85% yezviitiko zvose.
Vanopa utano vanogrupukawo lymphoma idzi zvichienderana nekuti inokura nekukurumidza sei:
Marudzi akajairika anosanganisira diffuse large B-cell lymphoma, follicular lymphoma, ne mantle cell lymphoma. Rudzi rwose rwune nzira yaro yekukura uye rinopindura zvakasiyana-siyana kurapwa, ndosaka kuwana chirwere chakarurama kwakakosha zvikuru kuronga kurapwa kwako.
Chikonzero chaicho cheNon-Hodgkin's lymphoma hachizivikanwi zvizere, asi chinoitika kana kuchinja kweDNA kuchitika mu lymphocytes, zvichiita kuti ikure uye iwedzere zvisina kujairika. Kuchinja uku kwemajini kazhinji kunoitika muhupenyu hwako panzvimbo pekunge kuri nhaka kubva kuvabereki vako.
Kutsvagisa kwakaona zvinhu zvakati wandei zvingakonzera kuchinja uku kweDNA, kunyange zvazvo kuva nezvinhu izvi zvinokonzera ngozi hazvirevi kuti uchazowana lymphoma zvechokwadi. Heino zvatinoziva nezve zvinhu zvinogona kukonzera:
Zera rinotambawo basa, sezvo Non-Hodgkin's lymphoma inowedzera kuwanda sezvo vanhu vakura, nemazhinji acho achionekwa muvanhu vane makore anopfuura 60. Zvisinei, inogona kukanganisa vanhu vemazera ese, kusanganisira vana nevakuru vechidiki.
Zvakakosha kunzwisisa kuti kune vanhu vazhinji vakawanikwa vane Non-Hodgkin's lymphoma, hapana chikonzero chakajeka chinogona kuzivikanwa. Chirwere ichi chinowanzoitika muvanhu vasina zvinhu zvinozivikanwa zvinokonzera ngozi, saka ndapota usaizvipa mhosva kana ukawana chirwere ichi.
Unofanira kubata chiremba wako kana ukaona kuzvimba kwisingarwadzi mu lymph nodes kwenguva inopfuura mavhiki maviri. Kunyange zvazvo lymph nodes dzakazvimba kazhinji dzinokonzerwa nehutachiona hwenguva pfupi, kuzvimba kwenguva refu kunoda kutarisirwa nachiremba.
Zvakakosha zvikuru kuita appointment kana uine zviratidzo zvakawanda pamwechete, sekunge kuzvimba kwe lymph nodes pamwe chete nefevha isinganzwisisike, kupererwa neperspiration usiku, kana kurasikirwa nehuremu hukuru. Aya mapoka ezviratidzo, kunyangwe angave aine zvimwe zvikonzero, anoda kuongororwa nekukurumidza.
Tsvaka kurapwa kwemishonga nekukurumidza kana ukawana zviratidzo zvakakomba senge kuoma kufema, kurwadziwa pabvudzi, kurwadziwa kwakanyanya mudumbu, kana kuzvimba kwakapfupi kumeso kana mutsipa. Muzviitiko zvisingawanzoitika, lymphoma inogona kukonzera mamiriro ekukurumidza anoda kurapwa nekukurumidza.
Yeuka kuti kuonekwa pakutanga kazhinji kunotungamira kumigumisiro iri nani yekurapa. Kana chimwe chinhu chichiita chakasiyana pamusoro pemuviri wako uye zviratidzo zvichienderera mberi, vimba nepfungwa dzako uye taura nechikwata cheutano hwako kuti uwane mazano.
Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana Non-Hodgkin's lymphoma, kunyangwe kuva neimwe kana kupfuura zvinokonzera ngozi hazvirevi kuti uchawana chirwere ichocho. Kunzwisisa zvinhu izvi kunogona kukubatsira iwe nachiremba wako kuti uite sarudzo dzakachenjera pamusoro pekuongorora nekudzivirira.
Zera ndiro chinhu chikuru chinokonzera ngozi, nemukana wekuwana lymphoma iyi uchikwira sezvaunokura. Vanhu vazhinji vanozvirwara vane makore anopfuura 60, kunyangwe ichigona kuitika pazera ripi neripi.
Aya ndiwo makuru emakonzera ngozi vatsvakurudzi vakawana:
Zvimwe zvinokonzera njodzi zvisingawanzoitika zvinosanganisira kuva wakambogamuchira breast implants (zvakabatana nerudzi rwakasiyana rinonzi anaplastic large cell lymphoma) kana kugara munzvimbo dzakati dze geographical dzine huwandu hwakakwirira hwehutachiona hwakati.
Zvakakosha kuziva kuti vanhu vazhinji vane izvi zvinokonzera njodzi havazomboiti lymphoma, uye vanhu vazhinji vanorwara nechirwere ichi havazivi zvinokonzera njodzi zvinobvira.
Non-Hodgkin's lymphoma dzimwe nguva inogona kukonzera matambudziko, kubva muchirwere pachacho kana semhedzisiro yekurapa. Kunzwisisa aya mazano kunokubatsira iwe nechikwata chako chehutano kuti muone zviratidzo zvechigumbuso uye kugadzirisa matambudziko nekukurumidza kana akaitika.
Lymphoma pachayo inogona kukonzera matambudziko apo lymph nodes dzakura kana zvipembenene zvinomanikidza zvikamu zvikuru mumuviri wako. Izvi zvinogona kukonzera kuoma kwekufema kana nodes muchipfuva chako zvikakura kwazvo, kana matambudziko ekugaya kana lymphoma ikakanganisa mudumbu rako.
Matambudziko akajairika iwe nechikwata chako chekurapa muchacherechedza anosanganisira:
Zvinetso zvinokonzerwa nekurapa zvinogona kusanganisira kusvotwa, kuneta, kurasikirwa nevhudzi, kana kuwedzera njodzi yekutapukirwa panguva yechemotherapy. Vamwe vanhu vanogona kuwana matambudziko emwoyo kana matambudziko emapapu kubva kumishonga yakati, kunyangwe aya achitarisirwa zvakanaka.
Mumagariro asingawanzoitika, lymphomas dzakasimba dzinogona kukonzera mamiriro ekukurumidzira senge kuoma kwemutsipa wemutsipa kana kusawirirana kwakasimba kwemuviri. Timu yako yekuchengetedza utano ichakurukura njodzi chaiyo zvichienderana nerudzi rwe lymphoma yako uye chirongwa chekurapa, kuve nechokwadi chekuti unoziva zviratidzo zvekucherechedza.
Zvinosuruvarisa, hapana nzira yakaratidzwa yekudzivirira Non-Hodgkin's lymphoma sezvo nyaya dzakawanda dzinoitika pasina zvikonzero zvinonzwisisika zvinogona kuzivikanwa. Nekudaro, unogona kutora matanho ekuderedza zvimwe zvinokonzera njodzi uye kuchengetedza hutano hwese.
Kuzvidzivirira kubva kune zvimwe zvirwere kunogona kubatsira kuderedza njodzi yako. Izvi zvinosanganisira kuita zvepabonde zvakachengeteka kudzivirira HIV nehepatitis C, uye kurapa hutachiona hwe H. pylori kana hwakawanikwa panguva yekuchengetedza utano hwakajairwa.
Heano matanho anoshanda anogona kubatsira kuderedza njodzi yako:
Kana uine mudziviriri wemumuviri wakakuvadzwa nekuda kwezvirwere zvemuviri kana mishonga, shandira pedyo nechikwata chako chehutano kuti udzivise njodzi yehutachiona. Izvi zvinogona kusanganisira kudzivisa mapoka panguva yechando kana kutora mishonga inodzivirira hutachiona mumamiriro ezvinhu akati.
Yeuka kuti kunyange vanhu vanoita zvese zvakarurama vanogona kuwana lymphoma, saka usazvitume mhosva kana wakagamuchira chirwere ichi. Tarisa pane zvaunogona kudzora uye chengetedza kutaurirana kwakashama nevanachiremba vako.
Kuziva lymphoma yeNon-Hodgkin kunoda matanho akawanda ekutsigira chirwere ichi uye kuona kuti ndemhandoi chaiyo yaunayo. Maitiro acho anowanzo tanga kana chiremba wako akaona lymph nodes dzakura pakuongororwa kwemuviri kana kana ukataura zviratidzo zvinotyisa.
Kuongororwa kwakakosha kwazvo ibiosopy ye lymph node, uko chikamu che node yakakura chinobviswa uye chinoongororwa pasi pemikroskopu. Ndiyo nzira chete yekuziva lymphoma uye kuona rudzi rwayo chaiyo.
Rwendo rwako rwekuongororwa runogona kusanganisira bvunzo idzi dzakakosha:
Kuongororwa kwakasarudzika pane tishu ye biopsy kunobatsira kuziva rudzi rwe lymphoma. Izvi zvinosanganisira immunohistochemistry, flow cytometry, uye dzimwe nguva kuongororwa kwemajini kutsvaga shanduko chaiyo ye chromosome.
Iyo yese nzira yekuongorora inowanzo kutora mavhiki mashoma, kunyangwe timu yako yehutano ichaisa pakati zviitiko zvinokurumidza. Kana mhinduro dzese dzawanikwa, chiremba wenyu achazotsanangura chirwere chako chaicho uye kukurukura nzira yakanakisa yekurapa mamiriro ako.
Kurapa kweNon-Hodgkin's lymphoma kuno siyana zvakanyanya zvichienderana nerudzi rwaunaro, kuti yakapararira sei, uye hutano hwako hwese. Mamwe lymphoma anokura zvishoma angada kurapwa nekukurumidza, nepo marudzi ane utsinye achida kubatwa nekukurumidza.
Chirongwa chako chekurapa chichagadziridzwa zvichienderana nezvinhu zvakaita sezera rako, hutano hwese, rudzi rwe lymphoma, uye nhanho yerwisana. Chinangwa chingave chekurapa marudzi mamwe, nepo kune vamwe chiri chekudzora chirwere kwenguva refu uchichengeta hupenyu hwako hwakanaka.
Nzira dzekurapa dzakajairika dzinosanganisira:
Vanhu vazhinji vanowana kurapwa kwakabatanidzwa, sekurapa kwe chemotherapy pamwe ne immunotherapy. Kurapa kunowanzoitwa mumapoka, nemakore ekurapa anoteverwa nemakore ekumbozorora kuti muviri wako uzorore.
Timu yako yekutarisira utano icharamba ichitarisa kuti uri kupindura sei kurapwa kuburikidza nekuongororwa kweropa uye kuongororwa kwemuviri. Vacharamba vachitarisirawo chero matambudziko aunonzwa uye vachichinja purogiramu yako yekurapa sezvinodiwa. Kurapa kwazvino kwakavandudza zvikuru mugumisiro kune vanhu vazhinji vane Non-Hodgkin's lymphoma.
Kutarisira zviratidzo nematambudziko pamba chikamu chakakosha che rwendo rwako rwekurapa lymphoma. Uchisanganira zvakanaka ne timu yako yekutarisira utano, unogona kutora matanho akati kuti unzwe zviri nani uye kuchengetedza simba rako panguva yekurapa.
Kuneta chimwe chezvinetso zvakajairika zvaunogona kusangana nazvo. Teerera kumuviri wako worara kana uchida, asi edza kuramba uchiita zvishoma nezvikwereti zvipfupi kana kutambanudza kwakasununguka sezvinoita simba.
Heano mazano anoshanda avanhu vazhinji vanowana anobatsira:
Chengetai bhuku rechiratidzo kuti mutevedzere manzwiro enyu uye govanai ruzivo urwu nechikwata chenyu chehutano. Vanogona kugadzirisa mishonga kana kukurudzira nzira dzakawedzerwa zvichienderana nezvinodiwa nemi.
Musazengurirei kufona kuchikwata chenyu chekurapa kana muine fivha, zviratidzo zvehutachiona, kurutsa kwakasimba kana kurutsa, kana chero zviratidzo zvinokunetsai. Varipo kuti vakutsigire pane imwe neimwe nhanho yekufambira mberi kwemishonga yenyu.
Kuagadzirira misangano yenyu kunobatsira kuve nechokwadi chekuti munowana zvakanyanya kubva panguva yenyu nechikwata chenyu chehutano. Uyai nehuremu hwese zviratidzo zvenyu zvinoitika, apo zvakatanga, uye kuti zvakachinja sei panguva.
Funga kuuya nemhuri yakavimbika kana shamwari kumisangano inokosha. Vanogona kukubatsirai kurangarira ruzivo uye kupa rutsigiro rwepfungwa panguva yekukurukura nezve chirwere chenyu nezvinhu zvekurapa.
Heino zvamunofanira kuronga usati wasvika:
Gadzirirai mibvunzo ine chekuita nechirwere chenyu chaicho, nzira dzekurapa, migumisiro inogona kuitika, uye zvamunofanira kutarisira panguva yekurapwa kwenyu. Bvunzai nezvemawanirwo ekutsigira mupfungwa, mazano ekudya, kana rubatsiro rwemari kana zvichidiwa.
Usazvidya mwoyo nezvekubvunza mibvunzo yakawanda kana kutora manotsi panguva yekuonana kwenyu nachiremba. Timu yenyu yekurapa inoda kuti munzwisise mamiriro enyu uye munzwe vakachengeteka nezvechirongwa chenyu chekurapa.
Lymphoma isiri Hodgkin's chirwere chakakomba asi chinowanzo kurapika chekenza chinotapura sisitimu yenyu ye lymphatic. Kunyange zvazvo kugamuchira chirwere ichi kunogona kunzwa kwakanyanya, zvakakosha kuziva kuti kurapwa kwakavandudzika zvikuru mumakore achangopfuura, uye vanhu vakawanda vanorarama hupenyu hwazvo hwese, hwakazara, uye hwakashanda.
Kiyi yemhedzisiro yakanakisa ndeyekushanda pedyo nechikwata chekurapa chine ruzivo icho chinogona kugadzira chirongwa chekurapa chakagadzirirwa rudzi rwenyu rwe lymphoma nemamiriro enyu chaiwo. Rwendo rweumwe neumwe munhu rwakasiyana, uye timu yenyu yezvokurapa ichakutungamirira nhanho imwe neimwe.
Yeuka kuti kuva nekutsigirwa kunoita musiyano wakakura mune zvauri kuita. Kunyangwe iri mhuri, shamwari, mapoka ekutsigira, kana vanokurudzira veunyanzvi, usambofa wakasava nechido chekutsigirwa nevamwe panguva ino.
Rambai makanyatsoziva nezvechirwere chenyu, asiwo vimbai ruzivo rwechikwata chenyu chekurapa. Tarisa pane zvaunokwanisa kudzora, sekutevera chirongwa chako chekurapa, kuchengetedza chikafu chakanaka, uye kutarisira hutano hwako hwemanzwiro. Nekurapa kwakakodzera nekutsigirwa, vanhu vakawanda vane lymphoma yeNon-Hodgkin vanorarama zvakanaka kwemakore mazhinji.
Lymphoma yeNon-Hodgkin haina kunangwa zvakananga kubva kuvabereki kuenda kuvana. Kunyangwe kuva nemumhuri ane lymphoma kuchikwidza njodzi yako zvishoma, chikamu chikuru chezviitiko chinoitika kune vanhu vasina nhoroondo yemhuri yechirwere ichi. Kuchinja kwakawanda kwemajini kunotungamira ku lymphoma kunoitika mukati mehupenyu hwemunhu panzvimbo pekupfuudzwa kuburikidza nemhuri.
Kukurumidza kupararira kuno siyana zvikuru zvichienderana nerudzi rwe lymphoma yeNon-Hodgkin raunaro. Marudzi asingakurumidzi kukura (anokura zvishoma nezvishoma) anogona kukura kwemwedzi kana makore asingakonzere zviratidzo, nepo marudzi anokurumidza kukura anogona kukura nekupararira mukati memavhiki. Chiremba wako achakutsanangurira kuti rudzi rwako rwakakosha runokura nekukurumidza sei uye kuti nei izvi zvichideredza nguva yako yekurapa.
Marudzi mazhinji e lymphoma yeNon-Hodgkin anogona kupora, kunyanya kana akawanikwa pakutanga uye akarapwa zvakakodzera. Mamwe marudzi anokurumidza kukura ane huwandu hwakakwira hwekurapa nekurapa kwazvino, nepo marudzi asingakurumidzi kukura anogona kutarisirwa sezvirwere zvichingogara kwemakore mazhinji. Uprofita hwako hunotsamira pazvinhu zvakaita serudzi rwakakosha, nhanho pakuongororwa, zera rako, uye hutano hwese.
Musiyano mukuru uri mumhando chaiyo yemasero anoita basa uye nzira iyo cancer inopararira nayo. Hodgkin’s lymphoma ine masero akasiyana anonzi Reed-Sternberg cells uye kazhinji inopararira nenzira yakarongeka kubva ku boka re lymph node rimwe kuenda kune rimwe. Non-Hodgkin’s lymphoma haina aya masero chaiwo uye inogona kuoneka munzvimbo dzakawanda, dzakapararira mumuviri panguva imwe chete.
Kupera kwebvudzi kunoenderana nerapiro chaiyo yaunowana. Zvimwe zvirongwa zve chemotherapy kazhinji zvinoita kuti bvudzi riperere, nepo zvimwe zvingangoita kuti rive rakasimba. Radiation therapy kazhinji inongokanganisa bvudzi munzvimbo inorapwa. Timu yako yekuchengetedza utano ichakurukura zvaunofanira kutarisira nerongwa rako rerapiro, uye vanogona kupa zvinhu zvekufukidza musoro kana zvichidiwa.