Iyini i-Lymphoma? Izimpawu, Izimbangela, & Ukwelashwa

I-Lymphoma uhlobo lomdlavuza wegazi oluqala ohlelweni lwakho lwe-lymphatic, oluyingxenye yenethiwekhi yomzimba wakho yokulwa nokutheleleka. Cabanga ngohlelo lwakho lwe-lymphatic njengendlela ephakeme yezitsha nama-node azihlanganisa isimiso sakho sokuvikela ukukuvikela emagcikeni nasezifweni.

Uma une-lymphoma, amaseli amhlophe egazi athile abizwa ngama-lymphocytes aqala ukukhula ngokungajwayelekile futhi azinze ngokungapheli. La maseli omdlavuza angakha kuma-lymph nodes akho, ispleen, ubuhlalu lwamathambo, nezinye izingxenye zomzimba wakho. Nakuba ukuzwa ukuthi “umdlavuza” kungase kubangele ukukhathazeka, izinhlobo eziningi ze-lymphoma ziphendula kahle ekwelapheni, futhi izigidi zabantu baphila impilo egcwele, enempilo ngemuva kokuxilongwa.

Ziyini izinhlobo ze-lymphoma?

Odokotela bahlukanisa i-lymphoma ezinhlotsheni ezimbili eziyinhloko ngokusekelwe ekutheni amaseli omdlavuza abonakala kanjani ngaphansi komkhiqizo. Ukuqonda ukuthi yiluphi uhlobo olulokhu kunceda iqembu lakho lezokwelapha ukukhetha indlela yokwelapha ephumelela kakhulu.

I-Hodgkin lymphoma inamaseli angajwayelekile abizwa ngamaseli eReed-Sternberg abonakala ngokwahlukile kuma-lymphocytes ajwayelekile. Lolu hlobo luhlala lusabalala ngendlela ehlelekile kusuka eqenjini elilodwa le-lymph node kuya kwelinye eliseduze. Cishe i-10% yazo zonke i-lymphomas yi-Hodgkin lymphoma, futhi ngokuvamile inemiphumela emihle yokwelashwa.

I-Non-Hodgkin lymphoma ihlanganisa zonke ezinye izinhlobo ze-lymphoma ezingenawo amaseli eReed-Sternberg. Leli qembu livamile kakhulu, likwenza cishe i-90% yezimangalo ze-lymphoma. I-Non-Hodgkin lymphoma ingasabalala ngendlela engahlelekile emzimbeni wakho futhi ihlanganisa izinhlobo eziningi ezahlukene.

Phakathi kwalezi zinhlobo eziyinhloko, i-lymphomas ihlukaniswa ngokwengeziwe njenge-indolent (ekhula kancane) noma e-aggressive (ekhula ngokushesha). I-lymphomas ekhula kancane ingase ingadingi ukwelashwa okusheshayo, kuyilapho izinhlobo eziqine ngokuvamile zidinga ukunakekelwa kwezokwelapha okusheshayo.

Ziyini izimpawu ze-lymphoma?

Izimpawu ze-lymphoma zivame ukuqala kancane kancane futhi zingazwakala njengezifo ezivamile njengengculazi noma isifo sofriji. Abantu abaningi ababoni ukuthi kukhona okuthile okubi okwenzekayo ekuqaleni, okuvamile ngokuphelele.

Izimpawu ezivame kakhulu umzimba wakho ongazi bonisa zihlanganisa:

• Ama-lymph nodes ahlungene angahluphi, ngokuvamile entanyeni yakho, ezingalweni, noma endaweni yesisu
• Ukukhathala okuqhubekayo okungaphuli ngokuphumula futhi kuchaphazela imisebenzi yakho yansuku zonke
• Ukuvuvukala okungachazeki okuza futhi kuhambe ngaphandle kokutheleleka okubonakalayo
• Ukubila ebusuku okukhulu kangangokuthi kunyakazisa izingubo zakho nembhede
• Ukwehliswa kwesisindo okungacabangiwe okungu-10% noma ngaphezulu kwesisindo somzimba wakho phakathi nezinyanga eziyisithupha
• Ukuhlanza okungapheli noma ukuphefumula okunzima okungaphenduli ekwelapheni okuvamile
• Ukukhahlela kwesikhumba kuwo wonke umzimba wakho ngaphandle kokukhishwa okubonakalayo

Abanye abantu nabo baye baba nezimpawu ezingavamile njengokuhlunguluka kwesifuba, ubuhlungu noma ukukhula kwesisu, noma ukuzizwa begcwele ngemuva kokudla okuncane. Khumbula ukuthi ukuba nalezi zimpawu akusho ukuthi uqaphele i-lymphoma, njengoba izimo eziningi zingabangela izimpawu ezifanayo.

Yini ebangela i-lymphoma?

Imbangela eqondile ye-lymphoma ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ivela lapho i-DNA yakho yonakele kuma-lymphocytes athile. Lolu wonakalo lubangela ukukhula nokukhula kwezisele ngokungenakulawuleka esikhundleni sokulandela umjikelezo wabo ovamile wokuphila.

Izici eziningana zingase zifake isandla kulonakalo lweselula:

• Ukutheleleka ngama-virus njengoba yi-Epstein-Barr virus, isifo se-hepatitis B noma C, noma i-human T-lymphotropic virus
• Ukutheleleka ngama-bacteria njengoba yi-Helicobacter pylori, engabangela i-lymphoma yesisu
• Izinkinga zesimiso somzimba sokuvikela noma izimo ezibuthakathaka isimiso sakho sokuvikela
• Izifo ze-autoimmune njenge-rheumatoid arthritis noma isifo se-celiac
• Ukwelashwa kwesifo samanje ngaphambili kufaka phakathi ama-chemotherapy athile noma ukwelashwa nge-radiation
• Ukudla okuyingozi kwezidakamizwa zezitshalo, izidakamizwa zokubulala ukhula, noma izixazululi zezimboni isikhathi eside

Kwezinye izimo ezingavamile, izici ze-genetic zingase zidlale indima, ikakhulu uma unemlando womndeni we-lymphoma noma ezinye izifo zegazi. Noma kunjalo, abantu abaningi abane-lymphoma abanazo izici ezingozi ezaziwayo, futhi ukuba nezici ezingozi akusho ukuthi uzophuthuma lesi sifo.

Yiziphi izici ezingozi ze-lymphoma?

Nakuba noma ubani angaba ne-lymphoma, izici ezithile zingandisa amathuba akho okuthola lolu hlobo lwesifo somdlavuza. Ukuqonda lezi zici ezingozi kungakusiza ukuba ube nezingxoxo ezinolwazi nodokotela wakho.

Ubudala buthinta kakhulu, ngezinhlobo ezithile eziqhelekile kubantu abadala kanti ezinye zithinta abantu abasebancane. Iningi le-non-Hodgkin lymphomas livela kubantu abadlula u-60, kuyilapho i-Hodgkin lymphoma inamaqembu eminyaka amabili aphezulu: abantu abaseminyakeni yabo engama-20 nama-30, nalabo abadlula u-55.

Ezinye izici ezingandisa ingozi yakho zihlanganisa:

• Ubulili - amadoda amaningi kancane anamathuba okubola yi-lymphoma kunabesifazane
• Isimilo esibuthakathaka somzimba esivela ku-HIV/AIDS, imithi yokutshalwa kwezitho, noma izifo zokuphepha komzimba eziwela ezizukulwaneni
• Umlando womndeni we-lymphoma noma ezinye izifo zegazi
• Ukwelashwa kwesifo somdlavuza ngaphambili ngemithi ethile ye-chemotherapy noma ukukhanya
• Ukutheleleka okuqhubekayo okugcina isimiso sakho sokukhulula umzimba sisebenza njalo
• Ubukhulu bomzimba obungathinta ukusebenza kwesistimu yakho yokukhulula umzimba

Izici ezingavamile zezingozi zihlanganisa ukuboshwa yi-radiation yebhomu le-atomic, izinhlobo ezithile ze-genetic syndromes eziwela ezizukulwaneni njenge-ataxia-telangiectasia, kanye nokuboshwa okuthile emisebenzini yezolimo noma embonini yezinto ezikhiqizwayo. Ukuba nezici zezingozi akusho ukuthi uzobola yi-lymphoma, futhi abantu abaningi abanazo izici eziningi zezingozi abawutholi umkhuhlane.

Nini kufanele ubheke udokotela ngezimpawu ze-lymphoma?

Kufanele uxhumane nodokotela wakho uma ubona izimpawu eziqhubekayo isikhathi esingaphezu kwamasonto amabili ngaphandle kokuthuthuka. Nakuba lezi zimpawu zivame ukuba nezizathu ezingalimi, kubalulekile ukuthi ziqalekwe.

Hlela i-aphoyintimenti ngokushesha uma ubona ama-lymph nodes avuvukile angena buhlungu futhi angancibiliki ngemuva kwamasonto ambalwa. Ama-lymph nodes ajwayelekile avuvukala uma ulwa nokutheleleka bese ebuyela esimeni sawo esivamile, kodwa ukukhula okuhlobene ne-lymphoma kuvame ukuqhubeka.

Funani ukunakekelwa kwezokwelapha ngokushesha uma une:

• Ubunzima obukhulu bokuqeda umoya noma ubuhlungu esifubeni obuthinta imisebenzi yakho yansuku zonke
• Ukuthuthumela okukhulu ngokufudumelela okungaphenduli emithi yokwelapha ethengekayo
• Ukwehla kwesisindo okusheshayo, okungachazeki okungaphezu kwamakhilogremu ayi-10 ngesikhathi esifushane
• Ubuhlungu noma ukukhula okukhulu esiswini obuphazamisa ukudla noma ukulala
• Ukuphumula okukhulu okukuvimbela ekwenzeni imisebenzi evamile

Unganqikazi ukubiza udokotela wakho ngisho noma ungaqiniseki ukuthi izimpawu zakho zinzima ngokwanele. Ukutholakala kwangaphambili nokuphathwa kuholela eziphumeleni ezingcono, futhi iqembu lakho lokunakekelwa kwezempilo lingathanda ukulinganisa izimpawu eziphuma zibe zinhle kunokushiya into ebalulekile.

Ziyini izinhlanganisela ezingaba khona ze-lymphoma?

I-Lymphoma ingabangela izinhlanganisela ezihlukahlukene, kokubili ezivela esifweni ngokwalo futhi ngezinye izikhathi ezivela ekwelapheni. Ukuqonda lezi zinto ezingenzeka kusiza ukusebenzisana neqembu lakho lezokwelapha ukuvimbela noma ukuziphatha ngokuphumelelayo.

Umkhuhlane ngokwawo ungabangela izinhlanganisela njengoba uqhubeka:

• Ukutheleleka kuba khona njalo futhi kube nzima njengoba i-lymphoma iyancipha isimiso sakho sokuvikela
• I-Anemia ithuthukiswa lapho umdlavuza uthinta ikhono le-bone marrow yakho lokwenza amangqamuzana egazi abomvu
• Izinkinga zokopha igazi zenzeka uma inani le-platelet liya phansi kakhulu
• Ukusebenza okungalungile kwamalungu omzimba kwenzeka lapho i-lymphoma isakazeka ezibungwini ezibalulekile njengaphethini noma izinso
• I-Superior vena cava syndrome ibangela ukukhula ebusweni nasezingalweni uma i-lymphoma ivala imithambo yegazi ebalulekile esifubeni

Izinhlungu ezihambisana nokwelashwa zingaphinda zenzeke, nakuba ukwelashwa kwamanje sekuphephile kakhulu ngokuhamba kwesikhathi. I-Chemotherapy inganciphisa inani lamaseli egazi okwesikhashana, ikhulise ingozi yokutheleleka, noma ibe yimbangela yokuphefumula nokukhathala. Abanye abantu baye bahlangabezana ne-neuropathy (ukonakala kwama-nerve) noma izinkinga zenhliziyo ezivela kwemithi ethile.

Izinhlungu ezingavamile kodwa ezingathi sína zihlanganisa i-tumor lysis syndrome, lapho amaseli e-cancer ephulwa khona ngokushesha kangangokuba agcwala izinso zakho, nokuguqulwa kwama-lymphomas akhula kancane abe yizinhlobo ezinamandla kakhulu. Amakhanda amabi angase aqale eminyakeni eminingi kamuva kwabanye abantu abamukela ukwelashwa nge-radiation noma imithi ethile ye-chemotherapy.

Uhlushwa kanjani i-lymphoma?

Ukuxilongwa kwe-lymphoma kuhilela izinyathelo eziningana ezisiza udokotela wakho ukuqinisekisa ukuxilongwa nokucacisa uhlobo oluthile olulokhu unalo. Inqubo ivame ukuqala ngokuhlolwa komzimba nokuxoxisana ngomlando wezokwelapha.

Udokotela wakho uzobamba ama-lymph nodes avuvukile entanyeni yakho, ezikhaleni, nasemgodini, bese ebuza ngezimpawu zakho nokuthi ube uhlangabezana nazo isikhathi esingakanani. Izivivinyo zegazi zingaveza amazinga angavamile amaseli athile noma amakhemikhali abonisa i-lymphoma, nakuba angakwazi ukuxilongwa ngokuqinisekile.

Uvivinyo oluqakathekile kakhulu yi-lymph node biopsy, lapho udokotela wakho ekhipha khona yonke noma ingxenye ye-lymph node evuvukile ukuze ihlolwe ngaphansi komkhiqizo. Le nqubo ivame ukwenziwa nge-anesthesia yendawo endaweni yokwelashwa kwabaphandle. Ngezinye izikhathi, odokotela badinga ukusebenzisa isiqondiso sokwelapha izithombe noma ukwenza inqubo encane yokucathulwa ukuze bafinyelele ama-lymph nodes ajulile emzimbeni wakho.

Izivivinyo ezengeziwe zisiza ukuqonda ukuthi i-lymphoma isakazeke kangakanani:

• Izithombe ze-CT zenza izithombe ezinemininingwane yesifuba sakho, isisu, kanye ne pelvis
• Izithombe ze-PET zibonisa izindawo zokwanda komsebenzi we-metabolic obungabonisa i-cancer
• Ukuhlolwa kwe-bone marrow kuhlola ukuthi i-lymphoma iyasakazeka yini ku-bone marrow yakho
• Ukugwazwa kwe-lumbar kuhlola i-spinal fluid ukuze kubonwe amaseli e-cancer ezimweni ezithile ezingozi

Lezi zivivinyo zisiza iqembu lakho lezokwelapha ukuthi libeke i-lymphoma yakho, okusho ukuthola ukuthi iphezulu kangakanani futhi yiziphi izingxenye zomzimba wakho ezithintekayo. Ulwazi lwe-staging lubalulekile ekucwaningeni indlela yokwelapha ephumelelayo.

Iyini impilo ye-lymphoma?

Ukuphathwa kwe-lymphoma kuye kwathuthuka kakhulu eminyakeni embalwa edlule, abantu abaningi bezuze ukuphulukiswa okuphelele futhi baphila impilo ejwayelekile. Uhlelo lwakho lokwelapha luxhomeke ohlotsheni oluthile lwe-lymphoma onayo, ukuthi liphezulu kangakanani, kanye nempilo yakho jikelele.

Nge-lymphomas ezikhula kancane (ezinokuthula) ezingabangeli izimpawu, udokotela wakho angase akukhuthaze ukubhekwa okuqhubekayo, okuthiwa futhi "ukubuka nokulindela." Lendlela ihilela ukulandelela okuqhubekayo ngaphandle kokwelashwa ngokushesha, njengoba le lymphomas ikhula kancane kangangokuthi ukwelashwa kungahlehliselwa ngaphandle kokulimaza.

Uma ukwelashwa kudingeka, kukhona izinketho eziningi eziphumelelayo ezitholakalayo:

• I-Chemotherapy isebenzisa imithi enamandla ukubulala amaseli e-cancer kulo lonke umzimba wakho
• I-Immunotherapy iyasiza i-immune system yakho ukuthi ibone futhi ihlasele amaseli e-lymphoma ngokuphumelelayo
• Ukwelashwa okuqondiswe kuvimba amaprotheni athile amadoda amaseli e-lymphoma adinga ukuze aphile futhi akhule
• Ukwelashwa nge-radiation kusebenzisa imisebe yamandla aphezulu ukubhubhisa amaseli e-cancer ezindaweni ezithile
• Ukuhlinzwa kwe-stem cell kuqeda i-bone marrow yakho ngamaseli aphilile ngemuva kokwelashwa okukhulu

Abantu abaningi bathola ukwelashwa okuhlanganisiwe okusebenza ngokuphumelelayo kunezinye izindlela zokwelapha. Ukwelashwa kwe-CAR T-cell, ukwelashwa okusha, kuhilela ukuguqula amangqamuzana akho omzimba ukuze alwe kangcono ne-lymphoma. Udokotela wakho we-oncology uzochaza ukuthi yiziphi izindlela zokwelapha ezinezimpumelelo kakhulu esimweni sakho.

Ubude bokuwelashwa buyahluka kakhulu, kusuka ezinyangeni ezimbalwa kuya ngaphezu konyaka, kuye ngohlobo lwe-lymphoma yakho nokuphendula kwakho ekwelapheni. Iningi lokwelashwa linikezwa ngezigaba ngezikhathi zokuphumula phakathi ukuze umzimba wakho uthole ithuba lokuphulukana.

Ungayiphatha kanjani i-lymphoma ekhaya?

Ukukhathalela wena ekhaya kudlala indima ebalulekile ekwelapheni nasekuphulukiseni i-lymphoma yakho. Izinyathelo ezilula zingakusiza uzizwe kangcono futhi unciphise ingozi yezingxaki ngesikhathi sokwelashwa.

Ukuzivikela ekuthelelekeni kubaluleke kakhulu ngoba i-lymphoma kanye nokwelashwa kwayo kungonakalisa izingqamuzana zakho zomzimba. Geza izandla zakho njalo, gwema izixuku ngezikhathi zezifo zokuphefumula, futhi uhlale uqhele abantu abagulayo.

Ukugcina ukudla okuhle kusiza umzimba wakho ukuba ubhekane nokwelashwa futhi uphulukise ngokuphumelelayo:

• Dla ukudla okuncane njalo uma ukusabela noma ukuguquka kokudla kwenza ukudla okukhulu kunzima
• Hlala uthambile ngokusela amanzi amaningi usuku lonke
• Khetha ukudla okunamaminerali amaningi njengizithelo, imifino, amaprotheyini aphansi, nama-grain aphelele
• Cabanga ngezinhlanganisela zokudla uma udokotela wakho ekuncoma

Ukuzivocavoca okuthambile, uma uzizwa ukhululekile, kungakusiza ugcine amandla akho. Ngisho nokuhamba okufushane noma ukuqhaqhazela okulula kungenza umehluko endleleni ozizwa ngayo. Lalela umzimba wakho bese uphumula uma udinga.

Ukuphatha ingcindezi nokuthuthukisa impilo yomzwelo kubalulekile ngokulinganayo. Cabanga ngokujoyina iqembu lokusekela, ukuzama amasu okuphumula, noma ukukhuluma nomeluleki oqeqeshwe ekusizeni abantu abanokukhishwa. Ama-centre amaningi okwelapha i-cancer anikeza lezi zinsizakalo njengengxenye yokunakekelwa okubanzi.

Ukuvimbela i-lymphoma kungenzeka kanjani?

Ngeshwa, ayikho indlela eqinisekisiwe yokuvikela i-lymphoma njengoba izimo eziningi zenzeka kubantu abangenazo izici ezaziwayo ezingozi. Noma kunjalo, ungathatha izinyathelo zokunciphisa ingozi yakho nokugcina impilo yakho jikelele.

Ukuvikela i-immune system yakho kusiza ekuqedeni ingozi yokutheleleka okungase kube nomthelela ekukhuleni kwe-lymphoma. Lokhu kufaka phakathi ukuthola ukugoma okunconywayo, ukwenza ubulili obulondekile ukuvimbela ukutheleleka yi-HIV ne-hepatitis, nokuphatha noma yiziphi izimo ze-autoimmune ngokufanele ngaphansi kwesiqondiso sodokotela wakho.

Izinqumo zokuphila ezisekela impilo yakho jikelele zingasiza futhi:

• Gcina isisindo esinempilo ngokudla okulinganiselayo kanye nomsebenzi womzimba ojwayelekile
• Khawulela ukukhishwa kwezinto ezikhemikhali ngokulandela imiyalelo yokuphepha uma usebenza nezinto eziqothula izinambuzane noma izinto ezikhemikhali zezimboni
• Ungabhemi futhi ukhawulele ukusetshenziswa kotshwala emazingeni aphakathi
• Dla ukudla okunomsoco okunothile izithelo, imifino, nama-grain aphelele

Uma unezici ezingozi njengomlando womndeni wezifo zegazi noma ukwelashwa kwangaphambili kwe-cancer, xoxa ngezinketho zokubeka iliso nodokotela wakho. Ukuhlola okujwayelekile kungasiza ekutholeni noma yiziphi izinkinga ekuqaleni lapho zilawuleka kakhulu.

Kubantu abane-immune system ebuthakathaka ngenxa yokutshalwa kwezitho noma i-HIV, ukusebenzisana eduze nabaphakeli bezempilo ukulawula lezi zimo kahle kungasiza ekuqedeni ingozi ye-lymphoma.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho nomhlinzeki wakho wezempilo futhi ungakhohlwa ukuxoxa ngezinkinga noma izimpawu ezibalulekile.

Ngaphambi kokuvakashela kwakho, bhala zonke izimpawu zakho, kufaka phakathi ukuthi zaqala nini nokuthi zishintshile kanjani ngokuhamba kwesikhathi. Faka imininingwane enjengokuthi ama-lymph nodes avuvukile ubuhlungu yini, ulahlekile isisindo esingakanani, noma ukushisa ebusuku kuthinta kanjani ubuthongo bakho.

Butha ulwazi olubalulekile ukuze ulethe nawe:

• Uhlu oluphelele lwemithi kufaka phakathi imithi yokwelapha, imithi yokuthengwa ngaphandle kwesikripthi, kanye nezinye izinto ezengeziwe
• Umbhalo womlando wezokwelapha wosapho ikakhulukazi noma yikuphi ukugula komdlavuza, izifo ze-autoimmune, noma izifo zegazi
• Amarekhodi ezokwelapha adlule kufaka phakathi ukuhlolwa kwegazi kwamuva, izifundo zokwenza izithombe, noma ukuvakashela esibhedlela
• Ulwazi loku-inshorensi nama-dokumenti okuhlonza

Lungiselela uhlu lwemibuzo ofuna ukuyibuza udokotela wakho. Imibuzo ebalulekile ingafaka ukuthi yiziphi izivivinyo ezidingekayo, ukuthi izinzuzo zisho ukuthini, yiziphi izinketho zokwelapha ezitholakalayo, nokuthi yini okulindelekile ngesikhathi sokwelashwa.

Cabanga ukuthi ulethe ilungu losapho oluthenjwayo noma umngani ekuqokweni kwakho. Bangakusiza ukuba ukhumbule ulwazi oluxoxwe ngesikhathi sokuvakashela futhi banikeze ukwesekwa ngokomzwelo. Abantu abaningi bayithola ikusiza ukuthi bathathe amanothi noma babeze babuze uma bangarekhoda ingxoxo ukuze bayibhekisele kamuva.

Iyini into ebalulekile mayelana ne-lymphoma?

I-Lymphoma yiqembu elikhulu lemithi yomdlavuza wegazi, kodwa ithemba labantu abaningi abaxilongwe namuhla liphezulu kakhulu kunalokho ebekukhona esikhathini esidlule. Ukuthuthuka ekwelapheni kuguqule i-lymphoma kusuka esifweni esibulalayo sabo bonke abantu sibe yisifo lapho abantu abaningi befinyelela khona ekuphulukiseni okuphelele futhi baphile impilo ejwayelekile.

Ukutholwa kwangaphambi kwesikhathi kwenza umehluko omkhulu ezinzweni zokwelapha, ngakho ungayideli izimpawu eziqhubekayo njenge-lymph nodes ezivuvukile ezingenabuhlungu, ukukhathala okungachazeki, noma ukulahlekelwa isisindo okungachazeki. Nakuba lezi zimpawu zivame ukuba nezizathu ezingalimi, kuhlale kungcono ukuthi ziqhathaniswe ochwepheshe bezempilo.

Khumbula ukuthi i-lymphoma ithonya wonke umuntu ngendlela ehlukene, futhi okuhlangenwe nakho kwakho kungase kuhluke kakhulu kwalokho okufundayo ku-inthanethi noma okukuvezayo abanye. Iqembu lakho lezokwelapha lizosisebenza nawe ukuze lenze uhlelo lokwelapha olufanele wena ngokususelwa ohlotsheni lwakho oluthile lwe-lymphoma, isigaba salo, nempilo yakho yonke.

Ukusekelwa kukhona kulo lonke uhambo lwakho, kusuka kubachwepheshe bezokwelapha kuya emaqenjini wokusekela nasezihlotsheni nabangane. Unganqikazi ukucela usizo uma ulikhona, kungaba usizo olusebenzayo emisebenzini yansuku zonke noma ukusekelwa ngokomzwelo ukuze ubhekane nezinselele zokuxilongwa nokwelashwa.

Imibuzo evame ukubuzwa mayelana ne-lymphoma

Ingabe i-lymphoma ihlala ibuhlungu?

Cha, i-lymphoma ayihlali ibuhlungu. Izinhlobo eziningi ze-lymphoma zilawuleka kakhulu, futhi amazinga okusinda athuthukile kakhulu phakathi kwamashumi eminyaka ambalwa edlule. Ezinye i-lymphomas ezikhula kancane zingaphathwa iminyaka eminingi, kanti ezinye zingaphiliswa ngokuphelele. Ukubheka kuya ngohlobo oluthile lwe-lymphoma, ukuthi luthuthukile kangakanani lapho luxilongwe, nokuthi luphendula kangcono kanjani ekwelapheni. U-oncologist wakho angakunika ulwazi oluqondile olusekelwe esimweni sakho.

Ingabe i-lymphoma ingasakazeka kwamanye amalungu omzimba?

Yebo, i-lymphoma ingasakazeka lapho iqala khona ukuya kwamanye amalungu esistimu yakho ye-lymphatic nangaphezulu. Ngokungafani nezinye izifo zomdlavuza ezisakazekayo ngezindlela ezibikezelwayo, i-lymphoma ingabonakala ezindaweni eziningi ngesikhathi esisodwa noma ihuduke ezindaweni ezikude. Noma kunjalo, lokhu akusho ukuthi isibikezelo sibi kakhulu, njengoba izindlela eziningi zokwelapha i-lymphoma zenzelwe ukusebenza kulo lonke umzimba wakho. Iqembu lakho lezokwelapha lizosebenzisa izivivinyo zokubeka isigaba ukuze liqonde ukuthi i-lymphoma isakazeke kangakanani futhi lihlele ukwelashwa ngokufanele.

Ukwelashwa kwe-lymphoma kuhlala isikhathi esingakanani?

Isikhathi sokwelashwa sihlukahluka kakhulu kuye ngohlobo lwakho oluthile le-lymphoma kanye neqophelo lokwelashwa. Abanye abantu baqeda ukwelashwa ezinyangeni ezingu-3-6, kanti abanye bangadinga ukwelashwa unyaka noma ngaphezulu. I-lymphoma ebukhali ivame ukudinga izikhathi zokwelashwa ezimfushane, ezinzima, kuyilapho izinhlobo ezikhula kancane zingadinga izindlela ezinde, ezimnene. Abanye abantu abane-lymphoma engaqaliyo bangase bangadingi ukwelashwa ngokushesha. Udokotela wakho we-oncology uzoxoxa ngesikhathi esilindelekile seqophelo lakho lokwelashwa.

Ingabe izingane zingathuthukisa i-lymphoma?

Yebo, izingane zingathuthukisa i-lymphoma, nakuba kungavamile kunabantu abadala. I-Hodgkin lymphoma ivame ukubathinta intsha nabantu abadala abasebancane, kuyilapho izinhlobo ezithile ze-non-Hodgkin lymphoma zingase zenzeke ezinganeni ezincane. I-lymphoma yabantwana ivame ukuphendula kahle kakhulu ekwelapheni, ngezilinganiso zokwelashwa ezivame ukuphakama kunalokho okubonwayo kubantu abadala. Odokotela be-oncology yabantwana bakhethekile ekwelapheni izingane ezine-lymphoma futhi basebenzisa izindlela zokwelapha ezenzelwe ngokukhethekile imizimba ekhula.

Ngizokwazi yini ukusebenza ngesikhathi sokwelashwa kwe-lymphoma?

Abantu abaningi bakwazi ukuqhubeka nokusebenza ngesikhathi sokwelashwa kwe-lymphoma, nakuba ungase udinge ukwenza ezinye izinguquko esimweni sakho noma emisebenzini yakho. Umphumela ekubeni lakho ukusebenza uyahluka kuye ngohlobo lokwelashwa kwakho, indlela ophendula ngayo kulo, kanye nobuntu lomsebenzi wakho. Abanye abantu basebenza isikhathi esigcwele ngezinguquko ezincane, abanye basebenza isikhathi esingaphansi, kanti abanye bathatha isithuba sokuphumula ngesikhathi sezindlela zokwelashwa ezinzima. Xoxa ngesimo sakho somsebenzi neqembu lakho lokunakekelwa kwezempilo, futhi ungangabazi ukuhlola ukulungiswa kwendawo yokusebenza noma izinzuzo zokukhubazeka uma kudingeka.