Iyini i-Non-Hodgkin's Lymphoma? Izimpawu, Izimbangela, & Ukwelashwa

I-Non-Hodgkin's lymphoma uhlobo lomdlavuza oluqala ohlelweni lwakho lwe-lymphatic, oluyingxenye yenethiwekhi yomzimba wakho yokulwa nokutheleleka. Ngokungafani namanye ama-cancers ahlala endaweni eyodwa, lesi simo sithinta ama-lymph nodes, ispleen, namanye amalungu asisiza ukuthi sivikeleke ekuguleni.

Uhlelo lwakho lwe-lymphatic lusebenza njengenethiwekhi yokuphepha kulo lonke umzimba wakho, ngama-lymph nodes asebenza njengezindawo zokuhlola ezisusa izinto ezilimazayo. Uma i-Non-Hodgkin's lymphoma ithuthuka, amaseli amhlophe egazi athile abizwa ngama-lymphocytes aqala ukukhula ngokungavamile futhi azinze ngaphandle kokulawulwa. Lokhu kungenzeka kuma-lymph nodes noma kwamanye amalungu afana nesisu sakho, ama-intestines, noma u-bone marrow.

Ziyini izimpawu ze-Non-Hodgkin's lymphoma?

Isilwane sokuqala esivamile ukukhula okungenabhlungu kwama-lymph nodes entanyeni yakho, ezingalweni, noma endaweni yesigodo. La ma-nodes akhulayo angase azizwe njengezicucu eziqinile, ezifana nerabha phansi kwesikhumba sakho ezingabuli uma uziphendula.

Abantu abaningi abane-Non-Hodgkin's lymphoma bahlangabezana nalokho odokotela abakubiza ngokuthi “izimpawu ze-B,” ezingase zizwe zifana nokuhlala une-influenza. Ake sibheke izimpawu ongaziqaphela:

• Ukukhula okungenabhlungu kwama-lymph nodes okungapheli ngemva kwamasonto ambalwa
• Ukuqhuma okungachazeki okuza futhi kuhambe
• Ukushisa ubusuku okukhulu kangangokuthi kunyusa izingubo zakho noma imibhede
• Ukwehliswa kwesisindo okungacabangiwe okungaphezu kuka-10% wesisindo somzimba wakho phakathi nezinyanga eziyisithupha
• Ukukhathala okuqhubekayo okungathuthuki ngokuphumula
• Ukuhlanza okungapheli noma ukuphefumula okuqatha
• Ubuhlungu besisu noma ukukhula
• Ubuhlungu noma ukucindezela kwesifuba

Abanye abantu bangase baphethwe futhi yisikhumba esikhazimulayo ngaphandle kokukhishwa okubonakalayo, ukulahlekelwa ukudla, noma ukuzizwa begcwele ngemva kokudla okuncane. Kwezinye izikhathi, ungase uqaphele ukukhula ebusweni noma entanyeni yakho, lokhu kungenzeka uma ama-lymph nodes amakhulu ecinezela imithambo yegazi.

Kubalulekile ukukhumbula ukuthi lezi zimpawu zingaba nezimbangela eziningi ezahlukene, futhi ukuziba khona akusho ukuthi unayo i-lymphoma. Noma kunjalo, uma ubhekene nezinye zalezi zimpawu ezihlala isikhathi esingaphezu kwamasonto ambalwa, kubalulekile ukuxoxa nodokotela wakho.

Imiphi imikhakha ye-lymphoma engaHodgkin?

I-lymphoma engaHodgkin ayisiye isifo esisodwa kodwa yiqembu lezinhlungu ezihlobene eziphatha ngokuhlukene. Odokotela bahlukanisa le lymphoma ngokusheshisa kokukhula kwazo nohlobo lwe-lymphocyte elithintekayo.

Izinhlobo ezimbili eziyinhloko yi-B-cell lymphomas ne-T-cell lymphomas, ezaqanjwa ngegama leziselo ezimhlophe lapho umdlavuza uqala khona. I-B-cell lymphomas ivame kakhulu, ithatha cishe u-85% yazo zonke izimo.

Abanakekeli bezempilo bahlanganisa lezi lymphoma ngokusheshisa kokukhula kwazo:

• I-lymphomas ezinzima (ezikhula kancane): Lezi zithuthuka kancane kancane ezinyangeni noma eminyakeni futhi zingase zingabangeli izimpawu isikhathi eside
• I-lymphomas eziqine (ezikhula ngokushesha): Lezi zikhula futhi zisakazeka ngokushesha, zidinga ukwelashwa okusheshayo
• I-lymphomas eziqine kakhulu: Lezi zimbalwa kodwa zikhula ngokushesha kakhulu futhi zidinga ukwelashwa okusheshayo

Izinhlobo ezivamile kakhulu zihlanganisa i-diffuse large B-cell lymphoma, i-follicular lymphoma, ne-mantle cell lymphoma. Uhlobo ngalunye lunomfanekiso walo wokukhula futhi luphendula ngokuhlukene ekwelapheni, kungakho ukufumana ukuxilongwa okuchane kakhulu kubalulekile ekulungiseni uhlelo lwakho lokwelashwa.

Yini ebangela i-lymphoma engaHodgkin?

Imbangela eqondile ye-lymphoma engaHodgkin ayiqondakali ngokugcwele, kodwa kwenzeka lapho kwenzeka izinguquko ze-DNA ku-lymphocytes, okubenza bakhule futhi bandise ngokungavamile. Lezi zinguquko ze-genetic ngokuvamile zithuthuka phakathi nokuphila kwakho kunokuthi zidluliselwe kubazali bakho.

Ucwaningo luye lwabonisa izinto eziningana ezingase zifake isandla ekushintsheni kwalolu hlobo lwe-DNA, nakuba ukuba nalezi zinto ezingobungozi akusho ukuthi uzophuka ngokuqinisekile nge-lymphoma. Nanka okusikwaziyo ngezinto ezingase zifake isandla:

• Izinkinga zesimiso somzimba sokuvikela: Izimo ezibuthakathaka isimiso sakho somzimba sokuvikela, njenge-HIV/AIDS noma ukuthatha imithi yokucindezela isimiso somzimba sokuvikela ngemva kokufakelwa komzimba
• Ukutheleleka okuthile: Ama-virus, amabhaktheriya, kanye neparasayithi angase akhulise ingozi, kuhlanganise i-Epstein-Barr virus, i-hepatitis C, kanye nebhaktheriya ye-H. pylori
• Izifo zokungasebenzi kahle kwesistimu yokuvikela umzimba: Izimo ezifana ne-rheumatoid arthritis, i-lupus, noma isifo se-celiac
• Ukwelashwa kwesifo somdlavuza ngaphambili: Ukwelashwa nge-chemotherapy noma i-radiation therapy ngaphambili ngezinye izifo zomdlavuza
• Ukubhekana nezikhemikhali: Ukubhekana isikhathi eside nezikhemikhali ezithile, njenge-pesticides, i-herbicides, noma izikhemikhali zezimboni

Ubudala buphinde bube nomthelela, njengoba i-Non-Hodgkin's lymphoma iba yinto evamile njengoba abantu bekhula, ngezimo eziningi eziphakathi kwabantu abadlula u-60. Kodwa-ke, ingathinta abantu banoma yimiphi iminyaka, kuhlanganise nezingane nabantu abadala abasebasha.

Kubalulekile ukuqonda ukuthi kubantu abaningi abaxilongwe nge-Non-Hodgkin's lymphoma, ayikho into ebonakalayo ebangela lesi sifo. Lesi sifo sivame ukuvela kubantu abangenazo izinto ezingobungozi ezaziwayo, ngakho-ke ungazisola uma uthola leli xilongo.

Nini kufanele ubheke udokotela nge-Non-Hodgkin's lymphoma?

Kufanele uxhumane nodokotela wakho uma uqaphela ukukhula okungenabuhlungu kwizimpumputhe zakho ze-lymph okuhlala isikhathi esingaphezu kwamasonto amabili. Nakuba ukukhula kwezimpumputhe ze-lymph kuvame ukubangelwa ukutheleleka okuvamile, ukukhula okuqhubekayo kudinga ukunakekelwa kwezokwelapha.

Kubaluleke kakhulu ukuhlela isikhathi sokuhlangana uma ubhekene nezimpawu eziningi ndawonye, njengamasosele athambile ahlangene nokuqanduka okungachazwanga, ukubila ebusuku, noma ukulahlekelwa isisindo esikhulu. Lezi zinhlobo zezimpawu, nakuba zingaba nezinye izimbangela, zidinga ukuhlolwa ngokushesha.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthuthukisa izimpawu ezinkulu njengokuphefumula okunzima, ubuhlungu esifubeni, ubuhlungu obukhulu besisu, noma ukukhula ngokushesha kobuso noma intamo. Emacaleni ambalwa, i-lymphoma ingabangela izimo eziphuthumayo ezidinga ukwelashwa okusheshayo.

Khumbula ukuthi ukutholakala kwangaphambi kwesikhathi kuvame ukubangela imiphumela emihle yokwelashwa. Uma kukhona okubonakala kuhlukile emzimbeni wakho futhi izimpawu ziqhubeka, themba izinzwa zakho bese uthintana neqembu lakho lokunakekelwa kwezempilo ukuze uthole isiqondiso.

Iyini imingcele yokusabela kwe-Non-Hodgkin's lymphoma?

Izici eziningi zingandisa amathuba akho okukhula kwe-Non-Hodgkin's lymphoma, nakuba ukuba nomngcele oyedwa noma ngaphezulu akusho ukuthi uzoba naleli gciwane. Ukuqonda lezi zici kungakusiza wena nodokotela wakho ukuba nizenze izinqumo ezisekelwe olwazini mayelana nokulandelela nokuvimbela.

Ubudala yingxenyekazi enkulu kunazo zonke, ngamathuba okukhula kwale lymphoma eanda njengoba ukhula. Abantu abaningi abaxilongwe baneminyaka engaphezu kuka-60, nakuba ingase ibonakale kunoma iyiphi iminyaka.

Nawa amangqamuzana abaphenyi abawazuze:

• Uhlelo lokuphepha lwezimbongolo olulimale: Luvela ku-HIV/AIDS, imithi yokutshalwa kwezitho, noma izifo ezihlukaniswe ngokufuywa
• Izimo zokuziphepha komzimba: Kuhlanganisa isifo se-rheumatoid arthritis, i-Sjögren's syndrome, i-lupus, noma isifo sokuvuvukala esibilisini
• Ukuphathwa kwesifo somdlavuza ngaphambili: I-chemotherapy noma i-radiation therapy eyamukelwe ngenxa yezinye izifo zomdlavuza
• Ukutheleleka okuthile: I-Epstein-Barr virus, i-human T-lymphotropic virus, i-hepatitis C, noma ibhaktheriya ye-H. pylori
• Ukukhishwa kwezinto ezikhemikhali: Ukuphathwa isikhathi eside ngezidakamizwa, izidakamizwa zezitshalo, i-benzene, noma ezinye izinto ezikhemikhali zezimboni
• Umbukiso womndeni: Ukuba nomzali noma umfowethu onesi-lymphoma kukwandisa kancane ingozi yakho
• Ubulili: Amadoda anamazinga aphezulu kancane kuneabesifazane

Ezinye izimbangela ezingavamile zengozi zihlanganisa ukwamukela izitho zebele (ezihlotshaniswa nohlobo oluyimfihlo oluthi yi-anaplastic large cell lymphoma) noma ukuhlala ezindaweni ezithile zezwe ezinamanani aphezulu okutheleleka okuthile.

Kubalulekile ukwazi ukuthi abantu abaningi abanalezi zimbangela zengozi abazitholi i-lymphoma, futhi abantu abaningi abaxilongwe ngalesi sifo abanazo izimbangela zengozi eziqondakali nhlobo.

Ziyini izinhlanganisela ezingase zenzeke ze-Non-Hodgkin's lymphoma?

I-Non-Hodgkin's lymphoma ngezinye izikhathi ingabangela izinhlanganisela, noma ngenxa yesifo ngokwalo noma njengomphumela wokwelashwa. Ukuqonda lezi zinto ezingase zenzeke kusiza wena neqembu lakho lokunakekelwa kwezempilo ukubuka izimpawu zezexwayiso nokulungisa izinkinga ngokushesha uma ziveleka.

I-lymphoma ngokwayo ingabangela izinkinga lapho ama-lymph nodes amakhulu noma ama-tumors ecinezela izakhiwo ezibalulekile emzimbeni wakho. Lokhu kungabangela ubunzima bokuqeda umoya uma ama-nodes esifubeni sakho eba makhulu kakhulu, noma izinkinga zokugaya ukudla uma i-lymphoma ithonya isisu sakho.

Izinhlanganisela ezivamile ozokubuka wena neqembu lakho lezokwelapha zihlanganisa:

• Ukutheleleka: Isistimu yomzimba ebuthakathaka ikwenza ube sengozini yokutheleleka ngamabhaktheriya, amavirus, noma ama-fungi
• I-Superior vena cava syndrome: Ukukhula ebusweni nasekhoneni uma ama-lymph nodes esifubeni evinja imithambo yegazi ebalulekile
• Ukuvimba kwamathumbu: Ama-lymphoma esiswini ngezinye izikhathi angavimba ama-intestines akho
• I-Tumor lysis syndrome: Ukuphazamiseka okusheshayo kwamaseli e-cancer ngesikhathi sokwelashwa kungadida izinkalankala zakho
• Ama-cancer asesibili: Amanye ukwelashwa kungase kukhulise kancane ingozi yama-cancer amanye eminyakeni kamuva

Ukuhlupheka okuhlobene nokwelashwa kungafaka isicanucanu, ukukhathala, ukulahlekelwa kweenwele, noma ukwanda kengozi yokutheleleka ngesikhathi se-chemotherapy. Abanye abantu bangase babe nezinkinga zenhliziyo noma izinkinga zephunga ezivela kwemithi ethile, nakuba lokhu kulandelelwa ngokucophelela.

Ezimweni ezingavamile, ama-lymphoma aqine kakhulu angabangela izimo eziphuthumayo njengokucindezelwa komgogodla noma ukungalingani okukhulu kwe-metabolic. Iqembu lakho lokunakekelwa kwezempilo lizokuxoxela ngezingozi ezithile ngokusekelwe ohlotsheni lwakho lwe-lymphoma ncebo yokwelashwa, ukuqinisekisa ukuthi uyazi izimpawu okufanele uzilandele.

Kungenzeka kanjani ukuvimbela i-Non-Hodgkin's lymphoma?

Ngeshwa, ayikho indlela ebonakalayo yokuvimbela i-Non-Hodgkin's lymphoma njengoba izincazelo eziningi zenzeka ngaphandle kwezizathu ezicacile ezaziwayo. Noma kunjalo, ungathatha izinyathelo zokunciphisa ezinye izimbangela ezaziwayo futhi ugcine impilo yakho yonke.

Ukuzivikela ekuthelelekeni okuthile kungasiza ekuphuculeni ingozi yakho. Lokhu kufaka phakathi ukwenza ubulili obulondekile ukuvimbela i-HIV ne-hepatitis C, nokuphatha ukutheleleka kwe-H. pylori uma kutholakala ngesikhathi sokukhathalela kwempilo okuvamile.

Nazi izinyathelo ezisebenzayo ezingasiza ekuphuculeni ingozi yakho:

• Gcina isimiso sakho sokugcina impilo siphilile: Dla ukudla okulinganisekile, qeqesha njalo, uthole ukulala okwanele, futhi ulawule ukucindezeleka
• Khawulela ukukhishwa kwezinto ezikhiqizwayo: Sebenzisa imishini yokulinda uma uphatha izinambuzane noma amakhemikhali emisebenzi
• Qeqesha ukuvimbela ukutheleleka: Thola izigqoko ezinconywayo futhi uqeqeshe ukuhlanzeka okuhle
• Lawula izimo zokungasebenzi kahle kwesistimu yokugcina impilo: Sebenza nodokotela wakho ukuze ugcine izifo zokungasebenzi kahle kwesistimu yokugcina impilo zilawulwa kahle
• Gwema utshaba: Ungabhemi futhi khawulela ukukhishwa kukatsi olukhulu

Uma unesimiso sokugcina impilo esibuthakathaka ngenxa yezimo zezokwelapha noma imithi, sebenza eduze neqembu lakho lokunakekelwa kwezempilo ukuze unciphise ingozi yokutheleleka. Lokhu kungafaka ukugwema izixuku ngesikhathi sesizini ye-influenza noma ukuthatha ama-antibiotic okuvimbela ezimweni ezithile.

Khumbula ukuthi ngisho nabantu abenza konke "okufanele" bangathuthukisa i-lymphoma, ngakho ungazisola uma uthola leli bhekiso. Gxila kulokho ongakulawula futhi ugcine ukuxhumana okuvulekile nabaphakeli bakho bezempilo.

I-Non-Hodgkin's lymphoma ihlonishwa kanjani?

Ukuhlola i-Non-Hodgkin's lymphoma kudinga izinyathelo eziningi ukuqinisekisa isifo nokuqonda ukuthi yiluphi uhlobo olulokhu. Inqubo ivame ukuqala lapho udokotela wakho eqaphela ama-lymph nodes akhulile ngesikhathi sokuhlolwa komzimba noma lapho ubika izimpawu ezikhathazayo.

Ivivinyo elibaluleke kakhulu yi-lymph node biopsy, lapho izingxenye ze-node ekhulile zisuswa futhi zibukelwe ngaphansi komkhiqizo. Lena yiyona ndlela kuphela yokuhlola i-lymphoma ngokuqinisekile nokuqonda uhlobo lwayo oluthile.

Uhambo lwakho lokuhlola luzohlanganisa lezi zilingo eziyisihluthulelo:

• Ukuhlolwa komzimba: Udokotela wakho uzohlola izindlala ezinkulu ze-lymph, isibindi, noma isibindi
• I-biopsy ye-lymph node: Ukususa ingxenye noma yonke i-lymph node ngokusebenza ukuze kuhlolwe nge-microscope
• Izivivinyo zegazi: Ukubalwa okuphelele kwegazi, ukuhlolwa komsebenzi wesibindi nezinso, kanye namanani e-lactate dehydrogenase
• Izifundo zokwakha izithombe: I-CT scans, i-PET scans, noma i-MRI ukubona ubukhulu besifo emzimbeni wakho wonke
• I-biopsy ye-bone marrow: Isibonelo esincane esithathwe embonini yakho ukuze kuhlolwe ukuthi i-lymphoma isakazeke khona yini

Ezinye izivivinyo ezikhethekile ezithathwe esicongweni sokuhlinzwa zisiza ekutholeni uhlobo oluqondile lwe-lymphoma. Lezi zihlanganisa i-immunohistochemistry, i-flow cytometry, kanye ngezinye izikhathi ukuhlolwa kwe-genetic ukubheka ukuguquka okuqondile kwe-chromosome.

Lonke inqubo yokuxilonga ngokuvamile ithatha amasonto ambalwa, yize iqembu lakho lokunakekelwa kwezempilo lizokuqaphela izimo eziphuthumayo. Uma wonke ama-results etholakala, udokotela wakho uzochaza ukuxilongwa kwakho okuqondile bese uxoxa ngendlela engcono yokwelashwa yesimo sakho.

Iyini impilo ye-Non-Hodgkin's lymphoma?

Ukwelashwa kwe-Non-Hodgkin's lymphoma kuyahluka kakhulu kuye ngohlobo oluqondile olulokhu unalo, ukuthi lusakazeke kangakanani, nokuthi impilo yakho jikelele injani. Ezinye i-lymphomas ezikhula kancane zingase zingadingi ukwelashwa ngokushesha, kuyilapho izinhlobo eziqine kakhulu zidinga ukungenelela ngokushesha.

Uhlelo lwakho lokwelashwa luzokwenziwa ngokwezimo zakho kuye ngezinto ezinjengobudala bakho, impilo yakho jikelele, uhlobo lwe-lymphoma, kanye nesigaba sesifo. Umgomo ungaba ukwelapha izinhlobo ezithile, kuyilapho kwezinye kubhekene nokulawula isifo isikhathi eside ngenkathi ugcina ikhwalithi yempilo yakho.

Izindlela ezivamile zokwelapha zihlanganisa:

• Ukubheka nje: Ukulandelela i-lymphoma ezikhula kancane ezingabangeli izimpawu
• I-Chemotherapy: Imithi ebulawa amaseli e-cancer, ngokuvamile inikezwa ngezinhlelo ezihlanganisiwe
• I-Immunotherapy: Ukwelashwa okusiza isimiso sakho sokuvikela umzimba ukulwa ne-lymphoma
• Ukwelashwa okuqondiswe: Imithi ehlasela ngokuqondile izici zamaseli e-cancer
• Ukwelashwa ngomgogodla: Imisebe yamandla aphezulu egxile ezindaweni ezine-lymphoma
• Ukuhlinzwa kwamaseli esiqalo: Kwezinye izimo, ikakhulukazi uma i-lymphoma ibuya ngemuva kokwelashwa kokuqala

Abantu abaningi bathola ukwelashwa okuhlanganisiwe, njenge-chemotherapy kanye ne-immunotherapy. Ukwelashwa kuvame ukunikwa ngezigaba, ngezikhathi zokwelashwa ezilandelelwa yizikhathi zokuphumula ukuze umzimba wakho uthole ithuba lokuphulukana.

Iqembu lakho lokunakekelwa kwezempilo lizokulandela impendulo yakho ekwelashweni ngokuhlolwa kwagazi okuvamile nezifundo zokwenza izithombe. Bazophatha futhi noma yiziphi izingqinamba ozibhekana nazo futhi balungise uhlelo lwakho lokwelashwa njengoba kudingeka. Ukwelashwa kwamanje kuye kwathuthukisa kakhulu imiphumela kubantu abaningi abane-Non-Hodgkin's lymphoma.

Indlela yokuphatha izimpawu ekhaya ngesikhathi sokwelashwa kwe-Non-Hodgkin's lymphoma?

Ukuphatha izimpawu nemiphumela emibi ekhaya kuyisigaba esibalulekile sohambo lwakho lokwelashwa kwe-lymphoma. Ngokusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo, ungathatha izinyathelo eziningi ukuze uzizwe ukhululekile futhi ugcine amandla akho ngesikhathi sokwelashwa.

Ukukhathala kungenye yezinselele ezivame kakhulu ongazihlangabezana nazo. Lalela umzimba wakho uphumule uma udinga, kodwa zama ukuhlala usebenza kancane ngokuhamba okuyimfushane noma ukwelula okulula njengoba amandla evumela.

Nawa amasu asebenzayo abantu abaningi abawatholayo awusizo:

• Ukusekela ukudla: Dla ukudla okuncane, okuvamile, futhi uhlale uthambile; cabanga ngezinsiza zokudla uma kunconywe
• Ukuvimbela ukutheleleka: Geza izandla njalo, gwema izixuku uma izinga lokulwa nezifo lomzimba wakho liphansi, bese ubika umkhuhlane ngokushesha
• Ukulawula isicanucanu: Dla ukudla okungenamnandi, zama itiye lejinja, bese uthatha imithi yokulwa nesicanucanu njengoba kunqunywe
• Ukukhathalela isikhumba: Sebenzisa imikhiqizo ebushelelezi, engenamphunga, futhi uvikele isikhumba sakho ekukhanyeni kwelanga
• Ukusekela ngokomzwelo: Xhumana namaqembu okusekela, sebenzisa amasu okuphumula, noma ucabange ngezeluleko

Gcina idayari yezimpawu ukuze uqaphele ukuthi uzizwa kanjani bese wabelana ngolwazi olukhulu neqembu lakho lokukhathalela impilo. Bangalungisa imithi noma banikeze amasu engeziwe ngokuya ngezidingo zakho ezithile.

Unganqikazi ukubiza iqembu lakho lezokwelapha uma uthola umkhuhlane, izimpawu zokutheleleka, isicanucanu esiqine noma ukugabha, noma yiziphi izimpawu ezikukhathazayo. Bakhona ukuze bakusekele kuzo zonke izinyathelo zohambo lwakho lokwelashwa.

Kufanele ulungiselele kanjani ukubhekana nodokotela wakho?

Ukulungiselela iziqukatho zakho kusiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho neqembu lakho lokukhathalela impilo. Letha uhlu lwezimpawu zakho zonke ezikhona, lapho zaqala khona, nokuthi ziguqukile kanjani ngokuhamba kwesikhathi.

Cabanga ngokuletha ilungu lomndeni omethembayo noma umngani emihlanganweni ebalulekile. Bangakusiza ukuba ukhumbule ulwazi futhi banikeze ukusekela ngokomzwelo ngesikhathi sokuxoxa ngokuxilongwa kwakho nezinketho zokwelashwa.

Nanku okufanele uhlanganise ngaphambi kokuvakashela kwakho:

• Isimiso sesikhathi sezifo: Lapho isimo ngasinye saqala khona nokuthi siye saphakama kanjani
• Imithi yamanje: Faka imithi yokwelapha, imithi yokuthengwa ngaphandle kwelayisensi, kanye nezinye izinto ezikhuthazayo
• Umbiko wezokwelapha: Izifo zangaphambili, ukuhlinzwa, nomlando womndeni womdlavuza
• Ulwazi lokutholakala kwezimali: Letha amakhadi akho wokutholakala kwezimali futhi uqonde ukutholakala kwakho
• Uhlu lwemibuzo: Bhala konke okufuna ukukubuza ukuze ungakhohlwa

Lungisa imibuzo mayelana nokuxilongwa kwakho okuqondile, izinketho zokwelapha, imiphumela emibi engenzeka, nokuthi yini okulindelekile ngesikhathi sokukhathalelwa kwakho. Buza ngezinsiza zokusekela ngokomzwelo, ukwelulekwa kokudla, noma usizo lwezezimali uma kudingeka.

Ungakhathazeki ngokubuza imibuzo eminingi noma ukuthatha amanothi ngesikhathi sokuqokwa kwakho. Iqembu lakho lokukhathalela impilo lifuna ukuthi uqonde isimo sakho futhi uzizwe uqinisekile ngecebo lakho lokwelapha.

Iyini into ebaluleke kakhulu mayelana ne-lymphoma engaHodgkin?

I-lymphoma engaHodgkin uhlobo olukhulu kodwa oluvame ukwelashwa lomdlavuza oluthinta i-lymphatic system yakho. Nakuba ukwamukela leli xilongo kungase kuzwakale kukhulu, kubalulekile ukwazi ukuthi ukwelashwa kuye kwaqhubeka kakhulu eminyakeni yamuva, futhi abantu abaningi baqhubeka bephila impilo egcwele, esebenzayo.

Ukuze uthole umphumela omuhle kakhulu, kubalulekile ukusebenzisana eduze neqembu lokukhathalela impilo elikhulu elingakha icebo lokwelapha eliqondene ngokukhethekile nohlobo lwakho lwe-lymphoma nesimo sakho somuntu siqu. Uhambo lwabantu ngabanye luhlukile, futhi iqembu lakho lezokwelapha lizokuqondisa kuzo zonke izinyathelo.

Khumbula ukuthi ukuba nokusekelwa kwenza umehluko omkhulu ekuphileni kwakho. Kungaba yilutho, abangane, amaqembu okusekela, noma abacebisi bobuchwepheshe, ungangabazi ukuthembela kwabanye ngalesi sikhathi.

Hlala unolwazi ngesimo sakho, kodwa umethemba futhi ubuchwepheshe beqembu lakho lezokwelapha. Gxila kulokho ongakulawula, njengokulandela uhlelo lwakho lokwelashwa, ukugcina ukudla okuhle, nokunakekela impilo yakho yobuhlungu. Ngokunakekelwa kwezokwelapha okufanele nokwesekwa, abantu abaningi abane-lymphoma engaHodgkin baphila kahle iminyaka eminingi.

Imibuzo evame ukubuzwa mayelana ne-lymphoma engaHodgkin

Ingabe i-lymphoma engaHodgkin iyefa?

I-lymphoma engaHodgkin ayidluliselwa kubantwana ngqo kubazali. Nakuba ukuba nomuntu womndeni one-lymphoma kukwandisa kancane ingozi yakho, iningi lezimangalo livela kubantu abangenalo umlando womndeni wesifo. Izinguquko eziningi ze-genetic eziholela ku-lymphoma zenzeka phakathi nokuphila komuntu kunokudluliselwa emindenini.

Isakazeka ngokushesha kangakanani i-lymphoma engaHodgkin?

Isilinganiso sokukhahlela sihluka kakhulu kuye ngohlobo oluthile lwe-lymphoma engaHodgkin onayo. Izinhlobo ezihamba kancane (ezikhulayo kancane) zingathuthuka ezinyangeni noma eminyakeni ngaphandle kokubangela izimpawu, kuyilapho izinhlobo eziqatha zingakhuphuka nokukhahlela ngaphakathi kwamasonto. Udokotela wakho uzokwazisa ukuthi uhlobo lwakho oluthile luqhubeka ngokushesha kangakanani nokuthi kungani lokhu kuchaphazela isikhathi sakho sokwelashwa.

Ingabe i-lymphoma engaHodgkin ingelapheka?

Izinhlobo eziningi ze-lymphoma engaHodgkin zingelapheka, ikakhulukazi uma zitholakala ekuqaleni futhi zitholwe ukwelashwa okufanele. Ezinye izinhlobo eziqatha zinezinga eliphezulu lokuphulukisa ngokwelashwa kwamanje, kuyilapho izinhlobo ezikhulayo kancane zingaphathwa njengezimo ezingapheli iminyaka eminingi. Ukubikezelwa kwakho kuncike ezintweni ezifana nohlobo oluthile, isigaba sokutholakala, iminyaka yakho, nempilo yakho yonke.

Uyini umehluko phakathi kwe-Hodgkin ne-lymphoma engaHodgkin?

Umahluko omkhulu ukhona ohlotsheni oluthile lwamaseli ahilelekile nokuthi i-cancer isakazeka kanjani. I-Hodgkin’s lymphoma inamaseli ahlukile okuthiwa amaseli eReed-Sternberg futhi ngokuvamile isakazeka ngendlela ehlelekile kusuka eqenjini le-lymph node elilodwa liye kwelinye. I-Non-Hodgkin’s lymphoma ayinawo la maseli athile futhi ingabonakala ezindaweni eziningi ezikude zomzimba ngesikhathi esisodwa.

Ngizolahlekelwa yizinwele zami ngesikhathi sokwelashwa?

Ukulahlekelwa izinwele kuncike ekwelapheni okuthile olukufumanayo. Ezinye izinhlelo zokwelapha nge-chemotherapy ngokuvamile zibangela ukulahlekelwa izinwele, kanti ezinye zingabangela ukuncipha kuphela. Ukwelashwa nge-radiation ngokuvamile kuchaphazela izinwele kuphela endaweni ewelashwayo. Iqembu lakho lokunakekelwa kwezempilo lizoxoxa ngalokho okufanele ukulindele ngohlelo lwakho oluthile lokwelapha, futhi lingakunikeza izinsiza ze-wigs, ama-scarves, noma ezinye izimpahla zokumboza ikhanda uma kudingeka.