Grey Zone Lymphoma (GZL) - yomwe nthawi zina imatchedwa Mediastinal Gray Zone Lymphoma, ndi mtundu wosowa kwambiri komanso wankhanza wa B-cell Non-Hodgkin Lymphoma. Waukali amatanthauza kuti imakula mofulumira kwambiri, ndipo imatha kufalikira thupi lanu lonse. Zimachitika pamene mtundu wapadera wa maselo oyera a magazi otchedwa B-cell lymphocytes mutate ndi kukhala khansa.
B-cell lymphocytes (B-maselo) ndi gawo lofunikira la chitetezo chathu cha mthupi. Amathandizira maselo ena a chitetezo chamthupi kuti agwire ntchito bwino, ndikupanga ma antibodies kuti athe kulimbana ndi matenda ndi matenda.
Dongosolo la Lymphatic
Komabe, mosiyana ndi maselo ena a magazi, samakhala m'magazi athu, koma m'malo mwa lymphatic system yomwe imaphatikizapo:
- ma lymph node
- mitsempha ya lymphatic ndi madzimadzi amadzimadzi
- thymus
- nthata
- minofu ya lymphoid (monga Peyer's Patches omwe ali magulu a lymphocyte m'matumbo athu ndi mbali zina za thupi lathu)
- zowonjezereka
- toni
Chidule cha Gray Zone Lymphoma
Grey Zone Lymphoma (GZL) ndi matenda oopsa omwe angakhale ovuta kuchiza. Komabe, ikhoza kuchirikizidwa ndi chithandizo chokhazikika.
GZL imayambira pakati pa chifuwa chanu m'dera lotchedwa mediastinum. Zimaganiziridwa kuti ma B-maselo omwe amakhala mu thymus (thymic B-cells), amasintha zomwe zimawapangitsa kukhala khansa. Komabe, chifukwa B-maselo amatha kupita ku gawo lililonse la thupi lathu, GZL imatha kufalikiranso ku ziwalo zina za thupi lanu.
Chifukwa chomwe imatchedwa Grey Zone ndi chifukwa ili ndi mbali zonse za Hodgkin ndi Non-Hodgkin Lymphoma, zomwe zimapangitsa kuti zikhale pakati pa magulu awiri akuluakulu a lymphoma, ndipo zimakhala zovuta kuzizindikira molondola.
Ndani Amalandira Grey Zone Lymphoma?
Grey Zone Lymphoma imatha kukhudza aliyense wazaka zilizonse kapena mtundu. Koma matendawa amapezeka kwambiri mwa anthu azaka zapakati pa 20 ndi 40, ndipo amapezeka kwambiri mwa amuna kusiyana ndi akazi.
Sitikudziwabe chomwe chimayambitsa mitundu yambiri ya lymphoma, ndipo izi ndi zoona kwa GZL. Zikuganiziridwa kuti anthu omwe ali ndi kachilombo ka Epstein-Barr - kachilombo kamene kamayambitsa matenda a glandular fever, akhoza kukhala pachiopsezo chowonjezeka cha GZL, koma anthu omwe alibe matendawa amatha kutenga GZL. Chifukwa chake, ngakhale kachilomboka kangakulitse chiwopsezo chanu, sizomwe zimayambitsa GZL. Kuti mumve zambiri pazowopsa ndi zomwe zimayambitsa, onani ulalo womwe uli pansipa.
Zizindikiro za Grey Zone Lymphoma
Zotsatira zoyamba zomwe mungazindikire nthawi zambiri zimakhala chotupa chomwe chimabwera pachifuwa chanu (chotupa chomwe chimayambitsidwa ndi kutupa kwa thymus kapena ma lymph nodes pamene akudzaza ndi maselo a khansa ya lymphoma). Mukhozanso:
- amavutika kupuma
- kupuma mosavuta
- dziwani kusintha kwa mawu anu ndikumveka mokweza mawu
- kumva kupweteka kapena kupanikizika pachifuwa chanu.
Izi zimachitika pamene chotupacho chimakula ndikuyamba kukakamiza mapapo kapena mpweya wanu.
General zizindikiro za lymphoma
Zizindikiro zina zimakhala zofala m'mitundu yonse ya lymphoma kotero mutha kupezanso zizindikiro zotsatirazi:
Ma lymph nodes otupa omwe amawoneka ngati chotupa pansi pa khungu lanu nthawi zambiri m'khosi, m'khwapa kapena m'chiuno.
Kutopa - kutopa kwambiri sikutheka ndi kupuma kapena kugona.
Kusafuna kudya - kusafuna kudya.
Khungu loyabwa.
Kutuluka magazi kapena kuvulala kochulukira mwachizolowezi.
B-zizindikiro.
Kuzindikira ndi kuwerengera kwa Grey Zone Lymphoma (GZL)
Pamene dokotala akuganiza kuti muli ndi lymphoma, adzakonza mayesero angapo ofunikira. Mayeserowa amatsimikizira kapena kuchotsa lymphoma monga chifukwa cha zizindikiro zanu.
magazi mayesero
Kuyezetsa magazi kumayesedwa poyesa kufufuza lymphoma yanu, komanso panthawi yonse ya chithandizo chanu kuti muwonetsetse kuti ziwalo zanu zikugwira ntchito bwino, ndipo zingathe kupirira chithandizo.
Zamoyo
Mudzafunika biopsy kuti mudziwe bwinobwino za lymphoma. Biopsy ndi njira yochotsera gawo, kapena zonse za lymph node zomwe zakhudzidwa ndi / kapena sampuli ya m'mafupa. Biopsy imafufuzidwa ndi asayansi mu labotale kuti awone ngati pali zosintha zomwe zimathandiza dokotala kuzindikira GZL.
Mukakhala ndi biopsy, mutha kukhala ndi mankhwala am'deralo kapena onse. Izi zidzatengera mtundu wa biopsy ndi gawo la thupi lanu lomwe latengedwa. Pali mitundu yosiyanasiyana ya biopsies ndipo mungafunike kuposa imodzi kuti mupeze zitsanzo zabwino kwambiri.
Core kapena finene singano biopsy
Ma core kapena fine singano biopsies amatengedwa kuti achotse chitsanzo cha kutupa kwa lymph node kapena chotupa kuti awone zizindikiro za GZL.
Dokotala wanu nthawi zambiri amagwiritsa ntchito mankhwala ochititsa dzanzi kuti asamve ululu panthawi ya ndondomekoyi, koma mudzakhala maso panthawiyi. Kenako amaika singano mu lymph node yotupa kapena chotupa ndikuchotsa chitsanzo cha minofu.
Ngati kutupa kwa lymph node kapena chotupa chili mkati mwa thupi lanu, biopsy ikhoza kuchitidwa mothandizidwa ndi ultrasound kapena chidziwitso cha x-ray (imaging).
Mutha kukhala ndi mankhwala oletsa ululu wa izi (zomwe zimakupangitsani kugona kwakanthawi). Mukhozanso kukhala ndi zingwe zingapo pambuyo pake.
Ma biopsy a singano amatenga chitsanzo chachikulu kuposa singano yabwino ya singano, choncho ndi njira yabwinoko poyesa kufufuza lymphoma.
Kuchuluka kwa lymphoma
Mukadziwa kuti muli ndi Grey Zone Lymphoma, dokotala wanu adzafuna kuyesa zambiri kuti awone ngati lymphoma ili mu mediastinum yanu, kapena ngati yafalikira ku ziwalo zina za thupi lanu. Mayesowa amatchedwa staging.
Mayesero ena adzawona momwe maselo anu a lymphoma amasiyana ndi ma B-maselo anu abwino komanso momwe akukula mofulumira. Izi zimatchedwa grading.
Dinani pamitu yomwe ili pansipa kuti mudziwe zambiri.
Kuwerengera kumatanthawuza kuchuluka kwa thupi lanu lomwe limakhudzidwa ndi lymphoma yanu kapena, momwe yafalikira kuchokera pomwe idayambira.
B-maselo amatha kupita ku gawo lililonse la thupi lanu. Izi zikutanthauza kuti ma cell a lymphoma (ma cell a khansa B), amathanso kupita ku gawo lililonse la thupi lanu. Mudzafunika kuyesanso kuti mupeze zambiri. Mayesowa amatchedwa staging test ndipo mukapeza zotsatira, mupeza ngati muli ndi stage one (I), stage two (II), stage three (III) kapena stage four (IV) GZL.
Gawo lanu la GZL lidzadalira:
- Ndi madera angati a thupi lanu omwe ali ndi lymphoma
- Kumene lymphoma ikuphatikiza ngati ili pamwamba, pansi kapena mbali zonse ziwiri zanu zakulera (minofu yayikulu, yooneka ngati dome pansi pa nthiti yanu yomwe imalekanitsa chifuwa chanu ndi mimba yanu)
- Kaya lymphoma yafalikira ku mafupa anu kapena ziwalo zina monga chiwindi, mapapo, khungu kapena fupa.
Gawo XNUMX ndi lachiwiri limatchedwa 'gawo loyambirira kapena lochepa' (lokhala ndi gawo laling'ono la thupi lanu).
Gawo III ndi IV limatchedwa 'advanced stage' (lofalikira kwambiri).
Gawo 1 | gawo limodzi la lymph node limakhudzidwa, kaya pamwamba kapena pansi pa diaphragm |
Gawo 2 | madera awiri kapena angapo a ma lymph node amakhudzidwa mbali imodzi ya diaphragm |
Gawo 3 | malo amodzi pamwamba ndi malo amodzi pansi pa diaphragm amakhudzidwa |
Gawo 4 | Lymphoma ili mu ma lymph nodes angapo ndipo yafalikira kumadera ena a thupi (monga mafupa, mapapo, chiwindi). |
Zowonjezera masiteji
Dokotala wanu anganenenso za siteji yanu pogwiritsa ntchito kalata, monga A, B, E, X kapena S. Makalatawa amapereka zambiri zokhudza zizindikiro zomwe muli nazo kapena momwe thupi lanu likukhudzidwira ndi lymphoma. Zonsezi zimathandiza dokotala wanu kupeza ndondomeko yabwino yothandizira inu.
Letter | kutanthauza | Importance |
A kapena B |
|
|
E ndi X |
|
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S |
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(Nyendo yanu ndi chiwalo cha m'mitsempha yanu yomwe imasefa ndikuyeretsa magazi anu, ndipo ndi malo omwe B-maselo anu amapumula ndikupanga ma antibodies) |
Mayeso a masiteji
Kuti mudziwe kuti muli ndi gawo liti, mutha kufunsidwa kuti muyese ena mwa magawo awa:
Scut tomography (CT) Scan
Makani awa amatenga zithunzi za mkati mwa chifuwa, mimba kapena chiuno. Amapereka zithunzi zatsatanetsatane zomwe zimapereka zambiri kuposa X-ray wamba.
Positron emission tomography (PET) scan
Ichi ndi jambulani chomwe chimajambula zithunzi za mkati mwa thupi lanu lonse. Mudzapatsidwa ndi singano ndi mankhwala omwe maselo a khansa - monga maselo a lymphoma amayamwa. Mankhwala omwe amathandiza PET scan kudziwa komwe lymphoma ili ndi kukula kwake ndi mawonekedwe ake powunikira malo omwe ali ndi maselo a lymphoma. Maderawa nthawi zina amatchedwa "otentha".
Kupopera kwa Lumbar
Kuphulika kwa lumbar ndi njira yomwe imachitidwa kuti muwone ngati lymphoma yafalikira kwa inu dongosolo lalikulu la mitsempha (CNS), zomwe zimaphatikizapo ubongo wanu, msana ndi malo ozungulira maso anu. Muyenera kukhala chete panthawi ya opaleshoniyo, kotero kuti makanda ndi ana akhoza kupatsidwa mankhwala opha ululu kuti agone pamene njirayi ikuchitika. Akuluakulu ambiri amangofunika mankhwala ochititsa dzanzi m'deralo.
Dokotala wanu amalowetsa singano kumbuyo kwanu, ndikutulutsa madzi pang'ono otchedwa "cerebral spinal fluid” (CSF) kuchokera kuzungulira msana wanu. CSF ndi madzimadzi omwe amagwira ntchito ngati chotsitsa ku CNS yanu. Imanyamulanso mapuloteni osiyanasiyana ndi matenda olimbana ndi ma cell a chitetezo chamthupi monga ma lymphocyte kuti ateteze ubongo wanu ndi msana. CSF ingathandizenso kukhetsa madzi owonjezera omwe mungakhale nawo muubongo wanu kapena kuzungulira msana wanu kuti mupewe kutupa m'malo amenewo.
Zitsanzo za CSF zidzatumizidwa ku matenda ndi kufufuzidwa ngati pali zizindikiro za lymphoma.
Mafupa a mafupa amatha
- Bone marrow aspirate (BMA): mayesowa amatenga madzi pang'ono omwe amapezeka mu fupa la mafupa.
- Bone marrow aspirate trephine (BMAT): mayesowa amatenga chitsanzo chaching'ono cha minofu ya mafupa.
Zitsanzozo zimatumizidwa ku pathology komwe amakawona ngati pali zizindikiro za lymphoma.
Njira yopangira ma biopsies a m'mafupa imatha kusiyana kutengera komwe mukumwa mankhwala, koma nthawi zambiri imaphatikizapo mankhwala ogonetsa am'deralo kuti athetse vutolo.
M'zipatala zina, mutha kupatsidwa mankhwala opepuka omwe amakuthandizani kuti mupumule ndipo angakulepheretseni kukumbukira njirayo. Komabe anthu ambiri safuna izi ndipo m'malo mwake akhoza kukhala ndi "mluzu wobiriwira" woti aziyamwa. Mluzu wobiriwirawu uli ndi mankhwala opha ululu mmenemo (otchedwa Penthrox kapena methoxyflurane), omwe mumagwiritsa ntchito pakufunika nthawi yonseyi.
Onetsetsani kuti mufunse dokotala zomwe zilipo kuti mukhale omasuka panthawi ya ndondomekoyi, ndipo kambiranani nawo zomwe mukuganiza kuti zingakhale zabwino kwambiri kwa inu.
Zambiri za biopsies ya m'mafupa zitha kupezeka patsamba lathu Pano
Maselo anu a lymphoma ali ndi kakulidwe kosiyana, ndipo amawoneka mosiyana ndi maselo abwinobwino. Gulu la lymphoma yanu ndi momwe maselo anu a lymphoma akukulirakulira, zomwe zimakhudza momwe ma microscope amawonekera. Maphunzirowa ndi a Giredi 1-4 (otsika, apakati, apamwamba). Ngati muli ndi lymphoma yapamwamba, maselo anu a lymphoma adzawoneka mosiyana kwambiri ndi maselo abwinobwino, chifukwa akukula mofulumira kuti akule bwino. Chidule cha magiredi chili pansipa.
- G1 - kalasi yotsika - maselo anu amawoneka pafupi ndi abwino, ndipo amakula ndikufalikira pang'onopang'ono.
- G2 - kalasi yapakatikati - maselo anu akuyamba kuwoneka mosiyana koma maselo ena abwinobwino amakhalapo, ndipo amakula ndikufalikira pamlingo wocheperako.
- G3 - kalasi yapamwamba - maselo anu amawoneka mosiyana ndi maselo ochepa, ndipo amakula ndikufalikira mofulumira.
- G4 - kalasi yapamwamba - maselo anu amawoneka mosiyana kwambiri ndi abwinobwino, ndipo amakula ndikufalikira mwachangu kwambiri.
Zonse izi zimawonjezera pa chithunzi chonse chomwe dokotala amamanga kuti akuthandizeni kusankha mtundu wabwino kwambiri wa chithandizo kwa inu.
Ndikofunika kuti muyankhule ndi dokotala wanu za zomwe zimayambitsa chiopsezo chanu kuti mukhale ndi malingaliro omveka bwino pazomwe mungayembekezere kuchokera kumankhwala anu.
Kudikirira zotsatira
Kudikirira zotsatira zanu kungakhale nthawi yovuta komanso yodetsa nkhawa. M’pofunika kulankhula za mmene mukumvera. Ngati muli ndi mnzanu kapena wachibale wodalirika, zingakhale bwino kukambirana nawo. Koma, ngati simukumva kuti mungathe kulankhula ndi aliyense m'moyo wanu, lankhulani ndi dokotala wanu, angakuthandizeni kukonza uphungu kapena chithandizo china kuti musakhale nokha pamene mukudutsa nthawi yoyembekezera ndi chithandizo cha GZL.
Mutha kulumikizananso ndi Anamwino athu Osamalira Lymphoma podina batani la Lumikizanani Nafe pansi pazenera. Kapena ngati muli pa Facebook ndipo mukufuna kulumikiza odwala ena omwe ali ndi lymphoma mutha kulowa nawo Lymphoma Pansi Pansi page.
Musanayambe mankhwala
Grey Zone Lymphoma ndi yaukali ndipo imatha kufalikira mwachangu, kotero muyenera kuyamba kulandira chithandizo mukangopezeka. Komabe pali zinthu zina zofunika kuziganizira musanayambe chithandizo.
Chiberekero
Mankhwala ena a lymphoma angakhudze chonde chanu, zomwe zimapangitsa kuti zikhale zovuta kutenga pakati, kapena kutenga pakati. Izi zitha kuchitika ndi mitundu ingapo yamankhwala oletsa khansa kuphatikiza:
- mankhwala amphamvu
- radiotherapy (pamene ili kwambiri m'chiuno mwako)
- mankhwala a antibody (monoclonal antibodies ndi immune checkpoint inhibitors)
- stem cell transplants (chifukwa cha mankhwala amphamvu kwambiri omwe mudzafunikira musanawaike).
Mafunso Oti Mufunse Dokotala Wanu
Chithandizo cha Gray Zone Lymphoma (GZL)
Dokotala wanu adzalingalira zonse zomwe ali nazo posankha njira zabwino zothandizira zomwe angakupatseni. Izi ziphatikizapo:
- subtype ndi gawo la lymphoma yanu
- zizindikiro zilizonse zomwe mukupeza
- zaka zanu ndi thanzi lanu lonse
- mavuto ena aliwonse azachipatala omwe muli nawo, komanso chithandizo chomwe mungakhale mukuwachitira
- zomwe mumakonda mukakhala ndi zonse zomwe mukufuna, ndipo mwakhala ndi nthawi yofunsa mafunso.
Njira zochiritsira zodziwika zomwe mungapatsidwe
- DA-EPOCH-R (mankhwala osinthidwa mlingo kuphatikizapo etoposide, vincristine, cyclophosphamide ndi doxorubicin, antibody monoclonal yotchedwa rituximab, ndi steroid yotchedwa prednisolone).
- Radiotherapy (nthawi zambiri pambuyo pa chemotherapy).
- Autologous tsinde cell kumuika (kuyika ma cell stem pogwiritsa ntchito ma cell anu). Izi zikhoza kukonzedweratu pambuyo poti chemotherapy yanu ikulepheretseni kukhululukidwa kwa nthawi yaitali ndipo mwinamwake kusiya lymphoma kubwerera (kubwereranso).
- Ckuyesa kwa linical
Maphunziro oleza mtima musanayambe mankhwala
Inu ndi dokotala mukasankha njira yabwino kwambiri yochizira mudzapatsidwa chidziwitso chokhudza chithandizocho, kuphatikizapo kuopsa ndi ubwino wa chithandizocho, zotsatira zake zomwe muyenera kuyang'ana ndikudziwitsa gulu lanu lachipatala, ndi zomwe muyenera kuyembekezera. kuchokera kuchiza.
Gulu lachipatala, dokotala, namwino wa khansa kapena wazamankhwala, ayenera kupereka zambiri za:
- Mudzapatsidwa mankhwala otani.
- Zotsatira zoyipa komanso zoyipa zomwe mungapeze.
- Nthawi yoti mukumane ndi dokotala kapena namwino wanu kuti mufotokoze zotsatira zake kapena nkhawa zanu.
- Manambala olumikizana nawo, komanso komwe mungapiteko pakagwa mwadzidzidzi masiku 7 pa sabata ndi maola 24 patsiku.
Zotsatira zoyipa za mankhwala
Pali zovuta zambiri zotsutsana ndi khansa ndipo izi zimatengera mtundu wa chithandizo chomwe muli nacho. Dokotala wanu ndi/kapena namwino wa khansa akhoza kufotokoza zotsatira za mankhwala anu enieni. Zina mwazotsatira zoyipa zamankhwala zalembedwa pansipa. Mukhoza kuphunzira zambiri za iwo mwa kuwonekera pa iwo.
- Anemia (maselo ofiira otsika omwe amanyamula mpweya kuzungulira thupi lanu)
- Supombocytopenia (mapulateleti otsika omwe amathandiza magazi anu kuti atseke kuti asiye kuvulala ndi kutuluka magazi)
- Neutropenia (ma cell oyera a magazi ochepa omwe amathandiza kulimbana ndi matenda)
- Zilonda mkamwa ndi zilonda
- Kutaya tsitsi (alopecia)
- Mseru ndi kusanza
- Kutsekula m'mimba kapena kudzimbidwa
- kutopa (kutopa kapena kusowa mphamvu)
- Matenda a ubongo (kusintha kwa zomverera m'manja mwanu, mapazi, maliseche)
- Kuchepetsa chonde.
Chithandizo chachiwiri cha Relapsed kapena Refractory GZL
Mukatha kulandira chithandizo, mutha kukhululuka. Kukhululukidwa ndi nthawi yomwe mulibe zizindikiro za GZL zomwe zatsala m'thupi mwanu, kapena pamene GZL ikulamulidwa ndipo sichifuna chithandizo. Kukhululukidwa kumatha zaka zambiri, koma nthawi zina, GZL ikhoza kubwereranso (kubwerera). Izi zikachitika mudzafunika chithandizo china. Chithandizo china chomwe mungakhale nacho ndi chachiwiri.
Nthawi zina simungapindule ndi chithandizo chanu choyamba. Izi zikachitika, lymphoma imatchedwa "refractory". Ngati muli ndi GZL yotsutsa, dokotala wanu adzafuna kuyesa mtundu wina wa chithandizo. Izinso zimatchedwa chithandizo chachiwiri, ndipo anthu ambiri amalabadirabe chithandizo chachiwiri.
Cholinga cha chithandizo chamzere wachiwiri ndikukupatsani chikhululukiro (kachiwiri) ndipo chitha kuphatikizapo mitundu yosiyanasiyana ya mankhwala amphamvu amphamvu amphamvu amphamvu amphamvu, immunotherapy, chithandizo chamankhwala cholunjika kapena kuyika stem cell transplant.
Momwe chithandizo chanu chamzere wachiwiri chimaganiziridwa
Panthawi yoyambiranso, kusankha chithandizo kumatengera zinthu zingapo kuphatikiza:
- Kwa nthawi yayitali bwanji mudakhala mu chikhululukiro
- Thanzi lanu lonse ndi zaka zanu
- Ndi chithandizo chanji cha GZL chomwe mudalandira m'mbuyomu
- Zokonda zanu.
chipatala Mayesero
Ndibwino kuti nthawi iliyonse yomwe mukufuna kuyamba mankhwala atsopano, funsani dokotala wanu za mayesero a zachipatala omwe mungakhale oyenerera. Mayesero azachipatala ndi ofunikira kuti apeze mankhwala atsopano, kapena mankhwala osakanikirana kuti athandizire GZL mtsogolo.
Akhozanso kukupatsani mwayi woyesera mankhwala atsopano, mankhwala osakaniza kapena mankhwala ena omwe simungathe kupita nawo kunja kwa mayesero.
Pali mankhwala ambiri komanso kuphatikiza kwatsopano kwamankhwala omwe akuyesedwa pano m'mayesero azachipatala padziko lonse lapansi kwa odwala omwe ali ndi GZ omwe angopezeka kumene komanso omwe ayambiranso.L.
Zomwe mungayembekezere mankhwala akatha
Mukamaliza mankhwala anu a hematologist adzafunabe kukuwonani pafupipafupi. Mudzayezedwa pafupipafupi kuphatikiza kuyezetsa magazi ndi masikelo. Kangati mumayezetsa izi zimatengera momwe muliri, ndipo dokotala wanu wamagazi azitha kukuuzani kuti akufuna kukuwonani kangati.
Itha kukhala nthawi yosangalatsa kapena yovutitsa mukamaliza chithandizo - nthawi zina zonse ziwiri. Palibe njira yolondola kapena yolakwika yomvera. Koma m’pofunika kulankhula za mmene mukumvera komanso zimene mukufunikira ndi okondedwa anu.
Thandizo limapezeka ngati mukukumana ndi vuto lothana ndi kutha kwa chithandizo. Lankhulani ndi gulu lanu lachipatala - dokotala wanu wamagazi kapena namwino wa khansa chifukwa akhoza kukupatsani uphungu kuchipatala. Dokotala wakudera lanu (dokotala wamkulu - GP) athanso kukuthandizani pa izi.
Anamwino Osamalira Lymphoma
Mutha kuperekanso mmodzi wa Anamwino Osamalira Lymphoma kapena imelo. Ingodinani pa batani la "Contact Us" pansi pazenera kuti mumve zambiri.
Zotsatira Zakumapeto
Nthawi zina zotsatira za mankhwala zingapitirire, kapena zimatha miyezi kapena zaka mutamaliza mankhwala. Izi zimatchedwa a zotsatira mochedwa. Ndikofunikira kufotokozera zachipatala zomwe zachedwa ku gulu lanu kuti likuwonetseni ndikukulangizani momwe mungasamalire izi. Zotsatira zina mochedwa zingaphatikizepo:
- Kusintha kwa kamvekedwe ka mtima wanu kapena kapangidwe kanu
- Zotsatira za m'mapapo anu
- Matenda a ubongo
- Kusintha kwa mahomoni
- Kusintha kwamalingaliro.
Ngati mukukumana ndi zina mwazotsatirazi, dokotala wanu wa hematologist kapena dokotala wamkulu angakulimbikitseni kuti muwone katswiri wina kuti athetse vutoli ndikuwongolera moyo wanu. Ndikofunikira ngakhale kufotokoza zonse zatsopano, kapena zokhalitsa posachedwa kuti mupeze zotsatira zabwino.
Kupulumuka - Kukhala ndi khansa komanso pambuyo pake
Kukhala ndi moyo wathanzi, kapena kusintha kwa moyo wabwino mukalandira chithandizo kungathandize kwambiri kuti muchiritsidwe. Pali zinthu zambiri zomwe mungachite kuti mukhale ndi moyo wabwino ndi GZL.
Anthu ambiri amapeza kuti atapezeka ndi khansa kapena kulandira chithandizo, zolinga zawo ndi zofunika pamoyo wawo zimasintha. Kudziwa ‘zachilendo’ zanu kungatenge nthawi komanso kukukhumudwitsani. Zoyembekeza za banja lanu ndi anzanu zingakhale zosiyana ndi zanu. Mutha kudzimva kukhala osungulumwa, kutopa kapena kuchuluka kwa malingaliro osiyanasiyana omwe angasinthe tsiku lililonse.
Zolinga zazikulu pambuyo pa chithandizo cha GZ yanuL
- khalani okangalika momwe mungathere pantchito yanu, banja lanu, ndi maudindo ena amoyo wanu
- kuchepetsa zotsatira ndi zizindikiro za khansa ndi chithandizo chake
- zindikirani ndikuwongolera zovuta zilizonse mochedwa
- kukuthandizani kuti mukhale odziyimira pawokha momwe mungathere
- sinthani moyo wanu komanso kukhala ndi thanzi labwino.
Mitundu yosiyanasiyana ya kukonzanso khansa ikhoza kulangizidwa kwa inu. Izi zitha kutanthauza chilichonse chamitundumitundu za mautumiki monga:
- chithandizo chamankhwala, kusamalira ululu
- kukonza zakudya ndi masewera olimbitsa thupi
- uphungu wamalingaliro, ntchito ndi zachuma.
Zitha kukuthandizaninso kukambirana ndi dokotala wakumaloko za mapulogalamu azaumoyo omwe amapezeka kwa anthu omwe achira matenda a khansa. Madera ambiri amayendetsa masewera olimbitsa thupi kapena magulu ochezera kapena mapulogalamu ena aumoyo kuti akuthandizeni kuti mubwererenso kumankhwala anu asanakhalepo.
Chidule
- Grey Zone Lymphoma (GZL) ndi subtype ya Non-Hodgkin Lymphoma yokhala ndi ma Hodgkin, ndi Non-Hodgkin Lymphoma.
- GZL imayamba m'manja mwanu mediastinum (pakati pa chifuwa chanu) koma amatha kufalikira ku gawo lililonse la thupi lanu.
- Zizindikiro zimatha kukhala chifukwa cha kukula kwachilendo kwa B-maselo omwe akukulirakulira mu thymus kapena ma lymph nodes pachifuwa chanu, ndikuyika mapapu anu kapena mpweya wanu.
- ena zizindikiro amapezeka m'mitundu yambiri ya lymphoma - B-zizindikiro nthawi zonse muyenera kuuzidwa kwa gulu lanu lachipatala
- Pali mitundu yosiyanasiyana ya chithandizo cha GZL ndipo dokotala angakufotokozereni zomwe mungachite bwino pazochitika zanu.
- Zotsatira zoyipa ukhoza kuyamba mutangoyamba kumwa mankhwala, koma mukhozanso kudwala mochedwa. Zonse zoyamba ndi zochedwa ziyenera kuuzidwa ku gulu lanu lachipatala kuti liwunikenso.
- Ngakhale siteji 4 GZL imatha kuchiritsidwa nthawi zambiri, ngakhale mungafunike mitundu yambiri yamankhwala kuti mukwaniritse izi.
- Funsani dokotala wanu kuti mwayi wanu wochiritsidwa ndi wotani.
- Simuli nokha, katswiri kapena dokotala wakumaloko (GP) atha kukuthandizani ndi mautumiki osiyanasiyana ndi chithandizo. Mutha kulumikizananso ndi Anamwino athu Osamalira Lymphoma podina batani la Lumikizanani Nafe pansi patsamba lino.
