Grey Zone Lymphoma (GZL) - zvakare dzimwe nguva inonzi Mediastinal Grey Zone Lymphoma, ishoma uye ine hukasha subtype yeB-cell Non-Hodgkin Lymphoma. Hukasha zvinoreva kuti inokura nekukurumidza, uye ine mukana wekupararira nemuviri wako wese. Zvinoitika kana rudzi rwemhando chena yeropa inonzi B-cell lymphocytes inoshanduka uye ikava kenza.
B-cell lymphocytes (B-masero) chikamu chakakosha chemuviri wedu wemuviri. Vanotsigira mamwe maseru ekudzivirira muviri kuti ashande nemazvo, uye anogadzira masoja ekudzivirira chirwere kuti abatsire kurwisa hutachiona uye zvirwere.
Lymphatic maitiro
Nekudaro, kusiyana nemamwe masero eropa, haawanzo kugara muropa redu, asi pane yedu lymphatic system inosanganisira yedu:
- lymph nodes
- lymphatic midziyo uye lymph fluid
- thymus
- spleen
- lymphoid tissue (zvakadai sePeyer's Patches ari mapoka e lymphocytes mumatumbo edu nedzimwe nzvimbo dzemuviri wedu)
- appendix
- toni
Kuongorora kweGrey Zone Lymphoma
Grey Zone Lymphoma (GZL) chirwere chehasha chinogona kunetsa kurapa. Zvisinei, inogona kurapika nekurapa kwakajairwa.
GZL inotanga pakati pechipfuva chako munzvimbo inonzi mediastinum. Zvinofungidzirwa kuti B-masero anogara mune yako thymus (thymic B-masero), anochinja izvo zvinoita kuti ave kenza. Zvisinei, nokuti B-masero anogona kufamba kune chero chikamu chemuviri wedu, GZL inogonawo kupararira kune dzimwe nhengo dzemuviri wako.
Chikonzero icho ichinzi Grey Zone ndechekuti ine zvimiro zveHodgkin uye Non-Hodgkin Lymphoma, zvichiita kuti ive pakati pemakirasi maviri aya makuru e lymphoma, uye zvakaoma kuongorora nemazvo.
Ndiani anowana Grey Zone Lymphoma?
Grey Zone Lymphoma inogona kubata chero munhu wezera ripi neripi kana rudzi. Asi inowanzoitika muvanhu vane makore ari pakati pe20 ne40 ekuberekwa, uye inowanzoitika zvishoma muvarume pane vakadzi.
Isu hatisati taziva kuti chii chinokonzera ma subtypes e lymphoma, uye izvi ndezvechokwadi kune GZL zvakare. Zvinofungidzirwa kuti vanhu vakamboita utachiona hweEpstein-Barr – utachiona hunokonzera glandular fever, vanogona kunge vari panjodzi huru yekubatwa neGZL, asi vanhu vasina kubatwa nechirwere ichi vanogonawo kuwana GZL. Saka, nepo hutachiona hunogona kuwedzera njodzi yako, haisi iyo chikonzero cheGZL. Kuti uwane rumwe ruzivo nezve njodzi zvinhu uye zvikonzero, ona chinongedzo pazasi.
Zviratidzo zveGrey Zone Lymphoma
Mhedzisiro yekutanga yaungaona kazhinji bundu rinouya muchipfuva chako (bundu rinokonzerwa nekuzvimba thymus kana lymph nodes sezvavanozadza nekenza lymphoma masero). Unogona zvakare:
- vane dambudziko rekufema
- kuwana kufema nyore nyore
- inzwa shanduko kuzwi rako uye ruzha rwakashoshoma
- kunzwa kurwadziwa kana kumanikidzwa muchipfuva chako.
Izvi zvinoitika apo bundu rinokura uye rotanga kuisa kumanikidza pamapapu ako kana nzira dzemhepo.
General zviratidzo zve lymphoma
Zvimwe zviratidzo zvinowanzoitika mumhando dzose dze lymphoma saka iwe unogonawo kuwana chimwe chezviratidzo zvinotevera:
Malymph nodes akazvimba anotaridzika kana kunzwa sebundu pasi peganda rako kazhinji muhuro, muhapwa kana kugomera.
Kuneta - kuneta kwakanyanya kwete kuvandudzwa nekuzorora kana kurara.
Kurasikirwa kwechido - kusada kudya.
Itchy ganda.
Kubuda ropa kana maronda zvakanyanya semazuva ese.
B-zviratidzo.
Kuongororwa uye kurongwa kweGrey Zone Lymphoma (GZL)
Kana chiremba wako achifunga kuti ungave uine lymphoma, vanoronga huwandu hwebvunzo dzakakosha. Iyi miedzo inogona kusimbisa kana kubvisa lymphoma sechikonzero chezviratidzo zvako.
ropa miedzo
Kuongororwa ropa kunotorwa paunenge uchiedza kuongorora lymphoma yako, asiwo mukati mekurapa kwako kuti uone kuti nhengo dzako dziri kushanda nemazvo, uye dzinogona kurarama nekurapa.
Biopsy
Iwe uchada biopsy kuti uwane chaiyo kuongororwa kwe lymphoma. A biopsy inzira yekubvisa chikamu, kana yese ye lymph node yakakanganisika uye / kana sampuli yemwongo. Iyo biopsy inotariswa nemasayendisiti murabhoritari kuti vaone kana paine shanduko inobatsira chiremba kuongorora GZL.
Paunenge uine biopsy, unogona kuve neanotindivadza emunharaunda kana general. Izvi zvinoenderana nerudzi rwebiopsy uye kuti chikamu chipi chemuviri wako chinotorwa kubva. Kune mhando dzakasiyana dzebiopsies uye ungangoda anopfuura imwe chete kuti uwane yakanakisa sampuli.
Core kana yakanaka tsono biopsy
Core kana yakanaka tsono biopsies inotorwa kubvisa sampuli yekuzvimba lymph node kana bundu kutarisa zviratidzo zveGZL.
Chiremba wako anowanzo shandisa anesthetic yemunharaunda kuita chiveve nzvimbo kuitira kuti usanzwe kurwadziwa panguva yekuitwa, asi iwe unenge wakamuka panguva iyi biopsy. Vanozoisa tsono mukati me lymph node yakazvimba kana bundu uye vobvisa sampuli yetishu.
Kana lymph node yako yakazvimba kana bundu rakadzika mukati memuviri wako biopsy inogona kuitwa nerubatsiro rweultrasound kana nyanzvi x-ray (imaging) kutungamira.
Iwe unogona kunge uine general anesthetic yeizvi (zvinoita kuti urare kwechinguva chidiki). Iwe unogona zvakare kuve nematehwe mashoma mushure.
Core tsono biopsy inotora sampuli yakakura kupfuura yakanaka tsono biopsy, saka iri nani sarudzo paunenge uchiedza kuongorora lymphoma.
Kurapa kwe lymphoma
Kana ukangoziva kuti une Grey Zone Lymphoma, chiremba wako achada kuita mimwe miedzo kuti aone kana lymphoma iri mu mediastinum yako chete, kana kuti yakapararira kune dzimwe nhengo dzomuviri wako. Miyedzo iyi inonzi staging.
Mimwe miedzo ichatarisa kuti masero ako e-lymphoma akasiyana sei kubva kune ako akajairika B-masero uye kuti ari kukura nekukurumidza sei. Izvi zvinonzi grading.
Dzvanya pamisoro iri pazasi kuti udzidze zvakawanda.
Staging inoreva kuti yakawanda sei yemuviri wako inobatwa ne lymphoma yako kana, kuti yakapararira sei kubva kwayakatanga.
B-masero anogona kufamba kune chero chikamu chemuviri wako. Izvi zvinoreva kuti masero e-lymphoma (kenza B-masero), anogonawo kuenda kune chero chikamu chemuviri wako. Iwe unozofanirwa kuita bvunzo dzakawanda kuti uwane ruzivo urwu. Bvunzo idzi dzinodaidzwa kuti staging tests uye kana wawana zvabuda, unozoona kana uine danho rekutanga (I), danho rechipiri (II), danho rechitatu (III) kana danho rechina (IV) GZL.
Nhanho yako yeGZL ichaenderana ne:
- Ingani nzvimbo dzemuviri wako dzine lymphoma
- Iko lymphoma inosanganisira kana iri pamusoro, pazasi kana pamativi ese ako diaphragm (mhasuru yakakura, yakaita sedome pasi pembabvu yako inoparadzanisa chipfuva chako nedumbu rako)
- Kunyangwe iyo lymphoma yakapararira kumapfupa ako emapfupa kana dzimwe nhengo dzakadai sechiropa, mapapu, ganda kana pfupa.
Matanho I uye II anonzi 'kutanga kana nhanho diki' (inosanganisira nzvimbo shoma yemuviri wako).
Matanho III neIV anonzi 'advanced stage' (yakawanda).
Stage 1 | imwe lymph node nzvimbo inobatwa, kungave pamusoro kana pasi pe diaphragm |
Stage 2 | nzvimbo mbiri kana kupfuura dze lymph node dzinobatwa kune rimwe divi re diaphragm |
Stage 3 | Inenge imwe lymph node nzvimbo kumusoro uye imwe lymph node nzvimbo iri pasi pe diaphragm inobatwa |
Stage 4 | lymphoma iri mumalymph nodes akawanda uye yakapararira kune dzimwe nhengo dzemuviri (semumapfupa, mapapu, chiropa) |
Kuwedzera ruzivo rwekuita
Chiremba wako anogonawo kutaura nezvedanho rako achishandisa tsamba, senge A, B, E, X kana S. Mavara aya anopa mamwe mashoko pamusoro pezviratidzo zvaunazvo kana kuti muviri wako uri kukanganiswa sei ne lymphoma. Ruzivo rwese urwu runobatsira chiremba wako kuwana chirongwa chekurapa chakanakira iwe.
tsamba | zvichireva | kukosha |
A kana B |
|
|
E & X |
|
|
S |
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(Spleen yako inhengo iri mu lymphatic system yako inosefa nekuchenesa ropa rako, uye inzvimbo yako B-cells kuzorora uye kugadzira masoja ekudzivirira chirwere) |
Miedzo yekutamba
Kuti uzive kuti ndeipi nhanho yauinayo, unogona kukumbirwa kuti uite mamwe eanotevera nhanho bvunzo:
Computed tomography (CT) scan
Aya ma scans anotora mifananidzo yemukati mechipfuva chako, dumbu kana pelvis. Vanopa mifananidzo yakadzama inopa ruzivo rwakawanda kupfuura yakajairwa X-ray.
Positron emission tomography (PET) scan
Iyi scan inotora mifananidzo yemukati memuviri wako wese. Iwe uchapihwa uye tsono nemumwe mushonga masero ane kenza - senge lymphoma masero anotora. Mushonga unobatsira PET scan kuona kuti lymphoma iripi uye saizi uye chimiro nekusimbisa nzvimbo dzine lymphoma masero. Nzvimbo idzi dzimwe nguva dzinonzi "zvinopisa".
Lumbar kubaya
A lumbar puncture inzira yakaitwa yekutarisa kana lymphoma yapararira kune yako yepakati tsinga system (CNS), iyo inosanganisira uropi hwako, musana uye nzvimbo yakapoteredza maziso ako. Iwe unozofanirwa kugara wakanyarara panguva yekuitwa, kuitira kuti vacheche nevana vanogona kuve neanesthetic yenguva dzose kuvararisa apo nzira yacho inenge yaitwa. Vazhinji vanhu vakuru vanongoda mushonga wekutindivadza wepanzvimbo kuitira kuti maitiro aite chiveve nzvimbo.
Chiremba wako achaisa tsono kumusana kwako, uye oburitsa mvura shoma inonzi “cerebral spinal fluid” (CSF) kubva pakatenderedza musana wako. CSF imvura inoita zvishoma sechinhu chinokatyamadza kuCNS yako. Inotakurawo mapuroteni akasiyana uye hutachiona hunorwisa masero edziviriro senge lymphocytes kuchengetedza uropi hwako uye musana. CSF inogonawo kubatsira kubvisa chero mvura yakawedzerwa yaungave uine muuropi hwako kana kutenderedza musana wako kudzivirira kuzvimba munzvimbo idzodzo.
Sampuli yeCSF inozotumirwa kune pathology uye kuongororwa chero zviratidzo zve lymphoma.
Bone marora bhiopsy
- Bone marrow aspirate (BMA): bvunzo iyi inotora shoma shoma yemvura inowanikwa munzvimbo yemwongo.
- Bone marrow aspirate trephine (BMAT): bvunzo iyi inotora diki diki yemwongo tishu.
Iwo masampuli anobva atumirwa kune pathology uko anotariswa zviratidzo zve lymphoma.
Maitirwo emuwongo biopsies anogona kusiyana zvichienderana nekuti uri kurapwa kupi, asi kazhinji anozosanganisira mushonga wekutindivadza wepanzvimbo kuti uite chiveve nzvimbo.
Mune zvimwe zvipatara, unogona kupihwa light sedation iyo inokubatsira kuti uzorore uye inogona kukumisa kuyeuka maitiro. Zvisinei vanhu vazhinji havadi izvi uye vanogona kunge vaine "muridzo yegirinhi" yekuyamwa. Iyi muridzo yegirinhi ine mushonga wekuuraya marwadzo mairi (unonzi Penthrox kana methoxyflurane), waunoshandisa sezvinodiwa mukati memaitiro ese.
Ita shuwa kuti unobvunza chiremba wako izvo zviripo kuti uwedzere kugadzikana panguva yekuita, uye taura navo pamusoro pezvaunofunga kuti ichava sarudzo yakanakira iwe.
Ruzivo rwakawanda nezve bhonzo biopsies inogona kuwanikwa pane yedu peji rewebhu pano
Masero ako e-lymphoma ane maitiro akasiyana ekukura, uye anotaridzika akasiyana kune akajairwa maseru. Giredhi ye lymphoma yako inokurumidza kukurumidza masero ako lymphoma kukura, iyo inokanganisa nzira yekutarisa pasi pe microscope. Iwo mamakisi ari Magiredhi 1-4 (akaderera, epakati, akakwirira). Kana uine giredhi repamusoro lymphoma, masero ako e-lymphoma anotaridzika zvakanyanya kusiyana nemasero akajairwa, nekuti ari kukura nekukurumidza kuti akure zvakanaka. Mhedziso yemagiredhi iri pazasi.
- G1 - giredhi yakaderera - masero ako anotaridzika padyo neakajairika, uye anokura uye anopararira zvishoma nezvishoma.
- G2 - giredhi repakati - maseru ako ari kutanga kutaridzika zvakasiyana asi mamwe maseru akajairwa aripo, uye anokura nekupararira pamwero wepakati.
- G3 - giredhi repamusoro - maseru ako anotaridzika zvakasiyana nemaseru mashoma akajairwa, uye anokura nekupararira nekukurumidza.
- G4 - giredhi repamusoro - maseru ako anotaridzika zvakasiyana kune akajairwa, uye anokura nekupararira nekukurumidza.
Ruzivo rwese urwu runowedzera kumufananidzo wose unovaka chiremba wako kuti akubatsire kusarudza mhando yekurapa yakanakira iwe.
Zvakakosha kuti utaure nachiremba wako nezve njodzi yako pachako kuitira kuti uve neruzivo rwakajeka rwezvaunotarisira kubva mukurapwa kwako.
Kumirira mhinduro
Kumirira mhinduro dzako kunogona kuve nguva inoshungurudza uye yekushushikana. Zvakakosha kutaura nezvekuti uri kunzwa sei. Kana uine shamwari yaunovimba nayo kana nhengo yemhuri zvingava zvakanaka kutaura navo. Asi, kana usinganzwe kuti unogona kutaura nemunhu chero upi zvake muupenyu hwako, taura nachiremba wako wepanzvimbo, vanogona kubatsira kuronga mazano ekupa mazano kana kumwe kutsigirwa kuitira kuti iwe hausi wega paunenge uchipfuura nenguva yekumirira uye kurapwa kweGZL.
Iwe unogona zvakare kubata yedu Lymphoma Care Nurses nekudzvanya paBata Isu bhatani pazasi pechidzitiro. Kana kuti uri paFacebook uye uchida kubatanidza vamwe varwere vanorarama nelymphoma unogona kujoina yedu Lymphoma Pasi Pasi peji.
Usati watanga kurapwa
Grey Zone Lymphoma ine hukasha uye inogona kupararira nekukurumidza, saka unozofanirwa kutanga kurapwa mushure mekunge waonekwa. Zvakadaro pane zvimwe zvekufunga nezvazvo usati watanga kurapwa.
Fertility
Mimwe mishonga ye lymphoma inogona kukanganisa kubereka kwako, zvichiita kuti zvive zvakaoma kubata pamuviri, kana kutora mumwe munhu pamuviri. Izvi zvinogona kuitika nemhando dzakasiyana siyana dzekurapa cancer kusanganisira:
- chemotherapy
- radiotherapy (kana yanyanya chiuno chako)
- antibody kurapa (monoclonal antibodies uye immune checkpoint inhibitors)
- stem cell transplants (nekuda kweiyo yepamusoro-dose chemotherapy iwe yauchazoda usati waisirwa).
Mibvunzo yekubvunza Chiremba wako
Kurapa kweGrey Zone Lymphoma (GZL)
Chiremba wako anozotarisa ruzivo rwese rwavanarwo kana uchifunga nezve nzira dzekurapa dzakanakisa dzekukupa. Izvi zvinosanganisira:
- iyo subtype uye nhanho ye lymphoma yako
- chero zviratidzo zvauri kuwana
- zera rako uye kugara zvakanaka
- chero mamwe matambudziko ekurapa aunawo, uye marapirwo aungave uchiaitira
- zvaunofarira kana uine ruzivo rwese rwaunoda, uye wawana nguva yekubvunza mibvunzo.
Nzira dzekurapa dzakajairika dzaunogona kupihwa
- DA-EPOCH-R (dose yakagadziridzwa chemotherapy inosanganisira etoposide, vincristine, cyclophosphamide uye doxorubicin, monoclonal antibody inonzi rituximab, uye steroid inonzi prednisolone).
- Radiotherapy (kazhinji mushure mechemotherapy).
- Autologous stem sero rekuisa (stem cell transplant uchishandisa ako ega masero). Izvi zvinogona kurongwa mushure mekunge chemotherapy yako inokuchengetedza mukuregererwa kwenguva refu uye zvichida kumisa lymphoma kudzoka (kudzokazve).
- Clinical trial
Dzidzo yemurwere usati watanga kurapwa
Kana iwe nachiremba wako mafunga nezve nzira yekurapa yakanakisa iwe uchapihwa ruzivo nezve iwo chaiwo marapirwo, kusanganisira njodzi uye zvakanakira kurapwa, maside-mhedzisiro aunofanirwa kutarisa uye kuzivisa kuchikwata chako chekurapa, uye zvekutarisira. kubva pakurapwa.
Chikwata chekurapa, chiremba, mukoti wegomarara kana wemishonga, anofanira kupa ruzivo nezve:
- Uchapihwa marapirwo api.
- Zvakajairwa uye zvakakomba mhedzisiro yaungawana.
- Nguva yekusangana nachiremba wako kana mukoti kuti utaure maside-effects kana zvinokunetsa.
- Nhamba dzekuonana, uye kwekuenda kana pane emergency mazuva manomwe pasvondo uye maawa makumi maviri nemana pazuva.
Kazhinji migumisiro yekurapa
Pane zvakawanda zvakasiyana-siyana zvinokonzerwa nekurapwa kwegomarara uye izvi zvinoenderana nerudzi rwekurapa rwaunarwo. Chiremba wako anorapa uye/kana mukoti wegomarara anogona kutsanangura mhedzisiro yekurapwa kwako chaiko. Zvimwe zvinonyanya kuitika pakurapwa zvakanyorwa pazasi. Unogona kudzidza zvakawanda nezvavo nekudzvanya pazviri.
- Anemia (masero matsvuku eropa akaderera anotakura oxygen kutenderedza muviri wako)
- Thrombocytopenia (maplatelet akaderera anobatsira ropa rako kugwamba kuti rimise maronda uye kubuda ropa)
- Neutropenia (masero machena eropa akaderera anobatsira kurwisa utachiona)
- Maronda emukanwa nemaronda
- Kuora bvudzi (alopecia)
- Nausea uye kurutsa
- Diarrhea kana kusvira
- Kuneta (kuneta kana kushaya simba)
- Peripheral neuropathy (kuchinja kune manzwiro mumaoko ako, tsoka, nhengo dzesikarudzi)
- Kuderedza kubereka.
Chechipiri-mutsara kurapwa kweRelapsed kana Refractory GZL
Mushure mekurapwa iwe ungangopinda mukuregererwa. Kuregererwa inguva yenguva apo iwe usina zviratidzo zveGZL zvakasara mumuviri wako, kana apo GZL iri pasi pekutonga uye isingadi kurapwa. Kuregererwa kunogona kugara kwemakore akawanda, asi dzimwe nguva, GZL inogona kudzoka zvakare (kudzoka). Kana izvi zvikaitika unenge uchida mamwe marapirwo. Mushonga unotevera wauchawana uchave wemutsara wechipiri.
Muzviitiko zvisingawanzoitiki unogona kusawana kuregererwa nekurapa kwako kwekutanga. Kana izvi zvikaitika, lymphoma inonzi "refractory". Kana uine refractory GZL, chiremba wako achada kuedza imwe nzira yekurapa. Uku zvakare kunonzi kurapa kwechipiri, uye vanhu vazhinji vachange vachifarira kurapwa kwechipiri.
Chinangwa chekurapa kwemutsara wechipiri kukuisa mukuregererwa (zvakare) uye zvinogona kusanganisira marudzi akasiyana echemotherapy, immunotherapy, yakanangwa kurapa kana stem cell transplant.
Kuti marapirwo ako emutsara wechipiri anosarudzwa sei
Panguva yekudzokazve, kusarudzwa kwekurapa kunotsamira pane zvakati wandei zvinosanganisira:
- Wakagara kwenguva yakareba sei uri mukuregererwa
- Utano hwako hwese nezera rako
- Ndeapi marapirwo eGZL awakagamuchira munguva yakapfuura
- Zvaunofarira.
Clinical Trials
Zvinokurudzirwa kuti chero nguva yaunoda kutanga mishonga mitsva, unobvunza chiremba wako nezvemiedzo yekiriniki yaungakodzera. Miedzo yemakiriniki yakakosha kuwana mishonga mitsva, kana misanganiswa yemishonga yekuvandudza kurapwa kweGZL mune ramangwana.
Vanogona zvakare kukupa mukana wekuyedza mushonga mutsva, musanganiswa wemishonga kana kumwe marapirwo ausingakwanise kuwana kunze kwekuedzwa.
Kune akawanda marapirwo uye misanganiswa yekurapa mitsva iri kuedzwa pari zvino mukuedzwa kwekiriniki pasi rese kune varwere vane vese vachangobva kuongororwa uye vadzoka zvakare GZ.L.
Chii chekutarisira kana kurapwa kwapera
Kana wapedza kurapa kwako chiremba wako wehematologist anenge achiri kuda kukuona nguva nenguva. Munozogara muchiongororwa kusanganisa ropa nekuvhenekwa. Kangani kaunenge uine bvunzo idzi zvinoenderana nemamiriro ako ega, uye wako wehematologist achakwanisa kukuudza kuti vanoda kukuona kakawanda sei.
Inogona kuva nguva inofadza kana nguva inoshungurudza paunopedza kurapwa - dzimwe nguva zvose. Hapana nzira yakanaka kana yakaipa yekunzwa. Asi zvinokosha kuti utaure nezvemanzwiro ako uye zvaunoda nevaunoda.
Rutsigiro runowanikwa kana uri kuomerwa nekupedza kurapwa. Taura nechikwata chako chekurapa - chiremba wako weropa kana mukoti wegomarara sezvo vangangokwanisa kukuendesa kunopihwa mazano muchipatara. Chiremba wepanzvimbo yako (general practitioner - GP) anogonawo kubatsira pane izvi.
Lymphoma Care Nurses
Iwe unogona zvakare kupa mumwe wedu Lymphoma Care Nurses kana email. Ingobaya bhatani rekuti "Contact Us" pazasi pescreen kuti uwane ruzivo.
Late Effects
Dzimwe nguva mhedzisiro kubva mukurapwa inogona kuenderera, kana kutanga mwedzi kana makore mushure mekupedza kurapwa. Izvi zvinonzi a late-effect. Izvo zvakakosha kuti utaure chero mhedzisiro yekunonoka kuchikwata chako chekurapa kuti vagone kukuongorora uye nekukuraira maitiro ekugadzirisa izvi mhedzisiro. Mimwe mhedzisiro inononoka inogona kusanganisira:
- Shanduko kumoyo wako rhythm kana chimiro
- Migumisiro kumapapu ako
- Peripheral neuropathy
- Hormonal changes
- Mood inochinja.
Kana iwe ukasangana nechero yeaya maitiro ekunonoka, wako haematologist kana general practition anogona kukurudzira kuti uone imwe nyanzvi kuti igadzirise izvi zvinokonzeresa uye kugadzirisa hupenyu hwako. Izvo zvakakosha kuti utaure zvese zvitsva, kana zvinogara mhedzisiro nekukurumidza sezvinobvira kune zvakanakisa mhedzisiro.
Kupona - Kurarama negomarara uye mushure
Mararamiro ane hutano, kana mamwe mararamiro akanaka anochinja mushure mekurapwa anogona kubatsira zvikuru kupora kwako. Pane zvinhu zvakawanda zvaunogona kuita kukubatsira kugara zvakanaka neGZL.
Vanhu vazhinji vanoona kuti mushure mekuongororwa kenza kana kurapwa, izvo zvinangwa zvavo uye zvavanokoshesa muhupenyu zvinoshanduka. Kusvika pakuziva kuti 'itsva yako yakajairika' chii kunogona kutora nguva uye kushungurudza. Zvinotarisirwa nemhuri yako neshamwari zvinogona kunge zvakasiyana nezvako. Iwe unogona kunzwa uri wega, wakaneta kana chero nhamba yemanzwiro akasiyana anogona kuchinja zuva rega rega.
Zvinangwa zvikuru mushure mekurapwa kweGZ yakoL
- shingairira sezvinobvira mubasa rako, mhuri, nemamwe mabasa ehupenyu
- kuderedza migumisiro yechirwere uye zviratidzo zvegomarara uye kurapwa kwayo
- tsvaga uye gadzirisa chero mhedzisiro yekunonoka
- batsira kuti urambe wakasununguka sezvinobvira
- vandudza hupenyu hwako uye chengetedza hutano hwakanaka hwepfungwa.
Mhando dzakasiyana dzekugadzirisa kenza dzinogona kukurudzirwa kwauri. Izvi zvinogona kureva chero yemhando dzakasiyana zvemasevhisi akadai se:
- kurapa kwepanyama, kugadzirisa marwadzo
- kudya uye kuronga maekisesaizi
- manzwiro, basa uye mazano emari.
Zvinogona kubatsirawo kutaura nachiremba wepanzvimbo yako nezvezvirongwa zvehutano zvepanzvimbo zviripo kune vanhu vanopora kubva mukuongororwa kenza. Nzvimbo zhinji dzemunharaunda dzinoita maekisesaizi kana mapoka ezvekugarisana nevamwe kana zvimwe zvirongwa zveutano zvinokubatsira kuti udzokere kumunhu wako wekare.
pfupiso
- Grey Zone Lymphoma (GZL) is subtype yeNon-Hodgkin Lymphoma ine zvikamu zveHodgkin, uye Non-Hodgkin Lymphoma.
- GZL inotanga mune yako mediastinum (pakati pechipfuva chako) asi inogona kupararira kune chero chikamu chemuviri wako.
- Zviratidzo zvinogona kunge zvichikonzerwa nekukura kusiri kujairika kweB-masero anowedzera mune yako thymus kana lymph nodes yechipfuva chako, uye kuisa kumanikidza pamapapu ako kana mhepo.
- vamwe zviratidzo zvinowanzoitika mumhando dzakawanda dze lymphoma - B-zviratidzo inofanira kugara ichishumwa kune boka rako rekurapa
- Kune marudzi akasiyana ekurapa kweGZL uye iwe chiremba achataura newe kuburikidza neakanakisa sarudzo dzemamiriro ako.
- Mhedzisiro inogona kutanga mushure mekunge watanga kurapwa, asi unogona zvakare kunonoka-mhedzisiro. Zvese zviri zviviri zvekutanga nekunonoka-mhedzisiro zvinofanirwa kuudzwa kuboka rako rekurapa kuti riongororwe.
- Kunyangwe nhanho 4 GZL inogona kurapwa kazhinji, kunyangwe iwe ungangoda anopfuura rudzi rumwe rwekurapa kuti uite izvi.
- Bvunza chiremba wako kuti mikana yako yekuporeswa ndeipi.
- Hausi wega, nyanzvi kana chiremba wepanzvimbo (GP) anogona kubatsira kukubatanidza nemasevhisi akasiyana uye rutsigiro. Iwe unogona zvakare kubata yedu Lymphoma Care Nurses nekudzvanya paBata Isu bhatani pazasi peji rino.
