Kufanirwa kwekenza kunogona kuva kuongororwa kwezvinhu zvishoma zvakasiyana uye zvinogona kureva kuti mumwe munhu angapindura sei kurapwa, kana kuti kwenguva yakareba sei munhu anotarisirwa kurarama. Uyezve, tarisiro yeupenyu inogona kuputswa munzira dzakawanda. Isu tinowanzoshandisa mararamiro ekupona kutaura pamusoro pehurefu hwomunhu wepakati pehupenyu achararama-somuenzaniso, kenza inogona kuva nemakore mashanu ekupona kweka 79%.
Dzimwe nguva ine lymphomas, iwe unogonawo kunzwa nezvekupona kwemuviri. Kupona kwemaMedhia kunoreva 50% pfungwa-nguva chaiyo mushure mekuongororwa apo 50% yevanhu vari vapenyu, uye 50% yafa.
Zvakakosha kuyeuka kuti zvose izvi zvinofungidzirwa zvekufungidzira ndezviverengero-kwete vanhu. Vanotaura nezve "zviyero" zvinowanikwa, asi hapana munhu ari "muyero" zvechokwadi uye pane zvakawanda zvezvinhu zvinopinda mukugadzirisa kana kufungidzira kweumwe munhu kungave kuri nani kana kuti kwakaipisisa kupfuura zvakatarisirwa.
Ndezvipi zvinonyanya kukosha kuyeuka munguva ino-kunyanya maererano nechisimba chisina Hodgkin lymphoma, ndiyo iyo nhamba "nhau dzekare." Muchidimbu, vanokuudza kuti munhu angave akaita sei munguva yakapfuura nekenza yako, asi pasina mimwe mishonga mitsva inoita mutsauko. Mune mamwe mazwi, havatauri zvakawanda. Chii chinonyanya kukosha kana iwe uchida kuongororwa kwekuti iwe uchaita sei, kutarisa pazvinhu zvipi zvinokukanganisa iwe.
Zviitiko Zvinogadzirisa Chibereko Chekurapa
High Grade (Akashata) Hasi-Hodgkin Lymphoma chirwere chinokurumidza kukura. Kunyange zvakadaro inopindura zvakanaka pakurapwa uye varwere vazhinji vanogona kurapwa. Mhedzisiro inobva kune zvishanu zvakagadziriswa zvakagadziriswa izvo zvinoumba International Prognostic Index (IPI). Heano tsanangudzo yezvirevo zvekufananidzira uye kuti dzinosvibisa sei migumisiro.
Vanotsvakurudza kazhinji vanopa 1 pfungwa kune imwe neimwe yezvikamu izvi kuitira kuwana nhamba iri pakati pe 0 ne5 iyo inofanotaura kufungidzira nekuenzanisa kufungidzira ikozvino nekufungidzira munguva yakapfuura.
Age
Zera inokosha inofanirwa kujekesa muchikoro chepamusoro NHL. Vaya vanhu vanokura NHL vari pasi pemakore makumi matanhatu vanoita zviri nani kudarika avo vanopfuura makore makumi matanhatu. (1 ndima yemakore anopfuura makumi matanhatu, 0 nhamba pasi pezera remakore makumi matanhatu.)
LDH (Zviyero Zvokuedzwa kweRopa)
Iro serum lactate dehydrogenase (LDH) inoratidza kuti yakawanda sei zvirwere mumuviri. Kunyanya chirwere chacho, kunyanya kukosha kweLDH. Vanhu vane mazinga akareba eLDH muropa ravo vanoipisisa kupfuura avo vane maitiro akaenzana. (1 nhamba yezinga rakakwirira, 0 mapeji ehuwandu hwepamusoro.)
Performance Status
Chiitiko chekuita chiito chiratidzo chinotarisa kufanana kwomumwe munhu ane kenza. Inotarisa kana munhu ane zviratidzo uye kuti munhu wacho anozviriritira zvakadini pane zvaanoita zuva nezuva. MuNHL, kufanana nedzimwe dzakawanda dzekenza, avo vane maitiro akanaka ekuita zvikoro vanoita zviri nani mushure mekurapa kune avo vanowedzera kurwara kana vanovimba nemabasa ezuva nezuva. (1 pfungwa kana uchida rubatsiro rwakakura mumabasa ezuva nezuva, 0 nhauri kana uchikwanisa kuita mabasa ezuva nezuva pasina rubatsiro.)
Stage
Chikamu cheLymphoma chinhu chinokosha zvikuru . Pakutanga chirwere-matanho I uye II ane zvigumisiro zviri nani kudarika chikwata chepamusoro-chinhano-zvikamu III uye IV. (1 nhete yechitsauko III kana IV, 0 nhovo yepurogiramu I kana II.)
Kubatanidzwa kweZviri Kunze kweLymph System
Lymphoma ine mukenza we lymph system. Kana lymphoma inokanganisa nhengo dzisiri kunze kwechirongwa chemuviri, sechiropa, musana kana uropi, zvigaro zvekurapa zvinowanzoperera. (1 nhengo imwechete kana kupfuura nhengo dzisiri kunze kwe lymph system, 0 nharo kana usina kubatanidzwa nhengo dzisiri kunze kwechirongwa chemuviri.)
Migumisiro Inovandudza
Vatsvakurudzi vakatarisa kuchinja kwehupenyu hwehupenyu nekufamba kwenguva nekuenzanisa vanhu vane zvirevo zvakasiyana.
Semuenzaniso, kwete nguva yakareba yapfuura makore mashanu ekupona kwehuwandu hwevanhu vane 0 kusvika ku1 mapeji ari kumusoro aiva 75% uye 30% kune avo vane 4 kusvika ku 5 nharo. Chimwe chiongorori chemazuva ano chakatarisa zvinhu izvi zvinoparidzirwa nehutano hutsva hunoonekwa kuti vanhu vane 0 kusvika ku1 mapepa vaiva nemakore mashanu ekupukunyuka kwemazana 95% uye avo vane 4 kusvika ku 5, 55%.
Kukunda uye Kukura
Chimwe chinhu chisingatauri kakawanda pakutaura nezvekenza, ndicho chakanaka chinogona kuuya kubva kune kenza. Chii? Zvechokwadi, hapana munhu aizopfuura nekenza nokuda kwe "kunakidza" kwayo, asi apo iwe unotarisana nekutya kwako uye zvose zvinotarisirwa nevanhu mukurapa, ona kuti kutsvakurudza kunotiudza zvechokwadi kuti kenza dzimwe nguva inogona kuchinja vanhu kuti vave nani . Izwi rokuti masayendisiti anoshandisa kukura kwemashure, uye zvinoratidzika kuti kune vose vari kuitika, iwe unogona kuratidzira tsitsi kune vamwe nekuda kwerwendo rwako.
Sources:
American Cancer Society. Kupona mazinga uye zvinhu zvinokanganisa kufungidzira (maonero) kwevanhu vasiri Hodgkin lymphoma. Updated 01/22/16.