Zviratidzo ndezve ruzivo rwakapfuura rwekuguma kwechirwere. Kugona kukwanisa kuziva kuti chirwere chinogona sei kuzvibata, kana pasina kana kurapwa, zvakakosha kuziva zvimwe zviitiko nezvechirwere. Izvo zvinonzi maitiro ekufananidzira.
Zviitiko izvo zvinofanotaura zvichaitika zviri nani zvinonzi 'zvakanaka' kana kuti 'zvakanaka' zvido zvekufananidzira. Izvo zvinofanotaura kuti zvizoitika zvakanyanya zvinonzi 'mafungiro' ekutsanangurira zvinhu.
Kune dzimwe zvirwere uye mamiriro ezvinhu, akadai seasingaiti Hodgkin lymphomas, izvo zvinokonzerwa kuti zvive nehuwandu hwekufananidzira.
Prognostic Factors muLymphoma
Pamakondomu akafanana ne-lymphoma, zvikonzero zvakawanda zvinoguma mhinduro kune mumwe murwere. Zvimwe zvakabatana zvakananga nechirwere, chakadai sechirwere chechirwere chekuongororwa, kuti chirwere chikuru sei pakupararira kwayo mumuviri, kana kuti nhengo dzipi dzinobatanidzwa. Zvimwe zvikonzero zvinotarisana nemunhu akabatanidzwa, kusanganisira nguva yekufungidzirwa, hupombwe hwemunhu, kana kuti simba rake rekushivirira kurapa kwakanyanya.
Migumisiro inobvawo kune chaiyo chaiyo yemishonga inogamuchirwa. Zvirwere zvakasiyana-siyana hazvitungamiri kumigumisiro yakafanana, vamwe vane huwandu hwekubudirira asi vamwe vasingaiti. Nokuziva zvirevo zvekufananidzira uye kuisa mazviri mumashoko ekufananidzira, chiremba wako anogona kusarudza nzira yakanakisisa yekurapa.
Follicular Lymphoma
Zvinhu izvi zvakakumbwa uye zvakaiswa mu Follicular Lymphoma International Prognostic Index, FLIPI.
Izvi zvinosanganisira chirwere chetachiona, nhamba yemakirini anonzi lymph nodes anobatanidzwa, kuongororwa ropa kweLDH uye hemoglobin uye nemakore ekurwara. Kuongororwa kwezvirevo izvi zvinokonzera mumapoka matatu ekufananidzira: pangozi yakadzika, pangozi yapakati, uye pangozi. Dzidzo dzinoratidza kurarama kwemazana emakore mashanu nemakore gumi zvichienderana nehuwandu hwemungozi, ne 91% makore mashanu ekupona kwehuwandu hwepakati pengozi yakaderera kana ichitarisana ne 53% yeboka rekutsvaga purogiramu yakawanda.
High-Grade (Aggressive) Non-Hodgkin Lymphoma
Zviratidzo zvekuwedzera -grade kwete-Hodgkin lymphoma zvinowanikwa mu International Prognostic Index (IPI). Dzinosanganisira makore, chirwere cheLDH chekuongorora ropa, chiitiko chekushanda (zvakadini rubatsiro runodiwa nemabasa ezuva nezuva), danho, nekubatanidzwa kwenhengo dzisiri kunze kwechirongwa chemuviri. Izvo zvakawanda zvePI zvinoshandiswa kupa chirevo pamusana kubva kubva pasi kusvikira kumusoro, uye nechepasi kuva akanaka. Nhamba yacho yakadzokororwa kune vanhu vanogamuchira rituximab, vachiparadzanisa zvikamu mumapoka matatu ematambudziko ezvakanaka, zvakanaka, uye varombo. Vanenge 95% vevanhu vari muboka rakakonzerwa nehutano hwakagara makore mana.
Hodgkin Lymphoma
Zviratidzo zveHodgkin lymphoma zvinosanganisira chirwere chechirwere, B zviratidzo (kushaya kurasikirwa, fever, kudonhedzera usiku kutumbuka), nhamba uye hukuru hwemakirini emakirini, kubatana kwenhengo dzisiri kunze kwemuviri wecymph, ropa rekuyera masero, ropa rvuku rekuyera, lymphocyte kuverenga, ropa albumin level, erythrocyte sedimentation rate, makore uye zvepabonde.
Izvi zvinhu nezvikoro zvichabatsira kutungamirira chiremba wako kumutambo wakanakisisa wokurapa we lymphoma yako. Havagoni kufanotaura zvakakwana kuti kupona kwako kuchave kupi kana kuti kubudirira kwako kuchave kwakadini, asi iyo inotungamira kubva pane zvakanyanya kutsvaga tsvakurudzo.
> Sources:
> America Cancer Society. Kupona mazinga uye zvinhu zvinokanganisa kufungidzira (maonero) kwevanhu vasiri Hodgkin lymphoma.
> America Cancer Society. Kupona muhutano hweHodgkin chirwere nechikwata.