Kuparara kwepasi pose, kana OS, kana dzimwe nguva "kuponeswa" ndiyo yehuwandu hwevanhu vari muboka vari vapenyu mushure mekureba kwenguva - kazhinji makore akawanda.
Semuenzaniso: "I-OS yegore 5 yegadziriro yechipiri II Hodgkin lymphoma inenge 90 muzana."
Izvi zvinoreva kuti, wevamwe vose varwere vane Hodgkin lymphoma iyo vatsvakurudzi vakanga vachitarisa mukudzidza kwavo, avo vakararama makore masere kubva panguva yekuongororwa vakave 90 muzana.
I-OS makore mashanu inowanzotaurwa kune vanhu vanozivikanwa kuti vane imwe nhanho chaiyo yekenza, kana dzimwe nguva vanhu vane chimwe chikamu chekenza vakagamuchira kurapwa kwakanaka kwechido . Saka, mune izvi zviitiko, zvingave zvichitsanangurwa kuti makore mashanu eUA mazera anoratidza chiyero chevanhu vari kurarama makore mashanu mushure mekuongororwa kana makore mashanu mushure mekutanga kurapwa .
Kuponeswa kurwisana neCure
Nenzira imwechete, OS inogona kuratidzira zvirwere zvehutano, asi izvi hazvisi nguva dzose. Kusiyana "yardsticks" inoshandiswa kuenzanisa kupona mukenza varwere, uye mumwe nomumwe ane simba rayo uye zvisingakwanisi. I-OS yegore 5 inoshandiswa kune akawanda kanzira inosanganisira high-grade lymphomas nekuda kwekuti avo vanopona makore mashanu vanogona kurapwa muhosha yavo. Mune zvimwe zvishoma zvinokura uye zvishoma-grade malignancies zvakadai se follicular lymphoma, zvisinei, kurarama kwemakore gumi ose kunogona kuwedzera kufungidzira kwezvingaonekwa sekurapa.
Mune mamwe mazwi, kurarama makore mashanu mushure mekuongororwa kwe follicular lymphoma hazvireve kuti chirwere chacho chakanga chisina kunaka.
Kuponeswa kunoenderana neCause-Specific Survival
Apo ruzivo pamusoro pechinokonzera rufu rwunowedzerwa, izvi zvinogona kutumidzwa sekuchengetedzwa kwakarongeka kana kuti kukonzera-zvakasara kupona. Chikonzero-chaicho chinopona chinogona kuve chakasiyana zvikuru neS OS.
Izvo zvinokonzerwa nekukonzera-zvakananga zvinofungidzirwa senzira yakakosha yekufungidzira kuti kufa kwakawanda sei mune boka riripo nekuda kwekenza pachayo. Somuenzaniso, funga nezvekenza iyo inonyanya kuwanika kune vanhu vane chirwere chemwoyo chakaipa. Kana iwe chete uchitarisa kupona kwehupenyu hwose uye kwete kukonzera-kurarama zvakananga - hauzivi chinhu pamusoro pehuwandu hwevakafa nekuda kwechirwere chepfungwa, uye kwete kenza-uye izvi zvinogona kuita kuti zviratidzika sekenza zvinouraya kupfuura zvayo chaizvoizvo .
Kuponeswa nePrognostic Groups
Dzimwe nguva vanhu vane kenza vanoiswa mumapoka akasiyana-siyana kuti vawane mufananidzo wakanaka wekupona. Aya mapoka anogona kutumidzwa semapoka ekufananidzira. Ngatitorei follicular lymphoma semuenzaniso.
Maererano neAmerica Cancer Society, ye follicular lymphoma , Follicular Lymphoma International Prognostic Index kana FLIPI yakagadzirwa nokuti chirevo chekare chinenge chisina kukwana. Icho chiri chekare reAustralia Prognostic Index, kana IPI, iyo inobatsira mazhinji lymphomas, asi haisi kubatsira kune follicular lymphomas, iyo inowanzove ichikura zvishoma nezvishoma.
IFIPI inoshandisa zvirevo zvishoma zvakasiyana zvakasiyana neI IPI, sezvinotevera:
Zvakanaka kufungidzira zvinhu
- Zera 60 kana pasi
- Nhanho I kana II
- Ropa hemoglobin 12 g / dL kana pamusoro
- 4 kana mashoma emakirini emakondomu akabatwa
- Serum LDH inowanzoitika
Zvinonyanyisa zvido zvekufananidzira
- Age pane 60
- Chikamu III kana IV
- Ropa hemoglobin diki pasi pe12 g / dL
- Inopfuura 4 nhengo dzemaitiro emakirini akabatwa
- Serum LDH yakakwirira
Varwere vanogoverwa nharo yega yega yega inoratidzira chirevo. Vanhu vasina zviratidzo zvourombo zvinogona kuva nezvikamu zve 0, neavo vane zvese zvisizvo zvoupenzi zvingave nezvikamu zvishanu. Nhamba yacho inoparadzanisa vanhu ne follicular lymphoma mumapoka matatu:
- Dambudziko rekudzivirira: kwete kana kuti 1 chirevo chekutsvaga (s)
- Nharaunda yapakati: 2 mashoma ekufananidzira
- Dambudziko guru: 3 kana kupfuura
Chidzidzo chacho chakashandiswa kukura iyo FLIPI yakarondedzera zviyero zvinotevera zvekupona: *
- Dambudziko rekudzivirira: 5-year OS ye 91 muzana; 10 yeA OS ye 71 muzana
- Njodzi yapakati-kati: OS yegore 5 ye 78 muzana; 10 yeA OS ye 51 muzana
- Ikukurira-panjodzi: OS yegore 5 ye 53 muzana; 10-YE yeA 36 yezana
* IAmerican Cancer Society inotaura zvinotevera:
" Iyi inhamba inoratidza huwandu hwevanhu vakararama kwemakore mashanu kana gumi mushure mekunge vaongororwa - vanhu vazhinji vakararama kwenguva refu kupfuura iyi. Izvo zviyero zvaive zvakavakirwa pavanhu vakawanikwa vane follicular lymphoma muma1980 nema1990. Zvitsva zvitsva zvakagadzirwa kubva panguva iyo, saka kuponeswa kwemazuva ano kungangove kwakakwirira. "
Shoko kubva
Kupona mazinga zvakanaka, asi nenzira dzakasiyana-siyana, vakaita semapepanhau machena - sezvo vachitora makore kuti vakure, ndeyechokwadi kune nguva yakatarwa uye kuratidza mushonga unoshandiswa panguva iyoyo. Kune munhu anotanga mushonga mutsva nhasi uno wakaparidzirwa makore gumi wehupenyu hwehupenyu hungave kana husingave hwakakosha.