Kugonjetsa ndizodziŵa kale za zotsatira za matenda. Kuti mudziwe momwe matenda angakhalire, kapena popanda chithandizo, m'pofunika kudziwa zambiri zokhudza matendawa. Izi zimatchedwa kuti zizindikiro.
Zinthu zomwe zimalosera zotsatira zabwino zimatchedwa 'zabwino' kapena 'zabwino' zolosera. Amene akulosera zotsatira zoipitsitsa amatchedwa 'osauka' zizindikiro.
Pa matenda ndi zikhalidwe zina, monga maimymphoma omwe si a Hodgkin, zifukwazi zimapereka ndondomeko yowonetsera.
Zinthu Zowonongeka mu Lymphoma
Kwa khansa ngati lymphoma, zifukwa zambiri zimatsimikizira zotsatira za wodwala aliyense. Zina zimagwirizana kwambiri ndi matendawa, monga matenda omwe amawunikira, momwe matendawa aliri aakulu mu thupi lake, kapena ziwalo zomwe zimakhudzidwa. Zinthu zina zimadalira munthu amene akukhudzidwapo, kuphatikizapo zaka zomwe akudziŵa, kugonana kwa wina aliyense, kapena kuthekera kwake kupirira chithandizo chamankhwala.
Zotsatira zimadalanso ndi mtundu weniweni wa mankhwala olandidwa. Mankhwala osiyana samabweretsa zotsatira zofanana, ena amakhala ndi chiwopsezo chachikulu pomwe ena samatero. Podziwa zizindikirozo ndikuziika pazolemba, dokotala wanu angasankhe njira yabwino kwambiri yothandizira.
Lymphoma ya Follicular
Zowonjezerazi ndizogawidwa ndikuzilemba mu Follicular Lymphoma International Prognostic Index, FLIPI.
Izi zimaphatikizapo matenda, malo amodzi omwe amapezeka m'magazi, zotsatira za magazi kwa LDH ndi hemoglobin ndi zaka za wodwalayo. Zolemba za zizindikiro izi zimabweretsa magulu atatu owonetsera: chiwopsezo chochepa, chiopsezo chapakati, ndi chiopsezo chachikulu. Kafukufuku akuwonetsa kuti patha zaka zisanu ndi zaka khumi potsata chiwopsezo cha chiopsezo, ndi zaka 91% zomwe zimakhalapo patsiku lachiopsezo poyerekeza ndi 53 peresenti ya gulu lopangira chidziwitso choopsa.
Wopambana (Wachikulire) Wachilendo Wopanda Matenda a Hodgkin
Zizindikiro zogwiritsira ntchito zapamwamba zopanda ma Hodgkin lymphoma zimapezeka mu International Prognostic Index (IPI). Zimaphatikizapo msinkhu, zotsatira za mayeso a magazi a LDH, momwe ntchito ikuyendera (ndiwothandiza bwanji ndi ntchito za tsiku ndi tsiku), siteji, ndi ziwalo za kunja kwa thupi la lymph. Zambiri za IPI zimagwiritsidwa ntchito kupereka chizindikiro pamtunda kuchokera pansi mpaka kumtunda, komanso kukhala wochepa. Mndandandawu wawongosoledwa kwa anthu omwe alandira rituximab, akugawa magawowa m'magulu atatu owopsa omwe ali abwino, abwino, ndi osauka. Pafupifupi anthu 95 peresenti mu gulu labwino kwambiri amakhala zaka zosachepera zinayi.
Hodgkin Lymphoma
Zizindikiro za Hodgkin lymphoma zimaphatikizapo nthendayi, B zizindikiro (kulemera kwa thupi, malungo, kutsekemera usiku), nambala ndi kukula kwa minofu yambirimbiri, kugwiriridwa kwa ziwalo kunja kwa maselo a mitsempha, maselo oyera a magazi, maselo ofiira a magazi, amphongo kuwerengera, msinkhu wamagazi wa albumin, mlingo wa erythrocyte, zaka ndi kugonana.
Zinthu izi ndi zomwe zingakuthandizeni kutsogolera dokotala kuchipatala choyenera cha mankhwala a lymphoma. Iwo sangathe kufotokozera kwathunthu momwe chiwerengero chanu cha moyo chidzakhalira kapena momwe chithandizo chanu chiti chidzakhalire, koma iwo ali othandizira pogwiritsa ntchito kafukufuku wamakono kwambiri.
> Zotsatira:
> American Cancer Society. Kupulumuka miyeso ndi zinthu zomwe zimakhudza malingaliro (maganizo) kwa omwe si a Hodgkin lymphoma.
> American Cancer Society. Kupulumuka kwa matenda a Hodgkin pamsinkhu.