Kodi chimachitika bwanji ngati khansa ya m'magazi kapena lymphoma ibwerera - ngati mutabwereranso. Zimamva ngati zowawa zomwe mwakhala mukuzikwaniritsa. Nanga bwanji tsopano?
Khansa Yobwereza
Kubwereza ndi pamene khansa imabweranso pambuyo pa nthawi ya kukhululukidwa . Pankhani ya khansa yosakwanira, monga matenda aakulu a myelogenous leukemia , chiwerengerochi chikhoza kuyembekezera ngati mbali ya matendawa.
Nthawi zina, kubwereza kungakhale kosayembekezereka, makamaka ngati kukhululukidwa kwadutsa nthawi yochuluka.
Kachilombo kamene kamapezeka pakapita koyamba matenda achipatala sanaphe maselo onse a khansa. Mankhwala omwe mumalandira amathandiza kuti aphe khansa yokwanira kuti matendawa asazindikire. Komabe, ngati maselo angapo atasiyidwa ndikupulumuka, amatha kuchuluka ndikukula pakapita nthawi, zomwe zimachititsa kuti abwererenso.
Mfundo yakuti khansara yanu yabwerera sikutanthauza kuti simunalandire chithandizo choyamba nthawi yoyamba. Zingakhale ndi zambiri zogwirizana ndi makhalidwe a khansa yokha. Pamene tiphunzira zambiri za zomwe zimayambitsa lymphoma ndi khansa ya m'magazi poyamba, tidzatha kuphunzira zambiri za zomwe zimapangitsa kuti zibwerere. Pali ziphunzitso zambiri , mwachitsanzo, kodi pali maselo ofiira omwe amalola kuti maselo a khansa ayambe kukhalapo?
Pa nthawi ino, sitidziwa.
Kodi mwayi umene khansa idzabwerere ndi iti?
Funso limeneli ndi lovuta kuyankha. Kuopsa koti khansa yanu idzabwererenso kumadalira mtundu wa khansa yomwe muli nayo, matenda a chifuwa cha matenda, ndi mtundu wa mankhwala omwe munali nawo. Ngakhale ndi chiwerengero chonse cha deta, madokotala sangathe kukhala otsimikiza kuti khansara yanu yapita, osayambanso kuwonanso.
Kodi Kudzala Kansara Kungadzitetezedwe?
Anthu akamadziwa kuti khansara yawo yatha, nthawi zambiri amadabwa kapena kudandaula kuti chinachake chimene iwo anachita, kapena sanachite, chinachititsa kuti chichitike. Angayambe kudziimba mlandu chifukwa cha kubwerera kwawo. Dziwani kuti: Palibe chomwe mungachite kuti izi zisadzachitike.
Ngakhale mutatsatira malangizo a dokotala anu ku kalata, ndikusankha zochita zathanzi, khansara ikhoza kubwerera.
Kuchiza kwa Kubwereza
Njira zamankhwala zomwe zingapezeke kuti mukhale ndi vuto la kupuma kwa lymphoma kapena khansa ya m'magazi zimadalira zambiri momwe mukufuna kuti zichitire. Mutha kuyamba kuyamba pomwepo ndikuyang'ana mobwerezabwereza. Kapena mwina simungakonde kupita kuchipatala kachiwiri. Izi ndi zosankha zaumwini.
Ngati mukupitiriza chithandizo chamankhwala, mutha kulandira chithandizo chomwe chili chosiyana kwambiri ndi zomwe munachita kale. Mankhwala osiyana kapena mayendedwe atsopano azachipatala angakhale osankha.
Kusankha kuti musalandire chithandizo chamankhwala mwina kungakhale kovuta kupanga - pandekha komanso kwa anthu omwe amakukondani. Komabe, kusankha kusamalitsa khansa sikukutanthauza kuti simudzakhalanso osamalidwa, kuti zolinga ndi cholinga cha chisamaliro chikhale chosiyana.
Kusamalidwa kumaphatikizapo kupumula kwa zizindikiro ndikukhala ndi khalidwe labwino.
Pali zifukwa zambiri zomwe muyenera kulingalira posankha ngati mukupitirizabe kuchiza khansa yanu. Mwadutsa kale izi, kotero mumadziwa zambiri za chithandizo chomwe chimaphatikizapo nthawi ino. Izi zikhoza kukhala zabwino kapena zopanda pake!
Kumbukirani kuti chidziwitso chathu cha khansa ya magazi ndi mafuta ndi mankhwala awo nthawi zonse chikukula ndikukula. Njira zatsopano zothandizira zotsatira zoyipa ndi zovuta zikhoza kukhala zakhazikitsidwa kuyambira pamene munapatsidwa nthawi yoyamba kuzungulira.
Ichi ndi chowonadi kuposa kale lonse, ndipo musanasankhe zochita mungafune kukambirana bwino ndi oncologist wanu za mayesero a zachipatala omwe akupitirira.
Mafunso Ofunsa Bungwe Lanu Labwino
Kudziwa kuti khansara yako yabwerera kungakhale kovuta komanso kodabwitsa. Pakumva nkhani zoterezi, zimakhala zovuta kumvanso nkhani pambuyo pake! Zingakhale zothandiza kupanga mndandanda wa mafunso ofunsa gulu lanu la zaumoyo za kansa yanu yobwereza kuti muthe kuwatchula pa msonkhano wanu wotsatira. Zinthu zomwe mungaganizire kufunsa ndizo:
- Kodi ndondomeko zanga zotani?
- Kodi ndikuyembekeza chiyani kuchokera ku chithandizochi mwa zotsatira za zotsatira ndi khalidwe la moyo?
- Kodi ndiyenera kuvomerezedwa kuchipatala kuti ndipange mankhwalawa?
- Kodi mankhwalawa adzapitirira liti?
- Kodi mankhwalawa akufanana bwanji ndi zomwe ndalandira kale?
- Kodi mankhwalawa angakhale opambana?
- Bwanji ngati izo sizigwira ntchito kwa ine?
- Kodi malangizidwe anu a mankhwala ndi chiyani?
- Kodi zovuta zachipatala ndizovuta kwa ine?
- Kodi chimachitika ndikanatani kuti ndisamathandizidwe?
Kumbukirani kuti ziribe kanthu zomwe dokotala wanu akuyamikira, ndizo basi - ndondomeko. Chosankha chachikulu cha mtundu wa chithandizo chomwe mumasankha, kapena ayi, chikhale kwa inu. Ngati mukufuna maganizo osiyana pazochitika zanu, mungasankhe kupempha kachiwiri . Ndikofunika kudziwa kuti mumva maganizo ambiri ochokera kwa okondedwa anu. Izi zingakhale zovuta ngati zikhumbo zawo zimasiyana ndi zanu. Kungonena kuti, "Ndikukhulupirira kuti zomwe mukuganiza kuti zingakhale zabwino kwa inu, koma ndikufuna kutero" ndikuyembekeza kuwauzeni mwachifundo kuti mumalemekeza maganizo awo, koma muyenera kukhala owona nokha.
Kuwongolera Iwo
Kubwereza kwa khansa kungabweretsere malingaliro onse omwe mudali nawo pamene mudapezeka kuti muli ndi khansa ya m'magazi kapena lymphoma. Mutha kumverera ngati gulu lanu la thanzi labwino, thupi lanu, komanso ngakhale mzimu wanu wakuyenderani. Inu mukhoza kumverera ngati zinthu sizikulamulirani kwanu - pambuyo pa zonse, inu munachita zonse bwino ndipo izo zabwereranso!
Chowonadi ndi chakuti, pamene sikutheka kulamulira ngati khansa ikubwerera kapena ayi, ndiye kuti mungathe kusankha momwe mungayendetsere.
Pa nthawiyi, nkofunika kuti muzindikire zonse zomwe mungasankhe ndi kuwona kuopsa ndi phindu la aliyense. Pitirizani kulumikizana ndi gulu lanu la thanzi, komanso banja lanu, kuti munthu aliyense amvetse zolinga zanu ndi tsogolo lanu. Mukhoza kumverera kuti simukufuna kubwereranso kwa abwenzi ndi abwenzi , koma kulola ena kuti akuthandizeni n'kofunika kuposa momwe mukulimbana ndi ulendo watsopanowu ndi khansa.
Zotsatira:
American Society of Clinical Oncology. Lymphoma-Hodgkin: Ndondomeko. Cancer.Net. 10/2015. http://www.cancer.net/cancer-types/lymphoma-hodgkin/stages
Canellos, G., ndi P. Mauch. Kuchiza kwa kubwezeretsedwa kwa kalasi ya Hodgkin lymphoma pambuyo poyamba chemotherapy. Zaposachedwa. Kusinthidwa 10/06/15. http://www.uptodate.com/contents/treatment-of-relapse-of-classical-hodgkin-lymphoma-after-initial-chemotherapy
Kelvin, J., Tyson, L. (2005) Mafunso ndi Mayankho Zokhudza Zizindikiro za Khansa ndi Zotsatira Zochizira. Jones ndi Bartlett: Sudbury, MA.
Larouche, J., Berger, F., Chassagne-Clement, C. et al. Lymphoma Recurrence 5 Zakale kapena Pambuyo Pambuyo Pambuyo Pakukula Kwambiri B-Cell Lymphoma: Makhalidwe Achipatala ndi Zotsatira. Journal of Clinical Oncology . 2010. 28 (12): 2094-21--.
National Cancer Institute. Kuchiza Kwachikulire Kwambiri Osati Hodgkin - kwa akatswiri azaumoyo (PDQ). Kusinthidwa 01/15/16. http://www.cancer.gov/types/lymphoma/hp/adult-nhl-treatment-pdq
National Institute of Health. Kuzungulira DNA yamagazi m'magazi kunganeneratu kuti mitundu yambiri ya lymphoma imabwereranso. 04/02/15. http://www.nih.gov/news-events/news-releases/circulating-tumor-dna-blood-can-predict-recurrence-most-common-type-lymphoma
Stern, T., Sekeres, M. (2004) Kulimbana ndi khansa. McGraw-Hill: New York.