Kupulumuka kwathunthu, kapena OS, kapena nthawi zina "kupulumuka" ndi chiwerengero cha anthu omwe ali ndi moyo pambuyo pa nthawi yaitali - kawirikawiri zaka zingapo.
Mwachitsanzo: "OS wa zaka zisanu za Hodgkin lymphoma yachigawo 2 ndi pafupifupi 90 peresenti."
Izi zikutanthauza kuti, odwala onse omwe ali ndi Hodgkin lymphoma omwe ochita kafukufuku anali kuyang'ana mu phunziro lawo, iwo omwe anakhalapo zaka zosachepera 5 kuchokera nthawi yomwe anadziwiratu anali 90 peresenti.
Zaka 5 za OS nthawi zambiri zimadziwika kuti ndi anthu omwe amadziwika kuti ali ndi sitepe yeniyeni ya khansara, kapena nthawi zina anthu omwe ali ndi sitepe yeniyeni ya khansa omwe adalandira chithandizo chokhazikika . Choncho, pakadali pano, zikhoza kufotokozedwa kuti zaka zisanu za 5 za chiwerengero cha OS zikuwonetsera chiwerengero cha anthu omwe akukhalapo zaka zisanu pambuyo poti apeza matenda kapena zaka 5 chiyambireni mankhwala .
Kupulumuka motsutsana ndi Chithandizo
Mwa njira ina, OS ingathe kusonyeza chiwerengero cha mankhwala, koma izi sizili choncho nthawi zonse. "Zingwe" zosiyana zimagwiritsidwa ntchito poyeza kufala kwa odwala khansa, ndipo aliyense ali ndi mphamvu zake komanso zoperewera zake. Zaka 5 za OS zimagwiritsidwa ntchito kwa khansa zambiri kuphatikizapo maimymphomas apamwamba chifukwa chakuti omwe amapulumuka zaka zisanu akhoza kuchiritsidwa ku matenda awo. Mu ziwalo zina zochepa zomwe zimakhala zochepa komanso zochepa zomwe zimachitika ngati follicular lymphoma, komabe, zaka khumi zomwe zimakhalapo zingakhale zowonongeka zomwe zingatengeke kuti ndizochiritsidwa.
M'mawu ena, kukhala ndi moyo zaka zisanu pambuyo pozindikira kuti follicular lymphoma sikutanthauza kuti matendawa apita bwino.
Kupulumuka kupyolera mu Kupulumuka kwapadera
Ngati zokhudzana ndi chifukwa cha imfa zowonjezeredwa, izi zikhoza kutchulidwa ngati kupulumutsidwa kosinthika kapena kupulumuka kwapadera. Kupulumuka kwapadera kumeneku kungakhale kosiyana kwambiri ndi OS.
Zomwe zimayambitsa kupulumutsidwa zimayesedwa ngati njira yowonetsera kuti imfa yochulukirapo mumtundu umene ulipo chifukwa cha khansa yokha. Mwachitsanzo, taganizirani za khansara yomwe imapezeka mwa anthu omwe ali ndi matenda oipa. Ngati mukungoyang'ana kupulumuka kwapadera osati chifukwa cha moyo - simudziwa kanthu ka chiwerengero cha imfa chifukwa cha matenda a mtima, osati khansara-ndipo izi zingachititse kuti ziwoneke ngati khansa ndi yoopsa kwambiri kuposa momwe ilili .
Kupulumuka ndi Magulu Opatsirana
Nthawi zina anthu omwe ali ndi khansa amaikidwa m'magulu osiyanasiyana kuti apeze chithunzi chabwino cha moyo. Magulu awa akhoza kutchulidwa ngati magulu olosera. Tiyeni titenge follicular lymphoma monga chitsanzo.
Malingana ndi American Cancer Society, ya follicular lymphoma , Follicular Lymphoma International Prognostic Index kapena FLIPI inakhazikitsidwa chifukwa chakuti ndondomeko yowonongekayo inalibekwanira. Pano pali kalembedwe yakale ya International Prognostic Index, kapena IPI, yomwe imathandiza kwambiri ma lymphomas, koma sizothandiza pa follicular lymphomas, yomwe imakhala ikukula mofulumira.
The FLIPI amagwiritsa ntchito zizindikiro zosiyana ndi IPI, monga zotsatira:
Zinthu zabwino zolosera
- Zaka 60 kapena pansi
- Gawo I kapena II
- Magazi a hemoglobini 12 g / dL kapena pamwambapa
- 4 kapena malo ochepa omwe ali ndi mitsempha ya m'mimba
- Seramu LDH ndi yachibadwa
Zinthu zolakwika zowonetsera
- Zaka zoposa 60
- Gawo lachitatu kapena IV
- Magazi a hemoglobin m'munsimu 12 g / dL
- Malo oposa 4 a mitsempha ya m'mimba amakhudzidwa
- Seramu LDH ili pamwamba
Odwala amapatsidwa mfundo pa chinthu chilichonse chosowa chonchi. Anthu omwe alibe malingaliro osauka akhoza kukhala ndi 0, pamene awo omwe ali ndi zifukwa zosaoneka bwino zomwe zikanakhala zolakwika zikhoza kukhala ndi chiwerengero cha 5. Mndandanda umagawaniza anthu ndi follicular lymphoma m'magulu atatu:
- Chowopsa chochepa: ayi kapena 1 zosalongosoka zoipa (s)
- Zoopsa zochepa: 2 zolakwika zolemba zizindikiro
- Kuopsa kwakukulu: 3 kapena kuposerapo zinthu zolakwika
Phunziroli linagwiritsidwa ntchito kuti likhale ndi FLIPI yomwe inanena zotsatirazi: - *
- Ngozi yazing'ono: OS wazaka zisanu ndi zisanu ndi zitatu; Zaka 10 za OS zaperesenti 71
- Mavuto apakati: OS zaka zisanu ndi zisanu ndi ziwiri (78%); Zaka 10 za OS za 51 peresenti
- Zowopsa kwambiri: OS wazaka 5 za 53 peresenti; Zaka 10 za OS za 36 peresenti
* American Cancer Society inati:
" Mitengoyi ikuwonetsera chiwerengero cha anthu omwe anakhalapo zaka 5 kapena 10 atapezeka - anthu ambiri akhala ndi moyo wautali kuposa izi. Mitengoyi inachokera pa anthu omwe anapezeka ndi follicular lymphoma m'ma 1980 ndi 1990. Mankhwala atsopano apangidwa kuyambira nthawi imeneyo, kotero kuti ndalama zomwe zimakhalapo panopo zikhoza kukhala zapamwamba kwambiri. "
Mawu ochokera
Kupulumuka miyeso ndi zipangizo zabwino, koma mwanjira zina, ziri ngati nyuzipepala zamasamba - chifukwa zimatenga zaka kuti zikhalepo, zimakhala zenizeni nthawi yeniyeni ndikuwonetsa mankhwala omwe amagwiritsidwa ntchito panthawiyo. Kwa munthu amene ayamba kulandira mankhwala atsopano lero zomwe zasindikizidwa zaka khumi zomwe zingakhalepo mwina zingakhale zofunikira.