Jiyya ga lymphoma sau da yawa yana daukan watanni don kammalawa. A karshen wannan batu, kuna so ku san inda kuka tsaya. An warkar da ku? Me ya sa wasu ƙwayoyin lymph har yanzu suna kara kara? Shin cutarka har yanzu akwai? Shin zai iya dawowa? Doctors yi kokarin bayyana halin da ake ciki ta amfani da waɗannan sharuddan "remission," "sake dawowa," da "warkewarta," amma menene suke nufi?
Taron Ziyarku na farko
Ranar da ka karbi magani na karshe ba shine ranar da likita zai tantance ka ba don amsawa.
Wannan kuwa shine saboda ciwon daji yana shawo kan lokaci. Yawancin lokaci, likitanku zai kira ku don dubawa bayan makonni 4 zuwa 8. Wannan yana ba da farfadowa lokaci don kammala aikinsa akan ciwon daji. Doctor ya yi wasu gwaje-gwajen don gwada ku don gafara.
Amincewa da Gyara
Sakamakon yana nufin cewa an kawar da lymphoma dinku ko rage. Lokacin da tumarin ya ƙare, likitoci sun kira shi "cikakke gafara." Lokacin da aka rage yawan ciwon sukari amma har yanzu ya kasance, an kira shi "gafara". Domin lymphoma na Hodgkin da lymphoma non-Hodgkin (NHL) mai tsanani, likitoci kullum suna so su sami cikakkiyar gafara. Domin maras lahani ko NHL maras kyau - wanda ke tasowa ya girma ko ci gaba da sannu a hankali - sau da yawa saurin gyare-gyare na musamman zai isa.
Gyara da Cure
Ko da idan an kawar da cutarka bayan an gama lafiya, ba a kira shi magani ba. Lymphomas suna da damar sakewa, kuma likita zai jira sau da yawa kafin ya amince cewa cutar ba zata dawo ba.
A cikin Hodgkin lymphoma, alal misali, PET / CT zai iya taimakawa wajen gano kowace cuta da ta rage bayan magani. Wannan zai iya taimakawa, misali, lokacin da akwai taro, ko fadada a cikin kirji kuma ba a bayyana ko yana nuna mummunan cutar ko cuta ba.
Sai kawai bayan wannan zai iya gaya muku cewa an warkar da ku.
Ga Hodgkin da ƙananan lymphomas wadanda ba na Hodgkin, cutar tana da damar da ya dawo cikin shekaru biyu. NHL mai banƙyama zai iya dawowa bayan shekaru da yawa.
Binciken Bin-sawu akai-akai
Ziyarci na yau da kullum ga likita shine hanya mafi kyau don ci gaba da shafuka akan cutarka. Dikita zai bincika ku a kowane ziyara. Zai iya yin umurni da wasu gwaje-gwaje da kuma dubawa. Sakamakon farkon dawowar cutarka zai iya haifar da kyakkyawan sakamako tare da jiyya. Idan ba a samu wata cuta ba, za a iya tabbatar da kai game da lafiyarka.
Rushewar Cututtuka
Lymphomas na iya komawa, ko sake dawowa, bayan an kawar dashi a farkon. Wannan ya faru ne kawai a cikin 'yan tsirarun mutane. Lokacin da yake, ana iya sarrafawa sosai tare da jiyya na gaba. Rushewa zai iya faruwa a cikin yankunan da aka haɗa a baya, ko zai iya faruwa a sababbin sassan jiki. Ya kamata ku bayar da rahoto ga wani sabon sabbin matsaloli ko matsalolin kiwon lafiyar ku.
Gudanar da Damuwarku
Cikar cikakkiyar bayan jiyya shi ne alama mai kyau. Yawancin mutane ba su da lafiya daga cutar. Rashin tafiya cikin jin tsoro na sake dawowa shine amsawar mutum ne kuma yana da matukar fahimta, tun lokacin da aka magance wannan yiwuwar ba a taɓa karɓar ɓangare na tafiya ba.
Amma kada ku jinkirta ganin likitanku. Wadannan ziyara suna ba ka damar yin magana da likita kuma ka bayyana shakku. Ko da yayinda sake dawowa, kada ka firgita. Akwai magunguna masu mahimmanci da dama don sarrafa lafiyar ku.
Updated Janairu 2016, TI.
Sources:
Cheson BD, Fisher RI, Barrington SF et al. Shawarwari don ƙaddamarwa na farko, ƙaddamarwa da kuma amsawar mayar da martani ga Hodgkin da lymphoma ba Hodgkin: da classification. J Jara Incol . 2014; 32 (27) 3059-3068.
Barrington SF, Mikhaeel NG, Kostakoglu L, et al. Ɗauki na hotunan hoto a cikin binciken da kuma amsawa na lymphoma: yarjejeniya ta taro na kasa da kasa game da magungunan kamfanonin lymphomas. J Jara Incol. 2014; 32 (27): 3048-358.
Hutchings M. Yaya PET / CT ya taimaka wajen zaɓar farfadowa ga marasa lafiya da lymphoma Hodgkin? Hematology Am Soc Hematol Ilimin Ilimi . 2012; 2012: 322-7.
Townsend W, Linch D. Hodgkin ta lymphoma a cikin manya. Lancet . 2012; 380 (9844): 836-47.