THE DUDA MAFIA'S
CHAPTER 13. WAITING FOR ACCURATE RESULTS TO DETERMINE THE TYPE OF TREATMENT
Bety and Tisa were tired of cleaning the pond, and then in wet clothes, they continued their work of cleaning the garden, plucking the weeds that grew there and watering the flowers.
Currently both are resting in houses in the mansion's garden while drinking tea made by Mamang garden manager.
Mamang was forbidden by Bi Luna to help them, so all she could do was give them a drink and also some snacks.
Aira after carrying out the action earlier, immediately agreed with Bi Luna to go to the hospital to accompany Nayla to look after Seyna. He was escorted by one of the drivers who worked at the mansion.
During the trip, Aira smiled alone thinking about what the two fairy servants would get after they were tired of cleaning the house, garden and pond. They will definitely be hysterical to find the room is messy and also the blanket dirty.
"We have reached Non Aira" said the driver.
"Oh yes Sir. You just go back to the mansion, maybe Bi Luna needs your help. I'll stay over to accompany Miss looking after her sister."
"Alright Non, I say goodbye first," said Mr. Driver.
Aira nodded, then turned around, walking into the hospital to see Nayla and her brother who were currently waiting for the results of the Doctor's examination on the cause of Seyna fever.
Arkan was calling someone when Aira got there. Then Aira approached Nayla who was sitting leaning back while closing her eyes. Aira knew, Nayla could not sleep, she just let go of her feelings.
"How's Seyna doing, Nay?" asked Aira who was sitting next to Nayla.
"Oh, you're Aira. Who are you coming with?" ask Nayla.
"Alone, delivered by Mr. Driver," replied Aira.
"The doctor is examining Seyna, I hope nothing bad will happen to her. She's my life Aira, she's all I have right now" Nayla said sadly.
"Calm down! Seyna can definitely get through it all. You don't say you only have Seyna but you have me now. I'm your friend and your brother" Aira said, hugging Nayla.
"Thank you Aira, I'm happy to meet and have a friend like you" Nayla said.
As they were talking, the doctor came out of Seyna's room. "Who's Seyna's family?" ask the Doctor.
"I'm Mr. Doctor, I'm his brother" Nayla said as she stood up and approached Mr. Doctor.
"Please come to my room" asked Mr. Doctor.
"Well, Doctor" said Nayla.
When the Doctor was about to leave and was followed by Nayla, Arkan came, and said, "Wait for Doc! I can come in to hear the doctor's explanation. I'm the personal assistant of Miss Nayla's future husband and it just so happens that her future husband is overseas, so everything happens to Miss and her sister, it is my responsibility in other words in my supervision" Arkan explained.
"Oh, so. Come, please come with me to the room."
After they arrived at the room, the doctor explained that Seyna had lymph node cancer.
Nayla also replied if they had known it, only so far constrained by funds, so Seyna did not do intensive treatment.
"Dok, now we beg you to do the best treatment for Miss Seyna. Regarding the cost, Mr. Damar will bear it all" Arkan said.
Nayla turned to Arkan, then she said, "Please say my thanks to Mr. Damar Bang, thank you for taking all my sister's treatment."
"Alright Mr. Arkan, we will do our best to heal Miss Seyna" replied the Doctor.
What we need to know at this time from the results of the examination is the extent of the development of cancer cells in the body Miss Seyna.
The stage or stage of cancer that must be known:
Stadium 1
Stage 1 lymph node cancer is the initial stage in lymphoma disease. In both Hodgkin lymphoma and non-Hodgkin lymphoma, stage 1 describes cancer cells that are only found in one lymph node or lymphoid organ, such as the thymus.
Cancer cells can start in the lymph nodes of the neck area or in any area, either above or below the diaphragm (the muscle sheet that separates the chest and abdomen).
IE Stadium
If the patient has stage IE, lymphoma cancer cells begin in one organ that is outside the lymphatic system, and only in that organ.
In stage 1 lymphoma cancer, treatment is generally in the form of chemotherapy, which can consist of 2 to 4 cycles. Patients may also need radiotherapy.
Stadium II
In stage 2 lymph node cancer, cancer cells attack two or more lymph node groups. These cancer cells can start in any area, but occur on the same side of the diaphragm.
For example, both at the top of the diaphragm (armpit and neck) or equally at the bottom of the diaphragm (thigh groin), as well as not a combination of the two, like lymph nodes in the armpits and groin.
Iie Stadium
When a patient has stage IIE, the lymphoma cancer cells that the patient has begin in one organ of the body (not in the lymphatic system) and also are in one or more groups of nearby lymph nodes. This happens on one side of the same diaphragm.
In stage 2 lymph node cancer, the treatment given is generally in the form of chemotherapy consisting of 2 to 4 cycles. Patients may also need to undergo radiotherapy, according to their condition.
Stadium III
Lymph node cancer stage 3 (III) is an advanced stage of lymphoma disease. This stage means the cancer cells have affected the lymph nodes on both sides of the diaphragm, both above and below, including the spleen.
At this stage, the treatment given is generally in the form of chemotherapy, which consists of 6 to 8 cycles. Radiotherapy may also be given to some patients.
Stadium IV
The spleen and thymus are organs that are part of the lymphatic system. Therefore, cancer cells that have recently spread to these organs are not included as stage 4 lymphoma cancer.
Cancer that has reached an advanced stage can indeed be categorized as severe. However, unlike other types of cancer, advanced lymphomas, namely 3 and 4, are likely to be successfully treated and controlled.
Some patients may be cured. However, this depends on the type of lymphoma that the patient is experiencing.
The treatment is generally given to stage 4 lymphoma, which is chemotherapy as much as 6 to 8 cycles. Patients may also need to undergo radiotherapy, according to their condition.
Based on these considerations, the types of drugs and treatments that doctors generally recommend to treat lymphoma or lymph node cancer:
Active monitoring of the doctor
Some types of lymphoma develop very slowly and do not even cause symptoms at all. In this condition, the patient may not need any treatment.
Treatment can actually cause the risk of side effects and lymphoma cells become resistant. Most lymphoma patients can respond well to treatment if it is really needed.
However, during active surveillance, patients should undergo routine tests to control their condition. New treatment will be given when the disease has developed and causes symptoms.
Chemotherapies
Chemotherapy is the main way to treat cancer of the lymph nodes or lymphoma. This treatment is considered most effective in killing lymphoma cancer cells.
Chemotherapy uses drugs to kill cancer cells or prevent cancer cells from dividing, which are given in pill form or directly into blood vessels through intravenous lines. Usually, lymph node cancer patients receive more than one chemotherapy drug given at once.
The drug is given in several cycles. The number of cycles that need to be undertaken depends on the type and stage of lymphoma you have. The entire chemotherapy treatment can last for several weeks or several months, depending on the cycle that needs to be lived and the recovery period of each person.
Chemotherapy treatment for lymphoma can be given alone or combined with other types of treatment, such as target therapy or radiotherapy.
Radiotherapy
Unlike chemotherapy which uses drugs, radiotherapy or radiation therapy uses high-energy X-rays to destroy lymph node cancer cells. This type of treatment can be done to cure lymphoma or control the symptoms that appear.
To achieve this goal, radiotherapy can be given alone or in combination with chemotherapy. Radiotherapy alone can generally cure lymph cancer that develops slowly and is still in the early stages.
As for lymphoma that develops quickly and is in an advanced stage, radiotherapy treatment is usually given after chemotherapy.
Depending on the type and stage, radiotherapy treatment for lymph node cancer can be done in one or more fractions. The duration of treatment can last in a few days or even weeks.
Bone marrow transplant
Other treatments for lymphoma cancer, namely bone marrow or stem cell transplantation (stem cell). This procedure is done by replacing stem cells in the diseased bone marrow (affected by cancer cells) with healthy stem cells.
The stem cells in the bone marrow function to produce blood cells. By replacing these stem cells, it is expected that new bone marrow stem cells can produce healthy blood cells.
Stem cell transplantation for lymph node cancer is generally done after chemotherapy drugs are given. Because, during chemotherapy, stem cells that are still healthy will be damaged along with the death of cancer cells. Therefore, transplantation is needed so that the patient's body can produce healthy blood cells that the body needs.
The bone marrow stem cells to be transplanted can be obtained from the patient's own body or from another person (donor).
When taken from the patient's own body, healthy stem cells will be taken and cooled before chemotherapy is run, which will then be returned to the patient's body after chemotherapy is completed.
other treatment.
Other drugs used to treat lymph node cancer are targeted drugs that focus on specific abnormalities in cancer cells.
In addition, immunotherapy drugs can also be given that can help the immune system to kill cancer cells.
A special treatment called chimeric antigen receptor T cell (CAR) therapy is another treatment for lymph node cancer, which works by taking T cells that fight body germs, they are designed to fight cancer, and put it back into the patient's body.
That's the treatment options for lymph node cancer that we should know about. Remember, cancer treatment works best when given at an early stage when the cancer is still easy to treat.
If you have swollen lymph nodes in your neck, armpits, or **********, as well as feeling constantly tired, feverish, and night sweats, you should immediately consult a doctor. Because, these symptoms can be symptoms of lymph node cancer.
"So Doc, how far is Seyna's lymph cancer now?" ask Nayla.
"We wait for the results of the examination this afternoon, Miss, if it has reached the advanced or final stage, inevitably chemotherapy must be done as much as 6 to 8 cycles. And Miss Seyna may need to undergo radiotherapy, according to her condition later," said the Doctor.
Nayla tried hard to hear the explanation from the Doctor, but she wanted to cry and scream loudly, why this ordeal must happen to her sister not to her.
