Hom / lymphoma / tus neeg mob / tus menyuam-hodgkin-kev kho mob-pdq

Thaum yau Hodgkin Lymphoma Kev Kho Mob (®) –Patient Version

Cov Lus Qhia Txog Dav Txog Cov Me Nyuam Hodgkin Lymphoma

QHOV TSEEM CEEB

• Thaum yau Hodgkin lymphoma yog ib yam kab mob uas mob hlwb (qog nqaij hlav cancer) ua rau cov qog ntshav.

• Qhov ob hom tseem ceeb ntawm cov menyuam yaus thaum yau Hodgkin lymphoma yog classic thiab nodular lymphocyte-feem ntau.

• Kev kis tus kab mob Epstein-Barr thiab tsev neeg keeb kwm ntawm Hodgkin lymphoma tuaj yeem ua rau muaj kev pheej hmoo ntawm menyuam yaus Hodgkin lymphoma.

• Cov cim ntawm menyuam yaus Hodgkin lymphoma suav nrog cov qog ntshav o, ua npaws, tawm hws hmo ntuj, thiab poob phaus.

• Kev ntsuam xyuas uas tshuaj xyuas cov lymph system thiab lwm qhov hauv lub cev tau siv los kuaj thiab ntu menyuam yaus Hodgkin lymphoma.

• Qee yam cuam tshuam txog kev raug (mob rov qab) thiab txoj kev kho.

Thaum yau Hodgkin lymphoma yog ib yam kab mob uas mob hlwb (qog nqaij hlav cancer) ua rau cov qog ntshav.

Thaum yau Hodgkin lymphoma yog hom qog nqaij hlav loj hlob hauv qog ua ntshav. Lub lymph ua haujlwm yog ib feem ntawm lub cev tiv thaiv kab mob. Nws pab tiv thaiv lub cev los ntawm kev kis kab mob thiab kab mob.

Lymph lub cev yog ua los ntawm cov hauv qab no:

• Lymph: Tsis muaj kob, kua dej uas ntws los ntawm cov qog hlab thiab coj T thiab B lymphocytes. Lymphocytes yog ib hom qe ntshav dawb.

• Lymph hlab ntsha (hlab ntsws): Lub network ntawm txoj hlab nyias nyias uas sau cov qog ntawm ntau qhov ntawm lub cev thiab xa rov qab rau cov ntshav.

• Cov qog ntshav: Lub cev me, taum pauv uas lim cov qog thiab khaws cov qe ntshav dawb uas pab tawm tsam kev kis mob thiab kab mob. Cov qog tau nyob raws cov kab ke sib txuas ntawm cov qog ntshav thoob plaws lub cev. Cov pab pawg ntawm cov qog ntshav tau pom nyob hauv caj dab, underarm, mediastinum (thaj tsam ntawm lub ntsws), plab, pelvis, thiab puab tais. Hodgkin lymphoma feem ntau ua rau cov qog ntshav siab dua lub diaphragm.

• Spleen: Ib qho khoom hauv nruab nrog uas ua cov lymphocytes, khaws cov qe ntshav liab thiab lymphocytes, lim ntshav, thiab rhuav cov qe ntshav qub. Tus po yog pob nyob rau sab laug ntawm lub plab ze rau lub plab.

• Thymus: Ib qho khoom hauv lub cev uas T lymphocytes paub tab thiab hlav ntau. Tus qa yog hauv siab hauv qab lub mis.

• Hlwb Pob Txha: Cov nqaij mos thiab pob txha mos nyob hauv qhov chaw ntawm qee cov pob txha, xws li pob txha pob txha thiab txhaws. Cov qe ntshav dawb, qe ntshav liab thiab cov qe ntshav ua rau cov hlwb pob txha.

• Tonsils: Ob qhov loj me ntawm cov qog ntshav ntawm sab caj pas. Muaj ib tonsil ntawm ib sab ntawm caj pas.

Lub cev qog ntawm cov qog ntshav, uas qhia cov hlab ntsha thiab cov qog ua haujlwm nrog rau cov qog ntshav, tonsils, thymus, spleen, thiab pob txha pob txha. Lymph (kua dej ntshiab) thiab lymphocytes taug kev hauv cov hlab ntsha mus rau hauv cov qog ntshav uas cov lymphocytes ua kom puas cov tshuaj phem. Lymph nkag hauv ntshav los ntawm txoj hlab ntshav loj nyob ze lub plawv.

Cov kab mob ntawm cov qog ua haujlwm kuj tseem muaj nyob hauv lwm qhov ntawm lub cev xws li hauv ob sab phlu ntawm txoj hnyuv, mob ntsws, thiab tawv nqaij.

Muaj ob hom mob lymphoma: Hodgkin lymphoma thiab tsis-Hodgkin lymphoma. Cov ntsiab lus no yog hais txog kev kho mob thaum yau Hodgkin lymphoma.

Hodgkin lymphoma tshwm sim feem ntau rau cov tub ntxhais hluas hnub nyoog 15 txog 19 xyoo. Txoj kev kho mob rau menyuam yaus thiab tub ntxhais hluas yog qhov txawv dua li kev kho mob rau cov neeg laus.

Yog xav paub txog menyuam yaus tsis yog Hodgkin lymphoma lossis tus neeg loj Hodgkin lymphoma pom hauv cov ntsiab lus hauv qab no:

• Thaum yau Tsis-Hodgkin Lymphoma Kev Kho.

• Kho Cov Neeg Loj Hlob Hodgkin.

Qhov ob hom tseem ceeb ntawm cov menyuam yaus thaum yau Hodgkin lymphoma yog classic thiab nodular lymphocyte-feem ntau.

Qhov ob hom tseem ceeb ntawm cov menyuam yaus thaum yau Hodgkin lymphoma yog:

• Classic Hodgkin lymphoma. Qhov no yog hom Hodgkin lymphoma ntau tshaj plaws. Nws tshwm sim feem ntau hauv cov neeg hluas. Thaum kuaj cov qog ntshav ntawm lub ntsej muag yog ntsia hauv lub tshuab tsom, Hodgkin lymphoma mob hlwb, hu ua Reed-Sternberg cov hlwb, tej zaum yuav pom.

Reed-Sternberg cell. Cov hlwb Reed-Sternberg yog cov loj, txawv txav lymphocytes uas tej zaum yuav muaj ntau dua ib lub nucleus. Cov kab mob no muaj nyob hauv Hodgkin lymphoma.

Classic Hodgkin lymphoma tau muab faib ua plaub qhov subty, raws li cov qog nqaij hlav cancer saib hauv lub tshuab tsom:

• Nodular-sclerosing Hodgkin lymphoma tshwm sim feem ntau rau cov menyuam yaus thiab cov tub ntxhais hluas. Nws yog ib qho muaj ntawm lub hauv siab loj hauv kev kuaj mob.

• Ntau hom cellity Hodgkin lymphoma feem ntau tshwm sim hauv cov menyuam yaus hnub nyoog qis dua 10 xyoo. Nws txuas rau keeb kwm ntawm Epstein-Barr tus kab mob (EBV) kev sib kis thiab feem ntau tshwm sim nyob rau hauv lub qog ntawm caj dab.

• Lymphocyte-nplua nuj classic Hodgkin lymphoma tsis tshua muaj rau cov menyuam yaus. Thaum kuaj cov qog ntshav ntawm lub ntsej muag yog ntsia hauv lub tshuab tsom, muaj cov Reed-Sternberg cov hlwb thiab ntau cov lymphocytes thiab lwm cov qe ntshav.

• Lymphocyte-depleted Hodgkin lymphoma muaj tsawg rau cov menyuam yaus thiab feem ntau tshwm sim rau cov neeg laus lossis neeg laus uas muaj tus kabmob txhaj tshuaj tiv thaiv kab mob (HIV). Thaum kuaj cov qog ntshav ntawm lub ntsej muag yog ntsia hauv lub tshuab tsom, muaj ntau cov qog nqaij hlav cancer loj loj, txawv me me thiab ob peb lymphocytes zoo li qub thiab lwm cov qe ntshav.

• Nodular lymphocyte-feem ntau Hodgkin lymphoma. Hom Hodgkin lymphoma no tsis tshua pom muaj dua li Hodgkin lymphoma. Feem ntau nws tshwm sim rau cov menyuam yaus hnub nyoog qis dua 10 xyoo. Thaum cov qog ntshav ntawm lub ntsej muag tsom mus rau hauv lub tshuab tsom, cov qog nqaij hlav cancer zoo li "paj kws" vim yog lawv cov duab. Nodular lymphocyte-feem ntau Hodgkin lymphoma feem ntau tshwm sim los ua qog ntshav rau lub caj dab, underarm, lossis puab tais. Feem ntau ntawm cov tib neeg tsis muaj lwm yam cim los yog tsos mob cancer thaum kuaj pom.

Kev kis tus kab mob Epstein-Barr thiab tsev neeg keeb kwm ntawm Hodgkin lymphoma tuaj yeem ua rau muaj kev pheej hmoo ntawm menyuam yaus Hodgkin lymphoma.

Txhua yam uas ua rau koj muaj feem yuav kis tus mob yog hu ua kev pheej hmoo. Muaj qhov muaj feem yuav tsis txhais tau tias koj yuav muaj mob qog noj ntshav; tsis muaj yam txaus ntshai tsis txhais tau tias koj yuav tsis muaj mob qog noj ntshav. Tham nrog koj tus menyuam tus kws kho mob yog tias koj xav tias koj tus menyuam raug pheej hmoo.

Cov teeb meem kev pheej hmoo rau menyuam yaus Hodgkin lymphoma muaj raws li hauv qab no:

• Raug kis nrog tus kab mob Epstein-Barr (EBV).

• Muaj keeb kwm tus kheej ntawm mononucleosis ("mono").

• Muaj kev kis tus kab mob human immunodeficiency virus (HIV).

• Muaj qee yam kabmob ntawm kev tiv thaiv kabmob, xws li autoimmune lymphoproliferative syndrome.

• Muaj lub cev tsis muaj zog tiv thaiv kab mob tom qab hloov khoom nruab nrog lossis los ntawm cov tshuaj tau muab tom qab hloov ntshav kom tsis pub hloov lub cev los ntawm lub cev.

• Muaj niam txiv, kwv tij, lossis muam nrog muaj keeb kwm ntawm tus kheej Hodgkin lymphoma.

Kev kis rau feem ntau ntawm cov menyuam yaus thaum ntxov yuav txo tau Hodgkin lymphoma rau cov menyuam yaus vim tias nws cuam tshuam rau lub cev tiv thaiv kab mob.

Cov cim ntawm menyuam yaus Hodgkin lymphoma suav nrog cov qog ntshav o, ua npaws, tawm hws hmo ntuj, thiab poob phaus.

Cov cim thiab tsos mob ntawm Hodgkin lymphoma nyob ntawm seb qhov twg mob qog nqaij hlav hauv lub cev thiab qhov mob qog loj npaum li cas. Cov no thiab lwm yam cim thiab tsos mob tuaj yeem tshwm sim yog thaum yau Hodgkin lymphoma lossis los ntawm lwm yam mob. Nrog koj tus menyuam tus kws kho mob tham yog tias koj tus menyuam muaj tej yam hauv qab no:

• Tsis mob, cov qog ntshav nyob ze ntawm lub caj dab los yog hauv caj dab, hauv siab, underarm, lossis puab tais.

• Ua npaws yam tsis paub tias yog vim li cas.

• Poob phaus yam tsis paub tias yog vim li cas.

• Hmo ntuj tawm hws.

• Zoo nkaus li nkees.

• Kev Mob Nkeeg.

• Cov tawv nqaij khaus.

• Hnoos.

• Teeb meem ua pa, tshwj xeeb tshaj yog thaum pw.

• Mob lub qog ua kua tom qab haus cawv tas.

Tsis kub taub hau vim tsis paub dab tsi, yuag yuag yam tsis paub tias yog vim li cas, lossis tawm hws hmo ntuj hu ua tsos mob B. Cov tsos mob B yog ib feem tseem ceeb ntawm staging Hodgkin lymphoma thiab nkag siab tus neeg mob txoj kev pheej rov zoo.

Kev ntsuam xyuas uas tshuaj xyuas cov lymph system thiab lwm qhov hauv lub cev tau siv los kuaj thiab ntu menyuam yaus Hodgkin lymphoma.

Kev ntsuam xyuas thiab cov txheej txheem uas ua rau cov duab ntawm lub lymph system thiab lwm qhov hauv lub cev pab tshawb xyuas menyuam yaus thaum yau Hodgkin lymphoma thiab qhia txog tias mob cancer kis tau li cas. Cov txheej txheem tau siv los xyuas seb cov keeb hlav mob qog nqaij hlav tau sab nraud lymph yog hu ua staging. Los npaj kev kho mob, nws yog ib qho tseem ceeb kom paub tias yog mob cancer tau kis mus rau lwm qhov ntawm lub cev.

Cov kev ntsuas thiab cov txheej txheem yuav suav nrog cov hauv qab no:

• Kev kuaj mob lub cev thiab keeb kwm kev noj qab haus huv: Kev kuaj lub cev kom kuaj xyuas cov cim ntawm kev noj qab haus huv, suav nrog kuaj lub cim ntawm tus kab mob, xws li cov qog lossis lwm yam uas zoo li txawv txawv. Cov keeb kwm ntawm tus neeg mob txoj kev noj qab haus huv thiab cov kab mob yav dhau los thiab kev kho mob tseem yuav raug coj los siv.

• Ua kom tiav cov ntshav suav (CBC): Tus txheej txheem uas coj cov ntshav mus kuaj thiab kuaj rau cov hauv qab no:

• Tus naj npawb ntawm cov qe ntshav liab, cov qe ntshav dawb thiab cov qe ntshav.

• Cov ntshav hemoglobin (cov protein uas nqa oxygen) hauv cov ntshav liab.

• Feem ntawm cov ntshav ua tau los ntawm cov ntshav liab.

Ua kom tiav cov ntshav suav (CBC). Ntshav yog sau los ntawm kev ntxig ib rab koob rau hauv cov leeg thiab pub cov ntshav tuaj rau hauv lub raj. Cov ntshav ntsuas raug xa mus rau chav kuaj thiab ntshav liab, ntshav dawb, thiab cov ntshav khov yog suav. Lub CBC yog siv los ntsuas rau, ntsuas mob, thiab saib xyuas ntau yam mob.

• Kev tshawb fawb hauv ntshav cov ntshav: Tus txheej txheem los kuaj ntshav cov ntshav hauv lub cev, suav nrog albumin, los ntawm cov plab hnyuv siab thiab cov nqaij hauv lub cev. Ib qho txawv (ntau dua lossis qis dua qub) ntawm cov tshuaj yuav ua rau lub cim ntawm tus kabmob.

• Sedimentation rate: Tus txheej txheem uas kuaj cov ntshav coj mus kuaj thiab ntsuas seb tus ntshav liab nyob li cas rau hauv qab txoj hlab ntsuas. Qhov txo qis kom mus nrawm yog qhov ntsuas txog ntau npaum li cas hauv lub cev. Tshaj siab dua li qhov tso zis nyob hauv lub cev yuav yog qhov pom ntawm lymphoma. Kuj tseem hu ua erythrocyte sedimentation tus nqi, sed tus nqi, lossis ESR.

• CT scan (CAT scan): Cov txheej txheem uas ua rau cov duab ntxaws ntxig ntawm cov chaw hauv lub cev, xws li caj dab, hauv siab, plab, lossis plab hlaub, coj los ntawm ntau cov ces kaum. Cov duab no yog tsim los ntawm lub koos pis tawj txuas nrog lub tshuab xoo hluav taws xob. Ib qho zas xim tuaj yeem raug txhaj rau hauv txoj hlab ntshav lossis nqos los pab rau cov kabmob lossis cov nqaij ua kom pom tseeb dua. Cov txheej txheem no tseem hu ua suav tomography, computer tom tomography, lossis computerized axial tomography.

Tham tomography (CT) scan ntawm lub plab mog. Tus me nyuam nyob ntawm lub rooj uas zes ntawm CT scanner, uas siv duab xoo hluav taws xob sab hauv lub plab.

• PET scan (positron emission tomography scan): Tus txheej txheem los nrhiav cov qog ua qog ntshav hauv lub cev. Ib qho me me ntawm cov kua hluav taws xob cov kua qab zib (qab zib) tau txhaj rau txoj hlab ntshav. PET scanner tig ncig lub cev thiab ua ib daim duab ntawm qhov chaw nyob hauv qab ntawm lub cev tau siv. Malignant qog hlwb nthuav qhia lub ci nyob hauv daim duab vim tias lawv nquag tshaj thiab noj ntau dua cov piam thaj dua li cov hlwb ua. Qee zaum PET scan thiab CT scan ua tib lub sijhawm. Yog tias muaj mob qog nqaij hlav, qhov no yuav muaj ntau ntxiv thaum nws tuaj yeem tshawb pom.

Positron emission tomography (PET) scan. Tus menyuam nyob ntawm lub rooj uas zes ntawm PET scanner. Lub taub hau so thiab pluaj dawb pab tus menyuam pw. Ib qho me me ntawm cov dej qabzib (suab thaj) tau txhaj rau hauv tus menyuam txoj hlab ntshav, thiab lub scanner ua ib daim duab ntawm qhov chaw nyob ntev ntawm cov piam thaj hauv lub cev. Cov kabmob kheesxaws tau nthuav dav dua hauv daim duab vim tias lawv noj ntau dua cov piam thaj ntau dua li cov cell ua.

• MRI (sib nqus resonance duab): Tus txheej txheem siv cov hlau nplaum, xov tooj cua voos, thiab lub koos pij tawj los ua cov duab ntawm cov ncauj lus kom ntxaws ntawm thaj chaw hauv lub cev, xws li cov qog ntshav. Tus txheej txheem no tseem hu ua nuclear sib nqus resonance imaging (NMRI).

Sib nqus resonance imaging (MRI) ntawm lub plab. Tus me nyuam nyob ntawm ib lub rooj uas xaub mus rau hauv MRI scanner, uas thaij duab ntawm sab hauv lub cev. Cov ntaub qhwv rau ntawm tus menyuam lub plab pab ua kom pom cov duab ntxig zog.

• Xoo Xaim: Xoos hluav taws xob ntawm cov plab hnyuv siab raum thiab pob txha hauv hauv siab. Qhov xoo hluav taws xob yog ib hom kev tawm dag zog ntawm lub zog uas tuaj yeem nkag mus hauv lub cev thiab mus rau zaj duab xis, ua duab ntawm thaj chaw hauv lub cev.

• Mob pob txha rau txoj kev cia siab thiab kuaj me me: Tshem tawm cov pob txha pob txha thiab ib qho me me ntawm pob txha los ntawm ntxig rab koob hollow rau hauv lub duav lossis ob lub mis. Tus kws kho mob hais txog pob txha caj qaum thiab pob txha nyob hauv lub tshuab tsom seb puas pom cov qog ua haujlwm txawv. Mob pob txha txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau cov neeg mob ua kom muaj mob thiab / lossis cov tsos mob B.

Nqaij pob txha txhaws thiab nqus xyoob. Tom qab qhov chaw me me ntawm daim tawv nqaij loog, xoos pob txha pob txha tau tso rau hauv tus menyuam pob txha pob txha. Cov hnoos qeev ntshav, pob txha, thiab pob txha pob txha tau raug tshem tawm mus kuaj hauv lub tshuab tsom.

• Lymph node biopsy: Qhov tshem tawm tag nrho lossis ib feem ntawm ib lossis ntau cov qog ntshav. Cov qog ntshav yuav raug tshem tawm thaum lub sijhawm thaij duab CT scan lossis lub ntsej muag thoracoscopy, mediastinoscopy, lossis laparoscopy. Ib qho ntawm cov hauv qab no tso tawm tuaj yeem ua:

• Kev phais me me: Qhov tshem tawm tag nrho cov qog ntshav.

• Kev phais me me: Qhov tshem tawm ntawm ib feem ntawm cov qog ntshav.

• Kev rho tawm me me: Qhov tshem tawm cov nqaij ntawm cov qog ntshav siv ib rab koob loj.

Tus kws kho mob tawm tswv yim pom cov qog ntshav ntawm lub qog tsom hauv lub qaij tsom kom pom cov qog nqaij hlav cancer hu ua Reed-Sternberg. Cov hlwb Reed-Sternberg muaj ntau rau cov khaub thuas Hodgkin lymphoma.

Cov kev sim hauv qab no tuaj yeem ua tiav ntawm cov nqaij mos uas raug tshem tawm:

• Immunophenotyping: Kev sim tshuaj uas siv tshuaj tiv thaiv kab mob ntawm cov qog nqaij hlav cancer ua raws li hom antigens lossis cim rau ntawm cov kem hlwb. Qhov kev ntsuam xyuas no yog siv los pab txheeb xyuas qee hom kev mob ntsws.

Qee yam cuam tshuam txog kev raug (mob rov qab) thiab txoj kev kho.

Qhov raug (sij hawm rov qab los) thiab kev xaiv kho nyob ntawm cov hauv qab no:

• Cov theem ntawm cov kabmob (qhov loj npaum li cas ntawm cov kabmob thiab seb tus kabmob puas tau kis qis dua qog lossis ntau dua ib pawg ntawm cov qog ntshav).

• Qhov loj ntawm lub qog.

• Seb puas muaj cov tsos mob B (kub taub hau vim tsis paub meej, yuag poob yam tsis paub yog vim li cas, lossis tawm hws hmo ntuj) thaum kuaj mob.

• Hom Hodgkin lymphoma.

• Qee qhov nta ntawm cov qog ntshav.

• Muaj ntau dua cov najnpawb dawb lossis ntshav khov thaum lub sijhawm kuaj mob.

• Seb puas muaj kua nyob ib ncig ntawm lub siab lossis lub ntsws ntawm kev kuaj mob.

• Qeb kom txo qis lossis cov qib siab hauv cov ntshav.

• Zoo npaum li cas tus mob cancer teb rau kev kho mob thawj zaug nrog kev siv tshuaj kho mob.

• Tus menyuam kev sib deev.

• Txawm hais tias mob kheesxaws nyuam qhuav kuaj tshiab lossis tau rov muaj mob dua (rov qab los).

Cov kev kho mob kuj yog nyob ntawm:

• Txawm hais tias muaj tsawg, nruab nrab, lossis muaj feem yuav mob cancer yuav rov qab los tom qab kho tas.

• Tus menyuam hnub nyoog.

• Txoj kev pheej hmoo ntawm cov tshuaj tiv thaiv ntev.

Yuav luag txhua tus menyuam yaus thiab menyuam hluas uas nyuam qhuav ntsuam xyuas Hodgkin lymphoma tuaj yeem kho tau.

Qeb Thaum Menyuam Yaus Hodgkin Lymphoma

QHOV TSEEM CEEB

• Tom qab menyuam yaus Hodgkin lymphoma tau kuaj pom, kev txheeb xyuas tau ua tiav los tshawb pom seb puas muaj cov kab mob qog nqaij hlav tau kis nyob rau hauv lymph lymph lossis mus rau lwm qhov hauv lub cev.

• Muaj peb txoj hauv kev uas mob cancer kis hauv lub cev.

• Cov theem hauv qab no tau siv rau thaum yau Hodgkin lymphoma:

• Theem Kuv

• Theem II

• Theem III

• Theem IV

• Ntxiv rau theem ntawm tus naj npawb, cov tsiaj ntawv A, B, E, lossis S kuj raug sau tseg.

• Thaum yau Hodgkin lymphoma kho raws li cov pab pawg muaj feem.

Tom qab menyuam yaus Hodgkin lymphoma tau kuaj pom, kev txheeb xyuas tau ua tiav los tshawb pom seb puas muaj cov kab mob qog nqaij hlav tau kis nyob rau hauv lymph lymph lossis mus rau lwm qhov hauv lub cev.

Cov txheej txheem tau siv los xyuas seb tus mob khees xaws tau nthuav tawm hauv lub lymph lossis mus rau lwm qhov hauv lub cev hu li cas. Cov ntaub ntawv sau los ntawm cov txheej txheem theem txiav txim theem ntawm tus kab mob. Cov txiaj ntsig ntawm kev tshuaj ntsuam thiab cov txheej txheem ua kom ntsuas thiab theem Hodgkin lymphoma yog siv los pab txiav txim siab txog kev kho mob.

Muaj peb txoj hauv kev uas mob cancer kis hauv lub cev.

Kab mob khees xaws tuaj yeem kis tawm los ntawm cov nqaij mos, cov qog ntshav, thiab ntshav:

• Ntaub so ntswg. Tus kab mob cancer kis los ntawm qhov chaw nws pib kis los ntawm thaj chaw ze.

• Lymph system. Tus mob cancer kis ntawm qhov uas nws pib los ntawm kev nkag rau hauv lymph system. Tus kab mob cancer taug kev los ntawm cov qog ntshav mus rau lwm qhov ntawm lub cev.

• Ntshav. Tus mob cancer kis rau nws los ntawm qhov nws pib los ntawm nkag rau hauv cov ntshav. Tus kabmob khiav tawm hauv cov hlab ntshav mus rau lwm qhov ntawm lub cev.

Cov theem hauv qab no tau siv rau thaum yau Hodgkin lymphoma:

Theem Kuv

Theem Kuv thaum yau Hodgkin lymphoma. Cov kab mob khees xaws muaj nyob hauv ib lossis ntau dua cov qog ntshav ntawm ib qho ntawm cov lymph node group. Hauv theem IE (tsis qhia), mob khees-xaws pom sab nraum lub qog ntawm ib qho chaw lossis ib thaj chaw.

Theem Kuv tau muab faib ua theem I thiab theem IE.

• Theem I: Kabmob muaj nyob rau ib qhov ntawm cov chaw hauv qab cov qog ua haujlwm:

• Ib lossis ntau dua cov qog ntshav hauv ib pawg ntawm cov lymph node.

• Waldeyer lub nplhaib.

• Thymus.

• pleen.

• Theem IE: Kabmob kheev pom sab nraum lymph hauv ib qho lossis ib cheeb tsam.

Theem II

Theem II tau faib ua theem II thiab theem IIE.

• Theem II: Mob kheesxaws muaj nyob rau ob lossis ntau dua cov lymph node pawg nyob rau sab saud lossis qis dua ntawm lub qog (cov leeg nyias hauv qab lub ntsws uas pab ua pa thiab cais lub hauv siab tawm ntawm lub plab).

Theem II thaum yau Hodgkin lymphoma. Cov kab mob kheesxaws tau pom nyob hauv ob lossis ntau dua lymph node pawg, thiab ob qho tib si saum toj no (a) lossis qis dua (b) lub diaphragm.

• Theem IIE: Kab mob kheesxaws nyob hauv ib lossis ntau dua cov lymph node pawg nyob rau saum lossis qis dua ntawm lub caj pas thiab sab nraud cov qog nyob rau ib qho chaw lossis ib cheeb tsam ze.

Theem IIE thaum yau Hodgkin lymphoma. Cov kab mob khees xaws muaj nyob rau ib lossis ntau dua cov lymph node pab pawg sab saud lossis qis dua lub qog thiab sab nraud cov qog ntshav hauv ib qho lossis ib cheeb tsam ze (a).

Theem III

Theem III thaum yau Hodgkin lymphoma. Cov kab mob khees xaws muaj nyob hauv ib lossis ntau dua cov lymph node pab pawg sab saud thiab hauv qab ntawm lub diaphragm (a). Hauv theem IIIE, kab mob kheesxaws pom nyob rau cov lymph node pab pawg sab saud thiab hauv qab ntawm cov qog ntshav thiab sab nraud ntawm lub qog ua haujlwm nyob hauv ib qho chaw lossis thaj chaw ze (b). Hauv theem IIIS, kab mob kheesxaws tau pom nyob rau cov lymph node pawg saum toj thiab hauv qab ntawm lub diaphragm (a) thiab hauv qhov hnoos qeev (c). Hauv theem IIIS ntxiv rau E, mob qog noj ntshav tau pom nyob rau cov lymph node pab pawg saum thiab qis dua ntawm daim diaphragm, sab nraud cov qog ntshav hauv cov khoom lossis thaj chaw ze (b), thiab hauv tus po (c).

Theem III tau faib ua theem III, theem IIIE, theem IIIS, thiab theem IIIE, S.

• Theem III: Mob kheesxaws muaj nyob rau cov lymph node pab pawg sab saud thiab hauv qab daim diaphragm (cov leeg nyias hauv qab lub ntsws uas pab ua pa thiab cais lub hauv siab tawm ntawm lub plab).

• Theem IIIE: Kab mob kheesxaws pom nyob rau cov lymph node pab pawg sab saud thiab hauv qab ntawm cov qog ntshav thiab sab nraud ntawm lub lymph nyob hauv ib qho chaw lossis ib cheeb tsam ze.

• Theem IIIS: Mob khees-xaws muaj nyob rau cov lymph node group saum thiab hauv qab ntawm lub diaphragm, thiab hauv qhov hnoos qeev.

• Theem IIIE, S: Mob kheesxaws muaj nyob rau cov lymph node pab pawg neeg sab saud thiab hauv qab cov qog ntshav, sab nraum cov qog ntshav hauv ib qho khoom lossis thaj chaw ze, thiab hauv qhov hnoos qeev.

Theem IV

Theem IV thaum yau Hodgkin lymphoma. Mob kheesxaws muaj nyob sab nraud ntawm cov qog ntshav thoob plaws ib lossis ntau dua kabmob (a); lossis sab nraud lub lymph node nyob hauv ib lub cev thiab tau kis mus rau lymph cov ntshav nyob deb ntawm qhov hloov (b); lossis hauv lub ntsws, lub siab, lossis pob txha.

Hauv Theem IV, mob cancer:

• nyob sab nraum cov qog ntshav thoob ib lossis ntau lub plab hnyuv siab raum, thiab tej zaum yuav nyob rau ntawm lub qog ua nyob ze cov kab mob no; lossis

• nyob sab nraum cov qog ntshav hauv ib lub cev thiab tau kis mus rau thaj chaw deb ntawm qhov hloov ntawd; lossis

• yog pom nyob hauv txoj hlab ntsws, mob siab, mob hlwb pob txha, lossis kua dej hlab hlwb (CSF). Cov kabmob tsis kis mus rau lub ntsws, siab, pob txha pob txha, lossis CSF los ntawm cov chaw nyob ze.

Ntxiv rau theem ntawm tus naj npawb, cov tsiaj ntawv A, B, E, lossis S kuj raug sau tseg.

Cov tsiaj ntawv A, B, E, lossis S kuj yuav raug siv coj los piav qhia ntxiv theem ntawm thaum yau Hodgkin lymphoma.

• A: Tus neeg mob tsis muaj mob B (kub taub hau, poob phaus, lossis tawm hws hmo ntuj).

• B: Tus neeg mob muaj cov tsos mob B.

• E: Mob kheesxaws pom nyob rau hauv ib qho khoom hauv nruab nrog lossis cov nqaij mos uas tsis yog ib feem ntawm lub lymph system tab sis uas yuav nyob ib sab ntawm thaj tsam ntawm lub lymph system cuam tshuam los ntawm cancer.

• S: Mob kheesxaws muaj nyob hauv qhov hnoos qeev.

Thaum yau Hodgkin lymphoma kho raws li cov pab pawg muaj feem.

Kev tsis kho thaum yau Hodgkin lymphoma tau muab faib ua cov pab pawg uas muaj kev phom sij raws li theem, qhov loj ntawm cov qog, thiab seb tus neeg mob puas muaj cov tsos mob B (kub taub hau, poob phaus, lossis tawm hws hmo ntuj). Cov pab pawg muaj kev pheej hmoo piav qhia qhov yuav tshwm sim ntxiv uas Hodgkin lymphoma yuav tsis teb rau kev kho lossis rov tshwm sim (rov qab los) tom qab kho. Nws yog siv los npaj kho thaum pib.

• Kev pheej hmoo thaum yau yog Hodgkin lymphoma.

• Cov me nyuam muaj feem yuav mob Hodgkin lymphoma.

• Kev pheej hmoo loj thaum me nyuam yaus Hodgkin lymphoma.

Kev pheej hmoo qis Hodgkin lymphoma xav tau tsawg dua mus kho mob, tsawg dua tshuaj anticancer, thiab qis dua cov tshuaj anticancer tsawg dua qhov muaj pheej hmoo mob qog ua kua.

Koom Haum Me Nyuam Yaus / Rov Ua Dua Hodgkin Lymphoma Hauv Cov Menyuam thiab Cov Hluas

Thawj theem Hodgkin lymphoma yog cov mob qog ua rau lub siab mob ntxiv lossis kis mus thaum kho.

Ntsiag to Hodgkin lymphoma yog mob qog noj ntshav (rov qab los dua) tom qab nws tau siv tshuaj kho. Cov qog ntshav yuav rov qab los ua lymph system lossis lwm qhov hauv lub cev, xws li lub ntsws, siab, pob txha, lossis pob txha pob txha.

Txoj Kev Kho Mob Cov Tswv Yim

QHOV TSEEM CEEB

• Muaj ntau hom kev kho mob rau cov menyuam yaus mob Hodgkin lymphoma.

• Cov menyuam yaus nrog Hodgkin lymphoma yuav tsum muaj lawv cov kev npaj kho mob los ntawm pab pawg kws saib xyuas kev noj qab haus huv uas yog cov kws tshaj lij hauv kev kho mob qog ntshav thaum yau.

• Kev kho rau menyuam yaus Hodgkin lymphoma ua rau muaj kev mob tshwm sim thiab yoog tom qab.

• Rau rau hom kev kho mob tau siv:

• Kws khomob

• Kev siv hluav taws xob

• Cov hom phiaj kho

• Kev Txhaj Tshuaj Tiv Thaiv

• Kev phais mob

• Kev siv tshuaj ntau ntxiv nrog cov qog hloov qog

• Cov hom kev kho mob tshiab tau raug sim hauv qhov kev sim kho mob.

• Proton nqaj hluav taws xob kho

• Cov neeg mob yuav xav txog kev sim kho mob.

• Cov neeg mob tuaj yeem nkag mus kuaj mob ua ntej, sijhawm, lossis tom qab pib kho mob qog noj ntshav.

• Tej zaum yuav tau ua raws li kev ntsuam xyuas.

Muaj ntau hom kev kho mob rau cov menyuam yaus mob Hodgkin lymphoma.

Muaj ntau hom kev kho mob rau cov menyuam yaus muaj Hodgkin lymphoma. Qee qhov kev kho mob yog tus qauv thiab qee qhov raug sim hauv kev kuaj mob. Ib txoj kev kho mob hauv tsev kho mob yog txoj kev tshawb nrhiav uas pab txhawm rau txhim kho kev kho mob tam sim no lossis tau txais cov ntaub ntawv ntawm kev kho mob tshiab rau cov neeg mob cancer. Thaum kuaj pom tias cov kev kho tshiab zoo dua li kev kho mob, cov kev kho mob tshiab tuaj yeem dhau los ua cov qauv kev kho mob.

Vim tias mob qog noj ntshav rau menyuam yaus yog muaj tsawg, kev koom nrog kev sim tshuaj yuav tsum tau coj los xav. Qee qhov kev sim tshuaj sim tsuas yog qhib rau cov neeg mob uas tsis tau pib kho.

Cov menyuam yaus nrog Hodgkin lymphoma yuav tsum muaj lawv cov kev npaj kho mob los ntawm pab pawg kws saib xyuas kev noj qab haus huv uas yog cov kws tshaj lij hauv kev kho mob qog ntshav thaum yau.

Kev kho yuav raug saib xyuas los ntawm tus kws kho menyuam yaus, kws kho mob tshwj xeeb hauv kev kho menyuam yaus mob qog noj ntshav. Tus kws kho menyuam yaus ua haujlwm nrog lwm tus kws saib xyuas kev noj qab haus huv menyuam yaus uas yog tus kws tshaj lij hauv kev kho cov menyuam yaus nrog Hodgkin lymphoma thiab tus kws tshaj lij hauv qee thaj chaw tshuaj. Cov no yuav suav nrog cov kws tshwj xeeb hauv qab no:

• Kws kho mob hlwb.

• Kws tshuaj oncologist / hematologist.

• Kws phais hluav taws xob oncologist.

• Kws saib xyuas neeg mob tshwj xeeb.

• Kws tshuaj sab laj.

• Neeg ua hauj lwm pab neeg.

• Tus me nyuam lub neej tshwj xeeb.

Kev kho mob Hodgkin lymphoma hauv cov hluas thiab cov neeg laus hluas yuav txawv dua li kev kho rau menyuam yaus. Qee cov neeg hluas thiab cov neeg hluas tau txais cov kab mob kev kho mob laus.

Kev kho rau menyuam yaus Hodgkin lymphoma ua rau muaj kev mob tshwm sim thiab yoog tom qab.

Yog xav paub txog cov kev mob tshwm sim uas pib thaum kho mob cancer, mus saib peb Nplooj Ntawv Sab Npab.

Cov kev mob tshwm sim los ntawm kev kho mob cancer uas pib tom qab kho thiab txuas ntxiv rau lub hlis lossis xyoo yog hu ua kev mob lig. Vim tias kev cuam tshuam lig dhau los cuam tshuam kev noj qab haus huv thiab kev loj hlob, kev soj ntsuam ua ntu zus yog qhov tseem ceeb.

Kev lig dhau los ntawm kev kho mob cancer tej zaum yuav muaj cov hauv qab no:

• Teeb meem lub cev uas cuam tshuam rau cov hauv qab no:

• Kev tsim kho ntawm kev sib deev thiab kev yug menyuam.

• Neeg xeeb tub (muaj peev xwm muaj me nyuam).

• Pob txha thiab leeg pob txha thiab kev loj hlob.

• Lub qog, lub plawv, lossis lub ntsws.

• Cov hniav, cov pos hniav, thiab salivary caj pas muaj nuj nqi.

• Kev ua haujlwm spleen (muaj kev pheej hmoo kis tus mob).

• Hloov pauv hauv txoj kev xav, kev xav, kev xav, kev kawm, lossis kev nco.

• Kab mob qog zaum ob (hom qog nqaij hlav tshiab), xws li lub mis, lub qog, tawv nqaij, lub ntsws, lub plab, lossis txoj hnyuv.

Rau cov poj niam muaj sia nyob ntawm Hodgkin lymphoma, muaj kev pheej hmoo ua mob cancer mis. Qhov kev pheej hmoo no nyob ntawm cov hluav taws xob ntau lub mis tau txais thaum kho thiab kev siv tshuaj kho mob siv. Kev pheej hmoo ntawm mob kheesxawj mis tsawg yog tias hluav taws xob rau zes qe menyuam kuj tau muab.

Nws tau hais tias cov poj niam uas muaj sia nyob uas tau txais kev kho mob hluav taws xob rau lub mis tau xoo fais fab mammogram thiab MRI ib xyoos ib zaug pib 8 xyoo tom qab kho lossis thaum muaj hnub nyoog 25 xyoos, saib qhov twg yog tom qab. Nws tseem qhia ntxiv tias cov pojniam muaj sia nyob mus kuaj xyuas tus kheej lub mis txhua lub hlis pib thaum tiav nkauj tiav nraug thiab muaj kev kuaj mob mis ntawm tus kws tshaj lij txhua xyoo pib txij thaum tiav nkauj tiav nraug mus txog hnub nyoog 25 xyoo.

Qee qhov cuam tshuam tom qab tuaj yeem kho lossis tswj tau. Nws yog ib qho tseem ceeb nrog kws kho mob tham nrog koj tus menyuam tus kws kho mob hais txog qhov tshwm sim tuaj yeem tshwm sim los ntawm qee qhov kev kho mob. (Saib cov ntsiab lus hais txog Cov Kev Kho Mob Npaws Sij Hawm Rau Kev Mob Hlwb Me Nyuam Me kom paub ntau ntxiv).

Rau rau hom kev kho mob tau siv:

Kws khomob

Kev siv tshuaj kho mob yog kev kho mob cancer uas siv ib lossis ntau cov tshuaj los txwv kev loj hlob ntawm cov qog nqaij hlav cancer, los ntawm tua cov hlwb lossis los ntawm kev txwv kom tsis txhob faib tawm. Kev kho mob qog nqaij hlav uas siv ntau dua ib qho kev siv tshuaj kho mob yog hu ua kev sib koom tes hauv kev siv tshuaj. Thaum cov tshuaj tua kab mob noj los ntawm qhov ncauj lossis txhaj rau hauv txoj hlab ntshav lossis leeg, cov tshuaj nkag mus rau cov ntshav thiab tuaj yeem mus txog rau cov qog nqaij hlav ntshav thoob plaws lub cev (kev kho mob tshuaj thev naus laus zis). Thaum cov kws kho mob tso tshuaj rau ncaj qha mus rau cov kua dej ua kua tshuaj, ib qho khoom hauv nrog cev, lossis lub cev ua kom lub cev muaj xws li lub plab, cov tshuaj feem ntau cuam tshuam rau cov qog nqaij hlav cancer hauv cov chaw ntawd (thaj av tshuaj kho mob).

Txoj hauv kev siv tshuaj khomob yog muab raws li cov pab pawg muaj mob. Piv txwv li, cov menyuam yaus uas tsis tshua muaj mob Hodgkin lymphoma tau txais tsawg dua kev kho mob, tsawg dua kev siv tshuaj anticancer, thiab qis dua cov tshuaj anticancer tsawg dua cov menyuam yaus muaj kev pheej hmoo mob qog ntshav siab.

Saib Cov Tshuaj Pom Zoo rau Hodgkin Lymphoma yog xav paub ntxiv.

Kev siv hluav taws xob

Kev xoo hluav taws xob yog kev kho mob cancer uas siv hluav taws xob xoo hluav taws xob loj lossis lwm yam hluav taws xob tua ntau los tua cov qog nqaij hlav cancer lossis ua kom lawv loj tuaj. Muaj ob txoj kev kho hluav taws xob:

• Kev siv hluav taws xob sab nraud siv lub tshuab sab nraud lub cev xa hluav taws xob mus rau cov kabmob. Qee txoj hauv kev los muab kev ntsuas hluav taws xob tuaj yeem pab ua kom hluav taws xob txhawm rau ua kom cov nqaij mos noj qab haus huv nyob ze. Cov kev kho hluav taws xob sab nraud muaj cov hauv qab no:

• Kev Kho Hluav Taws Xob (Conformal radiation therapy): Kev Kho Hluav Taws Xob (Conformal radiation therapy) yog ib hom kev kho hluav taws xob sab nraud uas siv lub khoos phis tawm los ua lub ntsej muag 3 daim duab (3-D) ntawm cov qog thiab ua cov duab hluav taws xob rau cov qog kom haum cov qog.

• Kev siv hluav taws xob ntau (IMRT): IMRT yog ib hom kev siv hluav taws xob 3-txoj me me (3-D) siv hluav taws xob khoos phis tawm uas siv lub khoos phis tawm los ua cov duab ntawm qhov loj thiab cov duab ntawm cov qog. Nyias cov nqaj ntawm cov hluav taws xob ntawm ntau qhov sib zog (qhov sib zog) tau tswj cov qog los ntawm ntau cov ces kaum.

• Kev kho hluav taws xob sab hauv yog siv cov tshuaj pleev hluav taws xob kaw hauv cov koob, noob, xov hlau, lossis cov paws menyuam uas tso ncaj qha mus rau lossis ze ntawm cov qog nqaij hlav cancer.

Kev muab hluav taws xob rau siv, nyob ntawm pab pawg menyuam phom sij thiab tshuaj siv tshuaj kho mob. Kev kho hluav taws xob sab nraud yog siv los kho Hodgkin lymphoma thaum yau. Qhov hluav taws xob tsuas yog muab rau cov qog ntshav lossis lwm qhov chaw muaj mob qog nqaij hlav. Kev kho hluav taws xob sab hauv tsis yog siv los kho Hodgkin lymphoma.

Cov hom phiaj kho

Cov hom phiaj kho yog ib hom kev kho mob uas siv tshuaj los yog lwm yam tshuaj los txheeb xyuas thiab tua cov qe ntshav tshwj xeeb tsis yog ua mob rau cov leeg zoo li qub. Cov hom kev kho mob suav nrog cov hauv qab no:

• Kev Kho Mob Monoclonal: Kev kho mob Monoclonal yog kev kho mob cancer uas yog siv cov tshuaj tiv thaiv kab mob hauv lub chaw kuaj mob los ntawm ib hom kab mob tiv thaiv kab mob ntawm tes. Cov tshuaj tiv thaiv no tuaj yeem txheeb xyuas cov tshuaj ntawm qog nqaij hlav cancer lossis cov khoom qub uas tuaj yeem pab ua kom cov cell mob qog noj ntshav. Cov tshuaj tiv thaiv txuas rau cov tshuaj thiab tua cov qog nqaij hlav cancer, thaiv lawv qhov kev loj hlob, lossis txwv tsis pub kis mus rau lwm qhov. Cov kab mob monoclonal yog muab los ntawm kev lis ntshav. Lawv yuav raug siv nyob ib leeg lossis nqa tshuaj, co toxins, lossis khoom siv hluav taws xob ncaj qha mus rau qog nqaij hlav cancer.

Rituximab lossis brentuximab tuaj yeem siv los kho kho lub zog lossis rov qab thaum yau Hodgkin lymphoma.

• Txoj kev kho Proteasome inhibitor: Proteasome inhibitor txoj kev kho yog ib hom kev pab kho mob uas txwv tsis pub cov tshuaj proteasomes hauv cov qog ntshav. Proteasomes tshem tawm cov protein tsis tas yuav los ntawm lub cell. Thaum cov proteasomes raug thaiv, cov protein ua haujlwm hauv lub cell thiab tuaj yeem ua rau tus kabmob kheesxaws tuag.

Bortezomib yog ib qho tshuaj proteasome inhibitor siv los kho kho refractory lossis rov ua dua thaum yau Hodgkin lymphoma.

Kev Txhaj Tshuaj Tiv Thaiv

Kev Siv Tshuaj Tiv Thaiv yog ib txoj kev kho mob uas siv tus neeg mob lub cev tiv thaiv kab mob cancer. Cov tshuaj uas tsim los ntawm lub cev lossis tsim hauv chav siv tshuaj yog siv los txhawb, ncaj qha, lossis rov kho lub cev lub cev los tiv thaiv tus mob qog nqaij hlav. Hom kev kho mob cancer no tseem hu ua biologic therapy lossis biotherapy. Hom kev txhaj tshuaj tiv thaiv kab mob muaj xws li cov hauv qab no:

• Kev tiv thaiv kab mob hauv lub cev tiv thaiv kab mob: PD-1 inhibitors yog ib hom kev tiv thaiv kab mob hauv lub cev tiv thaiv kab mob. PD-1 yog cov protein nyob rau saum npoo ntawm T cell uas pab ua kom lub cev tiv thaiv kab mob hauv tshuaj xyuas. Thaum PD-1 txuas mus rau lwm cov protein hu ua PDL-1 ntawm tus kabmob kheesxaws, nws tso tseg T cell los tua cov qog nqaij hlav cancer. PD-1 inhibitors txuas rau PDL-1 thiab tso cai rau T cell tua cov qog nqaij hlav cancer.

Pembrolizumab yog PD-1 inhibitor uas yuav siv los kho thaum yau Hodgkin lymphoma uas tau rov qab los tom qab kho tas. Lwm yam tshuaj PD-1 inhibitors, suav nrog Eatzolizumab thiab nivolumab, tau kawm hauv kev kho mob thaum yau Hodgkin lymphoma tau rov qab los tom qab kev kho mob.

Kev siv tshuaj tiv thaiv kab mob. Kuaj xyuas cov protein, xws li PD-L1 ntawm cov qog hlwb thiab PD-1 ntawm T hlwb, pab ua kom lub cev tsis muaj zog hauv tshuaj xyuas. Kev khi ntawm PD-L1 rau PD-1 ua rau T hlwb los ntawm kev tua cov qog ntshav hauv lub cev (sab laug vaj huam sib luag). Kev thaiv cov ntawv cog lus ntawm PD-L1 rau PD-1 nrog kev tiv thaiv kab mob hauv lub cev tiv thaiv kab mob (tiv thaiv PD-L1 lossis anti-PD-1) tso cai rau T cell tua cov qog nqaij hlav hlwb (muaj vaj huam sib luag).

Kev phais mob

Kev phais mob yuav ua kom tshem tawm cov qog ntau npaum li ua tau rau cov chaw mos ntawm lymphocyte-feem ntau ua ntej menyuam yaus Hodgkin lymphoma.

Kev siv tshuaj ntau ntxiv nrog cov qog hloov qog

Kev txhaj tshuaj siab ntau yog muab rau tua cov qog nqaij hlav cancer. Cov kab mob noj qab haus huv, suav nrog cov qe tsim cov ntshav, kuj raug rhuav tshem los ntawm kev kho mob qog noj ntshav. Kev hloov ntawm qia yog kev kho mob los hloov cov qe tsim cov qe ntshav. Cov qia hlwb (cov qe ntshav tsis txaus) raug tshem tawm los ntawm cov ntshav lossis pob txha mob ntawm tus neeg mob lossis tus neeg pub ntshav thiab raug khov thiab khaws cia. Tom qab tus neeg mob ua tiav kev kho mob tshuaj, cov qia hlwb raug thaws thiab muab rov qab rau tus neeg mob los ntawm kev hla tshuaj. Cov qog ntshav qog ua kom loj hlob mus rau (thiab txum tim) lub cev cov ntshav.

Saib Cov Tshuaj Pom Zoo rau Hodgkin Lymphoma yog xav paub ntxiv.

Cov hom kev kho mob tshiab tau raug sim hauv qhov kev sim kho mob.

Tshooj lus kawg piav txog kev kho mob uas tau kawm hauv kev sim tshuaj. Nws yuav tsis hais txog txhua txoj kev kho tshiab tau kawm. Cov ntaub ntawv hais txog kev sim kho mob muaj nyob rau ntawm NCI lub vev xaib.

Proton nqaj hluav taws xob kho

Proton-beam txoj kev kho yog ib hom kev siv hluav taws xob ntau, sab nraud hluav taws xob txoj kev kho uas siv cov kwj ntawm cov protons (me me, qhov zoo ntawm cov khoom sib txig ntawm cov teeb meem) los ua hluav taws xob. Txoj kev kho hluav taws xob zoo li no yuav pab txo qis kev puas tsuaj rau cov ntaub so ntswg zoo nyob ze cov qog, xws li lub mis, lub siab, thiab lub ntsws.

Cov neeg mob yuav xav txog kev sim kho mob.

Txog qee tus neeg mob, koom nrog kev sim kho mob yuav yog txoj kev xaiv zoo tshaj plaws. Cov chaw kuaj mob yog ib feem ntawm cov txheej txheem tshawb mob qog noj ntshav. Cov chaw kho mob tau sim ua kom pom tias kev kho mob qog noj ntshav tshiab muaj kev nyab xeeb thiab zoo dua lossis zoo dua cov qauv tshuaj.

Ntau yam ntawm cov qauv kev kho mob qog noj ntshav niaj hnub no yog los ntawm cov kev tshawb fawb kab mob thaum ntxov. Cov neeg mob uas koom nrog kev sim kho mob tuaj yeem tau txais cov qauv kev kho mob lossis ua thawj zaug tau txais kev kho mob tshiab.

Cov neeg mob uas koom nrog kev sim kho mob kuj pab txhim kho txoj kev kho mob qog nqaij hlav yav tom ntej. Txawm hais tias kev sim tshuaj sim tsis ua rau muaj kev kho mob tshiab, lawv feem ntau teb cov lus nug tseem ceeb thiab pab txav kev tshawb fawb tom ntej.

Cov neeg mob tuaj yeem nkag mus kuaj mob ua ntej, sijhawm, lossis tom qab pib kho mob qog noj ntshav.

Qee qhov kev sim tshuaj tsuas yog suav nrog cov neeg mob uas tseem tsis tau txais kev kho mob. Lwm txoj kev sim sim cov kev kho mob rau cov neeg mob uas mob qog noj qab tsis tau zoo dua. Kuj tseem muaj cov kev sim tshuaj kuaj mob uas sim txoj kev tshiab los txwv qog noj ntshav kom tsis txhob mob ntxiv (rov qab los) lossis txo kev phiv los ntawm kev kho mob qog noj.

Cov chaw kuaj mob tau tshwm sim nyob rau ntau lub tebchaws. Cov ntaub ntawv hais txog kev sim kho mob uas tau txhawb nqa los ntawm NCI tuaj yeem nrhiav pom ntawm NCI cov chaw kuaj mob tshawb nrhiav lub vev xaib. Cov chaw kuaj mob txhawb nqa los ntawm lwm cov koomhaum tuaj yeem nrhiav pom ntawm ClinicalTrials.gov lub vev xaib.

Tej zaum yuav tau ua raws li kev ntsuam xyuas.

Qee qhov kev ntsuas mob uas tau ntsuas los kuaj mob qog noj ntshav lossis kom pom tias theem mob cancer yuav rov qab ua dua. Qee qhov kev ntsuas yuav rov ua qhov qub txhawm rau kom pom tias qhov kev kho mob ua haujlwm li cas. Cov kev txiav txim siab hais txog seb puas yuav txuas ntxiv, hloov, lossis tsum tsis mus kho yuav ua raws cov txiaj ntsig ntawm cov kev ntsuas no.

Qee qhov kev sim yuav txuas ntxiv ua ib zaug dhau ib zaug tom qab kho tas. Qhov tshwm sim ntawm cov kev sim no tuaj yeem qhia tau yog tias koj tus menyuam tus mob tau hloov lossis yog tus kabmob tau mob ntxiv (rov qab los). Qee qhov kev ntsuas no qee zaum hu ua kev kuaj mob rov qab lossis mus kuaj mob.

Rau cov neeg mob uas tau txais kev kho mob ib leeg xwb, kev sim tshuaj rau PET tej zaum yuav ua 3 lub lis piam lossis ntev dua tom qab kho tas. Rau cov neeg mob uas tau txais kev kho mob hluav taws xob kawg, kev kuaj PET yuav tsum tsis txhob ua kom txog 8 txog 12 lub lis piam tom qab kho tas.

Cov Txheej Txheem Kho Rau Cov Menyuam thiab Cov Hluas nrog Hodgkin Lymphoma

Hauv Tshooj Lus no

• Tsawg-Qhov Uas Tsis Muaj Me Nyuam Me Thaum Hodgkin Lymphoma

• Qib Nruab Nrab-Kev pheej hmoo Classic Me Nyuam Hodgkin Lymphoma

• Cov Muaj Pheej Hmoo Loj Thaum Kawg Hodgkin Lymphoma

• Nodular Lymphocyte-Tshaj Yog thaum yau Hodgkin Lymphoma

Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.

Tsawg-Qhov Uas Tsis Muaj Me Nyuam Me Thaum Hodgkin Lymphoma

Kev kho mob ntawm cov pheej hmoo mob classic Hodgkin lymphoma hauv cov menyuam yaus yuav suav nrog cov hauv qab no:

• Kev sib xyaw nrog kev kho tshuaj.

• Qhov muab kev xoo hluav taws xob ntxiv rau cov cheeb tsam uas muaj mob qog nqaij hlav cancer.

Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.

Qib Nruab Nrab-Kev pheej hmoo Classic Me Nyuam Hodgkin Lymphoma

Kev kho mob ntawm nruab nrab-kev pheej hmoo classic Hodgkin lymphoma hauv cov menyuam yaus yuav suav nrog cov hauv qab no:

• Kev sib xyaw nrog kev kho tshuaj.

• Qhov muab kev xoo hluav taws xob ntxiv rau cov cheeb tsam uas muaj mob qog nqaij hlav cancer.

Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.

Cov Muaj Pheej Hmoo Loj Thaum Kawg Hodgkin Lymphoma

Kev kho mob ntawm kev pheej hmoo siab hom Hodgkin nqaij hlav rau cov menyuam yaus tej zaum yuav suav nrog cov hauv qab no:

• Kev siv tshuaj ntau dua nrog cov kws kho mob siab.

• Qhov muab kev xoo hluav taws xob ntxiv rau cov cheeb tsam uas muaj mob qog nqaij hlav cancer.

• Kev sim tshuaj mob rau cov hom phiaj kho (brentuximab) thiab kev siv tshuaj kho mob sib ntxiv. Qhov muab kev xoo hluav taws xob ntxiv rau cov cheeb tsam uas muaj mob qog nqaij hlav cancer.

Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.

Nodular Lymphocyte-Tshaj Yog thaum yau Hodgkin Lymphoma

Kev kho mob nodular lymphocyte-feem ntau ntawm cov menyuam yaus thaum yau Hodgkin lymphoma tuaj yeem suav nrog cov hauv qab no:

• Kev phais mob, yog tias cov qog tuaj yeem tshem tawm tag nrho.

• Kev siv tshuaj kho mob nrog lossis tsis muaj tsawg kawg ntawm kev siv hluav taws xob sab nraud.

Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.

Cov Txheej Txheem Kho Rau Lub Chaw Kho Mob Thawj Zaug / Rov Ua Dua Hodgkin Lymphoma hauv Cov Menyuam thiab Cov Hluas

Yog xav paub txog cov kev kho mob uas teev rau hauv qab no, saib hauv Cov Lus Qhia Kev Xaiv Kev Xaiv.

Kev kho mob qog ib ce lossis rov ua mob thaum yau Hodgkin lymphoma tuaj yeem suav nrog cov hauv qab no:

• Kev siv tshuaj kho mob, kho hom phiaj (rituximab, brentuximab, lossis bortezomib), lossis ob yam kev kho mob no.

Siv Tshuaj Kho Mob (pembrolizumab).

• Kev siv tshuaj kho cov ntshav siab ntau dhau nrog kev hloov pauv ntawm tes siv tus neeg mob lub qia hlwb. Kev noj tshuaj monoclonal antibody therapy (brentuximab) kuj tseem yuav muaj.

• Kev siv hluav taws xob rau kev kho mob tom qab hloov qia ntawm tes los siv tus neeg mob lub qia los sis yog tias mob qog noj tsis tau mus rau lwm txoj kev kho mob thiab thaj chaw muaj mob qog tsis tau kho ua ntej.

• Kev siv tshuaj siab ntau los kho nrog qia cell hloov siv pub nyiaj rau cov qog hlwb.

• Kev sim tshuaj mob rau cov neeg muaj peev xwm kho mob (nivolumab, pembrolizumab, lossis eatzolizumab).

Siv peb qhov kev tshawb nrhiav kab mob hauv tsev kho mob kom pom qhov NCI-txhawb nqa kev mob qog nqaij hlav uas pom zoo rau cov neeg mob. Koj tuaj yeem tshawb xyuas cov kev sim raws li hom mob cancer, hnub nyoog ntawm tus neeg mob, thiab qhov chaw uas sim kev sim. Cov ncauj lus dav dav txog kev sim kho mob kuj muaj.

Yog Xav Paub Ntxiv Hais Txog Menyuam Yaus Hodgkin Lymphoma

Yog xav paub ntxiv los ntawm National Cancer Institute txog thaum yau Hodgkin lymphoma, saib cov hauv qab no:

• Sib Tham Tomography (CT) Kev Kuaj thiab Cancer

• Tshuaj Tshuaj Pom Zoo rau Hodgkin Lymphoma

• Hom Kab Mob Kuaj Mob Cancer

• Ntshav-Ua Rau Lub Cev Hloov Pauv

Yog xav paub ntau ntxiv txog kev mob qog noj ntshav thaum tseem yau thiab lwm yam kev qhia txog mob qog noj ntshav, saib cov hauv qab no:

• Txog Mob Cancer

• Kev Menyuam Kab Menyuam Kiag

• CureSearch rau Cov Menyuam Txoj Kev Mob Cancer

• Qhov Zoo Los Ntawm Txoj Kev Kho Mob Kheev Me Menyuam Thaum Ntxov

• Cov Hluas thiab Cov Hluas Hluas Muaj Mob Cancer

• Cov Menyuam Muaj Mob Cancer: Cov Lus Qhia rau Niam Txiv

• Mob Cancer rau Cov Menyuam thiab Cov Hluas

• Qib

• Kev Muaj Mob Cancer

• Cov Lus Nug Yuav Nug Koj Tus Kws Kho Mob txog Kab Mob Cancer

• Rau Cov Muaj Txoj Sia Nyob thiab Cov Saib Xyuas