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Mukuru Hodgkin Lymphoma Treatment (®) -Patient Shanduro

Ruzivo Ruzhinji Nezve Mukuru Hodgkin Lymphoma

PFUNGWA DZINOKOSHA

• Adult Hodgkin lymphoma chirwere umo mune yakaipa (cancer) maseru anoumba mune lymph system.

• Iyo miviri mikuru mikuru yeHodgkin lymphoma ndeiyi: yakasarudzika uye nodular lymphocyte-inonyanya.

• Zera, kuve murume, apfuura Epstein-Barr hutachiona, uye nhoroondo yemhuri yeHodgkin lymphoma inogona kuwedzera njodzi yemunhu mukuru Hodgkin lymphoma.

• Zviratidzo zvevakuru Hodgkin lymphoma zvinosanganisira kuzvimba lymph node, fivha, kunwisa husiku kudikitira, kuonda, uye kuneta.

• Kuyedza kunoongorora iyo lymph system uye zvimwe zvikamu zvemuviri zvinoshandiswa kubatsira kuongorora uye kuyera mukuru Hodgkin lymphoma.

• Zvimwe zvinhu zvinokanganisa kufungidzira (mukana wekupora) uye sarudzo dzekurapa.

Adult Hodgkin lymphoma chirwere umo mune yakaipa (cancer) maseru anoumba mune lymph system.

Mukuru Hodgkin lymphoma rudzi rwegomarara urwo runokura muiyo lymph system. Iyo lymph system chikamu chema immune system. Inobatsira kuchengetedza muviri kubva kuhutachiona nezvirwere.

Iyo lymph system inoumbwa neinotevera:

• Lymph: Isina ruvara, mvura yemvura inofamba kuburikidza nemidziyo ye lymph uye inotakura lymphocyte yaT uye B. MaLymphocyte imhando yeropa chena.

• Lymph midziyo: Netiweki yematepu matete anounganidza lymph kubva kumativi akasiyana emuviri oidzosera muropa.

• MaLymph node: Zvidiki, zvakaumbwa sebhinzi zvinochenesa lymph uye zvinochengeta masero eropa machena ayo anobatsira kurwisa hutachiona nezvirwere MaLymph node anowanikwa pamwe chete netiweki yemidziyo yema lymph mumuviri wese. Mapoka ema lymph node anowanikwa mune mediastinum (iyo nzvimbo iri pakati pemapapu), mutsipa, underarm, dumbu, chiuno, uye kugomera. Hodgkin lymphoma inowanzo fomu mune ma lymph node pamusoro pe diaphragm uye kazhinji mune iyo lymph node mune mediastinum.

• Spleen: Nhengo inogadzira maLymphocyte, inochengeta masero matsvuku eropa uye maLymphocyte, inozadza ropa, nekuparadza masero eropa ekare. Iyo spleen iri kuruboshwe kuruboshwe kwedumbu padyo nedumbu.

• Thymus: Nhengo umo T lymphocyte inokura uye ichiwanda. Iyo thymus iri muchipfuva kuseri kwebhonzo rechipfuva.

• Bone marora: Iyo yakapfava, inopora matishu ari pakati pemamwe mapfupa, senge hudyu pfupa uye chipfuva chepamu. Masero machena eropa, masero matsvuku eropa, uye maplatelet anogadzirwa mumongo wemapfupa.

• Tonsils: maviri madiki mashoma emakemikari matema kumashure kwehuro. Pane imwe toni kune rumwe rutivi rwehuro. Mukuru Hodgkin lymphoma kashoma kuumbika mumatoni.

Anatomy yeiyo lymph system, inoratidza iyo lymph midziyo uye lymph nhengo dzinosanganisira lymph node, tonsils, thymus, spleen, uye mwongo wemapfupa. Lymph (clear fluid) uye maLymphocyte anofamba kuburikidza nemidziyo yema lymph uye mune ma lymph node uko ma lymphocyte anoparadza zvinokuvadza Iyo lymph inopinda muropa kuburikidza nemutsipa muhombe padyo nemoyo.

Lymph tishu inowanikwawo mune zvimwe zvikamu zvemuviri, senge iyo lining yeiyo yekugaya turakiti, bronchus, uye ganda.

Kune maviri maviri akajairwa marudzi e lymphoma: Hodgkin lymphoma uye isiri Hodgkin lymphoma. Iyi pfupiso ndeyekurapa kwevakuru Hodgkin lymphoma, kusanganisira panguva yekuzvitakura.

Kuti uwane ruzivo nezve Hodgkin lymphoma muvana, vakuru vasiri-Hodgkin lymphoma, kana lymphoma mune vanhu vakawana immunodeficiency syndrome (AIDS), ona zvinotevera pfupiso:

• Vakuru Vasiri-Hodgkin Lymphoma Kurapa

• Udiki Hodgkin Lymphoma Kurapa

• AIDS-Inoenderana neLymphoma Kurapa

Iyo miviri mikuru mikuru yeHodgkin lymphoma ndeiyi: yakasarudzika uye nodular lymphocyte-inonyanya.

Mazhinji Hodgkin lymphomas ndiwo chaiwo mhando. Kana sampu yema lymph node tishu yatariswa pasi peiyo microscope, Hodgkin lymphoma cancer maseru, anonzi Reed-Sternberg masero, anogona kuoneka. Iyo yakasarudzika mhando yakaputswa pasi mune ina anotevera madiki:

• Nodular sclerosing Hodgkin lymphoma.

• Yakasanganiswa maseru Hodgkin lymphoma.

• Lymphocyte kupera Hodgkin lymphoma.

• Lymphocyte-akapfuma echinyakare Hodgkin lymphoma.

Nodular lymphocyte-yakanyanya Hodgkin lymphoma isingawanzo uye inowanzo kukura zvishoma nezvishoma kupfuura yechinyakare Hodgkin lymphoma. Nodular lymphocyte-yakanyanya Hodgkin lymphoma inowanzoitika seyakazvimba lymph node mumutsipa, chipfuva, muhapwa, kana kugomera. Vanhu vazhinji havana zvimwe zviratidzo kana zviratidzo zvekenza pakuongororwa. Kurapa kunowanzo kusiyana neyakajairika Hodgkin lymphoma.

Zera, kuve murume, apfuura Epstein-Barr hutachiona, uye nhoroondo yemhuri yeHodgkin lymphoma inogona kuwedzera njodzi yemunhu mukuru Hodgkin lymphoma.

Chero chipi zvacho chinowedzera njodzi yako yekuwana chirwere chinonzi njodzi chinhu. Kuva nenjodzi hazvireve kuti uchawana gomarara; kusava nenjodzi hazvireve kuti hauzobatwe negomarara. Taura nachiremba wako kana iwe uchifunga kuti ungave uri panjodzi. Njodzi zvinhu zvevakuru Hodgkin lymphoma zvinosanganisira zvinotevera:

• Zera. Hodgkin lymphoma inowanzozivikanwa mukukura kwezera (makore makumi maviri nemasere kusvika makumi matatu nemasere) uye mukukura kwevanhu vakuru (makore makumi matanhatu nemashanu zvichikwira)

• Kuva murume. Ngozi yemunhu mukuru Hodgkin lymphoma yakakwira zvishoma muvanhurume kupfuura vakadzi.

• Yakapfuura Epstein-Barr hutachiona hutachiona. Kuva nehutachiona nehutachiona hweEpstein-Barr mumakore ekuyaruka kana hucheche hunowedzera njodzi yeHodgkin lymphoma.

• Nhoroondo yemhuri yeHodgkin lymphoma. Kuva nemubereki, hama, kana hanzvadzi neHodgkin lymphoma kunowedzera njodzi yekukudziridza Hodgkin lymphoma.

Zviratidzo zvevakuru Hodgkin lymphoma zvinosanganisira kuzvimba lymph node, fivha, kunwisa husiku kudikitira, kuonda, uye kuneta.

Izvi nezvimwe zviratidzo uye zviratidzo zvinogona kukonzerwa nevakuru Hodgkin lymphoma kana nemamwe mamiriro. Tarisa nachiremba wako kana uine chimwe chezviratidzo zvinotevera zvisingaendi:

• Isina hurombo, yakazvimba lymph node mumutsipa, underarm, kana kugomera.

• Fivha pasina chikonzero chinozivikanwa.

• Kunwisa usiku ziya.

• Kurera huremu pasina chikonzero chinozivikanwa mukati memwedzi mitanhatu yapfuura.

• Itchy ganda, kunyanya mushure mekugeza kana kunwa doro.

• Kunzwa kuneta chaizvo.

Fivha pasina chikonzero chinozivikanwa, kuonda pasina chikonzero chinozivikanwa, uye kudiridza husiku hwehusiku zvinonzi zviratidzo zveB. B zviratidzo chikamu chakakosha chekumisikidza Hodgkin lymphoma uye kunzwisisa mukana wemurwere wekupora.

Kuyedza kunoongorora iyo lymph system uye zvimwe zvikamu zvemuviri zvinoshandiswa kubatsira kuongorora uye kuyera mukuru Hodgkin lymphoma.

Mhedzisiro yemiyedzo uye maitiro pazasi anobatsirawo kuita sarudzo nezvekurapa.

Iyi bvunzo inogona kusanganisira:

• Kuongorora kwemuviri uye nhoroondo yehutano: Kuongororwa kwemuviri kutarisa zviratidzo zvehutano, kusanganisira kuongorora zviratidzo zvehosha, zvakadai semapundu kana chero chinhu chinoratidzika sechisina kujairika. Nhoroondo yehutano hwemurwere, kusanganisira kupisa muviri, kudikitira usiku, uye kudzikira, kurwara zvakapfuura uye kurapwa kuchatorwawo.

• Yakazara kuverenga kweropa (CBC): Maitiro umo muyenzaniso weropa unodhonzwa nekuongororwa zvinotevera:

• Huwandu hwemasero matsvuku eropa, machena masero eropa, uye maplatelet.

• Huwandu hwehemoglobin (protein inotakura oxygen) mumasero matsvuku eropa.

• Chikamu chemuenzaniso chakaumbwa nemasero matsvuku eropa.

Yakazara kuverenga ropa (CBC). Ropa rinounganidzwa nekupinza tsono mutsinga uye richiita kuti ropa riyerere muhubhu. Muenzaniso weropa unotumirwa murabhoritari uye masero matsvuku eropa, masero machena eropa, uye maplatelet anoverengwa. Iyo CBC inoshandiswa kuyedza, kuongorora, uye kuongorora akawanda mamiriro akasiyana.

• Ropa kemesitiri zvidzidzo: Maitiro umo muyedzo weropa unoongororwa kuyera huwandu hwezvimwe zvinhu zvakaburitswa muropa nenhengo uye nyama munyama. Chinhu chisina kujairika (chakakwirira kana chakaderera pane zvakajairwa) chiyero chechinhu chinogona kunge chiri chiratidzo chechirwere.

• LDH bvunzo: Maitiro umo muyedzo weropa unotariswa kuyera huwandu hweiyo lactic dehydrogenase (LDH). Yakawedzera huwandu hweLDH muropa inogona kunge iri chiratidzo chekukuvara kwetishu, lymphoma, kana zvimwe zvirwere.

• Hepatitis B uye hepatitis C bvunzo: Maitiro umo muyenzaniso weropa unoongororwa kuyera huwandu hwehutachiona hweH hepatitis B hutachiona-uye maanti antibodies uye huwandu hwehutachiona hweH hepatitis C hutachiona. Aya maantigen kana ma antibodies anonzi mamaki. Zviratidzo zvakasiyana kana mubatanidzwa wezviratidzo zvinoshandiswa kuona kuti murwere ane hutachiona hwehepatitis B kana C, akambotapukirwa kana kubayiwa nhomba, kana kuti anogona kubatwa nehutachiona. Kuziva kuti murwere ane hepatitis B kana C kunogona kubatsira kuronga kurapwa.

• HIV bvunzo: Chiyero chekuyera mwero wehutachiona hwehutachiona hwehutachiona (HIV) mumuenzaniso weropa. Maantibodies anogadzirwa nemuviri kana uchinge wapindwa nechinhu chekunze. Chikamu chepamusoro chemasoja ekudzivirira Mukondombera zvinogona kureva kuti muviri watapukirwa neHIV. Kuziva kuti murwere ane HIV kunogona kubatsira kuronga kurapwa.

• Sedimentation rate: Maitiro umo muyenzaniso weropa unodhonzwa uye kutariswa chiyero icho masero matsvuku eropa anogadzika kuzasi kweiyo bvunzo chubhu. Iyo sedimentation chiyero chiyero chekuwanda kwekuzvimba kuri mumuviri. Iyo yepamusoro kupfuura yakajairwa sedimentation chiyero inogona kunge iri chiratidzo che lymphoma kana imwe mamiriro. Iyo zvakare inonzi erythrocyte sedimentation mwero, sed chiyero, kana ESR.

• PET-CT scan: Maitiro anosanganisa iyo mifananidzo kubva kune positron emission tomography (PET) scan uye computed tomography (CT) scan. Iyo PET neCT scan inoitwa panguva imwe chete pamushini mumwe chete. Mifananidzo kubva kumatanho maviri akabatanidzwa kuti iite yakadzama pikicha kupfuura chero bvunzo yaingaite yega. PET-CT scan inogona kushandiswa kubatsira kuongorora chirwere, senge kenza, kuona danho, kuronga kurapwa, kana kuona kuti kurapa kuri kushanda sei.

• CT scan (CAT scan): Maitiro anoita akateedzana emifananidzo yakajeka yenzvimbo dziri mukati memuviri, senge mutsipa, chipfuva, dumbu, pelvis, uye lymph node, inotorwa kubva kumakona akasiyana. Mifananidzo yacho inogadzirwa nekombuta yakabatana neiyo x-ray muchina. Dhayi inogona kuiswa jekiseni kana kumedzwa kubatsira nhengo kana zvinyama kuratidza zvakajeka. Iyi nzira inonziwo computed tomography, computerized tomography, kana komputa axial tomography. Kana PET-CT scan isipo, CT scan yoga inogona kuitwa.

• PET scan (positron emission tomography scan): PET scan ndiyo nzira yekuwana yakashata bundu maseru mumuviri. Chishoma che radioactive glucose (shuga) inoiswa mutsinga. Iyo PET scanner inotenderera yakatenderedza muviri uye inogadzira mufananidzo wepo glucose iri kushandiswa mumuviri. Malignant tumarara maseru anoratidza kupenya mumufananidzo nekuti anoshanda uye anotora glucose yakawanda kupfuura zvinoita maseru akajairwa.

• Lymph node biopsy: Kubviswa kwezvose kana chikamu chema lymph node. Nyanzvi yezvirwere anoona munyama pasi pe microscope kutsvaga maseru ekenza anonzi Reed-Sternberg masero. Masero eRed-Sternberg akajairika mune yakasarudzika Hodgkin lymphoma.

Reed-Sternberg sero. Reed-Sternberg masero akakura, asina kujairika maLymphocyte anogona kunge aine inopfuura imwechete nucleus. Aya maseru anowanikwa muHodgkin lymphoma.

Imwe yedzinotevera mhando dze biopsies dzinogona kuitwa:

• Excisional biopsy: Kubviswa kweiyo lymph node.

• Incisional biopsy: Kubviswa kwechikamu chema lymph node.

• Core biopsy: Kubviswa kwetishu kubva kune lymph node uchishandisa yakafara tsono.

Dzimwe nzvimbo dzemuviri, senge chiropa, mapapu, bone, mwongo wemapfupa, uye huropi, dzinogona zvakare kuve nemuenzaniso wetissue wakabviswa uye kuongororwa neanorwara zviratidzo zvecancer.

Muedzo unotevera unogona kuitwa pazvinyama zvakabviswa:

• Immunophenotyping: Kuongororwa kwerabhoritari inoshandisa masoja ekudzivirira kenza maseru zvichibva pamhando dzemaantigen kana mamaki ari pamusoro pemasero. Uyu muedzo unoshandiswa kubatsira kuongorora chaiwo marudzi e lymphoma.

Kune vakadzi vane nhumbu vane Hodgkin lymphoma, bvunzo dzekufungidzira dzinodzivirira mwana asati aberekwa kubva kune zvinokuvadza zvemwaranzi zvinoshandiswa. Izvi zvinosanganisira:

• MRI (magnetic resonance imaging): Maitiro anoshandisa magineti, masaisai eredhiyo, uye komputa kugadzira yakateedzana mifananidzo yakajeka yenzvimbo dziri mukati memuviri. Iyi nzira inonziwo nyukireya magnetic resonance imaging (NMRI). Mune vakadzi vane nhumbu, dhayi yekusiyanisa haina kushandiswa panguva yekuita.

• Ultrasound bvunzo: Maitiro umo ma-high-energy ruzha mafungu (ultrasound) anodonhedzwa kubva mukati memukati nyama kana nhengo uye anoita maungira. Maungira anoumba mufananidzo wemuviri munyama unonzi sonogram.

Zvimwe zvinhu zvinokanganisa kufungidzira (mukana wekupora) uye sarudzo dzekurapa.

Kufungidzira (mukana wekupora) uye sarudzo dzekurapa dzinoenderana nezvinotevera:

• Zviratidzo uye zviratidzo zvevarwere, zvinosanganisira kana vasina B zviratidzo (fivha pasina chikonzero chinozivikanwa, kurasikirwa uremu pasina chikonzero chinozivikanwa, kana kunwisa ziya rehusiku).

• Chikamu chegomarara (saizi yemamota ekenza uye kana gomarara rapararira mudumbu kana anopfuura rimwe chete boka rema lymph nodes).

• Rudzi rweHodgkin lymphoma.

• Ropa bvunzo mhedzisiro.

• Zera remurwere, bonde, uye hutano huzhinji.

• Kunyangwe kenza ichangobva kuongororwa, inoramba ichikura panguva yekurapwa, kana kuti yakadzoka mushure mekurapwa.

YeHodgkin lymphoma panguva yekuzvitakura, sarudzo dzekurapa dzinoenderanawo ne:

• Izvo zvishuwo zvemurwere.

• Zera remwana asati azvarwa.

Mukuru Hodgkin lymphoma inogona kurapwa kana ikawanikwa nekurapwa nekukurumidza.

Nhanho dzeVakuru Hodgkin Lymphoma

PFUNGWA DZINOKOSHA

• Mushure mokunge munhu mukuru Hodgkin lymphoma yaonekwa, kuyedzwa kunoitwa kuti uone kana maseru ekenza apararira mukati meiyo lymph system kana kune zvimwe zvikamu zvemuviri.

• Kune nzira nhatu idzo gomarara rinopararira mumuviri.

• Aya anotevera matanho anoshandiswa kune mukuru Hodgkin lymphoma:

• Kunonoka ini

• Kudyara II

• Kudyara III

• Kuchinja IV

• AAdult Hodgkin lymphoma inogona kuve yakarongedzwa kurapwa seinotevera:

• AElyly Yakanaka

• Kutanga Kusina Kufara

• Yakawedzerwa

Mushure mokunge munhu mukuru Hodgkin lymphoma yaonekwa, kuyedzwa kunoitwa kuti uone kana maseru ekenza apararira mukati meiyo lymph system kana kune zvimwe zvikamu zvemuviri.

Maitiro anoshandiswa kutsvaga kana kenza yapararira mukati meiyo lymph system kana kune zvimwe zvikamu zvemuviri inonzi staging. Ruzivo rwakaunganidzwa kubva munzira yekugadzwa rinotara danho rechirwere. Izvo zvakakosha kuti uzive nhanho yekuronga kurapwa. Mhedzisiro yemiyedzo uye maitiro anoitwa kuongorora uye nhanho Hodgkin lymphoma inoshandiswa kubatsira kuita sarudzo nezvekurapa.

Pane nzira nhatu dzinopararira negomarara mumuviri.

Kenza inogona kupararira kuburikidza nematinji, iyo lymph system, uye neropa:

• Tishu. Kenza inopararira kubva kwayakatanga nekukura ichipinda munzvimbo dziri pedyo.

• Lymph maitiro. Kenza inopararira kubva kwayakatanga nekupinda muiyo lymph system. Kenza inofamba nemumidziyo yema lymph ichienda kune dzimwe nhengo dzemuviri.

• Ropa. Kenza inopararira kubva payakatanga nekupinda muropa. Kenza inofamba nemidzi yeropa ichienda kune dzimwe nhengo dzemuviri.

Aya matanho anotevera anoshandiswa kune mukuru Hodgkin lymphoma:

Chikamu I

Chikamu ini munhu mukuru lymphoma. Gomarara rinowanikwa mune imwe kana anopfuura mamwe ma "lymph node" muboka rema "lymph node" kana, mune zvisingawanzoitika, kenza inowanikwa mhete yeWaldeyer, thymus, kana spleen. Muchikamu IE (isina kuratidzwa), gomarara rapararira kune imwe nzvimbo kunze kweiyo lymph system.

Chikamu I mukuru Hodgkin lymphoma yakakamurwa muzvikamu ini neIE.

• Muchikamu ini, kenza inowanikwa mune imwe yenzvimbo dzinotevera mune lymph system:

• Imwe kana anopfuura mamwe ma lymph node muboka rema lymph node.

• Mhete yaWaldeyer.

• Thymus.

• Spleen.

• Muchikamu IE, kenza inowanikwa mune imwe nharaunda kunze kweiyo lymph system.

Chikamu II

Chikamu chechipiri II mukuru Hodgkin lymphoma yakakamurwa muzvikamu II uye IIE.

• Muchikamu chechipiri, kenza inowanikwa mumapoka maviri kana anopfuura emakemikari mairi ari pamusoro pechidziro kana pazasi pechidzitiro.

Chikamu II munhu mukuru lymphoma. Gomarara rinowanikwa mune maviri kana anopfuura mapoka ema lymph node ayo ari pamusoro pechirafu kana pazasi pechirafu.

Muchikamu IIE, kenza yakapararira kubva kuboka rema lymph node kuenda kunzvimbo iri padyo iri kunze kwenzira yema lymph. Kanzera inogona kunge yakapararira kune mamwe ma lymph node mapoka kudivi rimwe reiyo diaphragm.

Chikamu IIE munhu mukuru lymphoma. Kenza yapararira kubva kuboka rema lymph node kuenda kunzvimbo iri padyo iri kunze kwenzira yema lymph. Kanzera inogona kunge yakapararira kune mamwe ma lymph node mapoka kudivi rimwe reiyo diaphragm.

Muchikamu chechipiri, izwi rekuti bulky chirwere rinoreva hombe kukura. Hukuru hwehuturu hunorehwa hunonzi chirwere chakakura hunosiyana zvichienderana nerudzi rwe lymphoma.

Chikamu chechitatu

Chikamu chechitatu munhu mukuru lymphoma. Gomarara rinowanikwa mumapoka ema lymph node ese ari pamusoro nepazasi peya diaphragm; kana muboka rema lymph node pamusoro pechirafu uye mupleen.

Muchikamu chechitatu mukuru Hodgkin lymphoma, kenza inowanikwa:

• mumapoka ema lymph node kumusoro nekuzasi kwedhayaphirafu; kana

• mune lymph nodes pamusoro pechipfuva uye mupleen.

Chikamu IV

Chikamu IV munhu mukuru lymphoma. Gomarara (a) rakapararira mukati memumwe kana anopfuura nhengo kunze kwenzira yemajuku; kana (b) inowanikwa mumapoka maviri kana anopfuura emakiropu ari pamusoro pechirafu kana pazasi pechidhiraivho uye mune imwe nhengo iri kunze kwenzira uye isiri pedyo nenhengo dzakakanganiswa; kana (c) inowanikwa mumapoka enhengo dzenzamu pamusoro peya diaphragm uye pazasi pechidhiramu nechero nhengo iri kunze kwetsinga; kana (d) inowanikwa muchiropa, mwongo wemabhonzo, nzvimbo dzinopfuura imwechete mumapapu, kana cerebrospinal fluid (CSF). Kenza haina kupararira yakananga muchiropa, mwongo wemapfupa, mapapu, kana CSF kubva kuma lymph node ari padyo.

Muchikamu IV mukuru Hodgkin lymphoma, cancer.

• yakapararira mukati memumwe kana akawanda nhengo kunze kwenzvimbo yemajukunzi; kana

• inowanikwa mumapoka maviri kana anopfuura emakirini mairi anenge ari pamusoro pechipfuva kana pasi pechidimbu uye mune imwe nhengo iri kunze kwenzvimbo yema lymph uye kwete padhuze nema lymph node akakanganiswa; kana

• inowanikwa mumapoka ema lymph node ese ari pamusoro uye pazasi peya diaphragm uye mune chero nhengo iri kunze kweiyo lymph system; kana

• inowanikwa muchiropa, pfupa remongo, nzvimbo dzinopfuura imwechete mumapapu, kana cerebrospinal fluid (CSF). Kenza haina kupararira yakananga muchiropa, mwongo wemapfupa, mapapu, kana CSF kubva kuma lymph node ari padyo.

Mukuru Hodgkin lymphoma inogona kuve yakarongedzwa kurapwa seinotevera:

Pakutanga Yakanaka

Pakutanga anofarira munhu mukuru Hodgkin lymphoma idanho I kana nhanho yechipiri, pasina zvinhu zvine njodzi zvinowedzera mukana wekuti gomarara ridzoke mushure mekurapwa.

Pakutanga Hazvifadzi

Pakutanga isingafadzi munhu mukuru Hodgkin lymphoma idanho I kana nhanho yechipiri neimwe kana zvimwe zvezvinhu zvinotevera zvine njodzi zvinowedzera mukana wekuti gomarara ridzoke mushure mekurapwa:

• Kuva nebundu mubhokisi iro rakakura kupfuura 1/3 yehupamhi hwechipfuva kana ingangoita gumi masendimita.

• Kuva nekenza mune imwe nhengo isiri iyo lymph node.

• Kuve neakakwira sedimentation mwero (mune muyenzaniso weropa, masero matsvuku eropa anogadzikana kusvika pasi pebvunzo rebhubhu nekukurumidza kupfuura zvakajairwa).

• Kuva nemakamu matatu kana anopfuura emakenza ane kenza.

• Kuva neB zviratidzo (fivhiri pasina chikonzero chinozivikanwa, kurasikirwa uremu pasina chikonzero chinozivikanwa, kana kunwisa kudikitira usiku).

Yepamberi

Yepamberi Hodgkin lymphoma inhanho yechitatu kana nhanho IV. Yepamberi inofadza Hodgkin lymphoma zvinoreva kuti murwere ane 0-3 yezvinhu zvine njodzi pazasi. Yepamberi isingafadzi Hodgkin lymphoma zvinoreva kuti murwere ane mana kana anopfuura ezvengozi pazasi. Izvo zvakanyanya njodzi zvinhu izvo murwere anazvo, zvakanyanya mukana wekuti gomarara rinodzoka mushure mekurapwa:

• Kuve neropa rakaderera ropa albumin (protein) chikamu (pazasi pe4).

• Kuve nehuremu hwehemoglobin (pazasi pe10.5).

• Kuva murume.

• Kuva zera 45 makore kana kupfuura.

• Kuva nechirwere chechikamu IV.

• Kuve neakakwira chena masero eropa (15,000 kana kupfuura).

• Kuve uine yakaderera lymphocyte kuverenga (pazasi mazana matanhatu kana pasi pe8 muzana yeiyo chena yeropa masero kuverenga).

Kudzokorora Munhu Mukuru Hodgkin Lymphoma

Kazhinji munhu mukuru Hodgkin lymphoma kenza yakadzokazve (kudzoka) mushure mekurapwa. Kenza inogona kudzoka muiyo lymph system kana mune mamwe mativi emuviri.

Kurapa Sarudzo Kuongorora

PFUNGWA DZINOKOSHA

• Kune akasiyana marudzi ekurapa kwevarwere vane munhu mukuru Hodgkin lymphoma.

• Varwere vane Hodgkin lymphoma vanofanirwa kurapwa kurapwa nechikwata chevanoona nezvehutano vane hunyanzvi hwekurapa lymphomas.

• Kurapa kwevakuru Hodgkin lymphoma kunogona kukonzera mhedzisiro.

• Mhando ina dzekurapa kwakajairika dzinoshandiswa:

• Chemotherapy

• Radiation kurapa

• Targeted kurapwa

• Immunotherapy

• Kune varwere vane pamuviri vane Hodgkin lymphoma, sarudzo dzekurapa dzinosanganisira:

• Kurinda kumirira

• Steroid kurapa

• Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

• Chemotherapy ne stem cell yekuisa

• Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

• Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

• Yekutevera-bvunzo inogona kudikanwa.

Kune akasiyana marudzi ekurapa kwevarwere vane munhu mukuru Hodgkin lymphoma.

Mhando dzakasiyana dzekurapa dzinowanikwa kune varwere vane vakuru Hodgkin lymphoma. Mamwe marapirwo akajairwa (arikushandiswa kurapwa), uye mamwe ari kuongororwa mumakiriniki ekuedzwa. A kurapwa kiriniki kuyedzwa chidzidzo chekutsvaga chakaitirwa kubatsira kuvandudza marapirwo azvino kana kuwana ruzivo marapirwo matsva evarwere vane gomarara. Kana kiriniki miedzo ikaratidza kuti kurapwa kutsva kuri nani pane kwese kurapwa, kurapwa kutsva kunogona kuve kwakajairwa kurapwa. Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki. Mimwe miedzo yekiriniki yakavhurwa chete kune varwere vasina kutanga kurapwa.

Kune vakadzi vane nhumbu vane Hodgkin lymphoma, kurapwa kwakanyatsosarudzwa kuchengetedza mwana asati aberekwa. Kurapa sarudzo kunoenderana nezvido zvaamai, nhanho yeHodgkin lymphoma, uye zera remwana asati aberekwa. Chirongwa chekurapa chinogona kuchinja sezvo zviratidzo nezviratidzo, gomarara, uye nhumbu kuchinja. Kusarudza kurapwa kwakakodzera kwekenza chisarudzo icho chinosanganisira timu yevarwere, yemhuri, uye yehutano.

Varwere vane Hodgkin lymphoma vanofanirwa kurapwa kurapwa nechikwata chevanoona nezvehutano vane hunyanzvi hwekurapa lymphomas.

Kurapa kunozotarisirwa nachiremba oncologist, chiremba uyo ane hunyanzvi hwekurapa cancer. Wekurapa oncologist anogona kukuendesa kune vamwe vatapi vezvehutano vane ruzivo uye hunyanzvi hwekurapa mukuru Hodgkin lymphoma uye vanoziva mune dzimwe nzvimbo dzemishonga. Izvi zvinogona kusanganisira vanachiremba vanotevera:

• Radiation oncologist.

• Rehabilitation nyanzvi.

• Hematologist.

• Vamwe vezve oncology nyanzvi.

Kurapa kwevakuru Hodgkin lymphoma kunogona kukonzera mhedzisiro.

Kuti uwane ruzivo nezve mhedzisiro inotanga panguva yekurapa kenza, ona yedu Side Mhedzisiro peji.

Zvimwe zvinokonzeresa kubva pakurapwa nekenza zvinotanga mushure mekurapwa uye kuenderera kwemwedzi kana makore zvinonzi kunonoka kuitika Kurapa ne chemotherapy uye / kana radiation radiation yeHodgkin lymphoma inogona kuwedzera njodzi yekenza yechipiri uye mamwe matambudziko ehutano kwemwedzi yakawanda kana makore mushure mekurapwa. Iyi mhedzisiro mhedzisiro inoenderana nerudzi rwekurapa uye zera remurwere kana arapwa, uye zvinogona kusanganisira zvinotevera:

• Gomarara repiri.

• Acute myelogenous leukemia uye isiri Hodgkin lymphoma.

• Mamota akasimba, senge mesothelioma uye gomarara repapu, zamu, utachiona, bhonzo, zvinyoro, mudumbu, esophagus, colon, rectum, cervix, uye musoro nemutsipa.

• Kushaya mbereko.

• Hypothyroidism (shomashoma utachiona hweropa muropa)

• Chirwere chemwoyo, chakadai sekurwadziwa kwemoyo.

• Matambudziko emapapu, akadai sekutambudzika kufema.

• Avascular necrosis yebhonzo (kufa kwemaseru emapfupa kunokonzerwa nekushayikwa kweropa kuyerera).

• Utachiona hwakanyanya.

• Kuneta kusingaperi.

Kugara uchiteverwa navanachiremba vanove nyanzvi mukutsvaga nekurapa mhedzisiro mhedzisiro kwakakosha kune kwenguva refu hutano hwevarwere vanorapwa Hodgkin lymphoma.

Mhando ina dzekurapa kwakajairika dzinoshandiswa:

Chemotherapy

Chemotherapy kurapwa kwekenza iyo inoshandisa imwe kana akawanda mushonga kumisa kukura kwemasero ekenza, kungave nekuuraya maseru kana nekuamisa iwo kubva pakupatsanuka. Cancer kurapwa uchishandisa inopfuura imwe chemotherapy mushonga unonzi mubatanidzwa chemotherapy. Kana chemotherapy ikatorwa nemuromo kana kujowa mutsinga kana mhasuru, mishonga inopinda muropa uye inogona kusvika masero emukenza mumuviri wese (systemic chemotherapy). Kana chemotherapy ikaiswa yakanangana necerebrospinal fluid, nhengo, kana dumbu remuviri senge dumbu, iwo madhiragi anonyanya kukanganisa cancer maseru munzvimbo idzodzo (remunharaunda chemotherapy).

Nzira iyo chemotherapy inopihwa inoenderana nerudzi uye nhanho yekenza iri kurapwa. Systemic mubatanidzwa chemotherapy inoshandiswa pakurapa munhu mukuru Hodgkin lymphoma.

Kana mukadzi ane nhumbu achirapwa nekemotherapy yeHodgkin lymphoma, hazviite kudzivirira mwana asati aberekwa kubva pakuonekwa kune chemotherapy. Dzimwe chemotherapy regimens dzinogona kukonzera kuremara kwekuzvarwa kana ikapihwa mune yekutanga trimester. Vinblastine mushonga weanticancer uyo usina kubatanidzwa nehurema hwekuzvarwa ukapihwa mune yechipiri kana yechitatu trimesters yepamuviri.

Ona Zvinodhaka Zvinotenderwa Hodgkin Lymphoma kuti uwane rumwe ruzivo.

Radiation kurapa

Radiation kurapa kurapwa kenza iyo inoshandisa yakakwira-simba x-rays kana mamwe marudzi e radiation kuuraya cancer maseru kana kuachengeta iwo kuti asakure. External radiation therapy inoshandisa muchina uri kunze kwemuviri kutumira radiation kune iyo nzvimbo yemuviri nekenza. Dzimwe nguva kuwanda kwemirazvo yemuviri kunopihwa kune iwo wese muviri pasitemusi yesimbi yekuisazve.

Proton beam radiation radiation iri kuongororwa kuitira kurapwa kwevakadzi vadiki vakadzi kudzikisa njodzi yekenza yemazamu. Proton beam radiation radiation inoshandisa hova dzemapurotoni (zvidimbu zvidiki zvinechaji yakanaka) kuuraya tumarara maseru. Rudzi urwu rwekurapa runogona kudzikisa huwandu hwekukuvara kwemwaranzi kumaturu ane hutano padhuze nebundu rakadai semwoyo kana zamu

External radiation therapy inoshandiswa kurapa munhu mukuru Hodgkin lymphoma uye inogona zvakare kushandiswa senge palliative kurapwa kubvisa zviratidzo uye nekuvandudza hupenyu hwehupenyu

Kune mukadzi ane nhumbu ane Hodgkin lymphoma, kurapwa kwemwaranzi kunofanirwa kumisikidzwa kusvika mushure mekusununguka, kana zvichibvira, kudzivirira chero njodzi yekuratidzwa nemwaranzi kumwana asati azvarwa. Kana kurapwa kuchidikanwa ipapo, mukadzi anogona kusarudza kuenderera nepamuviri uye nekugamuchira kurapwa nemwaranzi. Nhoo inotungamira inoshandiswa kuvhara dumbu remukadzi ane nhumbu kubatsira kudzivirira mwana asati azvarwa kubva kumwaranzi zvakanyanya sezvinobvira.

Targeted kurapwa

Targeted therapy mhando yekurapa inoshandisa zvinodhaka kana zvimwe zvinhu kurwisa cancer maseru. Kurapa kwakanangidzirwa kunogona kukonzera kukuvara kushoma kune chaiwo maseru pane chemotherapy kana radiation radiation inoita.

Monoclonal antibody therapy imhando yekurapa kwakanangwa kunoshandiswa pakurapa Hodgkin lymphoma.

• Monoclonal antibody therapy kurapwa kunoshandisa masoja ekudzivirira akagadzirwa murabhoritari, kubva kune imwe mhando yemasoja emuviri. Aya ma antibodies anokwanisa kuona zvinhu pane cancer cancer kana zvakajairika zvinhu zvinogona kubatsira gomarara maseru kukura. Masoja ekudzivirira chirwere anonamira pazvinhu uye anouraya maseru egomarara, anovharira kukura kwawo, kana kuti aachengetedze kubva pakupararira. Monoclonal antibodies inopihwa nekumisirwa. Inogona kushandiswa yoga kana kutakura zvinodhaka, chepfu, kana zvinhu zvine radioactive zvakanangana nemasero ekenza.

Brentuximab uye rituximab ndiwo monoclonal antibodies anoshandiswa kurapa Hodgkin lymphoma.

Ona Zvinodhaka Zvinotenderwa Hodgkin Lymphoma kuti uwane rumwe ruzivo.

Immunotherapy

Immunotherapy kurapwa kunoshandisa immune system yemurwere kurwisa gomarara. Zvinhu zvinogadzirwa nemuviri kana kugadzirwa murabhoritari zvinoshandiswa kusimudzira, kunongedza, kana kudzorera kudzivirira kwemuviri kurwisa kenza. Rudzi rwekurapa kenza urwu rwunonziwo biotherapy kana biologic therapy.

Immune checkpoint inhibitor therapy rudzi rwe immunotherapy.

• Immune checkpoint inhibitor therapy: PD-1 ipuroteni iri pamusoro peT maseru ayo anobatsira kuchengetedza mhinduro dzemumuviri. Kana PD-1 yakanamatira kune imwe protein inonzi PDL-1 pane kenza kenza, inomisa iyo T cell kuuraya kenza kenza. PD-1 inhibitors inonamira kuPDL-1 uye inobvumira iwo maseru eT kuuraya maseru ekenza.

Nivolumab uye pembrolizumab mhando dze immune checkpoint inhibitors dzinoshandiswa kurapa Hodgkin lymphoma iyo yadzokazve (dzoka).

Immune checkpoint inhibitor. Checkpoint mapuroteni, akadai sePD-L1 pane maseru emota uye PD-1 pane T maseru, anobatsira kuchengetedza mhinduro dzemumuviri. Iko kusungwa kwePD-L1 kusvika PD-1 kunoita kuti masero eT arege kuuraya tumarara maseru mumuviri (kuruboshwe pani). Kuvhara kusunga kwePD-L1 kusvika PD-1 ine immune checkpoint inhibitor (anti-PD-L1 kana anti-PD-1) inobvumira iwo maseru eT kuuraya matumbo maseru (kurudyi pani).

Ona Zvinodhaka Zvinotenderwa Hodgkin Lymphoma kuti uwane rumwe ruzivo.

Kune varwere vane pamuviri vane Hodgkin lymphoma, sarudzo dzekurapa dzinosanganisira:

Kurinda kumirira

Kurindira kumirira kuri kunyatsoongorora mamiriro emurwere pasina kupa chero kurapwa kunze kwekunge zviratidzo kana zviratidzo zvoonekwa kana kuchinja. Basa rebasa rinogona kukosheswa kana mwana asati azvarwa ave nemavhiki makumi matatu kusvika kumakumi matatu nematanhatu ekuberekwa kuitira kuti amai vatange kurapwa.

Steroid kurapa

Steroid mahormone akagadzirwa zvakasikwa mumuviri neadrenal glands uye nenhengo dzekubereka. Mamwe marudzi esteroid anogadzirwa murabhoritari. Mimwe steroid mishonga yakawanikwa ichibatsira chemotherapy kushanda zvirinani uye kubatsira kumisa kukura kwemasero ekenza. Kana kusununguka kwekutanga kuchikwanisika, steroid inogona zvakare kubatsira mapapu emwana asati aberekwa kukura nekukurumidza kupfuura zvakajairwa. Izvi zvinopa vana vanozvarwa vachiri vechidiki mukana wakanaka wekupona.

Ona Zvinodhaka Zvinotenderwa Hodgkin Lymphoma kuti uwane rumwe ruzivo.

Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

Ichi chidimbu chikamu chinotsanangura kurapwa kuri kuongororwa mumakiriniki ekuedzwa. Zvinogona kusataura nezveese marapirwo matsva ari kuongororwa. Ruzivo nezve kiriniki miedzo inowanikwa kubva kuNCI webhusaiti.

Chemotherapy ne stem cell yekuisa

Yakakwira madosi ekemotherapy anopiwa kuuraya cancer maseru. Masero ane hutano, kusanganisira masero anogadzira ropa, anoparadzwa nekenza kurapwa. Stem cell transplant kurapwa kwekutsiva maseru anogadzira ropa. Masero emashizha (masero eropa asina kusimba) anobviswa muropa kana mwongo wemapfupa emurwere kana mupi uye anoomeswa nechando. Mushure mekunge murwere apedza chemotherapy uye radiation radiation, iyo yakachengetwa masero maseru anonyungudutswa uye ndokudzoserwa kumurwere kuburikidza nekumukiswa. Aya akadzikiswa maseru emadzinde anokura kuita (uye kudzoreredza) masero eropa emuviri.

Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki.

Kune vamwe varwere, kutora chikamu mumuedzo wekiriniki inogona kunge iri sarudzo yekurapa yakanyanya kunaka. Kliniki miedzo chikamu chekenza tsvagiridzo. Zvemakiriniki miedzo inoitwa kuti uone kana marapirwo matsva egomarara akachengeteka uye achishanda kana zvirinani pane akajairwa kurapwa.

Mazhinji emazuva ano marapirwo akajairwa ekenza akavakirwa pamavambo emakiriniki ekuedzwa. Varwere vanotora chikamu mukuyedzwa kwekiriniki vanogona kuwana kurapwa kwakaringana kana kuve pakati pevekutanga kurapwa kutsva.

Varwere vanotora chikamu mumiedzo yekiriniki zvakare vanobatsira kugadzirisa marapirwo achaitwa kenza mune ramangwana. Kunyangwe kana miedzo yemakiriniki isinga tangire kumarapirwo matsva anoshanda, anowanzo pindura mibvunzo yakakosha uye anobatsira kufambisira mberi kutsvagurudza.

Varwere vanogona kupinda mumakiriniki miedzo vasati, panguva, kana mushure mekutanga kwavo kenza kurapwa.

Mimwe miedzo yekiriniki inosanganisira chete varwere vasati vagamuchira kurapwa. Mimwe miedzo yekuedza kurapwa kwevarwere vane kenza haina kuve nani. Kune mamwezve emakiriniki miedzo inoedza nzira nyowani dzekumisa cancer kubva kudzokororazve (kudzoka) kana kudzikisira mhedzisiro yemakenza kurapwa.

Kuedzwa kwemakiriniki kuri kuitika munzvimbo zhinji dzenyika. Ruzivo nezve kiriniki miedzo inotsigirwa neNCI inogona kuwanikwa paNCI yekiriniki miedzo yekutsvaga peji rewebhu. Kliniki miedzo inotsigirwa nemamwe masangano inogona kuwanikwa pane yeClinicalTrials.gov webhusaiti.

Yekutevera-bvunzo inogona kudikanwa.

Mimwe miedzo yakaitwa kuongorora gomarara kana kutsvaga danho rekenza inogona kudzokororwa. Dzimwe bvunzo dzinodzokororwa kuitira kuti vaone kuti kurapa kuri kushanda sei. Sarudzo nezvekuti uenderere mberi, shandura, kana kumisa kurapwa kunogona kunge kuchibva pamhedzisiro yeiyi bvunzo.

Mimwe bvunzo ichaenderera ichiitwa nguva nenguva mushure mekunge kurapwa kwapera. Mhedzisiro yeiyi bvunzo inogona kuratidza kana mamiriro ako achinja kana kana gomarara radzoka (dzoka). Iyi bvunzo dzimwe nguva inonzi yekuteedzera-bvunzo kana kuongorora-kumusoro.

Kurapa Sarudzo dzeKutanga Inodakadza Classic Hodgkin Lymphoma

Kurapa kwekutanga kwakanaka kweiyo Hodgkin lymphoma muvanhu vakuru kunogona kusanganisira zvinotevera:

• Kusanganiswa chemotherapy.

• Kusanganiswa chemotherapy pamwe nemwaranzi kurapwa kunzvimbo dzemuviri nekenza.

• Radiation kurapa kwega kune varwere vasingakwanise kurapwa pamwe nekubatana chemotherapy.

Kuti uwane ruzivo nezve marapirwo akanyorwa pamusoro, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kurapa Sarudzo dzeKutanga Kusingafadze Classic Hodgkin Lymphoma

Kurapa kwekutanga kusingafadzi kirasi Hodgkin lymphoma muvanhu vakuru kunogona kusanganisira zvinotevera:

• Kusanganiswa chemotherapy pamwe nemwaranzi kurapwa kunzvimbo dzemuviri nekenza.

• Kusanganiswa chemotherapy.

• Kuongororwa kwekiriniki yekurapa kwakanangwa ne monoclonal antibody (brentuximab) kana immunotherapy ine immune checkpoint inhibitor therapy.

Kuti uwane ruzivo nezve marapirwo akanyorwa pamusoro, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kurapa Sarudzo dzeAdvanced Classic Hodgkin Lymphoma

Kurapa kwepamberi yechinyakare Hodgkin lymphoma muvanhu vakuru kunogona kusanganisira zvinotevera:

• Kusanganiswa chemotherapy.

Kuti uwane ruzivo nezve marapirwo akanyorwa pamusoro, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kurapa Sarudzo dzeRecurrent Classic Hodgkin Lymphoma

Kurapa kweanowanzoitika echinyakare Hodgkin lymphoma muvanhu vakuru inogona kusanganisira zvinotevera:

• Targeted Therapy ine monoclonal antibody (brentuximab).

• Kusanganiswa chemotherapy kunoteverwa neakakwira-dose chemotherapy uye stem cell yekuisa. Radiation kurapwa kunogona kupihwa kana gomarara rikaramba

mushure mekurapa. Targeted Therapy (brentuximab) inogona kupihwa mushure me stem cell transplant.

• Immunotherapy ine immune checkpoint inhibitor (nivolumab kana pembrolizumab).

• Kusanganiswa chemotherapy.

• Kusanganiswa kwemakemikari ekurapa nemwaranzi kunzvimbo dzemuviri nekenza yevarwere vane makore anopfuura makumi matanhatu.

• Radiation therapy ine kana isina chemotherapy, kune varwere vane gomarara rakadzoka chete mune ma lymph node.

• Chemotherapy senzira yekurapa yekurapa kubvisa zviratidzo uye nekuvandudza hupenyu.

Kuti uwane ruzivo nezve marapirwo akanyorwa pamusoro, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Shandisa yedu kiriniki yekuyedza kutsvaga kutsvaga NCI-yakatsigirwa kenza kiriniki miedzo iri kugamuchira varwere. Unogona kutsvaga miedzo zvichibva parudzi rwecancer, zera remurwere, uye iko kunoitwa miyedzo. Ruzhinji ruzivo nezve zvekuedzwa zvekiriniki zvakare zviripo.

Kurapa Sarudzo dzeNodular Lymphocyte-Yakanyanya Hodgkin Lymphoma

Kurapa kwe nodular lymphocyte- hukuru hweHodgkin lymphoma muvanhu vakuru kunogona kusanganisira zvinotevera:

• Radiation kurapa kunzvimbo dzemuviri nekenza, kune varwere vane yekutanga-nhanho nodular lymphocyte-yakanyanya Hodgkin lymphoma.

• Chemotherapy, yevarwere vane advanced-stage nodular lymphocyte-inonyanya Hodgkin lymphoma.

• Targeted Therapy ine monoclonal antibody (rituximab).

Kuti uwane ruzivo nezve marapirwo akanyorwa pamusoro, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Kurapa Sarudzo dzeHodgkin Lymphoma Panguva Yepamuviri

Muchikamu chino

• Hodgkin Lymphoma Munguva Yekutanga Trimester Yepamuviri

• Hodgkin Lymphoma Munguva yeChipiri kana Chechitatu Trimester Yepamuviri

Kuti uwane ruzivo nezve marapirwo akanyorwa pazasi, ona iyo Chikamu Sarudzo Yekutarisa Chikamu.

Hodgkin Lymphoma Munguva Yekutanga Trimester Yepamuviri

Kana Hodgkin lymphoma ikaonekwa mune yekutanga trimester yepamuviri, hazvireve kuti mukadzi anokurudzirwa kupedza nhumbu. Kurapa kwemukadzi mumwe nemumwe kunoenderana nedanho reiyo lymphoma, kuti iri kukura nekukurumidza sei, uye zvishuwo zvake. Kurapa kweHodgkin lymphoma panguva yekutanga trimester yepamuviri kunogona kusanganisira zvinotevera:

• Kuchenjerera kumirira kana kenza iri pamusoro peiyo diaphragm uye iri kunonoka-kukura. Labour inogona kunyengererwa uye mwana akasununguka nekukurumidza kuitira kuti mai vatange kurapwa.

• Radiation kurapwa kana kenza iri pamusoro peiyo diaphragm. Nhoo inotungamira inoshandiswa kudzivirira mwana asati aberekwa kubva kumwaranzi zvakanyanya sezvinobvira.

• Chemotherapy kushandisa imwe kana akawanda madhiragi.

Hodgkin Lymphoma Munguva yeChipiri kana Chechitatu Trimester Yepamuviri

Kana Hodgkin lymphoma ichionekwa muhafu yepiri yekuzvitakura, vakadzi vazhinji vanogona kunonoka kurapwa kusvikira mwana azvarwa. Kurapa kweHodgkin lymphoma panguva yechipiri kana yechitatu trimester yekuzvitakura inogona kusanganisira zvinotevera:

• Kurinda vakamirira, nezvirongwa zvekusimudzira basa kana mwana asati azvarwa ave nemakumi matatu nemasere kusvika makumi masere masvondo ekuberekwa.

• Radiation kurapwa kubvisa matambudziko ekufema anokonzerwa nebundu rakakura muchipfuva.

• Kusanganiswa chemotherapy uchishandisa imwe kana yakawanda zvinodhaka.

• Steroid kurapa.

Kuti udzidze Zvakawanda Nezve Mukuru Hodgkin Lymphoma

Kuti uwane rumwe ruzivo kubva kuNational Cancer Institute nezve munhu mukuru Hodgkin lymphoma, ona zvinotevera:

• Lymphoma Kumba Peji

• Mishonga Inotenderwa Hodgkin Lymphoma

Kuti uwane ruzivo rwekenza uye zvimwe zviwanikwa kubva kuNational Cancer Institute, ona zvinotevera:

• Nezve Kenza

• Stage

• Chemotherapy uye Iwe: Tsigiro Yevanhu Vane Kenza

• Radiation Therapy uye Iwe: Rutsigiro rweVanhu Vane Kenza

• Kurarama neCancer

• Mibvunzo Yekubvunza Wako Chiremba nezveCancer

• Kune Vakapona uye Vanotarisira

Nezve Iyi Pfupiso

Nezve

Chiremba Dhata Query () ndeye National Cancer Institute's (NCI's) yakazara kenza ruzivo ruzivo. Dhatabhesi ye ine pfupiso yeruzivo rwechizvino-zvino pamusoro pekudzivirira gomarara, kuona, genetics, kurapwa, kuchengetedzwa kwekutsigira, uye mushonga unowirirana uye unotsiva. Mazhinji pfupiso anouya mushanduro mbiri. Iwo ehutano nyanzvi shanduro dzine ruzivo rwakadzama rwakanyorwa muhunyanzvi mutauro. Shanduro dzevarwere dzakanyorwa zviri nyore kunzwisisa, mutauro usingashandise hunyanzvi. MaBhaibheri ese ari maviri ane ruzivo rwegomarara rwakarurama uye rwuri parizvino uye shanduro zhinji dzinowanikwa muchiSpanish.

ibasa reNCI. Iyo NCI chikamu cheNational Institutes of Health (NIH). NIH inzvimbo yehurumende yemubatanidzwa yekutsvagisa biomedical. Idzo pfupiso dze dzinovakirwa pakazvimiririra ongororo yezvinyorwa zvekurapa. Haasi iwo marongero emutemo eNCI kana iyo NIH.

Chinangwa cheichi Chidimbu

Iyi pfupiso yeruzivo rwegomarara rwe ine ruzivo rwezvino nezve kurapwa kwevakuru Hodgkin lymphoma. Izvo zvakagadzirirwa kuzivisa uye kubatsira varwere, mhuri, uye vanochengeta. Izvo hazvipe zvakarongeka nhungamiro kana kurudziro yekuita sarudzo nezve hutano hutano.

Vaongorori uye maDudziro

Edhisheni Mabhodhi anonyora iyo kenza ruzivo rwekupfupisa uye nekuzvichengeta zviri zvechizvino-zvino. Aya maBhodi akaumbwa nenyanzvi mukurapa gomarara uyehumwe hunyanzvi hune hukama negomarara. Idzo pfupiso dzinoongororwa kazhinji uye shanduko dzinoitwa kana paine ruzivo rutsva. Zuva pane pfupiso yega yega ("Yakagadziridzwa") izuva rekuchinja kwazvino.

Ruzivo rwuri muchidimbu chevarwere rwakatorwa kubva kuhutano nyanzvi vhezheni, iyo inoongororwa nguva zhinji uye kuvandudzwa sezvinodiwa, ne Adult Treatment Edhiyo Board.

Clinical Kuedzwa Ruzivo

Kuongororwa kwekiriniki kudzidza kupindura mubvunzo wesainzi, sekunge kurapwa kumwe kuri nani pane kumwe. Miedzo yakavakirwa pazvidzidzo zvakapfuura uye izvo zvakadzidzwa murabhoritari. Muedzo wega wega unopindura mimwe mibvunzo yesainzi kuitira kuti uwane nzira nyowani uye dziri nani dzekubatsira varwere vegomarara. Munguva yekurapwa kwekuedzwa kwemakiriniki, ruzivo runotorwa pamusoro pemhedzisiro yekurapa kutsva uye nemabatiro arinoita. Kana kiriniki yekuyedzwa ikaratidza kuti kurapwa kutsva kuri nani pane imwe irikushandiswa parizvino, kurapwa kutsva kunogona "kujairika" Varwere vangangoda kufunga nezve kutora chikamu mukutora kiriniki. Mimwe miedzo yekiriniki yakavhurwa chete kune varwere vasina kutanga kurapwa.

Zvirwere zvemakiriniki zvinogona kuwanikwa pamhepo pawebhusaiti yeNCI. Kuti uwane rumwe ruzivo, fonera Cancer Information Service (CIS), nzvimbo yekudyidzana yeNCI, pa1-800-4-CANCER (1-800-422-6237).

Mvumo yekushandisa Ichi Chidimbu

chiratidzo chakanyoreswa. Zvinyorwa zvemagwaro ePDP zvinogona kushandiswa zvakasununguka semavara. Iyo haigone kuzivikanwa seNCI kenza yeruzivo pfupiso kunze kwekunge iyo pfupiso yose yaratidzwa uye ichigadziriswa nguva dzose. Zvisinei, mushandisi anobvumidzwa kunyora chirevo chakadai se "NCI's cancer information muchidimbu nezvekudzivirira gomarara repazamu inotaura njodzi nenzira inotevera:

Nzira yakanakisa yekutsanangura iyi pfupiso ye ndeiyi:

Mifananidzo iri muchidimbu ino inoshandiswa nemvumo yemunyori (s), muimbi, uye / kana muparidzi kuti ishandiswe mupfupiso dze chete. Kana iwe uchida kushandisa chifananidzo kubva muchidimbu che uye usiri kushandisa pfupiso yese, unofanirwa kuwana mvumo kubva kumuridzi. Iyo haigone kupihwa neNational Cancer Institute. Ruzivo nezve kushandisa iyo mifananidzo muchidimbu ichi, pamwe nemamwe akawanda mifananidzo ine chekuita nekenza inogona kuwanikwa muZviratidzo Pamhepo. Zvinoonekwa paInternet muunganidzwa wemifananidzo inopfuura 3,000 yesainzi.

Disiki

Ruzivo ruri muzvipfupiso urwu harufanire kushandiswa kuita sarudzo pamusoro pekubhadhara inishuwarenzi. Rumwe ruzivo nezve kufukidzwa kweinishuwarenzi kunowanikwa paCancer.gov pane iyo Managing Cancer Care peji.

Taura nesu

Ruzivo rwakawanda nezve kutibata nesu kana kugamuchira rubatsiro neCancer.gov webhusaiti inogona kuwanikwa pane Yedu Kubata Nedu Rubatsiro peji. Mibvunzo inogona zvakare kuendeswa kuCancer.gov kuburikidza neiyo webhusaiti E-mail Isu.