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Yevacheche Hodgkin Lymphoma Kurapa (®) -Patient Shanduro

Ruzivo Ruzhinji Nezvehucheche Hodgkin Lymphoma

PFUNGWA DZINOKOSHA

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

• Iyo miviri mikuru mikuru yehudiki Hodgkin lymphoma ndeyechinyakare uye nodular lymphocyte-yakanyanya.

• Epstein-Barr hutachiona hutachiona uye nhoroondo yemhuri yeHodgkin lymphoma inogona kuwedzera njodzi yehudiki Hodgkin lymphoma.

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

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

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

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

Zvekuchecheche 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 mumutsipa, underarm, mediastinum (iyo nzvimbo iri pakati pemapapu), dumbu, chiuno, uye kugomera. Hodgkin lymphoma inowanzo fomu mune ma lymph node pamusoro pechirafu.

• 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.

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.

Bits yema lymph tishu inowanikwawo mune zvimwe zvikamu zvemuviri senge bhandi remudumbu, bronchus, uye ganda.

Kune maviri maviri akajairwa marudzi e lymphoma: Hodgkin lymphoma uye isiri Hodgkin lymphoma. Iyi pfupiso ndeyekurapa kwehucheche Hodgkin lymphoma.

Hodgkin lymphoma inoitika kazhinji muvachiri kuyaruka vane makore gumi nemashanu kusvika gumi nemapfumbamwe ekuberekwa. Kurapa kwevana nevechiri kuyaruka kwakasiyana pane kurapwa kwevakuru.

Kuti uwane ruzivo nezve hudiki husiri-Hodgkin lymphoma kana mukuru Hodgkin lymphoma ona anotevera pfupiso dze:

• Udiki Isiri-Hodgkin Lymphoma Kurapa.

• Mukuru Hodgkin Lymphoma Kurapa.

Iyo miviri mikuru mikuru yehudiki Hodgkin lymphoma ndeyechinyakare uye nodular lymphocyte-yakanyanya.

Iyo miviri mikuru mikuru yehudiki Hodgkin lymphoma ndeiyi:

• Classic Hodgkin lymphoma. Iyi ndiyo mhando yakajairika yeHodgkin lymphoma. Izvo zvinoitika kazhinji mukuyaruka. Kana sampu yema lymph node tishu yatariswa pasi peiyo microscope, Hodgkin lymphoma cancer maseru, anonzi Reed-Sternberg masero, anogona kuoneka.

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

Classic Hodgkin lymphoma yakakamurwa kuita ina subtypes, zvichibva nemaitiro masero ekenza anotaridzika pasi pe microscope:

• Nodular-sclerosing Hodgkin lymphoma inoitika kazhinji muvana vakura uye vachiri kuyaruka. Zvakajairika kuva nefuva pachifuva pakuongororwa.

• Yakasanganiswa maseru Hodgkin lymphoma inowanzoitika muvana vari pasi pemakore gumi ekuberekwa. Iyo yakabatana nenhoroondo ye Epstein-Barr hutachiona (EBV) hutachiona uye inowanzoitika mune ma lymph node emutsipa.

• Lymphocyte-akapfuma echinyakare Hodgkin lymphoma isingawanzo muvana. Kana sampu yema lymph node tishu yatariswa pasi pe microscope, pane maRed-Sternberg maseru uye akawanda akajairwa lymphocyte uye mamwe masero eropa.

• Lymphocyte-yakapera Hodgkin lymphoma isingawanzo muvana uye inoitika kazhinji muvakuru kana vakuru vane hutachiona hwehutachiona hwehutachiona hweHIV. Kana sampu yema lymph node tishu yatariswa pasi pe microscope, kune akawanda akakura, asinganzwisisike maseru emukenza uye mashoma lymphocyte akajairwa uye mamwe masero eropa.

• Nodular lymphocyte-inonyanya Hodgkin lymphoma. Iyi mhando yeHodgkin lymphoma haina kujairika kupfuura yechinyakare Hodgkin lymphoma. Inowanzoitika muvana vadiki pane makore gumi ekuberekwa. Kana sampu yema lymph node tishu inotariswa pasi pe microscope, maseru ekenza anotaridzika kunge "popcorn" nekuda kwechimiro chavo. Nodular lymphocyte-yakanyanya Hodgkin lymphoma inowanzoitika seyakazvimba lymph node mumutsipa, underarm, kana kugomera. Vazhinji vanhu havana zvimwe zviratidzo kana zviratidzo zvekenza pakuongororwa.

Epstein-Barr hutachiona hutachiona uye nhoroondo yemhuri yeHodgkin lymphoma inogona kuwedzera njodzi yehudiki 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 wemwana wako kana iwe uchifunga kuti mwana wako angave ari panjodzi.

Njodzi zvinhu zvehucheche Hodgkin lymphoma zvinosanganisira zvinotevera:

• Kutapukirwa nehutachiona hweEpstein-Barr (EBV).

• Kuve neyako nhoroondo ye mononucleosis ("mono").

• Kutapukirwa nehutachiona hwehutachiona hwehutachiwana hwevanhu (HIV).

• Kuva nezvimwe zvirwere zvemuviri immune, senge autoimmune lymphoproliferative syndrome.

• Kuve nehutachiona husina simba mushure mekuiswa kwechimwe nhengo kana kubva kumushonga wakapihwa mushure mekuiswazve kumisa nhengo kuti isarambwe nemuviri.

• Kuve nemubereki, mukoma, kana hanzvadzi ine nhoroondo yako yeHodgkin lymphoma.

Kuoneswa pachena kune hutachiona hwakajairika muhucheche hushoma kunogona kudzikisa njodzi yeHodgkin lymphoma muvana nekuda kwemhedzisiro yazvinoita pane immune system

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

Zviratidzo nezviratidzo zveHodgkin lymphoma zvinoenderana nekenza kenza mumuviri uye saizi yekenza. Izvi nezvimwe zviratidzo uye zviratidzo zvinogona kukonzerwa nehucheche Hodgkin lymphoma kana nemamwe mamiriro. Tarisa nechiremba wemwana wako kana mwana wako ane chero chinotevera:

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

• Fivha pasina chikonzero chinozivikanwa.

• Kurera huremu pasina chikonzero chinozivikanwa.

• Kunwisa usiku ziya.

• Kunzwa kuneta chaizvo.

• Anorexia.

• Itchy ganda.

• Kukosora.

• Kunetseka kufema, kunyanya kana warara pasi.

• Marwadzo mune ma lymph node mushure mekunwa doro.

Fivha pasina chikonzero chinozivikanwa, kuonda pasina chikonzero chinozivikanwa, kana ziya reusiku 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 kuongorora uye kuyera hudiki Hodgkin lymphoma.

Kuyedza uye maitiro anoita mifananidzo yeiyo lymph system uye zvimwe zvikamu zvemuviri zvinobatsira kuongorora hudiki Hodgkin lymphoma uye kuratidza kuti gomarara rapararira zvakadii. Maitiro anoshandiswa kutsvaga kana cancer maseru akapararira kunze kweiyo lymph system inonzi staging. Kuronga kurapwa, zvakakosha kuti uzive kana gomarara rapararira kune dzimwe nhengo dzemuviri.

Iyi bvunzo nemaitiro zvinogona kusanganisira zvinotevera:

• Kuongorora kwemuviri uye nhoroondo yehutano: Kuongororwa kwemuviri kutarisa zviratidzo zvehutano, kusanganisira kuongorora zviratidzo zvehosha, zvakadai semapundu kana chero chinhu chinoratidzika sechisina kujairika. Nhoroondo yemaitiro ehutano hwemurwere uye kurwara kwakapfuura 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 weropa 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 ekuti muyero weropa unotariswa kuyera huwandu hwezvimwe zvinhu zvakaburitswa muropa, kusanganisira albin, nenhengo uye nyama munyama. Chinhu chisina kujairika (chakakwirira kana chakaderera pane zvakajairwa) chiyero chechinhu chinogona kunge chiri chiratidzo chechirwere.

• 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. Iyo zvakare inonzi erythrocyte sedimentation mwero, sed chiyero, kana ESR.

• CT scan (CAT scan): Maitiro anoita akateedzana emifananidzo yakajeka yenzvimbo dziri mukati memuviri, senge mutsipa, chifuva, dumbu, kana chiuno, chakatorwa 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.

Computed tomography (CT) scan yemudumbu. Mwana akarara patafura inotsvedza kuburikidza neCT scanner, iyo inotora mifananidzo ye x-ray yemukati medumbu.

• PET scan (positron emission tomography scan): Iyo nzira yekuwana yakaipa malonda 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. Dzimwe nguva PET scan uye CT scan zvinoitwa panguva imwe chete. Kana paine kenza, izvi zvinowedzera mukana wekuti iwanikwe.

Positron emission tomography (PET) scan. Mwana akarara patafura inotsvedza nepena scanner yePET. Musoro zororo uye tambo chena zvinobatsira mwana kunyepa zvakanyarara. Chishoma che radioactive glucose (shuga) inoiswa mutsinga yemwana, uye scanner inogadzira mufananidzo wekuti glucose irikushandiswa sei mumuviri. Cancer maseru anoratidza kupenya mumufananidzo nekuti anotora yakawanda glucose kupfuura zvakajairwa maseru.

• MRI (magnetic resonance imaging): Maitiro anoshandisa magineti, masaisai eredhiyo, uye komputa kugadzira yakateedzana mifananidzo yakajeka yenzvimbo dziri mukati memuviri, senge ma lymph node. Iyi nzira inonziwo nyukireya magnetic resonance imaging (NMRI).

Magnetic resonance imaging (MRI) yedumbu. Mwana akarara patafura inotsvedza ichipinda muMRI scanner, inotora mifananidzo yemukati memuviri. Iyo padhi padumbu remwana inobatsira kujekesa mifananidzo.

• Chest x-ray: X-ray yenhengo nemapfupa mukati mechipfuva. X-ray imhando yesimba remagetsi rinogona kupfuura nemuviri uye kupinda mufirimu, richiita mufananidzo wenzvimbo dziri mukati memuviri.

• Bone marrow aspiration uye biopsy: Kubviswa kwemongo wepfupa uye chidimbu chefupa nekuisa tsono isina mhango muhudyu kana pfupa rechipfuva. Nyanzvi yezvirwere anoona pfupa nemabhonzo pasi pe microscope kutsvaga masero asina kujairika. Bone marrow aspiration uye biopsy inoitirwa varwere vane chirwere chemberi uye / kana B zviratidzo.

Bone marora chishuwo uye biopsy. Mushure mekunge nzvimbo diki yeganda yave nechiveve, tsono yemongo wemapfupa inoiswa mupfupa rehudyu remwana. Samples reropa, bhonzo, uye mwongo wemapfupa zvinobviswa kuti zviongororwe pasi pe microscope.

• Lymph node biopsy: Kubviswa kwezvose kana chikamu cheimwe kana kupfuura lymph nodes. Iyo lymph node inogona kubviswa panguva yemufananidzo-inotungamirwa CT scan kana thoracoscopy, mediastinoscopy, kana laparoscopy. 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.

Nyanzvi yezvirwere anoona lymph node tishu pasi pe microscope kutarisa maseru ekenza anonzi Reed-Sternberg masero. Masero eRed-Sternberg akajairika mune yakasarudzika Hodgkin lymphoma.

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 ..

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

Kufungidzira (mukana wekupora) uye sarudzo dzekurapa dzinoenderana nezvinotevera:

• Chikamu checancer (saizi yekenza uye kana gomarara rapararira pazasi pechirafu kana kune anopfuura rimwe boka rema lymph node).

• Kukura kwebundu.

• Kunyangwe paine zviratidzo zveB (fivhiri pasina chikonzero chinozivikanwa, kurasikirwa uremu pasina chikonzero chinozivikanwa, kana kunwisa ziya rehusiku) pakuongororwa.

• Rudzi rweHodgkin lymphoma.

• Zvimwe zvinoitwa nemaseru ekenza.

• Kuva nezvakawanda kupfuura zvakajairwa nhamba yemasero machena eropa kana anemia panguva yekuongororwa.

• Kunyangwe paine chinoyerera chakakomberedza moyo kana mapapu pakuongororwa.

• Iyo sedimentation mwero kana iyo albamin mwero muropa.

• Iyo kenza inopindura sei pakurapwa kwekutanga nekemotherapy.

• Bonde remwana.

• Kunyangwe kenza ichangobva kuongororwa kana kuti yadzokazve (dzoka).

Iyo yekurapa sarudzo zvakare inoenderana ne:

• Kunyangwe paine yakaderera, yepakati, kana yakanyanya njodzi gomarara rinodzoka mushure mekurapwa.

• Zera remwana.

• Ngozi yemhedzisiro yenguva refu.

Vazhinji vana nevachiri kuyaruka vane Hodgkin lymphoma ichangobva kuongororwa vanogona kurapwa.

Matanho eUdiki Hodgkin Lymphoma

PFUNGWA DZINOKOSHA

• Mushure mehucheche Hodgkin lymphoma yaonekwa, kuongororwa kunoitwa kuti uone kana maseru ekenza apararira mukati meiyo lymph system kana kune zvimwe zvikamu zvemuviri.

• Pane nzira nhatu dzinopararira negomarara mumuviri.

• Aya matanho anotevera anoshandiswa pahucheche Hodgkin lymphoma:

• Chikamu I

• Chikamu II

• Chikamu chechitatu

• Chikamu IV

• Pamusoro penhamba yedanho, mavara A, B, E, kana S anogona kucherechedzwa.

• Hudiki Hodgkin lymphoma inorapwa zvinoenderana nemapoka enjodzi.

Mushure mehucheche Hodgkin lymphoma yaonekwa, kuongororwa 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. 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 pahucheche Hodgkin lymphoma:

Chikamu I

Chikamu I hudiki Hodgkin lymphoma. Gomarara rinowanikwa mune imwe kana anopfuura mamwe ma "lymph node" mune rimwe lymph node group. Muchikamu IE (isina kuratidzwa), gomarara rinowanikwa kunze kwema lymph node mune imwe nhengo kana nzvimbo.

Chikamu I chakakamurwa muchikamu I uye nhanho IE.

• Stage I: Kenza inowanikwa mune imwe yenzvimbo dzinotevera mune lymph system:

• Imwe kana anopfuura mamwe ma lymph node mune rimwe lymph node boka.

• Mhete yaWaldeyer.

• Thymus.

• tenderera.

• Stage IE: Cancer inowanikwa kunze kweiyo lymph system mune imwe nhengo kana nzvimbo.

Chikamu II

Chikamu chechipiri chakakamurwa muchikamu chechipiri uye chechipiri IIE.

• Chikamu chechipiri: Kenza inowanikwa mumapoka maviri kana anopfuura emakirini emuviri ari pamusoro kana pasi pechipfuva (mhasuru nhete pazasi pemapapu inobatsira kufema uye kupatsanura chipfuva kubva mudumbu).

Chikamu chechipiri II hudiki Hodgkin lymphoma. Kenza inowanikwa mumapoka maviri kana anopfuura emakirini, uye ese ari maviri ari pamusoro (a) kana pazasi (b) diaphragm.

• Nhanho IIE: Kenza inowanikwa mune rimwe kana anopfuura mapoka emakirini emakemikari kumusoro kana pazasi pechirafu uye nekunze kwema lymph node munhengo iri padyo kana nharaunda.

Chikamu IIE hudiki Hodgkin lymphoma. Gomarara rinowanikwa mune rimwe kana kupfuura mamwe makiropu epamusoro kumusoro kana pazasi pechirafu uye nekunze kwenhengo dzemuviri mune imwe nhengo iri pedyo kana nharaunda (a).

Chikamu chechitatu

Chikamu chechitatu chehudiki Hodgkin lymphoma. Gomarara rinowanikwa mune rimwe kana anopfuura mapoka emakirini ari pamusoro uye pazasi pechidimbu (a). Muchikamu chechitatu, gomarara rinowanikwa mune lymph node mapoka kumusoro uye pazasi pechirafu uye kunze kwema lymph node munhengo iri padyo kana nharaunda (b). Muchikamu IIIS, kenza inowanikwa mune lymph node mapoka kumusoro uye pazasi pe diaphragm (a) uye mupleen (c). Muchikamu IIIS pamwe E, kenza inowanikwa mune lymph node mapoka kumusoro uye pazasi pechirafu, kunze kwema lymph node munhengo iri padyo kana nharaunda (b), uye mupleen (c).

Chikamu chechitatu chakakamurwa kuita nhanho III, nhanho IIIE, nhanho IIIS, uye nhanho IIIE, S.

• Chikamu chechitatu: Gomarara rinowanikwa mumapoka emakirini kumusoro uye pazasi pechirafu (mhasuru yakatetepa pazasi pemapapu inobatsira kufema uye kupatsanura chipfuva kubva mudumbu).

• Chikamu chechitatu: Gomarara rinowanikwa mune lymph node mapoka kumusoro uye pazasi pechirafu uye kunze kwema lymph node munhengo iri pedyo kana nzvimbo.

• Chikamu chechipiri IIIS: Kenza inowanikwa mumapapu emakirini kumusoro uye pasi pechipfuva, uye mupleen.

• Chikamu chechitatu, S: Gomarara rinowanikwa mumapoka enode pamusoro uye pazasi pechirebvu, kunze kwenzvimbo dzenzou dziri munhengo iri pedyo kana nharaunda.

Chikamu IV

Chikamu IV chehucheche Hodgkin lymphoma. Gomarara rinowanikwa kunze kwenzvimbo dzinofukidza nhengo mukati memimwe kana kupfuura nhengo (a); kana kunze kwenzvimbo dzemuviri mune imwe nhengo uye yakapararira kune ma "lymph node" kure kure neiyo nhengo (b); kana mumapapu, chiropa, kana mwongo wemapfupa.

Muchikamu IV, kenza:

• inowanikwa kunze kwema lymph node mukati memumwe kana akawanda nhengo, uye inogona kunge iri mune lymph node padyo nenhengo idzodzo; kana

• inowanikwa kunze kwema lymph node mune imwe nhengo uye yakapararira kunzvimbo dziri kure nenhengo iyoyo; kana

• inowanikwa mumapapu, chiropa, mwongo wemapfupa, kana cerebrospinal fluid (CSF). Gomarara harina kupararira kumapapu, chiropa, mwongo wemapfupa, kana CSF kubva munzvimbo dziri pedyo.

Pamusoro penhamba yedanho, mavara A, B, E, kana S anogona kucherechedzwa.

Mavara A, B, E, kana S anogona kushandiswa kupfuurira kutsanangura nhanho yehudiki Hodgkin lymphoma.

• A: Murwere haana zviratidzo zveB (fivhiri, kuonda, kana kubuda ziya usiku).

• B: Murwere ane zviratidzo zveB.

• E: Kenza inowanikwa munhengo kana munyama isiri chikamu cheiyo lymph system asi inogona kunge iri padyo nenzvimbo yeiyo lymph system inobatwa nekenza.

• S: Gomarara rinowanikwa mupesi.

Hudiki Hodgkin lymphoma inorapwa zvinoenderana nemapoka enjodzi.

Kusarapwa kwehucheche Hodgkin lymphoma yakakamurwa kuva mapoka ane njodzi zvichibva padanho, saizi yebundu, uye kana murwere aine zviratidzo zveB (fivhiri, kuonda, kana kubuda ziya usiku). Boka renjodzi rinotsanangura mukana wekuti Hodgkin lymphoma isingapindure pakurapwa kana kudzoka (kudzoka) mushure mekurapwa. Inoshandiswa kuronga kurapwa kwekutanga.

• Yakaderera-njodzi yehucheche Hodgkin lymphoma.

• Pakati pepakati-panjodzi hudiki Hodgkin lymphoma.

• Yakanyanya njodzi njodzi yehucheche Hodgkin lymphoma.

Yakaderera-njodzi Hodgkin lymphoma inoda mashoma maratidziro ekurapa, mashoma anticancer madhiragi, uye mashoma madosi emishonga inorwisa kenza kupfuura yakanyanya njodzi lymphoma.

Primary Refractory / Yazvino Hodgkin Lymphoma muVana neVachiri kuyaruka

Yekutanga inoratidzira Hodgkin lymphoma ndeye lymphoma iyo inoramba ichikura kana kupararira panguva yekurapa.

Kazhinji Hodgkin lymphoma kenza yakadzokazve (kudzoka) mushure mekurapwa. Iyo lymphoma inogona kudzoka muiyo lymph system kana mune zvimwe zvikamu zvemuviri, senge mapapu, chiropa, mapfupa, kana mwongo wefupa.

Kurapa Sarudzo Kuongorora

PFUNGWA DZINOKOSHA

• Kune mhando dzakasiyana dzekurapa kwevana vane Hodgkin lymphoma.

• Vana vane Hodgkin lymphoma vanofanirwa kurapwa kurapwa nechikwata chevanoona nezvehutano avo vari nyanzvi pakurapa gomarara rehudiki.

• Kurapa kwehucheche Hodgkin lymphoma kunokonzeresa mhedzisiro uye kunonoka mhedzisiro.

• Mhando nhanhatu dzekurapwa kwakajairika dzinoshandiswa:

• Chemotherapy

• Radiation kurapa

• Targeted kurapwa

• Immunotherapy

• Kuvhiya

• Yakakwira-dose chemotherapy ine stem cell yekuisa

• Mhando nyowani dzekurapa dziri kuyedzwa mumakiriniki ekuedzwa.

• Proton beam radiation radiation

• 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 mhando dzakasiyana dzekurapa kwevana vane Hodgkin lymphoma.

Mhando dzakasiyana dzekurapa dzinowanikwa kune vana vane Hodgkin lymphoma. Mamwe marapirwo akajairwa uye mamwe ari kuyedzwa 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.

Nekuti kenza muvana isingawanzo, kutora chikamu mukutongwa kwekiriniki kunofanirwa kutariswa. Mimwe miedzo yekiriniki yakavhurwa chete kune varwere vasina kutanga kurapwa.

Vana vane Hodgkin lymphoma vanofanirwa kurapwa kurapwa nechikwata chevanoona nezvehutano avo vari nyanzvi pakurapa gomarara rehudiki.

Kurapa kunozoonekwa nachiremba wevana oncologist, chiremba ane hunyanzvi hwekurapa vana vane gomarara. Vanachiremba oncologist vanoshanda nevamwe vatapi vezvehutano vevana vanove nyanzvi dzekurapa vana vane Hodgkin lymphoma uye vanoziva mune dzimwe nzvimbo dzemishonga. Izvi zvinogona kusanganisira vanachiremba vanotevera:

• Chiremba wevana.

• Chiremba oncologist / hematologist.

• Radiation oncologist.

• Mukoti wechiremba nyanzvi.

• Nyanzvi yezvepfungwa.

• Wezvemagariro.

• Mwana-hupenyu nyanzvi.

Kurapa kweHodgkin lymphoma muvachiri kuyaruka uye vechidiki vakuru kunogona kunge kwakasiyana pane kurapwa kwevana. Vamwe vachiri kuyaruka nevakuru vechidiki vanorapwa nerejimeni yekurapa yevakuru.

Kurapa kwehucheche Hodgkin lymphoma kunokonzeresa mhedzisiro uye kunonoka 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 Nekuti mhedzisiro mhedzisiro inokanganisa hutano nekusimudzira, kugara uchitevera-bvunzo kwakakosha.

Mhedzisiro mhedzisiro yekurapwa nekenza inogona kusanganisira zvinotevera:

• Zvinetso zvepanyama zvinokanganisa zvinotevera:

• Kubudirira kwepabonde uye nhengo dzekubereka.

• Kuzvara (kugona kuve nevana).

• Bone uye mhasuru kukura uye kukura.

• Utachiona, moyo, kana mapapu basa.

• Mazino, matadza, uye salivary gland inoshanda.

• Spleen basa (yakawedzera njodzi yehutachiona).

• Shanduko mumanzwiro, manzwiro, kufunga, kudzidza, kana ndangariro.

• Gomarara repiri (mhando nyowani dzekenza), senge zamu, thyroid, ganda, mapapu, dumbu, kana colorectal

Kune vakadzi vanopona paHodgkin lymphoma, kune njodzi yakawedzera yekenza yemazamu. Iyi njodzi inoenderana nehuwandu hwemwaranzi iyo zamu inogamuchirwa panguva yekurapa uye chemotherapy regimen inoshandiswa. Ngozi yekenza yemazamu yakadzikira kana radiation kumazai akapiwawo.

Zvinokurudzirwa kuti vakadzi vakapona avo vakagamuchira kurapwa nemwaranzi pazamu vane mammogram uye MRI kamwe pagore kutanga makore masere mushure mekurapwa kana pazera ramakore makumi maviri nemashanu, chero iri gare gare. Zvinotaridzirwa zvakare kuti vakadzi vanopona vanoita kuzviongorora mazamu mwedzi wega-wega kutanga panguva yekuyaruka uye kunoitwa zamu rinoitwa nenyanzvi yezvehutano gore rega-rega kutanga panguva yekuyaruka kusvika pamakore makumi maviri nemashanu.

Mimwe mhedzisiro mhedzisiro inogona kurapwa kana kudzorwa. Izvo zvakakosha kuti utaure navanachiremba vemwana wako nezve zvingangoitika zvinononoka mhedzisiro zvinokonzerwa nekumwe kurapwa. (Ona pfupiso ye pamusoro peMagumo Ekurapa kweKenza Yevacheche kuti uwane rumwe ruzivo).

Mhando nhanhatu dzekurapwa 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, mishonga inonyanya kukanganisa maseru ekenza munzvimbo idzodzo (chemotherapy yedunhu).

Nzira iyo chemotherapy inopihwa inoenderana neboka renjodzi. Semuenzaniso, vana vane njodzi yakaderera Hodgkin lymphoma vanogashira mashoma marapirwo, mashoma anticancer madhiragi, uye mashoma madosi emishonga inorwisa kenza kupfuura vana vane njodzi yakakura lymphoma.

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. Kune mhando mbiri dze radiation radiation:

• External radiation therapy inoshandisa muchina uri kunze kwemuviri kutumira radiation kune kenza. Dzimwe nzira dzekupa mishonga ye radiation dzinogona kubatsira kuchengetedza mwaranzi kubva mukukuvadza nyama iri pedyo ine hutano. Aya marudzi erapi radiation ekunze anosanganisira anotevera:

• Conformal radiation therapy: Conformal radiation kurapwa rudzi rwekunze radiation radiation iyo inoshandisa komputa kugadzira 3-dimensional (3-D) pikicha yebundu uye inoumba iwo mamirioni matanda kuti akwane bundu.

• Intensity-modulated radiation therapy (IMRT): IMRT rudzi rwe 3-dimensional (3-D) radiation radiation inoshandisa komputa kugadzira mifananidzo yehukuru uye chimiro chebundu. Matanda matete emwaranzi yemasimba akasiyana (simba) anovavarira bundu kubva pamakona mazhinji.

• Yemukati radiation kurapwa kunoshandisa radioactive chinhu chakavharirwa mune tsono, mhodzi, waya, kana makateti anoiswa akananga mukati kana padyo nekenza.

Radiation kurapwa kunogona kupihwa, zvichibva paboka remwana rine njodzi uye chemotherapy regimen. External radiation therapy inoshandiswa kurapa hudiki Hodgkin lymphoma. Iyo radiation inopihwa chete kune ma lymph node kana dzimwe nzvimbo dzine cancer. Yemukati radiation kurapwa haina kushandiswa kurapa Hodgkin lymphoma.

Targeted kurapwa

Targeted therapy mhando yekurapa inoshandisa zvinodhaka kana zvimwe zvinhu kuti zvione uye kurwisa chaiwo maseru ekenza pasina kukuvadza zvakajairika maseru. Mhando dzekurapa kwakanangwa dzinosanganisira zvinotevera:

• Monoclonal antibody therapy: Monoclonal antibody kurapa mushonga wekenza unoshandisa ma antibodies akagadzirwa murabhoritari kubva kune imwechete mhando ye immune system sero. 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.

Rituximab kana brentuximab inogona kushandiswa kurapa kunokanganisa kana kudzokorora kwehucheche Hodgkin lymphoma.

• Proteasome inhibitor kurapa: Proteasome inhibitor kurapa rudzi rwekurapa kwakanangwa kunodzivirira kuita kweproteasomes mumasero ekenza. MaProteasomes anobvisa mapuroteni asingachadiwe nesero. Kana maproteasomes akavharwa, mapuroteni anovakwa muchitokisi uye anogona kukonzera kuti kenza sero ife.

Bortezomib iproteasome inhibitor inoshandiswa kurapa kweanodzora kana kudzokorora hucheche Hodgkin lymphoma.

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 biologic therapy kana biotherapy. Mhando dzeununotherapy dzinosanganisira zvinotevera:

• Immune checkpoint inhibitor: PD-1 inhibitors rudzi rwe 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.

Pembrolizumab iyi PD-1 inhibitor inogona kushandiswa mukurapa kwehucheche Hodgkin lymphoma iyo yakadzoka mushure mekurapwa. Dzimwe PD-1 inhibitors, kusanganisira atezolizumab uye nivolumab, iri kuongororwa mukurapa kwehucheche Hodgkin lymphoma iyo yakadzoka mushure mekurapwa.

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).

Kuvhiya

Kuvhiya kunogona kuitwa kubvisa yakawanda bundu sezvinobvira kunowanikwa munharaunda nodular lymphocyte-yakanyanya hukuru Hodgkin lymphoma.

Yakakwira-dose chemotherapy ine 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, maseru akachengetwa anonyungudutswa uye ndokudzoserwa kumurwere kuburikidza nekumukiswa. Aya akadzikiswa maseru emadzinde anokura kuita (uye kudzoreredza) masero eropa emuviri.

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.

Proton beam radiation radiation

Proton-beam Therapy rudzi rwemhando yepamusoro-simba, ekunze radiation kurapwa iyo inoshandisa hova dzeproton (diki, inokwenenzverwa-inobhadhariswa zvidimbu zvezvinhu) kugadzira radiation. Rudzi urwu rwekurapa nemwaranzi runogona kubatsira kudzikisira kukuvara kwenyama yakanaka padhuze nebundu, senge zamu, moyo nemapapu.

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 emwana wako achinja kana kana gomarara radzoka (dzoka). Iyi bvunzo dzimwe nguva inonzi yekuteedzera-bvunzo kana kuongorora-kumusoro.

Kune varwere vanogamuchira chemotherapy vega, PET scan inogona kuitwa masvondo matatu kana kupfuura mushure mekurapwa kwapera. Kune varwere vanogashira radiation radiation yekupedzisira, PET scan haifanire kuitwa kusvikira masvondo masere kusvika gumi nemaviri mushure mekurapwa.

Kurapa Sarudzo dzevana uye Vachiri kuyaruka neHodgkin Lymphoma

Muchikamu chino

• Yakadzika-Njodzi Yakaipisisa Yehucheche Hodgkin Lymphoma

• Pakati Pakati-Njodzi Yakaipisisa Yehucheche Hodgkin Lymphoma

• Yakakwira-Njodzi Yakaipisisa Yehucheche Hodgkin Lymphoma

• Nodular Lymphocyte-Yakakurumbira Yehucheche Hodgkin Lymphoma

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

Yakadzika-Njodzi Yakaipisisa Yehucheche Hodgkin Lymphoma

Kurapa kweiyo yakaderera njodzi njodzi Hodgkin lymphoma muvana inogona kusanganisira zvinotevera:

• Kusanganiswa chemotherapy.

• Radiation kurapa kunogona kupihwawo kunzvimbo dzine cancer.

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.

Pakati Pakati-Njodzi Yakaipisisa Yehucheche Hodgkin Lymphoma

Kurapa kwepakati-panjodzi yechinyakare Hodgkin lymphoma muvana inogona kusanganisira zvinotevera:

• Kusanganiswa chemotherapy.

• Radiation kurapa kunogona kupihwawo kunzvimbo dzine cancer.

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.

Yakakwira-Njodzi Yakaipisisa Yehucheche Hodgkin Lymphoma

Kurapa kwengozi huru yeHodgkin lymphoma muvana kunogona kusanganisira zvinotevera:

• Yepamusoro dhizaini inosanganisa chemotherapy.

• Radiation kurapa kunogona kupihwawo kunzvimbo dzine cancer.

• Kuongororwa kwekiriniki kweakanangwa kurapa (brentuximab) uye mubatanidzwa chemotherapy. Radiation kurapa kunogona kupihwawo kunzvimbo dzine cancer.

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.

Nodular Lymphocyte-Yakakurumbira Yehucheche Hodgkin Lymphoma

Kurapa kwe nodular lymphocyte-hukuru hwehucheche Hodgkin lymphoma inogona kusanganisira zvinotevera:

• Kuvhiya, kana bundu rinogona kubviswa zvachose.

• Chemotherapy ine kana isina yakaderera-dosi yekunze radiation kurapwa.

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 dzePrimary Refractory / Dzokororo Hodgkin Lymphoma muVana neVachiri kuyaruka

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

Kurapa kwepakutanga kunokanganisa kana kudzokorodza kwehucheche Hodgkin lymphoma inogona kusanganisira zvinotevera:

• Chemotherapy, yakanangwa kurapwa (rituximab, brentuximab, kana bortezomib), kana ese ari maviri marapirwo.

Immunotherapy (pembrolizumab).

• Yakakwira-dose chemotherapy ine stem cell yekuisira uchishandisa murwere wega masero maseru. Monoclonal antibody therapy (brentuximab) inogona kupihwa.

• Radiation Therapy inogona kupihwa mushure mekudzikisa maseru ekushandisa masero emurwere kana kana kenza isina kupindura kumwe kurapwa uye nzvimbo ine gomarara haina kumbobatwa.

• Yakakwira-dose chemotherapy ine stem cell yekuisa uchishandisa yemupi wemasero masero.

• Kuongororwa kwekiriniki ye immunotherapy (nivolumab, pembrolizumab, kana atezolizumab).

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.

Kuti udzidze Zvakawanda Nezvehucheche Hodgkin Lymphoma

Kuti uwane rumwe ruzivo kubva kuNational Cancer Institute nezvehudiki Hodgkin lymphoma, ona zvinotevera:

• Computed Tomography (CT) Scans uye Cancer

• Mishonga Inotenderwa Hodgkin Lymphoma

• Targeted Cancer Therapies

• Ropa-Richigadzira Stem Cell Inoshandura

Kuti uwane rumwe ruzivo rwegomarara rehucheche uye zvimwe zvecancer zviwanikwa, ona zvinotevera:

• Nezve Kenza

• Cancers Yevacheche

• Kurapa Kutsvaga Kwevana Cancer Buda Disclaimer

• Mahedhi Ekupedzisira Ekurapwa kweKenza Yevacheche

• Vechidiki uye Vechidiki Vakuru vane Cancer

• Vana vane Cancer: Nhungamiro Yevabereki

• Kenza muVana neVachiri kuyaruka

• Stage

• Kurarama neCancer

• Mibvunzo Yekubvunza Wako Chiremba nezveCancer

• Kune Vakapona uye Vanotarisira