Hodgkin lymphoma

Hodgkin lymphoma igomarara remarara. Lymph tishu inowanikwa mune ma lymph node, spleen, chiropa, mwongo wemapfupa, uye mamwe masosi.

Chikonzero cheHodgkin lymphoma hachizivikanwe. Hodgkin lymphoma yakajairika pakati pevanhu vane makore gumi nemashanu kusvika makumi matatu nemashanu uye makore makumi mashanu kusvika makumi manomwe ekuberekwa. Hutachiona hwekare nehutachiona hweEpstein-Barr (EBV) hunofungidzirwa kuti hunopa kune mamwe makesi. Vanhu vane hutachiona hweHIV vari panjodzi yakawedzerwa kana ichienzaniswa nehuwandu hwevanhu.

Chiratidzo chekutanga cheHodgkin lymphoma chinowanzove chiri kuzvimba lymph node inoonekwa isina chikonzero chinozivikanwa. Chirwere ichi chinogona kupararira kune lymph node dziri padyo. Gare gare inogona kupararira kune spleen, chiropa, mwongo wemabhonzo, kana dzimwe nhengo.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kunzwa ndakaneta kwazvo nguva dzese
• Fivha uye kutonhora kunouya uye kuenda
• Kuchema muviri wese izvo zvisingakwanise kutsanangurwa
• Kupererwa nechido
• Kudiridza husiku kudikitira
• Kusazvimba kusazvimba kwema lymph node mumutsipa, muhapwa, kana kugomera (kuzvimba gland)
• Kurera huremu izvo zvisingakwanise kutsanangurwa

Zvimwe zviratidzo zvinogona kuitika nechirwere ichi:

• Kukosora, kurwadziwa pachipfuva, kana kunetseka kufema kana paine kuzvimba lymph node mubhokisi
• Kuwedzera kudikitira
• Marwadzo kana kunzwa kwekuzara pazasi pembabvu nekuda kwekuzvimba spleen kana chiropa
• Marwadzo mune lymph node mushure mekunwa doro
• Kuganda kweganda kana kutsva

Zviratidzo zvinokonzerwa neHodgkin lymphoma zvinogona kuitika nemamwe mamiriro. Taura nemupi wako wezvehutano nezve zvinorehwa nezviratidzo zvako.

Iye mupi achaita bvunzo dzepanyama uye otarisa nzvimbo dzemuviri dzine lymph node kuti anzwe kana dzakazvimba.

Chirwere ichi chinowanzoongororwa mushure mebhiopsy yezvinhu zvinofungidzirwa zvinyama, kazhinji kacho lymph node.

Maitiro anotevera anowanzoitwa:

• Ropa chemistry bvunzo kusanganisira maproteni mazinga, chiropa chinoshanda bvunzo, itsvo basa bvunzo, uye uric acid nhanho
• Bone marora bhiopsy
• CT inoongorora yechipfuva, dumbu, uye pelvis
• Pedzisa kuwanda kweropa (CBC) kutarisa kushomeka kweropa uye chena ropa kuverenga
• PET scan

Kana bvunzo dzichiratidza kuti une Hodgkin lymphoma, mimwe miedzo ichaitwa kuti uone kuti kenza yapararira zvakadii. Uku kunodaidzwa kunzi staging. Kutepfenyura kunobatsira kutungamira kurapwa uye kutevera.

Kurapa kunoenderana nezvinotevera:

• Rudzi rweHodgkin lymphoma (kune akasiyana mafomu eHodgkin lymphoma)
• Chikamu (uko chirwere chapararira)
• Zera rako uye zvimwe zvekurapa
• Zvimwe zvinhu, zvinosanganisira kuonda, kudikitira usiku, uye kupisa muviri

Iwe unogona kugamuchira chemotherapy, radiation radiation, kana ese ari maviri. Mupi wako anogona kukuudza zvakawanda nezve iwe chaiyo kurapwa.

High-dose chemotherapy inogona kupihwa kana Hodgkin lymphoma yadzoka mushure mekurapwa kana isingapindure kune yekutanga kurapwa. Izvi zvinoteverwa ne stem cell transplant iyo inoshandisa yako wega masero maseru.

Iwe nemupi wako ungangoda kugadzirisa zvimwe zvinonetsa panguva yekurapa kwako, kusanganisira:

• Kugadzirisa zvipfuwo zvako panguva yekemotherapy
• Zvinetso zvekubuda ropa
• Muromo wakaoma
• Kudya macalorie akakwana

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko zvinogona kukubatsira kuti usanzwa uri wega.

Hodgkin lymphoma ndeimwe yekenza inorapwa. Mushonga unotonyanya kuitika kana ukaonekwa uye ukarapwa nekukurumidza. Kusiyana nedzimwe kenza, Hodgkin lymphoma zvakare inorapwa mumatanho ayo ekupedzisira.

Iwe unozofanirwa kuve neyakajairwa bvunzo kwemakore mushure mekurapwa kwako. Izvi zvinobatsira mupi wako kutarisa zviratidzo zvegomarara rinodzoka uye nechero kwenguva refu yekurapa mhedzisiro.

Mishonga yeHodgkin lymphoma inogona kuva nematambudziko. Yenguva refu-matambudziko echemotherapy kana radiation radiation inosanganisira:

• Zvirwere zvepfupa remapfupa (senge leukemia)
• Chirwere chemoyo
• Kusakwanisa kuve nevana (kushaya mbereko)
• Matambudziko emapapu
• Dzimwe gomarara
• Zvinetso zvehutachiona

Ramba uchitevera pamwe nemupi anopa anoziva nezve kuongorora uye kudzivirira matambudziko aya.

Fonera mupiki wako kana:

• Iwe une zviratidzo zveHodgkin lymphoma
• Iwe une Hodgkin lymphoma uye une mhedzisiro kubva pakurapwa

Lymphoma - Hodgkin; Hodgkin chirwere; Kenza - Hodgkin lymphoma

• Bone marrow kuisirwa - kubuda
• Chemotherapy - chii chekubvunza chiremba wako
• Chest radiation - kubuda
• Kudya mamwe macalorie kana uchirwara - vakuru
• Muromo nemutsipa radiation - kubuda
• Radiation Therapy - mibvunzo yekubvunza chiremba wako
• Paunenge uine kusvotwa uye kurutsa

• Lymphatic maitiro
• Hodgkin's chirwere - kubatanidzwa kwechiropa
• Lymphoma, yakaipa - CT scan
• Immune system zvimiro

Bartlett N, Triska G. Hodgkin lymphoma. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 102.

National Cancer Institute webhusaiti. Mukuru Hodgkin lymphoma kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/lymphoma/hp/adult-hodgkin-treatment-pdq. Yakagadziridzwa Ndira 22, 2020. Yakasvika munaFebruary 13, 2020.

National Cancer Institute webhusaiti. Yemwana Hodgkin lymphoma kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/lymphoma/hp/child-hodgkin-treatment-pdq. Yakagadziridzwa Ndira 31, 2020. Yakasvika munaFebruary 13, 2020.

National Yakakwana Cancer Network webhusaiti. NCCN kiriniki yekudzidzira nhungamiro mune oncology: Hodgkin lymphoma. Shanduro 1.2020. www.nccn.org/professionals/physician_gls/pdf/hodgkins.pdf. Yakagadziridzwa Ndira 30, 2020. Yakasvika munaFebruary 13, 2020.