Kwete-Hodgkin lymphoma

Isiri-Hodgkin lymphoma (NHL) kenza yeiyo lymph tishu. Lymph tishu inowanikwa mune ma lymph node, spleen, uye dzimwe nhengo dze immune system.

Masero machena eropa, anonzi maLymphocyte, anowanikwa mune lymph tishu. Vanobatsira kudzivirira hutachiona. Mazhinji maLymphomas anotanga mune yerudzi chena sero reropa inonzi B lymphocyte, kana B cell.

Kune vanhu vazhinji, chikonzero cheNHL hachizivikanwe. Asi lymphomas inogona kukura mune vanhu vasina simba immune immune, kusanganisira vanhu vakamboiswa nhengo kana vanhu vane hutachiona hweHIV.

NHL kazhinji inobata vanhu vakuru. Varume vanokudziridza NHL kakawanda kupfuura vakadzi. Vana vanogona zvakare kukudziridza mamwe marudzi eNHL.

Kune akawanda marudzi eNHL. Chimwe chikamu (kuronga) ndechekuti kenza inopararira nekukurumidza zvakadii. Iyo kenza inogona kunge iri yakaderera giredhi (inononoka kukura), yepakati giredhi, kana yakakwira giredhi (inokurumidza kukura).

NHL inoiswa zvakare mumapoka nemaitiro masero anotaridzika pasi peiyo microscope, rudzii rweropa jena reropa iyo yainobva, uye kana paine zvimwe zvinoshanduka zveDNA mumasumbu emota iwo pachawo.

Zviratidzo zvinoenderana nenzvimbo yemuviri inobatwa negomarara uye kuti kenza iri kukura nekukurumidza sei.

Zviratidzo zvinogona kusanganisira:

• Kudiridza husiku kudikitira
• Fivha uye kutonhora kunouya uye kuenda
• Itching
• Dzimba lymph node mumutsipa, pasi pemaoko, kugomera, kana dzimwe nzvimbo
• Kuonda
• Kukosora kana kupfupika kwemweya kana kenza ikabata iyo thymus gland kana lymph node muchifuva, kuisa kumanikidza pawippipe (trachea) kana matavi awo
• Kutambudzika kwepamuviri kana kuzvimba, kunotungamira pakurasikirwa nechido, kuzvimbirwa, kuda kurutsa, uye kurutsa
• Kutemwa nemusoro, kushushikana, kushanduka kwehunhu, kana kubatwa kana kenza ikabata huropi

Anopa hutano anoita bvunzo dzepanyama uye otarisa nzvimbo dzemuviri dzine lymph node kuti anzwe kana dzakazvimba.

Chirwere ichi chinogona kuongororwa mushure mekuvhenekwa kwemafungidziro akafungidzirwa, kazhinji kacho lymph node biopsy.

Mimwe bvunzo inogona kuitwa inosanganisira:

• Ropa bvunzo kutarisa maproteni mazinga, chiropa chinoshanda, itsvo kushanda, uye uric acid nhanho
• Yakazara kuverenga ropa (CBC)
• CT inoongorora yechipfuva, dumbu uye chiuno
• Bone marora bhiopsy
• PET scan

Kana bvunzo dzichiratidza kuti une NHL, mimwe miedzo ichaitwa kuti uone kuti yapararira zvakadii. Uku kunodaidzwa kunzi staging. Kugadzira matanho kunobatsira kutungamira kurapwa mune ramangwana nekutevera.

Kurapa kunoenderana ne:

• Iyo chaiyo mhando yeNHL
• Iyo nhanho paunotanga kuongororwa
• Zera rako uye hutano hwakazara
• Zviratidzo, kusanganisira kuonda, kupisa muviri, uye kudikitira usiku

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

Radioimmunotherapy inogona kushandiswa mune dzimwe nguva. Izvi zvinosanganisira kubatanidza chinhu chine mwaranzi kune antibody iyo inokonzeresa maseru ane gomarara uye kupinza chinhu icho mumuviri.

Rudzi rwe chemotherapy inonzi yakanangwa kurapwa inogona kuyedzwa.Inoshandisa mushonga kutarisisa pane zvakanangwa (mamorekuru) mukati kana pane maseru ekenza. Uchishandisa izvi zvinangwa, mushonga unoremadza maseru ekenza kuitira kuti atadze kupararira.

Yakakwira-dose chemotherapy inogona kupihwa apo NHL inodzoka kana kutadza kupindura kune yekutanga kurapwa kunopihwa. Izvi zvinoteverwa ne autologous stem cell kuisirwa (uchishandisa yako wega maseru maseru) kununura mwongo wepfupa mushure meiyo yepamusoro-dose chemotherapy. Nemamwe marudzi eNHL, aya matanho ekurapa anoshandiswa pakutanga kuregererwa kuyedza uye kuwana mushonga.

Kuwedzerwa ropa kana kuwedzerwa kweplatelet kunogona kudikanwa kana kuwanda kweropa kuri kushoma.

Iwe nemupi wako mungangoda kugadzirisa zvimwe zvinonetsa panguva yekurapa kweeukemia, kusanganisira:

• Kuva nekemotherapy kumba
• 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 uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Low-grade NHL kazhinji haigone kurapwa ne chemotherapy chete. NHL-grade NHL inofambira mberi zvishoma uye inogona kutora makore mazhinji chirwere ichi chisati chawedzera kana kutoda kurapwa. Iko kudiwa kwekurapa kunowanzo tariswa nezviratidzo, kukurumidza kuri kuita chirwere ichi, uye kana huwandu hweropa hwakaderera.

Chemotherapy inogona kurapa akawanda marudzi eepamusoro-giredhi lymphomas. Kana kenza ikasapindura chemotherapy, chirwere ichi chinogona kukonzera kufa nekukurumidza.

NHL pachayo nemarapirwo ayo zvinogona kutungamira kumatambudziko ehutano. Izvi zvinosanganisira:

• Autoimmune hemolytic anemia, mamiriro umo masero matsvuku eropa anoparadzwa ne immune system
• Utachiona
• Zvimwe zvinokanganisa chemotherapy zvinodhaka

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

Fonera mupiki wako kana iwe ukava nezviratidzo zvechirwere ichi.

Kana iwe uine NHL, fonera mupi wako kana iwe uchinge uchinge uchiramba uine fivha kana zvimwe zviratidzo zvehutachiona.

Lymphoma - isiri Hodgkin; Lymphocytic lymphoma; Histiocytic lymphoma; Lymphoblastic lymphoma; Kenza - isiri-Hodgkin lymphoma; NHL

• Bone marrow kuisirwa - kubuda
• Chemotherapy - chii chekubvunza chiremba wako
• Radiation Therapy - mibvunzo yekubvunza chiremba wako

• Lymphoma, yakaipa - CT scan
• Immune system zvimiro

Abramson JS. Asiri-Hodgkin lymphomas. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 103.

National Cancer Institute webhusaiti. Vakuru vasiri-Hodgkin lymphoma kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/lymphoma/hp/adult-nhl-treatment-pdq. Yakagadziridzwa Nyamavhuvhu 18, 2019. Yakasvika muna Kukadzi 13, 2020.

National Cancer Institute webhusaiti. Udiki husiri-Hodgkin lymphoma kurapwa (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/lymphoma/hp/child-nhl-kurapa-pdq. Yakagadziridzwa Kukadzi 5, 2020. Yakasvika muna Kukadzi 13, 2020.