Hodgkin Lymphoma, Non-Hodgkin Lymphoma uye Chronic Lymphocytic Leukemia (CLL) ese marudzi egomarara reropa ane nzira dzakasiyana dzekurapa. Kurapa kwe lymphoma kunogona kuvavarira kurapa kana kubata chirwere chako uku uchikupawo hupenyu hwakanakisa. Inogona kusanganisira marudzi akasiyana-siyana ekurapa anosanganisira chemotherapy, radiation, monoclonal antibodies, immunotherapy, chinangwa chekurapa, stem cell transplants, CAR T-cell therapies nezvimwe.
Peji ino tichapa tarisiro yemhando dzakasiyana dzekurapa uye zvinoshanda zvinhu zvekufunga panguva yekurapa. Nekudaro, kuti uwane rumwe ruzivo nezve CLL uye lymphoma marapirwo ega ega sub-type, ndapota ona peji redu rewebhu pa. Mhando dzeLymphoma.
Zvinangwa Zvekurapa
Chinangwa chekurapa lymphoma yako zvinoenderana nemamiriro ako ega ega. Izvi zvinogona kusanganisira:
- Yako subtype ye lymphoma (kana CLL)
- Kunyangwe chirwere chako chisingaiti (chinononoka kukura) kana hutsinye (kukurumidza-kukura)
- Nhanho uye giredhi ye lymphoma yako
- Hutano hwako hwese uye kugona kushivirira marapirwo.
Zvichienderana nezvinhu zvako pachako, chinangwa chinogona kunge chiri chekukurapa kubva kulymphoma, kukubatsira kuti uende mukuregererwa kwakakwana kana kuregererwa kwechikamu.
mushonga
Kuregererwa kwakakwana
Chikamu chekuregererwa
Mavhesi eruzhinji Private Hospital uye Nyanzvi
Zvakakosha kunzwisisa sarudzo dzehutano hwako paunotarisana ne lymphoma kana CLL kuongororwa. Kana uine inishuwarenzi yehutano yakazvimirira, ungangoda kufunga kuti unoda here kuona nyanzvi mune yakavanzika system kana yeruzhinji system. Kana Chiremba weChiremba achikutumira nekutumwa, kurukurai navo. Kana usina inishuwarenzi yehutano yakazvimirira, ita shuwa kuti ita kuti Chiremba wako azivewo izvi, sezvo vamwe vangangokutumira kune yakavanzika system kana vasingazive kuti ungada hurongwa hweveruzhinji. Izvi zvinogona kuguma nekubhadhariswa kuti uone nyanzvi yako.
Unogona kugara uchichinja pfungwa dzako wodzokera kune yakavanzika kana yeruzhinji kana ukachinja pfungwa dzako.
Dzvanya misoro iri pazasi kuti udzidze nezve mabhenefiti uye pasi pekuva nekurapwa muhurongwa hweveruzhinji uye hwakavanzika.
Mabhenefiti ePublic System
- Iyo yeruzhinji sisitimu inovhara mutengo wePBS yakanyorwa lymphoma kurapwa uye kuferefetwa kwe
lymphoma yakadai sePET scans uye biopsy's. - Iyo yeruzhinji system inovharawo mutengo weimwe mishonga isina kunyorwa pasi pePBS
kufanana nedacarbazine, iyo chemotherapy mishonga inowanzoshandiswa mune
kurapwa kweHodgkin's lymphoma. - Mari inongobuda muhomwe yekurapwa muhurongwa hweveruzhinji kazhinji ndeyevanorwara vari kunze
zvinyorwa zvemishonga yaunotora nemuromo kumba. Izvi zvinowanzova zvishoma uye ndizvo
kunyange kupa rubatsiro zvakare kana uine hutano hwehutano kana kadhi repenjeni. - Zvipatara zvakawanda zvehurumende zvine chikwata chenyanzvi, vanamukoti uye vashandi vehutano vakabatana, vanonzi the
Chikwata cheMDT chinotarisira kukuchengeta. - Zvipatara zvakawanda zvakakura zvedzidzo yepamusoro zvinokwanisa kupa nzira dzekurapa dzisiri kuwanikwa mu
private system. Semuenzaniso mamwe marudzi ekutapurirana, CAR T-cell therapy.
Downsides yeruzhinji system
- Iwe haugone kugara uchiona nyanzvi yako kana iwe uine maaphoyintimenti. Zvipatara zvizhinji zvehurumende ndezvekudzidzira kana zvikoro zvepamusoro. Izvi zvinoreva kuti unogona kuona maregistrar kana maregistrars epamusoro ari mukiriniki, uyo anozoudza nyanzvi yako.
- Pane mitemo yakasimba pamusoro pekubhadhara-kubhadhara kana kubvisa mazita ekuwana mishonga isingawanikwe paPBS. Izvi zvinoenderana nehutano hwehutano hwako uye zvinogona kunge zvakasiyana pakati penyika. Nekuda kweizvozvo, mimwe mishonga inogona kunge isipo kwauri. Iwe uchiri kukwanisa kuwana akajairwa, akatenderwa marapirwo echirwere chako zvakadaro.
- Iwe unogona kusakwanisa kuwana zvakananga kuhematologist yako asi ungangoda kubata nyanzvi mukoti kana receptionist.
Benefits of the private system
- Iwe unogara uchiona iyematologist mumwechete sezvo pasina vanachiremba vanodzidzira mumakamuri akavanzika.
- Iko hakuna mitemo yakatenderedza co-pay kana off label kuwana kumishonga. Izvi zvinogona kunyanya kubatsira kana uine zvirwere zvakawanda zvakadzokera shure kana lymphoma subtype iyo isina maitiro akawanda ekurapa. Nekudaro, inogona kudhura zvakanyanya nemari yakakosha yekunze-yehomwe yauchazoda kubhadhara.
- Mimwe bvunzo kana kuyedza bvunzo dzinogona kuitwa nekukurumidza muzvipatara zvakazvimiririra.
Pazasi pezvipatara zvehurumende
- Mari yakawanda yekuchengetedza hutano haibhadhare mutengo weyese bvunzo uye/kana kurapwa. Izvi zvinoenderana nehomwe yehutano hwako wega, uye zvinogara zvakanaka kutarisa. Iwe zvakare uchaunza mubhadharo wegore wekubvumidzwa.
- Havasi vese nyanzvi vanobhadhara mari yakawanda uye vanogona kubhadharisa pamusoro pekepisi. Izvi zvinoreva kuti panogona kunge pasina mari yekuona chiremba wako.
- Kana iwe uchida kubvumidzwa panguva yekurapwa kwako, huwandu hwehukoti hwakakwira zvakanyanya munzvimbo yakavanzika muzvipatara. Izvi zvinoreva kuti mukoti muchipatara chakazvimiririra kazhinji ane varwere vakawanda vekutarisira kupfuura muchipatara chehurumende.
- Hematologist yako haisi nguva dzose panzvimbo pachipatara, vanowanzoshanyira kwenguva pfupi kamwe chete pazuva. Izvi zvinogona kureva kuti kana ukarwara kana uchida chiremba nekukasika, haasi mazvikokota wako.
Lymphoma kurapwa ne indolent uye aggressive lymphoma uye CLL
Aggressive B-cell lymphomas anowanzo pindura zvakanaka kurapwa nekuti anokura nekukurumidza, uye echinyakare chemotherapy marapirwo anonangana nemasero ari kukurumidza kukura. Saka nekudaro, mazhinji ane hutsinye lymphomas anowanzo kurapwa nechinangwa cheku kurapa kana kukonzera kuregererwa kwakakwana. Zvisinei, hukasha T-cell lymphomas kazhinji inoda kurapwa kwakanyanyisa uye inogona kuwana kuregererwa, asi kazhinji inodzoka uye inoda kurapwa kwakawanda.
Mazhinji indolent lymphomas zvisinei, haagone kurapwa saka chinangwa chekurapa ndechekukurudzira kuregererwa kwakakwana kana chidimbu. Vanhu vazhinji vane indolent lymphomas uye CLL havazodi kurapwa pavanotanga kuongororwa. Kana iwe uine indolent lymphoma, unogona kuenda pairinda & kumirira kutanga, uye chete tanga kurapa inoshanda kana lymphoma / CLL yako ikatanga kufambira mberi (kukura), kana uine zviratidzo. Kufambira mberi kunogona kutorwa kuburikidza nekuongororwa ropa nguva dzose uye ma scans, uye zvinogona kuitika iwe usingaoni chero zviratidzo.
Ruzivo rwakawanda pamusoro pekutarisa & kumirira runowedzera pasi peji rino.
Taura naChiremba wako Nyanzvi
Zvakakosha kuti unzwisise kuti sei uchirapwa, uye kuti chii chaunofanira kutarisira. Kana iwe usina chokwadi, bvunza Chiremba wako kana uine indolent kana aggressive lymphoma, uye chii chinangwa (kana chinangwa) chekurapa kwako.
Kumirira usati watanga kurapwa
Usati watanga kurapwa unozofanira kuita ongororo dzakawanda kuti uone kuti ndeupi subtype ye lymphoma kana CLL yaunayo, idanho ripi uye giredhi, uye kuti wakagwinya zvakadii. Mune zvimwe zviitiko, chiremba wako anogonawo kukurudzira kuita genetic test pakuongorora ropa rako, bone marrow uye mamwe biopsy. Maedzo aya anotarisa kana uine chero genetic mutations inogona kukanganisa kuti ndeipi marapirwo angashanda zvakanyanya kwauri.
Zvinogona dzimwe nguva kutora mavhiki kuti uwane zvese zvawawana mukati, uye ino nguva inogona kuve nguva yekushushikana uye kunetseka. Zvinonyanya kukosha kutaura nezvekuti uri kunzwa sei nemunhu waunovimba naye. Unogona kunge uine nhengo yemhuri kana shamwari yaunogona kutaura nayo, asi unogona zvakare kutaura nachiremba wepanzvimbo yako kana kutifonera parunhare rwemukoti wedu. Dzvanya pa "Taura nesu” bhatani riri pazasi pechidzitiro ichi kuti uwane ruzivo rwedu.
Nzvimbo dzedu dzesocial media zvakare inzira huru yekuti iwe ubatane nevamwe vanhu vanogara ne lymphoma kana CLL.
Unganidza vashandi vako - Unoda network yekutsigira
Unozoda rubatsiro rwakawedzerwa paunenge uchirapwa. Rudzi rwerutsigiro rwunodiwa rwakasiyana kubva kumunhu kuenda kumunhu asi runogona kusanganisira:
- rubatsiro rwepfungwa kana rwepfungwa
- batsira pakubika zvokudya kana kuti nebasa repamba
- kubatsira kutenga
- kukwidziridzwa kuenda kumisangano
- childcare
- zvemari
- muteereri akanaka
Pane rubatsiro rwenyanzvi rwaunogona kuwana. Taura neboka rako rinorapa nezvezvido zvako, uye vabvunze kuti ndeupi rubatsiro runowanikwa munharaunda yako. Zvipatara zvizhinji zvinokwanisa kuwana mushandi wezvekugarisana nevamwe, murapi wepabasa kana masevhisi ekuraira izvo zvinogona kuva tsigiro huru.
Iwe unogona zvakare kutipa kuLymphoma Australia kufona. Tinogona kupa ruzivo rwerutsigiro rwakasiyana rwuripo, pamwe neruzivo rwemazuva ano nezve lymphoma/CLL subtype yako uye nzira dzekurapa.
Kana uri mubereki ane vana kana vechidiki uye iwe kana ivo vaine gomarara, CANTEEN inokupawo rutsigiro iwe nevana vako.
Asi, tinokukurudzirawo kuti usvike kumhuri neshamwari kuti uvazivise zvaunoda, uye kuti ungangoda rubatsiro mune ramangwana. Kazhinji vanhu vanoda kubatsira, asi havazive zvaunoda, saka kutendeseka kubva pakutanga kunobatsira munhu wese.
Pane yakanaka app yaunogona kudhawunirodha pafoni yako, kana kupinda painternet inonzi “Gather my crew” inotobatsira kuronga kumwe kutsigirwa. Isu takabatanidza zvinongedzo kune ese CANTEEN uye Unganidza mawebhusaiti evashandi vangu pazasi peji rino pasi pechikamu "Zvimwe zviwanikwa zvako".
Ruzivo rwakawanda pamusoro pematipi anoshanda uchirarama nelymphoma uye nekurapwa anogona kuwanikwa pazasi mapeji ewebhu.
Kuchengetwa Kwesimba
Kurapa lymphoma kunogona kuderedza kubereka kwako (kukwanisa kuita vana). Kumwe kwekurapa uku kunogona kusanganisira chemotherapy, mamwe masoja ekudzivirira chirwere anonzi "immune checkpoint inhibitors" uye radiotherapy pachiuno chako.
Nyaya dzekubereka dzinokonzerwa nemishonga iyi dzinosanganisira:
- Kutanga kuenda kumwedzi (kuchinja kwehupenyu)
- Ovarian insufficiency (kwete kunyanya kuenda kumwedzi asi kuchinja kumhando kana nhamba yemazai aunayo)
- Kuderera kwembeu kana kunaka kwembeu.
Chiremba wako anofanira kutaura newe nezve izvo zvinokanganisa kurapwa kwako zvingangove nazvo pakubereka kwako, uye ndedzipi sarudzo dziripo kuti dzidzivirire. Kuchengetedza kubereka kunogona kuitika nemimwe mishonga kana kuburikidza nechando (mazai), urume, ovarian kana testicular tissue.
Kana chiremba wako asati aita hurukuro iyi newe, uye unoronga kuva nevana mune ramangwana (kana kana mwana wako ari kutanga kurapwa) vabvunze kuti ndezvipi zvingasarudzwa zviripo. Hurukuro iyi inofanira kuitika iwe kana mwana wako musati matanga kurapwa.
Kana iwe uri pasi pemakore makumi matatu ekuzvarwa unogona kuwana rutsigiro kubva kuSony foundation iyo inopa yemahara sevhisi yekuchengetedza mbereko muAustralia yose. Vanobatika pa30 02 9383 kana padandemutande ravo https://www.sonyfoundation.org/youcanfertility.
Kuti uwane rumwe ruzivo nezvekuchengetedza mbereko, tarisa vhidhiyo pazasi nenyanzvi yekuzvara, A/Prof Kate Stern.
Unoda kuona chiremba wemazino here?
Iwe haungazokwanisi kuita basa remazino panguva yekurapa nekuda kwekuwedzera kwengozi yekutapukirwa uye kubuda ropa. Kana uchiwanzova nedambudziko nemazino ako kana uchifunga kuti ungangoda kuzadzwa kana rimwe basa raitwa, taura nachiremba wako weropa kana oncologist nezvenguva yakanaka yekuita izvi. Kana paine nguva, vanogona kukurudzira kuti uite izvi kurapwa kusati kwatanga.
Kana iwe uine allogeneic stem cell transplant iwe unokurudzirwa kuti mazino ako atariswe pamberi pepamusoro-dose chemotherapy uye stem cell transplant.
Kurapwa kwako kunosarudzwa sei?
Chiremba wako anoongorora bvunzo dzako dzese uye otarisa zvawanikwa asati afunga nezve nzira dzekurapa dzakanakira iwe. Pamusoro pezvawawana, chiremba wako anozofungawo zvinotevera, pakuita sarudzo nezvekurapa kwako:
- hutano hwako hwese
- chero yapfuura kana yazvino mamiriro ehutano asina hukama ne lymphoma yako kana CLL
- ndeipi subtype ye lymphoma yaunayo
- nokukurumidza sei lymphoma iri kukura - nhanho yako uye giredhi re lymphoma kana CLL
- chero zviratidzo zvauri kuona
- zera rako uye
- chero zvaunofarira zvemunhu zvaunazvo zvinosanganisira zvemweya netsika zvaunotenda. Kana izvi zvisati zvakurukurwa zivisa chiremba wako nezve chero zvaunofarira zvaunazvo.
Vamwe vanachiremba vanogona kupa ruzivo rwako kune multidisciplinary team (MDT). MDTs inoumbwa nenyanzvi dzehutano dzakasiyana dzinosanganisira vanachiremba, vanamukoti, physiotherapist, occupational therapists, pharmacist, psychologists nevamwe. Nekupa nyaya yako kumusangano weMDT, chiremba wako anogona kuve nechokwadi chekuti chikamu chese chezvido zvehutano hwako chazadzikiswa.
Chirongwa chako chekurapa chinowanzonzi "treatment protocol" kana "regimen yekurapa". Mazhinji ekurapa maprotocol e-lymphoma kana CLL anorongwa mumitambo. Izvi zvinoreva kuti iwe uchave nekutenderera kwekurapwa, wozozorora uyezve kurapwa kwakawanda. Mangani ma cycles aunawo muprotocol yekurapa anoenderana ne subtype yako, hutano hwese, kuti muviri wako unopindura sei pakurapwa, uye chinangwa chekurapa kwako.
Chirongwa chako chekurapa chinogona kusanganisira mishonga yakadai sechemotherapy, monoclonal antibodies kana kurapwa kwakananga, asi inogona kusanganisira kuvhiyiwa kana radiotherapy. Unogonawo kuwana mamwe marapirwo anobatsira kukubatsira kuti ugare wakachengeteka uye kugadzirisa chero mhedzisiro yaunowana kubva mukurapwa.
Hauzove nerudzi rwese rwekurapa - taura nachiremba wako nezve chirongwa chako chekurapa.
Mhedziso yekurapa kwega kwega inotsanangurwa zvakare pasi peji ino. Ingobaya pane musoro wekurapwa waunoda kudzidza zvakawanda nezvawo.
Ikodzero yako yekuwana maonero echipiri chero nguva mukati me lymphoma nzira yako. Usanetseka nezvekugumbura chiremba wako wepakutanga, kuwana maonero echipiri chinhu chakajairika, uye kukuzivisa iwe nezvesarudzo dzakasiyana dzingave dziripo, kana kuti ungasimbisa kuti iwe wakapihwa zvakanakisa kare.
Kana uchida maonero echipiri unogona kukumbira chiremba wako weropa kana oncologist kuti akupe kutumira kune mumwe munhu. Vazhinji vanachiremba vane hunyanzvi vane chivimbo muchirongwa chekurapa chavakakupa, havazove nedambudziko kumisikidza izvi.
Zvakadaro, kana musinganzwe kuti munokwanisa kutaura nachiremba wenyu weropa kana oncologist, kana kuti vakaramba kukutumirai rubatsiro, taurai naChiremba wezvirwere zvese. Chiremba wezvirwere zvese achakwanisa kutumira tsamba kune imwe nyanzvi, uye anofanira kuwana marekodhi ako ekutumira kuna chiremba mutsva.
Kutsvaga maonero echipiri hazvirevi kuchinja vanachiremba. Unogona kuona mumwe chiremba anoratidza kuti uri kuwana ruzivo rwakakwana uye uri munzira chaiyo nachiremba wako aripo. Asi kana ukasarudza kugara nachiremba mutsva ikodzero yakowo.
Usati watanga kurapwa kwako lymphoma kana CLL, chiremba wako nyanzvi kana mukoti achagara pasi newe achikuudza zvese zvaunoda kuziva. Pane ruzivo rwakawanda rwekutora panguva ino, saka ipfungwa yakanaka kutora chinyoreso nebepa kuti unyore pasi chero pfungwa dzakakosha. Vanowanzo kukupa ruzivo rwakanyorwa semapepa echokwadi kana mabhurocha aunogona kuenda nawo kumba.
Iwe unogona zvakare kudhawunirodha zvimwe zvakanaka zviwanikwa pane yedu Tsigiro yako peji rewebhu. Dzvanya apa kuti uone zvatiinazvo.
Kana uchida kudzidza neimwe nzira, kana kusada kutaura kana kuverenga nechiRungu, ita kuti chiremba wako kana mukoti azive nzira dzakanakisa dzaungadzidzire. Zvimwe zvivako zvingakwanisa kukupa mavhidhiyo mapfupi kuti uone, kana mapikicha anoita kuti mashoko acho ave nyore kunzwisisa. Kana uchida, unogona zvakare kubvunza chiremba wako kana mukoti kana zvakanaka kuti urekodhe hurukuro pafoni yako kuti uteerere gare gare.
Kana Chirungu usiri rurimi rwako rwekutanga, uye uchida kuwana ruzivo mumutauro waunonyatsoziva, vakumbire kuti varonge muturikiri kuti akubatsire kududzira ruzivo rwacho. Ipfungwa yakanaka kuronga izvi pachine nguva paunokwanisa. Kana paine nguva, munokwanisa kuridzira runhare kiriniki yenyu kana chipatara musati maonana. Vakumbire kuti vakunyorere muturikiri wepanguva yako uye chirongwa chekutanga chekurapwa.
Mushure mekunge wapihwa ruzivo rwese uye uine mhinduro kumibvunzo yako, unofanirwa kuita sarudzo yekuti ucharapwa here kana kuti kwete. Ichi ndicho chaunosarudza.
Chiremba wako nedzimwe nhengo dzeboka rako rehutano vanogona kupa ruzivo pamusoro pezvavanotenda kuti ndiyo yakanakira sarudzo yako, asi sarudzo yekutanga, kana kuenderera mberi nekurapa inogara iri yako kuita.
Kana ukasarudza kurapwa, unofanira kusaina fomu remvumo, inova nzira iri pamutemo yekupa chikwata chezvehutano mvumo yekukupa kurapwa. Iwe unozofanirwa kubvuma kune yega yega nzira yekurapwa zvakasiyana, senge chemotherapy, kuvhiyiwa, kuwedzerwa ropa kana mwaranzi.
Unogonawo kubvisa mvumo uye wosarudza kusaenderera mberi nekurapwa chero nguva kana usingachatendi kuti ndiyo sarudzo yakakunakira. Zvakadaro, unofanirwa kutaura neboka rako rehutano nezve njodzi yekumisa kurapwa, uye ndeupi rutsigiro runowanikwa kwauri kana ukarega kurapwa kwakasimba.
Kuti ubvume kurapwa unofanirwa kutaura kuti unonzwisisa uye unobvuma njodzi nemabhenefiti emurapi wauri kunzi. Iwe haugone kurapwa kunze kwekunge iwe, mubereki wako (kana iwe uri pasi pemakore gumi nemasere) kana muchengeti wepamutemo akasaina fomu remvumo.
Kana Chirungu usiri rurimi rwako rwekutanga uye ungada kuti mushanduri avepo kuti akutsanangurire njodzi uye zvakanakira kurapwa kwauri usati wasaina mvumo, ita shuwa kuti wazivisa vezvehutano kuti unoda muturikiri. Pazvinogoneka, ipfungwa yakanaka kuita kuti mumwe munhu afonere kuchipatara kana kiriniki usati waonana kuti azivise kuti aronge muturikiri.
Mhando dzekurapa
Kune marudzi akasiyana-siyana e-lymphoma neCLL, saka usashamisika kana kurapwa kwaunowana kwakasiyana kune mumwe munhu ane lymphoma. Kunyange kana iwe uine imwechete subtype ye lymphoma, genetic mutations inogona kusiyana pakati pevanhu uye inobata kuti kurapwa kupi kungangoshanda zvakanyanya kwauri.
Pasi apa takapa mhedziso yemhando yega yega yekurapa. Kuti uverenge nezvemhando dzekurapa dzakasiyana, tinya misoro iri pazasi.
Kana uine lymphoma inononoka kukura (indolent) kana CLL, ungasada kurapwa. Pane kudaro, chiremba wako anogona kusarudza wachi uye kumirira nzira.
Izwi rekuti watch uye kumirira rinogona kutsausa zvishoma zvakadaro. Zvakanyanya kutaura kuti "active monitoring", nekuti chiremba wako achakutarisisa panguva ino. Munoonana nachiremba nguva nenguva, uye moongororwa ropa nezvimwe zvinongororwa kuti muve neutano hwakanaka, uye chirwere chenyu hachisi kuramba chichiwedzera. Zvisinei, kana chirwere chako chikawedzera, unogona kutanga kurapwa.
Ndeipi iyo Watch & Mirira ndiyo yakanakisa sarudzo?
Tarisa uye kumirira inogona kunge iri sarudzo yakakunakira iwe kana usina zviratidzo zvakawanda, kana njodzi dzinoda kurapwa nekukurumidza.
Zvinogona kuoma kuziva kuti une rudzi rwegomarara, asi hapana zvauri kuita kuti ubvise. Vamwe varwere vanotodaidza nguva ino kuti "tarisa uye funganya", nekuti inogona kuve isina kugadzikana kusaita chero chinhu kurwisa. Asi, tarisa uye kumirira inzira yakanaka yekutanga. Zvinoreva kuti lymphoma iri kukura zvishoma nezvishoma kuti ikukonzere kukuvadza, uye immune system yako iri kurwisa, uye kuita basa rakanaka kuchengetedza lymphoma yako iri pasi pesimba. Saka muchokwadi, uri kutoita zvakawanda kurwisa cancer, uye kuita basa rakanaka pairi. Kana immune system yako irikuichengeta pasi pesimba, hauzodi rumwe rubatsiro panguva ino.
Sei kurapwa kusingadiwi?
Mushonga wekuwedzera unogona kuita kuti unzwe kurwara zvakanyanya kana kukonzera mhedzisiro yenguva refu, hazvibatsire panguva ino. Tsvagiridzo inoratidza kuti hapana bhenefiti yekutanga kurapwa nekukurumidza, kana uine lymphoma inononoka kukura kana CLL uye pasina zviratidzo zvinonetsa. Rudzi urwu rwegomarara harupindure zvakanaka kune nzira dzekurapa dzazvino. Hutano hwako hausi kuzovandudzwa, uye hauzorarama kwenguva refu nekutanga kurapwa pachine nguva. Kana lymphoma yako kana CLL ikatanga kukura zvakanyanya, kana ukatanga kuwana zviratidzo kubva kuchirwere chako, unogona kubva watanga kurapwa.
Varwere vazhinji vangangoda kurapwa kwakasimba sevaya vakanyorwa pasi peji ino pane imwe nguva. Mushure mekurapwa, munokwanisa kuenderera mberi nekuona nekumirira. Zvisinei, vamwe varwere vane indolent lymphomas havambodi kurapwa.
Ndeipi iyo Watch & Wait isiri iyo yakanyanya kunaka sarudzo?
Tarisa uye kumirira zvakakodzera chete kana uine lymphoma inononoka kukura kana CLL, uye usina zviratidzo zvinonetsa. Chiremba wako angasarudza kukupa kurapa kunoshanda kana ukaona zvinotevera zviratidzo:
- B zviratidzo - izvo zvinosanganisira kunyorova dikita husiku, fivha isingaperi uye kuonda kusingatarisirwe
- Matambudziko neuwandu hweropa rako
- Organ kana bone marrow kukanganisa nekuda kwe lymphoma
Ko Chiremba vachandichengetedza sei ini ndiri paWatch & Wait?
Chiremba wako achada kukuona nguva dzose kuti aongorore kufambira mberi kwako. Iwe unogona kunge uchivaona mwedzi 3-6 yega yega, asi ivo vanokuzivisa iwe kana ichida kuwanda kana kushoma pane izvi.
Vachakukumbira kuti uite bvunzo uye scans kuti uone kuti lymphoma kana CLL haisi kukura. Mimwe yebvunzo idzi inogona kusanganisira:
- kuongororwa ropa kutarisa hutano hwako
- kuongororwa kwemuviri kutarisa kana uine lymph nodes yakazvimba kana zviratidzo zvekufambira mberi
- zviratidzo zvakakosha zvinosanganisira BP, tembiricha, uye kurova kwemoyo
- nhoroondo yehutano - chiremba wako achabvunza nezvekuti wanga uchinzwa sei, uye kana uine zviratidzo zvitsva kana kuwedzera
- CT kana PET scan kuratidza zviri kuitika mukati memuviri wako.
Kana mune zvipi zvinokunetsai pakati penguva dzenyu, tapota taurai neboka renyu revarapi kuchipatara kana kukiriniki kuti mutaure nezvazvo. Usamirire kusvika pakusangana kunotevera sezvo zvimwe zvinonetsa zvingada kugadziriswa nekukurumidza.
Ndirini pandinofanira kubata chiremba wangu?
Zvakakosha kuyeuka kuti kutarisa kumirira inzira yakajairika yekugadzirisa indolent lymphoma's uye CLL. Nekudaro, kana ukaona nzira ye'watch uye kumirira' ichikushungurudza, ndapota taura neboka rako rekurapa nezvazvo. Vanozokwanisa kutsanangura kuti sei vachifunga kuti iyi ndiyo sarudzo yakanakira iwe, uye nekupa chero rubatsiro rwaungade.
Kana uine zvimwe zviri kukunetsa pakati pekugadzwa kwako, kana kuti uri kuona zviratidzo zvitsva kana zvakanyanya kuipa, tapota taura neboka rako rekurapa kuchipatara. Usamirire kusvika pakusangana kunotevera, sezvo zvimwe zvinokunetsa kana zviratidzo zvaunazvo zvingada kugadziriswa nekukurumidza.
Kana iwe ukawana B-zviratidzo, bata timu yako yekurapa, usamirire kugadzwa kwako kunotevera.
Radiotherapy inogona kushandiswa kurapa lymphoma, kana kuvandudza zviratidzo zvako
Radiotherapy inoshandisa high-energy x-rays (radiation), kuuraya cancer maseru. Inogona kushandiswa semushonga wega, kana nemamwe marapirwo akadai sechemotherapy.
Pane zvikonzero zvakasiyana izvo iwe chiremba angakurudzira kurapwa neradiation kwauri. Inogona kushandiswa kurapa uye pamwe kurapa mamwe ekutanga lymphomas, kana kuvandudza zviratidzo. Zvimwe zviratidzo zvakadai sekurwadziwa kana kushaya simba zvinogona kuitika kana bundu rako re lymphoma rikakura zvakanyanya, kana kuti riri kuisa simba patsinga dzako kana musana. Muchiitiko ichi, mwaranzi inopiwa kuderedza bundu uye kubvisa kudzvinyirira. Zvisinei, harina kuitirwa kuti rishandiswe semushonga.
Radiotherapy inoshanda sei?
Iyo X-rays inokonzera kukanganisa kuDNA yesero (iyo genetic material yesero) izvo zvinoita kuti zvisaite kuti lymphoma igadzirise pachayo. Izvi zvinoita kuti sero rife. Zvinowanzotora mazuva mashoma kana kunyange mavhiki mushure mekurapa kwemwaranzi kwatanga kuti masero afe. Izvi zvinokanganisa zvinogona kugara kwemwedzi inoverengeka zvakadaro, saka kunyangwe mwedzi wapedza kurapwa, kenza lymphoma masero anogona kuparadzwa.
Nehurombo, mwaranzi haigone kutaurira mutsauko pakati pemasero ako ane kenza neasina kenza. Saka nekudaro, unogona kuwana mhedzisiro inokanganisa ganda rako uye nhengo dziri padyo nenzvimbo yauri kurapwa neradiation. Mazhinji matekiniki eradiation mazuva ano ari kuramba achiwedzera kunanga gomarara zvakanyanya, zvisinei nekuti maX-ray anoda kupfuura nepaganda rako uye dzimwe matishu kuti asvike lymphoma, nzvimbo dzese idzi dzinogona kukanganiswa.
Wako radiation oncologist (chiremba ane hunyanzvi anoshanda nemwaranzi) kana mukoti anozokwanisa kutaura newe nezve izvo zvinokonzeresa zvaungawane, zvichienderana nenzvimbo yebundu rako. Vanozokwanisawo kukuraira pane zvimwe zvakanaka zvigadzirwa zveganda kuti ugadzirise chero kushatirwa kweganda kwaunowana.
Mhando dzeradiotherapy
Kune marudzi akasiyana eradiotherapy, uye zvaunazvo zvinogona kuenderana nekuti mumuviri wako lymphoma iripi, nzvimbo yauri kurapwa, uye nei uri kurapwa nemwaranzi. Mamwe marudzi ekurapa nemwaranzi akanyorwa pazasi.
Kunyanya-modulated radiotherapy (IMRT)
IMRT inobvumira madozi akasiyana eradiotherapy kuti apiwe kunzvimbo dzakasiyana dzenzvimbo iri kurapwa. Inogona kuderedza side-effects kusanganisira kunonoka side-effects. IMRT inowanzo shandiswa kurapa cancer iri padyo nenhengo dzakakosha uye zvimiro.
Inobatanidzwa-mumunda radiotherapy (IFRT)
IFRT inobata yese lymph node nzvimbo, senge lymph nodes mumutsipa wako kana groin.
Inobatanidzwa-node radiotherapy (INRT)
INRT inobata chete ma lymph nodes akakanganisika uye diki margin yakatenderedza.
Total body irradiation (TBI)
TBI inoshandisa yakakwira simba radiotherapy kumuviri wako wese. Inogona kushandiswa sechikamu chekurapa kwako pamberi pe allogeneic (donor) stem cell transplant kuparadza mwongo wako. Izvi zvinoitirwa kugadzira nzvimbo yemasero matsva. Nekuti inoparadza mwongo wako, TBI inogona zvakare kukanganisa immune system yako ichikuita iwe panjodzi yekutapukirwa.
Total skin electron radiotherapy
Iyi inzira yakasarudzika ye lymphoma yeganda (cutaneous lymphomas). Inoshandisa maerekitironi kubata ganda rako rose pamusoro.
Proton beam therapy (PBT)
PBT inoshandisa mapurotoni panzvimbo yeX-rays. Proton inoshandisa yakanatswa, yakakwira simba particle kuparadza maseru egomarara. Iyo radiation danda kubva kuPBT inogona kunanga maseru zvakanyanya, saka inobatsira kuchengetedza hutano hwakatenderedza bundu.
Zvaunotarisira
Radiotherapy inowanzoitwa mumakiriniki akazvipira ekuchengetedza cancer. Iwe uchave nechikamu chekutanga chekuronga, uko murapi weradiation anogona kutora mafoto, CT scans, uye kunyatso ronga maitiro eradiation muchina kunanga lymphoma yako.
Iwe zvakare uchange uine imwe nyanzvi inonzi Dosimetrist, inoronga chaiyo dose yemwaranzi yaunowana nekurapwa kwega kwega.
Radiation tattoos
Iwo ma radiation therapist anokupa diki tsono/s dzinoita diki diki kunge ma tattoo paganda rako. Izvi zvinoitirwa kuve nechokwadi kuti vanokuisa mumushini nenzira kwayo zuva rega rega saka radiation inogara ichisvika kune lymphoma yako uye kwete dzimwe nhengo dzemuviri wako. Aya ma tatoo madiki anogara, uye vamwe vanhu vanoatarisa sechiyeuchidzo chezvavakakunda. Vamwe vangada kuwedzera kwavari kuita kuti vave chimwe chinhu chakakosha.
Zvisinei, havasi vose vanoda chiyeuchidzo. Zvimwe zvitoro zvema tattoo zvinopa kubviswa kwemahara tattoo kune avo vakave nawo nekuda kwezvikonzero zvekurapa. Ingo fonera kana kupinda kune yako tattoo parlor wobvunza.
Chero chipi chaunosarudza kuita nema tattoos ako - usaite shanduko kusvika wataura nachiremba wako nezve nguva yakanakisa yekuwedzera, kana kubvisa.
Kangani pandicharapwa neradiation ??
Kuyerwa kwemwaranzi kwakakamurwa kuita marapirwo akati wandei. Kazhinji iwe uchapinda mudhipatimendi reradiation mazuva ese (Muvhuro kusvika Chishanu) kwemavhiki maviri kusvika mana. Izvi zvinoitwa nekuti zvinobvumira maseru ako ane hutano nguva yekupora pakati pekurapa. Inobvumirawo mamwe masero egomarara kuti aparadzwe.
Chikamu chimwe nechimwe chinowanzotora 10-20 maminitsi. Mushonga wacho pachawo unongotora maminitsi maviri kana matatu. Iyo yakasara yenguva iri kuve nechokwadi kuti uri munzvimbo chaiyo uye ma X-ray matanda anoenderana nemazvo. Muchina uyu une ruzha, asi hapana chaunonzwa panguva yekurapwa.
Ndeipi dose yeradiation yandichawana?
Nhamba yese yeradiotherapy inoyerwa muchikamu chinonzi Grey (Gy). Iyo Grey yakakamurwa kuita marapirwo akasiyana anonzi 'fractions'.
Yako yakazara Grey uye magadzirirwo anoitwa zvikamu zvinoenderana ne subtype yako, nzvimbo uye saizi yebundu rako. Yako radiation oncologist ichakwanisa kutaura newe zvakanyanya nezve dosi yavanokuraira iwe.
Maside effects ekurapwa kwemwaranzi
Shanduko paganda rako uye kuneta kwakanyanya kusina kuvandudzwa nekuzorora (kuneta) zvinowanzoitika kune vanhu vazhinji vari kurapwa nemwaranzi. Zvimwe zvinokonzeresa zvinogona kuenderana nekwauri mumuviri wako radiation yakanangana.
Maside-effects ekurapwa kwemwaranzi anowanzo sanganisira kuita kweganda pane chikamu chemuviri wako chiri kurapwa. Kuneta zvakare chinhu chinowanzoitika kune chero munhu ari kurapwa. Asi kune mamwe maside-effects ayo ari ore anoenderana nenzvimbo yekurapwa - kana kuti ndeipi chikamu chemuviri wako chine lymphoma iri kurapwa.
Kugadzirwa kweganda
Kuita kweganda kunogona kutaridzika sezuva rakaipa rinopisa uye, kunyange zvazvo rinogona kukonzera mamwe mablister uye zvachose "tan line" haisi kutsva. Imhando yedermatitis kana kuputika kweganda rinoitika chete paganda riri pamusoro penzvimbo iri kurapwa.
Magadzirirwo eganda dzimwe nguva anogona kuramba achiwedzera kwemavhiki maviri mushure mekunge kurapwa kwapera, asi kunofanirwa kunge kwakavandudzika mukati memwedzi wekupedza kurapwa.
Chikwata chako chemwaranzi chinozokwanisa kutaura newe nezve nzira yakanakisa yekugadzirisa maitiro aya eganda uye kuti ndeapi zvigadzirwa zvakaita senge moisturiser kana makirimu zvingashanda zvakanyanya kwauri. Zvisinei, zvimwe zvinhu zvinogona kubatsira zvinosanganisira:
- Kupfeka mbatya dzisina kusimba
- Kushandisa jira rakanaka remubhedha
- Washing powder mumushini wako wekugeza - mamwe akagadzirirwa ganda rinonzwa
- Kugeza ganda rako zvinyoro-nyoro ne “sipo isina sipo” dzimwe nzira, kana sipo yakapfava
- Kugeza mapfupi, anodziya kana kugeza
- Kudzivisa doro-based products paganda
- Dzivisa kukwesha ganda
- Chengeta ganda rako richitonhorera
- Fukidza kana uri kunze, uye dzivisa chiedza chezuva panzvimbo yaunorapwa kana zvichiita. Pfeka ngowani uye sunscreen kana uri panze
- Dzivisa dziva dzokutuhwina
Kuneta
Kuneta kunzwa kuneta kwakanyanya kunyangwe wapedza kuzorora. Izvi zvinogona kukonzerwa nekuwedzera kushushikana kwemuviri wako panguva yekurapwa, uye kuedza kugadzira masero matsva ane hutano, kurapwa kwemazuva ese, uye kushushikana kwekurarama nelymphoma uye marapirwo ayo.
Kuneta kunogona kutanga mushure mekunge kurapwa kwemwaranzi kwatanga, uye kunogara kwemavhiki akati wandei mushure mekupedza.
Zvimwe zvinhu zvinogona kukubatsira kugadzirisa kuneta kwako zvinogona kusanganisira:
- Ronga pachine nguva kana paine nguva, kana kukumbira vadikani kuti vagadzirire chikafu pachine nguva chaunongoda kupisa. Zvokudya zvine mapuroteni akawanda zvakadai senyama tsvuku, mazai uye miriwo ine mashizha yakasvibira zvinogona kubatsira muviri wako kugadzira masero matsva ane utano.
- Kurovedza muviri kwakareruka kwakaratidza kuvandudza mazinga esimba uye kuneta, saka kuramba uchishanda kunogona kubatsira nekushaya simba uye kurara.
- Teerera kumuviri wako uye uzorore paunoda
- Tarisa kuneta kwako, kana iwe uchiziva kuti kazhinji kunowedzera pane imwe nguva yezuva, unogona kuronga zviitiko zvakatenderedza izvozvo
- Chengeta nzira yekurara yakajairwa - kunyangwe uchinzwa kuneta, edza kuenda kunorara nekumuka panguva dzaunowanzo. Mishonga yekuwedzera inogona kubatsira kusanganisira kuzorora kurapa, yoga, kufungisisa, uye kufunga.
- Dzivisa stress pazvinobvira.
Mune zvimwe zviitiko, kuneta kunogona kukonzerwa nezvimwe zvinhu zvakadai sekuderera kweropa. Kana izvi zviri izvo, unogona kuisirwa ropa kuti uvandudze huwandu hweropa rako.
Zvakakosha kuti chiremba wako azive kana uri kunetseka nekuneta.
Mamwe maside-effects anogona kusanganisira:
- Kurasika kwebvudzi - asi chete kunzvimbo iri kurapwa
- Nausea
- Diarrhea kana marwadzo emudumbu
- Kuzvimba - kunhengo dzako dziri pedyo nenzvimbo iri kurapwa
Vhidhiyo iri pazasi peiyi mhando dzemhando dzekurapa inopa rumwe ruzivo rwezvekutarisira neradiation kurapwa kusanganisira maside-effects.
Chemotherapy (chemo) yakashandiswa kurapa gomarara kwemakore akawanda. Kune marudzi akasiyana emishonga yekemo uye iwe unogona kuva nemhando inopfuura imwe yechemotherapy kurapa CLL yako kana lymphoma. Chero mhedzisiro yaunowana inotsamira pane iyo chemotherapy mishonga yaunayo.
Chemo inoshanda sei?
Chemotherapy inoshanda nekurwisa zvakananga maseru ari kukura nekukurumidza. Ichi ndicho chikonzero chinowanzoshanda zvakanaka kune zvehasha - kana kukurumidza kukura lymphomas. Zvisineyi zvakare ichi chiito chinopesana nemasero anokura nekukurumidza anogona kukonzera zvisingadiwe mhedzisiro mune vamwe vanhu, sekurasika kwebvudzi, maronda emukanwa uye kurwadziwa (mucositis), kusvotwa uye manyoka.
Nekuti iyo chemo inogona kukanganisa chero sero rinokura nekukurumidza, uye haigone kutaura mutsauko pakati peseru ane hutano nekenza lymphoma masero - inonzi "systemic kurapwa", zvichireva kuti chero system yemuviri wako inogona kukanganiswa nedivi-mhedzisiro inokonzerwa nekemo.
Mhando dzakasiyana dzekemotherapies dzinorwisa lymphoma pamatanho akasiyana ekukura. Mamwe chemotherapy anorwisa cancer maseru akazorora, mamwe anorwisa ayo achangokura, uye mamwe anorwisa lymphoma masero akakura kwazvo. Nekupa chemo's inoshanda pamasero mumatanho akasiyana, pane mukana wekuuraya mamwe masero e-lymphoma uye kuwana mhedzisiro iri nani. Nekushandisa machemotherapies akasiyana, tinogona zvakare kudzikisa madosi zvishoma izvo zvinorevawo kuve nekushomeka kwemhedzisiro kubva kumushonga wega wega, tichiri kuwana mhedzisiro yakanaka.
Chemo inopiwa sei?
Chemo inogona kupihwa nenzira dzakasiyana, zvichienderana neyako wega subtype uye mamiriro. Dzimwe nzira chemotherapy dzinogona kupa dzinosanganisira:
- Mutsinga (IV) – kuburikidza nekudonhedza mutsinga yako (yakawanda kwazvo).
- Mapiritsi emuromo, capsules kana mvura - inotorwa nemuromo.
- Intrathecal - yakapiwa kwauri nachiremba ane tsono kumusana kwako, uye mumvura inopoteredza musana wako uye uropi.
- Subcutaneous - jekiseni (tsono) rinopihwa munyama ine mafuta pasi peganda rako. Inowanzo kupihwa mudumbu rako (mudumbu nzvimbo) asi inogona zvakare kupihwa kumusoro kweruoko kana gumbo.
- Topical - mamwe lymphomas eganda (akacheka) anogona kurapwa nechemotherapy cream.
Chii chinonzi chemotherapy cycle?
Chemotherapy inopiwa mu "macycles", zvinoreva kuti iwe uchave uine chemo yako kwezuva rimwe kana kupfuura, wobva wazorora kwemavhiki maviri kana matatu usati wawedzera chemo. Izvi zvinoitwa nekuti masero ako ane hutano anoda nguva yekupora usati wawana mamwe marapirwo.
Rangarira pamusoro apa takataura kuti chemo inoshanda nekurwisa masero ari kukurumidza kukura. Mamwe masero ako ari kukura nekukurumidza anogonawo kusanganisira masero ako eropa ane hutano. Izvi zvinogona kudzikira kana uine kemo.
Nhau dzakanaka ndedzekuti masero ako ane hutano anopora nekukurumidza kupfuura yako lymphoma masero. Saka mushure mekutenderera kwega kwega - kana kutenderera kwekurapa, iwe uchave nekuzorora apo muviri wako unoshanda kugadzira masero matsva akanaka. Kana maseru aya achinge adzoka kusvika padanho rakachengeteka, iwe unenge uine kutenderera kunotevera - izvi zvinowanzova mavhiki maviri kana matatu zvichienderana neprotocol yauri kuita zvakadaro, kana maseru ako akatora nguva yakareba kuti apore, chiremba wako anogona kukurudzira kuzorora kwenguva refu. Vanogonawo kupa mamwe marapiro anotsigira kubatsira masero ako akanaka kupora. Ruzivo rwakawanda pamusoro pemishonga inotsigira inogona kuwanikwa zvakare pasi peji ino.
Ruzivo rwakawanda nezvemaprotocol ekurapa uye mhedzisiro yawo
Zvichienderana ne subtype yako ye lymphoma unogona kutenderera mana, matanhatu kana kupfuura. Kana ese aya matenderedzwa akaiswa pamwechete anonzi yako protocol kana regimen. Kana iwe uchiziva zita re chemotherapy protocol yako, unogona tsvaga rumwe ruzivo, kusanganisira zvinotarisirwa mhedzisiro pairi pano.
Kuti uwane rumwe ruzivo nezve chemotherapy, tinya bhatani riri pazasi pemhando dzekurapa chikamu kuti uone vhidhiyo pfupi.
Monoclonal antibodies (MABs) yakatanga kushandiswa kurapa lymphoma mukupera kwema1990. Zvisinei, mumakore achangopfuura mamwe akawanda anorwisa mabhakitiriya emonoclonal akagadzirwa. Vanogona kushanda zvakananga kurwisana ne lymphoma yako kana kukwezva masero ako ekudzivirira zvirwere kune masero ako e-lymphoma kuti arwise uye auraye. MaMAB ari nyore kuziva nekuti paunoshandisa zita ravo rekare (kwete zita remhando), anogara achipera nemavara matatu "mab". Mienzaniso yeMABs inowanzoshandiswa kurapa lymphoma inosanganisira rituximab, obinutuzumab, pembrolizumab.
Mamwe maMAB, akadai se rituximab uye obinutuzumab anoshandiswa parutivi chemo kurapa lymphoma yako. Asi ivo zvakare vanowanzoshandiswa sea “kuchengetedza” kurapwa. Apa ndipo paunopedza kurapwa kwako kwekutanga uye wave nemhinduro yakanaka. Ipapo iwe unoramba uine MAB chete kweanenge makore maviri. Izvi zvinobatsira kuchengetedza lymphoma yako mukuregererwa kwenguva yakareba.
Ko monoclonal antibodies inoshanda sei?
Monoclonal antibodies inoshanda chete kurwisa lymphoma kana iine mapuroteni chaiwo kana immune checkpoints pavari. Haasi ose masero e-lymphoma achave nezviratidzo izvi, uye mamwe anogona kunge ane chiratidzo chimwe chete, asi vamwe vanogona kuva nezvimwe. Mienzaniso yeizvi inosanganisira CD20, CD30 nePD-L1 kana PD-L2. Monoclonal antibodies anogona kurwisa cancer yako nenzira dzakasiyana:
chaipoipo
Immune inobatanidza
Immune inobata MABs inoshanda nekuzvisungirira kune yako lymphoma maseru uye kukwezva mamwe masero e immune system yako kune lymphoma. Aya masero ekudzivirira anogona kuzorwisa zvakananga lymphoma.
Mienzaniso yeakananga uye kudzivirira immune kuita maMAB anoshandiswa kurapa lymphoma kana CLL inosanganisira rituximab uye obinutuzumab.
Immune-checkpoint inhibitors
Immune checkpoint inhibitors imhando nyowani yemonoclonal antibody inonanga yako immune system.
Mamwe magomarara, kusanganisira mamwe masero e-lymphoma anochinja kuti akure "immune checkpoints" paari. Kuongorora kwekudzivirira muviri inzira yekuti masero ako azviratidze seakajairika "self-sero" . Izvi zvinoreva kuti immune system yako inoona immune yekutarisa, uye inofunga kuti lymphoma isero rine hutano. Saka immune system yako hairwise lymphoma, pachinzvimbo ichiibvumira kukura.
Mienzaniso ye immune checkpoint inhibitors inoshandiswa kurapa lymphoma inosanganisira pembrolizumab uye nivolumab.
Immune checkpoint inhibitors inonamatira kune immune checkpoint pane yako lymphoma cell kuitira kuti immune system yako isaone cheki. Izvi zvinobva zvaita kuti immune system yako ione lymphoma segomarara, uye wotanga kurwisa.
Zvakare nekuve MAB, Immune Checkpoint Inhibitors imhando ye immunotherapy, nekuti inoshanda nekunangisa immune system yako.
Zvimwe zvisingawanzo mhedzisiro kubva kune immune checkpoint inhibitors zvinogona kutungamira kukuchinja kwechigarire senge thyroid matambudziko, chirwere cheshuga Type 2 kana matambudziko ekubereka. Izvi zvingada kutarisirwa nemimwe mishonga kana nachiremba akasiyana. Taura nachiremba wako nezve njodzi dziripo nekurapa.
Cytokine inhibitors
Pamwe nekuve MAB, Cytokine Inhibitors imhando ye immunotherapy, nekuti inoshanda nekutarisa immune system yako.
Zvimwe zvisingawanzo mhedzisiro kubva ku cytokine inhibitors zvinogona kutungamirira kukuchinja kwechigarire senge matambudziko ethyroid, chirwere cheshuga Type 2 kana matambudziko ekubereka. Izvi zvingada kutarisirwa nemimwe mishonga kana nachiremba akasiyana. Taura nachiremba wako nezve njodzi dziripo nekurapa.
Bispecific monoclonal antibodies
Conjugated
More mashoko
Zvikonzero zveMonoclonal antibodies (MABs)
- Fivha, kutonhora kana kudedera (kuoma)
- Tsvina kurwadziwa uye kurwadziwa
- Diarrhea
- Rash pamusoro peganda rako
- Nausea uye kana kurutsa
- Kuderera kweropa (hypotension)
- Flu-like zviratidzo.
Immunotherapy ishoko rinoshandiswa pakurapa kunonangana immune system yako pane lymphoma yako. Vanoita izvi kuti vachinje chimwe chinhu nezve nzira iyo immune system yako inoziva uye kurwisa lymphoma yako.
Mhando dzakasiyana dzekurapa dzinogona kunzi immunotherapy. Mamwe maMAB anonzi Immune Checkpoint Inhibitors kana Cytokine Inhibitors imhando ye immunotherapy. Asi mamwe marapirwo akadai semamwe anonangwa marapiro kana CAR T-cell therapy zvakare marudzi e immunotherapy.
Mamwe masero e-lymphoma anokura ane mucherechedzo chaiwo pasero iro masero ako ane hutano asina. Targeted therapies mishonga inongoziva iyo chaiyo marker, saka inogona kutaurira musiyano pakati pe lymphoma uye masero ane hutano.
Iwo anonangwa marapirwo anobva anamatira kune mucherechedzo pane lymphoma cell uye woimisa kubva pakuwana chero masaini kukura nekupararira. Izvi zvinoita kuti lymphoma isakwanise kuwana chikafu uye simba rinoda kukura, zvichikonzera kuti lymphoma cell ife.
Nekunamatira chete kumaki pamasero e-lymphoma, kurapwa kwakanangwa kunogona kudzivirira kukuvadza masero ako ane hutano. Izvi zvinokonzeresa kushomeka-mhedzisiro pane systemic kurapwa senge chemo, isingakwanise kutaurira mutsauko pakati pe lymphoma neane hutano masero.
Side-effects of targeted therapy
Unogona kuwana maside-effects kubva kune kwakanangwa therapy zvakadaro. Mamwe anogona kunge akafanana nemhedzisiro yemamwe marapirwo ekurwisa cancer, asi anogadziriswa zvakasiyana. Ita shuwa kuti unotaura nachiremba wako kana mukoti ane mazvikokota nezve izvo zvinokonzeresa zvekutarisira, uye zvaunofanira kuita kana ukazviwana.
Zvakajairwa mhedzisiro yekunangwa kurapa inogona kusanganisira:
- chirwere
- muviri kurwadziwa uye kurwadziwa
- kubuda ropa nekupwanya
- chirwere
- kuneta
Mazhinji anonangwa marapirwo, mamwe chemotherapies uye immunotherapies anotorwa nemuromo sehwendefa kana capsule. Mishonga yekurwisa cancer inotorwa nemuromo inowanzonziwo "oral therapies". Zvakakosha kuziva kana kurapa kwako nemuromo ndeye kurapa kwakanangwa kana chemotherapy. Kana usina chokwadi bvunza chiremba wako kana mukoti.
Maside-effects aunofanirwa kutarisa, uye magadzirisiro aunoaita anozosiyana zvichienderana nerudzi rweoral therapy yauri kutora.
Mamwe marapirwo akajairika emuromo anoshandiswa kurapa lymphoma akanyorwa pazasi.
Kurapa nemuromo - Chemotherapy
Zita remushonga | Zvizhinji zvakajairika side-effects |
Chlorambucil | Ropa rakaderera Kurwara Nausea & kurutsa Diarrhea |
Cyclophosphamide | Ropa rakaderera Kurwara Nausea & kurutsa Kufirwa kwechido |
Etoposide | Nausea & kurutsa Kufirwa kwechido Diarrhea Kuneta |
Oral therapy - Yakanangwa uye Immunotherapy
Zita remushonga | Inotarirwa kana immunotherapy | Subtypes yeLymphoma / CLL inoshandiswa | Main side-effects |
Acalabrutinib | Targeted (BTK Inhibitor) | kurwadziwa nemusoro Diarrhea Kuwedzera kwehuwandu | |
| Zanubrutinib | Targeted (BTK Inhibitor) | Ropa rakaderera Mapundu Diarrhea | |
Ibrutinib | Targeted (BTK Inhibitor) |
| Matambudziko emoyo mutinhimira Matambudziko ekubvisa High blood pressure Infections |
Idelalisib | Targeted (PL3K Inhibitor) | Diarrhea Zvinetso zvechiropa Matambudziko emapapu Utachiona | |
Lenalidomide | immunotherapy | Inoshandiswa mune zvimwe NHLs | Kushanda kweganda Nausea Diarrhea |
Venetoclax | Targeted (BCL2 Inhibitor) | Nausea Diarrhea Matambudziko ekubvisa Kurwara | |
Vorinostat | Targeted (HDAC Inhibitor) | Kufirwa kwechido Dry mouth Kuora bvudzi zvirwere | |
Chii chinonzi stem cell?
Kuti unzwisise stem cell kana bone marrow transplants, unofanirwa kunzwisisa kuti stem cell chii.
Masero masero masero eropa eropa anokura mumwongo wako. Iwo akakosha nekuti ane kugona kuvandudza mune chero chero ropa sero rinoda muviri wako, kusanganisira:
- masero matsvuku eropa - anotakura oxygen kutenderedza muviri wako
- chero masero ako machena eropa kusanganisira yako lymphocytes uye neutrophils inokudzivirira kubva kuhosha uye kutapukira
- maplatelet – ayo anobatsira ropa rako kugwamba kana ukadhumha kana kuzvikuvadza, kuitira kuti usabuda ropa kana maronda akawandisa.
Miviri yedu inogadzira mabhiriyoni emasero matsva zuva rega rega nekuti masero edu eropa haana kuitwa kuti ararame nekusingaperi. Saka mazuva ese, miviri yedu iri kushanda nesimba kuchengetedza masero edu eropa ari panhamba chaiyo.
Chii chinonzi stem cell kana bone marrow transplant?
A stem cell transplant inzira inogona kushandiswa kurapa lymphoma yako, kana kukuchengetedza mukuregererwa kwenguva yakareba kana pane mukana mukuru we lymphoma yako ichadzoka zvakare (dzoka). Chiremba wako anogonawo kukurudzira stem cell transplant kwauri kana lymphoma yako yadzoka.
A stem cell transplant inzira yakaoma uye inopindira inoitika mumatanho. Varwere vari kuita stem cell transplant vanotanga kugadzirwa nechemotherapy chete kana musanganiswa neradiotherapy. Mushonga wechemotherapy unoshandiswa mu stem cell transplants unopihwa pamadosi akakwira kupfuura zvakajairwa. Sarudzo yechemotherapy yakapihwa padanho iri zvinoenderana nerudzi uye chinangwa chekuisirwa. Kune nzvimbo nhatu dzekuti stem masero ekutapurirana anogona kuunganidzwa kubva:
Bone marrow cells: stem masero anounganidzwa zvakananga kubva mumwongo uye anonzi a 'bone marrow transplant' (BMT).
Peripheral stem masero: stem masero anounganidzwa kubva muropa uye izvi zvinonzi a 'peripheral blood stem cell transplant' (PBSCT). Iyi ndiyo inonyanya kuwanika ye stem masero anoshandiswa pakusimwa.
Cord blood: stem masero anounganidzwa kubva mumbilical cord mushure mekuberekwa kwechecheche. Izvi zvinonzi a 'cord blood transplant', uko izvi zvisinganyanyi kuwanda pane peripheral kana bone marrow transplants.
Mamwe ruzivo nezve Stem Cell Transplants
Kuti uwane rumwe ruzivo nezve stem cell transplants ona edu anotevera mapeji ewebhu.
Stem cell transplants – muchidimbu
Autologous stem cell transplants - uchishandisa yako wega stem masero
Allogeneic stem cell transplants - kushandisa masero emunhu (anopa) emumwe munhu
CAR T-cell therapy mushonga mutsva unoshandisa uye unosimudzira yako immune system kurwisa lymphoma yako. Inongowanikwa kune vanhu vane mamwe marudzi e-lymphoma anosanganisira:
- Primary Mediastinal B-Cell Lymphoma (PMBCL)
- Yakadzokororwazve kana kuti refractory Diffuse Yakakura B-Cell Lymphoma (DLBCL)
- Yakashandurwa Follicular Lymphoma (FL)
- B-cell Acute Lymphoblastic Lymphoma (B-ALL) yevanhu vane makore makumi maviri nemashanu kana pasi
Wese muAustralia ane subtype inokodzera yelymphoma, uye anosangana nezvinodiwa anogona kuwana CAR T-cell therapy. Zvakadaro kune vamwe vanhu, ungangoda kufamba uye kugara muguta rakakura kana kune imwe nyika kuti uwane kurapwa uku. Mari yeizvi inovharwa kuburikidza nemari yekurapwa, saka haufanirwe kubhadharira rwendo kana pekugara kuti uwane kurapwa uku. Mari yemuchengeti mumwe chete kana munhu anotsigira inovharwawo.
Kuti uwane ruzivo rwekuti ungawana sei kurapwa uku ndapota bvunza chiremba wako nezvezvirongwa zvekutsigira murwere. Iwe unogona zvakare kuona yedu CAR T-cell therapy peji rewebhu pano kuti uwane rumwe ruzivo nezveCAR T-cell therapy.
CAR T-cell therapy inopihwa kupi?
MuAustralia, CAR T-cell therapy parizvino inopihwa munzvimbo dziri pazasi:
- Western Australia - Fiona Stanley Hospital.
- New South Wales - Royal Prince Alfred.
- New South Wales - Westmead Hospital.
- Victoria - Peter MacCallum cancer centre.
- Victoria - The Alfred Hospital.
- Queensland - Royal Brisbane uye Chipatara chevakadzi.
- South Australia - gara wakatarisa.
Kune zvakare miedzo yekiriniki iri kutarisa kuCAR T-cell therapy kune mamwe madiki e lymphoma. Kana iwe uchifarira, bvunza chiremba wako nezve chero miedzo yekiriniki yaungakodzera.
Kuti uwane ruzivo nezveCAR T-cell therapy, tinya pano. Ichi chinongedzo chinokuendesa kunyaya yaKim, kwaanotaura nezve ruzivo rwake rwekupfuura nemuCAR T-cell therapy kumurapa Diffuse hombe B-cell lymphoma (DLBCL). Mamwe malink eruzivo rwakawanda nezveCAR T-cell therapy anopihwa zvakare.
Iwe unogona zvakare kutibata paLymphoma Australia nekudzvanya pakanzi "taura nesu" pazasi peji rino.
Mamwe ma lymphoma anogona kukonzerwa nehutachiona. Muzviitiko zvisingawanzoitiki, lymphoma inogona kurapwa nekurapa utachiona.
Kune mamwe marudzi e-lymphoma, akadai semarginal zone MALT lymphomas, lymphoma inomira kukura uye inozopedzisira yafa kana zvirwere zvabviswa. Izvi zvinowanzoitika mugastric MALT inokonzerwa neH. pylori zvirwere, kana kuti kwete-gastric MALTs apo chikonzero chiri hutachiona mukati kana kumativi emeso.
Kuvhiya kunogona kushandiswa kubvisa lymphoma zvachose. Izvi zvinogona kuitwa kana iwe imwe yenzvimbo ye lymphoma inogona kubviswa nyore nyore. Inogonawo kudiwa kana une splenic lymphoma kubvisa spleen yako yose. Kuvhiya uku kunonzi splenectomy.
Spleen yako inhengo hombe ye immune system yako uye lymphatic system. Ndiko kunogara mazhinji emalymphocyte ako, uye uko B-masero ako anoita masoja ekudzivirira chirwere.
Spleen yako inobatsirawo kusefa ropa rako, kutyora masero matsvuku ekare kuti agadzirise masero matsva ehutano uye kuchengetedza masero machena eropa uye maplatelet, izvo zvinobatsira ropa rako kugwamba. Kana iwe uchida splenectomy, chiremba wako achataura newe pamusoro pezvidziviriro zvaungada kutora mushure mekuvhiyiwa kwako.
Miedzo yemakiriniki inzira yakakosha yekutsvaga marapirwo matsva, kana misanganiswa yemishonga yekuvandudza mhedzisiro yevarwere vane lymphoma kana CLL. Ivo zvakare vanogona kukupa iwe mukana wekuyedza mhando nyowani dzekurapa dzisina kumbobvumidzwa kune iwe rudzi rwe lymphoma.
Kuti udzidze zvakawanda nezve miedzo yekiriniki, ndapota shanyira peji redu rewebhu pa Kunzwisisa Clinical Miedzo nekudzvanya pano.
Kurapwa isarudzo yako. Kana uchinge wawana ruzivo rwese rwakakodzera, uye wawana mukana wekubvunza mibvunzo, mafambiro aunoita zviri kwauri.
Kunyange zvazvo vanhu vakawanda vachisarudza kurapwa, vamwe vangasarudza kusarapwa. Pachine zvakawanda zvekutarisira zvinotsigira iwe zvaunogona kuwana kuti zvikubatsire kurarama zvakanaka kwenguva yakareba sezvinobvira, uye kuronga zvinhu zvako.
Palliative care timu uye vashandi vezvemagariro itsigiro huru yekubatsira kuronga zvinhu paunenge uchigadzirira kupera kwehupenyu, kana kugadzirisa zviratidzo.
Taura nachiremba wako nezve kutumirwa kuzvikwata izvi.
Maside-effects eKurapa
Kuti uwane ruzivo nezve yakananga mhedzisiro yekurapa lymphoma/CLL uye maitiro ekuzvigadzirisa, ndapota tinya pane iyi link iripazasi.
Zvepabonde uye Zvepabonde kushamwaridzana panguva yekurapa lymphoma
Hupenyu hwepabonde hune hutano uye hukama hwepabonde chinhu chakajairika uye chakakosha chekuve munhu. Saka zvakakosha kutaura pamusoro pekuti kurapwa kwako kungakanganisa sei bonde rako.
Vazhinji vedu takarerwa tichifunga kuti hazvina kunaka kutaura nezvebonde. Asi chaizvoizvo chinhu chakajairika, uye kutaura nezvazvo kunonyanya kukosha kana uine lymphoma uye uri kutanga kurapwa.
Vanachiremba vako navanamukoti ndivo vanokupa ruzivo rwakakura, uye havazofunge zvakasiyana nezvako, kana kukubata zvakasiyana kana ukavabvunza nezvenyaya dzine chekuita nebonde. Inzwa wakasununguka kubvunza chero chaunoda kuziva nezvazvo.
Iwe unogona zvakare kutipa runhare kuLymphoma Australia, ingo dzvanya pabhatani rekutibata pazasi peji rino kune yedu ruzivo.
Ndinogona kuita bonde ndichiri kurapwa lymphoma?
Ehe! Asi pane dzimwe dziviriro dzaunofanira kutora.
Kuva nelymphoma, uye marapirwo ayo anogona kuita kuti unzwe wakaneta uye usina simba. Mune zvimwe zviitiko, ungasanzwa uchida kuita zvepabonde, uye izvozvo zvakanaka. Kuda kungogumhana kana kusangana pabonde pasina bonde zvakanaka, uye kuda kuita bonde zvakanakawo. Kana ukasarudza kuita bonde, zvinogona kubatsira kushandisa mafuta ekuzora sezvo mamwe marapiro achigona kukonzera kuoma kwemukadzi kana kusashanda zvakanaka kwe erectile.
Hukama hwepedyo hahudi kutungamirira kubonde, asi hunogona kuunza mufaro wakawanda nekunyaradza. Asi kana wakaneta uye usingade kubatwa ndizvowo zvakajairika. Iva akatendeseka kune mumwe wako pane zvaunoda.
Kukurukurirana kwakavhurika uye zvine ruremekedzo nemumwe wako kwakakosha kuti uve nechokwadi chekuti mese makachengetedzwa, uye kuchengetedza hukama hwenyu.
Ngozi yehutachiona uye kubuda ropa
Yako lymphoma, kana marapirwo ayo anogona kuita kuti zvive nyore kuti uwane hutachiona kana kubuda ropa nekupwanya nyore. Izvi zvinoda kutariswa pakuita bonde. Nekuda kweizvi, uye mukana wekunzwa kuneta zviri nyore, ungangoda kuongorora masitaera akasiyana uye zvinzvimbo zvebonde.
Kushandisa lubrication kunogona kubatsira kudzivirira microtears inowanzoitika panguva yebonde, uye inogona kubatsira kudzivirira hutachiona uye kubuda ropa.
Kana iwe wakambova nehutachiona hwehutachiona hwepabonde, hwakadai se herpes kana genital warts unogona kuva nemoto. Chiremba wako anogona kukwanisa kukupa mishonga inorwisa mavhairasi panguva yekurapa kwako kudzivirira, kana kuderedza kuoma kwekuputika. Taura nachiremba wako kana mukoti kana wakambove nehutachiona hwepabonde munguva yakapfuura.
Kana iwe kana mudiwa wako makamboita chirwere chepabonde, kana iwe usina chokwadi, shandisa zvidziviriro zvekudzivirira zvakadai sedhamu remazino kana kondomu ine spermicide kudzivirira utachiona.
Mumwe wangu anoda kuchengetedzwa here?
Mimwe mishonga yekurwisa cancer inogona kuwanikwa mumvura dzese dzemuviri dzinosanganisira urume nekubuda kwemukadzi. Nechikonzero ichi, zvakakosha kushandisa zvidziviriro zvinodzivirira senge madhamu emazino kana makondomu uye spermicide. Kuita zvepabonde kusina kudzivirirwa mukati memazuva manomwe ekutanga mushure mekurapwa kwechirwere chegomarara kunogona kukuvadza mumwe wako. Barrier protection inodzivirira mumwe wako.
Ndinogona kuwana (kana kutora mumwe munhu) pamuviri panguva yekurapwa?
Kuva nepamuviri panguva yekurapa kuchakanganisawo maitiro ako ekurapa, uye zvinogona kutungamira kunonoka mukurapa kwaunoda kudzora lymphoma yako.
More mashoko
Kuti uwane rumwe ruzivo, taura neboka rako rinorapa kuchipatara chako kana kukiriniki, kana taura nachiremba wenzvimbo yako (GP). Zvimwe zvipatara zvine vanamukoti vanoita zvekuchinja pabonde panguva yekurapa cancer. Unobvunza chiremba wako kana mukoti kana uchikwanisa kuendeswa kune mumwe munhu anonzwisisa uye ane ruzivo rwekubatsira varwere vane shanduko idzi.
Iwe unogona zvakare kubaya bhatani riri pazasi kuti utore pepa redu rechokwadi.
Kubata pamuviri panguva yekurapa lymphoma
Kunyange zvazvo tataura pamusoro pekusava nepamuviri, kana kutora mumwe munhu pamuviri panguva yekurapa, kune vamwe vanhu, kuongororwa kwe lymphoma kunoitika mushure mokunge watova nepamuviri. Mune zvimwe zviitiko, kubata pamuviri kunogona kuitika sechishamiso panguva yekurapa.
Zvakakosha kuti utaure neboka rako revarapi nezvesarudzo dzauinadzo.
Kutsigira Therapies - zvigadzirwa zveropa, kukura kwezvinhu, steroids, marwadzo ekugadzirisa, complementary & alternative therapy
Mishonga inotsigira haishandiswe kurapa lymphoma yako, asi zviri nani kuvandudza hupenyu hwako paunenge uchirapa lymphoma kana CLL. Yakawanda ichave yekubatsira kuderedza mhedzisiro, kugadzirisa zviratidzo kana kutsigira immune system yako uye kupora kweropa.
Dzvanya pamisoro iri pazasi kuti uverenge nezve mamwe marapirwo aungangopihwa.
Lymphoma neCLL pamwe nekurapwa kwavo zvinogona kukonzera kuti uve neuwandu hwakaderera hwemasero eropa ane hutano. Muviri wako unogona kazhinji kujairana nematanho akaderera, asi mune dzimwe nguva, unogona kuona zviratidzo. Muzviitiko zvisingawanzoitiki zviratidzo izvi zvinogona kutyisa upenyu.
Kuwedzerwa ropa kunogona kubatsira kuwedzera huwandu hweropa rako nekukupa kuisirwa kwemasero aunoda. Izvi zvinogona kusanganisira kuwedzerwa kwemasero matsvuku eropa, kuwedzerwa kweplatelet kana kuchinjwa kweplasma. Plasma ndicho chikamu chemvura yeropa rako uye inotakura masoja ekudzivirira chirwere uye zvimwe zvinogwambisa izvo zvinobatsira kuve nechokwadi chekuti ropa rinogwamba zvakanaka.
Australia ine imwe yenzvimbo dzakachengeteka dzeropa munyika. Ropa rinobva kune anopa rinoongororwa (kuchinjika) neropa rako pachako kuona kuti rinoenderana. Ropa revanopa ropa rinozoongororwawo utachiona hunobva muropa hunosanganisira HIV, Hepatitis B, Hepatitis C neHuman T-lymphotropic virus. Izvi zvinoita shuwa kuti hausi panjodzi yekuwana mavhairasi aya kubva mukuwedzerwa kwako.
Kuwedzerwa masero matsvuku eropa
Masero matsvuku eropa ane puroteni yakakosha paari inonzi hemoglobin (hee-moh-glow-bin). Hemoglobin ndiyo inopa ropa redu ruvara rutsvuku uye ndiyo ine basa rekutakura oxygen ichitenderedza miviri yedu.Platelets
Platelets iruvara rweyero uye rinogona kuwedzerwa - rakapihwa kwauri mutsinga yako kuti uwedzere mazinga ako eplatelet.
Intragam (IVIG)
Intragam infusion ye immunoglobulins - neimwe nzira inozivikanwa semasoja ekudzivirira chirwere.
Yako B-cell lymphocytes inogadzira masoja ekudzivirira chirwere uye zvirwere. Asi kana uine lymphoma, B-masero ako angave asingakwanisi kugadzira masoja ekudzivirira chirwere akakwana kuti uchengetedze hutano.
Kana iwe ukaramba uchiwana hutachiona, kana uine dambudziko rekubvisa hutachiona, chiremba wako anogona kukupa intragam iwe.
Kukura kwezvinhu mishonga inoshandiswa kubatsira mamwe masero ako eropa kukura nekukurumidza. Inonyanya kushandiswa kukurudzira mwongo wako kuti ugadzire mamwe masero machena eropa, kubatsira kukudzivirira kubva kuhutachiona.
Unogona kuva nazvo sechikamu che chemo protocol yako kana zvichibvira iwe uchada imwe rutsigiro kugadzira maseru matsva. Iwe unogona zvakare kuva nazvo kana iwe uine stem cell transplant saka muviri wako unogadzira akawanda stem maseru kuti aunganidzwe.
Mune zvimwe zviitiko kukura kunogona kushandiswa kukurudzira mwongo wako kuti ubudise masero matsvuku akawanda, kunyange izvi zvisingawanzoitiki kune vanhu vane lymphoma.
Mhando dzekukura kwezvinhu
Granulocyte-colony stimulating factor (G-CSF)
Granulocyte-colony stimulating factor (G-CSF) chinhu chinowanzokura chinoshandiswa kune vanhu vane lymphoma. G-CSF ihomoni yechisikigo inogadzirwa nemiviri yedu, asi inogonawo kugadzirwa semushonga. Mimwe mishonga yeG-CSF inoshanda kwenguva pfupi asi mimwe iri kushanda kwenguva refu. Mhando dzakasiyana dzeG-CSF dzinosanganisira:
- Lenograstim (Granocyte®)
- Filgrastim (Neupogen®)
- Lipegfilgrastim (Lonquex®)
- Pegylated filgrastim (Neulasta®)
Maside effects emajekiseni eG-CSF
Nekuti G-CSF inokurudzira mwongo wako kuti ugadzire masero machena eropa nekukurumidza kupfuura zvakajairika, unogona kuwana mamwe maside-effects. Mimwe mhedzisiro inogona kusanganisira:
- chimhepo
- Kuneta
- Kuora bvudzi
- Diarrhea
- Chizutu
- Mapundu
- Headaches
- Kurwadziwa kwepfupa.
Cherechedza: Vamwe varwere vanogona kutambura nekurwadziwa kwakanyanya kwepfupa, kunyanya muzasi mako. Izvi zvinoitika nekuti majekiseni eG-CSF anokonzera kukurumidza kuwedzera kweneutrophils (masero machena eropa), zvichikonzera kuzvimba mumwongo wako. Mwongo wepfupa unonyanya kuwanikwa munzvimbo yako yepelvic (hudyu / yezasi), asi iripo mumapfupa ako ese.
Kurwadza uku kunowanzoratidza kuti masero machena eropa ari kudzoka.
Vechidiki dzimwe nguva vanorwadziwa zvakanyanya nekuti mwongo uchiri wakaonda kana uchiri mudiki. Vanhu vakura vane mwongo wemapfupa mashoma, saka pane nzvimbo yakawanda yekuti masero machena akure pasina kukonzera kuzvimba. Izvi zvinowanzokonzera marwadzo mashoma - asi kwete nguva dzose. Zvinhu zvinogona kubatsira kuderedza kusagadzikana:
- Paracetamol
- Heat pack
- Loratadine: an over the counter antihistamine, iyo inoderedza mhinduro yekuzvimba
- Bata timu yekurapa kuti ugamuchire analgesia yakasimba kana zviri pamusoro zvisingabatsire.
Rarer side-effect
Muzviitiko zvisingawanzoitiki, spleen yako inogona kuzvimba (kukura), itsvo dzako dzinogona kukuvara.
Kana iwe ukasangana nechimwe chezvinotevera zviratidzo paunenge uine G-CSF, taura nachiremba wako nekukurumidza kuti uwane mazano.
- Kunzwa kuzara kana kusagadzikana kuruboshwe rwedumbu, pasi pembabvu
- Marwadzo kuruboshwe rwedumbu
- Marwadzo pamucheto webendekete rekuruboshwe
- Dambudziko rekubuda weti (wee), kana kubuda zvishoma pane zvakajairika
- Shanduko kuruvara rweweti yako kuita dzvuku kana rima rakasvibira ruvara
- Kuzvimba makumbo kana tsoka
- Trouble breathing
Erythropoietin
Erythropoietin (EPO) chinhu chinokura chinokurudzira kukura kwemasero matsvuku eropa. Haiwanzoshandiswa nokuti masero matsvuku eropa akaderera anowanzotarisirwa nekuwedzerwa ropa.
Kana iwe usingakwanisi kuwedzerwa ropa nekuda kwezvokurapa, zvemweya kana zvimwe zvikonzero, unogona kupiwa erythropoietin.
Steroids imhando yehomoni iyo miviri yedu inogadzira. Zvisinei anogonawo kugadzirwa murabhoritari semushonga. Mhando dzakawanda dzema steroid dzinoshandiswa pakurapa vanhu vane lymphoma imhando inonzi corticosteroids. Izvi zvinosanganisira mishonga kuuchi, methylprednisolone uye dexamenthasone. Izvi zvakasiyana nemhando dze steroid dzinoshandiswa nevanhu kuvaka tsandanyama yemuviri.
Sei steroid inoshandiswa mu lymphoma?
Steroids inoshandiswa pamwe chete nechemotherapy yako, uye inofanira kutorwa kwenguva pfupi chete sekurairwa kwawakaitwa nehematologist yako kana oncologist. Steroids inoshandiswa kune zvikonzero zvakawanda mukurapa lymphoma.
Izvi zvinogona kusanganisira:
- Kurapa lymphoma pachayo.
- Kubatsira mamwe marapirwo akadai sechemotherapy kushanda zviri nani.
- Kuderedza allergic reactions kune mamwe mishonga.
- Kuvandudza mhedzisiro senge kuneta, kuda kurutsa, uye kusada kudya.
- Kuderedza kuzvimba kunogona kunge kuri kukukonzera matambudziko. Semuenzaniso kana uine spinal cord compression.
Side-effects of steroids
Steroids inogona kukonzera akati wandei asingadiwi mhedzisiro. Muzhinji izvi ndezvenguva pfupi uye zvinova nani mazuva mashoma mushure mekunge warega kuzvitora.
Zvakajairika side-effects zvinosanganisira:
- Mudumbu kurwadza kana kuchinja kuchimbuzi chako
- Kuwedzera kudya uye kuwedzera uremu
- Kukwira kweropa kupfuura zvakajairika
- Osteoporosis (mapfupa asina simba)
- Fluid retention
- Kuwedzerwa njodzi yehutachiona
- Maitiro anofamba
- Kutadza kurara (insomnia)
- Utsi husina simba
- Yakakwira shuga yeropa (kana mhando 2 chirwere cheshuga). Izvi zvinogona kuguma newe
- kunzwa nyota
- kuda kuita weti (wee) kakawanda
- kuva neglucose yeropa
- kuva nehuwandu hweshuga muweti
Mune zvimwe zviitiko, kana mazinga ako eshuga eropa akanyanya kukwira, ungangoda kurapwa ne insulin kwechinguva chidiki, kusvika wabva pane steroid.
Chimiro nemaitiro zvinoshanduka
Steroids inogona kukanganisa mafungiro uye maitiro. Vanogona kukonzera:
- kunzwa kunetseka kana kusagadzikana
- kushanduka kwemweya (moods inokwira nekudzika)
- kuora mwoyo kana kuora mwoyo
- kunzwa kuda kuzvikuvadza kana kukuvadza vamwe.
Kuchinja kwemafungiro uye maitiro kunogona kutyisa zvikuru kune munhu anotora steroids, uye vadiwa vavo.
Kana ukacherechedza chero shanduko mune yako, kana vadiwa vako mafungiro uye maitiro paunenge uchitora steroid, taura nachiremba wako pakarepo. Dzimwe nguva kuchinja kwedhesi, kana kushandura kune imwe steroid inogona kuita mutsauko wose kuti ikubatsire kunzwa zviri nani. Udza chiremba kana mukoti kana paine shanduko muchimiro chako kana maitiro. Panogona kunge paine shanduko pakurapa kana mhedzisiro iri kukonzera matambudziko.
Mazano ekutora steroids
Kunyangwe isu tisingakwanise kumisa zvisingadiwe mhedzisiro kubva kune steroids, pane zvimwe zvinhu zvaunogona kuita kuti uderedze kushata kwazvakaita kwauri. Pazasi pane mamwe matipi aungade kuedza.
- Zvitore mangwanani. Izvi zvichabatsira nesimba mukati mezuva, uye tinotarisira kupera husiku kuitira kuti ugone kurara zviri nani.
- Zvitore nemukaka kana chikafu kuti udzivirire dumbu rako uye kuderedza marwadzo uye kunzwa kwekusvotwa
- Usaerekana wamira kutora steroid pasina kuraira kwachiremba - izvi zvinogona kukonzera kuregera uye kusanyanya kufadza. Mamwe madosi epamusoro angangoda kumira zvishoma nezvishoma nedosi diki zuva rega rega.
Nguva yekusangana nachiremba wako
Mune zvimwe zviitiko ungada kuonana nachiremba wako usati wasangana. Kana chimwe chezvinotevera chikaitika paunenge uchitora steroid, ndapota zivisa chiremba wako nekukurumidza sezvinobvira.
- zviratidzo zvekuramba kwemvura zvakadai sekufema kwenguva pfupi, kunetseka kufema, kuzvimba kwetsoka kana makumbo ezasi, kana kukurumidza kuwedzera uremu.
- kuchinja kumafungiro ako kana maitiro
- zviratidzo zvehutachiona zvakadai sekushisa kwakanyanya, chikosoro, kuzvimba kana chero kuzvimba.
- kana uine mamwe maside-effects arikunetsa.
Mimwe mishonga inodyidzana nesteroids izvo zvinogona kuita kuti mumwe kana ese ari maviri asashande nenzira yaanofanirwa kuita. Taura nachiremba wako kana wemishonga pamusoro pemishonga yose uye zvinowedzera zvauri kutora kuitira kuti vagone kuve nechokwadi kuti hapana achave nekubatana kune ngozi ne steroids yako.
Kana iwe wakanyorerwa steroids, taura nachiremba wako kana wemishonga usati:
- Kuva nemishonga mhenyu (kusanganisira mishonga yekudzivirira chickenpox, gwirikwiti, mumps uye rubella, polio, shingles, tuberculosis)
- Kutora mishonga yemishonga kana pamusoro pemishonga
- Nhumbu kana kuyamwisa
- Kana iwe uine mamiriro anokanganisa immune system yako (kunze kweiyo lymphoma yako).
Dambudziko rehutachiona
Paunenge uchitora steroid unenge uri panjodzi yakawedzera yehutachiona. Dzivisa vanhu vane chero mhando yezviratidzo zvehutachiona kana zvirwere.
Izvi zvinosanganisira vanhu vane huku pox, shingles, dzihwa nefuruwenza (kana COVID) zviratidzo, pneumocystis jiroveci pneumonia (PJP). Kunyangwe iwe wakave uine hutachiona uhu munguva yakapfuura, nekuda kweiyo lymphoma yako, uye steroid kushandisa, iwe uchange uchiri panjodzi yakawedzera.
Dzidzira hutsanana hwemaoko uye kushamwaridzana nevanhu kana uri paruzhinji.
Yako lymphoma kana kurapwa kunogona kukonzera aches nemarwadzo mumuviri wako wese. Kune vamwe vanhu, marwadzo anogona kunge akaoma uye anoda rubatsiro rwekurapa kuti avandudze. Kune akawanda marudzi akasiyana-siyana ekuzorodza marwadzo anowanikwa kuti akubatsire kugadzirisa marwadzo ako, uye kana uchinge wabatwa nemazvo haitungamiri kupindwa muropa nemishonga yekunyaradza marwadzo.
Symptom manejimendi nePalliative care - Hadzisi dzekupedzisira-kwehupenyu kutarisira
Kana kurwadziwa kwako kwakaoma kudzora, unogona kubatsirwa nekuona timu yekuchengeta palliative. Vanhu vazhinji vanonetsekana nekuona boka rekuchengetedza repalliative nekuti ivo vanongoziva ivo sechikamu chekuchengeta-kwehupenyu. Asi, kupedzisa-kwe-hupenyu kuchengetedza ingori chikamu chezvinoitwa nechikwata chekuchengetedza hutano.
Palliative care timu inyanzvi pakubata zvakaoma kurapa zviratidzo zvakadai sekurwadziwa, kusvotwa uye kurutsa uye kurasikirwa nechido. Ivo zvakare vanokwanisa kunyorera huwandu hwakakura hwemishonga yekunyaradza marwadzo kupfuura iwe unogona kurapa hematologist kana oncologist. Saka kana marwadzo ari kukanganisa hupenyu hwako, uye hapana chinoratidzika kunge chiri kushanda, zvingave zvakakosha kubvunza chiremba wako kuti atumire kune palliative kutarisira kwechiratidzo chekugadzirisa.
Kurapa kwokuwedzera uye kune kwakajairika kuri kuwanda. Vanogona kusanganisira:
Complementary Therapies | Alternative Therapies |
masaja Acupuncture Reflexology Kufungisisa uye kufunga Thai Chi uye Qi Gong Art Therapy Music Therapy Aromatherapy Counselling uye Psychology | Naturopathy Vitamin infusions Homeopathy Chinese mishonga yemakwenzi Detoxes Ayurveda Bio-electromagnetics Zvokudya zvinodzivirira zvakanyanya (semuenzaniso ketogenic, hapana shuga, vegan) |
Complementary therapy
Complementary therapies inotarisirwa kushanda pamwe chete nemishonga yako yechinyakare. Hazvirevi kutora nzvimbo yemishonga yako inokurudzirwa nachiremba wako nyanzvi. Izvo hazvishandiswe kurapa lymphoma yako kana CLL, asi zviri nani kubatsira kuvandudza hupenyu hwako nekudzikisa kuomarara, kana nguva yemhedzisiro. Ivo vanogona kubatsira kudzikisira kushushikana uye kusagadzikana, kana kukubatsira kuti utsungirire zvakawedzerwa zvinokunetsa muhupenyu hwako uchirarama nelymphoma / CLL uye marapirwo ayo.
Usati watanga chero kurapa kwekuwedzera, taura nachiremba wako nyanzvi kana mukoti. Mamwe marapirwo ekuwedzera anogona kunge asina kuchengetedzeka panguva yekurapa, kana kuti angangoda kumirira kusvika masero ako eropa ave pamwero wakajairika. Muenzaniso weizvi kana uine maplatelet akaderera, masaja kana acupuncture inogona kuwedzera njodzi yako yekubuda ropa uye mavanga.
Dzimwe nzira dzokurapa
Kurapa kungaitwa kungaitwa kwakasiyana nekwekuwedzera nekuti chinangwa chemamwe marapiro ndechekutsiva marapiro echivanhu. Vanhu vanosarudza kusarapwa nechemotherapy, radiotherapy kana kumwe kurapwa kwechivanhu vanogona kusarudza imwe nzira yeimwe nzira yekurapa.
Kurapa kungaitwa kwakawanda hakusati kwaongororwa nesayenzi. Zvakakosha kubvunza chiremba wako kana uri kufunga nezvemamwe marapirwo. Vanozokwanisa kukupa ruzivo pamusoro pezvakanakira marapirwo echivanhu uye kuti izvi zvinoenzaniswa sei kune mamwe marapirwo. Kana chiremba wako asinganzwe kushinga kutaura newe nezve mamwe marapirwo, vakumbire kuti vakuendese kune mumwe munhu ane ruzivo rwakanyanya nezvedzimwe nzira.
Mibvunzo yaunogona kubvunza chiremba wako
1) Ndechipi chiitiko chaunacho nerumbidzo uye kana dzimwe nzira dzekurapa?
2) Ndeipi tsvagiridzo yazvino pa (chero marapirwo auri kufarira)?
3) Ndanga ndichitarisa kune (rudzi rwekurapa), chii chaungandiudza nezvazvo?
4) Pane mumwe munhu waungakurudzira kuti nditaure naye nezve marapirwo aya?
5) Pane here kudyidzana nekurapwa kwangu kwandinofanira kuziva?
Tora mutoro wekurapa kwako
Haufanire kubvuma marapiro aunopihwa, uye une kodzero yekubvunza nezve sarudzo dzakasiyana.
Kazhinji chiremba wako achakupa marapirwo akajairwa anotenderwa kune yako lymphoma marudzi. Asi pano neapo kune mimwe mishonga inogona kushanda kwauri iyo inogona kunge isina kunyorwa neTherapeutic Goods Administration (TGA) kana Pharmaceutical Benefits Scheme (PBS).
Tarisa vhidhiyo Tora mutoro: Imwe nzira yekuwana mishonga isina kunyorwa paPBS mamwe mashoko.
Kupedza kurapwa kwako kwe lymphoma kunogona kukonzera manzwiro akavhengana. Unogona kunzwa kufara, kurerukirwa uye uchida kupembera, kana kuti unogona kunge uchinetseka uye uchinetsekana pamusoro pezvinotevera. Izvo zvakare zvakajairika kunetseka nezve lymphoma inodzoka.
Hupenyu huchatora nguva kuti udzoke kune zvakajairika. Unogona kuramba uine mamwe maside-effects kubva mukurapwa kwako, kana matsva anogona kungotanga mushure mekunge kurapwa kwapera. Asi hauzovi wega. Lymphoma Australia iri pano kwauri kunyangwe kurapwa kwapera. Unogona kutibata nekudzvanya bhatani rekuti "Bata nesu" pazasi pepeji ino.
Iwe ucharamba uchingoona chiremba wako ane ruzivo nguva nenguva. Vanenge vachiri kuda kukuona nekuongororwa ropa uye ma scan kuti wapora here. Iyi miedzo yenguva dzose inova nechokwadi chokuti chero zviratidzo zve lymphoma yako kudzoka zvinotorwa kare.
Kudzokera kune zvakajairika, kana kuwana yako yakajairika
Vanhu vazhinji vanoona kuti mushure mekuongororwa kenza, kana kurapwa, kuti zvinangwa zvavo uye zvavanokoshesa muhupenyu zvinoshanduka. Kusvika pakuziva kuti 'itsva yako yakajairika' chii kunogona kutora nguva uye kushungurudza. Zvinotarisirwa nemhuri yako neshamwari zvinogona kunge zvakasiyana nezvako. Iwe unogona kunzwa uri wega, wakaneta kana chero nhamba yemanzwiro akasiyana anogona kuchinja zuva rega rega.
Zvinangwa zvikuru mushure mekurapa lymphoma yako kana CLL kurapwa ndeyekudzoka kuhupenyu uye:
- shingairira sezvinobvira mubasa rako, mhuri, nemamwe mabasa ehupenyu
- kuderedza migumisiro yechirwere uye zviratidzo zvegomarara uye kurapwa kwayo
- tsvaga uye gadzirisa chero mhedzisiro yekunonoka
- batsira kuti urambe wakasununguka sezvinobvira
- vandudza hupenyu hwako uye chengetedza hutano hwakanaka hwepfungwa.
Mhando dzakasiyana dzekugadziriswa kwegomarara dzinogona zvakare kufarira kwauri. Kugadziriswa kwegomarara kunogona kusanganisira akawanda masevhisi akadai se:
- kurapa kwepanyama, kugadzirisa marwadzo
- kudya uye kuronga maekisesaizi
- manzwiro, basa uye mazano emari.
Zvinosuruvarisa, mune zvimwe zviitiko kurapwa hakushande sezvatinotarisira. Mune zvimwe zviitiko, iwe unogona kuita sarudzo yakadzidza yekusave nekumwe kurapwa uye kuona mazuva ako pasina kunetseka kwekugadzwa uye kurapwa. Chero nzira, zvakakosha kuti unzwisise zvekutarisira uye kugadzirira paunenge wava kusvika kumagumo ehupenyu hwako.
Pane rubatsiro runowanikwa iwe nevadikanwi vako. Taura neboka rako revarapi nezverutsigiro rwaunowana munharaunda yako.
Zvimwe zvinhu zvaungada kufunga kubvunza nezvazvo zvinosanganisira:
- Ndiani wandinosangana naye kana ndikatanga kunzwa zviratidzo, kana kuti zviratidzo zvangu zvinowedzera uye ndinoda rubatsiro?
- Ndiani wandinoona kana ndiri kunetseka kuzviriritira kumba?
- Chiremba wangu wepanzvimbo (GP) anopa masevhisi sevashanyi vekumba kana telehealth here?
- Ndinoita sei kuti sarudzo dzangu dziremekedzwe pakupera kwehupenyu hwangu?
- Ndeapi magumo erutsigiro ehupenyu anowanikwa kwandiri?
Iwe unogona kuwana rumwe ruzivo nezve kuronga kwekupera kwehupenyu kuchengetedza nekudzvanya ma link ari pazasi.
Kuronga magumo ako ekuchengetedza hupenyu
Zvimwe zviwanikwa kwauri
Lymphoma yeAustralia Tsigiro yako peji rewebhu - nemamwe malink
CANTEEN - yevana nevechiri kuyaruka vane gomarara, kana avo vane vabereki vane gomarara.
Unganidza vashandi vangu - kukubatsira iwe nevadiwa kuronga rumwe rubatsiro rwaungade.
Mamwe maapplication ekugadzirisa zvinodiwa zvekutsigira nemhuri uye neshamwari:
eviQ lymphoma kurapwa protocol – kusanganisira mishonga nemigumisiro yakaipa.
Zviwanikwa zvegomarara mune mimwe mitauro - neHurumende yeVictorian
