Chii chinonzi Hodgkin Lymphoma (HL)
HL imhando yegomarara inoita kuti mamwe masero ako eropa, anonzi B-cell lymphocytes akure zvakanyanya, uye arege kushanda zvakanaka. Lymphocytes ndiwo masero anokosha, saka maduku unofanira kuatarisa nemaikorosikopu. Iwo rudzi rwesero reropa, uye basa rawo kurwisa utachiona hunogona kukurwarisa. Vamwe vavo vanogona kurwisa cancer.
Cancer zvinoreva kuti masero:
- kukura pazvisina kufanira
- usazvibate nenzira yavanofanira kuita, uye
- dzimwe nguva famba kuenda kunhengo dzemuviri wako dzausina kufanirwa kuenda.
Chii chinoita kuti B-cell Lymphocytes ive yakakosha?
- Izvo zvinogadzirwa mukati memapfupa ako munzvimbo inonzi "bone marrow".
- Lymphocytes inogona kufamba kumativi ose emuviri wako kurwisa utachiona, asi kazhinji inogara mu lymphatic system yako.
- Yako lymphatic system inosanganisira dzimwe nhengo dzako dzinodaidzwa kuti spleen, thymus, tonsils uye appendix pamwe nemalymph nodes ako anowanikwa muviri wako wese. Mitsipa yeLymphatic yakafanana nemigwagwa inobatanidza nhengo dzako dzose dze lymphatic uye lymph nodes pamwe chete.
- Lymphocytes anobatsira neutrophils kurwisa utachiona.
- Vanoyeukawo utachiona saka kana vakaedza kudzoka, malymphocyte ako anogona kuabvisa nekukurumidza.
B-masero uye lymphoma
Paunenge uine HL, yako B-cell lymphocytes inoita kenza uye inodanwa lymphoma masero. Vanotaridzika zvakasiyana, vakakura uye vanozvibata zvakasiyana pane zvakajairika lymphocytes.
Masero e-lymphoma anowanzo kunzi Reed-Sternberg masero. (Reed naSternberg aive mazita emasayendisiti akatanga kuona masero aya).
Sero reReed-Sternberg rinotaridzika sei?
Heino mufananidzo wekuratidza kuti masero akajairwa anotaridzika sei, uye kuti Reed-Sternberg lymphoma masero anotaridzika sei.
Hodgkin lymphoma inowanzokura nokukurumidza, saka dzimwe nguva inonzi inotyisa. Asi chinhu chakanaka pamusoro pehasha Hodgkin lymphoma ndechokuti inowanzopindura zvakanaka kurapwa, nokuti kurapwa kwakagadzirirwa kurwisa masero anokurumidza kukura.
Nechikonzero ichi, pane mukana wakanaka kwazvo wekuti iwe uchapora mushure mekurapwa. Izvi zvinoreva kuti hauchave negomarara.
Zviratidzo zveHodgkin Lymphoma (HL)
Chiratidzo chekutanga chaungawana kana uine HL chinogona kuva bundu, kana mapundu akawanda anoramba achikura. Aya mapundu anogona kunge ari pauri:
- mutsipa (sezviri pamufananidzo)
- armpit (muhapwa wako)
- groin (uko kumusoro kwemakumbo ako kunobatana nemuviri wako wese, uye kusvika muhudyu yako)
- kana dumbu (dumbu rako nzvimbo).
Lymph nodes mudumbu mako anogona kuoma kuona uye kunzwa, nokuti akadzika zvakanyanya mumuviri wako kupfuura mamwe ma lymph nodes. Chiremba wako anogona kungoziva kuti une lymph nodes akazvimba ipapo nekutora mifananidzo yakakosha (scans) yemukati memuviri wako.
Mapundu acho anokonzerwa nemalymph nodes ako anozadza nelymphoma masero, izvo zvinoita kuti azvimbe. Kazhinji hazvirwadze asi dzimwe nguva, kana malymph nodes akazvimba ari kuisa kumanikidza kune dzimwe nhengo dzemuviri wako zvinogona kukonzera kurwadziwa.
Ndekupi kumwe kunowanikwa Hodgkin Lymphoma?
Dzimwe nguva, Hodgkin lymphoma inogona kupararira kune dzimwe nzvimbo dzemuviri wako senge yako:
- mapapu - mapapu ako anokubatsira kufema.
- chiropa - chiropa chako chinokubatsira kugaya chikafu, uye kuchenesa muviri wako kuti urege kugadzira chepfu (chepfu) inokuvadza mumuviri wako.
- mapfupa - mapfupa ako anokupa simba kuitira kuti usatsemuka pese pese.
- bone marrow (iyi iri pakati pemapfupa ako uye ndipo panogadzirwa masero eropa).
- dzimwe nhengo dzinobatsira muviri wako kushanda zvakanaka.
Kana masero ako e-lymphoma akapararira kune dzimwe nzvimbo dzomuviri wako, inogona kunzi nhanho yepamusoro HL. Tichazotaura nezve HL zvishoma gare gare, asi zvakanaka kuti iwe uzive izvozvi, kuti kunyangwe iwe uine nhanho yepamusoro HL, unogona kunge uchiri kuporeswa.
Zvimwe zviratidzo zvaunogona kuwana zvinosanganisira:
- Kunzwa kuneta chaiko pasina chikonzero - kazhinji unonzwa wakaneta kunyangwe wambozorora kana kurara.
- Kupererwa nemweya wekufema – kunyangwe usina chauri kuita.
- Chikosoro chakaoma chisingapere.
- Kupwanya kana kubuda ropa zviri nyore kupfuura mazuva ese.
- Itchy ganda.
- Ropa muhari yako kana pabepa rechimbuzi paunoenda kuchimbuzi.
- Zvirwere zvisingapere, kana kuti zvinoramba zvichidzoka (zvekare).
- B-zviratidzo.
Zvimwe zvikonzero zvezviratidzo - uye nguva yekuona chiremba wako
Zvizhinji zvezviratidzo izvi uye zviratidzo zvinogona kufanana nezvimwe zvinhu zvakaita sehutachiona. Kazhinji nehutachiona kana chimwe chikonzero zviratidzo zvinopera mushure memavhiki mashoma.
Kana iwe uine HL zvakadaro, iyo zviratidzo hazviperi pasina kurapwa.
Chiremba wako angafunga kuti une utachiona pakutanga. Asi kana vane hanya kuti inogona kunge iri rudzi rwe lymphoma, vanozorayira mimwe miedzo. Kana iwe wakamboenda kwachiremba, uye zviratidzo zvako zvisiri kuita zviri nani, iwe uchafanirwa dzokera kuna chiremba.
Hodgkin Lymphoma (HL) inoongororwa sei
Kune marudzi akasiyana-siyana e-lymphoma. Vanowanzoiswa mumapoka Hodgkin's lymphoma or isiri-Hodgkin lymphoma. Hodgkin lymphoma inobva yakamurwa kuva:
- Classical Hodgkin Lymphoma (cHL) kana
- Nodular Lymphocyte Yakakura Hodgkin Lymphoma (NLPHL)
Vazhinji venyu muchava nechHL, muine mwana mumwe chete pagumi voga voga uye vechidiki vane HL vane NLPHL subtype.
Chiremba wangu anoziva sei subtype yandinayo?
Zvakakosha kuti chiremba wako aone kuti ndeupi waunayo, nekuti mhando dzekurapa nemishonga yaunowana inogona kunge yakasiyana kune mumwe munhu iwe.
Kuti uwane kuti ndeupi rudzi rweHL yaunayo, chiremba wako achada kuita mimwe miedzo yakasiyana. Vanozoda kutora samples dzako kuzvimba lymph nodes kuti uvaedze uye uone kuti rudzi rwemasero ari mukati ikoko. Kana chiremba atora sampuli, inonzi biopsy.
Iwe unogona kunge uine biopsy yako mukamuri yachiremba, mukamuri yekuvhiya muchipatara kana mudhipatimendi reradiology. Izvi zvinoenderana nekuti une makore mangani, uye kuti lymph yakazvimba papi nodes dziri. Chiremba wako achakuzivisa iwe nevabereki vako / vachengeti ndoda kuenda.
Biopsy
Biopsy inogona kuitwa sekuvhiya muchipatara. Vanachiremba vako uye vanamukoti vachave vakangwarira, uye ita shuwa kuti wakasununguka sezvinobvira ivo vachiita biopsy. Iwe unogona kutotora mumwe mushonga unokubatsira kurara panguva yebiopsy, kana kuita kuti nzvimbo yavanoita biopsy inzwe chiveve. Mushonga uyu unonzi anesthetic.
Kana uchinge watora biopsy, inozoendeswa kune pathology, uko vanhu vakanyatsodzidziswa vanonzi "Pathologists" vachashandisa mhando dzakasiyana dzemidziyo kutarisa masero ari mubiopsy. Mimwe yemidziyo yavanoshandisa ichava maikorosikopu nemwenje, izvo zvinovabatsira kuona zvikamu zvakasiyana zvemasero elymphoma. What yavanoona inobatsira chiremba wako kuti aone kuti ndeipi subtype yeHL yaunayo.
Mamwe marudzi emabiopsies aungave nawo anosanganisira:
Core kana yakanaka tsono biopsy
Chiremba kana mukoti anoisa tsono mulymph node yako yakazvimba uye obvisa chikamu chidiki che lymph node. Unenge wava nemushonga wokuita chiveve panzvimbo yacho kuti isarwadze, uye zvichienderana nezera rako, unogona kutoita mumwe mushonga wekuti urare kuti ugare wakamira.
Kana lymph node yakadzika mukati memuviri wako uye vasingakwanise kuinzwa, chiremba anogona kushandisa Ultrasound kana nyanzvi x-ray kuti avabatsire kuiona pavanoita biopsy.
Excisional noduye biopsy
Iwe unogona kuda kuvhiyiwa kuti uve neexcisional node biopsy. Zvinoitwa kubvisa lymph node yose mune dzimwe nzvimbo dzemuviri wako dzisingasvikwe netsono. Iwe uchave neanesthetic iyo ichaita kuti iwe urare, uye iwe hauzonzwa kana kurangarira kuvhiyiwa. Muchamuka mune mamwe mastitches kwavakatora lymph node panze.
Bone marora bhiopsy
Nefupa remapfupa biopsy, chiremba anoisa tsono muzasi mako uye muhudyu yako. Iyi ndiyo imwe yenzvimbo dzinogadzirwa masero eropa, saka vanoda kutora sampuli yemwongo uyu kuti vaone kana paine lymphoma masero ipapo. Pane masampuli maviri chiremba achatora kubva munzvimbo ino anosanganisira:
- Bone marrow aspirate (BMA): bvunzo iyi inotora zvishoma mvura inowanikwa munzvimbo yemwongo
- Bone marrow aspirate trephine (BMAT): bvunzo iyi inotora diki sampuli yemapfupa emapfupa
Zvichienderana nezera rako, unogona kuita izvi sekuvhiya neanotindivadza kuti urare. Iwe haungazove nekusona chero mushure meizvi, asi iwe uchave nekupfeka zvishoma senge bhendi-yemubatsiro pamusoro penzvimbo pakapinda tsono.
Kumirira mhinduro
Zvinogona kutora mavhiki maviri kana matatu kuti zviwanikwa zvako zvidzoke.
Kumirira mhinduro kunogona kuva nguva inoshungurudza iwe nevadiwa vako. Zvakakosha kuti iwe nemhomho yako kana mhuri neshamwari musvike uye mutaure nemunhu waunovimba naye panguva ino. Kana usina chokwadi chekuti ndiani wekutaura naye, kana uine mibvunzo, unogona kugara uchifonera kana kutumira email kune vanamukoti vedu ve lymphoma.
Kuti uwane ruzivo rwekuti ungavabata sei ndapota tinya pablue taura nesu bhatani pasi pekona.
Subtypes yeHodgkin Lymphoma
Sezvatataura pamusoro apa, kune marudzi akasiyana eHL - classical Hodgkin Lymphoma uye Nodular Lymphocyte Yakakura Hodgkin Lymphoma (NLPHL).
Classical Hodgkin Lymphoma inobva yakamurwa kuita mamwe marudzi mana akasiyana. Izvi zvinosanganisira:
- Nodular Sclerosis Classical Hodgkin Lymphoma (NS-cHL)
- Mixed cellularity classical childhood Hodgkin Lymphoma (MC-cHL)
- Lymphocyte-rich classical Hodgkin Lymphoma (LR-cHL)
- Lymphocyte-depleted classical Hodgkin Lymphoma (LD-cHL)
Kuti udzidze zvakawanda nezve aya madiki eHL, tinya pane misoro iri pazasi.
Classical Hodgkin Lymphoma Subtypes
NS-cHL inowanzoonekwa muvana vakwegura uye vechidiki. Inenge hafu yevanhu vose vane classical Hodgkin lymphoma vachave neNS-cHL subtype iyi.
Vakomana nevasikana vose vanogona kuwana NS-cHL, asi ishoma zvikuru inowanikwa muvasikana.
NS-cHL inowanzotanga mumalymph nodes mukati mukati mechipfuva chako, munzvimbo inonzi mediastinum yako. Iwe unogona kuona mediastinum mumufananidzo uri pazasi, ndicho chikamu mukati mebhokisi dema.
Iwe unogona kana kusakwanisa kunzwa wakazvimba lymph nodes, asi zvimwe zviratidzo zvaungawana nerudzi rweHL zvinosanganisira:
- kukosora
- kurwadziwa kana kunzwa kusagadzikana muchipfuva chako
- kunzwa kupera simba
NS-cHL inogonawo kutanga, kana kupararira kune dzimwe nhengo dzomuviri wako dzakadai sepleen yako, mapapu, chiropa, bone kana bone marrow.
Mixed cellularity classical Hodgkin Lymphoma (MC-cHL) inowanzoitika muvana vari pasi pemakore gumi ekuberekwa. Asi zvinogona kubata vana nevachiri kuyaruka vezera ripi neripi.
Kana uine MC-cHL, unogona kuona mapundu matsva pasi peganda rako. Izvi zvinodaro nekuti masero e-lymphoma anoungana uye anokura mumalymph nodes mumafuta ane mafuta ari pasi peganda rako. Tese tine mafuta aya uye anobatsira kuchengetedza nhengo dzedu pasi, uye kutichengeta tichidziya kana kuchitonhora. Mamwe masero e-lymphoma anogonawo kuwanikwa mune dzimwe nhengo dzako.
MC-cHL dzimwe nguva inogona kunetsa kuti chiremba wako aongorore nekuti inoita senge imwe subtype ye lymphoma inonzi peripheral T-cell lymphoma. Nechikonzero ichi, chiremba wako angangoda kuita mamwe ongororo kuti ave nechokwadi chekuti une MC-cHL kuitira kuti vakupe mishonga yakakodzera.
Lymphocyte-rich classical Hodgkin lymphoma (LR-cHL) ishoma. Vashoma vanhu vanowana iyi subtype. Asi kana ukadaro, kazhinji inopindura zvakanaka pakurapa kwako. Iwe unogona kunge wapora kana wapedza kurapwa.
Iwe unogona kuona mamwe mapundu ari pasi peganda rako kana uine LR-cHL, nekuti masero elymphoma anokura mumalymph nodes pasi peganda rako.
LR-cHL inogona zvakare kunyengedza kuti chiremba wako aongorore nekuti dzimwe nguva inoita senge imwe mhando yeHL inonzi Nodular lymphocyte predominant Hodgkin Lymphoma (NLPHL). Zvose LR-cHL neNLPHL zvinotaridzika zvakafanana, asi mishonga yakasiyana inoshandiswa kuibvisa.
Lymphocyte-depleted classical Hodgkin Lymphoma (LD0cHL) ingangove yakanyanya kunyanyozivikanwa subtype ye classical Hodgkin lymphoma muvana nevechiri kuyaruka. Zvinowanzoitika kana uine utachiona hunonzi human immunodeficiency virus (HIV), kana kuti wakambova nechirwere chinonzi Epstein-Barr virus (EBV).
EBV utachiona hunokonzera glandular fever inoita kuti uve nehuro. Iyo dzimwe nguva inonzi "mono" kana mononucleosis. Yakatonzi chirwere chekutsvoda nekuti chinogona kuparadzirwa nemate (asi haufanirwe kunge watsvoda chero munhu kuti uiwane).
Iwe unogona kunge usina mapundu asina kujairika kana malymph nodes akazvimba kana uine LD-cHL nekuti inowanzomera pakati pemapfupa ako panzvimbo inonzi mwongo wako. Iyi ndiyo nzvimbo inogadzirwa masero eropa. Nekudaro, inogona zvakare kutanga yakadzika mudumbu rako (kana mudumbu) nzvimbo, saka mapundu anogona kunge akadzika zvakanyanya kuti iwe unzwe.
Nodular Lymphocyte Yakakura Hodgkin Lymphoma (NLPHL)
Nodular Lymphocyte Predominant Hodgkin Lymphoma (NLPHL) imhando shoma shoma yeHL, asi inowanikwa muvana vari pasi pemakore gumi.
Chiremba wako anogona kukuongorora neNLPHL kana masero ako akataridzika neimwe nzira. Zvinogona kuita sezvinosetsa, asi isu dzimwe nguva tinoti masero e-lymphoma muNLPHL anoita senge popcorn. Tarisa pamufananidzo uye uchaona zvatiri kureva.
Ko Nodular Lymphocyte Predominant Hodgkin Lymphoma (NLPHL) yakasiyana sei neHodgkin Lymphoma yekare?
NLPHL inokura zvishoma nezvishoma kupfuura Classical Hodgkin Lymphoma. Kana uine NLPHL, unogona kuporeswa mushure mekurapwa izvo zvinoreva kuti lymphoma ichapera uye kusazodzoka zvakare. Asi, kune vamwe venyu, inogona kudzoka. Dzimwe nguva inogona kudzoka nokukurumidza, uye dzimwe nguva unogona kurarama usina lymphoma kwemakore akawanda.
Kana NLPHL yako ikadzoka inonzi kudzoka zvakare. Chiratidzo chega chekudzokazve chinogona kunge chiri lymph node yakazvimba isingaendi. Izvi zvinogona kunge zviri mumutsipa wako, muhapwa, groin kana imwe nzvimbo yemuviri wako. Kana ukawana zvimwe zviratidzo, zvichafanana nezviratidzo zvatanyora pamusoro.
Kuronga uye Kugashira kweHodgkin Lymphoma (HL)
Kana chiremba wako akakuona kuti une HL, vachada kuita mimwe miedzo kuti vaone kuti zvikamu zvingani zvemuviri wako zvine masero e-lymphoma, uye kuti ari kukura sei.
Staging inotarisa pane iyo HL. Rangarira kare takataura nezve lymphocytes yako. Isu takaona kuti kunyangwe ivo vakagadzirwa mumwongo wako uye vachigara mune yako lymphatic system, vanogona zvakare kufamba kune chero chikamu chemuviri wako. Nemhaka yokuti masero e-lymphoma yako ane kenza lymphocytes, HL inogonawo kuva mumapfupa ako, lymphatic system kana chero imwe nhengo yemuviri wako.
Staging Tests uye Scans
Chiremba wako acharaira mamwe ma scans kuti atore mifananidzo yemukati memuviri wako kuti aone kuti aya maHL masero akavanda papi. Aya ma scan anogona kusanganisira:
CT scan (iyi ipfupi yecomputer tomography scan)
CT scans yakafanana neX-ray yakakosha inopa mufananidzo wakadzama wezvese zviri mukati mechipfuva chako, dumbu (mudumbu nzvimbo) kana pelvis (pedyo nemapfupa ehudyu yako). Chiremba wako achakwanisa kuona chero malymph nodes akazvimba kana mapundu munzvimbo idzi pa scan iyi.
PET scan (iyi ipfupi yePositron Emission Tomography scan)
PET scans inotarisa mukati memuviri wako wese. Nzvimbo dzine lymphoma dzinotaridzika kupenya kupfuura imwe nzvimbo. Iwe unozofanirwa kuve netsono muruoko rwako kana ruoko kune iyi nekuti ivo vanozobaya imwe mvura inobatsira masero e-lymphoma kuvhenekera pamufananidzo wekombuta. Vanamukoti vane hunyanzvi pakuita izvi uye vanonyatsochenjerera kuona kuti hazvirwadze zvakanyanya.
MRI scan (Ichi chipfupi cheMagnetic Resonance Imaging)
Scan iyi inoshandisa magineti mukati memuchina kutora mifananidzo yemukati memuviri wako. Hazvirwadze, asi nekuti kune magineti anotenderera mumushini anogona kuita ruzha. Vamwe vanhu havadi mitsindo iyi saka unogona kunge uine mushonga wekukotsira zvishoma panguva yekuongororwa, saka hazvinetse iwe. Unogona kutokwanisa kushandisa mahedhifoni akakosha kuteerera mimhanzi.
Nhanho yangu yeHL inoverengerwa sei?
Danho rinoverengwa kubva panhamba yekutanga kusvika panhamba yechina. Kana iwe uine danho rekutanga kana maviri unenge uine yekutanga-nhanho HL. Kana iwe uine nhanho yechitatu kana yechina, iwe unenge uine yepamusoro nhanho HL.
Yepamberi nhanho HL inogona kunzwika inotyisa. Asi, nokuti lymphocytes yako inofamba kumativi ose emuviri wako, lymphoma inonzi "systemic" chirwere. Saka, ma lymphomas epamusoro anosanganisira HL akasiyana zvakanyanya kune mamwe magomarara ane chirwere chepamusoro.
Nhanho yangu inokanganisa here kana ndikakwanisa kurapwa?
Mamota akawanda akasimba akadai semamota muuropi, zamu, itsvo nedzimwe nzvimbo haagone kurapwa kana akura.
Asi akawanda epamberi epamusoro lymphomas anogona kurapwa nekurapa kwakakodzera, uye izvi zvinowanzoitika kuvana nevechiri kuyaruka vane HL.
Mufananidzo uyu muenzaniso wakanaka wekuti zvakasiyana sei matanho angatarisa. Zvikamu zvitsvuku zvinoratidza kupi lymphoma inogona kunge iri padanho rega rega - yako inogona kunge iri zvishoma zvakasiyana, asi zvichatevera zvakangofanana Pattern.
danho 1 | HL yako iri mune imwe lymph node area, ingave pamusoro kana pasi pe diaphragm yako |
danho 2 | HL yako iri munzvimbo mbiri kana kupfuura lymph node, asi kune rimwe divi re diaphragm yako |
danho 3 | HL yako iri mune imwechete lymph node nzvimbo kumusoro uye imwe lymph node nzvimbo iri pasi pe diaphragm yako. |
danho 4 | HL yako iri munzvimbo dzakawanda dzemalymph nodes, uye yakapararira kune dzimwe nhengo dzemuviri wako, dzakadai semapfupa ako, mapapu, kana chiropa. |
Chii chinonzi diaphragm?
Diaphragm yako imhasuru yakaita dome inoparadzanisa nhengo dziri muchipfuva chako, kubva kunhengo dziri mudumbu mako. Zvinokubatsirawo kufema nekubatsira mapapu ako kufamba achikwira nekudzika.
Zvimwe zvinhu zvakakosha zvekuziva nezve nhanho yako
Pamwe chete nenhamba yedanho, unogona kupihwa tsamba mushure meiyo nhamba.
Unoyeuka here zvatakambotaura nezve B-zviratidzo? Iboka rezviratidzo zvinogona kuitika pamwe chete kana uine lymphoma. Dzinosanganisira:
- Kunyorova husiku dikita rinonyorovesa mbatya dzako nepekurara
- Fivha uye kutonhora
- Kuderedza uremu pasina kuyedza
Kana uine B-symptoms idzi unenge uine “B” mushure mekuverenga nhamba yako, asi kana usina B-symptoms unenge uine “A” mushure menhamba yako.
Kana imwe yenhengo yako, yakaita semapapu ako, chiropa kana mapfupa ako ane HL unenge uine vara “E” mushure mekuverenga nhamba yako.
Kana uine lymph node kana bundu rinodarika 10cm muhukuru rinonzi bulky. Kana uine chirwere chakakura, iwe uchave uine tsamba "X" mushure mekutora nhamba yako
Chekupedzisira, kana spleen yako iine HL mairi, unenge uine vara "S" mushure mekutora nhamba yako. Spleen yako inobatsira kuchengetedza ropa rako rakachena, uye inhengo huru ye immune system yako. Ndiko kunogara masero machena eropa uye uko B-cell lymphocytes yako inogadzira masoja mazhinji ekurwisa utachiona.
Ona zvinogona kureva zvinhu izvi zvakasiyana mutafura iri pazasi.
zvichireva | kukosha |
|
|
|
|
|
|
Kukwirisa kunobatsira chiremba wako kuita sarudzo dzakanaka nezve marapirwo avanokupa.
Kungofanana nekuita, giredhi rako richapihwa senhamba kubva kune imwe kusvika kune ina. Inogona kunyorwa seG1, G2, G3 kana G4. Apo lymphocytes yako ikava kenza, inotanga kutarisa zvakasiyana kune yako yakajairika lymphocytes. Kana uine lymphoma yegiredhi yakaderera seG1, masero anogona kunge achikura zvishoma nezvishoma uye kungosiyana zvishoma kune yako yakajairika lymphocyte, asi negiredhi repamusoro, anokura nekukurumidza uye haagone kutaridzika senge masero ako emazuva ese.
Kunyanya kusiyana kwavanoita, ndiko kushoma kwavanoita kushanda zvakanaka.
Heino mhedziso yegiredhi rega rega:
- G1 - yakaderera giredhi - maseru ako anotaridzika padyo neakajairika uye anokura uye anopararira zvishoma nezvishoma.
- G2 - giredhi repakati - maseru ako ari kutanga kutaridzika zvakasiyana asi mamwe maseru akajairwa aripo uye anokura nekupararira pamwero wepakati.
- G3 – giredhi repamusoro – masero emwana/wako anotaridzika zvakasiyana nemasero mashoma akajairika uye anokura nekupararira nekukurumidza.
- G4 – giredhi repamusoro – masero emwana/wako anotaridzika zvakasiyana neakajairika uye anokura nekupararira nekukurumidza
Mimwe Miedzo
Unogona kuongororwa zvimwe usati watanga kurapwa, uye panguva yekurapwa kuti uve nechokwadi chekuti muviri wako unokwanisa kurarama nemishonga yauchange uine. Izvi zvinogona kusanganisira:
- Kuongororwa ropa nguva dzose
- Ultrasound kana mamwe ma scan uye bvunzo dzedzimwe nhengo dzako dzinosanganisira moyo wako, mapapu neitsvo
- Cytogenetic tests - iyi ndiyo miedzo inokosha kuti uone kana pane kuchinja kwemajini ako. Majini ako anoudza maseru ari mumuviri wako kukura uye kushanda. Kana pane shanduko (inonziwo mutation kana shanduko) mumajeni ako, vanogona kupa mirairo isiriyo. Iyi mirairo isiriyo inogona kukonzera gomarara - senge HL kukura. Haasi munhu wese achada bvunzo iyi zvakadaro.
- Lumbar puncture - Iyi ndiyo nzira iyo chiremba anoisa tsono kumusana wako pedyo nemusana wako uye anotora imwe mvura. Izvi zvinongoitika chete kana iye zvinhu paine mukana HL yako iri muuropi kana musana wako, kana inogona kupararira ipapo. Vamwe vana kana vechidiki vanogona kunge vaine sedation kuti iwe urare panguva yekurara iyi kuti isakuvadze, uye kuve nechokwadi kuti unoramba wakanyarara panguva yekuitwa.
Mibvunzo kuna chiremba wako usati watanga kurapwa
Kana chiremba wako achinge aunganidza ruzivo rwese kubva kune biopsies yako, scans uye mamwe maedzo; vanozokwanisa kuisa hurongwa pamwe chete hwekugadzirisa kurapwa kwako uye kukuchengetedza wakachengeteka. Dzimwe nguva vanachiremba vanotaura nevamwe vanachiremba kana dzimwe nyanzvi kuti vave nechokwadi chekuti vanoita hurongwa hwakanakisisa hunobvira kwauri. Kana nyanzvi idzi dzasangana kuti dziite hurongwa, unonzi musangano weboka remapoka akasiyana - kana musangano weMDT.
Tichataura nezvemhando dzekurapa dzaungawane zvishoma pasi peji ino. Asi chekutanga zvakakosha kuti unzwe wakasununguka kubvunza chiremba wako chero mibvunzo yaunayo usati watanga kurapwa. Izvi zvichakubatsira kuziva zvokutarisira, uye kunzwa uine chivimbo.
Zvinogona kuve zvakaoma kuziva kuti ndeipi mibvunzo yakakodzera yekubvunza. Asi kutaura chokwadi, hapana mibvunzo yakarurama kana isina kururama. Munhu wese akasiyana uye mibvunzo yaunayo inogona kusiyana nemibvunzo ine mumwe mwana kana wechidiki. Chinonyanya kukosha ndechekuti hapana mibvunzo isina musoro kana zvasvika kune hutano hwako uye kurapwa. Saka inzwa uine chivimbo chekubvunza chero chinhu chiri mupfungwa dzako.
Mimwe Mibvunzo kuti utange
Kukubatsira kuti utange tabatanidza mimwe mibvunzo iwe kana vabereki/vachengeti vako mungade kubvunza. Kana usati wagadzirira, kana kukanganwa kubvunza mibvunzo usati warapwa, zvakanaka, unogona kubvunza chiremba kana mukoti wako chero nguva. Asi kuziva mhinduro usati watanga kurapwa, kunogona kukubatsira kuti unzwe uine chivimbo.
Kuchengetedza kubereka kwako (kukwanisa kwako kuita vana kana wakura)
Usati watanga kurapwa pane zvimwe zvinhu zvekufunga nezvazvo. Ndinoziva kuti pamwe unotova nezvakawanda zvekufunga nezvazvo, asi kugadzirisa zvinhu usati watanga kurapwa kunogona kubatsira zvakanyanya gare gare.
Imwe yemigumisiro yekurapa kweHL inogona kuita kuti zvive zvakaoma kubata pamuviri, kana kutora mumwe munhu pamuviri gare gare muupenyu. Kuti udzidze nezve zvimwe zvezvinhu zvinogona kuitwa kuti uwedzere mikana yako yekuva nevana mushure mehupenyu, unogona kuona vhidhiyo iyi nekudzvanya pamufananidzo uri pazasi.
Kurapa kweHodgkin Lymphoma
Boka rako rekuchengetedza hutano richafunga zvinhu zvakawanda pamusoro pako risati raita sarudzo yekupedzisira pane zvavanofunga kuti ndiko kurapwa kwakanakisisa kwauri. Zvimwe zvezvavanozofunga nezvazvo zvinosanganisira:
- Kunyangwe uine classical subtype yeHL kana NOdular Lymphocyte Yakakura Hodgkin Lymphoma (NLPHL)
- Une makore mangani
- Kana uine zvimwe zvirwere kana kuremara
- Kana uine allergies
- Iwe uri kunzwa zvakanaka sei zvese mumuviri (muviri wako) uye nepfungwa (mafungiro ako nemafungiro).
Chiremba wako kana mukoti achakutsanangurira hurongwa hwekurapa kwako uye zvinogona kuitika kwauri. Maside-effects zvinhu zvinogona kuitika nekuda kwekurapwa kwako, sekunzwa kurwara, kana bvudzi rako kudonha kana zvimwe zvinhu zvakawanda. Kana muine maside-effects, zvakakosha kuti muzivise mukoti kana chiremba kuitira kuti vagokubatsira kuti munzwe zviri nani.
Kana pane zvausinganzwisise, kana kuti urikunetsekana, taura nachiremba wako kana mukoti uye vakumbire kuti vakutsanangurire zvinhu.
Iwe unogona zvakare kufonera kana kutumira email Lymphoma Australia Mukoti Helpline nemibvunzo yako. Tinogona kukubatsira kuti uwane ruzivo rwakakwana. Ingobaya pakanzi Bata nesu bhatani riri pazasi pechidzitiro ichi.
Kune marudzi akasiyana ekurapa. Iwe unogona kunge uine imwe mhando, kana akati wandei zvichienderana nemamiriro ako. Izvi zvinosanganisira:
Kutsigira Kuchengeta
Rutsigiro rwerutsigiro rwunopihwa kukubatsira kuti unzwe zviri nani panguva yekurapwa, uye kupora nekukurumidza.
Kune vamwe vako, masero ako e-lymphoma anogona kukura zvakanyanya uye akakura. Izvi zvinoita kuti mwongo wako, ropa, malymph nodes, chiropa kana spleen zviwande. Nekuda kweizvi, unogona kunge usina masero eropa ane hutano akakwana. Kutsigira kurapwa kunogona kusanganisira kukupa ropa kana platelet kuwedzerwa kuti uve nechokwadi chekuti une masero eropa ane hutano akakwana.
Kana uine utachiona, unogona kuva nemishonga inorwisa mabhakitiriya kuti ikubatsire kukurumidza kukurumidza. Mune zvimwe zviitiko unogona kunge uine mushonga unonzi GCSF wekubatsira muviri wako kugadzira mamwe masero machena eropa kurwisa utachiona.
Kurapa kunotsigira kunogona kusanganisirawo kuunza chimwe chikwata chinonzi palliative care team. The palliative care timu yakanaka pakuita chokwadi chekuti wakasununguka, uye nekuvandudza zviratidzo zvako kana mhedzisiro. Zvimwe zvezvavanogona kukubatsira nazvo zvinosanganisira kurwadziwa, kunzwa kurwara kana kushushikana kana kuzvidya mwoyo. Vanogonawo kubatsira kuronga maitiro ekuchengetedza hutano hwako mune ramangwana.
Ipfungwa yakanaka kubvunza chiremba wako kana mukoti kuti ndeapi marapiro angangokubatsira.
Radiation kurapwa (Radiotherapy)
Radiotherapy inoshandisa mwaranzi kuuraya masero egomarara. Zvakafanana ne-high-energy X-rays uye unogona kuva nazvo mazuva ese kwemavhiki mashoma, kazhinji kubva Muvhuro kusvika Chishanu. Inogona kushandiswa kurapa gomarara, kukubatsira kuti uregererwe - apo gomarara risingachaoneki (asi rinogona kuuya gare gare), kana kuti rinogona kushandiswa kugadzirisa zvimwe zviratidzo.
Zvimwe zviratidzo zvinogona kurapwa neradiotherapy zvinosanganisira kurwadziwa kana kupera simba. Izvi zvinogona kuitika kana lymphoma yako iri kuisa kumanikidza patsinga dzako, musana kana zvimwe zvikamu zvemuviri wako. Iyo radiotherapy inoita kuti lymphoma (tundu) ive diki kuitira kuti isarambe ichikumanikidza tsinga dzako kana nhengo dzemuviri wako iyo iri kukonzera marwadzo mukati.
Chemotherapy (chemo)
Unogona kuva nekemo sehwendefa uye/kana kuva nayo sedhipu (kupinza) mutsinga yako (muropa rako) kukiriniki yegomarara kana kuchipatara. Iwe unowanzo kuve nemhando inopfuura imwe chete yemakemikari. Chemo inouraya maseru ari kukurumidza kukura, saka inogona kukanganisa mamwe masero ako akanaka anokura nekukurumidza achikonzera maside effects.
Monoclonal Antibody (MAB)
MaMAB anopiwa seanopinza uye anonamatira kune lymphoma cell uye anokwezva zvimwe zvirwere zvinorwisa masero machena eropa uye mapuroteni kumasero e-lymphoma. Izvi zvinobatsira immune system yako kurwisa iyo HL. Mune zvimwe zviitiko, iyo MAB inogona kubatanidzwa kune mumwe mushonga unouraya zvakananga cancerous lymphoma masero. Aya maMAB anonzi conjugated MABS.
IMmune checkpoint inhibitors (ICIs)
ICIs inopihwa senge infusion uye inoshanda kuvandudza yako immune system, kuitira kuti muviri wako wega urwise cancer yako. Vanoita izvi nekuvhara zvimwe zvezvivharo zvinodzivirira lymphoma masero anoiswa, izvo zvinoita kuti zvisaonekwe kune immune system yako. Kana zvipingamupinyi zvabviswa, immune system yako inogona kuona nekurwisa gomarara. Izvi hazviwanzo shandiswa kuvana nevechiri kuyaruka vane Hodgkin Lymphoma, kunze kwekunge iwe uri mukuedzwa kwekiriniki.
Stem-cell transplant (SCT)
Kana uri mudiki uye uine hasha (kukura nekukurumidza) HL a SCT inogona kushandiswa. Masero anobatsira kutsiva maseru ako akaipa neakanaka, ane hutano stem maseru anogona kukura kuita chero rudzi rwesero reropa raunoda.
CAR T-cell Therapy
Kuti udzidze zvakawanda nezveCAR T-cell therapy, ndapota ona peji redu rewebhu Chimeric antigen receptor (CAR) T-cell therapy.
Vabereki nevana vakura - Kana uchida rumwe ruzivo nezve marapirwo aya, ndapota ona peji redu rewebhu pa Kurapa pano.
Kutanga-Kurapwa
Kutanga Kurapa kweHodgkin Lymphoma (HL)
Paunotanga kurapwa, unogona kunzwa senge murume ari pamufananidzo uyu. Asi kuziva zvekutarisira kunogona kuita kuti zvive nyore. Saka ramba uchiverenga uye rega tikuudze nezve zvingangoitika.
Pekutanga paunoita mhando yekurapa kunonzi kurapwa kwekutanga. Paunotanga kurapwa, iwe unenge uinayo mumatenderedzwa. Izvi zvinoreva kuti iwe uchave nekurapwa, wozozorora, uyezve imwe kutenderera (kutenderera) kwekurapa.
Inowanzo kupihwa sekupinza mutsinga yako. Vana vazhinji nevechiri kuyaruka vachada kuva nemudziyo unonzi tunneled catheter unoiswa mushonga. Catheter yakavharwa inoshandiswa saka haufanirwe kuve netsono pese paunorapwa kana kuongororwa ropa. Iwe unogona kuwana ruzivo pane tunneled catheters nekudzvanya pane bhatani riri pazasi.
Kuti uone zvakawanda nezvemhando dzekutanga kurapwa kwaungave uine, tinya pane banner zvichienderana nekuti une Nodular Lymphocyte Predominant Hodgkin Lymphoma (NLPHL), kana classical Hodgkin lymphoma. Rangarira kuti classical Hodgkin Lymphoma inosanganisira:
- Nodular sclerosis classical Hodgkin lymphoma (NS-cHL)
- Mixed cellularity classical Hodgkin lymphoma (MC- cHL)
- Lymphocyte-rich classical Hodgkin lymphoma (LR-cHL)
- Lymphocyte-depleted classical Hodgkin lymphoma (LD- cHL)
Kurapa kweNodular Lymphocyte Predominant Hodgkin lymphoma (NLPHL) kwakasiyana kwazvo neyekare Hodgkin lymphoma (cHL). Kana uine danho rekutanga reNLPHL kurapwa kwako kunogona kusanganisira chimwe kana zvimwe zvezvinotevera:
- Tarisa uye mirira uchitarisisa kusvika zviratidzo zvoda kurapwa.
- Radiotherapy chete.
- Kuvhiya, kana bundu rinogona kubviswa zvachose.
- Combination chemotherapy ine kana isina yakaderera-dose yekunze beam radiotherapy. Chemotherapy inogona kusanganisira mishonga inonzi:
- AVPC (doxorubicin, vincristine, cyclophosphamide uye steroid inonzi prednisone)
- CVP (cyclophosphamide, vincristine uye steroid inonzi prednisone)
- COG-ABVE-PC (doxorubicin, bleomycin, vincristine, etoposide, cyclophosphamide uye steroid inonzi prednisone).
- Rituximab - mushonga uyu unopinzwa mutsinga. Iyo monoclonal antibody inonangana nechipokeri chinonzi CD20 paB-masero, uye chakashanda zvakanaka kurapa mamwe marudzi eB-cell lymphoma.
- Kupinda mukuedza kwekiriniki - kwaunogona kuwana kuedza mhando itsva kana dzakasiyana dzemushonga kana marapiro.
Classical Hodgkin lymphoma (cHL) lymphoma iri kukurumidza kukura, saka kurapwa kunoda kutanga mushure mekunge waonekwa. Mushonga wakajairika wevana nevechiri kuyaruka vane CHL musanganiswa wechemotherapy. Vamwe vana nevechiri kuyaruka vanogamuchirawo radiotherapy kune dzimwe nzvimbo dze lymphoma mushure me chemotherapy.
Chiremba anogona kukurudzira imwe yeanotevera-mutsara kurapwa kweudiki classical Hodgkin lymphoma:
COG-ABVE-PC
Iyi protocol inosanganisira steroid inonzi prednisolone uye chemotherapy mishonga inonzi
- doxorubicin
- bleomycin
- vincristine
- etoposide
- cyclophosphamide
Iwe uchave uine izvi mazuva makumi maviri nerimwe ega ega (21-vhiki) ye3-4 kutenderera.
Bv-AVECP
Iyi protocol inosanganisira steroid prednisolone, uye conjugated MAB inonzi brentuximab vedotin uye chemotherapy mishonga inonzi:
- Doxorubicin
- Vincristine
- Etoposide
- cyclophosphamide
Kana uine makore gumi nemashanu kana kupfuura unogona kurapwa kuchipatara chevana kana kuchipatara chevakuru. Mitemo yekurapa muchipatara chevakuru inogona kunge yakasiyana neiyo yatanyora pamusoro. Kana uri kurapwa kuchipatara chevakuru, unogona kuwana rumwe ruzivo nezvedu Hodgkin Lymphoma yevakuru peji pano.
Yechipiri-Mutsara uye inoenderera mberi kurapwa kweHodgkin Lymphoma (HL)
Mushure mekurapwa vazhinji venyu muchapinda mukuregererwa. Kuregererwa inguva yenguva apo iwe usina zviratidzo zveHL zvakasara mumuviri wako, kana apo HL iri pasi pekutonga uye isingadi kurapwa. Ino nguva inogona kugara kwemakore mazhinji, asi kashoma, HL yako inogona kudzoka (dzoka). Kana izvi zvaitika, chiremba wako angangoda kukupa kumwe kurapwa.
Mune zvimwe zviitiko, haugone kupinda mukuregererwa nekurapa kwako kwekutanga. Kana izvi zvikaitika, HL yako inonzi "refractory". Kana uine refractory HL chiremba wako angangoda kuedza mumwe mushonga. HL yako inogona zvakare kunzi refractory kana iwe uchirapwa uye uchienda mukuregererwa, asi kuregererwa kunotora isingasviki mwedzi mitanhatu.
Kurapa kweRefractory uye Relapsed Hodgkin Lymphoma (HL)
Kurapa kwauinako kana uine refractory HL kana mushure mekudzoka zvakare kunonzi yechipiri-line therapy. Chinangwa chekurapa kwechipiri ndechekukuisa mukuregererwa zvakare, kana kekutanga uye zvinogona kushanda zvakanyanya.
Kana ukawedzera kuregererwa, wobva watangazve uye wova nekurapwa kwakawanda, marapirwo anotevera aya anodaidzwa kunzi kurapa kwemutsara wechitatu, kurapwa kwedanho rechina nezvimwe zvakadaro.
Ungangoda marudzi akati wandei ekurapwa kweHL yako. Vanamazvikokota vari kuwana marapirwo matsva uye anoshanda zvakanyanya ari kuwedzera kureba kwekuregererwa uye kubatsira kukuchengetedza hutano panguva uye mushure mekurapwa.
Chiremba achandisarudzira sei marapiro akanakisisa kwandiri?
Panguva yekudzokazve, kusarudzwa kwekurapa kunotsamira pane zvakati wandei zvinosanganisira.
- Wakagara kwenguva yakareba sei uri mukuregererwa
- Utano hwako hwese nezera rako
- Ndeapi HL kurapwa/s iwe yawakagamuchira munguva yakapfuura
- Zvaunofarira.
Chiremba wako achakwanisa kutaura newe nevabereki vako kana vachengeti vako nezve marapirwo akanakisa emutsara wechipiri kwauri.
Zvakajairwa Zvikonzero Zvekurapa kweHodgkin Lymphoma
Kunyangwe marapirwo eHL achinyanya kushanda pakubvisa HL, anogona zvakare dzimwe nguva kunzi side-effects. Izvi zvinoreva kuti vanogonawo kuita shanduko dzisingadiwe kana zviratidzo. Izvi zvinongogara kwenguva pfupi, asi zvimwe zvinogona kugara kwenguva yakareba, saka zvakakosha kuti uzivise chiremba wako kana mukoti nezve chero maside-effects auinawo.
Maside-effects ako anogona kunge akasiyana kune mumwe munhu ane HL nekuti tese takasiyana uye tinopindura zvakasiyana pakurapwa. Maside-effects anogonawo kuenderana nekuti uri kurapwa rudzii.
Chiremba wako kana mukoti anozokwanisa kukuudza nezve maside-effects aungawane zvichienderana nekurapwa kwauri kuita.
Chimwe chezvakanyanya mhedzisiro yekurapwa kweHodgkin lymphoma kuderera kweropa, saka zvakakosha kuziva zvishoma pane aya masero eropa.
Masero matsvuku eropa
Masero matsvuku eropa ndiwo masero anoita kuti ropa rako rive rakatsvuka. Vane puroteni pavari inonzi hemoglobin (Hb) inoita zvishoma kunge tekisi. Inotora okisijeni kubva mumapapu ako paunofema mukati, yozotora okisijeni ichienda kune dzimwe nhengo dzemuviri wako kuti ikupe simba. Inobva yatora kabhoni dhaikisaidhi kubva mumuviri wako yodzosera mapapu ako kuti abvise kana wafemera kunze.
Kana masero matsvuku eropa kana Hb akadzikira unogona kunzwa kuneta, dzungu, kupera simba uye dzimwe nguva uchinetseka kuisa pfungwa dzako pachinhu chimwe. Kana uine zviratidzo izvi, tapota taurira chiremba wako.
Platelets
Platelets ndiwo masero akakosha ari muropa rako ane ruvara rweyero. Izvo zvakakosha kana iwe uchikuvadza kana kuzvipumha iwe pachako. Vanobatsira kukumisa kubuda ropa kana maronda akawandisa. Paunenge uchizvikuvadza, maplatelet ako anomhanya kunzvimbo yakakuvadzwa uye anonamatira pamwe chete pamusoro pekuchekwa kana ronda kuti akumise kubuda ropa. Kana maplatelet edu akadzikira zvakanyanya, unogona kubuda ropa kana maronda zviri nyore kupfuura zvawaisiita. Saka kana ukaona ropa shoma paunokwesha mazino ako, enda kuchimbuzi kana kuridza yako zvino, kana kuva nemavanga akawanda kupfuura zvakajairika, zvakakosha kukuzivisa iwe chiremba.
Maso matsvuku eropa
Your lymphocytes rudzi rwewhite blood cell, asi iwe unewo mamwe marudzi emasero machena eropa zvakare. Zvikuru zvauchazoda kuziva nezvazvo ndeako neutrophils uye lymphocytes. Ese masero machena eropa chikamu che immune system yako. Izvi zvinoreva kuti, ese utachiona hunogona kukurwarisa. Vanokwanisa kurwisa utachiona uhu, saka nguva zhinji tinenge tagwinya. Asi, kana masero machena eropa asingashande zvakanaka, kana kuti kana usina akakwana nawo, unogona kurwara.
Maneutrophils ako ndiwo ekutanga emasero machena eropa kuziva nekurwisa utachiona. Vanobva varega mamwe masero machena, semalymphocyte ako achiziva kuti kune utachiona mumuviri wako. Kana izvi zvakaderera unogona kurwara nehutachiona. Kana izvi zvikaitika, unogona:
- kurwara
- kuwana fivha (38° kana kupfuura) uye ganda rako rinogona kunzwa kupisa
- iva nekutya kana kutonhora (kunzwa kutonhora mukati memuviri wako uye wotanga kubvunda)
- kuva neronda rinoita serakatsvuka kana kuti pusey
- mwoyo wako unogona kurova nekukurumidza kupfuura zvawaizoita
- kunzwa dzungu uye kuneta
Zvakakosha kuti uudze chiremba wako pakarepo kana izvi zvikaitika kana uine Hodgkin Lymphoma, kunyange zvikaitika pakati pehusiku. Kana chiremba wako asipo, unofanira kuenda kuchipatara kuti uwane mumwe mushonga unonzi maantibioti kubatsira kurwisa utachiona.
Heino tafura yekukurumidza uye iri nyore ine rumwe ruzivo nezvemasero ako eropa.
Masero machena | Masero Matsvuku | Platelets | |
Zita Rezvokurapa | Leukocytes. Mamwe maleukocyte anokosha ekurangarira ndiwo Neutrophils uye Lymphocytes | Erythrocytes | Thrombocytes |
Vanoitei? | Kurwisa Utachiona | Takura oxygen | Regedza kubuda ropa |
Zvinonzi kana usina kukwana macells aya? | Neutropenia uye lymphopenia | Anemia | Thrombocytopenia |
Zvingakanganisa sei muviri wangu kana ndisina kukwana? | Iwe uchawana humwe hutachiona uye unogona kunetseka kuzvibvisa kunyangwe nekutora mishonga inorwisa mabhakitiriya | Unogona kuva neganda rakachenuruka, kunzwa kuneta, kufema, kutonhora uye dzungu | Unogona kukuvara nyore, kana kubuda ropa risingamire nekukurumidza kana wachekwa |
Chii chichaitwa neboka rangu rekurapa kugadzirisa izvi? |
|
|
|
** Kana zvose masero ako eropa akadzikira anonzi 'pancytopenia uye ungangoda kuchipatara kuti uzvigadzirise ** | |||
Mamwe maside-effects aunogona kuwana ndeaya:
- kunzwa kurwara mudumbu (nausea) uye kurutsa
- muromo kuvava kana maronda. Zvinhu zvinogonawo kutanga kuravira zvakasiyana
- anochinja paunoenda kuchimbuzi. Unogona kunge uine poo yakaoma (constipation) kana poo yakapfava uye ine mvura (manyoka)
- kuneta kana kushaya simba kusabatsirwa nekuzorora kana kurara (kuneta)
- marwadzo uye marwadzo mumhasuru dzako nemajoini
- Bvudzi rako riri pamusoro wako, uye dzimwe nhengo dzemuviri wako dzinogona kudonha
- zvingava zvakaoma kuisa pfungwa kana kuyeuka zvinhu
- manzwiro echienzi mumaoko ako netsoka zvakadai sekurira, mapini netsono, kupisa kana kurwadziwa
- shanduko kumasero ako akanaka eropa (ona tafura iri pamusoro).
Clinical trials
Tinokurudzira kuti ugare uchibvunza chiremba wako nezve chero miedzo yekiriniki yaungakodzera.
Miedzo yemakiriniki yakakosha kuwana mishonga mitsva, kana misanganiswa yemishonga yekuvandudza marapirwo eHL mune ramangwana. Vanogona zvakare kukupa mukana wekuyedza mushonga mutsva, musanganiswa wemishonga kana kumwe kurapwa kwaunokwanisa chete kuwana kana uri mukuyedza. CAR T-cell therapy muenzaniso werudzi rwekurapa parizvino mukuedzwa kwekiriniki.
Kana iwe uchida kutora chikamu muchirongwa chekiriniki, bvunza chiremba wako kana pane chero iwe waunokodzera.
Prognosis, Tevera-up Care & Survivorship - kugara ne & mushure meHL
Prognosis
Kufungidzira kwako kunoreva kuti HL yako ichapindura sei kurapwa uye kuti uchararama sei mushure mekurapwa.
Vanhu vazhinji vane Hodgkin lymphoma vanorapwa mushure mekutanga kurapwa. Nekudaro, izvi hazvisi izvo kune wese munhu. Kana HL yako ikasaenda mushure mekurapwa (iwe haupinde mukuregererwa), unenge uine "refractory" HL. Izvi zvinoreva kuti HL yako haisi kupindura kurapwa kwazvino, saka chiremba wako achaedza chimwe chinhu.
Kana iwe ukapinda mukuregererwa mushure mekurapwa, asi inodzoka mushure mechinguva inonzi relapse. Chitsva chakanaka ndechekuti, iyo refractory uye yakadzokororwa yeHodgkin lymphoma inowanzopindura zvakanaka kune yechipiri-mutsara kurapwa.
Pane zvinhu zvakasiyana zvinogona kukanganisa kufungidzira kwako, asi chiremba wako ndiye munhu akanakisa wekutaura naye nezve izvi sezvo vachiziva zvese zvako zvese. Kana iwe usina chokwadi chekuti kufungidzira kwako chii, ingovabvunza nguva inotevera paunovaona.
Kuchengeta kwekutevera
Kuchengeta kwaunowana kubva kuna chiremba wako nemanesi hakuregi kana wapedza kurapwa. Muchokwadi, vanozoramba vachida kukuona nguva nenguva kuti vazive mafambiro auri kuita uye kuona kuti hausi kuwana mhedzisiro yenguva refu kubva mukurapwa. Vanozorongawo ma scans ekuti iwe uve nechokwadi chekuti HL yako haisi kudzoka.
Zvakakosha kuti uende kumisangano yese yavanokuitira, kuitira kuti chero zviratidzo zvekudzokera shure kana zvitsva zvinokonzeresa zvinogona kubatwa nekukurumidza uye uchengetedzwe zvakanaka uye wakachengeteka.
Zvimwe zvinokonzerwa nemishonga zvinogona kutanga nguva refu mushure mekunge wapedza kurapwa. Mimwe mibairo yenguva refu inogona kusanganisira:
- kuneta kunoenderera mberi
- muromo wakaoma - izvi zvinogona kuwedzera njodzi yechirwere chemazino
- matambudziko nekukura kwemapfupa uye kukura kwenhengo dzepabonde muvarume
- thyroid, mwoyo nemapapu matambudziko
- kuwedzera njodzi yeimwe kenza senge cancer yemazamu (kana wanga uine radiation kuchipfuva chako), isiri-Hodgkin lymphoma, acute leukemia kana kenza yethyroid.
- kushaya mbereko
Kukurumidza kuonekwa kuburikidza nekuongorora nguva dzose nachiremba wako, uye kuita sarudzo dzehupenyu hune hutano kunogona kuderedza kukanganiswa kwekugara kwenguva refu uye kunonoka migumisiro kune vapukunyuki veHL kwenguva refu.
Kupona - kurarama uye mushure meHodgkin Lymphoma
Zvinangwa zvikuru mushure mekurapwa kweHL ndiko kudzokera kuhupenyu uye:
- shingairira sezvinobvira muchikoro chako, mhuri, mhomho uye mamwe mabasa ehupenyu
- kuderedza mhedzisiro uye zviratidzo zveHL uye kurapwa kwayo
- tsvaga uye gadzirisa chero mhedzisiro yekunonoka
- batsira kukuita wakazvimirira sezvinobvira
- vandudza hupenyu hwako uye chengetedza hutano hwakanaka hwepfungwa
Kuita sarudzo dzine hutano
Mararamiro ane hutano, kana mamwe mararamiro akanaka anochinja mushure mekurapwa anogona kubatsira zvikuru kupora kwako. Pane zvinhu zvakawanda zvaunogona kuita kukubatsira kugara zvakanaka neHL. Dzinosanganisira:
- kurovedza muviri nguva dzose - chengetedza muviri wako uchifamba
- idya zvine hutano nguva zhinji
- taura nezvekunzwa kwako nevanhu vaunovimba navo
- kudzivisa fodya (kusvuta)
- zorora kana muviri wako wakaneta
- rega chiremba wako kana ukaona chero shanduko, senge rimwe bundu richikura, kuwana fivha kana dikita husiku.
Kugadziriswa kwegomarara
Zvinogona kutora nguva kuti udzoke kune zvakajairika, iva nemoyo murefu newe, muviri wako wapfuura nezvakawanda. Kana uri kunetsekana chaizvo kuti udzoke pane zvakajairika, unogona kutaura nachiremba wako nezve rudzi rwekudzoreredza gomarara uripo kwauri.
Mhando dzakasiyana dzekugadzirisa kenza dzinogona kukurudzirwa kwauri. Izvi zvinogona kureva chero yemhando dzakasiyana zvemasevhisi akadai se:
- kurapa kwepanyama, kugadzirisa marwadzo
- kudya uye kuronga maekisesaizi
- manzwiro, basa uye mazano emari
Mapepa echokwadi atinawo iwe pawebhusaiti
Tine mamwe matipi akanaka mumapepa edu echokwadi pazasi:
- Kutya kenza kudzokorora uye scan kufunganya
- Kurara uye lymphoma
- Kudzidzira muviri uye lymphoma
- Kuneta uye lymphoma
- Zvepabonde uye kushamwaridzana
- Emotional kukanganisa kwe lymphoma kuongororwa uye kurapwa
- Emotional kukanganisa kwekurarama ne lymphoma
- Emotional impact ye lymphoma mushure mekupedza lymphoma kurapwa
- Kuchengeta mumwe munhu ane Lymphoma
- Emotional kukanganisa kwekudzokazve kana refractory lymphoma
- Kuwedzera uye kumwe kurapwa: Lymphoma
- Kuzvitarisira uye Lymphoma
- Nutrition uye Lymphoma
