Chikoro cheHodgkin lymphoma ishoko rekare rinoshandiswa kurondedzera boka rezvipenyu zvina zvakafanana zveHodgkin chirwere. Vose pamwe chete vanowedzera zvinopfuura 95 muzana zvehutano hweHodgkin munyika dzakabudirira.
Zvikamu zveClassical Hodgkin Lymphoma
- Nodular Sclerosing Hodgkin Lymphoma (NSHL) - Iyi ndiyo yakasiyana-siyana yeHodgkin lymphoma munyika dzakabudirira. Zvinowanzoitika kune vechidiki.
- Mixed Cellularity Hodgkin Lymphoma (MCHL) - Ichi ndicho chinotevera chakanyanya uye chinonzi chimiro chinogona kuitika chero ipi zvayo.
- Lymphocyte Rich Classical Hodgkin Lymphoma (LRCHL) - Iri rudzi rusingawanzozivikanwi uye runowanzozivikanwa pakati pevanhu vepakati pepakati.
- Lymphocyte Deped Hodgkin Lymphoma (LDHL) - Ichi ndicho chinonyanya kushandiswa zvakasiyana-siyana chekare cheHodgkin lymphoma uye inonyanya kuonekwa kune vakwegura uye avo vane simba rakadzivirirwa mumuviri. Nepo dzimwe mhando dzinowanzoitika mumakirini ane nhengo yepamusoro yepamuviri, muLDHL iyo inobatwa mukati mamuviri uye kunogona kuva nekubatanidzwa kwepleen, chiropa uye marora.
Chii Chinosiyanisa Chikoro cheHodgkin Disease?
Mune mazana ose e-classic Hodgkin lymphoma, masero emukenza ibasa risina kujairika reMymphrocyte B inonzi Reed-Sternberg masero. Vane chimiro chaicho, izvo zvakasiyana nemamwe masero mumuviri. Kana zvikaonekwa muine lymph node biopsy, dzinobatsira pakuongorora chirwere cheHodgkin.
Iyo yakakura kwazvo, uye iyo inonzi RS seganda ine mairi maviri-ganda nuclei inopa iyo maziso echiso. Iko kune zvimwe zvakasiyana zvekuonekwa uku, asi zvinonzwisisika nehutachiona. I-RS masero ndiwo masero anokonzera kenza, asi kuwedzerwa kwemakirini emakemikari kunokonzerwa nekuitwa kwemasero ezvirwere mumuviri mumiriri.
Mazana ehutachi Hodgkin chirwere anowirirana mune zvimwe zvikamu zvemasero zvinowanika mumakirini emakirini uye node dzinoshandiswa.
Zviratidzo uye Kuongororwa kweClass Hodgkin Disease
Zviratidzo zve lymphoma hazvisi zvakasiyana pakati pemarudzi mana aya, asi maitiro emakiromodhi akawedzerwa uye danda rekuongorora rinogona kunge rakasiyana chaizvo. Somugumisiro, zvinoguma mushure mekurapa zvinogona kunge zvakasiyana. Munhu ane ruzivo rwehutano anogona kugona chaicho chaiyo cheHodgkin nekuongorora lymph node biopsy samples pasi pe microscope.
Chirwere chekare cheHodgkin chinoshandiswa nezviratidzo, kuongorora mumuviri, lymph node biopsy, kuongorora mifananidzo, kuongorora ropa, uye dzimwe nguva nemapfupa emapfupa emapfupa. Izvo zvinoongororwa neCotswold staging system uye inopiwa ku Matanho I kusvika IV. Vanopiwawo A kurwisana neB kuti ive bulky kana kwete, zvinoreva kuti matumire ari mubhokisi ndewechitatu akaenzana sebhokisi kana masentimita gumi kune dzimwe nzvimbo.
Kurapa kweClass Hodgkin Disease
Kurapa kwechirwere cheHodgkin chekare kunowirirana nemhando, chikwata uye kana ichi chikafu, zviratidzo, mabhizha, mazera, uye hutano huzhinji. Kazhinji, chemotherapy inopiwa, inoteverwa neradio inorapwa. Kana pasina mhinduro kune mishonga iyi, inogona kuteverwa nemakemikirini akasiyana-siyana regimen, stem cell transplant, kana kuti kurapwa ne monoclonal antibody brentuximab vedotin.
Sources:
Kanzira: Mazano uye Maitiro eOnology 7th Edition. Vakuru: VT DeVita, S Hellman uye SA Rosenberg. Yakabudiswa naLippincott Williams naWilkins, 2005.
Hodgkin chirwere, American Cancer Society.
Kuchengetedza chirwere cheHodgkin chechidiki, nechikwata. American Cancer Society.
Reed-Sternberg cell, Atlas of Pathology, 3rd Edition.