Chii chinoitika kana iwe ukavaka chirwere cheHodgkin apo wava nepamuviri? Izvi zvinoitika kangani?
Hodgkin Lymphoma muKubata
Hodgkin lymphoma inonyanya kubata vechidiki mumakore avo ekuyaruka uye makumi maviri - iyo imwe nguva iyo vakadzi vanowanzova nepamuviri. Saka kukura chirwere cheHodgkin munguva yekuzvitakura hachisi icho chisingawanzoitiki. Inofungidzirwa kuti pakati pe1 mu1000 uye 1 mu6 000 vakadzi vane chiso mubvunzo wekugadzirisa Hodgkin lymphoma panguva yekuzvitakura.
Zviratidzo
Zviratidzo zveHodgkin lymphoma zvinogona kuwirirana nezviratidzo zvatinosangana nazvo nekudzivirira. Zvimwe zvezviratidzo izvi zvinosanganisira kunzwa wakaneta, kuva neusiku kusviba, uye kugona kerubanda. Nechivimbo Hodgkin chirwere chinoporesa zvikuru, uye vanhu vanoongororwa havafaniri kunetseka kuti vakanonoka kuongororwa kwavo, kufunga kuti zviratidzo zvaive nekuda kwekuita pamuviri chete.
Hodgkin Lymphoma Inobata Kusiyana Nevakadzi Vakwegura here?
Hodgkin lymphoma inoita zvakafanana kune vakadzi vane pamuviri kana avo vasina. Iwe unogona kunge wakanzwa makuhwa kuti kuberekwa kunogona "kupisa" kenza. Kunyange zvazvo izvi zvingava zvakadaro, somuenzaniso, kenza yemukomana inonzi estrogen, haisi iyo yevakadzi vane Hodgkin chirwere. Kanzera inokura uye inopararira nenzira imwechete kana iwe uri pamuviri kana kwete.
Miedzo yevakadzi Vakapinda
Kana iwe uri nepamuviri wako, chiremba wako angangoita zvirongwa zvakasiyana-siyana kuti aongorore uye agadzire chirwere chako kupfuura kana iwe usina kubata.
X-ray, CT inoongorora, uye PET inoongorora inowanzodzivirirwa panguva yekuzvitakura kuti kudzivirira kupisa kwemazuva kusvika kune fetus. MRI inoongorora inoshandiswa panzvimbo iyo; ivo vakafanana zvakaenzana pavanenge vasingakuvadzi panguva yekuzvitakura. Mamwe mimwe miedzo yakafanana uye ndizvo zvikamu zveHodgkin lymphoma .
Kubvisa pamuviri Kunokosha here?
Hazviwanzodikanwi kubvisa pamuviri kana mumwe munhu akawanikwa ane Hodgkin lymphoma.
Kazhinji kazhinji kurapwa kunogona kunonoka kana kugadziriswa kusvikira mwana akakura zvakakwana kuti adzikinwe zvakachengeteka. Chero bedzi chirwere chacho chakanyanyisa zvokuti chinotyisidzira hupenyu hwemai, kana kuti chigadzirisa kutadza kubvira, kubvisa pamuviri kunofungidzirwa.
Mushonga Panguva Yechirwere
Hapana mimwe mitemo yakasimbiswa pakuchengetwa kwemuviri wemukirini panguva yekuzvitakura. Nharaunda ye lymphoma, nguva yekudzivirira uye zvishuwo zveamai zvose zvinofungidzirwa pavanenge vachiita sarudzo. Mishonga inowanzomirirwa kana kuchinjwa kuitira kuti mari yakanakisisa inogona kuwanikwa pakati pekurwara kwechirwere uye kuchengeteka kwemwana asati aberekwa.
Yechikamu chekutanga chepamuviri
Kana Hodgkin ichiongororwa munguva yekutanga yekutora pamuviri, chinangwa ndechekuchechera kurapwa kana zvichibvira kudzivirira chero kukuvara kumucheche. Mwana wacho anonyanya kunetseka kukuvadzwa nemakiranga ekurapa mukati memwedzi mitatu yokutanga apo nhengo dzaro dziri kuumbwa - kunyanya panguva iyo inopera kubva masvondo maviri kusvika kumavhiki masere mushure mokuberekwa. Chemotherapy inokuvadza panguva iyi, uye inofanira kudziviswa. Miridzo inokuvadza zvakare kana ikasvika muchibereko. Asi inogona kuendeswa kunharaunda kure kure nechibereko (semutsipa kana chepamusoro chepamusoro) nekuchengetedza kwakadzika kwemuviri kubva mumhara, kana zvichizodiwa kutanga utano.
Muvakadzi vakawanda vaduku vanowanikwa mune imwe nguva yekutanga, zvinokonzerwa kunonoka kurapwa kusvikira uchisvika chechipiri chetatu, kana kunyange kusvikira mwana wako achiendeswa.
Chechipiri nechetatu chemitatu yekuzvitakura
Kutarisira lymphoma muhafu yekupedzisira yehutano kuri nyore nokuti mamwe mazano aripo. Kumirira kusvikira mapapu emwana akakura (uye inova yakakodzera kubereka) iri nyore uye steroids inokurumidza kukurumidza kuita basa iri zvakanaka. Kana kutanga kurapwa kunenge kuchidiwa, mamwe chemotherapy mishonga inogona kutangwa pasina njodzi yakakura yekukuvara kumucheche. Zvechokwadi, zvidzidzo zvishomanana zvinoratidza kuti kuenzaniswa kwemaitiro emishonga chemo seAVVD kunogona kupiwa zvakachengeteka mumwedzi shomanana yekupedzisira yekuzvitakura.
Mishonga inogonawo kuendeswa kune dzimwe nzvimbo dzakasarudzwa dzomuviri kana dumbu rinogona kunyatsochengetedzwa.
Migumisiro yeArapa
Migumisiro inobva kuongororo yakatevera varwere kwemakore makumi maviri mushure mokurapa yakaratidza kuti migumisiro yekubata vakadzi vakazvitakura neHodgkin vakanga vasina kusiyana nevaya vasina chirwere. Kuponeswa kwemazinga zvakafanana. Hodgkin lymphoma ndeimwe yevanhu vashoma kanzira iyo mikana yekurapa yakakwirira mumatanho ose. Mwedzi mishomanana yekurapa kunonoka panguva yekuzvitakura haigadziri mishonga yekurapa yakawanda. Kuchengeta mwana wako ichinhu chakanaka uye vashoma vana vanotarisira vanozorega izvozvo zvipfuure.
Sources:
Brenner, B., Avivi, I., uye M. Lishner. Hematological cancers in pregnancy. Lancet . 2012. 379 (9815): 580-7.
Eyre, T., Lau, I., Mackillop, L., naG. Collins. Kutungamira uye kukakavadzana kwechikoro cheHodgkin lymphoma pakuberekwa. British Journal yeHematology . 2015. 169 (5): 613-30.
Yahalom, J., uye S. Horwitz. Kutungamira kwechikoro cheHodgkin lymphoma panguva yekuzvitakura. Kusvika pari zvino. Updated 01/10/15. http://www.uptodate.com/contents/management-of-classical-hodgkin-lymphoma-during-pregnancy