Kumumwe munhu achangobva kuongororwa ane lymphoma, maitiro ekurapa angave akaoma kunzwisisa. Iko kune marudzi anenge makumi matatu eine lymphoma, akawanda subtypes, uye kazhinji kune nzira dzakawanda dzokurapa kune chirwere chimwe chete. Mukuwedzera, mushonga mutsva unobuda nguva dzose, uye chii chaiva chechokwadi pamusoro pezvingasarudzwa uye zviitiko kunyange makore gumi apfuura kuti chero ipi zvayo yakagadzirwa lymphoma ingasave ichiri iko nhasi.
Heano mutsara mupfupi wokunzwisisa kurapwa kwe lymphoma .
Pasati Kurapa
Mushure mekunyatsozivikanwa kwe lymphoma nekugadzira rudzi chaiyo rweHodgkin kana kuti kwete Hodgkin's lymphoma , mimwe miedzo yakawanda ichiri kudiwa kuti uwane huwandu hwehutano- chikwata che lymphoma -uye kuti uongorore zvimwe zvikonzero zvinogadzirisa kusarura. Apo zvose izvi kuedzwa uye kuongororwa zvakakwana, an oncologist anorayira murwere pamusoro pemishonga yakanakisisa yekurapa inowanikwa.
Kunzwisisa Mhando dzechirwere
Kune mhando ina mikuru yemishonga yekurapa kwe lymphomas:
- Chemotherapy : Zvinodhaka zvinoshandiswa sechirwere mumakumbo ako kana sepiritsi. Kazhinji chemotherapy schedules inosanganisira ABVD , R-CHOP , uye CHOP .
- Radiotherapy: High-energy rays iyo inotungamirirwa pamarara. Radiotherapy inogona kununurwa pane zviduku (iyo inobatanidzwa mumasango emhepo ) kana nzvimbo dzakakura ( yakawedzerwa mazai emunda ).
- Targeted therapy, kusanganisira antibody therapy : Inonziwo biologic therapy, izvi zvinoreva kushandiswa kwezvinodhaka sezvinonzi rituximab inoshandura mamolekemu akasiyana-siyana pamusoro pekenza masero. Nekufambiswa kwemishonga yemakemikari, zvirwere zvinowedzera zvinotarisa nzira itsva zviri kuongororwa mumakiriniki, uye vatsva vanoramba vachiendeswa neU.S. FDA. Iyo immune checkpoint inhibitors imwe yeboka rakadaro remajini rinokurudzirwa, pamwe nekugona kushandiswa mu lymphoma therapy.
- Tora marora kana stem cell transplant: Kushandisa maitiro akawanda emakemotherapy kana kuti maharavirai kuti auraye ose masero ekenza paanochengetedza marora emapfupa nekuiswa kwemasora kana masero emadzi.
Kusiyana nekenza yakafanana yakadai sekenza yeprotate kana kenza yemvere, kushandiswa kwekuvhiya kwekurapa lymphoma hakusi nyore.
Mazai kazhinji anowanzoitirwa kuvhiyiwa kuitira kurapa chirwere chakasara chinowanikwa kune imwe nzvimbo. Kutsvakurudza kunoswedera, zvisinei, kunogona kushandiswa kuitira kuti uwane sopu yomuviri we lymphoma kuitira kuti inogona kuongororwa uye kuenzaniswa.
Kurapa kweHodgkin's Lymphoma
Hodgkin's lymphoma inowanzobatwa nechemotherapy uye radiotherapy. Mishonga inoshandiswa inobva pachigarire che lymphoma uye zvimwe zvirevo. Vanenge vese varwere vanowana chemotherapy, uye miviri inogona kushandiswa mukutanga-shato chirwere kakawanda pashure pemakemikirini kana dzimwe nguva sechirwere chete.
Kurapa kweNi-Hodgkin's Lymphomas (NHL)
Iko kune madzinza makumi maviri nemashanu akasiyana easiri Hodgkin's lymphoma. Vamwe vavo vanoita zvakasiyana chaizvo nevamwe. Kurapa kweNHL yose hakusi yakasiyana asi kunobva kune lymphoma type, subtype, uye mufambiro wepepepe yakanyanya. Chemotherapy kazhinji inonyanya kurapwa. Radiation kana monoclonal antibody therapy inogona kuwedzerwa chemotherapy mune mamwe mamiriro ezvinhu ewedzerwa kubatsirwa.
- Kurapa Kwokudya kweAggressive Non-Hodgkin's Lymphoma - inosanganisira nzira dzeboka reNHLs dzakajairika dzinosanganisira kuparadzanisa B-cell lymphoma .
- Follicular (Low Grade) Lymphoma Mushonga - kurapwa kwemakiromita anokurumidza kukura.
- Mantle Cell Lymphoma Treatment - kurapwa kwe lymphoma inotaridzika kukura-kukura, asi inoita zvakashata.
- Gastric MALT Lymphoma Treatment - kurapa kwechirwere chechirwere chinokanganisa mudumbu.
- Primary Primary CNS Lymphoma Treatment - kurapwa kwemaitiro anokanganisa huropi.
- Mucheka T-cell Lymphoma Treatment - kurapa kweganda lymphoma.
- Burkitt's Lymphoma Treatment - kurapwa kwekukurumidza kukura lymphoma inobata vana.
Nemhaka yokuti NHL ibato rakasiyana-siyana, chii ichocho chechokwadi kune rimwe rutivi rwemashoko harungambove rwechokwadi kune umwe. Semuenzaniso, vamwe vanhu vane follicular lymphoma, NHL inokurumidza kukura kana kuti isina kunyunyisa, vangave vasingadi kurapwa nokukurumidza, apo lymphomas dzine utsinye dzakadai sechipararira chikuru B-cell lymphoma, kana kuti DLBCL, inowanzobatwa nehasha uye kazhinji inopindura zvakanaka chemotherapy.
Investigational Treatments
Nekuremekedza kenza yekurapa uye mishonga ye lymphoma, kunyanya, kusainira kuchipatara miedzo kunogona kupa varwere vazhinji zvikomborero zvezvimwe zvasarudzo uye vashandi vatsva. Zvichida izvi zvinonyanya kuitika kune vanhu vane izvo zvinonzi "kudzokerazve kana kurwara zvirwere." Mamwe masikirini anopindura zvakafanana nekurapa kwakadaro zvakare sezvavakaita pakutanga, apo vamwe vanoratidza kudiwa kwezvitsva zvitsva uye kusanganiswa kwakasiyana.
Kuenzanisa kwakakodzera pakati pevarwere uye kuongororwa kwekliniki kunogona kusanganisira itsva chemotherapy inosvika, nzira-yakarongerwa kurapwa, maitiro ezvirwere kana maitiro-anorayirwa kurapwa.
Shoko Rinobva
Kana iwe uchangobva kuongororwa kuti une lymphoma, kunzwisisa rudzi rwechirwere chechirwere chako ndiyo nzvimbo yakanakisisa yokutanga-kunyange usati waongorora kurapwa kwemitambo uye mishonga yakasiyana-siyana inowanikwa.
Zvinowanzoitika kuti uve nemafungiro ekumhanya uye kuti unzwe uchinetseka nehutachiwana hutsva (uye ,zve, pane dzimwe nzvimbo dziri munzira munzira muhutano hwako rwekenza). Kunzwisisa mhando ye lymphoma yako kuchakupa iwe uye chiremba wako kuti aongorore nzira dzakasiyana-siyana dzokurapwa dziripo. Uyezve, itsva lymphoma therapies iri kubuda nokukurumidza, saka iva nechokwadi chekuongorora zvose zvaunosarudza.