Lymphoma inogona kubuda panzvimbo dzakawanda dzakasiyana mumuviri, uye dzimwe nzvimbo dzakasiyana kupfuura dzimwe. Kune kanzira dzisina kujairika, pane dzimwe nguva hapana chinhu chakadai sechirwere chemazuva ose. Mune zviitiko izvi, vanachiremba vanoita zvakanakisisa kuti vawane kurapwa kuchava nekubudirira kukuru nekusanyanya kudhakwa. Nguva yako uye hutano hwehutano hungave hukuru hukuru mukusarudza kuti zvipi zvingave zvakanaka kwauri.
Primary Primary Nervous System Lymphoma
Primary primary nervous system lymphoma (PCNSL) inoratidzika uye ine utsinye hwemusiri Hodgkin lymphoma . Izvo zvinotaridzika zvinowedzera kuva varombo kune avo vari mumakore makumi matanhatu nemakore ekukwegura.
Hafu yezviitiko zvose zvePCNSL inoitika muzera iri rezera.
Kunyange zvazvo zvisingawanzoitiki, PCNSL yave ichikwira mumakore makumi matatu apfuura. Chidzidzo chevane 579 vakwegura vakaonekwa neCNSNS mumakore ekuma1990 muUnited States vakaratidza kuti kupona kwemuviri kwaive kwemwedzi mitatu chete. Panguva iyoyo, uropi hwose radiotherapy chete ndiyo yaive yakanyanya kurapwa muzera rezera iri, pa46 muzana.
Kunyange zvazvo vanhu vakwegura vangave vakamirira kushungurudzwa kwekemikirini yemakemikari yePCNSL, vanowanzova nehuwandu hwekuyerera huchienzaniswa nevarwere vaduku. Vanhu vakwegura vanonyanya kunetseka neutachiona, zvikurukuru maitiro emagariro ehutano anotevera uropi hupi hwehupi.
Varwere vane nheyo yeCSS lymphoma vanowanzobatwa muzvikamu zviviri: chirongwa chekudzikinura, chinoreva kuita kuti kuregererwa, uye chikamu chekusimbisa, chakapiwa kamwechete kuregererwa kunoitwa.
Chirwere chinonyanya kuve chave chizere-chese Trexall (methotrexate) -based chemotherapy yakatevera nekugadzirisa yose-brainotherapy, asi varwere vakawanda vanodzoka uye vanofa kubva ku lymphoma kana kuti vane ngozi yakawanda yehutsinye kune hurongwa hwemagetsi.
Treatment Patterns
Vachipiwa dambudziko iri, Dr. Benjamin Kasenda nevamwe vaishanda navo vakatarisa zvakarongeka kune zvidzidzo zverapa inoshandiswa pachirwere ichi kune vanhu vanopfuura 60.
Kunyanya, vaida kuziva kuti zvipi zverapies oncologists zvinoshandiswa seyero-line remishonga kazhinji mune varwere vane PCNSL vachangobva kuongororwa.
Vakawana makumi maviri nemazana makumi maviri nemakore makumi matanhatu nemakumi matanhatu nemakumi matanhatu nemakumi matanhatu nemakumi matanhatu nemakumi matanhatu nemakumi matanhatu. Kakawanda, vakawana mishonga yekutanga yevanhu vari muboka iri yakasiyana, uye kuti pakange kusina kunyatsorapwa kurapwa kwevatana vakwegura vane PCNSL.
Zviwanikwa Zvitsva
- Vatsvakurudzi vakawanawo kuti, pamusoro pemakore gumi apfuura, kufungidzira mune boka rezera iri kwavandudzika.
- Mishonga inosanganisira high-dose methoate yaienderana nemigumisiro yakanakisisa.
- High-dose methotrexate pamwe nemamwe madzimai maviri emishonga IV - kushungurudza - kuenzaniswa nepamusoro-dose methotrexate pamwe nemuromo wemakemotherapy HAKASVANZIDZWA nekuvandudzwa kwekupindura kana kupona
- Muvanhu vakagamuchira chiremba-methotrexate yakabva chemotherapy yakakwana, uropi hupi hwehutachiona hunobatanidza nehupenyu huri nani, asiwo nehuwandu hwehutano hwehutachiona hwehutano.
- Methotrexate iye zvino ndiyo yakanyanya kunyanya kuongororwa mishonga mukurapa PCNSL. Vashomanana varwere iye zvino vari kurapwa nehutano hwehutano hwehutano, chete.
Pasi Pasi
Ichi chidzidzo chakatarisa kumashure pane zvakaitika kare. Yaiva chidzidzo chekudzoka uye chekucherechedza, saka saka ine zvimwe zvingakundikana. Zvisinei, mamwe mashoko akajeka kubva kuPCNSL anotarisira miedzo kuvanhu vakwegura haawaniki. Hezvino zvakapera boka iri:
- High-dose-methotrexate-based therapy inofanira kupiwa kunyange kuvarwere vasina simba, kana zvichibvira.
- Kutanga-mutsara mushonga pamwe nekubatanidzwa kwe-high-dose methotrexate pamwe neshoko remuromo, procarbazine kana temozolomide, somuenzaniso-yakaita seinovimbisa uye yakakodzera kufanirwa mberi.
- Ubongo hwose radiotherapy inogona kuvandudza mhinduro, asi inobatanidza nehuwandu hwehutachiona hwemigumisiro yehutano.
Pakupedzisira, Kasenda uye vashandi pamwe chete vakasimbisa kukosha kwevanotarisira miedzo yakagadzirirwa varwere veCCNSL vakwegura.
> Sources:
Ferreri AJM, Cwynarski K, Pulczynski E, et al. Chemoimmunotherapy Ne Methotrexate, Cytarabine, Thiotepa, uye Rituximab (MATRix Regimen) muVachipatara Vane Primary CNS Lymphoma: Zvibereko zveKutanga Kurasika kweSouth International Extranodal Lymphoma Study Group-32 (IELSG32) chikamu chechipiri chekuedzwa. Lancet Hematology. 2016; 5; e217-e227.
Kasenda B, Ferreri AJM, Marturano E, et al. Yokutanga-Mushonga Kuchengetedzwa uye Chibereko Chevarwere Vakwegura Vanonyanya Kutakura Nervous System Lymphoma (PCNSL) - Ongororo Yakarongeka uye Mumwe Nemumwe Murwere Zvirwere Meta-Analysis. Ann Oncol . 2015. [Epub mberi kwekunyora].
Roth P, Hoang-Xuan K. Zvinetso Murairo Yevarwere Vakwegura Vanonyanya Kuita Nervous System System Lymphoma. Curr Opin Neurol. 2014; 27: 697-701.
Panageas KS, Elkin EB, Ben-Porat L, et al. Maitiro ekurapa muVakuru Vakura neCheastern Central Nervous System Lymphoma. Cancer 2007; 110: 1338-1344.