Ndezvipi Zvose Zvinowanzoita Makondomu Echipiri Ane Hodgkin Zvirwere?
Kana iwe uchangobva kutanga kana uri pakati pemishonga yeHodgkin lymphoma , kutaura pamusoro peimwe kenza ingangova chinhu chekupedzisira iwe unoda kunzwa. Usati wataura nezvengozi uye mitero yemakondomu echipiri zvakakosha kuziva kuti njodzi yekuguma kwezvinhu zvakadai semakondari echipiri anowanzopfuura zvikuru nezvibereko zvekurapa. Pamakore ekupedzisira ezana remakore, huwandu hwemakore mashanu ehupenyu hweHodgkin lymphoma hwakabuda kubva pa10 kusvika kune 90 kubva muzana, uye munhu akawandisa ane chirwere iye zvino anogona kutarisira kupora.
Kuva nekuziva kwehutano hwechipiri chekenza hunova kunyanya kukosha kune avo vakapinda izvo zvakagadzirwa "chirwere" chechikamu chekenza. Kunyange zvazvo chikamu chakakosha chekupona chiri kudzidza kudzika kure nebasa rako se "chirwere chekenza" uye kurega kutsanangurwa nekenza yako, iwe unoda kunzwisisa izvi zvinogona kuitika uye zvinowanzova pangozi yenguva refu.
Ngatitaurire nezvekukosha kwechiitiko ichi, mararamiro emamwe makondombera ane chokuita nemishonga inoshandiswa kuHodgkin chirwere, uye kunyanya kukosha, tarisa maitiro aunogona kuvandudza mararamiro ako kwenguva refu mushure mekurapa kuburikidza nekuona nekukurumidza uye kupererwa kwengozi.
Chii Chinofungidzirwa Kenza Yechipiri?
Chirwere chechipiri mushure meHodgkin chirwere chinotsanangurwa sekubudirira kwechipiri chekenza isina chokuita nekenza yako yepakutanga. Chirwere cheHodgkin chinodzoka-kudzokerazve-hachirevi kenza yechipiri asi pane kudzoka kwechirwere.
Kenza yechipiri dzimwe nguva inogona kutaurwa sekenza yechipiri yekutanga , kusimbisa kuti kamu yechipiri haina kufanana neyokutanga.
Kanzira mishonga yakadai sedhemotherapy uye remishonga inonzi radiation inogona kuporesa Hodgkin lymphoma, asi panguva imwe chete, inokonzerwa nekenza ( inokonzera kenza) ivo pachavo. Kuparara kwezvipatara izvi zvinokonzera DNA mumasero angashanda zvinoshamisa kuti abvise muviri wako wekenza masero, asi anogonawo kuparadza maitiro ezvakaberekwa, masero ane hutano, dzimwe nguva achitanga shanduko dzinogona kutungamirira kukura kwekenza yesero.
Secondary kanzira inogona kuitika kwemwedzi kusvika makumi emakore mushure mekutanga kwekenza yako yepakutanga.
Izvozvo zvinowanzove sei kancinisi yechipiri pashure peHodgkin Lymphoma?
Ndeipi ngozi yekuwana kenza yechipiri kana uine chirwere cheHodgkin? Mhinduro yacho ichasiyana maererano nekurapa kwawakanga uine, makore ako kuongororwa, uye zvimwe zvinhu zvakawanda. Kunyangwe tine dzimwe pfungwa dzinogona kukonzerwa nekenza uye nei zvakaoma kuongoredza ngozi chaiyo kune munhu mumwe chete. Zvidzidzo zvakatarisa mapoka evanhu vane Hodgkin lymphoma nekufamba kwenguva, asi vanhu ava vakagamuchira mhando dzakasiyana-siyana dzakasiyana-siyana. Sezvo mumwe muvarume vaviri uye mumwe muvakadzi vatatu vanotarisirwa kuva nekenza munguva yavo yeupenyu kunyange vasina kumbove neHodgkin chirwere, zvakanyanya kuoma kuziva nengozi chaiyo.
Apo patinotaura pamusoro pengozi nemitengo, ramba uchifunga mupfungwa idzi kuti idzi idzi dzinowanikwa kune munhu akaenzana ane Hodgkin chirwere. Asi vanhu chaivo havasati vashoma.
Pasi pose, zvinofungidzirwa kuti 20 kusvika ku30 muzana yevanhu vanopona Hodgkin lymphoma vachaita kenza yechipiri. Ngozi yeimwe yemararamiro (kwete ose kanzira inowedzera) inenge 4.6 nguva pangozi yehuwandu hwevanhu.
Chidzidzo chegore ra2015 muThe New England Journal of Medicine chakacherechedza vanopfuura 3900 vaHodgkin chirwere chepachivi pamusana pevhareji yemakore makumi maviri.
Avhareji yemakore panguva yekuongororwa kwevanhu ava vaiva 28. Vamwe vevakapona ava vaiva chemotherapy, vamwe vaine mazaisai emvura, uye vakapoteredza 60 muzana vakagamuchira zvose zvezvirapa izvi. Pakati pevanhu ava, vanhu 908 vakagadzirwa nekenza yechipiri.
Chimwe chidzidzo chakatarisa vanhu vane Hodgkin lymphoma avo vaiva nemakore makumi matatu kana makumi matatu kubva pakurapa. Ngozi yechirwere chechipiri makore makumi matatu kunze kwemazana makumi matatu nemakumi matatu (33.2%) (yakaenzaniswa ne9,6 muzana muvanhu vakawanda) uye 48.5 muzana pamakore makumi mana (zvichienzaniswa ne19 muzana mune vanhu vakawanda).
Ndeapi Mishonga Inokonzera Ngozi Yemakondari Makamwe?
Sezvakataurwa pamusoro apa, tinoziva kuti zvose chemotherapy uye remishonga inopisa mahara zvinogona kukanganisa masero ane utano, asi dzimwe kurapwa zvinowanzoita kupfuura vamwe kuti vaudze ngozi yekenza.
Kushandiswa kwechirwere chechirwere cheputi cheHodgkin lymphoma kwave kuchibatanidzwa nehuwandu huwandu hwekenza yemazamu , kenza yemapapu, nekenza yekameti. Munguva yakapfuura, zvisinei, maitiro emasikirwo uye huwandu hwezvisikwa zvakajairika zvakaratidzwa zvikuru. Penguva ino, remishonga inonzi radiation inoshandiswa kudarika kazhinji kubata Hodgkin lymphoma, kunyange ichiri kushandiswa nguva dzose kumatambo ekutanga. Radiation iyo ikozvino inoshandiswa inopiwawo kune nzvimbo yakajeka, nzvimbo yakakwana kumasukisi akabatwa neHodgkin lymphoma ( mantle emhepo mizinga ).
Radiation inowanikwa pasi peiyo diaphragm, kusiyana nemapfupa emvura, inowedzera dambudziko rekushaya mimba, pancreatic, uye colon.
Chemotherapy inokonzera kusvibiswa kwema cell, asi mamwe mapoka e chemotherapy madzimai anowanzoita kuti kuve kukanganisa kunogona kutungamirira kumakondomu echipiri. Mhando yemishonga inozivikanwa sealkylating agents inotakura dambudziko guru (kunyanya procarbazine). Alkylating agents anoshamwaridzana zvikuru nehuwandu hwehuwandu hweHodgkin lymphoma .
Procarbazine inowanikwa mu BEACOPP chemotherapy regimen uye dacarbazine, imwe nhengo yakashongedza ndiyo imwe yezvinhu zveABVD chemotherapy .
Ndiyo Ngozi yeCancer Cancer Inowedzera kana Inopera Here?
Kufambira mberi kwakawanda kwakaitika mukurapa kweHodgkin lymphoma munguva. Sezvinongoratidzwa, zvimwe zvezvinonyanya kukosha zvinokonzerwa nekenza zvechipiri zvinouya kubva kumagetsi ekurapa uye chemotherapy ne alkylating agents.
Kunyange zvazvo zvingava zvine musoro kuti mungozi yekondomu yechipiri ingaderera, sezvo kushandiswa kwemishonga inonyanyobatanidzwa nekamwe kenza ine kuderera, hakuna humwe uchapupu hwokuti izvi zviri kuitika, uye zvimwe zvidzidzo zvinoratidza kunyange kuwedzera kuduku munjodzi.
Kazhinji Kanza Kazhinji Inowanzoitika Pashure peHodgkin Lymphoma Treatment
Mamwe makondomu ekupedzisira muvanhu vane Hodgkin lymphoma anosanganisira:
- Kenza yepabonde - Kanzera yepabonde ndiyo yakanyanya kufanana nekenza yechipiri inowanika kune vanhu vakamborapwa neHodgkin lymphoma. Ikoko kune mazano akataridzirwa (ona pasi apa) kuongororwa kwepakutanga kwekenza yepabonde inofanirwa nezera rawakaonekwa kuti une chirwere cheHodgkin nemhando dzemishonga yawakagamuchira. Semuenzaniso, vakadzi vanogamuchira mashizha eHodgkin lymphoma (mazhenje emhepo) pamberi pechipfuva vasati vava nemakore makumi matatu ekuberekwa vanofanira kuva negore reMRI uye kuchipatara zvidzidzo kubva pazera remakore makumi matatu nematatu. Kazhinji, vakadzi vakambobatwa neHodgkin lymphoma vanofanira kutanga kuongorora kenza yebonde pazera remakore makumi mana ekupedzisira. Ramba uchifunga kuti varume vanogona kuwana kenza yemvere zvakare.
- Non-Hodgkin lymphoma - Sezvambotaurwa pamusoro, kwete Hodgkin lymphoma inobatanidza zvikuru kune chemotherapy regimens dzinosanganisira alkylating agents se procarbazine.
- Kanza yemaperembudzi - Kurapa kwechirwere kumapfupa eHodgkin chirwere kumusoro kwemuviri ndiyo kenza inowanzojairika yechipiri. Vakawanda vanotsvakurudza vanodavira kuti maitiro emagetsi matsva achaita kuti vashoma vaduku kanzera.
- Kanzera yeColon - Kune ngozi yakawanda yekenza yakaoma, kunyanya kune avo vakave nemirairo pasi peiyo diaphragm uye chemotherapy iyo inosanganisira procarbazine. Kutsvakurudza kuri kuenderera mberi kuedza kutsvaga nzira yakanakisisa yekuratidzira vanhu vane Hodgkin lymphoma vane zvirwere zvose izvi.
- Kenza yepancreatic - Muchirwere wepancreatic unobatanidza zvikuru pamwe nemirairo pasi pechidimbu.
- Kanzera yemudumbu - Sezvinenge nekenza yepancreatic, kenza yemuviri inowanzobatanidzwa nehupenyu hwekugamuchira sarudzo yehutachiona pasi pechidimbu.
- Muteyo myeloid leukemia - Leukemia semukenza wechipiri haina kufanana sezvawakambofungidzirwa, asi njodzi ichiri kukwidziridzwa kune vanopona chirwere cheHodgkin. sezvakafunga munguva yakapfuura. Zvinodhaka zvakadai seCytoxan (cyclophosphamide) zvinotakura dambudziko guru. Cytoxan imwe yezvinodhaka mu BEACOPP chemotherapy.
Mamwe Makondombera Anowedzera Muavo Ane Hodgkin Lymphoma
- Melanoma
- Myelodysplastic syndrome (MDS)
- Kanzira yemuromo kana kuti rurimi, chirwere chinopisa gland
- Chirwere cheropa
- Kansa yeAIDS
- Kenza yepafu uye zvirwere zvinotapira zvekenza
- Uterine kenza
- Chirwere chetachiona
- Kaposi's sarcoma
Dambudziko reCancer Cancers Richapera Rini?
Hazvinyatsozivi kuti ingano yekenza yechipiri inopfuurira kwenguva yakareba sei, kunyange zvingangove kuti njodzi inoramba yakasimudzirwa kune imwe yakasara yehupenyu. Muzhinji, zvinoratidzika kuti njodzi yepamusoro yekondari yechipiri inowanikwa mumakore gumi nematatu mushure mekurapa.
Mirayiridzo Yekuongororwa Kwekondombera Dzechipiri
Iko ikozvino inotungamira munzvimbo yekuongorora zvimwe zvekenza zvechipiri. Vaya vakapukunyuka vanongoronga mazano anobva panyaya yezera renyu pakuongororwa, mararamiro amarudzi awakagamuchira, uye nguva yakareba kubva pawakapedza kurapwa. Zvakakosha kune munhu wose ane chirwere cheHodgkin kuti aongororore mazano aya uye kurukurirane navo neocologist yavo. Kuwedzera kune aya mazano kunofanirwa kuva chero dzimwe njodzi dzinokonzera kana nhoroondo yemhuri yekenza yaunayo.
Kuongorora uye Kuongorora Zvokutanga uye Kuziva Zviratidzo
Nepo kune mamwe mazano mune nzvimbo yekuwana mavanga echirwere chekutanga, zvakakosha kuratidza kuti hapasi ikozvino kuongororwa kuongororwa kunowanikwa kune vakawanda vekenza inowedzera kune avo vane Hodgkin lymphoma.
Somuenzaniso, hatina nzira yekuona vanhu nguva dzose kwete yeHodgkin lymphoma, kenza inowanikwa mushure mokurapa. Kubva zvino, zvingaratidzika kuchenjera kuti avo vari Hodgkin lymphoma vanofanira kuziva zviratidzo zvekusava Hodgkin lymphoma uye kutsvaga kurapwa kana chimwe chezviratidzo izvi chinofanira kubuda.
Kune avo kanzura umo mazano ari munzvimbo, unogona kutarisira kuchinja. Tiri kungotanga kunzwisisa njodzi dzekondomu dzechipiri, uye tsvakurudzo dzakawanda dzinosara kuitika.
Kukosha Kwokurapa Nguva Dzose Mushure meHodgkin Lymphoma
Mukuwedzera kune imwe nzira yekutevera inorayirwa newe oncologist kuti utange kuonekwa kwechirwere chechipiri, zvakakosha kuti uve nechokwadi chokuti iwe unosvika pane zvekuti "zvakaenzana" kuongorora kwekuongorora.
Kakawanda kana uchibata nekenza, dzimwe nyaya dzezvehutano dzinomanikidzwa kumusana wemoto (kana kuti kubva pikofu zvachose). Kuongorora miedzo yakadai sekolonoscopy inogona kubviswa. Kune vanhu vazhinji, chinhu chekupedzisira chavanoda kuita mushure mokupedza kurapwa ndekuve nekuongorora kuongorora kunogona kuona chimwe kenza!
Pane imwe chinyorwa, iwe unogona kuva chii chingava chiratidzo chekutanga chekenza, asi maererano nezvakambove uchiita, chiratidzo chako chingaita sechinhu chakakosha chose. Vanhu vane kenza vanowanzodzidza kurarama nehumwe hutambudzo kana kusagadzikana, uye vanenge vose vanodzidza kurarama nekuneta. Zvinogona kuva zvakaoma kusiyanisa kuneta nekuda kwedambudziko idzva kubva kuneta kunoramba richiita sekusingaperi mushure mekurapa kenza. Teererai mumuviri wenyu uye vimba maronda ako. Kana chimwe chinhu chichiita sechasiyana, taura nachiremba wako.
Ungaita Sei Kuti Udzikise Dambudziko Rako reKenza Chechipiri?
Mukuwedzera pane kuongororwa miedzo chiremba wako anokurudzira, kutora mararamiro ehutano hwakanaka kunogona kuderedza dambudziko rekuwedzera kenza yechipiri. Izvi zvinosanganisira:
- Kudya kudya kwakanaka
- Kuramba uine utano hwakanaka
- Kudzivisa fodya
- Kushandisa nguva dzose
- Kurambidza doro kushandiswa
- Zvitevedzeri zvakakurudzirwa utano hwehutano uye mazano ekuongorora
Mukuwedzera, unogona kuda kuongorora mazano aya ekuderedza ngozi yako yekenza yekoloni , mazano aya ekuderedza ngozi yako yemukenza wemapapu , uye aya maonero ekuderedza dambudziko rako rekenza yepabonde .
Shoko Rinobva
Zvinogona kutyisa kudzidza kuti kune ngozi yekondari yechipiri mushure mekurapwa kweHodgkin lymphoma, asi panewo zvinhu zvakawanda zvaunogona kuita kuderedza dambudziko rako. Nzira yemararamiro inobatsira inogona kubatsira kuderedza ngozi yezvinodhaka izvi uyewo zvirwere zvinowanikwa pakati pevanhu vose. Zvakakosha kutaurirana newe oncologist pamusoro pekukurudzirwa kuongororwa maererano nemishonga yawakave nayo. Izvo zvakare pfungwa yakanaka kuva nezviratidzo zvitsva zvinoongororwa pakarepo. Iko kusanganiswa kwekuderedza dambudziko rako uye kuwedzera mukana wekuti uchawana kenza mune zvishoma zvekare zvinoporesa zvinogona kufamba nenzira yakareba pakuita kuti kuponesa kwako neHodgkin lymphoma ive "yakanaka itsva".
> Sources:
> Keegan, T., Bleyer, A., Rosenerg, A., Li, Q., uye M. Goldfarb. Chikamu Chepiri Chechipiri Chinonzi Malignant Neoplasms uye Kupona Muvecheche uye Vechiduku Vapenyu Vanorwara Khwere. JAMA Oncology . 2017 Apr 20. (Epub mberi kwekudhinda).
> Norval, E., uye E. Raubenheimer. Kuipa Kwechipiri muHodgkin Zvirwere: Kuongorora kweZvinyorwa uye Nhoroondo yeChiitiko neLennyt Secondary Lenint's. Zvinyorwa zveMuromo uye Maxillofacial Pathology . 2014. 18 (Suppl 1): S90-5.
> Radford, J., uye D. Longo. Makondombera echipiri mushure mekurapa kweHodgkin Lymphoma - Kuenderera mberi kweChere for Concern. The New England Journal of Medicine . 2015. 373: 2572-2573.
> Rigter, L., Spaander, M., Mwedzi, L. et al. Colorectal Cancer Surveillance muHodgkin Lymphoma Vanoponeswa Pangozi Inowedzera Kurapa-Inoenderana neColorectal Cancer: Study Design. BMC Kanzura . 2017. 17 (1): 112.
> Schaapveld, M., Aleman, B., van Eggermond, A. et al. Kenza Yechipiri Inogona Kukuvadza Kwemakore Anopfuura makumi mana pashure pokurapwa kweHogkin's Lymphoma. The New England Journal of Medicine . 2015. 373: 2499-2511.