Stage I, II, III, uye IV uye yakadzorerwa NHL
Ndeipi nzira dzakanakisisa dzokurapa dzechisimba kwete yeHodgkin's lymphoma ? Iwe unogona kunge wakavhiringidzika kana iwe wakatotarisa pane zvose zvasarudzo paIndaneti. Hezvino zvinhu zvishomanana zvokufungisisa.
Maitiro ekurapa anosarudzwa
Iwe uye chiremba wako unogona kushanda pamwe chete kuti uwane chirongwa chakanakisisa chokurapa kukwanise zvose kenza yako yega (ivo vose vakasiyana) uye zvaunofarira pamusoro pekutsamwa nemigumisiro .
Zvisarudzo zvinogona kusanganisira chemotherapy , radiotherapy , monoclonal antibody therapy , kana kusanganiswa kwezvirapa izvi.
Ichi chisarudzo chinowanzobva pane zvimwe zvinhu. Chinonyanya kukosha ndiro danho rechirwere chako . Zvimwe zvinhu zvinokosha zvakare. Mhando chaiyo yekuti haisi Hodgkin lymphoma yaunayo, nhamba yezvikamu zvakabatanidzwa, kuvapo kwe lymphoma kune dzimwe nhengo, dzimwe nhepfenyuro yekuongorora ropa, uye kunyange makore ako ane chokuita nehuwandu hwemishonga inoshanda zvakanaka.
Chemotherapy
Chemotherapy ndiyo kunyanya kurapwa kweAng-Hodgkin chirwere. Kubatanidzwa kwemishonga mitatu kana kupfuura inowanzoshandiswa, chimwe chinhu chinonzi combine therapy . Zvinogona kuvhiringidza kunzwisisa kuti nei mishonga yakawanda ichidiwa. Chemotherapy mishonga yose inoshanda pane zvakasiyana-siyana pamwe nenzira yeesero inoparadzanisa nekuwedzera. Sezvo masero akasiyana ari munzvimbo dzakasiyana mumagadziro ekuparadzanisa, zvinodhaka zvakasiyana siyana zvinodiwa kuitira kuti asiye kukura kweese kenza dzemasere dziripo.
Zvose kana zvizhinji zvezvinodhaka zvinoshandiswa semakiromiti anokurumidzira kana kuti kunononoka kusvika mumakumbo ako. Vamwe vanogona kutorwa semapiritsi. Kune huwandu hunoshandiswa hunoshandiswa nemishonga. Chinozivikanwa chinonzi CHOP. Chisarudzo chemazuva chaiwo chinoenderana nechiremba wako. Chemotherapy inowanzochengetwa masvondo maviri kusvika ku3 kune dzimwe 'maitiro'.
Radiation Therapy
Radiation therapy haina kazhinji inoshandiswa iga muNi-Hodgkin Lymphomas . Inogona kuwedzerwa mushure menguva shomanana ye chemotherapy. Kutora kurapwa kwemaawa kwakafanana nekuwana X-ray yakatorwa. Iwe unorara panhovo pamubhedha, uye mhepo inobatsira X-ray kune chikamu chemuviri wako kubva kure. Mishonga inorapwa inowanzopiwa mazuva mashanu pavhiki kwevhiki 3 kusvika ku5. Non-Hodgkin lymphoma inopindura zvakanaka kumisaisai uye kuwedzerwa kwakanyanya hazvidiwi.
Monoclonal Antibody Therapy
Monoclonal antibodies , kubudirira mukurapwa kwekenza dzakawanda, zvinotarisirwa kuti zvienzanise nemamolekemu pamasero e-lymphoma uye zvinogona kutarisa masero aya zvakananga. Iwe unogona kunge uchiziva kuti miviri yedu inogadzira sei ma antibodies kuti varwise mabhakitiriya uye mavairasi anopinda miviri yedu. Monoclonal antibodies vanoita se "maitiro anogadzira maitiro" kuti varwise, kwete mabhakitiriya kana mavairasi, asi masero ekenza panzvimbo.
Kushandiswa kwemasimba anonzi monoclonal, akabatanidzwa nekodhiyo chemotherapy, yakaratidza migumisiro yakawanda kana inoshandiswa sechikamu chekutanga kurapwa, uyewo kurapwa kweNHL zvakare. Rituxan (rituximab) ndiyo inoshandiswa kunyanya kushandisa mishonga inonzi antioclonal antibody. Inopiwa sejekisi vhiki rese kwevhiki shomanana.
Nhamba Yokutanga Ngururu NHL: Stage I kana Stage II
Kana iwe uine hutsinye Hwe-Hodgkin Lymphoma muGwara I kana Stage II , kurapwa kwako kunowanzobatanidza maitiro mashomanana emakemikrasi akazotevera nemirairo kunzvimbo dzakasangana nechirwere.
Iwe unogonawo kupiwa kurapwa ne monoclonal antibodies.
Nzira Yakadzama Nhashonga NHL: Stage III kana Stage IV
Kana uine Non-Hodgkin Lymphoma muGumbo III kana IV , unogona kurapwa ne:
- Chemotherapy chete
- Chemotherapy plus monoclonal antibody therapy
- Chemotherapy pamwe ne monoclonal antibody therapy yakateverwa nemirairo kune dzimwe nzvimbo umo zvirwere zvichiri mushure memakemikirini.
Avo vane ngozi yakawanda yekudzokazve vanogona kupiwa muedzo wepamusoro-dose chemotherapy inotevera mushure wemasora kana stem cell transplant.
Akadzokazve Akashata NHL
Zvirwere zvinogona kusanganisira:
- Kusiyana kwemakemikari inosanganiswa
- Monoclonal antibody therapy
- High-dose chemotherapy ne bone bone kana stem cell transplant
Nzira yakanakisisa yekurapa haina kuzivikanwa. Vakawanda vanorwara vanopindura zvakanaka kumutsara wechipiri, asi nguva yekupindura-nguva yakareba sei mhinduro inopera-yakasiyana kune munhu mumwe nomumwe.
Clinical Trials for Aggressive NHL
Matambudziko akawanda emakiriniki ari kuenderera mberi achitarisa mushonga mutsva uye huri nani kune NHL ine utsinye , dzimwe nguva ane zvishoma zvingava nemigumisiro. Kune ngano dzakawanda pamusoro pekuongororwa kwechipatara kune kenza, uye majee pamusoro pekuva "guinea yenguruve" achiri kuonekwa. Ichokwadi kuti miedzo iyi dzimwe nguva inogona kupa mishonga ingadai isingawaniki. Taura nechiremba wako kuti udzidze kana chimwe chezviitiko izvi zvekurapa zvingave zvakakodzera kwauri.
Prognosis
Tiri kurarama munguva inofadza umo vanhu vazhinji vasina Hodgkin lymphoma vanogona kuporeswa muhosha yavo. Kunyange zvazvo NHL ine utsinye yakashandiswa kuva yakakurumidza kuuraya, ikozvino-pamusoro penguva yakareba chero zvakadaro-zvichida yakanakisisa yeNHL kukura. Chemotherapy uye mamwe marapirwo emukenza anoshanda kubvisa masero anokura nokukurumidza-uye masero muNHL ane utsinye anokurumidza kukuparadzanisa nekukura.