Kodi chimachitika ndi chiyani mukakhala ndi matenda a Hodgkin mukakhala ndi pakati? Kodi izi zimachitika kangati?
Hodgkin Lymphoma mukutenga
Hodgkin lymphoma makamaka imakhudza achinyamata achinyamata ali ndi zaka makumi awiri ndi ziwiri - zaka zofanana pamene amayi nthawi zambiri amatenga mimba. Choncho kukhala ndi matenda a Hodgkin pa nthawi ya mimba sizodabwitsa. Akuti pakati pa 1 pa 1,000 ndi 1 mwa amayi 6,000 ali ndi funso la momwe angayendetsere Hodgkin lymphoma pa nthawi ya mimba.
Zizindikiro
Zizindikiro za Hodgkin lymphoma zikhoza kukhala ndi zizindikiro zomwe timayanjana ndi mimba. Zina mwa zizindikirozi zimaphatikizapo kumatopa, kukhala ndikutuluka usiku, ndi khungu lotupa. Mwamwayi matenda a Hodgkin ndi ochiritsidwa kwambiri, ndipo anthu omwe amawapeza sakuyenera kudandaula kuti achedwa kuchepetsa matenda awo, kuganiza kuti zizindikirozo zimakhala chifukwa cha mimba yokha.
Kodi Hodgkin Lymphoma Ikusiyana Mosiyana ndi Akazi Amene ali oyembekezera?
Hodgkin lymphoma imafanana chimodzimodzi kwa amayi omwe ali ndi pakati kapena omwe sali. Mwinamwake mwamvapo mphekesera kuti mimba ikhoza "kupsa" khansa. Ngakhale zili choncho, mwachitsanzo, khansa ya m'mawere ya estrogen, si choncho kwa amayi omwe ali ndi matenda a Hodgkin. Khansara imakula ndikufalikira mofanana ngati muli ndi pakati kapena ayi.
Mayesero kwa Akazi Oyembekezera
Ngati muli ndi pakati, dokotala wanu akhoza kupanga mayesero osiyanasiyana kuti apeze matenda ndi matenda anu kusiyana ndi momwe munalibe pakati.
Ma X-ray, CT, ndi PET zimawonekeratu panthawi yomwe ali ndi mimba kuti zisawononge kutentha kwa mwana. MRI amawunika m'malo mwake; iwo ali abwino pomwe ali opanda vuto pamene ali ndi mimba. Mayesero enawo ndi ofanana ndipo ndizo zigawo za Hodgkin lymphoma .
Kodi Kuchotsa Mimba N'kofunika?
Sikofunika kwambiri kuthetsa mimba ngati wina atapezeka kuti ali ndi Hodgkin lymphoma.
Nthawi zambiri mankhwala amatha kuchedwa kapena kusinthidwa mpaka mwanayo atakula mokwanira kuti apulumutsidwe moyenera. Ngati matendawa atakula kwambiri moti amawopseza moyo wa mayiyo, kapena amachititsa kuti azilephera kubereka, amachotsa mimba.
Kuchiza Pakati pa Mimba
Palibe malamulo osakhazikika ochizira lymphoma pa nthawi ya mimba. Gawo la lymphoma, nthawi ya mimba ndi zofuna za amayi zonse zimaganiziridwa pakupanga chisankho. Kuchiza kawirikawiri kumachedwa kapena kusinthidwa kuti phindu labwino lipezeke pakati pa matenda oletsa matenda ndi chitetezo cha mwana wosabadwa.
Yoyamba itatu ya mimba
Ngati Hodgkin amapezeka m'zaka zitatu zoyambirira za mimba, cholinga chake ndi kuchepetsa kuchipatala ngati n'kotheka kuti zisawonongeke mwanayo. Mwanayo amatha kupweteka kwambiri ndi matenda a khansa m'miyezi itatu yoyamba pamene ziwalo zake zimapangidwa - makamaka nthawi yayitali kuyambira masabata awiri mpaka masabata asanu pambuyo pa kubadwa. Chemotherapy ndi yoopsa pa siteji iyi, ndipo iyenera kupeĊµa. Mvula imakhala yovulaza ngati ifika pamimba. Koma ikhoza kuperekedwa kumadera akutali kutali ndi chiberekero (monga khosi kapena chapachifuwa) mosamala kuteteza mimba kuchokera kumayendedwe, ngati nkofunika kuyambitsa mankhwala.
Atsikana ambiri omwe amapezeka kuti ali ndi msinkhu, amatha kuchepetsa mankhwala mpaka mutha kufika pa trimester yanu yachiwiri, kapena mpaka mwana wanu ataperekedwa.
Gawo lachiwiri ndi lachitatu la mimba
Kusamalira lymphoma mu theka lachiwiri la mimba ndi kophweka chifukwa zosankha zambiri zilipo. Kudikirira mpaka mapapu a mwana akhwima (ndipo amakhala oyenerera kubereka) ndi osavuta komanso steroids amapititsa ntchitoyi mwamsanga. Ngati kuyamba mankhwala akufunika, mankhwala ena amatha kuyamba popanda chiopsezo chachikulu cha mwana. Ndipotu, kafukufuku wochepa amasonyeza kuti mankhwala osakaniza a chemo monga ABVD angaperekedwe mwabwino pa miyezi ingapo yapitayi.
Mazira amatha kuperekedwanso kumadera osankhidwa a thupi ngati mimba ikhoza kutetezedwa mosamala.
Zotsatira za Chithandizo
Zotsatira za phunziro lomwe linatsatira odwala kwa zaka makumi awiri kuchokera pamene chithandizochi chinapereka kuti zotsatira za kuchitira amayi apakati ndi Hodgkin zinali zosiyana ndi omwe analibe matendawa. Kupulumuka mitengo ndi chimodzimodzi. Hodgkin lymphoma ndi imodzi mwa khansa zochepa kumene mwayi wa machiritso uli pamwamba pa magawo onse. Miyezi ingapo yothandizira kuchepetsa nthawi ya mimba sizimasintha zotsatira za mankhwala. Kusunga mwana wanu ndi njira yeniyeni ndipo amayi ochepa omwe akuyembekezera amalola kuti izi zidutse.
Zotsatira:
Brenner, B., Avivi, I., ndi M. Lishner. Matenda a khansa ya m'mimba mwa mimba. Lancet . 2012. 379 (9815): 580-7.
Eyre, T., Lau, I., Mackillop, L., ndi G. Collins. Kusamalira ndi mikangano ya mtundu wa Hodgkin lymphoma mu mimba. British Journal ya Hematology . 2015. 169 (5): 613-30.
Yahalom, J., ndi S. Horwitz. Kusamalira wa Hodgkin lymphoma pa nthawi ya mimba. Zaposachedwa. Kusinthidwa 01/10/15. http://www.uptodate.com/contents/management-of-classical-hodgkin-lymphoma-during-pregnancy