Kwa munthu amene watulukira kumene ali ndi lymphoma, njira zochizira zingakhale zovuta kumvetsa. Pali mitundu pafupifupi 30 ya lymphoma, ambirimbiri, ndipo nthawi zambiri pali njira zosiyanasiyana zothetsera matenda. Kuwonjezera apo, mankhwala atsopano amayamba mosalekeza, ndipo zomwe zinali zoona zokhudzana ndi zosankha ndi zotsatira ngakhale zaka khumi zapitazo kuti lilimphoma iliyonse ikhale yosakayikira lero.
Pano pali chitsogozo chachidule cholandira chithandizo cha lymphoma .
Asanachiritsidwe
Pambuyo pa matenda a lymphoma ndikudziŵa mtundu weniweni wa Hodgkin kapena osati Hodgkin's lymphoma , mayesero angapo akufunabe kuti adziŵe momwe matenda alili - siteji ya lymphoma - ndi kufufuza zinthu zina zomwe zimatsimikizira kuti matendawa ndi otani. Pamene mayesero onsewa ndi otheka, ovomerezeka amalangiza wodwala za njira zabwino zothandizira mankhwala.
Kumvetsetsa Mitundu ya Chithandizo
Pali mitundu iwiri yambiri ya chithandizo cha ma lymphomas:
- Chemotherapy : Mankhwala osokoneza bongo omwe amachitidwa ngati opatsirana m'mitsempha yanu kapena ngati mapiritsi. Ndondomeko zamadzimadzi zimaphatikizapo ABVD , R-CHOP , ndi CHOP .
- Radiotherapy: Kutentha kwamagetsi komwe kumayambira pa chotupacho. Radiotherapy ikhoza kuperekedwa kumadera ang'onoang'ono (omwe amapezeka m'madera otentha) kapena madera akuluakulu
- Njira yothandizidwa, kuphatikizapo antibody therapy : Inunso imatchedwa biologic therapy, izi zikutanthauza kugwiritsa ntchito mankhwala monga rituximab omwe amawombera mamolekyu apadera pamwamba pa maselo a khansa. Pogwiritsa ntchito mankhwala a maselo, njira zowonjezera zomwe zikuwongolera njira zatsopano zikufufuzidwa m'mayesero a zamankhwala, ndipo othandizira atsopano akupitiriza kuvomerezedwa ndi US FDA. Chitetezo cha chitetezo cha m'thupi chimakhala ndi gulu limodzi la mawotchi opangidwa, ndi kuthekera kwa ntchito ya lymphoma.
- Kusakaniza mafupa a mitsempha kapena kusambira maselo: Kugwiritsira ntchito mankhwala akuluakulu a chemotherapy kapena ma radiation kuti aphe maselo onse a khansa pamene akusunga mafupa ndi kuika mafuta a m'mawere kapena maselo.
Mosiyana ndi khansa wamba monga kansa ya prostate kapena khansara ya m'mawere, kugwiritsa ntchito opaleshoni yokhala ndi lymphoma sikungokhalako.
Kawirikawiri amawotcha opaleshoni kuti athetse matenda omwe ali okhawo. Opaleshoni ikuyandikira, komabe, ingagwiritsidwe ntchito kuti tipeze chitsanzo cha biopsy cha lymphoma kotero kuti chikhoza kupezedwa ndi kusankhidwa.
Kuchiza kwa Lymphoma ya Hodgkin
Hodgkin's lymphoma amachiritsidwa ndi chemotherapy ndi radiotherapy. Njira zochiritsira zimachokera pa siteji ya lymphoma ndi zina zotero. Pafupifupi odwala onse amalandira mankhwala a chemotherapy, ndipo ma radiation angagwiritsidwe ntchito pamatenda oyambirira nthawi zambiri pambuyo pa mankhwala a chemotherapy kapena nthawi zina ngati mankhwala okhawo.
Kuchiza kwa ma Lymphomas a Non-Hodgkin (NHL)
Pali mitundu pafupifupi 25 ya mitundu yambiri ya non-Hodgkin's lymphoma. Ena a iwo amachita mosiyana kwambiri ndi ena. Mankhwala a NHL onse si ofanana koma amadalira mtundu wa lymphoma, subtype, ndi khalidwe la gawo lapadera. Chemotherapy kawirikawiri ndi mankhwala aakulu. Mankhwalawa amatha kuwonjezeredwa ku chemotherapy nthawi zina kuti apindule.
- Njira Zothandizira Zoopsa Zachilendo Zachilendo Zachilendo Zachilendo Zachilendo - Zina mwa njirazi ndi gulu la anthu omwe ali ndi NHLs omwe amagwiritsa ntchito kuphatikizapo B-cell lymphoma .
- Chithandizo cha Follicular (Low Grade) Lymphoma - mankhwala a maimymphomas opitirira pang'onopang'ono.
- Mantle Cell Lymphoma Treatment - mankhwala a lymphoma omwe amawoneka akukula pang'onopang'ono, koma amachita moipa.
- Matumbo a MALT Lymphoma Kuchiza - mankhwala a mtundu wa lymphoma umene umakhudza mimba.
- Maphunziro a CNS Lymphoma Treatment - mankhwala okhudza lymphoma omwe amakhudza makamaka ubongo.
- Matenda a T-cell Lymphoma - mankhwala ochizira khungu.
- Mankhwala a Burkitt's Lymphoma - mankhwala a lymphoma omwe amakula mofulumira omwe amakhudza ana.
Chifukwa NHL ndi gulu losiyana, zomwe zili zoona pa gawo limodzi sizingakhale zoona kwa wina. Mwachitsanzo, anthu ena omwe ali ndi follicular lymphoma, NHL yochepa kapena yopanda ulemu, sangadye kuchipatala msanga, pamene maselo amphamvu kwambiri omwe amafalitsidwa kwambiri ndi B-cell lymphoma, kapena DLBCL, amachitira nkhanza kwambiri chemotherapy.
Mankhwala Ofufuza
Ponena za mankhwala opatsirana khansa ndi mankhwala a lymphoma, makamaka kulemba zolemba zachipatala kungapereke odwala ambiri ubwino wa zosankha zambiri ndi wothandizira atsopano. Mwina izi ndi zoona makamaka kwa anthu omwe amatchedwa "kubwereranso kapena matenda osokoneza bongo." Mafupa ena amachitanso chimodzimodzi monga momwe anachitira nthawi yoyamba, pamene ena amasonyeza kufunika kwa zosankha zatsopano komanso zosiyana.
Maseŵera oyenera pakati pa odwala ndi mayesero a zamankhwala angaphatikizepo njira zatsopano za mankhwala a chemotherapy, njira zothandizira mankhwala, njira za chitetezo cha mthupi kapena mankhwala opatsirana.
Mawu Ochokera
Ngati mwatulukira kale kuti muli ndi lymphoma, kumvetsetsa mtundu ndi kachilombo ka matenda anu ndi malo abwino kwambiri oyamba-ngakhale musanayambe kufufuza mankhwala ndi mankhwala osiyanasiyana omwe alipo.
Zimakhala zachilendo kukhala ndi malingaliro ndi kukwiya ndi matenda atsopano (ndipo, kachiwiri, pambali zosiyana panjira mu ulendo wanu wa khansa). Kumvetsa mtundu wa lymphoma wanu kumakupatsani mphamvu ndi dokotala wanu kuti mufufuze njira zosiyanasiyana zomwe mungapezere mankhwala. Kuwonjezera apo, mankhwala atsopano a lymphoma akuyamba mofulumira, kotero onetsetsani kuti mukufufuza zonse zomwe mungasankhe.