Kawirikawiri amagwiritsidwa ntchito masiku ano, mtundu wa mankhwala omwe amawotchera mazira ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito kwa Hodgkin's lymphoma yomwe inathandizira kuti chithandizo chamachiritso chisamangidwe m'ma 1960.
Mankhwalawa amaperekedwa kumadera ambiri a khosi, chifuwa, ndi chifuwa kuti aphimbe malo akuluakulu am'mimba omwe ali pamtunda wa thupi. Mbali yamapapu, mtima ndi mapewa anali otetezedwa ku dothi la radiation kuti athetse mavuto.
Liwu lakuti 'malaya' limachokera ku dzina la chovala, mofanana ndi chovala, chomwe chinagwiritsidwa ntchito zaka zambiri. Maonekedwe a malo otsekemera-malo otentha ndi ma radiation-ali ndi mazenera omwe amafanana ndi nsalu yotchinga.
Mtundu uwu wa munda waukulu wa ma radiation siwugwiritsidwa ntchito masiku ano. Komabe, zaka makumi angapo zapitazo, pamene mankhwala othandiza kwambiri a mankhwala a Hodgkin a lymphoma sanawathandize, njira imeneyi idagwiritsidwa ntchito kuti athe kuchiritsa odwala ambiri omwe ali ndi matenda a Hodgkin. Chifukwa cha kupita patsogolo, chithandizo cha chemotherapy tsopano chikugwiritsidwa ntchito kwa odwala onse komanso kutentha kwa dzuwa kumangotumizidwa kudera laling'ono lomwe poyamba linali ndi node - njira yomwe imatanthawuzidwa kuti ikugwiritsidwa ntchito poizoni.
Osasokonezeka ndi: Mantle cell lymphoma
Mafuta a m'mphepete mwachitsulo sagwirizana ndi mantle cell lymphoma , mtundu wa non-Hodgkin lymphoma.
Mbiri
Kale kumayambiriro kwa zaka za m'ma 1960, Hodgkin lymphoma inali yoopsa ngati khansara yamapapu lerolino, monga momwe Hodgson ananenera m'nkhani ya "Hematology, ASH Education Program" ya December 2011. chifukwa cha matenda oyambirira a Hodgkin, koma opulumukawo anadwala zotsatira za mankhwalawa, kapena anachedwa poizoni, kuphatikizapo matenda a mtima ndi khansa yachiwiri.
Pamene izi zinadziwika, ntchitoyi inayamba kuchepetsa matenda ochepetsa matenda komanso kuchepetsa poizoni. Kupititsa patsogolo mankhwala opatsirana pogwiritsa ntchito mankhwala omwe amagwiritsidwa ntchito pamodzi ndi mankhwala amasiku ano akuyembekezeretsa kuchepa kwakukulu kwa zotsatira za zotsatira zake.
Khansa ya m'mawere Pambuyo Mantle RT
Kuopsa kwa khansa ya m'mawere pambuyo pa mankhwala a radiation therapy (RT) kwa Hodgkin lymphoma wakhala akudetsa nkhawa kwambiri.
Mantle RT kumalo osungira mafupa a chifuwa, chifuwa, ndi khosi-kapena mankhwala ochepetsera thupi, pakatikati, ndi chiberekero cha chiberekero-akugwirizanitsidwa ndi chiwopsezo chokwanira cha khansara ya m'mawere mpaka 2 mpaka 20, malinga ndi msinkhu wa mankhwala. Kafukufuku ambiri apeza kuti chiopsezo ndi chapamwamba kwambiri kwa amayi omwe amachiritsidwa asanakwanitse zaka 20. Khansa ya pachifuwa imakhala pafupifupi 40 peresenti ya khansa yachiwiri pakati pa akazi opulumuka.
Matenda a Mtima ndi Mantle RT
Maizoni angakhale odetsa mtima pamtima m'njira zosiyanasiyana. Kafukufuku wina mwa zinyama asonyeza kuti kutentha kwa dzuwa kungayambitse kutentha komwe kumapangitsa kuti mapulaneti a mitsempha amatha kuyamba kapena kuwopsa kwambiri kamodzi kokha. Zotsatira zina pambuyo pa kutuluka kwa poizoni kumatha kukhala makulidwe a mitsempha ya mkati mwa mitsempha ya magazi imene nthawi zambiri imapereka minofu ya mtima.
Kupita Patsogolo
Magulu a akatswiri amatsindika kufunikira koyang'ana mitundu ya odwala pangozi yochedwa poizoni yochokera ku Hodgkin lymphoma mankhwala akale.
Kusintha kwakukulu kwa mankhwala a chemotherapy ndi mankhwala omwe amawagwiritsa ntchito pochizira Hodgkin lymphoma pa 10-20 otsiriza akuyembekezeredwa kuti apangitse mbiri zosiyana-siyana zosiyana kuposa zomwe zikhoza kukhala zozolowereka pogwiritsa ntchito kafukufuku wamakono wa zotsatira.
Zotsatira:
American Cancer Society. Mankhwala opatsirana pogwiritsa ntchito matenda a Hodgkin.
Schaapveld M, Aleman BM, Van Eggermond AM, ndi al. Kachiwiri kawiri kanseri kwa zaka 40 pambuyo pa chithandizo cha Hodgkin's lymphoma. N Engl J Med . 2015; 373 (26): 2499-511.
Hodgson DC. Zotsatira zakanthawi m'nthawi yamakono ya Hodgkin lymphoma. Hematology Am Soc Hematol Pulogalamu Yophunzitsa. 2011; 2011: 323-9.