Njira yothandizira ma ARV (IFRT) ndi mawu omwe amagwiritsidwa ntchito popereka ma radiation kumadera okhawo a thupi omwe amagwira ntchito ndi lymphoma .
Mwachitsanzo, ngati lymphoma imakhudza mbali ya kumanzere ya khosi, IFRT idzapereka ma radiation kumbali yonse yamanzere ya khosi. Ngati lymphoma imakhudza madera awiri ngati khosi ndi zam'mimba, mazira amatha kuperekedwa ku malo awiriwa okha.
Ntchito ndi Zopindulitsa
IFRT imagwiritsidwa ntchito poyerekezera ndi mankhwala opatsirana a m'magazi, omwe amapereka miyendo m'madera akuluakulu a thupi, kuphatikizapo madera omwe sakhala nawo mwachangu ndi lymphoma.
Njira yothandizira mavitamini a m'munda inagwiritsidwa ntchito kwa zaka zambiri kwa lymphoma. Ngakhale kuti chiwerengero chabwino cha kupulumuka chimachitika, odwala ena akhoza kukhala ndi khansa yachiwiri kapena kuwonongeka kwa ziwalo zawo zovuta chifukwa mazirawa amakhudzanso madera ndi ziwalo zapafupi. Odwala omwe ali ndi EFRT anali ndi chiwerengero cha khansa yachiwiri pambali ya thupi lotseguka, makamaka khansa ya m'mawere ku khansa ya amayi ndi khansa m'mabambo.
Zofukufuku zinapezekanso zogwiritsidwa ntchito mofanana ndi kuwonetsa gawo lokhalo lomwe likukhudzidwa mmalo mwake osati malo ambiri. Odwalawo anaphunzirapo mofanana ndi kuyankha kwathunthu, kupita patsogolo, kubwereranso, ndi kufa. Koma adakhalanso ndi zotsatira zochepa monga zotsatira za magazi, kunyoza, ndi kusintha kwa kukoma.
Chifukwa cha ubwino umenewu, anthu ambiri adalandira IRFT mankhwala ochizira mazira ku Hodgkin ndi Non-Hodgkin lymphoma.
Nazi zina zomwe IFRT inagwiritsidwa ntchito:
- Mankhwala a lymphoma ya Hodgkin - pambuyo pa 4 mpaka 8 mapepala a chemotherapy pa stage I ndi II matenda.
- Mankhwala osakanikirana omwe si a Hodgkin lymphoma - pambuyo poti mankhwala a chemotherapy m'mayendedwe a I ndi II
- Mankhwala opatsirana a lymphoma - monga chithandizo chokha cha matenda opatsirana.
- Mulimonse mtundu wa lymphoma mukakhala ndi minofu yotsalira pambuyo pa chemotherapy kapena malo ochepa omwe mungabwererenso pambuyo pa nthawi yomwe mumatulutsa mankhwala ndi chemotherapy.
Mankhwala ambiri omwe ali ndi gawoli amatha kumaliza masabata 4 mpaka asanu. Kutalika kwa mankhwala kumadalira mlingo woperekedwa. Monga IFRT imaperekedwa kawirikawiri pambuyo pa mankhwala a chemotherapy, mlingowu nthawi zambiri umachokera pa kuchuluka kwa matenda omwe atsalira pambuyo chemotherapy.
Njira Yothandizira Kugwiritsa Ntchito Mankhwala Opangira Mavitamini Ndiponso Kugwiritsa Ntchito Mankhwala Osakaniza Nodal
Ngakhale malo ochepa kwambiri a ma radiation akukhala ofanana kwambiri ndi mankhwala omwe amawathandiza kukhala ndi ma radiation, omwe amawoneka pa maselo am'mimba omwe poyamba anali ndi matenda a Hodgkin. Izi zikuthandizira IFRT ku matenda a Hodgkin m'mabungwe ena othandizira.
Palinso mankhwala opangira ma radial (INRT). Ngakhale kuti IFRT imatsitsa malo am'mimba am'mimba, INRT imangoganizira za zizindikiro zomwe zimakula pambuyo chemotherapy. Zimayesanso bwino pamayesero omwe ali ndi munda wochulukirapo ndipo amagwiritsa ntchito mankhwala opatsirana m'midzi.
Chithandizo Chofunika
Chithandizo chomwe chimafunidwa chidzapitirira kusintha kotero kuti zowonongeka kwa tizilombo tating'onoting'ono timakhala tomwe timagwiritsabe ntchito mankhwalawa.
Cholinga chake ndi kupha kokha maselo a lymphoma popanda kufotokozera mbali zina kuti ziwonongeke ndi zotsatira zake.
Kambiranani ndi dokotala wanu za mankhwala kuti mudziwe momwe angagwiritsire ntchito mankhwala osiyanasiyana payekha.
Zotsatira
Magdalena Witkowska, * Agata Majchrzak, ndi Piotr Smolewski. "Udindo wa Radiotherapy mu Lymphoma ya Hodgkin: Nchiyani Chinapindula Pakati pa Zaka 50 Zapita?" Biomed Res Int. 2015: 485071.
Mankhwala opatsirana pogwiritsa ntchito matenda a Hodgkin, American Cancer Society.