Hodgkin's Lymphoma Chii? Zviratidzo, Zvinokonzera, & Kurapa

Hodgkin’s lymphoma rudzi rwekenza rinoitika munzira yako yekudzivirira muviri kubva pakurwara, inonzi lymphatic system. Kusiyana nekenza dzimwe, iyi ine tariro huru, vanhu vakawanda vanopoora zvachose kana yakawanikwa pakutanga.

Chinonyanya kusiyanisa Hodgkin’s lymphoma kuvapo kwema cell chaiwo anonzi Reed-Sternberg cells. Aya ma cell anobatsira vanachiremba kusiyanisa kubva kune dzimwe lymphoma uye kutungamira kurapa kwakakodzera kwauri.

Hodgkin’s Lymphoma Chii?

Hodgkin’s lymphoma inoitika kana ma white blood cells ari munode dzako dze lymph vachitanga kukura zvisina kufanira uye zvisingadzoreki. Lymphatic system yako ine lymph nodes, spleen, bone marrow, nemamwe matunhu anowanzo kubatsira mukurwisa hutachiona.

Chirwere ichi chinowanzo pararira nenzira inofungidzirwa kubva ku lymph node imwe kuenda kune dzakapoteredza. Kupararira uku kunobatsira, kuita kuti zvive nyore kuvanachiremba kutevera uye kurapa zvinobudirira.

Vanhu vanenge 8,500 muUnited States vanowana Hodgkin’s lymphoma gore rega rega. Mashoko akanaka ndeakuti imwe yemhando dzekenza dzinoporedzeka zvikuru, kunyanya kana yakawanikwa pakutanga.

Zviratidzo zveHodgkin’s Lymphoma Ndezvipi?

Chiratidzo chekutanga chinowanzoitika ndekukuvira kwe lymph nodes, kazhinji muchiuno, pazvidzitiro, kana munzvimbo ye groin. Aya ma nodes anovimba anogona kunzwa akaoma kana akaita serabha kana wawabata, uye haadzoki kukukura kwavo kwakajairwa.

Vanhu vakawanda vane Hodgkin’s lymphoma vanonzwa zviratidzo zvinonzi “B symptoms,” izvo zvinogona kunzwa sekunge une chikosoro chinoramba chichiitika. Heano mamwe mazano aunogona kuona:

• Fivha isinganzwisisiki inouya nekuenda
• Kupererwa neperspiration usiku kunonetesa zvipfeko zvako kana mashiti
• Kurasikirwa nehuremu usingafungidziri kupfuura 10% yehuremu hwemuviri wako
• Kuneta kunoramba kuripo kunoshanduka nekuzorora
• Kukosora kunoramba kuripo kana kurwadziwa pachipfuva
• Kutsamwa kwakanyanya kumativi ose emuviri wako

Vamwe vanhu vanonzwa kurwadziwa kwakanyanya mu lymph nodes dzavo mushure mekunwa doro. Kunyangwe iri chiratidzo chisina kujairika, chinogona kuva chiratidzo chekutanga chinofanira kukurukurwa nachiremba wako.

Zvisingawanzoitiki, unogona kuona kuoma kufema, kunyanya kana uri kurara, kana kuvimba pachiso nemutsipa. Aya maratidzo anogona kuitika kana lymph nodes dzakura dzikamanikidza zvinhu zvakapoteredza.

Mhando dzeHodgkin’s Lymphoma Ndezvipi?

Kune mhando mbiri huru dzeHodgkin’s lymphoma, uye kuziva rudzi rwawakaita kunobatsira chiremba wako kusarudza chirongwa chekurapa chakakodzera. Vakawanda vema kesi vanoenda muchikamu chekutanga.

Classical Hodgkin’s lymphoma inoumba anenge 95% yezviitiko zvose. Uyu rudzi rwune Reed-Sternberg cells uye une subtypes ina: nodular sclerosis, mixed cellularity, lymphocyte-rich, uye lymphocyte-depleted.

Nodular lymphocyte-predominant Hodgkin’s lymphoma isingawanzoitika, inoumba anenge 5% yezviitiko. Uyu rudzi rwunowanzo kukura zvishoma nezvishoma uye ungada nzira dzakasiyana dzekurapa kupfuura classical Hodgkin’s lymphoma.

Chii Chinokonzera Hodgkin’s Lymphoma?

Chikonzero chaicho cheHodgkin’s lymphoma hachizivisike zvizere, asi vatsvakurudzi vanotenda kuti chinoitika kana masero emuviri wako ekudzivirira akachinja magene. Aya marudzi ekuchinja anoita kuti masero akure uye awanduke zvisingadzoreki.

Zvirwere zvimwe zvinogona kutanga aya kuchinja kune vamwe vanhu. Epstein-Barr virus, inokonzera mononucleosis, inowanikwa mune anenge 40% yeHodgkin’s lymphoma kesi, kunyangwe vanhu vakawanda vanowana mono havambofi vakawana lymphoma.

Kuve ne immune system yakasimba kunogona kuwedzera njodzi yako. Izvi zvinogona kuitika nekuda kweHIV infection, mishonga yekusimudzira nhengo, kana zvirwere zvimwe zve autoimmune zvinoda kurapwa kunodzora immune system.

Mumazuva mashoma, kurapwa kwekare kwekenza, kunyanya radiation therapy, kunogona kuwedzera njodzi yekuwana Hodgkin’s lymphoma makore gare gare. Nekudaro, njodzi iyi iri shoma zvikuru kana ichienzaniswa nemabhenefiti ekurapa kenza yekutanga.

Rini Unofanira Kuona Chiremba Nezve Hodgkin’s Lymphoma?

Unofanira kubata nachiremba wako kana ukaona kuvimba kwakanyanya, kwasingarwadzi mu lymph nodes kwenguva inopfuura mavhiki maviri. Kunyangwe lymph nodes dzakavimba kazhinji dzinokonzerwa nezvirwere zvakajairika, zvakakosha kuti uzvichengete kana dzisingadzoki kukukura kwadzo kwakajairwa.

Tsvaka rubatsiro rwezvokurapa kana uine fivha isinganzwisisiki, kupererwa neperspiration usiku, kana kurasikirwa nehuremu usingafungidziri kwenguva inopfuura mavhiki mashoma. Aya maratidzo, kunyanya kana achiitika pamwe chete, anoda kuongororwa nekukurumidza.

Usamirira kana uri kuoma kufema, kurwadziwa pachipfuva, kana kuvimba pachiso nemutsipa. Aya maratidzo anogona kuratidza kuti lymph nodes dzakura dzakamanikidza zvinhu zvikuru uye dzoda kutarisirwa nekukurumidza.

Zvinhu Zvinowedzera Njodzi yeHodgkin’s Lymphoma Ndezvipi?

Kunzwisisa zvinhu zvinowedzera njodzi kunogona kubatsira kuisa zvinokunetsa munzvimbo, kunyangwe kuva nezvinhu zvinowedzera njodzi hazvirevi kuti uchave nechirwere ichi. Vanhu vakawanda vane zvinhu zvinowedzera njodzi havambofi vakawana Hodgkin’s lymphoma.

Zera rinotamba basa, nemakore maviri ekukura kwakanyanya. Chirwere ichi chinowanzoitika kune vanhu vari mumakore avo makumi maviri nematatu uye makumi matatu, uye zvakare kune avo vane makore anopfuura 55.

Heano zvinhu zvikuru zvinowedzera njodzi zvakawanikwa nevanachiremba:

• Kuve murume (njodzi yakakura zvishoma pane vakadzi)
• Kuva nemhuri ine nhoroondo yeHodgkin’s lymphoma
• Epstein-Barr virus infection kare
• Immune system yakasimba kubva kuHIV, autoimmune diseases, kana mishonga
• Kurapwa kwekare kwekenza nemishonga yekemotherapy kana radiation

Kuva nekamwana kakafanana kana kakafanana chine Hodgkin’s lymphoma kunowedzera njodzi yako zvikuru, kupfuura hukama hwemhuri humwe. Izvi zvinoratidza kuti zvinhu zvemagene nezvezvakatipoteredza zvinogona kutamba basa.

Matambudziko Anogona Kuitika eHodgkin’s Lymphoma Ndezvipi?

Kunyangwe Hodgkin’s lymphoma ichirapika zvikuru, chirwere ichocho nekurapwa kwacho zvinogona dzimwe nguva kutungamirira kumatambudziko. Kazhinji aya anogona kutarisirwa nekurapa kwakakodzera uye kutarisa.

Lymphoma pachayo inogona kusimbisa immune system yako, kuita kuti uve munhu anokurumidza kurwara. Unogona kuwana kuti unorwara nyore nyore kana kutora nguva yakareba kupora kubva kune zvirwere zvakajairwa.

Matambudziko anokonzerwa nekurapwa anogona kusanganisira:

• Njodzi yakawedzera yekenza dzimwe, kunyanya kenza yepfupa, yepasi, kana ye thyroid makore gare gare
• Matambudziko emwoyo kubva kumishonga yekemotherapy kana radiation yechipfuva
• Kukuvadzwa kwemapapu kubva ku radiation therapy kuenda kuchipfuva
• Matambudziko ekubereka kubva ku chemotherapy kana radiation
• Matambudziko e thyroid kana nzvimbo yemutsipa yakarapwa ne radiation

Vanhu vanopona kwenguva refu vanogona kuwana kenza dzimwe makore 10-20 mushure mekurapwa, kunyangwe njodzi iyi iri shoma. Timu yako yezvokurapa ichakutarisa pedyo nezvinhu izvi zvinogona kuitika gare gare.

Mumazuva mashoma, kana isina kurapwa, Hodgkin’s lymphoma inogona kupararira kumatunhu ekunze kwe lymphatic system, kusanganisira chiropa, mapapu, kana bone marrow. Ndosaka kuwanikwa pakutanga nekurapwa zvakakosha kwazvo.

Hodgkin’s Lymphoma Inogona Kudzivirirwa Sei?

Zvinosuruvarisa, hapana nzira yakaratidzwa yekudzivirira Hodgkin’s lymphoma sezvo tisinganzwisisi zvizere zvinokonzera. Kazhinji kesi dzinowanikwa kune vanhu vasina njodzi inozivikanwa.

Nekudaro, kuchengetedza immune system yakasimba kuburikidza nemabatiro akanaka ehutano anogona kubatsira kuderedza njodzi yako yekenza yose. Izvi zvinosanganisira kudya zvokudya zvakakwana, kurovedza muviri nguva dzose, kurara zvakakwana, uye kudzivisa kusvuta.

Kana uine HIV kana chimwe chirwere chinodzikisa immune system yako, kushanda pedyo netimu yako yehutano kuti uichengete zvakanaka kunogona kubatsira kuderedza njodzi yako yekuwana lymphomas.

Hodgkin’s Lymphoma Inoziviswa Sei?

Kuziva Hodgkin’s lymphoma kunoda kubvisa chikamu che lymph node tissue kuti iongororwe pasi pemikroskopu. Biopsy iyi ndiyo nzira chete yekusimbisa chirwere ichocho uye kuziva rudzi rwakakosha.

Chiremba wako anogona kutanga nekuongorora kwemuviri, achitarisa lymph nodes dzakavimba mumativi ose emuviri wako. Vachabvunzawo nezvezviratidzo zvako nenhoroondo yezvokurapa kuti vanzwisise zvese.

Kuongororwa kweropa kunogona kupa ruzivo runobatsira nezvehutano hwako hwese uye kushanda kwezvikamu zvemuviri. Kunyangwe zvisingakwanisi kuziva Hodgkin’s lymphoma pachayo, zvinobatsira timu yako yezvokurapa kuronga kurapwa kwako.

Kuongororwa kwemifananidzo senge CT scans, PET scans, kana MRIs kunobatsira kuona kuti lymphoma yakapararira sei mumativi ose emuviri wako. Iyi ruzivo rwekuongorora rwakakosha pakuronga nzira yekurapa inonyanya kushanda.

Mumazuva mashoma, chiremba wako anogona kukurudzira bone marrow biopsy kuona kana lymphoma yakapararira ikoko. Uyu muedzo unosanganisira kutora sampuli diki ye bone marrow, kazhinji kubva panguva yako ye hip bone.

Kurapa kweHodgkin’s Lymphoma Ndeapi?

Kurapa kweHodgkin’s lymphoma kunobudirira kwazvo, nehuwandu hwekuporesa hunopfuura 85% zvese uye kunyanya kupfuura izvozvo kune chirwere chekutanga. Chirongwa chako chekurapa chinonyanya kuenderana nechikamu, rudzi, uye hutano hwako hwese.

Chemotherapy ndiyo hwaro hwezvirongwa zvakawanda zve kurapa. Chemotherapy yakasanganiswa yemazuva ano inoshanda zvikuru pakupwanya masero e lymphoma mumativi ose emuviri wako nepo ichideredza zvipingamupinyi zvakafanana nekurapa kwakare.

Chemotherapy yakajairika inonzi ABVD, iyo ine mishonga mina yakasiyana inopiwa intravenously. Kurapa kazhinji kunosanganisira zvikamu zvakati wandei pamwedzi 3-6, nekuzorora pakati pezvikamu kuti muviri wako uzorore.

Radiation therapy inogona kuwedzerwa ku chemotherapy, kunyanya kune chirwere chekutanga kana tumors dzakura. Nzira dzemazuva ano dze radiation dzinoenderana zvakanyanya nekenza nepo ichichengetedza nhengo dzakapoteredza.

Kune zviitiko zvakawanda kana lymphoma ikadzoka, chiremba wako anogona kukurudzira:

• High-dose chemotherapy inoteverwa ne stem cell transplant
• Mishonga mitsva yakatarwa senge brentuximab vedotin
• Mishonga ye immunotherapy inobatsira immune system yako kurwisa kenza
• Clinical trials inoratidza kurapwa kwakanaka kwemishonga mitsva

Timu yako yekurapa ichakutarisa pedyo mukati mekurapa, ichichinja mishonga sezvinodiwa kuti iongorore zvipingamupinyi uye ive nechokwadi chemugumisiro wakanaka.

Nzira Yekutora Kurapa Kwakakodzera Kumba Panguva yeHodgkin’s Lymphoma?

Kutarisira kurapa kwako kumba panguva yekurapa chikamu chakakosha chekupoora kwako. Vanhu vakawanda vanogona kuchengetedza mabasa avo akawanda emazuva ese nepo vachirapwa Hodgkin’s lymphoma.

Kutarisira immune system yako kwakakosha sezvo chemotherapy inogona kusimbisa kwenguva pfupi. Geza maoko ako kazhinji, dzivisa mapoka evanhu kana huwandu hwemasero machena eropa hwako hwaderera, uye usapinda pedyo nevanhu vanorwara.

Heano matanho anoshanda ekutsigira hutano hwako panguva yekurapa:

• Dya zvokudya zvine utano uye unwe mvura yakakwana, kunyangwe chido chako chekudya chichichinja
• Zorora zvakakwana uye teerera kune zvinodiwa nemuviri wako pakurara
• Tora mishonga sezvakanyorwa, kusanganisira mishonga yekurwisa kurutsa
• Taura chero fivha inopfuura 100.4°F kune timu yako yezvokurapa nekukurumidza
• Chengetedza ganda rako kubva kuzuva, kunyanya kana uri kugamuchira radiation

Kurovedza muviri kwakapfava senge kufamba kunogona kubatsira kuchengetedza simba rako uye simba. Nekudaro, dzivisa mitambo yekubata kana mabasa anogona kukonzera kukuvara kana huwandu hwemasero eropa hwako hwaderera.

Usanetseka kukumbira rubatsiro nemabasa emazuva ese kana uchinetseka kana usina kunaka. Kuve nerubatsiro kubva kumhuri neshamwari kunogona kuita musiyano mukuru mukurapa kwako.

Ungagadzirira Sei Kuona Chiremba Wako?

Kuagadzirira kuona kwako kunogona kukubatsira kuita zvakanyanya panguva yako netimu yehutano. Nyora zviratidzo zvako, kusanganisira pavakatanga uye maitiro avo akachinja sei nekufamba kwenguva.

Uya neruzivo rwakakwana remishonga yose yaunotora, kusanganisira mishonga yekutengesa, mavhitamini, uye zvinowedzerwa. Zvimwe zvezvi zvinogona kukanganisa kurapwa kwekensa kana kukanganisa huwandu hwemasero eropa ako.

Funga kuuya neshamwari yakavimbika kana nhengo yemhuri kuona kwako. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro rwemanzwi panguva yekukurukurirana kwakaoma.

Gadzira runyorwa rwemibvunzo yekubvunza chiremba wako. Zvinhu zvakakosha zvinogona kusanganisira:

• Lymphoma yangu iri muchikamu chipi uye izvozvo zvinorevei?
• Nzira dzangu dzekurapa ndedzipi uye zvipingamupinyi zvavo?
• Kurapa kuchaita sei pane hupenyu hwangu hwemazuva ese nebasa?
• Ndezvipi zviratidzo zvandinofanira kutarisa zvinoda kutarisirwa nekukurumidza?
• Kune zvinokunetsa zve kubereka zvandofanira kutarisa usati watanga kurapwa?

Usatya kukumbira kujeka kana usinganzwisisi chimwe chinhu. Timu yako yezvokurapa inoda kuve nechokwadi chekuti wakaziviswa zvizere nezve chirwere chako uye nzira dzekurapa.

Chii Chinonyanya Kukosha Nezve Hodgkin’s Lymphoma?

Chinhu chakakosha chokurangarira ndechekuti Hodgkin’s lymphoma imwe yemhando dzekenza dzinoporedzeka zvikuru. Nemishonga yemazuva ano, vakawanda vanhu vanoita remission yakazara uye vanorarama hupenyu hunowanzoitika, hunotarisirwa.

Kuwanikwa pakutanga kunoita kuti kurapwa kushande zvakanyanya uye kazhinji kunobvumira kurapwa kusina simba. Kana ukaona kuvimba kwenguva refu, kwasingarwadzi kwe lymph node kana zviratidzo zvisinganzwisisiki senge fivha nekupererwa neperspiration usiku, usanetseka kuona chiremba wako.

Kunyangwe chirwere ichi chinganzwa chakaoma, hausi wega munzira iyi. Timu yako yehutano, mhuri, neshamwari dziripo kukutsigira mukati mekurapa nekupoora. Tarisa pakutarisira iwe pachako zuva rimwe nerimwe.

Mibvunzo Inowanzo Bvunzwa Nezve Hodgkin’s Lymphoma

Mubvunzo 1: Hodgkin’s lymphoma inogona here kuwanikwa kubva kumhuri?

Hodgkin’s lymphoma haina kuwanikwa zvakananga kubva kumhuri, asi kuva nemhuri ine chirwere ichi kunowedzera njodzi yako zvishoma. Njodzi yakawedzerwa iri shoma, uye vanhu vakawanda vane nhoroondo yemhuri havambofi vakawana lymphoma. Zvinhu zvemagene zvinogona kuita kuti vamwe vanhu vave munhu anokurumidza kurwara, asi zvinhu zvakatipoteredza zvinowanzotamba basa.

Mubvunzo 2: Vechidiki vanogona here kuwana Hodgkin’s lymphoma?

Hongu, Hodgkin’s lymphoma inowanzoita vanhu vakuru vechidiki, neimwe nguva yekukura kwakanyanya iri kune vanhu vari mumakore avo makumi maviri nematatu uye makumi matatu. Chokwadi, imwe yekenza inowanzoitika mune iyi boka rezera. Mashoko akanaka ndeakuti vanhu vechidiki, vane hutano vanowanzoita zvakanaka pakurapwa nehuwandu hwakakura hwekuporesa.

Mubvunzo 3: Kurapa kweHodgkin’s lymphoma kunotora nguva yakareba sei?

Kurapa kazhinji kunotora mwedzi 3-6, zvichienderana nechikamu nerudzi rwe lymphoma. Vanhu vakawanda vanowana chemotherapy mazuva ese 2-4 kwezvikamu zvakati wandei. Radiation therapy, kana zvichidiwa, kazhinji inotora mavhiki 2-4. Chiremba wako achaita rondedzero yakakosha zvichienderana nemamiriro ako chaiwo.

Mubvunzo 4: Unogona kurarama hupenyu hunowanzoitika mushure mekurapwa kweHodgkin’s lymphoma here?

Vanhu vakawanda vanodzokera kumabasa avo emazuva ese uye vanorarama hupenyu hwazvo, hunotarisirwa mushure mekurapwa kwakabudirira. Kunyangwe uchida kutarisirwa nguva dzose kuti uongorore chero zvinhu zvinogona kuitika gare gare kana kudzokera, vanhu vakawanda vanopona vanoenda kuve nemhuri, kutevera mabasa, uye kunakidzwa nemabasa ese avaiita usati wawana chirwere.

Mubvunzo 5: Musiyano uri pakati peHodgkin’s ne non-Hodgkin’s lymphoma chii?

Musiyano mukuru ndewokuvapo kweReed-Sternberg cells muHodgkin’s lymphoma, izvo zvisingawanikwi mu non-Hodgkin’s lymphoma. Hodgkin’s lymphoma inowanzo pararira nenzira inofungidzirwa uye kazhinji ine prognosis yakanaka. Nzira dzekurapa dzakasiyanawo pakati pemhando mbiri idzi.