Kwenzekani uma uthuthukisa isifo seHodgkin uma ukhulelwe? Lokhu kwenzeka kaningi kangakanani?
I-Hodgkin Lymphoma ekukhulelweni
I-Hodgkin lymphoma ithinta kakhulu abantu abasha eminyakeni yabo yeshumi nambili - inyaka efanayo lapho abesifazane bevame ukukhulelwa. Ngakho-ke ukuthuthukisa isifo seHodgkin ngesikhathi sokukhulelwa akuyona into engavamile. Kulinganiselwa ukuthi phakathi kuka-1 ku-1 000 no-1 kwabangu-6 000 abesifazane banombuzo wokuthi bangaphatha kanjani i-Hodgkin lymphoma ngesikhathi sokukhulelwa.
Izimpawu
Izimpawu ze-Hodgkin lymphoma zingaba nezimpawu esizihlanganisa nokukhulelwa. Eminye yalezi zimpawu zihlanganisa ukuzwa ukhathele, ukuqubuka ebusuku, nokuhlushwa isikhumba. Ngokujabulisayo isifo se-Hodgkin siyaphilika kakhulu, futhi abantu abathintekayo akudingeki bakhathazeke ngokuthi babambezele ukuxilongwa kwabo, becabanga ukuthi izimpawu zibangelwa ukukhulelwa kuphela.
Ingabe i-Hodgkin Lymphoma Ihlukile Kwabesifazane Abakhulelwe?
I-Hodgkin lymphoma iziphatha ngendlela efanayo nabesifazane abakhulelwe noma labo abangekho. Kungenzeka ukuthi uzwile amahemuhemu ukuthi ukukhulelwa kungakwazi "ukuphefumula" umdlavuza. Ngenkathi lokho kungase kwenzeke, isibonelo, umdlavuza webele wesifo se-estrogen, akuyona into yabesifazane abanesifo se-Hodgkin. Umdlavuza ukhula futhi usakaze ngendlela efanayo noma ngabe ukhulelwe noma cha.
Ukuhlolwa kwabesifazane abakhulelwe
Uma ukhulelwe, udokotela wakho uzohle ahlele izivivinyo ezahlukene ukuze ahlolisise futhi ahlele isifo sakho kunokuba ungazange ukhulelwe.
Ama-X ray, ukuhlola kwe-CT, kanye nokuhlola kwe-PET ngokuvamile kugwenywe ngesikhathi sokukhulelwa ukuvimbela ukukhanya kwe-radiation kumntwana. Ukusetshenziswa kwe-MRI kusetshenziswe esikhundleni; Bafana kahle ngenkathi bengenabungozi ngesikhathi sokukhulelwa. Ezinye izivivinyo ziyafana futhi kunjalo nezigaba ze-Hodgkin lymphoma .
Ingabe Ukukhipha Isisu Kudingeka?
Akuvamile ukuthi kudingekile ukuqeda ukukhulelwa lapho othile ethola ukuthi une-Hodgkin lymphoma.
Ngokuvamile ukwelashwa kungabambezeleka noma kuguqulwe kuze kube yilapho umntwana ekhulile ngokwanele ukuba akhululwe ngokuphepha. Kuphela uma lesi sifo sithuthukile kangangokuthi sisongela ukuphila komama, noma senza ukuletha okungenakwenzeka, kukhishwa isisu.
Ukwelashwa Phakathi Nokukhulelwa
Ayikho imithetho eqondile yokwelapha i-lymphoma ngesikhathi sokukhulelwa. Isiteji se-lymphoma, isikhathi sokukhulelwa kanye nezifiso zomama konke kucatshangwa lapho wenza isinqumo sokwelapha. Ukwelashwa kuvame ukulibaziseka noma ukuguqulwa ukuze ibhalansi engcono kakhulu itholakale phakathi kokulawulwa kwezifo nokuphepha kwengane engakazalwa.
I-trimester yokuqala yokukhulelwa
Uma i-Hodgkin itholakala ngesikhathi sokuqala kokukhulelwa, inhloso ukulibazisa ukwelashwa uma kunokwenzeka ukuvimbela noma yimuphi umonakalo ebusweni. Ingane isengozini kakhulu yokulimala ngemithi yomdlavuza phakathi nezinyanga ezintathu zokuqala lapho izakhi zayo zakhiwa - ikakhulukazi phakathi nesikhathi esukela kumasonto amabili kuya emavikini angu-8 emva kokukhulelwa. I-Chemotherapy iyingozi kule ndawo, futhi kufanele igwenywe. I-radiation iyingozi futhi uma ifinyelela esibelethweni. Kodwa ingathunyelwa ezindaweni ezikude esibelethweni (njengentamo noma esifubeni esiphezulu) ngokuzivikela ngokucophelela kwesisu kusuka emisebeni, uma kubalulekile ukuqala ukwelashwa.
Kulaba besifazane abaningi abasha abatholakala ukuthi basesimweni sokuqala, kungenzeka ukubambezela ukwelashwa uze ufinyelele ku-trimester yakho yesibili, noma kuze kube yilapho ingane yakho ihanjiswa.
I-trimester yesibili nesithathu yokukhulelwa
Ukuphatha i-lymphoma engxenyeni yokugcina yokukhulelwa kulula ngoba ukhetho oluningi luyatholakala. Ukulinda kuze kutholakale amaphaphu wengane (futhi iyafaneleka ukulethwa) kulula futhi i-steroids inikwe ukusheshisa le nqubo ukusebenza kahle. Uma kuqala ukwelashwa kuyadingeka, ezinye izidakamizwa ze-chemotherapy zingase ziqalwe ngaphandle kwengozi enkulu yokulimala emntwaneni. Eqinisweni, izifundo ezimbalwa zibonisa ukuthi inhlanganisela ejwayelekile yezidakamizwa ze-chemo njenge- ABVD inganikezwa ngokuphepha phakathi nezinyanga ezimbalwa zokugcina zokukhulelwa.
I-radiation ingabuye ihanjiswe kwezinye izindawo ezikhethiwe zomzimba uma isisu singavikelwa ngokucophelela.
Imiphumela Yokwelapha
Imiphumela yocwaningo olulandela iziguli iminyaka engu-20 ngemuva kokwelashwa kubonise ukuthi imiphumela yokwelapha abesifazane abakhulelwe ngeHodgkin yayingefani nalabo abangenalo isifo. Izinga lokusinda lifanayo. I-Hodgkin lymphoma ingenye yezinhlobo ezimbalwa zomdlavuza lapho amathuba okuphulukiswa ephakeme kuzo zonke izigaba. Izinyanga ezimbalwa zokwephuza ukwelashwa ngesikhathi sokukhulelwa aziguquli imiphumela yokwelapha kakhulu. Ukugcina ingane yakho kuyindlela ecacile futhi ambalwa omama abalindeleke avumele ukuthi kudlule.
Imithombo:
UBrenner, B., Avivi, I., noMnu Lishner. I-haematological cancers ekukhulelwe. I-Lancet . 2012. 379 (9815): 580-7.
Eyre, T., Lau, I., Mackillop, L., noG. Collins. Ukuphathwa kanye nezingxabano ze-Hodgkin lymphoma yakudala ekukhulelweni. I-British Journal ye-Hematology . 2015. 169 (5): 613-30.
Yahalom, J., no S. Horwitz. Ukuphathwa kwe-classic Hodgkin lymphoma ngesikhathi sokukhulelwa. Kusesikhathini. Kubuyekezwe 01/10/15. http://www.uptodate.com/contents/management-of-classical-hodgkin-lymphoma-during-pregnancy