Ukusetshenziswa kanzima namuhla, imishanguzo yensimu yokugqoka iyindlela yokwelashwa kwemisebe esetshenziselwa i- Hodgkin's lymphoma eyasiza ekwandiseni amazinga okuphulukisa ngawo-1960.
I-radiation yanikezwa endaweni enkulu entanyeni, esifubeni nasezintanjeni zokumboza zonke izindawo eziyinhloko ze-lymph node engxenyeni engenhla yomzimba. Ingxenye yamaphaphu, inhliziyo kanye namahlombe avikelwe emgqeni we-radiation ukunciphisa imiphumela emibi.
Igama elithi 'mantle' lithathwe egameni lesembatho, njengendwangu, lisebenzise iminyaka eminingi emuva. Ukuma kwendawo evuliwe-insimu ye-radiation-inezinhlangothi ezifana nesigqoko sokuzivikela.
Lolu hlobo lwensimu enkulu yemisebe ayivame ukusetshenziswa namuhla. Kodwa-ke, emashumini ambalwa eminyaka emuva, lapho ikhambi eliphumelelayo kakhulu ekwelapheni kwe-Hodgkin's lymphoma ayitholakali, le nqubo yayisetshenziselwa ukuphulukisa inani elikhulu leziguli ezinezifo zakuqala zesifo se-Hodgkin's. Ngokuthuthukiswa kokwelapha, imithi yokwelapha i-chemotherapy manje isetshenziselwa zonke iziguli kanye nemisebe yenziwa kuphela endaweni encane eyayineziqephu ezandisiwe - inqubo ebizwa ukuthi ihilelekile emisebeni yensimu.
Akufanele udideke: i- Mantle cell lymphoma
Imisebe yensimu ye-Mantle ayihlangene no- mantle cell lymphoma , uhlobo lwe-non-Hodgkin lymphoma.
Umlando
Emuva ngawo-1960, i-Hodgkin lymphoma yayisifo somdlavuza wamaphaphu namuhla, njengoba kuphawuliwe nguHodgson encwadini ka-December 2011 ethi "Hematology, i-ASH Education Program." Inqubo eyaziwa ngokuthi ukwelashwa kwemisebe yasendlini yanikeza ukwelashwa kokuqala okunokwethenjelwa ngenxa yesifo sokuqala se-Hodgkin, kodwa abasindile babe nemiphumela emibi kusukela emisebeni yemisebe kamuva, noma bephuza izidakamizwa, kuhlanganise nesifo senhliziyo namagciwane wesibili.
Lapho lokhu kwaziwa, umsebenzi waqala ukuthuthukisa ukulawulwa kwezifo ngenkathi kunciphisa utshwala. Ukuthuthukiswa kwezidingo zokwelashwa kwemishanguzo kanye nokusetshenziswa kwayo kanye ne-chemotherapy yanamuhla kulindeleke ukuthi kubangele ukunciphisa okukhulu emithethweni yemiphumela yokuphela kwesikhathi.
I-Cancer Isisu Ngemva kwe-Mantle RT
Ingozi yomdlavuza webele ngokulandela ukwelashwa kwemisebe yensimu ye-mantle (RT) ye-Hodgkin lymphoma bekukhathazeke ngokukhethekile.
I-Mantle RT kuma-lymph nodes we-armpits, esifubeni, nasentanyeni-noma i-axillary, i-mediastinal, ne-node yomlomo wesibeletho-ihlotshaniswa nobungozi obukhulu bomdlavuza webele, ngokuya ngeminyaka yokwelashwa. Ucwaningo oluningi luye lwathola ukuthi ingozi iphakeme kakhulu kwabesifazane abaphathwe ngaphambi kokuba baneminyaka engama-20. Umdlavuza wesifuba ulandisa cishe ngamaphesenti angu-40 ekhondomu yesibili phakathi kwabesifazane abasinda.
Izifo Zenhliziyo Ne-Mantle RT
I-radiation ingase ibe yingozi enhliziyweni ngezindlela ezihlukahlukene. Ezinye izifundo ezilwaneni ziye zabonisa ukuthi imisebe ingashukumisa impendulo yokuvuvukala eyenza izikhala zomcibisholo zamakhemikhali zikwazi ukuthuthukisa noma eziyingozi uma sezikhulile. Olunye umphumela ngemuva kokuvezwa kwemisebe kungase kukhuliswe ungqimba lwangaphakathi lweminye imithwalo yegazi ngokuvamile evame ukuhlinzekela isisu senhliziyo.
Iya phambili
Amaqembu ochwepheshe agcizelela ukubaluleka kokuhlolwa kwezinhlobo zesiguli ezibhekene nobungozi bokuphuza izidakamizwa eziphuthumayo kusukela ku-Hodgkin lymphoma zokwelashwa eminyakeni edlule.
Izinguquko ezinkulu ekhemotherapy kanye nokwelashwa kwama-radiation okusetshenziselwa ukwelapha i-Hodgkin lymphoma phezu kwe-10-20 yokugcina kulindeleke ukuthi kubangele amaphrofayli ahlangene ahlukene kakhulu kunalokho okungajwayele okusekelwe kwizifundo zamanje zemiphumela yamuva.
Imithombo:
I-American Cancer Society. Ukwelashwa kwemithi yesifo seHodgkin.
Schaapveld M, Aleman BM, van Eggermond AM, et al. Ingozi yomdlavuza wesibili kuze kube ngu-40 emva kokulashwa kwe-Hodgkin's lymphoma. N Engl J Med . 2015; 373 (26): 2499-511.
UHodgson DC. Imithelela emithende ngesikhathi sokwelashwa kwamanje kweHodgkin lymphoma. Uhlelo lwe-Hematology Uhlelo lwe-Soc Hematol Educ Educator. 2011; 2011: 323-9.