Isigaba I, II, III, no-IV futhi sibuyele kabusha i-NHL
Yiziphi izindlela zokwelashwa ezingcono kakhulu ze -lymphoma engeyona i-Hodgkin's lymphoma ? Kungenzeka ukuthi udidekile uma ubheka konke okukhethwa kukho ku-intanethi. Nazi izinto ezimbalwa okufanele uzicabangele.
Indlela Izinqumo Zokwelashwa Eziqunyiwe
Wena nodokotela wakho bangasebenza ndawonye ukuze uthole uhlelo oluhle lokuphulukisa ukuze uvumelane nombili umdlavuza wakho ngamunye (ahluke ngokuphelele) kanye nezintandokazi zakho siqu mayelana nokuhlukumezeka nemiphumela emibi .
Izinqumo zingabandakanya i- chemotherapy , i- radiotherapy , i- monoclonal antibody therapy , noma inhlanganisela yalezi zonyango.
Lesi sinqumo ngokuvamile sisekelwe ezintweni eziningi. Okubaluleke kakhulu yisigaba sesifo sakho . Ezinye izici nazo zibalulekile. Uhlobo oluthile lwe-non-Hodgkin lymphoma onayo, inani lezinombolo ezihilelekile, ukutholakala kwe-lymphoma kwezinye izitho, imibiko yokuhlolwa kwegazi, ngisho neminyaka yakho ihlobene nohlobo lwezokwelapha olusebenza kahle.
I-Chemotherapy
I-Chemotherapy yiyona ukwelashwa okuyinhloko kwesifo se-Non-Hodgkin. Ukuhlanganiswa kwezidakamizwa ezintathu noma ngaphezulu kuvame ukusetshenziswa, okuthiwa yi- combination combination . Kungaba ukudideka ukuqonda ukuthi kungani kudingeka izidakamizwa eziningi kangaka. Imithi yokwelapha i-chemotherapy yonke isebenza ngamaphuzu ahlukene eduze kwendlela yeseli ehlukanisa futhi iphinda. Kusukela amangqamuzana ahlukene ahlukene ezindaweni ezihlukene, kusetshenziswa izidakamizwa ezahlukene ukuze umise ukukhula kwawo wonke amangqamuzana omdlavuza okwamanje.
Zonke noma izidakamizwa eziningi zilawulwa njengama-injection esheshayo noma njengama- infusions amancane emithanjeni yakho. Ezinye zingathathwa njengamaphilisi. Kunezinhlanganisela eziningana zokusebenzisa izidakamizwa. Okuvame kakhulu kubizwa ngokuthi i-CHOP. Ukuzikhethela uhlelo oluqondile kuncike kudokotela wakho. I-Chemotherapy ivame ukuphathwa njalo ngemva kwamasonto amabili kuya kwangu-3 ngenani lemijikelezo.
I-Radiation Therapy
Ukwelashwa kwezidakamizwa akuvamile ukusetshenziselwa yedwa ku-Non-Hodgkin Lymphomas . Kungase kwengezwe ngemuva kwemigqa embalwa ye-chemotherapy. Ukuthatha ukwelashwa kwemisebe kufana nokuthola i-X-ray ethathwe. Ulala phansi embhedeni, futhi umshini uhambisa ama-X-ray engxenyeni yomzimba wakho kude. Imithi yokwelashwa ijwayele ukunikezwa izinsuku ezingu-5 ngesonto amaviki amathathu kuya ku-5. I-non-Hodgkin lymphoma isabela kahle emisebeni yegazi kanye nokulinganisa okukhulu kakhulu akudingeki.
I-Monoclonal Antibody Therapy
Ama-antibodies a-monoclonal , ukuphumelela ekwelapheni kaningi kanomdlavuza, ukukhomba ama-molecule ayingqayizivele kumaseli e-lymphoma futhi angabhekisela kulawa maseli ngokukhethekile. Ungazi ukuthi imizimba yethu yakha kanjani ama-antibodies ukulwa nama-bacterium kanye nama-virus angena emzimbeni wethu. Ama-antibodies e-monoclonal asebenza ngokuthi "ama-antibodies okufakelwa" ukulwa, hhayi amabhaktheriya noma amagciwane, kodwa esikhundleni salokho.
Ukusetshenziswa kwamagciwane omzimba we-monoclonal, kuhlanganiswe ne-chemotherapy ejwayelekile, kubonise imiphumela emihle uma isetshenziswe njengengxenye yokwelashwa kokuqala, kanye nokwelashwa kwe-NHL ephindwe kabusha. I-Rituxan (rituximab) iyisisetshenziswa se- monoclonal anti-antibody esetshenziswa kakhulu . Inikezwa njengemjovo njalo ngesonto amasonto ambalwa.
I-NHL Yokuqala Ekhukhumezayo I-NHL: Isigaba I noma Isigaba II
Uma une-Non-Hodgkin Lymphoma e- Stage I noma eSiteji II , ukwelashwa kwakho kuvame ukubandakanya imijikelezo embalwa ye-chemotherapy elandelwa yimisebe ezindaweni ezithintekile yilesi sifo.
Ungabuye unikezwe ukwelashwa nge-antiocidal monoclonal.
I-NHL ehamba phambili enezimo eziphuthumayo: Isigaba III noma isigaba IV
Uma unayo i-Non-Hodgkin Lymphoma eSiteji III noma IV , ungase uphathwe nge:
- I-Chemotherapy yedwa
- I-Chemotherapy kanye ne-monoclonal antibody therapy
- I-Chemotherapy kanye ne-monoclonal antibody therapy elandelwa yimisebe ezindaweni ezithile lapho izifo zihlala ngemva kwe-chemotherapy.
Labo abanengozi enkulu yokuphindaphinda banganikezwa isilingo se-high-dose chemotherapy elandelwa umthambo wethambo noma ukufakelwa kwe-stem cell.
I-NHL ehlukumezayo evuselelwe
Izinketho zokwelapha zingafaka:
- I-chemotherapy ehlukile
- Ukwelashwa kwe-antioclonal antibody
- I-high-dose chemotherapy ne-bone marrow noma ukufakelwa kwesitembu se-stem
Indlela yokwelapha engcono kakhulu ayaziwa. Iningi leziguli liphendula kahle ekwelapheni kwemigqa yesibili, kepha isikhathi sokuphendula-isikhathi eside kangakanani impendulo ihlala-ihlukile kumuntu ngamunye.
Izivivinyo Zomtholampilo NHL
Izilingo eziningi zokwelapha ziyaqhubeka zibheke izindlela ezintsha zokwelashwa ze- NHL , ngezinye izikhathi nemiphumela emibi embalwa. Kunezinkolelo eziningi mayelana nokuhlolwa kwemitholampilo yomdlavuza, futhi amahlaya mayelana nokuba "ingulube yeginea" asavela. Eqinisweni lezi zilingo ngezinye izikhathi zinganikela ngemithi yokwelashwa engeke ibe khona. Khuluma nodokotela wakho ukuze ufunde ukuthi noma yikuphi kulezi zivivinyo zomtholampilo kungakulungele wena.
Isibikezelo
Siphila esikhathini esithakazelisayo lapho abantu abaningi abane-ldphoma engeyona i-Hodgkin belashwa isifo sabo. Ngenkathi i-NHL enobudlova yayijwayele ukubulala kakhulu, manje-ngaphezu kwesikhathi eside-mhlawumbe uhlobo oluhle kakhulu lwe-NHL lokuthuthukisa. I-Chemotherapy nezinye izifo zomdlavuza zisebenza ukuqeda amangqamuzana akhula ngokushesha-futhi amangqamuzana e-NHL ahlukumezayo ahlukanisa futhi akhula ngokushesha.