Kumuntu osanda kutholakala ukuthi une-lymphoma, ukhetho olungase lube nzima ukuluqonda. Kunezinhlobo ezingaba ngu-30 ze-lymphoma, ama-subtypes amaningi, futhi ngokuvamile kunezinketho eziningi zokwelapha zesifo esisodwa. Ukwengeza, izindlela zokwelapha ezintsha zivela njalo, futhi yini eyayiyiqiniso mayelana nezinketho nemiphumela ngisho neminyaka eyi-10 eyedlule ukuze noma yikuphi i-lymphoma enikeziwe ingase ingabi yiqiniso nanamuhla.
Nansi umhlahlandlela omfushane wokuqonda ukwelashwa kwe- lymphoma .
Ngaphambi kokwelapha
Ngemuva kokuxilongwa kwe-lymphoma nokuthola uhlobo oluqondile lwe- Hodgkin's noma i -Hodgkin's lymphoma , ukuhlolwa okuningi kunesidingo ukuze uthole ukuthi ubukhulu besifo- isiteji se-lymphoma - nokuhlola ezinye izici ezinquma ukubikezelwa. Lapho zonke lezi zivivinyo nokuhlolwa kuqedile, i-oncologist icebisa isiguli mayelana nezinketho zokwelashwa ezingcono kakhulu ezikhona.
Ukuqonda Izinhlobo Zokwelapha
Kunezinhlobo ezine eziyinhloko zokwelapha i-lymphomas:
- I-Chemotherapy : Izidakamizwa ezithathwa njenge-infusions emithanjeni yakho noma njengamaphilisi. Amashejuli ajwayelekile e-chemotherapy ahlanganisa i- ABVD , i- R-CHOP , ne- CHOP .
- I-Radiotherapy: I-High-energy imisebe eqondiswa ku-tumor. I-Radiotherapy ingathunyelwa ezindaweni ezincane ( imisebe yensimu ehilelekile ) noma izindawo ezinkulu ( imisebe yensimu enwetshiwe ).
- Ukwelashwa okuhloswe, kuhlanganise nokwelashwa kwama-antibody : Okubizwa ngokuthi yi-biologic therapy, lokhu kubhekisela ekusebenziseni izidakamizwa ezifana ne- rituximab ehlose ama-molecule akhethekile phezu kwamangqamuzana omdlavuza. Njengoba kusengaphambili imithi yamangqamuzana, izindlela zokwelashwa eziningi ezithinta izindlela ezintsha zihlolwa ngezivivinyo zokwelashwa, futhi amanxusa amasha aqhubeka nokuvunyelwa yi-US FDA. I- immune checkpoint inhibitors yilapho iqembu elilodwa lezithunywa zakhiwa, kanye nezinhlelo zokusebenza ezikhona zokwelashwa kwe-lymphoma.
- Umnkantsha we-bone noma ukufakelwa kwe-stem cell: Ukusebenzisa amazinga aphezulu we-chemotherapy noma ama-radiation ukuze abulale wonke amangqamuzana omdlavuza ngenkathi esindisa umongo we-bone ngokufakelwa kabusha komnkantsha noma amangqamuzana.
Ngokungafani namagciwane ejwayelekile njengomdlavuza wesifo sofuba noma umdlavuza webele, ukusetshenziswa kokuhlinza ukwelashwa kwe-lymphoma akuvamile.
Ngokuvamile ama-radiation ahlinzekwa ukuhlinzwa ukuze aphathe izifo ezikude eziseduze endaweni eyodwa. Kodwa-ke, ukuhlinzwa kuyasetshenziswa ukuze uthole isampula ye-biopsy ye-lymphoma ukuze itholakale iphinde ibekwe eceleni.
Ukwelashwa kwe-Lodphoma kaHodgkin's
I-lodphoma ye-Hodgkin ivame ukuphathwa nge-chemotherapy ne-radiotherapy. Izinketho zokwelapha zisekelwe esiteji se-lymphoma nezinye izici zokubikezela. Cishe zonke iziguli zithola i-chemotherapy, kanti imisebe ingase isetshenziswe ezikhathini zokuqala zesifo ngokuvamile ngemva kwekhemotherapy noma ngezikhathi ezithile njengokwelashwa kuphela.
Ukwelashwa kwe-Lymphomas engeyona i-Hodgkin's (NHL)
Kunezinhlobo ezingaba ngu-25 ze-non-Hodgkin's lymphoma. Ezinye zazo ziziphatha ngendlela ehluke kakhulu kwabanye. Ukwelashwa kwazo zonke i-NHL akufani kodwa kuxhomeke kuhlobo lymphoma, i-subtype, nokuziphatha kwe-subtype ethile. I-Chemotherapy ivame ukwelashwa okuyinhloko. I-radiation noma i-monoclonal antibody therapy ingase yengezwe ekhemotherapy kwezinye izimo ngenzuzo eyengeziwe.
- Izinketho zokwelashwa ze-Lgogressive Non-Hodgkin's Lymphoma - ihlanganisa izinketho zeqembu lamaNHL ajwayelekile okufaka phakathi i- B-cell lymphoma enkulu .
- Ukwelashwa kwe- Follicular (Low Grade) Lymphoma - ukwelashwa kwe-lymphomas ekhula kancane.
- I-Mantle Cell Lymphoma Treatment - ukwelashwa kwe-lymphoma ebukeka ikhula kancane, kodwa iziphatha kabi.
- Ukwelashwa kwe-Gastric MALT Lymphoma - ukwelashwa kohlobo lwe-lymphoma oluthinta isisu.
- I-CNS Primary Treatment Lymphoma - ukwelashwa kwe-lymphoma ethinta kakhulu ubuchopho.
- Ukwelashwa kwe-T-cell Lymphoma okukodwa - ukwelashwa kwesikhumba lymphoma.
- I-Burkitt's Lymphoma Treatment - ukwelashwa kwe-lymphoma ekhula ngokushesha echaphazela izingane.
Ngenxa yokuthi i-NHL yiqembu elinjalo elihlukile, okuyiqiniso kumuntu oyedwa ongeke ube yiqiniso komunye. Isibonelo, abanye abantu abane-follicular lymphoma, i-NHL ekhula kancane noma engahlaziyi, bangase bangadingi ukwelashwa ngokushesha, kuyilapho izilonda ezinonya ezifana nokwehla okukhulu kwe-B-cell lymphoma, noma i-DLBCL, ngokuvamile ziphathwa kabi futhi zivame ukuphendula kahle i-chemotherapy.
Investigational Treatments
Ngokuphathelene nokwelashwa komdlavuza kanye nokwelashwa kwe-lymphoma, ikakhulukazi, ukubhalisela izivivinyo zokwelapha kunganikeza iziguli eziningi izinzuzo zezinketho eziningi kanye nama-agent amasha. Mhlawumbe lokhu kuyiqiniso ikakhulukazi kubantu abanokuthiwa "izifo ezibuyiselwayo noma eziphikisayo." Amanye ama-lymphomas asabela ngendlela efanayo nangokwelashwa okufanayo futhi njengoba enza okokuqala, kanti abanye babonisa isidingo sokhetho olusha nezinhlanganisela ezahlukene.
Ukufanelana okulungile phakathi kweziguli kanye nokuvivinywa komtholampilo kungase kuhileleke izindlela ezintsha zokwelashwa kwamakhemikhali, izindlela zokwelapha eziqondiswe endleleni, amasu omzimba noma izifo zokwelashwa eziqondiswa yi-tumor.
Izwi elivela
Uma usanda kutholakala ukuthi unesifo se-lymphoma, ukuqonda uhlobo nesifo esincane sesifo sakho yindawo engcono kakhulu yokuqala-ngisho nangaphambi kokuhlola amazinga okuphilisa nezinyathelo ezihlukahlukene zokwelashwa ezitholakalayo.
Kungokwemvelo ukuthi ube nomcabango wokuzigijima futhi uzizwe ukhululekile ukuxilongwa okusha (futhi, futhi, ngamaphuzu ahlukene endleleni ohamba ngayo emdlalweni wakho womdlavuza). Ukuqonda uhlobo lymphoma yakho kuzokunika amandla wena nodokotela wakho ukuhlola izindlela ezahlukene zokwelapha ezitholakalayo. Ukwengeza, izindlela ezintsha zokwelashwa kwe-lymphoma ziphuma ngesivinini esisheshayo, ngakho-ke qiniseka ukuthi uhlola zonke izinketho zakho.