Chithandizo chamankhwala cha matenda a Hodgkin

Chithandizo chimadalira siteji ya khansa. Inde, timasiyanitsa 4 magawo mu matenda a Hodgkin. Gawo XNUMX ndi lofatsa kwambiri ndipo gawo IV ndi mtundu wapamwamba kwambiri wa matendawa. Gawo lirilonse lagawidwa mu (A) kapena (B), (A) kutanthauza kuti palibe zizindikiro zonse ndi (B) kutengera ngati pali zizindikiro zonse.

Stade I. Khansarayo imakhalabe mkati mwa gulu limodzi la ma lymph nodes kumbali imodzi ya thoracic diaphragm.

Chithandizo chamankhwala cha matenda a Hodgkin: mvetsetsani zonse mu 2 min

Gawo II. Khansara yafalikira kudzera m'mitsempha yamagazi, kutsala mbali imodzi yokha ya diaphragm.

Gawo III. Khansara yafalikira kudzera m'mitsempha yamagazi, pamwamba ndi pansi pa diaphragm.

Gawo IV. Khansara yafalikira kudzera m'mitsempha kupita ku ziwalo zina.

Chithandizo makamaka zochokera mankhwala amphamvu ngakhale pazigawo zoyamba. Izi zikuphatikizapo kuchepetsa mofulumira chotupa misa, ndiye kuwonjezera ndi mankhwalawa pa zotupa zotsalira misa. Chifukwa chake chemotherapy ndiyofunikira pazigawo zonse.

Kumayambiriro koyambirira, ma chemotherapy amachepetsedwa (kuzungulira 2) pamagawo apamwamba kwambiri amakhala ochulukirapo (mpaka 8).

Momwemonso, mlingo wa radiotherapy umasiyana malinga ndi siteji. Nthawi zina sizichitikanso koyambirira ndi magulu ena.

zolemba. Chithandizo cha ma radiotherapy matenda a hodgkin kuonjezera chiopsezo cha mitundu ina ya c, makamaka khansa ya m’mawere ndi ya m’mapapo. Popeza chiwopsezo chowonjezeka cha khansa ya m'mawere ndi chachikulu kwa atsikana ndi amayi omwe ali ndi zaka zosakwana 30, chithandizo cha radiation sichikulimbikitsidwa ngati chithandizo chokhazikika cha gulu ili.

Mitundu yosiyanasiyana ya mankhwala a chemotherapy nthawi zambiri imasankhidwa ndi zoyambira zomwe zimagwiritsidwa ntchito. Nawa awiri odziwika kwambiri:

  • ABVD: doxorubicine (Adriamycine), bléomycine, vinblastine, dacarbazine;
  • MOPP-ABV : méchloréthamine, Oncovin, procarbazine, prednisone-adriablastine, bléomycine et vinblastine

 

Ngati mmodzi kubwereranso zimachitika pambuyo pa chithandizo chamankhwala, palinso ma protocol ena omwe amatchedwa "mzere wachiwiri" ndikuwunika kolondola komanso kobwerezabwereza kwa mphamvu panthawi ya chithandizo. Mankhwalawa amatha kuwononga fupa la fupa. Ndiye nthawi zina ndikofunikira kuchita a autologous kumuika : Mafupa a munthu amene ali ndi matenda a Hodgkin nthawi zambiri amachotsedwa mankhwala amphamvu kwambiri asanayambe kumwa mankhwala amphamvu ndipo kenako amawabwezeretsanso m’thupi ngati n’koyenera.

Mpaka 95% ya anthu omwe adapezeka ndi siteji yoyamba kapena yachiwiri akadali ndi moyo zaka zisanu atapezeka ndi matendawa. M'milandu yapamwamba kwambiri, kupulumuka kwazaka 5 kumakhalabe pafupifupi 5%.

Siyani Mumakonda