IHodgkin lymphoma

IHodgkin lymphoma ngumhlaza wamathambo e-lymph. Izicubu ze-lymph zifumaneka kwii-lymph node, spleen, isibindi, umongo wethambo kunye nezinye iisayithi.

Unobangela weHodgkin lymphoma awaziwa. I-Hodgkin lymphoma ixhaphake kakhulu phakathi kweminyaka eyi-15 ukuya kwengama-35 ubudala kunye nama-50 ukuya kuma-70 ubudala. Usulelo oludlulileyo kunye ne-Epstein-Barr virus (EBV) kucingelwa ukuba negalelo kwezinye iimeko. Abantu abanentsholongwane kaGawulayo basemngciphekweni omkhulu xa kuthelekiswa noluntu ngokubanzi.

Umqondiso wokuqala weHodgkin lymphoma uhlala u-lymph node edumbayo ebonakala ngaphandle kwesizathu esaziwayo. Esi sifo sinokusasazeka kwii-lymph node ezikufutshane. Emva kwexesha inokusasazeka kudakada, isibindi, umongo wethambo, okanye amanye amalungu.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ndiziva ndidiniwe lonke ixesha
• Umkhuhlane kunye nobushushu obuza buhambe
• Ukurhawuzelela umzimba wonke ongenakucaciswa
• Ukuphelelwa ngumdla wokutya
• Ukumanzi ebusuku ukubila
• Ukuvuvukala okungenasiphelo kwe-lymph nodes entanyeni, emakhwapheni, okanye kwi-groin (izilonda ezivuvukileyo)
• Ukwehla kobunzima obungenakuchazwa

Ezinye iimpawu ezinokuthi zenzeke kwesi sifo:

• Ukukhohlela, iintlungu zesifuba, okanye iingxaki zokuphefumla ukuba ngaba kukho i-lymph node ezidumbileyo esifubeni
• Ukubila okugqithisileyo
• Iintlungu okanye imvakalelo yokugcwala ezantsi kweembambo ngenxa yokudumba okanye ukudumba kwesibindi
• Ubuhlungu kwii-lymph node emva kokusela utywala
• Ukuqaqamba kolusu okanye ukugungxula

Iimpawu ezibangelwa yiHodgkin lymphoma zinokwenzeka nezinye iimeko. Thetha nomboneleli wakho wezempilo malunga nentsingiselo yeempawu zakho ezithile.

Umboneleli uya kwenza uvavanyo lomzimba kwaye ajonge iindawo zomzimba ezine-lymph node zokuziva ukuba zidumbile.

Esi sifo sihlala sifunyaniswa emva kokuphuma kwethambo ekukrokrelwa kulo, ngesiqhelo i-lymph node.

Ezi nkqubo zilandelayo zihlala zenziwa:

• Uvavanyo lwekhemesti yegazi kubandakanya amanqanaba eprotini, uvavanyo lwesibindi, ukusebenza kwezintso, kunye nenqanaba leuric acid
• Umongo wethambo
• Ukuvavanywa kwe-CT kwesifuba, isisu kunye nesinqe
• Gcwalisa inani legazi (CBC) ukujonga i-anemia kunye nokubala kwegazi elimhlophe
• Ukuskena iPET

Ukuba iimvavanyo zibonisa ukuba uneHodgkin lymphoma, kuya kwenziwa ezinye iimvavanyo ukubona ukuba umhlaza usasazeke kangakanani. Oku kubizwa ngokuba yistage. Ukubeka esiteji kunceda ukukhokela unyango kunye nokulandela.

Unyango luxhomekeke koku kulandelayo:

• Uhlobo lweHodgkin lymphoma (kukho iindlela ezahlukeneyo zeHodgkin lymphoma)
• Inqanaba (apho isifo sisasazeke khona)
• Ubudala bakho kunye neminye imiba yezonyango
• Ezinye izinto, kubandakanya ukwehla kobunzima, ukubila ebusuku, kunye nefiva

Unokufumana i-chemotherapy, unyango lwe-radiation, okanye zombini. Umboneleli wakho unokukuxelela ngakumbi malunga nonyango lwakho oluthile.

I-chemotherapy ephezulu yeedosi inganikwa xa iHodgkin lymphoma ibuya emva konyango okanye ingaphenduli kunyango lokuqala. Oku kulandelwa kukufakelwa kweseli kwistem esebenzisa iiseli zakho zeziqu.

Wena kunye nomboneleli wakho unokufuna ukulawula ezinye iinkxalabo ngexesha lonyango lwakho, kuquka:

• Ukulawula izilwanyana zakho ngexesha lekhemotherapy
• Iingxaki zokopha
• Umlomo owomileyo
• Ukutya iikhalori ezaneleyo

Ungaluphelisa uxinzelelo lokugula ngokujoyina iqela lokuxhasa umhlaza. Ukwabelana nabanye abanamava aqhelekileyo kunokukunceda ungaziva ulilolo.

IHodgkin lymphoma yenye yeekhensa ezinyangekayo. Unyango kunokwenzeka ngakumbi ukuba lufunyenwe kwaye lwanyangwa kwangoko. Ngokungafaniyo neminye imihlaza, iHodgkin lymphoma nayo iyanyangeka kwinqanaba layo lokugqibela.

Kuya kufuneka ube neemviwo rhoqo iminyaka emva konyango lwakho. Oku kunceda umboneleli wakho akhangele imiqondiso yokubuya komhlaza kunye naziphi na iziphumo zonyango lwexesha elide.

Unyango lweHodgkin lymphoma lunokuba neengxaki. Ubunzima bexesha elide lwe-chemotherapy okanye unyango lwe-radiation lubandakanya:

• Izifo zomongo wethambo (njengeleukemia)
• Isifo sentliziyo
• Ukungakwazi ukuba nabantwana (ukungachumi)
• Iingxaki zemiphunga
• Eminye imihlaza
• Iingxaki ze-thyroid

Qhubeka ulandela umboneleli owaziyo malunga nokubeka esweni kunye nokuthintela ezi ngxaki.

Fowunela umnikezeli wakho ukuba:

• Unempawu zeHodgkin lymphoma
• UneHodgkin lymphoma kwaye uneziphumo ebezingalindelekanga kunyango

Lymphoma - Hodgkin; Isifo seHodgkin; Umhlaza - iHodgkin lymphoma

• Ukutsalwa komongo wethambo - ukukhupha
• I-Chemotherapy -yintoni oza kuyibuza ugqirha wakho
• Imitha yesifuba - ukukhutshwa
• Ukutya iikhalori ezongezelelweyo xa ugula - abantu abadala
• Umlomo kunye nentamo radiation - ukukhutshwa
• Unyango ngemitha- imibuzo oza kuyibuza ugqirha wakho
• Xa unesicaphucaphu nokugabha

• Inkqubo yeLymphatic
• Isifo sikaHodgkin - ukubandakanyeka kwesibindi
• I-Lymphoma, enobungozi-i-CT scan
• Inkqubo yenkqubo yomzimba yokuzikhusela

UBartlett N, uTriska G. Hodgkin lymphoma. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, ii-eds. I-Oncology yeklinikhi yase-Abeloff. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahl. 102.

Kwiwebhusayithi yeZiko loMhlaza weSizwe. Unyango lweHodgkin lymphoma yabantu abadala (PDQ) -uhlobo lobungcali kwezempilo. www.cancer.gov/types/lymphoma/hp/dult-hodgkin- unyango-pdq. Ukuhlaziywa ngoJanuwari 22, 2020. Ifikeleleke ngoFebruwari 13, 2020.

Kwiwebhusayithi yeZiko loMhlaza weSizwe. Unyango lweHodgkin lymphoma yobuntwana (PDQ) -uhlobo lobungcali kwezempilo. www.cancer.gov/types/lymphoma/hp/child-hodgkin- unyango-pdq. Ukuhlaziywa ngoJanuwari 31, 2020. Ifikeleleke ngoFebruwari 13, 2020.

Iwebhusayithi yeNethiwekhi yeCancer epheleleyo yoMhlaza. Isikhokelo sonyango se-NCCN kwi-oncology: IHodgkin lymphoma. Inguqulelo 1.2020. www.nccn.org/professionals/physician_gls/pdf/hodgkins.pdf. Ukuhlaziywa ngoJanuwari 30, 2020. Ifikeleleke ngoFebruwari 13, 2020.