Ukwelashwa kwesifo sikaHodgkin

Ukwelashwa kuncike isigaba somdlavuza. Ngempela, siyahlukanisa 4 ama-internship ku-Hodgkin's disease. Isigaba I siyifomu elithambile futhi isigaba IV siwuhlobo oluthuthuke kakhulu lwesifo. Isigaba ngasinye sihlukaniswe (A) noma (B), (A) okusho ukuthi azikho izimpawu ezivamile kanye (B) kuye ngokuthi zikhona yini izimpawu ezivamile.

Stade I. Umdlavuza usavalelwe phakathi kweqembu elilodwa lama-lymph nodes ohlangothini olulodwa lwe-thoracic diaphragm.

Ukwelashwa kwezifo ze-Hodgkin: qonda konke emizuzwini emi-2

Isigaba II. Umdlavuza ususabalele ohlelweni lwe-lymphatic, usele ohlangothini olulodwa kuphela lwe-diaphragm.

Isigaba III. Umdlavuza usabalale ohlelweni lwe-lymphatic, ngaphezulu nangaphansi kwe-diaphragm.

Isigaba IV. Umdlavuza ususabalele ngale kwesistimu ye-lymphatic kwezinye izitho.

Ukwelashwa kusekelwe ikakhulukazi imiphumela emibi yokwelashwa ngamakhemikhali ngisho nasezigabeni zokuqala. Lokhu kuhilela ukwehlisa ngokushesha i-tumor mass, bese ugcwalisa nge i-radiotherapy ngobuningi bezimila ezisele. Ngakho-ke i-chemotherapy ibalulekile kuzo zonke izigaba.

Ezigabeni zokuqala imijikelezo yokwelashwa ngamakhemikhali iyancishiswa (cishe i-2) ngezigaba ezithuthuke kakhulu iba miningi kakhulu (kufika ku-8).

Ngokunjalo, imithamo ye-radiotherapy iyahlukahluka kuye ngesiteji. Kwesinye isikhathi akusadlalwa ngamanye amaqembu.

amanothi. Ukwelashwa nge-radiotherapy isifo se-hodgkin ukwandisa ubungozi bezinye izinhlobo ze c, ikakhulukazi umdlavuza webele kanye nomdlavuza wamaphaphu. Njengoba ukwanda kwengozi yomdlavuza webele kuphakeme emantombazaneni asemancane nabesifazane abaneminyaka engaphansi kwengama-30, ukwelapha ngemisebe akunconywa kangako njengokwelashwa okujwayelekile kwaleli qembu elithile.

Izinqubo ezahlukene zokwelapha ngamakhemikhali zivame ukuqokwa yiziqalo zemikhiqizo esetshenzisiwe. Nazi ezimbili ezivame kakhulu:

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

 

Uma eyodwa ubuyela emuva kwenzeka ngemva kokwelashwa ngamakhemikhali, kunezinye okuthiwa izivumelwano “zomugqa wesibili” ezinokuhlolwa okunembile nokuphindaphindiwe kokusebenza kahle ngesikhathi sokwelashwa. Lezi zindlela zokwelapha zingase zilimaze umkantsha. Kuyaye kudingeke ukuthi kwesinye isikhathi kufezeke a ukufakelwa kwe-autologous : Umnkantsha wethambo lomuntu onesifo sikaHodgkin uvame ukukhishwa ngaphambi kokwelashwa ngamakhemikhali bese ubuyiselwa emzimbeni uma kudingeka.

Abantu abangafika ku-95% abatholakala benesigaba I noma II basaphila eminyakeni emi-5 ngemuva kokuxilongwa. Ezimweni ezithuthuke kakhulu, izinga lokusinda leminyaka emi-5 lisecishe libe ngu-70%.

shiya impendulo