Hodgkin lymphoma

Hodgkin lymphoma ke kankere ea lisele tsa lymph. Lisele tsa lymph li fumanoa li-lymph node, spleen, sebete, moko oa masapo le libaka tse ling.

Lebaka la Hodgkin lymphoma ha le tsejoe. Hodgkin lymphoma e atile haholo har'a batho ba lilemo li 15 ho isa ho tse 35 le lilemo tse 50 ho isa ho tse 70. Tšoaetso ea nakong e fetileng ea vaerase ea Epstein-Barr (EBV) ho nahanoa hore e kenya letsoho maemong a mang. Batho ba nang le tšoaetso ea HIV ba kotsing e kholo ha ba bapisoa le sechaba ka kakaretso.

Letšoao la pele la Hodgkin lymphoma hangata ke lymph node e ruruhileng e hlahang ntle le lebaka le tsejoang. Lefu lena le ka fetela libakeng tse haufi tsa lymph nodes. Hamorao e ka namela ho spleen, sebete, moko oa masapo kapa litho tse ling.

Matšoao a ka kenyelletsa efe kapa efe ea tse latelang:

• Ho ikutloa ke khathetse haholo ka linako tsohle
• Feberu le maqhubu a tlang le a fetang
• Ho hlohlona 'mele oohle o ke keng oa hlalosoa
• Ho felloa ke takatso ea lijo
• Ho kolobisa mofufutso bosiu
• Ho ruruha ho se nang bohloko ha li-lymph node molaleng, mokokotlong, kapa ho bobola (litšoelesa tse ruruhileng)
• Boima ba 'mele bo ke keng ba hlalosoa

Matšoao a mang a ka hlahang ka lefu lena:

• Ho khohlela, bohloko ba sefuba, kapa mathata a ho hema haeba ho na le li-lymph node tse ruruhileng sefubeng
• Ho fufuleloa ho feteletseng
• Bohloko kapa boikutlo ba botlalo ka tlasa likhopo ka lebaka la ho ruruha spleen kapa sebete
• Bohloko ba li-lymph node kamora ho noa joala
• Ho soaba letlalo kapa ho hohola

Matšoao a bakoang ke Hodgkin lymphoma a ka hlaha ka maemo a mang. Bua le mofani oa tlhokomelo ea bophelo ka se boleloang ke matšoao a hau.

Mofani oa thepa o tla etsa tlhahlobo ea 'mele le ho lekola libaka tsa' mele tse nang le li-lymph node ho utloa hore na li ruruhile.

Hangata lefu lena le fumanoa ka mor'a biopsy ea lisele tse belaelloang, hangata e leng lymph node.

Mekhoa e latelang e tla etsoa hangata:

• Liteko tsa k'hemistri ea mali ho kenyelletsa le liprotheine, liteko tsa ts'ebetso ea sebete, liteko tsa ts'ebetso ea liphio le boemo ba acid ea uric
• Tlhahiso ea moko oa masapo
• Litekanyetso tsa CT tsa sefuba, mpa le noka
• Palo e felletseng ea mali (CBC) ho lekola phokolo ea mali le palo e tšoeu ea mali
• Scan ea PET

Haeba liteko li bontša hore u na le Hodgkin lymphoma, ho tla etsoa liteko tse ling ho bona hore na mofetše o hasane hakae. Sena se bitsoa sethaleng. Ho beha litepisi ho thusa ho tataisa kalafo le ho e latela.

Kalafo e ipapisitse le tse latelang:

• Mofuta oa Hodgkin lymphoma (ho na le mefuta e fapaneng ea Hodgkin lymphoma)
• Sethala (moo lefu le hasaneng)
• Lilemo tsa hau le litaba tse ling tsa bongaka
• Lintho tse ling, ho kenyelletsa ho theola boima ba 'mele, ho fufuleloa bosiu le feberu

U ka fumana chemotherapy, kalafo ea radiation, kapa ka bobeli. Mofani oa hau a ka u joetsa haholoanyane ka kalafo ea hau e ikhethang.

Chemotherapy e phahameng e ka fanoa ha Hodgkin lymphoma e khutla kamora kalafo kapa e sa arabele kalafo ea pele. Sena se lateloa ke ho kenya seleng ea stem e sebelisang lisele tsa hau tsa bakoang.

Uena le mofani oa hau le kanna la hloka ho sebetsana le mathata a mang nakong ea kalafo ea hau, ho kenyelletsa:

• Ho laola liphoofolo tse ruuoang lapeng nakong ea chemotherapy
• Mathata a ho tsoa mali
• Molomo o omileng
• Ho ja lik'hilojule tse lekaneng

U ka fokotsa khatello ea maikutlo ea bokuli ka ho kenela sehlopha sa ts'ehetso ea mofets'e. Ho arolelana le ba bang ba nang le liphihlelo tse tšoanang ho ka u thusa hore u se ke ua ikutloa u le mong.

Hodgkin lymphoma ke e 'ngoe ea mofetše o phekolehang ka ho fetisisa. Pheko e ka ba teng haholo haeba e ka fumanoa le ho phekoloa kapele. Ho fapana le mefuta e meng ea mofetše, Hodgkin lymphoma e boetse e phekoleha ha e se e le morao.

U tla hloka ho ba le litlhahlobo khafetsa bakeng sa lilemo kamora kalafo ea hau. Sena se thusa mofani oa hau ho hlahloba matšoao a mofets'e o khutlang le litlamorao tsa kalafo tsa nako e telele.

Kalafo bakeng sa Hodgkin lymphoma e ka ba le mathata. Mathata a nako e telele a chemotherapy kapa kalafo ea radiation a kenyelletsa:

• Maloetse a masapo a masapo (a kang kankere ea mali)
• Lefu la pelo
• Ho se khone ho ba le bana (ho hloka thari)
• Mathata a matšoafo
• Mefuta e meng ea mofetše
• Mathata a qoqotho

Tsoela pele ho latela mofani ea tsebang ka ho lekola le ho thibela mathata ana.

Bitsa mofani oa hau haeba:

• U na le matšoao a Hodgkin lymphoma
• U na le Hodgkin lymphoma 'me u na le litla-morao tsa kalafo

Lymphoma - Hodgkin; Lefu la Hodgkin; Kankere - Hodgkin lymphoma

• Ho kenyelletsa 'mele oa masapo - ho tsoa
• Chemotherapy - seo u lokelang ho se botsa ngaka ea hau
• Mahlaseli a sefuba - ho tsoa
• Ho ja likhalori tse eketsehileng ha u kula - batho ba baholo
• Mahlaseli a molomo le molala - ho tsoa
• Phekolo ea radiation - lipotso tseo u ka li botsang ngaka ea hau
• Ha u na le ho nyekeloa ke pelo le ho hlatsa

• Tsamaiso ea lymphatic
• Lefu la Hodgkin - ho nka karolo ha sebete
• Lymphoma, e kotsi - CT scan
• Meaho ea sistimi ea boits'ireletso

Bartlett N, Triska G. Hodgkin lymphoma. Ka: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, bahlophisi. Abeloff's Clinical Oncology. La 6th. Philadelphia, PA: Elsevier; 2020: khaolo ea 102.

Webosaete ea National Cancer Institute. Kalafo ea batho ba baholo ea Hodgkin lymphoma (PDQ) - mofuta oa litsebi tsa bophelo bo botle. www.cancer.gov/types/lymphoma/hp/dult-hodgkin-treatment-pdq. E ntlafalitsoe ka la 22 Pherekhong 2020. E fihlile ka la 13 Hlakola 2020.

Webosaete ea National Cancer Institute. Phekolo ea bongoana ea Hodgkin lymphoma (PDQ) - mofuta oa litsebi tsa bophelo bo botle. www.cancer.gov/types/lymphoma/hp/child-hodgkin- kalafo-pdq. E ntlafalitsoe ka la 31 Pherekhong 2020. E fihlile ka la 13 Hlakola 2020.

Webosaete ea National Comprehensive Cancer Network. Litaelo tsa NCCN tsa litloaelo tsa bongaka ho oncology: Hodgkin lymphoma. Mofuta oa 1.2020. www.nccn.org/professionals/physician_gls/pdf/hodgkins.pdf. E ntlafalitsoe ka la 30 Pherekhong 2020. E fihlile ka la 13 Hlakola 2020.