Kurapwa kwechirwere cheHodgkin

Kurapa kunoenderana danho rekenza. Chokwadi, tinosiyanisa 4 matanho muchirwere chaHodgkin. Stage I ndiyo yakapfava fomu uye nhanho IV ndiyo yepamusoro fomu yechirwere. Chikamu chega chega chakakamurwa kuita (A) kana (B), (A) zvichireva kuti hapana zviratidzo zvinoonekera uye (B) zvinoenderana nekuti pane zviratidzo zvacho here.

Stade I. Kenza ichiri yakavharirwa mukati meboka rimwe chete rema lymph node kune rumwe rutivi rwechirevo chechipfuva.

Kurapwa kwechirwere cheHodgkin: chinzwisisa zvese mu2 min

Chikamu II. Kenza yakapararira kuburikidza neiyo lymphatic system, ichisara kudivi rimwe chete redhayaphiramu.

Chikamu chechitatu. Gomarara rapararira kuburikidza neiyo lymphatic system, pamusoro uye pazasi peya diaphragm.

Chikamu IV. Gomarara rapararira kupfuura lymphatic system kune dzimwe nhengo.

Kurapa kunonyanya kubva pa chemotherapy kunyangwe kumatanho ekutanga. Izvi zvinosanganisira kukurumidza kudzikisira bundu, uye nekuwedzera ne radiotherapy pane zvakasara bundu massa. Chemotherapy saka yakakosha pamatanho ese.

Kwematanho ekutanga iwo machemotherapy machemotherapy anoderedzwa (kutenderedza 2) kumatanho epamberi zvakanyanya iwo akawanda (kusvika ku8).

Saizvozvo, radiotherapy doses inosiyana zvichienderana nedanho. Iyo dzimwe nguva haichachaitwe padanho rekutanga nemamwe zvikwata.

Notes. Radiotherapy kurapwa kwe Hodgkin chirwere kuwedzera njodzi yemamwe marudzi e c, kunyanya gomarara repazamu uye gomarara remapapu. Sezvo njodzi yakawedzera yekenza yemazamu iri yakakwira kune vasikana vadiki nevakadzi vari pasi pemakumi matatu, kurapwa kwemwaranzi hakukurudzirwi senzira yakajairwa yekurapa yeboka iri.

Iwo akasiyana chemotherapy kurapwa protocol anowanzo kusarudzwa nekutanga kwezvigadzirwa zvinoshandiswa. Heano maviri anonyanya kuzivikanwa:

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

 

Kana imwe kudzokerazve inoitika mushure mekurapwa kwemakemikari, pane zvimwe zvinonzi "yechipiri-mutsara" maprotocol ane chaiyo uye akadzokorora ongororo yeunyanzvi panguva yekurapa. Aya marapirwo anogona kukuvadza iyo bone marrow. Izvo zvino dzimwe nguva zvinodikanwa kuita a autologous kuisirwa : Mongo wefupa wemunhu ane chirwere cheHodgkin unowanzo bviswa chemotherapy isati yadzorerwa wozodzorerwa mumuviri kana zvichidikanwa.

Kusvika 95% yevanhu vanoonekwa vaine chikamu I kana II vachiri vapenyu makore mashanu mushure mekuongororwa. Mune mamwe mamiriro epamberi, makore mashanu ekupona mwero uchiri kutenderera 5%.

Leave a Reply