Calaamadaha, Sababaha, iyo Daaweynta fo Calaamadaha Isku Dhafka ah ee Cudurka Hodgkin
Waa maxay laysku darbadeeyay Hodgkin Lymphoma, sida ay caadi u tahay, waxa keena, iyo sidee loo daaweeyaa?
Guudmarka
Hymnkunka isku dhafan Hodgkin's lymphoma waa nooca cudurka Hodgkin , kansarka qanjirada unugyada. Waa nooca labaad ee ugu caansan ee cudurka Hodgkin , iyo qiyaastii 15 ilaa 30 boqolkiiba dhammaan dadka qaba cudurka Hodgkin lymphoma ee dunida galbeedku waxay leeyihiin noocaan.
Qaybta bukaanka ee noocaan ah Hodgkin waxay ku badan tahay qaybo ka mid ah adduunka ka baxsan Maraykanka, oo ay ku jiraan Aasiya. Dadka qaar, waa nooca ugu badan ee lymfoma ee Hodgkin.
Astaamaha
Hodgkin oo isku dhafan ayaa dhici karta da 'kasta, inkastoo ay aad ugu badan tahay dadka waaweyn inta u dhaxaysa da'da 55 iyo 74, iyo sidoo kale carruurta ka yar 14 jir. Waa isku mid dadka iyo dumarka. Heerka noocaan ah ee lymphoma wuxuu u muuqdaa inuu hoos u dhacey inta u dhaxaysa 1992 iyo 2011, laakiin taasi waxay sababi kartaa habka lymphomas loo dhigo halkii laga yareeyn lahaa runta dhabta ah.
Aad ayey ugu badan tahay dadka leh habdhiska difaaca oo si xun u shaqaynaya, tusaale ahaan dadka qaba HIV.
Sababaha
Laguma garanayo waxa keena cudurka Hodgkin , inkastoo qaar ka mid ah qodobada halista la ogaaday. Iyadoo lakabomka isku dhejisan ee unugyada isku dhafan ayaa waxaa jira dhacdooyin badan oo Epstein-Barr ah oo ku jira unugyada kansarka, laakiin cilmi-baarayaashu wali lama hubin xiriirka saxda ah ee u dhexeeya lymphomas iyo fayraska kaas oo keena mononucleosis infekshanka.
Astaamaha
Astaamaha ugu weyn ee cudurrada unugyada isku dhafan ayaa ah qanjidhada qanjirada ee qoorta, kilkilooyinka iyo caloosha.
Xubno kale ayaa u badana in ay ku lug yeeshaan noocyadan lenfoma noocyada kale ee lymfoma. Cudurka 'cellularity disease' ayaa jira 30 boqolkiiba dadku waxay ku lug leeyihiin beertooda, 10 boqolkiiba dhuuxa lafaha, 3 boqolkiiba beerkooda, iyo kaliya 1 ilaa 3 boqolkiiba dadka ayaa ku lug leh xubnaha kale.
Ciladeynta
Ciladda lymphoma waxaa lagu sameeyaa qanjidhada qanjirada naqaska .
Daaweynta
Dad badan oo qaba laf-dhabarkan waxaa lagu ogaadaa cudurka heerka tallaalka ah, oo ku lug leh qanjidhada noodarka labadaba qaybta sare ee jirka iyo caloosha.
Dadka qaba cudurka xilliga hore , daaweyntu badanaaba waxay ku lug leedahay iskudhegista kiimiko iyo daaweynta shucaaca.
Cudurka marxaladda sare , daaweynta badanaa waxay ka kooban tahay kiimiko dheerad ah, waxayna u badantahay inay ku lug yeeshaan isticmaalka daaweynta shucaaca. Xeerarka kiimikada ayaa lagu falanqeynayaa maqaalkan oo ku saabsan daaweynta Hodgkin lymphoma .
Kuwa loogu talagalay dib u soo noqoshada unugyada isku dhafan ee Hodgkin Lymphoma, ama haddii daaweynta bilawga ah ay ku dhacdo, waxaa jira dhawr fursadood. Mid ka mid ah waa in la isticmaalo kiimiko daaweyn (chemotherapy loo isticmaalo in la yareeyo mugga buraashka laakiin ma daaweyn kansarka) oo ay ku xigto dawo qadar ah oo loo yaqaan 'chemotherapy dose' iyo 'transplant stem cell transplant'. Fursadaha kale waxaa ka mid noqon kara isticmaalka antibio antibody Blincyto (brentuximab, ) immunoterapi oo la socdo baaritaan baaritaal ah, unugyo unugmo unugyo unugmo aan caadi ahayn, ama tijaabo caafimaad.
Saadaasha
In kasta oo la isku daro hindhismada Hodgkin lymphoma waa kansar gardarro ah, prognosis waa mid aad u wanaagsan . Waxay u egtahay qiyaastii dadka qaba laf-dhabarka Hodgkin Hodgkin , oo ka fiican dadka qaba lymphocyte dhadhanka Hodgkin.
La qabsashada
Inkastoo aysan jirin wax saameyn ah, waa cabsi laga qabo in lagu ogaado kansarka, marka lagu daro, daaweynta noocaas oo ah nooca Hodgkin ee xanuunka keenaya waa mid aad u dhib badan iyo taxadar, waxaanan baraneynaa in culeyska uusan ahayn fikrad fiican dadka qaba lymphomas . U gee qoyskaaga iyo saaxiibbada. Ka fikir inaad ku biirto kooxda taageerada bulshadaada ama internetka. Oo fiiri talooyinkan adoo la tacaalaya lymphoma
Ilaha:
Ansell, S. Hodgkin Lymphoma: Ciladda iyo Daaweynta. Mayo Clinic Proceedings . 2015. 90 (11): 1574-83.
Bienemann, K., Borkhardt, A., Klapper, W., iyo I. Oschies. Cudurka sare ee Epstein-Barr virus (EBV) ee Hodgkin lymphoma iyo Hodgkin lymphoma-sida lafaha unugyada B-unugyada leh EBV latency profile 2 carruurta qaba interleukin-2-inducible Tin cell kinase. Histopathology . 2015. 67 (5): 607-16.
Kansarka: Mabaadi'da iyo Tababbarrada Oncology 7aad. Tifaftirayaasha: VT DeVita, S Hellman iyo SA Rosenberg. Waxaa daabacay Lippincott Williams iyo Wilkins, 2005.
Glaser, S., Clarke, C., Keegan, T., Isbeddel, E., iyo D. Weisenburger. Isbeddellada Waqtiyada ee Heerarka Hodgkin Lymphoma Maqnaanshaha Histologic: Isbeddel dhab ah Isbeddelka ama Kobcinta Habka Ciladda? Cudurka Epidemiology Biyomarkerka iyo Ka Hortagga . 2015. 24 (10): 1474-88.
Machadka Kansarka Qaranka. Kormeerka, Epidemiology, iyo Barnaamijka Natiijada Ugu Danbeeya. Qalabka isku dhafan ee Hodgkin Lymphoma. Gaaray 02/11/16. http://seer.cancer.gov/seertools/hemelymph/51f6cf57e3e27c3994bd5342/