Nā mālama lapaʻau no ka maʻi o Hodgkin

Kaukaʻi pili i pae o ka maʻi ʻaʻai. ʻOiaʻiʻo, ʻike mākou 4 papa i ka maʻi o Hodgkin. ʻO ke kahua I ka ʻano akahai loa a ʻo ka pae IV ka mea kiʻekiʻe loa o ka maʻi. Māhele ʻia kēlā me kēia pae i (A) a i ʻole (B), (A) ʻo ia hoʻi ʻaʻohe ʻōuli ākea a (B) kaukaʻi ʻia inā paha he mau hōʻailona laulā.

ʻO Stade I. Mālama ʻia ka maʻi ʻaʻai i loko o kahi hui o nā lymph node ma kekahi ʻaoʻao o ka diaphragm thoracic.

Nā lāʻau lapaʻau no ka maʻi o Hodgkin: e hoʻomaopopo iā ia āpau i 2 min

Kahua II. Ua pālahalaha ka maʻi ʻaʻai ma o ka ʻōnaehana lymphatic, e waiho ana ma hoʻokahi ʻaoʻao o ka diaphragm.

Kahua III. Ua pālahalaha ka maʻi ʻaʻai ma o ka ʻōnaehana lymphatic, ma luna a ma lalo o ka diaphragm.

Kahua IV. Ua pālahalaha ka maʻi ʻaʻai ma ʻō aku o ka ʻōnaehana lymphatic i kekahi mau lālā.

Hoʻokumu ʻia ka mālama ʻana ma chemotherapy ʻoiai no nā pae mua. Hoʻopili kēia i ka hōʻemi wikiwiki ʻana i ka nui o ka tumora, a laila ka hoʻopihapiha ʻana me aila ma ke koena huina nui. No laila pono ka Chemotherapy i nā pae āpau.

No nā pae mua ua hoʻemi ʻia nā pōʻaiapuni o ka chemotherapy (ma kahi o 2) no nā pae holomua iʻoi aku ka nui (a i ka 8).

Pēlā nō, ʻokoʻa nā lāʻau radiotherapy ma muli o ka pae. ʻAʻole hana ʻia kekahi manawa i ka wā mua e kekahi kime.

Notes. Nā mālama Radiotherapy no maʻi maʻi hodgkin hoʻonui i ka makaʻu o nā ʻano ʻē aʻe o c, ʻo ka maʻi ʻeha hoʻi o ka umauma a me ka maʻi ʻaʻai māmā. ʻOiai ʻoi aku ka kiʻekiʻe o ka maʻi kanesa o ka umauma no nā kaikamahine ʻōpio a me nā wahine ma lalo o 30, ʻoi aku ka maikaʻi o ka radiation therapy ma ke ʻano he maʻamau maʻamau no kēia hui kikoʻī.

Hoʻonohonoho pinepine ʻia nā protocol lapaʻau chemotherapy e nā hua mua o nā huahana i hoʻohana ʻia. Eia nā mea maʻamau ʻelua:

  • ABVD: doxorubisin (Adriamycine), bléomycine, vinblastine, dacarbazine;
  • MOPP-ABV: méchloréthamine, Oncovin, procarbazine, prednisone-adriablastine, bléomycine a me vinblastine

 

Inā hoʻokahi hoʻi hou kū mai ma hope o ka hoʻomaʻamaʻa chemotherapy, aia kekahi mau mea i kapa ʻia ʻo "laina ʻelua" me nā kikoʻī kikoʻī a me ka loiloi hou o ka pono i ka wā o ka lapaʻau. Hiki i kēia mau lapaʻau ke hōʻino i ka ka iwi o ka iwi. A laila pono i kekahi manawa e hoʻokō i kahi a transplant autologous : Hoʻoneʻe pinepine ʻia ka iwi iwi o ka mea me ka maʻi ʻo Hodgkin ma mua o ka chemotherapy a laila hoʻokomo hou ʻia i loko o ke kino inā pono.

Hiki i 95% o ka poʻe i ʻike ʻia me ka pae I a II paha ke ola nei 5 mau makahiki ma hope o ka ʻike. I nā kūlana kiʻekiʻe aʻe, aia ka helu ola 5 mau makahiki ma kahi o 70%.

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