Kev kho mob rau tus kab mob Hodgkin

Kev kho mob nyob ntawm theem ntawm mob cancer. Qhov tseeb, peb paub qhov txawv 4 kev xyaum ua haujlwm hauv Hodgkin tus kab mob. Theem I yog daim ntawv me tshaj plaws thiab theem IV yog daim ntawv mob siab tshaj plaws. Txhua theem tau muab faib ua (A) lossis (B), (A) lub ntsiab lus tias tsis muaj cov tsos mob tshwm sim thiab (B) nyob ntawm seb puas muaj cov tsos mob tshwm sim.

Stade kuv. Tus mob qog noj ntshav tseem raug kaw nyob hauv ib pab pawg ntawm cov qog ntshav ntawm ib sab ntawm lub diaphragm thoracic.

Kev kho mob rau tus kab mob Hodgkin: nkag siab txhua yam hauv 2 feeb

Theem II. Tus mob qog noj ntshav tau kis los ntawm cov qog ua kua, tsuas yog nyob ib sab ntawm lub diaphragm.

Theem III. Tus mob qog noj ntshav tau kis los ntawm cov qog ntshav, saum toj thiab hauv qab diaphragm.

Theem IV. Tus mob khees xaws tau kis mus dhau cov kab mob lymphatic mus rau qee yam kabmob.

Kev kho mob feem ntau yog ua raws cov kws khomob txawm rau theem pib. Qhov no cuam tshuam nrog txo qis cov qog loj, tom qab ntawd ntxiv nrog radiotherapy ntawm cov qog nqaij hlav seem. Yog li tshuaj kho kab mob yog qhov tseem ceeb ntawm txhua theem.

Rau cov theem thaum ntxov cov kev kho tshuaj siv tshuaj tau raug txo (ib puag ncig 2) rau cov qib siab dua lawv muaj ntau dua (txog 8).

Ib yam nkaus, cov tshuaj kho hluav taws xob sib txawv nyob ntawm theem. Qee zaum nws tsis ua tiav thaum ntxov los ntawm qee pab pawg.

Sau ntawv. Radiotherapy kev kho rau hodgkin kab mob nce kev pheej hmoo ntawm lwm hom c, tshwj xeeb yog mob qog noj ntshav thiab mob qog noj ntshav. Raws li kev pheej hmoo pheej hmoo ntawm mob qog noj ntshav yog siab dua rau cov ntxhais hluas thiab poj niam hnub nyoog qis dua 30 xyoo, kev kho hluav taws xob tsis pom zoo raws li kev kho tus qauv rau pab pawg tshwj xeeb no.

Cov txheej txheem kev kho tshuaj khomob ntau yam feem ntau raug xaiv los ntawm cov npe ntawm cov khoom siv. Nov yog ob qho uas feem ntau:

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

 

Yog ib tug relapse tshwm sim tom qab siv tshuaj kho mob, muaj lwm qhov hu ua "kab thib ob" cov txheej txheem nrog qhov raug thiab rov ntsuas dua ntawm qhov ua tau zoo thaum kho. Cov kev kho mob no tuaj yeem ua rau puas pob txha pob txha. Nws yog qee zaum tsim nyog los nqa tawm a autologous hloov : Cov pob txha pob txha ntawm tus neeg uas muaj tus kab mob Hodgkin feem ntau raug tshem tawm ua ntej siv tshuaj kho mob thiab tom qab ntawd rov tsim dua tshiab rau hauv lub cev yog tias tsim nyog.

Txog li 95% ntawm cov neeg kuaj mob rau theem I lossis II tseem muaj sia nyob 5 xyoos tom qab kuaj mob. Hauv cov xwm txheej ntau dua, 5-xyoo kev muaj sia nyob tseem nyob ib puag ncig 70%.

Sau ntawv cia Ncua