Hodgkin a lymphoma - khansa kapena ayi? matenda Hodgkin a - zilonda matenda a zimakhala lymphoid: zizindikiro, chithandizo, matenda, madokotala ananena zawo

Kodi chimachitika m'thupi pamene anapezeka ndi matenda Hodgkin chiyani? The lymph mfundo ndi "maselo kumbuyo", mwachitsanzo lymphocytes. Ngati munthu wadwala matenda lino, chiwerengero cha maselo oyera kumawonjezera kwambiri, ndipo mwanabele mu khosi m'dera ndi underarms kuwonjezera mphamvu.

Medic (dokotala wodziwa za vutoli) British wobadwa Thomas Hodgkin anatha kwa nthawi yoyamba kufotokoza matenda. Tsopano imatchedwa - Hodgkin lymphoma. Kodi matenda? Kodi Zoneneratu kupulumuka ndi monga mankhwala lymphoma?

Chizindikiro cha matenda Hodgkin a - ndi kukhalapo otchedwa maselo Reed-Sternberg. Kupezeka kwa maselo nthenda limasonyeza kuti kansa imeneyi, koma ngati matenda akutchula khansa ku mfundo zachipatala bwanji?

Hodgkin a Lymphoma. Mosiyana lymphomas ena

Lymphoma - yoopsa kuchuluka kwa minofu lymphoid. Hodgkin a lymphoma, kapena matenda Hodgkin a - mtundu wa lymphoma. Ngati kafukufuku zimapezeka maselo nthenda, matenda lymphoma sanali Hodgkin a.

Mfundo pang'onopang'ono kuwonjezeka ndi kukhala ndi zambiri noticeable. Pakuti matenda yake n'zofunika nthawi kuona oncologist.

matenda Hodgkin a. Ndi khansa kapena ayi?

matenda Hodgkin ndi mosakayikira matenda aakulu. Iye kulikonse otchedwa khansa ya minofu lymphoid. Koma ndithu, matenda Hodgkin a - khansa kapena ayi? Epidemiologically ndi kukomoka lymphoma izi losiyana pa mfundo zina kansa imeneyi.

Kodi angatchedwe kusiyana?

• Kuti madokotala ananena zawo mankhwala matenda Hodgkin ndi yabwino. Mukaona kuvutika pa siteji 1, ndipo palibe matenda concomitant, ndi curable lymphoma.
• Isanafalikire chotupa khalidwe alibe khansara.
• Maselo "kudya" maselo wathanzi khansa. Pankhani ya matenda Hodgkin alibe.
• Cancer akuyamba ndi kusintha kwa maselo connective minofu. Lymphoma chitukuko mwinamwake akusokoneza minofu (lymphoid minofu).

Komabe, monga khansa, matenda Hodgkin ngati sanalandire chithandizo, limadzetsa imfa. Lymphoma kufalikira thupi lonse ndi kungachititse kuti kugonjetsedwa kwa ziwalo zina. 3 ndi gawo 4 chotupa kale lalikulu ndipo anadabwa ndi lymph mfundo onse m'thupi: m'khwapa, chifuwa, groin. chithandizo A amadziwikanso irradiated.

matenda Hodgkin a. zifukwa

Pali ziphunzitso angapo polongosola chitukuko cha lymphomas ambiri makamaka Hodgkin a lymphoma. Komabe, molondola zimayambitsa ndi zotsatira ndi chitukuko cha matenda Hodgkin a sayansi mankhwala si koma zilipo. Ngakhale oncologists onse kutanthauza kutengera za kumtundu matenda. Komabe, limagwirira a "kuthamanga" silidziŵika.

Chinthu chachikulu galimoto chitukuko cha matenda, akadali ankaona Epstein-Barr HIV, zomwe, malingana ndi kuwerengera amene analipo ambiri odwala. Ngakhale zikuoneka kuti mavuto autoimmune kapena mononucleosis. Ambiri amakhulupirira kuti amakwiya matenda Hodgkin a (matenda Hodgkin a) amphamvu ndi wokhalitsa zimakhudza zinthu anthu poizoni ndi zachilengedwe zoipa.

Phunziro la funso limeneli liyenera komanso kuwononga nthawi ndi ndalama, koma mpaka ofufuza kuti kumvetsera kwambiri mankhwala.

matenda a Hodgkin a

Kupeza Hodgkin (matenda Hodgkin a) popanda matenda kuphunzira. Koma tiyenera kusamala ndi kuyang'anitsitsa zizindikiro za matenda.

Zizindikiro monga:

1. Palibe chifukwa makamaka (palibe matenda, palibe kutentha) kumawonjezera lymph mfundo. Pa palpation palibe ululu.
2. Kufupika kwa mpweya chifukwa kufala kwa matenda mediastinum lapansi. Chokulitsidwa lymph mfundo m'dera pachifuwa compress m'mapapo.
3. Amphamvu usiku Thukuta.
4. Rapid kulemera imfa. Munthu "Mwamsanga" mu maso.
5. Angayambitse kupweteka kwa m'mimba.
6. Ena mwa odwala (30-35%) amadandaula za kuyabwa lowopsya la khungu.
7. Zofooka ndi temperatura.Obychno mpaka 38 ⁰ C.
8. Pamene ndulu kumawonjezera kukula ndi nthawi, wodwala akumva chisoni lamanzere nusu chapamwamba.

Odwala zambiri wachinsinsi monga momwe matenda awo, koma nkhawa mlingo apulumuke. Funso la lymphoma - khansa kapena ayi, kuposa khalidwe mankhwala. Anthu amene si mankhwala, ndikofunika kudziwa zizindikiro zoyamba za matenda Hodgkin ndi kumvetsetsa kuti matenda kwenikweni aakulu ndiponso chakupha.

Kodi wamba lymphoma Hodgkin chiyani?

Hodgkin a lymphoma - ichi ndi matenda? Kodi akufotokozera ndi mmene ambiri m'dzikoli? Malinga ndi kafukufuku ndi anthu oyera kwambiri atengeke lymphoma kuposa Negroid.

lymphoma amenewa amapezeka m'chaka kwa anthu 3 kuchokera 1 miliyoni. Mwa zina Hodgkins lymphoma opezeka mu 15% ya milandu. Amaona mawonekedwe yoopsa kwambiri wakuta lymphoid.

Poyamba, ngakhale mu United States kumene mankhwala ndi zina otukuka, anthu oposa 1,100 chaka kufa chifukwa cha matenda Hodgkin a. Koma pambuyo 1975, ziwerengero anayamba kusintha, madokotala aphunzira kuthana ndi lymphoma ndi zotsatira zake.

gulu chiopsezo

Anthu ali pangozi anthu zaka zoposa 50 ndi achinyamata zaka 16-20. Achinyamata zaka 18 - gulu ili 5% ya chiwerengero cha odwala. Ndipo uwu ndi anthu 150 pa chaka. deta imeneyo ziŵerengero ofufuza German. Akukhulupirira kuti gulu chiopsezo zikuphatikizapo komanso magulu la anthu:

• Akazi apakati pambuyo zaka 30;
• Anthu pansi yaitali dzuwa limakhala lamphamvu;
• okalamba anthu;
• ndi mavuto immunodeficiency.

Komabe, pambuyo odwala mwakayakaya anthu kuchira kwathunthu, kapena kwa nthawi yaitali anakhalabe mu chikhululukiro pamene lymphoma ndi wapezeka pa siteji mochedwa. Ambiri vnmatelnym kukhala amene ali pa chiopsezo ndi alandire matenda "Hodgkin ndi matenda"; zizindikiro, MAGAZI ndi X-ray - zonsezi ayenera nthawi zonse kufufuzidwa, kukhala tcheru ndi kuwayang'anira chikhalidwe chawo.

zosokonezeka

Kodi mavuto mungathe msampha mtima? Amadziwika kuti lymphoma kufalikira kwa mwanabele ndi amasokoneza ziwalo zambiri. Posasangalala ntchito chiwindi, kwambiri kumawonjezera ndulu, thymus.

Kuonongeka ubongo. Koma matenda ena ngakhale ayende lymphoma?

• nephrotic syndrome;
• ubongo zosokonezeka;
• mediastinal matenda a chikasu ndiyo;
• lymphatic edemas;
• matumbo occlusion;
• matenda;
• mafangasi adzaukira maziko a chitetezo wofooka.

Makamaka oopsa ndi matenda kwa amayi apakati. Amuna, pambuyo anadutsa njira ya chithandizo cha matenda, iwo osavomerezeka chifukwa ana oposa 1 chaka.

diagnostics

Kodi matenda yolondola? matenda Hodgkin sichimatsimikiziridwa yekha ndi maonekedwe awo. Madokotala opani siteji ya matenda ndi mtundu wa lymphoma. Matenda mawonekedwe enieni muyenera kucheza kwambiri ndi mayesero.

Inde, dokotala wodziwa sizikupanga kulakwitsa, iye kuuzidwa kuti wodwalayo ali ndi zizindikiro lymphoma. A mayeso magazi n'kofunika kwambiri. Njira zotsatirazi akutsatiridwa koma kusanthula magazi:

• MR.
• Biopsy.
• Pa sitepe 4 makamaka ikuchitika trepanobiopsy.
• Onetsetsani kuti kum'sangalatsa lymph mfundo pa khosi ndi pafupi phewa lapansi. Ngati pali lymphoma, iwo udzakhala wautali. Komabe, ululu si kawirikawiri munthu akudutsamo.
• X-ray limakupatsani kuona kutupa lymph mfundo mu mediastinum lapansi. Iyi ndi mbali yapadera ya lymphoma.

Anawonjezera lymph mfundo compress mitsempha ndi mitsempha, chifukwa cha ichi, anthu odwala ambiri kuoneka bwino bwino edemas. Zinafunika ankafufuza kagayidwe. Kutsokomola ndi kufupika kwa mpweya ndi aakulu kutupa mfundo mkhwapa ndi - zonsezi njira zina zikusonyeza lymphoma.

Matendawa akadali zikhazikitsidwe kafukufuku biopsies mtima ndi mayesero magazi. Amuzolengedwa magazi mayesero ambiri amasonyeza milingo apamwamba bilirubin, chiwindi michere, globulins. Wodwala zidzawululidwa magazi m'thupi ndi thrombocytopenia mu magawo ina.

Zoneneratu

Koma Hodgkin a lymphoma - khansara kuti ndi mosavuta ankachitira. Zoposa 95% cha odwala amene zapita chofunika njira ya walitsa, achire. Ndipo anaika odwala m'njira zabwino. Ndipotu, palibe mtima, ngati wapezeka, lymphoma izi.

Chomvetsa madokotala ananena zawo zoterozo matenda ndi lymphoid wakuta. Ngati matenda izi zimapezeka kwambiri maselo atypical ndi zambiri minofu fibrous. Kuwulula lymphoid wakuta n'chotheka mwa biopsy, monga kuphunzira histological chilibe ntchito. Koma mawonekedwe limapezeka okha 5% ya odwala matenda Hodgkin a.

lymphoma The yabwino Hodgkin, anthu kupulumuka madokotala ananena zawo zomwe ndi yayikulu. Mapa anapatsidwa pamene lymphoma anapezeka mu mawonekedwe lightest - ndi predominance wa lymphocytes. Pankhaniyi, matenda akufotokozera popanda sclerosis, necrosis, ndipo mwamsanga mankhwala.

Mitundu ya matenda Hodgkin a

Pakuti mtundu bwino kwambiri matenda n'kofunika kuti tipende mwatsatanetsatane zikuchokera magazi. Mitundu ina ya matenda Hodgkin a. Polynuclear maselo nthenda kansa gawo lapansi, ndipo ngati wapezeka, lymphoma (matenda Hodgkin a) pafupifupi 100% zikutsimikiziridwa.

Choncho mitundu ya amadziŵika:

1) The tingachipeze powerenga mawonekedwe. Mbaliyi subtypes zotsatirazi:

• mawonekedwe nodular;
• losakanizika khungu;
• ndi lymphocytes ochepa (lymphoid zikutha m'mayiko).

2) mawonekedwe a matenda Hodgkin a, kwambiri Polemeretsedwa lymphocytes.

Malinga lomwe mawonekedwe a matenda Hodgkin Dokotalayu lanu kukonzekera mankhwala ndi kulosera zam'tsogolo. Mawonekedwe owopsa akuti ndi ochepa lymphocytes.

siteji ya matenda

Pankhani masitepe Hodgkin ndiye kusiyanitsa magawo anayi monga khansa. Kachiwiri funso lakuti: "Lymphogranulomatosis - ndi khansa kapena ayi?". Mfundo ndi vuto khansa ya minofu lymphoid, ndi madokotala ambiri chabe kunyalanyaza kusiyana.

chlamydia ndi chiyani? Gawo olekanitsidwa motere:

1. siteji Local pamene kuchuluka gulu limodzi lokha la mfundo (kapena magulu awiri).
2. Regional - kumafuna tinatake tozungulira angapo lymph kuti chifundamtima.
3. Zowombetsa mkota - mayunitsi anakantha mbali zonse za chifundamtima.
4. Mwiniwakeyo. Otsiriza ovuta kwambiri siteji, pamene ndondomeko pathological ziwalo zina ndi machitidwe amatanganidwa: ndulu ndi chiwindi.

Gawo lymphoma anatsimikiza pambuyo ultrasound ndi yopangidwa tomography.

Pathological maselo Reed-Sternberg mwamsanga kufalitsa ndi magazi kuti magulu ena a mwanabele. Nkofunika ndi 1 kapena 2 magawo a lymphoma ndi kuzindikira ndi mankhwala amphamvu mwamsanga ndipo kenako radiotherapy. Ndi kubweza kukula ndi kufalikira kwa maselo nthenda.

Chithandizo cha njira zamakono

Kodi chlamydia? Chithandizo wayamba zosavuta. Poyerekeza ndi khumi zapitazi ya atumwi XX, patsogolo kwambiri pochiza matenda momveka bwino: 90% milandu ndipo ambiri amakhala kunja zaka 5 ndi m'chipatala atachiriratu. Lero, mankhwala awa amagwiritsidwa ntchito mu dziko:

• oteteza mankhwala;
• mankhwala kwachilengedwenso;
• splenectomy;
• maselo kupatsidwa zina;
• radioiterapiya;
• opaleshoni;
• steroid chithandizo.

Pakati cytostatics madokotala angakupatseni: "embihina", "Cyclophosphamide", "Natulan", "Prednisolone". Mankhwalawa amagwiritsidwa ntchito kwa nthawi yaitali.

A cheza mankhwala ndi pafupifupi zonse bwino mmene wodwalayo. Pafupifupi odwala onse kudutsa njirayi.

Komabe, si onse mwa njira zimenezi ndi ntchito pofuna kuchiza. dokotala Personal ayenera kukhala dongosolo lake. Ena okha mankhwala amphamvu ndi mankhwala. Ena amakonda mankhwala steroid. Izi zidalira pa zaka wodwalayo ndi udindo wake panopa.

Chithandizo cha mankhwala wowerengeka

Kuwonjezera pa mankhwala, mungathe kutenga mankhwala achilengedwe. Ena zomera nawo kwambiri achire zotsatira, monga aloe. Apa pali Chinsinsi lina limene lili ndi aloe madzi: magalamu 500. madzi a zomera, 700 GR. uchi ndi okwana magalamu 20. Malemu. Kuteteza masiku atatu.

Monga mankhwala kukonza ndi chakumwa anapanga zomera monga muzu wofiira, kapena periwinkle.

Koma tiyenera kuzindikira kuti mankhwala chachikulu phwando zitsamba sangakhale matenda akuluakulu monga mauka. mankhwala wowerengeka mankhwala wachiwiri; cheza koma pulayimale ndi mankhwala.

Kodi mungadzitetezere ku lymphoma Hodgkin chiyani?

Chifukwa chenicheni zimayambitsa matenda silinakwaniritsidwe ndinazipeza, n'zovuta kunena za kupewa. Koma m'pofunika kuti achinyamata amakonda kwambiri za thanzi lawo, sakhala timakumana ndi chamoyo ndi poizoni monga mowa ndi fodya. Komanso zoipa akhoza frequenting khungu salons.