Izifo ezibulalayo zivame ukuxilongwa zisencane, ngakho-ke abazali kudingeka bahlale benakekele impilo yengane. I-Lymphogranulomatosis ingabonakala ezingeni lokuqala zokuthuthukiswa, ikakhulukazi ezinganeni. Ekuqaleni ukwelashwa kwe-pathology kuqala, kuphakama amathuba okubuyiswa.
I-Lymphogranulomatosis - izimbangela
Akukaziwa ukuthi kungani isifo esibuzwayo sithinta umzimba, futhi yiziphi izici ezithinta lokhu. Kunezinkolelo ukuthi i-Hodgkin's (lymphogranulomatosis) iphikisana ngokumelene nesizinda salokhu okulandelayo:
- i-mononucleosis esithathelwanayo ebangelwa igciwane le-Epstein-Barr ;
- i-congenital immunodeficiency syndromes;
- izakhi zofuzo.
Izigaba ze-lymphogranulomatosis
Isifo esibi esichazayo siqhubeka ngezigaba. Ngokuhambisana nobuqili bezimpawu zomtholampilo kanye nobukhulu bokugula kwe-Hodgkin's lymphoma ezinganeni kwenzeka ezinyathelweni ezine:
- Ifakwe yisitho esisodwa (i-spleen, thymus) noma i-lymph node, ikakhulukazi yomlomo wesibeletho noma i-submandibular. Izimpawu azikho noma azibonakali kakhulu.
- Amaseli ashintshiwe aqala ukufuduka, aguqula isakhiwo sezitho zangaphakathi ezizungezile namaqembu ezitho zelph nodes ezihlangothini olulodwa.
- Inqubo yokugulisa umzimba, izakhiwo ezikude nomthombo oyinhloko zihilelekile. Ithinta ama-lymph nodes ezihlangothini zombili zesimfucumfucu. Izitho ze-glandular zanda ngosayizi.
- Izinguquko zithatha ukusatshalaliswa okusabalalisa. I-pathology ibuhlungu umsebenzi wesibindi, umnkantsha wamathuna, amaphaphu nezinye izitho.
I-Lymphogranulomatosis - izimpawu ezinganeni
Isifo sikaHodgkin sitholakale singatholakali ngaphambi kweminyaka engama-5, futhi ezinganeni ezingaphansi konyaka ongu-1, akakaze zenzeke. Ukuthola i-lymphogranulomatosis ezinganeni ekuqaleni kwesigaba kunzima, izimpawu zokuqala azikho noma zingekho:
- Ukwandiswa okungenabuhlungu kwe-lymph nodes ;
- ukuzethemba, ukunganaki;
- ukulala;
- ukushisa komzimba okuphakeme (cishe ama-degrees angu-37).
Kancane kancane, ukubonakala okubhaliwe kuqinisa futhi kugcinwa njalo. Ngakho i-lymphoma kaHodgkin iyaqhubeka - izimpawu ezinganeni:
- ukujuluka okukhulu, ikakhulukazi ebusuku;
- ikhanda ;
- itching;
- umkhuhlane;
- ukungabi nesifiso sokudla;
- ukulahlekelwa kwesisindo;
- ukukhwehlela;
- ubunzima bokuphefumula;
- ukutholakala kwezifo ezithathelwanayo;
- ukuphazanyiswa kwephutha;
- i-palpitations njalo;
- ukuzwa kobunzima emisipha, amalunga;
- ukukhubazeka kwesibindi ukusebenza kanye nesimo senhliziyo.
I-Lymphogranulomatosis - ukuxilongwa
Qinisekisa ukusola kwesifo sikaHodgkin kuphela ukuhlaziywa kwengqondo yakhe kwezinto eziphathekayo (i-biopsy). Izimpawu ezivamile ze-lymphogranulomatosis akuyona isisekelo esizwakalayo sokuxilongwa, ngoba singakwazi ukuhambisana nezinye, izifo ezingezona ezingokoqobo. Izimpawu ezifanayo zijwayele izifo ezithathelwanayo, izifo ezingenayo izifo kanye nezifo ezithathelwanayo.
Ihlaziya i-lymphogranulomatosis
Lapho kucacisa isigaba se-Hodgkin's disease, kwenziwa amasu engeziwe okuxilonga. Isivivinyo sokuhlola i-laboratory ukuqinisekisa i-lymphogranulomatosis ezinganeni ukuhlolwa kwegazi (jikelele kanye ne-biochemical, umsebenzi we-alkaline phosphatase ku-serum). Kuyasiza ekuboneni ukulimala kwesibindi kanye ne-anemia, ukusungula ubukhona nobukhulu bezinqubo zokuvuvukala emzimbeni.
Ezinye izinhlobo zezifundo ezivumela ukuxilongwa kwe-lymphogranulomatosis ezinganeni:
- imaging resonance magnetic noma tomography computed;
- ukuskena nge-gallium-67;
- i- punpture (trepanobiopsy) yomsongo wamathambo;
- I-X-ray;
- ukuhlolwa kwe-ultrasound.
I-Lymphogranulomatosis - ukwelashwa
Izindlela eziyinhloko zokulwa nesifo se-Hodgkin ezinganeni ziyi-polychemotherapy, imisebe kanye nokusetshenziswa okufanayo kwezidakamizwa ezibonakalayo. Ezimweni ezingavamile kakhulu futhi ezinzima, lapho lezi zindlela zingakaze zenze umphumela olindelekile, isifo se-lymphogranulomatosis sibhekene nokwelapha okuhlinzekwa. Ukusebenza kuhilela ukufakelwa komnkantsha wamathambo kusuka kumnikeli ohambisanayo ohambisanayo.
I-Lymphogranulomatosis ezinganeni - izincomo zomtholampilo
Enkambiswaneni ye-chemotherapy, ingane yanikezwa imithi eminingana ngesikhathi esifanayo, inhlanganisela eyinikeza ukucindezelwa kwamangqamuzana omzimba. Kunezinhlelo ezine eziphumelelayo zanamuhla lapho i-Hodgkin's lymphoma iphathwa ngayo ezinganeni - izincomo zomtholampilo zihlanganisa inhlanganisela elandelayo:
- I-ABVD - i-adriamycin, i-bleomycin, i- vinblastine, i-dacarbazine;
- I-ACOPP - i-adriamycin, i-cyclophosphamide, i-onkovin, i-procarbazine, i-prednisolone;
- I-BEACOPP - i-bleomycin, i-etoposide, i-adriamycin, i-cyclophosphamide, i-onkovin, i-procarbazine, i-prednisolone;
- I-OEPA - i-onkovin, etoposide, prednisolone, i-adriamycin.
I-Lymphogranulomatosis ezinganeni ihambisana ne-syndrome yobuhlungu kanye nezinye izimpawu ezingathandeki, ngakho-ke, ukwelashwa okuyisifo sikhombisa ngokungeziwe:
- ama-analgesics;
- imisipha yokuphumula;
- i-anesthetics;
- ama-hormone;
- ama-antibiotics;
- ama-antiviral agents;
- i-diuretics;
- izixazululo ze-electrolytes;
- izidakamizwa ezingasebenzi;
- i-antacids;
- izilungisi ze-acid balance;
- amavithamini nabanye.
I-Lymphogranulomatosis - amakhambi abantu
Imithi ehlukile ayinayo imithi ephumelelayo engakwazi ukubhekana nesifo esibi kakhulu, kodwa izithako ezingokwemvelo zingasetshenziswa njengokwelashwa okusizayo noma ukuvuselelwa. Okunconywa ikakhulukazi yi-vitamin teas, uma ukukhululwa kwe-Hodgkin's lymphoma ezinganeni kufezwa. Banikeza ukutholakala okusheshayo nokusekelwa kokuzivikela, ukujwayelekile kokusebenza kokugaya ukudla, izinhlelo zokuphefumula kanye nezinhliziyo zenhliziyo.
Iresiphi yokwehliswa kwezokwelapha
Izithako:
- amagatsha e-fir - 1 kg;
- izimpande ze-okusajingijolo - 0,5 kg;
- ushukela - 1 kg;
- amanzi - 0.5 amalitha.
Ukulungiselela nokusebenzisa:
- Geza bese ugawula izinto zokusetshenziswa zemifino kahle.
- Imbiza ehlanzekile engu-3-litre ingaba yendlala-nge-ungqimba igcwele izingxenye - amagatsha ama-fir, ushukela, izimpande ezibomvu, ushukela bese ngokufanayo.
- Thela wonke amanzi abilayo.
- Shiya imithi izinsuku ezingu-3, bese usula amanzi.
- Thatha isisombululo se-1 tbsp. isipuni ngaphambi kokudla, izikhathi ezintathu ngosuku.
- Ukwelapha kuphelile izinsuku ezingu-10-11.
Iresiphi yesiraphu yokwelapha
Izithako:
- umama - 20 g;
- uju - 700 g;
- i-juice ye-aloe - 500 ml.
Ukulungiselela nokusebenzisa:
- Hlanganisa zonke izithako ku-container ehlanzekile engilazi.
- Faka efrijini izinsuku ezingu-7-9.
- Ngemuva kwalesi sikhathi, faka ngokucophelela okuqukethwe okuqukethwe.
- Thatha izikhathi ezingu-1 katp ngosuku.
- Qhubeka ukwelapha amaviki angu-1.5.
Imiphumela yokuphathwa kwe-Hodgkin's lymphoma ezinganeni
Izidakamizwa ze-Chemical antitumor kanye ne-irradiation ayithinti nje kuphela izifo ze-pathological, kodwa futhi namaseli enempilo. Izingane emva kwe-Hodgkin's lymphoma zibhekene nemiphumela emibi yokwelapha:
- izilonda emlonyeni;
- ukulahlekelwa kwezinwele;
- isicasuli;
- ukuphuma kwezinambuzane ezimangcwabeni;
- ukuhlanza;
- ukuphazamiseka kokugaya ukudla;
- ukungabi nesifiso sokudla;
- ukuwohloka kwesimiso senhliziyo;
- umonakalo esikhumbeni;
- ukulahlekelwa kwemisebenzi yokuzala nabanye.
I-Lymphogranulomatosis - ukubikezela
Ukuhlolwa kwesifo se-incological kuyisimiso esihle sokwelapha, iziguli eziningi zelashwa ngokuphelele. I-Lymphogranulomatosis ebantwaneni kanye nezingane ezinezigaba 1-2 zentuthuko iphela ngokukhululwa kwamacala angu 90-95%. Uma lesi sifo sitholakale kamuva, ngezigaba ezinzima kakhulu, lesi sibonakaliso sincishisiwe sibe ngu-75-85%. Ukubikezela okungavumelekile kungenxa yeziguli ezitholakale zibuyele emuva kwe-lymphogranulomatosis zingakapheli izinyanga ezingu-12 emva kokuthola ukwelashwa okugcwele.