I-Lymphogranulomatosis ibhekisela ekuthuthukiseni isisu esinonya, esilandelwa ukunqotshwa kwamangqamuzana e-hematopoietic asezindaweni zamagciwane kanye nezinye izitho. Ukugqugquzela ekuthuthukiseni lesi sifo ukuguqulwa kwesilingo esingeyona i-rover ngokumelene nesizinda sokutheleleka, imisebe yomsakazo noma ukuxhumana nommeli wamakhemikhali, nakuba izimbangela ze-lymphogranulomatosis zihlala zingacacile kuze kube sekupheleni. Ikakhulukazi ukutadisha ngentshisekelo odokotela yiyona inguqulo yemvelo yesifo, ikakhulukazi, ihlotshaniswa negciwane le-Epstein-Barr.
Izimpawu ze-lymphogranulomatosis
Ezigaba zokuqala, lesi sifo siqhubeka singenakuqonda, futhi into kuphela engadonsela ukunakekelwa kwesiguli kungukunyuka kwe-lymph node, ukuhambisana kwayo okunamandla. Ngokuvamile izilonda zitholakale entanyeni ziqala ukuvuvukala, kodwa kwezinye izimo ama-nodes we-mediastinum, ama-armpits ne-groin ayathinteka ekuqaleni; okungajwayelekile - ama-retroperitoneal nodes.
Ukuhlanganiswa kwe-lymph node ekhulisiwe akuhambisani nezinzwa ezibuhlungu. Okuqukethwe okunamandla, okunwebekayo kuyazwakala, okuyinto kamuva eba yimbi futhi engaphansi kweselula.
Ukulalela izimpawu ze-lymphogranulomatosis, umuntu akanakuhluleka ukuphawula isibonakaliso esibalulekile njengokushisa komzimba okuphakeme, okungenakunqotshwa yi-Aspirin, i-Analgin, noma i-antibiotics. Ngokuvamile, umkhuhlane uqala ebusuku futhi uhambisana nokujuluka okunamandla, kungabikho ama-chills.
Ezimweni ezingu-30%, uphawu lokuqala lwe-lymphogranulomatosis luyisikhumba esinamandla, esingenakususwa nganoma iyiphi indlela.
Futhi, iziguli zikhononda ngezinhlungu ekhanda, amalunga, ukunciphisa ukudla, ukukhathala. Kukhona ukulahlekelwa kwesisindo esibucayi.
Ukuxilongwa kwe-lymphogranulomatosis
Ngokusekelwe izikhalazo zesiguli mayelana nomkhuhlane kanye ne-lymph node ekhulisiwe engxenyeni ethile yomzimba, udokotela angase asolise i-lymphogranulomatosis, futhi ukuhlolwa kwegazi kuzosiza ngokuhlola ngokucacile izimpawu. Ngakho-ke, ebhokisatri, i-leukocytosis ye-neutrophilic, isihlobo noma i-lymphocytopenia ephelele, isilinganiso se-erythrocyte se-sedimentation sitholakalayo. Ama-platelets ezinyathelweni zokuqala zesifo, njengomthetho, ajwayelekile.
Ukuxilongwa okuqhubekayo kuhilela ukungaboni kahle kwe-node eyayihlatshwa kuqala. Ku-biopsy, amangqamuzana okuthiwa ama-Reant-Berezovsky-Sternberg namaseli kanye / noma amaseli e-Hodgkin atholakala. Futhi benza ama-ultrasound ezithombeni zangaphakathi kanye ne-bone marrow biopsy.
Inkambo yesifo kanye nokubikezela
Ngaphandle kwama-lymph nodes, lesi sifo kwezinye izimo sithinta uhlangothi, amaphaphu, isibindi, umnyofu, isimiso sezinzwa, izinso. Ngokumelene nesimo sokukhubazeka kokuzivikela, ukutheleleka kwefungal kanye nesandulela ngculazi kukhula, okungaba kubi nakakhulu ngemva kwemisebe ye-radiation kanye ne- chemotherapy . Okuvame ukuqoshwa:
- i-herpes zoster;
- i-toxoplasmosis ;
- i-pneumocystis pneumonia;
- I-Candidiasis;
- i-meningitis.
Kunezigaba ezine ze-lymphogranulomatosis:
- I-tumor yendawo yendawo kuphela endaweni yama-lymph nodes noma ngaphandle kwayo kwesinye isitho esisodwa.
- Lesi sifo sithinta ama-lymph nodes ezindaweni eziningana.
- I-tumor idlulela ema-lymph nodes ezihlangothini zombili zesimfucumfucu, i-spleen iyathinteka.
- Lesi sifo sithinta kakhulu isibindi, amathumbu nezinye izitho.
Njengokwelashwa kwe-lymphogranulomatosis, i-chemotherapy isetshenziswa ngokuhambisana ne-radiotherapy noma ngokwehlukana. Futhi, ukwelapha okuhlukahlukene okunezibalo eziphakeme zezidakamizwa zamakhemikhali kuyamukeleka, emva kwalokho isiguli sigxilwe ngethambo lomnkantsha.
Ngokuphathelene nokulinda kwempilo ye-lymphogranulomatosis, ukwelashwa okuhlangene kunikeza ukuxolelwa eminyakeni engu-10 kuya kwezingama-20 kumaphesenti angu-90, okuyi-index ephezulu. Ngisho nasezigabeni zokugcina zesifo, imithi yokwelashwa ekhethiwe kahle inikeza ama-80% amacala angu-5 okukhululwa.