Hodgkin's disease (Hodgkin's lymphoma, lymphogranulomatosis) isingawaniki zvirwere zvinogona kukura muvana nevakuru, asi inowanzowanikwa mumapoka maviri emakore: makore makumi maviri nemaviri uye shure kwemakore 55. Inonzi chirwere mukuremekedza chiremba weChirungu T. Hodgkin, uyo akatanga kuitsanangura.
Hodgkin's disease - chii ichocho?
Chirwere chinenge chichifungidzirwa ndechechimiro chinorwarisa chinomarara chinowedzera kubva kumaronda e-lymphoid. Lymphoid tissue inowirirwa mumutumbi uye inowanzobatanidzwa nemasero e-lymphocytes uye reticular, ayo ari kunyanya muine lymph nodes uye spleen, uyewo mune dzimwe nhengo dzakawanda (thymus gland, bone marrow, nezvimwewo) nenzira yemadules maduku.
Zvinokonzera Matwere aHodgkin
Chirwere ichi chinotanga kukura semugumisiro wekuonekwa mumunhu twine lymphatic tissue yemasero makuru makuru anowanikwa mukudzidza kwemaitiro emakirini anopinda mukati me microscope. Zvisinei, chikonzero chaicho chekuonekwa kwemasero aya hachisati chagadziriswa, uye zvidzidzo zvichiri kuitika munzvimbo iyi.
Maererano nechimwe chekufungidzira, chirwere chacho chinotapukira, sezvinoratidzwa nekuonekwa kwehafu yevarwere vane HIV Epstein-Barr. Kune humwe uchapupu hunotsigira kusangana kwechirwere cheHodgkin nechirwere chinotapukira mononucleosis.
Zvimwe zvinokanganisa ndezvi:
- zvakasiyana-siyana zvezvakatipoteredza, kukanganisa kwemakemikari;
- miitiro yakaipa;
- genetic predisposition.
Zviratidzo zveHodgkin Dendaase
Sezvo chero chikamu chemuviri we-lymphoid chinogona kubatanidzwa mukugadzirisa kwezvirwere, zviratidzo zvechirwere zvinosanganiswa nenzvimbo yechiremera. Zviratidzo zvake zvokutanga hazviwanzove zvirwere zvinotyisa, nokuti vanogona kuvapo kune dzimwe zvirwere zvakasiyana-siyana.
Sezvo mutemo, kunyunyuta kwekutanga kunobatanidza nekuwedzera kwemakirini emakirini ane nhengo pamusana pehupenyu hwehutano hwakakwana. Kazhinji kazhinji, kutanga kwezvose, mishonga yecervical lymph nodes inoshandiswa, ipapo axillary uye inguinal. Nokuwedzera kwavo nokukurumidza, kusuruvara kwavo kunogona kuonekwa.
Mune zvimwe zviitiko, mishonga ye lymphoid yebhokisi inoshandiswa kutanga. Zvadaro chiratidzo chokutanga cheHodgkin's disease chinogona kuva kurwadziwa kwepfuva, kupererwa kwepfufu, kupererwa kwepfufu kana kukwezva nekuda kwekumanikidzwa pamapapu uye bronchi yemakiromodhi akawedzerwa. Apo zvipembenene zvemakumbo emakumbo emudumbu vane chirwere chepamuviri vanogunun'una nezvekusuruvara nekurwadziwa mumimba, kurasikirwa kwechido.
Mushure mechinguva (kubva pamavhiki mashoma kusvika kumwedzi yakaverengeka), chirwere chetachiona hachigoni kuva musha, chirwere ichi chinowedzera kusvika kumakumbo echiremera emuviri wose. Zvose zvinokonzera lymph nodes, kazhinji uye chirwere, chiropa, mapfupa anokura.
Kufambira mberi kwechirwere kunozviratidza nezviratidzo zvakadaro:
- kurwadziwa mukati memuviri, mapfupa;
- kuwedzera kwekushisa kwemuviri;
- kutonhora kupisa usiku;
- kukura kusimba;
- kupisa kunhuwa munzvimbo ye-lymph nodes (zvikurukuru mushure mekunwa doro);
- kuora muviri.
Kurapa kwezvirwere zveHodgkin
Nhasi, nzira dzinotevera dzinoshandiswa kurapa chirwere cheHodgkin:
- radiation therapy;
- chemotherapy nemishonga yakasiyana-siyana yemishonga;
- kusanganiswa kwemaawa uye remhemotherapy;
- chemotherapy pamwe nekushandiswa kwekuwedzerwa kwemishonga yemishonga pamwe nekuwedzera mafuta emusipiresi.
Semitemo, yekutanga chirwere chekurapa chinotanga muchipatara, uye zvino varwere vanoenderera mberi kurapwa pamusana pechirwere chepfungwa.
Chirwere cheHodgkin ndicho mugumisiro
Nzira dzemazuva ano dzokurapwa kwechirwere dzinogona kupa nguva refu uye yakakwana kukanganwirwa (dzimwe nguva mumatambudziko asina hanya). Zvinotendwa kuti varwere vane kuregererwa kwakakwana kunopera makore anopfuura mashanu mushure mokunge kupera kwerapi kuchigodzwa.