Zvirwere zvinouraya zviri kuwedzera kuongororwa achiri muduku, saka vabereki vanofanira kugara vachitarisira hutano hwemwana. Lymphogranulomatosis inogona kuonekwa pamatanho ekutanga ekusimbiswa, kunyanya kuvana. Pakutanga kurapwa kwehutano kunotanga, iyo inowedzera mikana yekudzikinura.
Lymphogranulomatosis - zvinokonzera
Haisi kuzivikanwa nei chirwere ichi chiri mubvunzo chinokanganisa muviri, uye chii chinokonzera izvi. Pane dzidziso iyo Hodgkin's disease (lymphogranulomatosis) inopikisana nechekupedzisira kwezvinotevera inoti:
- infectious mononucleosis yakakonzerwa neAppstein-Barr virus ;
- congenital immunodeficiency syndromes;
- genetics.
Zvikamu zve lymphogranulomatosis
Iyo yakatsanangurwa chirwere chinonyangadza chinokura muzvikamu. Maererano nekuoma kwezviratidzo zvechipatara uye huwandu hwehutachiona hweHodgkin's lymphoma muvana hunowanikwa mumatanho mana:
- Yakaitwa nhengo imwechete (spleen, thymus) kana lymph node, kunyanya chibereki kana submandibular. Zviratidzo hazvipo kana zvisingaonekwi.
- Masero akafuridzirwa anotanga kutama, izvo zvinoshandura chimiro chenhengo dzomukati dzomukati pamwe nemapoka emakirini anonzi lymph nodes ari kune rumwe rutivi.
- Muchiito chechirwere chemaitiro, zvivako zvisingawaniki kubva kune zvinyorwa zvinyorwa zvinobatanidzwa. Inobata lymph nodes kumativi ose maviri edzai. Nhengo dzemuviri dzinowedzera muhukuru.
- Kuchinja kunotora kugoverwa kwakapararira. Utachiona hunovhiringidza basa rechiropa, bone marora, mapapu nedzimwe nhengo.
Lymphogranulomatosis - zviratidzo muvana
Chirwere cheHodgkin hachiwanzozivikanwi vasati vava nemakore mashanu, uye mucheche vasati vaine gore, hazviitike. Kuziva lymphogranulomatosis muvana panguva yepakutanga kwakaoma, zviratidzo zvokutanga hazvipo kana zvisingaiti:
- kusuruvara kusina kupfurikidza kweropa lymph nodes ;
- unyanzvi, kusafarira;
- kugona;
- kukwirira kwemuviri wepamusoro (anenge madhigirii 37).
Zvishoma nezvishoma, zviratidzo zvinoratidzwa zvinowedzera uye zvinowanzoonekwa. Saka Hodgkin's lymphoma inowedzera - zviratidzo zvevana:
- kunyanya kutuka, kunyanya usiku;
- headache ;
- itching;
- fever;
- kusava nenzara;
- kurasikirwa nokurema;
- chifuva;
- kunetseka kufema;
- kukanganisa zvirwere zvinotapukira;
- kuvhiringidzwa kwepleen;
- kazhinji palpitations;
- kunzwa kwekuoma mumisungo, mafundo;
- kukanganiswa kwechiropa chinoshanda uye mwoyo yemagetsi.
Lymphogranulomatosis - kuonekwa
Iva nechokwadi chekufungidzirwa kwechirwere cheHodgkin chinogona kuongororwa sarudzo yake yehupenyu (biopsy). Zvimwe zviratidzo zve lymphogranulomatosis haisi chikonzero chakanaka chekuongororwa, nokuti vanogona kuenderera kune vamwe, vasina-oncological pathologies. Zviratidzo zvakafanana zvinowanikwa kune zvirwere zvinotapukira, immunodeficiencies uye parasitic infestations.
Kuongorora lymphogranulomatosis
Pakujekesa nhanho yehosha yaHodgkin, dzimwe nzira dzokuongorora dzinoshandiswa. Imhosva ye laboratory test kusimbisa lymphogranulomatosis muvana inopa kuongorora ropa (zvinowanzoitika uye zvipenyu, basa realkaline phosphatase mu serum). Inobatsira kuziva kukuvadzwa kwechiropa uye kuperevedza ropa, kusimbisa kuvapo nekuoma kwezvipembenene zvinopinda mumuviri.
Dzimwe mhando dzeongororo dzinobvumira kufungidzira lymphogranulomatosis kuvana:
- magnetic resonance imaging kana computed tomography;
- kuongorora gallium-67;
- puncture (trepanobiopsy) yefupa marrow;
- X-ray;
- ultrasound kuongorora.
Lymphogranulomatosis - kurapa
Iyo nzira huru yekurwisana nechirwere cheHodgkin muvana inonzi polychemotherapy, mihizha uye kushandiswa kwakafanana kwezvinodhaka zvinodhaka. Mumatambudziko asinganzwisisiki uye akaoma, apo nzira idzi dzisina kubereka zvinotarisirwa, chirwere che lymphogranulomatosis chinotarisirwa kurapwa. Kuvhiya kunosanganisira kupfurikidza kwemapfupa ekuputira kubva kumunhu anowirirana.
Lymphogranulomatosis muvana - kliniki mazano
Mukati yekuita chemotherapy, mwana wacho panguva imwechete anopiwa mishonga yakawanda, iyo inobatanidza kudzvinyirirwa kwemarara masero. Kune 4 maitiro anobudirira emazuva ano kuburikidza neHodgkin's lymphoma inobatwa vana - kliniki mazano anosanganisira zvinotevera:
- ABVD - adriamycin, bleomycin, vinblastine, dacarbazine;
- ACOPP - adriamycin, cyclophosphamide, onkovin, procarbazine, prednisolone;
- BEACOPP - bleomycin, etoposide, adriamycin, cyclophosphamide, onkovin, procarbazine, prednisolone;
- OEPA - onkovin, etoposide, prednisolone, adriamycin.
Lymphogranulomatosis muvana inofambidzana nemarwadzo ekurwadziwa uye zvimwe zviratidzo zvisingafadzi, saka, zviratidzo zvechirwere zvinowanikwa zvakare:
- analgesics;
- muscle relaxants;
- anesthetics;
- mahomoni;
- antibiotics;
- antiviral agents;
- diuretics;
- solutions of electrolytes;
- antifungal drugs;
- antacids;
- Kururamisa kwe acid asiri;
- vitamini uye vamwe.
Lymphogranulomatosis - folk remedies
Mishonga inobatsira haina mushonga unobatsira unogona kurarama nechirwere chinotyisa, asi zvigadzirwa zvepanyama zvinogona kushandiswa sevabatsira kana kubatsiridza. Kunyanya kukurudzirwa mavhitamini teas, kana kuregererwa kweHodgkin's lymphoma muvana kunobudirira. Vanopa kukurumidza kukurumidza uye kutsigira kwekuchengetedzwa kwemasimba, kuronga kwekushanda kwezvokudya, chirwere chekupemha uye mishonga yemwoyo.
Recipe yekurapa kwechiremba
Zvisungo:
- matavi emufiri - 1 kg;
- midzi ye rasipiberi - 0,5 kg;
- shuga - 1 kg;
- mvura - 0.5 litita.
Kugadzirira nekushandiswa:
- Shamba uye gadzira zvinomera zvakasvibirira zvakanaka.
- Yakachena 3-litre chirongo inogona kunge yakatsetseka-ne-yakasara izere nezvinhu - mapazi emuFir, shuga, mitsvuku yakaoma, shuga uye zvakare.
- Dururirai mvura yose iri kuvira.
- Siya mishonga kwemazuva matatu, zvino shandisa mvura.
- Tora mhinduro ye 1 tbsp. kapu usati wadya, katatu pazuva.
- Therapy inopera 10-11 mazuva.
Recipe yerapatirasirasirasiki
Zvisungo:
- mummy - 20 g;
- uchi - 700 g;
- juice yeAloe - 500 ml.
Kugadzirira nekushandiswa:
- Shandisai zvose zvinoshandiswa mugivha yakachena.
- Isa mufiriji kwemazuva 7-9.
- Mushure mekunge nguva ino, nyatsobatanidza zvinyorwa zvayo.
- Tora 1 tsp katatu pazuva.
- Ramba uchirapa kwemavhiki mashanu.
Migumisiro yekurapwa kweHodgkin's lymphoma kuvana
Mishonga yemakemikari yemishonga uye irradiation inosanganisa kwete chete chirwere chemahara, asiwo masero ane utano. Vana mushure meHodgkin's lymphoma vanotambura nemigumisiro yakadaro yekurapa:
- zvipembenene mumuromo;
- kurasikirwa kwebvudzi;
- nausea;
- kubuda ropa kwemukasi membrane;
- kurutsa;
- dambudziko rekudya;
- kusava nenzara;
- kuora kwemwoyo yematambudziko;
- kuparadza paganda;
- kurasikirwa nemabasa ekubereka uye nevamwe.
Lymphogranulomatosis - prognosis
Iyo yakaongororwa chirwere chepachirwere chinonyatsokwanisa kugadzirisa kurapwa, varwere vazhinji vanoporesa zvachose. Lymphogranulomatosis muvechiri kuyaruka uye vana vane chikwata chekutanga 1-2 huri kuguma nekuregererwa mu 90-95% emhosva. Kana chirwere chacho chikaonekwa pane gare gare, pamatanho akaoma, chiratidzo ichi chakaderera kusvika 75-85%. Kusagamuchirwa kunofanirwa kunofanirwa kune varwere vakawana kudzoka kwe lymphogranulomatosis mukati memwedzi gumi nemaviri mushure mekuzara kwerapi.