Hodgkin kwakaita rwekenza yelymphoma - kenza kana kwete? Hodgkin nehosha - akaipa chirwere of lymphoid munyama: zviratidzo, kurapwa, nechirwere, fungidziro

Chii chinoitika mumuviri kana chirwere Hodgkin chirwere? The node nodes vari "masero kuzvidzivirira", kureva lymphocytes. Kana munhu achirwara nechirwere ichi, nhamba ropa masero machena kunowedzera zvinoshamisa, uye node nodes zviri pamutsipa nzvimbo uye underarms kuwedzera vhoriyamu.

Medic (pathologist) British-akaberekerwa Thomas Hodgkin akakwanisa kekutanga kutsanangura chirwere. Zvino kunonzi - Hodgkin rwekenza yelymphoma. Chii chinonzi chirwere ichi? Ndezvipi Zvaifungidzirwa yokupona uye sezvo vakadaro ikarapwa rwekenza yelymphoma?

The pakuva Hodgkin nehosha - ndiyo kuvapo ainzi Reed-Sternberg masero. Kuvapo masero kanganisika kunoratidza kuti kenza ichi, asi kana chirwere zvinoreva kenza kubva yezvokurapa pfungwa maonero?

Hodgkin kuti rwekenza yelymphoma. Kusiyana nevamwe lymphomas

Rwekenza yelymphoma - munhu akaipa yokuwedzera lymphoid tishu. Hodgkin kuti rwekenza yelymphoma, kana Hodgkin nehosha - imwe mhando rwekenza yelymphoma. Kana assays vanowanikwa masero kanganisika, akaonekwa asiri Hodgkin kuti rwekenza yelymphoma.

Nodes vari kuwedzera zvishoma uye kungoramba kuoneka. Nokuti nenguva chirwere kunokosha nguva kuona oncologist.

chirwere Hodgkin vake. Hazvina kenza kana kwete?

chirwere Hodgkin ndiyo pasina mubvunzo chirwere chakakomba zvikuru. Iye kwose akadana kenza lymphoid tishu. Asi, chokwadi, Hodgkin nehosha - kenza kana kwete? Epidemiologically uye akaora rwekenza yelymphoma ichi akasiyana pane dzimwe pfungwa kenza ichi.

Chii chinogona Achanzi musiyano?

• The fungidziro kunorapwa kuti Hodgkin chirwere zvakanaka. Kana ukaona abnormalities Panguva 1, uye hapana zvimwe zvirwere concomitant, ari isingarapiki rwekenza yelymphoma.
• Vemunyika bundu mamirire asina kenza.
• Masero "kudya" masero utano kenza. Kana ari Hodgkin nehosha haadaro.
• Kenza rinotanga kuchinja connective tishu masero. Rwekenza yelymphoma budiriro zvimwe kwakakanganiswa zvinyama (lymphoid tishu).

Zvisinei, kufanana kenza, chirwere Hodgkin kuti kana untreated, chinourayisa. Rwekenza yelymphoma anopararira yose muviri uye kunogona kutungamirira pokukundwa nedzimwe nhengo. 3 uye Danho 4 bundu iri kare guru uye vakashamiswa vose node nodes mumuviri: muhapwa, muchipfuva, muhudyu. A kurapwa zvakare irradiated.

chirwere Hodgkin vake. zvikonzero

Pane maonero akawanda kutsanangura kukura lymphomas zvavo uye zvikurukuru Hodgkin kuti rwekenza yelymphoma. Kunyange zvakadaro, ane mufananidzo yakarurama zvinokonzera uye migumisiro pamusoro pokumuka Hodgkin nehosha musayenzi yezvokurapa haisati kuwanika. Kunyange zvazvo vose oncologists kureva majini kubatwa kuti chirwere. Zvisinei, kuti mashandiro kuti "kumhanya" haizivikanwi.

The chikuru chinoita kutyaira kukura chirwere, ichiri kunzi Epstein-Barr utachiona, izvo, maererano Nhamba iripo kuti ruzhinji wevarwere. Kunyange zvazvo anofanira kunge ichi matambudziko autoimmune kana mononucleosis. Vazhinji vanodavira kuti chinokurwadzai chirwere Hodgkin raMwari (Hodgkin nechirwere), ine simba uye wakakura wokuchinja dzevanhu zvine chepfu uye ikoroji zvakaipa.

On nokudzidza mubvunzo uyu anofanirawo kupedza nguva yakawanda uye mari, asi kure vaongorori kunyatsoteerera kurapwa.

zviratidzo Hodgkin chirwere

Ziva Hodgkin (Hodgkin nehosha) pasina chirwere havagoni kudzidza. Asi tinofanira kungwarira uye kunyatsotarisa zviratidzo chirwere.

Zviratidzo zvinosanganisira:

1. No chaiyo chikonzero (hapana zvirwere, hapana tembiricha) anowedzera node nodes. On palpation hapana marwadzo.
2. Kupfupika mweya nokuda kupararira chirwere ari mediastinum. Yakakura node nodes ari mubhokisi nzvimbo tsonyera mumapapu.
3. Strong sweats usiku.
4. Rapid uremu. Munhu "haazombotaurwi" mumaziso.
5. Kungaita abdominal marwadzo.
6. Vamwe varwere (30-35%) akanyunyuta pamusoro vanotyisa kuvaviwa ganda.
7. Kuneta uye temperatura.Obychno kusvika 38 ⁰ C.
8. Kana chirwatata chinowedzera kukura pamwe kwenguva, murwere anonzwa Kutambudzika kuruboshwe repamusoro quadrant.

Varwere vari Kazhinji semhosva nyaya chirwere yavo, asi ivo vane hanya wokurarama. The mubvunzo rwekenza yelymphoma - kenza kana kwete, kupfuura zvokurapa hunhu. Vanhu vasina ukama mushonga, zvakakosha kuziva inokosha zviratidzo Hodgkin nehosha uye kunzwisisa kuti chirwere zvechokwadi chakakomba uye kunogona kuurayisa.

How wakajairika Hodgkin kuti rwekenza yelymphoma?

Hodgkin kwakaita rwekenza yelymphoma - chii chirwere ichi? Sei inokudziridza uye sei kwakapararira munyika? Maererano nokutsvakurudza nevanhu chena zvikuru kubatwa rwekenza yelymphoma pane Negroid.

rwekenza yelymphoma ichi inowanikwa nokuti gore kubva 3 persons kubva mamiriyoni 1. Pazvimwe Hodgkins rwekenza yelymphoma unowanikwa 15% nyaya. It anonzi kupfuura ngozi chimiro lymphoid kuparadzwa.

Kare, kunyange United States uko mushonga zvakawanda dzakabudirira, vanhu vanopfuura 1,100 gore vanofa Hodgkin chirwere. Asi pashure 1975 nhamba akatanga kuchinja, vanachiremba vakadzidza kukurira rwekenza yelymphoma uye nemigumisiro yayo.

boka nengozi

Avo pangozi vanosanganisira vanhu pamusoro makore 50 uye vechidiki makore 16-20. Teenagers kusvika makore 18 - boka iri 5% of uwandu varwere. Uye ichi ndicho vanhu 150 pagore. Data izvi akapa Nhamba Vatsvakurudzi German. Zvinofungidzirwa kuti njodzi boka unosanganisira uyewo zvakadai Mapato wevanhu:

• Vakadzi vanova nepamuviri mushure zera 30;
• Vanhu pasi mazhinji UV nemwaranzi;
• vanhu vakwegura;
• pamwe immunodeficiency matambudziko.

Zvisinei, pashure yevanorwara zvikuru vanhu kupora zvakazara, kana nguva refu anodzokororwa kanganwiro kana rwekenza yelymphoma ari kuona pane kunonoka padanho. vnmatelnym Most kuva uyo pangozi uye awane kuongororwa "chirwere Hodgkin kuti"; Zviratidzo, miedzo ropa uye maekisirei - ichi zvose zvinofanira kugara achiongorora, kungwarira uye kuongorora avo ezvinhu.

yematambudziko

yematambudziko anogona musungo murwere chii? Zvinozivikanwa kuti rwekenza yelymphoma anopararira kusvika node nodes uye kuchambokanganisa zhinji zvomukati. Anetseka chiropa basa, yekudyidzana kunowedzera chirwatata, thymus.

Damage uropi. Asi vamwe zvirwere zvinogona kunyange kuenda limfome?

• nephrotic urwere;
• chetsinga yematambudziko;
• mediastinal jaundice;
• nhengo dzinobudisa edemas;
• intestinal occlusion;
• chirwere;
• fungal kurwiswa pakanyorwa kuderera zvirwere.

Kunyanya ngozi ndiyo chirwere kuvakadzi vane mimba. Kana varume, pashure vakapfuura nzira pakurapa chirwere, havana varumbidzwa vana pamusoro 1 gore.

Diagnostics

Sei nechirwere yakarurama? chirwere Hodgkin haina kutsunga bedzi chitarisiko chavo. Vanachiremba zvinokosha kuona pavaipfuura chirwere uye rudzi rwekenza yelymphoma. Rokuongorora chaiyo chimiro unofanira kupedza nemiedzo.

Chokwadi, chiremba ane unyanzvi hakuiti kuita chikanganiso, achaita kuziviswa kuti murwere ane rwekenza yelymphoma zviratidzo. A bvunzo ropa kuchiri kukosha zvakare. Maitiro anotevera yaitwa asi ropa ongororo:

• MR.
• Biopsy.
• At danho 4 zvinganaka kuitwa trepanobiopsy.
• Iva nechokwadi kuti overtures node nodes pamutsipa uye pedyo bondo. Kana paine rwekenza yelymphoma, ivo achawedzerwa. Zvisinei, marwadzo haasi Kazhinji munhu nazvo.
• Maekisirei unokubvumira kuona kuzvimba node nodes ari mediastinum. Uyu chinokosha rwekenza yelymphoma.

Wakakurisa node nodes dzvinya mutsinga uye arteries, nekuda ichi, varwere vakawanda zvakajeka edemas kuoneka. Rinodiwa nezvokumwe muviri. Kukosora pamwe kupfupika mweya uye zvikuru kuzvimba nodes pasi maoko - izvi zvose zvisina kunanga hunoratidza rwekenza yelymphoma.

Dambudziko achiri inobva mashoko kubva murefu biopsies uye miedzo ropa. Nemakemikari bvunzo ropa yemanyorero zvinoratidza yakakwirira kwevari bilirubin, chiropa makemikari, globulins. Murwere acharatidzwa kupererwa neropa uye thrombocytopenia mu akazotevera matanho.

Zvaifungidzirwa

Asi Hodgkin kwakaita rwekenza yelymphoma - nekenza kuti hwaiva nyore kurapwa. Vanopfuura 95% wevarwere avo vakapfuura runodiwa nzira irradiation, achapora. Uye anogadza varwere nenzira yakanaka. Handiti, hapana tariro, kana iri dzakaonekwa, rwekenza yelymphoma ichi.

Zvakatoipa fungidziro ane yakadaro chirwere chiri lymphoid kuparadzwa. Kana chirwere ichi chiri rwawana masero atypical uye yakawanda fibrous tishu. Inoratidza lymphoid kuparadzwa zvinogoneka chete biopsy, sezvo histological kudzidza maturo. Asi chimiro ichi rinowanikwa chete muna 5% varwere Hodgkin chirwere.

The yakanaka Hodgkin wacho rwekenza yelymphoma, kupona fungidziro chiri chikuru. kushurudzira iyi yakapiwa apo rwekenza yelymphoma akaonekwa ari lightest chimiro - with predominance pamusoro lymphocytes. Panyaya iyi, chirwere anova pasina sclerosis, necrosis, uye nokukurumidza rinorapika.

Marudzi Hodgkin chirwere

Nokuti yakarurama chimiro chirwere kunokosha kuti hwakadzama kuongorora murwiyo ropa. Mamwe marudzi Hodgkin chirwere. Polynuclear kanganisika masero vari kenza substrate, uye kana aonekwa, rwekenza yelymphoma (Hodgkin nehosha) ndiyo inenge 100% kunosimbiswa.

Saka, nezvimiro Munokudzwa:

1) The ainakidza chimiro. Chinosanganisira zvinotevera subtypes:

• nodular chimiro;
• vakavhengana-sero;
• pamwe lymphocytes shoma (lymphoid kuparadzwa).

2) chimiro chirwere Hodgkin vake, yekudyidzana yemwoyo lymphocytes.

Zvichienderana iyo muchimiro Hodgkin nechirwere, chiremba wako achaita kuronga kurapwa uye zvaizoitika. Chimiro kupfuura ngozi iri kuonekwa vashoma lymphocytes.

pavaipfuura chirwere

Panyaya matanho Hodgkin ipapo kusiyanisa muzvikamu zvina sezvakunoitwa kenza. Zvakare mubvunzo unomuka: "Lymphogranulomatosis - kuti kenza kana kwete?". Pfungwa, zviri zvachose ane kenza lymphoid rinenge uye vanachiremba vakawanda anongoti kufuratira kusiyana.

Chii chlamydia? Step ega sezvinotevera:

1. Local Danho kana akawedzera chimwe chete boka nodes (kana mapoka maviri).
2. Regional - kunosanganisira wandei node nodules kuti diaphragm.
3. Generalized - zvidzidzo akarova pamusoro mativi ose diaphragm.
4. Neakangwara. Rokupedzisira uye wakakura zvikuru danho, apo pathological muitiro nedzimwe nhengo uye nehurongwa unobatanidzwa: ari chirwatata uye chiropa.

Step rwekenza yelymphoma tsunga mushure Ultrasound uye computed tomography.

Pathological Reed-Sternberg masero vari kukurumidza kupararira neropa kune mamwe mapoka node nodes. Zvakakosha chaizvo ndechokuti 1 kana 2 zvokukura rwekenza yelymphoma uye kuziva pakarepo mishonga uye ipapo radiotherapy. It DZEMUNHU DZINODZORA kukura uye kupararira masero mwero.

Mabatirwo unyanzvi ano

Sei chlamydia? Treatment kuri rikurumidze. In tichienzanisa okupedzisira ezana XX remakore, mberi mukurapa chirwere ichi vari pachena: 90% nyaya uye kupfuura kurarama kunze 5 makore uye muchipatara, akaporesa zvachose. Nhasi, dzokurapa idzi dzinoshandiswa munyika:

• antibody kurapa;
• zvoutachiona kurapa;
• splenectomy;
• chokumisa Sero transplantation;
• radioiterapiya;
• kuvhiya;
• steroid kurapwa.

Pakati cytostatics Vanachiremba vanogona mishonga: "embihina", "Cyclophosphamide", "Natulan", "Prednisolone". mishonga iyi inoshandiswa kwenguva yakareba.

A nemwaranzi kurapa iri dzinenge nguva dzose anovandudza ezvinhu omurwere. Anenge varwere vose vaende kuburikidza nzira iyi.

Zvisinei, havasi vose nzira izvi zvinoshandiswa kurapa. chiremba Personal vanofanira kukudziridza urongwa hwake. Vamwe hakugumiri mishonga uye zvinodhaka. Vamwe vanosarudza kuti steroid kurapwa. Zvose zvinoenderana murwere zera uye ake ano chinzvimbo.

Mabatirwo zvavo mishonga

Kunze mishonga, unogona kutora dzinongoitika mishonga. Vamwe zvinomera kuita kuva chakanakisisa kuchirapa zvazviri, akadai Aloe. Pano chimwe yokubika kuti rine Aloe muto: 500 magiramu. muto chirimwa ichi, 700 Gr. uchi uye vanosvika 20 magiramu. Amai. Dzivirirai mazuva matatu.

Sezvo Nokuraramisa kurapa iri chokunwa yaigadzirwa miti zvakadai tsvuku mudzi, kana periwinkle.

Asi tinofanira kunzwisisa kuti huru pakurapa negashiro miriwo havagoni kuva zvakadaro zvirwere zvakakura zvakadai chlamydia. Treatment acho mishonga kuti rechipiri; Asi chikuru nemwaranzi uye zvinodhaka.

Sei uzvidzivirire Hodgkin kwakaita rwekenza yelymphoma?

Nekuti chaiwo zvinokonzera chirwere ichi haisati kuwanikwa zvichigere, zvakaoma kutonga kudzivirirwa. Asi zvakakosha kuti vechidiki basa zvakawanda neutano, zvisinganyanyi pachena kuti muviri kuti zvine chepfu zvakadai doro uye fodya. Uyewo hunokuvadza angave frequenting kusukuta matehwe Salons.