Megacaryoblastoma

Kufotokozera kwathunthu kwa matendawa

Ichi ndi matenda omwe amatchedwa malignant lymphomas. Etiology ya matendawa sichidziwikabe. Matendawa amakhala pafupifupi 1% ya chiwerengero chonse cha oncological pathologies.

Lymphogranulomatosis inafotokozedwa koyamba ndi dokotala wochokera ku England, Thomas Hodgkin, kumayambiriro kwa zaka za m'ma 19. Anthu okha, makamaka a mtundu wa ku Ulaya, angathe kutenga matenda a Hodgkin. Panthawi imodzimodziyo, pali nsonga ziwiri za matendawa: pa zaka 20 - 30 ndipo pa zaka 50 - 60, amuna amakhala ndi mwayi wochuluka wa lymphogranulomatosis kuposa amayi.

Chizindikiro cha matendawa ndi mawonekedwe a maselo akuluakulu a Berezovsky-Sternberg mu lymph nodes kapena neoplasms, omwe amatha kuzindikirika ndi microscope.

Zizindikiro za lymphogranulomatosis

Lymphadenopathy imawonedwa ngati chizindikiro cha matendawa - kuchuluka kwa ma lymph nodes, pomwe ma lymph nodes amakhala owundana kwambiri kukhudza, oyenda komanso osapweteka kukhudza. M'khwapa ndi groin, ma lymph nodes okulirapo amatha kudziwika mowonekera.

Pamene mitsempha yodutsitsa madzi m`dera m`dera kuonongeka, anakulitsa mwanabele compress ndi bronchi ndi mapapo, chifukwa cha amene wodwala matenda a Hodgkin ndi nkhawa kufooketsa chifuwa ndi kupuma movutikira.

Zizindikiro zodziwika bwino za lymphogranulomatosis ndi:

1. 1 thukuta kwambiri, makamaka usiku;
2. 2 kuwonda mofulumira;
3. 3 kutopa;
4. 4 kutentha thupi kwa masiku oposa 7;
5. 5 kuyabwa;
6. 6 kupweteka kwa minofu ya mafupa;
7. 7 kutupa kwa malekezero;
8. 8 kupweteka m'mimba;
9. 9 kupweteka kwa m'mimba;
10. 10 kugwada;
11. 11 chifuwa chouma ndi kupuma movutikira;
12. 12 kusowa chilakolako.

Zifukwa za lymphogranulomatosis

Choyambitsa matenda a Hodgkin sichinadziwikebe. Komabe, pali mtundu kuti lymphogranulomatosis ndi matenda opatsirana, matendawa amatha kuyambitsidwa ndi kachilombo. Epstein-barr.

Zinthu zomwe zingayambitse matenda a Hodgkin:

• cholowa cholozera;
• kukhudzana ndi mankhwala ena;
• matenda amadzimadzi;
• kobadwa nako kapena kupeza immunodeficiency.

Zovuta za lymphogranulomatosis

Ngati chotupa zimakhudza retroperitoneal mwanabele, ndiye ululu m`mimba mwina.

Ndi lymphogranulomatosis ya m'mimba thirakiti, zilonda za mucous nembanemba zimayamba, zomwe zimatsogolera kutulutsa magazi m'matumbo mpaka peritonitis. Ngati chotupa ndondomeko amakhudza mapapo, ndiye kuti matendawa amapitirira ngati chibayo, ndipo ngati pleura kuonongeka, exudative pleurisy n'zotheka.

Lymphogranulomatosis mafupa amapezeka ndi kuwonongeka kwa mafupa a m'chiuno, msana, nthiti, ndipo nthawi zina mafupa a tubular. Pankhani ya mankhwala olakwika, wodwalayo amayamba kuwononga vertebral matupi ndi vertebralgia. Lymphogranulomatosis ya msana mkati mwa sabata imatha kukhala yovuta chifukwa chopuwala ziwalo. Ndi kuwonongeka kwa mafupa, zovuta monga kuchepa kwa magazi ndi thrombocytopenia ndizotheka.

Kupewa lymphogranulomatosis

Kupewa matenda a Hodgkin ndi:

1. 1 kuchepetsa kukhudza thupi la munthu mutagens monga UV kuwala, kuwala, poizoni mankhwala;
2. 2 kuumitsa thupi;
3. 3 kuchepetsa njira za physiotherapy kwa okalamba;
4. 4 ukhondo wa foci wa matenda;
5. 5 kulimbikitsa chitetezo;
6. 6 kusiya kusuta;
7. 7 kutsata zotsalira ndi kugona.

Odwala ndi lymphogranulomatosis chikhululukiro ayenera nthawi zonse kufufuzidwa ndi oncologist ndi hematologist. Kuyambiranso kwa ma pathological kungayambitse kuchita masewera olimbitsa thupi komanso mimba.

Chithandizo cha lymphogranulomatosis mu boma mankhwala

Mu mankhwala amakono, njira zotsatirazi zothandizira matenda a Hodgkin zimagwiritsidwa ntchito:

• chithandizo cha ma radiation kusonyeza mu magawo oyambirira a lymphogranulomatosis. Mothandizidwa ndi zida zapadera, ma lymph nodes kapena ziwalo zomwe zakhudzidwa zimawotchedwa. Njira iyi ya chithandizo imatha kufikira 90% ya kukhululukidwa kwa nthawi yayitali;
• mankhwala amphamvu imapereka kuphatikiza kwa cytostatic agents ndi prednisonol. Chithandizo ikuchitika mu maphunziro, chiwerengero cha m'zinthu zimadalira kuopsa kwa matenda ndi chikhalidwe cha wodwalayo;
• alowererepo opaleshoni kumaphatikizapo kuchotsedwa kwa ma lymph nodes omwe akhudzidwa, nthawi zina, kupatsirana kwa mafupa kumaperekedwa. Ndiwothandiza kokha pa І-ІІ magawo a matendawa;
• symptomatic mankhwala kumaphatikizapo kuikidwa magazi, kuikidwa kwa erythrocyte mass, platelet mass, kumwa mankhwala ophera tizilombo toyambitsa matenda ndi antibacterial, komanso chithandizo cha detoxification.

Ndi matenda anthawi yake komanso chithandizo chodziwika bwino, kukhululukidwa kokhazikika kumatha kupezeka mwa odwala 50%, pomwe kupulumuka kumafika 90%.

Chenjerani!

Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!