I-Lymphogranulomatosis ibhekisela ekuphuhlisweni kwesisu esibi, esihambelana nokutshatyalaliswa kweeseli ze-hematopoietic ezise-lymph nodes nezinye izitho. Impembelelo ekuphuhlisweni kwesi sifo kukuguqulwa kwesisele esingekho-rover ngokusuka kwimvelaphi yentsholongwane, i-radiation radiation okanye udibaniselwano ne-agent agent, nangona iimbangela ze-lymphogranulomatosis zihlala zingacacanga kuze kube sekupheleni. Ngokukodwa ukufundiswa ngogqirha ngamagqirha yinto ye-viral nature yesifo, ngokukodwa, idibene ne-Epstein-Barr virus.
Iimpawu ze-lymphogranulomatosis
Kwizigaba zokuqala, lesi sifo siqhubeka singenakuqondakala, kwaye into kuphela ekutsala ingqalelo kwisigulane kukunyuka kwe-lymph node, ukuhambelana kwayo. Ngokuqhelekileyo i-lymph nodes entanyeni iyaqala, kodwa kwezinye iimeko i-nodes ye-mediastinum, i-armpits kunye ne-groin ichaphazeleka okokuqala; ziqheleke kakhulu - i-retroperitoneal nodes.
Uhlobo lwe-lymph node ekhulisiweyo aluhambisani neentlungu ezibuhlungu. Ubuninzi obunomthamo, umxube we-elastic evezwayo, oza emva koko ube mkhulu kakhulu kwaye ungaselula.
Ukuphulaphula iimpawu ze-lymphogranulomatosis, umntu akakwazi ukuphawula uphawu olubalulekileyo njengobungqingili bomzimba obuphakamileyo, ongenakunqandwa yi-Aspirin, i-Analgin, okanye i-antibiotics. Ngokuqhelekileyo, umkhuhlane uqala ebusuku kwaye uhamba kunye nesithuthuthu esinzima, kungabikho zikhukhula.
Kwi-30% yamatyala, uphawu lokuqala lwe-lymphogranulomatosis lukhuni olukhuni, olungenakususwa nayiphi na indlela.
Kwakhona, izigulana zikhalaza intlungu ekhanda, amanxeba, ukunciphisa ukutya, ukukhathala. Kukho ukulahleka kwesisindo esibukhali.
Ukuxilongwa kwe-lymphogranulomatosis
Ngokusekelwe kwizikhalazo zesigulane malunga nomkhuhlane kunye ne-lymph node ephakamileyo kwinqanaba elithile lomzimba, ugqirha unokugxeka i-lymphogranulomatosis, kwaye ukuhlolwa kwegazi kuya kunceda ukuhlalutya ngokucacileyo iimpawu. Ngoko, kwi-laboratory, i-leukocytosis ye-neutrophilic, isihlobo okanye i-lymphocytopenia ngokupheleleyo, isantya se-erythrocyte setymentation sinyuka. Iiplatelets kwizigaba zokuqala zesi sifo, ngokomthetho, ziqhelekileyo.
Ukuxilongwa okuqhubekayo kubandakanya ukuchithwa kwe-node eyayihlaselwa kuqala. Kwi-biopsy, iindiza ezibizwa ngokuba yiReed-Berezovsky-Sternberg iiseli kunye / okanye iiseli zeHodgkin zifunyenwe. Kananjalo benza i-ultrasound yezitho zangaphakathi kunye ne-bone marrow biopsy.
Inkambo yesi sifo kunye nokuhlaziya
Ukongeza kwi-lymph nodes, isifo kwezinye iimeko zithinta ipeni, imiphunga, isibindi, umongo, i-nervous system, izintso. Ngokuchasene nemvelaphi yokunciphisa i-immunity, izifo zentsholongwane kunye neentsholongwane zikhulayo, ezinokuba zibi ngakumbi emva kweemitha kunye ne- chemotherapy . Eyona nto ibhalwa rhoqo:
- herpes zoster;
- i-toxoplasmosis ;
- pneumocystis pneumonia;
- Candidiasis;
- i-meningitis.
Kukho izigaba ezine ze-lymphogranulomatosis:
- I-tumor iyindawo yendawo kuphela kwi-lymph nodes okanye ngaphandle kwayo kwelinye iqumrhu.
- I-tumor ichaphazela i-lymph nodes kwiindawo ezininzi.
- I-tumor idlulela kwii-lymph nodes kumacala omabini we-diaphragm, ityha iyachaphazeleka.
- I-tumor iyasichaphazela kakhulu isibindi, amathumbu kunye nezinye izitho.
Njengonyango lwe-lymphogranulomatosis, i-chemotherapy isetyenziselwa ukudibanisa ne-radiotherapy okanye ngokwahlukileyo. Kwakhona, uhlobo oluthile lwenyango olunezinga eliphezulu lokusebenzisa izidakamizwa zamkelekile, emva koko isigulane sifakelwa ngomongo wethambo.
Ngokumalunga nokulindela ubomi kwe-lymphogranulomatosis, unyango oludibeneyo lunikeza ukuxolelwa kwiminyaka eyi-10 ukuya kwe-20 kwi-90% yezigulane, eziyi-index ephezulu. Kwimigangatho yokugqibela yesifo, i-regimen ekhethiweyo ngokuchanekileyo inikezela kuma-80% amatyala ama-5 okuxolelwa.