Izifo ezibulalayo ziyaxilongwa ngokugqithiseleyo ziselula, ngoko ke kufuneka abazali bahlale beqwalasela impilo yengane. I-Lymphogranulomatosis ingabonwa kwizigaba eziphambili zophuhliso, ngakumbi kubantwana. Ekuqaleni unyango lwe-pathology luqala, iphakamileyo amathuba okubuyiswa.
I-Lymphogranulomatosis - izizathu
Akukazanga kwaziwa ukuba kutheni isifo esikulo mbuzo sichaphazela umzimba, kwaye zeziphi izinto ezibangela oku. Kukho iingcamango ezithi i-Hodgkin isifo (lymphogranulomatosis) i-debuts malunga nemvelaphi yale miqathango ithi:
- i-mononucleosis echaphazelekayo ebangelwa yi-Epstein-Barr virus ;
- i-syndrome;
- imfuza.
Izigaba ze lymphogranulomatosis
Isifo esichazayo sifana nesifo esiqhubekayo kwizigaba. Ngokuhambelana nobuqhetseba beempawu zekliniki kunye nobukhulu be-pathology ye-Hodgkin's lymphoma kubantwana kubakho ngezigaba ezi-4:
- Echaphazelekayo lilungu elinye (i-spleen, thymus) okanye i-lymph node, ngokuyininzi kwintsholongwane okanye i-submandibular. Iimpawu azikho okanye zingabonakali.
- Iiseli eziguqulwe ziqala ukufuduka, ezitshintsha isakhiwo sezitho zangaphakathi kunye nezama-lymph nodes ezihlangene.
- Kwiinkqubo zentsholongwane, izakhiwo ezikude ukusuka kumthombo oyintloko zibandakanyeka. Ichaphazela i-lymph nodes kumacala omabini wesithintelo. Izitho zengqungquthela zanda ngobukhulu.
- Iinguqu zithatha ukusasazwa kwezabelo. I-pathology ibangela umsebenzi wesibindi, umongo wenthambo, imiphunga nezinye izitho.
I-Lymphogranulomatosis - iimpawu kubantwana
Isifo sikaHodgkin sisoloko singathandabuzekiyo phambi kokuba uneminyaka engama-5 ubudala, kwaye kwiintsana ezingaphantsi kwe-1 unyaka, akuze kwenzeke. Ukufumanisa i-lymphogranulomatosis kubantwana kwinqanaba lokuqala kunzima, iimpawu zokuqala azikho okanye zingabonakali:
- ukwandiswa okungenakubuhlungu kweelymode ;
- ukunyaniseka, ukunganakwa;
- kulala;
- ukushisa komzimba (malunga nama-37 degrees).
Kancinci, ukubonakaliswa kwemibonakalo kuqiniswe kwaye kugcinwa njalo. Ngoko i-lodphokin ye-Hodgkin iyaqhubeka - iimpawu kubantwana:
- ukujuluka okukhulu, ikakhulu ebusuku;
- intloko ;
- ukubetha;
- umkhuhlane;
- ukungabi nesidlo;
- ukulahleka kwesisindo;
- ukukhwehlela;
- ukuphefumula;
- ukukhutshwa kwezifo ezithathelwanayo;
- ukuphazanyiswa kwepeni;
- iindwendwe rhoqo;
- ukuvakalelwa kobunzima emisipha, amajoyina;
- ukuphazamiseka komsebenzi wesibindi kunye nesimo senhliziyo.
I-Lymphogranulomatosis - ukuxilongwa
Qinisekisa ukuba izikhalazo zesifo sikaHodgkin sinokuhlalutya kuphela i-histological tissue (biopsy). Iimpawu eziqhelekileyo ze-lymphogranulomatosis azikho isiseko esisemthethweni sokuxilongwa, kuba ziyakwazi ukuhamba kunye nezinye, ezingekho kwi-pathologies. Izimpawu ezifanayo zifana nezifo ezithathelwanayo, iimpawu zokungahambi kakuhle kunye nezifo ezithintekayo.
Uhlalutya lymphogranulomatosis
Xa kucacisa isigaba sesifo sikaHodgkin, kusetyenziswe ezinye iindlela zokuxilonga. Uvavanyo olufunekayo lwebhubhoratory ukuqinisekisa ukuba i-lymphogranulomatosis kubantwana kukuhlolwa kwegazi (ngokubanzi kunye ne-biochemical, umsebenzi we-alkaline phosphatase kwi-serum). Inceda ekufumaneni umonakalo wesibindi kunye nokuphazamiseka kwegazi, ukuseka ubungqina kunye nobuqili beenkqubo zokuvuvukala emzimbeni.
Ezinye iintlobo zezifundo ezivumela ukuxilongwa kwe-lymphogranulomatosis kubantwana:
- ukucatshulwa kwemifanekiso yamagnetic okanye i-tomography;
- ukuskena nge-gallium-67;
- ukugqitywa (trepanobiopsy) yomongo wethambo;
- X-ray;
- vavanyo lwe ultrasound.
Lymphogranulomatosis - unyango
Iindlela eziphambili zokulwa nesifo seHodgkin kubantwana zi-polychemotherapy, i-radiation kunye nokusetyenziswa okufanayo kweziyobisi. Kwiimeko ezinqabile kakhulu kwaye ezinzima, xa ezi ndlela zingakhange zivelise umphumo osalindelekileyo, isifo se-lymphogranulomatosis sithotyelwe unyango. Umsebenzi uquka ukutsalwa komongo we-bone ukusuka kumxhasi ohambelanayo.
I-Lymphogranulomatosis kubantwana - iingcebiso zeklinikhi
Kwinkqubo yokwenza i-chemotherapy, umntwana unikwa amayeza amaninzi ngokufanayo, ukudibanisa okwenzela ukucinezelwa kweeseli zesisu. Kukho ama-4 amaqhinga asebenzayo namhlanje apho iHodgkin's lymphoma iphathwa ngayo kubantwana - iingcebiso zeklinikhi ziquka oku kudibeneyo:
- ABVD - adriamycin, bleomycin, vinblastine, dacarbazine;
- I-ACOPP - i-adriamycin, i-cyclophosphamide, i-onkovin, i-procarbazine, i-prednisolone;
- I-BEACOPP - i-bleomycin, i-etoposide, i-adriamycin, i-cyclophosphamide, i-onkovin, i-procarbazine, i-prednisolone;
- I-OEPA - inkovin, etoposide, prednisolone, adriamycin.
I-Lymphogranulomatosis kubantwana ihambelana neentlungu zesifo kunye nezinye iimpawu ezingathandekiyo, ngoko ke, unyango olungumqondiso lubekwe ngokwengeziwe:
- analgesics;
- imisipha yokuphumla;
- i-anesthetics;
- mahomoni;
- i antibiotics;
- mayeza;
- diuretics;
- izisombululo ze-electrolytes;
- iziyobisi;
- i-antacids;
- abahlaziyi be-acid balance;
- iivithamini nabanye.
I-Lymphogranulomatosis - izilwanyana zomntu
Iyeza elincinci alinayo iziyobisi ezinokusebenza ezinokukwazi ukujamelana nesifo esibi kakhulu, kodwa izongezo zendalo zingasetyenziswa njengonyango olungumncedisi okanye ukuvuselelwa. Okucetyiswa ngokukhethekileyo yi-vitamin teas, ukuba ukukhululwa kwe-Hodgkin's lymphoma kubantwana kufezekiswe. Banikeza ukuphucula ngokukhawuleza kunye nenkxaso yokukhuseleka, ukugcinwa komsebenzi wokugaya ukutya, izifo zokuphefumula kunye neenhliziyo.
I-Recipe ye-infusion yonyango
Izithako:
- amasebe e-fir - 1 kg;
- iingcambu ze-raspberry - 0,5 kg;
- ushukela-1 kg;
- amanzi - 0.5 ilitha.
Ukulungiselela nokusetyenziswa:
- Geza ugaye izixhobo ezinobumba kakuhle.
- Ingcobo e-3-litre ecocekileyo ingabomgca obunqamlekileyo obuzaliswe ngamacandelo - amasebe ase-fir, iswekile, iingcambu ezibomvu, ishukela kunye ngokufanayo.
- Thela onke amanzi abilayo.
- Yeka loo mayeza iintsuku ezi-3, uze ucofe umbane.
- Thatha isisombululo se-1 tbsp. isipuni ngaphambi kokutya, amaxesha amathathu ngosuku.
- Unyango oludlulileyo lweentsuku ezili-10-11.
Iresiphi yesiraphu yokwelapha
Izithako:
- umama - 20 g;
- ubusi - 700 g;
- i juice ye-aloe - 500 ml.
Ukulungiselela nokusetyenziswa:
- Hlanganisa zonke izithako kwisitya seglasi.
- Faka efrijini iminyaka engama-7-9.
- Emva kolu xeshanye, xubusha ngokucophelela okuqukethwe kwinqanaba.
- Thatha i-1 tsp kathathu ngosuku.
- Qhubeka unyango lwe-1.5 kwiiveki.
Iziphumo zonyango lwe-Hodgkin's lymphoma kubantwana
Iziyobisi ze-Chemical antitumor kunye ne-irradiation ayichaphazeli kuphela i-pathological, kodwa kunye neeseli eziphilileyo. Abantwana emva kweHodgkin's lymphoma bafumana iziphumo ezinjalo zonyango:
- izilonda emlonyeni;
- ukulahlekelwa kweenwele;
- isicefe
- ukuphuma kweembrane zamanzi;
- ukuhlanza;
- izifo zokutya;
- ukungabi nesidlo;
- ukuphazamiseka kwesimo senhliziyo;
- umonakalo kwesikhumba;
- ukulahlekelwa kwemisebenzi yokuzala nabanye.
I-Lymphogranulomatosis - isalathisi
Ukuhlolwa kwesifo se-oncological kulungiselelwe kakuhle unyango, ezininzi izigulane ziphiliswa ngokupheleleyo. I-Lymphogranulomatosis kwabantwana abaselula kunye nabantwana abanamacandelo ama-1-2 ekuphuhliseni baphela kunye nokuxolelwa kwi-90-95% yamatyala. Ukuba ukukhubazeka kwafunyanwa kamva, kwizigaba ezinzima kakhulu, esi sibonakaliso sancitshiswa sibe ngu-75-85%. Izibikezelo ezingathandekiyo zizigulane eziye zahlaselwa kwakhona kwe-lymphogranulomatosis zingangeenyanga ezili-12 emva kokuphela kwekhosi.