Matenda owopsa amapezeka kwambiri ali aang'ono, choncho makolo ayenera kumvetsera nthawi zonse za thanzi la mwanayo. Lymphogranulomatosis ingadziwike pa magawo oyambirira a chitukuko, makamaka kwa ana. Poyamba chithandizo chamatenda chimayambira, amatha kukhala ndi mwayi wochira.
Lymphogranulomatosis - zimayambitsa
Sitikudziwitseni chifukwa chake matendawa akukhudzana ndi thupi, ndipo ndi zifukwa ziti zomwe zimapangitsa izi. Pali malingaliro omwe Hodgkin's disease (lymphogranulomatosis) amatsutsana motsatira maziko a zotsatirazi akuti:
- matenda opatsirana a mononucleosis oyambitsa matenda a Epstein-Barr ;
- mpweya wosamalitsa thupi;
- zojambula.
Masitepe a lymphogranulomatosis
Matenda owopsa omwe akufotokozedwa amapita patsogolo. Malinga ndi kukula kwa zizindikiro zachipatala komanso kukula kwa matenda a Hodgkin's lymphoma ana amachitika pagawo 4:
- Amakhudzidwa ndi chiwalo chimodzi (mpeni, thymus) kapena lymph node, makamaka chiberekero kapena submandibular. Zizindikiro siziripo kapena siziwonekeratu.
- Maselo osungunuka amayamba kusuntha, zomwe zimasintha maonekedwe a ziwalo zamkati ndi magulu oyandikana nawo omwe ali pambali imodzi.
- Mu njira yokhala ndi matenda, zigawo zakutali kuchokera ku chitukuko chachikulu zimakhudzidwa. Amakhudza ma lymph nodes kumbali zonse za chithunzithunzi. Ziwalo zobisika zimakula kukula.
- Kusintha kumakhala kufalitsa kwakukulu. Mafupa amachititsa kuti chiwindi, mafupa, mapapo ndi ziwalo zina zichitike.
Lymphogranulomatosis - zizindikiro kwa ana
Matenda a Hodgkin sapezeka kawirikawiri asanakwanitse zaka zisanu, ndipo m'mabwana osapitirira chaka chimodzi sapezeka. Pozindikira kuti ana amayamba msinkhu ndi zovuta, zozizwitsa zoyambirira siziripo kapena ziribe kanthu:
- kupukutira mopanda kupweteka kwa ma lymph nodes ;
- zamatsenga, osasamala;
- kugona;
- kutentha kwa thupi (pafupifupi madigiri 37).
Pang'onopang'ono, mawonetseredwe omwe adatchulidwa akuwonjezeka ndipo amawonedwa nthawi zonse. Kotero Hodgkin's lymphoma imakula - zizindikiro kwa ana:
- thukuta lalikulu, makamaka usiku;
- mutu ;
- kuyabwa;
- malungo;
- kusowa kudya;
- kupweteka;
- chifuwa;
- kupuma kovuta;
- kulandira matenda opatsirana;
- kusokonezeka kwa mpeni;
- palpitations kawirikawiri;
- kumverera kwa kuuma mu minofu, ziwalo;
- kupweteka kwa chiwindi ndi ntchito ya mtima.
Lymphogranulomatosis - matenda
Tsimikizirani kukayikira kwa matenda a Hodgkin kumangoganizira mozama za minofu yomwe imakhudza (biopsy). Zizindikiro zowopsa za lymphogranulomatosis sizolondola chifukwa cha matendawa, chifukwa amatha kutsagana ndi ena, osakhala ndi chilengedwe. Zizindikiro zofanana ndizo matenda opatsirana, immunodeficiencies ndi parasitic infestations.
Kufufuza kwa lymphogranulomatosis
Pofotokoza tsatanetsatane wa matenda a Hodgkin, njira zowonjezeramo zimagwiritsidwa ntchito. Kufunika kwa ma laboratory test kuti atsimikizire lymphogranulomatosis kwa ana ndi kuyezetsa mwazi (kawirikawiri komanso kachipatala, ntchito ya alkaline phosphatase mu seramu). Zimathandiza kuzindikira chiwindi cha chiwindi ndi kuperewera kwa magazi, kukhazikitsa kukhalapo ndi kuuma kwa njira zotupa m'thupi.
Mitundu ina ya maphunziro yomwe imalola kuti matenda a lymphogranulomatosis aoneke mwa ana:
- maginito ojambula maginito kapena computed tomography;
- kusinkhasinkha ndi gallium-67;
- kupaka (trepanobiopsy) ya fupa;
- X-ray;
- kufufuza kwa ultrasound.
Lymphogranulomatosis - mankhwala
Njira zazikulu zothana ndi matenda a Hodgkin kwa ana ndi polychemotherapy, ma radiation ndi ntchito zofanana za mankhwala osokoneza bongo. Muzovuta kwambiri komanso zovuta kwambiri, pamene njirazi sizinapangitse zotsatira zake, matenda a lymphogranulomatosis amafunika kuchipatala. Opaleshoniyi imaphatikizapo kuponyera mafuta a mafupa kuchokera kumapereka operekera.
Lymphogranulomatosis kwa ana - mankhwala othandizira
Pogwiritsa ntchito chemotherapy, mwanayo amapatsidwa mankhwala angapo nthawi imodzi, kuphatikiza komwe kumapangitsa kuponderezedwa kwa maselo otupa. Pali njira zinayi zamakono zomwe Hodgkin's lymphoma imathandizidwa ndi ana - zothandizira zachipatala zikuphatikizapo zotsatirazi:
- 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 ana amaphatikizidwa ndi matenda a ululu ndi zizindikiro zina zosasangalatsa, chotero, mankhwala opatsirana amachitiranso kuwonjezera:
- analgesics;
- minofu yopumula;
- anesthetics;
- mahomoni;
- maantibayotiki;
- anti-antiretroal agents;
- diuretics;
- njira zothetsera electrolytes;
- mankhwala osakaniza;
- antacids;
- okonza acid acid;
- mavitamini ndi ena.
Lymphogranulomatosis - anthu ochiritsidwa
Mankhwala osagwiritsa ntchito mankhwala alibe mankhwala omwe angathe kuthana ndi chifuwa chachikulu, koma zowonjezera zowonjezera zingagwiritsidwe ntchito monga chithandizo kapena kukonzanso. Makamaka ali ndi vitamini teas, ngati kuchotsedwa kwa Hodgkin's lymphoma kwa ana kumachitika. Amapereka mwamsanga kuchiza ndi kuthandizira chitetezo chamthupi, normalization ya ntchito ya m'mimba, kupuma ndi machitidwe a mtima.
Chinsinsi cha kulowetsedwa kwa mankhwala
Zosakaniza:
- nthambi za fir - makilogalamu 1;
- mizu ya rasipiberi - 0,5 makilogalamu;
- shuga - 1 makilogalamu;
- madzi - 0,5 malita.
Kukonzekera ndi ntchito:
- Sambani ndi kupukuta zipangizo za masamba bwino.
- Mtsuko woyera wa 3-lita ukhoza kukhala wosanjikizika ndi wosanjikiza wodzazidwa ndi zigawo zikuluzikulu - nthambi zowonjezera, shuga, mizu yofiira, shuga ndiyeno mofanana.
- Thirani madzi onse otentha.
- Siyani mankhwalawa kwa masiku atatu, ndipo tsitsani madzi.
- Tengani yankho la 1 tbsp. supuni musanadye, katatu patsiku.
- Mankhwalawa atha masiku 10-11.
Chinsinsi cha madzi achire
Zosakaniza:
- mayi - 20 g;
- wokondedwa - 700 g;
- madzi aloe - 500 ml.
Kukonzekera ndi ntchito:
- Sakanizani zopangira zonse mu chidebe choyera.
- Ikani mufiriji masiku 7-9.
- Pambuyo pa nthawi ino, mosakanikirana kusakaniza zomwe zilipo.
- Tengani 1 tsp katatu patsiku.
- Pitirizani kuchipatala kwa milungu iwiri.
Zotsatira za chithandizo cha Hodgkin's lymphoma kwa ana
Mankhwala osokoneza bongo ndi majekesi amachititsa kuti zisamangokhala zovuta, komanso maselo wathanzi. Ana pambuyo pa Hodgkin's lymphoma amavutika ndi zotsatira zotere za mankhwala:
- zilonda m'kamwa;
- kusowa tsitsi;
- chisokonezo;
- kutuluka magazi kwa mucous membrane;
- kusanza;
- matenda osokonekera;
- kusowa kudya;
- kuwonongeka kwa mitsempha ya mtima;
- kuwononga khungu;
- Kutaya ntchito zobereka komanso ena.
Lymphogranulomatosis - zizindikiro
Kafukufuku wa matenda a chilengedwe amathandiza kwambiri kuchipatala, odwala ambiri amachiritsidwa. Lymphogranulomatosis achinyamata ndi ana omwe ali ndi masewero 1-2 akuyambira ndikukhululukidwa mu 90-95% milandu. Ngati matendawa atapezeka patapita nthawi, pazigawo zovuta kwambiri, chizindikirochi chacheperetsedwa kufika 75-85%. Maulosi osakondweretsa ndi odwala omwe anadwala kachilomboka m'kati mwa miyezi 12 mutatha mankhwala onsewa.