Hodgkin ta lymphoma - mai ciwon daji ko ba? Hodgkin ta cuta - m cuta daga cikin lymphoid tsokoki: cututtuka, magani, ganewar asali, hangen nesa

Abin da ya faru a cikin jiki a lokacin da bincikar lafiya tare da Hodgkin ta cuta? A Lymph nodes ne "tsaron gida Kwayoyin", watau lymphocytes. Idan mutum ba shi da lafiya tare da wannan cuta, da yawan farin jini Kwayoyin qara da cika fuska, da kuma Lymph nodes a cikin wuyansa yankin da kuma underarms karuwa a girma.

Medic (sani akan cututtuka) Birtaniya-haife Thomas Hodgkin ya iya karo na farko don bayyana cutar. Yanzu shi ne ake kira - Hodgkin lymphoma. Menene wannan cuta? Mene ne kintace na rayuwa da kuma yadda irin wannan da aka bi da lymphoma?

A hallmark na Hodgkin ta cuta - shi ne gaban da ake kira Reed-Sternberg Kwayoyin. A gaban mahaukaci Kwayoyin nuna cewa wannan ciwon daji, amma ko da cutar tana nufin ciwon daji daga likita ra'ayi?

Hodgkin ta lymphoma. Ba kamar sauran lymphomas

Lymphoma - wani m yaduwa daga lymphoid nama. Hodgkin ta lymphoma, ko Hodgkin ta cuta - a irin lymphoma. Idan kima an samu mahaukaci Kwayoyin, kamu ba Hodgkin ta lymphoma.

Nodes aka hankali kara da zama ƙara m. Domin dace ganewar asali ne dole a lokacin da za a gani wani oncologist.

Hodgkin ta cutar. Shi ne ciwon daji ko ba?

Hodgkin ta cuta ne babu shakka wani ƙwarai da gaske cuta. Shi a ko'ina kira ciwon daji na lymphoid nama. Amma, a gaskiya, Hodgkin ta cuta - mai ciwon daji ko ba? Epidemiologically da kuma asibiti da wannan lymphoma bambanta a kan wasu da maki daga wannan ciwon daji.

Abin da za a iya kira wani bambanci?

• A hangen nesa don lura da Hodgkin ta cuta m. Idan ka sami munanan a mataki 1, kuma babu sauran concomitant cututtuka, da curable lymphoma.
• Sarrafa ƙari halayyar ba shi da cutar daji.
• Sel "ci" lafiya Kwayoyin na ciwon daji. A cikin hali na Hodgkin ta cutar aikata ba.
• Cancer fara da canji na connective nama Kwayoyin. Lymphoma ci gaba in ba haka ba lalace nama (lymphoid nama).

Duk da haka, kamar ciwon daji, Hodgkin ta cuta idan ba'a, take kaiwa zuwa mutuwa. Lymphoma shimfidawa a ko'ina cikin jiki da kuma iya kai ga shan kashi na sauran gabobin. 3 da kuma mataki 4 ƙari ne riga da manyan mamakin duk Lymph nodes a cikin jiki: armpits, kirji, makwancin gwaiwa. A magani ne ma irradiated.

Hodgkin ta cutar. dalilai

Akwai da dama theories don bayyana ci gaban lymphomas a general kuma musamman Hodgkin ta lymphoma. Duk da haka, wani cikakken hoto na haddasawa da kuma effects da ci gaban Hodgkin ta cuta a cikin likita kimiyya ne ba tukuna akwai. Ko da yake duk da oncologists koma zuwa wani kayyade predisposition zuwa cuta. Duk da haka, hanyar "a guje" ba a sani.

Babban factor tuki da ci gaban da cuta, har yanzu dauke da Epstein-Barr cutar, wanda, bisa ga statistics samuwa ga masu rinjaye da marasa lafiya. Ko da yake shi ne wata ila cewa wannan autoimmune matsaloli ko mononucleosis. Mutane da yawa sun gaskata cewa tsokani Hodgkin ta cuta (Hodgkin ta cuta), mai karfi da kuma m tasiri a kan mutum mai guba abubuwa da kuma bad da lafiyar qasa.

A cikin nazarin wannan tambaya dole ne ma ciyar da yawa da lokaci da kuma kudi, amma ya zuwa yanzu da masu bincike biya more hankali ga magani.

bayyanar cututtuka na Hodgkin ta cuta

Gane Hodgkin (Hodgkin ta cuta) ba tare da cutar ba zai iya karatu. Amma dole ne mu yi hankali da kuma duba a hankali ga alamun cutar.

Alamun sun hada da:

1. Babu musamman dalilin (babu cututtuka, babu zafin jiki) qara Lymph nodes. A palpation babu zafi.
2. Shortness na numfashi saboda da yaduwar cutar a cikin mediastinum. Kara girman Lymph nodes a cikin kirji yanki damfara da huhu.
3. Strong rika zufa da dare.
4. Rapid nauyi asara. Mutum "vuya" a cikin idanu.
5. Na iya haifar da ciwon mara.
6. Wasu daga cikin marasa lafiya (30-35%) tanã kai ƙãra game da mummunan itching na fata.
7. Wani rauni da temperatura.Obychno zuwa 38 ⁰ C.
8. Lokacin da saifa qara a size da lokaci, da mãsu haƙuri ji nauyi a cikin hagu na sama quadrant.

Marasa lafiya yawanci classified a matsayin wani al'amari da cuta, amma suna da damuwa game da rayuwa kudi. Tambayar da lymphoma - mai ciwon daji ko ba, fiye da wani likita yanayi. Mutanen da suke ba alaka magani, yana da muhimmanci a san ainihin bayyanar cututtuka na Hodgkin ta cuta da kuma fahimtar cewa cutar shi ne ainihin tsanani, kuma zai iya zama m.

Yadda kowa ne Hodgkin ta lymphoma?

Hodgkin ta lymphoma - abin da wannan cuta? Yadda shi tasowa da kuma yadda tartsatsi a duniya? Kamar yadda bincike da fari mutane fiye da saukin kamuwa zuwa lymphoma fiye da Negroid.

Wannan lymphoma aka samu ga shekara daga 3 mutane daga miliyan 1. Daga cikin sauran Hodgkins lymphoma da aka samu a 15% na lokuta. An dauke da mafi m nau'i na lymphoid ƙãrẽwa.

A baya can, ko a Amurka inda da magani ne mafi raya, fiye da 1,100 mutane a shekara mutu daga Hodgkin ta cutar. Amma bayan shekarar 1975, da statistics fara canza, likitoci sun koyi su magance lymphoma da nasa sakamakon.

hadarin kungiyar

Wadanda a hadarin hada da mutane fiye da shekaru 50 da kuma matasa 16-20 shekara. Matasa har zuwa shekaru 18 - wannan kungiya shi ne kashi 5% na jimlar yawan marasa lafiya. Kuma wannan shi ne mutane 150 a kowace shekara. Wadannan bayanai bayar da statistics na Jamus bincike. An yi imani da cewa hadarin kungiyar hada ma irin Categories mutane:

• Matan da suka zama ciki bayan shekaru 30.
• Mutane hõre tsawo UV radiation.
• tsofaffi mutane.
• tare da immunodeficiency matsaloli.

Duk da haka, bayan m kula mutane warke sosai, ko na dogon lokaci da aka kiyaye a gafarta musu a lokacin da lymphoma aka gano a wata marigayi mataki. Mai vnmatelnym zama wanda a hadarin kuma iya samun wani ganewar asali "Hodgkin ta cuta". bayyanar cututtuka, jini gwaje-gwaje da kuma X-haskoki - duk da wannan dole ne a kullum bari, a jijjiga, kuma a saka idanu hãlãyensu.

rikitarwa

Abin da rikitarwa iya tarko a haƙuri? An sani cewa lymphoma shimfidawa da Lymph nodes kuma disrupts yawa gabobin. Gaji da damuwa da hanta aiki, muhimmanci ƙara baƙin ciki, thymus.

Lalace kwakwalwa. Amma wasu cututtuka iya ko bi lymphoma?

• nephrotic ciwo.
• neurological rikitarwa.
• mediastinal jaundice.
• lymphatic edemas.
• hanji occlusion.
• kamuwa da cuta.
• fungal hari kan bango na wani raunana na rigakafi da tsarin.

Musamman m ne da cutar ga mata masu ciki. Amma ga maza, bayan shige hanya na lura da cutar, suna ba da shawarar yara a kan 1 shekara.

bincikowa da

Ta yaya ne ganewar asali daidai? Hodgkin ta cutar ba m kawai da alãmarsu. Physicians muhimmanci a gane mataki da cutar da kuma irin lymphoma. Don gane asali ainihin siffar ka bukatar ka ciyar da yawa na gwaje-gwaje.

Hakika, likita bai yi kuskure, ya za a sanar da cewa, haƙuri yana lymphoma bayyanar cututtuka. A jini gwajin ne har yanzu ma muhimmanci. Wadannan hanyoyin suna da za'ayi amma jini bincike:

• MR.
• Biopsy.
• A mataki 4 da aka fi dacewa da za'ayi trepanobiopsy.
• Tabbata ga overtures Lymph nodes a cikin wuyansa, kuma a kusa da karankarma. Idan da akwai lymphoma, su za a karu. Duk da haka, zafi ne ba yakan wani mutum yana fuskantar.
• X-haskoki ba ka damar ganin kumbura Lymph nodes a cikin mediastinum. Wannan ne ma wani Mas'ala ta lymphoma.

Kara girman Lymph nodes damfara da jijiyoyinmu da kuma arteries, saboda wannan, da yawa marasa lafiya ne a fili bayyane edemas. Da ake buƙata diddigin metabolism. Tari da nakasa daga 'ya'yan numfashi da kuma m kumburi nodes karkashin makamai - duk wannan a kaikaice nuna lymphoma.

Ganewar asali kamata har yanzu a bisa bayanai daga haƙuri biopsies da jini gwaje-gwaje. Biochemical jini gwajin yawanci nuna darajar matakan bilirubin, hanta enzymes, globulins. A haƙuri za a saukar anemia da kuma thrombocytopenia a baya, saukarwa.

kintace

Amma duk da haka Hodgkin ta lymphoma - mai ciwon daji cewa an gwada da saukin bi. Fiye da 95% na marasa lafiya suka shige cikin bukata ba shakka na sakawa a iska mai guba, warke. Kuma shi buga marasa lafiya a hanya mai kayu. Bayan duk, babu wani abu mai yanke ƙauna, idan an gano, wannan lymphoma.

Fiye ma da hangen nesa yana da irin wannan ganewar asali ne lymphoid ƙãrẽwa. Idan wannan ganewar asali da aka samu da yawa atypical Kwayoyin kuma da yawa daga fibrous nama. Bayyanãwa lymphoid ãr mai yiwuwa ne kawai ta hanyar biopsy, a matsayin histological binciken ne mara amfani. Amma wannan nau'i na faruwa ne kawai a 5% da marasa lafiya da Hodgkin ta cutar.

The m Hodgkin ta lymphoma, da rayuwa hangen nesa daga abin da yake da girma. Wannan hasashen da aka bai lokacin da lymphoma kamu a cikin lightest fom - tare da wani predominance na lymphocytes. A wannan yanayin, cutar tasowa ba tare da sclerosis, necrosis, da kuma sauri daman a.

Siffofin Hodgkin ta cuta

Don ƙarin m nau'i na cutar da muhimmanci a yi cikakken bincike na abun da ke ciki na jini. Wasu siffofin Hodgkin ta cutar. Polynuclear mahaukaci Kwayoyin suna da ciwon daji substrate, kuma lalle idan an gano, lymphoma (Hodgkin ta cuta) ne kusan 100% aka tabbatar.

Saboda haka, cikin siffofin suke da daraja:

1) The classic form. Yana hada da wadannan subtypes:

• nodular form.
• gauraye-cell.
• tare da 'yan lymphocytes (lymphoid ãr).

2) nau'i na Hodgkin ta cuta, muhimmanci wadãtar da lymphocytes.

Dangane da nau'i na Hodgkin ta cuta, your likita zai shirya da magani da kuma yin tsinkaya. A mafi m siffan an dauke su a kananan yawan lymphocytes.

mataki da cutar

Game da matakai Hodgkin sa'an nan rarrabe matakai huɗu, kamar yadda a cikin daji. Sake tambaya taso: "Lymphogranulomatosis - yana da ciwon daji, ko kuwa?". A ka'ida, shi ne kusan a ciwon daji na lymphoid nama, da kuma da yawa likitoci kawai watsi da bambance-bambance.

Mene ne chlamydia? Mataki ware kamar haka:

1. Local mataki a lokacin da ya karu kawai daya kungiyar na nodes (ko biyu kungiyoyin).
2. Regional - ya shafi dama Lymph nodules ga diaphragm.
3. Jimlace - raka'a bugi a garesu na diaphragm.
4. Watsa. A karshe kuma mafi tsanani mataki, a lokacin da pathological aiwatar da wasu gabobin da kuma tsarin ne da hannu: da baƙin ciki, kuma hanta.

Mataki lymphoma m bayan duban dan tayi da kuma lissafta tomography.

Pathological Reed-Sternberg Kwayoyin suna da sauri yada tare da jini zuwa sauran kungiyoyin na Lymph nodes. Yana da matukar muhimmanci shi ne domin 1 ko 2 matakai na lymphoma da kuma gane wani nan da nan jiyyar cutar sankara, sa'an nan kuma radiotherapy. Yana slows da girma da kuma yaduwar mahaukaci Kwayoyin.

Jiyya na zamani da dabarun

Ta yaya ne chlamydia? Jiyya ne mafi zama m. A kwatanta da na karshe shekaru goma na XX karni, ci gaba a zalunta da wannan cuta ne bayyananne: 90% na lokuta da more rayuwa a kasashen waje 5 shekaru da kuma samun jiyya, gaba daya warke. Yau, wadannan jiyya da ake amfani a duniya:

• antibody far.
• nazarin halittu far.
• splenectomy.
• kara cell dasawa.
• radioiterapiya.
• tiyata.
• steroid magani.

Daga cikin cytostatics likitoci iya rubũta: "embihina", "Cyclophosphamide", "Natulan", "Prednisolone". Wadannan kwayoyi suna amfani da na dogon lokaci.

A radiation far ne kusan ko da yaushe inganta da yanayin haƙuri. Kusan dukan marasa lafiya je ta wannan hanya.

Duk da haka, ba dukan wadannan hanyoyin suna amfani da su bi. Personal likita ya kamata ci gaba da shirin. Wasu iyakance zuwa jiyyar cutar sankara da kuma kwayoyi. Wasu fi son zuwa steroid magani. A duk ya dogara haƙuri da shekaru da na yanzu status.

Jiyya na jama'a magunguna

Baya magunguna, za ka iya yi halitta magunguna. Wasu shuke-shuke yi da wani m warkewa sakamako, kamar Aloe. Ga daya girke-girke da cewa yana dauke Aloe ruwan 'ya'yan itace: 500 grams. ruwan 'ya'yan itace da wannan shuka, 700 gr. zuma da kuma a total na 20 grams. mummy. Tsare da kwanaki uku.

Kamar yadda tabbatarwa far ne abin sha da aka yi da tsire-tsire kamar ja tushen, ko periwinkle.

Amma dole ne mu gane cewa babban magani ga liyafar da ganye ba zai iya zama a cikin irin wannan tsanani cututtuka irin chlamydia. Jiyya jama'a magunguna don na biyu. Amma duk da haka primary radiation da kwayoyi.

Yadda za a kare kanka daga Hodgkin ta lymphoma?

Saboda ainihin Sanadin wannan cuta ba ta riga aka samu, yana da wuya a yi hukunci a game da rigakafin. Amma duk da haka, yana da muhimmanci ga matasa don kula more game da kiwon lafiya, sun kasa fallasa da kwayoyin zuwa guba abubuwa kamar barasa da taba. Har ila yau cutarwa iya frequenting tanning gyaran gashi.