Ake sithi unempilo enhle, phakathi nenkathi yempukane, futhi uthuthukisa umkhuhlane kanye nomphimbo obabayo, ukungqubuzana komzimba, ukukhwehlela, ikhanda nokukhathala. Futhi ingane yakho yayigula ngesifo somkhuhlane ngesonto eledlule.
I-leukemia ne-lymphoma cishe ngeke ibe ohlwini olufushane lwadokotela lwakho lokuthola izifo ngoba usuke unomkhuhlane.
Kodwa ngezinye izikhathi umkhuhlane , kungakhathaliseki ukuthi uwedwa noma uhlangene nezinye izimpawu, uyingxenye yenye into, futhi udokotela wakho uqeqeshwe ukuba athathe izinkomba ezibonisa isidingo sokubheka ngokushelelayo.
Iningi lemifudu eyabonwa odokotela ingalandelwa ezimbangela ezingekho ezimbi.
Umkhuhlane Wesizinda Esingaziwa
Emphakathini wezokwelapha, i-FUO imele "umkhuhlane wemvelaphi engaziwa." Ukuba neFUO akusho ukuthi unomdlavuza. Eqinisweni, kunenqwaba yezimbangela ze-FUO ezingenakubalwa.
Kodwa njengoba abanye abantu abane- leukemia noma i- lymphoma befakazela, umkhuhlane ongeke uhambe-mhlawumbe kanye nokukhathala kanye nesikhumba-ukuthi konke kwaqala kanjani, kubo.
I-FUO ayiyona nje imfiva endala engenayo imbangela ecacile. Ku-FUO, umkhuhlane kumele wenziwe isikhathi eside, futhi kufanele kube nokusebenza okunezokwelapha okuhle kakhulu ukulawula izimbangela eziningi ngaphambi kokuba umkhuhlane ungabizwa ngokuthi umkhuhlane wemvelaphi engaziwa.
I-FUO ichazwa ngokuthi "umkhuhlane ka-38.3 C (101 F) noma ngaphezulu, okuhlala okungenani amasonto amathathu, okungekho isizathu esingabonakala ngemva kwezinsuku ezintathu zokuphenywa esibhedlela noma emva kokuvakashelwa kathathu noma ngaphezulu ." Ubude isikhathi esinqunyiwe kule ncazelo sihlose ukulahla ezinye zezimbangela eziningi ezijwayelekile zomkhuhlane ezixazulula zingakapheli amasonto amathathu.
Yini eyenza i-FUO?
Ngeshwa odokotela neziguli, uhlu lwezimbangela ezingenzeka-ngisho nemifudu ehlala isikhathi eside kunamaviki amathathu-yisikhathi eside.
Ngokwesibalo, ukuhlukunyezwa kwezimbangela ezincike kuncike ezintweni ezifana nezwe lakho (lapho uhlala khona emhlabeni) kanye nendawo yakho (isibonelo, kungakhathaliseki ukuthi ungumntwana noma ukhulile).
Ukuphazamiseka okukhulu kwezimbangela zabantu abadala base-US kulandela:
- I-infection ilandisa ngama-15-25 amaphesenti amacala we-FUO.
- Izifo zokuhlukunyezwa, izifo ezizimele kanye / noma izifo ze-rheumatologic, futhi uhlu olude lwezinto ezihlukahlukene lubangela i-akhawunti yesibalo esisele.
- Asikho isizathu esingazitholakala kumacala angu-20 kuya ku-50 wamacala.
Izifo ezivame kakhulu ukuthi umkhuhlane uyisibonakaliso sokuqala zibandakanya i-lymphoma (ikakhulukazi engeyona i-Hodgkin) ne-leukemia.
Kungani Amaphaza Egazi Amanxeba Awenza?
Ukulahlekelwa isisindo, ukukhathala, nemifudu kungase kuhambe ndawonye uma kunomdlavuza, futhi izinhlobo ezimbili zomdlavuza wegazi ikakhulukazi-i-leukemia ne-lymphoma-ziyaziwa ukuthi ziveza imfiva.
Ngenkathi ukutheleleka kuhlale kuyimbangela yomkhuhlane, kukholelwa ukuthi kwezinye izimo ze-leukemia ne-lymphoma, amangqamuzana abulalayo, ngokwawo, angaveza izibonakaliso zamakhemikhali ezibangela umzimba ukuba ukhanyise izinga lokushisa eliyisisekelo.
Lapho i-khansa yegazi ibangelwa imfiva, lawo mafutha angase athinte isiteji nokubikezela noma isimo sengqondo. Kwezinye zegazi zamangqamuzana, ukutholakala komkhuhlane, ukujula ebusuku, nokulahlekelwa kwesisindo okungenasisekelo kukhombisa ukuthi umdlavuza uphuthuke kakhulu futhi kungase kudingeke ukwelashwa okunamandla kakhulu.
Yini enye engabangela i-FUO?
Ukubeka ukutheleleka, ukulimala, nokuhlukunyezwa kwe-autoimmune ne-rheumatologic ngaphandle, uhlu olude lwezimbangela ezingavamile ze-FUO zihlala.
Ngezinye izikhathi izidakamizwa zingase zibekwe icala, kuhlanganise nama-antibiotiki angase abe khona, kanye nemithi ethathwa ukuze ivimbele ukuwayeka, ngisho nemithi yokwelapha njenge- NSAID .
Ngezinye izikhathi umthombo we-fever empeleni uyisifo, kodwa owodwa owenqatshelwe odokotela neziguli ngokufanayo, njengokutheleleka kwamazinyo nge-abscess. I-FUO ingahle ihlolwe i-HIV noma igcinwe kanye nesistimu yomzimba omisiwe. Noma kunjalo, amanye amathuba afaka isifo sofuba nesifo segazi emithanjeni ejulile (thrombosis ejulile ye-venous).
Izwi elivela
Nakuba amagciwane egazi afana ne-leukemia kanye ne-lymphoma enza kaningi nge-fever engeke ihambe, kubalulekile ukusebenza nodokotela wakho ukulawula izimbangela ezicacile, njengokutheleleka, nokucabangela isithombe sakho sonke somtholampilo nodokotela wakho, kufaka phakathi nezinye izibonakaliso noma izimpawu ezingenza ukuxilongwa okuhlukile kakhulu.
> Imithombo
> Umkhuhlane wemvelaphi engaziwa. http://umm.edu/health/medical/altmed/condition/fever-of-unknown-origin. Ifinyelele ngo-Septhemba 2014.
> Kouijzer IJ, Bleeker-Rovers CP, Oyen WJ. I-FDG-PET kumkhuhlane wemvelaphi engaziwa. Ama-Seminari ngemithi yenukliya. 2013; 43 (5): 333-339.
> I-American Cancer Society. Izimpawu Nezibonakaliso Zomdlavuza. http://www.cancer.org/cancer/cancerbasics/signs-and-symptoms-of-cancer. Ifinyelele ngo-September 2017.
> Ergönül O, Willke A, Azap A, et al. Incazelo echazwe 'yomkhuhlane wemvelaphi engaziwa': ukulinganiselwa namathuba. I Journal of Infection . Januwari 2005; 50 (1): 1-5.