Uma sizwa nge-lymphoma, asivamile ukucabanga ngeso. Nokho, i-lymphoma ye-conjunctiva, izicubu zangaphandle ezicacile ezihlanganisa ingxenye emhlophe yeso elibizwa ngokuthi i-sclera, livame kakhulu kunalokho ongacabanga.
Kuyini i-Lymphoma?
I-lymphoma uhlobo lomdlavuza wegazi oluvela ohlelweni lwethu lwe-lymphatic noma lymph nodes. Izicubu ze-Lymphoid zikhona kuwo wonke umzimba.
I-lymph system ikhiqiza amangqamuzana omzimba futhi ixhunywe kuwo wonke umzimba ngamashaneli kanye nemikhiqizo. Lezi ziteshi zidlulela ema-lymph nodes esifundeni esitholakala ngokuyinhloko entanyeni, emagqabeni, ekuguleni, naseziswini. Basebenza ukukhipha umthamo emzimbeni bese bewubuyisela esimisweni sezinthambo. I-lymphoma ukukhula okungavamile kwamathambo e-lymphoid.
Kunezinhlobo ezimbili eziyinhloko ze-lymphoma, i-Hodgkin's lymphoma kanye ne-non-Hodgkin's lymphoma (NHL). I-lymphoma ihilela uhlobo lwamaseli amhlophe egazi okuthiwa i-lymphocytes. Odokotela abaqondi ukuthi yini ebangela i-lymphoma. I-lymphoma ijwayele ukuvame kakhulu kubantu baseCaucasia. E-lymphoma, i-lymph nodes ingavimba futhi iqhubekele ezithombeni emzimbeni. I-lymphoma nayo ingabangela izicubu ze-lymphocytic.
I-Ljunphotival Lymphoma
I-ljunphotival conjunctival ivame ukukhula masinyane ebusweni bamehlo futhi imvelo, izixuku ezimnyama ezivame ukubizwa ngokuthi "izilonda ze-salmon-patch".
Ngezinye izikhathi zingabonakala kalula endaweni emhlophe yeso kodwa ngokuvamile zikhula ngaphansi kwejwabu leso futhi zibheke ne- cornea , isakhiwo esicacile se-dome-like on the front of the eye. I-conjunctival lymphomas itholakele kakhulu kulabesifazane kunamadoda futhi kubonakala sengathi ikhona phakathi kweminyaka engu-50 no-70 ubudala.
I-Basal cell carcinoma, i-sebaceous cell carcinoma, ne-melanoma ebulalayo yilezi zingqimba ezivamile ezithinta ijwabu leso nesikhumba ezungeze iso.
Noma kunjalo, i-lymphoma ingumdlavuza ovame kakhulu otholakala iso. I-lymphoma itholakala ku-conjunctiva cishe ngo-40% wesikhathi. I-Conjunctival lymphoma ingabhekwa njenge-primary lymphoma, okusho ukuthi i-lymphoma ikhona endaweni futhi ayitholakali ndawo emzimbeni. Ngakolunye uhlangothi, kungacatshangwa ukuthi i-lymphoma yesibili, noma isimo esivela ku-systemic lymphoma kusuka kwenye indawo emzimbeni.
Izimpawu
Iziguli zivame ukuvakashela udokotela ekhononda ngokubomvu kweso, ukuma, noma ukucasuka. Bayiqaphela ukuchithwa kwelanga elijwayelekile elimhlophe. I-conjunctival lymphomas ingakhula ngokwanele ukuze ichithe i-eyeball ngokwayo futhi ingabangela ukuvinjelwa kokunyakaza kweso kanye nombono kabili. Uma i-tumor ikhula ngemuva kweso, iso lingase libonakale likhulisiwe noma liqhutshwa phambili. Nakuba kungavamile, i-lymphoma ingakhula ngokwanele ukuze icindezele inzwa ye-optic futhi ibangele ukulahlekelwa umbono. Kanti futhi okungajwayelekile, i-lymphomas ekhula ngaphakathi kweso ingabangela inani elikhulu lokuvuvukala ne-optic neuropathy.
Ukwelapha
I-conjunctival lymphomas ingaphathwa ngokuphumelelayo. Okubaluleke kakhulu ukuthi odokotela bahlele futhi bahlele i-lymphoma. Nakuba ukuhlukaniswa kungaba okuyinkimbinkimbi futhi kungaphezu kwaleso sihloko, ama-lymphomas amaningi e-conjunctival ahlelwe ezihlukahlukene ze-non-Hodgkin.
Izinhlobonhlobo ze-non-Hodgkin nazo zingahle ziphulwe zibe yi-MALT lymphomas (izicubu ze-mucosa-ezihlobene-i-lymphoid) kanye nama-non-MALT lymphomas. I-MALT lymphomas ivame kakhulu futhi ilandele inkambo encane engavamile kanti izilonda ezingekho ze-MALT zingaba zimbi futhi zihlasele emathangeni. Lezi zigaba zenziwa ngezicubu ze-biopsy kanye ne-cytometry.
Udokotela wakho uzoqedela ukuhlolwa kwezokwelapha ukuthola ukuthi i-lymphoma ikhona kwenye indawo emzimbeni wakho. Okuningi kwalokhu kuhlolwa kuqhutshwa yi-oncologist. Uma i-lymphomas ikhona iso futhi engekho enye indawo, iphathwa nge-EBRT yangaphandle ye-radiation therapy.
Udokotela wezilanga uzolandela isiguli esibhekene nemisebe ye-ocular eduze ngenxa yemiphumela emibi efana neyeso elomile , ukuthuthukiswa kwe-cataract, i-ischemic optic neuropathy, i-optic atrophy ne-glaucoma ye-neovascular. Ngezinye izikhathi, ukukhipha okulula (ukususa ngokucophelela lesi sifo) kungenziwa ngokubheka ngokucophelela.
Umthombo:
I-Conjunctival Lymphoma, iSowka, J., Gurwood, A., Kabat, A., p 21A-22A. I-Handbook ye-Ocular Disease Management, isithasiselo sokubukeza ukuhlolwa kwe-Optometry, ngo-15 Juni 2015.