Ubuthi Bokuphuza Utshwala Ubangela Neqhaza Lymphoma KaHodgkin's
Uma uke wabhekana nosizi ngokuphuza utshwala, kusho ukuthini? Futhi yiziphi izimbangela ezikhona? Kungani lokhu kubonakala kujwayelekile kubantu abaneHymgkin's lymphoma?
Ubuhlungu bokuphuza utshwala: Kungaba yini?
Ubuhlungu bokuphuza utshwala buhlobene neHodgkin lymphoma, kodwa ngokuvamile, ubuhlungu obuhlobene nokusetshenziswa kotshwala buvame kakhulu ngenxa yezimo ezithile.
Ngokuqondile, ukuphuza utshwala ngokweqile kungakhipha isilwane esivamile, umuzwa jikelele wokungahlali kahle, kanye nezikhathi ezithile, ukucasuka noma ubuhlungu endaweni endaweni yesisu, isifo, ama-pancreas, gallbladder, nesibindi. Ngempela, ukuphuza utshwala ngokweqile kuhlotshaniswa nohlu olude lwezifo, izifo nezifo ezingapheli.
Utshwala Ukungabekezelelani Nemibala Ebuhlungu Ye-Lymph Nodes
Ubuhlungu ema-lymph nodes ngemva kokuphuza utshwala kwenzeka kwabanye abantu abane- lodphokin i-Hodgkin's , kodwa akuyona enye yezimpawu ezibalulekile ekutholeni i-lymphoma . Eqinisweni, akuvamile.
Uma umuntu enempendulo engalindelekile kotshwala kukhona amanani amaningi. Uhlu lwezifo noma izimo zihlanganisa i-Hodgkin lymphoma, kodwa futhi into ebizwa ngokuthi i-carcinoid syndrome, kanye ne-genetic endala: ukushintshashintsha kwezakhi zofuzo ezifake utshwala dehydrogenase (okuvame ukutholakala kubantu base-Asia).
Ukungahambisani nokuphuza utshwala ngenxa yokuphuza utshwala. Ukuphuza ngokweqile ukuphuza utshwala kubonakala kungavamile futhi kuvame ukugijima emindenini, futhi njengezinye izifo zokudla zingase zibe nomngcipheko we- anticlaxis . Ngezinye izikhathi ukungezwani komzimba empeleni kuyisithako esiphuzweni sokuphuza utshwala, njengezinhlamvu noma ama-preservatives, hhayi utshwala ngokwawo.
Ukungabekezelelani utshwala, okungahle kuhlotshaniswe nezimpawu zokudakwa, kungaba nezimbangela eziningi ezingaphansi. Ukuntuleka kwe-enzyme yokuphuza utshwala (utshwala dehydrogenase) kungabangela ukuphuza ngokweqile (nokuphikelela). Isifo se-Celiac (ukuzwela kwe-gluten), ukungahambisani kwe-histamine , ukungena kwegorosi , nokuswelakala kokudla okunomdlavuza , kungase kubangele ukungahambisani nokuphuza utshwala.
I-carcinoid syndrome yinto eyenzeka ngokungajwayelekile futhi ihlotshaniswa nohlobo oluthile lwe-tumor ekhula kancane, noma izicubu ze-carcinoid, ezikhulula i-serotonin. I-Serotonin iyisithunywa sezakhi zamakhemikhali esingakwazi futhi ukuveza izimpawu ezibizwa ngokuthi "i-carcinoid syndrome" kuhlanganise nobuhlungu besisu, ukuqhuma okubomvu entanyeni, ubuso nesifuba, isifo sohudo, ukuguqulwa kwamagciwane, nokushaya, futhi lezi zimpawu zingase zivinjiswe utshwala kwezinye amacala.
Ukungabekezelelani kotshwala kuhlobene nokusetshenziswa kwemithi ethile ehlanganisa i-Antabuse (disulfiram) ne- Flagyl (metronidazole).
Utshwala Inhlungu e-Hodgkin Lymphoma
Ubuhlobo bokuphuza utshwala nge-Hodgkin's disease buya emuva eminyakeni eminingana. Ekubuyekezweni kuka-1966 echaza iziguli ezingu-747 ezinobuthi obubangelwa utshwala ezihambisana nezimo zomdlavuza, i-Hodgkin lymphoma yayingamaphesenti angu-40 amacala.
Ezinye izibuyekezo ezimbili ngo-1994 no-2013 zixoxa ngenhlangano kodwa kunezinye izifundo ezimbalwa ezitholakalayo.
Cishe ingxenye yengxenye yabantu abane-lymphoma izokwandisa i-lymph nodes . Lezi nodes azivame ukubuhlungu ekuthinteni, nakuba zingakwazi ukuthenga. Kwamanye abantu, i-lymph nodes ethintekile ingaba buhlungu ngemva kokuphuza utshwala, futhi lokhu kubonakala kujwayelekile kubantu abaneHodgkin lymphoma.
Yini eyabangela ubuhlungu obuhlobene nophuzo e-Hodgkin's disease? Ososayensi abazi indlela eqondile ye-biologic noma imbangela, kodwa kunezinkomba eziningana. Abanye bakholelwa ukuthi ubuhlungu buhlobene nokwandiswa kweziqukathi ngaphakathi kwe-capsule ye-lymph node emva kokuchazwa kotshwala egazini.
Kwesinye isenzakalo umbiko, ubuhlungu obubangelwe utshwala bukhululekile no-Advil (ibuprofen), futhi kusukela u-Advil enza isithunywa sezakhi zamakhemikhali okuthiwa i- prostaglandin , abalobi babecabanga ukuthi inqubo ye-prostaglandin-mediated ingase ibandakanyeke.
Uma une-Hodgkin's disease futhi uma uhlangabezana nalolu hlobo lokuphendulela kotshwala, awaziwa ukuthi ukungabekezelelani utshwala kwembula noma kubikezela noma yini ngokweqile noma ukubikezelwa kwesifo.
Isibonelo Case - Umdala Omdala oneminyaka engu-31 nge-Pain After Sips of Alcohol
Ngo-2013, uDkt. Andrew Bryant noDkt. John Newman waseVanderbilt University Medical Centre babika icala lendoda eneminyaka engu-31 ubudala eya emtholampilo wayo ngobuhlungu obukhulu besifuba owaqala imizuzu emva kokufaka izinsalela zombili utshwala ezimbili kuya kwezintathu . Lokhu kusabela kwakwenzeke ezinyangeni ezintathu ezedlule. Isiguli asizwa ubuhlungu lapho kugwinya ezinye izidakamizwa noma ubuhlungu, futhi ubuhlungu bakhe bukhululekile ngezinga elincane le-ibuprofen.
Kulesi siguli esithile isiguli, ama- lymph nodes eduze ne-lung lung, inhliziyo, ne-diaphragm (i-lymph node mediastinal) ebezibandakanyekile nesifo se-Hodgkin. Ngaphezu kokubuhlungu esifubeni sakhe nge-sips yotshwala, wayenamafiva ngezikhathi ezithile, ama-sweats ebusuku no-malaise jikelele (i-malaise yigama elisho ukungazizwa kahle). Ukuzicabangela kanye ne-biopsy enye ye-lymph nodes engavamile kwaholela ekuxilongweni kwe-Hodgkin lymphoma.
Izwi elivela
Ukuphuza udoti akuyona into evamile, ejwayelekile noma evelele yokuveza i-Hodgkin's lymphoma, kodwa izilonda ezibuhlungu emva kokuphuza utshwala kuyisibonakaliso esiye sabhalwa izikhathi eziningi kubantu abane-Hodgkin's disease. Abantu abane-Hodgkin lymphoma bangase bahlakulele izimpawu ezihlukene, kodwa isimo esivame kakhulu ukuxilongwa sitholakale i-lymph node (s) nokunye okunye. Ama-lymph nodes angase akhuliswe entanyeni, emagqumeni, noma ekuhlungeni, okwenza kube nephunga elingenabuhlungu, noma ngaphakathi kwesifuba, elitholakala kwizifundo ze-imaging. Ngokuvamile, labo abane-Hodgkin lymphoma bangase babe nesisindo somzimba, umkhuhlane, ukuhlambalaza noma ukugcoba izithukuthuku ebusuku, ngokubambisana okuthiwa yi- B izimpawu ze-lymphoma .
Uma uzwa ubuhlungu ngemuva kokuphuza utshwala noma ukhathazekile ngezimpawu ezingavamile noma ukusabela emva kokuphuza utshwala, yenza isikhathi sokuqeda udokotela wakho. Njengemibandela efana nokuzwela kwe-gluten, kungathatha isikhathi ukufika ezansi zezimpawu zakho. Ungase ufune ukuqala iphephabhuku lokudla ngenkathi ulindele ukuqokwa kwakho bese uhlamba emzimbeni wakho ukuphawula noma yiziphi ezinye izimpawu ongase uzizwe.
Imithombo
- I-Brewin, T. Utshwala Ukungabi Nolwazi Ngezifo Eziphuthumayo. I-British Medical Journal . 1966. 2 (5511): 437-41.
- UBryant, A., noJen. Newman. Utshwala Ukungabekezelelani Okuhlobene neHodgkin Lymphoma. I-CMAJ . 2013. 185 (8): imfundoE353.
- Callahan, B., Coe, R., no H. Indawo. Izifo ze-Hodgkin ze-Spine ezethula njengobuhlungu obuhlobene no-Alcohol. Umbiko wezehlakalo nokubukezwa kwezincwadi. I-Journal ye-Bone and Joint Surgery . 1994. 76 (1): 119-21.
- Kasper, uDennis L .., u-Anthony S. Fauci noStephen L. Hauser. Izimiso zikaHarrison zeMithi yangaphakathi. ENew York: Mc Geducation, 2015. Phrinta.