Ukwelashwa kwezifo ze-Hodgkin kanye ne-Paranoplastic Pruritis (i-Itching)
Sibutsetelo
Ukunambitha kungenye yezimpawu eziphawulekayo zeHodgkin lymphoma . Amaphesenti angaba ngu-10 kuya ku-25 abantu abahlushwa isifo se-Hodgkin babhekene nesifo esikhulu. Kwamanye, ukushaywa kuqala kuqala ngaphambi kokuba kutholakale ukuthi i-lymphoma isifo. Kuvame ukuzwa njengokuzwa okuvuthayo okwenzeka endaweni ethile yesikhumba, njalo emilenzeni ephansi.
Izimbangela
Isizathu salokhu kukhishwa asiyazi nakanjani.
Kukholelwa ukuthi amanye amangqamuzana egazi akhipha amakhemikhali eduze kwemizwa yesikhumba futhi ecasula lezi zinzwa. Sizizwa lokhu njengengqondo.
Ingabe itchch kusho ukuthi umdlavuza usesikhumba sakho? Izimpawu zesikhumba ezingekho emthethweni noma ukubandakanyeka kwesikhumba eHodgkin lymphoma kuthiwa zenzeka ngamaphesenti angu-15 kuya kwangu-50 abantu abanesifo. Kulawa, amancane amancane angaba ne-Hodgkin lymphoma yesikhumba noma i-Hodgkin lymphoma enezinwele. Kungenzeka ukuthi kukhona imithombo eminingi yokuhlushwa kubantu abaneHodgkin lymphoma pruritis. Izinkambiso eziningana zenzelwe, kodwa imbangela eqondile ayisaziwa.
Ukubambisana Ne-Cancers Yegazi
I-Hodgkin itch iyaziwa ngokwemithi ngokuthi "i-paranoplastic pruritus," futhi iyenzeka kwezinye i-cancer yegazi, kodwa i-Hodgkin lymphoma ibonakala ikhiqiza lesi sibonakaliso kumaphesenti amakhulu iziguli futhi ukuhlushwa kuye kwabonakala njengempawu okwesikhashana. I-Hodgkin itch kungaba ukuthuthukisa amasonto ngisho nezinyanga ngaphambi nezinye izimpawu zomtholampilo of lymphoma.
Ukunambitha kungaba nzima kakhulu futhi kunomthelela omubi kwizinga lomuntu lomuntu.
Okubalulekile
Ukuqubula kwesifo seHodgkin kubaluleke kakhulu kunokuba nje kube uphawu oluvamile. Kungaba yisibonakaliso se-prognosis encane uma ihambisana nomkhuhlane omkhulu noma ukulahlekelwa isisindo, okuthiwa yi- B izimpawu ze-lymphoma .
Ukwelapha
Akuzange kube nokuningi kwezifundo ezinkulu ukuphenya ukuthi yiziphi izindlela zokwelashwa ezingase ziphumelele kuloluhlobo oluthile lokubamba i-Hodgkin lymphoma, kodwa kuneminye imininingwane ekusizeni ukuqondisa izinqumo zokwelapha. Ngokwe-athikili e-Journal of Medical Case, ka-2014, "umuthi owodwa obonakala usebenza kahle u-Emend (aprepitant,) i-neurokinin-1 receptor antagonist, noma kunjalo, ukuvivinywa okulawulwa esikhathini esizayo kungasiza ukucacisa indima yalesi sidakamizwa i-anti-pruritic ye-lymphoma. Ukuvuselela kuvame ukusetshenziselwa ukusiza ukuvimbela isicanucanu nokuhlanza ngenxa ye-chemotherapy.
Kunezinhlobonhlobo zemithi ehlukene kanye nokungenelela okuye kwahlongozwa njengokuthi kungasiza; ezinye zitholakale ziphumelela ukuhlaselwa kwezinye izinhlobo ze-lymphoma, kodwa hhayi ezinye. Lezi zihlanganisa izidakamizwa ezivela emndenini ophikisana nokucindezeleka, ukulwa nama-antihistamine, i-oral steroids, ukwelashwa okulula kwe-T-cell lymphoma, i-thalidomide, kanye nabanye.
Ukusekela
Nakuba kungakaze kube khona ukuhlolwa okulawulwa okwenziwe kuze kube yimanje, ingqondo / izifo zomzimba ezisetshenziswa ngendlela edidiyelwe yokusiza abantu ukuba babhekane nezibonakaliso zokwelashwa komdlavuza (njengokwelapha ukubhula, ukuzindla, noma ukukhwabanisa) kungase kube nenye inzuzo.
Khuluma ne-oncologist yakho ukuthola ukuthi yini esebenzele abanye abantu abanesifo se-Hodgkin. Kungaba usizo ukujoyina umphakathi wokusekela nge-inthanethi wabanye abantu abafana nokubhekana ne-Hodgkin itch for imibono, kanye nokuzwa ukusekelwa okungavela ekuzileni ukuthi awodwa wodwa kulokho okuhlangenwe nakho kwakho. Kodwa okokuqala, hlola lezi zeluleko emithonjeni ephephile yezenhlalo ezigulini zomdlavuza , kanye nalezi zinkinga ekubhekaneni ne-lymphoma .
Abanakekeli nabathandekayo
Okokugcina kodwa nakanjani nakancane, uma ngabe othandekayo wakho ehlangabezana ne-Hodgkin itchch, qaphela ukuthi i-itch ingokoqobo, futhi ingaba nzima.
Okubi nakakhulu kunomuntu ophila nomdlavuza wesifo somdlavuza kunokuba uhlambe, uthola ukuthi abanye abakholelwa lokho abakubhekana nakho, noma abaqondi ukuthi kungabacasula kanjani. Yiba nesineke lapho umthandi wakho ethinta. Iningi lethu alilona uhlobo lomusa - futhi lungaba yinto embi - uma singazizwa kahle, futhi singasho izinto esingenakuzenza. Zama ukubuyela emuva bese uyifaka njengesithombe sokukhuluma, hhayi othandekayo wakho. Imithombo yezenhlalakahle yindawo enhle yabanakekelayo ukuxhuma nabanye abanakekeli ababhekana nezinkinga ezifanayo.
Imithombo:
I-Vrotsos E, i-Dosal J, i-Zaiac M, i-Alexis J. Pityriasis rosea-i-eruption enomzimba njengempawu ebonisa i-Hodgkin lymphoma. Umbiko wekhasi nokubuyekezwa kwezincwadi. Imibiko Yemibiko Yesikhwama se-Dermatological. 2015; 9 (3): 81-84.
I-Yosipovitch G. Chronic pruritus: isibonakaliso se-paraneoplastic. Dermatol Ther. 2010; 23: 590-596.
Wang H, Yosipovitch G. New Insights ku-pathophysiology of itch okungapheli ezigulini ekugcineni ukwehluleka renal, isifo esingapheli kwesibindi kanye lymphoma. Int J Dermatol. 2010; 49: 1-12.
I-Arenas Villafranca JJ, iMiles MG, uCasanova M, et al. I-paranoplastic pruritus eveza ne-Hodgkin's lymphoma: umbiko wecala. I-Med Med Case Rep . 2014; 8: 300.