Isifo se-Kikuchi, esibizwa nangokuthi i-histiocytic necrotizing lymphadenitis noma isifo se-Kikuchi-Fujimoto, yisifo esithinta ama-lymph nodes, okwenza ukuthi ukuvuvukala kwe-lymph node . Isizathu esiqondile saleso sifo asikaziwa, nakuba abanye abacwaningi basikisela ukuthi kuyisifo noma isifo se-autoimmune. Inkolelo eyamukeleke kunazo zonke ochwepheshe ukuthi izifo ze-Kikuchi ziwumphumela womuntu oyedwa noma ngaphezulu ongaziwa okudala inqubo yokuzimela ngokuzimele.
Lezi zinhlaka zicatshangwa ukuthi zihlanganisa izifo, amakhemikhali, amaplastiki kanye neoplastic (ama-tissue okungavamile ukukhula).
Ubani engozini
Isifo se-Kikuchi saqale sichazwa eJapane ngo-1972 kodwa selokhu sabikwa emhlabeni wonke kuzo zonke izinhlanga. Ngaphambili kwakucatshangwa ukuthi abesifazane abaningi kunabesilisa abathintekayo ngesifo seKikuchi, kodwa ubufakazi obamuva kakhulu bukhombisa ukuthi akuyona into engathinta isondo esisodwa kunomunye. Isifo se-Kikuchi senzeke ebangeni lobudala kodwa ngokuvamile kuthinta abantu abadala abaneminyaka engama-20 kuya ku-30.
Izimpawu
Isifo se-Kikuchi ngokuvamile sithatha isimo se-lymph node inflammation. Ezingamaphesenti angu-80 zabantu abanesifo, ama-lymph nodes owodwa noma zombili izinhlangothi entanyeni ngokuvamile ayathinteka. Esikhathini esiningi, lezi yizona zodwa zelph nodes ezithintekile. I-lymph nodes ayinabuhlungu, ikhuni futhi iseduze no-2-3 cm ububanzi. Cishe ingxenye yengxenye yabantu abanezifo ze-Kikuchi zakha imfiva nezibonakaliso ezinjenge-flu.
Ukuqhuma okubomvu kungabonakala kumaphesenti angu-30 abantu ngabanye.
Ukuxilongwa
I-ultrasound, i-CT scan noma i-MRI ingaqinisekisa ukuthi kukhona amakhemikhali e-lymph ekhulisiwe kodwa ayikwazi ukuqinisekiswa. Ukukhipha isampula ye-lymph node nayo ayikwazi ukuqinisekisa ukuxilongwa. Ngenxa yezibonakaliso zalo futhi ngenxa yokuthi kunzima ukuyihlolisisa, isifo se-Kikuchi ngokuvamile siphutha ngenxa ye- lymphoma noma i-systic lupus erythematosus.
Indlela kuphela yokwazi ukuthi izifo zakho zivela esifundeni saseKikuchi yini ukuthi udokotela wakho asuse i-lymph node bese ehlola izicubu kulo. Ngenhlanhla, ngokungafani ne-lymphoma ne-lupus, isifo se-Kikuchi asiyona impilo esongela noma engavamile.
Izinketho zokwelapha
Ukwelashwa kwesifo se-Kikuchi siqukethe ukukhulula noma yikuphi ukukhulelwa, izifo zamagciwane, noma isifo se-lymph node. Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) afana ne-ibuprofen angasiza ngalezi zimpawu. Isifo se-Kikuchi sizovame ukuzithela yedwa phakathi nezinyanga eziyisithupha kuya kweziyisithupha.
Imithombo:
Boone, JL (2004). Isifo se-Kikuchi. eMedicine.
Chaitanya, BN, & Sindura, CS (2010). Isifo sikaKikuchi. J Oral Maxillofac Pathol, 14 (1), 6-9.