Noma kunjalo imfihlakalo, i-sarcoidosis yisifo esingaziwa ngenxa yokuthi izimpendulo zomzimba nezimpikiswano zomzimba zithathwa njengokubalulekile. I-Sarcoidosis, ngezinye izikhathi ebizwa ngokuthi i-sarcoid, iholela esimweni sokuvuvukala esibonakala ngaphansi kwe-microscope futhi ingathinta izitho ezihlukene zomzimba. I-Sarcoidosis ingathinta noma yiluphi uhlobo, kodwa kungenzeka ukuthi lithinte amasayithi alandelayo:
- Amapulazi
- Isikhumba
- Ama-lymph nodes - ikakhulukazi ama-lymph nodes esifubeni
I-Sarcoidosis yaziwa nangokuthi kungenzeka ukuthi ingathinta amehlo nesibindi. Ngokuvamile, inhliziyo nobuchopho kungathinteka, okuholela ezinkingeni ezinkulu.
Ngokombono wamaseli kanye nezicubu, uphawu oluphawulekayo lwe-sarcoidosis lubizwa ngokuthi i-granuloma. I-Granulomas iqoqa amaseli ukuthi, ngaphansi kwe-microscope, abukeka afana kakhulu nalawo umzimba owasebenzisayo ukulwa nezifo ezifana nesifo sofuba.
Akuwona wonke umuntu onesifo sarcoidosis odinga ukwelashwa, futhi ngokuvamile uyahamba ngaphandle kokwelashwa, kodwa kwezinye izimo, kungaholela ezifweni ezinzima. Uma umsebenzi wendikimba uthintekile, isibonelo, izidakamizwa ezihlukahlukene ezenzelwe ukunciphisa amasosha omzimba zingasetshenziswa.
Izimpawu zingase zihlotshaniswe nezitho ezibandakanyekile kulesi sifo, noma kungase kube khona izimpawu ezijwayelekile ezifana nokukhathala, umkhuhlane, izilonda ze-lymph, futhi ukulahlekelwa isisindo . Ukubandakanyeka kwamagundane kuvamile kakhulu futhi izimpawu zingase zihlanganise ukukhwehlela okumile okuqhubekayo, ukuphefumula okuncane, ukulimaza noma isifuba.
Abanye abantu abane-sarcoidosis bahlakulela izimpawu zesikhumba ezifana nokuqhwala okuqukethe ama-bumps obomvu noma obomvu obomvu obomvu.
Lymphoma
I-Lymphoma ingenye ye "i-blood cancers," noma i-hematologic malignancies, igama elibandakanya i- leukemias ne-myeloma . I-lymphoma ingumdlavuza wamangqamuzana egazi amhlophe e-lymphocyte. Kunezinhlobo eziningi ze-lymphoma.
Iningi, kodwa hhayi yonke, i-lymphomas iqale kuma-lymph nodes.
Izigaba ezimbili ezibanzi ze-lymphoma yi-Hodgkin (HL) ne-non-Hodgkin (NHL) lymphoma. Zombili lezi zinhlobo zinezinhlobo eziningi kanye nezinhlamvu ezincane ngaphakathi, ezinezici zezifo ezihlukahlukene nezibikezelo.
Kokubili i-Hodgkin ne-non-Hodgkin lymphoma ingathinta ama-lymph nodes esifubeni - indawo eseduze nenhliziyo ebizwa ngokuthi i-mediastinum. I-Sarcoidosis ibuye ihileleke le ndawo.
I-Sarcoidosis ne-Lymphoma
Sekungamashumi eminyaka, abacwaningi baye bazibuza ubuhlobo obuphakathi kwe-sarcoidosis ne-lymphoma. Lobuhlobo buhlala buyimfihlakalo ngisho nanamuhla, ngezizathu eziningana.
Ngokusho kweqembu labacwaningi kuhlanganise no-Ishida nabalingani bakhe, "I-subtype ejwayelekile kakhulu ye-lrphoidosis eyingozi ehambisana ne-sarcoidosis i-Hodgkin lymphoma, kodwa isakaza i-B-cell lymphoma enkulu, i-follicular lymphoma, ne-myeloma eminingi ingase ihileleke ku-sarcoidosis-lymphoma syndrome. "Igama elithi" Sarcoid-lymphoma syndrome "lahlelwa ukuchaza lezi zithole.
I-granulomas ephawulekayo ye-sarcoidosis iyinkimbinkimbi, iqoqo elihleliwe lamaseli omzimba omzimba azungezwe yi-lymphocytes. Ngokusobala, i-lymphomas ngezinye izikhathi ingabamba "ama-granulomas" emdlavuza - futhi lokhu kuguquka, nakuba kungavamile, kucatshangwa ukuthi kungabonakalisa ukuzivikela komzimba kumdlavuza womdlavuza, hhayi isifo se-systemic, i-sarcoidosis.
Amaphephandaba ashicilelwe eminyakeni embalwa edlule aqaphele ukuthi ukuhlukanisa phakathi kokuphendula kwesifo se-tumor sarcoidal kanye ne-systemic sarcoidosis yangempela kungaba yinkinga.
Kokubili i-sarcoidosis ne-lymphoma inokukwazi "ukukhanyisa" ku-PET ukuhlola, okwengeza ekubunjeni futhi okusemandleni okunye okudideka komunye. Abacwaningi bafuna izifundo ezengeziwe zokwenza ngcono izinhlelo zokusebenza ze-FDG-PET / CT ezigulini ezine-sarcoidosis.
Ngamafuphi, imibuzo eminingi ngokuphathelene ne-sarcoidosis-lymphoma syndrome ayisaphenduli.
> Imithombo:
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I-National Heart Lung ne-Blood Institute. Kuyini iSarcoidosis? Ifinyelele ngoJanuwari 2016.
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