Maloetse a kotsi a fumanoa a sa le monyenyane haholo, kahoo batsoali ba lokela ho lula ba ela hloko bophelo ba ngoana. Lymphogranulomatosis e ka khetholloa likarolong tse ka sehloohong tsa ntshetsopele, haholo-holo ho bana. Nakong e fetileng phekolo ea mafu a qala, e phahamisa menyetla ea ho hlaphoheloa.
Lymphogranulomatosis - lisosa
Ha e e-s'o tsejoe hore na ke hobane'ng ha boloetse bo potolohileng bo ama 'mele,' me ke lintlha life tse tlatsetsang ho sena. Ho na le likhopolo tsa hore Hodgkin's disease (lymphogranulomatosis) e buuoa khahlanong le moeli oa tse latelang:
- tšoaetso ea mononucleosis e bakoang ke kokoana-hloko ea Epstein-Barr ;
- congenital immunodeficiency syndromes;
- liphatsa tsa lefutso.
Mehato ea lymphogranulomatosis
Lefu le hlalosang le hlasetseng le ntse le tsoela pele ka mekhahlelo. Ho ea ka boima ba matšoao a bophelo bo botle le boholo ba lefu la Hodgkin's lymphoma ho bana le hlaha ka mekhahlelo e mene:
- E bakoa ke setho se le seng (spleen, thymus) kapa lymph node, haholo-holo kervical kapa submandibular. Matšoao ha a eo kapa ha a bonahale haholo.
- Lisele tse sisinyehileng li qala ho falla, tse fetola sebopeho sa litho tsa ka hare le lihlopha tse ling tsa lymph nodes tse ka hare.
- Tlas'a ts'oaetso ea mafu, mehaho e hole le mohloli o ka sehloohong e ameha. E ama lymph nodes mahlakoreng a mabeli a moferefere. Likarolo tse nyenyane li eketsa boholo.
- Liphetoho li nka kabo e fapaneng. Pathology e senya mosebetsi oa sebete, bone ea mofu, matšoafo le litho tse ling.
Lymphogranulomatosis - matšoao ho bana
Hangata lefu la Hodgkin le fumanoa pele ho lilemo tse hlano, 'me ka masea a ka tlaase ho 1 selemo, ha ho mohla e hlahang. Ho tseba lymphogranulomatosis ho bana boemong bo qalang ho thata, matšoao a pele ha a eo kapa ha a na letho:
- ho atolosoa ho se nang bohloko ha lymph nodes ;
- lethargy, thahasello;
- ho otsela;
- mocheso oa 'mele o phahameng (hoo e ka bang likhato tse 37).
Butle-butle, lipontšo tse thathamisitsoeng li matlafatsa 'me li lula li shebeloa. Kahoo Hodgkin's lymphoma e tsoela pele - matšoao ho bana:
- ho fufuleloa haholo, haholo-holo bosiu;
- hlooho ;
- ho hlohlona;
- feberu;
- ho hloka takatso ea lijo;
- tahlehelo ea boima;
- ho khohlela;
- ho thata ho hema;
- ho ikamahanya le maloetse a tšoaetsanoang;
- ho senya pete;
- ho otlolla hangata;
- boikutlo bo boima ba mesifa, manonyeletso;
- ho fokola ha sebete le mokhoa oa pelo.
Lymphogranulomatosis - ho hlahlojoa
Etsa bonnete ba hore lipelaelo tsa lefu la Hodgkin li ka hlahlojoa feela ka tlhaloso ea hae ea lihlopha tse ammeng (biopsy). Matšoao a tloaelehileng a lymphogranulomatosis ha se motheo o utloahalang oa ho hlahlojoa, hobane a ka tsamaea le tse ling, tse seng tsa ts'oaetso ea mafu. Matšoao a joalo a tloaelehile bakeng sa maloetse a tšoaetsanoang, immunodeficience le parasitic infestations.
Hlahlobisisa bakeng sa lymphogranulomatosis
Ha ho hlakisoa sethala sa lefu la Hodgkin, ho sebelisoa mekhoa e eketsehileng ea ho hlahloba. Tlhahlobo ea laboratori e tlamang ho tiisa lymphogranulomatosis ho bana ke tlhahlobo ea mali (ka kakaretso le ea likokoana-hloko, mosebetsi oa alkaline phosphatase serum). E thusa ho lemoha tšenyo ea sebete le phokolo ea mali, ho theha boteng le ho tiea ha mekhoa ea ho ruruha 'meleng.
Mefuta e meng ea lithuto tse lumellang ho hlahloba lymphogranulomatosis ho bana:
- papiso ea tlhaho ea matla a khoheli kapa ea computed tomography;
- ho hlahloba gallium-67;
- ho phunya (trepanobiopsy) ea masapo;
- X-ray;
- tlhahlobo ea li-ultrasound.
Lymphogranulomatosis - kalafo
Mekhoa e ka sehloohong ea ho loantša lefu la Hodgkin le bana ke polychemotherapy, mahlaseli a kotsi le tšebeliso e tšoanang ea lithethefatsi tsa matšoao. Maemong a sa tloaelehang haholo le a maholo, ha mekhoa ena e sa hlahise phello e lebelletsoeng, lefu la lymphogranulomatosis le tlas'a phekolo ea ho buuoa. Ts'ebetso ena e kenyelletsa ho fetisetsa motsoako oa masapo ho tsoa ho mofani ea lumellanang haholo.
Lymphogranulomatosis ho bana - litlhahiso tsa kliniki
Nakong ea chemotherapy, ngoana o fuoa meriana e 'maloa ka nako e le' ngoe, 'me motsoako o fana ka khatello ea lisele tse nang le lithethefatsi. Ho na le mekhoa e metso e mehlano e sebetsang ea kajeno eo Hodgkin's lymphoma e sebetsanoang ka eona le bana - lits'ebeletso tsa kliniki li kenyelletsa lihlopha tse latelang:
- ABVD - adriamycin, bleomycin, vinblastine, dacarbazine;
- ACOPP - adriamycin, cyclophosphamide, onkovin, procarbazine, prednisolone;
- BEACOPP - bleomycin, etoposide, adriamycin, cyclophosphamide, onkovin, procarbazine, prednisolone;
- OEPA - li-onkovin, etoposide, prednisolone, adriamycin.
Lymphogranulomatosis ho bana e tsamaisana le lefu la bohloko le matšoao a mang a sa thabiseng, kahoo, phekolo ea matšoao e boetse e ngotsoe:
- analgesics;
- mesifa ea boikhathollo;
- anesthetics;
- lihomone;
- lithibela-mafu;
- lithibela-mafu;
- diuretics;
- tharollo ea li-electrolyte;
- lithethefatsi tse sa thekeseleng;
- li-antacids;
- lihloeki tsa acid balance;
- divithamini le tse ling.
Lymphogranulomatosis - mekhoa ea batho
Meriana e meng ha e na lithethefatsi tse sebetsang tse ka sebetsanang ka katleho le kokoana-hloko e kotsi, empa lisebelisoa tsa tlhaho li ka sebelisoa e le thuso ea thuso kapa ea ts'ebetsong. Ho buelloa ka ho khetheha ke vithamine teas, haeba ho fokolloa ha Hodgkin's lymphoma ho bana ho finyelloa. Li fana ka phomolo e potlakileng le tšehetso ea ho itšireletsa mafung, e tloaelehileng ea ts'ebetso ea lijo, ho phefumoloha le mekhoa ea pelo.
Recipe ea infusion ea bongaka
Lijo:
- makala a fir - 1 lik'hilograma;
- metso ea raspberry - 0.5 lik'hilograma;
- tsoekere - 1 lik'hilograma;
- metsi - 0.5 a etsang dilitara tse.
Litokisetso le tšebeliso:
- Hlatsoa le ho sila lihlahisoa tse tala limela.
- Nkhono e hloekileng ea litha e le 3 e ka ba lera-le-tlala tse tletseng likaroloana - makala a firate, tsoekere, metsoako ea krimsone, tsoekere mme ka nako e tšoanang.
- Tšela metsi ohle a belang.
- Tlohela meriana ka matsatsi a mararo, ebe u tšela metsi.
- Nka tharollo ea 1 tbsp. khaba pele ho lijo, makhetlo a 3 ka letsatsi.
- Therapy e fetile matsatsi a 10-11.
Recipe bakeng sa sirapo ea phekolo
Lijo:
- mmmy - 20 g;
- motsoako - 700 g;
- lero la lekhala - 500 ml.
Litokisetso le tšebeliso:
- Kopanya lisebelisoa tsohle tse nang le setsing se hloekileng sa khalase.
- Kenya ka sehatsetsi ka matsatsi a 7-9.
- Ka mor'a nako ena, ka hloko kopanya lintho tse ka hare.
- Nka 1 tsp ka makhetlo a mararo ka letsatsi.
- Tsoela pele ho phekola ka libeke tse 1.5.
Liphello tsa phekolo ea bana ba Hodgkin's lymphoma
Likokoana-hloko tsa lik'hemik'hale le li-radiation ha li ame feela ka ho kula, empa le lisele tse phetseng hantle. Bana ka mor'a Hodgkin's lymphoma ba na le litla-morao tse joalo tsa phekolo:
- lilonda tse molomong;
- ho lahleheloa ke moriri;
- ho nyekeloa ke pelo;
- ho tsoa maling a mongobo;
- ho hlatsa;
- ho kula ha lijo;
- ho hloka takatso ea lijo;
- ho senyeha ha pelo ea methapo ea pelo;
- ho senya letlalo;
- tahlehelo ea mesebetsi ea ho ikatisa le ba bang.
Lymphogranulomatosis - prognosis
Ha ho hlahlojoa boloetse ba tlhaho ea tlhaho, ke lefu le phekolehang hantle, bakuli ba bangata ba phekoloa ka ho feletseng. Lymphogranulomatosis lilemong tsa bocha le bana ba nang le ts'ebetso ea 1-2 ts'ebetsong ba fella ka ho tšoareloa ho 90-95% ea linyeoe. Haeba lefu lena le ne le fumanoa hamorao, ka mekhahlelo e matla haholoanyane, kontšo ena e fokotsoe ho 75-85%. Lintho tse sa thabiseng tsa ho bolela esale pele ke tsa bakuli ba ileng ba e-ba le lefu la lymphogranulomatosis nakong ea likhoeli tse 12 ka mor'a hore ho phekoloe phekolo e feletseng.