Lymphogranulomatosis imatanthawuza kukula kwa chotupa chophweteka, chomwe chikuphatikizapo kugonjetsedwa kwa maselo a hematopoietic omwe ali m'matumbo ndi ziwalo zina. Kulimbikitsana kwa chitukuko cha matendawa ndi kusintha kwa maselo osakhala ndi rover kumbuyo kwa matenda, ma radiation kapena kuyanjana ndi mankhwala wothandizira, ngakhale kuti zifukwa za lymphogranulomatosis sizidziwika mpaka mapeto. Makamaka kuphunzira mwakhama ndi madokotala ndi mtundu wa chiwopsezo cha tizilombo cha matenda, makamaka, chikugwirizana ndi kachilombo ka Epstein-Barr.
Zizindikiro za lymphogranulomatosis
Pazigawo zoyamba, matendawa amapitirira mosazindikira, ndipo chinthu chokha chomwe chingakope chidwi cha wodwala ndi kuwonjezeka kwa mliri wam'mimba, womwe umakhala wolimba kwambiri. Kawirikawiri maselo a mitsempha pa khosi amayamba kutukumula, koma nthawi zina zizindikiro za mediastinum, mphuno ndi zowawa zimakhudzidwa poyamba; kwambiri kawirikawiri - retroperitoneal nodes.
Kugawanika kwa minofu yotambasula sikumaphatikizika ndi zowawa. Mvula yambiri, zotambalala zimamveka, zomwe zimakhala zovuta komanso zosasuntha.
Kumvetsera zizindikiro za lymphogranulomatosis, munthu sangathe kuzindikira chizindikiro chofunika chotero ngati kutentha kwa thupi, komwe sikungagwedezeke ndi Aspirin, Analgin, kapena antibiotic. Kawirikawiri, malungo amayamba usiku ndipo amatsagana ndi thukuta lolemera, popanda zipsera.
Pakati pa 30%, chizindikiro choyamba cha lymphogranulomatosis ndi khungu losavuta, lomwe silingathe kuchotsedwa ndi njira iliyonse.
Komanso, odwala amadandaula za ululu pamutu, ziwalo, kuchepa kwa kudya, kutopa. Pali kuwonongeka kwakukulu.
Kuzindikira kwa lymphogranulomatosis
Malingana ndi madandaulo a wodwalayo za malungo ndi lymph node yowonjezera mbali ina ya thupi, dokotala angayambe kuganiza kuti lymphogranulomatosis, ndipo kuyezetsa magazi kumathandiza kuwunika mosamalitsa zizindikiro. Choncho, mu labotale, neutrophilic leukocytosis, yachibale kapena mtheradi wa lymphocytopenia, imawonjezereka mlingo wa erythrocyte sedimentation. Mipata yoyamba ya matenda, monga lamulo, ndi yachibadwa.
Kupeza matenda ena kumaphatikizapo kutengeka kwa node yomwe inagwidwa poyamba. Mu biopsy, otchedwa maselo akuluakulu a Reed-Berezovsky-Sternberg ndi / kapena maselo a Hodgkin amapezeka. Amakhalanso ndi ziwalo zamkati komanso mafupa.
Nthenda ya matendawa ndi zizindikiro
Kuwonjezera pa maselo a mitsempha, matendawa nthawi zina amakhudza ntchentche, mapapo, chiwindi, fupa la fupa, dongosolo lamanjenje, impso. Polimbana ndi kufooketsa chitetezo cha mthupi, matenda a fungal ndi mavairasi amayamba, omwe angakhale ovuta kwambiri pambuyo poizoni ndi chemotherapy . Nthawi zambiri amalembedwa:
- herpes zoster;
- toxoplasmosis ;
- pneumocystis chibayo;
- Candidiasis;
- meningitis.
Pali magawo anai a lymphogranulomatosis:
- Chotupacho chimapezeka malo okhaokha kapena kunja kwa thupi limodzi.
- Chotupacho chimakhudza ma lymph nodes m'madera angapo.
- Chotupacho chimafika kumalo am'mimba kumbali zonse ziwiri za mphutsi, nthata imakhudzidwa.
- Chotupacho chimakhudza kwambiri chiwindi, matumbo ndi ziwalo zina.
Monga chithandizo cha lymphogranulomatosis, chemotherapy amagwiritsidwa ntchito kuphatikizapo radiotherapy kapena padera. Komanso, mankhwala osiyanasiyana omwe ali ndi mankhwala akuluakulu a chemotherapeutic mankhwala amavomereza, pambuyo pake wodwalayo amaikidwa ndi mafupa.
Ponena za chiyembekezo cha moyo wa lymphogranulomatosis, chithandizo chophatikizana chimapereka chikhululukiro kwa zaka 10 mpaka 20 mu 90% mwa odwala, omwe ali ndondomeko yapamwamba. Ngakhale m'magulu otsiriza a matendawa, njira yodzisankhira bwino yomwe imasankhidwa imapereka 80 peresenti ya zaka 5 za kukhululukidwa.