Lymphogranulomatosis inoreva kukura kwechirwere chinouraya, chinosangana nekukundwa kwemasero ehematopoietic ari mune lymph nodes nedzimwe nhengo. Kukurudzira kwekuvandudzwa kwechirwere ndiko kushanduka kweiyo isina-rover cell maererano nehutachiona hwehutachiona, radiactive radiation kana kusangana nekemikisi, kunyange zvazvo zvikonzero zve lymphogranulomatosis zvisingazivikanwi kusvikira pakupedzisira. Kunyanya kushingaira kuidzidzwa navanachiremba ihuwandu hwehutachiona hwechirwere, kunyanya, hunobatanidzwa nehutachiona hweEpstein-Barr.
Zviratidzo zveLymphogranulomatosis
Muchikamu chekutanga, chirwere ichi chinoramba chisingazivikanwi, uye chinhu chimwe chete chinogona kukwezva kutarisa kwevarwere ndekuwedzera kwemuviri wecymph node, kushandiswa kwezvakawanda. Kazhinji lymph nodes pamutsipa inotanga kuvhara, asi pane dzimwe nguva node dze mediastinum, armpits uye groin dzinotanga kuitika; kazhinji kazhinji - retroperitoneal nodes.
Nhengo ye lymph node yakakura haisi pamwe nekunzwa kunorwadza. Dense, yakasununguka inogadzikana inonzwika, iyo inotevera inova yakaoma uye isingasviki.
Kuteerera zviratidzo zve-lymphogranulomatosis, mumwe haagoni kukundikana kuona chiratidzo chakakosha zvakadaro semuviri wepamusoro wemuviri, usingagoni kugumburwa kana naApirin, Analgin, kana antibiotic. Kazhinji kazhinji, fivha inotanga usiku uye inofambidzana nejinga rinorema, risina chills.
Mumakumi matatu ematatu ezvirwere, chiratidzo chekutanga che lymphogranulomatosis chikafu chinopisa, chisingagoni kubviswa nemhando ipi zvayo.
Uyewo, varwere vanonyunyuta pamusoro pekutambudzika mumusoro, mapfundo, kuderedza chido, kuneta. Pane uremu hunopinza hunoreka.
Kuongororwa kwe lymphogranulomatosis
Kubva pane kunyunyuta kwemurwere pamusoro pefivha uye lymph node yakawedzerwa mune imwe chikamu chemuviri, chiremba angafungidzira lymphogranulomatosis, uye kuongorora ropa kunobatsira kunyatsoongorora zviratidzo. Saka, mu laboratori, neutrophilic leukocytosis, chizvarwa kana absolute lymphocytopenia, kuwedzerwa kweyerythrocyte sedimentation rate inowanikwa. Platelets muzvikamu zvekutanga zvechirwere, sekutonga, ndeyezvakanaka.
Kuwedzera kuongororwa kunosanganisira kusagadzikana kwekodhi yakatanga kurohwa. Mune biopsy, iyo inonzi "giant Reed-Berezovsky-Sternberg" masero uye / kana maseki eHodgkin anowanikwa. Vanoitawo ultrasound yenhengo dzomukati uye mapfupa emasopa biopsy.
Nzira yechirwere ichi uye kufungidzira
Mukuwedzera kune lymph nodes, chirwere mune dzimwe mamiriro ezvinhu chinokanganisa chirwere, mapapu, chiropa, mapfupa emapfupa, chirwere chinotyisa, mafungiro. Mukurwisana nemamiriro ezvinhu ekudzivirira kwehutachiona, zvirwere zvehutachiona uye hutachiwana zvinowedzera, izvo zvinogona kuwedzera kunyanya pashure pemasikati uye chemotherapy . Kazhinji kazhinji yakanyorwa:
- herpes zoster;
- toxoplasmosis ;
- pneumocystis pneumonia;
- Candidiasis;
- meningitis.
Kune zvikamu zvina zve lymphogranulomatosis:
- Dumbu racho rinowanikwa munzvimbo dzemuLymph nodes kana kunze kwadzo mune imwe nhengo imwe chete.
- Dumbu racho rinokanganisa lymph nodes munzvimbo dzakawanda.
- Chirwere ichi chinopfuurira kumakirini emakumbo maviri kumativi maviri emutsara, chirwere chacho chinotambudzwa.
- Dumbu racho rinokanganisa chiropa, utumbo uye dzimwe nhengo.
Sekurapa kwe lymphogranulomatosis, chemotherapy inoshandiswa pamwe chete ne radiotherapy kana zvakasiyana. Uyewo, kusiyana kwehutano nehuwandu hwemakemikarirapeutic mishonga inogamuchirwa, mushure mokunge murwere wacho akashongedzerwa nemafuta emapfupa.
Nezvokurarama kwehupenyu kwe lymphogranulomatosis, kusanganiswa kwehutano kunopa kuregererwa mumakore gumi kusvika makumi maviri mu 90 muzana yevarwere, iyo inonyanya kuratidza. Kunyange muzvikamu zvekupedzisira zvechirwere, sarudzo yakasarudzwa yakarongwa inopa 80% yemhosva makore mashanu ekuregererwa.