Cudurrada cagaarshowga ah ayaa si sii kordheysa loo ogaan karaa da 'yar, sidaa darteed waalidiintu waxay u baahan yihiin inay had iyo jeer fiiriyaan caafimaadka cunugga. Lymphogranulomatosis waxaa lagu ogaan karaa heerarka koowaad ee horumarka, gaar ahaan carruurta. Horaantii daaweynta cudurka dabiiciga ayaa bilaabmaysa, sinnaanta fursadaha soo kabashada.
Lymphogranulomatosis - sababa
Weli lama ogeyn sababta uu cudurku u saameeyaa jidhka, iyo arimahee ayaa waxtar u leh tan. Waxaa jira aragti ah in cudurka Hodgkin (lymphogranulomatosis) uu ka soo horjeedo asalka dawladaha soo socda:
- mononucleosis infekshan oo ay keento fayraska Epstein-Barr ;
- calaamadaha difaaca jirka;
- genetics.
Marxaladaha lymphogranulomatosis
Cudurka qallalka ah ee ku xeeldheer wuxuu sii soconayaa marxaladaha. Iyadoo la tixraayo darnaanta calaamadaha bukaan-socodka iyo xaddiga pathology ee Hodgkin's lymphoma ee carruurta waxay ku dhacdaa 4 marxaladood:
- Saameeyeen hal unug (cagajugleyn, thymus) ama limfa noodis, badi ahaan ilmo-galeenka ama subagga. Calaamaduhu waa maqan yihiin ama aan la dareemin.
- Unugyada isku-dhafan waxay bilaabaan inay u guuraan, kuwaas oo isbeddelaya qaab-dhismeedka xubnaha gudaha ee gudaha iyo kooxo qanjidhada noodhexe ku yaal dhinac dhinac.
- Habka loo yaqaan pathology, dhismayaasha ka fog ilaha koowaad ayaa ku lug leh. Wuxuu saameeyaa qanjirada nudaha labada dhinac ee diaphragm. Qaybaha qanjidhada ayaa kor u kaca.
- Isbeddelada qaadashada qeybin kala duwan. Pathology ayaa ka sii daraysa waxqabadka beerka, dhuuxa lafaha, sanbabada iyo xubnaha kale.
Lymphogranulomatosis - calaamadaha carruurta
Cudurka Hodgkin waa mid aad u dhif u ah kahor inta uusan gaarin da'da 5 sano, ilmo ka yar da'da 1 sano, marna ma dhicin. Si loo ogaado cudurka lymphogranulomatosis ee carruurta marxaladda hore way adagtahay, calaamadaha ugu horreeya waa maqan yihiin ama aan kala duwaneyn:
- xannuun aan lahayn xanuunka qanjirada ;
- murugo, nacayb;
- hurdada;
- heerkulka jirka oo sareeya (qiyaastii 37 darajo).
Tartiib tartiib ah, jaantusyada taxanuhu waxay kicinayaan oo si joogta ah loo ilaaliyaa. Sidaa daraadeed Hodgkin's lymphoma ayaa ka socda - calaamadaha carruurta:
- dhidid badan, inta badan habeenkii;
- madax xanuun ;
- cuncun;
- qandho;
- la'aanta cunto xumo;
- miisaan lumis;
- qufac;
- neefsashada oo adkaata;
- u nuglaanshaha cudurrada faafa;
- khalkhalka bukaanka;
- is-baddelka joogtada ah;
- dareemida muruqyada muruqyada, kala-goysyada;
- naafanimada beerka iyo nidaamka wadnaha.
Lymphogranulomatosis - Cilad-sheegid
Xaqiiji in shaki laga qabo cudurka Hodgkin uu kaliya baaritaanka qiyaasta ah ee unugyada saameeya (biopsy). Calaamadaha caadiga ah ee lymphogranulomatosis maaha kuwo asaas ah oo lagu ogaanayo cudurka, sababtoo ah waxay la socon karaan cudurada kale ee aan ku dhicin. Calaamadaha caynkaas oo kale ah waxay u eg yihiin cudurada la isqaadsiiyo, tallaal-diidmo iyo jirdilaha maskaxda.
Falanqaynta lymphogranulomatosis
Marka la caddeeyo marxaladda cudurka Hodgkin, waxaa la isticmaalaa farsamooyin dheeraad ah oo lagu ogaanayo cudurka. Imtixaanka shaybaar ee qasabka ah si loo xaqiijiyo lymphogranulomatosis ee carruurta waa baaritaanka dhiigga (guud ahaan iyo biochemical, dhaqdhaqaaqa fosfatase alkaline ee serum). Waxay ka caawisaa in lagu garto astaamaha beerka iyo dhiig-yaraan, si loo ogaado joogitaanka iyo darnaanta jiritaanka bararka jirka.
Noocyo kale oo daraasado ah oo u oggolaanaya in lagu ogaado cudurka lymphogranulomatosis ee carruurta:
- sawirista magan-galka magnetic-ka ama sawir-dhejiyadeed;
- baaritaanka galium-67;
- Afka (trepanobiopsy) ee dhuuxa lafta;
- Raajo;
- baaritaanka ultrasound.
Lymphogranulomatosis - daaweyn
Hababka ugu muhiimsan ee la dagaallanka cudurrada Hodgkin ee carruurta waa fayruska, shucaac iyo isticmaalka mukhaadaraadka astaamaha ah. Xaalad aad u dhif iyo naadir ah, marka hababkani aysan soo saarin saameynta la filayo, cudurka cudurka lymphogranulomatosis wuxuu ku xiran yahay daaweyn qalliin. Hawlgalku wuxuu ku lugleeyahay dhuuxa lafo-beelka ah ee ka yimaada deeq-bixiyaha ugu waxtar badan.
Lymphogranulomatosis ee carruurta - talooyinka rugta caafimaad
Habka daaweynta kiimiko (chemotherapy), ilmuhu wuxuu isku maraa dhawr nooc oo daawooyin ah, oo isku dhafan kaas oo bixiya dulmiga unugyada tumingka. Waxaa jira 4 nidaamyo casri ah oo casri ah kuwaas oo Hodgkin's lymphoma lagu daaweeyo carruurta - talo-bixinta bukaan-socodka waxaa ka mid ah kuwan soo socda:
- ABVD - adriamycin, bleomycin, vinblastine, dacarbazine;
- ACOPP - adriamycin, cyclophosphamide, onkovin, procarbazine, prednisolone;
- BEACOPP - bleomycin, etoposide, adriamycin, cyclophosphamide, onkovin, procarbazine, prednisolone;
- OEPA - onkovin, etoposide, prednisolone, adriamycin.
Lymphogranulomatosis ee carruurta waxaa weheliya cilladda xanuunka iyo calaamadaha kale ee aan fiicnayn, sidaas darteed, daaweynta astaamaha astaan ah ayaa lagu daraa:
- xanuunka;
- murqaha musqusha;
- suuxinta;
- hormoonnada;
- antibiotics;
- wakiilada fayraska;
- diuretics;
- xalka elektaroolitiga;
- daawooyinka mukhaadaraadka;
- antacids;
- saxaradaha isku dheelitirka acid;
- fitamiinnada iyo kuwa kale.
Lymphogranulomatosis - dawooyinka dadweynaha
Dawooyinka kale ma laha dawooyin waxtar leh kuwaas oo la qabsan kara burooyinka malignantiga ah, laakiin dabiiciga dabiiciga ah waxaa loo isticmaali karaa sida daaweyn waxtar leh ama dhaqan celin. Gaar ahaan waxaa lagula taliyaa in ay yihiin fitamiinada fitamiinada, haddii dhicitaanka Lymphoma ee carruurta lagu guuleysto. Waxay bixiyaan dib u soo kabsasho degdeg ah iyo taageerida difaac, caadigeynta waxqabadka hababka dheefshiidka, neefsashada iyo wadnaha.
Recipe for faleebo caafimaad
Waxyaabaha ay ka kooban tahay:
- laanta dabka - 1 kg;
- xididdada raspberry - 0,5 kg;
- sonkorta - 1 kg;
- biyaha - 0.5 litir.
Diyaarinta iyo isticmaalka:
- Dhaqso iyo walaaq qalabka khudradda cagaaran.
- Qashinka 3-litir oo nadiif ah wuxuu noqon karaa lakab-dab oo ka kooban qaybo - laamood, sonkorta, xididada casaanka ah, sonkorta ka dibna wax la mid ah.
- Shub biyo karkaraya oo dhan.
- Ka tag daawada 3 maalmood, kadibna dareeraha dareeraha.
- Qaado xal of 1 tbsp. qaaddo cuntada ka hor, 3 jeer maalintii.
- Daaweynta ugu dambaysa 10-11 maalmood.
Recipe for sharoobada daaweynta
Waxyaabaha ay ka kooban tahay:
- hooyada - 20 g;
- malab - 700 g;
- juice ee aloe - 500 ml.
Diyaarinta iyo isticmaalka:
- Isku qas dhamaan walxaha ku jira weel nadiif ah.
- Ku rid qaboojiyaha ilaa 7-9 maalmood.
- Waqtigaan ka dib, si taxadar leh u darso waxyaabaha ku jira.
- Qaado 1 tsp saddex jeer maalintii.
- Sii wad daaweynta ilaa 1.5 toddobaad.
Cawaaqibta daaweynta lymfoma ee Hodgkin ee carruurta
Daawooyinka kaneecada kiniiniga ah iyo cuncunka ayaa saameynaya ma aha oo keliya cudurada, laakiin sidoo kale unugyada caafimaad qaba. Carruurta ka dib markii uu Hodgkin's lymphoma ku dhaco dhibaatooyinka soo socda ee daaweynta:
- boogaha afkiisa;
- timo lumis;
- lallabbo;
- dhiig-baxa xuubka xabka;
- matag;
- xanuunnada dheefshiidka;
- la'aanta cunto xumo;
- sii xumaantii nidaamka wadnaha;
- dhaawaca maqaarka;
- luminta shaqooyinka taranka iyo kuwa kale.
Lymphogranulomatosis - prognosis
Cudurka qaaxada ee la baaray ayaa si fiican u la qabsan kara teraabiyada, bukaanada intooda ugu badan waa la daaweynayaa. Lymphogranulomatosis oo qaangaar ah iyo carruurta qabta heerka maskaxda 1-2aad waxay ku dhamaanaysaa cilladaha 90-95% ee kiisaska. Haddii baaritaankan la ogaado mar dambe, marxalado aad u daran, tilmaamahan waxaa la yareeyey 75-85%. Saadaalinta aan fiicneyn ayaa loogu talagalay bukaannada soo maray dib-u-dhac ku dhaca lymphogranulomatosis 12 bilood gudahood kaddib marka daaweyn buuxda lagu jiro.