Siyawazi umdlavuza we-lymphatic njenge isifo esihlelekile futhi esiqhubekayo nokuthi inomsuka wayo ezithweni ezingaphansi kohlelo lwe-lymphatic, olufana nobende noma ama-lymph node.
Kungumphumela wokwanda okungalawuleki, kanye nokubi, kweseli ngalinye lesistimu ye-lymphoid.
I-Epidemiology nezici zobungozi
Umdlavuza weLymphatic noma eyaziwa nangokuthi i-lymphoma, uma kwenzeka izehlakalo eziphakathi kuka-5 no-7% wesinye sezimbila zezinja.
Njengoba kutholakala cishe ku-80%, izicubu eziyi-hematopoietic, Lezi yizo ezihlobene nezicubu ezibhekele ukukhiqiza amangqamuzana egazi.
Imvamisa lesi yisifo ukuthi kuthinta izinja ezindala (Yini ephakathi kweminyaka emi-5 nengu-11 ubudala) futhi futhi sinolwazi lokuthi kukhona okungahle kwenzeke, okuwubuhlanga.
Yize isizathu esenza ukuthi lesi sifo sivele singaziwa, kushiya eceleni isakhi sofuzo, uma kukhona okusolwayo ukuthi kunengozi ethile, kungaba yilezo zemvelo, kanye nokuthi bavezwa yigciwane noma ngenxa yezimbangela ezilwa nokuzivikela ezifweni, njengokusebenzisa i-cyclosporine noma omunye umuthi lokho kungukuzivikela komzimba.
Ihlukaniswa kanjani?
Umdlavuza weLymphoma ungahlukaniswa kucatshangelwa izindlela ezahlukahlukene, njenge lapho itholakala ku-anatomy yayo, i-histology, ngayinye yezimpawu zayo ze-immunophenotypic noma ngabe iyimolekyulir.
Ngokubheka ukuthi ikuphi, singathola izinhlobo ezilandelayo zomdlavuza we-lymphoma:
I-multicentric: Yilona olwenzeka kaningi ezinjeni futhi lwenzeka njenge-lymphadenomegaly, ejwayelekile kanye nhlangothi zombili.
Amaphesenti amancane nawo angaba nezimpawu ezingacacisiwe futhi ezihlobene, njenge umkhuhlane, ukungabi nalutho, noma i-anorexia. Lokhu kuyinto engancika ezithweni ezithintekile, okuvame kakhulu ukuthi kube khona isifo se-splenomegaly, mediastinal, isibindi noma umnkantsha futhi okutholakala, phakathi kwezinja eziyi-10% no-20% ezingaba ne-hypercalcemia , okuyi-paraneoplastic syndrome ejwayelekile.
I-mediastinal: Isici salokhu ukuthi kuyinto lymphadenomegaly, Elivela Izigaxana mediastinal, okuyinto kubangele kokucindezelwa efika kusho ubukhona bokukhwehlela, ukungabekezelelani komzimba noma i-dyspnea, phakathi kwezinye izinto.
I-alimentary noma eyaziwa nangokuthi, njengamathumbu: Lokhu kungenzeka ngesimo semisa eyedwa noma esabalele kulo lonke ipheshana. Into esemqoka ukuthi kubangela izimpawu ezisemathunjini, lapho zingatholwa khona kubandakanya ubende kanye nesibindi.
I-extranodal: lokhu kukhona ubukhona bayo ku- kuthinta isitho esithile, njengesikhumba, izinso, amehlo noma nohlelo lwezinzwa.
Kunjani ukuxilongwa nokwelashwa?
Ukuxilongwa kuvame ukwenziwa ngokusebenzisa okumbalwa amasu angama-immunohistochemical, okungamasampuli atholakala nge-biopsy, kepha-ke kubaluleke kakhulu ukuthi kwenziwe ukuhlolwa okukodwa kokunye, ukuze ukunwetshwa komdlavuza we-lymphatic kuhlolwe kahle
Ukwelashwa okusetshenziselwa I-Multicentric Lymphatic Cancer ezinjeni, yi-chemotherapy.
Kubalulekile ukuthi udokotela wezilwane akhulume nomnikazi wamathuba athile okuxolelwa, kanye namazinga okusinda, amanani entengo, ubude besikhathi nemiphumela engemihle engaba khona, okubangela lokhu kwelashwa.
Into eseduze ukuthi izinja ezingama-90% ezigulayo zingathola okuthile okungcono.