Ekuboneni kokuqala, i-lymphoma kunye ne-lymphedema ngamagama abonakala ngathi ayenxulumene, kodwa abhekisela kwiimeko ezahlukileyo. I-Lymphoma ngumhlaza weeseli zegazi ezimhlophe ze-lymphocyte ngelixa i-lymphedema i-accumulation of fluid, okanye i-lymph, kwiishubhu ezithambileyo ezihamba kunye nokuvuvukala. Ngokuqhelekileyo umntu ufumana i-lymphedema njengengalo evuvukileyo okanye umlenze.
I-lymphedema ibangelwa ngokususwa okanye ukulimala kwi- lymph nodes yakho njengenxalenye yonyango lomhlaza. Kungenxa yokuba umdlavuza webele uxhomekeke kakhulu kwezinye iidrari, izazinzulu zineenkcukacha ezininzi malunga ne-lymphedema emdlalweni wesibeleko; nangona kunjalo, i-lymphedema inokuthi ivele kwiintsholongwane zeekresi zazo zonke iintlobo ezahlukeneyo, kuquka iintlobo ezahlukeneyo ze-lymphoma . Inani labantu abane-lymphedema kulindeleke ukuba landa kakhulu kwiminyaka elishumi elizayo okanye kunjalo ngenxa yezinga eliphezulu lokusinda emva kokwelashwa komhlaza.
Izizathu
I-lymphatic system ifana ne-circulatory system in reverse: iqokelela i-fluid kumathishini omzimba kwaye iyayifaka kwakhona emithanjeni yakho. Inkqubo yemijelo, ehlangene kunye nama-lymph nodes, inemihlaba eyahlukeneyo okanye "amagunya." Ngokomzekelo, i-lymph nodes kwindawo yokulima ixanduva lokucoca kunye nokucoca i-tissue fluid kunye ne-lymph emilenzeni, ngelixa i-lymph nodes kwi-armpits yanceda ukucoca kunye nokuhlunga i-lymph ephuma kwiingalo.
Xa into ephazamisa ukugeleza kwe-lymph okanye iyakwenza ukuba ijikeleze ngokufanelekileyo, oku kungakhokelela ekubeni lymphedema kwindawo ethile yomzimba. Kwimeko yesakhiwo se-lymph in groin, umzekelo, ukukhutshwa kungabangela ukuvuvukala komnye okanye imilenze yomibini. Kwiimvulo, emva kokuhlinzwa kunye ne-radiation yomhlaza wesifuba, kunokubakho inqabana okanye iindidi zeethambo ezinobumba ezivimba ukukhupha kwe-lymph, okanye i-lymphatics ngokwabo ingasebenzi kakuhle emva kokonyango.
Kukho ezinye izizathu zengalo kunye nokunyakaza komlenze kungabikho ngenxa ye-lymphedema, ukuqinisekisa, kwaye umsebenzi wakho ugqirha kulezi ziko ukucacisa ingxaki.
Iimpawu kunye neengxaki
Ukuba ukuqokelela kwamanzi kunye neeprotheyini kwiimfucu ziqhubeka, oku kungakhokelela ekusebenzeni okuvuthayo, ngokufakela i-fat fatition and scarring, kunye nokunyakaza okusisigxina, okunyanzelekileyo kuya kukhulula kwamalungu omzimba achaphazelekayo. I-Lymphedema inokuveza iimpawu eziphazamisayo, ezinje:
- Ukuqina kancinci
- Ukunciphisa amandla okuhambisa amajoyina
- Ukuxakeka kwiinyawo ezichaphazelekayo
- Iintlungu kunye nentlungu
- Izifo ezifayo.
Lymphedema kunye neLymphoma
Ukulandela unyango lomhlaza, ukucinywa okanye ukutshabalalisa izakhiwo ze-lymphatic by operation and radiation kungakhokelela ekubeni lymphedema. Unyango lwezonyango ezibandakanya i-lymph nodes zingonakalisa iindlela ze-lymph drainage, ezibangela ukuba i-lymph fluid iqokelele kwimilenze kunye nemibutho.
Nangona ngokuqhelekileyo kungabonakaliswa njengempawu yokubonisa i-lymphoma, i- lymphedema inokubangelwa kwi-lymphoma , ngokwayo okanye ukuphindaphinda kwayo. I-Lymphedema echaphazela umlenze owodwa iye yabikwa njengentetho engabonakaliyo yokuqala ye-lymphoma, ikakhulukazi kwabasetyhini, kwaye ngokuqhelekileyo ne-lymph nodes evuvukileyo kwindawo yokulima okanye isifo esiswini esiswini. I-Lymphedema ngenxa ye-lymphoma inokuthi ivele kwezinye iindawo kunye, xa ukuhamba kwe-lymph kuvinjelwe ubunzima obukhulu, umzekelo.
Lawulo
I-Lymphedema ithathwa njengesimo esingapheliyo. Nangona ikwazi ukulawulwa, ayibonakali njengemeko enokunyangwa ngokuqinisekileyo. Abaphandi bazama ukuphucula imeko, nangona kunjalo.
Unyango oluqhelekileyo lwe-lymphedema yinto eyaziwa ngokuba yonyango lokunyanga, okubandakanya ukuzivocavoca, ukugqoka ingubo yokunyanzeliswa, ukunakekelwa kwesikhumba kunye nokusikwa kwe-massage kunye ne-lymph drainage.
Ngamaxesha athile ukuhlinzwa kuyadingeka kwiimeko ezinzima okanye kwiimeko ezingagxininiswa nokunyanga okunyanga.
Unyango
Kukho iintlobo ezibini zokwenza uphando nge-lymphedema: ukuhlinzwa okubhaliweyo / ukuxhatshazwa kwemicimbi kunye nokuhlinzwa okwenziwa ngumzimba / umzimba.
Iinkqubo ezithintekayo okanye ezithintekayo ziye zasetyenziswa ukususela ekuqaleni kwaphakathi kwe-20 leminyaka . Ezi zindlela zinciphisa umthamo wezitho ezivuvukileyo, kodwa ziyakwazi ukuchithwa ngobunzima obubanzi kunye nezinye iingxaki. I-liposuction isusa izicubu ze-adipose ukwenzela ukunciphisa umthamo womlenze, nangona kunjalo, kufuneka usebenzise i-long-term compress treatment.
Ukuhlinzwa okusebenzayo okanye kwe-physiologic kubandakanya ukudluliselwa kwe-lymph node (VLNT) kunye ne- lymphovenous bypass . Ezi ndlela zisebenzise ngoku kutshanje, ngoko ke kuncinci kwaziwa malunga neziphumo eziqhathaniswayo kunye neenkcukacha malunga nobuchule obuchanekileyo ukwenzela ukwandisa iziphumo. Nangona kunjalo, iziphumo zithembisile ngoku, eziye zadala intshiseko. Zombini zombini zame ukuzama ukuhambisa ezinye ze-fluid ezigcinwa kubuya kwi-systemous venous system. Zomibini nazo ziyingxaki ezinzima zokuthi zithathwa njengezinto ezinobuncwane, apho kudibaniswa khona amancinci amancinci - kwaye i-lymphovenous overpass ukuya kwinqanaba elingaphambili, yeso sihlandlo ngamanye amaxesha kuchazwa ngokuthi "super" ukuhlinzwa okuncinci.
- Kwi-lymphovenous bypass, izitya ze-lymphatic zisebenzisana neepilisi ezincinci - utyando olunobunzima obunzima ukuzama ukubuyisela kwakhona i-plumbing.
- Kwi-VLNT, oogqirha baboleka i-lymph nodes kwindawo ethile yomzimba kwaye bawafakelwa ngegazi kunye neoli ejikelezileyo kwindawo echaphazelekayo yi-lymphedema. Kulo uphando, ngokwenene utshintshela.
Enye yezinto ezahlukileyo malunga ne-VLNT kukuba uyadlulisela "isikhungo se-immunological" esisebenza kwindawo eyonakalisiwe-nokuba ngaba utyando, umbane wenye into. Kuyathakazelisa ukuba zonke izifundo zeklinikhi ukude ne-VLNT zibonise ukuphuculwa kwintsholongwane yesikhumba - ngamagama ekliniki njengengxaki ye-erysipelas, i-lymphangitis, kunye ne-cellulitis - emva kokudluliselwa kwe-lymph node.
Ikhonkco kwiNgcazo yeCancer
Akukho bubungqina obu ngolu hlobo, kodwa umbuzo onomdla ngoku okwenziwa ngabaphandi njengoko bezama ukuqonda ukusebenzisana phakathi kwesistim somzimba kunye nomhlaza.
Ngakolunye uhlangothi, i-lymph node ihlala isuswa kwiintlobo ezahlukeneyo zeekhensi. Uninzi lweentsholongwane zomhlaza ekuqaleni ulungelelanisa okanye usasazeka ekugqibeleni i-lymph nodes ngokusebenzisa iziteshi zelymphatic phambi kokuba zisasaze kwezinye iisayithi emzimbeni, ngoko-ke i-lymph node zesigulane somdlavuza zihlala zisuswe.
Ngakolunye uhlangothi, abanye abaphandi baphawula ukuba i-lymph node dissection kwi-melanoma yeengalo ayikhuthazwa kuba ayiphuculanga ukusinda. Kwezinye iimeko kunye namanye amachiza, kusenokwenzeka ukuba ukukrazula i-lymph nodes kunokusebenza njengabagcini bamasango ekukhuselweni kwe-tumor, oko kuthetha ukuba ukususwa okungadingekanga kunokubangela ukuba i-prognosis ihlupheke.
Ezinye iziphumo kwizifundo zezilwanyana zibonisa ukuba ukuhamba kwe-lymph kudlala indima ebalulekileyo ekuveliseni iimpendulo ezikhuselweyo ze-immune kwaye ukuba ukungasebenzi kakubi kwe-lymphatics kunokwenene kukukhuthaza ukukhula kwezicubu eziphambili. Sekunjalo, izazinzulu ziqala ukufundela nokuqonda izinto "nge-tumor microenvironment" kunye ne-tumor immunology, kwaye le yindawo echaphazelekayo yophando, enemibuzo emininzi.
Imithombo
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Massini G, Hohaus S, D'Alò F, et al. I-Cell Exposure Lymphoma Ukubuyela Kwi-Lymphedemat Arm Arm. IMediterra J Hematol Dis 2013; 5 (1): e2013016.
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