Xa siva malunga ne-lymphoma, asiqhelekanga sicinge ngeso. Nangona kunjalo, i-lymphoma ye-conjunctiva, izicubu zangaphandle ezicacileyo ezibandakanya inxalenye emhlophe yelizwi elibizwa ngokuba yi-sclera, liqhelekile kunokuba ungacinga.
Yintoni iLymphoma?
I-Lymphoma uhlobo lomhlaza wegazi ovela kwi-lymphatic system okanye i-lymph nodes. Iisisulu ze-lymphoid zikhona kuwo wonke umzimba.
Inkqubo ye-lymph ivelisa iiseli ze-immune kwaye ixhunyaniswe kuwo wonke umzimba ngeziteshi kunye neendlela. Ezi ziteshi zidlulela kwii-lymph node zengingqi ezitholakala ngokuyinhloko entanyeni, emagqabini, e-groin, nangesisu. Zisebenza ukukhupha umkhuhlane ukusuka emzimbeni uze uzibuyisele kwinkqubo yesistim. I-lymphoma kukukhula okungaqhelekanga kweethambo ze-lymphoid.
Kukho iintlobo ezimbini ezibalulekileyo ze-lymphoma, i-Hodgkin's lymphoma kunye ne-non-Hodgkin's lymphoma (NHL). I-Lymphoma iquka uhlobo lweeseli ezimhlophe zegazi ezibizwa ngokuba yi-lymphocytes. Oogqirha abaziqondi oko kubangela i-lymphoma. I-lymphoma ijwayele ukuba yinto eqhelekileyo kubantu baseCaucasia. Kwi-lymphoma, i-lymph nodes ingakhuba kwaye iqhube kwizitho zomzimba. I-lymphoma inokubangela ukuba i-lymphocytic tumors.
I-Luniftival Lymphoma
I-ljunphomas conjunctival ivame ukukhula ngokukhawuleza phezu kwamehlo kwaye yinyama, imibala ebomvu edlalwa ngokuba yi "salmon-patch" izilonda.
Ngamanye amaxesha kunokubonakala lula kwiindawo ezimhlophe zeso kodwa ngokuqhelekileyo zikhula phantsi kwekhosiki kunye ne- cornea , isakhiwo esicacileyo se-dome esifana necala. I-lymphomas yokudibanisa ifunyanwe ngakumbi kubasetyhini kunamadoda kwaye kubonakala ngathi iphakathi kweminyaka eyi-50 no-70 ubudala.
I-Basal cell carcinoma, i-sebaceous cell carcinoma, kunye ne-melanoma ebulalayo iindawo ezinomdla eziqhelekileyo ezichaphazela ijwabu leso kunye nesikhumba ecaleni kwiso.
Nangona kunjalo, i-lymphoma ngumhlaza oqhelekileyo ofumaneka kwiso ngokwawo. I-Lymphoma ifumaneka kwi-conjunctiva malunga ne-40% yexesha. I-conjunctival lymphoma inokuthi ithathwa njenge-primary lymphoma, oku kuthetha ukuba i-lymphoma ihlala kwiso kwaye ayifumananga ndawo kwenye emzimbeni. Ngakolunye uhlangothi, kunokuthi kuqwalaselwe i-lymphoma yesibini, okanye imeko evela kwi-systemic lymphoma evela kwenye indawo emzimbeni.
Iimpawu
Izigulane zivame ukutyelela ugqirha ekhalaza ngokubomvu kweso, ukuma, okanye ukucaphuka. Bayiqaphela ukuguqulwa kwesiso sabo esimhlophe esimhlophe. I-conjunctival lymphomas inokukhula ikhulu ngokwaneleyo ukuze ichithe i-eyeball ngokwayo kwaye ingabangela ukuthintela ukuhamba kwamehlo kunye nemibono emibini. Ukuba i-tumor ikhula emva kweso, iliso linokubonakala liphakanyisiwe okanye liqhutyelwa phambili. Nangona ingaqhelekanga, i-lymphoma inokukhula ngokwaneleyo ukunyanzelisa i-nertic optic kwaye ibangela ukulahlekelwa kombono. Kwakunqabile ukuba, i-lymphomas ephakamileyo ngaphakathi kweso lingabangela ukukhulula okukhulu kunye ne-optic neuropathy.
Unyango
I-conjunctival lymphomas iyakwazi ukuphathwa ngempumelelo. Yintoni ebaluleke kakhulu kukuba oogqirha bahlule kwaye batyelele i-lymphoma. Nangona udidi luba luyinkimbinkimbi kwaye lukho ngaphaya kwelo nqaku, ezininzi i-lymphomas ezihlangeneyo zihlelwe kwiintlobo ezingezizo ze-Hodgkin.
Iintlobo ezingezizo ze-Hodgkin nazo zingaphulwa phantsi kwi-MALT lymphomas (i-mucosa-ehlobene-i-lymphoid-tiscu) kunye ne-MALT lymphomas. I-MALT i-lymphomas iqhelekile kwaye ilandele inkambo engapheliyo kodwa i-non-MALT i-lymphomas ingaba yingozi kwaye ihlasele izicubu. Ezi zihlulo zenziwe ngophando lwe-biopsy kunye ne-cytometry.
Ugqirha wakho uza kugqiba uvavanyo lwezokwelapha ukufumana ukuba i-lymphoma ikhona kwenye indawo emzimbeni wakho. Uninzi lwolu vavanyo lwenziwa yi-oncologist. Xa i-lymphomas ikhona kwiso nakwezinye iindawo, zinyangwa nge-EBRT-yangaphandle yonyango lwe-radiation.
Ugqirha wamehlo uya kulandela isigulane esiphantsi kwemisebe ye-ocular ngokusondeleyo ngenxa yemiphumo echaphazelekayo enjengejiso elomileyo , uphuhliso lwe-cataract, i-nicopathy optic neuropathy, i-optic atrophy kunye ne-glaucoma ye-neovascular. Ngamanye amaxesha, ukuchithwa okulula (ukususa ngokugqithisileyo isilonda) kungenziwa ngokuqwalasela ngenyameko.
Umthombo:
I-Conjunctival Lymphoma, iSowka, J., iGurwood, A., Kabat, A., iphepha 21A-22A. I-Handbook ye-Ocular Disease Management, isongezelelo sokuhlaziywa kwe-Optometry, ngo-15 Juni 2015.