I-Pel-Ebstein yenye yeendlela ezininzi zefiv
I-Pel-Ebstein iyimfiva ephezulu eqhubekayo ephakama kwaye iwele nganye iintsuku ezi-7-10 okanye njalo. Umkhuhlane ukhuphuka ngokukhawuleza, uhlala phezulu kweveki okanye njalo kwaye usondele kufuphi nokuqhelekileyo kwakhona, uhlala ngaphantsi kweveki. Emva koko le ndlela yokunyuka nokuwa kwayo iphinda iphindwe kwakhona. Ngaloo ndlela, oogqirha kufuneka bazi ukuba ubushushu bomntu buyenziwa ngaphaya kweeveki eziliqela ukwenzela ukufumanisa i-Pel-Ebstein fever.
Akunabo bonke abagulayo abanesifo seHodgkin banalo hlobo lomkhuhlane. Enyanisweni, kuphela abancinci banalo mzekelo. Nangona kunjalo, xa ikhona, inokuba yinkcazelo enamandla yokuphanda i- Hodgkin lymphoma inokufaneleka .
I-Fever enye yeempawu ezibalulekileyo zeHodgkin lymphoma, eyaziwa nangokuthi isifo seHodgkin. Lo mzekelo wesifo somkhuhlane waqanjwa ngamagqirha amabini aseYurophu, uPieter Pel noWilhelm Ebstein, owathi wagqiba waza wachaza umzekelo ngaphaya kwekhulu leminyaka.
Oku ngakumbi kwi-Pel-Ebstein Fever
Umkhuhlane omdala oqhelekileyo ubonakala kuma-35 ekhulwini abantu abaneHodgkin lymphoma; Nangona kunjalo, i-Pel-Ebstein-fever-high fever yeveki 1-2, ilandelwa ngumkhuhlane weeveki ezi-1-2-ibonakala ingapheliyo kwiHodgkin lymphoma.
UWilliam Ebstein wayengumgqirha waseJamani kunye ne-pathologist wachaza into ebizwa ngokuthi "i-pyrexia ephumayo eyenzeka kwi-lymphadenoma" ngo-1887. UPieter Klazes Pel wayechaze le nto ibonakalayo kunye neHodgkin lymphoma ezimbalwa ezimbalwa ngaphambili kwiphepha elifanayo, ngoko igama elithi Pel-Ebstein fever.
Ukususela ngelo xesha, kuye kwavela ingxabano malunga nokuba kaninzi kangakanani i-Pel-Ebstein fever eyenzekayo eHodgkin lymphoma. Abanye baye bacetyiswa ukuba, ngenxa yokuba igama lomkhuhlane lisekelwe kwimbali, abafundi beeyeza bangase baziqhelane ngakumbi ne-Pel-Ebstein kunye neHodgkin lymphoma kunokwakufanelekile, ngokusekelwe ekuthathaka kobudlelwane.
Nangona kunjalo, iifestile zexesha lymphomas zibhalwe kakuhle kwiincwadi zonyango. Nantsi ityala elichanekileyo ukusuka kwingxelo ka-1995 kwi "New England Journal of Medicine" eyayibonakalisa igrafu yokushisa komntu walo, igawula amaqondo okushisa aphezulu kwaye ihlale ijikeleza, iiveki ngaphezulu:
Ingxelo yeNgxelo:
Umntu oneminyaka engama-50 ubudala wayenomkhuhlane, ukukhupha ebusuku, kunye nokukhwehlela okungapheliyo kwiiveki ezili-10. Wathatha imithi yokuchasana nomkhuhlane ngexesha lexesha le-febrile. Umfazi wakhe wabhala ukushisa kwakhe kwii-56 kwiintsuku ezingama-71. I-Biopsy ye- lymph node ekwandiseni ngokukhawuleza i- lymph node yembula i-nodular sclerosing ye-Hodgkin's lymphoma. Izifo zesigulane kunye nezinye iimpawu zanyamalala ngokukhawuleza emva komjikelezo wokuqala we-chemotherapy.
Eminye kwiipateni zeFever
Iipateni zeFaver zichazwe kuzo zonke iintlobo zeemeko ezahlukeneyo, ezinokuba ngumthombo wokudideka-umz., Izifo eziphambeneyo, iimfiva ezilahlayo, iimfiva eziqhubekayo, amafiva aphindaphindiweyo, njl. Kwiimeko ezininzi, le meko ingabonakalisa kodwa ayikho into ethile nesifo esithile. Nangona kunjalo, apha iipateni ezithile apho oogqirha babecinga ngamanye amaxesha:
Ukubuyisela izikhuhlane ngezikhathi apho izigulane zingenayo intsholongwane enye okanye ngaphezulu kweentsuku phakathi kweengqungquthela zomkhuhlane zingabonwa nge-malariya , i-mal-bite bite, isifo se-Borrelia - udumo lwe-Lyme lwesifo kunye ne-lymphoma.
Iziganeko eziphindaphindiweyo zomkhuhlane ngaphezu kweenyanga ezintandathu zingaphakamisa izifo ezahlukeneyo zezifo, kubandakanywa ne- immunodeficiency states .
Ukufumana oko kubangela ukukhulelwa komkhuhlane kwezinye iimeko kukho inkqubo enzima kakhulu. Unokufunda okungakumbi malunga nesi sihloko kumfiva wemvelaphi engaziwayo, ye-FUO .
> Imithombo:
> I-NCCN Izikhokelo zoLwazi lweeNtsholongwane kwi-Oncology: iHodgkin Lymphoma. Version 2.2015. INational Cancer Network Network.
> Eichenauer DA, Engert A, André M, Federico M, Illidge T, Hutchings M, et al. I-Hodgkin's lymphoma: Izikhokelo ze-ESMO Clinical Practice Guidelines zokuxilongwa, unyango > kunye nokulandela. Ann Oncol . 2014 Sept. 25 Isibonelelo 3: iii70-5
> Schattner A, Keshet N. I-Pel-Ebstein isifo somkhuhlane: kungekhona nje i-lymphoma. Am J Med. 2010; 123 (7): e3.
> Racchi O, uRapezzi D, Ferraris AM, Gaetani GF. Umnxeba ongaqhelekanga ukubola kwesifo sikaHodgkin ngesifo sePel-Ebstein. Ann Hematol . 1996; 73: 39-40.
> Efanelekileyo G, iDiNubile M. Cyclic Fever kwiSifo seHodgkin (iPel-Ebstein Fever). N Engl J Med . 1995; 332: 436.