Ubunzima Bokusela Utywala kunye Nendima e-Hodgkin's Lymphoma
Ukuba uye waziva ubuhlungu ngokusela utywala, kuthetha ntoni na? Yaye yintoni na eyenzekayo? Kutheni le nto ibonakala ixhaphake kubantu abaneHymgkin's lymphoma?
Ubuhlungu obunxilisayo kotywala: Yintoni engayi kuba nayo?
Ubuhlungu bokusela utywala sele budibene neHodgkin lymphoma, kodwa ngokubanzi, iintlungu ezinxulumene nokusetyenziswa kotywala zininzi kakhulu ngenxa yezinye iimeko.
Ngokukodwa, ukusela utywala obuninzi kunokuvelisa i-hangover eyaziwayo, ukuvakalelwa ngokungaqhelekanga, kunye kunye, ngezinye izihlandlo, ukucaphuka okanye intlungu kwindawo malunga nesisu, isophagus, pancreas, gallbladder, kunye nesibindi. Enyanisweni, ukusetyenziswa kotywala ngokugqithiseleyo kunxulumene neloluhlu olude lwezifo, izifo kunye nezifo ezingapheliyo.
Utywala ukungabandezeli ngokubhekiselele kwi-Lymph Nodes ezibuhlungu
Ubuhlungu kwi-lymph nodes emva kokusela utywala kwenzeka kwabanye abantu abane -lymphoma ye-Hodgkin , kodwa ayikho enye yeempawu eziphambili ekuxilongweni kwe-lymphoma . Enyanisweni, akunqabile.
Xa umntu unempendulo engalindelekanga kotywala kukho ininzi yamathuba. Uluhlu lwezifo okanye iimeko ziquka i-Hodgkin lymphoma, kodwa into ebizwa ngokuba yi-carcinoid syndrome, kunye ne-genetic endala ye-genetics: ukuguqulwa kohlobo lwe-gene edibanisa utshwala dehydrogenase (ininzi ifunyanwa ngabantu baseAsia).
Ukunyanzeliswa kotywala kunye ne-allergies ngenxa yezimpendulo ezingalindelekanga zokusela utywala. Ukunyaniseka kotywala kotywala kukholelwa ukuba kuyinto engavamile kwaye ihlala ihamba kwiintsapho, kwaye njengokunye ukunyuka kokutya kunokuthatha umngcipheko wokumelana ne-actic acid ( anaphylaxis ). Ngamanye amaxesha ukuxhatshazwa komzimba kuyenzeka kwisithako kwisiselo esinxilisayo, njengamaqhekeza okanye i-conservatives, kwaye kungekhona utywala.
Ukunyanzeliswa kotywala, okunokuthi kunxulumene neempawu zokuxhatshazwa, kunokufumana izizathu ezininzi. Ukungabikho kobutyebi be-enzyme yokuphuza utywala (utywala dehydrogenase) kunokukhokelela ekukhawulezeni (kunye nokuqhubekayo) ukuxilisa. Isifo seCeliac (ubunene be-gluten), ukunganyamezelani kwe-histamine , ukunyuka kwengqolowa , kunye ne- sulfite, ukungabikho kokunyanzeliswa kotywala.
I-carcinoid syndrome yinto engabonakaliyo kwaye idibene naluhlobo oluthile lwe-tumor ekhula ngokukhawuleza, okanye izicubu ze-carcinoid, ezikhupha i-serotonin. I-Serotonin ngumthunywa weekhemikhali ongakwazi ukuvelisa iimpawu ezibizwa ngokuba yi "carcinoid syndrome" kuquka iintlungu zesisu, ukuxubha obomvu entanyeni, ubuso kunye nesifuba, isifo sohudo, ukubethelwa, kunye nokuvutha, kwaye ezi zibonakaliso zingaphawulwa ngotywala kwezinye matyala.
Ukunyanzeliswa kotywala kudibene nokusetyenziswa kwamachiza athile kuquka i-Antabuse (disulfiram) kunye neFlagyl (metronidazole).
Utywala lwe-Alcohol eHodgkin Lymphoma
Ubudlelwane beentlungu zotywala kunye ne-Hodgkin isifo bubuyela kwiminyaka emininzi. Kuhlalutyo luka-1966 oluchaza izigulane ezingama-747 ezineentlungu ezibangelwa utywala ezinxulumene nezimo zomhlaza, iHodgkin lymphoma ibe ngama-40 ekhulwini.
Ezinye izibini ezimbini ukuhlaziywa ngo-1994 kunye no-2013 zixubusha umbutho kodwa zikho ezimbalwa izifundo ezikhoyo.
Phantse isiqingatha sabantu abane-lymphoma baya kwandisa i-lymph nodes . Ezi nodes aziqhelekanga zibuhlungu ekuthinteni, nangona zingakwazi ukuzithenga. Kwamanye abantu, i-lymph nodes ezichaphazelekayo zinokuba zibuhlungu emva kokusela utywala, kwaye oku kubonakala kuqhelekile kubantu abaneHodgkin lymphoma.
Yintoni ejongene nentlungu enxulumene notywala kwisifo sikaHodgkin? Iingcali zesazi azizi iindlela ezicacileyo okanye zizathu, kodwa kukho iingcamango ezininzi. Abanye bakholelwa ukuba intlungu ihambelana nokunyuka kweempahla ngaphakathi kwe capsule ye-lymph node emva kokutyalwa kotywala kwigazi.
Kwimeko enye ingxelo, intlungu eyenziwe ngotywala ixhaswe ngu-Advil (ibuprofen), kwaye ekubeni u-Advil wenza umthunywa weemichiza ogama lingu-prostaglandin , ababhali bacacisa ukuba inkqubo ye-prostaglandin ingabandakanyeka.
Ukuba unayo isifo sikaHodgkin kwaye ukuba unolu hlobo lokusabela kotywala, awaziwa ukuba ukunyanzeliswa kotywala kutyhila okanye kuchaza nantoni na ngokubhekisele kwisigxina okanye ukuchazwa kwesifo.
Umzekelo Umzekelo - Umntu omdala oneminyaka engama-31 ubudala kunye nobuhlungu emva kweSips yoTywala
Ngo-2013, uDkt. Andrew Bryant noDkt. John Newman waseVanderbilt kwiYunivesithi yezoLwaphulo lweYunivesithi bachaze imeko yendoda eneminyaka engama-31 ubudala eya kwiklinikhi yayo enobuhlungu obukhulu beentlungu ezaqala imizuzu emva kokudla i-sps . Le mpendulo yayisenzeka kwiinyanga ezintathu zangaphambili. Isigulane asizange sibuhlungu xa sigxina ezinye i-liquids okanye iziqulatho, kwaye intlungu yakhe yaxhaswa ngamanqanaba aphantsi e-ibuprofen.
Kwimeko yesigulane esithile, i- lymph node kufuphi nomphunga welungelo, intliziyo kunye nesithintelo (i-lymph nodes) zithathe i-Hodgkin. Ukongeza kwintlungu ebusweni sakhe kunye nokuphuza kotywala, wayenamafiva ngezihlandlo, ubusuku bobusuku kunye ne-malaise jikelele (i-malaise iyigama elithetha ukungahambi kakuhle). Ukucingwa kunye ne-biopsy enye ye-lymph nodes engavumelekanga kukhokelela ekuxilongweni kwe-Hodgkin lymphoma.
ILizwi
Utywala lwe-Alcohol ayiyinto eqhelekileyo, eqhelekileyo okanye ebonakalayo ebonakalisa i-lodphokin ye-Hodgkin, nangona kunjalo i-lymph nodes after pain consumption is a symptom ekhutshwe kaninzi kubantu abane-Hodgkin's disease. Abantu abane-Hodgkin lymphoma bangahlakulela iimpawu ezahlukileyo, kodwa imeko eqhelekileyo ekuxilongweni yandisa i-lymph node okanye enye into. I-lymph nodes zingaphuliswa entanyeni, emagqabini, okanye e-groin, ezibangela intonga engenakuphunga, okanye ngaphakathi kwesifuba, efunyenwe kwizifundo zokucinga. Ngokuqhelekanga, abo abane-Hodgkin lymphoma banokulahlekelwa ngumzimba, ukukhupha, ukukhupha okanye ukugubha ebusuku, kunye neempawu ezibizwa ngokuba yi- B ze-lymphoma .
Ukuba uva ubunzima emva kokusela utywala okanye uxhalabele malunga neempawu ezingavamile okanye ukuphendula emva kokusela utywala, yenza isigqibo sokuthetha nodokotela wakho. Nje ngeemeko ezinjenge-gluten uzwela, kungathatha ixesha lokufikelela emzantsi weempawu zakho. Unokufuna ukuqala iphepha lokutya ngelixa ulindele ukutyunjwa kwakho kunye nomzimba wakho ukuba uqaphele nayiphi na enye impawu onokuyenza.
Imithombo
- Brewin, T. Inxiliseko yoTywala kwi-Neoplastic Disease. IBritish Medical Journal . 1966. 2 (5511): 437-41.
- UBryant, A., noJ. Newman. Utywala Ukunyamezela Okudibene neHodgkin Lymphoma. CMAJ . 2013. 185 (8): imfundoE353.
- UClalahan, B., Coe, R., noH. Indawo. Izifo zeHodgkin ze-Spine ezithethwa njenge-Alcohol-Pain Pain. Ingxelo yeNgxelo kunye nokuHlola kweeNcwadi. Umbhalo we-Bone and Joint Surgery . 1994. 76 (1): 119-21.
- UKasper, uDennis L .., u-Anthony S. Fauci, noStephen L. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: Mc Education, 2015. Print.