Ayikho i- leukemia okanye i-lymphoma ifumaneka ngumbono. Ukuxilongwa kokuqala kudla i-biopsy kunye nenani leemvavanyo zelabhoratri ezenziwa kwiisampuli zegazi kunye nezicubu. Ukujonga iimvavanyo ze-leukemia, ngokukodwa, akunakunceda njengakwezinye iintlobo zomhlaza ezenza izicubu.
Oko kwathi, nangokwe-leukemia, kwaye kaninzi kwi-lymphoma, imifanekiso eqingqiweyo ye-x-ray inokunika izikhombisi, eziye zithathwa kunye nezinye izixhobo zengcaciso, inokuba yinxalenye yempembelo ekugqibeleni ikhokelela ekugqibeleni i-biopsy kunye nokuxilongwa.
Ngokubhekiselele kwi-lymphoma , iipatheni zokubandakanyeka kwe-lymph node, ezinokuthi zityhilelwe nakubhokisi lwe-x-rays, lunokubaluleka kakhulu ekuncedeni ukunciphisa amathuba. Ayikho yonke i-lymph nodes evuvukalayo esifubeni i-lymphoma. Ezinye ii-cancer, ukusuleleka kunye nezifo ezingafaniyo ezifana ne-sarcoidosis inokuthi ityala. Ngamanye amaxesha i-lymph nodes evuyiweyo iindawo ezifikeleleka kalula kwi-biopsy, njengentamo; Nangona kunjalo, kwezinye iimeko-e-Hodgkin lymphoma, umzekelo-yodwa i-lymph nodes engumdlavuza inokuba yinto ephantsi ngaphakathi kwesifuba.
Iimifanekiso ze-X kwi-Leukemia - Amathambo kunye namaLymph Nodes
Ii-ray-ray, okanye iifilimu ezicacileyo, azisebenzisi ukuxilonga i- leukemia. Nangona kunjalo, i-x-ray isifuba sinokwenziwa ukujonga ukusuleleka kumaphaphu okanye ngesinye isizathu, kwaye i-x-ray ingabonisa kwakhona i-lymph node kunye nezinye izifo zesifo. Ezinye iintlobo ze-leukemia zingasasazeka kwi-lymph nodes njengoko eso sifo siyaqhubeka.
I-leukemia inokuvelisa utshintsho ekubonakala kwamathambo kubantu abadala nabachaphazelekayo. I-Osteopenia ibhekisela kumathambo angabonakali njengobunzima-kungekhona njengombala omhlophe kwimifanekiso-njengesiqhelo, kodwa angabonakali kwindlela ekubonakala ngayo kwi-osteoporosis. I-Osteopenia ihlala ifumana i-myeloma, i-leukemia, i-lymphoma kunye nezinye izifo ezininzi.
Ukongezelela, ii-radiologists, okanye oogqirha abachazela i-radiographic imaging, jonga iipatheni zokubandakanyeka kwezifo, okanye izilonda, esithambo. I-leukemia kunye neentsholongwane ezingenayo umdlavuza eziphazamisa isifo seetabolisms, ezifana ne-hyperparathyroidism kunye ne-osteoporosis, ingaba nokusabalalisa ngokulinganayo kwiimfuyo. Ngokwahlukileyo, ukubonakala okungafaniyo, okubonakalayo kwimizimba yeethambo kungabonisa isizathu esithile, njengesifo sikaPaget sesithambo okanye ukusabalala kwemetrashini kolunye uhlobo lomhlaza.
Imizobo ye-X kwiHodgkin Lymphoma - Amanqwenga Akhulisiwe kwiChofu
Iintlobo ezimbini ezibalulekileyo ze-lymphoma zi- Hodgkin lymphoma , okanye i-HL, kunye ne- non-Hodgkin lymphoma okanye i-NHL. Kwakhona, njenge-leukemia, i-lymphoma ayifumaneki yi-x-ray.
Nangona kunjalo, i-chest x-rays inokuthi ilandelwe ezinye iintlobo, kwaye ama- 40 ukuya kuma-65 ekhulwini abantu abane-HL banomdlavuza ngaphakathi kwesifuba, okanye i-thorax, ngexesha lokuxilongwa; kwezi, iipesenti ezingaphezu kwe-90 ziyaziwa ngokuba yi-mediastinal lymph node. I-lymph node zesigxina zi-lymph nodes ezikwe-mediastinum. I-mediastinum yindawo ephakathi kwesifuba phakathi kweempompo ezimbini. I-HL idla ngokubanzi iquka i-lymph nodes kummandla we-mediastinum obizwa ngokuba yi-mediastinum ephezulu-oko kukuthi, amaqela athile e-lymph nodes anamagama afana namagama anjenge-prevascular, paratracheal, kunye ne-lymph nodes.
Kwimibala ye-x-ray, ukukhulisa i-lymph node ngaphakathi kwe-mediastinum ngamanye amaxesha kunokufunyanwa; inokubonakala ngathi yinto engavamile okanye engavumelekanga kumacala omabini omgca womgca. Ngomzekelo we-Hodgkin-type of involvement lymph node, xa ezininzi zibandakanya i-lymph nodes zingabonwa kunye, oku kungabonakala njengesixhumo esisodwa se-lobes. Xa i-lymph node yomhlaza okanye ubunzima obungenawo umda ochazwe ngokucacileyo, oku kunokubonisa ukuhlasela okanye ukunwetshwa kwimizimba yamaphaphu esondele.
I-NHL inokuvelisa ukwandiswa kwe-lymph node kwisifuba, kodwa i-NHL ngokwenene iqela leemilphomas ezahlukeneyo ezinokuqala nanini naphi na-i-NHL ayifaki ukusasazeka kwinqanaba le-node ukuya kwiqela elinobuchule ngendlela edibeneyo, njengento efana ne-HL.
I-Lymph Nodes kwi-CT Scans
Ukubonakala kokubandakanya i-lymph nodes kwi-CT i-scans iyakwazi ukuhluka-ukusuka ekuchazwe kakuhle kwaye ecacileyo kwizinto ezibonakalayo ezibonakalayo. Ngamanye amaxesha ugqirha wakho unokubona lula i-lymph nodes; ngamanye amaxesha, i-lymph node ezininzi zingabonakala zonke ndawonye, njengenxalenye yesisindo esikhulu. Iziqu zesifuba eziqhelekileyo kwi-HL zibonakalisa kwi-CT njenge-gray shade efana nezinye iifotshane (kodwa kungabi mafutha, omnyama omnyama; kwaye asisethambo, elimhlophe) kwaye ubunzima bubukeka bunzima okanye bengaqhelekanga. Nangona i-lymph nodes ekhulayo ibukeka ibukhulu, kubalwa ukubalwa, okubonisa umhlophe ngakumbi njengethambo; Nangona kunjalo, oku kuyinto eqhelekileyo yonyango emva kokunyanga, ngokukodwa ukulandela unyango lwamayeza.
I-PET ne-PET / CT Scans
Ukutshekisha kwe-PET kusetyenziswa i-glucose ye-radioactive ethathwa ngokubanzi, kodwa kungekhona zonke, iintlobo ezahlukeneyo zeeseli ze-lymphoma. Ukufunyanwa kwezi zinto ezinokusasaza kungenza imephu yeentlobo, kubonisa indawo yokubandakanyeka komhlaza emzimbeni . I-PET ngokuqhelekileyo ibuhlungu kakhulu ekufumaneni i-lymphoma kune-CT. Ngokomzekelo, ukukhangela kwe-PET kungabonakalisa isifo kwi-lymph node eziqhelekileyo kwi-CT kwaye zinokukunceda ukuhlola izifo ezingaphandle kweelymodes kodwa ezingabonakali kwi-CT. I-PET idla ngokuhlanganiswa ne-CT ukuvumela ukuthelekiswa kwemimandla yomsakazo ophezulu kwi-PET yokutshekisha ngokubonakala kwenkcazo yendawo kule CT. Xa kuthelekiswa nomfanekiso oqhelekileyo, ukusetyenziswa kwe-PET / CT ekuqaleni kungafaka impembelelo kumgangatho kwaye kukhokelela kunyango oluthile kwinani elikhulu lamatyala.
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