Isifo se-Kikuchi, esibizwa ngokuba yi-histiocytic necrotizing lymphadenitis okanye isifo se-Kikuchi-Fujimoto, sisifo esichaphazela i-lymph nodes, esibangela ukuvuvukala kwe-lymph node . Isizathu esona saso sifo asikaziwa, nangona abanye abaphandi bacebise ukuba sisifo okanye isifo sengqondo esisodwa. Iingcamango ezivunyiweyo kakhulu kwiingcali kukuba i-Kikuchi isifo sisiphumo somntu omnye okanye abangabonakaliyo abangabonakaliyo.
Ezi zithunywa zicingelwa ukuba zibandakanye izifo, iikhemikhali, iplastiki kunye neoplastic (i-agent engafanelekanga yokukhula).
Ngubani osemngciphekweni
Isifo saseKikuchi saqale sichazwa eJapan ngowe-1972 kodwa kuye kwavakaliswa kwihlabathi lonke kwiintlanga zonke. Kwakudala becinga ukuba abaninzi abafazi kunabantu abachaphazelekayo ngesifo se-Kikuchi, nangona kunjalo ubungqina obutshanje bubonisa ukuba akunakwenzeka ukuphazamisa isondo esinye ngaphezu kwesinye. Isifo se-Kikuchi senziwa ngobuninzi obude kodwa kodwa ngokubanzi kuthintela abantu abadala abaneminyaka engama-20 ukuya ku-30.
Iimpawu
Isifo se-Kikuchi ngokuqhelekileyo sithatha uhlobo lwe-lymph node inflammation. Kwimizuzu engama-80 yabantu abanesifo, i-lymph nodes enye okanye zombini emacaleni entanyeni zichaphazelekayo. Uninzi lwexesha, ezi zodwa zine-lymph nodes ezichaphazelekayo. I-lymph nodes ayinabuhlungu, inzima kwaye ijikeleze 2-3 cm ububanzi. Phantse isiqingatha sabantu abanezifo ze-Kikuchi zenza umkhuhlane kunye neempawu ezifana nezifo.
Ukuqhaqha obomvu kungabonakala kwi-30 ekhulwini labantu.
Ukuxilongwa
I-ultrasound, i-CT scan okanye i-MRI inokuqinisekisa ubungqina be-lymph nodes kodwa azinakuqinisekisa ukuxilongwa. Ukuthatha isampuli ye-lymph node nayo ayikwazi ukuqinisekisa ukuxilongwa. Ngenxa yeempawu zayo kwaye kuba kunzima ukuxilonga, isifo se-Kikuchi sisoloko siphoswa nge- lymphoma okanye i-systemic lupus erythematosus.
Indlela kuphela yokukwazi ngokuqinisekileyo ukuba iimpawu zakho zivela kwisifo se-Kikuchi kukugqirha wakho ukususa i-lymph node kwaye uhlolisise izicubu. Ngenhlanhla, ngokungafani ne-lymphoma kunye ne-lupus, isifo se-Kikuchi asisongela ubomi okanye singapheli kwendalo.
Izinyango Zonyango
Ukunyangwa kwesifo se-Kikuchi kuqulethe ukukhupha nayiphi na imfiva, iimpawu zentsholongwane, okanye i-lymph node tenderness. Izidakamizwa ezichasene nezidakamizwa (non-steroidal anti-inflammatory drugs) (i-NSAID) ezifana ne-ibuprofen inokukunceda ngeempawu. Isifo se-Kikuchi siza kuhlulwa sisodwa kwiinyanga ezilishumi ukuya ezintandathu.
Imithombo:
Boone, JL (2004). Isifo seKikuchi. eMedicine.
Chaitanya, BN, & Sindura, CS (2010). Isifo sikaKikuchi. J Oral Maxillofac Pathol, 14 (1), 6-9.