Lymphogranulomatosis e bua ka nts'etso-pele ea kokoana-hloko e bohloko, e tsamaeang le ho hlōloa ha lisele tsa hematopoietic tse lithong tsa lymph le litho tse ling. Tšusumetso ea tsoelo-pele ea lefu lena ke phetoho ea sele e se nang rover khahlanong le mokokotlo oa tšoaetso, mahlaseli a kotsi a mahlaseli a kotsi kapa ho kopana le lik'hemik'hale, le hoja lisosa tsa lymphogranulomatosis li sa tsejoe ho fihlela qetellong. Ka ho khetheha ho ithuta ka mafolofolo ke lingaka ke phetoho ea tšoaetso ea kokoana-hloko ea lefu lena, haholo-holo, e amana le kokoana-hloko ea Epstein-Barr.
Lipontšo tsa lymphogranulomatosis
Maemong a pele, lefu lena le tsoela pele ho sa lemohehe, 'me ntho e le' ngoe e ka lebisang tlhokomelo ea mokuli ke keketseho ea lymph node, e tsitsitseng ea eona e boima. Hangata li-lymph nodes molaleng li qala ho ruruha, empa maemong a mang li-node tsa mediastinum, li-armpits le groin li ameha qalong; hangata haholo - retroperitoneal nodes.
Karolo ea lymph node e atolositsoeng ha e tsamaisane le maikutlo a bohloko. Ho na le lintho tse ngata tse boima, tse tlaase, tseo hamorao li fetohang bohale ebile li sa tsamaee.
Ho mamela matšoao a lymphogranulomatosis, motho a ke ke a hlōleha ho hlokomela letšoao le joalo la bohlokoa e le mocheso o phahameng oa 'mele, o ke keng oa oeloa ke Aspirin, Analgin kapa lithibela-mafu. Hangata, feberu e qala bosiu 'me e tsamaisana le ho fufuleloa haholo, ho se na maqhubu.
Likarolong tse 30%, letšoao la pele la lymphogranulomatosis ke letlalo le letle, le ke keng la tlosoa ka mokhoa leha e le ofe.
Hape, bakuli ba tletleba ka bohloko bo hloohong, manonyeletso, ho fokotsa takatso ea lijo, mokhathala. Ho na le tahlehelo e boima ea boima ba 'mele.
Tlhahlobo ea lymphogranulomatosis
Ho itšetlehile ka litletlebo tsa mokuli ka feberu le lymph node e atolositsoeng karolong e itseng ea 'mele, ngaka e ka' na ea belaella lymphogranulomatosis, 'me tlhahlobo ea mali e tla thusa ho hlahloba matšoao ka hloko. Kahoo, laboratory, leukocytosis ea neutrophilic, e amanang kapa e feletseng ea lymphocytopenia, e eketseha ka tekanyo ea lisebelisoa tsa erythrocyte. Li-platelet li qalong tsa lefu lena, e le molao, li tloaelehile.
Ho hlahlojoa ho eketsehileng ho akarelletsa ho tsitsa ha node e ileng ea otloa pele. Sebakeng sa biopsy, ho thoeng li-cell tse khōlō tsa Reed-Berezovsky-Sternberg le / kapa lisele tsa Hodgkin li fumanoa. Ba boetse ba etsa litho tsa ka hare tsa mokokotlo le 'mele oa masapo.
Nako ea lefu lena le ho hlasela
Ho phaella ho lymph nodes, lefu lena maemong a mang le ama 'mate, maphephe, sebete, moko oa masapo, tsamaiso ea methapo, liphio. Ho fapana le bothata ba ho fokotseha ha tšoaetso ea mafu a mang, mafu a fungal le a likokoana-hloko a ntse a eketseha, a ka mpefala le ho feta ka mor'a radiation le chemotherapy . Hangata ho tlalehoa:
- herpes zoster;
- toxoplasmosis ;
- pneumocystis pneumonia;
- Candidiasis;
- meningitis.
Ho na le mekhahlelo e mene ea lymphogranulomatosis:
- Lefuba le sebakeng sa libaka tsa lymph feela kapa ka ntle ho tsona ka lehlakoreng le le leng.
- Lefuba le ama li-lymph nodes libakeng tse 'maloa.
- Lefuba le fetela lymph nodes ka mahlakoreng ka bobeli a sefahla, spleen e amehile.
- Sefuba se ama sebete, mala le litho tse ling.
Joaloka phekolo ea lymphogranulomatosis, chemotherapy e sebelisoa hammoho le radiotherapy kapa ka tsela e arohaneng. Hape, phekolo e sa tšoaneng e nang le litekanyetso tse phahameng tsa lithethefatsi tsa chemotherapeutic e amoheleha, ka mor'a moo mokuli a kenngoa ka mofu.
Mabapi le tebello ea bophelo ea lymphogranulomatosis, phekolo e kopantsoeng e fana ka ho fokotsoa lilemong tse 10 ho isa ho tse 20 ho 90% ea bakuli, e leng letšoao le phahameng. Esita le mekhahlelo ea ho qetela ea lefu lena, tsamaiso ea phekolo e khethiloeng ka nepo e fana ka 80% ea linyeoe tse 5 tsa pholiso.