Tonsefe tikudziwa kuti maselo oyera m'thupi lathu ali ngati asilikali omwe amatiteteza ku matenda. Koma taganizirani, chimachitika ndi chiyani ngati maselo oteteza awa, otchedwa histiocytes, akula kwambiri m'thupi lathu? Pamenepo ndi pomwe vuto limayamba. Maselo amenewa amatha kudziunjikira ndikupanga zotupa ndi zilonda m'mbali zosiyanasiyana za thupi. Lero tikulankhula za matenda osowa omwe amakula motere.
Kodi LCH (Langerhans cell histiocytosis) ndi chiyani?
Mwachidule, LCH (Langerhans Cell Histiocytosis) ndi vuto losowa lomwe limafanana ndi mitundu ina ya khansa. Pa vutoli, mtundu wa selo loteteza thupi lotchedwa Langerhans limakula mosalamulirika ndipo limasonkhana m'malo osiyanasiyana a thupi.
Matendawa amapezeka kwambiri mwa ana aang'ono ndi makanda , koma amathanso kuchitika kwa akuluakulu. Ngakhale nthawi zina amaganiziridwa kuti ndi khansa, kwenikweni si khansa. Komabe, amachiritsidwa ndi madokotala a khansa. Choncho musadandaule. Tiyeni tiwone izi mozama.
Kodi zizindikiro za matendawa ndi ziti?
LCH ingakhudze chiwalo chilichonse m'thupi. Mwachitsanzo, ingakhudze mapapo, chiwindi, ubongo, ndulu, kapena ma lymph nodes. Komabe, zizindikiro zodziwika bwino zimawonekera pakhungu ndi mafupa.
Anthu ena amatha kukhala ndi zizindikiro zochepa kwambiri ndipo amatha kuchira okha popanda chithandizo chilichonse. Komabe, kwa ena, vutoli likhoza kukhala vuto la nthawi yayitali lomwe limakhudza ziwalo zambiri za thupi.
Tiyeni tiwone tebulo ili m'munsimu kuti tiwone zizindikiro zomwe LCH imabweretsa ikakhudza ziwalo zosiyanasiyana za thupi.
| Chiwalo cha thupi chomwe chakhudzidwa | Zizindikiro zomwe zingawonekere |
|---|---|
| Mafupa | Nthawi zambiri kutupa kapena ziphuphu zopweteka (granulomas) zimachitika m'chigaza ndi m'mafupa ena. Izi zingayambitse kupweteka kwa mafupa, kutupa, komanso nthawi zina kusweka kwa miyendo. |
| Khungu | Matumbo ofiira, okhala ndi zipsera m'makwinya a khungu (monga m'khwapa, m'mimba). Makanda amatha kukhala ndi mabala ofiira, okhala ndi zipsera pamutu. Izi nthawi zina zingasokonezedwe ndi chipewa cha mwana, chomwe ndi vuto lofala. |
| Chiwindi | Chiwindi nthawi zambiri chimakhudzidwa ndi matenda oopsa. Zizindikiro zake ndi monga chikasu cha khungu (jaundice) komanso nthawi yayitali kuti magazi aziundana. |
| Ma Lymph Nodes | Kutupa kwa tinthu ta m'mimba kumbuyo kwa makutu, m'khosi, ndi kwina kulikonse. Kuphatikiza apo, kupuma movutikira komanso kukhosomola kumatha kuchitika. |
Kodi mungadziwe bwanji matendawa molondola?
Ngati dokotala wanu akukayikira kuti matendawa ndi owopsa, ayenera kuyesedwa kuti atsimikizire kuti matendawa ndi otani. Izi zikuphatikizapo kutenga minofu yaying'ono kwambiri kuchokera pamalo okayikitsa ndikuiyang'ana pogwiritsa ntchito maikulosikopu ndi katswiri wa matenda. Izi zidzafufuza mapuloteni enaake ndi zizindikiro zina zomwe zimagwirizana ndi matendawa.
Kuphatikiza apo, dokotala wanu angakupatseni mayeso ena kutengera zizindikiro zanu.
- Mayeso a X-ray: Yang'anani momwe mapapo ndi mafupa anu alili.
- Kufufuza kwa mafupa: Kufufuza maselo a LCH mu mafupa.
- Kuyezetsa magazi: Kuyang'ana momwe impso, chiwindi, chithokomiro, ndi chitetezo chamthupi chimagwirira ntchito.
- Kujambula zithunzi za MRI, PET, ndi CT: Pezani zithunzi zatsatanetsatane za mkati mwa thupi.
- Kusanthula mkodzo: Yang'anani kuchuluka kwa maselo ofiira ndi oyera, mapuloteni, ndi shuga mu mkodzo.
Kodi chimayambitsa matenda a LCH ndi chiyani?
Sitikudziwabe chifukwa chake anthu ena amadwala matenda a LCH. Koma zapezeka kuti pafupifupi theka la anthu omwe ali ndi matendawa ali ndi jini yolakwika yomwe imapangitsa kuti maselo a Langerhans akule mopitirira muyeso. Chofunika kwambiri, kusintha kwa majini kumeneku kumachitika mwana akangobadwa. Izi zikutanthauza kuti si matenda omwe amabadwa kuchokera kwa makolo .
Kuphatikiza apo, ofufuza akuganiza kuti zinthu zina zingapo zitha kukhudza izi:
- Kusuta.
- Kukhudzidwa ndi poizoni wowononga chilengedwe monga benzene kapena fumbi la matabwa kwa makolo.
- Matenda opatsirana m'nthawi ya kubadwa.
- Kukhala ndi mbiri ya banja la matenda a chithokomiro.
Kodi mankhwala ochizira izi ndi otani?
Mankhwala a chemotherapy nthawi zina amagwiritsidwa ntchito pochiza LCH, chifukwa amagwiritsidwa ntchito pochiza mitundu ina ya khansa. Chifukwa chake, anthu ambiri omwe ali ndi matendawa amasamalidwa ndi madokotala a khansa ndi akatswiri a magazi.
Koma kumbukirani, mosiyana ndi khansa, mitundu yochepa ya LCH nthawi zina imatha yokha popanda chithandizo chilichonse.
Tiyeni tiwone njira zochiritsira zomwe zili mu tebulo ili m'munsimu.
| Njira yochizira | Kufotokozera kosavuta |
|---|---|
| Mankhwala a Chemotherapy | Kupereka mankhwala owononga maselo odwala. |
| Chithandizo cha radiation | Mphamvu ya radiation yochepa imaperekedwa ku gawo lokha la thupi lomwe lakhudzidwa ndi matendawa. |
| Opaleshoni | Kuchotsa zotupa kapena zilonda zomwe zimayambitsidwa ndi LCH pa opaleshoni. |
| Ma steroids | Kupereka mankhwala a steroid kapena mankhwala ena oletsa kutupa monga prednisone. |
| Chithandizo cha kuwala kwa UV | Chithandizo cha matenda a pakhungu pogwiritsa ntchito kuwala kwapadera. |
| Kusamutsa maselo oyambira | Njira yothandizira imaganiziridwa pazochitika zovuta kwambiri. |
Anthu ambiri omwe ali ndi LCH amachira atalandira chithandizo. Ngati matendawa akhudza ndulu yanu, chiwindi, kapena mafupa, amatchedwa 'high-risk LCH'. Ngakhale pankhaniyi, pafupifupi 80% ya anthu amachira mokwanira . Chifukwa chake ndikofunikira kukhala ndi chiyembekezo.
Uthenga Wopita Nawo Kunyumba
- LCH ndi matenda osowa kwambiri. Si khansa yokha, koma imachiritsidwa mofanana ndi khansa.
- Ngakhale kuti izi zimachitika kwambiri mwa ana aang'ono, zimatha kuchitika kwa aliyense wa msinkhu uliwonse.
- Ngati muli ndi zizindikiro monga zilonda pakhungu, kupweteka kwa mafupa, kapena kutupa, musanyalanyaze.
- Ngati inu kapena mwana wanu muli ndi kukayikira kulikonse za zizindikiro izi, pitani kwa dokotala wanu . Musachite mantha ndipo yesani kudziyesa nokha pa intaneti.
- Ndi chithandizo choyenera, odwala ambiri a LCH amachira mokwanira. Chifukwa chake, ndikofunikira kwambiri kutsatira upangiri woyenera wachipatala.
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