Chithandizo cha Matenda a Hodgkin ndi Paranoplastic Pruritis (Kuyabwa)
Mwachidule
Kuyamwa ndi chimodzi mwa zizindikiro za Hodgkin lymphoma . Pafupifupi 10 mpaka 25 peresenti ya anthu omwe akudwala matenda a Hodgkin amavutika kwambiri. Ena, kuyabwa kumayamba musanayambe kupeza matenda a lymphoma . Nthawi zambiri zimamveka ngati kutentha komwe kumachitika pamadera ena a khungu, nthawi zambiri pamilingo ya m'munsi.
Zimayambitsa
Chifukwa cha chithunzithunzi ichi sichidziwika bwino.
Amakhulupirira kuti maselo ena amagazi amamasula mankhwala pafupi ndi mitsempha ya khungu ndipo amachititsa kuti mitsempha imeneyi ikhale yovuta. Ife timamva ichi ngati chiwombankhanga.
Kodi kutentha kumatanthauza kuti khansa ili pakhungu lanu? Zizindikiro zosafunika kwenikweni za khungu kapena zochitika zina za khungu ku Hodgkin lymphoma zimapezeka kuti zimapezeka pakati pa 15 ndi 50 peresenti ya anthu omwe ali ndi matendawa. Mwa awa, ang'onoang'ono angakhale ndi Hodgkin lymphoma khungu kapena khungu la Hodgkin lymphoma. N'zotheka kuti pali mitundu yambiri yotsuka kwa anthu omwe ali ndi Hodgkin lymphoma pruritis. Zolingaliro zingapo zapangidwa, koma chifukwa chenichenicho sichikudziwikabe.
Kuyanjana ndi Khansa ya Magazi
Hodgkin itch amadziwika kuti ndi "paraneoplastic pruritus," ndipo imapezeka m'magazi ena a khansa, koma Hodgkin lymphoma ikuwoneka kuti imabweretsa chizindikiro ichi mwa odwala ochulukirapo ndipo chilakolako chimadziwika ngati chizindikiro kwa nthawi yambiri. Chitsamba cha Hodgkin chingapangitse masabata ndi miyezi isanafike nthawi zina zizindikiro za lymphoma.
Kuyabwa kungakhale koopsa kwambiri ndipo kumakhudza moyo wa munthu.
Kufunika
Kuyamwa mu matenda a Hodgkin n'kofunika kwambiri kuposa kungokhala chizindikiro chosazolowereka. Zikhoza kukhala chisonyezero cha mankhwala ochepa ngati akugwidwa ndi malungo aakulu kapena kutaya thupi, zomwe zimatchedwa B zizindikiro za lymphoma .
Kuchiza
Sipanakhale maphunziro ochulukirapo kuti afufuze kuti ndi mankhwala ati omwe angakhale othandiza kwa mtundu wina wa kuyabwa mu Hodgkin lymphoma, koma pali zina zomwe zingathandize kuthandizira kupanga chisankho. Malinga ndi nkhani ya mu 2014 ya Journal of Medical Case Reports, mankhwala ena omwe amawoneka kuti ndi othandiza ndi Emend (aprepitant,) a neurokinin-1 receptor antagonist, komabe mayesero otsogolera amtsogolo angathandize kuwunikira udindo wa mankhwalawa monga anti-pruritic kwa lymphoma. Kupititsa patsogolo kumagwiritsidwa ntchito nthawi zambiri pofuna kuteteza kunyowa ndi kusanza chifukwa cha chemotherapy.
Mankhwala osiyana ndi othandizira aperekedwa monga momwe angathere; ena apezeka kuti ndi othandiza kuti azitsuka mu mitundu ina ya lymphoma, koma osati ena. Izi zimaphatikizapo mankhwala ochokera kwa azimayi olemala, akutsutsa antihistamines, oral steroids, mankhwala opatsirana a T-cell lymphoma, thalidomide, ndi ena.
Thandizo
Ngakhale kuti palibe maphunziro omwe alamulidwa kuti athe kukhalapo, malingaliro / mankhwala omwe amagwiritsidwa ntchito m'njira yothandizira anthu kuthana ndi zizindikiro za matenda a khansa (monga mankhwala ophera misala, kusinkhasinkha, kapena kuvomereza) zingakhale zopindulitsa zina.
Lankhulani ndi oncologist wanu kuti mudziwe zomwe zathandiza anthu ena omwe ali ndi matenda a Hodgkin. Zingakhale zothandiza kulowetsa gulu lothandizira pa Intaneti la anthu ena omwe akukumana ndi vuto la Hodgkin chifukwa cha malingaliro, komanso kumva thandizo limene lingabwere chifukwa chodziwa kuti simuli nokha pazochitika zanu. Koma choyamba, fufuzani malangizo awa pamagulu otetezeka a chithandizo kwa odwala khansa , komanso malingaliro awa polimbana ndi lymphoma .
Kwa Othandiza ndi Okondedwa Anu
Chotsatira koma osakayika, ngati wokondedwa wanu akulimbana ndi Hodgkin itch, dziwani kuti zizindikirozo ndi zenizeni, ndipo zingakhale zovuta.
Choipa kwambiri kwa yemwe amakhala ndi khansa ya khansa kusiyana ndi kuyabwa, akupeza kuti ena samakhulupirira zomwe akukumana nazo, kapena samvetsa momwe zimakhalira zokhumudwitsa. Khalani oleza mtima pamene wokondedwa wanu akumva. Ambiri a ife sitiri okoma mtima - ndipo tikhoza kukhala ovuta - pamene sitikumva bwino, ndipo tikhoza kunena zinthu zomwe sitingafune. Yesani kubwerera mmbuyo ndikujambula chithunzi ngati kukambirana, osati wokondedwa wanu. Zolinga zamankhwala ndi malo abwino omwe akuthandizira kulumikizana ndi ena osamalira omwe akukumana ndi mavuto omwewo.
Zotsatira:
Vrotsos E, Dosal J, Zaiac M, Alexis J. Pityriasis rosea-ngati mphuno yowonongeka ngati chizindikiro cha Hodgkin lymphoma. Lipoti la ndondomeko ndi kuwonanso kwa mabuku. Journal of Report Dermatological Case. 2015; 9 (3): 81-84.
Yosipovitch G. Chronic pruritus: chizindikiro chopangidwa ndi mankhwala. Dermatol Ther. 2010; 23: 590-596.
Wang H, Yosipovitch G. Zatsopano zokhudzana ndi matenda omwe amatha kupweteka kwambiri kwa odwala omwe ali ndi mapeto a nthendayi, matenda aakulu a chiwindi ndi lymphoma. Int J Dermatol. 2010; 49: 1-12.
Arenas Villafranca JJ, Miles MG, Casanova M, et al. Paraneoplastic pruritus yopereka ndi Hodgkin's lymphoma: lipoti la mlandu. J Med Case Rep . 2014; 8: 300.