Tikamamva za lymphoma, sitimaganizira za diso. Komabe, lymphoma ya conjunctiva, minofu yowonekera yomwe imayang'ana mbali yoyera ya diso lotchedwa sclera, ndi yofala kuposa momwe mungaganizire.
Kodi Lymphoma N'chiyani?
Lymphoma ndi mtundu wa khansa yamagazi yomwe imabwera kuchokera ku maselo athu am'mimba. Matenda a Lymphoid alipo ponseponse thupi.
Maselo am'mimba amachititsa maselo a chitetezo ndipo amagwirizanitsa thupi lonse ndi njira ndi njira. Njirazi zimachokera kumalo am'mimba omwe amapezeka makamaka m'khosi, pamphuno, pamimba, ndi m'mimba. Zimagwira ntchito kukhetsa madzi kuchokera ku thupi ndikubwezeretsa ku mitsempha. Lymphoma ndi kukula kwakukulu kwa minofu ya lymphoid.
Pali mitundu iwiri ikuluikulu ya lymphoma, Hodgkin's lymphoma komanso osakhala Hodgkin's lymphoma (NHL). Lymphoma imaphatikizapo mtundu wa maselo oyera a m'magazi otchedwa lymphocytes. Madokotala samvetsa chomwe chimayambitsa lymphoma. Lymphoma imakhala yofala kwambiri ku Caucasus. Mu mitsemphama, mitsempha yotupa imatha kutukumula ndi kukanikiza ziwalo mu thupi. Lymphoma ikhozanso kuyambitsa zotupa za lymphocytic.
Conjunctival Lymphoma
Matenda a conjunctival amakula mofulumira kwambiri pamaso ndipo ali ndi minofu, maluwa okongola omwe nthawi zambiri amawatcha "zilonda za salmon".
Nthawi zina amatha kuwoneka mosavuta pa mbali yoyera ya diso koma nthawi zambiri amakula pansi pa khungu la khungu komanso kumbali ya cornea , yomwe imamveka bwino pambali pa diso. Matenda a conjunctival amapezeka kwambiri mwa amayi kuposa amuna ndipo amawoneka kuti akuchitika pakati pa zaka 50 ndi 70.
Basal cell carcinoma, sebaceous cell carcinoma, ndi khansa yoopsa ya khansa ndi khansa yowonjezereka yomwe imakhudza khungu la khungu ndi khungu kumaso.
Komabe, lymphoma ndi khansa yowopsa kwambiri yomwe imapezeka pa diso lomwelo. Lymphoma imapezeka pa conjunctiva pafupifupi 40 peresenti ya nthawiyo. Conjunctival lymphoma ikhoza kuonedwa kuti ndipopyma yapamwamba, yomwe imatanthawuza kuti lymphoma ndiyomwe mumaso ndipo simunapeze kwina kulikonse m'thupi. Kumbali inayi, ingathenso kuganiziridwa kuti ndi yachiwiri lymphoma, kapena matenda omwe amabwera kuchokera ku systemic lymphoma kuchokera kwina kulikonse mthupi.
Zizindikiro
Odwala nthawi zambiri amachezera dokotala akudandaula za kufiira kwa diso, kuuma, kapena kukwiya. Amawona kutayika kwa diso lawo loyera. Conjunctival lymphomas ikhoza kukulirakulira mokwanira kuti iwononge mpira wa diso lomwelo ndipo ingayambitse kuyendetsa maso ndi masomphenya awiri. Ngati chotupa chikukula kumbuyo kwa diso, diso lingamawoneke kuti likukulitsidwa kapena kupitilizidwa patsogolo. Ngakhale kuti ndizosazoloŵeka, lymphoma ikhoza kukulira mokwanira kuti imitsetse mitsempha ya optic ndikupangitsa kuti masomphenya asawonongeke. Komanso kawirikawiri, ma lymphomas omwe amayamba mkati mwa diso akhoza kuchititsa kutupa kwakukulu ndi optic neuropathy.
Chithandizo
Mankhwala amtundu wotchedwa Conjunctival lymphomas amatha kuchiritsidwa bwino. Chofunika kwambiri ndikuti madotolo azisankhasinkha ndi kuyambitsa lymphoma. Ngakhale kuti mndandanda ukhoza kukhala wovuta komanso wosagwirizana ndi nkhaniyi, mitsempha yambiri yajambuli imayikidwa muzosiyana siyana za mtundu wa Hodgkin.
Mitundu yambiri yomwe si ya Hodgkin ingasokonezedwe m'matumbo a MALT (mucosa-associated-lymphoid-tishu) komanso maimymphomas omwe si a MALT. Matenda a mALT ndi amodzi ndipo amatsata njira yochepa koma ma lymphomas omwe sali a MAL akhoza kukhala odetsa komanso osokonezeka. Zigawozi zimapangidwa ndi maphunziro a chidziwitso ndi cytometry.
Dokotala wanu adzamaliza kafukufuku wamankhwala kuti apeze ngati lymphoma ilipo kwinakwake m'thupi lanu. Zambiri za kuyesedwa kumeneku zimayendetsedwa ndi ovomerezeka. Pamene ma lymphoma alipo pamaso ndipo palibe pena paliponse, amachizidwa ndi mankhwala a EBRT kunja.
Dokotala wa maso amatsatira wodwalayo amene akudwala mazira oyandikana kwambiri chifukwa cha zodziwika bwino monga diso lakuya , chitukuko cha cataract, ischemic optic neuropathy, optic atrophy ndi neovascular glaucoma. Nthaŵi zina, kumangomveka mophweka (kuchotsa opaleshoni ya ululu) kungatheke mosamala.
Chitsime:
Conjunctival Lymphoma, Sowka, J., Gurwood, A., Kabat, A., tsamba 21A-22A. The Handbook of Ocular Disease Management, choonjezera ku Review of Optometry, 15 June 2015.