Pel-Ebstein ndi imodzi mwa mafilimu ambiri omwe amadziwika ndi odwala
Pel-Ebstein ndi fever yapamwamba yomwe imapitiriza kukula ndi kugwa masiku asanu ndi awiri kapena asanu ndi limodzi kapena kuposa. Malungo amatuluka mwadzidzidzi, amakhala okwera kwa mlungu umodzi kapena apo kenako amagwera mofulumira kachiwiri, kukhala pansi kwa pafupifupi sabata. Ndiye kuwuka uku ndi chitsanzo chogwa chikubwerezedwa kachiwiri. Kotero, madokotala amafunika kudziwa momwe kutentha kwa munthu kwachitirako patatha milungu ingapo kuti adziwe matenda a Pel-Ebstein.
Si odwala onse omwe ali ndi matenda a Hodgkin omwe ali ndi malungo. Ndipotu, ndi ochepa chabe omwe ali ndi chitsanzo chenichenicho. Komabe, pamene ilipo, ikhoza kukhala chitsimikizo champhamvu kuti kufufuza kwa Hodgkin lymphoma kungakhale koyenera.
Fungo ndi chimodzi mwa zizindikiro zofunikira za Hodgkin lymphoma, yomwe imatchedwanso matenda a Hodgkin. Chiwombankhanga chimenechi chinatchulidwa madokotala awiri a ku Ulaya, Pieter Pel ndi Wilhelm Ebstein, omwe adazindikira ndi kutchula chitsanzocho zaka zoposa zana.
Zambiri pa Feli-Ebstein Fever
Chiwindi chakale chokhazikika chimapezeka pafupifupi 35 peresenti ya anthu omwe ali ndi lymphoma ya Hodgkin; Komabe Pel-Ebstein malungo-kutentha thupi kwa milungu iwiri, kenako kutentha thupi kwa milungu iwiri-ikuwoneka mosavuta mu Hodgkin lymphoma.
William Ebstein anali dokotala wa ku Germany komanso wodwala matenda odwala matenda a matenda omwe anafotokoza kuti "remittent pyrexia yopezeka ku lymphadenoma" mu 1887. Pieter Klazes Pel adalongosola chodabwitsa ichi chikuchitika ndi Hodgkin lymphoma miyezi ingapo m'mbuyomo m'magazini yomweyo, dzina lake Pel-Ebstein fever.
Kuchokera nthawi imeneyo, pangakhale kutsutsana pafupipafupi momwe Pel-Ebstein chimagwirira ntchito mu Hodgkin lymphoma. Ena amanena kuti, chifukwa dzina la malungo limayambira m'mbiri, ophunzira a mankhwala akhoza kudziwika bwino kwambiri ndi Pel-Ebstein ku Hodgkin lymphoma kuposa momwe akuyenera, chifukwa cha kufooka kwa gulu.
Ngakhale zili choncho, nthawi zina malungo m'magulu amasiye amalembedwa bwino m'mabuku a zamankhwala. Pano pali vuto lochokera ku lipoti la 1995 mu "New England Journal of Medicine" lomwe poyamba linasonyeza galasi la kutentha kwa munthu uyu, kutentha kutentha ndi kuimika muyendedwe, patatha milungu ingapo:
Nkhani Yojambula:
Mnyamata wina wa zaka 50 anali ndi malungo, kutukumula usiku, ndi chifuwa chosapindulitsa kwa masabata khumi. Anatenga mankhwala oletsa kutentha thupi pa nthawi ya febrile. Mkazi wake adalemba kutentha kwake masiku 56 pa masiku 71. Chiwopsezo cha mliri wamakono wam'chiberekero wowonjezereka wathanzi chinapangitsa kuti phokoso la Hodgkin ndi lymphoma. Fungo la wodwalayo ndi zizindikiro zina mwamsanga zimatha pokhapokha atangoyamba kumene mankhwala a chemotherapy.
Zambiri pa Zitsanzo za Fever
Mafilimu amawotcha m'mawu osiyanasiyana, omwe angakhale chitsimikizo-mwachitsanzo, malungo amodzimadzimadzi, malungo ochotserapo, fever yosasunthika, malungo othawirika, ndi zina zotero. Nthawi zambiri, zizindikirozi zingakhale zoganizira koma sizili zovuta kwa wina aliyense matenda enaake. Komabe, pano pali njira zina zimene madokotala nthawi zina amaganizira:
Kubwezeretsa malungo ndi nthawi imene odwala alibe malungo kwa masiku amodzi kapena pakati pa magulu a malungo amatha kuwonetsa malungo , kutentha kwa malungo, matenda a Borrelia - kutchuka kwa Lyme matenda , ndi lymphoma.
Maseŵera amodzi omwe amawoneka kuti amakhala ndi malungo kwa miyezi isanu ndi umodzi akhoza kuwonetsa matenda osiyanasiyana, kuphatikizapo matenda a immunodeficiency states .
Kupeza chimene chikupangitsa kuti thupi likhale lopitirira nthawi zina kumakhala kovuta kwambiri. Mukhoza kuphunzira zambiri za mutuwu pa malungo a chiyambi chosadziwika, cha FUO .
> Zotsatira:
> Zotsatira za NCCN Zomwe Mungachite Pogwiritsa Ntchito Oncology: Hodgkin Lymphoma. Version 2.2015. National Comprehensive Cancer Network.
> Eichenauer DA, Engert A, André M, Federico M, Illidge T, Hutchings M, et al. Hodgkin's lymphoma: Zotsatira za ESMO Clinical Practice for diagnosis, treatment > and > follow-up. Ann Oncol . 2014 Sep. 25 Suppl 3: iii70-5
> Schattner A, Keshet N. Pel-Ebstein mphepo yamkuntho: osati chabe lymphoma. Am J Med. 2010; 123 (7): e3.
> Racchi O, Rapezzi D, Ferraris AM, Gaetani GF. Matenda osadziwika a mafupa a Hodgkin omwe amakhala ndi Pel-Ebstein fever. Ann Hematol . 1996; 73: 39-40.
> Good G, DiNubile M. Cyclic Fever mu Matenda a Hodgkin (Pel-Ebstein Fever). N Engl J Med . 1995; 332: 436.