Matenda a Kikuchi, omwe amachitanso kuti histiocytic necrotizing lymphadenitis kapena matenda a Kikuchi-Fujimoto, ndi matenda omwe amachititsa kuti mitsempha ya m'mimba iwonongeke. Chifukwa chenicheni cha matendawa sichikudziwikabe, ngakhale ena ofufuza asonyeza kuti ndi matenda kapena vuto la autoimmune. Malingaliro ovomerezeka kwambiri ndi akatswiri ndi akuti matenda a Kikuchi amachokera kwa munthu mmodzi kapena angapo osadziwika omwe akuyambitsa njira yodziimira yokhayokha.
Agulu amenewa amaganiziridwa kuti akuphatikizapo matenda, mankhwala, pulasitiki ndi neoplastic (mawonekedwe osakanikirana a minofu).
Amene ali pangozi
Matenda a Kikuchi anayamba kufotokozedwa ku Japan m'chaka cha 1972 koma akhala akudziwika padziko lonse m'mitundu yonse. Poyamba ankaganiza kuti amayi ambiri kusiyana ndi amuna adakhudzidwa ndi matenda a Kikuchi, komabe umboni waposachedwapa umasonyeza kuti sizingatheke kugonana chimodzimodzi kuposa wina. Matenda a Kikuchi amapezeka mu msinkhu wautali koma nthawi zambiri amakhudza achinyamata omwe ali ndi zaka 20 mpaka 30.
Zizindikiro
Matenda a Kikuchi nthawi zambiri amatenga mawonekedwe a kutupa kwa mitsempha. Pa 80 peresenti ya anthu omwe ali ndi nthendayi, maselo am'mimba pambali imodzi kapena mbali zonse za m'khosi amatha kukhudza. Nthaŵi zambiri, izi ndizo zokha zokhazokha zomwe zimakhudzidwa. Mafupa amphongo ndi opweteka, ovuta komanso ozungulira 2-3 masentimita awiri. Pafupi theka la anthu omwe ali ndi matenda a Kikuchi amayamba malungo ndi zizindikiro ngati matenda.
Kuthamanga kofiira kungaoneke mpaka 30 peresenti ya anthu.
Kudziwa
An ultrasound, CT scan kapena MRI angatsimikizire kukhalapo kwa maselo akuluakulu koma sangathe kutsimikizira kuti ali ndi matenda otani. Kutulutsa chitsanzo cha lymph node komanso sichikhoza kutsimikizira kuti zimapezeka bwanji. Chifukwa cha zizindikiro zake komanso chifukwa chovuta kudziwa, matenda a Kikuchi nthawi zambiri amalephera chifukwa cha lymphoma kapena systemic lupus erythematosus.
Njira yokhayo yodziwira ngati zizindikiro zanu zimachokera ku matenda a Kikuchi ndi dokotala wanu kuchotsa mliri wam'mimba ndikuyang'anitsitsa mankhwalawo. Mwamwayi, mosiyana ndi lymphoma ndi lupus, matenda a Kikuchi sali oopsa kapena osakhala achilengedwe.
Njira Zothandizira
Chithandizo cha matenda a Kikuchi chimaphatikizapo kuthetsa malungo, chimfine, kapena chifuwa chachikulu. Mankhwala otsutsana ndi kutupa (nonsteroidal anti-inflammatory drugs (NSAIDs) monga ibuprofen angathandize ndi zizindikiro izi. Matenda a Kikuchi nthawi zambiri amatha kukhala okhaokha mkati mwa miyezi isanu kapena umodzi.
Zotsatira:
Boone, JL (2004). Matenda a Kikuchi. eMedicine.
Chaitanya, BN, & Sindura, CS (2010). Matenda a Kikuchi. J Oral Maxillofac Pathol, 14 (1), 6-9.