Mowa Wopweteka Amayambitsa Nthandizo ndi Lymphoma ya Hodgkin
Ngati munamva ululu ndi kumwa mowa, kodi zikutanthauza chiyani? Ndipo ndi zotani zomwe zimayambitsa? Nchifukwa chiyani izi zikuwoneka ngati zofala kwambiri kwa anthu omwe ali ndi lymphoma ya Hodgkin?
Kupweteka ndi Kumwa Mowa: Kodi Zingakhale Motani?
Kupweteka ndi kumwa mowa kumagwirizanitsidwa ndi Hodgkin lymphoma, koma kawirikawiri, ululu womwe umakhala nawo chifukwa cha mowa umakhala wofala kwambiri chifukwa cha zina.
Mwapadera, kumwa mowa mopitirira muyeso kungapangitse chodziwika bwino, kumverera kwa kukhala osagwirizana, pamodzi ndi, nthawi zina, kukwiya kapena kupweteka mmadera pamimba, m'mimba, pancreas, gallbladder, ndi chiwindi. Inde, kumwa kwambiri mowa kumakhudzana ndi mndandanda wautali wa matenda, matenda ndi matenda aakulu.
Kuledzera kwa Mowa vs. Zowawa Zambiri za Lymph Nodes
Kupweteka m'mimba yam'mimba pambuyo pa kumwa mowa kumachitika mwa anthu ena omwe ali ndi Hodgkin's lymphoma , koma si chimodzi mwa zizindikiro zazikulu zomwe zimawoneka kuti ali ndi lymphoma . Ndipotu, ndizochepa.
Munthu akakhala ndi yankho lasaledzeretsa mowa ali ndi mwayi wambiri. Mndandanda wa zovuta kapena zochitika zimaphatikizansopo Hodgkin lymphoma, komanso chinthu china chotchedwa matenda a carcinoid, komanso chibadwa chakale: majeremusi a gene omwe amamwa mowa dehydrogenase (omwe amapezeka kwambiri ku Asia).
Kusagwirizana ndi mowa ndi zovuta zowonjezera chifukwa cha mayankho osayembekezereka omwera mowa. Zikuoneka kuti kumwa mowa kwenikweni ndi kosavuta ndipo kawirikawiri kumayendetsedwa m'mabanja, ndipo ngati zakudya zina zowonjezera zakudya zingakhale ndi chiopsezo cha anaphylaxis . Nthawi zina zowonongeka zimakhala ngati chakumwa choledzeretsa, monga mbewu kapena zosungira, osati mowa wokha.
Kuledzera kwauchidakwa, komwe kungawonongeke ndi zizindikiro za kuledzera, kungakhale ndi zifukwa zambiri zoyambitsa. Kulowa kwa pulogalamu yowononga mowa (mowa dehydrogenase) kungachititse kuledzera mofulumira (ndi kupitirira). Matenda a Celiac (kuthamangitsidwa kwa gluten), kusagwirizana kwa histamine , kuthamanga kwa tirigu , ndi sulfite zovuta , zonsezi zimayambitsa kusagwirizana kwa mowa.
Matenda a carcinoid ndi omwe amapezeka kawirikawiri ndipo amagwirizanitsidwa ndi mtundu wina wa pang'onopang'ono wopuma, kapena zotupa za carcinoid, kumasula serotonin. Serotonin ndi mankhwala omwe amachititsa kuti zizindikiro zidziwike kuti "matenda a carcinoid" kuphatikizapo kupweteka kwa m'mimba, kupukuta kofiira kwa khosi, nkhope ndi chifuwa, kutsegula m'mimba, kupweteka, ndi kupuma, ndipo zizindikirozi zimatha kuledzera milandu.
Kuledzera kwauchidakwa kumagwirizananso ndi kugwiritsa ntchito mankhwala ena monga Antabuse (disulfiram) ndi Flagyl (metronidazole).
Mowa Wowawa mu Hodgkin Lymphoma
Kusonkhana mowa mwauchidakwa ndi matenda a Hodgkin kwa zaka zingapo. Mu kafukufuku wa 1966 akulongosola odwala 747 omwe ali ndi ululu woledzera wokhudzana ndi khansa, Hodgkin lymphoma anali ndi 40 peresenti ya milandu.
Zolemba zina ziwiri mu 1994 ndi 2013 zikukambirana za mgwirizano koma pali zochepa zophunzira zomwe zilipo.
Pafupifupi theka la anthu omwe ali ndi lymphoma adzakhala atakula kwambiri . Nodezi sizimapweteka kwambiri kukhudza, ngakhale zitatha. Kwa anthu ena, mitsempha ya m'mimba imatha kupweteka kwambiri atamwa mowa, ndipo izi zikuwoneka ngati zofala kwambiri kwa anthu omwe ali ndi Hodgkin lymphoma.
Kodi ndi chifukwa chotani cha ululu wokhudzana ndi mowa mu matenda a Hodgkin? Asayansi samadziwa bwino momwe zimagwiritsira ntchito biologic kapena chifukwa, koma pali ziphunzitso zambiri. Ena amamva kupweteka kumagwirizana ndi kukula kwa zombo mkati mwa kapule wamadzimadzi pambuyo poyamwa mowa m'magazi.
Pa nkhani ina, ululu woledzeretsa unatsitsimutsidwa ndi Advil (ibuprofen), ndipo popeza Advil amagwiritsa ntchito mankhwala amtundu wotchedwa prostaglandin , olembawo anaganiza kuti njira yogwiritsira ntchito prostaglandin ingakhale ikuphatikizidwa.
Ngati muli ndi matenda a Hodgkin ndipo ngati mukukumana ndi vutoli mowa, simudziwa ngati kusamalidwa kwa mowa kumawulula kapena kuneneratu kanthu kalikonse chifukwa cha kuopsa kwa matendawa.
Chitsanzo Chachikulu - Mwamuna Wakale wazaka 31 ndi ululu pambuyo pa Sips za Mowa
Mu 2013, Dr. Andrew Bryant ndi Dr. John Newman wa Vanderbilt University Medical Center adafotokoza nkhani ya bambo wina wa zaka 31 yemwe anadza ku chipatala chawo ndi ululu waukulu wa chifuwa chomwe chinayamba maminiti atatha kumwa zakumwa ziwiri ndi zitatu za mowa . Izi zakhala zikuchitika kwa miyezi itatu yapitayi. Wodwala sanamve kupweteka pamene akumeza zakumwa zina kapena zolimba, ndipo ululu wake unamasulidwa ndi kuchepa kwa ibuprofen.
Mmodzi wodwalayo, minofu pafupi ndi mapapu, mtima, ndi diaphragm ( mankhwala opatsirana pogonana) anali atagwiritsidwa ntchito ndi matenda a Hodgkin. Kuphatikiza pa ululu mu chifuwa chake ndi zakumwa zoledzeretsa, nthawi zambiri ankakhala ndi malungo, kutentha usiku , ndi malaise ambiri (malaise ndi mawu omwe amatanthauza kungokhala bwino). Kujambula ndi kugwiritsidwa ntchito kwa imodzi mwa maselo osakanizika amachititsa kuti matendawa a Hodgkin lymphoma.
Mawu Ochokera
Mavuto a mowa si chizindikiro chodziwika bwino, chodziwika kapena chodziwika bwino cha Hodgkin's lymphoma, komabe ma lymph node zopweteka pambuyo pa mowa ndi chizindikiro chimene chalembedwa nthawi zambiri mwa anthu omwe ali ndi matenda a Hodgkin. Anthu omwe ali ndi Hodgkin lymphoma akhoza kukhala ndi zizindikiro zosiyana, koma zochitika zomwe zimachitika pa matendawa ndi zowonjezereka kapena zowonjezereka. Mafupa amphongo amatha kukulitsa m'khosi, kumimba, kapena kubuula, kuchititsa mkaka wosapweteka, kapena mkati mwa chifuwa, womwe umapezeka pamaphunziro ojambula. Kawirikawiri, omwe ali ndi Hodgkin lymphoma akhoza kulemera, kutentha thupi, kuyabwa, kapena kutaya thukuta usiku, onse amatchedwa B zizindikiro za lymphoma .
Ngati mukumva ululu mutatha kumwa mowa kapena mukudandaula za zizindikiro zosazolowereka kapena kumwapo kanthu mukamamwa mowa, pangani nthawi yokambirana ndi dokotala wanu. Monga momwe zimakhalira ngati kutengeka kwa gluten, zingatenge nthawi kuti zifike pansi pa zizindikiro zanu. Mwina mungafune kuyamba buku la chakudya pamene mukudikirira kuikidwa kwanu ndi kuunika thupi lanu kuti muzindikire zizindikiro zina zomwe mukukumana nazo.
Zotsatira
- Brewin, T. Kumwa Mowa Mopanda Matenda a Neoplastic. British Medical Journal . 1966. 2 (5511): 437-41.
- Bryant, A., ndi J. Newman. Kumwa Mowa Wosagwirizana Ndi Hodgkin Lymphoma. CMAJ . 2013. 185 (8): maphunziroE353.
- Callahan, B., Coe, R., ndi H. Place. Matenda a Hodgkin a Nthendayi Akuwonetsa Monga Mowa-Wopweteka Kwambiri. Nkhani Yowonongeka ndi Kuwonanso kwa Mabuku. Journal of Surgery and Bone Joint Surgery . 1994. 76 (1): 119-21.
- Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: Mc Gahunda, 2015. Print.