Da kallon farko, lymphoma da lymphedema kalmomi ne da suka zama kamar suna iya alaka da su, amma suna nufin yanayi daban-daban. Lymphoma ciwon ciwon daji ne na sinadarin jini na lymphocyte yayin lymphedema haɗuwa ne na ruwa, ko lymph, a cikin takalma mai laushi tare da busawa tare. Sau da yawa mutum yana samun ilimin lymphedema a matsayin hannu mai ƙarfi ko ƙafa.
Lymphedema shine mafi yawan lalacewa ta hanyar cirewa ko lalata ƙwayar lymph ɗinka a matsayin ɓangare na maganin ciwon daji. Saboda ciwon nono yana da dangantaka da sauran cututtuka, masana kimiyya suna da ƙarin bayanai game da lymphedema a ciwon nono; duk da haka, lymphedema na iya faruwa a cikin masu tsira daga cancers na kowane iri, ciki har da daban-daban iri lymphoma . Yawancin mutanen da ke fama da lymphedema ana sa ran za su karuwa sosai a cikin shekaru goma masu zuwa ko saboda saboda inganta yawan ciwon rayuwa bayan maganin ciwon daji.
Dalilin
Tsarin lymphatic kamar tsarin ƙaddamarwa ne a baya: yana tattara ruwa a cikin jikin jiki kuma yana juya shi a cikin jijiyoyinka. Tsarin canals, wanda ya haɗa tare da lymph nodes, yana da yankuna daban-daban ko "hukunce-hukuncen". Alal misali, ƙwayoyin lymph a cikin tsaunuka suna da alhakin tsabtacewa da kuma tsaftace jikin mutum da ruwa da kuma lymph daga kafafu, yayin da waɗannan lymph na cikin gudummawa drain da kuma tace lymph yana fitowa daga hannun.
Lokacin da wani abu ya hana ƙin lymph ko ya hana shi daga rarraba yadda ya dace, wannan zai haifar da lymphedema a cikin wani sashi na jiki. A cikin yanayin ƙwayoyin lymphatic a cikin kullun, alal misali, rikici zai iya haifar da kumburi daya ko biyu. A cikin rudani, bayan tiyata da radiation ga ciwon nono, akwai ƙila ko ƙuƙwalwa na nama mai laushi wanda ke hana ƙwayar lymph, ko magungunan lymphatics da kansu zasu yi aiki ba tare da yin aiki ba bayan magani.
Akwai wasu dalilai na ƙarfin hannu da ƙafa ba saboda lymphedema, hakika, kuma aikin likitanku ne a waɗannan lokuta don gano matsalar da ke ciki.
Cutar cututtuka da matsalolin
Idan tarawar karin ruwa da furotin a cikin kyallen takarda ta ci gaba, wannan zai haifar da wani mummunan motsawa, tare da tsinkayyi mai laushi da ƙyama, da kuma ci gaba mai tsabta, mai tsanani mai tsanani daga sassa na jiki. Lymphedema na iya haifar da bayyanar cututtuka, kamar:
- Skin tightness
- Rage ikon iya motsa gidajen
- Wuya a cikin ƙwayoyin da aka shafa
- Jinƙai da zafi
- Magungunan ci gaba.
Lymphedema da Lymphoma
Bayan maganin ciwon daji, gyare-gyare ko lalata tsarin kwayoyin lymphatic ta tiyata da radiation zai iya haifar da lymphedema. Magungunan ciwon daji da ke ɗauke da ƙwayar lymph na iya lalata hanyoyi na ruwa, wanda zai haifar da ruɗarin ruwa don yaduwa a cikin wasu sassan da suka shafi jiki.
Duk da yake ba a ba da rahoton ba ne a matsayin bayyanar bayyanar lymphoma, lymphedema zai iya haifar da lymphoma , kanta, ko sakewa. Lymphedema shafi guda daya da aka nakalto kamar yadda aka fara gabatar da lymphoma, mafi yawa a cikin mata, kuma sau da yawa tare da ƙananan lymph nodes a cikin yanki ko kuma mummuna a cikin ciki. Lymphedema saboda lymphoma zai iya faruwa a wasu wurare kuma, lokacin da babban ƙwayar lymph ya katange ta babban taro, alal misali.
Gudanarwa
Lymphedema ana daukar yanayin ci gaba. Duk da yake ana iya gudanar da shi, ba'a gane shi ba tukuna kamar yanayin da za'a iya warkar da shi sosai. Masu bincike suna aiki don inganta yanayin, duk da haka.
Tsarin magani na lymphedema shine abin da aka sani da magani mai lalacewa, wanda ya haɗa da motsa jiki, saka tufafin matsawa, kulawa da fata da kuma manhajar manhaja da magudi na lymph.
An yi amfani da tiyata a wasu lokuta a lokuta masu tsanani ko a lokuta da suke da tsayayya ga maganin ƙaddamarwa.
Jiyya
Akwai nau'i biyu na tiyata don lymphedema: tiyata ablative / debulking da aikin / tiyata na physiologic.
An yi amfani da hanyoyin abira ko hanyoyin yin amfani da lalata tun daga farkon zuwa karni na 20 . Wadannan fasahohin sun rage girman ƙwayoyin ƙafafun, amma zasu iya zama masu rarraba tare da ƙyama da sauran matsalolin. Liposuction ta kawar da adipose nama don rage ƙwayar katako, duk da haka, dole ne ka yi amfani da tsawon rayuwa compressive far don kula da.
Ayyukan aiki ko ilimin likiologic sun hada da ƙwayar kumburi na lymph na ƙwayar cuta (VLNT) da maƙallin ƙwayar lymphovenous . Wadannan dabarun sun kasance sun yi amfani da su kwanan nan, saboda haka an sani game da sakamako masu dacewa da kuma abubuwan da suka dace game da hanyoyin da za su iya inganta sakamakon. Duk da haka, sakamakon ya kasance alamar alkawarin har yanzu, wanda ya haifar da sha'awar sha'awa. Dukansu dabaru sunyi kokarin tura wasu daga cikin ruwan da aka sake dawowa cikin kwayar cutar. Dukansu biyu sune mawuyacin ilimin likitanci a cikin abin da suke dauke da microsurgeries, inda ake buƙatar yin amfani da haɗin ƙananan - kuma hanyar wucewa ta hanzari har zuwa mafi girma, wanda shine dalilin da ya sa aka kira shi a matsayin wani "tiyata" mai mahimmanci.
- A cikin hanyoyi na lymphovenous, ana amfani da tasoshin lymphatic aiki tare da ƙananan kwayoyi - wani tiyata mai ƙananan microscopic wanda ke ƙoƙarin sake haɗawa da plumbing.
- A cikin VLNT, likitocin likitoci suna karbar ƙwayar lymph daga wani sashi na jiki kuma suna dasa su da jini da wasu kayan da ke kusa da su zuwa yankin da lymphedema ke sha. A cikin wannan tiyata, kuna zahiri transplanting.
Daya daga cikin abubuwa masu rarrabuwa game da VLNT shine cewa kana canja wurin "cibiyar immunological" aiki a cikin yankin da aka lalace - ko ta tiyata, radiation wani abu dabam. Abin sha'awa, duk binciken binciken asibiti a yanzu tare da VLNT ya nuna ci gaba a cikin cututtuka na fata - tare da sunayen asibiti kamar erysipelas, lymphangitis, da cellulitis - bayan canja wurin ƙwayar lymph.
Haɗi zuwa Ciwon Cancer
Babu shaida a wannan sakamako, amma wannan tambaya ne mai ban sha'awa a halin yanzu don masu bincike yayin da suke aiki don fahimtar hulɗar tsakanin tsarin rigakafi da ciwon daji.
A gefe ɗaya, ana cire wasu ƙwayoyin lymph a wasu nau'o'in cututtuka. Yawancin ciwon magungunan daji na farko sun hadu da su ko kuma sun yada su cikin ragowar lymph nodes ta hanyar tashoshin lymphatic kafin su yada zuwa wasu shafuka a cikin jiki, saboda haka an cire magungunan ƙwayoyin lymph a cikin marasa lafiya.
A wani ɓangare, wasu masu bincike sun nuna cewa ba a ba da shawarar yaduwar kyamarar ƙwayar ƙwayar cuta a cikin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin cuta ba tun da bai inganta rayuwa ba. A wasu lokuta kuma ga wasu cututtuka, mai yiwuwa ne mai yaduwar cutar lymph zai iya zama masu tsaron ƙoƙari na rigakafin ƙwayar cuta, ma'ana ƙaryar su ba dole ba ne na iya haifar da rashin fahimta.
Wasu bincike a nazarin dabba sun nuna cewa ƙwayar lymph tana taka muhimmiyar rawa wajen samar da magungunan ƙwayoyin cuta na ƙwayoyin cuta da kuma yadda mummunar cututtuka na lymphatics zai iya bunkasa ci gaban ƙwayoyin tumatir. Duk da haka, masana kimiyya kawai suna fara karatun da fahimtar abubuwa game da "kwayar tsire-tsire" da ƙwayoyin rigakafi, kuma wannan aiki ne mai matukar tasiri, tare da yawancin tambayoyi da suka rage.
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