Shin cutar sankarar bargo da Lymphoma suna nunawa a cikin hasken rana X-ray?

Babu cutar sankarar jini ko lymphoma da aka gano ta hanyar hoton. Sakamakon asali na farko yana buƙatar na lantarki da kuma gwajin gwaje-gwajen da aka yi a kan jini da samfurori samfurori. Sakamakon hotunan cutar sankarar bargo, musamman ma, bazai zama kamar taimako ba a cikin sauran ciwon daji wanda ke haifar da ciwace-ciwacen ƙwayoyi.

Wannan ya ce, ko da a cutar sankarar bargo, kuma sau da yawa a lymphoma, zane-zanen rayuka na iya bayar da alamomi wanda, tare da sauran bayanai, na iya zama ɓangare na aikin da zai haifar da biopsy da ganewar asali.

Dangane da lymphoma , alamu na aikin ƙumburi na lymph, wanda za'a iya bayyana ko da ta hasken rana, zai iya zama da muhimmanci ƙwarai a farko don taimakawa wajen rage hanyoyi. Ba dukkanin ƙwayoyin lymph ba a cikin kirji sune lymphoma. Sauran cututtuka, kamuwa da cuta, da cututtuka marasa tausayi kamar sarcoidosis na iya zama zargi. Wani lokuta lokuttan lymph mai girma sun kasance a cikin wurare masu dacewa da kwayoyin halitta, irin su wuyansa; Duk da haka, a wasu lokuta-a lymphoma Hodgkin, alal misali-kawai ƙwayoyin lymph na cance na iya zama cikin zurfin.

Hotuna X-ray a cutar cutar sankarar bargo - Kasusuwa da Nodes na Lymph

Rahoni X, ko fina-finai masu mahimmanci, ba a amfani su don gano cutar sankarar bargo ba. Duk da haka, za a iya yin rayukan rayukan kirji don bincika kamuwa da cutar kututtuka ko don wani dalili, kuma x-ray zai iya nuna magungunan lymph kumbura da sauran wuraren cutar. Wasu cututtukan cutar sankarar bargo na iya yadawa zuwa ƙwayar lymph yayin da cutar ta ci gaba.

Lukurmia sankarar na iya haifar da canje-canje a bayyanar kasusuwa a cikin manya da yara. Osteopenia yana nufin kasusuwa wanda ba ya bayyana kamar m - ba a matsayin fari a cikin hotuna-kamar yadda al'ada ba, amma ba har zuwa gani a osteoporosis ba. Osteopenia yana samuwa ne a myeloma, cutar sankarar bargo, lymphoma, da kuma sauran matsaloli.

Bugu da ƙari, masu aikin rediyo, ko likitocin da suka fassara hotunan rediyo, dubi alamun cututtuka, ko raunuka, a cikin kashi. Kankarar cutar sankarar bargo da yawancin cututtuka marasa cututtuka waɗanda ke shawo kan kwayoyin halitta, irin su hyperparathyroidism da osteoporosis, na iya samun rarraba a cikin kwarangwal. Sabanin haka, mummunan haɗari, fitinar jiki na kasusuwa na ƙasƙai na iya bada shawara akan wani abu dabam, irin su cutar Paget ta kasusuwa ko yaduwa irin na ciwon daji.

Hotuna X-ray a cikin Hodgkin Lymphoma - Ƙaddara Nodes a cikin Akwati

Nau'ikan lymphoma guda biyu sune lymphoma Hodgkin , ko HL, da lymphoma non Hodgkin ko NHL. Bugu da ƙari, kamar yadda cutar sankarar sankarar take, ba a gano kwayar lymphoma ta rayukan rayuka ba.

Duk da haka, ana iya yin isar da hasken rayukan kirji saboda wasu dalilai daban-daban, kuma wasu 40 zuwa 65 bisa dari na mutanen da ke tare da HL suna da ciwon daji a cikin kirji, ko thorax, a lokacin ganewar asali; daga cikin wadannan, fiye da kashi 90 cikin dari suna da abin da aka sani a matsayin kututtukan ƙwayar lymph. Lopin lymph na mai jarida su ne lymph nodes dake cikin matsakaici. Matsakanin watsa labarai shine yanki a tsakiyar ɓangaren kirji a tsakanin kwayoyin biyu. HL mafi sau da yawa yana ƙunshe da ƙwayoyin lymph a wani yanki na kafofin watsa labaran da ake kira matsakaicin matsakaici-wato, ƙananan ƙungiyoyi na lymph nodes tare da sunayen kamar layi na jini, da na ɓoye, da kuma ƙananan lymph.

A kan hasken rayukan x, yaduwar ƙumbadar ƙwayar cuta a cikin cibiyar sadarwa na iya gano wani lokaci; yana iya bayyana kamar ko dai abu ne mai ɓataccen ɓangare ko ɓarna a ɓangarorin biyu na tsakiyar tsakiyar kirji. Tare da irin nauyin kumburi na lymph, lokacin da za'a iya ganin nau'in kwayoyin lymph tare da juna, wannan na iya kama da haɗin linzami na lobes. Lokacin da kumburi da ƙwayar lymph da ƙwayar cuta ba ta da iyaka a fili, wannan zai iya nuna mamayewa ko tsawo a cikin ƙwayar wucin gadi.

Hakanan NHL na iya haifar da yaduwa a cikin kirji, amma NHL ne ainihin ƙungiyar lymphomas da za su iya farawa a ko'ina-NHL ba dole ba ne ya yada daga ƙungiyar haɓaka zuwa ƙungiyar ɓoye a cikin tsarin da aka tsara, kamar yadda ya saba da HL.

Nodes a kan CT Scans

Hanyoyin samfurin lymph a kan ƙwaƙwalwar CT zasu iya bambanta-daga yadda aka tsara kuma sun kasance masu siffantawa zuwa wani nau'i mai matsala. Wani lokaci likitanku zai iya ganin kullun lymph mai hankali; Sauran lokuta, nau'in lymph mai yawa zai iya bayyana tare, a matsayin ɓangare na babban babban taro. Kayan kwakwalwa masu yawa a HL sun nuna a kan CT a matsayin inuwa mai launin launin kama da sauran kayan laushi (amma ba mai abu ba, wanda shine launin launin toka-baki, kuma ba kashi, wanda yake da fari) kuma zaku iya duba kullun ko yana da kwakwalwa. Kodayake ƙananan ƙwayoyin lymph na yawanci suna launin toka, wasu ƙididdiga zai yiwu, wanda ya nuna sama da fari kamar kashi; Duk da haka, wannan yafi dacewa bayan jiyya, musamman ma bin radiation far.

PET da PET / CT Scans

Hitaccen PET yana amfani da glucose na rediyo wanda yawanci ya karu, amma ba duka ba, iri daban-daban iri na lymphoma. Tsarin wannan abu na rediyo yana iya ƙirƙirar taswira, yana nuna wuraren ciwon ciwon daji cikin jiki . PET yana da mahimmanci a gano lymphoma fiye da CT. Alal misali, nazarin PET zai iya bayyana cutar a cikin ƙwayar lymph wanda aka fi girma a kan CT kuma zai iya taimakawa wajen kimanta cutar da ke waje da ƙananan lymph amma ba a gano a CT ba. An haɗu da PET tare da CT don ba da damar kwatanta yankunan da ya fi ƙarfin rediyo a kan PET tare da cikakken bayani game da wannan yanki a kan CT. Idan aka kwatanta da hoto na al'ada, yin amfani da PET / CT da farko zai iya rinjayar gwagwarmaya da kuma haifar da wani magani daban-daban a cikin adadin ƙwayoyin.

> Sources:

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> Mehrian P, Ebrahimzadeh SA. Bambanci tsakanin sarcoidosis da lymphoma na Hodgkin bisa ka'idar ƙwayar lymph ƙirar hanzarin kwayoyi: Bayyana ta hanyar amfani da CT scan. Pol J Radiol . 2013; 78 (3): 15-20.

> Schwenzer NF, Pfannenberg AC. PET / CT, MR, da PET / MR a lymphoma da melanoma. S emin Nucl Med. 2015; 45 (4): 322-31.