Ke piʻi nui nei nā maʻiʻino i ka wā'ōpiopio, no laila pono nā mākua e mālama mau i ka olakino o ke keiki. ʻO Lymphogranulomatosis hiki keʻikeʻia i nā kumu mua o ka uluʻana, i nā keiki. ʻO ka hoʻomakaʻana o ka hoʻomaluʻana i nā maʻi pilikino,ʻo ia kaʻoi aku o nā kūlana o ka ho'ōla.
Lymphogranulomatosis - nā kumu
ʻAʻole maopopo i ke kumu e pili ai ke kino i ka maʻi e nīnauʻia ana, a me nā kumu i hoʻohui i kēia. Aia kekahi mau manaʻo e pili ana ka maʻi o Hodgkin (lymphogranulomatosis) i ke kumu o nā moku'āina e hiki mai nei:
- ka pilikino mononucleosis i hanaʻia e ka maʻi Epstein-Barr ;
- nā maʻiʻeleʻele kūlohelohe;
- nā genetics.
Nā kūlana o ka lymphogranulomatosis
Ua holomua ka maʻiʻino i hōʻikeʻia. E like me ke koʻikoʻi o nā hōʻailona hōʻoia a me ka nui o nā hōʻailona o ka lymphoma o Hodgkin i loko o nā keiki e loaʻa i ka 4 mau hanana:
- Hoʻopiliʻia e kahi'ōpena (spleen, thymus), a me ka'īlio kani, ka nui o ka pūpū, a me ka mea nui. ʻAʻole iʻikeʻia nā hōʻailona aʻaʻole paha iʻike nuiʻia.
- Hoʻomaka ka heleʻana o nā pūpili i hoʻololiʻia, ka mea e hoʻololi ai i ka hanana o nā'ōpū o loko a me nā hui o nā lymph nodes ma kekahiʻaoʻao.
- I ke kaʻina hana pilikino, ua pili nā hale i mamao mai kahi kumu kumu. Ka hopena o nā puka lymph ma nāʻaoʻaoʻelua o ka diaphragm. Hoʻonui ka'ā'ī i ka nui.
- Laweʻia nā hoʻololi i kahi māhele kikowaena. Hoʻopilikia ka maʻi pilikino i ka hana o ke ake, ka momona o ka iwi, nā mumu a me nā mea'ē aʻe.
Lymphogranulomatosis - hōʻailona i nā keiki
Hikiʻole keʻikeʻia ka maʻi o Hodgkin i mua o ka 5 o nā makahiki, a ma nā kamaliʻi liʻiliʻi ma mua o ka makahiki hoʻokahi,ʻaʻole e loaʻa. No kaʻikeʻana i ka lymphogranulomatosis ma nā keiki ma kahi o ka wā mua he paʻakikī, hikiʻole nā hōʻailona mua aʻaʻoleʻikeʻole paha:
- ka hōʻehaʻehaʻole o nā puka liʻiliʻi ;
- ʻoluʻolu;
- hiamoe;
- ke kiʻekiʻe o ka mahana (e pili ana i 37 mauʻoka).
ʻO ka haʻahaʻa, ua ikaika a hōʻikeʻia nā mea i hōʻikeʻia. No laila ke neʻeʻana o ka lymphoma o Hodgkin - hōʻailona i nā keiki:
- ka wela nui, i ka pō;
- nā maʻiʻeha ;
- pupuhi;
- wela;
- nele i kaʻona;
- ka poho kaumaha;
- moe;
- pilikia ka hanuʻana;
- hiki ke loaʻa i nā maʻi maʻi;
- ka haunaeleʻana o ka manu;
- pinepine pinepine;
- ke kaumaha o ka paʻakikī ma nāʻiʻo, nā hui;
- ka hōʻeha o ka hana i loko o ka'ōpū a me ke kino o ka maʻi.
Lymphogranulomatosis -ʻikeʻike
E hōʻoia i ka hōʻeha o ka maʻi o Hodgkin e hiki ke hoʻomau wale i ka pilina o nā mea i hoʻopiliʻia (biopsy). ʻO nā hōʻailona likeʻole o ka lymphogranulomatosisʻaʻole ia he kumu kūpono no ka hōʻailona, no ka mea, hiki iā lākou ke hele pū me nāʻano maʻi'ē aʻeʻole. ʻO nā hōʻailona likeʻole he mau mea maʻamau no nā maʻi pīpī, nā maʻi āpau a me nā hōʻailona palapitic.
Nānā no ka lymphogranulomatosis
I ka weheweheʻana i ke kau o ka maʻi o Hodgkin, hoʻohanaʻia kekahi mauʻano diagnostic. ʻO ka hōʻoiaʻana no ka hōʻeuʻeu no ka hōʻoiaʻana i ka lymphogranulomatosis ma nā keiki, he ho'āʻo koko (ka nui a me ke biochimika, ka hana o alkaline phosphatase ma ke kahe). Hiki ke hoʻomaopopo i ka poino a me ka anemia, e hoʻokū i ke alo a me ka paʻakikī o nā hana inflammatory i loko o ke kino.
Nāʻano likeʻole o nā haʻawina e'āpono ana i ka diaphhogranulomatosis ma nā keiki:
- ke kiʻi kiʻi kūlohelohe a iʻole ka helu pilina i heluʻia;
- ʻikeʻia me ka gallium-67;
- ka puncture (trepanobiopsy) o ka iwi o ka iwi;
- X-ray;
- ʻike kekona.
Lymphogranulomatosis - maʻi
ʻO nāʻano nui o ka hakakāʻana i ka maʻi o Hodgkin i nā keiki, he polychemotherapy, radiation a me ka hoʻohana likeʻana o nā lāʻau lapaʻau. I nā hihia koʻikoʻi a paʻakikī, ināʻaʻole i huaʻia kēia mau hana i ka hopena i manaʻoʻia,ʻo ka maʻi o ka lymphogranotlomatosis e hiki ke mālama i ka lāʻau. ʻO kaʻoihana ka hoʻoiliʻiaʻana o ka momona o ka iwi mai kahi mea hāʻawi likeʻole.
ʻO Lymphogranulomatosis ma nā keiki - nā'ōlelo hoʻoikaika kino
I ke kaʻina hana o ka chemotherapy, hoʻoiho likeʻia ke keiki i nā lāʻau he nui,ʻo ka hui pūʻana o ia mea e hoʻokau i ka hoʻokaumaha o nā pūnaewele tumo. Aia he mau hana maʻamau 4 hou i kēia manawa kahi e mālamaʻia ai ka lymphoma o Hodgkin i loko o nā keiki -ʻo nā'ōlelo hoʻonaʻauao i loko o kēia mau hui pūnaewele:
- ABVD - adriamycin, bleomycin, vinblastine, dacarbazine;
- ACOPP - adriamycin, cyclophosphamide, onkovin, procarbazine, prednisolone;
- BEACOPP - bleomycin, etoposide, adriamycin, cyclophosphamide, onkovin, procarbazine, prednisolone;
- 'OEPA - ka onkovin, etoposide, prednisolone, adriamycin.
ʻO ka Lymphogranulomatosis ma nā keiki e hele pūʻia me ka maʻiʻeha a me nā hōʻailona'ē aʻeʻole, no laila, ua kauʻia keʻano o ka lāʻau hōʻailona:
- analgesics;
- nā mea hoʻomaha iki;
- anesthetics;
- nā homoni;
- nā lāʻauʻokoʻa;
- nā mea āpau;
- nā diuretics;
- nā hōʻoia o nā mea koho;
- nā lāʻau lapaʻau;
- antacids;
- ka mea hoʻoponopono i ka paleʻaina;
- nā huaʻai a me nā mea'ē aʻe.
Lymphogranulomatosis - nā hōʻailona kōkua
ʻO nā lāʻau lapaʻau'ē aʻeʻaʻole i loaʻa nā lāʻau lapaʻau kūpono e hiki ai ke pale aku i ka'ōpūʻino, akā, hiki ke hoʻohanaʻia nā mea hoʻopalapala kūlohelohe i mea hōʻailona kōkua aiʻole i ka hoʻoponoponoʻana. ʻO nā mea nui i manaʻoʻia he teasite teas, inā ua hoʻokōʻia ka kalaʻana o ka lymphoma o Hodgkin i nā keiki. Hāʻawi lākou i ka hoʻonui a me ka kākoʻoʻana o ka palekana, ka hoʻohālikelikeʻana i ka hana o nā'ōpala, nā'ōpū a me nā pūnaeho o ka maʻi.
Ka meaʻai no ka lāʻau infusion
Mea Kai:
- nā lālā o ka paina - 1 kg;
- nā aʻa o kahi hoʻomi - 0,5 kg;
- ke kō - 1 kg;
- wai - 0.5 liters.
Hoʻomākaukau a hoʻohana:
- E holoi a'ōpala i nā mea pono momona.
- Hiki ke mālamaʻia kahi pahu-3-liter maʻemaʻe me nā mea - nā lālā lālā, ka paʻakai, nā aʻa ulaula, ka paʻakai a pēlā nō.
- E ninini i ka wai a pau e paila.
- E waiho i ka lāʻau no 3 mau lā, a laila e hoʻohemo i ka wai.
- E lawe i kahi hopena o 1 tbsp. ka puna i mua o kaʻai, 3 manawa i ka lā.
- Hoʻoponopono i nā lā he 10-11.
Ka meaʻai no ka lāʻau syrup
Mea Kai:
- mumm - 20 g;
- ka meli - 700 g;
- ka wai o ka aloe - 500 ml.
Hoʻomākaukau a hoʻohana:
- E hoʻokuʻu i nā meaʻai a pau i loko o kahi ipu aniani maʻemaʻe.
- E kau i loko o ka pahu fīhā no 7-9 mau lā.
- Ma hope o kēia manawa, eʻoluʻolu e hui i nā mea o loko.
- E lawe i 1 tspʻekolu manawa i ka lā.
- E hoʻomau i ka hoʻomaha no 1.5 mau pule.
Nā hopena o ka mālamaʻana i nā lymphoma o Hodgkin i nā keiki
ʻO nā lāʻau lapaʻau'alopona a me ka hoʻokaeʻole i ka hopena e hoʻopili i nā mea maʻiʻole, akā, nā pūnaewele maikaʻi. ʻO nā keiki ma hope o ka maʻi lymphoma o Hodgkin e loaʻa i kēlā mau hopena o ka hopena:
- maʻi maʻi i loko o ka waha;
- ka lauoho o ka lauoho;
- nausea;
- kaheʻana o ka mucous membran;
- luaʻi;
- nā maʻi hōʻona;
- nele i kaʻona;
- ka hopena o ka'ōnaeʻa cardiovascular;
- pili i kaʻili;
- ka nele o nā hana hana a me nā mea'ē aʻe.
Lymphogranulomatosis - prognostics
ʻO ka maʻi i hoʻonaʻauaoʻia e pili ana i ka maʻi lapaʻau, kahi maikaʻi loa o nā maʻi. ʻO Lymphogranulomatosis ma nā'ōpio a me nā keiki me ka lōʻihi 1-2 mau hopena e hoʻopauʻia me ka kalaʻana i 90-95% o nā hihia. Ināʻikeʻia nāʻano pilikino ma hope aku, ma nā wāʻoi aku ka nui, ua emi kēia hōʻike i 75-85%. ʻO nā wānana hewaʻole no nā maʻi i loaʻa ka hanana o ka lymphogranotoposisosis i loko o 12 mau mahina ma hope o ke kūlana o ka lāʻau.