Kurapa kweHodgkin Disease uye Paraneoplastic Pruritis (Itching)
Overview
Itching ndechimwe chezviratidzo zveHodgkin lymphoma . Inenge 10 kusvika ku25 muzana yevanhu vanotambura neHodgkin chirwere vanotambura nechisimba chakanyanya. Mune zvimwe, kutengesa kunotanga kusati kwaonekwa chirwere che lymphoma . Inowanzonzwa sekunzwa kunopisa kunoitika pane imwe nzvimbo yeganda, kazhinji pamakumbo adzo.
Zvinokonzera
Chikonzero chechinhu ichi hachizivikanwi zvechokwadi.
Zvinotendwa kuti mamwe masero eropa anokonzera makemikari pedyo nemitsipa yeganda uye anotsamwisa mitsipa iyi. Tinonzwa izvi sechitsva.
Inongo inoreva here kuti kenza iri muganda rako? Zviratidzo zvisingazivikanwi zveganda kana kumwe kubatanidzwa kweganda muHodgkin lymphoma zvinonzi zvinowanikwa mu15 kusvika ku50 muzana yevanhu vane chirwere. Pakati idzi, vashomanana vangave vane Hodgkin lymphoma yeganda kana Hodgkin lymphoma. Zvinogona kuitika kune mitsva yakawanda yekucheka mukati mevanhu vane Hodgkin lymphoma pruritis. Tsanangudzo dzinoverengeka dzakagadzirwa, asi chikonzero chaicho chaicho chisingazivikanwi.
Kushamwaridzana neKana Cancers
Hodgkin itch inozivikanwa mishonga se "paraneoplastic pruritus," uye inowanikwa mune dzimwe kenza yeropa zvakare, asi Hodgkin lymphoma inoratidzika kuti inounza chiratidzo ichi muhuwandu hwevarwere uye kusvibiswa kwave kuchionekwa sechiratidzo kwechinguva. Hodgkin itch inogona kukura masvondo uye kunyange mwedzi isati yatanga zvimwe zviratidzo zvechirwere che lymphoma.
Itching inogona kuva yakanyanya kwazvo uye inobata zvakaipa pamunhu hwehupenyu hwehupenyu.
Kukosha
Kutora muHodgkin chirwere kunonyanya kukosha pane kungova chiratidzo chisingawanzoitiki. Icho chinogona kuva chiratidzo chechirevo chekunakidza zvishoma kana ichibatanidzwa nehuwandu hwemafivha kana kuora kwekurema, izvo zvinonzi B zviratidzo zve lymphoma .
Mishonga
Izvo hazvina kuve nezvakawanda zvezviongorori zvakakura kuti zviongorore kuti marapirwo angave akabudirira sei rudzi urwu rwekuchenesa muHodgkin lymphoma, asi pane zvimwe zvingada kubatsira kutungamirira kurapa kwekuita maitiro. Maererano neshoko riri muna 2014 "Journal of Medical Case Reports," chimwe chirwere chinoratidzika sechakabudirira ndechokuti Emend (aprepitant,) neurokinin-1 receptor anopikisa, zvisinei, miedzo inotungamirirwa inotevera ichabatsira kusimbisa basa rechirwere ichi an anti-pruritic ye lymphoma. Kumutsa inowanzoshandiswa kubatsira kudzivirira kushungurudza nekurutsa nekuda kwechemotherapy.
Zvimwe zvakasiyana zvakasiyana nemishonga uye kupindira zvakagadziridzwa sezvingangobatsira; vamwe vakawanikwa vachibudirira pakutsvaira mune mamwe marudzi e-lymphoma, asi kwete vamwe. Izvi zvinosanganisira zvinodhaka kubva kumhuri inotapukisa, kushandura antihistamines, oral steroids, kurapa kwemavara kweT-cell lymphoma, thalidomide, uye vamwe.
Support
Kunyange zvazvo pasina hutano hwakarongedzerwa hunoitwa kuti huvepo, pfungwa / mishonga inorapwa inoshandiswa nenzira inobatanidza kubatsira vanhu kurarama nezviratidzo zvekenza kurapwa (zvakadai sokurapa kurapa, kufungisisa, kana kugadziriswa) kungave kune zvimwe zvingabatsira.
Taura newe oncologist kuti uone kuti chii chakashanda kune vamwe vanhu vane Hodgkin chirwere. Zvinogona kubatsira kubatanidzwa munharaunda yekutsigira inowanikwa kune vamwe vanhu vari kufanana neHodgkin kutch nokuda kwemafungiro, uyewo kunzwa kunzwa kutsigirwa kunogona kubva pakuziva kuti iwe hausi woga mune zvaunoziva. Asi kutanga, chengetedza mazano aya pamusoro pekuchengetedzwa kwevanhu vekuchengetedzwa kwevanhu vanorwara nekenza , pamwe chete nemafungiro aya ekurwisana ne lymphoma .
Kune Vakuru Nevanoda
Pakupedzisira asi kwete zvachose, kana iwe mudiwa wako achirwisana neHodgkin uchitsva, ona kuti chidimbu chaicho, uye chinogona kuva chakanyanya.
Zvakaipisisa kune uyo anorarama nekenza yekenza kudarika kuchenesa, ari kuona kuti vamwe havatendi zvavari kutambura, kana kuti havanzwisisi kuti zvinoshungurudza sei. Iva nemoyo murefu kana mudiwa wako achikuvadza. Vakawanda vedu hatisi sevanhu vane rudo-uye tinogona kuva vakaipa - patinenge tisina kunzwa zvakanaka, uye tinogona kutaura zvinhu zvatisingadi. Edza kudzokera shure uye kuifungidzira sechitsva chichitaura, uye kwete mudiwa wako. Nhau dzezvemagariro ndeye nzvimbo yakanaka yevanotarisira kuchengetedza pamwe nevamwe vanochengeta avo vari kutarisana nematambudziko akafanana.
Sources:
Vrotsos E, Dosal J, Zaiac M, Alexis J. Pityriasis rosea-semapapuriro akacheka sechiratidzo chekuratidzira cheHodgkin lymphoma. Nyaya yenyaya uye kudzokorora mabhuku. Nyaya yeDermatological Case Reports. 2015; 9 (3): 81-84.
Yosipovitch G. Chronic pruritus: chiratidzo chinonzi paraneoplastic. Dermatol Ther. 2010; 23: 590-596.
Wang H, Yosipovitch G. Mutsva mazano mukati memapatiphysiology yekusingaperi kwechirwere mune varwere vane chirwere chekupedzisira real failure, chirwere chisingaperi chechiropa uye lymphoma. Int J Dermatol. 2010; 49: 1-12.
Arenas Villafranca JJ, Siles MG, Casanova M, et al. Paraneoplastic pruritus inotaura naHodgkin's lymphoma: nhau yezvemhosva. J Med Case Rep . 2014; 8: 300.