Hazvina ruvemia kana lymphoma inoratidzwa nekufungidzira. Chirwere chepakutanga chinowanzodikanwa chidimbu uye nhamba dzinoverengeka dzeongororo dzinoshandiswa paropa uye zvimedu zvemasu. Kufungidzira kuongororwa kwekemukemia, kunyanya, kunogona kunge kusingabatsiri sezvinongoita mune dzimwe mhando dzekenza dzinoita mamarara.
Izvozvo zvakati, kunyange muropa reukemia, uye kazhinji mu-lymphoma, mifananidzo yakajeka ye-ray-ray inogona kupa zvinyorwa zvinoti , zvakatorwa pamwechete nezvimwe zvigadziro zvemashoko, zvingava chikamu chekubata kwekupedzisira kunotungamirira ku biopsy uye kuongororwa.
Nekuremekedza lymphoma , maitiro e-lymph node kupinda, izvo zvingaratidzwa kunyange nebhokisi x-rays, zvinogona kuva zvakakosha pakutanga kutanga kubatsira zvishoma. Haasi ose ane lymph nodes akaputika mubhokisi ndiwo lymphoma. Zvimwe zvirwere, utachiona, uye zvirwere zvisingaiti sezvakaitwa sarcoidosis zvingave zviri mhosva. Dzimwe nguva kuputika kwema-lymph nodes kunosvika nyore nyore nzvimbo dzechibip, zvakadai semutsipa; zvisinei, mune dzimwe mamiriro ezvinhu-muHodgkin lymphoma, somuenzaniso-chete lymph nodes yekenza ingave iri mukati mukati mebhokisi.
X-ray Mifananidzo muAukemia - Makomba uye Lymph Nodes
X-rays, kana mafirimu akajeka, haashandisi kuongororwa neukemia. Zvisinei, chirwere che x-ray chinogona kuitwa kuti chiongorore hutachiona hwemapapu kana chimwe chikonzero, uye x-ray inogonawo kuratidza lymph nodes dzakaputsika uye dzimwe nzvimbo dzezvirwere. Mamwe maitiro eukemia anogona kupararira kune lymph nodes sezvo chirwere chinopfuurira.
Leukemia inogonawo kuunza kuchinja mukuonekwa kwemapfupa muvanhu vakuru nevana. Osteopenia inoreva mapfupa asingaoneki akaoma-asingaiti semavhenekera mifananidzo-yakajairika, asi haasi kusvika pakuonekwa muesteoporosis. Osteopenia inogara ichiwana mu myeloma, leukemia, lymphoma, nezvimwe zvinetso zvakawanda.
Mukuwedzera, radiologists, kana vanachiremba vanoshandura radiographic imaging, tarisa maitiro ehutano hunobatanidzwa, kana zvipembenene, mufupa. Leukemia uye zvirwere zvakawanda zvisina kenza zvinopesana nemasabetisms emapfupa, zvakadai se hyperparathyroidism uye osteoporosis, inogona kuva nehuwandu hwekupararira mumasaga. Kusiyana neizvi, kuonekwa kusina kufanana, kusinganzwisisiki kwemapfupa emapfupa kunogona kuratidza chikonzero chakasiyana, chakadai sePaget's disease yepfupa kana kuparadzirwa kwemasastatic kune imwe mhando yekenza.
X-ray Mifananidzo muHodgkin Lymphoma - Nodes Akawedzerwa muChifuva
Iyo miviri mikuru ye lymphoma iHodgkin lymphoma , kana HL, uye isiri Hodgkin lymphoma kana NHL. Zvakare, sezvakaita nerukemia, lymphoma haina kuongororwa ne x-ray.
Zvisinei, chifukidzo che-x-rays chinogona kurairwa kune zvimwe zvikonzero zvakasiyana-siyana, uye makumi mana kusvika ku65 kubva muzana yevanhu vane HL vane kenza inopinda mukati mebhokisi, kana kuti mutsvuku, panguva yekuongororwa; pane idzi, zvinopfuura 90 muzana zvine izvo zvinozivikanwa sevhesi yei-mediastinal lymph node involvement. Mediastinal lymph nodes iine lymph nodes iri mu mediastinum. Iyo miviri inenge iri munharaunda yepakati chebhokisi iri pakati pemapapu maviri. HL kazhinji inosanganisira lymph nodes mune imwe nzvimbo ye mediastinum inonzi superior mediastinum-iyo ipo, mapoka mapoka emakirini anonzi lymph nodes ane mazita akadai seasati vasati vasvika, paratracheal, uye aortopulmonary lymph nodes.
Panyaya x-ray, lymph node kuwedzera mukati me mediastinum dzimwe nguva inogona kuonekwa; iyo inogona kuoneka seyeya imwechete-yakasiyana-siyana kana kusakanganiswa kumativi ose maviri emukati-mutsara webhokisi. NeHodgkin's-type pattern ye lymph node kupinda, apo vazhinji vanosanganisira lymph nodes vangaonekwa pamwe chete, izvi zvinogona kutaridzika sekubatanidzwa kwelobes. Apo lymph node yemukenza kana mashoma haine tsananguro yakanatsanangurwa, izvi zvinogona kuratidza kupindira kana kuwedzera mukati memapapu emapapu.
NHL inogonawo kubudisa lymph node kuwedzera mubhokisi, asi NHL inongova boka rezviremera zvakasiyana-siyana zvinogona kutanga chero kupi zvako-NHL haina kupararira kubva muboka reboka kusvika kune node neboka rakarongeka, sezvinowanzofanana neHL.
Lymph Nodes pa CT Scans
Kuonekwa kwekubatanidza lymph nodes paC CT kuongorora kunogona kusiyana-kubva pane zvakanatsanangurwa uye kunotsanangurira kune mamwe matted-pamwe chete kuonekwa. Dzimwe nguva chiremba wako anogona kuona zviri nyore lymph nodes; dzimwe nguva, dzakawanda lymph nodes dzinogona kuoneka pamwe chete, sechikamu chehukuru hukuru. Mhando dzechifukidzo dzechipfuva muHL dzinoratidzira paC CT semumvuri mutema wakafanana nezvimwe zvinyoro-tishu (asi kwete mafuta, ayo masviki-masikati; uye kwete bone, iyo yakachena) uye uwandu hungaita hunova hunyoro kana kuti hune maitiro asina kukodzera. Kunyange zvazvo lymph nodes yakawedzerwa kazhinji inotarisa gorofu, mamwe ma calcification anogoneka, anoratidza kuti akachena kupfuura sefupa; zvisinei, izvi zvinowanzova zvakajairika mushure mekurapa, kunyanya kutevera kurapa kwemaawa.
PET uye PET / CT Scans
PET kuongorora kunoshandisa radioactive glucose inotorwa zvakanyanya nevakawanda, asi kwete dzose, marudzi akasiyana e-lymphoma cell types. Kuwana kwechirwere ichi chinokonzera mhepo inogona kuita mapepa emhando, kuratidza nzvimbo dzekenza kuve mumuviri . PET inowanzova nehanya zvikuru pakuona lymphoma kupfuura CT. Semuenzaniso, PET kuongorora kunogona kuratidza zvirwere mumakirinikodhi ayo anowanzokwirira paT CT uye inogonawo kubatsira kuongorora zvirwere zviri kunze kwemakirini asi kwete kuonekwa paC CT. PET inowanzobatanidzwa neCCT kubvumira kufananidza nzvimbo dzepamusoro-soro remhepo paPET scan nekuonekwa kwakajeka kwemahara iyo CT. Inofananidzwa nemifananidzo yakawanda, kushandiswa kwePET / CT kwokutanga kunogona kukanganisa kumira uye kunotungamirira kune zvakasiyana-siyana mumatambudziko akawanda.
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