Chirwere chekuKikuchi, chinonziwo histiocytic necrotizing lymphadenitis kana Chikuchi-Fujimoto, chirwere chinokanganisa lymph nodes, zvichiita kuti lymph node inoputika . Chikonzero chaiicho chechirwere hachisati chazivikanwa, kunyange vamwe vatsvakurudzi vakaratidza kuti chirwere kana kuti autoimmune disorder. Nyaya inonyanyobvumirwa neyanyanzvi ndeyekuti chirwere chekuKikuchi chinokonzerwa nemumwe kana vazhinji vasingazivikanwe vanoita kuti hurumende iite zvishoma.
Aya maenzisi anofungidzirwa kuti anosanganisira zvirwere, makemikari, plastiki uye neoplastic (zvisingawanzoregi kutakura).
Ndiani ari pangozi
Chirwere chekuKikuchi chakatanga kurondedzerwa muJapan muna 1972 asi chakave chichitswa munyika yose mumarudzi ose. Yakanga yakambofungidzirwa kuti vakadzi vazhinji kupfuura varume vaibatwa nechirwere cheKikuchi, asi humwe humwe huchangobva huchapupu hunoratidza kuti hazvikwanise kuchinja humwe hwepabonde kupfuura imwe. Chirwere cheKikuchi chinowanikwa mumakore akakura asi asi kazhinji chinokanganisa vechidiki vane makore 20 kusvika ku30.
Zviratidzo
Chirwere cheKikuchi chinowanzotora maitiro e-lymph node kuvimba. Mu80 muzana yevanhu vane chirwere ichi, lymph nodes pane imwe kana mativi maviri emutsipa inowanzobatwa. Kazhinji yenguva, aya ndiwo chete maitiro emakirini anokanganisa. I-lymph nodes haina maturo, yakaoma uye inotenderera 2-3 cm muhupamhi. Inenge hafu yevanhu vane chirwere chekuKichi chinokurudzira fever uye zviratidzo zvakadai semafuta.
Tsvina yakatsvuka inogona kuonekwa kusvika kusvika 30 muzana yevanhu.
Kuziva
An ultrasound, CT scan kana MRI inogona kusimbisa kuvapo kwemakiromodhi akawedzerwa asi haigoni kusimbisa kuongororwa. Kutora sampuli ye lymph node zvakare haigone kusimbisa kuongororwa. Nemhaka yezviratidzo zvayo uye nekuti zvakaoma kufungidzira, chirwere cheKikuchi chinowanzonyangadza ne lymphoma kana systemic lupus erythematosus.
Nzira chete yekuziva nayo kana zviratidzo zvako zvinobva kuchirwere chekuKikuchi ndechokuti chiremba wako abvise lymph node uye aongorore mazinga arimo. Nenguva isipi, kusiyana nekenza lymphoma uye lupus, chirwere chekuKikuchi hachisi kupisa upenyu kana kusingaperi mune zvakasikwa.
Treatment Options
Kurapa kwechirwere chekuKikuchi kunosanganisira kubvisa chero fever, zviratidzo zvechirwere, kana lymph node tenderness. Nonsteroidal anti-inflammatory drugs (NSAIDs) yakadai seIbuprofen inogona kubatsira nezviratidzo izvi. Chirwere chekuKikuchi chinowanzowedzera pachayo pachayo mumwedzi umwe kusvika kumatanhatu.
Sources:
Boone, JL (2004). Chikuchi chirwere. eMedicine.
Chaitanya, BN, & Sindura, CS (2010). Kikuchi's disease. J Oral Maxillofac Pathol, 14 (1), 6-9.