Inoro Dambudziko Rinokonzera uye Basa muHodgkin's Lymphoma
Kana wakambonzwa kurwadziwa nekunwa doro, zvinorevei? Uye chii chinokonzera zvinokonzera? Nei izvi zvichiita sezvakanyanya kufanana nevanhu vane Hodgkin's lymphoma?
Pain with Drinking Alcohol: Chii Chachigona Kuva?
Nhamo nekunwa doro yakabatanidzwa neHodgkin lymphoma, asi kazhinji, kurwadziwa kunosangana nechinwiwa chinodhaka kunonyanya kuitika kune mamwe mamiriro.
Kunyanya, kunwa doro rakawandisa kunogona kuita kuti mhepo inononoka, inofanirwa kuve isina kufara, pamwe chete, dzimwe nguva, kutsamwa kana kurwadziwa munharaunda pamusoro pemudumbu, esophagus, pancreas, gallbladder, uye chiropa. Zvechokwadi, kunyanyisa kunwa doro kunosanganiswa nekanguva yakareba urwere, zvirwere uye zvirwere zvisingaperi.
Doro Kusagadzikana vs. Painful Lymph Nodes
Nhamo mumakirini emvura mushure mekunwa doro inowanikwa mune vamwe vanhu vane Hodgkin's lymphoma , asi haisi imwe yezviratidzo zvinokosha pakuongororwa kwe lymphoma . Zvechokwadi, hazvisi nyore.
Apo mumwe munhu ane mhinduro isingatarisirwi nedoro kune huwandu hwemikana. Nhamba yezvirwere kana zviitiko zvinosanganisira Hodgkin lymphoma, asiwo chimwe chinhu chinonzi carcinoid syndrome, uyewo yakajeka yekare genetics: kuchinja kwejeni kunokonzera doro dehydrogenase (inonyanya kuwanikwa muAsia populations).
Kunwa doro uye kusagadzikana kunokonzerwa nemhinduro dzakawanda dzisingatarisiri kunwa doro. Ichokwadi kunwa doro kunokonzerwa kuti hakunakwanisi uye kunowanzosvika mumhuri, uye sezvimwe zvekudya zvekudya zvinogona kutakura dambudziko rekugadzikana kunokonzerwa nemagetsi ( anaphylaxis ). Dzimwe nguva zvinongororwa zvinokonzerwa nechinhu chinodhaka mudhakwa, zvakadai sezviyo kana kuti zvinodzivirira, uye kwete doro pacharo.
Kunwa doro zvisina kufanira, izvo zvinogona kuenzaniswa nezviratidzo zvekudhakwa, zvinogona kuva nezvikonzero zvakawanda zvinokonzera. Nhaka yekushayikwa kweine enzyme yekudha doro (doro dehydrogenase) inogona kutungamirira kukurumidza (uye kuramba) kudhakwa. Dambudziko reCeliac (gluten senitivity), kuvhiringidzika kwe histamine , gorosi , uye sulfite zvirwere , zvose zvinogona kukonzera kusagadzikana kwewaini.
Carcinoid syndrome chimwe chinhu chinowanzosangana uye chinosanganiswa nechimwe chimiro chekukura zvishoma nezvishoma, kana kuti tumorcinoid tumor, inosunungura serotonin. Serotonin ikemikari messenger iyo inogonawo kubudisa zviratidzo zvinonzi "carcinoid syndrome" kusanganisira kurwadziwa kwepamuviri, kubvunda kutsvuku kwemutsipa, chiso uye chifuva, chirwere, chirwere, uye kubhururuka, uye zviratidzo izvi zvinogona kukonzerwa nedoro mune dzimwe matambudziko.
Kunwa doro kunokonzerwawo nekushandiswa kwemimwe mishonga inosanganisira Antabuse (disulfiram) uye Flagyl (metronidazole).
Doro Rinorwa MuHodgkin Lymphoma
Kushamwaridzana kunwa doro neHodgkin's disease kunodzoka shure kwemakore akawanda. Mutsva ya1966 inotsanangura varwere vanomwe 747 vane doro rinokonzerwa nedoro rinosangana nemararamiro ane kenza, Hodgkin lymphoma yakaita 40 muzana yematambudziko.
Dzimwe mbiri mbiri muna 1994 uye 2013 dzinotaura nezvekubatana asi pane zvimwe zvishoma zvidzidzo zviripo.
Vanenge hafu yevanhu vane lymphoma vachave vakawedzera lymph nodes . Iyi nodes haisi inorwadza kune iyo inobata, kunyange zvazvo inogona kuvhara. Mune vamwe vanhu, lymph nodes dzinokanganisa dzinogona kuora mwoyo mushure mekunwa doro, uye izvi zvinoratidzika kuva zvakanyanya kune vanhu vane Hodgkin lymphoma.
Ndeipi iyo inokonzera marwadzo ane chokuita newaini mune chirwere cheHodgkin? Masayendisiti haazive zvakananga bhaologic kana kuti chinokonzera, asi pane mazano akawanda. Vamwe vanotenda kurwadziwa kunobatana nekuwedzerwa kwemidziyo mukati me lymph node capsule mushure mekutsvaga doro muropa.
Mune imwe nyaya yenyaya, hutoro hwakakonzerwa newaini hwakabviswa neAppil (ibuprofen), uye sezvo Advil akashanda pamakemikari anonzi prostaglandin , vanyori vakafungidzira kuti chirongwa che prostaglandin-mediated chinogona kunge chakabatanidzwa.
Kana iwe uine chirwere cheHodgkin uye kana iwe uchinge uchinge uchinge uchinge uchinzwa doro, hazvizivikanwe kana kusagadzikana kwewaini kunoratidzira kana kunofanotaura chero chinhu maererano nekuoma kana kufungidzira kwechirwere.
Muenzaniso Nyaya - Munhu Akwegura wemakore 31 nemarwadzo shure kweSips Doro
Muna 2013, Dr. Andrew Bryant naDkt. John Newman veVanderbilt University Medical Centre vakataura nyaya yemumwe murume ane makore 31 akauya kumakiriniki avo ane kurwadziwa kwepfupa kwakatanga maminitsi mushure mokudya zvidhi zviviri kusvika kune zvitatu zvewaini . Izvi zvaive zvichiitika kune mwedzi mitatu yapfuura. Murwere haana kunzwa kurwadziwa paaimedza zvimwe zvinodhaka kana zvakasvibirira, uye kurwadziwa kwake kwakabviswa nehutachiona hwema ibuprofen.
Muchiitiko ichi murwere, lymph nodes pedyo nekodzero yakarurama, mwoyo, uye diaphragm (lymph node mediastinal) yakanga yabatanidzwa neHodgkin chirwere. Mukuwedzera kune marwadzo mubhokisi rake neine sips doro, aive nemapurovhesi, usiku hwekutuka uye general malaise (malaise ishoko rinoreva kusangonzwa zvakanaka). Kufananidza uye kunyanya kwechimwe chemaitiro emakumbo asina kukodzera kwakakonzera kuongororwa kweHodgkin lymphoma.
Shoko Rinobva
Dambudziko reAloro harisi iro rinowanzoonekwa, rinowanzoonekwa kana rakakurumbira chiratidzo chekuratidzira cheHodgkin's lymphoma, zvisinei kuti lymph nodes inorwadza mushure mekushandisa doro chiratidzo chinonyorwa kakawanda kuvanhu vane Hodgkin's disease. Vanhu vane Hodgkin lymphoma vanogona kusimbisa zviratidzo zvakasiyana, asi mamiriro ezvinhu akajairika ekuzivikanwa akawedzera lymph node (s) uye hapana chimwe chinhu. Lymph nodes dzinogona kuwedzerwa mumutsipa, mazamu, kana kugomera, zvichiita kuti bundu risina kurwadza, kana mukati mebhokisi, riwanikwe pane zvidzidzo zvekufungidzira. Zvishoma nezvishoma, avo vane Hodgkin lymphoma vanogona kuora muviri, fivha, kubvongodza, kana kudonhedzera masikati usiku, pamwe chete vanonzi B zviratidzo zve lymphoma .
Kana iwe uchinzwa marwadzo mushure mekunwa doro kana unonetseka nezviratidzo zvisingawanzore kana maitiro shure kwekunwa doro, ita nguva yekutaura nachiremba wako. Sezvo nemamiriro ezvinhu akafanana nekunzwisisa, gluten, zvinogona kutora nguva kuti uende kumucheto kwezviratidzo zvako. Iwe unogona kutanga kutora bhuku rezvokudya paunenge wakamirira kugadzwa kwako uye kumira mumuviri wako kuti ucherechedze chero humwe zviratidzo zvaungave uchinetseka.
Sources
- Brewin, T. Doro Kusagadzikana muNeoplastic Disease. British Medical Journal . 1966. 2 (5511): 437-41.
- Bryant, A., uye J. Newman. Doro Kusagadzikana Kunosangana neHodgkin Lymphoma. CMAJ . 2013. 185 (8): dzidzoE353.
- Callahan, B., Coe, R., na H. Place. Hodgkin Zvirwere zveSpine Zvichitarisa Soro Doro-Rakabatana Nhamo. A Case Case uye Kudzokorora kweMabhuku. Nhoroondo yeB Bone uye Joint Surgery . 1994. 76 (1): 119-21.
- Kasper, Dennis L .., Anthony S. Fauci, naStephen L. Hauser. Harrison's Principles of Internal Medicine. New York: Mc Gehunda, 2015. Print.