Ha u sheba ka lekhetlo la pele, lymphoma le lymphedema ke mantsoe a bonahalang eka a ka amana, empa a bua ka maemo a fapaneng haholo. Lymphoma ke kankere ea lymphocyte lisele tsa mali tse tšoeu ha lymphedema e le ho bokella metsi a mongobo, kapa lymph, litlamong tse bonolo tse tsamaeang le ho ruruha. Hangata motho o tšoaroa ke lymphedema e le letsoho kapa leoto la ho ruruha.
Lymphedema e atisa ho bakoa ke ho tlosoa kapa ho senya lymph nodes tsa hao joaloka karolo ea phekolo ea kankere. Hobane kankere ea matsoele e tloaelehile haholo ho feta kankere e meng, bo-rasaense ba na le boitsebiso bo eketsehileng ka lymphedema ka kankere ea matsoele; Leha ho le joalo, lymphedema e ka hlaheloa ke batho ba pholosang kankere ea mefuta eohle e fapaneng, ho kenyelletsa le mefuta e sa tšoaneng ea lymphoma . Palo ea batho ba nang le lymphedema e lebeletsoe hore e eketsehe haholo lilemong tse leshome tse tlang kapa joalo ka lebaka la litefiso tse ntlafetseng tsa ho pholoha ka mor'a lefuba la kankere.
Lisosa
Lenaneo la lymphatic le tšoana le tsamaiso ea potoloho e potoloha: e bokella lero la mmele meleng ea 'mele ebe e e fetisetsa meleng ea hau. Mokhoa oa li-canal, o kopantsoe hammoho ke lymph nodes, o na le libaka tse fapaneng kapa "lihlopha tsa molao." Ka mohlala, lymph nodes sebakeng sa groin li na le boikarabelo ba ho hloekisa le ho hloekisa lisele tsa metsi le lymph maotong, ha li-lymph nodes li ka thusa hlahisa le ho hloekisa lymph e tsoang matsohong.
Ha ntho e thibelang ho ruruha ha sethoathoa kapa e thibela ho potoloha hantle, sena se ka lebisa lymphedema sebakeng se itseng sa 'mele. Tabeng ea mehaho ea li-lymphatic ho thothomela, mohlala, ho thibela metsi ho ka baka ho ruruha ha leoto kapa maoto ka bobeli. Ka mor'a meriana, ka mor'a ho buuoa le mahlaseli a kankere ea matsoele, ho ka 'na ha e-ba le lihlahisoa kapa lihlopha tsa lisele tse fokolang tse thibelang ho phalla ha lymph, kapa lymphatics ka boeona e ka' na ea se sebetse hampe ka mor'a ho phekoloa.
Ho na le lisosa tse ling tsa letsoho le leoto la ho ruruha eseng ka lebaka la lymphedema, ho netefatsa, 'me ke mosebetsi oa ngaka ea hau maemong ana ho supa bothata bo ka sehloohong.
Matšoao le Mathata
Haeba ho bokella metsi a mangata le liprotheine li ntse li tsoela pele, sena se ka etsa hore motho a itšoare ka ho ruruha, ka ho hlahisa mafura le ho robala, le ho ruruha ho sa feleng ho boima ba likarolo tsa 'mele tse amehang. Lymphedema e ka hlahisa matšoao a khathatsang, a kang:
- Letlalo le thata
- Matla a fokotsehileng a ho tsamaisa manonyeletso
- Boima maotong a amehang
- Ho nyahama le bohloko
- Matšoao a tloaelehileng.
Lymphedema le Lymphoma
Ho latela phekolo ea kankere, ho thibela kapa ho senya mehaho ea lymphatic ka ho buoa le mahlaseli a kotsi ho ka lebisa lymphedema. Litlhare tsa kankere tse amang li-lymph nodes li ka senya litsela tsa lymph drainage, tse etsang hore lymph fluide e bokelle litho tse ling tse amanang le 'mele.
Le hoja ho sa tloaelehe hore e tlalehoe e le letšoao le hlahang la lymphoma, lymphedema e ka bakoa ke lymphoma , ka boeona, kapa e pheta-pheta. Lymphedema e amang leoto le le leng e 'nile ea tlalehoa e le tlhaloso e sa tloaelehang ea pele ea lymphoma, haholo-holo ho basali,' me hangata e e-na le lymph nodes e ruruhileng sebakeng sa groin kapa maligning ka mpeng. Lymphedema ka lebaka la lymphoma e ka hlaha likarolong tse ling, hape, ha phallo ea lymph e koetsoe ke boima bo boholo, ka mohlala.
Tsamaiso
Lymphedema e nkoa e le boemo bo sa foleng bo tsoelang pele. Le hoja e ka laoloa, ha e e-s'o amohelehe e le boemo bo ka folisoang ka ho hlaka. Bafuputsi ba sebetsa ho ntlafatsa boemo, leha ho le joalo.
Kalafo e tloaelehileng bakeng sa lymphedema ke se tsejoang e le phekolo ea ho itlosa bolutu, e kenyelletsang boikoetliso, ho apara seaparo sa khatello, tlhokomelo ea letlalo le ho silila ka letsoho le lymph drainage.
Ka linako tse ling ho hlokahala hore ho buuoe ka maemong a boima kapa maemong a sa hanyetsanang le phekolo e tloaelehileng ea ho phekola.
Litlhare
Ho na le likarolo tse peli tsa motheo tsa opereishene bakeng sa lymphedema: opereishene ea ablative / debulking le opereishene ea ts'ebetso / ea ho sebetsa.
Mekhoa ea boipheliso kapa ea ho itšireletsa e 'nile ea sebelisoa ho tloha mathoasong a lekholo la bo20 la lilemo . Mekhoa ena e fokotsa boholo ba maoto a ruruhileng, empa a ka senya ka ho khaola ho hoholo le mathata a mang. Liposuction e tlosa lisele tse fokolang ho fokotsa lehare la leoto, leha ho le joalo, ka tloaelo u tlameha ho sebelisa phekolo ea ho phekola bophelo bohle ho boloka.
Ho buuoa ka mokhoa o sebetsang kapa oa physiologia ho akarelletsa ho fetisetsa lymph node transfer (VLNT) hammoho le ho pholletsa le lymphovenous . Mekhoa ena e sebelisitsoe morao tjena, kahoo e tlase e tsejoa ka liphello tsa ho bapisa le lintlha tse mabapi le mekhoa e metle ea ho eketsa liphello. Leha ho le joalo, liphello li 'nile tsa tšepisa ho fihlela joale, tse entseng cheseho. Mekhoa ena ka bobeli e leka ho tsamaisa tse ling tsa mokelikeli o khutliselitsoeng tsamaisong ea mafura. Ka bobeli li boetse li buuoa ka tsela e rarahaneng ka hore li nkoa e le li-microsurgeries, tseo ho hlokahalang hore ho be le likamano tse fokolang haholo - 'me li-lymphovenous li fetela ka tsela e kholo, ke kahoo ka nako e' ngoe e hlalositsoeng e le "opereishene" e nyenyane ea ho buuoa.
- Ha li-lymphovenous circulation, lijana tsa lymphatic tse sebetsang li kopanngoa le likokoana-hloko tse nyane-e leng opereishene e rarahaneng e nyenyane e lekang ho khutlisetsa li-plumbing hape.
- Ho VLNT, lingaka tse buoang li alima lymph nodes sebakeng se seng sa 'mele ebe li li fetisetsa ka mali le mafura a mang a potolohileng sebakeng se amehileng ke lymphedema. Ha u buuoa joalo, ha e le hantle u transplanting.
E 'ngoe ea lintho tse khethollang ka VLNT ke hore u fetisetsa "sebetsa" sa "immunological center" sebakeng se senyehileng - ebang ke ka ho buoa, mahlaseli a ntho e' ngoe. Ho thahasellisang ke hore lithuto tsohle tsa kliniki ho fihlela joale le VLNT li bontšitse ntlafatso ea mafu a letlalo - ka mabitso a kliniki a kang erysipelas, lymphangitis, le cellulitis - ka mor'a ho fetisa lymph node ho feta.
Hokahanngoa le Kotsi ea Kankere
Ha ho na bopaki ba sena, empa ke potso e thahasellisang hona joale bakeng sa bafuputsi ha ba ntse ba sebetsa ho utloisisa likamano pakeng tsa tsamaiso ea 'mele ea ho itšireletsa mafung le kankere.
Ka lehlakoreng le leng, lymph nodes li atisa ho tlosoa mefuta e sa tšoaneng ea kankere. Mefuta e mengata ea kankere e qala ho fokotsa kapa ho fetisetsa lithing tsa lymph nodes ka mechine ea lymphatic pele e fetisetsa libakeng tse ling 'meleng, kahoo li-lymph nodes tsa mongoli ho bakuli ba kankere hangata lia tlosoa.
Ka lehlakoreng le leng, bafuputsi ba bang ba bolela hore ho khetholla lymph node dissection ka melanoma ea maoto ha ho khothalletsoe hobane ha e ntlafatse pholoho. Maemong a mang le bakeng sa lik'hemik'hale tse ling, ho ka 'na ha e-ba le hore lining tsa lymph node li ka sebetsa joaloka balebeli ba menyako ea ho itšireletsa mafung, e bolelang hore ho tlosoa ha bona ho sa hlokahaleng ho ka fella ka ho hlaseloa ha masapo.
Liphuputso tse ling tsa lipatlisiso tsa liphoofolo li bontša hore phallo ea li-lymph e phetha karolo ea bohlokoa ho hlahisang likarabo tse ikhethang tsa ho itšireletsa mafung le hore ho se sebetse ho matla ha lymphatics ho ka 'na ha e-ba le ho khothalletsa ho hōla ha lihlahala tse ka sehloohong. Leha ho le joalo, bo-rasaense ba qala ho ithuta le ho utloisisa lintho tse mabapi le "tumor microenvironment" le immunology ea tumor, 'me sena ke sebaka se mafolofolo sa lipatlisiso,' me lipotso tse ngata li setse.
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