Hauv tib neeg lub cev tsis yog cov hlab ntsha xwb, tab sis kuj tseem hu ua "dawb" hlab ntsha. Lawv tau paub ntev, thiab nyob rau hauv nruab nrab ntawm lub xyoo pua 18th, kev paub txog cov kab mob lymphatic tau dhau los ua ntau dua. Hmoov tsis zoo, cov kab mob lymphoproliferative tsis tshua muaj tshwm sim, thiab lawv tuaj yeem tshwm sim hauv txhua lub cev.
Lymphatic system
Nws ua lub luag haujlwm tseem ceeb hauv kev ua haujlwm ntawm tus neeg: ua tsaug rau cov kab mob lymphatic, cov khoom siv tau raug thauj mus los, cov kua dej ntau dhau raug tshem tawm. Lwm lub peev xwm tseem ceeb yog muab kev tiv thaiv. Cov kua dej uas ua cov haujlwm no yog hu ua lymph. Nws muaj cov xim pob tshab, muaj pes tsawg leeg yog cov lymphocytes. Qhov tsawg tshaj plaws chav tsev ntawm lub system yog capillaries. Lawv nkag mus rau hauv cov hlab ntsha, uas yog ob qho tib si intraorganic thiab extraorganic. Lawv cov qauv kuj muaj xws li li qub uas tiv thaiv kev thim rov qab ntawm cov kua dej. Cov hlab ntsha lymphatic loj tshaj plaws yog hu ua collectors. Nws yog nyob rau hauv lawvCov kua dej accumulates los ntawm lub cev thiab lwm yam loj ntawm lub cev. Lwm qhov kev tivthaiv uas cov lymphatic system muaj (daim duab nyob hauv qab) yog cov nodes. Cov no yog cov qauv puag ncig uas muaj qhov sib txawv (los ntawm ib nrab millimeter mus rau 5 centimeters). Lawv nyob hauv cov pab pawg raws txoj kev ntawm cov hlab ntsha. Lub luag haujlwm tseem ceeb yog lymph filtration. Nws nyob ntawm no tias nws tau ntxuav cov kab mob phem.
Lymphatic organs
Cov kab mob hauv qab no kuj yog ib feem ntawm tib neeg cov kab mob lymphatic: tonsils, thymus gland (thymus), spleen, pob txha pob txha. Cov lymphocytes uas tsim hauv thymus yog hu ua T cells. Lawv feature yog tas mus li ncig ntawm lymph thiab ntshav. Cov khoom uas tsim nyob rau hauv cov pob txha pob txha yog hu ua B hlwb. Ob hom tom qab maturation yog kis thoob plaws hauv lub cev. B hlwb tseem nyob hauv cov kab mob lymphoid. Qhov no txwv tsis pub lawv tsiv teb tsaws chaw. Lwm lub cev loj, uas yog ib feem tseem ceeb ntawm lymphatic system, nyob rau hauv lub plab kab noj hniav - qhov no yog tus po. Nws muaj ob ntu, ib qho ntawm lawv (dawb pulp) tsim cov tshuaj tiv thaiv.
kab mob Lymphoproliferative. Dab tsi yog
Cov kab mob no feem ntau muaj kev loj hlob ntawm lymphocytes. Yog tias kev hloov pauv tshwm sim hauv cov pob txha pob txha, ces lo lus "leukemia" yog siv. Cov qog nqaij hlav lymphatic uas tshwm sim hauv cov ntaub so ntswg sab nraum cov pob txha pob txha hu ua lymphomas. Raws li kev txheeb cais, feem ntau cov kab mob zoo li notshwm sim hauv cov neeg laus. Hauv cov txiv neej, qhov kev kuaj mob no tshwm sim ntau dua li cov poj niam. Tus kab mob no yog tus cwj pwm los ntawm kev ua kom pom tseeb ntawm cov hlwb, uas thaum kawg pib loj hlob. Muab faib qis, nruab nrab thiab qib siab, uas qhia txog qhov tsis zoo ntawm cov txheej txheem.
Yuav ua li cas
Ntawm cov laj thawj uas tuaj yeem ua rau cov kab mob lymphoproliferative, muaj qee yam kab mob. Qhov tseem ceeb ntawm heredity kuj plays lub luag haujlwm tseem ceeb. Cov kab mob ntawm daim tawv nqaij uas kav ntev (piv txwv li, psoriasis) tuaj yeem ua rau kev loj hlob ntawm malignant neoplasms. Thiab, ntawm chav kawm, hluav taws xob cuam tshuam rau cov txheej txheem no. Cov hluav taws xob hluav taws xob, qee qhov ua xua, tshuaj lom neeg ua kom cov txheej txheem ntawm kev loj hlob ntawm tes.
Lymphomas. Diagnosis
Ib yam ntawm malignant neoplasms ntawm lymphatic system yog lymphoma. Cov tsos mob nyob rau theem pib yuav tsis hnyav.
Cov qog nqaij hlav o uas tsis mob. Lwm qhov kev tawm tsam yog qaug zog, thiab rau qhov loj heev. Tus neeg mob tuaj yeem yws txog kev tawm hws ntau thaum hmo ntuj, qhov tseem ceeb thiab poob ntawm lub cev tam sim ntawd. khaus, liab me ntsis kuj ua tau. Lub cev kub qee zaum nce, tshwj xeeb tshaj yog thaum yav tsaus ntuj. Cov tsos mob no yuav tsum tau ceeb toom yog tias lawv tsis ploj tom qab ob peb lub lis piam. Rau kev kho mob zoo, nws yog ib qho tseem ceeb heev los txiav txim seb hom lymphoma. Thaum kuaj mob, coj mus rau hauv tus account qhov chawqhov chaw, qhov tsos ntawm cov qog, hom protein uas nyob ntawm nws qhov chaw. Tus kws kho mob tshwj xeeb tshaj tawm cov kev kuaj mob kom tiav, kuaj ntshav rau cov qog nqaij hlav cancer, thiab kuaj xyuas cov kab mob hauv nruab nrog cev. Yog xav paub ntxiv, yuav tsum tau kuaj biopsy. Nyob rau hauv lub microscope, cov hlwb cuam tshuam muaj qhov tshwj xeeb zoo li.
kho mob Lymphoma
Txoj kev kho tus kab mob no yog raws li hauv qab no. Txhawm rau rhuav tshem cov neoplasm, chemotherapy lossis radiotherapy (siv x-rays) yog siv. Kev siv tshuaj sib xyaw ua ke, lawv tau faib rau hauv lub cev thiab tuaj yeem rhuav tshem cov hlwb uas tsis tuaj yeem kuaj pom. Tom qab siv tshuaj kho mob, cov pob txha pob txha kuj raug cuam tshuam, yog li nws yuav tsum tau hloov pauv. Nws yog nqa tawm ob qho tib si los ntawm cov khoom pub dawb thiab ncaj qha los ntawm tus neeg mob tus kheej cov pob txha (nws yog yav tas los tshem tawm ua ntej pib cov txheej txheem). Cov kab mob Lymphoproliferative kuj tseem muaj txiaj ntsig rau kev kho mob lom neeg, tab sis nws yog feem ntau sim. Nws yog raws li kev siv cov tshuaj uas yog synthesized los ntawm tus neeg mob lub hlwb. Yuav kom ua tiav cov txiaj ntsig zoo, koj yuav tsum ua tib zoo ua raws li cov kws kho mob cov lus qhia, noj tshuaj raws sijhawm, thiab ua tib zoo saib xyuas cov khoom noj khoom haus.
Leukemia. Daim duab kho mob
Tus kab mob no tshwm sim los ntawm kev hloov pauv hauv cov hlwb hematopoietic, uas cov ntsiab lus noj qab haus huv ntawm cov pob txha pob txha raug hloov los ntawm cov cuam tshuam. Qib ntawm lymphocytes hauv cov ntshav nce ntau. Nyob ntawm seb cov cell twgdegenerate, secrete tus kab mob lymphocytic leukemia (hloov hauv lymphocytes), myeloid leukemia (myelocytes cuam tshuam). Koj tuaj yeem txiav txim siab hom kab mob nyob rau hauv lub tshuab kuaj kab mob thiab los ntawm kev txheeb xyuas cov protein. Lymphoproliferative kab mob (nws yog dab tsi, tau piav qhia saum toj no) nyob rau hauv cov ntaub ntawv no muaj ob hom kev kawm: mob thiab mob. Qhov kawg yog qhov nyuaj heev. Hauv qhov no, kev kho tam sim yog tsim nyog, txij li lub hlwb tseem tsis paub qab hau thiab tsis tuaj yeem ua lawv txoj haujlwm. Daim ntawv mob tuaj yeem nyob tau ntau xyoo.
Cov kab mob lymphoproliferative ntev
Hauv cov neeg laus, mob qog ntshav qog ntshav qog ntshav feem ntau raug kuaj pom. Tus kab mob no maj mam maj mam, thiab tsuas yog nyob rau theem tom ntej yog kev cuam tshuam hauv cov txheej txheem ntawm kev tsim cov ntshav pom. Cov tsos mob muaj xws li cov qog nqaij hlav o thiab spleen, nquag kis kab mob, poob phaus, thiab tawm hws. Feem ntau, cov kab mob lymphoproliferative no tau pom tshwm sim.
Muaj peb theem ntawm tus kab mob: A, B, C. Thawj qhov cuam tshuam rau 1-2 qog nqaij hlav, qhov thib ob - 3 lossis ntau dua, tab sis tsis muaj ntshav qab zib thiab thrombocytopenia. Ntawm peb, cov xeev no tau pom. Thaum ntxov, cov kws tshaj lij tsis pom zoo rau kev kho mob, raws li ib tug neeg khaws nws txoj kev ua neej ib txwm muaj. Nyob rau tib lub sijhawm, nws yog ib qho tseem ceeb kom ua raws li kev noj haus txhua hnub, tus kws kho mob tuaj yeem muab tswv yim txog kev noj haus. Restorative therapy yog ua. Kev kho mob ntawm lymphocytic leukemia ntev yuav tsum pib thaum kuaj pom cov tsos mob. Nwssuav nrog kev siv tshuaj khomob, kev kho hluav taws xob, kev hloov cov qia cell. Nrog rau kev loj hlob sai ntawm lub cev, kev tshem tawm ntawm tus po yuav tsim nyog.
