Yintoni enokudumba i-lymph node

Umxholo

• Yintoni ebangela ukwandisa ii-lymph node
• 1. Entanyeni
• 2. Ebunzimeni
• 3. Emakhwapheni
• 4. Kweminye imimandla
• 5. Kwiindawo ezahlukeneyo emzimbeni
• 6. Inokuba ngumhlaza nini
• Ungalunyanga njani ulwimi oluvuvayo
• Xa kufuneka ubonane nogqirha

Ii-lymph node ezandisiweyo, ezaziwa njengelwimi kunye nenzululwazi njenge-lymph node okanye i-lymph node enlargement, bonisa, kwiimeko ezininzi, usulelo okanye ukudumba kommandla abonakala kuwo, nangona zinokuvela ngezizathu ezahlukeneyo, kulusu olucaphukisayo , usulelo, izifo zokuzikhusela, ukusetyenziswa kwamayeza okanye umhlaza.

Ukwandiswa kwe-lymph node kunokuba ziindidi ezimbini: ukubekwa kwindawo ethile, xa iindawo ezivuthayo zikufutshane nendawo yosulelo, okanye zibanzi, xa sisifo okanye isifo esihlala ixesha elide.

I-ganglia isasazeke emzimbeni wonke, njengoko iyinxalenye yenkqubo ye-lymphatic, eyinxalenye ebalulekileyo yenkqubo yomzimba yokuzikhusela, kuba icoca igazi kwaye inceda ekupheliseni ii-microorganisms eziyingozi. Nangona kunjalo, xa zisandisiwe, kuqhelekile ukuba zibonakale okanye zibambeke kwezinye iindawo ezithile, ezinje ngemingxunya, amakhwapha nentamo. Ukuqonda ngcono ukusebenza kwee-lymph node kunye nokuba ziphi.

Ngokubanzi, iilwimi zithande ukuba nezizathu ezinobungozi kunye nezethutyana, kwaye zihlala ziimilimitha ezimbalwa ubukhulu, zinyamalale kwisithuba esimalunga neentsuku ezintathu ukuya kwezingama-30. Nangona kunjalo, ukuba zikhula ngaphezulu kwe-2.25 cm, zihlala ngaphezulu kweentsuku ezingama-30 okanye zikhatshwa ziimpawu ezinjengokwehla kobunzima kunye nomkhuhlane ongapheliyo, kubalulekile ukubonisana nogqirha okanye isifo esosulelayo ukuphanda izizathu ezinokubakho kunye nonyango.

Ukudumba kwe-ganglia kunokwenzeka ngenxa yosulelo olubi okanye olunganyangekiyo, ithumba, isifo se-autoimmune okanye esonakalisa amajoni omzimba, njengoko kunjalo ngoGawulayo.

Yintoni ebangela ukwandisa ii-lymph node

Oonobangela bokwanda kwee-lymph node zahlukile, kwaye kufuneka kukhunjulwe ukuba akukho mthetho mnye wokuchonga. Nangona kunjalo, ezinye izizathu ezinokubakho zezi:

1. Entanyeni

I-lymph nodes kwingingqi yomlomo wesibeleko, kodwa kunye nezo ziphantsi komhlathi, emva kweendlebe nentamo, zihlala zikhuliswa ngenxa yotshintsho kwindlela yomoya nakwingingqi yentloko, enje:

• Usulelo lweendlela zokuphefumla, ezinjenge-pharyngitis, ukubanda, umkhuhlane, i-mononucleosis, usulelo lwendlebe kunye nomkhuhlane;
• Ukudibana;
• Usulelo lolusu, ezinje nge-scalp folliculitis, ukudumba kwamabala;
• Usulelo lomlomo kunye namazinyo, ezinjenge-herpes, imingxunya, i-gingivitis kunye ne-periodontitis;
• Izifo eziqhelekileyo eziqhelekileyo, ezinjenge-ganglionic tuberculosis, i-toxoplasmosis, isifo sekati okanye i-mycobacterioses ye-atypical, nangona inqabile, inokubangela olu tshintsho;
• Izifo ezizenzekelayo, ezinje ngeSystemic Lupus Erythematosus (SLE) kunye nesifo samathambo;
• Abanye: ezinye iintlobo zomhlaza, ezinje ngomhlaza wentloko nentamo kunye ne-lymphoma, umzekelo, izifo zenkqubo okanye ukusabela kumayeza.

Ukongeza, izifo ezosulelayo ezinje ngerubella, idengue okanye igciwane leZika zinokubonakalisa ngokwanda kwe-lymph node entanyeni. Fumana ngakumbi ngezifo ezibangela amanzi entanyeni.

2. Ebunzimeni

I-groin yeyona ndawo ixhaphakileyo apho i-lymph node ezandisiweyo zivela khona, njengoko ii-lymph node ezikule ndawo zingabonisa ukubandakanyeka kwayo nayiphi na indawo ye-pelvis kunye neelungu ezisezantsi, kwaye kwenzeka ikakhulu ngenxa yomhlaza kunye nosulelo:

• Izifo ezosulela ngokwabelana ngesondo, njengegcushuwa, umhlaza othambileyo, idonovanosis, iherpes yesini;
• Usulelo lomzimba, ezinje nge-candidiasis okanye enye i-vulvovaginitis, kunye nosulelo lwe-penile olubangelwa ziibhaktheriya okanye iiparasites;
• Ukudumba kwi-pelvis kunye nakwindawo esezantsi esiswini, ezifana nosulelo lomchamo, i-cervicitis okanye i-prostatitis;
• Usulelo okanye ukudumba emilenzeni, ezinqeni okanye ezinyaweni, Kubangelwa yi-folliculitis, amathumba okanye isikhonkwane esilula;
• Umhlaza itestis, incanca, ubufazi, ubufazi okanye usana, umzekelo;
• Abanye: izifo ezizimeleyo okanye izifo zenkqubo.

Ukongeza, njengoko le seti ye-lymph node isondele kwingingqi apho ukudumba, ukusika okuncinci okanye usulelo zihlala zikhona, kuyinto eqhelekileyo ukuba amanzi aqatshelwe, nangaphandle kwempawu.

3. Emakhwapheni

Ii-lymph node ze-Axillary zinoxanduva lokucoca yonke i-lymphatic circulation engalweni, eludongeni lwesifuba nasebeleni, ke xa zandisiwe zingabonisa:

• Usulelo lolusu, njenge-folliculitis okanye i-pyoderma;
• Usulelo lweprosthesis usana;
• Izifo ezizenzekelayo.

Indawo engaphantsi kwekhwapha iyachaphazeleka kukucaphukiswa zizinto ezinamachiza amdaka okanye iimveliso zokususa iinwele, okanye ukusika ngenxa yokususwa kweenwele, ezinokuthi zibe zizizathu zokukhulisa ii-lymph node.

4. Kweminye imimandla

Eminye imimandla inokuthi ikhulise ii-lymph node, nangona kunjalo, azixhaphakanga. Umzekelo ngummandla ongasentla kwe-clavicle, okanye i-supraclavicular, njengoko ingeyiyo indawo eqhelekileyo yokubonakala kwe-ganglia eyandisiweyo. Kwindawo engaphandle yengalo, inokubonisa ukosuleleka kwengalo kunye nesandla, okanye izifo ezinje nge-lymphoma, sarcoidosis, tularemia, syphilis yesibini.

5. Kwiindawo ezahlukeneyo emzimbeni

Ezinye iimeko zinokubangela i-ganglion eyandisiweyo kwiindawo ezahlukeneyo zomzimba, kokubini kwezona ndawo zibonakalisiweyo nakwimimandla enzulu, enje ngesisu okanye isifuba. Oku kuhlala kwenzeka ngenxa yezifo ezibangela ukuphazamiseka kwenkqubo okanye isifo ngokubanzi, njenge-HIV, isifo sephepha, i-mononucleosis, i-cytomegalovirus, i-leptospirosis, i-syphilis, i-lupus okanye i-lymphoma, umzekelo, ukongeza ekusebenziseni amayeza athile, anjenge-Phenytoin.

Ke ngoko, kunyanzelekile ukuba kwenziwe uvavanyo lwe-imaging kunye neelebhu, kunye nokubonisana nogqirha ukuze kufunyanwe imvelaphi yotshintsho kunye nonyango olujolise ekunciphiseni ubungakanani beendawo ezinesifo.

6. Inokuba ngumhlaza nini

Ii-lymph node ezidumbileyo zinokuba ngumhlaza xa zivela ekhwapheni, emgodini, entanyeni, okanye zisasazeke kwiindawo ezahlukeneyo zomzimba, zinokungqinelana okunzima kwaye zinganyamalali emva kweentsuku ezingama-30. Kwimeko apho, kuya kufuneka uye kugqirha uyokwenza uvavanyo kwaye ulahle zonke ezinye izinto ezinokwenzeka. Ugqirha unoku-odola iimvavanyo ezithile ngakumbi ezinje nge-ultrasound okanye i-CA 125, umzekelo, ukuba umhlaza uyarhanelwa kuthethwano lokuqala. I-biopsy aspiration aspiration yenye yeemvavanyo ezinoku-odolwa xa kukho umjikelo owenziwe lulwelo okanye ulwelo + oluqinileyo.

Emva kokufunyaniswa komhlaza ugqirha uya kumkhokelela umntu kwezona nkonzo zezempilo zifanelekileyo, kwaye amaxesha amaninzi umhlaza unokunyangeka ngonyango olufanelekileyo, kwaye uqalwe ngokukhawuleza. Iindidi ezithile zethumba zinokususwa ngotyando kwaye akusoloko kukho imfuneko yonyango ngeradiotherapy okanye ichemotherapy, kwaye kukwakho neziyobisi zale mihla ezikwaziyo ukuzishenxisa ngokupheleleyo iiseli ezibi.

Iimpawu eziboniswe kwitafile zezona zixhaphakileyo, kodwa azinakubakho zonke, kwaye ngugqirha kuphela onokuchonga nasiphi na isifo, esibonisa ezantsi kweyona nyango ifanelekileyo kwimeko nganye.

Ungalunyanga njani ulwimi oluvuvayo

Kwiimeko ezininzi, iilwimi ezivuthayo azinabungozi kwaye azibonisi ngxaki enkulu yezempilo, zibangelwa ziintsholongwane kuphela, eziphilisa ngokuzenzekelayo kwiiveki ezi-3 okanye ezi-4, ngaphandle kwesidingo sonyango oluthile.

I-Lymphadenopathy ayinalo unyango oluthile, ihlala ijolise kwisizathu sayo. Amayeza anje ngeantibiotic kunye nee-corticosteroids akufuneki zisetyenziswe ngaphandle kwengcebiso yezonyango njengoko zinokulibazisa ukuxilongwa kwezifo ezinzulu.

Xa kufuneka ubonane nogqirha

I-ganglion eyandisiweyo ihlala ibonakaliswa ngokuba nokuqina kunye nokuhamba okune-fibrous consistency, okulinganisa imilimitha ezimbalwa kwaye kunokuba buhlungu okanye kungabi buhlungu. Nangona kunjalo, inokubonisa utshintsho olubonisa izifo ezothusayo, ezinjenge-lymphoma, isifo sephepha okanye umhlaza, kwaye ezinye zezi:

• Linganisa ngaphezu kwe-2.5 cm;
• Unobunzima obunzima, ubambelele kwizicubu ezinzulu kwaye ungashukumi;
• Qhubeka ngaphezulu kweentsuku ezingama-30;
• Makukhatshwe ngumkhuhlane ongaphuculanga kwiveki e-1, ukubila ebusuku, ukwehla kobunzima okanye ukubola;
• Yiba ne-epitrochlear, supraclavicular okanye indawo ethe saa kwiindawo ezahlukeneyo zomzimba.

Kwezi meko, ukhathalelo kufuneka lufunwe ngugqirha oqhelekileyo okanye isifo esosulelayo, ukuze uvavanyo lweklinikhi, iimviwo ze-ultrasound okanye ze-tomography zenziwe, ukongeza kuvavanyo lwegazi oluvavanya usulelo okanye ukudumba emzimbeni wonke. Xa ukungathandabuzeki kuqhubeka, kunokwenzeka ukuba ucele i-biopsy ye-ganglion, eya kubonisa ukuba inempawu ezinobungozi okanye ezimbi, kwaye ukuba i-oncologist ingabonisana nayo ukuvavanya iimpawu kunye neempawu ze-ganglion evuthayo.