Ukwandiswa kwe-lymph node: Yintoni, ibangela kwaye nini kunokuba kubi

Umxholo

• Izizathu ezinokubangela
• Inokuba ngumhlaza nini
• Ithetha ntoni xa ivela emntwaneni

Ukwandiswa kwe-lymph node kukwandiswa kwe-lymph nodes, eyenzeka ngokuqhelekileyo xa umzimba uzama ukulwa nosulelo, okanye uhlobo oluthile lomhlaza. Nangona kunjalo, kunqabile ukuba ukwandiswa kwe-lymph node luphawu lomhlaza, kwaye, xa kusenzeka, kuxhaphake kakhulu kubantu abangaphezulu kweminyaka engama-40 ubudala kunye nembali yosapho yomhlaza.

Iimpawu ze-Lymph zizitho ezincinci zenkqubo ye-lymphatic enxulumene ngqo nenkqubo yokuzikhusela komzimba. Yiyo loo nto, xa iqela lemigulukudu, elidume ngokuba lulwimi, lidumbile okanye libuhlungu, oko kubonisa ukuba amajoni omzimba alwa nosulelo kwimimandla ekufutshane naloo ndawo.

Izizathu ezinokubangela

Ukwandiswa kwe-lymph node kungabangelwa kukudumba, ukusetyenziswa kwamayeza, ngenxa yesifo somzimba okanye kubangelwe bubukho bentsholongwane, ifungi okanye ibhaktiriya, kwaye njengoko izizathu zininzi kakhulu, sichaza apha ezona zinto zixhaphakileyo ze-lymphatics amalungu athile omzimba:

• Ukwandiswa kwe-lymph node yokwanda, entanyeni, emva kwendlebe kunye nomhlathi: ipharyngitis, usulelo lolusu, i-conjunctivitis, i-mononucleosis, indlebe, umlomo okanye usulelo lwamazinyo;
• Ukwandiswa kwe-lymph node yokwanda: i-toxoplasmosis, i-sarcoidosis, isifo sephepha, isisu, ibele, ityhalarikhi, i-ovari, imiphunga, i-mediastinal, i-lung okanye i-esophageal cancer;
• Ukwandiswa kwe-lymph node yokwanda: ngenxa yezifo ezidluliselwa ngeentlobano zesini, ezinjengegcushuwa, umhlaza othambileyo, iherpes yesini, idonovanosis, umhlaza kummandla wesini;
• Ukwandiswa kwe-lymph node ye-Axillary: usulelo lwe-silicone lwebele lwebele, isifo sekati, umhlaza webele, imelanoma, i-lymphoma;
• Ukwandiswa kwe-lymph node ngokubanzi: i-mononucleosis, i-juvenile idiopathic arthritis, i-dengue, i-brucellosis, isifo se-Chagas, i-rubella, imasisi, i-HIV, iziyobisi ezifana ne-phenytoin, penicillin, captopril.

Ke, eyona ndlela yokwazi ukuba yintoni ebangela ukonyuka kwee-lymph node kukuya kugqirha oqhelekileyo ukuze ugqirha avavanye ubukho bezinye iimpawu, ukongeza ekuqwalaseleni ezinye iimpawu kwisiza, ezinjengentlungu, ubungakanani kunye ukungqinelana, umzekelo.

Emva kolu vavanyo, ugqirha unokucebisa unyango oluthile, ukuba uyakrokrela imeko ethambileyo, enjengokusuleleka, okanye uku-oda iimvavanyo, ukuba ukrokrela ingxaki enkulu.

Inokuba ngumhlaza nini

Nangona ukwandiswa kwee-lymph node kunokubangela inkxalabo, eyona nto iqhelekileyo kukuba ayilulo uphawu olubi, ngakumbi ukuba ubungakanani bungaphantsi kwe-1 cm.

Ezinye iimpawu kunye neempawu ezinokubonisa ukuba ukwandiswa kwe-lymph node kunokuba nzima kakhulu kubandakanya:

• Yiba ngaphezulu kwe-2 cm;
• Ukungqinelana nzima;
• Engenantlungu;
• Ukudibana nomkhuhlane, ukunciphisa umzimba kunye nokubila okugqithisileyo.

Kukho amathuba amakhulu okuba ukwandiswa kwe-lymph node kunokuba ngumhlaza xa umntu edumbile kwi-ganglia ekufutshane ne-clavicle, echaphazela icala lasekhohlo lomzimba, kwaye lo mntu ungaphezulu kweminyaka engama-40, ngakumbi ukuba kukho iimeko usapho lomhlaza wamabele, amathumbu, idlala lengqula okanye imelanoma.

Le theyibhile ilandelayo ibonisa umahluko phakathi kweempawu zomhlaza kunye nokwandiswa kwe-lymph node ngenxa yezinye izizathu:

Kwimeko yokusola, ugqirha ucela i-biopsy puncture eya kuthi ikwazi ukufumanisa uhlobo lwesilonda, kunye nezinye iimvavanyo azibona ziyimfuneko, kuxhomekeke kwiimpawu eziboniswa sisigulana. Kuhlala kuboniswa ukwenza i-biopsy xa i-ganglion ingaphezulu kwe-2 cm, ebekwe esifubeni, eqhubeka ngaphezulu kweeveki ezi-4 ukuya kwezi-6 kwaye iyacotha ukukhula.

Ithetha ntoni xa ivela emntwaneni

Ukwandiswa kwee-lymph node entanyeni yomntwana, ekhwapheni okanye ekuthini kufuneka kusoloko kuphandwa ngugqirha wabantwana. Kwiimeko ezininzi, ii-node ezandisiweyo zisabela kusulelo oluthile.

Ezinye zezizathu ezinokubangela ukuba olu konyuka lube:

• Izifo ezosulelayo: usulelo oluphezulu lomoya, i-Leishmaniasis, i-mononucleosis, irubella, igcushuwa, i-toxoplasmosis, isifo sephepha, isifo seekati, isifo sikaHansen, i-herpes simplex, i-hepatitis, i-HIV;
• Izifo ezizenzekelayo: i-infantile idiopathic arthritis, inkqubo ye-lupus erythematosus;
• Umhlaza: leukemia, lymphoma, metastases, umhlaza wolusu;
• Ezinye izizathuImpendulo yokugonya, hyperthyroidism, sarcoidosis, Kawasaki.

Ke, ukuba umntwana uzandisile ii-lymph node ngaphezulu kweentsuku ezi-3, kuyacetyiswa ukuba uye kugqirha wabantwana, apho kunokuyalelwa khona igazi, i-X-ray, i-ultrasound, itomography okanye uviwo lwe-magnetic resonance, ukongeza kwezinye ugqirha azithathela ingqalelo eziyimfuneko, ezinje nge-biopsy.