Ama-lymph node avuvukile

Ama-lymph node akhona emzimbeni wakho wonke. Ziyingxenye ebalulekile yamasosha akho omzimba. Ama-lymph node asiza umzimba wakho ukubona nokulwa namagciwane, izifo kanye nezinye izinto zangaphandle.

Igama elithi "izindlala ezivuvukele" lisho ukukhuliswa kwe-lymph node eyodwa noma ngaphezulu. Igama lezokwelapha lama-lymph node avuvukile yi-lymphadenopathy.

Enganeni, i-node ibhekwa njengokukhulisiwe uma ingaphezu kwesentimitha elilodwa (0.4 intshi) ububanzi.

Izindawo ezivamile lapho kuzwakala khona ama-lymph node (ngeminwe) zifaka:

• Ummbila
• Umakhwapheni
• Intamo (kukhona uchungechunge lwama-lymph node ngapha nangapha kwentamo, zombili izinhlangothi zentamo, nangaphansi kolunye uhlangothi lwangemuva kwentamo)
• Ngaphansi komhlathi nesilevu
• Ngemuva kwezindlebe
• Ngemuva kwekhanda

Ukutheleleka yizimbangela ezivame kakhulu zokuvuvukala kwama-lymph node. Ukutheleleka okungazibangela kufaka phakathi:

• Izinyo elingenalutho noma elinomthelela
• Ukutheleleka endlebeni
• Umkhuhlane, umkhuhlane, nezinye izifo
• Ukuvuvukala (ukuvuvukala) kwezinsini (gingivitis)
• I-Mononucleosis
• Izilonda zomlomo
• Ukugula ngocansi (STI)
• Amathumba
• Isifo sofuba
• Ukutheleleka kwesikhumba

Ukuphazamiseka kokuzivikela komzimba noma okuzenzakalelayo okungadala ukuvuvukala kwama-lymph node yilawa:

• I-HIV
• Isifo samathambo (RA)

Umdlavuza ongadala ukuvuvukala kwama-lymph node afaka:

• Umdlavuza wegazi
• Isifo se-Hodgkin
• I-non-Hodgkin lymphoma

Amanye umdlavuza amaningi nawo angadala le nkinga.

Imithi ethile ingadala ukuvuvukala kwama-lymph node, kufaka phakathi:

• Imithi yokuquleka efana ne-phenytoin
• Ukugonywa kwe-typhoid

Yimaphi ama-lymph node avuvukile ancike embangela nasezingxenyeni zomzimba ezithintekayo. Ama-lymph node avuvukile avela ngokungazelelwe futhi abuhlungu ngokuvamile ngenxa yokulimala noma ukutheleleka. Ukuvuvukala okuhamba kancane, okungenabuhlungu kungaba ngenxa yomdlavuza noma isimila.

Ama-lymph node abuhlungu ngokuvamile ayisibonakaliso sokuthi umzimba wakho ulwa nokutheleleka. Ubuhlungu buvame ukuhamba ezinsukwini ezimbalwa, ngaphandle kokwelashwa. I-lymph node kungenzeka ingabuyeli ngosayizi wayo ojwayelekile amasonto ambalwa.

Shayela umhlinzeki wakho wezempilo uma:

• Ama-lymph node akho awanciphi ngemuva kwamasonto ambalwa noma aqhubeka nokukhula.
• Babomvu futhi bathambile.
• Bazizwa beqinile, bengalingani, noma behleliwe endaweni.
• Unomkhuhlane, ukujuluka ebusuku, noma ukwehla kwesisindo okungaqondakali.
• Noma iyiphi i-node enganeni inkulu kunesentimitha elingu-1 (elingaphansi kancane kwesigamu sentimitha) ububanzi.

Umhlinzeki wakho uzokwenza ukuhlolwa komzimba abuze ngomlando wakho wezokwelapha nezimpawu. Izibonelo zemibuzo engabuzwa zifaka:

• Lapho kuqala ukuvuvukala
• Uma ukuvuvukala kwenzeka ngokuzumayo
• Ukuthi noma imaphi ama-node abuhlungu uma ucindezelwa

Ukuhlolwa okulandelayo kungenziwa:

• Ukuhlolwa kwegazi, kufaka phakathi ukuhlolwa kokusebenza kwesibindi, ukuhlolwa kokusebenza kwezinso, kanye ne-CBC umahluko
• I-lymph node biopsy
• I-x-ray yesifuba
• Ukuskena kwesibindi-ubende

Ukwelashwa kuya ngesizathu sendawo yokuvuvukala.

Izindlala ezivuvukile; Izindlala - ziyavuvukala; Ama-lymph nodes - avuvukele; I-Lymphadenopathy

• Uhlelo lweLymphatic
• I-mononucleosis ethathelwanayo
• Ukusakazwa kwe-lymph
• Uhlelo lweLymphatic
• Izindlala ezivuvukile

UMbhoshongo RL, uCamitta BM. I-Lymphadenopathy. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 517.

Ubusika JN. Sondela esigulini nge-lymphadenopathy ne-splenomegaly. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 159.