I-Adenitis: kuyini, izimbangela, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Izimbangela ezingaba khona
• Yelashwa kanjani

I-Adenitis ifana nokuvuvukala kwe-lymph node eyodwa noma amaningi, angenzeka noma kuphi emzimbeni, ajwayelekile ezindaweni ezinjengentamo, ikhwapha, umphimbo noma isisu, futhi ibangela ukuvuvukala, ukubomvu, ukushisa nobuhlungu esizeni.

Lokhu kuvuvukala kungenzeka ngenxa yokutheleleka ngamagciwane, amabhaktheriya noma kube umphumela wesimila, ngokwesibonelo, ngakho-ke, kubalulekile ukuthi udokotela aboniswe ngokushesha lapho kuvela izimpawu zokuqala ze-adenitis ukuze kubonakale imbangela bese uqala ukwelashwa okufanele kakhulu.

Izimpawu eziyinhloko

Izimpawu ze-adenitis zihlobene nokuvuvukala kwama-lymph node futhi zingahluka ngohlobo lwe-adenitis. Kodwa-ke, ngokuvamile, izimpawu eziyinhloko ze-adenitis yilezi:

• Ukuvuvukala kwe-ganglion ethintekile, engazwakala kalula;
• Imfiva engaphezu kuka-38ºC;
• Ubuhlungu beGanglion ngesikhathi sokushaya ngamandla;
• Ukuzwa kwe-malaise;
• Ukuhlanza nokuhuda, kwenzeka kaningi esimweni se-mesenteric adenitis.

I-Adenitis ivame kakhulu ezifundeni zomlomo wesibeletho, i-axillary noma i-groin, kepha ingathinta nezindawo zamathumbu ezisemathunjini nasesiswini, isibonelo.

Izimbangela ezingaba khona

Ngokuvamile, i-adenitis ingabangelwa amagciwane, njenge-cytomegalovirus, igciwane le-HIV kanye ne-Epstein-Barr virus, noma ngamagciwane, okuyiyona eyinhloko I-Staphylococcus aureus, I-Streptococcus Iqembu le-β-hemolytic-A, Yersinia enterocolitica, Y. pseudotuberculosis, Mycobacterium isifo sofuba, Shigella sp noma iSalmonella sp. Kwezinye izimo, ukuvuvukala kwe-ganglia nakho kungabangelwa izicubu, njengasesimweni se-lymphoma, noma kungenxa yesifo samathumbu esivuthayo, isibonelo.

Ngakho-ke, ngokusho kwembangela nendawo lapho kuvela khona izimpawu, i-adenitis ingahlukaniswa ngezinhlobo ezithile, okuyiyona eyinhloko:

1. I-adenitis yomlomo wesibeletho, lapho kukhona ukuvuvukala kwama-lymph node asentanyeni futhi kungahle kuhlobene nokutheleleka kwamagciwane, ukutheleleka ngegciwane nge-HIV noma i-Epstein-Barr, noma i-lymphoma;
2. I-Mesenteric adenitis, lapho kukhona ukuvuvukala kwe-ganglia exhunywe emathunjini, okubangelwa ikakhulu amagciwane Yersinia enterocolitica. Funda kabanzi nge-mesenteric adenitis;
3. I-Sebaceous adenitis, lapho kukhona ukuvuvukala kwezindlala ezibusayo ngenxa yokwanda kwamagciwane atholakala ngokwemvelo esikhumbeni, njenge I-Staphylococcus aureus futhi S. epidermidis;
4. I-tubenous adenitis, lapho ukuvuvukala kwama-lymph node kungenxa yegciwane Isifo sofuba iMycobacterium.

Kubalulekile ukuthi imbangela nohlobo lwe-adenitis kukhonjwe ukuze udokotela akhombise ukwelashwa okufanele kakhulu futhi, ngaleyo ndlela, avimbele ukuvela kwezinkinga.

Yelashwa kanjani

Ukwelashwa kwe-adenitis kufanele kuboniswe ngudokotela ojwayelekile futhi kungahluka ngohlobo lwe-adenitis nezimpawu ezethulwe ngumuntu. Ngakho-ke, esimweni se-adenitis esibangelwa amagciwane, kunganconywa ukusetshenziswa kwama-antibiotic, okufanele akhonjiswe ngokuya nge-ejenti elithathelwanayo elikhonjiwe, kanye nokusetshenziswa kwe-Amoxicillin, Cephalexin noma iClindamycin, ngokwesibonelo.

Ngaphezu kwalokho, esimweni se-mesenteric adenitis ngenxa yamagciwane, ukusetshenziswa kwemithi yokuqeda izimpawu, njengokunciphisa izinhlungu nezidakamizwa ezilwa nokuvuvukala, kungakhonjiswa ngudokotela, kuze kube yilapho umzimba ususa igciwane elibhekele ukuvuvukala.

Endabeni ye-adenitis yomlomo wesibeletho ebangelwa amagciwane, ngaphezu kwemithi elwa nokuvuvukala kanye ne-analgesics, kunganconywa ukusetshenziswa kwama-antivirals ngokuya ngegciwane elibhekele i-adenitis. Uma i-adenitis yomlomo wesibeletho ingenxa yesimila, ukuhlinzeka kungadingeka ukususa i-ganglion ethintekile elandelwa yi-chemotherapy. Bona imininingwane eminingi yokwelashwa kwe-adenitis yomlomo wesibeletho.