Yini engaba ama-lymph node avuvukile

-Delile

• Yini ebangela ama-lymph node akhulisiwe
• 1. Emqaleni
• 2. Emgodini
• 3. Emakhwapheni
• 4. Kwezinye izifunda
• 5. Ezindaweni ezehlukene emzimbeni
• 6. Kungaba nini umdlavuza
• Ungazilapha kanjani izilimi ezivuthayo
• Lapho kudingeka ukubona udokotela

Ama-lymph node akhulisiwe, aziwa kakhulu njengolimi futhi ngokwesayensi njengama-lymph node noma ukukhuliswa kwe-lymph node, akhombisa, ezimweni eziningi, ukutheleleka noma ukuvuvukala kwesifunda abonakala kuso, yize kungavela ngezizathu ezahlukahlukene, kusuka ekucasukeni kwesikhumba okulula , ukutheleleka, izifo zokuzivikela, ukusetshenziswa kwemithi noma umdlavuza.

Ukwandiswa kwe-lymph node kungaba ngezinhlobo ezimbili: okwasendaweni, lapho ama-node avuvukele aseduze nendawo yokutheleleka, noma okwenziwa jikelele, uma kuyisifo se-systemic noma ukutheleleka okuhlala isikhathi eside.

Ama-ganglia asakazeka emzimbeni wonke, njengoba eyingxenye yohlelo lwe-lymphatic, okuyingxenye ebalulekile yamasosha omzimba, ngoba ahlunga igazi futhi asize ukuqeda ama-microorganism ayingozi. Kodwa-ke, lapho zikhulisiwe, kujwayelekile ukuthi zibonakale noma zitholakale kwezinye izifunda ezithile, ezinjengamaphimbo, amakhwapha nentamo. Ukuqonda kangcono ukusebenza kwama-lymph node nokuthi akuphi.

Ngokuvamile, izilimi zivame ukuba nezimbangela ezinobungozi nezesikhashana, futhi zivame ukuba ngamamilimitha ambalwa ububanzi, zinyamalale esikhathini esiyizinsuku ezi-3 kuya kwezingama-30. Kodwa-ke, uma zikhula ngaphezu kuka-2.25 cm, zihlala ngaphezu kwezinsuku ezingama-30 noma zihambisana nezimpawu ezinjengokwehla kwesisindo kanye nomkhuhlane ongapheli, kubalulekile ukubonisana nodokotela ojwayelekile noma isifo esithathelwanayo ukuphenya izimbangela ezingaba khona bese uncoma ukwelashwa.

Ukuvuvukala kwe-ganglia kungenzeka ngenxa yokutheleleka okunamandla noma okungamahlalakhona, isimila, isifo sokuzivikela komzimba noma okubeka engcupheni amasosha omzimba, njengoba kunjalo ngengculazi.

Yini ebangela ama-lymph node akhulisiwe

Izimbangela zama-lymph node akhulisiwe zihlukahlukene, futhi kufanele kukhunjulwe ukuthi awukho umthetho owodwa wokuhlonza kwabo. Kodwa-ke, ezinye izimbangela ezingaba khona yilezi:

1. Emqaleni

Ama-lymph node esifundeni somlomo wesibeletho, kodwa futhi nalawo atholakala ngaphansi komhlathi, ngemuva kwezindlebe nentamo, avame ukukhuliswa ngenxa yezinguquko ezindleleni zomoya nasendaweni yekhanda, njenge:

• Izifo zokuphefumula, njenge-pharyngitis, imikhuhlane, umkhuhlane, i-mononucleosis, izifo zendlebe nomkhuhlane;
• Ukuhlangana;
• Ukutheleleka kwesikhumba, njenge-scalp folliculitis, induna evuthayo;
• Ukutheleleka komlomo namazinyo, njenge-herpes, izimbotshana, i-gingivitis ne-periodontitis;
• Izifo ezingatheni ezivamile, Njengesifo sofuba se-ganglionic, i-toxoplasmosis, isifo sokuklwebheka kwekati noma i-mycobacterioses engajwayelekile, yize ingavamile kakhulu, nayo ingadala lolu hlobo lokuguqulwa;
• Izifo ezizimele, njengeSystemic Lupus Erythematosus (SLE) nesifo samathambo;
• Abanye: ezinye izinhlobo zomdlavuza, njengomdlavuza wekhanda nentamo kanye ne-lymphoma, ngokwesibonelo, izifo zesistimu noma ukusabela emithini.

Ngaphezu kwalokho, izifo ezithathelwanayo zesistimu ezifana ne-rubella, udenga noma igciwane le-Zika nazo zingabonakala ngama-lymph node akhulisiwe entanyeni. Thola kabanzi ngezifo ezidala amanzi entanyeni.

2. Emgodini

I-groin yindawo evame kakhulu lapho kuvela khona ama-lymph node akhulisiwe, njengoba ama-lymph nodes akulesi sifunda angakhombisa ukubandakanyeka kwanoma iyiphi ingxenye yamathambo nezitho ezingezansi, futhi kwenzeka ikakhulukazi ngenxa yomdlavuza kanye nezifo:

• Izifo ezithathelwana ngocansi, njenge-syphilis, umdlavuza othambile, i-donovanosis, i-herpes yesitho sangasese;
• Ukutheleleka ngokobulili, njenge-candidiasis noma enye i-vulvovaginitis, kanye nokutheleleka kwe-penile okubangelwa amagciwane noma izimuncagazi;
• Ukuvuvukala okhalweni nasesifundeni esingezansi kwesisu, njengokutheleleka komchamo, i-cervicitis noma i-prostatitis;
• Ukutheleleka noma ukuvuvukala emilenzeni, ezinqeni noma ezinyaweni, kubangelwa i-folliculitis, amathumba noma ngisho nesipikili esilula;
• Umdlavuza amasende, ipipi, isitho sangasese sowesifazane, isitho sangasese sowesifazane noma i-rectum, isibonelo;
• Abanye: izifo ezizimele noma izifo zesistimu.

Ngaphezu kwalokho, njengoba leli sethi lama-lymph node lisondele esifundeni lapho ukuvuvukala, ukusikeka okuncane noma ukutheleleka kutholakala njalo, kujwayelekile ukuthi amanzi aqapheleke, ngaphandle kwezimpawu.

3. Emakhwapheni

Ama-lymph node e-Axillary anesibopho sokukhipha konke ukusakazwa kwe-lymphatic engalweni, odongeni lwesifuba nasesibeleni, ngakho-ke lapho kukhuliswa, kungakhombisa:

• Ukutheleleka kwesikhumba, njenge-folliculitis noma i-pyoderma;
• Ukutheleleka kwe-Prosthesis ukuncelisa;
• Izifo ezizimele.

Indawo engaphansi kwekhwapha nayo isengozini yokucasuka ngemikhiqizo yokususa iziqholo noma yezinwele, noma ukusikeka ngenxa yokususwa kwezinwele, nakho okungaba izimbangela zama-lymph node akhulisiwe.

4. Kwezinye izifunda

Ezinye izifunda nazo zingakhulisa ama-lymph node, kepha-ke, awavamile kakhulu. Isibonelo yisifunda esingaphezulu kwe-clavicle, noma i-supraclavicular, ngoba akuyona indawo ejwayelekile yokubonakala kwe-ganglia ekhulisiwe. Esifundeni sangaphambili sengalo, kungakhombisa ukutheleleka kwengalo yesandla kanye nesandla, noma izifo ezifana ne-lymphoma, i-sarcoidosis, i-tularemia, i-syphilis yesibili.

5. Ezindaweni ezehlukene emzimbeni

Ezinye izimo zingadala i-ganglion enwetshiwe ezingxenyeni ezihlukene zomzimba, ezindaweni ezivezwe kakhulu nasezindaweni ezijulile, njengesisu noma isifuba. Lokhu kuvame ukwenzeka ngenxa yezifo ezibanga ukukhubazeka okuhlelekile noma okujwayelekile, njenge-HIV, isifo sofuba, i-mononucleosis, i-cytomegalovirus, i-leptospirosis, i-syphilis, i-lupus noma i-lymphoma, ngokwesibonelo, ngaphezu kokusetshenziswa kwemithi ethile, njenge-Phenytoin.

Ngakho-ke, kuyadingeka ukwenza ukuhlolwa kwe-imaging nelebhu, kanye nokubonisana nodokotela ukuze kutholakale umsuka wokuguqulwa futhi kutholakale ukwelashwa okuhlose ukunciphisa usayizi wezindawo ezivuthayo.

6. Kungaba nini umdlavuza

Ama-lymph node avuvukile angaba ngumdlavuza lapho evela ekhwapheni, emgodini, entanyeni, noma esakazeka ezingxenyeni ezahlukahlukene zomzimba, anokuqina okuqinile futhi anganyamalali ngemuva kwezinsuku ezingama-30. Uma kunjalo, kufanele uye kudokotela uyokwenza izivivinyo bese ulahla wonke amanye amathuba. Udokotela anga-oda izivivinyo ezithile ezifana ne-ultrasound noma i-CA 125, ngokwesibonelo, uma kusolwa umdlavuza ekubonisaneni kokuqala. I-biopsy aspiration biopsy enhle ingenye yezivivinyo ezinga-odwa lapho kune-cyst eyakhiwe uketshezi noma uketshezi + oluqinile.

Ngemuva kokutholakala komdlavuza udokotela uzoqondisa lowo muntu ezinsizakalweni zezempilo ezifanele kakhulu, futhi imvamisa umdlavuza ungalapheka ngemithi efanele, futhi uqale ngokushesha okukhulu. Izinhlobo ezithile zesimila zingasuswa ngokuhlinzwa futhi asikho njalo isidingo sokwelashwa nge-radiotherapy noma i-chemotherapy, futhi kukhona nemithi yesimanje ekwazi ukuqeda ngokuphelele amaseli amabi.

Izici eziboniswe etafuleni yizona ezivame kakhulu, kepha kungenzeka zingabi khona zonke, futhi udokotela kuphela ongahlola noma yisiphi isifo, okukhombisa ngezansi ukwelashwa okufanele kakhulu ecaleni ngalinye.

Ungazilapha kanjani izilimi ezivuthayo

Ezimweni eziningi, izilimi ezivuthayo azinabungozi futhi azibonisi inkinga enkulu yempilo, ebangelwa kuphela amagciwane, aphulukana ngokuzenzekelayo emasontweni amathathu noma amane, ngaphandle kwesidingo sokwelashwa okuthile.

I-Lymphadenopathy ayinakho ukwelashwa okuthile, iqondiswa njalo embangela yayo. Imithi efana nama-antibiotic kanye ne-corticosteroids akufanele isetshenziswe ngaphandle kweseluleko sezokwelapha ngoba ingabambezela ukuxilongwa kwezifo ezinzima.

Lapho kudingeka ukubona udokotela

I-ganglion ekhulisiwe ivame ukubonakala ngokuba nokuqina okunezintambo nokunwebeka okuhamba ngezintambo, okulinganisa amamilimitha ambalwa futhi kungaba buhlungu noma cha. Kodwa-ke, ingaveza izinguquko ezithile ezibonisa izifo ezikhathazayo, njenge-lymphoma, isifo sofuba se-ganglion noma umdlavuza, kanti ezinye yilezi:

• Linganisa ngaphezu kuka-2,5 cm;
• Yiba nokuvumelana okunzima, okunamathela ezicutshini ezijulile futhi unganyakazi;
• Phikelela izinsuku ezingaphezu kwezingu-30;
• Hambisana nomkhuhlane ongathuthuki evikini elingu-1, ukujuluka ebusuku, ukwehla kwesisindo noma ukugula;
• Yiba nendawo ye-epitrochlear, supraclavicular noma esakazekile ezingxenyeni ezahlukahlukene zomzimba.

Kulezi zimo, ukunakekelwa kufanele kufunwe ngudokotela ojwayelekile noma isifo esithathelwanayo, ukuze kwenziwe ukuhlolwa komtholampilo, ukuhlolwa kwe-ultrasound noma i-tomography, ngaphezu kokuhlolwa kwegazi okuhlola ukutheleleka noma ukuvuvukala emzimbeni wonke. Lapho ukungabaza kuqhubeka, kungenzeka futhi ukucela i-biopsy ye-ganglion, ezokhombisa ukuthi inezici ezinobungozi noma ezimbi, nokuthi i-oncologist kungaboniswana ngayo ukuhlola izimpawu nezimpawu ze-ganglion evuthayo.