Ukwandiswa kwe-lymph node: Kuyini, kubangelwa nokuthi kungaba kubi nini

-Delile

• Izimbangela ezingaba khona
• Kungaba wumdlavuza nini
• Kusho ukuthini lapho livela enganeni

Ukwandiswa kwe-lymph node kunokwandiswa kwama-lymph node, okuvame ukwenzeka lapho umzimba uzama ukulwa nokutheleleka, noma uhlobo oluthile lomdlavuza. Kodwa-ke, kuyivelakancane ukuthi ukukhuliswa kwe-lymph node kuyisibonakaliso somdlavuza, futhi, lapho kwenzeka, kuvame kakhulu kubantu abaneminyaka engaphezu kwengama-40 futhi abanomlando womdlavuza womndeni.

Ama-lymph node yizitho ezincane zohlelo lwe-lymphatic ezihlobene ngqo nohlelo lokuvikela lomzimba. Ngakho-ke, lapho igenge, edume ngokubizwa ngokuthi ulimi, ivuvukile noma ibuhlungu, kukhombisa ukuthi amasosha omzimba alwa nokutheleleka ezifundeni eziseduze naleyo ndawo.

Izimbangela ezingaba khona

Ukwandiswa kwe-lymph node kungadalwa ukuvuvukala, ukusetshenziswa kwemithi, ngenxa yesifo sokuzivikela komzimba noma kubangelwe ukuba khona kwegciwane elithile, isikhunta noma amabhaktheriya, futhi njengoba izimbangela zihlukahlukene kakhulu, sisho lapha izimbangela ezivame kakhulu zama-node lymphatics akhulisiwe ku izingxenye ezithile zomzimba:

• Ukwandiswa kwe-lymph node yomlomo wesibeletho, entanyeni, ngemuva kwendlebe futhi eduze komhlathi: i-pharyngitis, ukutheleleka kwesikhumba, i-conjunctivitis, i-mononucleosis, indlebe, umlomo noma ukutheleleka kwamazinyo;
• Ukwandiswa kwe-lymph node yokwanda: i-toxoplasmosis, i-sarcoidosis, isifo sofuba, isisu, isifuba, amasende, i-ovarian, i-lung, i-mediastinal, i-lung noma i-esophageal cancer;
• Ukwandiswa kwe-inguinal lymph node: ngenxa yezifo ezithathelwana ngocansi, njenge-syphilis, umdlavuza othambile, i-herpes yesitho sangasese, i-donovanosis, umdlavuza esifundeni sangasese;
• Ukwandiswa kwe-lymph node ye-Axillary: ukutheleleka kokufakwa kwebele le-silicone, isifo sokuklwebha ikati, umdlavuza webele, i-melanoma, i-lymphoma;
• Ukwandiswa kwe-lymph node jikelele: i-mononucleosis, i-juvenile idiopathic arthritis, udenga, i-brucellosis, isifo se-Chagas, i-rubella, isimungumungwane, i-HIV, izidakamizwa ezifana ne-phenytoin, i-penicillin, i-captopril.

Ngakho-ke, indlela engcono kakhulu yokwazi ukuthi yini ebangela lokhu kwanda kwama-lymph node ukuya kudokotela ojwayelekile ukuze udokotela akwazi ukuhlola ubukhona bezinye izimpawu, ngaphezu kokubheka ezinye izimpawu kusayithi, njengobuhlungu, usayizi kanye ukungaguquguquki, isibonelo.

Ngemuva kwalokhu kuhlola, udokotela angancoma ukwelashwa okuthile, uma usola isimo esimnene, njengokutheleleka, noma ukuhlolwa kwe-oda, uma usola inkinga enkulu kakhulu.

Kungaba wumdlavuza nini

Yize ukunwetshwa kwama-lymph node kungadala ukukhathazeka, okujwayelekile kakhulu ukuthi akusona isibonakaliso esibi, ikakhulukazi uma ubukhulu bungaphansi kuka-1 cm.

Ezinye izimpawu nezimpawu ezingakhombisa ukuthi ukukhuliswa kwe-lymph node kungaba nzima kakhulu kufaka:

• Yiba ngaphezu kuka-2 cm;
• Ukungaguquguquki Hard;
• Engenabuhlungu;
• Ukuhlangana nomkhuhlane, ukunciphisa umzimba nokujuluka okweqile.

Kunamathuba amakhulu kakhulu okuthi ukwandiswa kwe-lymph node kungaba ngumdlavuza lapho umuntu evuvukala e-ganglia eseduze ne-clavicle, ethinta uhlangothi lwesobunxele lomzimba, futhi lo muntu uneminyaka engaphezu kwengu-40 ubudala, ikakhulukazi uma kunamacala umndeni womdlavuza webele, amathumbu, i-thyroid noma i-melanoma.

Ithebula elilandelayo libonisa umehluko phakathi kwezimpawu zomdlavuza nokwandiswa kwe-lymph node ngenxa yezinye izimbangela:

Esimweni sokusola, udokotela ucela ukubhoboza i-biopsy okuzokwazi ukubona uhlobo lwesilonda, nokunye ukuhlolwa akubona kunesidingo, kuya ngezimpawu ezivezwa yisiguli. Imvamisa kukhonjiswa ukwenza i-biopsy lapho i-ganglion ingaphezu kuka-2 cm, etholakala esifubeni, ephikelela isikhathi esingaphezu kwamasonto amane kuya kwayisithupha futhi ihamba kancane ukukhula.

Kusho ukuthini lapho livela enganeni

Ukwandiswa kwama-lymph node entanyeni yengane, ekhwapheni noma emgodini kufanele kuhlale kuphenywa ngudokotela wezingane. Ezimweni eziningi, ama-node akhulisiwe asabela ekuthelelekeni okuthile.

Ezinye izimbangela ezingaba khona zalokhu kwanda kungaba:

• Izifo ezithathelwanayo: ukutheleleka okuphezulu kwe-airway, i-Leishmaniasis, i-mononucleosis, i-rubella, i-syphilis, i-toxoplasmosis, isifo sofuba, isifo se-cat scratch, isifo sika-Hansen, i-herpes simplex, i-hepatitis, i-HIV;
• Izifo ezizimele: i-infantile idiopathic arthritis, i-systemic lupus erythematosus;
• Umdlavuza: i-leukemia, i-lymphoma, i-metastases, umdlavuza wesikhumba;
• Ezinye izimbangela: Ukusabela komuthi wokugoma, i-hyperthyroidism, i-sarcoidosis, Kawasaki.

Ngakho-ke, uma ingane ikhulise ama-lymph node izinsuku ezingaphezu kwezingu-3, ​​kunconywa ukuya kudokotela wezingane, lapho kuhlolwa khona igazi, i-X-ray, i-ultrasound, i-tomography noma i-magnetic resonance Exams, ngaphezu kwezinye ezibhekwa udokotela. kudingekile, njenge-biopsy.