Chii chingave kuzvimba lymph node

Zvemukati
- Chii chinokonzeresa lymph node
- 1. Mumutsipa
- 2. Muchiuno
- 3. Muhapwa
- 4. Mune mamwe matunhu
- 5. Munzvimbo dzakasiyana pamuviri
- 6. Ringave cancer
- Maitiro ekurapa marimi akatsva
- Kana zvakakodzera kuona chiremba
Iyo yakawedzera lymph node, inozivikanwa seirimi uye nesainzi sema lymph node kana lymph node kuwedzera, zvinoratidza, muzviitiko zvakawanda, hutachiona kana kuzvimba kwenharaunda mavanowanikwa, kunyangwe vachigona kumuka nekuda kwezvikonzero zvakasiyana, kubva pane nyore ganda kutsamwa , hutachiona, zvirwere zvekuzvidzivirira, kushandiswa kwemishonga kana kunyange kenza.
Lymph node kuwedzera kunogona kuve kwemaviri marudzi: enzvimbo, kana nzvimbo dzinopisa dziri padyo nenzvimbo yehutachiona, kana yakajairwa, kana iri systemic chirwere kana hutachiona hunogara kwenguva refu.
Iyo ganglia yakapararira mumuviri wese, sezvo iri chikamu cheiyo lymphatic system, chikamu chakakosha chemuviri wemuviri, sezvo vachisefa ropa uye vachibatsira kubvisa hutachiona hunokuvadza. Nekudaro, kana iwo akawedzeredzwa, zvakajairika kuti ivo vaoneke kana kuvharika mune dzimwe nharaunda, senge zviyo, muhapwa uye mutsipa. Nzwisisa zvirinani mashandiro ema lymph node uye kwavari.
Kazhinji, mitauro inowanzo kuve nezvakanaka uye zvenguva pfupi zvinokonzeresa, uye inowanzo kuve mamirimita mashoma muhupamhi, ichinyangarika mukati memazuva angangoita matatu kusvika makumi matatu. Nekudaro, kana vakakura kupfuura 2.25 cm, vanodarika mazuva makumi matatu kana vachiperekedzwa nezviratidzo sekuderedza uremu uye nefivhiri yenguva dzose, zvakakosha kuti ubvunze chiremba mukuru kana chirwere chinotapukira kuti uongorore zvinogona kukonzeresa nekurapa kurapwa.
Kuzvimba kweiyo ganglia kunogona kuitika nekuda kwechirwere chakakomba kana chisingaperi, bundu, autoimmune chirwere kana izvo zvinokanganisa immune system, sezvazviri neAIDS.
Chii chinokonzeresa lymph node
Izvo zvikonzero zvekuwedzera kwema lymph node zvakasiyana, uye zvinofanirwa kuyeukwa kuti hapana mutemo mumwechete wekuzivikanwa kwavo. Nekudaro, zvimwe zvinokonzeresa ndeizvi:
1. Mumutsipa
MaLymph node mudunhu remuromo wechibereko, asiwo aya ari pasi peshaya, kuseri kwenzeve nemutsipa, anowanzo kuwedzerwa nekuda kweshanduko yemumhepo uye mudunhu remusoro, senge:
- Kufuridzira turakiti hutachiona, senge pharyngitis, dzihwa, dzihwa, mononucleosis, nzeve hutachiona uye dzihwa;
- Kubatana;
- Zvirwere zveganda, dzakadai seganda remusoro folliculitis, inflamed acne;
- Zvirwere zvemukanwa nemeno, dzakadai sehepe, mhango, gingivitis uye periodontitis;
- Zvirwere zvishoma, senge ganglionic tuberculosis, toxoplasmosis, chirwere chechatsi kana atypical mycobacterioses, kunyange zvisingawanzoitika, zvinogona kukonzera rudzi urwu rwechinjo;
- Zvirwere zvekuzvidzivirira, senge Systemic Lupus Erythematosus (SLE) uye rheumatoid arthritis;
- Vamwe: mamwe marudzi ekenza, senge yemusoro nemutsipa kenza uye lymphoma, semuenzaniso, systemic hosha kana kuita kumushonga.
Uye zvakare, systemic hutachiona hutachiona hwakadai rubella, dengue kana Zika hutachiona hunogona zvakare kuratidza neakawedzera lymph node mumutsipa. Tsvaga zvimwe pamusoro pezvirwere zvinokonzeresa mvura mumutsipa.
2. Muchiuno
Iyo yekugomera ndiyo nzvimbo yakajairika uko kwakawedzera lymph node dzinoonekwa, sezvo ma "lymph node" mudunhu rino anogona kuratidza kubatanidzwa kwechimwe chikamu chemuhudyu nemakumbo ezasi, uye zvinoitika kunyanya nekuda kwekenza uye hutachiona:
- Zvirwere zvepabonde, senge njovhera, gomarara rakapfava, donovanosis, genital herpes;
- Zvirwere zvepabonde, senge candidiasis kana imwe vulvovaginitis, uye hutachiona hwepenile hunokonzerwa nehutachiona kana zvipembenene;
- Kuzvimba muhudyu uye mudumbu dumbu nzvimbo, zvakadai sehutachiona hwehutachiona, cervicitis kana prostatitis;
- Zvirwere kana kuzvimba mumakumbo, magaro kana tsoka, inokonzerwa ne folliculitis, mamota kana kunyangwe chipikiri chakareruka;
- Gomarara testis, penis, vulva, vagina kana rectum, semuenzaniso;
- Vamwe: autoimmune hosha kana systemic hosha.
Uye zvakare, sezvo iyi seti yema lymph node iri padyo nedunhu uko kuzvimba, kucheka kudiki kana hutachiona kunowanzo kuvepo, zvakajairika kuti mvura ionekwe, kunyangwe isina zviratidzo.
3. Muhapwa
Axillary lymph node inokonzeresa kuburitsa lymphatic yese kutenderera kubva paruoko, chipfuva madziro uye chipfuva, saka kana zvakwidzwa, zvinogona kuratidza kuti:
- Zvirwere zveganda, senge folliculitis kana pyoderma;
- Zvirwere zveprosthesis mammary;
- Zvirwere zvekuzvidzivirira.
Iyo nzvimbo isina pfuti zvakare iri nyore kubata nekusvotwa ne deodorant kana zvigadzirwa zvekubvisa bvudzi, kana kucheka nekuda kwekushandisa kwekubvisa bvudzi, izvo zvinogona zvakare kuve zvikonzero zvakawedzera lymph node.
4. Mune mamwe matunhu
Mamwe matunhu anogona kunge akawedzera lymph node, zvisinei, iwo haana kujairika. Muenzaniso inharaunda iri pamusoro peclavicle, kana supraclavicular, sezvo isiri nzvimbo yakajairika yekuonekwa kweakawedzera ganglia. Munzvimbo yepamberi yeruoko, zvinogona kuratidza kutapukira kwepamberi neruoko, kana zvirwere zvakaita se lymphoma, sarcoidosis, tularemia, yechipiri njovhera.
5. Munzvimbo dzakasiyana pamuviri
Mimwe mamiriro ezvinhu anogona kukonzera kuwanda kwechikwata munzvimbo dzakasiyana dzemuviri, munzvimbo dziri pachena uye munzvimbo dzakadzika, senge dumbu kana chipfuva. Izvi zvinowanzoitika nekuda kwezvirwere zvinokonzeresa kukanganiswa kwehurongwa, sehutachiona hweHIV, tibhii, mononucleosis, cytomegalovirus, leptospirosis, syphilis, lupus kana lymphoma, semuenzaniso, kuwedzera pakushandiswa kwemimwe mishonga, sePhenytoin.
Naizvozvo, zvinodikanwa kuti uite kufungidzira uye bvunzo dzevarabhoritari, pamwe nekubvunzana nachiremba kuitira kuti mavambo ekuchinja awanikwe uye kurapwa kunoitirwa kudzikisa saizi yenzvimbo dzakapiswa.
6. Ringave cancer
Nhengo dzakazvimba dzemimba dzinogona kuva gomarara kana dzikaonekwa muhapwa, kugomera, mutsipa, kana kupararira munzvimbo dzakasiyana dzemuviri, dzine kuomarara kwakaomarara uye hadzinyangarike mushure memazuva makumi matatu. Muchiitiko ichocho, iwe unofanirwa kuenda kwachiremba kuti unoita bvunzo uye kurasa zvimwe zvese zvingangodaro. Chiremba anogona kuraira mimwe miedzo yakadai seultrasound kana CA 125, semuenzaniso, kana kenza ichifungidzirwa mukutanga kubvunza. Yakanaka tsono yekutsvagisa biopsy ndeimwe yemayedzo anogona kurairwa kana paine cyst inoumbwa nemvura kana mvura + yakasimba.
Mushure mekuongororwa kwegomarara chiremba anozotungamira munhu kuhutano hwakakodzera, uye kazhinji kenza inogona kurapwa nekurapwa kwakakodzera, uye ndokutanga nekukurumidza sezvazvinogona. Dzimwe mhando dzebundu dzinogona kubviswa kuburikidza nekuvhiyiwa uye hapasi pese panodiwa kurapwa ne radiotherapy kana chemotherapy, uyezve kune mishonga yemazuvano inokwanisa kubvisa zvachose maseru akaipa.
Zvinokonzera | Zvimiro | Miedzo iyo chiremba anogona kuraira |
Chirwere chekufema | Dzimba lymph node mumutsipa, pasina kurwadziwa, huro, kurwadziwa nemhino kana kukosora | Kwete nguva dzose zvichidikanwa |
Utachiona hwezino | Kuzvimba lymph node mumutsipa, inokanganisa chete divi, maronda, uye zino | X-ray yechiso kana muromo inogona kudikanwa |
Tiibhii | Kuzvimba node mumutsipa kana kora, yakapisa, inorwadza uye inogona kunge iine pus. Kazhinji kacho muHIV + | Tuberculin bvunzo, lymph node biopsy |
HIV (ichangoburwa hutachiona) | Makemikoro akasiyana siyana akazvimba mumuviri wese, fivhiri, malaise, kurwadziwa pamwe. Kunyanya kuwanda kune vanhu vane hunhu hune njodzi | Kuongororwa HIV |
STD | Kuzvimba ganglia mukati meguruva, kurwadziwa kana uchiita weti, kusangana nekutsi kwemukadzi kana urethral kubuda, kurwadziwa munzvimbo yepedyo | STD chaiyo bvunzo |
Utachiona hweganda | Inoonekwa yakatemwa mudunhu padyo neyakawedzera lymph node | Ropa bvunzo kuona antibodies inopesana nehutachiona hutachiona |
Lupus | Makemikoro akasiyana siyana akazvimba nemuviri, kurwadziwa mumajoini, maronda paganda, mutsvuku pamatama (butterfly mapapiro) | Kuedza kweropa |
Leukemia | Kuneta, kupisa muviri, mavara epepuru paganda kana kubuda ropa | CBC, kuongorora kwemongo wemapfupa |
Kushandiswa kwemishonga yakadai se: allopurinol, cephalosporins, penicillin, sulfonamides, atenolol, captopril, carbamazepine, phenytoin, pyrimethamine uye quinidine | Ichangobva kuitika hutachiona nemishonga inorwisa mabhakitiriya | Pamaonero echiremba |
Toxoplasmosis | Kuzvimba lymph node mumutsipa uye muhapwa, inomhanya mhino, fivha, malaise, yakawedzera spleen uye chiropa. Kana kufungidzirwa kukatsi tsvina kunofungidzirwa | Kuongorora ropa |
Gomarara | Chikwata chakazvimba, chine kana chisina kurwadziwa, chakaomeswa, chisingafambi kana chikasundwa | Yakananga bvunzo, biopsy |
Hunhu hunoratidzwa mutafura ndihwo hwakajairika, asi vanogona kunge vasipo vese, uye chiremba chete ndiye anogona kuongorora chero chirwere, zvichiratidza pazasi pekurapwa kwakakodzera kwenyaya imwe neimwe.
Maitiro ekurapa marimi akatsva
Kazhinji, mitauro yakazvimba haina kukuvadza uye haimiriri dambudziko rakakomba rehutano, ichikonzerwa chete nemavhairasi, ayo anoporesa nekuzvimirira mumasvondo matatu kana mana, pasina kudikanwa kwekurapwa chaiko.
Lymphadenopathy haina imwe nzira yekurapa, ichigara ichitungamirwa kuchikonzero chayo. Mishonga yakadai semishonga inorwisa mabhakitiriya uye corticosteroids haifanire kushandiswa pasina rairo yezvekurapa sezvo ichikwanisa kunonotsa kuongororwa kwezvirwere zvakakomba.
Kana zvakakodzera kuona chiremba
Iyo yakakwenenzverwa ganglion inowanzo kuve nekuve neiyo yakasununguka uye inesimba fibrous kuenderana, iyo inoyera mashoma mamirimita uye inogona kuva inorwadza kana kwete. Nekudaro, inogona kuratidza shanduko dzinoratidza zvirwere zvinoshungurudza, senge lymphoma, ganglion tibhii kana kenza, uye mamwe ndeaya:
- Edza zvinopfuura 2,5 cm;
- Iva neyakaomarara kuomarara, inonamatira kune yakadzika matishu uye usafambe;
- Kuramba kwemazuva anopfuura makumi matatu;
- Perekedzwa nefivhiri isinganatsirike muvhiki rimwe, ziya dikita usiku, kuonda kana malaise;
- Iva nepitrochlear, supraclavicular kana nzvimbo yakapararira munzvimbo dzakasiyana dzemuviri.
Mumamiriro ezvinhu aya, kutarisirwa kunofanirwa kutsvakwa nemurapi mukuru kana chirwere chinotapukira, kuitira kuti kuongororwa kwekiriniki, ultrasound kana tomography bvunzo kuitwe, kuwedzera kune kuongororwa kweropa kunoongorora hutachiona kana kuzvimba mumuviri wese. Kana kusahadzika kuchiramba, zvinokwanisika kukumbira bhaopsy yechikwata, icho chinoratidza kana chiine hunhu kana hutsinye, uye kuti oncologist inogona kubvunzwa kuti iongorore zviratidzo nezviratidzo zvechikwata chinopisa.