Lymphadenitis: kuyini? Izimpawu zesifo, nokwelashwa

Ngokuvamile, odokotela, iziguli ukuzwa uphethwe ekuphenduleni ngokumkhanda izikhalazo zabo "lymphadenitis". Kuyini lokhu? Naphezu izimpawu ezingemnandi kakhulu isifo esithathelwanayo, kuba impela amenable ekwelashweni ngoludala futhi ayivamile ukubangela izinkinga. Lymphadenitis - kuyinto yisishiso-lymph ngenxa izifo noma amagciwane ukutheleleka. Ezimweni ezingavamile, ukuvuvukala kuwumphumela ukukhula zamangqamuzana omdlavuza.

Lymph node kukhona esibalulekile izivikeli mzimba yakhelwe ukuba silwe nanoma yikuphi izinto ezithwala izifo. Ngokuvamile, baba zigcwala entanyeni, ngaphansi kwesilevu, e emakhwapheni, e imbilapho.

Ngezinye izikhathi ukwelapha ukuvuvukala nje ulinde futhi ngezikhathi ezithile ukuze zisebenze endaweni sore ukulibopha efudumele. Nokho, ukunquma ngokunembile indlela yokwelashwa kungaba kudorhodere, njengoba ukuphumelela ukwelashwa lithembela ngokuphelele imbangela ukuvuvukala-lymph.

izimpawu

Lymphadenitis - kuyini, isifo ezimele noma uphawu usesimweni esibucayi? Ngezinye izikhathi lymph node ukuvuvukala kwenzeka ngokwako, kodwa kwezinye izimo siwukubonakaliswa omunye isifo. Ekuqaleni ukuvuvukala, isiguli ngokuvamile uqaphela ukuthi-lymph bakulalele ngaphezulu, futhi ebathinta - ezibuhlungu. Ngaphezu kwalokho, bakwazi ukwandisa nenkundla ipea, futhi uthole noma emabhontjisi. Ezimweni eziphambili, izindlala zamanzi abe lube lukhulu nakakhulu.

Izimpawu ezilandelayo ababonakali ngezikhundla kuye imbangela ukuvuvukala:

• amakhala yisisu, umphimbo obuhlungu, imfiva kanye nezinye izimpawu ka engenhla ipheshana zokuphefumula ukutheleleka;
• Jikelele lymph node ukuvuvukala wonke umzimba, okuyinto kungase kubonise ngegciwane (HIV noma mononucleosis), noma ukunqoba izivikeli mzimba (isib ku erythematosus abavamile noma i-rheumatoid arthritis);
• nasemilenzeni zokuzikhukhumeza, kubangelwa ukuvaleka uhlelo lymph ngenxa ukuvuvukala e engeyokuqala lymph, esemgwaqweni ezijulile ngaphansi kwesikhumba;
• Okungaguquki okusheshayo-lukhuni Izigaxana, abasebenzi uphawu ukuthuthukiswa isimila;
• umkhuhlane;
• ajulukayo ebusuku.

Lapho ukubona udokotela

Uma uzithola lymphadenitis, ekwelapheni amakhambi abantu kungcono ukuhlehlisa kuze kamuva - kungcono ubhalisele babonisana yezokwelapha nodokotela, abazokwazi ukwenza ukusazi ngokunembile isifo esikuphethe futhi linqume ukwelashwa abaphumelela ngempela.

Ungakuhlehlisi evakashele umtholampilo uma:

• ukuvuvukala sikukhubekisa ukukhathazeka;
• kwaqala ngaphandle sobala ukuba izimbangela;
• ukuvuvukala liyaqhubeka landa noma siqhubeka amasonto 2-4;
• lymph node avele okuqinile uma uyithinta noma ecishe ifane nayo iraba, noma uma bengenayo ukuhambisa lapho sicindezelwe;
• ukuvuvukala lymph node ephelezelwa njalo lokushisa lomzimba okusezingeni eliphezulu, ngijuluka ebusuku noma ukuncipha komzimba ngokungenasizathu;
• lymphadenitis nzima ubuhlungu emphinjeni noma ubunzima ukugwinya noma ukuphefumula.

izizathu

Lymph node - encane, nxazonke, emabhontjisi emise noma qoqo lamangqamuzana, camera kusuka ezicutshini. Amaseli iqembu lama-lymphocyte (esikhiqiza iprotheni izinhlayiya kulo abakhonza ukubamba amagciwane - isb, amagciwane) kanye ama-macrophage okuyinto ukubhubhisa izinto eziphilayo azithathe lwabamba. Ama-lymphocyte futhi macrophage ehlungiwe lymph egeleza ngomzimba, futhi ngaleyo ndlela kuvikele umzimba kusuka amagciwane.

Lymph izindlala eqoqwe babehlangana ngamaqembu amancane, ngalinye elikwazi unesibopho ingxenye ethile yomzimba. Ngokuvamile lymphadenitis e abadala itholakala entanyeni, ngaphansi kwesilevu, emakhwapheni noma imbilapho. ingxenye evuvukele ngokungaqondile kukhomba imbangela ukuvuvukala.

Ngokuvamile izimpawu ezingemnandi ezinjalo zihambisana ezihlukahlukene izifo ezithathelwanayo - ngokwesibonelo, ukunqotshwa okwandile enjalo igciwane, efana umkhuhlane. Nokho, zikhona nezinye izinhlobo izifo, kanye nezinye izifo ezibangela ukuvuvukala-lymph, kuhlanganise:

• strep emphinjeni;
• isimungumungwana,
• indlebe izifo;
• ukutheleleka (ithumba) we izinyo ;
• mononucleosis;
• izifo zesikhumba noma evulekile amanxeba (isib cellulitis noma Erysipelas,) ;
• human immunodeficiency virus (HIV) elibangela ingculaza;
• sofuba;
• Nezinye izifo, izifo ezithathelwana ngocansi, kuhlanganise ugcunsula;
• Toxoplasmosis - igciwane yisinanakazana kubangelwa ukuxhumana indle i cat onegciwane noma ngokudla inyama kahle okugazingiwe;
• ingozi lymphadenitis viral (siyini lesi, uma ungaphenduki, ke mhlawumbe abonakale igama ngaphezulu ajwayelekile "ikati ekuqaleni isifo");
• lupus ezivamile - isifo ukuvuvukala esithinta nemisipha, isikhumba, izinso, amaseli egazi, inhliziyo namaphaphu;
• Rheumatoid arthritis - isifo esingelapheki ukuvuvukala ezithinta enhlanganisweni yebhantshi lensimbi, igobolondo (ulwelwesi lwamalunga);
• lymphoma - umdlavuza esakheka ohlelweni lymph;
• Umdlavuza wegazi - umdlavuza krovetvoryaschey izicubu, ezithinta futhi umnkantsha futhi uhlelo lymph;
• nezinye izinhlobo zomdlavuza ukuthi sandile uhlobo metastases e-lymph.

Ezimweni ezingavamile, serous lymphadenitis reception kungadalwa izidakamizwa - ezifana anticonvulsant izidakamizwa phenytoin ( "Difenin" "Dilantin") kanye nezidakamizwa ukuvimbela umalaleveva.

yezinkinga

Uma imbangela ukuvuvukala lymph node wakhonza njengephayona ukutheleleka yezinkinga ezilandelayo zingasiza ukuthuthukisa ngokungabi bikho ukwelashwa okufanele:

• kumiswa ithumba. Ithumba - iqoqo ehunyushelwe kobovu, phetho ukutheleleka of emzimbeni igciwane noma amagciwane. Ubomvu iqukethe ketshezi, egazi amhlophe, izicubu esifile namagciwane. Akwenzeki ukususa ithumba kuyodingeka ukubeka amanzi bese uqale ukuphuza imithi elwa namagciwane. Kuyingozi ikakhulukazi uma nganoma iyiphi indlela ezithinta isitho esibalulekile.
• Ukutheleleka ngegciwane egazini (bacteraemia). Isifo esibangelwa amagciwane kunoma iyiphi ingxenye yomzimba kungaholela sepsis kubangelwa isifo egazini. Sepsis kungabangela ukungasebenzi kwekhono izitho ezibalulekile futhi ukufa. Ukwelashwa Kuhilela ukuthola esibhedlela nemithi elwa namagciwane emthanjeni.

Ngaphambi Ukuvakashela udokotela

Phezu ukuthola noma yiziphi izinkomba ezisheshe yingozi kubantu unemibuzo eminingi. Kungani avuvukele zamanzi? It lymphadenitis? Kuyini - uphawu ngegciwane noma usesimweni esibucayi kakhulu okudinga Ukuqalwa ngokushesha ukwelashwa? izimpendulo eqondile zale mibuzo neminye ingatholakala kuphela udokotela. Uma ukhathazekile ukuvuvukala kwesinye kuphela izingxenye zomzimba, kubalulekile ukulinda wokubonisana okuhleliwe emtholampilo. Uma izimpawu ukuvuvukala yakhula ukuze ukuthole kunzima ukuphefumula noma agwinye ngokushesha shayela i-ambulense.

Njengoba kokuthintana yezokwelapha kuncane ubude kanye ngaleyo ndlela yokuhumusha isho ukuthi udokotela uzokunika nje eningi ulwazi olusha futhi kubaluleke kakhulu, kumelwe kulungiselelwe ukuvakashela onguchwepheshe ngaphambili.

• Ukubhalisela i-aphoyintimenti, qiniseka ukuthi udinga ukwenza okuthile ngaphambi Ukuvakashela udokotela.
• Yenza uhlu lwawo wonke izimpawu olutholwa wena akhombisa isikhathi esingakanani. Udokotela cishe uyofuna ukwazi ukuthi izimpawu zomkhuhlane ezifana imfiva noma umphimbo obuhlungu. Ngaphezu kwalokho, onguchwepheshe nentshisekelo esisindo eshintsha ukuthi avame ukuhamba lymphadenitis. Izibuyekezo yempilo yakhe phezu isinsuku ziyadingeka - ukurekhoda izimpawu zokugula ukuthi baye baqala uqaphela kusukela okokuqala lapho-lymph babe evuvukele.
• Yenza uhlu lwawo wonke izenzakalo, phakathi kwesikhathi lapho wena nabo imithombo bezikhali amagciwane namagciwane. Kungaba uhambo phesheya, izintaba ezindaweni zihlaselwe imikhaza, bedla inyama kahle okugazingiwe, umdlalo nge kati ezifuywayo, okwaphela imihuzuko ukuthola noma izenzo zocansi nabalingani ezingajwayelekile ngaphandle izindlela ezanele zokuchithwa Ukuvikelwa ezifweni.
• Bhala phansi yonke imininingwane ebalulekile ephathelene nempilo yakho, njengoba kuzosiza udokotela ukuxilonga lymphadenitis. Ukwelashwa nokuvikelwa amakhambi abantu futhi imithi yendabuko, usehlinzwe kuhlinzwa, engayitholi njalo Izithako zokudla, amavithamini, ngisho evamile - konke lokhu kufanele kushiwo.
• Cabangisisa mayelana nezindaba ukuthi uzodinga ukucela udokotela wakho. Kunoma ikuphi, kufanele lilinganise kubo uthome ezibaluleke kakhulu.

Buza kudokotela onguchwepheshe

Uma njalo nje ethuthuka lymphadenitis serous, ucabanga kanzima ukubuza imibuzo elandelayo kuya Umeluleki:

• Kube yini imbangela yalezi zimpawu?
• Kungakhathaliseki ukuthi kungase kube izimpawu ezinye izifo?
• Yiluphi ucwaningo ngidinga idlula?
• Yini ukwelashwa Ingabe uncoma ini?
• Maduzane kangakanani ngeke isimo sami ngcono?
• Uma isifo sami esithathelwanayo? Indlela ukunciphisa ingozi lesi sifo kwabanye abantu?
• Iziphi izinyathelo ukuthatha esikhathini esizayo ukuvimbela Ukuphinda zesifo?
• Ngihlushwa nezifo ezingamahlala khona. Ingabe kufanele ngingene nganoma iyiphi indlela ukushintsha ukwelapha ngilandela manje?
• Wena ebekiwe kimi nemithi. Ikhona yini imithi yokwelapha ehlukile?
• Ingabe wena batusa imithombo eyengeziwe kolwazi mayelana weni nasekwelapheni tifo yayo?
• Lokho ongakulindela kusukela udokotela
• Noma ngabe ukuvuvukala parotid noma axillary ukwelashwa lymphadenitis noma kunjalo ngeke ngokuyinhloko ixhomeke ekutheni izimbangela zezifo. Ukuze ubone ukuthi yini imbangela, udokotela wokuqala ngeke akucele uchungechunge lwemibuzo lapho kuyinto efiselekayo ukulungiselela kusengaphambili izimpendulo. Le mibuzo kungenziwa kanje:
• Ziyini izimpawu uqaphela e ngokwakho?
• Lapho okokuqala zikhona izimpawu zokugula?
• ukuthi izindlala zamanzi anda ngokuhamba kwesikhathi?
• Yini azizwa zingavuvukalanga zamanzi?
• Ingabe nawe uhlushwa ukushisa (imfiva) noma ezinkulu ukujuluka ebusuku?
• Ingabe ukubuka isisindo sakho? Ingabe ukuba unciphise umzimba ngaphandle uzama ukwehlisa isisindo?
• Ingabe unayo umphimbo obuhlungu? Ingabe kunzima ukwamukela?
• Ingabe uhlangabezana nobunzima ukuphefumula?
• akunandaba ukuthi lowo msebenzi ishintshile wamathumbu yakho futhi esinyeni?
• Yini imithi ingabe njengamanje ukuthatha? Kungakhathaliseki ozama lymphadenitis self-uswidi? Licindezele ukusiza noma azinamphumela?
• Uke wahamba muva emazweni angaphandle noma ezindaweni lapho amakhizane atholakala? Ingabe abahambi bakho nabo bayagula?
• Uke athintana muva nabantu ezingabazi noma izilwane ongaziwa? Kungakhathaliseki ukuthi wayehlushwa Ukulunywa noma imihuzuko?
• Uke waba contact yamuva nomlingani obusha bezocansi?
• Ingabe ucansi oluphephile?
• Ingabe ubheme? Uma uthi yebo, iminyaka eminingi kangaka?

Ngaphambi uphethwe

Njengoba usalindele ukuba wokubonisana okuhleliwe, axillary lymphadenitis parotid noma ingelashwa nge ukulibopha efudumele. Uma kudingeka, thatha amaphilisi ezinhlungu - ezifana ibuprofen noma acetaminophen ( "Tylenol", njll ...). izidakamizwa ezinjalo ekhiqizwa izingane, futhi asidingi somuthi nokusetshenziswa kwawo sikadokotela ukuthenga kwalo. Ongoti, Nokho, musa batusa ukuba abantwana bakho basebenzise i-aspirin ngaphandle iziqondiso ezifanele zomuthi wezingane, njengoba isixhumanisi kungase kutholakale ngokwesayensi ukuthuthukiswa aspirin esiyingozi Reye Syndrome.

ukuhlola

udokotela kuphela kungacacisa ukuthi ncamashi yini eyabangela ukuvuvukala kule imbilapho, noma lymphadenitis axillary. Ukwelashwa ngokulandelana, kuzoya imbangela ecashile egunjini lokuhlolwa kwezifo. Ukuze uphethwe ngempumelelo kungase kudingeke:

• Ukutadisha emlandweni wezifo. Ngaphezu kwalokho, udokotela uzokubuza nini futhi ngaphansi kwaziphi izimo une evuvukele lymph node, nokuthi ubona ngezinye izimpawu zokugula.
• ngihlolwa kokuqala. Lo chwepheshe ngokuqinisekile ukuhlola ama-lymph node ngaphansi kwesikhumba ukuze ukulinganisa ubungako bawo, umsungulo, ukufudumala kanye ukuthungwa. Indawo lapho zokugula ehunyushelwe, uzonikela inkomba esisiza siqonde izimbangela zezifo (ngakho bubonadenitis e abesifazane ngokuvamile kwenzeka ngokumelene isizinda lezinkinobho, noma ukuvuvukala ezikhiqiza amaqanda).
• Ukuhlolwa kwegazi. Uma kucatshangwa ukuthi lokhu noma lokhuya imbangela ukuvuvukala, udokotela ngeke akucele ukuba iphumelele ekuhlolweni ethize igazi ukuqinisekisa uphethwe kokuqala. Ngokuvamile uphasise ukuhlaziywa abavamile jikelele, okuvumela esanele elibanzi ukuhlola ukufaneleka isiguli futhi sithole ezinye zokugula (isib, izifo noma wegazi).
• Ukufanekisa izifundo. Ngokuvamile ebekiwe esimweni noma tomography ngekhompyutha (CT) kwesifuba ukuthola imithombo engaba ukutheleleka noma isimila. Ngakho, ngokwesibonelo, ukukhomba lymphadenitis tuberculous.
• Biopsy. Uma udokotela ngenxa yanoma yisiphi isizathu akakwazi ukwenza i ukusazi ngokunembile isifo esikuphethe, wayeyomisa biopsy - inqubo lapho wonke ama-lymph node (noma ingxenye yalo) isuselwa laboratory luhlolo ngesibonakhulu. Sifo usebenzisa le ndlela kungaba esihle inaliti nenshisekelo biopsy (ke - nenshisekelo wokubhoboza zokuxilonga). Kulokhu, lo dokotela ngeke enze inqubo bebodwa ngesikhathi babonisana yezokwelapha isimiso. Nokho, ngezinye izikhathi, odokotela ziqondise futhi iziguli odokotela abahlinzayo noma ongoti radiotherapy, kulabo eqoqwe izinto eziphilayo azithathe liyadingeka ukuqinisekisa ukuxilongwa "lymphadenitis".

ukwelashwa Yabantu

Ngeshwa, akukho imithi yendabuko musa kuyokuqeda ezinkingeni ezifana ukuvuvukala kanye ukuvuvukala-lymph. Icala izincwadi futhi izikhala Inthanethi evulekile ungathola eziningi zokupheka for infusions, Iziphungo kanye potions ukuthi kuhlongozwa ukuba usetshenziselwe wokuthoba. Nokho, ochwepheshe musa batusa ukuba adalule impilo yabo engozini ngokungadingekile, uthuthuva nemithi engamakhambi odabuka ezingabazisayo abazigabisayo nabagcwele lymph node obmazyvaya yokugcoba okuzenzela. Indlela elula nephephile ikhambi ukuvuvukala - amaphakethe sendwangu ethafeni ofakwe amanzi afudumele, wakhama kahle - nakuba ayengafiki kuyokuqeda kusukela lesi sifo, kodwa ukukusiza ngempela ngidambise izinhlungu nokwehlisa nozwela evuvukele lymph node ngaphandle izingozi.

imithi yendabuko

lymphadenitis Tuberculous, kanye namanye zinhlobo ihlaziye zokugula, aphethwe kanye mfanekiso izifo ezithathelwanayo. Uma ukuvuvukala kubangelwa igciwane lohlobo lwe, imithi elwa namagciwane alunamsebenzi; kwezinye izimo kubalulekile ukugxila imbangela ukuvuvukala.

• Ukutheleleka. Uma ukungcoliswa amagciwane (amabhaktheriya) okubangelwa lymphadenitis okuyinto imithi elwa namagciwane kufanele esiphuza ukuze isimo ama-lymph node siphinde sibe nokuphila okuvamile? Qiniseka ukubuza lo mbuzo ukuze udokotela njengoba izidakamizwa ethize kungenziwa ebekiwe kuphela udokotela ukuba khona. Uma ukuvuvukala is ukusebenza okubangwa yileli gciwane human immunodeficiency (HIV), okokuqala kunakho konke, odokotela uzothatha ukutheleleka.
• Omzimba sifo. Ezimweni lapho ukuvuvukala-lymph is phetho sifo lupus ezivamile noma i-rheumatoid arthritis, ukwelashwa okuhloswe ngazo ekwelapheni nomnyombo isifo.
• izifo Oncological. Lymphadenitis e imbilapho, entanyeni noma emakhwapheni kungahle kubangelwe Ngokukhula nokusakazeka zamangqamuzana omdlavuza. Kuye uhlobo esiteji yokwelapha abantu abanomdlavuza izobandakanya radiotherapy, ukwelashwa ngamakhemikhali noma ukuhlinzwa.