Isifunda esiphezulu sezinhlobonhlobo zemithi ebizwa ngokuthi i-thoracic ebizwa ngokuthi i-termast - mediastinum. Iqukethe amaphaphu, ama-bronchi nama-lymph nodes, okufana nanoma yiziphi ezinye izitho, ezitholakala ezifweni ezingokwemvelo. Enye yazo i-lymphadenopathy yomzimba, echaphazela ama-lymph nodes futhi ibonakala ngokwanda okwenziwe ngobukhulu bayo.
Izimbangela ze-lymphadenopathy ye-mediastinal
Izinto ezibangela ekuthuthukeni kwesifo:
- i-carcinoma ene-metastases;
- i-lymphoma;
- umdlavuza we-pulonchogenic wamaphaphu;
- ama-neoplasms amahle ezitho zomuthi wamathunjini, izilonda ezincelisayo, i-thyroid gland, izinso, i-larynx.
I-lymphadenopathy yasemuva kanye nezimpande zamaphaphu kubangelwa:
- isifo sofuba;
- sarcoidosis .
Njengoba kuboniswa izibalo zezokwelapha, imbangela evame kakhulu yokukhubazeka ngumdlavuza wamaphaphu we-metastatic (amacala angu-80%).
Izimpawu ze-lymphadenopathy ye-lymph nodes ye-mediastinum
Phakathi kwezibonakaliso ezibonakalayo zomtholampilo ubuhlungu, bendawo phakathi kwesigxobo sesifuba, ukuchelela emahlombe, entanyeni, endaweni ephakathi kwe-scapulae.
Uma ama-metastase ehluma emgodleni, kunokuphazanyiswa emisebenzini yomgogodla kanye nokukwazi ukukhubazeka.
Ezinye izimpawu:
- ukushisa komzimba okwandisiwe;
- i-cyanosis ebusweni;
- ukukhwehlela, ukuphefumula ;
- ubuhlungu obukhulu ekhanda;
- inhliziyo yengqikithi yokungahleleki kanye nokuphambana;
- ukunyuka kwengcindezi yomzimba;
- ukulahlekelwa kwesisindo;
- ukuthuthumela;
- ubuthakathaka nokukhathala.
Ukwelashwa kwe-lymphadenopathy ye-mediastinal
Isimo esichazwe ngama-lymph nodes nokwandisa ngobukhulu bawo, njengoba sibonisiwe kakade, sivela ngezizathu ezihlukahlukene, ngakho-ke, ukwelashwa kufanele kukhethwe kuye ngokuthi kunqunywe yini.
Ngezifo ezingezona ezenzakalelayo ze-anti-infiratory nature, antiparasitic, antifungal noma anti-
Uma imbangela ye-lymphadenopathy yizicubu ezimbi, kudingeka ukwelashwa okuqondile - i-chemotherapy, i-radiation, i-hormone ye-glucocorticosteroid, ukwelashwa kwe-immunosuppressive. Uma ukuxoshwa kokuhlinzwa kwe-tumor kanye ne-metastases kungenzeka, ukungenelela kokuhlinzekwa kunconywa.