I-Lymphadenopathy yesigxobo esiswini (LAP) yisimo esingokwemvelo esibonakala ukwanda okukhulu kwe-lymph nodes. Kubalulekile ukuhlolisisa i-pathology ngendlela efike ngesikhathi ukuze ukwazi ukuphulukisa ukwelashwa.
Izinhlobo zezifo
Odokotela babona izinhlobo ezintathu eziyinhloko zesifo, kucatshangelwa inani lezinombolo ezichaphazelekayo kanye nokuhlala kwazo:
- I-lymphadenopathy yendawo - uma i-node eyodwa ikhula endaweni ethile.
- I-Lymphadenopathy yesikhumba esiswini kanye nesibhedlela se-retroperitoneal - ama-node amaningana asezindaweni ezilodwa noma eziseduze akhuliswa.
- I-lymphadenopathy ejwayelekile yomzimba wesisu - ingumphumela we-HIV, i-toxoplasmosis nezinye izifo ezinzulu kangaka.
Izimbangela zama-LAP
Lapho ukuxilongwa kwe-lymphadenopathy yesiguli esiswini, kwenziwa izidakamizwa ezifweni ezilandelayo:
- i-syphilis;
- I-HIV;
- i-giardiasis;
- i-toxoplasmosis;
- isifo sofuba;
- actinomycosis;
- i-brucellosis ;
- i-cytomegalovirus.
Isifo esinjalo singathuthukisa ngokumelene nesizinda sesifo se-bacteria noma segciwane.
Izimpawu ze-LAP
Inkambo eqondile yeLAP ihambisana nokunyuka okukhulu kwe-lymph node. Lesi sifo sihambisana nesifo sendawo ngesikhathi sokuphuza nokuvuvukala nokubomvu kwesikhumba.
Uma ifomu lingapheli, isithombe somtholampilo singasifika kahle.
Izimpawu eziyinhloko zesifo yizi:
- ukwandisa ngobukhulu besipere nesibindi;
- izimpawu zomkhuhlane;
- ukushisa okuphezulu;
- ukujuluka okukhulu .
Ukwelashwa kwe-pathology
Ukuze uhlolisise i-LAP, ukuhlolwa kwegazi kufanele kuhanjiswe, kanye nokuhlolwa kwe-ultrasound, ukuhlolwa kwe-CT kanye ne-X-ray. Ukwelashwa kwe-lymphadenopathy yesigxobo esiswini kunikwa ngabanye ngokweminyaka yesiguli, uhlobo lwe-pathology kanye nokubonakaliswa kwalo.
Izinyathelo zokwelapha-futhi-prophylactic zalesi sifo zihlanganisa izenzo ezenzelwe ukulungisa ukuzivikela. I-biopsy ingenziwa futhi i-chemotherapy noma i-radiotherapy ingasetshenziswa ngokulandela imiphumela yayo.
I-Lymphadenopathy yesigxobo esiswini, lapho ukwelashwa komusa ongahlolisanga akulethi imiphumela, kungelashwa kuphela ngendlela yokusebenza. Ukungenelela kokuhlinzekwa kubandakanya ukususwa kwe-lymph node ethintekile.