Ukusebenza komzimba kuncike ekutheni imetabolism efanele, ukuhlanzwa kwamangqamuzana namathishu. Inendima ebalulekile kulezi zinqubo idlalwe uhlelo lwe-lymphatic. Ihlanganisa izitho zangasese ezimbozwe izicubu ezixhunyiwe, ezibizwa ngokuthi ama-nodes. Ubukhulu babo buhluka kusuka ku-0.5 mm kuya ku-5 cm noma ngaphezulu, indawo yangakini - eduze kwemithambo emikhulu yegazi.
Ayini ama-lymph nodes?
Izitho zomzimba ezichazwe yizihlungi zezinto eziphilayo. Ama-lymph nodes ayimithi yokusabalalisa kwamangqamuzana e-tumor, amagciwane nama-bacteria, isikhunta kanye nezinye izifo ezithathelwanayo. Bavele "bafunde" izinto ezingaphandle futhi eziyingozi, okwenza ukuthi izimpendulo zamasosha omzimba zisheshe zenziwe ngendlela yokukhiqizwa kwama-antibodies akhethekile.
I-lymph nodes evulekile - izimbangela
Izitho zohlelo lokuhlunga zihlelwe ngamaqembu ezicucu ezingu-10. Iqembu ngalinye le-lymph nodes "likhonza" izindawo eziseduze. Ngenxa yalolu lungiselelo, amasosha omzimba angasabela ngokushesha ngangokunokwenzeka kwamangqamuzana angaphandle, izinhlayiya nezincane ezincane. Izimbangela zokuvuvukala kwama-lymph nodes kukhona ukwephulwa kokusebenza kahle kwezindawo eziseduze nazo. Izici ezivusa amadlingozi, izifo ezibangelwa ukwelashwa, izidakamizwa nezinye izifo.
Ukuvuvukala kwama-lymph nodes ngaphansi kwegundane
Ukwesaka nokukhuphula ubukhulu beqembu elihloliwe lezitho kungabonisa ukulimala, ukuvuthwa kanye nokwehla endaweni yehlombe nasezindaweni eziseduze. Ukuvuvukala kwama-lymph nodes emagumbini kuvame ukuphumela:
- izifo zesimiso sokuphefumula ( angina , sinusitis nabanye);
- ukwelashwa;
- ukucindezeleka kwe-asthma;
- umkhuhlane ;
- izifo zomlomo womlomo (caries, periodontitis nokunye).
Ngezinye izikhathi i-lymph node evulekile ngaphansi kwezibonakaliso zegundane zezinkinga ezinkulu, phakathi kwazo:
- i-folliculitis ;
- i-neoplasm ezinkingeni ze-mammary;
- izicubu ezimbi ezindaweni ezizungezile;
- ukukhula kwe-metastase kusuka kwezinye izitho;
- umonakalo omkhulu enhliziyweni nasemaphaphu.
Ukuvuvukala kwama-lymph nodes ku-groin
Izimbangela zezinqubo ze-pathological kule ndawo zingase zibe umonakalo owenziwe ngomshini esikhunjeni nasesikhungweni sezintambo ezithambile, emaphakathini, ezinqulwini. Ezinye izimbangela ezibangela ukuvuvukala kwama-lymph node engasebenzi:
- izifo ze-venereal;
- ukunqotshwa kwesistimu yokuzala;
- izifo ezinengqondo;
- noma yiluphi uhlobo lwe-neoplasm yanoma yiliphi ikhwalithi ezindaweni ezizungezile;
- i-carbuncles namathumba;
- ukutheleleka kwesistimu ye-genitourinary;
- ukuhluma kwe-metastase.
Ukuvuvukala kwama-lymph nodes ngaphansi komhlathi
Leli qembu lezitho zangasese lenkathazo abantu abaningi kaningi kunamanye amaqoqo. I-submandibular lymphadenitis ivela ngemuva kwezifo zokuphefumula kwanoma imuphi umsuka. Ngokuvamile uphakathi kwezimpawu zokuqala zokutheleleka ngegciwane lesandulela ngculaza nomkhuhlane. Ukuvuvukala kwama-lymph node womlomo wesibeletho kubonakala kwezinye izifo:
- i-caries;
- i-stomatitis;
- i-periodontitis ;
- imbongolo yezinyo;
- Izilonda ze-staphylococcal noma streptococcal zesikhumba;
- inkukhu ikhukhu;
- i-alveolitis;
- isingenisi;
- i-toxoplasmosis;
- izifo eziphazamisayo;
- amanxeba anegciwane ekhanda;
- i-supercooling;
- i-cyst izinyo;
- i-parotitis;
- i-lipomas;
- izicubu;
- i-atheroma;
- i-immunodeficiency ithi.
Ukuvuvukala kwama-lymph nodes ngemuva kwendlebe
Iqembu elichazwe lezitho litholakala eceleni kwe-vein eceleni komugqa oqondile. Njenge-submandibular lymphadenitis, ukuvuvukala kwama-lymph nodes ngemuva kwama-auricles kufakazela izinqubo ze-pathological ezindaweni eziseduze. Ukunyuka kwabo kanye nokukhathazeka kungahambisana nalokhu:
- i-otitis media;
- ukunqotshwa kwe-nerve auditory;
- i-eustachiitis;
- i-ear of ear.
Esikhathini esiseduzane nalesi sigaba sama-lymph nodes yisigxobo somlomo nesiphezulu sokuphefumula, ngakho-ke ukuvuvukala kwabo ngezinye izikhathi kukhuluma ngezifo ezilandelayo:
- ukuhamba;
- i-caries;
- i-sinusitis;
- i-angina;
- izifo zamathoni nezindwangu zomsindo;
- i-cyst izinyo;
- i-pharyngitis;
- i-tonsillitis.
Ngokuvamile i-lymphadenitis iqala ngemuva:
- i-hypothermia;
- umkhuhlane;
- izifo ezithinta ukuphefumula;
- izimpumputhe;
- i-rubella;
- inkukhu ikhukhu;
- ukutheleleka kwe-herpetic.
Ama-lucph nodes ase-Nuchal avutha
Leli qembu elingaphansi kokucubungula lidala ukuzwa okungajabulisi ezimweni ezifanayo njenge-submaxillary kanye ne-lymphadenitis. Kunezifo ezithile lapho i-lymph node e-nape evulekile khona:
- izilonda ze-trophic;
- ukuzivikela;
- i-mononucleosis;
- isifo sofuba;
- ukusabela okusheshayo kwe-allergic;
- izigaba zokugcina zomdlavuza.
Ukuqonda kanjani ukuthi amantombazane e-lymph avutha?
Kunezibonakaliso eziyisisekelo zokwelashwa kwe-lymphadenitis:
- shintsha ngobukhulu bama-lymph nodes;
- ukushintshashintsha kokushisa komzimba;
- ukuba khona kwemizwa engathandeki.
Izimpawu ezengeziwe, ukuthi ungabheka kanjani i-lymph node evuthayo:
- ukubomvu kwesikhumba ngaphezu kwendawo ethintekile;
- ikhanda;
- ubuthongo, ubuthakathaka.
Ama-lymph nodes abuhlungu abukeka kanjani?
Esizweni esivamile umuntu akaqageli nokuthi izitho ezichazwe ziphi. Ukuvuvukala kwama-lymph nodes ngokushesha kwenza uzizwe:
- ukwandisa ngobukhulu bawo;
- i-tubercle noma eziningana endaweni yenqubo yokwelapha;
- i-hyperemia yesikhumba.
Izimpawu ezibonakalayo ze-lymph nodes ezivuthayo zingaqaphelwa kalula ngaphandle kokuqeqeshwa okukhethekile kwezokwelapha. Ngokunyuka kwabo okunamandla endaweni ye-lymphadenitis, i-oval neyindilinga, amafomu aqinile afana nobhontshisi asetshenziswe. Ziselula, ngesikhathi sokunyakaza kancane kancane kuguquliwe. Abanye abantu babika ukuthambisa okubuthakathaka ezindaweni ezithintekile.
Ama-lymph nodes aphefumulelwe nokushisa
Izitho zangasese ezethuliwe zibhekene nesimo esiphuthumayo samasosha omzimba. Ngenxa yalesi sizathu, izimpawu zokuvuvukala kwama-lymph nodes zihlanganisa njalo ukukhuphuka kokushisa komzimba, njengokuphendula kwesistimu yokuzivikela "ekuhlaselweni" kwamaseli angaphandle. Ukushisa kungafinyelela amanani ayesabekayo, kufika ku-40-41 degrees, kuye ngokuthi ubuhlungu besifo kanye nokuba khona kwezinqubo ze-putrefactive.
Ingabe ama-lymph nodes agula kakhulu?
Noma yikuphi i-lymphadenitis ihlangene nokuzwela okungajabulisayo nokungazizwisi kahle. I-lymph node ivame ukulimaza ngesikhathi se-palpation futhi icindezela kuyo, izama ukuyizwa. Ezimweni ezingavamile, uphawu oluchazwe luzwa njalo, ngaphandle kwamathonya angaphandle. Ubuhlungu bunzima nakakhulu uma kukhona ukuvuvukala okungenangqondo kwe-lymph nodes. Ezimweni ezinjalo, umuntu uzizwa ekhukhumezeka futhi evuvukala eqinile ngaphakathi.
Kuthiwani uma ama-lymph nodes evuliwe?
Inqubo yesenzo nge-lymphadenitis ixhomeke ekuhlaleni kwayo, ngamandla. Kubalulekile ukuthola ukuthi yini i-lymph nodes evuthayo efakazelayo. Ukuthola imbangela ye-pathology, udinga ukuxhumana nodokotela. Ukwelapha i-lymphadenitis ngaphandle kokuqeda izici eziyinhloko ezenza kube nzima. Kuphela emva kokunyamalala kwabo, ukusebenza komzimba wokuzivikela kanye nenqubo yokuhlunga kuzobuyiselwa.
Ama-lymph nodes avuvukile - yiyiphi udokotela okufanele aphendule?
Le nkinga ivela ngezizathu ezihlukahlukene ezihlukahlukene. Ukunquma ukuthi kungani i-lymph node ethile isuke ikhishwe, ochwepheshe ohileleke ekwelapheni kwezitho nezinhlelo eziseduze nendawo ethintekile kuzosiza. Okokuqala, ngenhloso yokuhlolwa okuyisisekelo kanye ne-anamnesis, kufanele uvakashele udokotela kanye ne-oncologist. Ngemuva kokuxilongwa kokuqala, laba odokotela babhekisela kudokotela omncane onguchwepheshe. Isinqumo sokugcina sizoxhomeka esibangelwa ukuvuvukala kwama-lymph nodes, ukwelashwa kungenziwa yi:
- i-otolaryngologist;
- udokotela wamazinyo;
- i-gynecologist;
- i-urologist;
- i-mammologist;
- i-endocrinologist;
- i-cardiologist;
- i-infectionist;
- i-parasitologist;
- i-gastroenterologist;
- i-pulmonologist;
- I-Venereologist;
- Udokotela ohlinzayo;
- dermatologist kanye nabanye ochwepheshe.
I-Lymphadenitis - ukwelashwa
Indlela yokwelapha ithuthukiswe ngokuhambisana nesimo sesigaba sesi sifo, imbangela yayo kanye nobuqili. Ezimweni ezijwayelekile, ubelwe:
- ukuphumula endaweni ye-lymph nodes ezithintekile;
- isabelo esakhiwe ngamavithamini namaminerali;
- ukwesekwa kwesimiso somzimba;
- isiphuzo esinomsoco esiningi.
Ukumisa isithombe somtholampilo, imithi isetshenziswa:
- ama-analgesics (i- Nimesil , i-Ketanov);
- izidakamizwa ezilwa nokuvuvukala kanye ne-antipyretic (Ibuprofen, i-Paracetamol);
- antihistamines (Suprastin, Eden).
Ngaphambi kwama-bacterium, ama-antibiotic akhethwe ukuvuvukala kwama-lymph nodes. Baqokwa kuphela ochwepheshe ngemuva kokuhlola ukuhlolwa kwelabhorethri, ukucacisa uhlobo lomonakalo omncane, ubuzwe bezinambuzane ezincane ze-pathogenic ezidakamizwa ezikhona. Ama-antibiotic anomsebenzi omningi ovame ukusetshenziswa:
- Erythromycin;
- Hemomycin;
- Ampicillin;
- Kuhlanganiswe ;
- I-azithromycin;
- I-Unidox Solutab ne-analogues.
Ngaphezu kwalokho, udokotela angancoma futhi asebenze nge-physiotherapy, njenge-ultra-high-frequency therapy. Ezinye iziguli zinesithakazelo ukuthi ngabe i-lymph nodes evuthayo ingashisa yini. Odokotela bayakuvimbela. Ukuvezwa kokushisa kukhulisa kuphela futhi kuqinisa inqubo ye-pathological, kungaholela ekuxhaseni nasekhanda. Ukuze unciphise ubuhlungu, kungcono ukusebenzisa ukucindezela okupholile nama-lotions.
Lapho kutholakala izindlela zokuhlinza nge-purulent lymphadenitis, indlela yokuphatha ukuvuvukala kwama-lymph nodes:
- i-autopsy;
- ukugeleza kwemikhumbi ehlanzekile;
- ukungcola;
- ukukhishwa kwe-detoxification elandelayo kanye nokwelapha okulwa namagciwane.
Ngokufanayo, izifo eziyinhloko ezibangela ukuvuvukala kwama-lymph nodes kufanele ziphathwe. Lokhu kubaluleke ngokukhethekile esimweni esingapheli se-pathology, lapho i-lymphadenitis iqhubeka iminyaka eminingi ngezikhathi ezincane zokuxolelwa nokuphindaphindiwe njalo. Ngemva kokuqeda zonke izici ezivusa lesi sifo, uhlelo lokuhlunga luba yinto evamile.
Ukuvuvukala kwama-lymph nodes - imiphumela
Le nkinga iyimvelo eyingozi ebangela izinkinga ezinkulu. Ngisho nenye i-lymph node evulekile endlebeni, ngaphansi komhlathi, ngemuva kwekhanda, noma kwenye indawo ingashukumisa lezi zifo ezilandelayo:
- i-abscess;
- i-tachycardia;
- i-adenophlegmon;
- i-lymphedema;
- ukuphuza ngokweqile;
- ukubandakanyeka ekwenzeni izitsha ze-lymphatic;
- i-mediastinitis;
- i-thrombophlebitis;
- i-fistula lymphatic;
- i-septicopyemia;
- ukuvuvukala okujwayelekile;
- "Indlovu";
- i-lymphostasis;
- ukukhula kwe-metastases;
- ukufuduka kwamangqamuzana amathumba kuya ezitho ezikude nabanye.
Ngaphandle kokwelashwa okulungile nokuqedwa kwezimbangela zezinkinga ezingelapheki, ukuvuvukala kwamakhemikhali amaningana kwenzeka kuqala, emva kwalokho kwande ngaphezu kweqembu lonke. Kancane kancane, amaqembu angomakhelwane athintekile, futhi i-lymphadenitis iba yinto evamile. Umphumela wemiphumela enjalo yalesi sifo ukulahla kwezitho, ukushintshwa kwezicubu ze-lymphoid ngamaseli asebenzayo. Lokhu kuholela ekuphazamiseni konke ukuhlunga, isimiso somzimba sokuzivikela.