Ukwandiswa kwama-lymph nodes ezinganeni

Ngokuvamile, amantombazane omlomo wesibeletho, ama-axillary nama-inguinal enganeni aqhutshwa ngokucindezela okuqinile. Kodwa-ke, kwenzeka ukuthi abazali babone ukwanda kwama-lymph nodes (lymphadenopathy).

Izimbangela ze-lymph nodes ezandisiwe ezinganeni

Ukwandiswa kwe-lymph node kwenzeka ngenxa yalokho:

• ukutholakala kwesifo esibandayo noma esithathelwanayo;
• izinqubo ze-neoplastic;
• ukuphazamiseka kwemithi emzimbeni.

Ukwanda kwe-lymph nodes emndenini kubantwana kubhekene nokuzwa okubuhlungu nokwanda kwamanothi ngokwabo. Ukwanda okunjalo kungase kubonise ukuthi kukhona ukutheleleka ngegciwane lesandulela ngculaza endaweni yomzimba, indlebe noma isifo sezinyo. Ngokuvamile ukwanda ngobukhulu be-lymph node yomlomo wesibeletho kufakazela ukuba khona kwamakhamuza.

Uma i-lymph node engumgogodla emntwaneni ikhulisiwe, lokhu kusho ukutheleleka kwemikhakha engezansi, engasetshenziswa endaweni yesikhumba somntwana, emathanjeni noma emisipha. Ngokuvamile, lokhu kwanda kungabonakala uma ingane ine-diermer dermatitis, uma kuvuvukala amalunga noma izitho zohlelo lokuzala, emva kokugoma ne-BCG.

Ngesikhathi se-teething kungenziwa ukwandiswa kwe-lymph nodes enganeni.

I-lymph node ekhulisiwe engxenyeni yengane ibonisa ukuthi kukhona isifo esithathelwanayo esesandleni, ehlombe noma engxenyeni yezinhlobonhlobo zezinhlobo ezahlukene (isib. Inkukhu yezinkukhu noma izilonda zesikhumba). Ukwandiswa kwama-lymph nodes eceleni kolunye uhlangothi kungaba umphumela wokugoma, ukulimala kwesandla.

Ngesikhathi futhi nini ukwelapha i-lymph nodes ezinganeni?

Kufanele ngokushesha uthintane nodokotela uma unezimpawu ezilandelayo:

• uma i-lymph nodes emntwaneni yanda ngaphezu kwamasonto amabili;
• ezifweni zonke izilonda zesikhumba zikhuliswa;
• kukhona ukwanda kwama-lymph nodes ezinganeni lapho kungekho isifo esithathelwanayo noma socatarr in the anamnesis;
• ukushisa komzimba okwandisiwe;
• izinzwa ezibuhlungu lapho zigwinya;
• enye ye-lymph nodes ingaba mkhulu ngobukhulu uma kuqhathaniswa nabanye.

Njengoba kunenkinga ekutholeni ukuxilongwa okunembile, udokotela angaphinde abeke i-X-ray futhi enze i-puncture ukuze atadishe isakhiwo sezingcuzu ze-lymph node ekhulisiwe.

Izifo eziningi ziqala nge-lymphadenopathy eyodwa indawo, futhi kamuva kwezinye izindawo. Lokhu kungabonisa ukuthi kukhona izifo ezifana nesimungumungulu, i-rubella, i-mononucleosis, i-hepatitis ye-viral, i-pneumonia, i-toxoplasmosis.

Abazali kudingeka bakhumbule ukuthi uma kunesisindo esincane ku-lymph node endaweni eyodwa, kufanele uqaphele ukushintsha kwesimo somntwana isikhathi esithile. Lapho kukhona izimpindi kwezinye izindawo, ukubonisana nodokotela kudingekile ukuxilongwa okunembile kanye ne-ultrasound yazo zonke izitho zangaphakathi ukuze kuqedwe izifo ezithathelwanayo (isibindi, izinso, isitebe, isikhumba esiswini).