Adenitis: chomwe chiri, chimayambitsa, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse
• Momwe mankhwalawa amachitikira

Adenitis imafanana ndi kutupa kwa ma lymph node amodzi kapena angapo, omwe amatha kuchitika kulikonse mthupi, kukhala ofala m'malo monga khosi, khwapa, kubuula kapena pamimba, ndipo amayambitsa kutupa, kufiira, kutentha ndi kupweteka pamalopo.

Kutupa uku kumatha kuchitika chifukwa cha kachilombo ka ma virus, mabakiteriya kapena chifukwa cha chotupa, mwachitsanzo, chifukwa chake, ndikofunikira kuti dokotala akafunsidwe akangoyamba kuwonetsa zizindikiro za adenitis kuti athe kuzindikira chifukwa ndikuyamba chithandizo choyenera kwambiri.

Zizindikiro zazikulu

Zizindikiro za adenitis zimakhudzana ndi kutupa kwa ma lymph node ndipo zimatha kusiyanasiyana kutengera mtundu wa adenitis. Komabe, makamaka, zizindikiro zazikulu za adenitis ndi izi:

• Kutupa kwa gulu lomwe lakhudzidwa, lomwe limatha kumveka mosavuta;
• Malungo pamwamba 38ºC;
• Ganglion kupweteka pa palpation;
• Kumverera kwa malaise;
• Kusanza ndi kutsekula m'mimba, kumakhala kofala kwambiri pa mesenteric adenitis.

Adenitis imafala kwambiri m'chiberekero, m'mizere kapena m'mapiko, komabe imatha kukhudzanso ma lymph node omwe ali m'matumbo ndi m'mimba, mwachitsanzo.

Zomwe zingayambitse

Mwambiri, adenitis imatha kuyambitsidwa ndi ma virus, monga cytomegalovirus, HIV virus ndi Epstein-Barr virus, kapena ndi bacteria, omwe amakhala Staphylococcus aureus, Mzere group-hemolytic gulu-A, Yersinia enterocolitica, Y. pseudotuberculosis, Mycobacterium chifuwa chachikulu, Shigella sp kapena Salmonella sp. Nthawi zina, kutupa kwa ganglia kumatha kukhalanso chifukwa cha zotupa, monga lymphoma, kapena chifukwa cha matenda opatsirana am'matumbo, mwachitsanzo.

Chifukwa chake, malingana ndi chomwe chimayambitsa komanso komwe zimapezeka, adenitis imatha kugawidwa m'mitundu ina, yayikulu ndiyo:

1. Cervical adenitis, momwe mumakhala kutupa kwa ma lymph node komwe kumakhala m'khosi ndipo kumatha kukhala kokhudzana ndi matenda a bakiteriya, matenda opatsirana ndi HIV kapena Epstein-Barr, kapena lymphoma;
2. Mesenteric adenitis, momwe muli kutupa kwa ganglia komwe kumalumikizidwa ndi matumbo, makamaka chifukwa cha bakiteriya Yersinia enterocolitica. Dziwani zambiri za mesenteric adenitis;
3. Sebaceous adenitis, momwe muli kutupa kwamatenda osakanikirana chifukwa cha kuchuluka kwa mabakiteriya omwe amapezeka pakhungu, monga Staphylococcus aureus ndipo S. khungu;
4. Tuberous adenitis, momwe kutupa kwa ma lymph node kumachitika chifukwa cha bakiteriya Mycobacterium chifuwa chachikulu.

Ndikofunikira kuti chifukwa ndi mtundu wa adenitis zizindikiridwe kuti dokotala athe kuwonetsa chithandizo choyenera kwambiri, motero, kupewa kuwonekera kwa zovuta.

Momwe mankhwalawa amachitikira

Chithandizo cha adenitis chiyenera kuwonetsedwa ndi dokotala wamba ndipo chimasiyana malinga ndi mtundu wa adenitis ndi zizindikilo zomwe zimaperekedwa ndi munthuyo. Chifukwa chake, pokhudzana ndi adenitis yoyambitsidwa ndi mabakiteriya, kugwiritsa ntchito maantibayotiki kungalimbikitsidwe, komwe kuyenera kuwonetsedwa molingana ndi wothandizirayo, komanso kugwiritsa ntchito Amoxicillin, Cephalexin kapena Clindamycin.

Kuphatikiza apo, kwa mesenteric adenitis chifukwa cha ma virus, kugwiritsa ntchito mankhwala othandizira kuthana ndi zodandaula, monga kupweteketsa ululu ndi mankhwala odana ndi zotupa, atha kuwonetsedwa ndi adotolo, mpaka thupi litachotsa kachilombo koyambitsa kutupa.

Pankhani ya khomo lachiberekero la adenitis lomwe limayambitsidwa ndi ma virus, kuphatikiza pa mankhwala opha kutupa ndi ma analgesics, kugwiritsa ntchito ma antivirals malinga ndi kachilombo koyambitsa adenitis kungalimbikitsidwe. Ngati khomo lachiberekero la adenitis limayamba chifukwa cha chotupa, kuchitidwa opaleshoni kumafunikira kuti achotse gulu lomwe likukhudzidwa kenako ndi chemotherapy. Onani zambiri zamankhwala amtundu wa khomo lachiberekero adenitis.