Cervical adenitis: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira

Cervical adenitis, yomwe imadziwikanso kuti chiberekero cha lymphadenitis, imafanana ndi kutupa kwa ma lymph node omwe amapezeka mdera lachiberekero, ndiko kuti, kuzungulira mutu ndi khosi ndipo amadziwika kuti ndi ana.

Cervical lymphadenitis nthawi zambiri imayamba chifukwa cha matenda opatsirana ndi ma virus kapena mabakiteriya, koma imatha kukhalanso chizindikiro cha zotupa, monga zomwe zimachitika ku lymphoma, mwachitsanzo. Mvetsetsani chomwe lymphoma ndi momwe mungachizindikirire.

Mtundu uwu wa adenitis umadziwika ndi palpation pakhosi ndi dokotala komanso kuyanjana ndi zizindikilo zomwe zimafotokozedwa ndi munthuyo. Kungakhale kofunikira kuyesa kuyezetsa matenda ndipo, ngati akuganiza kuti pali chotupa, pangafunike kupanga kachipangizo kofufuzira kuti awone ngati ali ndi vuto. Onani zomwe biopsy ndiyomwe ili.

Zizindikiro zazikulu

Kuphatikiza pa zizindikilo zokhudzana ndi zomwe zimayambitsa kutupa, khomo lachiberekero la adenitis lingawoneke chifukwa cha:

• Lonjezerani kukula kwa ganglia, komwe kumatha kuzindikirika pobaya khosi, kumbuyo kwamakutu kapena pansi pa chibwano;
• Malungo;
• Pakhoza kukhala ululu pa palpation.

Matendawa amapangidwa ndi palpation ya ma lymph node omwe ali pakhosi, kuphatikiza pamayeso omwe amalola kuzindikira chomwe chimayambitsa kutupa kwa ma lymph kuti njira yabwino yothandizira milanduyi ikhazikike. Chifukwa chake, dokotala nthawi zambiri amalamula kuti akayezetse magazi, monga kuwerengera kwathunthu magazi, mwachitsanzo, kuphatikiza pakuchita serology kwa mabakiteriya ena ndi ma virus komanso kuyesa kwa microbiological kuti muwone chomwe chimayambitsa matendawa, ngati khomo lachiberekero limachokera ku matenda.

Kuphatikiza pa kuyesaku, ngati dotolo wapeza kusintha kwa kuchuluka kwa magazi komwe akukayikiridwa kuti ndi koyipa, kungakhale kofunikira kuti apange biopsy ya lymph node kuti atsimikizire kupezeka kapena kupezeka kwa zotupa. Onani momwe mungadziwire kusintha kwa kuchuluka kwamagazi anu.

Momwe mankhwalawa amachitikira

Chithandizo cha khomo lachiberekero adenitis chimafuna kuthana ndi zomwe zimayambitsa. Chifukwa chake, ngati kutupa kwa malowa kwachitika chifukwa cha matenda a bakiteriya, mongaStaphylococcus aureus kapena Streptococcus sp., dotolo angavomereze kugwiritsa ntchito maantibayotiki omwe amatha kulimbana ndi mabakiteriyawa. Pankhani ya khomo lachiberekero la adenitis lomwe limayambitsidwa ndi kachilombo ka HIV, Epstein-Barr kapena cytomegalovirus, mwachitsanzo, kugwiritsa ntchito ma antivirals ndikulimbikitsidwa. Kuphatikiza apo, kugwiritsa ntchito mankhwala osokoneza bongo kuti muchepetse zizindikilo za kutupa kungalimbikitsidwe ndi dokotala.

Ngati kupezeka kwa maselo a khansa akuti kumachitika chifukwa cha mayeso, zomwe zikuwonetsa khansa ya chithokomiro kapena lymphoma, mwachitsanzo, adokotala atha kusankha kuchotsa ganglion kapena chotupa chomwe chikuyambitsa kutupa, kuphatikiza pakuchita magawo a chemotherapy. Dziwani momwe zimachitikira komanso zotsatira zake ndi chemotherapy.