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Zamkati

• Zomwe zimayambitsa ma lymph node
• 1. M'khosi
• 2. Mu kubuula
• 3. M'khwapa
• 4. M'madera ena
• 5. M'malo osiyanasiyana mthupi
• 6. Kodi ndi khansa iti
• Momwe mungachiritse malilime otupa
• Ndikofunika kukaonana ndi dokotala

Ma lymph node owonjezera, omwe amadziwika kuti lilime komanso asayansi ngati ma lymph node kapena kukulitsa kwa lymph, akuwonetsa, nthawi zambiri, matenda kapena kutupa kwa dera lomwe amapezeka, ngakhale atha kuchitika pazifukwa zosiyanasiyana, pakhungu losavuta khungu , matenda, matenda amthupi, kugwiritsa ntchito mankhwala kapena khansa.

Kukulitsa kwa ma lymph kungakhale kwamitundu iwiri: komwe kumakhalako, pomwe zotupa zili pafupi ndi tsamba lazachipatala, kapena zowombetsa, ngati matenda amachitidwe kapena matenda omwe amakhala nthawi yayitali.

Matendawa amafalikira mthupi lonse, chifukwa ndi gawo la mitsempha yodutsitsa thupi, gawo lofunikira la chitetezo chamthupi, chifukwa amasefa magazi ndikuthandizira kuthana ndi tizilombo toyambitsa matenda. Komabe, zikakulitsidwa, zimakhala zachilendo kuti ziwonekere kapena zowoneka bwino kumadera ena, monga kubuula, khwapa ndi khosi. Kumvetsetsa bwino momwe ma lymph node amagwirira ntchito komanso komwe ali.

Mwambiri, malilime amakhala ndi zoyambitsa zosakhalitsa, ndipo amakhala mamilimita ochepa m'mimba mwake, osowa munthawi ya masiku atatu kapena 30. Komabe, ngati amakula kupitirira 2.25 cm, amatha masiku opitilira 30 kapena akuphatikizidwa ndi zizindikilo monga kuchepa thupi ndi kutentha thupi kosalekeza, ndikofunikira kufunsa dokotala kapena matenda opatsirana kuti afufuze zomwe zingayambitse ndikulimbikitsa chithandizo.

Kutupa kwa ganglia kumatha kuchitika chifukwa cha matenda oopsa kapena osachiritsika, chotupa, matenda am'magazi kapena omwe amalepheretsa chitetezo cha mthupi, monga momwe zimakhalira ndi Edzi.

Zomwe zimayambitsa ma lymph node

Zomwe zimayambitsa ma lymph node ndizosiyanasiyana, ndipo ziyenera kukumbukiridwa kuti palibe lamulo limodzi lodziwitsa. Komabe, zina mwazomwe zingayambitse ndi izi:

1. M'khosi

Ma lymph node m'chigawo cha khomo lachiberekero, komanso omwe amakhala pansi pa nsagwada, kuseri kwa makutu ndi khosi, nthawi zambiri amakula chifukwa cha kusintha kwa mlengalenga ndi dera lamutu, monga:

• Matenda opatsirana, monga pharyngitis, chimfine, chimfine, mononucleosis, matenda amkhutu ndi chimfine;
• Conjunctivitis;
• Matenda a khungu, monga scalp folliculitis, ziphuphu zotupa;
• Matenda mkamwa ndi mano, monga herpes, cavities, gingivitis ndi periodontitis;
• Matenda ocheperako, monga chifuwa chachikulu cha ganglionic, toxoplasmosis, matenda amphaka kapena mycobacterioses atypical, ngakhale ndizosowa kwambiri, amathanso kuyambitsa kusintha kwamtunduwu;
• Matenda osokoneza bongo, monga Systemic Lupus Erythematosus (SLE) ndi nyamakazi;
• Ena: mitundu ina ya khansa, monga khansa ya mutu ndi khosi ndi lymphoma, mwachitsanzo, matenda amachitidwe kapena momwe amathandizira ndi mankhwala.

Kuphatikiza apo, matenda opatsirana monga rubella, dengue kapena Zika virus amathanso kuwonekera ndi ma lymph node owonjezera m'khosi. Dziwani zambiri za matenda omwe amayambitsa madzi m'khosi.

2. Mu kubuula

Malo obowoleza ndi omwe amapezeka kwambiri pomwe ma lymph node owonjezera amawonekera, chifukwa ma lymph nodes mderali amatha kuwonetsa gawo lililonse la mafupa ndi ziwalo zam'munsi, ndipo zimachitika makamaka chifukwa cha khansa ndi matenda:

• Matenda opatsirana pogonana, monga chindoko, khansa yofewa, donovanosis, nsungu kumaliseche;
• Matenda opatsirana pogonana, monga candidiasis kapena matenda ena a vulvovaginitis, ndi matenda a penile omwe amayamba chifukwa cha bakiteriya kapena majeremusi;
• Kutupa m'chiuno ndi kumunsi m'mimba, monga matenda amkodzo, cervicitis kapena prostatitis;
• Matenda kapena kutupa m'miyendo, matako kapena mapazi, yoyambitsidwa ndi folliculitis, zithupsa kapenanso msomali wosakhazikika;
• Khansa testis, mbolo, maliseche, nyini kapena zotuluka, mwachitsanzo;
• Ena: Matenda amthupi kapena matenda amachitidwe.

Kuphatikiza apo, popeza ma lymph node ali pafupi ndi dera lomwe kutupa, mabala ang'onoang'ono kapena matenda amapezeka pafupipafupi, sizachilendo kuti madzi azindikiridwe, ngakhale alibe zizindikilo.

3. M'khwapa

Axillary lymph node ndiwo amachititsa kukhetsa magazi onse m'manja, pachifuwa ndi pachifuwa, chifukwa akakulitsidwa, amatha kuwonetsa:

• Matenda a khungu, monga folliculitis kapena pyoderma;
• Matenda opatsirana chifuwa;
• Matenda osokoneza bongo.

Dera losavulazidwa limayambukiranso chifukwa cha mankhwala onunkhiritsa kapena ochotsa tsitsi, kapena kudula chifukwa chogwiritsa ntchito kuchotsa tsitsi, komwe kumakhalanso chifukwa cha kukulitsa ma lymph node.

4. M'madera ena

Madera ena amathanso kukulitsa ma lymph node, komabe, siochulukirapo. Chitsanzo ndi dera lomwe lili pamwamba pa clavicle, kapena supraclavicular, chifukwa si malo wamba owoneka ngati ganglia wokulirapo. M'dera lakumbuyo kwa mkono, zitha kuwonetsa matenda amkono ndi dzanja, kapena matenda monga lymphoma, sarcoidosis, tularemia, syphilis yachiwiri.

5. M'malo osiyanasiyana mthupi

Nthawi zina zimatha kuyambitsa gulu lotukuka m'magulu osiyanasiyana amthupi, kumadera omwe amawonekera kwambiri komanso m'malo ozama, monga pamimba kapena pachifuwa. Izi zimachitika kawirikawiri chifukwa cha matenda omwe amayambitsa kuwonongeka kwa machitidwe, monga HIV, chifuwa chachikulu, mononucleosis, cytomegalovirus, leptospirosis, syphilis, lupus kapena lymphoma, mwachitsanzo, kuphatikiza kugwiritsa ntchito mankhwala ena, monga Phenytoin.

Chifukwa chake, ndikofunikira kuchita kuyerekezera kulingalira ndi labotale, komanso kufunsa ndi adotolo kuti chiyambi chakusinthaku chikupezeka ndikuthandizira chithandizo chofuna kuchepetsa kukula kwa mfundo zotupa.

6. Kodi ndi khansa iti

Zilimba zotupa zimatha kukhala khansa zikawonekera m'khwapa, kubuula, khosi, kapena zimafalikira m'malo osiyanasiyana amthupi, zimakhala zolimba ndipo sizimatha pakatha masiku 30. Zikatero, muyenera kupita kwa adokotala kuti akakuyeseni ndikusiya zina zonse zomwe zingachitike. Dokotala amatha kuyitanitsa mayesero enaake monga ultrasound kapena CA 125, mwachitsanzo, ngati khansa ikuwakayikira poyambira koyamba. Chiyeso chabwino chofuna singano ndichimodzi mwazomwe zingayesedwe pakakhala chotupa chopangidwa ndi madzi kapena madzi + olimba.

Akazindikira kuti ali ndi khansa dotoloyo amutsogolera munthuyo kuchipatala, ndipo nthawi zambiri khansayo imatha kuchiritsidwa ndimankhwala oyenera, ndikuyamba mwachangu. Mitundu ina ya chotupa imatha kuchotsedwa kudzera pakuchita opareshoni ndipo sikuti nthawi zonse pakufunika chithandizo ndi radiotherapy kapena chemotherapy, komanso palinso mankhwala amakono omwe amatha kuthetseratu ma cell owopsa.

Makhalidwe omwe awonetsedwa patebulopo ndi omwe amapezeka kwambiri, koma mwina sangakhale onse, ndipo ndi dokotala yekhayo amene angapeze matenda aliwonse, omwe akuwonetsa pansipa njira yoyenera yothandizira pamilandu iliyonse.

Momwe mungachiritse malilime otupa

Nthawi zambiri, zilankhulo zotupa zimakhala zopanda vuto ndipo sizimayimira vuto lalikulu lathanzi, chifukwa cha ma virus okhaokha, omwe amachiritsa zokha m'masabata atatu kapena anayi, osafunikira chithandizo chapadera.

Lymphadenopathy ilibe chithandizo chamankhwala, chomwe chimangoyendetsedwa nthawi zonse pazomwe zimayambitsa. Mankhwala monga maantibayotiki ndi corticosteroids sayenera kugwiritsidwa ntchito popanda upangiri kuchipatala chifukwa amatha kuchedwetsa kuzindikira matenda akulu.

Ndikofunika kukaonana ndi dokotala

Gulu lamagulu lokulitsidwa nthawi zambiri limadziwika kuti limakhala lolimba komanso lolimba mosasunthika, lomwe limayeza mamilimita ochepa ndipo limatha kukhala lopweteka kapena ayi. Komabe, zitha kuwonetsa kusintha komwe kukuwonetsa matenda owopsa, monga lymphoma, chifuwa chachikulu cha ganglion kapena khansa, ndipo ena ndi awa:

• Yesani kuposa 2.5 cm;
• Khalani ndi kusasinthasintha kolimba, kutsatira ziphuphu zakuya osasuntha;
• Limbikira kwa masiku opitilira 30;
• Phatikizani ndi malungo omwe samasintha sabata limodzi, thukuta usiku, kuonda kapena kufooka;
• Khalani ndi epitrochlear, supraclavicular kapena malo ofalikira m'malo osiyanasiyana amthupi.

Muzochitika izi, chisamaliro chiyenera kufunidwa ndi sing'anga kapena matenda opatsirana, kuti kuyezetsa kuchipatala, mayeso a ultrasound kapena tomography azichitika, kuphatikiza pakuyezetsa magazi komwe kumawunika matenda kapena kutupa mthupi lonse. Kukayika kukapitilira, ndizotheka kupemphanso gulu la zigawenga, lomwe liziwonetsa ngati lili ndi zoyipa kapena zoyipa, komanso kuti oncologist atha kufunsidwa kuti awone zizindikiritso za gulu lotupa.