Kukulitsa kwa ma lymph: Chomwe chimayambitsa, chimayambitsa komanso nthawi yayitali

Zamkati

• Zomwe zingayambitse
• Kodi ndi khansa iti
• Zomwe zimatanthauza zikawonekera mwa mwanayo

Kukulitsa kwa ma lymph kumaphatikizapo kukulitsa ma lymph node, omwe nthawi zambiri amachitika thupi likamayesetsa kulimbana ndi matenda, kapena mtundu wina wa khansa. Komabe, ndizovuta kwambiri kuti kukulitsa kwa ma lymph node ndi chizindikiro cha khansa, ndipo, zikachitika, zimafala kwambiri kwa anthu azaka zopitilira 40 komanso ali ndi mbiri ya khansa.

Ma lymph lymph ndi ziwalo zazing'ono zamitsempha zomwe zimagwirizana kwambiri ndi chitetezo chamthupi. Chifukwa chake, gulu la zigawenga, lotchedwa lilime, litatupa kapena kupweteka, zimawonetsa kuti chitetezo chamthupi chimalimbana ndi matenda kumadera oyandikira malowo.

Zomwe zingayambitse

Kukulitsa kwa ma lymph kungayambike chifukwa cha kutupa, kugwiritsa ntchito mankhwala, chifukwa cha matenda omwe amadzichotsera okha kapena chifukwa cha kupezeka kwa ma virus, bowa kapena bakiteriya, ndipo chifukwa chomwe zimayambitsa ndizosiyanasiyana, tikutchula pano zomwe zimayambitsa kufalikira kwa ma lymphatics mu ziwalo zina za thupi:

• Kukula kwa khomo lachiberekero, mu khosi, kumbuyo kwa khutu ndi pafupi ndi nsagwada: pharyngitis, matenda akhungu, conjunctivitis, mononucleosis, khutu, pakamwa kapena matenda amano;
• Kukulitsa kwa lymph node: toxoplasmosis, sarcoidosis, chifuwa chachikulu, m'mimba, m'mawere, testicular, ovarian, lung, mediastinal, lung kapena khansa ya m'mimba;
• Kukulitsa kwa inguinal lymph node: chifukwa cha matenda opatsirana pogonana, monga chindoko, khansa yofewa, matenda opatsirana pogonana, donovanosis, khansa kumaliseche;
• Kukulitsa kwa lymph node: matenda opatsirana m'mawere a silicone, matenda amphaka, khansa ya m'mawere, khansa ya khansa, lymphoma;
• Kukulitsa kwa ma lymph node: mononucleosis, juvenile idiopathic arthritis, dengue, brucellosis, Chagas matenda, rubella, chikuku, HIV, mankhwala monga phenytoin, penicillin, captopril.

Chifukwa chake, njira yabwino yodziwira chomwe chikuchititsa kuchuluka kwa ma lymph node ndikupita kwa asing'anga kuti adotolo azindikire kupezeka kwa zizindikilo zina, kuphatikiza pakuwona zizindikilo zina patsamba lino, monga kupweteka, kukula ndi kusasinthasintha, mwachitsanzo.

Pambuyo pakuwunikaku, adokotala amatha kupangira chithandizo, ngati mukukayikira zovuta, monga matenda, kapena kuyesa mayeso, ngati mukukayikira vuto lalikulu kwambiri.

Kodi ndi khansa iti

Ngakhale kukulitsa kwa ma lymph node kungayambitse nkhawa, chodziwika bwino ndikuti sichizindikiro chachikulu, makamaka ngati kukula kwake kuli kochepera 1 cm.

Zizindikiro zina zomwe zitha kuwonetsa kuti kukulitsa kwa lymph node kungakhale koopsa ndi awa:

• Mukhale ndi masentimita opitilira 2;
• Kusasinthasintha kovuta;
• Zopanda chisoni;
• Kuphatikizana ndi malungo, kuonda ndi thukuta kwambiri.

Pali mwayi wokulirapo wokulitsa kwamankhwala am'mimba ungakhale khansa pomwe munthu watupa mu ganglia yomwe ili pafupi ndi khola, yomwe imakhudza mbali yakumanzere kwa thupi, ndipo munthuyu wazaka zopitilira 40, makamaka ngati pali milandu banja khansa ya m'mawere, matumbo, chithokomiro kapena khansa ya pakhungu.

Gome lotsatirali likuwonetsa kusiyanasiyana pakati pamakhalidwe akukulitsidwa kwa khansa ndi zotupa chifukwa cha zifukwa zina:

Ngati angakayikire, dokotalayo amapempha kuti atseke biopsy yomwe ingathe kuzindikira mtundu wa zotupa, ndi mayeso ena omwe angawone kuti ndi ofunikira, kutengera zizindikilo zomwe wodwalayo amapereka. Nthawi zambiri amawonetsedwa kuti amachita biopsy pomwe gulu la zigawenga limapitilira 2 cm, lomwe lili pachifuwa, lomwe limapitilira milungu yopitilira 4 mpaka 6 ndikuchedwa kukula.

Zomwe zimatanthauza zikawonekera mwa mwanayo

Kukulitsa kwa ma lymph node mu khosi la mwana, khwapa kapena kubuula nthawi zonse kuyenera kufufuzidwa ndi dokotala wa ana. Nthaŵi zambiri, mfundo zokulirapo zimayankhidwa ndi matenda ena.

Zina mwazomwe zingayambitse kuchulukaku zitha kukhala:

• Matenda opatsirana: Matenda apamtunda, Leishmaniasis, mononucleosis, rubella, chindoko, toxoplasmosis, chifuwa chachikulu, matenda amphaka, matenda a Hansen, herpes simplex, hepatitis, HIV;
• Matenda osokoneza bongo: khanda lodana ndi nyamakazi, systemic lupus erythematosus;
• Khansa: khansa ya m'magazi, lymphoma, metastases, khansa yapakhungu;
• Zimayambitsa zina: Katemera, hyperthyroidism, sarcoidosis, Kawasaki.

Chifukwa chake, ngati mwana wakulitsa ma lymph kwa masiku opitilira 3, tikulimbikitsidwa kupita kwa dokotala wa ana, komwe kukayesedwa magazi, X-ray, ultrasound, tomography kapena magnetic resonance, kuphatikiza ena omwe dokotala amawona zofunikira, monga biopsy.