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Kungani ama-lymph nodes ami evuvukala?I-Lymphadenopathy yiyona yokwandiswa ngobuningi noma inombolo yama-lymph nodes. Ama-lymph nodes asakazwa kuwo wonke umzimba futhi asekela isimiso somzimba sokuzivikela ngokuhlunga amabhaktheriya, amagciwane, nezinye izinambuzane ezivela egazini. Izinhlayiya zibulawa yizici ezimhlophe zegazi ezimhlophe ezibizwa ngokuthi i- lymphocytes .
Noma yiliphi inani lezifo lingabangela i-lymphadenopathy e-strep throat eya ezomdlavuza ezisongela ukuphila. Ukuvuvukala kubangelwa ukuqoqwa kwama-lymphocytes njengoba amangqamuzana amaningi futhi ahlungwa ngokusebenzisa izigulane.
Isimo se-lymphadenopathy kubantu abane-HIV sikhulu kakhulu futhi singenzeka kunoma isiphi isigaba sokutheleleka. Ngokuvame ukukhula ngakwesinye icala entanyeni, ngaphansi komhlathi, noma ku-armpits kanye nokuphunga. Kwezinye izimo, zingaba buhlungu futhi zibonakala zivuvukale.
I-Lymphadenopathy ayiyona into ebonisa ukulimala. Kunalokho, kuyisibonakaliso sempendulo yamagciwane eqinile ngenhloso yokulawula ukutheleleka.
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Kuzoze kube nini i-lymph nodes yami izovuvukala?I-Lymphadenopathy ivamile ngesikhathi sokutheleleka kokuqala kwe-HIV . Kulolu hlelo lwesicathulo ukuthi umzimba uqala ukuvikelwa komzimba ukuvikela isifo. Kwezinye izimo, lokhu kungathatha izinyanga noma ngisho neminyaka.
I-Lymphadenopathy ngesikhathi sokutheleleka okunzima ngokuvamile kuvamile, okusho ukuthi kwenzeka ezinkundleni ezimbili noma ngaphezulu emzimbeni. Lapho ama-node ekhudlwana kunezingamamitha amabili (cishe ngamasentimitha) futhi ehlala ezinyangeni ezingaphezu kwezintathu, lesi simo sibizwa ngokuthi i-lymphadenopathy ejwayelekile ejwayelekile (PGL).
Uma ungakahlolelwa i-HIV futhi ama-lymph glands ahlala evuvukala ngaphezu kwamasonto amabili kuya kwamane, bheka udokotela wakho noma uvakashele umtholampilo wangakini. I-US Preventive Services Task Force okwamanje ikhuthaza ukuthi bonke abantu baseMelika abaneminyaka engu-15 kuya ku-65 bahlolwe i-HIV njengengxenye yokuvakashela odokotela njalo.
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Ingabe izigulane ezivuvukala zingaba uphawu lwezinto ezimbi nakakhulu?Ngesikhathi sokutheleleka kokuqala kwegciwane lesandulela ngculaza, i-lymphadenopathy ivame ukuziphatha kabi futhi iyancipha. Ngokuvamile, ubude nobukhulu besimo buhlobene ngokuqondile nesilinganiso sokucindezelwa kwamagciwane njengoba kulinganiswa isibalo se-CD4 .
Akufanele neze ucabange ukuthi i-lymphadenopathy uphawu lwe-HIV yakamuva. Kwezinye izimo, i-lymphadenopathy ayibonakali kuze kube yilapho izigaba zamuva zesifo futhi zibonisa kakhulu ukutheleleka okuhlobene nokufana nesifo sofuba noma i- toxoplasmosis .
I-Lymphadenopathy eyenzeka ngesikhathi se-HIV esithathelwanayo engapheliyo izokuxazulula njalo lapho ukwelashwa kwe-HIV kuqaliswa. Ngesikhathi sokutheleleka okuphambili, lapho inani le-CD4 liye langena ngaphansi kwe-100, ukuhlasela okusheshayo kwe-lymphadenopathy (okusho ukuthi i-lymph nodes ibuyele evamile ngaphandle kokwelashwa) ingaba uphawu lwe-immune collapse eliseduze kanye nesandulelo sokutheleleka okukhulu okungenayo amathuba .
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Ingabe i-lymphadenopathy ingaphathwa?Indlela eyodwa yokuphepha yokuphatha i-lymphadenopathy ehlobene ne-HIV ukuqala ukwelashwa kwe-antiretroviral . Akukona nje ukuvimbela igciwane ngokuqinile, ukunciphisa umthwalo ohlelweni lwe-lymphatic, kusiza ukugcina noma ukubuyisela ukusebenza komzimba ukuze kulungiswe kangcono izifo ezihlobene.
Okwamanje, kunconywa ukuthi ukwelashwa kuqalwe ekuxilongweni kungakhathaliseki ukuthi i-CD4 count noma isigaba sesifo. Ngokusho kocwaningo, akugcini nje ukunciphisa ingozi yokugula ngamaphesenti angu-53 , inikeza izinzuzo ngokuphila okude futhi kunciphisa ingozi yokudluliselwa .
Kuze kube yilapho i-lymphadenopathy ixazululwe ngokugcwele, isidakamizwa esingaqedi ukulwa nokuvuvukala (non-steroidal anti-inflammatory) ( NSAID ) singasetshenziselwa ukukhulula ukuvuvukala, isisa, nobuhlungu.
> Imithombo:
> UMnyango wezeMpilo kanye nezinsizakalo zabasebenzi. "Imihlahlandlela yokusetshenziswa kwama-Antiretroviral Agents ku-HIV -1-Abadala abathintekile nezingane ezisakhulayo." I-Rockville, e-Maryland; kufinyelelwe ngoNovemba 19, 2015.
> Izikhungo Zikazwelonke Zempilo. "Ukuqala ukwelashwa kwe-antiretroviral kuqala kuthuthukisa imiphumela yabantu abanegciwane lesandulela ngculazi." I-Bethesda, e-Maryland; ikhishwe ngoMeyi 27, > 2015.
> I-US Preventive Services Task Force (USPSTF). "Ukuhlolwa kwesandulela ngculazi: Isitatimende Sokuncoma Sezinsizakalo Zezinsizakalo Ze-US Preventive Services." I-Rockville, e-Maryland; April 2013.