Konke Mayelana Nezimbangela Zama-Glands Ezivuvukalayo Ezinganeni
Izingane zingakwazi ukukhulisa i-lymph nodes ngokungavamile (izigulane ezivuvukayo), eyaziwa nangokuthi i-lymphadenopathy, ngezizathu eziningi.
Ngenxa yokuthi ungazizwa lymph node yengane akusho ukuthi ingane ine- lymphadenopathy . Kuyinto engavamile ukuzwa amantombazane angama-lymph nodes ajwayelekile ezinsaneni nasezinsana, ezinama-lymph nodes ezilinganiselwa ngaphansi kwesigamu esisodwa (ezungeze 1/2 ye intshi.)
Kuvame kangakanani ukuthi izingane zibe ne-lymph nodes? Ingabe i-lymph nodes ingakwazi ukuvuvukala ngisho noma ingane iphilile? Iphi i-lymph nodes ekhona, futhi yiziphi izitho zamakhansela ezingase zibe nokukhathazeka okwengeziwe kunabanye? Yiziphi izimbangela ezenzekayo ze-lymph nodes?
Ama-Glands Avuvukale Ezinganeni - Ingabe Kufanele Ukhathazeke?
Abazali bavame ukukhathazeka lapho ingane yabo inezigulane ezivuvukazayo noma izilonda zamagciwane.
Ngezinye izikhathi abazali bakhathazeka ngokuthi izigulane ezivuvukala ziyisibonakaliso somdlavuza , kanti ngenkathi ngezinye izikhathi ziba khona, zivame ukubonisa ukuthi ingane yakho inehlobo oluthile lokutheleleka kwegciwane noma igciwane.
Uma ukhathazekile ngoba ingane yakho enempilo inezigulane ezivuvukalayo, khumbula ukuthi ngamazinga omdala, cishe zonke izingane zine "lymphadenopathy," ngoba izidakamizwa ezinamahlombe, ikakhulukazi emithonjeni yomlomo wesibeletho (intamo), i-axillary (i-armpit), ne-inguinal ezindaweni i-groin), ivamekile kubantwana bazo zonke ubudala, kuhlanganise nezingane.
Ama-Glands Emzimbeni
Ama-glands (ama-lymph nodes) atholakala kuwo wonke umzimba wethu.
Ezinye izigulane ezivamile zingatholakala:
- Emuva kwekhanda - occipital
- Ngaphambi kwendlebe - ukubeka phambili
- Ngemva kwezindlebe - ezithunyelwe ngasese
- Ngaphansi komhlathi - i-submandibular
- Ngaphansi kwesikhumba - ukukhokha
- Endaweni yesoka - ubuso
- Ngaphambi kwentamo - umlomo wesibeletho wangaphakathi
- Emuva kwentamo - umlomo wesibeletho ngemuva
- Ngaphezulu kwe-collar bone - i-superraclavicular
- Ngemuva kwedolo - popliteal
- Esikhathini se-armpit - axillary
- Ngezansi kwe-elbow - epitrochlear
- Endaweni yokulima - inguinal
Izigulane ezithile, ikakhulukazi izigulane ezingaphezu kwe-epraclavicular, epitrochlear ne-popliteal azivami ukuvuvukala, ngisho nasezingane, futhi uzizwa zingase zenze ingane yakho ukuba ifune imbangela.
Ezinye izigulane zijulile emzimbeni futhi azikwazi ukuzwa njalo. Zihlanganisa ama- mediastinal , hilar, i-pelvic, mesenteric, ne-celiac nodes. Lezi zinombolo zingase zibonwe ocwaningweni lokucabangela njengokufana ne-x-ray noma i-CT scan.
Izinhlayiya zomlomo wesibeletho, i-axillary, ne-inguinal yizona ezivame ukuzizwa ezinganeni ezivamile. Eqinisweni, cishe ingxenye yezingane eziphakathi kweminyaka emihlanu kuya kwemihlanu zizoba nezigulane ezivuvukale kulezi zindawo lapho zivakashela izingane zabo, kungakhathaliseki ukuvakashela abagulayo noma ingane enhle ihlole.
Ziyini Izigulane?
Ama-gland noma ama-lymph nodes ayingxenye yesimiso se-lymphatic body, esihlanganisa izitsha ze-lymph, i-tonsils, i-thymus ne-spleen.
Njengoba i-lymph, ehlanganisa amangqamuzana amhlophe egazi kanye nezinye izinto ezisisiza ukuba silwe nezifo, zisuka egazini lethu ziye ezitokisini ze-lymph, lihlanjululwa yizilonda zamagciwane ethu.
Yingakho ama-lymph glands ekuguleni kwakho angase avuvuke uma une-insect bite noma ukutheleleka kwesikhumba emlenzeni wakho.
Kungumphumela wokuzivikela omzimba kuphela ezigodini eziseduze nendawo. Ngokufanayo, ukutheleleka kwe-scalp, okwehlukanisa i-spectrum kusuka ekhanda lezinyosi kuya emanzini , kungabangela izigulane ezivuvukala emigodini yengane yengane yakho noma ye-occipital.
Izimbangela Zama-Glands Ezivuvukalayo
Izingane ezincane ezincane zinezigulane ezivuvukala ngoba zinezifo ezivame ukwanda, okuholela ezithombeni ezithintekayo-izigulane ezivuvukala njengendlela yokusabela ekuthelelekeni endaweni yawo yomzimba. izimbangela ezikhona ze-lymph nodes esebenzayo ezinganeni zifaka:
- I-Lymphadenitis - Ku-lymphadenitis, i-lymph node ngokwayo isuke igciwane futhi iphenduka ebomvu, ivimba futhi ihlale ithenda.
- Izifo ezithathelwanayo zokuphefumula ezinamahhala - Ezivela emakhazeni ajwayelekile kumkhuhlane, izifo eziphezulu zokuphefumula ezibangelwa yi-viral ziyimbangela evamile kakhulu yezingqungquthela zomlomo wesibeletho ezivuvukalayo ezinganeni (nakubantu abadala).
- Umgogodla we-throp - Nge- strep throat , izigulane ezivuvukala entanyeni zenzeka kanye nomkhuhlane kanye nomphimbo omuncu. Ngokuvamile izikhathi ezibomvu ezimhlophe ezingemuva komphimbo zikhona.
- I-Mono - Infectious mononucleosis ibangelwa igciwane le-Epstein-Barr. Ngokuvamile kubangela isisu somkhuhlane, umkhuhlane, nezigulane ezivuvukalayo emitholampilo ye-colervical post (ngokungafani ne-strep throat ngokuvamile ehilela i-lymph node yangaphakathi yomlomo.) Lezi nodes zikhona ngaphambi nangemva kwesisu se-sternocleidomastoid, imisipha enkulu egijima ohlangothini lwentamo yakho.
- Isifo sokukhipha isifo - Isifo se- Cat-scratch yisifo esithathelwe yi-bacteria Bartonella henselae . Idluliselwa ngamakati noma ama-kittens onegciwane ngokuluma noma ekuqaleni. Izifo ziqala ngesonto kuya ezinsukwini ezingu-12 kamuva ngokushona okuncane. Ngemuva kwesinye isonto noma ezimbili, i-lymph node, ebomvu, ebomvu nezivuvukile zenzeka. Ukwelashwa kunama-antibiotics.
- I-Scrofula - I-Scrofula iyisifo se-lymph node esibangelwa i-mycobacteria ye-atypical noma isifo sofuba. Ibonakala ngezigulane ezingenabuhlungu, ngokuvamile ezivame entanyeni.
- Isifo se-Kawasaki - I-lymph node eyodwa, evulekile yomlomo wesibeletho ingenye yezici zesifo se-Kawasaki, abanye kubandakanya imfiva, amehlo abomvu, ukuvuvukala kwezandla nezinyawo, ukuqhuma nokubomvu izibilini emlonyeni, ulimi lwesitrobheli nezindebe eziphahliwe.
Ezinye izifo ezithathelwanayo, ngenxa yesifo sofuba nesandulela ngculaza, zingabangela izigulane ezivuvukalayo futhi zingase zisolakala ngokusekelwe ezimpawu zezingane kanye nezici zobungozi.
I-Lymphoma, uhlobo lomdlavuza, kubonakala sengathi yilokho abazali abaningi abakhathazeka ngesikhatsi ingane inesifo sokuvuvukala, nakuba singavamile kakhulu kunezinye izimbangela. Abazali bangase bakhathazeke nge-leukemia, kodwa okwamanje izilonda ze-lymph ezivuvukalayo njengoba kuphela uphawu lwe-leukemia kungaba yinto engavamile kakhulu.
Uhlobo olulodwa, i- Hodgkin lymphoma , aluvamile ezinganeni ezincane, ezivame kakhulu ezinganeni, ngubani, ngaphezu kwezigulane ezivuvukalayo, ngokuvamile ane-fever engachazeki, ukulahlekelwa isisindo, nokukhukhumeza ebusuku. I-Hodgkin lymphoma ixhunywe ne-Epstein-Barr virus infection (i-mono) yangaphambilini ephakathi kwamaphesenti angama-40 abantu, nakuba inqubo ngemuva kwalokhu ayicacile.
Izingane ezingenalo i-Hodgkin's lymphoma zingakhula ngokushesha, izilonda ezingenabuhlungu, ngaphezu kwamanye izimpawu ezifana nomkhuhlane, ukulahlekelwa isisindo, ukujula ebusuku, ukukhwehlela nokukhathala.
Izimbangela ezingavamile ze-lymph nodes ezivuvukalayo zingabuka ku-hyperthyroidism kuya ku-lupus, kuya kwesifo se-Kawasaki , nokuningi.
Okufanele Ukwazi Ngezimpungushe Ze-Swollen
Ezinye izinto abazali abaziyo mayelana nezigulane ezivuvukala zihlanganisa ukuthi:
- Ukwengeza kokuba nezigulane ezivuvukile, izingane zibheke ezinye izici eziningi, ezifana nobukhulu bama-lymph nodes, isilinganiso sabo sokukhula, ukuvumelana kwabo (okulula, okuqinile, noma okugubhayo), kungakhathaliseki ukuthi ubomvu bukhona nokuthi ngabe kukhona ububele bokusiza thola ukuthi kungenzeka yini ukuthi ingajwayelekile noma cha.
- Ezinye izimpawu ezihambisanayo, njenge-fever ephikisanayo noma engahlongozwayo (umkhuhlane ongaziwa umsuka), ukulahlekelwa kwesisindo okungenhloso , ukukhathala, nokukhupha ebusuku kungaba izibonakaliso zesimo esibi kakhulu esibangela izigulane ezivuvukalayo.
- I-Lymphadenopathy ingase ibe indawo yangakini (endaweni eyodwa) noma i-generalized (ezindaweni ezingaphezu kokubili ezingenakuphikisana), futhi kungenzeka ukuthi i-lymphadenopathy ejwayelekile ibangelwa isifo sesistimu.
- Igciwane lesisu noma ezinye ukutheleleka kwamathumbu kungase kubangele ukuvuvukala nokuvuvukala kwezigulane zamantenteric esiswini, okungabangela izigonda zesisu. Eqinisweni, izigulane ze-mesenteric ezivuvukala zivame ukutholakala lapho ukuhlinzwa kwenziwa okwenziwe ukufakwa kwe-appendicitis.
- Kukhona cishe ama-lymph nodes angu-600 emzimbeni wethu.
- Ngaphandle kwezingane zakho, indlebe yabantwana, indlebe, umphimbo noma umjovo wezingane (kuye ngokuthi indawo yezinhlayiya) ingasiza ukuhlola ingane yakho ngezingqungquthela ezivuvukala.
Lapho Izimpande Ezivuvukalayo Kudinga Ukuhlolwa Okuqhubekayo
Izimpawu nezibonakaliso ezibonisa izigulane ezivuvukalayo kungaba yinto engathà sina okubandakanya:
- Izithobezi ezivuvukalayo ezikhona ezingxenyeni eziningi zomzimba (i-lymphadenopathy ejwayelekile).
- Ama-lymph nodes aqinile
- Ama-lymph nodes ahleliwe (ungahambi kalula kalula)
- Ama-lymph nodes amakhulu kunama-2.5 cm (amakhulu kune-intshi eyodwa)
- Ama-lymph nodes angewona ithenda
- Ama-lymph node ekhula ngokushesha
- Ukuvuvukala kwama-lymph nodes okuhambisana nezimpawu ezifana nokulahlekelwa isisindo, umkhuhlane wansuku zonke, noma ukujula ebusuku
- Ukuhlanganiswa kwe-lymph nodes nokuvuvukala kwakho ukuzwa njengomzali ukuthi kukhona okubaluleke kakhulu okwenzekayo - thembela intuition yakho
Kudala kangakanani ama-Lymph Nodes ahlale evuvukala?
Kubalulekile ukukhumbula ukuthi i-lymph nodes evimbayo ingathatha amasonto kuya ezinyangeni ukuze ibuyele esayizi evamile. Ngaphezu kwalokho, njengoba izingane ezincane zingalinganisa izifo zokuphefumula (daycare syndrome) eziningana eziyisithupha kuya kweziyisishiyagalombili unyaka ngamunye ezingabangela i-lymphadenopathy, kungase kubonakale sengathi i-lymph node yengane yakho ivame ukukhuliswa.
Imithombo
- UGadidey, H., no-A. Riegel. I-Lymphadenopathy engacacisiwe: Ukuhlola nokuhlukana okuhlukile. I-American Family Physician . 2016. 94 (11): 896-903.
- UKliegman, uRobert M., uBonita Stanton, uSt Geme III uJoseph W., uNine Felice. Schor, uRichard E. Behrman, noWaldo E. Nelson. UNelson Bookbook of Pediatrics. I-20th Edition. Philadelphia, PA: Elsevier, 2015. Phrinta.
- Rajasekaran, K., noP. Krakovitz. I-Neck Extended Lymph Nodes Ezinganeni. Imitholampilo yabantwana baseNyakatho Melika . 2013. 60 (4): 923-36.