I-lymph nodes yama-mediastinal i- lymph nodes ephakathi kwe-mediastinum. Mediastinum yigama elisho umqondo wohlobo "lwebhokisi" noma indawo ngaphakathi kwesifuba, kodwa futhi lisho konke okungaphakathi kwebhokisi. I-mediastinum ingacatshangwa njenge-cube: inqamule ezinhlangothini ezimbili ngamaphaphu; phambili, ngesifuba sesifuba; ngemuva, nge-backbone; phezulu, ngokuphuma entanyeni; futhi ngezansi, ngesifubeni, noma isisindo se-diaphragm esiza amaphaphu awandise futhi asebenze ngokuphefumula.
Ngaphakathi kwesifuba, uma ucabanga amaphaphu akho njengama-balloons amabili amakhulu ehlanganisa yonke isikhala, kukhona isikhwama noma isikhala phakathi kwabo. I-mediastinum ibhekisela kulelo pocket noma ebhokisini egcwele izitho ezinjengezinhliziyo, imithwalo yegazi, izinzwa, izitho zamagciwane kanye nezinye izakhiwo ezibalulekile.
Lapho I-Lymph Nodes Yakho Yomphakathi Ekhulisiwe
Uma izilonda zesikhumba sakho zesikhumba segciwane sezikhuliswa, kufanele wazi ukuthi kunezizathu eziningi ezihlukahlukene zokuthola lokhu . Lokhu kuyinto evamile kuwona wonke ama-lymph nodes ekhulisiwe.
Ama-lymph node-mediastinal, ikakhulukazi, angakhula ngokwabo, noma kanye nezinye izifo, kuhlanganise nezifo ezithile ezithinta amaphaphu. Nakuba izilonda zamakhemikhali ezandisiwe zingase zibe uphawu lwe-cancer, ukukhulisa i-lymph node kule ndawo kuvame ukuphumela kwezinye izifo ezingenakuqhathaniswa. Eqinisweni, abantu abanesifo esingenasifo se-pulmonary pulmonary (COPD), isifo esivame kakhulu sokuphefumula, kungenzeka ukuthi bakhulise ama-node angaphakathi emzimbeni ngenxa yalowo mgomo, ikakhulukazi uma une-bronchitis eqinile yesifo sabo.
Uma udokotela wakho edinga ukuzimisela ngokubangela imbangela yokwandisa ama-mediastinum, ungaba nenqubo ebizwa nge-mediastinoscopy nge-biopsy. Ukusika okuncane okukwenziwa kwenziwa ngaphezu kwe-sternum noma isifuba. Insimbi ebizwa ngokuthi i-mediastinoscope efakwe kulokhu okusikiwe futhi idluliselwe ngokucophelela phakathi nendawo ye-esifubeni lapho amasampuli amathisipha angathathwa khona ngama-lymph nodes.
Le nqubo yenziwa esibhedlela ngaphansi kwe-anesthesia jikelele. Ezimweni eziningi, imiphumela ye-biopsy ilungile ezinsukwini ezinhlanu kuya kweziyisikhombisa.
Kungaba I-Cancer?
Ama-lymph nodes yizakhiwo ezincane ezikhona kuwo wonke umzimba. Ama-lymph nodes e-mediastinum, noma i-lymph node mediastinal, zibalulekile emzimbeni ngezizathu eziningi ezihlukile-enye yazo ukuthi ingase ibonise ukuba khona komdlavuza.
Akuwona wonke ama-lymph nodes avuvukile esifubeni angama-lymphoma, noma ngisho nomdlavuza. Ukutheleleka nezifo ezingapheliyo njenge-sarcoidosis kungase kube icala. Emazweni lapho isifo sofuba sivame khona, lokhu ukutheleleka kungaba yimbangela ehamba phambili yokukhulisa i-lymph node mediastinal. Okuthile okubizwa ngokuthi i-anthracosis kungabangela ukuthi lezi zymph nodes zikhule. I-Anthracosis, noma amaphaphu ommbiwa, ukuqoqwa kwekhabhoni emaphashini ngenxa yokuchayeka ngokuphindaphindiwe kokungcola komoya noma ukuthungwa kwezinhlayiya zotshani noma amalahle.
Uma i-lymph nodes esifubeni ikhuliswa ngenxa yomdlavuza, umdlavuza we-lymphoma nomdlavuza wamaphaphu yizinto ezimbili ezivamile. I-Cancer evela kwamanye amasayithi ingabuye ikwazi ukumisa noma isakaze kulezi zinhlanzi.
Amanothi omdabu aseMidalinal avela eLymphoma
I-Lymphoma, umdlavuza we-lymphocyte i-white cells, inezinhlobo ezimbili eziyisisekelo- i- Hodgkin lymphoma non-Hodgkin lymphoma .
I-Hodgkin lymphoma , noma i-HL, ivame ukuqala ngama-lymph node-mediastinal. Isifuba sibandakanya amaphesenti angama-85 azo zonke izimo ze-HL kanti kuyi-non-Hodgkin lymphoma, noma i-NHL, isibalo siseduze namaphesenti angu-45.
Ngenkathi i-HL ivame ukuqhubeka ngendlela ehlelekile kusuka eqenjini elilodwa lama-lymph nodes kuya kwesilandelayo, okufanayo kungase kungabi yiqiniso kuma-NHL amaningi ajwayelekile, nakuba abanye bangaba nokuziphatha okungahle ku-Hodgkin's-like.
Ngenkathi ukudweba kwesifuba kungabonakalisa i-lymph node esolisayo, ukuxilongwa kokuqala kwe-lymphoma, kungakhathaliseki uhlobo, kwenziwa yi-biopsy.
> Imithombo:
> Agostinelli C, Pileri S. Pathobiology ye-Hodgkin Lymphoma. I-Mediterr J Hematol I-Dis Infect . 2014; 6 (1): e2014040.
> Kirchner J, Kirchner EM, iGoltz JP, et al. I-lymph nodes kanye ne-mediastinal lymph nodes e-chronic obstructive pulmonary disease. J Med Ukucabanga Radiat Oncol. 2010 Aug; 54 (4): 333-8.
> Mehrian P, Ebrahimzadeh SA. Ukuhlukanisa phakathi kwe-sarcoidosis ne-Hodgkin's lymphoma esekelwe kwindlela yokubandakanya i-lymph node mediastinal: Ukuhlola ngokusebenzisa i-scan ye-CT scan. I-Pol J Radiol . 2013; 78 (3): 15-20.