I-lymph nodes (ebizwa nangokuthi i-lymph gland) yizinhlaka ezincane ze-oval ezihlakazekile kuwo wonke umzimba. Ama-lymph nodes aqukethe amangqamuzana egazi amhlophe (ama-WBCs), ikakhulukazi ama-WBC aziwa ngokuthi i-lymphocytes. Ama-lymphocyte akhula futhi avuthiwe ngaphakathi kwe-lymph node, futhi enye yezinhlobo eziningi zamasosha omzimba azisiza umzimba ukuthi ulwe nezifo. Ama-lymph nodes ayingxenye yesimiso se-lymph yomzimba.
Ama-lymph nodes axhunyaniswe yiziteshi zethrifu ezibizwa ngokuthi i-lymphatics - amashubhu amancane (njengemithambo yegazi) - lapho i-lymph fluid, kanye namaprotheni nezinye izinto, isuka kwenye ingxenye yomzimba kwenye.
Ama-lymph nodes ezingxenyeni ezihlukene zomzimba abizwa ngokuhlukile
- I-lymph node-cymical nodes - entanyeni emlonyeni
- Ama-lymph nodes - ama-lymph nodes emagumbini
- Ama-lymph node-mediastinal- nodes ngaphakathi kwesifuba, eduze kwenhliziyo
- Ama-lymph nodes angama-inguinal - lawo ase-groin
- I-retroperitoneal kanye ne-Mesenteric lymph nodes - ama-lymph nodes ezingxenyeni ezihlukene zesisu.
- Ama-lymph nodes - ama-lymph nodes ekhanda.
Uma izilonda zesikhumba zikhula ngokwanda, zibizwa ngokuthi i- lymph nodes ekhulisiwe . Lapho ama-node ekhulisiwe angase azwe udokotela (ezindaweni ezinjengentamo, izimpukane, nokuvuthwa) abizwa ngokuthi ama-lymph nodes anezintambo .
Okuningi ku-Nodes Ekhulisiwe
Ama-lymph nodes angakhuphuka ngobukhulu ngezimo eziningana.
Izifo, umdlavuza, nezifo eziningi ze-immune zingathinta amangqamuzana e-lymph futhi kubangele ukwandiswa kwama-lymph nodes. Ama-lymph nodes ekhulisiwe ngokuvamile ayibonakaliso yokuqala ye- lymphoma , umdlavuza wamangqamuzana angama-lymph. Kodwa zonke izindwangu ezikhulisiwe azilona i-lymphoma. (Bheka isihloko esithi I- Lymph Nodes Ekhulisiwe Ihlale I-Lymphoma? ).
Ama-lymph nodes awandisiwe akufanele azinakwa.
Kodwa-ke, njengoba kunezimbangela eziningi ezingenalo umdlavuza zokukhulisa i-lymph node, odokotela abavamile ukuhamba ngqo ku-lymph node biopsy ngokushesha, lapho kutholakala i-node ekhulisiwe. Kumele uzizwe ukhululekile ukuletha ukunakekelwa udokotela noma yiziphi izintambo ezingavamile noma ama-bumps - futhi ama-bumps amaningi ajwayelekile aphuma angabi yi-lymph nodes nhlobo.
Uma unezilonda zitholakalayo, udokotela wakho uqeqeshwe ukulandelela phansi izizathu ezingenzeka kuqala. Ukutheleleka okuphezulu kokuphefumula, ngokwesibonelo, kungenye yezimbangela ezivame kakhulu ze-lymph nodes ezivuvukile, njengalezo ezingase zibekwe entanyeni. Ngisho noma isizathu sokuthi i-lymph node ekhulisiwe ingabonakali ngokushesha kudokotela, akuyona into engavamile ukulinda ukubona ukuthi ukuvuvukala kuhamba yedwa, ngemuva kwesikhathi esifushane, ngaphambi kokuphenya okuqhubekayo. Noma kunjalo, i-node eqhubekayo ephakanyisiwe idinga ukuhlolwa.
Ukuze ufunde kabanzi mayelana nokuthi yini ebangela ukuthi i-lymph nodes ivule, bheka isihloko esibizwa ngokuthi i- Swollen Lymph Glands , futhi ucabangele idivayisi yememori eboniswe ngezansi:
Yiziphi izinhlobo zezinto ezibangela ukuguqulwa kwama-lymph nodes?
Nansi idivaysi endala yememori abanye odokotela abangase bakhumbule. Isifo sikaHodgkin singesinye kuphela, kodwa sisebenza njengamahlumela alo mdlalo. Akukufihli konke, kodwa kuyasiza ekucabangeni ngezifo ezihambisana ne- lymphadenopathy, noma izilonda ze-lymph .
I-lymphadenopathy ejwayelekile ikhona ukuthi kunezigcawu ezingaphezu kwamabili ezihilelekile ezivela ezindaweni ezahlukene. Njengoba ubona, kunezimbangela eziningi ezingenzeka:
H. Hematologic: Isifo sikaHodgkin, i-leukemia, ne- non-Hodgkin's lymphoma
O. Oncologic: I-Metastasis kuya kwe-lymph node, i-melanoma enonya
D. I- dermatopathic lymphadenitis: i-lymph nodes evuvukalayo ekhanda isikhumba sesikhumba esiye saphazanyiswa noma sithukuthelelwa
Isifo sikaG. Gaucher: isifo sezofuzo ezingavamile
Isifo sikaK. Kawasaki: isifo esingajwayelekile esizimele esithinta imithwalo yegazi nokuvuvukala
I. Izifo: ama-bacterial, viral, and parasitic
Isifo se- N. Niemann-pick: isifo sofuzo esihilela umzimba
Isifo se-Serum: ukuphendula ngegciwane lomzimba emithini ethile noma imithi
D. Ukusabela kwezidakamizwa: ukuphendula kwezidakamizwa ezithile
I. Isifo sangasese: isibonelo, i-rheumatoid arthritis ne-lupus
S. Sarcoidosis: isifo sokuvuvukala esingathinta izingxenye ezahlukene zomzimba
E. Endocrine: hyperthyroidism
A. I- angioimmunoblastic lymphadenopathy: lokhu yisikhathi esidala; okwamanje kubhekwa njenge-lymphoma.
S. Systemic lupus erythematosus (lupus, noma i-SLE)
E. I-granulomatosis ye-Eosinophilic: isifo sesistimu esihilela ukubonakaliswa kwe-allergen nokuvuvukala
Ukufunda okwengeziwe kwe-Lymph Node
Esigodini sokuFunda se- Lymph Node , zonke izici ezihlukahlukene ze-lymph nodes zihlanganisiwe, ngakho-ke indawo enhle ukuqala uma udinga ukuhambisa ngaphezulu. Uma unombuzo mayelana nama-lymph nodes, kungenzeka ukuthi sifike lapha. Izihloko ezihlanganisiwe zihlanganisa i-lymph nodes kanye nesistimu yomzimba, izilonda ezibuhlungu ezingenabuhlungu, izilonda zamapayipi ama-x-ray nama-CT scans, ama-lymph nodes e-lymphadenopathy, kanye ne-lymph nodes ejwayelekile.
Imithombo:
Cheson BD, Fisher RI, Barrington SF et al. Izincomo Zokuhlola Okuqala, UkuHlola nokuphendula Ukuphendula kweHodgkin no-Non-Hodgkin Lymphoma: Ukuhlukaniswa kwe-Lugano. J Clin Oncol. 2014; 32 (27) 3059-3068.
Barrington SF, Mikhaeel NG, Kostakoglu L, et al. Indima Yokuzicabangela Ekuhloleni Ukuhlolwa Kwe-Lymphoma: Ukubambisana Kwenkomfa Yomhlaba Yomhlaba Wezinhlelo Zokusebenza Zamafilimu Ezingcolile Zama Malignant Lymphomas Imaging. J Clin Oncol. 2014; 32 (27): 3048-358.
I-Lymphadenopathy ne-Malignancy. I-American Family Physician . > Andrew W. Bazemore, MD, noDouglas R. Smucker, MD 2002 Dec 1; 66 (11): 2103-2111
Ukuqothulwa Kwemithi Ngokwemithi Ephakathi Nezokwelapha. I-Parmar HB. B. Jain Abashicileli, Jan 1, 2002.