Kugwiritsidwa ntchito kwa thupi kumadalira makamaka momwe thupi limagwirira ntchito, kuyeretsedwa kwa maselo ndi ziphuphu. Ntchito yofunika kwambiri muzinthu izi zimayimbidwa ndi maselo am'mimba. Zimaphatikizapo ziwalo zazingwe zomwe zimagwiritsidwa ndi minofu yothandizira, yotchedwa nodes. Kukula kwake kumasiyana ndi 0,5 mm mpaka 5 cm kapena kuposerapo, kumidzi - pafupi ndi mitsempha yambiri yamagazi.
Kodi maselo amphamvu ndi otani?
Zomwe zimatanthauzidwa kuti ziwalo zapachiwalo zimakhala zowonongeka. Mafupa amachititsa kuti kufalikira kwa maselo am'thupi, mavairasi ndi mabakiteriya, bowa ndi ena opatsirana. Nthawi yomweyo "amaphunzira" zinthu zakunja ndi zoopsa, zomwe zimachititsa kuti chitetezo cha mthupi chitengeke mwamsanga pogwiritsa ntchito ma antibodies apadera.
Zilonda zam'mimba zotentha - zifukwa
Ziwalo za fyuluta zimakonzedwa m'magulu a zidutswa khumi. Mulu uliwonse wa maselo amphongo "amatumikira" pafupi ndi madera ena. Chifukwa cha makonzedwe ameneŵa, chitetezo cha mthupi chikhoza kuchita mwamsanga kwa maselo akunja, poizoni ndi tizilombo toyambitsa matenda. Zomwe zimayambitsa kutupa kwa maselo am'mimba ndi kuphwanya ntchito yoyenera ya madera omwe ali pafupi nawo. Zokhumudwitsa ndizo matenda, khansa, zakumwa zoledzeretsa ndi zina.
Kutupa kwa ma lymph node pansi pa mbewa
Kuyika chisindikizo ndi kuchulukitsa kukula kwa ziwalo zoganiziridwa ziwalo kungasonyeze kuvulazidwa, kuzunzika ndi kupopera m'mimba mwa mapewa ndi madera omwe ali pafupi. Kutupa kwa ma lymph nodes mu mphutsi ndizo zotsatira zake:
- Matenda a mphuno ( angina , sinusitis ndi ena);
- chifuwa;
- kuwonjezereka kwa mphumu;
- fuluwenza ;
- Matenda a m'kamwa (caries, periodontitis ndi zina).
Nthawi zina minofu yotchedwa lymph node pansi pa zizindikiro za mbewa ndizovuta kwambiri, mwa izi:
- chithunzithunzi ;
- minofu mu mammary glands;
- zilonda zoopsa m'madera oyandikana nawo;
- kukula kwa metastases kuchokera ku ziwalo zina;
- kuwonongeka kwakukulu kwa mtima ndi mapapo.
Kutupa kwa maselo am'mimba mumphuno
Zomwe zimayambitsa matendawa m'derali zingakhale zowonongeka kwa khungu ndi zofewa zazing'ono m'mapako, pubic, m'chiuno. Zina mwa zinthu zomwe zimachititsa kutupa kwa maselo a inguin:
- matenda opatsirana;
- kugonjetsedwa kwa njira yoberekera;
- matenda oopsa;
- mtundu uliwonse wa maonekedwe a khalidwe lililonse m'madera ozungulira;
- carbuncles ndi zithupsa;
- kachilombo koyambitsa matenda;
- kumera kwa metastases.
Kutupa kwa ma lymph node pansi pa nsagwada
Muluwu wa ziwalo zapachiwalo umadandaula anthu nthawi zambiri kuposa masango ena. Submandibular lymphadenitis imapezeka kumbuyo kwa matenda opuma a chiyambi chilichonse. Kawirikawiri amakhala pakati pa zizindikiro zoyamba za matenda opatsirana ndi tizilombo. Kutupa kwa mitsempha ya khola lachiberekero kumawonedwa mu zovuta zina:
- chisokonezo;
- mphutsi;
- nthawi ;
- kuphwanya dzino;
- Matenda a staphylococcal kapena streptococcal a khungu;
- nkhuku;
- alveolitis;
- chikuku;
- toxoplasmosis;
- kupweteka kwa parasitic;
- mabala odwala pamutu;
- chithunzi;
- chithunzithunzi;
- parotitis;
- lipopas;
- ziphuphu;
- atheroma;
- immunodeficiency states.
Kutupa kwa ma lymph node kumbuyo kwa khutu
Gulu lofotokozedwa la ziwalo liri pambali pa mitsempha pamzere wofanana. Mofanana ndi submandibular lymphadenitis, kutentha kwa maselo am'mimba kumbuyo kwa umboni kumatsimikizira kuti zimakhala zovuta kwambiri m'madera akumidzi. Kuwonjezeka kwawo ndi kupsinjika kwawo zikhoza kumaphatikizapo:
- otitis;
- kugonjetsedwa kwa mitsempha yolondola;
- eustachiitis;
- khutu la khutu.
Pafupipafupi pafupi ndi gulu lino la mitsempha ndizomwe zimatuluka pakamwa komanso pamutu wopuma, choncho nthawi zina kutupa kwawo kumalankhula za matenda awa:
- kutuluka;
- chisokonezo;
- sinusitis;
- angina;
- Matenda a matani ndi matenda osakaniza;
- chithunzithunzi;
- pharyngitis;
- matonillitis.
Kaŵirikaŵiri lymphadenitis imayamba kumbuyo:
- chithandizo;
- fuluwenza;
- matenda opatsirana kwambiri;
- makutu;
- rubella;
- nkhuku;
- matenda opatsirana.
Nuchal zymph nodes ziwotchedwa
Gulu lomwe likuyang'anitsitsa likugwedezeka ndipo limayambitsa zowawa zofanana ndi a submaxillary ndi bovine lymphadenitis. Pali matenda enieni omwe mliriwu umatuluka:
- chithandizo;
- mchimakulire;
- mononucleosis;
- chifuwa chachikulu;
- zovuta zowonongeka;
- magawo otsiriza a khansa.
Kodi mungamvetse bwanji kuti maselo am'mimba amatha?
Pali zizindikiro zoyambirira za lymphadenitis:
- kusintha kwa kukula kwa maselo amphamvu;
- kusinthasintha kwa kutentha kwa thupi;
- kukhalapo kwa zosangalatsa zosasangalatsa.
Zizindikiro zina, momwe mungayang'anire lymph node yotentha:
- Kufiira kwa khungu pamwamba pa malo okhudzidwa;
- mutu;
- kugona, kufooka.
Kodi ma lymph node amawoneka motani?
M'dziko labwino munthu saganiza ngakhale kuti ziwalo zomwe zafotokozedwa zipezeka. Kutupa kwa maselo a mitsempha nthawi yomweyo kumamveka:
- kuonjezera kukula kwake;
- chifuwa chachikulu kapena zingapo pamtundu wa matendawa;
- mankhwala a khungu.
Zizindikiro zowoneka za ma lymph node zomwe zimawoneka zingathe kuzindikiridwa mosavuta popanda maphunziro apadera azachipatala. Chifukwa chowonjezeka kwambiri m'dera la lymphadenitis, mazira ndi ozungulira, maonekedwe olimba ofanana ndi nyemba amafufuzidwa. Iwo ndi mafoni, pang'onopang'ono akukankhira pang'ono kusintha. Anthu ena amafotokoza zofooka zochepa m'madera okhudzidwa.
Zilonda zam'mimba ndi kutentha
Ziwalo zapachiwalo zomwe zimaperekedwa zimayambitsa matenda a chitetezo cha mthupi mwadzidzidzi. Pachifukwachi, zizindikiro za kutupa kwa ma lymph nodes nthawi zonse zimaphatikizapo kuwonjezeka kwa kutentha kwa thupi, monga momwe chitetezo cha thupi chimayendera ku "kuukiridwa" kwa maselo akunja ndi zinthu zina. Kutentha kumatha kukhala ndi mantha, mpaka madigiri 40-41, malingana ndi kuopsa kwa matendawa ndi kukhalapo kwa putrefactive njira.
Kodi ma lymph nodes akudwala?
Lymphadenitis iliyonse ikuphatikizidwa ndi zowawa zosasangalatsa komanso zovuta. Lymph node nthawi zambiri imamupweteka pa nthawi ya palpation ndikukakamiza, ndikuyesera kumverera. Nthawi zambiri, chizindikiro chofotokozedwa chimamveka nthawi zonse, popanda zisonkhezero zakunja. Kupweteka kumakhala koopsa kwambiri ngati pali kutupa kofiira kwa maselo am'mimba. Zikakhala choncho, munthu amamva kugwedeza komanso kulimbana kwakukulu kuchokera mkati.
Nanga bwanji ngati mitsempha yotupa ikuyaka?
Ndondomeko yothandizira ndi lymphadenitis imadalira malo ake, mphamvu. Ndikofunika kudziwa zomwe ma lymph node omwe amamveka amachitira umboni. Kuti mudziwe chifukwa cha matendawa, muyenera kuonana ndi dokotala. Kuchiza lymphadenitis popanda kuthetsa zifukwa zazikulu zomwe zimapangitsa kuti zisakhale zopanda phindu. Pokhapokha atatha, ntchito yoyenera kuteteza chitetezo choyambitsa matenda ndi kusinthasintha zidzabwezeretsedwa.
Zilonda zamoto zimatenthedwa - kwa dokotala yemwe angayankhe?
Vutoli limapezeka pazifukwa zosiyanasiyana. Kuti mudziwe chifukwa chake kansalu kena kamene kakula, katswiri wina amene amathandizidwa ndi ziwalo ndi machitidwe omwe ali pafupi ndi malo okhudzidwa angathandize. Choyamba, kuti mupite kukayezetsa magazi ndi anamnesis, muyenera kupita kukaonana ndi wodwalayo komanso wogwira ntchito. Pambuyo pa matendawa, madokotalawa amatchula dokotala wodzichepetsa. Chisankho chomaliza chidzadalira chifukwa cha kutupa kwa ma lymph node, chithandizochi chikhoza kuchitidwa ndi:
- otolaryngologist;
- dokotala wa mano;
- katswiri wamagetsi;
- urologist;
- mamemolo;
- wotchedwa endocrinologist;
- katswiri wa zamoyo;
- chithandizo;
- parasitologist;
- gastroenterologist;
- pulmonologist;
- Venereologist;
- Opaleshoni;
- dermatologist ndi akatswiri ena.
Lymphadenitis - mankhwala
Njira yokhala ndi chithandizo imapangidwa mogwirizana ndi mawonekedwe a matenda, chifukwa chake ndi kuuma kwake. Muzochitika zofanana, inu mwasankhidwa:
- khalani m'madera omwe ali ndi mitsempha yowopsa;
- chakudya chomwe chimaphatikizidwa ndi mavitamini ndi mchere;
- thandizo la chitetezo cha mthupi;
- zakumwa zotentha zambiri.
Kuyimitsa chithunzi cha kuchipatala, mankhwala amagwiritsidwa ntchito:
- zithunzithunzi ( Nimesil , Ketanov);
- anti-inflammatory and antipyretic drugs (Ibuprofen, Paracetamol);
- antihistamines (Suprastin, Eden).
Pamaso pa tizilombo ta tizilombo toyambitsa matenda, tizilombo toyambitsa matenda timasankhidwa chifukwa cha kutupa kwa ma lymph nodes. Amasankhidwa kokha ndi katswiri atachita mayeso a ma laboratori, akudziŵa mtundu wa kuwonongeka kwa tizilombo toyambitsa matenda, kutengeka kwa tizilombo toyambitsa matenda ku mankhwala omwe alipo. Maantibayotiki okhala ndi ntchito zambiri amagwiritsidwa ntchito:
- Erythromycin;
- Hemomycin;
- Ampicillin;
- Kutchulidwa ;
- Azithromycin;
- Unidox Solutab ndi zofanana.
Kuonjezera apo, dokotala akhoza kulangiza ndi physiotherapy, monga ultra-mkulu-frequency treatment. Odwala ena amafunitsitsa kudziwa ngati kutentha kwa mitsempha yotentha kumatha kutentha. Madokotala amaletsa. Kuwonetsa kuti kutentha kumangopitirira ndipo kumalimbitsa ndondomeko ya kupweteka, kungachititse kuti munthu asatengeke ndi kupuma. Pofuna kuthetsa ululu, ndibwino kugwiritsa ntchito zozizira zozizira komanso zokonda.
Pamaso pa opaleshoni ya purulent lymphadenitis amauzidwa, momwe angaperekere kutupa kwa maselo amphamvu:
- autopsy;
- ngalande ya purulent cavities;
- kusamalira;
- mankhwala otsitsirana ndi antibacterial.
Mofananamo, matenda akulu omwe amachititsa kuti kutupa kwa maselo am'thupi kuyenera kuchitidwa. Izi ndizofunikira makamaka pa matenda aakulu, pamene lymphadenitis ikupita kwa zaka ndifupikitsa nthawi ndikukhululukidwa. Pambuyo pochotsa zifukwa zonse zomwe zimayambitsa matendawa, njira yowonongeka imakhala yachibadwa.
Kutupa kwa ma lymph nodes - zotsatira
Vutoli ndi loopsa lomwe limayambitsa mavuto aakulu. Ngakhalenso khungu limodzi lopweteka kumutu, pansi pa nsagwada, kumbuyo kwa mutu, kapena kumadera ena lingayambitse zotsatirazi:
- chosowa;
- tachycardia;
- chodabwitsa;
- lymphedema;
- kuledzeretsa kwakukulu;
- kutenga nawo mbali pazitsulo zamagetsi;
- chisokonezo;
- thrombophlebitis;
- mpweya wamaliseche;
- septicopyemia;
- kupweteka kwachibadwa;
- "Njovu";
- malonda;
- kukula kwa metastases;
- kusuntha kwa maselo otupa kupita ku ziwalo zakutali ndi ena.
Popanda mankhwala ochiritsidwa ndi kuthetsa zomwe zimayambitsa matenda aakulu, kutentha kwa mitsempha yambiri kumayambira, kenaka imafalikira pa gulu lonselo. Pang'onopang'ono, magulu oyandikana nawo amakhudzidwa, ndipo lymphadenitis imakhala yowonjezera. Zotsatira za zotsatira zotere za matendawa ndi kuchepa kwa ziwalo, kubwezeretsa minofu ya lymphoid ndi maselo ogwirizana. Izi zimabweretsa chisokonezo cha kusungidwa kwathunthu, chitetezo cha mthupi.