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N'chifukwa chiyani maselo anga amatupa?Lymphadenopathy ndikulitsa kwa kukula kapena chiwerengero cha ma lymph nodes. Mankhwala amtunduwu amagawanika thupi lonse ndikuthandiza chitetezo cha mthupi poyambitsa mabakiteriya, mavairasi, ndi tizilombo tina tizilombo ta magazi. Mitunduyi imaphedwa ndi maselo apadera a magazi oyera omwe amadziwika kuti lymphocytes .
Matenda amtundu uliwonse angayambitse matenda a lymphadenopathy kuchokera ku strep throat kupita ku khansa yowopsa. Kutupa kumachitika chifukwa cha kusungunuka kwa ma lymphocyte ngati maselo ambiri akufotedwa kudzera m'matope.
Zomwe zimachitika mthupi mwa anthu omwe ali ndi kachilombo ka HIV zimakhala zapamwamba kwambiri ndipo zimachitika panthawi iliyonse ya matenda. Nthawi zambiri zimakhala kumbali zonse za khosi, pansi pa nsagwada, kapena pamphuno. Nthawi zina, zimakhala zopweteka komanso zimawoneka zotupa.
Lymphadenopathy si chizindikiro cha malungo. M'malo mwake, ndi chizindikiro cha mphamvu yowonongeka ya chitetezo cha mthupi ndi cholinga choletsa matenda.
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Kodi ma lymph node angachititse kutupa mpaka liti?Lymphadenopathy ndi wamba pa nthawi yoyamba ya kachirombo ka HIV . Panthawi imeneyi, thupi limateteza chitetezo cha mthupi kuti chiteteze kachilombo. Nthawi zina, izi zingatenge miyezi kapena zaka.
Lymphadenopathy pa matenda oopsa nthawi zambiri amatha kufalikira, kutanthauza kuti amapezeka m'maselo awiri kapena kuposa m'thupi. Pamene nodes ndi zazikulu kuposa masentimita awiri (pafupifupi masentimita) ndipo zimatha kwa miyezi itatu, chikhalidwechi chimatchulidwa ngati chidziwitso chodziwika bwino cha lymphadenopathy (PGL).
Ngati simunayesedwe kachilombo ka HIV ndipo maselo am'mimba amatha kutupa kuposa masabata awiri kapena anayi, onani dokotala wanu kapena pitani kuchipatala chanu. Bungwe la US Preventive Services Panopa limalimbikitsa kuti onse a ku America azaka 15 mpaka 65 ayesedwe kachilombo ka HIV monga gawo lachizoloŵezi cha madokotala.
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Kodi glands zotupa zingakhale chizindikiro cha chinachake choipitsitsa?Poyamba matendawa, kachilombo ka HIV kamakhala kosavuta komanso kudziletsa. Kawirikawiri, nthawi ndi kuuma kwa chikhalidwechi zimagwirizana kwambiri ndi kuchuluka kwa kuponderezedwa kwa mthupi monga momwe zimayesedwa ndi CD4 count .
Musaganize kuti lymphadenopathy ndi chizindikiro cha kachilombo ka HIV kameneka. Nthawi zina, lymphadenopathy sichikuwoneka mpaka mtsogolo mwa matendawa ndipo ndizoonetseratu za matenda omwe amapezeka monga chifuwa chachikulu kapena toxoplasmosis .
Lymphadenopathy yomwe imachitika nthawi yayitali matenda opatsirana kachilombo ka HIV nthawi zambiri imatha kuthetsa ngati kachilombo ka HIV kakuyambitsidwa. Pa matenda akuluakulu, pamene kachilombo ka CD4 kakadutsa pansi pa 100, kuthamanga kwa mliri wamatenda (kutanthauza kuti maselo am'thupi amatha kubwerera mosavuta popanda chithandizo) akhoza kukhala chizindikiro cha kugwa kwa chitetezo cha mthupi mwamsanga komanso chiyambi cha matenda opatsirana .
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Kodi matenda a lymphadenopathy angachiritsidwe?Njira imodzi yowonjezera matenda opatsirana pogonana ndiyambitsa mankhwala opatsirana pogonana . Sikuti imangoteteza kachilombo ka HIV kokha, kumachepetsanso mliri wambiri, kumathandiza kupitiriza kapena kubwezeretsa chitetezo cha mthupi pofuna kulimbana ndi matenda opatsirana.
Pakalipano, ndibwino kuti mankhwala ayambe kulandira matenda mosasamala za CD4 count kapena siteji ya matenda. Malingana ndi kafukufuku, sikuti amachepetsa chiopsezo cha matenda pa 53 peresenti , amapereka phindu pa moyo wautali komanso kuchepa kwa kachilombo ka HIV .
Mpaka kuti lymphadenopathy yathetsedweratu, mankhwala osokoneza bongo omwe sagwiritsiridwa ntchito ndi anti-inflammatory ( NSAID ) angagwiritsidwe ntchito kuthetsa kutupa, chifundo, ndi ululu.
> Zotsatira:
> Dipatimenti ya zaumoyo ndi zithandizo zaumunthu. "Malangizo othandizira kugwiritsa ntchito ma antiretroviral ogonana ndi HIV -1-Okhudzidwa ndi Achikulire ndi Achinyamata." Rockville, Maryland; inapezeka pa November 19, 2015.
> Ma Institutes of Health. "Kuyambitsa mankhwala ochepetsa kachilombo ka HIV kumayambitsa bwino kwa anthu omwe ali ndi HIV." Bethesda, Maryland; adatulutsidwa pa May 27, > 2015.
> US of Preventive Services Task Force (USPSTF). "Kuyezetsa HIV: US Statue of Prevention Services Task Force Recommendation." Rockville, Maryland; April 2013.