Zonse Zomwe Zimayambitsa Kutupa Kwambiri pa Ana
Ana akhoza kukhala ndi ma lymph nodes (yotupa), omwe amadziwika kuti lymphadenopathy, pa zifukwa zambiri.
Chifukwa chakuti mumatha kumva maselo a mwana sikutanthauza kuti mwanayo ali ndi lymphadenopathy . Zimakhala zachilendo kumva maselo akuluakulu omwe ali ndi tizilombo toyambitsa matenda, tizilombo toyambitsa matenda, timene timakhala tating'ono tochepa kuposa masentimita imodzi.
Kodi ndizovuta bwanji kuti ana akhale ndi ma lymph node? Kodi ma lymph nodes akhoza kutupa ngakhale mwana ali wathanzi? Kodi ma lymph nodes ali kuti, ndipo ndi lymph node ziti zomwe zingakhale zodetsa nkhawa kuposa ena? Kodi ndizifukwa zotani zomwe zimayambitsa ma lymph node?
Kutupa Kwambiri pa Ana - Kodi Muyenera Kusamala?
Nthawi zambiri makolo amakhala ndi nkhawa pamene mwana wawo ali ndi zilonda zotupa kapena zam'mimba.
Nthawi zina makolo amadandaula kuti matenda a kutupa ndi chizindikiro cha khansa , ndipo nthawi zina nthawi zina amakhala ndi chizindikiro chakuti mwana wanu ali ndi kachilombo ka HIV kapena kachilombo ka HIV.
Ngati mukuda nkhaŵa chifukwa mwana wanu wathanzi ali ndi zilonda zotupa, kumbukirani kuti mwa ana akuluakulu, pafupifupi ana onse ali ndi "lymphadenopathy," chifukwa zimakhala zovuta kwambiri, makamaka m'mimba (khosi), axillary (armpit), ndi malo a inguinal ( Groin), ndizofala kwa ana a mibadwo yonse, kuphatikizapo makanda.
Zilonda M'thupi
Zilonda zam'mimba zimapezeka m'matupi athu onse.
Zina zoterezi zimapezeka:
- Kumbuyo kwa mutu - occipital
- Pamaso pa khutu - zowonekera
- Kumbuyo kwa khutu - kumbuyo
- Pansi pa nsagwada - submandibular
- Pansi pa chibwano - chikhomo
- M'madama - nkhope
- Kutsogolo kwa khosi - mkodzo wamakono
- Kumbuyo kwa khosi - chithokomiro cha postergarten
- Pamwamba pa khola lapala - lopopera
- Pambuyo pa mawondo-apakati
- Mu armpit - axillary
- Pansi pa nsanamira - epitrochlear
- M'dera lamapiri - inguinal
Matenda ena, makamaka opraclavicular, epitrochlear ndi popliteal glands sakhala otupa, ngakhale ana, ndipo amawakonda angapangitse ana anu kuti azifufuza chifukwa.
Zilonda zina zimakhala zozama m'thupi ndipo sizingatheke kumverera. Amaphatikizapo mitsempha yam'thupi , yamatchi, yamatenda, mesenteric, ndi celiac. Mfundozi zikhoza kuwonedwa pa phunziro la kujambula monga x-ray kapena CT scan.
Matenda a chiberekero, axillary, ndi inguinal ndiwo omwe amawoneka mwa ana ozolowereka. Ndipotu pafupifupi theka la ana omwe ali ndi zaka zapakati pa zitatu ndi zisanu adzakhala ndi zilonda zotupa pamaderawa akadzachezera ana awo, kaya ndi ulendo wodwala kapena mwana wabwino.
Kodi Glands Ndi Chiyani?
Zilonda zam'mimba zimakhala mbali ya thupi la thupi, lomwe limaphatikizapo zotengera za mitsempha, tonsils, thymus, ndi spleen.
Monga maselo amphongo, omwe amatenga maselo oyera a magazi ndi zinthu zina zomwe zimatithandiza kumenyana ndi matenda, zimachokera ku magazi athu kupita ku zitsulo zamadzimadzi, zimasungunuka ndi ma lymph glands.
Ichi ndi chifukwa chake mafinya amatha kutupa ngati muli ndi kachilombo kakang'ono kapena matenda a khungu pa mwendo.
Ndikumangokhala ndi chitetezo cha mthupi m'matenda omwe ali pafupi kwambiri ndi dera. Mofananamo, matenda a scalp, kutulutsa mimba kuchokera kumutu mpaka ku zirombo , zingayambitse zilonda zotupa m'magazi a mwana wamwamuna kapena wa chiberekero.
Zimayambitsa Kutupa Glands
Ana ambiri aang'ono amakhala ndi zilonda zotupa chifukwa amakhala ndi matenda opatsirana, omwe amachititsa kuti mitsempha yambiri ikhale yotupa ngati momwe amachitira ndi matenda m'thupi lawo. Zomwe zingayambitse ziwalo zowonongeka kwa ana ndizo:
- Lymphadenitis - Mu lymphadenitis, nthenda ya mitsempha imayamba kutenga kachilomboka ndipo imakhala yofiira, yotupa, ndipo nthawi zambiri imakhala yofewa kwambiri.
- Matenda opatsirana apiritsi apamwamba - Kuchokera ku chimfine ku chiwindi, matenda opatsirana apiritsi apamwamba ndi omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda.
- Mphuno - Ndi strep throat , zotupa zotupa m'khosi zimatuluka ndi malungo ndi pakhosi. Kawirikawiri nthawi zofiira zoyera kumbuyo kwa mmero ziripo.
- Mono - Infectious mononucleosis imayambitsa matenda a Epstein-Barr. Kaŵirikaŵiri zimayambitsa zilonda zam'mimba, malungo, ndi zilonda zotupa m'mimba zam'mimba zam'mimba (zosiyana ndi strep throat zomwe zimakhala ndi mazira amtundu wa kakhosi). Izi zimakhala kutsogolo ndi kumbuyo kwa sternocleidomastoid muscle, minofu yaikulu yomwe imayenda pambali pa khosi lanu.
- Katsamba matenda - Cat-scratch matenda ndi matenda owopsa chifukwa cha bakiteriya Bartonella henselae . Amapatsirana ndi amphaka kapena makate omwe ali ndi kachirombo ka kuluma kapena kukomoka. Matenda ayambira sabata patapita masiku khumi ndi awiri ndi kutuluka pang'ono. Pambuyo pa sabata kapena ziwiri, ziwalo zofiira, zofiira, ndi zotupa zimapezeka. Chithandizo chili ndi maantibayotiki.
- Scrofula - Scrofula ndi matenda a mitsempha yamimba yomwe imayambitsa matenda a mycobacteria kapena chifuwa chachikulu. Amadziwika ndi glands zopweteka, makamaka m'khosi.
- Matenda a Kawasaki - Mliri umodzi wamtundu umodzi wamtundu wa khanda (neck) umakhala umodzi mwa zizindikiro za matenda a Kawasaki, ndi ena kuphatikizapo malungo, maso ofiira, kutupa kwa manja ndi mapazi, kuthamanga, ndi magazi wofiira pakamwa, lilime la sitiroberi ndi milomo yosweka.
Matenda ena ambiri, kuchokera ku chifuwa chachikulu ku HIV, amatha kuyambitsa zilonda zotupa ndipo amakayikira chifukwa cha zizindikiro za mwana ndi zoopsa.
Lymphoma, mtundu wa khansara, amaoneka kuti ndi chimene makolo ambiri amadandaula nazo pamene mwana ali ndi vuto la kutupa, ngakhale kuti sichidziwika kwambiri kuposa zifukwa zina. Makolo angakhalenso okhudzidwa ndi khansa ya m'magazi, komabe ma lymph node yotupa ngati chizindikiro chokhacho cha khansa ya m'magazi idzakhala yachilendo kwambiri.
Mtundu umodzi, Hodgkin lymphoma , siwowonjezereka mwa ana aang'ono, omwe amakhala osowa kwambiri kwa achinyamata, omwe, kuphatikizapo matenda otupa, amakhala ndi malungo osadziwika, kulemera, ndi kutuluka usiku. Hodgkin lymphoma imagwirizanitsidwa ndi matenda a Epstein-Barr omwe amatha kale (pafupifupi 40 peresenti ya anthu), ngakhale kuti izi sizikudziwika bwino.
Ana omwe sali a Hodgkin's lymphoma akhoza kukula mofulumira, ma lymph node zopweteka, kuphatikizapo zizindikilo zina monga fever, kulemera kwa thupi, kutuluka usiku, kukhwima, ndi kutopa.
Zomwe zimayambitsa zithumpha zotupa zimatha kuchokera ku hyperthyroidism kupita ku lupus, ku matenda a Kawasaki , ndi zina zambiri.
Zimene Mungadziwe Zokhudza Kutupa Glands
Zinthu zina zomwe makolo amazidziwa za glands zotupa ndizo:
- Kuphatikiza pa kukhala ndi zilonda zotupa, madokotala a ana amayang'ana zizindikiro zina zambiri, monga kukula kwa maselo a mitsempha, kukula kwao, kusasinthasintha (zofewa, zolimba, kapena zitsulo), kaya kuli kofiira, komanso ngati pali chifundo chothandizira onetsetsani ngati angakhale achilendo kapena ayi.
- Zizindikiro zina zogwirizana, monga malungo osatha kapena osadziwika (malungo osadziwika kuchokera pachiyambi), kutaya kwadzidzidzi kutaya , kutopa, ndi kutuluka usiku kungakhale zizindikiro za vuto lalikulu lomwe limayambitsa glands zotupa.
- Lymphadenopathy ikhoza kukhala malo amodzi (m'madera amodzi) kapena ochiritsira (m'madera oposa awiri osakondweretsa), ndi ma lymphadenopathy omwe amawoneka kuti amayamba chifukwa cha matenda osokoneza bongo.
- Matenda a m'mimba kapena matenda ena a m'mimba angapangitse kutupa ndi kutupa kwa glands za mesenteric m'mimba, zomwe zingayambitse zilonda zamimba. Ndipotu, ziphalaphala za ma mesenteric zotupa zimapezeka pamene opaleshoni imachitidwa kuti munthu aganizidwe kuti ali ndi appendicitis.
- Pali ma lymph node 600 m'thupi lathu.
- Kuwonjezera pa dokotala wanu wa ana, makutu a ana, mphuno, ndi pakhosi kapena dokotala wa opaleshoni (malinga ndi malo a glands) angathandize kuthandizira mwana wanu ndi zilonda zotupa.
Pamene Kutupa kwa Glands Kukufunika Kuwonjezeranso
Zizindikiro ndi zizindikiro zomwe zimasonyeza kuti zilonda zotupa zikhoza kukhala zovuta kwambiri monga:
- Kutupa kofiira komwe kulipo m'dera limodzi lokha la thupi (lopangidwa ndi lymphadenopathy.)
- Mankhwala amphamvu omwe ali olimba
- Zilonda zam'mimba zomwe zimayikidwa (musasunthike mosavuta)
- Mankhwala amphamvu kwambiri omwe amakhala aakulu kuposa 2.5 cm (wamkulu kuposa inchi imodzi)
- Zilonda zamphongo zomwe sizowona
- Mankhwala amphamvu kwambiri omwe akukula mofulumira
- Kutupa kwa ma lymph nodes limodzi ndi zizindikiro monga kuchepa kwa thupi, kutentha thupi tsiku lililonse, kapena kutuluka usiku
- Kuphatikizika kwa ma lymph nodes ndi matumbo anu kumverera ngati kholo kuti chinachake chachikulu chikuchitika - khulupirirani chidziwitso chanu
Kodi Lymph Nodes Zimakhala Zotalika Motani?
Ndikofunika kukumbukira kuti kutupa kwa mitsempha yambiri kumatenga masabata kuti miyezi ikubwerenso kukula kwake. Kuonjezera apo, popeza ana ang'onoang'ono amatha kudwala matenda a daycare syndrome, kuyambira chaka chimodzi mpaka asanu ndi atatu omwe angayambitse matenda a lymphadenopathy, zingaoneke kuti maselo a mwana wanu amakula nthawi zonse.
Zotsatira
- Gaddey, H., ndi A. Riegel. Lymphadenopathy yosadziwika: Kufufuza ndi kusiyana Kusiyanitsa. American Family Physician . 2016. 94 (11): 896-903.
- Kliegman, Robert M., Bonita Stanton, St Geme III Joseph W., Nina Felice. Schor, Richard E. Behrman, ndi Waldo E. Nelson. Nelson Buku Lophunzitsa za Ana. Kusindikiza kwa 20. Philadelphia, PA: Elsevier, 2015. Print.
- Rajasekaran, K., ndi P Krakovitz. Nkhungu Yowonjezera Lymph Nodes mu Ana. Mapatala Achipatala a North America . 2013. 60 (4): 923-36.