Chizindikiro chofala chingatanthauzenso zina mwa khansara
Adenopathy (yemwenso amadziwika kuti lymphadenopathy) imatanthawuza ma lymph nodes omwe afalikira kapena kutupa chifukwa cha matenda, chifukwa chofala kwambiri, kapena chifukwa cha matenda ena, monga matenda odzimva okha kapena khansa .
Ndi khansa, kuthamanga kwa thupi kungayambitsidwe ndi matenda omwe amayamba m'mimba yamadzimadzi okha. Zitha kuchitanso pamene khansara imafalikira ( metastasizes ) kuchokera kumbali zina za thupi kupita ku maselo am'mimba.
Lymph System
Thupi lanu liri ndi lymphatic system yomwe imakhala ndi zitsulo zamadzimadzi, zamagazi komanso zam'mimba. Maselo amphongo amachititsa kuti thupi lonse lizikhala ndi lymphatic madzi. Magaziwa, pakati pa ntchito zake zina, amasonkhanitsa zonyansa ndi tizilombo toyambitsa matenda (monga mavairasi ndi mabakiteriya) paulendo wake kudzera m'matenda.
Mankhwala am'mimba ndi amng'onoting'ono, omwe amamera ndi kusunga maselo (omwe amatchedwa lymphocytes) omwe amathandiza kulimbana ndi matenda ndi matenda. Pali pafupifupi 600 mwazigawozi zomwe zimapezeka mu thupi lonse. Cholinga chawo chachikulu ndi kupopera zowonongeka kuchokera ku lymphatic fluid. Pochita zimenezo, gulu la asilikali amaliseche limayesetsa kuthetsa vuto lililonse limene limakhalapo.
Ngakhale kuti maselo ena am'mimba amapezeka pamtunda, pamphuno, pamtunda, mwachitsanzo-ena ali mkati mwathupi, monga m'chifuwa kapena m'mimba.
Pa matenda opatsirana kapena kuvulala, maselo am'mimba amayamba kutupa komanso amatha.
Izi zikachitika, kulandira mphamvu kumatha kutenga mitundu yosiyanasiyana:
- Zikhoza kukhala malo amodzi (zochitika kumalo amodzi a thupi), zigawo ziwiri (mbali zonse za thupi), kapena zimachitika (zimachitika m'thupi lonse).
- Zingakhale zovuta (kuchitika mwadzidzidzi ndi kuthetsa mwamsanga) kapena matenda (osapitirira).
- Zingathe kudziwika ndi malo a nodes, monga kuzungulira khosi (cervical), kubuula (inguinal), chifuwa (mediastinal), chifuwa (axillary), kapena mimba (mesenteric).
Kansa ya Adenopathy
Khansa yoteteza khansa ndiyo mawu omwe amagwiritsidwa ntchito pofotokozera kutupa kwa maselo a mitsempha chifukwa cha khansa. Khansa yomwe imayambira mu maselo am'mimba imatchedwa lymphoma . Mitundu iwiri mwa mitundu yambiri ndiyo Hodgkin lymphoma kapena non-Hodgkin lymphoma . Zonse zimakhazikika ndipo zimakula mosiyana, koma zonse zimachokera ku lymphocytes. Adenopathy ndi chimodzi chabe mwa zizindikiro za matendawa.
Kawirikawiri, matenda opatsirana khansa adzachitika pamene matenda amtundu umodzi (omwe amadziwika kuti chotupa chachikulu) amafalikira kumbali zina za thupi kuti apange zotupa zatsopano. Mitsempha yam'mimba ndi ziwalo zomwe zimakhudza kwambiri izi.
Kodi Khansa Imafalikira Bwanji Kupyolera M'mayendedwe a Lymph Nodes?
Pamene chifuwa chimasokoneza, maselo a khansa amatha kuchoka ku chotupa chachikulu ndikufalikira ku zigawo zina za thupi kudzera m'thupi kapena magazi.
Pamene maselo ali m'magazi, amafufuzidwa m'magazi mpaka atakakamira penapake, kawirikawiri ndi capillary. Kuchokera pano, selo ikhoza kudutsa mu khoma la capillary ndikupanga chotupa chatsopano kumene chikafika.
Chinthu chomwecho chikuchitika ndi dongosolo la zamaliseche. Pankhaniyi, maselo a khansa amachoka ndipo amatengedwera kumalo am'mimba omwe amamatira.
Ngakhale nodezi zitayankha ndi kuukira kwakukulu kwa chitetezo cha mthupi, maselo ena a khansa adzapulumuka kuti apange chotupa chatsopano.
Koma apa pali kusiyana komweko: Mosiyana ndi kayendedwe ka kayendedwe kake, kamene kakhoza kunyamula maselo a khansa pafupifupi mbali iliyonse ya thupi, kufalitsa kwa khansa kudzera mu mitsempha ya mitsempha ndi yowonjezereka. Nodes pafupi ndi chotupacho kawirikawiri idzakhala yoyamba kukhudzidwa. Kuchokera kumeneko, maselo ena amatha kuchoka ndikupita kumadera akutali a thupi.
Chifukwa cha momwe mafilimu amakhudzidwa, madokotala amawafufuza nthawi zonse kuti awone ngati khansara yayamba kufalikira ndipo, ngati zili choncho, ndi kuchuluka kwake.
Mmene Adenopathy Amadziwira
Kuwonjezeka kwa ma lymph node kungapangidwe kawonekedwe. Mayesero ojambula monga computed tomography (CT) amawunikiranso angagwiritsidwe ntchito makamaka makamaka pa mitsempha m'mimba kapena pamimba.
Kuwonjezera pamenepo, dokotala akhoza kulamula kuti matenda a mitsempha yambiri ayambe. Chiwopsezocho chimaphatikizapo kuchotsedwa kwa mitsempha ya mitsempha yowonongeka pogwiritsa ntchito microscope. Zitha kugwiritsidwa ntchito kuti awone ngati khansara yayamba kufalikira ku chotupa chachikulu kapena pamene mliri umaganiziridwa.
Chidutswachi chingathe kuchitidwa mwachipatala kuchotsa node kapena, kawirikawiri, pochotsa maselo ogwiritsira ntchito ndondomeko yochepa yomwe imatchedwa zabwino zabwino za singano. Zotsatira za chiwopsezo ndizofunika kwambiri pazomwe zimayambitsa matenda ndi khansa.
Mmene Adenopathy Amakhudzira Kachilombo ka Khansa
Adenopathy yokha sichimasintha njira ya chithandizo cha khansa . Komabe, kukhala ndi maselo a khansa m'magulu anu a mitsempha kungakhudze chithandizo pokhapokha ngati chiti chidziwitse msinkhu wa matenda anu.
Imodzi mwa njira zofala kwambiri za khansa ya stage ndiyo njira ya TNM , yomwe imadalira kukula kwa chifuwa (T), kukula kwa kufalikira kwa maselo am'mimba (N), ndi kukhalapo kwa metastasis (M). Ngati palibe khansa yomwe imapezeka m'matenda am'mimba pafupi ndi chotupacho, N idzapatsidwa mtengo wa 0. Ngati nthiti zapafupi kapena zakutali zikuwonetsa kansa, N idzapatsidwa mtengo wa 1, 2, kapena 3 malingana ndi:
- Ndi nambala zingati zomwe zikukhudzidwa
- Kumene malowa ali
- Makhalidwewa ndi aakulu bwanji
- Kodi khansa yayingati?
Chithandizo chovomerezekachi chidzaperekedwa makamaka pamasewero. Mapulogalamuwa adzagwiritsidwanso ntchito kuti athandizidwe kachidindo ka ICD-10 , yomwe inshuwalansi yanu idzagwiritse ntchito povomereza chithandizo.
Khansara ya Adenopathy vs. Matenda Okhudzana ndi Adenopathy
Sikuti adenopathies onse ali ofanana. Nthata za khansa zimakhala zovuta, zopanda ululu, komanso zowonjezereka m'matumbo ozungulira. Mankhwala osakanikirana ndi khansa kapena odwala khansa, mosiyana, amakhala opweteka kwambiri ndipo amachepetsa kukula ndi kuwerengeka pamene kachilombo ka HIV katha.
Pomwe zikunenedwa, simungathe kudziwa chifukwa chimene munthu amamvera chifukwa chokhala ndi thupi lokha. Nthaŵi zina, monga nthenda ya khansa ingapangitse mitsempha yapafupi ndipo imachititsa ululu. Kwa ena, nthenda yowonongeka ikhoza kukhala yovuta komanso yopanda phokoso (monga zomwe zingatheke ndi matenda opatsirana pogonana omwe amatha kuwonetsa kachilombo ka HIV).
Kodi Ndili ndi Khansa Ngati Ndataya Lymph Nodes?
Adenopathy ndi chizindikiro chosadziwika chomwe chingayambitsidwe ndi chiwerengero cha zinthu. Payekha, kudziletsa sikukhala ndi phindu lodziŵa. Kawirikawiri, osati matendawa, matendawa amayamba chifukwa cha matenda kusiyana ndi khansa.
Ndikunenedwa kuti, ngati mitsempha yambiri imakhala yotupa ndipo / kapena ikukula, muyenera kuchipatala. Ngati mwalandira kale mankhwala a khansa, dalitsani dokotala wanu ngati mutapeza zilonda zam'mimba zotupa kumbali iliyonse ya thupi lanu.
> Zotsatira:
> Nieweg, O .; Uren, O .; ndi Thompson, J. "Mbiri ya Sentinel Lymph Node Biopsy." Chithandizo ; 12 (1); 3-6; DOI 10.1097 / PPO.0000000000000091.
> West, H. ndi Jin, J. "Lymph Nodes ndi Lymphadenopathy mu Cancer." JAMA Oncol. 2016; 2 (7): 971; DOI 10.1001 / jamaoncol.2015.3509.