Mitsempha yotchedwa Lymph nodes (yomwe imatchedwanso ma lymph glands) ndizozing'ono zowonongeka padziko lonse lapansi. Maselo amphongo ali ndi maselo oyera a magazi (WBCs), makamaka ma WBC omwe amatchedwa lymphocytes. Ma lymphocytes amakula ndi okhwima mkati mwa maselo a mitsempha, ndipo ndi amodzi mwa mitundu yambiri ya maselo omenyera thupi omwe amathandiza thupi kulimbana ndi matenda. Mankhwala am'mimba ndi mbali ya thupi la thupi.
Zilonda zamphongo zimagwirizanirana ndi mafilimu omwe amatchedwa malimymatics - timipira ting'onoting'ono (monga mitsempha ya mitsempha) - kudzera mwa maselo amchere, komanso mapulotini ndi zinthu zina, amachokera ku mbali imodzi ya thupi kupita ku mzake.
Mankhwala am'mimba m'madera osiyanasiyana a thupi amatchulidwa mosiyana
- Mitsempha yotchedwa kervical node - minofu m'khosi
- Zilonda zam'mimba zam'mimba - ziwalo zam'mimba m'makutu
- Zilonda zam'mimba zamkati zam'mimba - zizindikiro mkati mwa chifuwa, pafupi ndi mtima
- Mitsempha ya inguin - omwe ali mu groin
- Mapuloteni otchedwa Retroperitoneal and Mesenteric - Mitsempha yambiri m'mimba.
- Zilonda zam'mimba zam'mimba - zamaliseche m'mimba mwa pelvis.
Mitsempha yambiri ikamakula, imatchedwa ma lymph nodes . Pamene node zofutukuka zingamveke ndi dokotala (m'madera ngati khosi, mapiritsi, ndi kubuula) amatchedwa ma lymph node .
Zambiri pa Node Zowonjezedwa
Mafupa amtunduwu amatha kuwonjezeka kukula muzinthu zosiyanasiyana.
Matenda, khansara, ndi matenda ambiri a chitetezo cha mthupi angakhudze maselo a mitsempha ndipo amachititsa kuti maselo ena apitirire kukula. Zilonda zamakono zambiri zimakhala chizindikiro choyamba cha lymphoma , khansa ya maselo amphamvu kwambiri. Koma node zonse zofutukuka sizili lymphoma. (Onaninso nkhani yowonjezera ma Lymph Nodes Nthawizonse ndi Lymphoma? ).
Zilonda zamakono zowonjezera sayenera kunyalanyazidwa.
Komabe, popeza pali ambiri omwe alibe khansa yowonjezera kulumikiza kwa mitsempha yambiri, madokotala samapita nthawi yomweyo kumalo osungira mafupa a mitsempha nthawi yomweyo, pamene nthenda yotambasula imawonekera. Muyenera kukhala omasuka kubweretsa dokotala wanu zipsyinjo zosavuta kapena zovuta zina - ndipo zowonongeka zambiri zimawoneka kuti sizitha kukhala zofiira.
Ngati muli ndi lymph node, dokotala wanu amaphunzitsidwa kufufuza zifukwa zomveka poyamba. Matenda opatsirana apamwamba, mwachitsanzo, ndiwo amodzi omwe amachititsa kuti mitsempha yotupa yotupa, monga yomwe imatha kupindika m'khosi. Ngakhale pamene chifukwa cha lymph node sichikudziwikiratu kwa dokotala, sizodabwitsa kuyembekezera ndikuwona ngati kutupa kumachoka patokha, patapita nthawi yochepa, musanapitirize kufufuza. Komabe, node yowonjezereka ikufunika kuyesedwa.
Kuti mudziwe zambiri zokhudza zomwe zimayambitsa ma lymph node, onani nkhani yotchedwa Swollen Lymph Glands , ndipo taganizirani chipangizo chokumbukira zomwe zili pansipa:
Ndi Mtundu Wotani Wa Zinthu Zimapangitsa Kutupa Lymph Nodes?
Pano pali chipangizo chakale chokumbukira zomwe madokotala ena angakumbukirebe. Matenda a Hodgkin ndi chinthu chimodzi chokha, koma amatumikira ngati mafupa a mcherewu. Sichikuphimba chirichonse, koma ndibwino kuganizira za matenda opatsirana ndi lymphadenopathy, kapena maselo a mitsempha yotupa .
Lymphadenopathy yowonjezera imatanthauza kuti pali zoposa ziwiri zomwe zikuchokera kumadera osiyanasiyana. Monga mukuonera, pali zifukwa zambiri zomwe zingayambitse:
H. Hematologic: Matenda a Hodgkin, khansa ya m'magazi, ndi a non-Hodgkin's lymphoma
O. Oncologic: Metastasis kuti ikhale yopyapyala, khansa ya khansa yoopsa
D. Dermatopathic lymphadenitis: kutupa maselo a mitsempha yomwe imatulutsa chikopa cha khungu chomwe chatsekedwa kapena chakukwiyitsa
Matenda a G. Gaucher: matenda osadziwika achibadwa
Matenda a K. Kawasaki: Matenda osadziwika omwe amapezeka m'mitsempha ya magazi ndi kutupa
I. Matenda: mabakiteriya, mavairasi, ndi parasitic
Matenda a N. Niemann: matenda omwe amachititsa kuti thupi likhale ndi matenda
Matenda a S. Serum: kuteteza mthupi mwa mankhwala ena kapena mankhwala
D. Kugwiritsa ntchito mankhwala osokoneza bongo: kuthandizira mankhwala ena
I. Matenda a umuna: Mwachitsanzo, nyamakazi ya nyamakazi ndi lupus
S. Sarcoidosis: matenda opweteka omwe angakhudze mbali zosiyanasiyana za thupi
E. Endocrine: hyperthyroidism
A. Angioimmunoblastic lymphadenopathy: iyi ndi nthawi yakale; panopa akuwoneka ngati lymphoma.
S. Kuthana ndi lupus erythematosus (lupus, kapena SLE)
Eosinophilic granulomatosis: matenda opatsirana omwe amasonyeza maonekedwe osakanikirana ndi opweteka
Kuwonjezera Maphunziro a Lymph Node Learning
Mu Lymph Node Learning Hub , mbali zosiyanasiyana za ma lymph nodes zimaphimbidwa, choncho ndi malo abwino kuyamba ngati mukufunika kupita patsogolo. Ngati muli ndi funso lokhudza lymph nodes, mpata kuti takuphimbani apa. Mutuwu umaphatikizapo minofu ndi ma chitetezo cha chitetezo cha mthupi, zopweteka zopweteka komanso zopweteka kwambiri zam'mimba, ma lymph nodes pa x-rays ndi CT scans, lymph nodes mu lymphadenopathy, ndi pang'ono pa maselo akuluakulu.
Zotsatira:
Cheson BD, Fisher RI, Barrington SF et al. Malingaliro a Kuunika koyambirira, Kufufuza ndi Kuyankha Kafukufuku wa Hodgkin ndi Non-Hodgkin Lymphoma: Chilemba cha Lugano. J Clin Oncol. 2014; 32 (27) 3059-3068.
Barrington SF, Mikhaeel NG, Kostakoglu L, et al. Udindo wa Kujambula mu Kufotokozera Kuyankhulana ndi Kuyankha kwa Lymphoma: Consensus of International Conference pa Magulu Ogwira Ntchito Zojambula Zambiri za Malymant Lymphomas. J Clin Oncol. 2014; 32 (27): 3048-358.
Lymphadenopathy ndi Malignancy. American Family Physician . > Andrew W. Bazemore, MD, ndi Douglas R. Smucker, MD 2002 Dec 1; 66 (11): 2103-2111
Mnemonics In Internal Medicine & Pediatrics. Parmar HB. B. Jain Ofalitsa, Jan 1, 2002.