Lymphadenitis: ndichiyani? Zizindikiro za matenda, kupewa ndi kuchiza

Nthawi zambiri, madokotala, odwala kumva matenda poyankha kuopseza madandaulo awo "lymphadenitis". Ndi chiyani icho? Ngakhale zizindikiro zosasangalatsa kwambiri za matenda ndi matenda, ndi amenable ndithu mankhwala ndiwofatsa komanso kawirikawiri zimayambitsa matendawo. Lymphadenitis - ndi kutukusira kwa mfundo ndi lymph chifukwa cha HIV kapena mabakiteriya matenda. Nthawi zina, kutupa ndi chifukwa cha kukula kwa maselo a khansa.

Lymph mfundo ndi mbali yofunika ya chitetezo cha m'thupi pofuna kuthana wothandizila ena alionse opatsirana. Nthawi zambiri, iwo pathupi pakhosi, pansi pachigama, mu m'khwapa, mu groin lapansi.

Nthawi zina mankhwalawa kutupa chabe kudikira ndi nthawi kuti ntchito kwa owawa compresses ofunda. Komabe, molondola kudziwa njira mankhwala zitha kukhala oyenerera dokotala, monga mphamvu ya chithandizo kumatengera kwathunthu chifukwa cha kutupa kwa mwanabele.

zizindikiro

Lymphadenitis - kodi ndi matenda palokha kapena chizindikiro cha matenda oopsa? Nthawi zina lymph mfundo kutupa amapezeka yokha, koma zina kumasonyeza matenda ena. Pa chiyambi cha ndondomeko yotupa, wodwalayo zambiri amaona kuti lymph mfundo kukhala womvera, ndi wokhudza - chowawa. Komanso, iwo akhoza kwambiri pa kukula kwa mtola, ndipo kupeza kapena nyemba. Nthawi zamakono, lymph mfundo kukhala zikuluzikulu.

Zizindikiro zotsatirazi amadziŵika malingana chifukwa cha kutupa:

• chimfine mphuno, zilonda zapakhosi, kutentha thupi ndi zizindikiro zina zamatenda chapamwamba thirakiti kupuma;
• General lymph mfundo kutupa mu thupi, amene kungasonyeze matenda (HIV kapena mononucleosis), kapena kuti akunde chitetezo cha m'thupi (mwachitsanzo, pa erythematosus wamba kapena nyamakazi);
• ndi kutupa miyendo, chifukwa cha blockage wa dongosolo lymphatic chifukwa kutupa mu lymph mfundo, yomwe inali pansi pa khungu;
• Amodzi mofulumira anaumitsa tinatake tozungulira, ogwira ntchito chizindikiro cha chitukuko chotupa;
• malungo;
• thukuta usiku.

Pamene kuwona dotolo

Ngati inu nokha lymphadenitis, chithandizo cha mankhwala wowerengeka bwino kusiya kaye mpaka patapita - n'kwabwino lowani kwa zachipatala kufunsa dokotala, amene adzatha apange matenda zolondola ndi mankhwala ndi mankhwala ogwira.

Musazengereze zopita ku chipatala ngati:

• kutupa amachititsa inu nkhawa;
• zinayambira popanda kwa zoonekeratu zimayambitsa;
• yotupa ndondomeko akuchulukirachulukira kapena likupitiriza kwa milungu 2-4;
• lymph mfundo kuoneka olimba kuti kukhudza kapena ofanana ndi mphira, kapena ngati iwo Usaigwedezere atamukakamiza;
• kutupa mwanabele limodzi ndi zonse kutentha thupi, thukuta usiku kapena osadziŵika kuwonda;
• lymphadenitis kumva ululu mu mmero kapena vuto kumeza kapena kupuma.

zifukwa

Lymph mfundo - yaing'ono, kuzungulira, nyemba woboola pakati kapena m'bulu wa maselo, TACHIMATA kwa minofu connective. maselo a gulu la lymphocytes (kubala particles mapuloteni omwe kutumikira nsinga tiziromboti - mwachitsanzo, mavairasi) ndi macrophages amene adawononga zinthu zamoyo wakola. Lymphocytes ndi macrophages osasankhidwa lymph likuyenderera mu mthupi, motero kuteteza chamoyo kuchokera tizilombo toyambitsa matenda.

Lymph mfundo anasonkhana m'magulu ang'onoang'ono, omwe ndi udindo mbali zina za thupi. Nthawi zambiri lymphadenitis akuluakulu isanafalikire mu khosi, pansi pa chibwano, m'khwapa kapena groin. gawo kutupa kungotchula akulozera ku muzu wa kutupa.

Nthawi zambiri zizindikiro ngati zosasangalatsa ali limodzi ndi osiyanasiyana matenda opatsirana - mwachitsanzo, chotero ambiri kugonjetsedwa ndi HIV, ngati chimfine. Komabe, pali mitundu ina ya matenda, ndi matenda ena amene amayambitsa kutupa mwanabele, kuphatikizapo:

• strep pakhosi;
• chikuku,
• matenda khutu;
• matenda (abscess) a dzino ;
• mononucleosis;
• Matenda a khungu kapena lotseguka mabala (mwachitsanzo, cellulitis kapena erysipelas,) ;
• kamene kamawononga chitetezo m'thupi (HIV) komwe kamayambitsa AIDS;
• chifuwa chachikulu;
• matenda, matenda opatsirana pogonana, kuphatikizapo chindoko;
• Toxoplasmosis - matenda parasitic chifukwa cha kukhudzana ndi ndowe za mphaka ndi kachilombo kapena kudya nyama bwino wokazinga;
• chosaopsa tizilombo lymphadenitis (ichi, ngati inu simutero, ndiyeno mwinamwake inu kuoneka dzina bwino za "mphaka zikande matenda");
• wamba lupus - aakulu yotupa matenda zokhudza Mitsemphayi, khungu, impso, maselo magazi, mtima ndi mapapo;
• Nyamakazi - aakulu yotupa matenda okhudza mfundo ya chipolopolo (synovial Kakhungu);
• lymphoma - khansara kuti akufotokozera mu dongosolo lymphatic;
• Khansa - khansa krovetvoryaschey minofu, zokhudza komanso mafupa ndi dongosolo lymphatic;
• khansa ena kuti kufalitsa mu mawonekedwe a metastases mu mwanabele.

Nthawi zina, serous lymphadenitis phwando bwino zimayamba ndi mankhwala - monga anticonvulsant mankhwala phenytoin ( "Difenin" "Dilantin") ndi mankhwala kuti mupewe malungo.

zosokonezeka

Ngati chifukwa cha kutupa kwa mwanabele anatumikira monga matenda mavuto otsatirawa akhoza kuyamba pakalibe chithandizo chokwanira:

• Abscess mapangidwe. Abscess - Kutolere m'madera a mafinya, chifukwa cha matenda a thupi ndi HIV kapena mabakiteriya. Mafinya muli madzi, maselo oyera, akufa minofu ndi mabakiteriya. Zotheka kuchotsa abscess adzakhala ndi kuika ngalande ndi kuyamba kutenga mankhwala. Ndi oopsa kwambiri, makamaka ngati mu njira iliyonse bwanji ndi chiwalo chofunika kwambiri.
• matenda magazi (bacteraemia). Matenda mu gawo lirilonse la thupi kungachititse kuti sepsis chifukwa cha matenda a m'magazi. Sepsis zingachititse kukanika kwa ziwalo zofunika kwambiri ndi imfa. Chithandizo munthu adziwe m'chipatala ndi mankhwala mtsempha.

Pamaso pa ulendo dokotala

Pa kudziwika zizindikiro zilizonse zomwe zingakhale zowopsa anthu ndi mafunso ambiri. Chifukwa chofuna lymph mfundo? Iwo lymphadenitis? Kodi izo - chizindikiro cha matenda kapena chikhalidwe yaikulu kwambiri imene imafuna mwambo mwamsanga mankhwala? mayankho yodalirika izi ndi zina mafunso mukhonza kuwapeza yekha ndi dokotala wodziwa bwino. Ngati mukufuna kudziwa kutupa pa malo amodzi okha a thupi, m'pofunika kudikira zokambiranazo inakonzedwa kuchipatala. Ngati zizindikiro za ndondomeko yotupa anamuda kwambiri kuti amavutika kupuma kapena kumwa yomweyo itanani ambulansi.

Popeza zokambiranazo zamankhwala zochepa zokha mu nthawi ndipo motero amasonyeza kuti dokotala adzakupatsani, monga zambiri watsopano ndi ofunika kwambiri, kukhala okonzeka kupita kwa katswiri zisadafike.

• Kusainira kukhala mkulu, onetsetsani kuti muyenera kuchita chinachake pamaso pa ulendo kwa dokotala.
• Lembani zizindikiro onsewa ndi inu ndi limasonyeza utali iwo asamathe. dokotala mwina mukufuna kuti mudziwe ngati muli zizindikiro chimfine monga malungo kapena zilonda zapakhosi. Komanso, katswiri chidwi thupi Kusintha kaŵirikaŵiri zimayendera lymphadenitis. Reviews thanzi lake pa masiku angapo apitawa zifunika - kulemba zizindikiro za matenda amene mwayamba kuona kuyambira nthawi yoyamba pamene lymph mfundo asamatupe.
• Lembani zinthu zonse, imene muli anakumana ndi magwero angathe mavairasi ndi mabakiteriya. Kungakhale ulendo kunja, kuyenda mu malo wodzala ndi nkhupakupa, kudya nyama bwino wokazinga, masewera ndi mphaka zoweta, imene inatha kupeza zimakhalapo kapena zogonana ndi zibwenzi sankadziwa popanda njira chokwanira cha chitetezo matenda.
• Lembani mfundo zonse zofunika zokhudza thanzi lanu, monga zikuthandizani dokotala oterewa lymphadenitis. Chithandizo cha mankhwala wowerengeka ndi mankhwala azitsamba, akukonza ntchito opaleshoni, zonse madyedwe a zowonjezera zakudya, mavitamini, ngakhale mwachizolowezi - zonsezi ayenera kunena.
• Ganizani mofatsa nkhani zimene ayenera kufunsa dokotala. Mulimonsemo, ayenera Udindo iwo kuyambira ndi zofunika kwambiri.

Funsani katswiri

Ngati zonse patsogolo serous lymphadenitis, ganizani zolimba kufunsa mafunso otsatirawa kwa dokotala kuti:

• anali chifukwa cha zizindikiro zimenezi?
• Kaya akhale zizindikiro za matenda ena?
• Kodi kafukufuku ndikuchifuna pochitika?
• Kodi mankhwala mukupangira chiyani?
• Kodi Posachedwapa matenda anga kusintha?
• Ngati matenda anga opatsirana? Zochepetsera chiopsezo kufalitsa kachiromboka anthu ena?
• Kodi njira zodzitetezera kutenga m'tsogolo kuteteza zisadzachitikenso matendawa?
• Ine akudwala matenda aakulu. Kodi ndili ndi njira iliyonse kusintha mankhwala kuti ine ndikumutsatira tsopano?
• Inu Kwalamulidwa ine mankhwala. Kodi pali mankhwala zina?
• Kodi mukupangira zina nkhani za matenda ndi mankhwala ake?
• Kodi mungayembekezere dokotala
• Kaya ndi parotid kutupa kapena axillary lymphadenitis chithandizo Mulimonsemo kudzadalira makamaka chimayambitsa matenda. Kudziwa chimene chimayambitsa, dokotala woyamba ndikufunsani mafunso angapo amene ndi zofunika kukonzekera pasadakhale mayankho. mafunso amenewa mwachidule motere:
• ndi zizindikiro inu munazindikira mu nokha ndi chiyani?
• Pamene koyamba pali zizindikiro za kudwala?
• ngati mwanabele ali zawonjezeka?
• Kodi akuona kutupa lymph mfundo?
• Kodi mumavutika ndi kutentha (malungo) kapena Thukuta usiku mvula?
• Kodi kuonera kulemera? Kodi kuonda popanda kuyesera kuonda?
• Kodi muli ndi zilonda zapakhosi? Kodi lovuta kulitsatira?
• Kodi zikukuvutitsani vuto mu kupuma?
• kaya ntchito lasintha matumbo anu ndi chikhodzodzo?
• Kodi mankhwala inu panopa kutenga? Kaya mukufuna kudzimvera azichitira lymphadenitis? Compresses kuthandiza kapena ziribe mphamvu?
• Kodi ulendo posachedwapa m'mayiko ena kapena m'madera nkhupakupa zimapezeka? Kodi anu apaulendo anzathu kudwala?
• Mwakhala anakumana posachedwapa ndi alendo kapena nyama sankadziwa? Kaya zowawa pidalumwa kapena zimakhalapo?
• Kodi kulankhulana posachedwapa ndi bwenzi latsopano kugonana?
• Kodi amachita zakugonana modziteteza?
• Kodi kusuta? Ngati inde, kwa zaka zingati?

pamaso matenda

Mukudikira kuti zokambiranazo inakonzedwa, axillary lymphadenitis parotid kapena angathe kuchizidwa ndi compresses ofunda. Ngati ndi kotheka, kutenga mankhwala othetsa ululu - monga ibuprofen kapena panado ( "Tylenol", etc ...). mankhwala opangidwa ana, ndipo popanda mankhwala dokotala kugula awo. Komabe, akatswiri musati amalangiza kupatsa ana ndi aspirin popanda malangizo abwino kwa dokotala, monga kugwirizana chatsimikiziridwirapo mwasayansi ndi chitukuko wa aspirin oopsa syndrome Reye a.

diagnostics

Only dokotala angathe kudziwa ndendende zimene zinachititsa kutupa mu groin, kapena axillary lymphadenitis. Chithandizo motero, kudzadalira chimachititsa wa kudwala. Pakuti matenda ogwira angafunike:

• Kuphunzira mbiri ya matenda. Komanso, adokotala kufunsa pamene ndiponso nthawi zimene adzatupa lymph mfundo, ndipo ngati mukuona zizindikiro zina matenda.
• Koyamba mankhwala bwino. The katswiri ndithu ayese mwanabele pansi pa khungu kuti amanena kukula, softness, chikondi ndi kapangidwe. Malo mukuchitika kudwala, adzapatsanso imene ingatithandize kuti zimayambitsa matenda (kotero bubonadenitis mu akazi nthawi zambiri amapezeka ndi maziko a vaginitis, kapena kutupa thumba losunga mazira ndi).
• MAGAZI. Kungoganiza izi kapena kuti kutupa chifukwa dokotala angakuuze kuti mayeso yeniyeni magazi pofuna kutsimikizira matenda koyamba. Nthawi zambiri pochitika wamba kusanthula ambiri, amene amalola yokwanira bwinobwino kuwunika thanzi la wodwala ndi kupeza ena mwa kudwala (mwachitsanzo, matenda kapena khansa).
• Kulingalira maphunziro. Nthawi zambiri zotchulidwa radiography kapena yopangidwa tomography (CT) a chifuwa kudziwa magwero angathe matenda kapena chotupa. Choncho, mwachitsanzo, kudziwa tuberculous lymphadenitis.
• Biopsy. Ngati dokotala pazifukwa zosiyanasiyana sangathe kupanga matenda zolondola, anaika biopsy - ndondomeko imene lonse lymph mfundo (kapena mbali zake) atachotsedwa kufufuza zasayansi pansi simungathe kutiona. Matendawa ntchito njira imeneyi kungakhale chabwino singano kukhumba biopsy (izo - kukhumba matenda puncture). Pankhaniyi, dokotala adzakwaniritsadi ndondomeko paokha pa kukambirana chizolowezi zachipatala. Komabe nthawi zina, madokotala kufika odwala madokotala kapena akatswiri mu radiotherapy, anthu anasonkhana zinthu zamoyo chofunika kuti awonetsepo matenda "lymphadenitis".

chithandizo anthu

Mwatsoka, palibe mankhwala azitsamba sindikufuna kuthetsa inu mavuto monga kutupa ndi kutupa kwa mwanabele. Nkhani ya m'mabuku ndi pa Intaneti malo momasuka kupeza zambiri maphikidwe kwa infusions, decoctions ndi zamdziko zimene akufuna kuti ntchito poultices. Komabe, akatswiri musati amalangiza kuti poyera thanzi lawo ndi chiopsezo zosafunika akamayamba mankhwala azitsamba chiyambi n'ngwokayikitsa, ndi kutupa lymph mfundo obmazyvaya amamwa mafuta. Losavuta ndi otetezeka yothetsera kutupa - mapaketi a nsalu kumveka ankawaviika madzi ofunda ndi wrung bwino - ngakhale kuwasamalira inu ku mliri, koma kwenikweni muchepetse ululu ndi kuchepetsa tilinazo ndi kutupa mwanabele popanda mavuto alionse.

mankhwala

Tuberculous lymphadenitis, komanso mitundu ina ena kusanthula kudwala, unachitikira pamodzi ndi matenda pansiyi opatsirana. Ngati kutupa kwa amayamba ndi matenda enaake, mankhwala achabechabe; nthawi zina m'pofunika kuganizira muzu wa ndondomeko yotupa.

• Infection. Ngati kuipitsidwa ndi tizilombo ting'onoting'ono (mabakiteriya) chifukwa lymphadenitis zomwe mankhwala ayenera atamwa kuti boma la lymph mfundo zinayambanso kuyenda bwino? Onetsetsani kuti ndifunse funso ili kwa dokotala monga mankhwala enieni akhoza mankhwala okha ndi dokotala nawo. Ngati kutupako chifukwa cha HIV immunodeficiency anthu (HIV), poyamba pa zonse, madokotala lidzachita matenda.
• Chitetezo cha m'thupi matenda. Nthawi kumene kutupa kwa mwanabele ndi chotsatira cha matenda lupus kapena nyamakazi, mankhwala umalimbana mankhwalawa zimayambitsa matenda.
• matenda Oncological. Lymphadenitis mu groin ndi khosi kapena m'khwapa mwina chifukwa cha kukula ndi kufalikira kwa maselo a khansa. Malinga mtundu ndi siteji ya mankhwala khansa adzaphatikizapo radiotherapy, mankhwala amphamvu kapena opaleshoni.