Nā pehu lymph pehu

Aia nā lymph nodes ma kou kino holoʻokoʻa. He mea nui lākou o kāu ʻōnaehana pale. Kōkua nā Lymph nodes i kou kino e ʻike a hakakā i nā g germ, nā maʻi, a me nā mea haole ʻē aʻe.

ʻO ka huaʻōlelo "pehu nā kelena" e pili ana i ka hoʻonui ʻana i hoʻokahi a ʻoi paha nā lymph node. ʻO ka inoa olakino no nā lymph node pehu ka lymphadenopathy.

I kahi keiki, manaʻo ʻia e hoʻonui ʻia kahi node inā ʻoi aku ia ma mua o 1 kenimika (0.4 iniha) ākea.

ʻO nā wahi maʻamau kahi e ʻike ʻia ai nā lymph nodes (me nā manamana lima)

• ʻO Groin
• ʻApelika
• Ka ʻāʻī (aia ke kaulahao o nā lymph nodes ma nā ʻaoʻao ʻelua o mua o ka ʻāʻī, nā ʻaoʻao ʻelua o ka ʻāʻī, a iho i kēlā me kēia ʻaoʻao o ka hope o ka ʻāʻī)
• Ma lalo o ka iwi ā
• Ma hope o nā pepeiao
• Ma ke poʻo o ke poʻo

ʻO nā maʻi nā kumu maʻamau o nā lymph node pehu. Nā maʻi ʻino e hiki ke hoʻokuʻi iā lākou i:

• ʻO ka niho āpau a hopena paha
• Maʻi maʻi pepeiao
• ʻO ke anuanu, ka maʻi palū, a me nā maʻi ʻē aʻe
• Pehu (pehu) o nā gum (gingivitis)
• Mononucleosis
• ʻEha nā waha
• ʻO ka maʻi i loaʻa i ka moekolohe (STI)
• Tonsillitis
• Maʻi puʻu
• Nā maʻi ʻili

Nā maʻi Immune a autoimmune paha i hiki ke kumu i nā pulu lymph pehu.

• HIV
• Rheumatoid arthritis (RA)

Hiki i nā ʻōpala ke kumu i nā puhi lymph puhū.

• Leukemia
• Maʻi ʻo Hodgkin
• Non-Hodgkin lymphoma

Nui paha nā maʻi ʻino ʻē aʻe paha i kumu kēia pilikia.

Hiki i kekahi mau lāʻau ke kumu i nā lymph pehu i pehu, me:

• Hoʻopaʻi i nā lāʻau e like me phenytoin
• Ka pale ʻana i ka typhoid

Hoʻopili nā lymph node i ke kumu a me nā ʻāpana o ke kino e pili ana. Pēpē nā lymph node e hōʻike koke a ʻeha ka mea maʻa mau i ka ʻeha a i ʻole ka maʻi maʻi. Lohi, ʻeha ʻole ka pehu ma muli o ka maʻi ʻaʻai a i ʻole kahi tumo.

ʻO nā maʻi lymph ʻehaʻeha ka hōʻailona ma ke kaua ʻana o kou kino i kahi maʻi. Hele pinepine ka ʻeha i nā lā ʻelua, me ka ʻole o ka lapaʻau. ʻAʻole hoʻi e hoʻihoʻi ka pona lymph i kona nui maʻamau no kekahi mau pule.

Kāhea i kāu kahu mālama ola inā:

• ʻAʻole e liʻiliʻi kāu mau lymph node ma hope o kekahi mau pule a i ʻole e hoʻomau ka nui ʻana.
• ʻUlaʻula a palupalu lākou.
• ʻIke lākou he paʻakikī, kūlike ʻole, a paʻa paha i kahi.
• He kuni kou, ka hou i ka pō, a i ʻole ka hoʻoliʻiliʻi kaumaha i wehewehe ʻole ʻia.
• ʻO kekahi node i loko o ke keiki he ʻoi aku ka nui ma mua o 1 kenimika (kahi liʻiliʻi ma mua o ka hapalua iniha) i ke anawaena.

E hana ana kāu mea hāʻawi i kahi hoʻokolokolo kino a nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli. ʻO nā laʻana o nā nīnau e nīnau ʻia paha:

• I ka hoʻomaka ʻana o ka pehu
• Inā hiki koke mai ka ʻōhū
• He ʻeha paha nā aka i kaomi ʻia

E hana ʻia paha kēia mau hoʻāʻo:

• Nā ho'āʻo koko, e like me nā hoʻāʻo ʻana o ka ate, nā hoʻāʻo ʻana o ka hakuʻala, a me CBC me ka ʻokoʻa
• ʻO ka biopsy Lymph node
• Pākuʻi x-ray
• Mīkini ʻalalā-ake

Pili ka mālama ʻana i ke kumu o nā pehu i pehu.

Huehue pehu; Glands - pehu; Lymph nodes - pehu; ʻO Lymphadenopathy

• ʻŌnaehana Lymphatic
• Mononucleosis maʻi maʻi
• Kaapuni ʻana o ka lymph
• ʻŌnaehana Lymphatic
• Nūhū pehu

ʻO Tower RL, Camitta BM. ʻO Lymphadenopathy. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 517.

ʻO Winter JN. Hele i ka mea maʻi me ka lymphadenopathy a me ka splenomegaly. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 159.