Hoʻonui ka Lymph node: He aha ia, kumu a ke hiki ke koʻikoʻi
Anter
Hoʻonui ka Lymph node i ka hoʻonui ʻana o nā lymph node, kahi hana maʻamau ke hoʻāʻo nei ke kino e hakakā i kahi maʻi, a i ʻole kekahi ʻano maʻi ʻaʻai. Eia nō naʻe, ʻoi aku ka paʻakikī o ka hoʻonui ʻana o ka lymph node i hōʻailona o ka maʻi ʻaʻai, a ke kū ʻia ia, ʻoi aku ka pinepine i nā poʻe ma mua o 40 mau makahiki a me ka moʻolelo ʻohana o ka maʻi ʻaʻai.
ʻO nā lymph nodes nā mea liʻiliʻi o ka ʻōnaehana lymphatic e pili pono i ka ʻōnaehana pale o ke kino. No laila, ke pehu a ʻeha paha kahi ganglion, i kapa ʻia he alelo, e hōʻike ana ke kaua nei ka ʻōnaehana pale i kahi maʻi i nā wahi kokoke i kēlā wahi.
Nā kumu kūpono
Hiki ke hoʻoulu ʻia ka Lymph node e ka mumū, hoʻohana lāʻau, ma muli o ka maʻi autoimmune a i ʻole ke kumu o kekahi virus, fungi a bacteria paha, a no ka mea he ʻano like ʻole nā kumu, ʻōlelo mākou ma aneʻi i nā kumu maʻamau o nā lymphatics i hoʻonui ʻia. kekahi mau ʻāpana o ke kino:
- ʻO ka hoʻonui ʻana o ka lymph node cervical, i ka ʻāʻī, ma hope o ka pepeiao a kokoke i ka iwi ā: pharyngitis, ʻili maʻi, conjunctivitis, mononucleosis, pepeiao, waha a me nā niho niho;
- Hoʻonui ka node lymph clavicular: toxoplasmosis, sarcoidosis, tuberculosis, gastrointestinal, umauma, testicular, ovarian, lung, mediastinal, lung a esophageal cancer;
- Hoʻonui ka node lymph inguinal: ma muli o nā maʻi i loaʻa i ka moekolohe, e like me syphilis, maʻi ʻaʻai palupalu, herpes genital, donovanosis, cancer i ka wahi genital;
- ʻO ka hoʻonui ʻana o ka pona lymph axillary: nā maʻi maʻi implant umauma silikino, maʻi maʻi popoki, maʻi ʻaʻai umauma, melanoma, lymphoma;
- Hoʻonui ākea lymph node hoʻonui: mononucleosis, ʻōpio idiopathic arthritis, dengue, brucellosis, maʻi Chagas, rubella, measles, HIV, nā lāʻau e like me phenytoin, penicillin, captopril.
No laila, ʻo ke ala maikaʻi loa e ʻike ai i ke kumu o kēia hoʻonui ʻana i nā lymph node e hele i ka mea hana maʻamau i hiki i ke kauka ke loiloi i ke kū ʻana o nā ʻōuli ʻē aʻe, me ka nānā ʻana i nā hōʻailona ʻē aʻe ma ka pūnaewele, e like me ka ʻeha, ka nui a me kūlike ʻole, no ka laʻana.
Ma hope o kēia loiloi, hiki i ke kauka ke paipai i kekahi lāʻau inā manaʻo ʻoe he ʻano akahai, e like me ka maʻi, a i ʻole nā kauoha hoʻokolohua, inā ʻoe e manaʻo he pilikia ʻoi aku ka nui.
Āhea hiki ia maʻi ʻaʻai
ʻOiai ʻo ka hoʻonui ʻia ʻana o nā lymph node hiki ke hana i ka hopohopo, ʻo ka mea maʻamau ʻaʻole ia he hōʻailona koʻikoʻi, keu hoʻi inā ʻo ka nui ma lalo o 1 cm.
ʻO kekahi o nā hōʻailona a me nā ʻōuli e hōʻike paha e ʻoi aku ka nui o ka hoʻonui ʻia o ka lymph node me:
- Loaʻa ma mua o 2 cm;
- Kūlike paʻa;
- Painless;
- ʻO ka hui me ke kuni, ka pohō kaumaha a me ka nui o ka sweating.
Aia kekahi manawa ʻoi aku ka nui o ka hoʻonui ʻia ʻana o ka lymph node hiki ke lilo i maʻi ʻaʻai ke kūhū ke kanaka i ka ganglia kokoke i ka clavicle, e pili ana i ka ʻaoʻao hema o ke kino, a ʻoi aku kēia kanaka ma mua o 40 mau makahiki, keu nō inā he mau hihia i ka ʻohana maʻi ʻaʻai umauma, ʻōpū, thyroid a melanoma paha.
Hōʻike ka papa aʻe i nā ʻokoʻa ma waena o nā ʻano o ka maʻi ʻaʻai a me ka hoʻonui ʻana o ka lymph node ma muli o nā kumu ʻē aʻe:
Kanesa | Nā maʻi ʻē aʻe |
Kū mālie ka ʻōhū | Kū aʻe ka pehu ma ka pō hoʻokahi |
ʻAʻole kumu ʻeha | He ʻehaʻeha ke hoʻopā |
ʻO ka maʻamau maʻamau ka hopena o hoʻokahi ganglion | ʻO ka mea maʻamau, hoʻopili ʻia kekahi mau ganglia |
ʻIke kaulike ʻole | ʻIli paheʻe |
Pono ma mua o 2 cm | Pono ma lalo o 2 cm |
Inā kānalua, noi ke kauka i kahi puncture biopsy e hiki ai ke ʻike i ke ʻano o ka maʻi ʻino, a me nā hoʻokolohua ʻē aʻe āna i manaʻo ai he pono, kaukaʻi ʻia i nā ʻōuli a nā mea maʻi e hōʻike ai. Hōʻike pinepine ʻia e hana i kahi biopsy ke ʻoi aku ka nui o ka ganglion ma mua o 2 cm, aia i loko o ka pahu, kahi e hoʻomau ai ma mua o 4 a 6 mau pule a lohi e ulu.
He aha ka manaʻo ke hōʻike ʻia i ke keiki
ʻO ka hoʻonui ʻana i nā lymph nodes i ka ʻāʻī o ke keiki, ʻūlima a i ʻole ke ʻūlū e nānā mau ʻia e ka pediatrician. I ka hapanui o nā hihia, nā pane i hoʻonui ʻia i ka pane i kekahi maʻi.
ʻO kekahi o nā kumu kūpono o kēia hoʻonui ʻana he:
- Nā maʻi lele: maʻi lele o luna, Leishmaniasis, mononucleosis, rubella, syphilis, toxoplasmosis, tuberculosis, maʻi ʻōpoki popoki, maʻi ʻo Hansen, herpes simplex, hepatitis, HIV;
- Nā maʻi maʻi autoimmune: pēpē idiopathic pēpē, lupus erythematosus ʻōnaehana;
- Kanesa: leukemia, lymphoma, metastases, maʻi ʻaʻai ʻili;
- Nā kumu ʻē aʻe: ʻO ka hopena Vaccine, hyperthyroidism, sarcoidosis, Kawasaki.
No laila, inā hoʻonui ke keiki i nā lymph node ma mua o 3 mau lā, koi ʻia e hele i ka pediatrician, kahi e kauoha ʻia ai ke koko, X-ray, ultrasound, tomography a i ʻole nā hōʻike resonance ʻume mākenēki, me nā mea ʻē aʻe a ke kauka e manaʻo ai. pono, e like me ka biopsy.