Sɔntɛnde we yu gɛt kol ɔ fiva, yu kin fil lɛk se yu gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. I kin fil pen smɔl bak, nɔto so? pan ɔl we bɔku pan wi kin kɔl dɛn tin ya ‘swɛlin’, pan mɛrɛsin dɛn kin kɔl dɛn limf no dɛm. Wetin na dɛn tin ya rili? Wetin mek dɛn kin swel? Dis na sɔntin we wi fɔ fred? Tide, wi go tɔk bɔt ɔl dis simpul wan, di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na dɛn limf no dɛn ya?
Imajin se yu gɛt wan rili advans difɛns sistɛm insay yu bɔdi. Dɛn limf no dɛn ya tan lɛk smɔl smɔl sikyɔriti chɛk-point dɛn na da difɛns sistɛm de. Dɛn na pat pan di limfatik sistɛm na wi bɔdi. dis limfatik sistεm na wan rili imכtant pat pan wi imyun sistεm.
Di men wok we dɛn chɛk-point ya de du na fɔ filta ɛn klin di wata we dɛn kɔl limf we de travul ɔlsay na wi bɔdi. Dis limf wata kin gɛt tin dɛn we de ambɔg wi bɔdi. Fɔ ɛgzampul:
- Vayrɔs dɛn
- Baktri dɛn we de na di bɔdi
- Kansa sɛl dɛn
- Ɔda jem dɛn we dɔn go insay di bɔdi
lεk chεkpכint we de chεk motoka dεm we de kam insay siti, di imyun sεl dεm we de insay di limf no dεm de skan dis limf fכluid, fכ no εn pwεl εni "εnεmi" dεm we de insay. Dɔn, di limf wata we dɛn dɔn klin kin go bak na di blɔd. In ɔda wɔd, dɛn smɔl smɔl no dɛm ya kin du big wok fɔ mek yu nɔ sik.
Usay di limf no dɛm na wi bɔdi de?
Wi gɛt mɔ limf node dɛn na wi bɔdi pas aw yu go tink. Na avrej, pɔsin gɛt bitwin 400 ɛn 800 limf no dɛm na in bɔdi. Dɛn de na smɔl smɔl grup dɛn na difrɛn say dɛn. Sɔntɛm yu dɔn fil dɛn tin ya na yu an sɔntɛnde.
Si di tebul we de dɔŋ fɔ di men say dɛn.
| Di eria na di bɔdi | Ples dɛn usay wi kin fil |
|---|---|
| Ɛd ɛn nɛk eria | bihayn di yes, na di chin, na di tu say dεm na di nεk, rawnd di sכlda dεm |
| Di eria we de na di aksila | Ɔnda di armpit |
| Inguinal rijyɔn | Na di insay say na di shɔl, usay dɛn mit di bɔdi |
| Insay di chɛst ɛn di bɛlɛ | Bikɔs dɛn tin ya de insay di bɔdi, wi nɔ go ebul fɔ tɔch dɛn frɔm do. |
di m כst imכtant na di limf no dεm nכ de na wi bren εn spεnal kכd.
Wetin mek di limf no dɛn kin swel? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
limf node we swel min se di difεns sεl dεm we de insay am de insay wan fכt. Jɔs lɛk aw dɛn kin sɛn mɔ sojaman dɛn na say usay wɔ de, we infɛkshɔn apin, bɔku bɔku imyun sɛl dɛn kin gɛda na di limf node fɔ fɛt am. Na da tɛm de i kin swel.
di men εn di mכst kכmכn tin we kin mek di limf no dεm swεla na infεkshכn .
- Fɔ ɛgzampul: We yu gɛt strɛp trot infɛkshɔn, di limf no dɛm na yu nɛk kin wok fɔ fɛt di jem dɛm. Na dat mek di gland dɛn na yu nɛk kin swel ɛn i kin fil pen we yu tɔch yu.
Di men tin dɛn we kin mek pɔsin gɛt dɛn kayn sik ya na:
- Kɔmɔn vayral infɛkshɔn lɛk di flu ɛn kol
- Baktri infεkshכn na di trot, yes, כ tit
- Skin wund infεkshכn
- Sɔm vayral infɛkshɔn dɛm, lɛk mononucleosis
Apat frɔm infɛkshɔn, di limf no dɛm kin swel bak fɔ ɔda rizin dɛm. Sɔm pan dɛn kin kɔmɔn, ɛn ɔda wan dɛn kin siriɔs smɔl.
| Di tin we kin mek pɔsin swel | Wan simpul ɛksplen |
|---|---|
| Infεkshכn dεm | Di tin we kin mek pɔsin gɛt dis sik pas ɔl na di vayral ɔ baktriyal infɛkshɔn. |
| Di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf | sik dεm we di bכdi in difεns sistεm de atak in yon sεl dεm (e.g. rεumatoid atraytis). |
| Kansa dɛn we gɛt kansa | Blɔd kansa lɛk limfoma ɔ lukimiya. Sɔntɛnde, kansa we kɔmɔt na ɔda say kin go na di limf no dɛm. |
| Ɔda tin dɛn we nɔ kin apin so ɔltɛm | Sik dɛm wae nɔr kin bɔrku lɛk `Castleman disease` ɛn `Kikuchi-Fujimoto disease`. |
Ustɛm yu fɔ wɔri bɔt wan limf node we dɔn swel?
Dis na di big prɔblɛm fɔ bɔku pipul dɛn. Mɛmba se bɔku tɛm, na wan simpul infɛkshɔn kin mek di limf no dɛn we dɔn swel , ɛn we di infekshɔn dɔn wɛl, di swɛlin go go dɔŋ fɔ insɛf.
Bɔt if yu gɛt wan ɔ mɔ pan dɛn sayn ya, i go fayn fɔ mek yu wɔri smɔl ɛn go mɔs go to dɔktɔ .
- Swel we de kɔntinyu fɔ swel: If di swel de kɔntinyu fɔ pas tu to tri wiks ɛn i nɔ go dɔn.
- Swel fɔ no rizin: If yu gɛt swɛlin limf no dɛm wantɛm wantɛm we yu nɔ gɛt ɛni sik lɛk fiva ɔ kol.
- I rili at ɛn i nɔ de muv: If di swɛlin fil fil tranga lɛk rɔk, nɔto lɛk rɔba bɔl, ɛn nɔ de muv rawnd ɔnda di skin.
- I de go ɔp kwik kwik wan: If di swel de go ɔp smɔl smɔl.
- Prɛzɛns fɔ ɔda sayn dɛm: fiva we de kɔntinyu wit swel, we yu de swet pasmak na nɛt, we yu de lɔs yu wet we yu nɔ ɛksplen (west) , ɔ taya pasmak.
- Swel na sɔm patikyula say dɛn: If yu gɛt swel ɔp di kɔlabɔn (supraclavicular) ɔ rawnd di ɛlbo, yu fɔ wɔri mɔ.
If yu gɛt dɛn kayn sik ya nɔr min se yu gɛt siriɔs sik, bɔt i impɔtant fɔ mek yu chɛk yu dɔktɔ fɔ kɔnfirm.
Aw dɔktɔ kin chɛk dis?
We yu go to dɔktɔ, di fɔs tin we i go du na fɔ aks yu sɔm kwɛstyɔn dɛn. Ustɛm di swɛlin bigin, i kin at, ɛn ɛni ɔda sayn de? Dɔn, dɛn go tek tɛm luk di lump we dɔn swel ɛn di say we de rawnd am.
Bɔrku tɛm, dis tɛst kin gi yu aidia bɔt de kɔz. Bɔt if ɛni dawt de, yu dɔktɔ kin rifer yu fɔ mek dɛn du ɔda tɛst.
- Blɔd tɛst: Tɛst lɛk kɔmplit blɔd kɔnt (CBC) kin no if pɔsin gɛt infɛkshɔn ɔ ɔda prɔblɛm dɛn.
- Imej skan: Ultrasound, CT, ɔ MRI skan kin mek yu ɔndastand mɔ bɔt di kayn we aw di limf node ɛn di say we de rawnd am.
- Limf node bayɔpsi: Dis na di tɛst we kɔrɛkt pas ɔl. Dɛn kin pul wan smɔl tisu na di limf no we dɔn swel ɔnda anestezi ɛn chɛk am wit maykroskɔp. Dis we ya kin no fɔ tru if ɛni kansa sɛl de ɔ nɔ de.
Di tritmɛnt dipen pan di tin we mek i apin.
Di tritmɛnt fɔ di limf no dɛm we dɔn swel nɔto di swel insɛf, bɔt na di ɔndalayn sik we mek di swel .
- If di kɔz na baktriyal infɛkshɔn , di dɔktɔ go gi yu antibayɔtik.
- If di kɔz na vayral infɛkshɔn , dɛn nɔ kin nid spɛshal tritmɛnt. We dɛn gi di bɔdi rɛst, di imyun sistɛm go wɛl insɛf.
- If de kɔz na siriɔs sik lɛk kansa , yu kin nid fɔ du tritmɛnt lɛk kemotɛrapi, redyushɔn tɛrapi, ɔ ɔpreshɔn ɔnda di advays fɔ ɔnkɔlɔjis.
If pen de bikɔs ɔf swel, yu kin gɛt rilif bay we yu put ɔt ɛn tek pen kil lɛk aw yu dɔktɔ tɛl yu.
Mɛsej we dɛn kin kɛr go na os
- di limf no dεm na imכtant pat pan wi bכdi in imyun sistεm. Dɛn tan lɛk wi bɔdi in sikyɔriti chɛk-point dɛn.
- di limf no dεm we swεla (as wi kin kכl dεm) kin bi sayn fכ sho se di bכdi de fכt infεkshכn. Dis na nɔmal tin.
- Bɔku pan di swɛlin go go insɛf insay wan ɔ tu wiks, as di infekshɔn we de ɔnda de wɛl.
- Bɔt if di swɛlin nɔ de fɔ lɔng tɛm, i at lɛk rɔk, i de gro kwik kwik wan, ɔ i gɛt sɔm sayn dɛn lɛk fiva, swet na nɛt, ɛn we yu de lɔs yu wet, i rili impɔtant fɔ go to dɔktɔ we yu nɔ west tɛm .
- Nɔ panik we yu si smɔl bɔmp. Ɛn nɔ ignore di sayn dɛm we yu de sɔprayz. Awareness na di bɛst difens.
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