Nthawi zina mukakhala ndi chimfine kapena malungo, kodi mumamva ngati muli ndi ziphuphu zazing'ono mbali zonse za khosi lanu kapena m'khwapa mwanu? Zimamvanso kupweteka pang'ono, sichoncho? Ngakhale ambiri a ife timatcha izi 'zotupa', m'mankhwala zimatchedwa ma lymph nodes. Kodi izi ndi chiyani kwenikweni? Nchifukwa chiyani zimatupa? Kodi izi ndi zomwe muyenera kuziopa? Lero, tikambirana zonsezi mosavuta, m'njira yomwe mungamvetse.
Mwachidule, kodi ma lymph nodes awa ndi chiyani?
Tangoganizani kuti muli ndi chitetezo chapamwamba kwambiri m'thupi lanu. Ma lymph nodes awa ali ngati malo ochepetsera chitetezo m'thupi lanu. Ndi gawo la dongosolo la lymphatic m'thupi lathu. Dongosolo la lymphatic ili ndi gawo lofunika kwambiri la chitetezo chathu chamthupi.
Ntchito yaikulu ya malo oyesera awa ndikusefa ndikuyeretsa madzi otchedwa lymph omwe amayenda m'thupi lathu lonse. Madzi a lymph awa amatha kukhala ndi zinthu zomwe zingawononge matupi athu. Mwachitsanzo:
- Mavairasi
- Mabakiteriya
- Maselo a khansa
- Majeremusi ena omwe alowa m'thupi
Monga malo ofufuzira magalimoto omwe amalowa mumzinda, maselo oteteza thupi omwe ali mkati mwa ma lymph node amafufuza madzi a lymph awa, kuzindikira ndi kuwononga "adani" aliwonse omwe ali mmenemo. Kenako, madzi a lymph oyeretsedwawo amabwezeretsedwa m'magazi. Mwa kuyankhula kwina, tinthu tating'onoting'ono timeneti timagwira ntchito yabwino kwambiri yoteteza kuti musadwale.
Kodi ma lymph nodes ali kuti m'thupi lathu?
Tili ndi ma lymph node ambiri m'thupi mwathu kuposa momwe mungaganizire. Pa avareji, munthu amakhala ndi ma lymph node pakati pa 400 ndi 800 m'thupi mwake. Amapezeka m'magulu ang'onoang'ono m'malo osiyanasiyana. Mwina nthawi ina munamvapo izi m'manja mwanu.
Onani tebulo ili m'munsimu kuti mudziwe malo akuluakulu.
| Malo a thupi | Malo omwe nthawi zambiri timamva |
|---|---|
| Mutu ndi khosi | Kumbuyo kwa khutu, pachibwano, mbali zonse ziwiri za khosi, mozungulira mapewa |
| Malo a m'khwapa | Pansi pa chikwama |
| Chigawo cha Inguinal | Kumbali yamkati mwa ntchafu, komwe amakumana ndi thupi |
| Mkati mwa chifuwa ndi mimba | Popeza izi zili mkati mwa thupi, sitingathe kuzikhudza kuchokera kunja. |
Chofunika kwambiri n’chakuti, ma lymph nodes sapezeka mu ubongo ndi msana wathu.
N’chifukwa chiyani ma lymph nodes amatupa? Kodi zifukwa zofala kwambiri ndi ziti?
Kutupa kwa lymph node kumatanthauza kuti maselo oteteza omwe ali mkati mwake ali pankhondo. Monga momwe zimatumizira asilikali ambiri kudera lankhondo, matenda akachitika, maselo ambiri oteteza thupi amasonkhana mu lymph node kuti amenyane nayo. Pamenepo ndiye pamene imatupa.
Chifukwa chachikulu komanso chofala kwambiri cha kutupa kwa ma lymph nodes ndi matenda .
- Mwachitsanzo: Mukakhala ndi matenda a strep throat, ma lymph nodes m'khosi mwanu amayamba kugwira ntchito kuti amenyane ndi majeremusi. Ichi ndichifukwa chake ma glands m'khosi mwanu amatupa ndipo amapweteka mukawakhudza.
Zifukwa zazikulu za matendawa ndi izi:
- Matenda ofala kwambiri monga chimfine ndi chimfine
- Matenda a bakiteriya a pakhosi, makutu, kapena mano
- Matenda a pakhungu
- Matenda ena a mavairasi, monga mononucleosis
Kupatula matenda, ma lymph nodes amathanso kutupa pazifukwa zina. Zina mwa izo ndi zofala, pomwe zina zimakhala zoopsa pang'ono.
| Chifukwa cha kutupa | Kufotokozera kosavuta |
|---|---|
| Matenda | Choyambitsa chachikulu cha matendawa ndi mavairasi kapena mabakiteriya. |
| Matenda Odziteteza Kuthupi | Matenda omwe chitetezo cha thupi chimaukira maselo ake (monga nyamakazi). |
| Khansa | Khansa ya m'magazi monga lymphoma kapena leukemia. Nthawi zina khansa yochokera kwina imatha kufalikira ku ma lymph nodes. |
| Matenda ena osowa | Matenda osadziwika bwino monga `Castleman disease` ndi `Kikuchi-Fujimoto disease`. |
Kodi ndi liti pamene muyenera kuda nkhawa ndi kutupa kwa lymph node?
Ili ndiye vuto lalikulu kwa anthu ambiri. Kumbukirani kuti nthawi zambiri, kutupa kwa ma lymph nodes kumachitika chifukwa cha matenda osavuta , ndipo matendawa akachira, kutupako kumadzitha kokha.
Komabe, ngati muli ndi chimodzi kapena zingapo mwa zizindikiro zotsatirazi, ndi bwino kuda nkhawa pang'ono ndikuonana ndi dokotala .
- Kutupa kosalekeza: Ngati kutupako kukupitirira kwa milungu iwiri kapena itatu ndipo sikutha.
- Kutupa popanda chifukwa: Ngati mwadzidzidzi muli ndi ma lymph nodes otupa popanda matenda monga malungo kapena chimfine.
- Yolimba kwambiri komanso yosasuntha: Ngati chotupa chotupacho chikumva cholimba ngati mwala, osati ngati mpira wa rabara, ndipo sichikuyenda pansi pa khungu.
- Kuwonjezeka mofulumira: Ngati kutupa kukuwonjezeka pang'onopang'ono.
- Kupezeka kwa zizindikiro zina: kutentha thupi kosalekeza ndi kutupa, thukuta kwambiri usiku, kuchepa thupi kosadziŵika (kuchepa thupi) , kapena kutopa kwambiri.
- Kutupa m'malo enaake: Ngati muli ndi kutupa pamwamba pa khosi (supraclavicular) kapena mozungulira chigongono, muyenera kuda nkhawa kwambiri.
Kukhala ndi zizindikiro izi sikutanthauza kuti muli ndi matenda aakulu, koma ndikofunikira kupita kwa dokotala kuti akatsimikizire.
Kodi dokotala amayesa bwanji izi?
Mukapita kwa dokotala, chinthu choyamba chimene angachite ndikukufunsani mafunso angapo. Kodi kutupa kunayamba liti, kodi kumapweteka, ndipo kodi pali zizindikiro zina zilizonse? Kenako, adzayang'ana mosamala chotupacho ndi malo ozungulira.
Nthawi zambiri, mayesowa angakuthandizeni kudziwa chomwe chimayambitsa matendawa. Komabe, ngati pali kukayikira kulikonse, dokotala wanu angakutumizireni kuti mukayesedwenso.
- Kuyezetsa magazi: Kuyezetsa magazi monga kuwerengera magazi onse (CBC) kumatha kuzindikira matenda kapena mavuto ena.
- Kujambula zithunzi: Kujambula kwa Ultrasound, CT, kapena MRI kungathandize kumvetsetsa bwino mtundu wa lymph node ndi malo ozungulira.
- Kufufuza za lymph node: Iyi ndi njira yolondola kwambiri yoyezera. Kachidutswa kakang'ono ka minofu kamachotsedwa pa lymph node yotupa pansi pa mankhwala oletsa ululu ndikuwunikidwa pogwiritsa ntchito maikulosikopu. Njirayi imatha kudziwa ngati pali maselo a khansa kapena ayi.
Chithandizo chimadalira chifukwa chake.
Chithandizo cha kutupa kwa ma lymph nodes si kutupa kokha, koma matenda omwe amayambitsa kutupa .
- Ngati chifukwa chake ndi matenda a bakiteriya , dokotala adzakupatsani mankhwala opha tizilombo toyambitsa matenda.
- Ngati chifukwa chake ndi matenda a kachilombo , nthawi zambiri sipamafunika chithandizo chapadera. Thupi likapatsidwa mpumulo, chitetezo cha mthupi chimachira chokha.
- Ngati chifukwa chake ndi matenda aakulu monga khansa , mungafunike kulandira chithandizo monga chemotherapy, radiation therapy, kapena opaleshoni motsogozedwa ndi katswiri wa khansa.
Ngati pali ululu chifukwa cha kutupa, mutha kupeza mpumulo popaka kutentha ndi kumwa mankhwala ochepetsa ululu monga momwe dokotala wanu wanenera.
Uthenga Wopita Nawo Kunyumba
- Ma lymph nodes ndi gawo lofunika kwambiri la chitetezo cha mthupi lathu. Ali ngati malo owunikira chitetezo cha thupi lathu.
- Kutupa kwa ma lymph nodes (monga momwe timawatchulira) nthawi zambiri ndi chizindikiro chakuti thupi likulimbana ndi matenda. Izi ndi zachilendo.
- Kutupa kwambiri kumatha kokha mkati mwa sabata imodzi kapena ziwiri, pamene matenda oyambawo akuchira.
- Komabe, ngati kutupa kukupitirira kwa nthawi yayitali, kuli kolimba ngati mwala, kukukula mofulumira, kapena kukugwirizana ndi zizindikiro monga malungo, thukuta usiku, ndi kuchepa thupi, ndikofunikira kwambiri kuonana ndi dokotala popanda kuwononga nthawi .
- Musachite mantha kwambiri mukaona chotupa chaching'ono. Ndipo musanyalanyaze zizindikiro zokayikitsa. Kuzindikira ndi njira yabwino kwambiri yodzitetezera.
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