Ngamanye amaxesha xa unomkhuhlane okanye umkhuhlane, ngaba uziva ngathi unamaqhuqhuva amancinci kumacala omabini entamo yakho okanye ekhwapheni lakho? Kwakhona kuvakala kubuhlungu kancinci, akunjalo? Nangona uninzi lwethu lubiza oku ngokuthi 'kukudumba', ngokwezonyango kuthiwa zii-lymph nodes. Zithini ezi ngokwenene? Kutheni zidumba? Ngaba le yinto yokoyika? Namhlanje, siza kuthetha ngayo yonke le nto ngokulula, ngendlela onokuyiqonda.
Ngamafutshane, zithini ezi lymph nodes?
Khawucinge ukuba unenkqubo yokuzikhusela ephucukileyo kakhulu emzimbeni wakho. Ezi lymph nodes zifana neendawo zokujonga ukhuseleko ezincinci kuloo nkqubo yokuzikhusela. Ziyinxalenye yenkqubo ye-lymphatic emzimbeni wethu. Le nkqubo ye-lymphatic yinxalenye ebaluleke kakhulu yenkqubo yethu yokuzikhusela.
Umsebenzi ophambili wale ndawo yokujonga kukucoca nokucoca ulwelo olubizwa ngokuba yi-lymph oluhamba emizimbeni yethu. Olu lwelo lwe-lymph lunokuqulatha izinto eziyingozi emizimbeni yethu. Umzekelo:
- Iintsholongwane
- Iintsholongwane
- Iiseli zomhlaza
- Ezinye iintsholongwane ezingene emzimbeni
Njengendawo yokuhlola ejonga izithuthi ezingena esixekweni, iiseli zomzimba ezingaphakathi kwi-lymph nodes zihlola olu lwelo lwe-lymph, zichonge kwaye zitshabalalise naziphi na "iintshaba" ezikuyo. Emva koko, ulwelo lwe-lymph olucociweyo lubuyiselwa egazini. Ngamanye amazwi, la ma-node amancinci enza umsebenzi omhle wokuthintela ukuba ungaguli.
Ziphi ii-lymph nodes emzimbeni wethu?
Sinee-lymph nodes ezininzi emizimbeni yethu kunokuba unokucinga. Ngokomyinge, umntu unee -lymph nodes eziphakathi kwama-400 nama-800 emizimbeni yakhe. Zifumaneka ngamaqoqo amancinci kwiindawo ezahlukeneyo. Usenokuba ukhe waziva ezi ezandleni zakho ngaxa lithile.
Jonga itheyibhile engezantsi ukuze ufumane iindawo eziphambili.
| Indawo yomzimba | Iindawo apho sihlala siziva khona |
|---|---|
| Intloko nentamo | Emva kwendlebe, esilevini, kumacala omabini entamo, macala onke emagxeni |
| Indawo ye-Axillary | Ngaphantsi kwekhwapha |
| Ummandla we-Inguinal | Ngaphakathi kwamathanga, apho adibana khona nomzimba |
| Ngaphakathi esifubeni nasesiswini | Ekubeni ezi zinto zingaphakathi emzimbeni, asinakuzichukumisa ngaphandle. |
Eyona nto ibalulekileyo kukuba, ii-lymph nodes azikho engqondweni yethu nakwi-spinal cord.
Kutheni ii-lymph nodes zidumba? Ziziphi izizathu eziqhelekileyo?
I-lymph node evuvukileyo ithetha ukuba iiseli zokuzikhusela ezingaphakathi kuyo zilwa idabi. Njengokuthumela amajoni amaninzi kwindawo yemfazwe, xa kukho usulelo, inani elikhulu leeseli zomzimba ezikhusela umzimba ziyaqokelelana kwi-lymph node ukuze zilwe nalo. Kulapho ke ludumba khona.
Eyona nto iphambili neyona ixhaphakileyo yokudumba kwama-lymph nodes kusulelo .
- Umzekelo: Xa une-strep throat infection, ii-lymph nodes entanyeni yakho ziyasebenza ukulwa neentsholongwane. Yiyo loo nto amadlala entanyeni yakho evuvukala kwaye ebuhlungu xa uwachukumisa.
Izizathu eziphambili zezosulelo ezifana nezi:
- Iintsholongwane eziqhelekileyo ezifana nomkhuhlane kunye nomkhuhlane
- Iintsholongwane zomqala, iindlebe, okanye amazinyo
- Usulelo lwenxeba lolusu
- Iintsholongwane ezithile, ezifana ne-mononucleosis
Ngaphandle kokosuleleka, ii-lymph nodes zinokudumba ngenxa yezinye izizathu. Ezinye zazo ziqhelekile, ngelixa ezinye zinokuba yingozi ngakumbi.
| Unobangela wokudumba | Ingcaciso elula |
|---|---|
| Iintsholongwane | Eyona nto ixhaphakileyo ibangelwa zizifo ezibangelwa ziintsholongwane okanye ziibhaktheriya. |
| Izifo ezichaphazela umzimba | Izifo apho inkqubo yokuzikhusela yomzimba ihlasela iiseli zayo (umz. isifo samathambo). |
| Umhlaza | Umhlaza wegazi ofana ne-lymphoma okanye i-leukemia. Ngamanye amaxesha umhlaza ovela kwenye indawo unokusasazeka uye kwii-lymph nodes. |
| Ezinye iimeko ezingaqhelekanga | Izifo ezingaqhelekanga ezifana nesifo sikaCastleman kunye nesifo sikaKikuchi-Fujimoto. |
Kunini apho kufuneka ukhathazeke khona nge-lymph node evuvukileyo?
Le yeyona ngxaki inkulu kubantu abaninzi. Khumbula, uninzi lwexesha, ii-lymph nodes ezivuvukileyo zibangelwa lusulelo oluqhelekileyo , kwaye xa usulelo luphelile, ukudumba kuya kuziphelela.
Nangona kunjalo, ukuba unenye okanye ngaphezulu kwezi mpawu zilandelayo, kungcono ukuba nexhala kancinci kwaye ngokuqinisekileyo ubone ugqirha .
- Ukudumba okungapheliyo: Ukuba ukudumba kuqhubeka ixesha elingaphezu kweeveki ezimbini ukuya kwezintathu kwaye akupheli.
- Ukudumba ngaphandle kwesizathu: Ukuba ngequbuliso unee-lymph nodes ezidumbileyo ngaphandle kwesifo esifana nomkhuhlane okanye umkhuhlane.
- Iqinile kakhulu kwaye ayishukumi: Ukuba iqhuma elidumbileyo livakala liqinile njengelitye, kungekhona njengebhola yerabha, kwaye alihambi phantsi kolusu.
- Ukwanda ngokukhawuleza: Ukuba ukudumba kuyanda kancinci kancinci.
- Ukubakho kwezinye iimpawu: umkhuhlane ongapheliyo kunye nokudumba, ukubila kakhulu ebusuku, ukwehla kobunzima ngendlela engachazekiyo (ukulahlekelwa yimali) , okanye ukudinwa kakhulu.
- Ukudumba kwiindawo ezithile: Ukuba unokudumba ngaphezulu kwe-collarbone (supraclavicular) okanye kufutshane nengqiniba, kufuneka ukhathazeke kakhulu.
Ukuba nezi mpawu akuthethi ukuba unesifo esinzulu, kodwa kubalulekile ukuba uhlolwe ngugqirha ukuze kuqinisekiswe.
Ugqirha ujonga njani oku?
Xa usiya kugqirha, into yokuqala aza kuyenza kukubuza imibuzo embalwa. Kuqale nini ukudumba, ingaba kuyabuhlungu, kwaye ngaba kukho ezinye iimpawu? Emva koko, baza kuhlola ngononophelo iqhuma elidumbileyo kunye nendawo engqongileyo.
Uninzi lwexesha, olu vavanyo lunokukunika umbono wesizathu. Nangona kunjalo, ukuba kukho amathandabuzo, ugqirha wakho unokukuthumela ukuze uvavanywe ngakumbi.
- Uvavanyo lwegazi: Uvavanyo olufana nokubalwa kwegazi elipheleleyo (i-CBC) lunokufumanisa usulelo okanye ezinye iingxaki.
- Iiskeni zemifanekiso: Iiskeni ze-Ultrasound, CT, okanye i-MRI zinokunika ukuqonda okungcono uhlobo lwe-lymph node kunye nommandla ojikelezileyo.
- I-lymph node biopsy: Olu lolona vavanyo luchanekileyo. Iqhekeza elincinci lesicwili liyasuswa kwi-lymph node evuvukileyo phantsi kwe-anesthesia kwaye lihlolwe phantsi kwe-microscope. Le ndlela inokuqinisekisa ukuba kukho iiseli zomhlaza okanye akunjalo.
Unyango luxhomekeke kwisizathu.
Unyango lwe-lymph nodes ezivuvukileyo asikuko ukudumba ngokwako, kodwa sisifo esibangela ukudumba .
- Ukuba unobangela lusulelo lwebhaktiriya , ugqirha uya kukunika amayeza okubulala iintsholongwane.
- Ukuba unobangela lusulelo lwentsholongwane , akukho nyango lukhethekileyo olufunekayo. Xa umzimba uphumla, inkqubo yomzimba yokuzikhusela iya kuziphilisa.
- Ukuba unobangela yimeko enzima efana nomhlaza , kunokufuneka ufumane unyango olufana ne-chemotherapy, unyango lwe-radiation, okanye utyando phantsi kwengcebiso yengcali yomhlaza.
Ukuba kukho intlungu ebangelwa kukudumba, ungafumana isiqabu ngokufaka ubushushu kunye nokuthatha amayeza okudambisa iintlungu njengoko ugqirha wakho ekuyalele.
Umyalezo Wokuya Ekhaya
- Ama-lymph nodes ayinxalenye ebalulekileyo yenkqubo yethu yokuzikhusela komzimba. Afana neendawo zokujonga ukhuseleko lomzimba wethu.
- Ii-lymph nodes ezivuvukileyo (njengoko sizibiza njalo) zihlala ziluphawu lokuba umzimba ulwa nosulelo. Oku kuqhelekile.
- Uninzi lokudumba luyaphela ngokwalo kwiveki okanye ezimbini, njengoko usulelo olusisiseko luphola.
- Nangona kunjalo, ukuba ukudumba kuqhubeka ixesha elide, kuqinile njengelitye, kukhula ngokukhawuleza, okanye kuhamba neempawu ezinje ngomkhuhlane, ukubila ebusuku, kunye nokwehla kobunzima, kubaluleke kakhulu ukubona ugqirha ngaphandle kokuchitha ixesha .
- Musa ukoyika ngokungeyomfuneko xa ubona iqhuma elincinci. Kwaye ungazityesheli iimpawu ezikrokrisayo. Ukuqonda yeyona ndlela ilungileyo yokuzikhusela.
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