Ngezinye izikhathi uma unomkhuhlane noma umkhuhlane, uzizwa sengathi unamaqhubu amancane kuzo zombili izinhlangothi zentamo yakho noma emakhwapheni akho? Kuzwakala futhi kubuhlungu kancane, akunjalo? Nakuba abaningi bethu bebiza lokhu ngokuthi 'ukuvuvukala', ngokwezokwelapha kubizwa ngokuthi ama-lymph node. Ziyini ngempela lezi? Kungani zivuvukala? Ingabe lokhu kuyinto okufanele uyesabe? Namuhla, sizoxoxa ngakho konke lokhu kalula, ngendlela ongayiqonda.
Kalula nje, ziyini lezi zinhlayiya ze-lymph?
Ake sithi unesistimu yokuzivikela ethuthuke kakhulu emzimbeni wakho. Lawa ma-lymph node afana nezindawo zokuhlola zokuphepha ezincane kulolo hlelo lokuzivikela. Ayingxenye yesistimu ye-lymphatic emzimbeni wethu. Lolu hlelo lwe-lymphatic luyingxenye ebaluleke kakhulu yesistimu yethu yokuzivikela.
Umsebenzi oyinhloko walezi zindawo zokuhlola ukuhlunga nokuhlanza uketshezi olubizwa ngokuthi i-lymph oluhamba emizimbeni yethu yonke. Lolu ketshezi lwe-lymph lungaqukatha izinto eziyingozi emizimbeni yethu. Isibonelo:
- Amagciwane
- Amabhaktheriya
- Amaseli omdlavuza
- Amanye amagciwane angene emzimbeni
Njengendawo yokuhlola ehlola izimoto ezingena edolobheni, amangqamuzana omzimba angaphakathi kwama-lymph node ahlola lolu ketshezi lwe-lymph, abone futhi abhubhise noma yiziphi "izitha" ezikulo. Ngemuva kwalokho, uketshezi lwe-lymph oluhlanziwe lubuyiselwa egazini. Ngamanye amazwi, la ma-lymph node enza umsebenzi omuhle kakhulu wokukuvimbela ukuthi ungaguli.
Zikuphi izinhlayiya ze-lymph emzimbeni wethu?
Sinezinhlayiya ze-lymph eziningi emizimbeni yethu kunalokho ongase ukucabange. Ngokwesilinganiso, umuntu unama -lymph node aphakathi kuka-400 no-800 emizimbeni yakhe. Atholakala ngamaqoqo amancane ezindaweni ezahlukene. Kungenzeka ukuthi wake wazizwa lezi ezandleni zakho ngesikhathi esithile.
Bheka ithebula elingezansi ukuthola izindawo eziyinhloko.
| Indawo yomzimba | Izindawo lapho sivame ukuzizwa khona |
|---|---|
| Indawo yekhanda nentamo | Ngemuva kwendlebe, esilevini, ezinhlangothini zombili zentamo, emahlombe |
| Indawo ye-Axillary | Ngaphansi kwekhwapha |
| Isifunda se-Inguinal | Ohlangothini lwangaphakathi lwamathanga, lapho ahlangana khona nomzimba |
| Ngaphakathi kwesifuba nesisu | Njengoba lezi zingaphakathi emzimbeni, asikwazi ukuzithinta ngaphandle. |
Okubaluleke kakhulu, ama-lymph node awatholakali ebuchosheni bethu nasemgogodleni.
Kungani ama-lymph node evuvukala? Yiziphi izimbangela ezivame kakhulu?
I-lymph node evuvukele isho ukuthi amangqamuzana okuzivikela angaphakathi kuyo alwa. Njengokuthumela amabutho engeziwe endaweni yempi, lapho kuvela ukutheleleka, inani elikhulu lamangqamuzana okuzivikela lihlangana ku-lymph node ukuze lilwe nakho. Yilapho-ke kuvuvukala khona.
Imbangela eyinhloko nevame kakhulu yokuvuvukala kwama-lymph node ukutheleleka .
- Isibonelo: Uma unesifo somphimbo obangelwa yi-strep throat, ama-lymph node entanyeni yakho ayasebenza ukulwa namagciwane. Yingakho izindlala entanyeni yakho zivuvukala futhi zibe buhlungu uma uzithinta.
Izimbangela eziyinhloko izifo ezifana nalezi:
- Izifo ezivamile ezibangelwa amagciwane njengomkhuhlane kanye nomkhuhlane
- Ukutheleleka ngamagciwane emphinjeni, ezindlebeni, noma emazinyweni
- Ukutheleleka kwezilonda zesikhumba
- Izifo ezithile zegciwane, njenge-mononucleosis
Ngaphandle kokutheleleka, ama-lymph node angavuvukala nangezinye izizathu. Ezinye zazo zivamile, kanti ezinye zingaba zimbi kakhulu.
| Imbangela yokuvuvukala | Incazelo elula |
|---|---|
| Izifo | Imbangela evame kakhulu ukutheleleka ngegciwane noma amagciwane. |
| Izifo Zokuzivikela Ngokuzenzakalelayo | Izifo lapho uhlelo lokuzivikela lomzimba luhlasela khona amangqamuzana alo (isib. isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis). |
| Umdlavuza | Umdlavuza wegazi njenge-lymphoma noma i-leukemia. Ngezinye izikhathi umdlavuza ovela kwenye indawo ungasakazekela kuma-lymph node. |
| Ezinye izimo ezingavamile | Izifo ezingavamile njenge-'Castleman disease' kanye ne-'Kikuchi-Fujimoto disease'. |
Kunini lapho kufanele ukhathazeke khona nge-lymph node evuvukele?
Lena yinkinga enkulu kubantu abaningi. Khumbula, isikhathi esiningi, ama-lymph node avuvukele abangelwa ukutheleleka okulula , futhi uma ukutheleleka sekwelaphekile, ukuvuvukala kuzoziphelela.
Kodwa-ke, uma unesinye noma ngaphezulu kwalezi zimpawu ezilandelayo, kungcono ukukhathazeka kancane bese ubona udokotela nakanjani .
- Ukuvuvukala okuqhubekayo: Uma ukuvuvukala kuqhubeka isikhathi esingaphezu kwamasonto amabili kuya kwamathathu futhi kungapheli.
- Ukuvuvukala ngaphandle kwesizathu: Uma ngokuzumayo uvuvukele ama-lymph node ngaphandle kokugula okufana nomkhuhlane noma umkhuhlane.
- Kuqinile kakhulu futhi akushukumi: Uma iqhubu elivuvukele lizwakala liqinile njengetshe, hhayi njengebhola lerabha, futhi lingahambi ngaphansi kwesikhumba.
- Ukwanda ngokushesha: Uma ukuvuvukala kukhula kancane kancane.
- Ukuba khona kwezinye izimpawu: umkhuhlane oqhubekayo ohambisana nokuvuvukala, ukujuluka kakhulu ebusuku, ukwehla kwesisindo okungachazeki (ukulahlekelwa isisindo) , noma ukukhathala okukhulu.
- Ukuvuvukala ezindaweni ezithile: Uma ukuvuvukala ngaphezu kwe-collarbone (supraclavicular) noma eduze kwendololwane, kufanele ukhathazeke kakhulu.
Ukuba nalezi zimpawu akusho ukuthi unesifo esibi kakhulu, kodwa kubalulekile ukuthi uhlolwe ngudokotela ukuze uqinisekise.
Udokotela uhlola kanjani lokhu?
Uma uya kudokotela, into yokuqala azokwenza ukukubuza imibuzo embalwa. Ukuvuvukala kwaqala nini, ingabe kuyabuhlungu, futhi ingabe kukhona ezinye izimpawu? Ngemuva kwalokho, bazohlola ngokucophelela iqhubu elivuvukile nendawo ezungezile.
Esikhathini esiningi, lokhu kuhlolwa kungakunikeza umbono wembangela. Kodwa-ke, uma kukhona ukungabaza, udokotela wakho angakuthumela ukuze uhlolwe okwengeziwe.
- Ukuhlolwa kwegazi: Ukuhlolwa okufana nokubalwa kwegazi okuphelele (i-CBC) kungabona izifo noma ezinye izinkinga.
- Ukuskena ngezithombe: Ukuskena nge-Ultrasound, CT, noma i-MRI kungakunikeza ukuqonda okungcono ngohlobo lwe-lymph node nendawo ezungezile.
- Ukuhlolwa kwe-lymph node: Lokhu ukuhlolwa okunembe kakhulu. Ingcezu encane yezicubu isuswa ku-lymph node evuvukele ngaphansi kwe-anesthesia bese ihlolwa ngaphansi kwe-microscope. Le ndlela inganquma ngokuqinisekile ukuthi kukhona yini amangqamuzana omdlavuza noma cha.
Ukwelashwa kuncike esibangweni.
Ukwelashwa kwama-lymph node avuvukile akusikho ukuvuvukala ngokwako, kodwa yisifo esiyisisekelo esibangele ukuvuvukala .
- Uma imbangela kuyigciwane , udokotela uzokunikeza imithi yokulwa namagciwane.
- Uma imbangela kuyigciwane , ngokuvamile akudingeki ukwelashwa okukhethekile. Uma umzimba unikezwa ukuphumula, amasosha omzimba azozelapha.
- Uma imbangela kuyisimo esibucayi njengomdlavuza , kungadingeka ukuthi welashwe njengokwelashwa ngamakhemikhali, ukwelashwa ngemisebe, noma ukuhlinzwa ngaphansi kweseluleko sikadokotela wezifo zomdlavuza.
Uma kukhona ubuhlungu obubangelwa ukuvuvukala, ungathola impumuzo ngokufaka ukushisa nokuthatha imithi yobuhlungu njengoba udokotela wakho ekuyalele.
Umlayezo Wokuya Nawe Ekhaya
- Ama-lymph node ayingxenye ebalulekile yesimiso somzimba wethu sokuzivikela. Afana nezindawo zokuhlola ukuphepha komzimba wethu.
- Ama-lymph node avuvukele (njengoba siwabiza kanjalo) avame ukuba uphawu lokuthi umzimba ulwa nokutheleleka. Lokhu kuyinto evamile.
- Ukuvuvukala okuningi kuzophela ngokwako phakathi nesonto noma amabili, njengoba ukutheleleka okuyisisekelo kuphola.
- Kodwa-ke, uma ukuvuvukala kuqhubeka isikhathi eside, kuqinile njengedwala, kukhula ngokushesha, noma kuhambisana nezimpawu ezifana nomkhuhlane, ukujuluka ebusuku, kanye nokwehla kwesisindo, kubaluleke kakhulu ukubona udokotela ngaphandle kokuchitha isikhathi .
- Ungesabi ngokungadingekile uma ubona iqhubu elincane. Futhi ungawanaki izimpawu ezisolisayo. Ukuqwashisa kuyindlela engcono kakhulu yokuzivikela.
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