Wake wazizwa uneqhubu noma iqhubu endaweni yakho yamathumbu ngenkathi ugeza umzimba wakho noma uhleli nje lapho? Kuvamile ukuzizwa unesaba kancane uma uzizwa into efana naleyo. Imibuzo efana nokuthi "Kuyini lokhu?", "Kungani lokhu kwenzeke?", "Ingabe lokhu kuyinto eyingozi?" ifika engqondweni. Kodwa ngaphambi kokuba wesabe, ake sikuqonde lokhu. Esikhathini esiningi, lokhu akuyingozi.
Okokuqala, ake sibone ukuthi ziyini lezi zinhlayiya ze-lymph.
Kalula nje, la ma-gland ayingxenye yesimiso somzimba wethu sokuzivikela. Afana nezindawo zokuhlola zokuphepha ezincane ngaphakathi emizimbeni yethu. Empeleni angama-gland amancane. Anesibopho sokubamba nokubhubhisa izitha ezifana namagciwane, amabhaktheriya, namagciwane angena emizimbeni yethu. Asakazeke kuyo yonke imizimba yethu. Kungenzeka ukuthi uke wabamba enye yalezi ezandleni zakho ngesinye isikhathi.
Izindawo eziyinhloko lapho izintuthwane zitholakala khona yilezi:
- Ngemuva kwezindlebe
- Kuzo zombili izinhlangothi zentamo
- Ngaphansi kwekhwapha
- Engxenyeni yesisu (ngaphakathi kwethanga elingaphezulu)
Lezi ziqhumane sizibiza ngokuthi `ama-lymph node e-inguinal`. Ngokuvamile kuba neziqhumane ezingaba yi-10 endaweni ye-groin yomlenze owodwa. Ngokuvamile asizizwa lezi.
Pho kungani la ma-lymph node evuvukala? (I-Lymphadenopathy)
Ake sithi unenxeba elincane emlenzeni wakho, bese liqala ukungcola kancane. Bese amagciwane akulelo nxeba eqala ukungena emzimbeni wakho. Yilapho-ke indawo yokuhlola eseduze, amagciwane asesinqeni sakho, eqala ukusebenza khona.
Amaseli omzimba angaphakathi kwala ma-lymph node aqala ukulwa ukuze abambe futhi abhubhise lawo magciwane. Kufana nempi. Lokhu kulwa yikho okubangela ukuthi ama-lymph node avuvuke, abe makhulu, futhi ngezinye izikhathi alimale. Lokho kusho ukuthi i-lymph node evuvukile ivame ukuba uphawu oluhle lokuthi isimiso somzimba wakho sokuzivikela sisebenza kahle. Ngokwezokwelapha lesi simo sisibiza ngokuthi `(Lymphadenopathy)`.
Ngakho-ke ungesabi uma ubona iqhubu embotsheni yakho. Kungaba uphawu lokuthi umzimba wakho ulwa nokutheleleka.
Yiziphi izimbangela zokuvuvukala kwemisipha yezimbotshana?
Kungaba nezizathu eziningana zokuvuvukala kwemisipha yezinsini. Ake sizihlukanise ngezigaba ezimbili: izimbangela ezivame kakhulu kanye nezimbangela ezingavamile.
| Uhlobo lwesizathu | Incazelo nezibonelo |
|---|---|
| Izimbangela Ezivamile | |
| Izifo Zesikhumba | Ukutheleleka okubangelwa amanxeba, imihuzuko, ukulunywa yizinambuzane, izinzipho ezikhule ngaphakathi, njll. emilenzeni, ezinyaweni, noma ezithweni zangasese. Isibonelo, ukutheleleka kwesikhumba okubizwa ngokuthi "i-Cellulitis". |
| Izifo ezithathelwana ngocansi (ama-STI) | Izifo ezingase zenzeke ngemva kocansi olungavikelekile nazo zingabangela ukuvuvukala kwezitho zangasese. |
| Izifo Zesikhunta | Ukutheleleka ngefungus, ikakhulukazi lokho okwenzeka endaweni yembobo, njengokulunywa yi-jock, kungabangela ukuvuvukala kwezitho zangasese. |
| Izimbangela Ezingavamile Kancane | |
| Izinkinga Zokuzivikela Emzimbeni | Izifo lapho amasosha omzimba ahlasela khona amangqamuzana awo. Izibonelo: `(Lupus)`, `(Arthritis)`, `(Sarcoidosis)`. |
| Umdlavuza | Lesi yisona sizathu esenza abantu abaningi besabe. Kodwa lokhu kuyinto engavamile kakhulu . Umdlavuza wegazi `(Leukemia)`, umdlavuza wesistimu ye-lymphatic `(Lymphoma)`, noma umdlavuza owenzeka engxenyeni engezansi yomzimba `(Melanoma)`, `(Umdlavuza wepenile)`, `(Umdlavuza we-Vulvar)`. |
| Eminye imithi | Eminye imithi ingabangela nokuvuvukala kwamasende njengomphumela ongemuhle. Izibonelo: `(Allopurinol)`, `(Atenolol)`, `(Captopril)`. |
Kwenzekani uma uya kudokotela?
Uma ukuvuvukala kwembobo yakho kungapheli ngemva kwesonto noma amabili, noma uma kubonakala sengathi kuyakhula, qiniseka ukuthi ubona udokotela wakho. Uzokuhlola.
Ngizokubuza imininingwane kuqala.
Udokotela angase akubuze imibuzo efana nale:
- Izimpawu: Sekuyisikhathi esingakanani lokhu kuvuvukala kuqhubeka? Ingabe kubuhlungu? Ingabe zikhona ezinye izimpawu, njengomkhuhlane noma ubuhlungu bomzimba?
- Izimo zezokwelapha zangaphambilini: Yiziphi izimo zezokwelapha owake waba nazo ngaphambili? Yiziphi izimo zezokwelapha owake welashwa ngazo?
- Imithi: Yimiphi imithi namavithamini owasebenzisayo njengamanje?
- Izici zomphakathi: Ungase ubuzwe futhi ngezindlela zokuziphatha eziyingozi, njengocansi olungaphephile. Ukukhuluma iqiniso kubaluleke kakhulu ekuxilongweni.
- Umlando wezokwelapha womndeni: Bazobuza nokuthi kukhona yini emndenini oke waba nomdlavuza noma izifo ezibangelwa ukuzivikela komzimba.
Okulandelayo, kuzohlolwa ngokomzimba.
Udokotela uzokuxilonga.
- Iqhubu elivuvukile liyaphathwa. Liyahlolwa ukuze kubonakale ukuthi likhulu kangakanani, ukuthi libuhlungu yini, ukuthi liqinile yini, nokuthi lingasuswa yini.
- Bayahlola ukuthi amaqhubu avuvukele yini, hhayi nje kuphela embotsheni, kodwa nakwezinye izindawo ezifana nentamo nasemakhwapheni.
- Kuhlolwa ngokuphelele ukuze kubonakale ukuthi kukhona yini ezinye izimpawu emzimbeni.
Hlobo luni lokuhlolwa kwezokwelapha oluzodingeka?
Ngemva kokubukeza izimpawu zakho nokuhlolwa ngokomzimba, udokotela wakho angase akucele ukuthi uhlolwe okwengeziwe uma kudingeka.
- Ukuhlolwa kwegazi (Amalebhu): Kuzothathwa igazi elincane ukuze kuhlolwe noma yikuphi ukutheleleka.
- Izifundo zokuthatha izithombe: Ungase ucelwe ukuthi wenze i-ultrasound scan noma i-pelvic CT scan ukuze ubone usayizi oqondile nendawo yesende elivuvukele.
- I-Biopsy: Lolu ukuhlolwa kokugcina nokunembile kakhulu. Lokhu kuhilela ukuthatha ingxenye encane kakhulu yesigaxa esivuvukile bese uyihlola ngaphansi kwe-microscope. Lokhu kungaqinisekisa ngokuphelele ukuthi kukhona yini into efana nomdlavuza noma cha. Kodwa-ke, lokhu kuhlolwa kwenziwa kuphela uma udokotela enokungabaza okukhulu.
Uphatha kanjani amaqakala avuvukele?
Ukwelashwa kuncike embangeni yokuvuvukala kweqakala.
- Uma kungenxa yokutheleleka: Udokotela uzokunikeza imithi efana ``Ama-antibiotic`` okutheleleka ngamagciwane, ``Ama-Antiviral`` okutheleleka ngamagciwane, kanye ``Ama-Antifungal`` okutheleleka ngefungus. Uma le mithi ithathwa kahle, ukuvuvukala kuzoqala ukuncipha zingakapheli izinsuku ezimbalwa.
- Uma kungenxa yezifo ezihlasela amasosha omzimba: Kunikezwa imithi elawula amasosha omzimba (ukwelashwa ngokuzivikela komzimba).
- Uma kungenxa yomdlavuza: Kuye ngohlobo kanye nesigaba somdlavuza, ukwelashwa kungafaka phakathi ukuhlinzwa, ukwelashwa ngemisebe, noma i-chemotherapy.
- Uma kungenxa yomuthi: Udokotela uzokunikeza umuthi ohlukile noma ashintshe umthamo.
Ukuvuvukala okubangelwa ukutheleleka kuvame ukuqala ukuncipha zingakapheli izinsuku ezimbalwa kusukela ekuqaleni kokuthatha imithi, kodwa kungathatha amasonto ambalwa ukululama ngokuphelele.
Ingabe lokhu kungaba umdlavuza? Kufanele sisole nini?
Lokhu kwesaba okukhulu kwawo wonke umuntu. Kodwa khumbula, amathuba okuba iqhubu elisesinqeni libe nomdlavuza aphansi kakhulu. Ngokuvamile, umdlavuza uhambisana nezinye izimpawu (njengomkhuhlane, ukwehla kwesisindo, kanye nokujuluka ebusuku).
Kodwa-ke, uma unezimpawu ezilandelayo, qaphela kancane futhi nakanjani ubone udokotela.
| Izimpawu Eziyisixwayiso Okumelwe Zisolwe | |
|---|---|
| Ukwelashwa akwelaphi | Uma ukuvuvukala kungapheli ngemva kwamasonto ama-2-4 okuthatha umuthi onikezwe udokotela (isib. ama-antibiotic). |
| Ukungabikho kobuhlungu | Ngokuvamile, induna ibuhlungu ngesikhathi sokutheleleka. Kodwa uma ingenabuhlungu futhi ibukeka njengeqhubu eliqinile, kufanele ukhathazeke ngayo. |
| Ukuqhubeka nokukhula | Uma ukuvuvukala kukhula usuku nosuku esikhundleni sokuncipha, ngezinye izikhathi kuze kube ngamasentimitha ambalwa ngobukhulu. |
| Ukuqina nokunganyakazi | Uma iqhubu liqinile njengetshe, hhayi njengebhola lerabha, futhi lingahambi njengokungathi linamathele esicutshini esingaphansi uma ucindezela ngomunwe wakho. |
Uma ubona lezi zimpawu, ungesabi, bonana nodokotela wakho ngokushesha bese ucela iseluleko.
Umlayezo Wokuya Nawe Ekhaya
- Ukuvuvukala embotsheni kuvame ukuba uphawu lokuthi amasosha omzimba alwa nokutheleleka.
- Imbangela evame kakhulu ukutheleleka okulula emlenzeni noma endaweni yesitho sangasese, ngakho ungesabi ekuqaleni.
- Uma ukuvuvukala kuthatha isikhathi esingaphezu kwamasonto amabili, kuqhubeka nokuba kukhulu, kunzima, noma kuhambisana nezinye izimpawu ezifana nomkhuhlane nokwehla kwesisindo, qiniseka ukuthi ubona udokotela.
- Amathuba okuba iqhubu libe nomdlavuza mancane kakhulu, kodwa kubalulekile ukufuna iseluleko sezokwelapha uma ungabaza.
- Landela imiyalelo kadokotela wakho kanye nokwelashwa kwakhe ngqo.
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