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Kutheni i-lymph nodes ivuvuka?I-Lymphadenopathy yindlela yokwandiswa ngobuninzi okanye inani leelymodes. Ama-lymph nodes asasazwa kuwo wonke umzimba kwaye axhasane nesistim somzimba ngokucoca amabhaktheriya, ii-virus kunye nezinye izilwanyana ezincinci ezisuka kwigazi. Iingqungquthela zibulawa ngamaseli egazi ezimhlophe awaziwa ngama-lymphocytes .
Naliphi inani lezifo lingabangela i-lymphadenopathy kwi-strep throat ukuya kwi-cancer esongela ubomi. Ukuvuvukala kubangelwa ukuqokelela kwe-lymphocytes njengoko iiseli ezininzi kwaye zicutshungulwa kwiintlanzi.
Iziganeko ze-lymphadenopathy kubantu abanentsholongwane kaGawulayo ziphezulu kakhulu kwaye ziyakwenzeka nasiphi na isigaba sosulelo. Ngokuqhelekileyo ziphuhlise ngapha nangapha entanyeni, phantsi komhlathi, okanye kwi-armpits kunye ne-groin. Kwezinye iimeko, zinokuba zibuhlungu kwaye zibonakala zikhukhumele.
I-Lymphadenopathy ayibonakaliso sesifo esibi. Kunoko, kukho umqondiso wempendulo yomzimba okhuselekileyo ngenjongo yokulawula isifo.
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Ndiza kube nini i-lymph nodes?I-Lymphadenopathy iyaxhaphaza ngexesha lokusuleleka kwe-HIV . Kulo thuba elimandla ukuba umzimba uqalise ukukhusela umzimba wokulawula ukukhuselwa kwegciwane. Kwezinye iimeko, oku kungathatha inyanga okanye neminyaka.
I-Lymphadenopathy ngexesha losuleleko olukhuselekileyo lidla ngokubanzi, oku kuthetha ukuba kwenzeka kwiindawo ezimbini okanye ngaphezulu emzimbeni. Xa ama-nodes aphezulu kunama-centimitha amabini (malunga ne intshi) kwaye idlulileyo kwiinyanga ezingaphezu kweenyanga ezintathu, le meko ibizwa ngokuba yi-lymphadenopathy (PGL) eqhubekayo.
Ukuba awuzange uhlolwe i-HIV kwaye i-lymph glands ihlala igubha ngaphezu kweeveki ezimbini ukuya kwezine, jonga ugqirha okanye u tyelele ikliniki yakho yangingqi. I-US Preventive Services Task Force ikhuthaza ukuba bonke abantu baseMelika abaneminyaka eli-15 ukuya ku-65 bavavanyelwe i-HIV njengenxalenye yokutyelela ugqirha.
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Ngaba izibilini ze-swollen zingabonakalisa into engakumbi?Ngethuba lokusuleleka kwintsholongwane kaGawulayo, i-lymphadenopathy ihlala iphazamisekile kwaye iyancipha. Ixesha elide, ubude kunye nobuqhamo belo mqathango zihambelana ngqo nomlinganiselo wokuxhatshazwa kwe-immune njengoko kulinganiswe nombolo ye-CD4 .
Akufanele uphinde ucinge ukuba i-lymphadenopathy yimiqondiso yentsholongwane kaGawulayo. Kwezinye iimeko, i-lymphadenopathy ayibonakali kwaze kwagqitywa izigaba zesigulane kwaye zibonisa ngakumbi intsholongwane enxulumene nesifo sofuba okanye i- toxoplasmosis .
I-Lymphadenopathy eyenzeka ngexesha losuleleko lwengculaza elingapheliyo liya kukwazi ukusombulula xa unyango lwe-HIV luqaliswa. Ngethuba lokusuleleka kwintsholongwane, xa i-CD4 count idibene ngaphantsi kwe-100, ukuvuthwa ngokukhawuleza kwe-lymphadenopathy (oku kuthetha ukuba i-lymph nodes ibuyela kwinto engenakho ngaphandle kwonyango) ingabonakalisa ukuwa kwe-immune okukufutshane kunye nokuqala kwe- HIV .
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Ngaba i-lymphadenopathy ingaphathwa?Enye indlela ephephile yokuphatha i-lymphadenopathy echaphazelekayo ne-HIV ukuqala unyango lwe-antiretroviral . Akukona kuphela ukukhusela intsholongwane, ukunciphisa umthwalo kwi-lymphatic system, inceda ukugcina okanye ukubuyisela umsebenzi wokuzivikela ekujonganeni nezifo ezithintekayo.
Okwangoku, kucetyiswa ukuba unyango luqalwe ekuxilongweni kungakhathaliseki ukuba yi-CD4 count okanye isigaba sesifo. Ngokwezifundo, akugcini nje ukunciphisa ingozi yokugula ngama-53 epesenti , inika iingenelo ngokubhekiselele kubomi obude kunye nomngcipheko omncinci wokuhambisa .
Ngaphambi kokuba i-lymphadenopathy ixazululwe ngokupheleleyo, i-anti-stereidal anti-inflammatory drug ( NSAID ) ingasetyenziselwa ukunciphisa ukuvuvukala, ukunyamezela, nentlungu.
> Imithombo:
> Isebe Lempilo Neenkonzo Zoluntu. "Izikhokelo zokusetyenziswa kwee-Antiretroviral Agents kwi-HIV -1-abadala nabachaphazelekayo." Rockville, Maryland; fi kelele ngoNovemba 19, 2015.
> AmaZiko eNational Health. "Ukuqala unyango lwe-antiretroviral kuqala kuphucula iziphumo zabantu abane-HIV." EBethesda, eMaryn; kukhutshwa ngoMeyi 27, > 2015.
> US Force Prevention Services Force (USPSTF). "Ukuhlolwa kweNtsholongwane kaGawulayo: ISitatimende seNkcazo yeNkcazo yeNtshona Koloni. Rockville, Maryland; Epreli 2013.