Konke Ngezizathu Zobunzima Bokugubha Kwezingane
Abantwana banako ukukhulisa i-lymph nodes (i-glands), eyaziwa nangokuthi i-lymphadenopathy, ngezizathu ezininzi.
Ngenxa yokuba unako ukuziva ukuba i- lymph nodes yomntwana ayithethi ukuba umntwana une- lymphadenopathy . Kuqhelekile ukuba uzivele i-lymph nodes eziqhelekileyo kwiintsana kunye nabantwana abaselula, kunye ne-lymph nodes ezilinganiselwa ngaphaya kwekhilomitha enye (malunga ne-1/2 ye-intshi.)
Kuqheleke kangakanani ukuba abantwana babe ne-lymph nodes? Ngaba i-lymph nodes ingavuvukala nokuba umntwana unempilo? Ziphi i-lymph nodes ezikhoyo, kwaye ziphi i-lymph nodes ezinokukhathazeka ngakumbi kunabanye? Ziziphi izizathu ezinokubangela i-lymph nodes?
Iingqungqungquthela Zokuvuvukala Kwabantwana - Ngaba Ngaba Unokukhathazeka?
Abazali bavame ukukhathazeka xa umntwana wabo enezigulane zokuvuvukala okanye i-lymph nodes.
Ngamanye amaxesha abazali banenkxalabo yokuba izigulane ezivuvukileyo zibonakaliswa ngumhlaza , kwaye ngexa zithile zihlala zikhona, ziqhelekileyo zibonakalisa ukuba umntwana wakho unentsholongwane yentsholongwane okanye ibhaktheriya.
Ukuba ukhathazekile ngenxa yokuba umntwana wakho onempilo unemibhobho evuvuzayo, khumbula ukuba ngemigangatho yabantu abadala, phantse bonke abantwana "bane-lymphadenopathy," kuba iindawo ezinokubakho, ikakhulukazi kwintliziyo (intamo), i-axillary (i-armpit) kunye neengingqi ezisemgangathweni ( ukuhluma), ziqhelekileyo kubantwana babo bonke ubudala, kuquka nabantwana.
Glands kwiBhunga
Izilonda (i-lymph nodes) zifumaneka kuwo wonke umzimba wethu.
Ezinye izilwanyana eziqhelekileyo ziyafumaneka:
- Emuva kwentloko-occipital
- Ngaphambi kwendlebe - yokuqala
- Emva kwendlebe - yangasemva
- Ngaphantsi komhlathi - submandibular
- Ngaphantsi kwesigxina - i-submental
- Kwindawo yehlathi - ubuso
- Ngaphambili entanyeni - yomlomo wesibeleko
- Emuva kwentamo - emva komlomo wesibeleko
- Ngaphezulu kwekhola ye-collar - i-supraclavicular
- Emva kwedolo - popliteal
- Kwi-axillary
- Ngaphantsi kwe-elbow-epitrochlear
- Endaweni yokuhluma - inguinal
Iingqungquthela ezithile, ngokukodwa iingqungquthela ze-epraclavicular, epitrochlear kunye ne-popliteal zivame ukuvuvukala, kwanabantwana, kwaye zivakalelwa ziyakwenza ukuba umntwana wakho afune isizathu.
Ezinye izilonda zijonge kakhulu emzimbeni kwaye azikwazi ukuvalelwa. Ziquka i- mediastinal , hilar, i-pelvic, i-mesenteric, ne-lymph nodes. Ezi node zingabonakala kwi-imaging study ezifana ne-x ray okanye CT scan.
Iingqungquthela zomlomo wesibeleko, i-axillary kunye ne-inguinal yizona eziqhelekileyo zivakalelwa kubantwana abaqhelekileyo. Enyanisweni, malunga nesiqingatha sabantwana abaphakathi kweminyaka emithathu nantlanu baya kuba neengqungqungquthela zokuvuvukala kule mimandla xa batyelela oogqirha babo, nokuba ngaba kutyelelo lokugula okanye umntwana olungileyo uhlolisise.
Ziziphi Iingqungquthela?
Iingqungquthela okanye i-lymph nodes ziyingxenye yenkqubo ye-lymphatic body, equka izitya ze-lymph, i-tonsil, i-thymus, ne-pen.
Njenge-lymph, equka amangqamuzana egazi ezimhlophe kunye nezinye izinto ezisinceda silwe nezifo, zisuka egazini lethu ukuya kwiinqanawa zelymph, zihlanjululwa yi-lymph glands.
Yingakho i-lymph glands kwi-groin yakho ingase ikhubeke xa unomhlaza wezilwanyana okanye ukusuleleka kwesikhumba sakho emlenzeni.
Yimpendulo yokhuseleko lomzimba kwiingqungquthela ezikufutshane nommandla. Ngokufanayo, ukusuleleka kwe-scalp, ukuphuma kwintlanzi ukusuka kwintloko kwintloko , kungabangela izigulane ezivuvukalayo kwimisipha yengane yakho okanye ye-occipital.
Iimbangela ze-Gland Glands
Abantwana abancinci abaninzi banamaqabunga avuyiweyo ngenxa yokuba bafumana iintsholongwane rhoqo, ezikhokelela kwi-lymph node-glands ezinokuthi zikhubeke njengendlela yokusabela kwintsholongwane kwindawo yabo yomzimba. izizathu ezinokuthi zenze i-lymph nodes ezichukumisayo kubantwana ziquka:
- I-Lymphadenitis - Kwi-lymphadenitis, i-lymph node ngokwayo isulelekile ize ibonakale ibomvu, igubungele, kwaye isoloko ithenda.
- Izifo eziphezulu zentsholongwane yokuphefumula - Ukususela kwiqanda eliqhelekileyo kumkhuhlane, iintsholongwane zokuphefumula eziphezulu zentsholongwane ziyinto eqhelekileyo yokugulisa iingqungquthela zomlomo wesibeleko kubantwana (kunye nabantu abadala).
- Umqhekeko wesango - Nge- strep throat , iingqungquthela ezivuvukileyo entanyeni zenzeka kunye nomkhuhlane kunye nomqala. Ngokuphindaphindiweyo ama-white patches asekho emqaleni komhombo nawo.
- I-Mono- Infectious mononucleosis ibangelwa yi-Epstein-Barr virus. Ngokuqhelekileyo kubangelwa umqala, umkhuhlane, kunye neengqungquthela ezivuvukayo kwi-posterior cymical nodes (ngokuchaseneyo ne-strep throat edla ngokubandakanya i-lymph node zangaphambili.) Ezi nodes ziphambi kwentshona ye-sternocleidomastoid muscle, isisundu esikhulu esiphezulu kwintamo yakho.
- Isifo sokuqhawula amathambo - Isifo se- Cat-scratch sisifo esibangelwa yi-bhakteria i- Bartonella henselae . Itshulwa ngamakati okanye iintsholongwane ezinentsholongwane ngokuluma okanye ukukhangela. Izifo ziqala ngeveki ukuya kwiintsuku ezili-12 kamva ngokugqithisa okufutshane. Emva kwesinye iveki okanye ezimbini, i-lymph node, ebomvu, ebomvu kunye ne-lymph node. Unyango lunokulwa namayeza.
- I-Scrofula - I-Scrofula iyintsholongwane ye-lymph node ebangelwa i-mycobacteria yamathambo okanye isifo sofuba. Ubonakaliswe zizilonda ezinokubandezeleka, eziqhelekileyo entanyeni.
- Isifo se-Kawasaki - I-lymph node enye, i-servical (neck) i-lymph node enye yeempawu zesifo se-Kawasaki, kunye nabanye kubandakanywa umkhuhlane, amehlo abomvu, ukuvuvukala kwezandla kunye neenyawo, ukugqithisa, kunye nezibomvu ezibomvu emlonyeni, ulwimi lwe-strawberry kunye nemilomo eqhekekileyo.
Ezinye izifo ezithathelwanayo, ezivela kwisifo sofuba ukuya kwi-HIV, zinokubangela ukuba izigulane zivuvuke kwaye zisenokukhankanywa ngokusekelwe kwimpawu zempawu kunye nemingcipheko yomntwana.
I-Lymphoma, uhlobo lomhlaza, kubonakala ngathi abazali abaninzi banenkxalabo xa umntwana ephethe igulane evuyiweyo, nangona ingaqhelekanga kakhulu kunezinye izizathu. Abazali banokukhathazeka nge-leukemia, kodwa i-lymph nodes evuvukileyo njengokuba kuphela uphawu lwe-leukemia luya kuba luqhelekanga.
Olunye uhlobo, i- Hodgkin lymphoma , ayinqabile kubantwana abancinci, abaqhelekileyo kwintsholongwane, ngubani, ngaphezu kweengqungquthela eziguguzelayo, ngokungaqhelekanga umkhuhlane, ukulahleka kwesisindo kunye nobusuku obusuku. I-Hodgkin lymphoma idibene ne-Epstein-Barr yesifo sengculaza (mono) kwisithuba sama-40 ekhulwini labantu, nangona indlela engalindelekanga.
Abantwana abangenalo i-Hodgkin's lymphoma banokukhula ngokukhawuleza, i-lymph nodes ezingenabuhlungu, ngaphezu kwezinye iimpawu ezinjengomkhuhlane, ukulahleka kwesisindo, ukukhupha ebusuku, ukukhwehlela nokukhathala.
Izizathu ezingavamile ze-lymph nodes ezikhukhulayo zinokuvela kwi-hyperthyroidism ukuya kwi-lupus, kwi- disease ka-Kawasaki , kunye nokunye.
Yintoni Oyaziyo Ngama-Glands e-Swollen
Ezinye izinto kubazali abazi malunga neengqungqungquthela ezivuyiweyo ziquka ukuba:
- Ukongezelela ekubeni neengqungquthela zokuvuvukala, oogqirha bezilwanyana bajonga ezinye iimpawu ezininzi, ezifana nobukhulu beelymode, izinga labo lokukhula, ukunyaniseka kwabo (ithambile, iqinile, okanye i-rubbery), nokuba ubomvu bukhona, nokuba ingaba nobubele ukunceda baqaphele ukuba ingaqhelekanga okanye ayinayo.
- Ezinye iimpawu ezinxulumene nazo, ezifana nesifo esiqhubekayo okanye esingachangekiyo (umkhuhlane wesimo esingaziwa), ukulahlekelwa ngumzimba ngokungathandekiyo , ukukhathala, kunye nokukhupha ebusuku kungabonakalisa imimiselo engathà sina ebangela ukuba izigulane zivuke.
- I-Lymphadenopathy inokuthi ibe kwindawo yangaphandle (kwindawo enye) okanye jikelele (kwimimandla engaphantsi kwembini engabonakaliyo), kunye ne-lymphadenopathy jikelele engaba yinto ebangelwa sisifo se-systemic.
- Intsholongwane yesisu okanye enye intsholongwane yesisu isenokubangela ukuvuvukala nokuvuvukala kweengqungquthela ze-mesenteric kwisisu, ezinokubangela izilonda zesisu. Enyanisweni, izilonda ze-mesenteric ezivuvulayo zifumaneka rhoqo xa unyango lwenziwa kweso-appendicitis.
- Kukho ama-lymph nodes angama-600 emzimbeni wethu.
- Ukongeza kwinqanaba lakho lezingane, indlebe yabantwana, impumlo, kunye nengqondo yomlomo okanye ugqirha wezilwanyana (kuxhomekeke kwindawo ehlala kuyo) kunokunceda uhlolisise umntwana wakho ngeengqungquthela eziguguzelayo.
Xa i-Gland Glands ifuna ukuhlolwa kwakhona
Iimpawu kunye neempawu ezibonisa ukuba izilwanyana ezivuvukayo ziba yinto ebaluleke ngakumbi ziquka:
- Iingqungqungqungqungqungqungqungqungqungqungqungqungqungqungqungqungqungqungqungqungqungqungquthela ezivuyiweyo ezikhoyo kwindawo engaphezu komnye womzimba
- I-lymph nodes eziqinile
- I-lymph nodes ezizinzileyo (musa ukuhamba ngokukhawuleza)
- I-lymph nodes ezinkulu kune-2.5 cm (ezinkulu kune-intshi enye)
- I-lymph nodes ezingekho ithenda
- I-lymph node ezikhula ngokukhawuleza
- I-lymph nodes eziguqayo zihamba kunye neempawu ezifana nokulahleka kwesisindo, umkhuhlane wansuku zonke, okanye ukusa
- Ukudibanisa kwe-lymph nodes kunye nesisu sakho sokuziva njengomzali ukuba kukhona into enzulu eyenzekayo - themba intuition yakho
Ixesha elide i-Lymph Nodes ihlala iguqulwe?
Kubalulekile ukugcina engqondweni ukuba i-lymph nodes ekhukhulayo inokuthatha iiveki ukuya kwiinyanga ukubuyela kubukhulu obuqhelekileyo. Ukongeza, ekubeni abantwana abancinci banokufikelela kwizifo ezithintekayo zokuphefumula (unyango lwe-daycare syndrome) ngamnye unyaka ngamnye onokubangela i-lymphadenopathy, kunokubonakala ngathi i-lymph node yomntwana ihlala ikhuliswa.
Imithombo
- UGadidey, H., no-A. Riegel. I-Lymphadenopathy engachazwanga: Ukuphonononga kunye nokuchonga ukuhluka. WaseMerika ugqirha . 2016. 94 (11): 896-903.
- UKliegman, uRobert M., uBonita Stanton, uSt Geme III uJoseph W., uNine Felice. Schor, uRichard E. Behrman, kunye noWaldo E. Nelson. Ncwadana yeeNzululwazi. 20 Edition. Philadelphia, PA: Elsevier, 2015. Print.
- Rajasekaran, K., kunye noP. Krakovitz. I-Neck Extended Lymph Nodes kubantwana. Iiklinikhi zezilwanyana zaseNyakatho Melika . 2013. 60 (4): 923-36.