Isibonakaliso sibonwe kwintsholongwane yokuqala kunye nezifo zesigxina
Enye yeempawu eziqhelekileyo ze- HIV yi-lymphadenopathy, ukuvuvukala kwee-lymph nodes kwi-armpits (i-axillary nodes), i-groin (i-inguinal nodes), intamo (iinkozo zomlomo wesibeleko), isifuba (i-mediastinal nodes), nesisu (isisu sangasese).
Nangona ukuvuvukala kunokunxulumana ngqo ne-HIV, ngokukodwa kwimigangatho yokuqala, kungakhokelela nokuba kukho izifo ezibangelwa yi- HIV kunye nokungenayo i-HIV kwisifo esilandelayo.
I-Anatomy yeLymph Nodes
I-lymph nodes zincinci, izitho ezinobhontshisi zisasazwa kuwo wonke umzimba oyingxenye yesistim somzimba. I-lymph, i-white-clear-to-white fluid ephethe ukukhuselwa-ukulwa namaseli omzimba omzimba, icutshungulwa kwi-lymph nodes ngokusebenzisa inethiwekhi encinci. Kuzo izibilini ukuba i-lymph ihlambuluke ngaphambi kokuba iphinde ibuyele kwi-circulation.
Inkqubo ye-lymphatic ayiquki kuphela i-lymph nodes kodwa i-spleen, thyroid, i-tonsils, i-adenoids, kunye nama-lymphoid tissue.
Izizathu zeLymphadenopathy
I-Lymphadenopathy ibonakalisa uphawu lwe-HIV yokuqala kunye nesifo sezifo ezininzi ezithatha ixesha elizayo. Akuyena uphawu lobudlova okanye isisu kodwa oko kukubonisa ukuba yimpendulo enamandla kwi-immune system.
Ngethuba lokuqala lokusuleleka kwintsholongwane , njengoko i-lymph idlula i-lymph nodes, ininzi yamaseli omzimba kunye nezinye izilwanyana ziya kuqala ukuqokelela ngaphakathi kweengqungquthela. Oku kunokubangela ukuba inkqubo ibuyele ngokufanelekileyo, kubangele ukuba i-nodes ivule, ngamanye amaxesha ibe ngamazinga angabonakaliyo.
I-Lymphadenopathy inokuthi yenzeke kwicandelo elinye okanye amaninzi emzimbeni, umzekelo onokusixelela ngokubanzi malunga noko kwenzekayo.
- I-lymphadenopathy yendawo evuyiweyo ye-lymph nodes kwinxalenye ethile yomzimba, mhlawumbi ngenxa yentsholongwane elisondeleyo. Imizekelo ibandakanya ukusuleleka komlomo okwenza ukuba ukukhukhumeza kweengcambu zomlomo wesibeleko okanye isifo se- chlamydial esibangela ukuvuvukala kwama-inguinal nodes.
- I-lymphadenopathy jikelele ixhaphaza kakhulu i-lymph nodes kuwo wonke umzimba, icetyisa inkqubo, isifo sobungozi bonke njengomkhuhlane, i- infectous mononucleosis , isifo sofuba, i- toxoplasmosis , i-leukemia, kwaye, kunjalo, i-HIV.
- I-lymphadenopathy engapheliyo (PGL) yinto eqhubekayo, kaninzi kungekho nto ibonakalayo. Ngokuqhelekileyo kubonisa ukutheleleka okungapheliyo okungapheliyo njengesi-hepatitis ne-HIV. I-PGL inokuqhubeka iinyanga okanye neminyaka.
Ngamanye amaxesha i-lymph nodes ngokwayo ingatshatyalaliswa kwaye ifuthe. Oku kufuthi kuthiwa yi-lymphadenitis.
Iimpawu zeLymphadenopathy
I-lymph nodes ezivuyiweyo zingenza okanye zingabonakali. Enyanisweni, ukungathandeki kunye nentlungu kudla ngokuba yimpawu zokuqala ze-lymphadenopathy ngaphambi kokuqala ukuvuvukala. Nangona ukuba ayibonakali ngokukhawuleza, unokuziva uvakale iinamba eziphantsi kweentambo, entanyeni, emva kweendlebe, okanye kwi-groin.
Kwezinye iimeko, unokuba uzive ungenanto enye, ephezulu. Ngamanye amaxesha, kunokuthi kubekho iqoqo leengqungquthela ezivuvukayo ezisezinxalenye ezininzi zomzimba.
Nangona i-lymph node zihlala zithenda kwaye zibuhlungu, ngezinye iimeko zihlala zingenabuhlungu. Ikhumba elimboza iimbodi linokubomvu kwaye lifudumele kumgca.
Umkhuhlane unakho ukuhamba, ingakumbi ngexesha lokusuleleka.
Ukunyangwa kweLymphadenopathy
Kubantu abanentsholongwane kaGawulayo, iindlela zokuqala zokuphatha i-lymphadenopathy yiyo- antiretroviral therapy . Ngokunciphisa ngokupheleleyo i-HIV kumanqanaba angabonakaliyo , uxinzelelo kwi-lymph nodes lungancitshiswa kakhulu. I-Lymphadenopathy iya kudlaka kwiiveki ezimbalwa okanye iinyanga emva kokuba unyango luqalisiwe.
Nangona i-lymphadenopathy ibangelwa yi-O, unyango lwe-antiretroviral luyacatshangelwa ukuba lufanele. Ngokunyanga i-O ngenkathi ixinzelele i-HIV ngemishanguzo ye-antiretroviral, umntu uya kuma ithuba elingcono kakhulu lokubuyiselwa komzimba kunye nokukhusela ukusuleleka kwezifo.
Ukuba i-lymphadenopathy ibuhlungu kakhulu, i-anti- stereidal anti-inflammatory drug (NSAID) ingaba ibuprofen inokunceda. Oku, kunye ne-compress efudumele, kunokuncedisa ukunciphisa ukuvutha okanye ukuvuvukala.
> Umthombo:
> UKayelli, F .; Vallone, C; Tanko, M. et al. "I-lymph nodes kunye ne-pathogenesis yesifo sengculaza-1." Izifo ezithathelwanayo zeLancet. 2015; 10 (2): 71-72.