I-lymph node zesigxina zi- lymph nodes ezikwe-mediastinum. I-Mediastinum ibinzana elibhekiselele kwingcamango yohlobo "lwebhokisi" okanye ummandla ngaphakathi kwesifuba, kodwa lithetha konke okuphakathi kwebhokisi. I-mediastinum inokucingwa njengekhampu: ibekwe emacaleni amabini ngemiphunga; phambili, ngesifuba; ngasemva, ngumqolo; phezulu, nge-outlet entanyeni; kunye nezantsi, ngesithambiso sesifuba, okanye isifuba esiswini esinceda imiphunga ikhulise kwaye inkontileka kunye nokuphefumla.
Ngaphakathi kwesifuba, ukuba ucinga imiphunga yakho njengamabhaluni amakhulu amakhulu ekugqibeleni yonke indawo, kukho isikhwama okanye indawo phakathi kwabo. I-mediastinum ibhekisela kuloo pocket okanye ibhokisi edibeneyo kunye nezitho ezibandakanya intliziyo, imithanjeni yegazi, iintsholongwane, i-lymph nodes nezinye izakhiwo ezibalulekileyo.
Xa i-Lymph Nodes yakho iphakanyisiwe
Ukuba i-lymph nodes zakho zandisiwe, kufuneka wazi ukuba zininzi izizathu ezikhoyo zokufumana oku . Le nto yinto eqhelekileyo kuyo yonke i-lymph nodes ekhulisiweyo.
I-lymph node zesigxina, ngokukodwa, zinokwandiswa ngokwazo, okanye kunye nezinye izifo, kuquka nezifo ezithile ezichaphazela imiphunga. Nangona i-lymph nodes ekhulisiweyo iphakathi kwamanye amaxesha ingaba ngumqondiso wesifo somhlaza, ukukhulisa i-lymph node kule ndawo ngokuqhelekileyo kubangelwa kwezinye izifo, ezingenasifo. Enyanisweni, abantu abanesifo esingapheliyo sesifo se-pulmary disease (COPD), isifo esiyingozi kakhulu sokuphefumula, kungenzeka ukuba bandise i-nodes mediastinal ngenxa yelo meko, ingakumbi ukuba unesigxina se-bronchitis yesifo sabo.
Xa ugqirha wakho efuna ukuzimisela malunga nesizathu seenombolo ezikhulisiweyo kwi-mediastinum, unokuba nenkqubo ebizwa ngokuba yi- mediastinoscopy nge-biopsy. Umncinci omncinci owenziwe uphezulu wenziwa ngaphezu kwe-sternum okanye isifuba. Isixhobo esibizwa ngokuba yi-mediastinoscope sifakwe ngolu hlobo kwaye lugqithiswe ngokucophelela phakathi kwesinye isifuba apho iisampuli zenyama ziyakuthathwa kwi-lymph nodes.
Le nqubo yenziwa esibhedlele phantsi kwe-anesthesia jikelele. Kwiimeko ezininzi, iziphumo ze-biopsy zilungele iintsuku ezintlanu ukuya kwezixhenxe.
Ngaba Ngaba Unomdlavuza?
I-lymph nodes zakhiwo ezincinci zikhona kuwo wonke umzimba. I-lymph nodes kwi-mediastinum, okanye i-lymph node mediastinal, ibalulekile kwimpilo kwizizathu ezahlukeneyo-enye yazo yokuba iyakwazi ukubonisa ukuba khona komhlaza.
Akunjalo yonke i-lymph nodes evuvukalayo esifubeni i-lymphoma, okanye isifo somhlaza. Izifo kunye nezifo ezingaqhelekanga ezifana ne-sarcoidosis inokuthi ityala. Kwamazwe apho isifo sofuba sifana khona, le ntsholongwane inokubangela imbangela yokukhulisa i-lymph node. Into ebizwa ngokuthi i-anthracosis ingabangela ukuba le mizimba ye-lymph ikhulise. I-Anthracosis, okanye umphunga wamaminerha, ukuqoqwa kwekhabhoni emiphakeni ngenxa yokuchazwa ngokuphindaphindiweyo kokungcola komoya okanye ukutshatyalaliswa komsi womsi womlilo okanye amalahle omlilo.
Xa i-lymph nodes esifubeni ikhuliswa ngenxa yomhlaza, i-lymphoma nomdlavuza wamaphaphu zizinto ezimbini eziqhelekileyo. I-Cancer evela kwamanye amasayithi inokuphinda isetyenziswe okanye isasaze kulezi zithofu.
Ukwandiswa kweeNedialinal Nodes ukusuka eLymphoma
I-Lymphoma, umdlavuza weeseli zamhlophe zegazi lymphocyte, inezintlu ezimbini ezibalulekileyo- iHodgkin lymphoma kunye ne-non-Hodgkin lymphoma .
I-Hodgkin lymphoma , okanye i-HL, iqala ngokuqala ngama-lymph nodes. Isifuba sibandakanyeka kuma-85 ekhulwini kuwo onke amacala e-HL, kanti kwi-non-Hodgkin lymphoma, okanye i-NHL, isibalo sisondele kuma-45 ekhulwini.
Ngoxa i-HL idla ngokuqhubekayo ngendlela ehlelekile ukusuka kwelinye iqela lama-lymph nodes ukuya kwesilandelayo, okufanayo akunako ukunyaniseka kwii-NHL ezininzi eziqhelekileyo, nangona ezinye zingenakho ukuziphatha ngendlela efana ne-Hodgkin.
Nangona i-imaging esifubeni ingabonakalisa i-lymph nodes ekhangelekayo, i-lymphoma yokuqala, ingakhathaliseki uhlobo, yenziwe yi-biopsy.
> Imithombo:
> Agostinelli C, Pileri S. Pathobiology yeHodgkin Lymphoma. IMediterra J Hematol Dis 2014; 6 (1): e2014040.
> Kirchner J, Kirchner EM, iGoltz JP, et al. I-hilar ephakamileyo kunye ne-mediastinal lymph nodes kwisifo esingapheliyo sesiphene. J Med Imaging Radiat Oncol. Ngo-Agasti wama-2010; 54 (4): 333-8.
> Mehrian P, Ebrahimzadeh SA. Ukwahlukahlukana phakathi kwe-sarcoidosis kunye ne-Hodgkin's lymphoma esekelwe kwindlela yokubandakanyeka kwe-lymph node pattern: Ukuphonononga usebenzisa i-scan ye-CT. Pol J Radiol . 2013; 78 (3): 15-20.