Lymphadenitis: chii? Zviratidzo nehosha, kudzivirirwa uye vabatwe

Kazhinji, vanachiremba, varwere vanzwe chirwere semhinduro kutyisidzira zvichemo zvavo "lymphadenitis". Chii? Pasinei zvikuru zvisingafadzi zviratidzo ane zvirwere, zviri zvikuru amenable kuti kuchinja kurapwa uye kashoma kunokonzera matambudziko. Lymphadenitis - ndiyo imwe kuzvimba node nodes pamusana utachiona kana utachiona hweHIV. Mune zvisingawanzoitiki zviitiko, kuzvimba ndiyo nemhaka kukura masero kenza.

Node nodes ndivo chinhu chinokosha dziviriro yezvirwere mumuviri zvakagadzirirwa kurwisa chero rwarisa nevamiririri. Kakawanda, ivo kuzvimba vari mutsipa, pasi chirebvu, iri muhapwa, ari muhudyu.

Dzimwe kurapa kuzvimba vangomirira uye nguva nenguva kuzoitawo hosha panzvimbo inodziya anorumanya. Zvisinei, kuona nzira kurapwa zvakarurama kunogona chete kuva chiremba anokwanisa, sezvo kubudirira kurapwa kunobva zvachose mhaka mumatenhere node nodes.

zviratidzo

Lymphadenitis - chii, yakazvimirira chirwere kana chiratidzo chakakura ezvinhu? Dzimwe nguva node nodes kuzvimba kunoitika pacharo, asi dzimwe nguva chinoratidza chimwe chirwere. Pakutanga kushoma, murwere kazhinji anoona kuti node nodes kuva nehanya, uye achivabata - kunorwadza. Mukuwedzera, vanogona yekudyidzana kuwedzera kukura pizi, uye kuwana kana bhinzi. In yepamusoro Muzviitiko, node nodes kuva yakatokura.

Zvinotevera Zviratidzo Munokudzwa zvichienderana chinokonzera kuzvimba:

• runny mhino, kwazvo huro, nefivhiri nezvimwe zviratidzo yokumusoro kufema turakiti chirwere;
• General node raiva pedyo nebundu kuzvimba yose muviri, izvo zvingaratidza ane chirwere (HIV kana mononucleosis), kana kuti kukunda zvirwere (semuenzaniso, musi zvavo erythematosus kana dzinonzi rheumatoid arthritis);
• nokupupuma maoko nemakumbo, kunokonzerwa blockage ari nhengo dzinobudisa ezvinhu nokuda kuzvimba ari node raiva pedyo nebundu, riri yakadzika pasi peganda;
• Yatarwa Fast vakaomesa nodules, vashandi chiratidzo mota kukura;
• fivhiri;
• iratidzike seiri kubuda usiku.

Kana kuona chiremba

Kana ukaona lymphadenitis, Mabatirwo chevarwere mishonga nani kumbosendeka kusvikira kwapera - zviri nani kusaina zvive yokurapa zano chiremba, uyo achakwanisa kuita kuongororwa zvakarurama uye taurira munhu kugona kurapa.

Usaverengera rokuenda kukiriniki kana:

• kuzvimba richiita mwoyo;
• kwakatanga pasina pachena kuti zvinokonzera;
• kushoma anopfuurira kuwedzera kana zvikaramba kwevhiki 2-4;
• node nodes kuonekwa chakasimba kuti kubatwa kana akafanana rabha, kana kana vasingagari kufamba kana achingomutambudza;
• kuzvimba node nodes pamwe chenguva refu tembiricha muviri, vangadikitira usiku kana hazvitaurwi uremu;
• lymphadenitis kuoma uchirwadziwa pahuro kana kunetseka kumedza kana kufema.

zvikonzero

Node raiva pedyo nebundu - duku, kumativi, bhinzi-akaumbwa kana sumbu masero, zvemapuranga kubva connective tishu. Masero vari boka lymphocytes (kubudisa mapuroteni nezvimedu izvo zvinoshanda kubata yacho chisvetasimba - semuenzaniso, nemavhairasi) uye macrophages vanoparadza chaivo zvinhu eupenyu akadzvanyirira. Lymphocytes uye macrophages yakasvinwa node ruchiyerera napakati muviri, uye nokudaro achengetedze muviri kubva utachiona.

Node nodes inounganidzwa mumapoka maduku, mumwe nomumwe riri basa mumwe rutivi rwomuviri. Kakawanda lymphadenitis nedzevakuru iri mupasi mu pamutsipa, pasi chirebvu, muhapwa kana muhudyu. Kuzvimba mugove zvisina kunanga anotaura chinokonzera kuzvimba.

Kakawanda zvisingafadzi zviratidzo akadai aine zvakasiyana zvirwere - semuenzaniso, akapararira kukundwa kwakadaro utachiona, kufanana nevakawanda chando. Zvisinei, pane dzimwe mhando zvirwere, uye zvimwe zvirwere kuti anokonzera kuzvimba node nodes, kusanganisira:

• strep huro;
• gwirikwiti;
• nzeve noutachiona;
• chirwere (pute) ari zino ;
• mononucleosis;
• Zvirwere ganda kana akazaruka maronda (semuenzaniso, cellulitis kana erysipelas,) ;
• yevanhu immunodeficiency utachiona (HIV) hunokonzera AIDS;
• tiibhii;
• zvimwe zvirwere, zvirwere zvinotapuriranwa pabonde, kusanganisira njovhera;
• Toxoplasmosis - a parasitic chirwere kunokonzerwa neVadzidzi faeces ane utachiona katsi kana kudya havaratidzi zvakakangwa nyama;
• benign nemavhairasi lymphadenitis (chii ichi, kana mukasadaro, ipapo zvichida uchaona sokuti zita Kunyatsoziva kuti "katsi muvare chirwere");
• zvakafanana lupus - chirwere anogumbura chirwere kunokanganisa nemarunda, ganda, itsvo, masero eropa, mwoyo nemapapu;
• Dzinonzi rheumatoid arthritis - chirwere anogumbura chirwere kukanganisa pezvisungo zvenguvo goko (synovial Kamudzira);
• rwekenza yelymphoma - nekenza kuti anova ari nhengo dzinobudisa ino;
• Neleukemia - kenza krovetvoryaschey rinenge bata uyewo mwongo uye nhengo dzinobudisa hurongwa;
• zvimwe nekenza kuti kupararira muchimiro metastases vari node nodes.

Mune zvisingawanzoitiki Muzviitiko, serous lymphadenitis kugamuchirwa zvinogona kukonzerwa zvinodhaka - dzakadai anticonvulsant zvinodhaka phenytoin ( "Difenin" "Dilantin") uye mishonga kudzivirira marariya.

yematambudziko

Kana mhaka mumatenhere node nodes semupi chirwere anotevera yematambudziko zvingamuka pasina zvakakwana kurapwa:

• Pute inotungamirwa. Pute - a vemunyika wemabhuku pus, migumisiro chirwere muviri pedyo utachiona kana utachiona. Urwa chine mvura, chena masero eropa, akafa zvinyama uye utachiona. Possible kubvisa pute vachafanira kuisa abudise uye kutanga kunwa mishonga inorwisa mabhakitiriya. Zvinonyanya ngozi kana chero nzira kukanganisa rinokosha nenyere.
• chirwere ropa (bacteraemia). Noutachiona chero chikamu muviri kungaita kuti sepsis kunokonzerwa hweHIV muropa. Sepsis anogona kukonzera dysfunction dzinokosha nadzo uye rufu. Treatment kunosanganisira kuwana muchipatara uye intravenous inorwisa mabhakitiriya.

Pamberi kushanya kwachiremba

Pamusoro kuonekwa zviratidzo chero nengozi muvanhu vane mibvunzo yakawanda. Sei zvomoto node nodes? It lymphadenitis? Chii - chiratidzo ane chirwere kana kupfuura chakakomba mamiriro chinoda nokukurumidza mharuro pakurapwa? mhinduro namazvo dzemibvunzo iyi nemimwe anogona kuwanikwa bedzi chiremba anokwanisa. Kana iwe uri kunetseka kuzvimba rimwe chete dzomuviri, zvakakodzera kuti kumirira yakarongwa yokubvunza repakiriniki. Kana zviratidzo kushoma akava zvokuti Unoomerwa kufema kana kumedza, pakarepo kudaidza amburenzi.

Sezvo zvokurapa yokubvunza vari zvakasimba zvakawanda nguva uye nokudaro aireva kuti chiremba achakupa waingova mashoko matsva uye anokosha zvikuru, kugadzirira kushanyira nyanzvi vasati.

• Kusaina nokuda kwaainge, iva nechokwadi chokuti unofanira kuita chinhu pamberi kushanya kwachiremba.
• Nyora zviratidzo zvose yaisangana nemi uye anoratidza sei refu ivo kugara. Chiremba pamwe achada kuziva kana uine dzihwa zviratidzo zvakadai fivha kana kwazvo huro. Uyezve, nyanzvi vanofarira uremu muviri Kuchinja kuti kazhinji aende lymphadenitis. Reviews utano hwake pamusoro okupedzisira mashoma mazuva kunodiwa - kunyora chero zviratidzo zvirwere kuti makatanga kuona kubva kekutanga apo node nodes kuzvimba.
• Nyora zvinhu zvose, panguva iyo imi muri uchikurukura zvinogona kuzokonzera nemavhairasi uye mabhakitiriya. Zvinogona rwendo kunze, nokufamba munzvimbo nemadandemutande kubudikidza Zvikwekwe, muchidya havaratidzi roasted nyama, mutambo ane wechipfuwo katsi, uko kwakaguma kwava anokwenya kana mabasa kurara pamwe kujairika vadyidzani pasina zvakakwana nzira kudzivirira zvirwere.
• Nyora pasi mashoko ose anokosha chokuita utano hwako, sezvo zvichabatsira chiremba rokuongorora lymphadenitis. Mabatirwo chevarwere mishonga uye mishonga yechivanhu, inini zvomusejari kushandiswa, kugara yaunodya pamusoro Mishonga zvokuwedzera, mavhitaminzi, kunyange dzose - ichi zvose zvinofanira yakati.
• Funga nezvemashoko nyaya vanofanira kubvunza chiremba wako. Chero zvazvingava, vanofanira dzakakora navo kutanga anokosha.

Bvunza nyanzvi

Kana uchingogara mberi serous lymphadenitis, funga zvakaoma kubvunza mibvunzo inotevera kuti chiremba:

• Chii chaiva chikonzero zvezviratidzo izvi?
• Kana vave zviratidzo zvimwe zvirwere?
• Chii tsvakurudzo Ndinoita vanofanira kupfuura?
• Chii kurapwa iwe akakurudzira?
• Sei nokukurumidza ezvinhu yangu kuvandudza?
• Kana chirwere changu chinotapukira? How yekuzvidzivirira yokuparadzira chirwere kune vamwe vanhu?
• Chii matanho kutora mune ramangwana kudzivisa dzokororo chirwere?
• I kutambura nekuora zvirwere. Ndinoiwana chero nzira yokuchinja kurapa kuti ndinotevera ikozvino?
• Imi neni ushandiswe mishonga. Pane mishonga dzimwe?
• Unogona vanokurudzira mamwe manyuko mashoko pamusoro chirwere yayo kurapwa?
• Chii kutarisira kubva chiremba
• Kana zviri parotid kuzvimba kana axillary lymphadenitis kurapwa chero zvazvingava kuchaenderana achinyanya pamusoro zvinokonzera chirwere. Kuti uone honzeri, chiremba wokutanga vachakubvisisayi yakatevedzana mibvunzo zviri zvinodiwa kugadzirira pachine mhinduro. Mibvunzo iyi inogona muchidimbu sezvinotevera:
• Ndezvipi zviratidzo muchicherechedza pachako?
• Apo kekutanga pane zviratidzo zvokurwara?
• kana node nodes zvadarika nguva?
• Chii anonzwa zvimba node nodes?
• Unoziva kutambura pakupisa (fivha) kana mvura usiku sweats?
• Uri kuona uremu hwako? Unoziva uremu pasina kuedza kuderedza uremu?
• Une ihosha huro? Zvakaoma kumedza?
• Ko waunowana chero dambudziko iri kufema?
• kana basa yachinja bowel yako dundira?
• Zvii mishonga uri pari nekutora? Ungave uri kuedza kuzvidzora vaitire lymphadenitis? Anorumanya kubatsira kana vasina maturo?
• Wati akafamba ichangopfuura mune dzimwe nyika kana munzvimbo Zvikwekwe anowanika? Ko vako vafambi pamwe kurwara?
• Wati kunyorerana achangobva vandisingazivi kana mhuka ausingazivi? Vangave akatambura ikaruma kana anokwenya?
• Wati akanga achangopfuura kwaaita itsva kurara naye?
• Unoziva tsika kuzvidzivirira pabonde?
• Unoziva uchisvuta? Kana hongu, kwemakore mangani?

asati kuongorora chirwere

Paunenge kumirira yakarongwa yokubvunza, axillary lymphadenitis parotid kana anogona kubatwa inodziya anorumanya. Kana zvakakodzera, tora inonyaradza marwadzo omusoro - zvakadai ibuprofen kana acetaminophen ( "Tylenol", etc ...). mishonga yakadaro yakabereka vana, uye haadi kuti chiremba mushonga nokuda kutengwa kwavo. Nyanzvi Zvisinei, regai kuvakurudzira kupa vana asipurini pasina mirayiridzo yakanaka kubva wevana, sezvo nesayenzi nekusimba kubatana pamwe kukura asipurini ngozi Reye kuti syndrome.

Diagnostics

Chete chiremba anogona kuziva chii akakonzera kuzvimba ari muhudyu, kana axillary lymphadenitis. Treatment azvaitwa, achavaponesa runotikurudzira chinokonzera zvokurwara. For zvinobudirira chirwere angada:

• Kudzidza nhoroondo chirwere. Mukuwedzera, chiremba muchakumbira apo uye mumamiriro ezvinhu une kuzvimba node nodes, uye kana ukaona dzimwe chirwere zviratidzo.
• Initial zvokurapa ongororo. Mazvikokota achaita kuidza node nodes pasi ganda kuti kufungidzira kukura kwavo, softness, ushamwari uye unaku. Nzvimbo vemunyika zvokurwara, achapawo pfungwa inotibatsira kuti zvinokonzera chirwere (saka bubonadenitis vakadzi rinowanzoberekera pamusoro yaitwa vaginitis, kana kuzvimba ovaries).
• miedzo ropa. Vanozvitutumadza ichi kana kuti chikonzero kuzvimba, chiremba vachakubvisisayi kupfuura chaizvo kuongorora ropa kuzosimbisa kutanga kuongorora chirwere. Kazhinji zvakaitika zvake vakawanda pachisara runovabvumira zvakakwana chinangwa kuongorora utano murwere uye kuziva zvimwe zvokurwara (semuenzaniso, zvirwere kana neleukemia).
• Kuri zvidzidzo. Kazhinji ushandiswe radiography kana computed tomography (CT) pechipfuva kuziva dzingangoitika manyuko chirwere kana bundu. Saka, Somuenzaniso, ziva tuberculous lymphadenitis.
• Biopsy. Kana chiremba kuti chero chikonzero havagoni kuita kuongororwa zvakarurama, aizosarudza biopsy - imwe nzira umo yose node raiva pedyo nebundu (kana chikamu chayo) yabviswa kuti Murabhoritari kuzviongorora nemaikorosikopu. Chirwere vachishandisa nzira iyi ingava yakanaka tsono chido biopsy (nayo - chido chirwere ponji). Panyaya iyi, chiremba achaita nzira iri yavo munguva purogiramu zvokurapa kubvunza. Zvisinei, dzimwe nguva, vanachiremba Redirect varwere vanovhiya kana vanachiremba vari radiotherapy, kune avo vaiunganidza zvinhu zvipenyu kunodiwa kuzosimbisa chirwere "lymphadenitis".

Vanhu kurapwa

Zvinosuruvarisa hapana mishonga yechivanhu regai kunokuponesa kubva matambudziko akadai kuzvimba uye kuzvimba node nodes. Nyaya mabhuku akadhindwa uye paIndaneti akazaruka dzezvimwe vanogona kuwana zvakawanda Kubika infusions, decoctions uye potions vari aronga kushandiswa panenge pachirwadza. Zvisinei, nyanzvi regai dzinokurudzira kuti afumure utano hwavo kuti zvisingakoshi ngozi, kutanga mishonga mishonga ine dubious mavambo, uye kuzvimba node nodes obmazyvaya mukaravhani nezvizoro. Nyore uye zvikuru mushonga kuzvimba - packs it pakati bani jira zvakakangwa mumvura inodziya uye akasvina zvakanaka - kunyange asina kunokuponesa kubva nedenda, asi chaizvoizvo kubatsira kuderedza marwadzo uye kuderedza aikanganiswa ari kuzvimba node nodes pasina njodzi.

chinyakare mushonga

Tuberculous lymphadenitis, uyewo nedzimwe mhando vakaongorora zvokurwara, wakabatanidzwa pamwe munyaya zvirwere zvinotapukira. Kana pakazvimba anokonzerwa akabatwa chirwere, mishonga inorwisa mabhakitiriya maturo; dzimwe nguva zvinokosha kutarisa honzeri kushoma.

• Chirwere. Kana swa tupukanana (utachiona) akaita lymphadenitis iyo mishonga anofanira wakamwa kuti mamiriro enyika node nodes vakadzokera dzose? Iva nechokwadi kubvunza mubvunzo uyu kuti chiremba sezvo mishonga chaiwo anogona kupiwa chete kupinda chiremba. Kana kuzvimba anokonzerwa munhu immunodeficiency utachiona (HIV), kutanga, vanachiremba achanyadzisa utachiona.
• Rokuzvidzivirira nyonganyonga. Muzviitiko apo mumatenhere node nodes ndiyo migumisiro chirwere zvakafanana lupus kana dzinonzi rheumatoid arthritis, kurapa zvainanga pakurapa zvinokonzera chirwere.
• Oncological zvirwere. Lymphadenitis ari muhudyu, mutsipa kana iri muhapwa vanogona anokonzerwa kukura uye kupararira masero kenza. Zvichienderana mhando uye padariro kenza kurapwa kuchasanganisira radiotherapy, mishonga kana kuvhiya.