Lymphadenopathy: Dendaase kana Kuwedzerwa kweLymph Nodes
Lymph nodes zvidiki zviduku zvakapoteredza zviripo mumuviri wose. Vanopa imba kana kuti yakavhara masero - kazhinji masero eropa eropa - ayo anobatanidzwa mukudzivirira muviri wevanhu kubva kune utachiona.
Lymphadenopathy inogona kuitika nekuda kwezvikonzero zvakawanda , kusanganisira zvinotevera:
· Zvirwere -chikonzero chinowanzoitika
· Lymphomas uye leukemias -dzimba dzemasero machena eropa
• Kanzira kune dzimwe nzvimbo dzinopararira kune lymph nodes
· Zvirwere zvemuviri wemuviri, zvakadai se lupus uye sarcoidosis
· Rwendo rurefu rwezvirwere zvakawanda zvisingawanzoitiki.
Mutsipa, zviputi, uye kugomera ndizvo zvikamu zvemuviri apo mazamu anorema akawedzerwa zviri nyore. Kuonekwa kwezviputi munzvimbo idzi ndicho chiratidzo chinowanzoonekwa che lymphadenopathy.
Kana chinokonzera lymphadenopathy chisina kujeka, vanachiremba vanogona kukurudzira kuve nekuongororwa kwakadai seyakanaka yenzoro aspiration cytology, kana FNAC. Muchiitiko chekutanga kuongororwa kwe lymphoma, lymph node biopsy - kubviswa kwechikamu kana yese ye lymph node yekuongororwa nekuongororwa-inodikanwa.
Kurapa kwekymphadenopathy kunoenderana nechikonzero chekuita lymph node kuwedzera.
Nei Lymph Nodes Ichikurira?
Vanachiremba vanoona lymph node kuwedzera zvakasiyana zvichienderana nezviratidzo uye zviratidzo zvinouya pamwe nekuremera kwema-lymph nodes.
Dzimwe nguva zvinonzwisisika kuti lymph nodes yakabhururuka inokonzerwa nehutachiona. Semuenzaniso, lymph nodes yakawedzerwa mumutsipa inogona kuva chinhu chakajairika chepachirwere chinonzi mononucleosis, chirwere chinokonzerwa nechirwere che Epstein-Barr. Dzimwe nguva, lymph nodes inoputika inogona kunge inoshamisa uye inoda kuongororwa.
Heano mamwe mazano anowanzobvunzwa pamusoro pekuremara kwema-lymph nodes:
· Ko lymph nodes inogara isina chikonzero here?
· Ndine lymph node yakatsveta. Icho chinonzi lymphoma here?
· Ndeipi iyo inonyanya kukonzera kukwezva kwezvitsotsi?
• Ndingati sei kana iri lymph node kana chimwe chinhu?
Kune Marudzi Akasiyana-siyana eLymphadenopathy?
Lymphadenopathy inogona kuva nezvimwe zvinotsanangurwa, zvichienderana nokuti mune mumuviri lymph nodes inoputika. Mimwe mienzaniso uye zvakakosha kune leukemia uye lymphoma inotevera.
Cervical Lymphadenopathy
Cervical lymph node kurira kunoreva kuwedzera kwemaitiro emumutsipa mumutsipa. Ichi chinhu chinowanzozivikanwa chezvirwere zvehutachiona. Zvishoma nezvishoma, lymph nodes dzakarema mumutsipa inogona kuva chiratidzo chekuvhiringidza. Vana vane chirwere cheHodgkin varipo nekervical adenopathy muna 80-90 muzana yematambudziko kunze kwe40 muzana yeavo vasina Hodgkin lymphoma.
Mediastinal Lymphadenopathy
Mediastinal lymphadenopathy inowanikwa mu mediastinum. Mediastinum izwi rinotaridzika rinogona kufungidzirwa sebhokisi rinofungidzira, kana mudziyo, uyewo kune zvose zviri mubhokisi zviri mukati. Fungidzira cube, yakapoteredzwa kumativi maviri nemapapu; mativi maviri nehombodo neshure; kumusoro kwechiteshi kusvika pamutsipa; uye pasi nechomukati chechifukidzo chepfupa, kana muswe wetsvuku unoshandiswa mukufema.
Mediastinal lymph nodes inogona kuwedzerwa pachavo, kana pamwe nezvirwere zvemapapu. Hodgkin lymphoma, kana HL , kazhinji inotanga nemakirini emasikirini emunharaunda. Non-Hodgkin lymphoma, kana NHL, inogona kubuda mumakirini emasikirini emunharaunda, zvakare; zvisinei, NHL inowanzove yakasiyana yakasiyana-siyana yekuita lymph node nekupararira.
Chii chinonzi Generalized Lymphadenopathy?
Kana pane zvikamu zvinopfuura zviviri zvakabatanidzwa kubva munzvimbo dzakasiyana, izvi zvinonzi generalized lymphadenopathy. Kubatanidzwa kwenzvimbo dzakasiyana kunogona kuva chizivo chezvipi zvirwere zvingave zvine mhosva. Generalized lymphadenopathy inowanikwa muzvikamu zviviri kubva muzvitatu zvevana zvinowanikwa neacute lymphoblastic leukemia (ALL) uye muchetatu wevana vane acute myeloblastic leukemia (AML).
Chirwere cheHodgkin, rudzi rwe lymphoma, chinongova chikonzero chimwe chete chinokonzerwa ne generalized lymphadenopathy, asi vadzidzi dzimwe nguva vanoshandisa chiyeuchidzo chiyeuchidzo chinotevera kuti vadzidze iyi yakareba urongwa hwezvinokonzera zvinokonzera:
H. Hematologic: Hodgkin's disease, leukemia, uye kwete Hodgkin's lymphoma
O. Oncologic: Metastasis kune lymph node, yakaipa maranoma
D. Dermatopathic lymphadenitis: kutuka lymph nodes iyo inokonzera chiganda cheganda chakavhiringidzika kana kutsamwa
G. Gaucher's disease: chirwere chisina kujairika chinowanikwa
Chirwere cheK . Kawasaki: chirwere chisina kujairika chine muviri chinosanganisira mishonga yeropa nekuputika
I. Zvirwere: bhakitiriya, hutachiona, nehutachiona
Chirwere cheN. Niemann-chokutora: chirwere chinosanganisa chimiro chinosanganisa mishonga
S. Serum kurwara: maitiro ekuzvidzivirira mumuviri kune mamwe mishonga kana kurapwa
D. Kurapa kwemishonga: kupindura kune mamwe mishonga
I. Chirwere chemuviri: muenzaniso, rheumatoid arthritis uye lupus
S. Sarcoidosis: chirwere chinoputika chinogona kukanganisa zvikamu zvakasiyana zvemuviri
E. Endocrine: hyperthyroidism
A. Angioimmunoblastic lymphadenopathy: iri izwi rekare; ikozvino inonzi lymphoma.
S. Systemic lupus erythematosus (lupus, kana SLE)
E. Eosinophilic granulomatosis: chirwere chetachiona chinosanganisira kurwisa uye kuratidza kuvhiringidza
> Sources:
Lymphadenopathy uye Malignancy. http://www.aafp.org/afp/2002/1201/p2103.html.
Mnemonics In Internal Medicine & Pediatrics. Parmar HB. B. Jain Vaparidzi.
Agostinelli C, Pileri S. Pathobiology yeHodgkin Lymphoma. Mediterr J Hematol Inofadza Dis . 2014; 6 (1): e2014040.