Zvose Nezvikonzero Zvinokonzera Glands muvana
Vana vanogona kunge vaine lymph nodes yakawanda (zvisina kuvhiringidzika), inozivikanwawo se lymphadenopathy, nokuda kwezvikonzero zvakawanda.
Kungofanana nokuti unokwanisa kunzwa lymph nodes yemwana hakurevi kuti mwana ane lymphadenopathy . Hazvisi zvisingawanzoitiki kunzwa nhengo dzemakirini dzemazuva ose mucheche nevana vaduku, dzine lymph nodes inenge isingasviki imwe masendimita (yakapoteredza 1/2 ye inch.)
Ndezvipi zvakajairika kuti vana vave nekuputika lymph nodes? Ko lymph nodes inogona kuvhuvhuta kunyange kana mwana ane utano here? Ndeipi iri nhengo dzemajini dzinowanikwa, uye ndeipi lymph nodes inogona kuva yekunetseka kupfuura vamwe? Ndezvipi zvinokonzera kukonzera lymph nodes?
Kudzora Glands Muvana - Unofanira Kuve Wakanetseka Here?
Vabereki vanowanzotya kana mwana wavo aine glands kana kuti lymph nodes.
Dzimwe nguva vabereki vanonetseka kuti kuzvimba kwezvironda chiratidzo chekenza , uye apo dzimwe nguva dzimwe nguva ingava, inowanzova chiratidzo chekuti mwana wako ane rudzi rwehutachiwana hwehutachiona hwehutachiwana.
Kana iwe uri kunetseka nokuti mwana wako ane utano ane glandira, ramba uchiyeuka kuti nevakuru vakuru, vanenge vana vose vane "lymphadenopathy," nokuti node dzinoputika, kunyanya mumutsipa (neck), axillary (armpit), uye inguinal nzvimbo ( groin), inowanzoonekwa nevana vezera rose, kusanganisira vana.
Glands Muviri
Glands (lymph nodes) iri mumitumbi yedu yose.
Zvimwe zvipembenene zvakajairika zvinogona kuwanikwa:
- Mumushure memusoro-occipital
- Pamberi pezeve-kutanga
- Kunze kwe nzeve - postauricular
- Pasi pejaya - submandibular
- Pasi pechiini - submental
- Mumatama nzvimbo - chiso
- Pamberi pemutsipa - anterior cervical
- Mumusana wemutsipa - posterior cervical
- Pamusoro pekorori bone - supraclavicular
- Pamberi pamabvi - popliteal
- Mu-armpit-axillary
- Pasi pekona-epitrochlear
- Munzvimbo inogomera - inguinal
Zvimwe zvipembenene, kunyanya zvinyorwa zvepraclavicular, epitrochlear uye popliteal hazviwanzobhururuka, kunyange muvana, uye kuzviona zvingangoita kuti chiremba chevana vako vatsvake chikonzero.
Zvimwe zvipembenene zvakadzika mumuviri uye hazviwanzoitiki. Iko inosanganisira midzi , miviri, hilar, pelvic, mesenteric, uye celiac lymph nodes. Iyi node inogona kuonekwa pane chidzidzo chekufungidzira chakadai se x-ray kana CT scan.
Mhemberero dzechibereki, axillary, uye inguinal ndidzo dzinowanzowinzwa mumwana chaiye. Mukati, inenge hafu yevana pakati pezera remakore matatu nerechishanu ichave nekunyoroveswa kwezvirwere munzvimbo idzi pavanoshanyira vana vavo, kana iri kutarirwa kurwara kana mwana akanaka kutarisa.
Chii Chinonzi Glands?
Izvo zvipembenene kana lymph nodes chikamu chemuviri wecymphatic system, iyo inosanganisira midziyo ye lymph, tonsils, thymus, uye spleen.
Sezvo lymph, iyo inosanganisira masero eropa eropa nezvimwe zvinhu zvinotibatsira kurwisa zvirwere, zvinobva kubva muropa redu kuenda kumidziyo ye lymph, inosvibiswa nemaronda edu.
Ndicho chikonzero mishonga inokonzera kupera kwako inogona kuvhuvhuta kana iwe uine chirwere chezvipembenene kana chirwere cheganda pamakumbo ako.
Inongova maitiro ekudzivirira zvirwere mumuviri maiva pedyo nemunharaunda. Saizvozvowo, hutachiona hwetachiona, hunoita hutachiona kubva pamucheka wepamusoro kusvika kune mhondi , hunogona kukonzera zvipembenene zvinoputika mumaronda emwana wako kana wechipipital.
Zvinokonzera Kusuruvara Glands
Vana vakawanda vaduku vane glandira yezviruru nokuti vanowanzopora zvirwere, izvo zvinotungamirira kumagadzirirwo emakemikari nhengo-glands zvinoputika sezvinoitika kune utachiona munzvimbo yavo yomuviri. Zvinokonzera zvinokonzera kushandiswa kwemaitiro emakristini muvana zvinosanganisira:
- Lymphadenitis - Mu lymphadenitis, lymph node pachake inotapukirwa inova yakatsvuka, inoputika, uye kazhinji inonyorova.
- Utachiona hwepamusoro hutachiona hwehutachiona - Kubva kune huwandu hunofu kune hutachiona, hutachiona hwepamusoro hwekuporesa hutachiona hunokonzera chikonzero chinowanzovhiringidza chezvirwere zvechiberekero mukati mevana (uye vanhu vakuru).
- Strep throat - Ne strep throat , kuputika kwezvitsiga mumutsipa kunoitika pamwe nefivhiri uye maronda. Kakawanda nguva dzakachena machena pamusana wehuro inowanikwawo zvakare.
- Mono - Infectious mononucleosis inokonzerwa nechirwere che Epstein-Barr. Inowanzokonzera chirwere chepfungwa, fever, uye kuvhunduka kwemazamu mumashure emadzimai emakirini lymph nodes (kusiyana ne strep throat iyo inowanzobatanidza anterior cervical lymph nodes.) Nodhi idzi dziri pamberi nepashure pemusana sternocleidomastoid, mutsara mukuru unomhanya nechepamusoro pemutsipa wako.
- Kaka kuvhara chirwere - Cat-scratch chirwere chirwere chinokonzerwa nebhakitiriya Bartonella henselae . Inoparadzirwa nemakati ane utachiona kana kittens kuburikidza nekuruma kana kuti kukona. Zvirwere zvinotanga vhiki kwemazuva gumi nemaviri gare gare nechisimba chiduku. Mushure meimwe imwe vhiki kana maviri, nyoro, tsvuku, uye yakagwinya lymph nodes inowanikwa. Mishonga ine antibiotics.
- Scrofula - Scrofula ihosha ye lymph node inokonzerwa neatypical mycobacteria kana kuti tuberculosis. Inoratidzirwa nezvirwere zvisingaregi, zvakanyanya mumutsipa.
- Kawasaki chirwere - Chirwere chisina kukwana, chirwere cervical (neck) lymph node ndechimwe chezvinhu zveKawasaki chirwere, pamwe nevamwe zvinosanganisira fevha, maziso matsvuku, kupfugama kwemaoko nemakumbo, kuputika, uye mutsvuku mumakumbo mumuromo, shanduro rurimi uye miromo inoputsika.
Zvimwe zvirwere zvakanyanya, kubva pachirwere chetachiona kusvika kune HIV, zvinogona kukonzera kupisa kwezvirwere uye zvingafungidzirwa zvichibva pane zviratidzo zvemwana uye panjodzi.
Lymphoma, rudzi rwekenza, inoratidzika seye izvo vabereki vakawanda vanonetseka nezvayo kana mwana ane chirwere chinoputika, kunyange zvazvo zvisiri zvishoma kudarika zvimwe zvinokonzera. Vabereki vangave vaine hanya neyeukemia, asi kuvhupa kwema-lymph nodes sechiratidzo choga chekuropafadzwa neukemia chakanga chisingawanzwisisiki.
Chimwe chimiro, Hodgkin lymphoma , hachiwanzove muvana vaduku, kuva yakajairika muvechiri kuyaruka, avo, kunze kwezvinyunguduru zvezvimba, kazhinji vane fivha isina kutsanangurwa, kuora muviri, uye usiku hukutuka. Hodgkin lymphoma inobatanidzwa kune Epstein-Barr HIV infection (mono) inenge inenge 40 kubva muzana yevanhu, kunyange zvazvo nzira iri shure iyi isiri pachena.
Vana vane kwete Hodgkin's lymphoma vanogona kukura nokukurumidza, lymph nodes isina kurwadza, pamwe nekumwe zviratidzo zvakadai sefivha, kuora muviri, usiku hukutuka, kukwezva, uye kuneta.
Kazhinji zvikonzero zvinokonzera lymph nodes zvinogona kubva ku hyperthyroidism kuenda ku lupus, kusvika kuKawasaki chirwere , nezvimwewo.
Chii Chingafanira Kuziva Pamusoro Pokuputika Glands
Zvimwe zvinhu kuti vabereki vazive nezvezvinyunguduru zvinoputika zvinosanganisira izvo:
- Mukuwedzera pakuve nezvinyunguduru zvezvimba, vanachiremba vanotarisa zvimwe zvakasiyana-siyana, zvakadai sehukuru hwe lymph nodes, chiyero chekukura, kusagadzikana kwavo (kunyorova, kusimba, kana rubbery), kana kuvepo kuripo, uye kana kune tsitsi kuti ibatsire ona kana vachigona kuva vakanaka kana kwete.
- Zvimwe zviratidzo zvinosanganiswa, zvakadai sekuramba kana kusingazivikanwi fever (fever isingazivikanwi yakabva), kurasikirwa kwekushaya kwezvokuda, kushushikana, uye kusuruvara kweusiku kunogona kuva zviratidzo zvemuviri wakakomba unokonzera kupisa kwezvinyoro.
- Lymphadenopathy inogona kuwanikwa munzvimbo (mune imwe nzvimbo) kana kuti inowanikwa (munzvimbo dzinopfuura mbiri dzisingabatsiri), uye generalized lymphadenopathy inogona kukonzerwa nechirwere cheitiro.
- Utachiona hwemudumbu kana humwe hutachiona hunogona kuita kuti kuve nokuputika kwemashoko emuenteric mudumbu, izvo zvinogona kukonzera matumbo emimba. Ichokwadi, glandedzwi reMesenteric rinowanzowanikwa apo kuvhiyiwa kunoitwa kune munhu anofungidzirwa appendicitis.
- Iko kune lymph node mazana matanhatu mumuviri wedu.
- Mukuwedzera kune chiremba wevana vako, nzeve yevana, nzeve, nehuro, kana chiremba wechiremba (zvichienderana nechinzvimbo chezvipembenene) zvinogona kubatsira kuongorora mwana wako nemaronda anoputika.
Apo Kusuruvara kweGlands Kunoda Kuwedzera Kuongororwa
Zviratidzo uye zviratidzo zvinoratidza kuvhunduka kwezvimba zvinogona kuva chinhu chakakomba chinosanganisira:
- Kupfigira zvipembenene zvinowanikwa munzvimbo dzinopfuura imwechete yomuviri (generalized lymphadenopathy.)
- Lymph nodes iyo yakasimba
- Lymph nodes iyo yakagadziriswa (usakurumidza kufamba-famba)
- Lymph nodes iyo yakakura kudarika 2.5 cm (yakakura pane imwe masendimita)
- Lymph nodes iyo isati iri nyoro
- Lymph nodes dzinokura nokukurumidza
- Kupfigira lymph nodes pamwe chete nezviratidzo zvakadai sekurema, kupisa kwezuva nezuva, kana usiku kusuruvara
- Kubatana kwekuremara kwema-lymph nodes uye chirwere chako kunzwa semubereki kuti chimwe chinhu chakakomba chiri kuitika - kuvimba kwako intuition
Inguva Yakareba Sei Lymph Nodes Ramba Uchizununguka?
Zvakakosha kuchengetedza mupfungwa kuti lymph nodes inoputika inogona kutora mavhiki kusvika kumwedzi kuti idzoke kuhukuru hwemazuva ose. Uyezve, sezvo vana vaduku vanogona kuva pakati pemasere kusvika masere ekumusoro kuputika kwezvirwere (daycare syndrome) gore negore zvinogona kukonzera lymphadenopathy, zvingaita sokuti lymph node yemwana wako iri kuwedzera.
Sources
- Gaddey, H., uye A. Riegel. Kusina kutsanangurwa Lymphadenopathy: Kuongorora uye Kusiyanisa Kuziva. American Family Physician . 2016. 94 (11): 896-903.
- Kliegman, Robert M., Bonita Stanton, St Geme III Joseph W., Nina Felice. Schor, Richard E. Behrman, uye Waldo E. Nelson. Nelson Nhamba yeBhuku rePediatrics. 20th Edition. Philadelphia, PA: Elsevier, 2015. Print.
- Rajasekaran, K., naP. Krakovitz. Yakapetwa Neck Lymph Nodes muvana. Matanho Emakirini eNorth America . 2013. 60 (4): 923-36.