Chiratidzo chinowanzogona kureva chimwe chinhu mune kenza
Adenopathy (inozivikanwawo se lymphadenopathy) inoreva lymph nodes iyo yakawedzerwa kana yakapfigirwa nekuda kwehutachiona, chinokonzera zvikonzero, kana nekuda kwemamwe mararamiro ehutano, zvakadai sekugadzirisa kwega autommune kana kenza .
Nekenza, adenopathy inogona kukonzerwa nehuipi hunotanga mumakirini nhengo ivo pachavo. Inogonawo kuitika apo kenza inopararira ( metastasizes ) kubva kune dzimwe nhengo dzomuviri kuenda kune lymph nodes.
The Lymph System
Muviri wako une lymphatic system iyo ine lymph vessels, lymphatic fluid, uye lymph nodes. Mambure eine lymph vessels anotakura lymphatic fluid mumuviri wose. Izvi zvinotyisa, pakati pezvimwe zvinoshanda, zvinounganidza zvinhu zvakasvibisa uye zvirwere zvinokonzera zvirwere (semirwere uye mabhakitiriya) parwendo rwavo kuburikidza nematumbu.
I-lymph nodes ivo vashoma, nhengo dzakaita semhete dzinobudisa uye dzinochengetedza masero eropa (anonzi lymphocytes) anobatsira kurwisana nehutachiona uye zvirwere. Pano pane mazana matanhatu ematunhu aya anowanikwa mumuviri wose. Basa ravo rinokosha nderokusvina tsvina kubva lymphatic fluid. Sezvo vachiita kudaro, uto re lymphocytes rinoda kukanganisa chero mutorwa wekune imwe nyika iyo inosangana nayo.
Nepo dzimwe lymph nodes dziri munzvimbo-muhupura, mhembera, nemutsipa, somuenzaniso-mamwe ari akadzika mumuviri, akadai mubhokisi kana mumimba.
Munguva yehutachiwana hwehutachiona kana kukuvadzwa, lymph nodes dzinoputika uye dzinononoka.
Apo izvi zvinenge zvichiitika, kuderera kunogona kutora maitiro mazhinji:
- Inogona kuwanikwa munzvimbo (inowanikwa munharaunda imwe yemuviri), pamwe chete (kumativi maviri omumuviri), kana kuti huwandu (inoitika mumuviri wose).
- Inogona kuva yakaoma (kuitika nokukurumidza nekugadzirisa nokukurumidza) kana kusingaperi (inoramba ichiripo).
- Inogona kuratidzirwa nenzvimbo ye nodes, zvakadai sepamusoro pemutsipa (cervical), kugomera (inguinal), chifukidzo (mediastinal), armpits (axillary), kana mimba (mesenteric).
Cancer Adenopathy
Kenza kudengenyeka ishoko rinoshandiswa kurondedzera kupfurikidza kwemakirini anokonzerwa nekenza. Cancers inotanga mu lymph nodes inonzi lymphoma . Zviviri zvezvinowanikwa zvakawanda ndeyeHodgkin lymphoma kana kuti kwete Hodgkin lymphoma . Chimwe nechimwe chinoita uye chinokura zvakasiyana, asi zvose zvinobva mu lymphocytes ivo pachavo. Adenopathy inongova chimwe chezvinhu zvezvirwere izvi.
Zvimwe zvinowanzoitika, kenza yekudzivirira kenza ichaitika apo kuora kwechikamu chimwe chemuviri (inozivikanwa seyekutanga tumor) kunopararira kune dzimwe nhengo dzomuviri kuti dzigadzire matumire matsva (echipiri). I-lymph nodes ndiyo nhengo dzinowanzobatwa izvi.
Nzira Iyo Kanzera Inopararira Nayo Lymph Nodes
Kana tumarara inosangana nemasikirini, kenza dzemasero dzinoparadzana kubva pachirwere chekutanga uye dzinopararira kune dzimwe nhengo dzomuviri kuburikidza ne-circulatory (blood) system kana lymphatic system.
Apo masero ari muropa, iwo anotsvaira pamwe neropa ruchiyerera kusvikira asvika pane imwe nzvimbo, kazhinji capillary. Kubva ikozvino, sero rinogona kupfurikidza nemadziro e-capillary uye kugadzira chirwere chitsva kupi zvayo.
Chinhu chakafanana chinowanikwa ne lymphatic system. Muchiitiko ichi, masero emukenza anoputika uye anotakurwa kune lymph nodes apo anoramba akaoma.
Kunyange zvazvo node dzichapindura nechisimba chekudzivirira zvirwere zvemuviri, mamwe emasero emukenza achapona kuti agadzire tumarara mutsva.
Asi pano ndipo pane kusiyana kwacho: Kusiyana nehutachiona, iyo inogona kutakura masero ekenza kune chikamu chipi nechipi chemuviri, kupararira kwekenza kuburikidza ne lymphatic system kunowanzoomeswa. Nodhi dziri pedyo nechirwere zvinowanzova yekutanga inobatwa. Kubva ipapo, mamwe masero anogona kuvhara ndokuenda kune dzimwe nharaunda dziri kure kune dzimwe nhengo dzomuviri.
Nemhaka yenzira iyo lymph nodes inogadziriswa nayo, vanachiremba vanogara vachiongorora ivo kuti vaone kana kenza yakatanga kupararira uye, kana zvakadaro, nekuwanda kwei.
Maitiro eAdenopathy Anowanikwa
Kuwedzerwa kwemakumbo emakumbo mashoma kunogona kuonekwa kuburikidza nekuongorora kwepanyama. Kufananidza miedzo yakafanana neyomugumisiro tomography (CT) kuongorora kunogona kushandiswa zvakare, kunyanya kune lymph nodes mubhokisi kana mudumbu.
Uyezve, chiremba angarayira lymph node biopsy. Icho chirevo chinosanganisira kubviswa kwemuviri wecymph node yekuongorora pasi pekroscope. Inogona kushandiswa kana kuona kana kenza yakapararira kubva pachirwere chikuru kana mumamiriro ezvinhu apo lymphoma inofungidzirwa.
Izvo zvinoshandiswa zvinogona kuitwa kuburikidza nekubvisa chirwere kana kuti, zvisiri zvishoma, nekubvisa masero anoshandisa nzira shomanana yekuvhiringidza inonzi yakanaka yakanaka inopinza. Migumisiro yechiopsy yakakosha kune zvose kuongororwa uye kugadziriswa kwekenza.
Maitiro eAdenopathy Anokanganisa Kenza Kurapa
Adenopathy pachayo haina kuchinja mararamiro ekurapa kenza . Zvisinei, kuva nechirwere chekenza mumakirini ako emakondomu kunogona kukanganisa kurapwa nenzira iyo ichazivisa chikamu chechirwere chako.
Imwe yenheyo dzakajairika zvekenza yekupinza ndiyo TNM system , inobva pakukura kwechirwere (T), kuwanda kwekupararira kune lymph nodes (N), uye kuvapo kwemasastasis (M). Kana pasina kenza inowanikwa mumakirini emakona pedyo nechomuviri, iyo N ichagoverwa kukosha kwe 0. Kana nharaunda dziri pedo kana dziri kure dzichiratidza kenza, N ichapiwa kukosha kwe1, 2, kana 3 zvichienderana ne:
- Ingani nodhi dzakabatanidzwa
- Ikoko node dziripo
- Iyo yakakura sei nodesiti
- Ko kenza yakawanda sei mavari
Iyo yakakurudzirwa nzira yekurapwa ichanyanya kunyanya kugadziriswa pamitambo. Nharaunda yacho inoshandiswawo kuti iwane hutachiwana hweCD-10 code , iyo inofanirwa nehupenyu hwehutano huchashandira kugamuchira kurapa.
Cancer Adenopathy vs. Infection-Related Adenopathy
Haasi ose adenopathies akafanana. Zvinokonzera kanzira zvinowanzova zvakaoma, zvisingarwadzi, uye zvakasimba zvakagadzirirwa kumapfupa akapoteredza. Nhengo dzomukati kana dzisiri dzomukati, dzinopesana, dzinowanzorwadza kusvika kune zvinobata uye dzichaderera muhukuru uye huwandu sezvo chirwere chinogadzirisa.
Nezvo zvichitaurirwa, iwe haugoni kuziva kuti chii chinokonzera kuderedza zvirwere nemamiriro ekunze ari oga. Mune zvimwe zviitiko, seyode yekenza inogona kuisa mutsara uri pedyo nekukonzera marwadzo. Mune dzimwewo, node yebendi inogona kuva yakaoma uye isingarevi (yakadai seyo inogona kuitika nekuramba ichiita lymphadenopathy yakaonekwa muHIV).
Ndine Kanzera Kana Ndapera Rymph Nodes?
Adenopathy isiri chiratidzo chisingaiti chinogona kukonzerwa nenhamba ipi zvayo yezvinhu. Pamusoro payo pachako, kuderera kunenge kusina kuongorora kukosha. Kazhinji pane zvisiri izvo, zvakadaro, kuderedza dambudziko kunokonzerwa nehutachiwana panzvimbo yekenza.
Nezvo izvo zvataurwa, kana lymph nodes dzichiramba dzichiwuka uye / kana dzikava huru, iwe unofanirwa kutsvaga kurapwa. Kana uri kutotora kurapwa kwekenza, raira chiremba wako kana iwe ukawana chero lymph nodes yakatsvaira mune chero chikamu chemuviri wako.
> Sources:
> Nieweg, O .; Uren, O .; uye Thompson, J. "The History of Sentinel Lymph Node Biopsy." Canc J. 2015; 12 (1); 3-6; DOI 10.1097 / PPO.0000000000000091.
> West, H. naJin, J. "Lymph Nodes uye Lymphadenopathy muCancer." JAMA Oncol. 2016; 2 (7): 971; DOI 10.1001 / jamaoncol.2015.3509.