Munyaya ino-round-up, zvese zvakasiyana-siyana zve lymph nodes zvakaputirwa, saka inzvimbo yakanaka kutanga. Kana iwe uine mubvunzo pamusoro pe lymph nodes, mukana wekuti takufukidze pano.
1. Kutumbuka Lymph Glands
Kwete chaizvo lymph nodes for dummies , nenyaya ino haisi nzvimbo yakanaka yekutanga. Ikoko kune mazana matanhatu kusvika ku700 nhadzi dzakaumbwa nhengo dzomuviri wose.
Lymph nodes inhengo ye lymphatic system - imwe yomuviri yeropa, iyo inopararira lymph fluid mumigwagwa, zvichibatsira kubvisa chepfu nevanopinda kune dzimwe nyika.
Mibvunzo yakajairika ine chokuita nekuzvimba kwezvinyungudara kana kuputika kwema-lymph nodes inopindurwa, yakadai seyi: Ndeipi iyo inonyanya kukonzera zvipembenene zvinoputika? I-lymph nodes chaizvoizvo glands here? Ndingaudza sei kana bump is lymph node inobhururuka, kana chimwe chinhu chakakwana zvachose? Ko lymph nodes inogara isina chikonzero here? Ndezvipi zvakasiyana-siyana zvezvinhu, zvese, izvo zvinogona kukonzera lymph nodes munzvimbo dzakasiyana-siyana kuti dzize?
2. Kanzera uye Lymph Nodes
Iyi ndiyo nyaya yaunoda mibvunzo yakaita seiyi: Chii chinonzi kugarisana pakati pekenza uye lymph nodes? Pane chimwe chinhu chakadai sekenza yemukirini? Chii chinonzi lymph nodes kana vasina kenza? Ndezvipi zviratidzo zvekenza yerymph node? Vanhu vane leukemia vane kuvhuvhuta lymph nodes here? Zvakadini nevanhu vane lymphoma?
3. Lymph Nodes uye Immune System
Kufungisisa chii, chaizvoizvo, chinoitika mukati me lymph node? Ichi ndicho chinyorwa kwauri, uye zvinongoitika saizvozvo kune chibvumirano chemutambo wemavhidhiyo inoita kuti kudzidza nezvemakirini nhengo dzinofadza. Genentech - kambani inonyatsozivikanwa nokuda kwezvirwere zvayo zvekuzvidzivirira, yakagadzirisa mutambo uyu unonzi lymph node labyrinth.
Icho chinosvika lymph nodes dziri kuitika nzvimbo - zvakangofanana nemisika yemabhiza kunze, ine mhepo inofambisa migwagwa uye migwagwa uye vatengesi vakasiyana-siyana kuti vataure navo. Mukusanganiswa kweiyi inoishamisa labyrinth, iwe uchanodzidza nezvemaantigen, maseru eT killer uye nhengo dzezvirwere. Nokuti mitambo yakasangana nemasikirwo inoona "T Cells Attack," mutambo unenge wakafanana neAngry Birds.
Kana kufarira kwako kune lymph nodes kune zvakawanda zvine chokuita nebasa rezvirwere, tarisa Maitiro Anopikisa Anorapa Kanzera . Uye kana iri iyo yose "antigen-chinopiwa chinhu" icho chinokutambudza kana kuti chinokurudzira kufarira kwako, edza imwe nyaya yakasiyana-siyana: Cancer-Inodzivirira Cycle .
4. Painless Versus Painful Lymph Nodes
Dzimwe nguva kana lymph node inorwadza kana kuti isingaiti vanachiremba vanofungidzira kuti chirwere ichi chinogona kuva chei. Izvo zvakati, pane nguva dzose zvisiri izvo uye hapana chinhu chiri nyore nyore.
Somuenzaniso, kusuruvara kunorwadza kwemumwe kana kupfuura mimwe lymph nodes inogona kuva chiratidzo chete pakutanga mune mamwe marudzi e-lymphoma, akadai se follicular lymphoma. Vanenge hafu yevanhu vane lymphoma vachave vakawedzera lymph nodes . Iyi nodes haisi inorwadza kune iyo inobata, kunyange zvazvo inogona kuvhara. Mune vamwe vanhu, lymph nodes dzinokanganisa dzinogona kuora mwoyo mushure mekunwa doro , uye izvi zvinoratidzika kuva zvakanyanya kune vanhu vane Hodgkin lymphoma.
5. Lymph Nodes pa X-ray uye CT Scans
Hazvina ruvemia kana lymphoma inoratidzwa nekufungidzira. Chirwere chepakutanga chinowanzodikanwa chidimbu uye nhamba dzinoverengeka dzeongororo dzinoshandiswa paropa uye zvimedu zvemasu. Kufungidzira kuongororwa kwekemukemia, kunyanya, kunogona kunge kusingabatsiri sezvinongoita mune dzimwe mhando dzekenza dzinoita mamarara.
Nekuremekedza lymphoma , mararamiro e-lymph node kubatanidzwa kunogona kuzarurwa kunyange nebhokisi x-razira inogona kuva yakakosha pakutanga, kubatsira kubvisa zvishoma. Haasi ose ane lymph nodes akaputika mubhokisi ndiwo lymphoma. Zvimwe zvirwere, utachiona uye zvirwere zvisingaiti sezvakaitwa sarcoidosis zvingave zviri mhosva.
6. Lymph Nodes muLymphadenopathy
Lymphadenopathy ndiyo chirwere kana kuwedzerwa kwe lymph nodes . Kune marudzi akasiyana e-lymphadenopathy - kana maitiro akasiyana e-lymph node kuvimba.
Lymph nodes inogona kutumidzwa kune imwe nzvimbo, nhengo chaiyo kana chero kusanganiswa kweizvi - zvakafanana nedhora reRussia. Kana iwe uchida kuziva zvakawanda nezve retroperitoneal lymph nodes , kana lymph nodes mubhokisi riri pedyo nemwoyo nemapapu - nhengo dzomukatikati dzemakumbo - zvinyorwa zvine zvinyorwa izvi ndiyo yakanakisisa yekubheja.
7. Kazhinji-Yakakura Lymph Nodes
Saka, chii chinowanzoitika? Mhinduro yacho inobva pane nzvimbo ye lymph node, uyewo kuti yakasimba kana kuti yakasvibisa iwe unoda kunge uri wekukwanisa kutarisa node isina kukodzera. Ramba uri mupfungwa, lymph nodes inogadzirisa zvakakodzera - kuhutachiona, somuenzaniso - nekudzimba kuri kuita mhinduro yakanaka iyo inobatsira muviri.
Dzimwe nyanzvi dzinoshandisa radhiologists dzinoshandisa zviyero zvekutarisa kana kutarisa lymph nodes mumigariro yekufungidzira - uye inofanidza kuti vari kutarisa sei "bhinzi" - kureva, kubva kune rumwe rutivi kana muchikamu chemuchinjikwa kana kumusoro-soro, nezvimwewo:
- Nhamba dzakawanda dziri mumutsipa: 10 mm mune pfupi-axis ndiyo inogumira kumusoro
- Nodes pasi pejaya: 15 mm
- Mediastinal (mukati mukati mebhokisi) lymph nodes: 10 mm semuganhu wepamusoro wechinyakare, kupfupika kwemukati
Kwezvizvarwa zvizere lymph node ukuru - kuvhara kana kuwedzera - kwave chiri chiratidzo chikuru kune vanachiremba vezvirwere. Izvo zvichiri zvechokwadi muzviitiko zvizhinji, zvisinei, nemhaka yokuti lymph node inowanzo-yakakura haina kureva kuti yakakwana kwazvo, zvimwe. Uye izvi zvinova zvakakosha apo kunetseka ndiko kenza.
Chiremba haafaniri kuziva kuti ane hanya ne lymph node kana, zvichibva paC CT scans kana x-rays, hapana kuonekwa sechinhu chakaipa nacho. Ndiyo apo PET / CT inogona kupa humwe simba rekucherechedza . Semuenzaniso, PET inogona kuratidza chirwere mumakirini emagetsi anoenderana-siyana uye kubatsira kutarisa zvirwere zviri kunze kwemakirini, asi zvisingaoneki pa CT.
> Sources:
> Radiopaedia.org. Lymph Node Kuwedzera.
> Cheson BD, Fisher RI, Barrington SF et al. Mazano ekutanga Kuongorora, Kuongorora nekupindurwa Kuongorora kweHodgkin uye Hasi-Hodgkin Lymphoma: Kurongwa kweLugano. J Clin Oncol. 2014; 32 (27) 3059-3068.
> Barrington SF, Mikhaeel NG, Kostakoglu L, et al. Basa rekufungidzira muKutsanangura nekupindurwa kweLymphoma: Consensus ye International Conference pamusoro peMalignant Lymphomas Imaging Working Group. J Clin Oncol. 2014; 32 (27): 3048-358.
> Smith, Monica. Mutsva Lymphoma Zvinoratidzira Funga Kufambira Mberi.
> Matthew Stenger. Yakavandudzwa Mazano ekuongorora, kuongorora, nekuongorora kuongororwa kweHodgkin uye Hasi-Hodgkin Lymphoma: Kurongwa kweLugano.