Mediastinal lymph nodes iine lymph nodes iri mu mediastinum. Mediastinum izwi rinoreva pfungwa yemhando ye "bhokisi" kana nzvimbo mukati mebhokisi, asi zvinorevawo zvose zviri mukati mebhokisi. Iyo miviri inogona kufungidzirwa semucube: yakaiswa pamativi maviri nemapapu; mberi, nebandupa; kumushure, nemutsana; kumusoro, nechokunze kusvika pamutsipa; uye pasi, nechomukati chechifukidzo, kana mushupa wechirwere unobatsira mapapu achiwedzera uye chibvumirano nekufema.
Mukati mebhokisi, kana iwe uchifungidzira mapapu ako akaita mabhoi maviri makuru achichera nzvimbo yose, pane homwe kana nzvimbo pakati pavo. Iyo miviri inotaridzika inoreva chikwata ichocho kana bhokisi iro rinoputika nhengo dzinosanganisira moyo, mutezo weropa, nerve, lymph nodes nezvimwe zvivako zvinokosha.
Apo Mwoyo Wenyu Hwemukati Lymph Nodes Wakawedzerwa
Kana mishonga yako yemasikirini inowedzera, iwe unofanira kuziva kuti kune zvikonzero zvakasiyana siyana zvinokonzerwa neizvi . Ichi ndicho chimwe chinhu chinowanzoitika kune yese yakakura yakawanda.
Mediastinal lymph nodes, kunyanya, inogona kuwedzerwa ivo pachavo, kana pamwe nedzimwe zvirwere, kusanganisira zvimwe zvirwere zvinokanganisa mapapu. Kunyange zvazvo kuwedzerwa kwema-mediastinal lymph nodes kunogona kuitika mune dzimwe nguva kuva chiratidzo chekenza, lymph node kuwedzera munzvimbo ino inowanzokonzerwa nemamwe, zvirwere zvisingaoneki. Kutaura zvazviri, vanhu vane chirwere chisingaperi chinoparadza chirwere cheplm (COPD), chinonyanya kufema kupemha chirwere, chingangoderedza node midestinalinal iyo inokonzerwa nechiitiko ichocho, kunyanya kana ine simba rakasimba rechirwere chechirwere chavo.
Kana chiremba wako achida kugadzirisa pamusoro pemhosva ye nodes yakakura mu mediastinum, unogona kunge uine chirongwa chinonzi mediastinoscopy ne biopsy. Chinhu chiduku chekuvhiya chinongowanikwa pamusoro pe sternum kana sefupa. Chimbo chinonzi mediastinoscope chinowanikwa kuburikidza nekucheka ichi uye zvakanyatsopfuura mukatikati mechikamu chechipfuva apo zvidzidzo zvemuviri zvinogona kutorwa nemakirini.
Iyi nzira inoitwa muchipatara pasi pehuwandu hweanesthesia. Muzviitiko zvizhinji, mhinduro yehupopi yakagadzirirwa mumazuva mashanu kusvika kune manomwe.
Inogona Kuva Kanzira Here?
Lymph nodes zvivako zviduku zviri mumuviri wose. Lymph nodes mu mediastinum, kana masvikiro emakirini emunharaunda, anokosha mishonga pane zvikonzero zvakasiyana siyana-chimwe chazvo chiri kuti chinogona kuratidza kuvapo kwekenza.
Haasi yose yakagwinya lymph nodes mubhokisi ndeye lymphoma, kana kunyange kenza, zvisinei. Utachiona uye zvirwere zvisingaiti sezvakaita sarcoidosis zvinogona kuva mhosva. Munyika umo tuberculosis yakajairika, utachiona hunogona kuva chikonzero chinotungamirira chikwata chemuviri chemukatikati. Chimwe chinhu chinonzi anthracosis chinogona kuitawo kuti lymph nodes iwedzere. Anthracosis, kana mapapu emaminetsi, ndiko kuunganidza kabhoni mumapapu nokuda kwekudzokidzwazve nekusvibiswa kwemweya kana kuputika kweutsi kana huni hwemarara.
Apo lymph nodes mubhokisi yakawedzerwa nekuda kwekenza, lymphoma nemukenza wemapapu zvinhu zviviri zvinowanzoitika. Kanzira kubva kune dzimwe nzvimbo inogonawo kuderedza kana kupararira kune idzi lymph nodes.
Yakakura Mediastinal Nodes kubva kuLymphoma
Lymphoma, kenza yemasero machena eropa, ine zvikamu zviviri zvinokosha- Hodgkin lymphoma uye isiri Hodgkin lymphoma .
Hodgkin lymphoma , kana HL, kazhinji inotanga nemakirini emasikirini emunharaunda. Bhokisi racho rinosanganisira 85 muzana yezviitiko zvose zveHL, asi muHodgkin lymphoma, kana kuti NHL, nhamba yacho inosvika 45 muzana.
Kunyange zvazvo HL inowanzofambira mberi nenzira yakarongeka kubva kune rimwe boka reyymph nodes kusvika kune rinotevera, zvakafanana zvingasava zvechokwadi kune NHL dzakawanda dzakawanda, kunyange zvazvo vamwe vanogona kuva nehutano hwakawanda hweHodgkin's-sitiro.
Kunyange zvazvo chifukidzo chechifukidzo chingave chinoratidza kushungurudza kutarisa lymph nodes, kutanga kuongororwa kwe lymphoma, pasinei nemhando, inogadzirwa ne biopsy.
> Sources:
> Agostinelli C, Pileri S. Pathobiology yeHodgkin Lymphoma. Mediterr J Hematol Inofadza Dis . 2014; 6 (1): e2014040.
> Kirchner J, Kirchner EM, Goltz JP, et al. Yakakura yakawanda uye yemarikirini emidzimu mumaperembudzi asingagoneki. J Med Imaging Radiat Oncol. 2010 Aug; 54 (4): 333-8.
> Mehrian P, Ebrahimzadeh SA. Kusiyanisa pakati pe sarcoidosis neHodgkin's lymphoma inobva mumararamiro emasikirini ekubatanidza muenzaniso: Kuongorora kushandisa spiral CT scan. Pol J Radiol . 2013; 78 (3): 15-20.