Lymph nodes (inonziwo lymph glands) mashoma masangano ane mashizha akapararira mumuviri wose. Lymph nodes dzine masero machena eropa (WBCs), kunyanya maWBC anonzi lymphocytes. Lymphocytes dzinokura uye dzakakura mukati memukirini, uye ndeimwe yemhando dzakawanda dzemasero omumunodzi anobatsira muviri kurwisa zvirwere. Lymph nodes inhengo ye lymph system yemuviri.
Lymph nodes dzakabatana kune imwe nhengo nemakirini emakirini anonzi lymphatics - maduku tubes (semidziyo yeropa) - kuburikidza neiyo lymph fluid, pamwe nemaprotini nezvimwe zvinhu, zvinobva kune rumwe rutivi rwemuviri kune rumwe.
Lymph nodes muzvikamu zvakasiyana zvemuviri zvinonzi zvakasiyana
- Cervical lymph nodes - lymph nodes mumutsipa
- Axillary lymph nodes - lymph nodes mu armpits
- Mediastinal lymph nodes - nodes mukati memuti, pedyo nemwoyo
- Inguin lymph nodes - avo vari mugomba
- Retroperitoneal uye Mesenteric lymph nodes - lymph nodes muzvikamu zvakasiyana zvemuviri.
- Mapirasi lymph nodes - lymph nodes mumapapiro.
Apo lymph nodes inowedzera muhukuru, inonzi inonzi lymph nodes yakakura . Apo nodes ewedzere inogona kunzwiwa nachiremba (munzvimbo dzakadai somutsipa, armpits, uye groin) dzinonzi lymph nodes dzinogadzika.
Zvimwe paZviwedzerwa Nodes
Lymph nodes inogona kukura muhukuru mumamiriro akawanda emamiriro.
Utachiona, kenza, uye zvirwere zvakawanda zvekudzivirira muviri zvinogona kukanganisa lymph cells uye zvinokonzera kuwedzera kwemaitiro emakirini. Kuwedzera kwemaitiro esimbi kunowanzova chiratidzo chokutanga che lymphoma , kenza yemakirini masero. Asi node dzose dzakawedzerwa hadzisi lymphoma. (Ona nyaya inowedzera Yakakura Lymph Nodes Nguva dzose ine Lymphoma? ).
Kuwedzera kwema-lymph nodes hakufaniri kuregererwa.
Zvisinei, sezvo kune dzakawanda zvisingave nekenza zvinokonzera lymph node kuwedzera, vanachiremba havawanzoenda zvakananga ku lymph node biopsy pakarepo, apo node yakawedzerwa inowanikwa. Iwe unofanirwa kunzwa wakasununguka kuunza kune chiremba wako maziso ose asinganzwisisiki kana mavhinga - uye maitiro mazhinji anowanzobuda kuti asava lymph nodes zvachose.
Kana iwe uine lymph nodes inoputika, chiremba wako anodzidziswa kutarisa pasi zvikonzero zvinowanzoitika. Kumusoro kuputika kwepumusoro, somuenzaniso, ndeimwe yezvikonzero zvinowanzoita zvekuremera kwema-lymph nodes, zvakadai seaya anogona kuiswa mumutsipa. Kunyange kana chikonzero chekuwedzera kwemaitiro emakumbo asina kuonekwa pachena kuna chiremba, hazvisi zvisizvo kumirira uye kuona kana kutuka kuchienda pachako, mushure mechinguva chiduku, vasati vatsvaga zvakare. Zvisinei, node inoramba ichiwedzerwa inoda kuongororwa.
Kuti udzidze zvakawanda pamusoro pezvinoita kuti lymph nodes idzike, ona nyaya inonzi Swollen Lymph Glands , uye funga nezvechiyeuchidzo chinoratidzwa pasi apa:
Ndeapi Mhando Yezvinhu Zvinokonzera Lymph Nodes?
Heino chigadzirwa chekare chokuyeuka icho vamwe vanachiremba vangave vachiri kuyeuka. Chirwere cheHodgkin chinongova chiitiko chimwe chete, asi chinoshanda skeleton yemunemonic. Iyo haifaniri kuvhara zvinhu zvose, asi inobatsira pakufunga nezvezvirwere zvinosangana ne lymphadenopathy, kana kuti kuputika kwema-lymph nodes .
Generalized lymphadenopathy zvinoreva kuti kune zvikamu zviviri zvinoshandiswa kubva munzvimbo dzakasiyana. Sezvaunogona kuona, pane zvakawanda 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
Kuwedzera Lymph Node Kudzidza
MuLymph Node Learning Hub , zvikamu zvose zvakasiyana-siyana zvemakirinikodhi akafukidzwa, saka inzvimbo yakanaka kutanga kana iwe uchida kuvhara mberi. Kana iwe uine mubvunzo pamusoro pe lymph nodes, mukana wekuti takufukidze pano. Misoro yakafukidzirwa inosanganisira lymph nodes uye maune immune system, zvinorwadza uye zvinorwadza lymph nodes, lymph nodes pa x-rays uye CT sc scans, lymph nodes mu lymphadenopathy, uye zvishoma pamakirinikodhi akaenzana.
Sources:
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.
Lymphadenopathy uye Malignancy. American Family Physician . > Andrew W. Bazemore, MD, naDouglas R. Smucker, MD 2002 Dec 1; 66 (11): 2103-2111
Mnemonics In Internal Medicine & Pediatrics. Parmar HB. B. Jain Vaparidzi, Jan 1, 2002.