Ib lub qog ntshav qab zib yog ib qho me me nyob rau hauv lub txaj ntawm cov hlab ntsha lymphatic. Cov node muaj ib txoj kab uas hla mus txog 50 mm, lub ntsiab filling ntawm tsim yog lymphocytes. Lymph nodes nyob thoob plaws hauv lub cev, cov qog ntshav los ntawm lub cev yog lim los ntawm cov nodes, thaum muaj tus kab mob, lymphocytes tuaj rau hauv kev ua si, ib feem ua rau cov kab mob phem. Tsis tas li ntawd, cov ntaub ntawv hais txog qhov muaj tus kab mob kis thoob plaws hauv lub cev tiv thaiv kab mob thiab ua kom lub cev tiv thaiv kab mob.
Kev kuaj tus kheej
Nws yooj yim heev los txiav txim rau koj tus kheej tias cov qog ntshav qab zib tau ua rau mob. Cov neeg mob pom lymphadenitis nyob rau hauv qhov chaw ntawm lub cev uas lawv nyob ze rau ntawm daim tawv nqaij - nyob rau hauv lub armpits, nyob rau hauv lub caj dab, nyob rau hauv lub subclavian cheeb tsam, nyob rau sab nraum qab ntawm lub taub hau, qab pob ntseg. Kev mob ntawm cov qog ntshav qab zib tsis tuaj yeem txiav txim siab ntawm koj tus kheej.
Thawj cov tsos mob ntawm qhov mob:
- Ntawm qhov loj. Qhov loj me me ntawm kev tsim yog tsis ntau tshaj 0.5-1.0 hli, nws yog yuav luag tsis palpable ntawm palpation, qhia raws li ib tug me me nodule nyob rau hauv daim tawv nqaij. Cov nodule noj qab nyob zoo tsuas yog hnov nyob rau hauv lub puab tsaig sab, nyob rau lwm qhov chaw nws yuav imperceptible rau tes.
- Thaum koj nias rau ntawm qhov mob tubercle, qhov mob yuav hnov.
- Kev ntxhib los mos ntawm cov qog ntshav ua tuab.
- daim tawv nqaij ntawm qhov chaw mob ua paug liab.
- Nyob rau hauv cov mob hnyav heev, suppuration thiab kub taub hau yuav tshwm sim.
- Kab mob kis tau los ntawm cov kab mob qog nqaij hlav hauv zos.
Yog tias pom tsawg kawg ib qho ntawm cov cim qhia, koj yuav tsum sab laj nrog kws kho mob. Nws ntseeg tau tias yog cov qog nqaij hlav hlav thiab cov txheej txheem tsis ua tiav, kis mus rau tag nrho cov saw hlau, tsis muaj qhov mob tshwm sim, ces tsis muaj kev txhawj xeeb tshwj xeeb.
Ib qho o tuaj yeem tshwm sim los ntawm tus kab mob tsis ntev los no, thiab tom qab lub cev rov zoo tag nrho, qhov loj ntawm cov qog ntshav qab zib yuav rov zoo li qub. Yog tias, ntxiv rau qhov nce ntxiv, muaj qhov mob thiab tsis xis nyob, yuav tsum tau mus ntsib kws kho mob.
Cov qog o o nyob rau hauv ib feem ntawm lub cev qhia tias lub cev tiv thaiv kab mob nyob rau hauv lub verge ntawm qaug zog thiab tsis muaj peev xwm tiv tau tus kab mob ntawm nws tus kheej.
Mechanism of inflammatory
Yog cov qog nqaij hlav hlav, txhais tau hais tias muaj kab mob hauv lub cev, vim tias cov kab mob lymphatic yog ib feem ntawm tib neeg kev tiv thaiv. Cov qauv me me no ntxiab cov hlwb txaus ntshai, microparticles, thiab tom qab ntawd qhib cov lymphocytes uas tuaj yeem tiv thaiv lub cev. Lymphocytes sib faib sai thiab nyob rau hauv cov qog nqaij hlav, vim nws loj tuaj.
Ib feem ntawm cov lymphocytes los ntawm kev ntws ntawm cov qog ntshav thiab cov ntshav kis mus rau lwm lub cev muaj lub luag haujlwm rau kev tiv thaiv kab mob, uas ua rau muaj kev ua haujlwm ntawm tag nrho cov kab mob tiv thaiv. Kev pab ntxiv nyob rau hauv daim ntawv ntawm lwm yam kev tiv thaiv kab mob rushes mus rau ntawm qhov chaw ntawm lub zog pib thiab qhov twg hostile hlwb yog concentrated, thiab cov qog nqaij hlav ntau ntxiv.
Qhov loj ntawm cov qog ntshav qog ntshav yog qhov ceeb toom rau tib neeg feem coob, thiab yog tias qhov mob ntxiv rau qhov no, daim duab pib zoo li hem. Thiab tsis nyob rau hauv vain - inflammatory dab pib nyob rau hauv lub cev.
Lawv yog tshwm sim los ntawm kev puas tsuaj ntawm lub cev tiv thaiv kab mob uas zais cov tshuaj lom neeg lom neeg (histamine, serotonin, thiab lwm yam). Tawm mus rau hauv cov ntaub so ntswg, lawv irritates lub paj hlwb. Tsis tas li ntawd, qhov mob mob yog vim qhov tseeb tias cov khoom lwj ntawm cov kab mob pathogenic thiab cov co toxins uas lawv tso tawm ua rau cov hlab ntsha, cov hlwb puas ntawm lub cev nws tus kheej koom nrog cov txheej txheem.
Muaj ntau yam ntxiv uas qhia tias yog vim li cas cov qog nqaij hlav hlav. Qhov ua rau mob thiab nce qhov loj me kuj yog nyob rau hauv qhov o ntawm cov ntaub so ntswg, uas tau pib vim qhov nthuav ntawm cov hlab ntsha. Edema compresses cov qog ntshav, thiab tus neeg mob hnov mob thiab saib qhov o ntawm ib pob me me hauv qab ntawm daim tawv nqaij.
Ua rau lymphadenitis
Yog cov qog nqaij hlav hlav tas li, koj yuav tsum nrhiav qhov ua rau muaj qhov tshwm sim ntawm lub cev. Nws tuaj yeem pw hauv cov kab mob pathological, uas yog:
- kab mob ntawm qhov ncauj.
- Kab mob ntawm txoj hlab pa.
- Kev txhim kho ntawm neoplasms.
Lymphadenitis muab faib ua obpawg:
- Specific. Kev mob yog tshwm sim los ntawm cov kab mob xws li syphilis, AIDS, qhua pias, tuberculosis, thiab lwm yam.
- Tsis yog tshwj xeeb. Hom kab mob no yog tshwm sim los ntawm cov kab mob phem, xws li staphylococcus, streptococcus, nkag mus rau hauv ib puag ncig ntawm lub cev. Mob khaub thuas, abscesses, ua xua, SARS, toxoplasmosis kuj ua rau lymphadenitis nonspecific.
Yog tias muaj qhov txhab hauv lub cev nrog me ntsis suppuration, yuav tsum xav tias qhov no yuav ua rau cov qog nqaij hlav o.
Lymphadenitis ntawm caj dab
Qhov kev tsis txaus siab tshaj plaws los ntawm tus neeg mob yog tias cov qog ntshav hauv lub caj dab tau ua rau mob. Lymphadenitis ib txwm yog qhov tshwm sim ntawm cov txheej txheem inflammatory, thiab qhov chaw ntawm cov pob txha loj qhia tias nws tshwm sim qhov twg.
Qhov laj thawj tseem ceeb vim li cas cov qog ntshav qab zib tau ua rau mob ntsig txog lymphadenitis uas tsis yog tshwj xeeb, uas yog:
- STDs.
- SARS, mob npaws.
- Kab mob ntawm qhov ncauj (otitis media, stomatitis).
- Kev kis kab mob, helminths lossis fungus.
- Kab mob ntawm txoj hlab ntsws sab sauv (tonsillitis, o ntawm caj pas thiab larynx, pharyngitis).
- Cov qog nqaij hlav lymphatic.
- Txo kev tiv thaiv, thiab lwm yam.
Tshwj xeeb lymphadenitis ntawm caj dab yog tshwm sim los ntawm cov kab mob xws li:
- Pathologies ntawm thyroid caj pas.
- Nyob zoo ib tsoom phooj ywg.
- Txhua hom kev tsis haum tshuaj.
- kab mob sib kis.
- Kev tsis zoo ntawm cov txheej txheem metabolic.
Tus neeg mob xav tias muaj kev tsis haum xeeb,Qhov kub nce siab, tsis muaj zog yog qhia, cov qog nqaij hlav hauv lub caj dab raug mob, thaum nqos, qhov mob hnyav zuj zus.
mob qhov ncauj
Kab mob ntawm qhov ncauj tuaj yeem ua rau cov qog ntshav hauv lub caj dab ua rau mob. Cov neeg laus feem ntau hnov cov qog nqaij hlav loj hauv thaj tsam submandibular, qhov no yog vim muaj kab mob kis yav dhau los, nrog rau cov kab mob thiab lawv cov khoom pov tseg nyob rau hauv qhov ncauj kab noj hniav.
Hauv chaw kho hniav, cov neeg mob feem ntau txhawj xeeb txog cov lus nug: cov qog ntshav qab zib puas tuaj yeem mob vim yog hniav? Nrog rau kev kawm ntawm qee hom kab mob kis hauv qhov ncauj, nws tuaj yeem.
Lymphadenitis yog tshwm sim los ntawm cov kab mob hauv qab no:
- Gingivitis. Kev ua txhaum cai ntawm kev nyiam huv ntawm qhov ncauj ua rau muaj cov quav hniav, qhov twg cov kab mob loj tuaj. Kev tiv thaiv tsis muaj zog tuaj yeem tiv nrog lawv, thiab mob tshwm sim. Cov pos hniav raug kev txom nyem, lub qhov ncauj tag nrho, vim li ntawd, tus neeg mob pom tias cov qog ntshav qab zib tau ua rau mob, qee zaum ob peb.
- Kab mob glossitis yog qhov mob ntawm tus nplaig. Nrog rau tus kab mob, tus kab mob no cuam tshuam tsis tau tsuas yog cov mucous nto, tab sis kuj cov leeg nqaij. Cov qog ntshav ntawm lub cev no tau muab faib ua ntau pawg ntawm cov qog ntshav qog ntshav. Nrog rau kev kis tus kab mob sai sai, tag nrho pab pawg tuaj yeem ua rau mob.
- Caries yog cov txheej txheem qeeb ntawm kev puas tsuaj ntawm cov hniav. Nws tshwm sim los ntawm ntau tus kab mob, feem ntau ntawm lawv yog streptococci. Cov khoom pov tseg ntawm cov kab mob uas muaj cov qog ntshav qab zib tau muab faib rau cov qog nqaij hlav, ua rau lawvmob.
- Stomatitis yog ib yam kab mob ntawm qhov ncauj kab noj hniav uas muaj kab mob sib kis. Kev mob tuaj yeem pom ntawm cov pos hniav, tus nplaig, sab plhu, palate. Cov kab mob nkag mus rau cov qog ntshav kuj nkag mus rau cov qog nqaij hlav, uas ua rau lawv loj tuaj thiab ua rau mob.
Tus kws tshaj lij, sib txuas lus nrog tus neeg mob, yuav pom tias cov qog ntshav qab zib tuaj yeem ua rau mob vim yog tus hniav, kab mob uas cuam tshuam rau cov mucous ntawm qhov ncauj kab noj hniav, mob pob ntseg, thiab lwm yam. Hauv kev tshawb nrhiav cov lus teb, tus kws kho mob ua ntau yam kev kuaj mob los txiav txim seb qhov twg ntawm tus kab mob.
Lymphadenitis nrog angina
Angina yog kab mob tshwm sim los ntawm cov kab mob lossis kab mob, cov kab mob microflora uas lub cev tiv thaiv kab mob ntawm txhua tus neeg teb. Pathology muaj ntau yam cim thiab cov tsos mob, nyob rau hauv ntau zaus nws hnyav thiab muaj teeb meem. Ib qho ntawm cov cim qhia ntawm tus kab mob hnyav tam sim no yog o ntawm cov qog ntshav hauv lub caj dab. Qhov loj ntawm lub pob tuaj yeem ncav cuag qhov loj ntawm lub qe quail, tus neeg mob hnov mob hauv thaj chaw cuam tshuam, cov qauv tsim thickens.
Kev kho mob, cov txheej txheem ntsuas tau raug sau tseg, tsim los tsis yog txhawm rau tshem tawm tus kab mob, tab sis kuj kom tsis txhob muaj teeb meem, uas feem ntau tshwm sim los ntawm angina. "Cov qog nqaij hlav tau ua rau mob," qhov kev tsis txaus siab feem ntau yog los ntawm daim di ncauj ntawm tus neeg mob uas tau mob caj pas lossis nyob rau theem ntawm nws txoj kev mob hnyav. Kev kho mob pib nrog kev kho mob ntawm cov kab mob hauv qab, ntxiv dag zog rau lub cev tiv thaiv kab mob. Feem ntau, kev rov zoo tuaj yeem tshem tawm tag nrho cov tsos mob, suav nrog kev ua haujlwm ntawm lub xeev cov qog nqaij hlav, yog tias lymphadenitis tseem nyob, yuav tsum tau kuaj xyuas ntxiv.thiab nrhiav kev mob.
Coj
Lymph nodes inflamed? Qhov tseeb no yog lub teeb liab rau tus kws kho mob tias lub cev tiv thaiv kab mob ua haujlwm ntawm nws qhov txwv thiab xav tau kev txhawb nqa. Hauv qhov no, kev kho tus kab mob hauv qab yog ua tiav, kev ntsuas thiab tshuaj tau txiav txim siab los txhawb kev tiv thaiv lub cev.
Nyob rau hauv qhov xwm txheej uas tom qab tag nrho cov kev ntsuas tau ua rau ob peb lub lis piam, qhov loj thiab qhov mob ntawm cov lymphatic system tsis rov qab mus rau qhov qub, kev tshuaj xyuas ntxiv ntawm cov neeg mob raug sau tseg. Lub hom phiaj ntawm kev kuaj mob yog txhawm rau txheeb xyuas cov laj thawj vim li cas cov qog ntshav qab zib tau ua rau mob.
Tus kws kho mob twg pom:
- Tus kws kho mob endocrinologist.
- Tus kab mob.
- rau tus kws phais.
- Oncologist.
- Phthisiatrician.
Txhua tus kws tshaj lij no yuav kuaj cov kab mob lymphatic, cov kab mob profile thiab yuav tuaj yeem lees paub lossis tsis lees paub qhov kev xav tsis thoob ntiaj teb cov kab mob xws li oncology, AIDS, ntshav qab zib, syphilis, thiab lwm yam. Ib qho mob hnyav tuaj yeem zais tom qab cov tsos mob ntawm ib qho mob khaub thuas. Lub teeb liab rau kev kuaj mob ntxiv yog qhov tseeb tias nws cov chav kawm tau dhau mus, kev kho ib txwm tsis ua haujlwm, thiab tus neeg mob tus mob tseem hnyav zuj zus.
Txoj kev cuam tshuam ntawm poj niam lub cev
Cov poj niam qee zaum pom tias cov qog nqaij hlav ua rau mob ua ntej kev coj khaub ncaws. Koj tuaj yeem pom lawv hauv puab tais, hauv caj dab, ntawm caj dab thiab lwm qhov ntawm lub cev. Rau qee tus, qhov no tshwm sim tsis tshua muaj tshwm sim, tab sis muaj cov xwm txheej thaum tus mob tshwm sim nws tus kheej txhuahli. Hauv qhov no, kev kuaj mob yog tsim nyog. Kev mob ntawm cov qog ntshav qhia qhov chaw ntawm tus kab mob.
Piv txwv li, yog cov qog ntshav qab zib hauv puab tais tau mob, qhov no yuav yog qhov tshwm sim:
- Ovarian cysts.
- Malignant qog nyob rau hauv lub plab mog.
- Kev mob plab nrog qhov chaw nyob hauv qhov chaw mos lossis uterus.
- STD.
Pom pom tias cov qog nqaij hlav hauv caj dab tau ua rau mob, koj tuaj yeem xav tias:
- Hormonal imbalance (vim kev rho menyuam, kev noj zaub mov tsis zoo, kab mob gynecological, thiab lwm yam).
- Ib yam tshwm sim ntawm qee yam tshuaj hormonal.
- Qhov muaj cov ntsaws ruaj ruaj hauv lub caj pas mammary uas tsis tuaj yeem kuaj pom los ntawm kev tshuaj xyuas tus kheej sab nraud.
- Kev ua txhaum ntawm cov qog ntshav tawm vim cov ntaub so ntswg edema.
- Kev mob hnyav ntawm cov kab mob ntev. Ua ntej hnub tseem ceeb, poj niam txoj kev tiv thaiv poob qis heev, uas ua rau mob qog nqaij hlav lymphadenitis.
Kev xyaum qhia tau hais tias qhov mob ntawm cov qog nqaij hlav hauv caj dab qhia tias muaj mastopathy. Ntau tus poj niam raug mob los ntawm tus kab mob no nyob rau hauv daim ntawv latent. Kev kuaj mob yuav tsum tau kuaj xyuas, kuaj mammogram thiab tus kws kho mob gynecologist thiab kws kho mob yuav tsum tau sab laj.
Special ntees
Qee lub sij hawm muaj xwm txheej thaum cov qog nqaij hlav hlav thiab tsis mob. Qhov no tuaj yeem tshwm sim tom qab kis kab mob, thiab nws yuav tsum tau saib xyuas lub xeev ntawm cov qog nqaij hlav rau 3 lossis 4 lub lis piam, nrog rauThaum tsis muaj lwm yam kab mob inflammatory, lawv yuav rov qab mus rau qhov qub.
Yog tias qhov mob tshwm sim thiab cov kab mob tshiab tshwm sim tas li, koj yuav tsum tau mus ntsib kws kho mob sai - cov tsos mob no yog tus yam ntxwv ntawm oncology (piv txwv li, lymphoma). Ib qho ntawm cov kev kuaj mob yuav tsum yog ib qho ntawm cov qog nqaij hlav kom coj cov ntaub so ntswg thiab kawm kom meej.
Diagnosis
Kev kho mob ntawm ib tus kab mob pib nrog kev kuaj mob, suav nrog yog cov qog nqaij hlav hlav thiab mob. Yuav ua li cas? Hu rau tus kws kho mob hauv zos, nws yuav sau ntau qhov kev xeem, xa nws mus rau qhov kev ntsuam xyuas, uas suav nrog:
- kuaj ntshav (kev tshuaj ntsuam dav dav). Cov txiaj ntsig yuav lees paub lossis tsis suav nrog ntshav qab zib, leukocytosis, leukopenia, lymphopenia thiab lwm yam kab mob.
- Kev kuaj ntshav biochemical yuav qhia koj txog lub xeev ntawm daim siab, txiav, raum, thiab lwm yam.
- kuaj zis (kev tshuaj ntsuam dav dav).
- Biopsy ntawm cov ntaub so ntswg ntawm cov pob txha - cov ntsiab lus ntawm cov node tau kawm, hom kab mob tau tsim, oncology tau lees paub / tsis lees paub.
- YX-ray, ultrasound.
- YComputed tomography, lymphography.
- Immunography, kuaj rau STDs, AIDS, HIV.
Kev kho mob
Kev kho mob tsuas yog tom qab kuaj xyuas tiav ntawm cov laj thawj vim li cas cov qog ntshav qab zib tau mob. Cov tshuaj tua kab mob, uas ntau tus neeg mob nyiam noj lawv tus kheej, yam tsis tau sab laj nrog kws kho mob, tsis tas yuav coj cov txiaj ntsig xav tau, tab sis tuaj yeem dhau los ua ib qho ntxiv.ua rau lub cev tsis muaj zog.
Rau txoj kev kho nyuaj, cov tshuaj hauv qab no tau sau tseg:
- Antibacterial agents. Lawv raug xaiv nyob ntawm tus kab mob tam sim no ib leeg xwb.
- Cov tshuaj Antimycotic ("Clotrimazole", "Ketoconazole", thiab lwm yam).
- Cov vitamins thiab minerals kom tswj thiab ntxiv dag zog lub cev tiv thaiv.
- Antiviral agents ("Cycloferon", "Viferon"). Nyob rau hauv rooj plaub ntawm tus kab mob ntawm qhov txhab, cov kev kho mob dav dav siv rau hauv kev kho mob.
- tshuaj tiv thaiv kab mob (Aciclovir), tshuaj kho tom qab paub tseeb tias tus kab mob herpes.
Rau kev kho mob suppuration, cov neeg ua hauj lwm sab nraud (creams, tshuaj pleev, compresses) yog siv. Nws yog txwv tsis pub ua kom sov li cov qog nqaij hlav, qhov no tuaj yeem ua rau cov txheej txheem purulent. Yog tias qhov ua rau mob ntawm lub lipatic system yog kab mob oncological, ces siv tshuaj khomob, qee qhov kev phais phais.
Ntxiv rau kev siv tshuaj kho mob, cov txheej txheem kho lub cev, kev ntsuas txhawm rau txhim kho kev tiv thaiv kab mob, suav nrog cov tshuaj pej xeem - noj decoctions thiab tinctures ntawm echinacea, ginseng cag, vitamin C kom tsawg (txiv qaub, rosehip broth, thiab lwm yam).. Hardening, ua si kis las, tso tus cwj pwm tsis zoo, hloov mus rau kev noj zaub mov zoo yuav muaj txiaj ntsig zoo rau qhov xwm txheej.
Tus kab mob qog nqaij hlav lossis tag nrho pawg yog pov thawj ntawm kev ua haujlwm ntawm lub cev tiv thaiv kab mob kom tsis txhob muajtxhua yam inflammatory, kis kab mob. Yog li ntawd, nws tsis yog qhov tseeb los txwv kev kho mob ntawm cov qog nqaij hlav nkaus xwb; ib qho kev sib koom ua ke yog xav tau los txheeb xyuas tus kab mob thoob ntiaj teb. Nyob rau hauv rooj plaub uas tus kab mob no tau kho nrog txoj kev zoo thiab rov qab los, cov qog ntshav qab zib yuav rov zoo li qub tom qab lub sijhawm luv luv.
