Lymph nodes hauv cov tshuaj hu ua accumulations ntawm lymphatic cov ntaub so ntswg, uas nyob thoob plaws tib neeg lub cev. Kev mob ntawm cov qog nqaij hlav ntawm lub puab tsaig lossis lwm qhov ntawm lub cev yuav tsum tau ceeb toom ib tus neeg thiab ua rau nws mus nrhiav cov lus qhia ntawm tus kws tshaj lij. Nws, nyob rau hauv lem, yuav tsum tau muab cov kev taw qhia rau tus neeg mob rau qhov tsim nyog cov kev ntsuam xyuas thiab kev tshawb fawb, ces muab tshuaj nyob rau hauv daim ntawv ntawm kev kho mob tshuaj. Muaj tsawg zaus, yuav tsum tau ua qhov hnyav dua.
Thaum cov qog nqaij hlav ua rau mob
Cov qog nqaij hlav lymphatic uas tsim cov qog ntshav qab zib pib ua rau mob thaum tib neeg lub cev raug kev puas tsuaj los ntawm cov kab mob pathogenic. Piv txwv li, thaum lub cev tsis muaj zog, thiab ib tug neeg tau kis tus kab mob khaub thuas - qhov no yog qhov zoo tshaj plaws. Qhov phem tshaj, nws tuaj yeem yog cov qog nqaij hlav cancer. Tias yog vim li cas cov kws kho mob pom zoo kom hu rau cov kws kho mob uas tsim nyog ntawm qhov tsis txaus ntseeg me ntsis ntawm cov kab mob lymphatic.
Qhov chaw ntawm cov qog nqaij hlav
Lymph nodes tseem hu ua cov khoom sau. Vim lawv khaws cov qog ntshav los ntawm tag nrho lub cev. Lymph nodes tuaj yeem ua rau sab nraud thiab visceral. Cov txheej txheem inflammatory ntawm qhov kawg ntawm lawv tsis tuaj yeem kuaj pom yam tsis muaj ultrasound.
Yuav tsis hais txog sab nraum zoov. Lymph nodes raug cais raws li lawv qhov chaw nyob ntawm lub cev:
- Occipital. Lawv nyob hauv thaj chaw uas lub caj dab hla mus rau pob txha taub hau.
- Cov qog ntshav qab zib popliteal nyob tom qab, ntawm lub hauv caug pob qij txha.
- puab puab tais nyob ntawm puab puab tais.
- Cov qog ntshav qab zib mediastinal nyob rau hauv lub hauv siab kab noj hniav. Qhov chaw no suav hais tias yog ib qho txaus ntshai tshaj plaws, vim cov kabmob tseem ceeb nyob ze: lub plawv, ntsws, trachea.
- Cov qog ntshav qog ntshav nyob hauv cov caj npab. Lawv cov naj npawb ua rau cov pab pawg muaj zog ntawm cov qog nqaij hlav lymphatic, uas lim li 70% ntawm cov qog ntshav.
- Parotid tuaj yeem nyob pem hauv ntej thiab tom qab lub auricle.
- Lub ntsej muag qog nqaij hlav feem ntau yog nyob ntawm lub puab tsaig, sab plhu thiab puab tsaig.
Lawv kuj nyob rau thaj tsam ntawm nasolabial quav, qhov muag thiab lub ntsej muag nqaij.
Yuav ua li cas yog cov qog nqaij hlav ntawm lub puab tsaig yog o
Ua ntej koj yuav tsum tau kuaj tus kheej. Txhawm rau ua qhov no, koj yuav tsum hnov qhov tsim ntawm sab plhu, thiab xyuas lwm qhov chaw uas cov qog ntshav nyob hauv. Nws yog ib qho tsim nyog los ntsuas qhov kev siv ntawm qhov nce hauv qhov node thiab me ntsis nias nws. Yog hais tias muaj mob rhiab heev thaum lub sij hawm o ntawm cov qog nqaij hlav ntawm lub puab tsaig, thiab qhov mob yog nrog los ntawm kev nce ntxiv.kub. Qhov no yog ib lub sijhawm los nrhiav cov lus qhia ntawm tus kws kho mob tam sim ntawd. Tsis tas li ntawd, nrog cov tsos mob zoo li no, cov qog ntshav qab zib tuaj yeem muaj qhov sib xws (hauv ib qho chaw nws nyuaj, hauv lwm qhov nws yog mos). Qhov no yuav tsum tau ceeb toom rau tus kws tshaj lij, thiab nws, dhau los, yuav muab tshuaj tua kab mob.
Ua rau mob qog nqaij hlav ntawm sab plhu
Cov qog o o yog cov ntaub so ntswg lymphatic uas ua rau cov kua paug thiab ua rau mob hnyav nrog lossis tsis muaj siab.
Cov kws kho mob txheeb xyuas ntau dua ib qho laj thawj vim li cas cov txheej txheem inflammatory tuaj yeem tshwm sim hauv cov ntaub so ntswg lymphatic. Yog hais tias cov qog nqaij hlav ntawm lub puab tsaig yog mob, qhov no yuav ua pov thawj:
- kab mob periodontal,
- muaj cov kab mob pathogenic hauv lub cev (staphylo-, streptococci);
- tsis muaj zog tiv thaiv kab mob;
- kab mob sib kis;
- txheej txheem qog nqaij hlav,
- TB,
- syphilis,
- kab mob HIV,
- tshuaj tsis haum.
- feem ntau, thiab ntau yam kab mob fungal tuaj yeem ua rau cov qog ntshav qab zib ntawm lub plhu ua mob thiab ua rau mob.
Cov poj niam feem ntau tau mob qog nqaij hlav hauv caj dab. Qhov no tshwj xeeb tshaj yog rau cov niam uas pub niam mis. Hauv qhov no, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas kom tsis suav cov kab mob xws li lactostasis, mastitis thiab mastopathy.
Cov ntaub so ntswg mob qog noj ntshav yuav zoo li cas
Hom lymph node uas pib txheej txheem ntawm o tuaj yeem sib txawv. Nws nyob ntawm dab tsidab tsi ua rau pathology. Yog hais tias lub puab tsaig yog o vim lymph node, nws cov qauv yuav du los yog tsis sib xws thaum palpated.
Tsis tas li, cov qog ntshav qab zib (LU - raws li lawv hu ua luv luv) tuaj yeem loj hlob ua ke nrog ib leeg thaum mob. Nyob rau tib lub sijhawm, lawv yuav yog mobile ntawm palpation. Raws li kev xav tactile, LU tuaj yeem yog ob qho tib si mos thiab tawv. Thiab daim tawv nqaij saum toj tuaj yeem qee zaum o thiab reddened.
YDab tsi yog lymphadenitis
Lymphadenitis yog qhov mob ntawm cov qog nqaij hlav ntawm lub plhu ntawm tus menyuam lossis cov neeg laus. Nws yog nrog los ntawm qhov mob hnyav. LU nyob rau tib lub sijhawm yog qhov ruaj khov thiab tsis muaj zog. Nrog rau cov tsos mob hnyav dua: nce lub cev kub thiab txias, intoxication tshwm. Lymphadenitis tuaj yeem ua rau:
- abscess;
- furuncle;
- mug;
- Carbuncle;
- phlegmon.
Nyob rau hauv cov xwm txheej zoo li no, tus kab mob los ntawm kev tsom mus rau hauv cov hlab ntsha, nkag mus rau hauv cov ntaub so ntswg lymphatic, thiab ua rau muaj mob hauv nws. Thaum pib, cov ntaub so ntswg tsuas yog o, ces cov kua paug tawm sab hauv. Lawv impregnate cov ntaub so ntswg noj qab haus huv thiab fatty ntaub so ntswg.
Kev kuaj mob lymphadenitis
Yuav ua li cas kho cov qog ntshav hauv lub plhu thiab kuaj mob li cas nyob ntawm lawv qhov mob, kev ntxhib los mos, ua rau thiab cov tsos mob uas nrog lawv.
Pib nrog, tus kws tshaj lij tau tshaj tawm los txiav txim siab qhov chaw ntawm kev tsom mus rau cov tshuaj tiv thaiv kab mob. Qhov no tuaj yeem ua tiav nrog kev kuaj ntshav. Ultrasound yuav tsum tau ua yog tias tsim nyog.thiab x-ray. Ntawm qhov tsis txaus ntseeg me ntsis ntawm tus kws kho mob tshwj xeeb hauv cov qog nqaij hlav, yuav tsum tau ua qhov kev kuaj ntsuas kub. Tsis tshua muaj, qhov mob hnyav ntawm palpation ntawm cov qog nqaij hlav tuaj yeem qhia txog oncology.
Nrog qhov tsis txaus ntseeg, tus kws kho mob yuav tsum tau txhaj tshuaj (nqa cov ntaub so ntswg me me rau kev tshuaj xyuas) thiab xa tus neeg mob mus rau MRI.
Kev kho mob lymphadenitis
Kev tawm tsam qhov teeb meem no yuav tsum tau txais kev pab los ntawm tus kws tshaj lij. Qhov pib ntawm kev kho mob yuav tsum yog kev sib ntaus tawm tsam lub ntsiab ua rau o ntawm LN. Yog tias tus kws kho mob tuaj yeem kuaj pom thiab pom tias muaj kev tsis haum tshuaj, lawv yuav raug muab tshuaj antihistamine. Thaum kuaj pom tus kab mob sib kis, kev kho mob nrog cov tshuaj tiv thaiv kab mob yuav tsum tau sau tseg. Cov kab mob sib kis hauv qhov no suav nrog: purulent tonsillitis, qhua pias thiab rubella. Feem ntau, thaum kuaj pom tus kab mob, cov kws kho mob tau sau cov tshuaj tua kab mob dav dav. Lawv yuav pab normalize lub cev kub thiab txo qhov mob ntawm lymph nodes. Cov tshuaj aspirin, paracetamol, lossis ibuprofen feem ntau yog cov tshuaj kho mob ib leeg.
Kab mob qog nqaij hlav hauv tuberculosis
Ua ntej ntawm tag nrho, hauv tuberculosis, inflammatory reactions pib nyob rau hauv cov ntaub so ntswg intrathoracic lymphatic. Tom qab ntawd, yog tias kev kho mob tsis pib raws sijhawm, lawv tuaj yeem kis mus rau cov qog ntshav qog ntshav thoob plaws lub cev. suav nrog ntawm ob sab plhu.
Cov theem me me yog nrog los ntawm qhov o me ntsis ntawm LN thiab mob me. Tom ntej no, yog tiaso tuaj yeem kho tsis tau, nws yuav ua rau cov fusion ntawm cov nodes nrog ib leeg, tom qab ntawd nrog cov ntaub so ntswg ib puag ncig. Yog li ntawd, cov qog nqaij hlav nrog cov kua paug hauv tuaj yeem tsim. Tom qab ib pliag, nws yuav tig mus ua fistula.
Cov kab mob qog nqaij hlav hauv cov kab mob HIV
Tus kab mob txaus ntshai no tuaj yeem cuam tshuam kev loj hlob ntawm cov qog nqaij hlav hauv lub cev. Feem ntau, nws yog cov tsos mob no uas pab tus kws kho mob kuaj mob HIV. Nws tsuas tuaj yeem tshwm sim nws tus kheej hauv txoj kev no rau lub sijhawm ntev heev. Thaum tus kab mob HIV kis mus rau hauv AIDS, cov qog ntshav qog ntshav nce ntau thiab ntau zaus. Raws li txhua tus paub, tseem tsis tau muaj leej twg tuaj yeem kho tus kab mob HIV, thiab tseem tsis tau muaj tshuaj rau nws. Yog li ntawd, cov kws kho mob raug yuam kom tsom mus rau kev tawm tsam tus kab mob, hauv kev tawm tsam uas lawv siv tshuaj tiv thaiv kab mob tshwj xeeb. Nyob rau tib lub sijhawm, cov kws tshaj lij tau tawm tsam cov kab mob sib npaug, uas feem ntau ua rau tus neeg mob AIDS tuag.
Rubella thiab o lymph nodes
Nyob rau hauv tus kab mob no, o nyob rau hauv cov ntaub so ntswg lymphatic yog ib qho ntawm thawj cov tsos mob. Nyob rau tib lub sijhawm, LU pib mob me ntsis ntxov dua cov pob liab liab pib tshwm rau ntawm lub cev. Feem ntau nrog rubella, lub ntsej muag, ncauj tsev menyuam thiab occipital nodes ua o. Lawv tsis nyiam loj hlob ua ke nrog cov ntaub so ntswg ib puag ncig. Kev kho mob ntawm LU rau rubella, tau kawg, yuav tsum pib nrog kev cais tus neeg mob. Kev ntsuas hnyav rau kev kho mob tsuas yog siv rau qhov mob hnyav xwb. Piv txwv li, yog tias cov pob qij txha raug cuam tshuam. Rubella hais txog kev kis tus kab mob zoo, yog li ntawd, feem ntau nws tsis tuaj yeem kho nrog lwm yam tsis yog kev cais.account rau. Nws dhau lawm - LU rov qab mus rau lawv lub xeev li qub.
