Palpation ntawm cov qog nqaij hlav: cov cai ntawm cov txheej txheem, cov tsos mob, qhia thiab kev sab laj ntawm kws kho mob

Cov txheej txheem:

Palpation ntawm cov qog nqaij hlav: cov cai ntawm cov txheej txheem, cov tsos mob, qhia thiab kev sab laj ntawm kws kho mob
Palpation ntawm cov qog nqaij hlav: cov cai ntawm cov txheej txheem, cov tsos mob, qhia thiab kev sab laj ntawm kws kho mob

Video: Palpation ntawm cov qog nqaij hlav: cov cai ntawm cov txheej txheem, cov tsos mob, qhia thiab kev sab laj ntawm kws kho mob

Video: Palpation ntawm cov qog nqaij hlav: cov cai ntawm cov txheej txheem, cov tsos mob, qhia thiab kev sab laj ntawm kws kho mob
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Tus kws kho mob palpate cov qog ntshav li cas? Yog tias kev ua haujlwm ntawm lymphatic system raug cuam tshuam, cov qog nqaij hlav tuaj yeem ua rau mob. Qhov no yog ib yam kab mob uas tshwm sim nyob rau hauv peb lub sij hawm, uas yog nrog los ntawm cov tsos mob tsis kaj siab. Thaum ntxov ntawm txoj kev loj hlob ntawm pathology, lymph nodes nce, ib los yog ntau tshaj, feem ntau ze rau qhov chaw ntawm tus kab mob. Nyob rau hauv tus txheej txheem ntawm kev txhim kho tus kab mob, ib tug neeg txoj kev noj qab nyob zoo nyob rau hauv lub cev thiab lub cev kub nce. Thaum tus kab mob siab heev, cov tsos mob ua rau qhov tsis xis nyob siab tshaj plaws. Vim li no, nws yog ib qho tseem ceeb uas yuav tau sab laj nrog kws kho mob raws sij hawm, ua ib qho kev ntsuam xyuas thiab pib kho nyuaj.

Txhim kho cov txheej txheem inflammatory

Inflamed lymph nodes
Inflamed lymph nodes

Cov qog ntshav qab zib yog ib qho khoom nruab nrog sab nraud uas tuaj yeem hu ua lub cev tiv thaiv kab mob lossis lim roj ntsha. Lymph nodes tsis pub cov kab mob pathogenic kis tau los ntawm cov kab mob lymphatic. Feem ntau, ib lub qog ntshav qab zib yuav tsum yog qhov ntau thiab tsawg ntawm 0,6-49 mm diam. Cov duab yog puag ncig los yog me ntsis elongated. Cov qog ntshav qab zib yog ib hom tshuaj ntsiav ntawm cov ntaub so ntswg sib txuas, sab hauv uas muaj ntau cov ceg ntoo uas hla ib qho mus rau lwm qhov. Cov ceg dav yog lub qhov rooj uas cov kab mob lymphatic txuas mus rau cov hlab ntsha lymphatic.

Cov pawg loj tshaj plaws ntawm cov qog ntshav qog ntshav loj tshaj plaws nyob:

  • ntawm qhov chaw ntawm cov hlab ntsha jugular;
  • - Saum toj no cov clavicle thiab hauv qab ntawm clavicle;

Lymph nodes ua rau mob rau ntau yam laj thawj. Tsuas yog tus kws kho mob tuaj koom tuaj yeem txiav txim siab qhov ua rau qhov tshwm sim no tom qab palpation ntawm cov qog ntshav qog.

Vim li cas lawv thiaj mob?

Kev ua xua
Kev ua xua

Feem ntau, cov qog ntshav qab zib ua rau mob vim yog qhov ntau dhau los yog muaj zog toxicity ntawm txawv teb chaws antigen uas tau nkag mus rau ntawm cov hlab ntshav. Yog tias cov lymphocytes tsis tsim nyob rau hauv cov lej txaus, lawv cov synthesis yuav nce ntxiv. Koj yuav tsum paub tias lymphocytes tuaj yeem rhuav tshem cov neeg ua haujlwm txawv teb chaws. Nrog rau kev nce ntxiv ntawm cov kab mob lymphatic thaum palpation ntawm cov qog nqaij hlav, tus kws kho mob kuaj xyuas lawv cov kev nce ntxiv. Ntawm cov yam tseem ceeb uas provoke lymphadenitis nyob rau hauv tib neeg yog:

  1. txheej txheem Oncological (uas tuaj yeem ua rau cov qog ntshav nce ntxiv).
  2. Ylupus erythematosus.
  3. Teeb meem hauv pob qij txha.
  4. Systemic allergic reaction.
  5. Tuberculosis bacillus uas nkag mus rau hauv lub cev.
  6. Viral, fungal or bacterial infection.

Lymph nodes nyob rau hauv lub taub hau thiab caj dab feem ntau hnov mob rau cov kab mob ua pa, mus rau cov txheej txheem purulent-inflammatory hauv qhov ncauj kab noj hniav (kab mob periodontal, stomatitis thiab caries). Nyob rau hauv tus txheej txheem ntawm txoj kev loj hlob ntawm mastopathy nyob rau hauv lub caj npab, cov nodes feem ntau ua o. Lub ncauj tsev menyuam qog feem ntau raug kev txom nyem vim yog cov txheej txheem purulent-inflammatory ntawm cov ntaub so ntswg. Qhov no pathology feem ntau provoked los ntawm cov neeg lawv tus kheej, vim nws yog txwv tsis pub mus nyem tawm pob txuv ntawm lawv tus kheej, qhov no provokes kis tau tus kab mob thoob plaws hauv lub cev. Lub axillary lymph node ua o thaum daim tawv nqaij puas thaum lub sij hawm depilation. Nyob rau hauv tus txheej txheem ntawm palpation ntawm cov qog nqaij hlav, tus kws kho mob muaj peev xwm txiav txim siab deviations ntawm tus qauv.

Ua rau qhov loj ntawm qhov inguinal hauv cov poj niam

Patent tawv khau
Patent tawv khau

Hemorrhoids, kab mob vaginitis, vaginosis, kab mob venereal provoke ib qho kev nce hauv cov qog nqaij hlav inguinal. Inguinal lymph nodes nyob rau hauv cov poj niam feem ntau tshwm sim vim:

  • hnav khau tsis xis nyob;
  • vim ligament raug mob;
  • vim yog kev qhia txog kab mob sib kis hauv pedicures.

Nws yog ib qho tseem ceeb los kho txhua yam kab mob sib kis raws sij hawm thiab ceev faj heev thaum cov txheej txheem kho kom zoo nkauj.

Cov kab mob qog nqaij hlav o hauv cov txiv neej

Cov tsos mob ntawm angina: tsis xis nyob
Cov tsos mob ntawm angina: tsis xis nyob

Feem ntau, cov qog nqaij hlav hauv cov txiv neej ua mob rau cov laj thawj hauv qab no:

  • rau kev txiav thaum shaving;
  • tom qab raug mob ib yam;
  • nrog kev kho tsis raws sijhawm ntawm purulentmob qa.

Tus txiv neej Angina mob hnyav dua poj niam. Tus kab mob no cuam tshuam rau cov hlab plawv hauv cov txiv neej.

Cov tsos mob ntawm tus kab mob sib kis

Mob caj pas
Mob caj pas

Yog cov qog nqaij hlav mob palpation, nws yog ib qho tseem ceeb mus ntsib kws kho mob. Cov qog loj me me thiab qhov mob tsis ua rau tib neeg lub neej. Qhov no yuav tsum tau kho raws sijhawm. Feem ntau, cov qog ntshav qab zib nce ntxiv tom qab mob khaub thuas. Yog tias qib ntawm leukocytes rov qab mus rau qhov qub, qhov teeb meem yuav ploj mus thiab cov xwm txheej ntawm tus neeg mob yuav zoo dua. Muaj ntau cov tsos mob, yog tias tsim nyog, mus ntsib kws kho mob thiab pib kho lymphadenitis:

  1. txheej txheem mob hauv caj pas. Feem ntau, cov qog ntshav qog ua rau mob hauv caj pas thaum pib ntawm kev txhim kho pathology. Cov tsos mob yog nco txog cov mob khaub thuas. Cov tsos mob tseem ceeb ntawm tus mob no muaj xws li: tsis xis nyob thaum nqos, zoo li lub cev txawv teb chaws hauv caj pas, mob migraines, lub cev kub. Nyob rau hauv tus txheej txheem ntawm kev loj hlob ntawm o, kev ua hauj lwm ntawm cov kab mob ua pa tsis cuam tshuam. Palpation ntawm cov qog ntshav hauv cov menyuam yaus hauv cov xwm txheej zoo li no tsis ua rau tsis xis nyob.
  2. Kab mob ntawm cov qog nqaij hlav submandibular. Nyob rau hauv cov ntaub ntawv no, daim tawv nqaij ntawm lub pob caus tig liab, ib tug kub taub hau tshwm sim, tsis muaj zog tshwm sim thiab lub cev kub nce, mob nyob rau hauv tus txheej txheem ntawm zom zaub mov nce. Thaum tus neeg qaij nws lub taub hau, qhov mob kis mus rau caj pas, pob ntseg thiab hauv pliaj.
  3. Yog cov qog ntshav qab zib pob ntseg ua rau mob, tus neeg mob yuav raug mob hnyav hauv cheeb tsam no. Mobnrog rau lub suab nrov thiab nias hauv pob ntseg. Qee lub sij hawm tus neeg mob tsis meej pem xws li kev xav tsis zoo nrog mob hniav. Nyob rau hauv cov xwm txheej zoo li no, palpation ntawm cov qog ntshav yog mob.
  4. Yog cov qog nqaij hlav hauv caj dab ua rau mob, tus neeg mob yuav mob thaum lub taub hau qaij, tawv nqaij ntawm caj dab tig liab, nqos nyuaj, lub cev kub nce, thiab tsaug zog.
  5. Kev mob qog nqaij hlav hauv qab caj npab yog qhov mob thaum lub sijhawm txav ntawm tes. Thaum lub pob caus loj, qhov mob yuav nce.
  6. Thaum cov qog nqaij hlav hauv puab tais ua rau mob, lub cev kub nce, daim tawv nqaij tig liab thiab mob. Cov kev xav tsis zoo tuaj yeem muab rau sab nraub qaum, plab thiab sciatic paj hlwb.

Yog tias ib qho ntawm cov tsos mob tshwm sim, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd thiab ua kev kho mob nyuaj.

txheej txheem ntawm kev kuaj mob lymphadenitis

Ntshav tsom xam
Ntshav tsom xam

Nyob rau hauv tus txheej txheem ntawm kev kuaj mob lymphadenitis, nws yog ib qho tsim nyog los kawm txog cov ntshav muaj pes tsawg leeg. Nws yog ib qho tseem ceeb uas yuav tau mus kuaj ntshav kuaj ntshav. Tsis txhob ua yam tsis muaj ultrasound ntawm cov qog nqaij hlav. Thaum kuaj xyuas, tus kws kho mob ntsuas qhov loj, qauv thiab qhov chaw ntawm cov qog nqaij hlav. Yog tias muaj cov kab mob purulent, cov tshuaj ntsiav yuav tsum tau qhib thiab cov khoom tshwm sim raug xa mus rau qhov chaw kuaj mob. Qee zaum, cov kws kho mob tshwj xeeb kuaj xyuas siv cov tshuaj histological.

Nyob rau hauv cov xwm txheej uas cov qog nqaij hlav inguinal loj, nws yuav tsum tau mus ntsib kws kho mob kom tshem tawm cov kab mob inguinal hernia thiab cov txheej txheem inflammatory hauv plab. Palpation ntawm axillary lymph nodes ib txwm ua los ntawm ntau tus kws kho mob, suav nrogkws phais. Yog tias, tom qab cov txiaj ntsig ntawm kev tshawb fawb, nws tsis tuaj yeem txheeb xyuas tus kab mob, tus neeg mob yuav tsum tau kuaj xyuas tuberculosis. Muaj tsawg zaus, kev tshuaj xyuas magnetic resonance yog sau.

Kev qhia rau kev kuaj mob

Qhia rau ultrasound yog ib yam kab mob. Yog tias, thaum lub sijhawm kuaj mob, tus kws kho mob tau qhia txog kev hloov pauv pathological hauv cov qog ntshav qog ntshav, tib yam kab mob tuaj yeem muab tso rau hauv qhov xaus. Yog tias, tom qab palpation ntawm cov qog ntshav hauv lub caj dab, tus kws kho mob xav tias muaj kev hloov pauv pathological, nws yuav tsum tau kuaj xyuas kom meej. Feem ntau, kev kuaj mob raug sau rau cov txheej txheem hauv qab no:

  • malignant neoplasms;
  • pustular inflammatory txheej txheem;
  • ntau hom lymphomas;
  • lymphosarcoma;
  • syphilis;
  • leprosy;
  • tuberculosis.

Tus kws tshaj lij ib txwm palpates cov qog ntshav qab zib submandibular thiab thaj chaw uas cov txheej txheem tseem ceeb hauv cheeb tsam. Yog tias muaj kab mob hauv lub cev, nws yuav tsum tau kuaj xyuas tag nrho cov qog ntshav qog ntshav.

Cov kws kho mob pom zoo

Tus kws kho mob qhov kev sab laj
Tus kws kho mob qhov kev sab laj

Cov kws kho mob tau pom tias tsis muaj kev ntsuas tshwj xeeb los tiv thaiv lub ncauj tsev menyuam lymphadenitis, vim tias tus kab mob no tuaj yeem tshwm sim los ntawm ntau yam tsis zoo. Txhawm rau txo qhov kev pheej hmoo ntawm tus kab mob, koj yuav tsum:

  • txhawb kev tiv thaiv;
  • kho tus kab mob kis tau zoo;
  • tsis tau supercooled thiab tsis txhob nyob hauv ib lub sijhawm ntev;
  • hlubkab mob;
  • zam kev kis kab mob yog tias ua tau;
  • ua raws cov cai ntawm kev tu tus kheej.

Yog tias ib qho ntawm cov tsos mob tshwm sim, tam sim nrog tus kws kho mob thiab ua tiav kev tshawb fawb txog kev kho mob, qhov no yuav pab tiv thaiv kev txhim kho ntau yam kab mob.

Yuav kho tus kab mob li cas?

Tsuas yog kws kho mob tuaj yeem sau tshuaj kho tus kheej raws li tus neeg mob tus yam ntxwv thiab qhov hnyav ntawm tus kab mob. Nrog cov kab mob siab heev, qhov teeb meem raug tshem tawm phais. Muaj ntau ntau cov kev kho mob pej xeem uas yuav pab tshem tawm cov txheej txheem inflammatory, xws li:

  1. Nws yog ib qho tsim nyog los ua ke birch buds, oregano, St. John's wort, echinacea nyob rau hauv sib npaug zos nqi nyob rau hauv ib lub thawv. Ncuav dej npau npau thiab cia nws brew rau ib teev. Haus dej tshuaj yej sov txhua hnub.
  2. kua txiv Dandelion yuav tsum tau siv rau thaj chaw cuam tshuam ua tshuaj pleev ib ce.
  3. Ib tshuaj pleev yog tsim los ntawm chicory cag. Ua li no, tsoo cov nroj tsuag thiab ncuav dej npau npau rau nws.

Ua ntej siv cov tshuaj pej xeem, koj yuav tsum tham nrog tus kws kho mob tshwj xeeb, vim tias kev noj tshuaj rau tus kheej tuaj yeem ua rau muaj kev phom sij thiab ua rau muaj teeb meem loj. Thaum pib ntawm txoj kev loj hlob ntawm tus kab mob, kev kho yog nqa tawm nrog kev pab los ntawm cov tshuaj. Txhawm rau tiv thaiv kev phais mob, nws yog ib qho tseem ceeb uas yuav tsum ua raws li tag nrho cov lus pom zoo ntawm tus kws kho mob tuaj koom. Palpation ntawm lub ncauj tsev menyuam qog nyob rau hauv tsev tsis yog qhia. Tsuas yog tus kws kho mob tshwj xeeb tuaj yeem kuaj xyuas.

Pom zoo: