Peb txhua tus muaj txog 600 cov qog ntshav qog ntshav nyob thoob plaws lub cev. Hauv lub xeev noj qab haus huv, lawv tsis hnov tsw hauv lub cev, tab sis qee zaum koj tuaj yeem hnov lub submandibular node (piv txwv li, nrog mob hniav), axillary node thiab inguinal. Cov qog nqaij hlav ib txwm yog me me (5-7 hli mus rau 1 cm) thiab tawv; Txawm li cas los xij, muaj qhov tshwj xeeb hauv ntau qhov chaw ntawm lub cev. Tsis tas li ntawd, hauv cov menyuam hnub nyoog 2 txog 10 xyoo, lawv loj dua.
Nyob rau hauv kev kis kab mob thiab aseptic o, lawv feem ntau nce qhov loj me, ua mos thiab xoob, thiab kuaj pom los ntawm palpation hauv ntau qhov chaw ntawm koj lub cev thaum kuaj lub cev. Cov kab mob uas kis mus rau cov nodes feem ntau yog tshwm sim los ntawm cov kab mob, kab mob, los yog fungi. Nws yog ib qho tseem ceeb kom paub qhov ua rau kis tus kab mob kom thiaj li tau txais kev kho mob txaus.
Lymph thiab lymph nodes
cov qe ntshav dawb tiv thaiv kab mob los ntawm kev tsim cov proteins uas ntxiab thiab tua cov invaders xws li cov kab mob thiab lwm yam microbes. Cov qog nqaij hlav no (lossis cov qog) yog me me, cov qauv taum zoo li nyob ntawm cov hlab ntsha. Lymphatic hlab ntsha txuas rau ib leeg hauv lymphatic circuits thoob plaws lub cev, zoo ib yam li cov hlab ntsha. Lymph yog lub luag haujlwm rau cov kua dej los ntawm cov ntaub so ntswg thiab thauj mus rau cov qog nqaij hlav, uas tom qab ntawd rhuav tshem cov kab mob thiab lwm yam khoom tsis zoo. Tom qab cov qog nqaij hlav tshem tawm cov kua dej, nws rov qab los rau hauv cov hlab ntsha loj, hu ua superior vena cava, uas nws nkag mus rau hauv cov hlab ntsha.
YDab tsi yog lymphadenitis
Lymphadenitis yog lo lus kho mob rau kev nce qhov loj ntawm ib, ob peb, lossis tag nrho cov qog nqaij hlav, feem ntau yog vim muaj kab mob hnyav. Lymph nodes, ntxiv rau cov ntaub so ntswg lymphoid, muaj ntau cov qe ntshav dawb (leukocytes), uas raug xa mus rau kev sib kis.
Dab tsi ua rau lymphadenitis, muaj feem cuam tshuam
Lymphadenitis tshwm sim thaum ib lossis ntau cov qog ntshav qog kis tau cov kab mob, kab mob, lossis cov kab mob hauv cov ntaub so ntswg xws li tawv nqaij, pob ntseg, qhov ntswg, lossis qhov muag. Yog li, cov qog ntshav qab zib ua rau mob nyob ntawm thaj tsam ntawm nws qhov chaw nyob, uas feem ntau qhia tias muaj tus kab mob hauv cov kab mob nyob ze. Tsawg dua, cov qog ntshav qab zib ua rau muaj kev cuam tshuam (kho) nrog cov qog nqaij hlav hauv lub cev.
Nws feem ntau yog ib qho teeb meem ntawm qee yam kab mob uas tshwm sim los ntawmstreptococci (uas ua rau mob caj pas) lossis staphylococci. Qee zaum, lymphadenitis yog tshwm sim los ntawm lwm yam kab mob, xws li tuberculosis, kab mob feline, lossis mononucleosis.
Tuberculosis yog ib yam kab mob sib kis uas feem ntau cuam tshuam rau cov qog nqaij hlav thiab lub ntsws submandibular. Tus neeg mob tau ntsib kev maj mam, tsis mob o thiab o nyob rau hauv ib los yog ntau dua lymph nodes. Kuj tseem muaj cov tsos mob xws li kub taub hau, poob phaus, qaug zog, thiab tawm hws thaum hmo ntuj. Hauv cov xwm txheej hnyav dua, kev kho cov tsos mob ntawm submandibular lymphadenitis yuav tsum tau siv tshuaj tua kab mob.
Kab mob miv khawb yog kab mob kis los ntawm cov miv uas muaj kab mob Bartonella henselae, kab mob kis los ntawm cov qaub ncaug thiab cov quav tsis huv. Cov neeg uas muaj kab mob miv-scratch tej zaum yuav muaj inguinal lymphadenitis, uas yuav tsum tau kho los ntawm tus kws kho mob tshwj xeeb. Kuj tseem muaj qhov mob thiab pob liab liab hauv qhov chaw muaj kab mob.
Tus kab mob Epstein-Barr feem ntau ua rau mononucleosis. Qhov no tuaj yeem ua rau lub ncauj tsev menyuam lymphadenitis, uas kho cov tsos mob nrog mob caj pas thiab mob lub cev.
Hom lymphadenopathy
Lymphadenopathy yog ib qho ntawm ob hom:
- Localized (focal) lymphadenitis. Qhov no yog hom tshaj plaws. Nws cuam tshuam nrog kev mob ntawm ib lossis ntau cov nodes uas nyob ze rau thaj tsam ntawm qhov mob lossis kis kab mob. Piv txwv li, cov pob txha loj vim tonsillitis tuaj yeem hnov hauv caj dab. Kev kho mob ntawm lymphadenitisntawm caj dab qee zaum nrog qee yam nyuaj.
- Generalized (diffuse, general) lymphadenitis. Hom no tshwm sim hauv ob lossis ntau pawg ntawm cov qog ntshav qab zib, nws tshwm sim hauv keeb kwm ntawm septic, neoplastic lossis lwm yam mob uas cuam tshuam rau cov hlab ntsha thiab lub cev tag nrho.
daim duab kho mob
Cov tsos mob tseem ceeb ntawm lymphadenitis hauv cov neeg laus thiab menyuam yaus yog cov qog ntshav loj. Cov qog ntshav qab zib tau suav tias yog qhov loj dua yog tias nws muaj ntau dua ib thiab ib nrab centimeters dav.
Thaum kho cov kab mob lymphadenitis, cov tsos mob thiab ua rau muaj tus kab mob, nws yog ib qho tseem ceeb uas yuav tau xyuam xim rau:
- knots nce loj;
- nodes mob ntawm palpation;
- hyperemia (redness);
- nodes puv nrog kuas (abscess).
Thaum mob hnyav, cov teeb meem ntawm lymphadenitis tsis kho tuaj yeem ua rau tsim cov kab mob abscess uas yuav tsum tau qhib phais, cellulitis (mob o ntawm lub dermis), sepsis (ntshav lom) lossis fistula, uas tuaj yeem txhim kho nrog tuberculous lymphadenitis..
Cov tsos mob thiab kev kho mob lymphadenitis hauv cov neeg laus yuav zoo ib yam li cov tsos mob ntawm lwm yam teeb meem lossis kab mob. Nco ntsoov hu rau cov chaw kho mob kom kuaj mob ntxiv.
Diagnosis
Yog tias koj muaj qee yam ntawm cov tsos mob no, qhov tseem ceeb tshaj plaws ntawm tus kws kho mob qhov kev kuaj mob yog koj cov ntaub ntawv kho mob tag nrhothiab pib kuaj lub cev. Piav qhia meej tag nrho koj cov tsos mob, xws li ua daus no thiab ua npaws; nco ntsoov txhua yam kev mus ncig tsis ntev los no, cov pob txha tawg yav dhau los, kev sib cuag nrog miv lossis lwm yam tsiaj. Thawj cov cim tshwm sim ntev npaum li cas? Thov qhia seb koj puas ua xua rau cov tshuaj.
Thaum kuaj lub cev, koj tus kws kho mob yuav saib xyuas cov tsos mob ntawm tus kab mob ze rau cov qog ntshav qab zib.
Tsis tas li, cov kev sim hauv qab no yuav tsum tau kuaj xyuas:
- kuaj ntshav dav dav thiab biochemical;
- lymph node biopsy;
- tshuaj xyuas cov kua dej ntawm cov ntawm lub hauv qab lub tshuab ntsuas;
- noob cov ntsiab lus ntawm cov khoom noj nruab nrab los txiav txim siab kev loj hlob ntawm microbial flora.
Txoj Kev Kho Mob
Kev xaiv ntawm txoj kev zoo rau kev kho mob lymphadenitis, nws cov tsos mob thiab ua rau nyob ntawm seb hom kab mob twg tau tsim. Thaum tus kab mob kis mus rau cov qog nqaij hlav nyob ze, nws tuaj yeem kis mus rau lwm yam kabmob, yog li nws yog ib qho tseem ceeb los txheeb xyuas cov kab mob thiab pib kho.
Kev kho mob ntawm submandibular lymphadenitis thiab lwm yam ntawm nws muaj xws li:
- Tshuaj tua kab mob, noj qhov ncauj (los ntawm qhov ncauj) lossis txhaj tshuaj tiv thaiv kab mob.
- painkillers thiab antipyretics.
- tshuaj tiv thaiv kab mob.
- Kev kho mob phais nrog cov kua dej ntawm cov qog nqaij hlav purulent.
kev kho thaum ntxov tuaj yeem tiv thaiv qhov teeb meem.
kev kho mob
Kev kho mob rau cov tsos mob thiab ua rau lymphadenitis nyob ntawm seb hom kab mob thiab kab mob. Nws yog ib qho tseem ceeb heev uas yuav tau pib kho thaum ntxov. Txij li thaum kis kab mob los ntawm ib lub pob tuaj yeem kis mus rau cov kab mob thiab cov ntaub so ntswg nyob ze.
- Raws li kev tshawb fawb luam tawm hauv Daim Ntawv Qhia Kab Mob Sib Kis tam sim no, kev kho tshuaj tua kab mob ntawm lymphadenitis feem ntau ua tiav nyob rau theem pib ntawm tus kab mob. Txawm li cas los xij, qhov nce ntawm cov kab mob tiv thaiv kab mob tiv thaiv kab mob tau nce ntxiv rau kev xaiv lwm cov tshuaj uas tau pom tias tsis kam tiv thaiv los yog sib koom nrog lwm hom kev kho mob.
- Analgesics, lossis tshuaj txo qhov mob, qee zaum siv los tswj qhov mob, tshwj xeeb tshaj yog thaum kho cov tsos mob ntawm lymphadenitis hauv menyuam yaus. Feem ntau cov tshuaj loog yog acetaminophen (Panadol, Paracetamol) thiab NSAIDs (NSAIDs - non-steroidal anti-inflammatory tshuaj / tshuaj) siv los txo qhov mob. Nws yog ib qho tseem ceeb kom paub txog qhov txaus ntshai ntawm kev noj NSAIDs tsis xav vim lawv ua rau muaj kev pheej hmoo ntawm plawv tsis ua hauj lwm, mob plab hnyuv thiab ua xua loj heev.
- Qee zaum, yuav tsum tau phais phais kom tshem cov qog ua kua qaub (abscess). Kev tshawb fawb luam tawm nyob rau hauv Kev Kho Mob Kab Mob Sib Kis qhia tau tias kev phais mob zoo heev, nrog rau kev ua tiav ntawm 81% txog 92%. Tshwj xeeb tshaj yog nyob rau hauv cov me nyuam nyob rau hauv kev kho mob ntawm ncauj tsev menyuam thiabsubmandibular lymphadenitis. Lub ntsiab tsis zoo ntawm kev kho phais yog qhov kev pheej hmoo ntawm lub ntsej muag tuag tes tuag taw thiab ntau qhov caws pliav (scarring) ntawm cov ntaub so ntswg.
Kev kho mob nrog pej xeem tshuaj
Muaj lwm txoj hauv kev, ntau dua thiab muaj kev nyab xeeb dua los txo qhov mob thiab mob, tshwj xeeb tshaj yog tias paub txog qhov tshwm sim. Piv txwv li, kev siv cov roj yam tseem ceeb kuj zoo heev. Tsis tas li ntawd, kev kho mob ntuj tsim rau lymphadenitis tsis ua rau muaj kev pheej hmoo ntawm kev tsim tshuaj tua kab mob lossis ua rau lub plab zom mov puas.
Nyob hauv qab no, xav txog cov kev kho neeg nyiam tshaj plaws.
1. Raw qej
Kev tshawb fawb qhia tias qej (tshwj xeeb tshaj yog cov tshuaj muaj nyob hauv qej, xws li allicin) muaj txiaj ntsig zoo ntawm kev tua ntau yam kab mob, ob qho tib si ntau thiab tsawg. Cov tshuaj tua kab mob, tshuaj tua kab mob, thiab cov tshuaj tua kab mob ntawm qej tuaj yeem pab kom yooj yim kis kab mob uas ua rau cov qog nqaij hlav o thiab o. Sib tov thiab noj 2-3 cloves ntawm qej nyoos txhua hnub kom txog thaum cov tsos mob ntawm lymphadenitis ploj.
2. Manuka zib
Raws li kev tshawb fawb luam tawm nyob rau hauv Asia-Pacific Journal of Tropical Biomedicine, manuka zib ntab muaj cov tshuaj tua kab mob tseem ceeb tiv thaiv kab mob tiv thaiv kab mob uas ua rau muaj kab mob loj. Cov kws tshawb fawb qhia tias cov kua qaub pH thiab cov suab thaj siab ntawm Manuka zib ntab cuam tshuam kev loj hlob.microbes. Saib rau UMF tiag tiag (Unique Manuka Factor) uas muaj qhov ntsuas UMF ntawm 10 lossis siab dua. Qhov kev ntsuam xyuas no ua kom ntseeg tau tias cov zib ntab muaj cov tshuaj tua kab mob tseem ceeb thiab tau lees paub los ntawm lub tuam txhab tsim khoom muaj ntawv tso cai. Qhov ntsuas UMF yeej kuaj cov tshuaj tua kab mob ntawm zib ntab thiab muab piv rau phenol, tshuaj tua kab mob.
3. Colloidal Nyiaj
Colloidal nyiaj yog siv los ua ib qho kev kho mob los kho cov kab mob lymphadenitis. Nws ncaj qha mus rau daim nyias nyias ntawm cov kab mob hlwb thiab thaiv cov cellular respiration ntawm microbes. Tsis zoo li cov tshuaj tua kab mob, cov nyiaj colloidal tsis ua rau muaj kev ua xua lossis tiv thaiv hauv lub cev. Ua li no, nws rhuav tshem cov kab mob uas ua rau cov kab mob thiab cov kab mob sib kis tsis pub dhau feeb ntawm kev kis.
Colloidal nyiaj kuj muaj cov tshuaj tiv thaiv kab mob thiab tuaj yeem pab txo qhov mob thiab o uas cuam tshuam nrog lymphadenitis.
Muab ib tee ntawm cov nyiaj colloidal nyob rau hauv tus nplaig, los yog ntxiv tsib tee rau ib khob dej thiab haus. Thov nco ntsoov tias nws tsis tuaj yeem siv tau ntau dua 14 hnub sib law liag.
4. Kua cider vinegar
Acetic acid yog ib txoj hauv kev tshwj xeeb los tua cov kab mob uas ua rau cov kab mob thaum txhawb kev loj hlob ntawm cov kab mob uas muaj txiaj ntsig. Kua cider vinegar yog suav tias yog tshuaj tua kab mob ntuj, pab kho cov kab mob thiab txhawb lub cev tiv thaiv kab mob.
Koj tuaj yeem siv kua txiv hmab txiv ntoo cider vinegar ua cov kua qaub, uas pab nrog kev tshem tawm cov co toxins (tshem tawm cov co toxins) ntawm lub cev thiab txhawb nqa cov kua dej lymphatic.
Kev kho mobCov kab mob uas tuaj yeem ua rau cov tsos mob ntawm lymphadenitis, dilute ob tablespoons kua cider vinegar hauv ib khob dej. Noj peb zaug ib hnub twg. Koj tuaj yeem npaj cov tshuaj pleev xim vinegar los ntawm cov ntaub qhwv huv huv thiab siv rau cov kab mob o.
5. Vitamin C
Ascorbic acid pab txhawb lub zog tiv thaiv kab mob uas tiv thaiv kab mob. Nws ua lub luag haujlwm tseem ceeb hauv kev tiv thaiv lub cev. Nws kuj tseem txo qis qhov tshwm sim ntawm kev tsim teeb meem los ntawm kev kis kab mob hauv cov qog ntshav qog ntshav. Rau cov neeg mob uas muaj lymphadenitis hnyav, yuav tsum tau txhaj tshuaj ntawm cov tshuaj vitamin, uas yog 4000 mg rau cov neeg laus. Vitamin C muaj ntau nyob rau hauv pineapples, citrus txiv hmab txiv ntoo, strawberries, papaya.
6. Astragalus hauv paus
Astragalus hauv paus pab txo qhov o ntawm cov kab mob hauv cov kab mob xws li mononucleosis. Nws muaj peev xwm tiv thaiv kab mob, tshuaj tua kab mob thiab tiv thaiv kab mob. Kev siv cov tshuaj suav pej xeem yog hais txog ntau yam kab mob vim nws cov teebmeem immunomodulatory. Koj tuaj yeem noj nws ua cov tshuaj tincture lossis tshuaj ntsiav, lossis koj tuaj yeem yuav nws qhuav thiab ntxiv rau dej kub.
7. Oregano tseem ceeb roj
A 2016 txoj kev tshawb fawb luam tawm hauv Frontiers hauv Microbiology qhia tias cov roj oregano muaj cov tshuaj tua kab mob muaj zog tiv thaiv qee yam kab mob-tiv taus kab mob. Oregano roj yog bactericidal tawm tsam tag nrho 17 hom kev sim.
Oregano roj kujzoo tiv thaiv kab mob viral thiab fungal. Cov txiaj ntsig ntawm cov roj oregano yog qhov zoo tshaj rau cov tshuaj tua kab mob vim, tsis zoo li cov tshuaj tua kab mob, cov neeg mob siv cov roj oregano los kho cov kab mob tsis tau pom tias muaj kev phiv loj xws li dysbiosis thiab plab hnyuv. Txhawm rau kho submandibular lymphadenitis, noj cov roj oregano rau ntau tshaj ob lub lis piam. Noj diluted nrog dej los yog tov nrog txiv maj phaub roj.
8. Tshuaj yej tsob ntoo tseem ceeb roj
Kev kawm hauv Is Nrias teb tau pom tias cov tshuaj yej tsob ntoo tseem ceeb roj muaj txiaj ntsig zoo hauv kev tawm tsam ntau yam kab mob. Yog li, piv txwv li, nws tau pom tias thaum siv tshuaj yej tsob ntoo roj, qhov tshwm sim tuaj tam sim ntawd thiab tau nrog cov nyhuv ntev ntev rau 24 teev.
txoj kev tiv thaiv
Txoj hauv kev zoo tshaj los tiv thaiv lymphadenitis yog kev kuaj mob raws sijhawm hauv cov tsev kawm tshwj xeeb. Thaum thawj lub cim ntawm kev kis kab mob, lossis yog tias koj muaj qhov o me me uas zoo li pob me me nyob hauv koj daim tawv nqaij, sab laj nrog tus kws kho mob tshwj xeeb.
Rau qhov khawb thiab puas rau ntawm daim tawv nqaij, nco ntsoov ntxuav thiab tua kab mob, thiab ua tib zoo saib xyuas txhua qhov chaw pej xeem.
Noj tag nrho cov tshuaj raws li cov tshuaj ntawm cov kws kho mob uas tuaj koom, nco ntsoov ua raws li kev kho mob thiab lub sijhawm mus ntsib tus kws kho mob tshwj xeeb. Tsis txhob siv cov tshuaj hauv khw muag khoom yam tsis tau tham nrog koj tus kws kho mob ua ntej.
Txias compresses thiab so rau qhov cuam tshuamCov khoom hauv lub cev tuaj yeem pab txo qhov mob thiab mob o thaum noj tshuaj ua haujlwm.
Feem ntau, lymphadenitis daws sai sai nrog kev kho kom raug, tab sis nws yuav siv sij hawm ntev dua kom rov zoo. Yog tias cov tsos mob ntawm lymphadenitis rov qab los, nco ntsoov qhia koj tus kws kho mob.
cov ntaub ntawv tseem ceeb thiab cov lus qhia
Cov lus qhia los pab koj kom tau txais txiaj ntsig zoo tshaj plaws ntawm koj mus ntsib lub chaw kho mob muaj npe hauv qab no.
Xav ua ntej txog qhov laj thawj koj mus ntsib kws kho mob, qhov tseeb koj yuav tsum paub. Ua ntej mus ntsib, sau cov lus nug uas koj xav tau teb. Nqa ib tug neeg nrog koj los txhawb nqa thiab pab koj nco qab cov lus nug thiab nco ntsoov tag nrho cov lus teb.
Thaum mus ntsib, sau lub npe ntawm kev kuaj mob, tshuaj, txheej txheem lossis kuaj. Kuj sau tag nrho cov lus qhia thiab tshuaj los ntawm koj tus kws kho mob. Tshawb nrhiav seb yog vim li cas thiab vim li cas cov tshuaj no lossis cov kev kho mob tau sau tseg, thiab nws yuav pab tau koj li cas. Tsis txhob hnov qab nug txog kev phiv, yog tias muaj lwm yam kev kho mob ua tau.
Qhia meej txog qhov tshwm sim thiab yuav xav li cas yog tias koj tsis noj koj cov tshuaj lossis yog tias koj tsis ua tiav qee yam kev xeem thiab kev xeem. Yog tias koj muaj kev teem sijhawm nrog tus kws kho mob, sau hnub tim, sijhawm, thiab lub hom phiaj ntawm lub sijhawm teem tseg. Tshawb nrhiav seb koj tuaj yeem tiv tauj koj tus kws kho mob li cas yog tias koj muaj lus nug ntxiv.
