Mob khaub thuas tshwm sim ntau zaus hauv ib xyoos hauv yuav luag txhua tus neeg. Tsis tas li ntawd, ib pawg loj ntawm cov pej xeem raug kev txom nyem los ntawm cov kab mob sib kis. Cov no suav nrog tonsillitis, pharyngitis, tracheitis, otitis media, thiab lwm yam. Cov neeg no ib txwm muaj cov qog ntshav qab zib o tom qab pob ntseg, ntawm caj dab, thiab lwm yam. Tseeb, lawv cov mob feem ntau nrog cov kab mob ntawm cov hlab ntsws sab sauv thiab tonsils. Txawm li cas los xij, tseem muaj ntau yam pathologies uas cov neeg mob yws tias cov qog ntshav hauv lub caj dab lossis tom qab pob ntseg o. Cov kab mob no yeej tsis muaj kev nyab xeeb, yog li tus mob no yog lub sijhawm mus ntsib kws kho mob.
Cov qog nqaij hlav loj - yog dab tsi?
Ntau tus neeg mus ntsib kws kho mob nrog cov kev tsis txaus siab xws li: o, mob qog nqaij hlav hauv caj dab. Cov tsos mob no tuaj yeem qhia txog ntau yam pathologies. Feem ntau ua rau yog mob thiab o ntawm cov ntaub so ntswg lymphoid. Hauv thawj kis, hypertrophy feem ntau cuam tshuam nrog tonsillitis lossis pharyngitis. Kev nce hauv cov qog nqaij hlav tsis yog ib qho tsos mob txaus ntshai thiab ploj mus tom qab tshem tawm cov kab mob hauv qab. Yog tias tus mob no tsis cuam tshuam nrog cov txheej txheem inflammatory hauv caj pas, ces tus neeg mob yuav tsum tau tshuaj xyuas sai. Hauv qhov no, qhov kev tsis txaus siab yuav yog tias tus neeg mob tau mob qog nqaij hlav hauv caj dab hnyav. Hypertrophy tuaj yeem yog ib leeg lossis ob sab. Cov tsos mob no tuaj yeem pom nyob rau hauv ntau yam lymphomas, nrog rau Hodgkin's kab mob. Xws li pathologies muaj feem xyuam rau cov txheej txheem oncological thiab yuav tsum tau kho tshwj xeeb.
Ib tug menyuam yaus muaj cov qog ntshav o hauv nws caj dab: ua rau
Cov qog o o hauv cov menyuam yaus muaj ntau dua li cov neeg laus. Qhov no tshwm sim vim yog reactivity ntawm lub cev ntawm cov me nyuam mos. Kev tiv thaiv rog nyob rau hauv lub hnub nyoog thaum ntxov teb rau o sai dua nyob rau hauv cov neeg laus. Vim li no, qhov kev tsis txaus siab uas tus menyuam tau o cov qog ntshav hauv lub caj dab feem ntau pom nyob rau hauv kev xyaum menyuam yaus. Raws li cov neeg laus, ntau yam kab mob pathological tuaj yeem ua qhov laj thawj rau kev txhim kho cov tsos mob no. Ntawm lawv:
- Kab mob ntawm palatine tonsils. Qhov no yog vim li cas yog ib qho ntawm feem ntau etiological yam. Hauv qhov no, tus neeg mob (lossis niam txiv ntawm tus neeg mob me) tuaj yeem yws tias cov qog nqaij hlav sab xis hauv lub caj dab yog o, lossis, ntawm qhov tsis sib xws, sab laug. Qhov chaw ntawm qhov txhab coincides nrog rau sab uas tus mob tonsil nyob.
- Lymphadenitis. Nws tshwm sim me ntsis tsawg zaus. Nws hais txog cov kab mob ywj pheej ntawm cov qog ntshav qab zib thiab tseem muaj cov kab mob inflammatorytus cwj pwm. Hauv qhov no, tsis muaj qhov tseem ceeb ntawm kev kis kab mob, cov tonsils yuav tsis nthuav dav. Cov ua rau lymphadenitis yog tib yam li cov khaub thuas. Cov no suav nrog: hypothermia, kev sib cuag nrog cov neeg muaj mob, txo kev tiv thaiv kab mob.
- Non-Hodgkin's lymphomas yog mob qog noj ntshav ntawm cov nqaij mos. Hmoov tsis zoo, cov qog no tshwm sim hauv cov menyuam yaus. Lawv yog cov txaus ntshai oncological pathologies uas sai sai ua rau cov tsos ntawm metastases.
- Hodgkin's disease. Qhov no pathology kuj suav nrog hauv pab pawg ntawm cov txheej txheem mob qog noj ntshav. Nws tuaj yeem tshwm sim hauv cov menyuam yaus thiab cov neeg laus. Qhov kev cia siab rau tus kab mob no feem ntau yog qhov zoo.
- cov txheej txheem Oncological nyob hauv lub caj dab. Tsawg zaus, cov tsos mob yuav ua rau mob qog noj ntshav hauv qhov ncauj.
Tsis tas li, ntawm cov laj thawj uas ua rau cov qog nqaij hlav o hauv caj dab lossis lwm qhov chaw, muaj cov kab mob metabolic thiab cov thyroid kab mob. Tsis tas li ntawd, hypertrophy tuaj yeem tshwm sim nrog kev haus dej cawv ntev, kev tsis haum tshuaj.
Mechanism ntawm kev loj hlob ntawm lymphadenopathy
Lub pathogenesis ntawm cov qog nqaij hlav loj nyob ntawm seb qhov ua rau hypertrophy. Hauv cov kab mob inflammatory, qhov tshwm sim tshwm sim yog qhov nkag mus ntawm tus kab mob mus rau hauv lub cev. Qhov no feem ntau tshwm sim los ntawm huab cua tee. Cov kab mob, ib zaug nyob rau hauv lub mucous daim nyias nyias ntawm lub qhov ncauj kab noj hniav, nyob rau hauv lub tonsils thiab multiply. Qee tus ntawm lawv nkag mus rau cov hlab ntsha lymphatic thiab ncav cuag cov nodes. Kev loj hlob ntawm cov kab mob ua rau kev ua kom lub cev tiv thaiv kab mob. Kev sib cuam tshuam ntawm microorganisms thiab macrophagesua rau ib qho inflammatory teb uas yog ib feem ntawm lub cev tiv thaiv mechanisms. Nws yog manifested los ntawm qhov tseeb hais tias cov lymph nodes hypertrophy thiab ua mob.
Nyob hauv cov kab mob qog noj ntshav, cov txheej txheem ntawm kev ua yog txawv. Nws muaj nyob rau hauv qhov tseeb hais tias ib txwm lub hlwb ntawm lub lymphatic system ua atypical thiab pib mus rau multiply intensively. Qhov no tej zaum yuav ua ntej los ntawm tej yam xws li ionizing hluav taws xob, tshuaj lom neeg raug, tus cwj pwm phem.
Cov tsos mob ntawm cov qog nqaij hlav o
Ntau zaus, cov neeg mob mus ntsib kws kho mob yws yws ntawm qhov mob caj pas, o cov qog nqaij hlav hauv caj dab. Cov tsos mob zoo li no feem ntau nrog catarrhal pathologies. Yog tias qhov hypertrophy ntawm cov qog ntshav qab zib yog tshwm sim los ntawm cov tshuaj tiv thaiv inflammatory, ces cov tsos mob hauv qab no yog qhov txawv:
- Mob ntawm palpation ntawm caj dab, qab pob ntseg. Tej zaum nws tuaj yeem nrog qhov tsis xis nyob hauv caj pas, nqos nyuaj.
- Hypertrophy (o) ntawm cov qog nqaij hlav. Nws qhov loj tuaj yeem sib txawv (los ntawm qhov loj ntawm lub txiv laum huab xeeb mus rau walnut thiab txawm tias lub qe qaib).
- Hyperemia - liab liab ntawm thaj chaw o.
- nce lub cev kub.
- Kev qaug zog, tsis qab los noj mov, mob leeg.
- hnoos, hyperemia ntawm pharynx, o ntawm palatine tonsils.
Yog tias qhov ua rau ntawm cov qog ntshav o yog ib qho kab mob oncological, ces cov tsos mob txawv ntawm tus mob khaub thuas. Lawv nyob ntawm qhov chaw mob qog noj ntshav.
Kev kuaj mob rau cov qog nqaij hlav o
Nrog lymphadenopathyNws yog ib qho tsim nyog yuav tsum tau kuaj xyuas kom meej thiab tshawb xyuas qhov ua rau ntawm nws qhov tsos. Tshwj xeeb tshaj yog yuav tsum tau noj nyob rau hauv cov ntaub ntawv uas hypertrophy tsis nrog catarrhal pathologies. Ua ntej ntawm tag nrho cov, palpation ntawm lymph nodes yog nqa tawm tsis tau tsuas yog nyob rau hauv lub caj dab, tab sis kuj nyob rau hauv tag nrho lwm qhov chaw. Ntsuas lawv qhov sib xws thiab qhov loj me, qhov zoo, qhov mob. Tsis tas li ntawd xyuam xim rau daim tawv nqaij dhau ntawm qhov loj ntawm qhov. Thaum tsis muaj tus kab mob ntawm lub ntsws thiab lub caj pas, nrog rau cov tsos mob ntawm lymphadenitis, nws yuav tsum tau ua ultrasound. Qee zaum, qhov no tsis txaus los tsim kev kuaj mob. Yog tias xav tias mob qog noj ntshav (lymphoma, Hodgkin's disease), ib qho kev kuaj ntshav ntawm lub cev yog ua nrog rab koob. Tom qab ntawd, kev kuaj mob histological yog tsim nyog los tsim kom muaj cov cellular muaj pes tsawg leeg.
Differential diagnosis for lymphadenopathy
Thaum cov qog nqaij hlav loj, kev kuaj mob sib txawv yog qhov tseem ceeb heev. Cov tsos mob no tuaj yeem nrog ntau yam kab mob sib txawv. Ntawm lawv:
- Kab mob pathologies. Lawv muaj qhov zoo tshaj plaws prognosis. Qhov xwm ntawm o tuaj yeem txiav txim siab los ntawm qhov sib xws ntawm cov nodes. Yog tias lawv ntom rau qhov kov, ces kev kho tshuaj yog txaus los tshem tawm hypertrophy. Cov qog nqaij hlav mos txhais tau hais tias cov ntaub so ntswg tau dhau los ua purulent fusion. Hauv qhov no, xav tau kev pab phais.
- kis kab mob mononucleosis. Tus kab mob no muaj ntau dua rau cov menyuam yaus. Nws cov yam ntxwv nta yog cov pob khaus ntawm daim tawv nqaij thiab nce hauv ntau pawg ntawm cov qog ntshav (axillary, cervical,inguinal).
- Tuberculosis. Yog tias xav tias pathology no, nws yog ib qho tsim nyog yuav tsum tau ua ib qho kev sim Mantoux thiab xeem cov hnoos qeev.
- kab mob oncological. Lawv tuaj yeem muaj qhov chaw nyob. Nrog lymphomas, ib qho ntawm feem ntau cuam tshuam. Hauv kev mob qog noj ntshav ntawm lub caj dab caj dab, qhov ncauj kab noj hniav, qhov chaw ntawm hypertrophy nyob ntawm qhov chaw ntawm cov qog ua kom pom tseeb. Hodgkin tus kab mob cuam tshuam rau ntau pawg ntawm cov qog ntshav hauv ib zaug.
- Immunodeficiencies thawj zaug thiab theem nrab.
Cov qog nqaij hlav o hauv caj dab: yuav ua li cas?
Raws li qhov hnyav ntawm qhov teeb meem thiab txiav txim siab qhov tshwm sim, koj yuav tsum paub tias qhov nce hauv cov qog ntshav hauv lub caj dab yog ib txwm yog vim li cas mus rau hauv tsev kho mob. Txawm hais tias koj xav tias qhov mob ntawm qhov mob hypertrophy, koj tsis tuaj yeem koom nrog kev kho tus kheej. Ua ntej tshaj plaws, rau kev pab kho mob, koj yuav tsum hu rau tus kws kho mob. Yog tias tsim nyog, nws tuaj yeem xa mus rau lwm tus kws tshaj lij. Ntawm lawv tej zaum yuav yog cov kws kho mob hauv qab no: kws phais mob, kws kho mob phthisiatrician, kws kho mob kis mob, kws kho mob oncologist. Tsis txhob ntshai mus ntsib kws kho mob tshwj xeeb, raws li kev xa mus rau lawv tsis yog ib txwm txhais tau tias mob hnyav. Qee zaum, lawv qhov kev xav yog qhov tsim nyog los txiav txim qhov kev kuaj mob.
Nyob zoo rau cov qog nqaij hlav loj
Nws yog qhov tsis tsim nyog los kho cov qog nqaij hlav o ntawm lub caj dab nrog pej xeem txoj kev. Qhov no yog vim tsis tsuas yog rau qhov tseeb tias qhov ua rau ntawm nws hypertrophy tsis tuaj yeem tsim los ntawm nws tus kheej, tab sis kuj ua rau muaj teeb meem tshwm sim. Piv txwv li, ua kom sov lub qhov txhab tuaj yeem ua rau nws cov suppuration thiab tawg hauvcov ntaub so ntswg nyob ib puag ncig. Txawm li cas los xij, muaj ntau yam zaub mov txawv. Lawv siv rau lymphadenitis, nrog rau tonsillitis. Ntawm lawv: kev siv echinacea tincture (10 tee ib 50 ml ntawm boiled dej), gargling nrog ib tug daws ntawm ntsev thiab dej qab zib. Tsis tas li ntawd, cov kua txiv aloe tshiab tau suav tias yog siv tau, uas yuav tsum tau noj 1 tablespoon ib hnub. Decoctions ntawm mint los yog chamomile yuav pab txo qhov mob hauv caj pas thiab tshem tawm ntawm lymphadenitis sai dua. Nws tsim nyog noj lawv 3-4 zaug hauv ib hnub.
Tshuaj kho mob lymphadenopathy
Tshuaj kho mob yog sau rau qhov mob ntawm tus kab mob. Nws raug nquahu kom noj cov tshuaj tua kab mob "Amoxicillin", "Cefuroxime", thiab lwm yam, yog tias lymphadenitis nrog purulent tonsillitis. Tsis tas li ntawd, kev kho physiotherapy (UHF) yog siv. Nrog purulent o ntawm cov qog nqaij hlav, kev phais mob yuav tsum tau ua (qhib thiab ua kom pom tseeb ntawm pathological). Mob qog noj ntshav yuav tsum tau phais, hluav taws xob thiab tshuaj khomob.
Txoj kev tiv thaiv lymphadenopathy
Txhawm rau tiv thaiv hypertrophy ntawm cov qog nqaij hlav, nws yog ib qho tsim nyog los kho cov kab mob ntawm caj pas, cov pos hniav thiab cov hniav kom raws sijhawm. Tsis tas li ntawd, nws yog ib qho tseem ceeb kom tsis txhob hypothermia thiab ua cov tshuaj vitamin. Yog tias cov qog ntshav rov o tom qab phais, koj yuav tsum sab laj nrog kws kho mob tam sim.
