Cov qog ntshav qab zib yog ib qho khoom nruab nrog ntawm cov kab mob lymphatic, uas yog hom lim hauv lub cev. Nws yog los ntawm nws cov lymph ntws, uas tom qab nkag mus rau txhua qhov ntawm lub cev. Muaj ntau cov nodes hauv lub cev. Thiab nrog lawv, zoo li nrog rau lwm qhov system, muaj teeb meem. Tam sim no peb yuav tham txog ib qho kev ncaj ncees, uas yog, cov xwm txheej thaum nws tau tshwm sim tias ib tus neeg muaj cov qog nqaij hlav hauv tsev menyuam loj.
Yog vim li cas
Qhov tshwm sim nyob rau hauv kev txiav txim siab tuaj yeem muaj ntau yam ua ntej. Yog tias ib tug neeg nkag siab tias nws muaj cov qog nqaij hlav hauv lub ncauj tsev menyuam loj, ces koj yuav tsum sab laj nrog kws kho mob tam sim ntawd. Nws yuav pom qhov laj thawj tiag tiag, vim tias daim ntawv teev npe ntawm qhov ua rau muaj qhov tshwm sim ntev:
- Kab mob fungal, kab mob thiab kab mob.
- kab mob autoimmune.
- HIV
- kis kab mob helminths los ntawm kev sib cuag nrog tsiaj.
- Immune weakening.
- Metastases nyob rau hauv cov qog nqaij hlav.
- Teeb meem nrog endocrine system.
- Kev mob ntawm lub cev ENT.
- tuberculosis.
- Pneumonia.
- Syphilis thiab lwm yam kab mob sib kis.
- Kev tsis haum.
- Kev quav cawv.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias yog lub ncauj tsev menyuam qog nqaij hlav loj ntawm ib sab, ces qhov no yuav qhia tau tias muaj kab mob hauv lub hlwb. Nws tsis suav nrog qhov chaw muaj kab mob nyob ze nws. Ua li ntawd, raws li qhov tshwm sim ntawm kev ntsuam xyuas, cov kab mob pathology yuav raug qhia meej meej ntawm qhov cuam tshuam.
Yog hais tias lub tsev me nyuam cov qog nqaij hlav loj tuaj, yog vim li cas, feem ntau yuav kis tau tus kab mob mononucleosis, kub taub hau, rubella, otitis lossis SARS. Hauv cov menyuam yaus, cov kab mob no feem ntau tshwm sim vim kev loj hlob sai heev lossis vim muaj cov tsiaj protein ntau hauv cov zaub mov.
kab mob tshwj xeeb
Peb yuav tsum xyuam xim me ntsis ntxiv rau qee qhov laj thawj uas tau teev tseg saum toj no. Cov qog nqaij hlav hauv tsev menyuam feem ntau loj vim yog cov kab mob tshwj xeeb. Tej zaum lawv yuav qhia tau tias ib tug neeg muaj rubella, tuberculosis, los yog syphilis.
Txawm li cas los xij, tsis yog cov qog nqaij hlav hauv tsev menyuam xwb. Cov kev hloov pauv tseem cuam tshuam rau lub luj tshib, inguinal thiab axillary. Yog tias tsis kho, cov nodes yog soldered, uas thaum kawg ua rau tsim cov ntsaws ruaj ruaj. Pus pib sau rau hauv lawv, thiab tom qab ntawd fistulas tshwm.
Kev txhaj tshuaj tiv thaiv kuj tuaj yeem ua rau muaj qhov nce ntxiv. Tab sis feem ntau nws tshwm sim hauv cov menyuam yaus. Hauv cov xwm txheej zoo li no, kev kho mob tshwj xeeb tsis xav tau - nws tsuas yog ib qho tseem ceeb los saib xyuasQee lub sij hawm ntawm tus kws kho mob.
Cov poj niam thiab cov poj niam kuj tsis tas yuav txhawj xeeb txog qhov nce me ntsis ntawm cov qog nqaij hlav hauv tsev menyuam, vim rau qee cov tsos mob no ceeb toom txog kev yuav poj niam los yog poj niam cev xeeb tub. Tsis tas li, qhov tshwm sim no feem ntau pom thaum cev xeeb tub thiab tom qab yug menyuam.
Cov txheej txheem autoimmune
Vim li no, cov qog nqaij hlav hauv tsev menyuam feem ntau ua rau cov neeg laus. Lub pathogenesis yog dab tsi? Nws yog ib qho yooj yim: yog hais tias ib tug pathology ntawm hom no tshwm sim nyob rau hauv lub cev, ces lub cev tiv thaiv kab mob, nyob rau hauv lub zog ntawm tej yam, pib perceive lub cev noj qab haus huv hlwb raws li txawv teb chaws. Thiab yog li ntawd nws cia li pib rhuav tshem lawv. Feem ntau raug kev txom nyem:
- Nerve cells.
- YHematopoietic system.
- Cov ntaub so ntswg.
- siab.
- plab hnyuv plab.
- Cov kab mob ntawm cov kab mob endocrine.
Nws yuav tsum tau muab sau tseg tias ib pab pawg ntawm cov kab mob uas ua rau muaj kev hloov pauv ntawm cov noob caj noob ces lossis kev hloov pauv ntawm cov noob ua lub luag haujlwm rau apoptosis ntawm cov clones txaus ntshai ntawm T-lymphocytes hu ua lymphoproliferative autoimmune syndrome. Nws tseem ceeb heev kom nco ntsoov qhov no. Tom qab tag nrho, nws feem ntau yog vim qhov mob no uas tus neeg laus tau ua kom cov qog nqaij hlav hauv tsev menyuam loj. Ntawm cov xwm txheej nrog, splenomegaly thiab cytopenia feem ntau pom.
Qhov kev ua txhaum cai no yog los ntawm nws tus kheej, ua rau nws tus kheej xav txog hnub 14-16 ntawm tus menyuam lub neej. Yog hais tias lub pathology yog spontaneous-somatic, ces kev ua txhaum cai raug pom nyob rau hauv lub sij hawm preschool. Tsis tshua muaj tshwm sim hauv cov menyuam yaus thiab cov hluas.
Lymphoproliferative autoimmune syndrome nrog tib zaus cuam tshuam rau ob tus ntxhais thiabcov tub. Hmoov tsis zoo, qhov kev kwv yees yog qhov tsis zoo lossis tsis paub tseeb. Cov kev kho mob yog complex, tab sis los mus tas li siv cov tshuaj cytotoxic thiab suppressive.
Oncology
Yog ib tug neeg laus muaj cov qog nqaij hlav hauv tsev menyuam loj, ces qhov tseeb tias nws lub cev raug ntaus los ntawm qee yam mob qog noj ntshav tsis raug txiav tawm.
Nyob rau hauv cov ntaub ntawv no, lub pathogenesis tseem meej. Cov qog nqaij hlav cancer tawm ntawm qhov chaw tsim, tom qab ntawd lawv kis nrog rau cov qog ntshav.
Yuav ua li cas ntxiv? Thaum lim, cov nodes secrete thiab ces khaws cov qog nqaij hlav cancer. Vim li no, lawv nce. Yog li ntawd, cov qog nqaij hlav loj hlob tau pom los ntawm oncologists yog ib qho ntawm cov kev kuaj mob tseem ceeb.
Txhawm rau kom paub meej qhov kev xav no, kev kuaj ntshav kom ntxaws rau cov cim oncological feem ntau ua, nrog rau kev kuaj ntshav.
Lymphosarcoma yog suav tias yog ib qho mob hnyav heev. Nrog rau tus kab mob no, tsis yog cov kab mob nyob sib ze raug cuam tshuam, tab sis cov nodes ncaj qha. Qhov no yog ib qho tsis tshua muaj pathology, tab sis nws muaj cov tsos mob. Nws manifests nws tus kheej nyob rau hauv ib tug ntse thiab pom kev nce nyob rau hauv nodes. Thiab lawv tuaj yeem nyob tsis mob rau lub sijhawm ntev. Tshwj tsis yog, tau kawg, cov hlab ntsha thiab cov hlab ntsha xaus yog pinched.
Kev hloov pauv sab nrauv
Koj tuaj yeem paub seb cov qog nqaij hlav hauv tsev menyuam puas loj lossis tsis tau, tsuas yog kov nws xwb. Mos padding nyob rau sab saum toj thiab hauv qab lub puab tsaig qhia qhov teeb meem no. Nws tuaj yeem mob me ntsis, tab sis feem ntau tsis muaj cov tsos mob tsis zoo.tsis paub.
Thaum mob hnyav, lub foob yuav nyuaj, pom meej. Qee lub sij hawm nws txawm mus txog qhov loj ntawm lub qe qaib, tab sis kom qhov no tshwm sim, nws yog ib qho tsim nyog yuav tsum tsis quav ntsej qhov teeb meem rau lub hlis.
Feem ntau, qhov pom kev pom tuaj yeem muab faib ua cov npe hauv qab no:
- Cov qog nqaij hlav hauv tsev menyuam loj (hauv menyuam yaus lossis neeg laus) pom qhov muag pom. Txoj kab uas hla ntawm lub bulge txawv ntawm 1.5 mus rau 7 cm.
- Qhov sib xws ntawm lub cev hloov pauv, zoo li cov qauv. Cov node ua ntau bumpy, adhesions nrog ib puag ncig cov ntaub so ntswg yog pom. Poob nws txoj kev mus los.
- daim tawv nqaij saum lub pob caus tig liab, o thiab npog nrog pob khaus.
- Thaum nqos, muaj qhov tsis xis nyob ciam teb rau qhov mob. Qhov no tau pom yog tias tom qab lub ncauj tsev menyuam qog tau nce ntxiv.
- Tig thiab tig taub hau ua rau mob.
Symptoms
Yog tias ib tug neeg muaj cov qog nqaij hlav hauv tsev menyuam loj, ces, ntxiv rau tag nrho cov saum toj no, kuj pom muaj cov tsos mob hauv qab no:
- Txoj kev xav uas tshwm sim thaum tig lub taub hau. Raws li cov pathology zuj zus, lawv ua ntse.
- mob qa.
- Apathy.
- Nyob zoo ib tsoom phooj ywg.
- Kub siab me ntsis.
- Ua tiav qhov tsis qab los lossis nws qhov kev puas tsuaj loj.
- Redness ntawm daim tawv nqaij nyob rau hauv qhov chaw cuam tshuam.
- mob taub hau.
- Tsis xis nyob hauv cov leeg.
Suppuration kuj tshwm sim. Hauv qhov no, cov qog ntshav qab zib yuav dhau los ua ib qhomos los yog tawv dhau.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias qee zaum tsis muaj cov tsos mob teev tseg hauv ib tus neeg. Nws tsuas xav tias muaj kev cuam tshuam me ntsis xwb, thiab yog li nws nyiam tsis quav ntsej nws, vim nws tsis ua rau muaj kev ntxhov siab.
Koj tsuas yog xav paub tias unilateral lymphadenitis feem ntau ua mob ntev. Thiab qhov no yog fraught nrog cov ntaub so ntswg loj hlob, suppuration thiab lwm yam tsis kaj siab txim.
Txhais tau
Qee tus neeg uas tsis saib xyuas lawv txoj kev noj qab haus huv tej zaum yuav ua rau cov qog nqaij hlav hauv tsev menyuam loj dua rau ib xyoos, lossis ntev dua. Tau kawg, qhov no yog qhov txaus ntshai. Kev mob ntev ua rau degeneration ntawm lymph nodes. Feem ntau, vim kev loj hlob ntawm cov ntaub so ntswg, muaj kev ua txhaum ntawm cov qog ntshav.
Ua li cas thiaj tshwm sim? Lymphostasis tsim, kho mob tshwm sim los ntawm cov kab mob trophic thiab mob ntev. Elephantiasis kuj tuaj yeem tshwm sim. Qhov no pathology yog manifested los ntawm proliferation ntawm connective cov ntaub so ntswg, vim hais tias cov cheeb tsam cuam tshuam nce thiab ua disfigured.
Diagnosis
Yog tias ib tus neeg muaj tsawg kawg yog lub ncauj tsev menyuam loj me me thiab cov qog nqaij hlav submandibular, ces koj yuav tsum tau sau npe mus rau kev kuaj mob nrog kws kho mob (tus kws kho mob tshwj xeeb lossis tus kws kho mob endocrinologist). Kev kuaj mob suav nrog cov haujlwm hauv qab no:
- Sau ib qho anamnesis. Tus kws kho mob ua tib zoo kawm txog keeb kwm kev kho mob, sau cov lus tsis txaus siab. Tus neeg mob yuav tsum tau qhia kom meej txog nws txoj kev xav, thiab tseem yuav tsum nco ntsoov raws nraim thaum lawv pib nce.pob, thiab dab tsi, hauv nws txoj kev xav, tuaj yeem ua qhov ua rau muaj kev cuam tshuam.
- kuaj lub cev. Qhov no yog kev kuaj mob ntawm caj pas thiab ENT kabmob, palpation ntawm cov qog ntshav, ntsuas ntshav siab thiab ntsuas kub.
- Biochemical thiab suav ntshav kom tiav.
- YUltrasound.
- X-ray ntawm lub ntsws.
- Tissue biopsy.
Kev kuaj mob tsis tuaj yeem ncua sijhawm. Qhov no tej zaum yuav ua ntej yuav nthuav lub ncauj tsev menyuam qog ntawm ib sab. Raws li qhov xwm txheej nce mus, qhov xwm txheej hnyav zuj zus. Tom qab qee lub sijhawm, tag nrho cov nodes tuaj yeem nce ntxiv. Hauv cov xwm txheej zoo li no, nws muaj kev nyab xeeb los tham txog kev loj hlob ntawm tus kab mob loj lossis oncological pathology ntawm cov ntshav.
Tshuaj
Yog tias ib tug neeg muaj qhov loj thiab mob qog nqaij hlav hauv ncauj tsev menyuam, tom qab kuaj pom tau sai, tus kws kho mob yuav sau cov kev kho mob uas tsim nyog rau nws. Lub hauv paus ntawm kev kho mob, raws li txoj cai, yog tshuaj tua kab mob, tshuaj tua kab mob thiab tshuaj tua kab mob.
Ntawm no yog pab pawg tseem ceeb ntawm cov tshuaj kws kho mob:
- Cov tshuaj tua kab mob dav dav. Nyob ntawm cov kab mob, macrolides, fluoroquinolones, penicillins tau sau tseg. Feem ntau nws yog "Azithromycin", "Amoxiclav" thiab "Tsiprolet". Haus lawv li 7-10 hnub.
- Antiviral. Acyclovir thiab Rimantadine pab tau zoo.
- Antimicrobial. Muaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj thiab tshuaj pleev. Qhov zoo tshaj plaws yog Levomekol thiab Biseptol.
- Non-steroidal anti-inflammatory tshuaj. Los ntawm pab pawg no, Nurofen thiab Nimesil raug tshuaj.
- Antimycotic agents. Qhov tshwj xeeb tshaj plawsmuaj "Fluconazole"
- Antihistamines. Lawv zoo constrict cov hlab ntsha nyob rau hauv qhov chaw ntawm o. Qhov zoo tshaj plaws yog "Cetirizine", uas tsis txawm ua rau sedative nyhuv.
- tshuaj kho mob rau kev siv sab nraud. Vishnevsky cov tshuaj pleev thiab Dimexide muaj txiaj ntsig zoo.
- tshuaj homeopathic. Feem ntau lawv xaiv cov tshuaj xws li Lymphomiazot, Phytolyakka thiab Barita Carbonica.
Ntxiv thiab, nco ntsoov sau cov tshuaj uas pab txhawb kev tiv thaiv kab mob. Cov no yog Viferon, Immunal, thiab kuj tincture ntawm Eleutherococcus thiab Echinacea.
Physiotherapy
Hais txog vim li cas cov qog nqaij hlav hauv tsev menyuam loj tuaj rau tus menyuam lossis tus neeg laus, ib tus yuav tsum tau saib xyuas me ntsis rau txoj kev kho mob nrov. Kev kho lub cev yog ib txoj hauv kev nrov heev los tshem tawm qhov mob. Cov txheej txheem hauv qab no tshwj xeeb tshaj yog:
- Electrophoresis. Nws hais txog kev qhia cov tshuaj rau hauv lub cev los ntawm cov mucous daim nyias nyias thiab cov tawv nqaij tsis zoo.
- Galvanization. Qhov no yog lub npe ntawm tus txheej txheem physiotherapeutic, thaum tib neeg lub cev raug cuam tshuam los ntawm electrodes siv rau nws cov tawv nqaij. Lawv ua hluav taws xob tam sim no kom muaj nuj nqis uas nws tuaj yeem siv tau.
- UHF. Cov txheej txheem physiotherapeutic uas paub zoo, los ntawm kev siv lub tshuab hluav taws xob ntau zaus ua rau tus neeg mob. Lub wavelength txawv ntawm 1m mus rau 10m. Tsuas yog qhov sov me ntsis xwb.
Yog tias tsis muaj tshuaj lossis kev kho mob tau txais txiaj ntsig zoo, kev phais yuav raug sau tseg. Thaum lub sijhawm ua haujlwm, suppuration yog qhib, thiab tom qab ntawd cov kua paug thiab cov ntaub so ntswg raug tshem tawm. Tom qab ntawd, lub qhov txhab yog drained.
kev kho neeg zoo
Lawv tuaj yeem siv los ua kev tiv thaiv. Nov yog qee cov zaub mov txawv:
- 10-15 tee ntawm echinacea tincture diluted hauv 1 khob dej. Haus peb zaug ib hnub.
- Y Sib tov mistletoe, walnut nyom, yarrow thiab St. John's wort (1 tsp txhua). Ncuav 1 khob dej thiab xa cov muaj pes tsawg leeg mus rau qhov hluav taws kub. Boil, thiab ces simmer rau lwm 5 feeb ntawm tsawg tshav kub. Thaum txias, tuaj yeem siv rau hmo ntuj compresses.
- Nqa ob peb nplooj ntawm celandine, ntxuav, thiab tom qab ntawd grind zoo rau hauv ib lub mortar. Nyem tawm cov kua txiv hmab txiv ntoo. Noj 1 tbsp. l. kua thiab dilute nrog vodka los yog cawv (100 ml). Muab 1 hnub rau brew. Tom qab ntawd kuj siv rau compress.
- YDilute echinacea tincture 1:2 nrog dej sov. Soak gauze nyob rau hauv lub resulting muaj pes tsawg leeg, thiab ces thov nws mus rau qhov chaw muaj kev cuam tshuam. Kho rau hmo ntuj.
kev hloov pauv kev ua neej
Yog ib tug neeg muaj cov qog nqaij hlav hauv ncauj loj (tom qab lossis sab hauv), ces, ntxiv rau kev noj cov tshuaj uas kws kho mob tau sau tseg, nws kuj yuav tau rov xav txog nws txoj kev ua neej.
Nrog rau qhov pathology no, kev pw tsaug zog yog qhia, nws yog ib qho tseem ceeb los tiv thaiv koj tus kheej los ntawm kev tawm dag zog lub cev. Nws kuj tsis yooj yim sua kom lim cov kab mob. Nws tsim nyog txwv kev txav tes, tsawg zaustig koj caj dab. Nws raug nquahu kom qhwv nws tag nrog ib txoj phuam qhwv caj dab. Qhov no kuj tseem yuav pab tswj qhov kub thiab txias tsis tu ncua ntawm thaj chaw cuam tshuam.
Kev noj haus yuav tsum muaj ntau hom kua. Nws yog pom zoo kom haus tshuaj ntsuab decoctions, compotes, freshly squeezed kua txiv, tshuaj yej nrog txiv qaub. Cov tais diav raug pom zoo kom noj hauv cov kua dej, vim tias zom tsuas yog txhim kho qhov tsis xis nyob. Tom qab txo qis cov tsos mob tsis zoo, nws yuav muaj peev xwm ntxiv cov zaub mov steamed rau hauv cov ntawv qhia zaub mov, nrog rau cov pob txha thiab cereals.
