Cov menyuam yaus hauv lub sijhawm preschool ntawm lawv lub neej tuaj yeem raug kev txom nyem los ntawm ntau yam mob khaub thuas thiab kis kab mob, uas feem ntau cuam tshuam los ntawm cov txheej txheem ntawm o ntawm lymphatic system. Hauv tsab xov xwm no, peb yuav tham txog cov tsos mob thiab kev kho mob ntawm lymphadenitis nyob rau hauv cov menyuam yaus, thiab kuj paub tias yuav tsum ua li cas thiaj li tiv thaiv tus menyuam los ntawm cov kab mob txaus ntshai.
YAbout pathology
Menyuam lymphadenitis yog ib yam kab mob loj ntawm cov kab mob lymphatic, uas cuam tshuam nrog cov txheej txheem inflammatory hauv cov pob txha. Raws li qhov tshwm sim ntawm tus kab mob, cov qog nqaij hlav tuaj yeem loj tuaj.
Nyob rau hauv feem ntau, kev kho mob ntawm cov menyuam yaus lymphadenitis pib nrog qhov tseeb tias tus menyuam yaus uas kuaj pom tus kab mob no raug xa mus rau tus kws kho mob oncological hematologist, txawm li cas los xij, qhov mob hnyav ntawm tus kab mob no tau lees paub tsuas yog ib kis ntawm ib puas..
Nws muaj hnub nyoog li cas?
Nws tau tsim los ntev lawm tias cov menyuam yaus lymphadenitis tau pom feem ntau hauv chaw zov me nyuam lossislub hnub nyoog preschool raws li ib qho teeb meem ntawm cov chav kawm ntawm provoking kis kab mob thiab inflammatory pathologies uas feem ntau tshwm sim nyob rau hauv thaum yau. Nws yuav tsum tau muab sau tseg tias cov txheej txheem no nyob rau hauv cov me nyuam yog ntau active tshaj nyob rau hauv cov neeg laus. Dab tsi yog qhov ua rau lymphadenitis hauv menyuam yaus?
Ua rau kev loj hlob ntawm pathology
Lymph nodes nyob rau hauv ib tug me nyuam instantly teb rau cov txheej txheem uas tshwm sim nyob rau hauv ib tug hluas lub cev. Feem ntau lawv loj tuaj, tom qab ntawd lawv pib mob thiab loj hlob mus rau hauv cov kab mob ywj pheej uas yuav tsum tau ua tib zoo kho. Cov kws kho mob hu rau cov hauv qab no ua rau lymphadenitis hauv cov menyuam yaus:
- Qhov muaj cov kab mob sib kis thiab cov txheej txheem inflammatory hauv daim ntawv ntawm tonsillitis, caries, influenza, mononucleosis lossis tuberculosis.
- Kev mob khaub thuas tsis kho uas ua rau muaj cov kua paug hauv cov qog ntshav.
- Kev muaj kab mob ntshav.
- Cov tsos mob ntawm cov qog nqaij hlav hauv lub cev.
- txheej txheem ntawm teething, uas, los ntawm txoj kev, yog qhov kev nyab xeeb tshaj plaws ntawm lymphadenitis.
- khawb tsis kho nrog tshuaj tua kab mob, nrog rau kev puas tsuaj thiab txiav uas tuaj yeem ua rau mob thiab ua rau mob sai sai.
Txawm li cas los xij, tab sis koj yuav tsum tsis txhob xav tias yog vim li cas tus menyuam thiaj li loj tuaj. Nws yog ib qho tsim nyog yuav tsum tau hu rau tus kws kho menyuam yaus yog li tom qab kev tshawb fawb ntxaws ntxaws ntawm anamnesis, nws txiav txim siab qhov tseeb yam uas ua rau lymphadenitis.
Symptomatics
Lymphadenitis hauvcov menyuam yaus tuaj yeem hnyav dua piv rau cov neeg laus. Tus kab mob no muaj ib tug complex kev faib thiab ntau hom. Txhua hom kab mob muaj nws cov tsos mob thiab cov tsos mob, raws li, thiab txoj kev kho yuav txawv. Cov kws kho mob koom ua ke sib cav hais tias thaum yau lymphadenitis, raws li txoj cai, tshwm sim nyob rau hauv ob versions, uas yog nyob rau hauv daim ntawv ntawm ib tug mob thiab ntev daim ntawv.
Nyob rau hauv mob lymphadenitis nyob rau hauv cov me nyuam, cov tsos mob yog raws li nram no:
- Lymph nodes tuaj yeem ua rau mob thiab mob.
- Muaj qhov kub thiab txias ntxiv nrog rau qhov tsos txias.
- Me nyuam yuav tsis muaj zog nrog mob taub hau.
- Nws tuaj yeem ua mob rau tus menyuam kom tig nws lub taub hau, thiab tseem kov qhov chaw uas cov qog nqaij hlav o.
- Poob qab los.
- Npaj cov kua paug hauv cov qog ntshav.
- Daim tawv nqaij ntawm qhov chaw ntawm cov kab mob suppurating lymph node tig liab.
- Kev tsim kho ntawm qhov txhab loj.
Cov tsos mob ntawm daim ntawv mob ntev
Yog tias koj tsis pib kho tus kab mob no, nws yuav mob ntev thiab yuav ua rau muaj kev tsis xis nyob rau tag nrho koj lub neej. Hauv cov menyuam yaus uas mob lymphadenitis ntev, cov tsos mob txawv me ntsis:
- Lymph nodes feem ntau ua rau mob raws nraim tib yam li thaum muaj daim ntawv mob hnyav, tab sis tsis txhob ua mob.
- Lymph nodes dhau los ua ib hom kev taug kev, tshwm sim tas li nyob rau ntau qhov chaw.
- Qee cov qog nqaij hlav hauv keeb kwm ntawm tus kab mob tuaj yeem tawg, lawv tau hloov los ntawm kev sib txuasntaub.
- Qee cov qog nqaij hlav tuaj yeem tsim fistulas uas tuaj yeem tsim cov kua paug thiab ua rau mob hnyav.
Kev faib tawm ntawm cov menyuam yaus lymphadenitis
Lymphadenitis hauv cov menyuam yaus tau muab faib ua ntau pawg uas qhia txog qhov nyuaj ntawm cov kab mob. Piv txwv li, tus kab mob no tau muab cais raws li qhov xwm ntawm pathology thiab cov ntaub ntawv hauv qab no yog qhov txawv:
- Tshwj xeeb lymphadenitis, uas tshwm sim nws tus kheej raws li kev mob tshwm sim ntawm kev kis mob hnyav, uas yuav luag tsis tuaj yeem kho. Lawv kuj suav nrog tus kab mob HIV. Hom lymphadenitis no nyob rau hauv cov menyuam yaus yog qhov tsawg kawg nkaus.
- Tsis yog hom kab mob lymphadenitis. Nws cov kab mob ua rau yog streptococci nrog rau staphylococci. Hauv qhov no, qhov mob tshwm sim hauv qee qhov chaw, thiab tsis yog thoob plaws hauv lub cev.
Cov ntawv raws li qhov xwm txheej ntawm qhov mob
Cov kab mob hauv qab no yog qhov txawv ntawm qhov mob ntawm cov qog ntshav qab zib:
- Kev txhim kho ntawm serous lymphadenitis. Nyob rau tib lub sijhawm, ib cov qog ntshav qog tuaj yeem ua rau mob thiab ua rau cov menyuam yaus. Nyob rau hauv nws, cov kua paug accumulates, uas nyob rau hauv lub neej yav tom ntej yuav tawm thaum lub lymph node bursts. Qhov no yog ib daim ntawv txaus ntshai heev ntawm pathology uas tuaj yeem ua rau muaj ntshav lom, mus txog ntua ntua.
- Kev loj hlob ntawm purulent lymphadenitis. Nrog rau daim ntawv no, cov qog nqaij hlav inflamed nyob rau hauv cov me nyuam yog tus cwj pwm los ntawm ib tug pulsating qhov mob. Tus me nyuam yuav kub taub hau txog 38 degrees. Kuj yuav muaj qhov txo qis hauv qab los noj mov thiab qaug zog. Qhov chawo nyob rau tib lub sij hawm swells, kis ib tug liab xim. Daim ntawv ntawm tus kab mob no yog kho tshwj xeeb los ntawm kev phais.
- Necrotic hom lymphadenitis. Xws li lymphadenitis feem ntau tshwm sim hauv caj dab. Nws yog qhov tsawg kawg nkaus hauv cov menyuam yaus, tab sis yog tias nws tshwm sim, nws ua rau muaj kev cuam tshuam ntau heev, vim tias tawm hws tawm tsam nws keeb kwm yav dhau los, thiab caj dab kuj mob, qab los noj mov thiab qhov hnyav poob.
Raws li lub plawv ntawm qhov chaw
Cov ntaub ntawv hauv qab no ntawm pathology yog qhov txawv raws li qhov tseem ceeb ntawm qhov chaw:
- Kev txhim kho ntawm ncauj tsev menyuam lymphadenitis. Qhov no yog hom kab mob ntau tshaj plaws uas tshwm sim tawm tsam keeb kwm ntawm kev kis kab mob, uas muaj ntau heev hauv cov menyuam yaus thaum yau.
- Lub xub ntiag ntawm submandibular lymphadenitis. Nrog rau daim ntawv no, o ntawm lymph node ua rau o ntawm lub puab tsaig, thiab qee zaum lub qhov ncauj kab noj hniav. Feem ntau hom lymphadenitis no provokes kab mob hniav nyob rau hauv cov me nyuam.
- Kev loj hlob ntawm inguinal lymphadenitis. Daim ntawv no tshwm sim nyob rau hauv cov menyuam yaus vim tsis kho ceg abrasions. Piv txwv li, tus kab mob nkag mus rau hauv lub qhov txhab, uas pib nquag tshwm sim nws tus kheej nyob rau hauv cov qog nqaij hlav nyob rau hauv lub puab tais. Hauv cov menyuam yaus, daim ntawv no tsis tshua muaj.
- Kev txhim kho ntawm axillary lymphadenitis. Daim ntawv no tshwm sim rau tib lub laj thawj xws li lub ncauj tsev menyuam lymphadenitis. Yeej, tus kab mob kis mus rau hauv daim ntawv purulent, ua raws li kev tsim ntawm fistulas.
- Parotid lymphadenitis nyob rau hauv cov menyuam yaus tshwm sim yog tias muaj cov pob ntxau hauv qhov chaw uas kis tau. Qhov noib daim ntawv ntawm lymphadenitis yuav tsum tau kho raws li kev saib xyuas nruj ntawm tus kws kho mob, txwv tsis pub nws yuav muaj kev pheej hmoo tias tus menyuam tsis hnov lus.
YKev kuaj mob ntawm pathology
Kev kuaj tus kab mob no hauv cov menyuam yaus muaj cov txheej txheem hauv qab no:
- Kev kuaj xyuas lub cev ze ntawm cov qog ntshav hauv lub ncauj tsev menyuam thiab thaj tsam submandibular.
- Kho kom raug thiab ntsuas cov keeb kwm kho mob.
- Kev kuaj ntshav.
- Ua kev kuaj ultrasound ntawm cov qog nqaij hlav o hauv caj dab.
- Mus ntsib cov kws kho mob tshwj xeeb rau menyuam yaus xws li kws kho menyuam yaus, kws kho mob kis mob, kws kho mob hematologist, kws kho mob otolaryngologist, kws phais mob thiab kws kho mob phthisiatrician.
Kev kuaj mob feem ntau yog tsom rau kev txheeb xyuas cov hauv paus hauv paus thiab foci ntawm cov kab mob uas ua rau muaj qhov mob hauv cov kab mob lymphatic.
Tshawb Fawb Ntxiv
Raws li qhov ntxiv rau qhov kev ntsuam xyuas tseem ceeb, yog tias qhia, cov txheej txheem hauv qab no yuav raug sau tseg:
- X-ray hauv siab.
- Kev kuaj tuberculin.
- Lymph node biopsy ua raws li cytology thiab histology.
Kev kho mob lymphadenitis hauv menyuam yaus
Kev kho mob hauv qee kis yog ua raws li kev saib xyuas, tsis muaj kev phais. Raws li lub ntsiab lus tseem ceeb, raws li txoj cai, cov tshuaj tua kab mob yog siv rau kev kho mob, uas muaj txiaj ntsig txaus, thiab tib lub sijhawm kev nyab xeeb:
- Siv macrolides xws li Sumamed nrog rau Azithromycin.
- Kev siv aminoglycosides hauv daim ntawv "Gentamicin" thiab "Amicacin". Cov tshuaj tua kab mob rau lymphadenitis hauv cov menyuam yaus yuav tsum tau xaiv los ntawm kws kho mob nkaus xwb.
- Siv cov aminopenicillins xws li Amoxicillin.
- Kev siv cephalosporins xws li Cefazolin nrog rau Ceftriaxone, Cephaloridine thiab Cefotaxime.
Raws li kev ntxiv rau kev kho mob lymphadenitis hauv cov menyuam yaus, cov tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kab mob tuaj yeem raug sau tseg. Cov txheej txheem ntawm kev kho mob rau tus kab mob no nyob rau hauv ib tug me nyuam nyob rau hauv cov ntaub ntawv ntawm loj pathologies nyob rau hauv lub oropharynx, raws li zoo raws li nyob rau hauv loj submandibular, ncauj tsev menyuam thiab lwm yam lymphadenitis, muab rau conservative kev cuam tshuam. Ntev npaum li cas lymphadenitis nyob hauv tus menyuam? Xav paub ntau ntxiv tom qab.
Yuav tsum pib kho nrog cephalosporins yuav luag tam sim. Tom qab tau txais cov txiaj ntsig ntawm kev tshawb fawb microbiological thiab txiav txim siab txog etiology ntawm tus kab mob, kev kho nrog tshuaj etiotropic, xws li macrolides thiab tshuaj tiv thaiv kab mob, tuaj yeem txuas ntxiv mus. Thaum muaj cov ntaub ntawv me me, nws raug pom zoo los ntawm qhov pib siv macrolides los kho tus kab mob no hauv cov menyuam yaus.
Rau qhov kev puas tsuaj tag nrho ntawm cov kab mob ua rau cov txheej txheem inflammatory hauv cov mob lymphadenitis hauv cov menyuam yaus, feem ntau, yuav tsum tau xya hnub. Nyob rau hauv lub xub ntiag ntawm purulent ncauj tsev menyuam thiab submandibular lymphadenitis, ultrahigh-frequency kho thiab electrophoresis nrog ntxiv ntawm kev npaj muaj iodine yog nquag siv. Kev kho mob physiotherapy tau sau tsegTsuas yog tom qab kev phais qhib ntawm cov qog nqaij hlav thiab cov kua dej ntawm cov kab noj hniav.
Kev ua haujlwm
Kev kho mob phais, raws li kev txheeb cais, cov kws kho mob siv plaub kis ntawm tsib, thaum xav tau qhib cov qog ntshav qog ntshav nrog cov kua dej tom qab ntawm nws cov ntsiab lus. Hauv qee qhov xwm txheej, cov kws kho mob siv qhov qhib biopsy, uas qhov kev txiav tawm lossis ua tiav tshem tawm cov qog ntshav qab zib. Compresses kuj tseem siv tau rau lymphadenitis hauv menyuam yaus.
Tawm tsam keeb kwm yav dhau los ntawm cov dej ntws mus ntev, cov kws kho mob feem ntau sau tshuaj kho lub cev nrog kev siv Vishnevsky ointment, thiab tseem sau tshuaj tiv thaiv kab mob nrog rau calcium gluconate, vitamins thiab cov tshuaj kho kom rov zoo. Kev kho mob ntawm lymphadenitis nyob rau hauv cov me nyuam nyob rau hauv preschool lub sij hawm yog feem ntau ua nyob rau hauv lub tsev kho mob. Thaum twg los xij, yog tias kuaj tau tus kab mob adenophlegmon, tus me nyuam yuav tsum tau mus pw hauv tsev kho mob kom qhib qhov txhab ntxiv thiab kho tshuaj tua kab mob.
Txog qhov kev tiv thaiv yuav tsum tau ua los tiv thaiv tus menyuam kom tsis txhob muaj kev phom sij loj, peb yuav qhia ntxiv.
Kev Tiv Thaiv lymphadenitis hauv menyuam yaus
Nws yog ib qho tseem ceeb rau cov niam txiv kom paub txog tus kab mob ua ntej, nrog rau kev paub txog kev tiv thaiv kab mob. Yuav kom tsis txhob kis tus menyuam mus rau pathology, qee yam kev tiv thaiv yuav tsum tau ua, piv txwv li:
- Cov niam txiv yuav tsum tsis tu ncua ntxiv kev tiv thaiv ntawm tus menyuam. Txhawm rau ua qhov no, tus menyuam yuav tsum tau muab cov chav kawm multivitamin ib ntus.
- NyobNws yog ib qho tseem ceeb kom koj tus menyuam huv si txhua lub sijhawm. Qhov no muaj tseeb tshwj xeeb tshaj yog thaum tus menyuam tau txais kev puas tsuaj lossis khawb.
- Nws yog ib qho tsim nyog yuav tsum coj tus menyuam mus rau lub sijhawm teem sijhawm nrog tus kws kho mob kom kuaj nws. Ntxiv nrog rau tus kws kho mob, koj yuav tsum coj tus menyuam mus rau kws kho hniav.
- Tsis muaj teeb meem koj yuav tsum tau kho tus kheej. Nws yog ib qho tsim nyog rau txhua tus menyuam yaus yuav tsum tau saib xyuas kev kho mob yog tias lawv mob.
Txhua tus niam txiv yuav tsum ua tib zoo saib xyuas lawv cov menyuam, nrog rau lub sijhawm, kom tsis txhob plam qhov kev hloov pauv ntawm cov menyuam lub cev. Yog tias koj pib kho tus me nyuam nrog cov kab mob xws li lymphadenitis nyob rau lub sijhawm, koj tuaj yeem zam ntau yam teeb meem uas cov kab mob no tuaj yeem ua rau tom qab. Tsis txhob hnov qab tias kev noj qab haus huv ntawm cov menyuam yog koj qhov kev txhawj xeeb, yog li ua tib zoo saib xyuas koj tus menyuam txoj kev noj qab haus huv.
