Cervical lymphadenitis (ICD 10 - L04) yog ib qho mob ntawm cov qog nqaij hlav hauv lub cev ntev lossis mob hnyav. Cervical localization yuav luag tam sim ntawd tshwm sim nws tus kheej nyob rau hauv daim ntawv ntawm cov tsos mob, uas ua rau nws muaj peev xwm pib kho raws sij hawm thiab, raws li, ib tug ceev rov qab.
Feem ntau, lub ncauj tsev menyuam lymphadenitis tshwm sim tawm tsam keeb kwm ntawm kab mob ntawm lub qhov ncauj, uas tuaj yeem tshwm sim los ntawm kev kis kab mob, kab mob lossis kab mob. Kev tsom mus rau qhov chaw nyob deb kuj tuaj yeem dhau los ua qhov yuav tsum tau ua ua ntej rau lymphadenitis.
Ua rau lymphadenitis
Feem ntau mob ntawm cov qog ntshav qab zib yog ua ntej los ntawm cov txheej txheem ntawm suppuration nyob rau hauv lub ntsej muag. Staphylococci thiab streptococci yog cov kab mob ntau tshaj plaws. Raws li qhov ua rau ntawm qhov tshwm sim, lymphadenitis tau muab faib ua qhov tshwj xeeb thiab tsis yog tshwj xeeb.
Cov kab mob sib kis hnyav xws li kab mob diphtheria, tuberculosis thiab lwm yam tuaj yeem ua rau lymphadenitis tshwj xeeb. Ib hom kab mob uas tsis yog tshwj xeeb tshwm sim vim raug ntaus ncaj qhakab mob nyob rau hauv lub lymph node. Qhov no tuaj yeem tshwm sim los ntawm lub caj dab qhov txhab.
Cov pab pawg muaj kev pheej hmoo rau mob qog noj ntshav hauv ncauj tsev menyuam (ICD 10 - L04) suav nrog cov neeg mob uas muaj lub cev tsis muaj zog, cov menyuam yaus uas feem ntau raug kev kis kab mob, cov neeg laus ua haujlwm nrog tsiaj, av thiab dej qias neeg. Feem ntau tshwm sim rau cov neeg mob hnub nyoog tshaj 18 xyoo.
Txoj kev sib cav
Muaj ntau yam uas txiav txim siab txog kev pheej hmoo ntawm tus kab mob:
- kab mob kis ntawm nasopharynx thiab qhov ncauj kab noj hniav;
- mob ntawm endocrine system, suav nrog cov thyroid caj pas;
- tus kab mob tiv thaiv kab mob tib neeg;
- tshuaj tsis haum nrog cov teeb meem;
- pathology ntawm cov txheej txheem metabolic;
- haus dej cawv ntau dhau.
Cervical lymphadenitis (ICD 10 - L04) tsis kis tau, nws yog ib qho txheej txheem thib ob uas tshwm sim raws li qhov teeb meem ntawm tus kab mob los yog kab mob. Nyob ntawm cov kab mob sib kis, kev kho lymphadenitis yog ua los ntawm tus kws kho mob otolaryngologist, tus kws kho mob tshwj xeeb, tus kws phais, thiab lwm yam.
Thaum pib, lymphadenitis tshwm sim nws tus kheej hauv daim ntawv mob, maj mam tig mus rau theem ntev. Qee zaum nyob rau theem pib, cov tsos mob ntawm tus kab mob tsis tshwm sim. Nws nyob ntawm tus neeg mob lub cev tiv thaiv kab mob.
Views
Hom mob qog nqaij hlav hauv ncauj tsev menyuam (ICD 10 - L04) tau nthuav tawm hauv qab no:
- nonspecific o tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov kab mob fungal lossis kab mob kis mus rau cov qog nqaij hlav, nws yooj yim duakho tau, tsawg dua yuav ua rau muaj teeb meem;
- tshwj xeeb o yog ib qho kev mob hnyav, suav nrog tuberculosis, syphilis, typhoid fever thiab plague
Nyob rau hauv rooj plaub no, qhov kev kuaj mob tau tshwm sim nyob rau theem ntawm kev kawm ntev. Muaj ntau theem ntawm tus kab mob nyob rau hauv daim ntawv mob:
- Serous. Tsis ua rau intoxication thiab kub taub hau hnyav. Thawj theem ntawm kev nkag mus ntawm cov kab mob tsis zoo rau hauv cov qog nqaij hlav.
- Purulent. Denotes kab mob kab mob. Nrog kub kub thiab yuav tsum tau phais.
- Txhob. Yuav tsum tau phais xwm txheej ceev, vim nws tuaj yeem ua rau kis tau rau tag nrho lub cev.
Chav kawm ntawm daim ntawv tsis tshwj xeeb ntawm ncauj tsev menyuam lymphadenitis (ICD code 10 - L04) yog tus cwj pwm los ntawm kev kis tus kab mob thiab cov kab mob los ntawm cov qog ntshav qog. Daim ntawv no teb zoo rau kev kho thiab tsis tshua muaj teeb meem. Kev kis tus kab mob mus rau lwm cov qog nqaij hlav tuaj yeem ua rau muaj kab mob hnyav hu ua generalized lymphadenitis.
Cov tsos mob ntawm ncauj tsev menyuam lymphadenitis
Cov tsos mob tshwm sim qhia tau tias lymphadenitis yog:
- nce hauv qhov kub thiab txias nyob rau theem mob hnyav ntawm cov kab mob;
- pw tsaug zog, poob qab los, tsis muaj zog;
- neurological mob, apathy, kiv taub hau, migraine;
- kev npam.
Thaum pib ntawm lub ncauj tsev menyuam mob qog noj ntshav (ICD code 10 - L04) muaj qhov tuab thiab loj ntawm cov qog ntshav. Palpation yog mob. Qhov no suav hais tias yog theem serous thiab yuav tsum tau kho mob. Txwv tsis pub, tus kab mob yuav kis tau mus ntev.
Cov cim qhia uas qhia txog cov kab mob lymphadenitis ntev yog:
- o ntawm cov qog nqaij hlav;
- nce lub cev kub;
- drowsiness, general malaise, pw tsaug zog;
- mob me ntsis ntawm palpation.
Nyob rau theem ntawm cov kab mob lymphadenitis ntev ntawm lub ncauj tsev menyuam qog nqaij hlav (ICD 10 - L04), cov tsos mob ua rau tsis meej. Qhov no yog vim qhov tseeb tias lub cev txo qis cov peev txheej uas siv los tua tus kab mob thiab tau siv rau lub xeev uas twb muaj lawm. Raws li qhov tshwm sim, lub cev ua rau qaug cawv nrog cov khoom lwj thiab cov chaw uas tau raug mob necrosis.
Kev puas tsuaj rau cov ntaub so ntswg ua rau muaj qhov tshwm sim sab nraud ntawm tus kab mob thiab, yog li ntawd, sai sai zuj zus. Cov theem purulent yuav qhia tau los ntawm pulsation thiab mob hnyav, nrog rau qhov mob hnyav ntawm cov qog nqaij hlav. Tus mob no suav hais tias yog kev hem thawj rau lub neej thiab xav tau kev saib xyuas tam sim.
Txoj kev kuaj mob
Kev kuaj mob qog noj ntshav hauv ncauj tsev menyuam li cas (ICD 10 - L04)? Thaum kuaj xyuas, tus kws kho mob tshwj xeeb palpates cov qog nqaij hlav, nrog rau cov ntaub so ntswg nyob ib puag ncig lawv, txhawm rau txiav txim siab qhov ua rau tus kab mob. Kev kuaj ntshav dav dav yuav muab cov ntaub ntawv hais txog qhov muaj cov txheej txheem inflammatory, nrog rau kev nce ntawm cov lymphocytes.
Yog kuaj tau lymphadenitistsis muaj teeb meem cuam tshuam, yuav tsum tau kho tam sim ntawd. Yog tias tus kws kho mob pom cov kev hloov pauv hauv lwm lub cev thiab lub cev, yuav tsum tau kuaj xyuas ntxiv, suav nrog cov kev sim hauv qab no:
- kuaj ntshav dav dav thiab biochemical;
- kev kawm txog keeb kwm ntawm cov khoom ntawm cov qog ntshav los ntawm kev sib tsoo;
- lub hauv siab x-ray (ua tau yog tias xav tias TB);
- Ultrasound ntawm lub plab kab noj hniav, yog tias qhov ua rau ntawm cov txheej txheem inflammatory tsis tau tsim;
- kuaj ntshav rau cov kab mob tiv thaiv kab mob thiab kab mob siab.
Txawm hais tias tus kab mob nyob rau theem twg, kev mus ntsib kws kho mob yog qhov yuav tsum tau ua nruj me ntsis. Exacerbation ntawm lymphadenitis tuaj yeem tshwm sim txhua lub sijhawm.
Kev kho mob
Purulent cervical lymphadenitis (ICD 10 - L04) yog kho tshwj xeeb los ntawm kev phais. Lub hom phiaj yog qhib, cov ntsiab lus raug tshem tawm, lub qhov txhab raug kho thiab ntws. Tom qab ntawd, cov tsos mob kho yog nqa tawm. Conservative kev kho mob yog nqa tawm nyob ntawm seb qhov tshwm sim ntawm tus kab mob. Feem ntau, cov tshuaj analgesics, cov tshuaj kho kom zoo thiab cov tshuaj tiv thaiv kab mob. Thaum lub sij hawm tshem tawm, kev kho lub cev raug tso cai.
ntsuas kev tiv thaiv
Txog kev tiv thaiv, nws yog ib qho tsim nyog yuav tsum kho tam sim ntawd cov kab mob purulent thiab inflammatory uas tshwm sim hauv siab thiab lub ntsej muag. Txij li tus kab mob tuaj yeem tshwm sim tawm tsam keeb kwm ntawm kev kis kab mob ntawm qhov ncauj, koj yuav tsum mus ntsib kws kho hniav tsis tu ncua txhawm rau tiv thaiv.
Dhau li ntawm qhov no, kev tiv thaiv ntawm lymphadenitiskoom nrog kev noj cov vitamin-mineral complexes, kho raws sij hawm ntawm khawb thiab qhov txhab ntawm daim tawv nqaij, nrog rau kev kho mob ntawm abscesses, boils, thiab lwm yam. Nws yog tsis tsim nyog los kho lymphadenitis nyob rau hauv tsev. Cov kab mob qog nqaij hlav yuav tsum tsis txhob sov los yog siv rau lawv nrog compresses!
