Lymphadenitis yog qhov tshwm sim ntawm cov txheej txheem inflammatory hauv lub cev. Tus kab mob no manifests nws tus kheej nyob rau hauv daim ntawv ntawm kev puas tsuaj rau cov lymph nodes. Lymphadenitis tshwm sim los ntawm kev nkag mus ntawm ntau yam kab mob pathogenic rau hauv cov qog nqaij hlav nrog cov qog ntshav lossis cov ntshav, nrog rau cov ntaub so ntswg lwj thiab cov tshuaj lom.
Lymphadenitis tuaj yeem ua tus kab mob ywj pheej lossis ua lub cim ntawm kev muaj cov txheej txheem pathological ntawm ib qib tshwj xeeb. Cov kws kho mob xav txog lymphadenitis yog qhov tshwm sim ntawm kev cuam tshuam kev ua haujlwm ntawm tag nrho cov lymphatic system, nrog rau kev txwv rau kev kis tus kab mob.
Ntau yam ntawm lymphadenitis
Lymphadenitis tau muab faib ua peb yam tseem ceeb. Lawv txawv ntawm lawv tus kheej nyob ntawm qhov chaw ntawm cov txheej txheem inflammatory. Cov ntau yam no suav nrogcov hauv qab no:
- Cervical lymphadenitis. Hom kab mob no cuam tshuam nrog ntau yam qog thiab cov txheej txheem inflammatory hauv lub cev. Lymph los ntawm tag nrho cov seem ntawm lub cev dhau los ntawm lub caj dab cheeb tsam ib feem los yog tag nrho. Angina, paratonsillitis, mob streptococcal pharyngitis, kab mob ntawm lub qhov ncauj kab noj hniav thiab cov hniav, ntau yam kab mob ua pa kab mob feem ntau nrog rau mob thiab mob lymphadenitis. Hauv kev kuaj mob ntawm hom kab mob no, qhov chaw ntawm qhov mob ntawm cov qog ntshav qog ua lub luag haujlwm tseem ceeb. Cov kab mob tom qab lub caj dab tuaj yeem hloov pauv loj nrog toxoplasmosis thiab rubella, thiab cov pob txha parotid tuaj yeem ua kom loj tuaj nrog cov kab mob sib kis.
- Submandibular hom lymphadenitis. Hom kab mob no feem ntau tshwm sim, feem ntau pom thaum hluas thiab thaum yau. Kev mob ntawm pharyngeal tonsils feem ntau yog nrog kev txhim kho ntawm submandibular lymphadenitis. Submandibular lymph nodes pib loj hlob nrog exacerbation ntawm tonsillitis ntev, nrog rau cov hniav o nyob rau hauv lub qhov ncauj kab noj hniav. Raws li txoj cai, tus kab mob lymphadenitis no daws tau yog tias tus kab mob hauv qab no kho tau.
- Inguinal lymphadenitis. Lub ntsiab yog vim li cas rau txoj kev loj hlob ntawm tus kab mob no yog suav hais tias yog inflammatory kab mob ntawm lub sab hauv thiab sab nraud genitals, uas yog ib tug kab mob ntawm keeb kwm. Provoke ib qho kev nce ntawm inguinal lymph nodes nyob rau hauv lub cev kuj yuav purulent txheej txheem tshwm sim nyob rau hauv lub qis cheeb tsam ntawm lub cev thiab ceg. Cov txheej txheem zoo li no yuav tsumsuav nrog boils, purulent qhov txhab, trophic ulcers thiab felons.
Yog tias ib hom kab mob tau kuaj pom, ces nws tuaj yeem kho lymphadenitis nrog cov tshuaj pej xeem. Txawm li cas los xij, ua ntej pib ua lwm txoj hauv kev kho mob, nws yog ib qho tsim nyog los sab laj nrog tus kws kho mob tshwj xeeb.
Symptoms of disease
Cov tsos mob thiab cov tsos mob ntawm lymphadenitis yog tib yam. Ua ntej ntawm tag nrho cov, nyob rau hauv thawj theem ntawm kev loj hlob ntawm tus kab mob, qhov kub thiab txias nce, lymph nodes nce thiab thicken, thiab mob hnyav yog hnov. Thaum lub sij hawm palpation, nws tuaj yeem pom tias cov qog nqaij hlav tsis sib txuas rau ib leeg thiab rau daim tawv nqaij npog lawv.
Thaum lub sijhawm ua haujlwm ntawm cov txheej txheem inflammatory, ib qho mob heev thiab compacted infiltrate pib tsim. Sij hawm dhau mus, daim tawv nqaij ntawm thaj chaw no hloov liab, kub, tsis muaj zog.
Yog tias pom qhov tsis zoo ntawm qhov mob, nws tuaj yeem hloov mus rau hauv ib qho purulent. Nyob rau hauv tas li ntawd, lub cev kub pib nce mus rau 39 degrees. Heev feem ntau, tus mob ntawm tus neeg mob kuj cuam tshuam. Tawm hws, malaise, tsis qab los noj mov thiab mob taub hau tshwm. Yog tias lymphadenitis tau hloov mus ua purulent, tom qab ib ntus cov qog ntshav qab zib pib qis zuj zus.
Rau ob peb hnub, cov qog ntshav qab zib melts, thiab cov ntsiab lus purulent tawg tawm. Thaum cov abscess tau tshem tawm tag, qhov mob nrog lymphadenitis pib dhau, vim li ntawddab tsi los rov qab. Yog tias koj tsis pib kho cov kab mob lymphadenitis nyob rau lub sijhawm nrog cov tshuaj pej xeem lossis tshuaj, ces cov txheej txheem inflammatory tuaj yeem ua rau muaj ntau yam teeb meem.
Nws tshwm sim tias tom qab tus txheej txheem mob hnyav, mob lymphadenitis feem ntau pib tsim, thaum cov qog nqaij hlav ntawm ntau qhov ntau thiab tsawg nrog kev txav mus los tsawg. Raws li txoj cai, cov qog ntshav qog no tsis mob, tab sis tuab heev. Qhov loj me tuaj yeem kav ntev, tab sis tom qab ntawd cov qog ntshav qab zib pib txo qis.
Nws tsim nyog sau cia tias qhov xwm txheej ntawm tus neeg mob uas muaj tus kab mob ntev tsis cuam tshuam, thiab lub cev kub nyob hauv qhov qub.
Cas of disease development
Raws li txoj cai, lub ntsiab provoking yam nyob rau hauv kev loj hlob ntawm purulent lymphadenitis yog ntev, subacute thiab mob inflammatory dab nyob rau hauv tib neeg lub cev. Ua ntej ntawm tag nrho cov, qhov no yuav tsum muaj xws li phlegmon, boils thiab ulcers. Tsis tshua muaj, nrog rau cov kab mob ncaj qha ntawm cov qog nqaij hlav los yog raug mob, thawj lymphadenitis tau pom.
Lub luag haujlwm tseem ceeb hauv etiology ntawm tus kab mob belongs rau staphylococci. Tsawg dua, cov kab mob xws li streptococci, toxoplasma, mycobacteria thiab protozoa tuaj yeem ua qhov ua rau. Ib qho kev nce hauv qhov loj ntawm cov nodes tau pom thaum lub sij hawm toxoplasmosis, AIDS, mononucleosis, tuberculosis.
Raws li lub regional lymphadenitis, nws tshwm sim vim qhov chaw mos herpes, syphilis los yog tularemia. Kev nce hauv qhov loj ntawm cov qog ntshav qog tuaj yeem ua tauprovoked los ntawm infiltration ntawm metastatic malignant hlwb nyob rau hauv lub xub ntiag ntawm oncological kab mob.
Kev kuaj kab mob
Raws li tau hais ua ntej, nws tuaj yeem kho lymphadenitis nrog cov tshuaj pej xeem. Txawm li cas los xij, ua ntej qhov no, nws yog qhov yuav tsum tau sab laj nrog koj tus kws kho mob tom qab kuaj tag nrho. Cov kab mob lymphadenitis superficial, raws li txoj cai, raug kuaj pom yooj yim, tshwj xeeb tshaj yog tias pom muaj kab mob tseem ceeb. Tus kws kho mob tshwj xeeb hauv cov ntaub ntawv no ua raws nws cov kev xav ntawm cov tsos mob thiab cov tsos mob, nrog rau cov ntaub ntawv anamnestic. Yog tias qhov kev kuaj mob tsis meej, ces nws yuav tsum tau kuaj xyuas tus neeg mob ntxiv. Rau cov neeg mob uas muaj purulent lymphadenitis, kev kuaj xyuas yuav tsum ua kom tiav, uas yuav suav nrog:
- kuaj microbiological thiab serological;
- CBC;
- ultrasound;
- puncture biopsy raws li qhia;
- kuaj hluav taws xob;
- CT scan.
Nyob rau xyoo tas los no, kev nce qib tau ua tiav hauv kev kuaj mob los ntawm cov kws tshaj lij los ntawm X-ray lymphography, scanning, thiab tej thaj chaw deb infrared thermography. Kev kho mob ntawm cov qog ntshav qog ntshav yuav tsum tau muab los ntawm tus kws kho mob tshwj xeeb. Raws li txoj cai, tom qab kev kuaj mob, tus kws kho mob tau sau ntau yam txheej txheem thiab tshuaj rau kev kho mob. Koj tuaj yeem kho lymphadenitis nrog pej xeem txoj kev. Nws kuj tau pom zoo nrog tus kws tshaj lij.
Txoj kev kho mob lymphadenitis
Kev kho tus kab mob no yog ua raws li kev tshem tawm cov txheej txheem sib kis. Kev kho mob ntawm cov qog ntshav qog ntshav yuav nyob ntawm theem ntawm tus kab mob. Raws li txoj cai, cov qog nqaij hlav mob tom qab mob caj pas lossis mob khaub thuas tsis tas yuav siv tshuaj kho mob, vim tias cov tsos mob no feem ntau ploj mus ntawm lawv tus kheej.
noj tshuaj tua kab mob
Lwm cov kev kho mob rau lymphadenitis suav nrog kev noj tshuaj tua kab mob, tshwj xeeb tshaj yog tias thaj chaw cuam tshuam yog festering. Cov tshuaj tua kab mob thiab cov tshuaj sulfa yog siv nyob ntawm qhov rhiab heev ntawm tus neeg mob lub paj. Nws tau txiav txim siab thaum kuaj.
Lub sijhawm ntawm kev kho mob kuj tseem nyob ntawm qhov muaj cov tsos mob hauv zos thiab cov tsos mob, lub sijhawm ntawm kev ua haujlwm ntawm kev kuaj sim. Hauv cov lus hais, ob tus kws kho mob thiab cov neeg mob qhia txhua yam kev kho mob uas cuam tshuam nrog kev noj tshuaj tua kab mob kom ntxiv nrog kev siv tshuaj ntxiv dag zog thiab cov vitamin complexes uas ua rau muaj kev tiv thaiv kab mob thiab txhim kho tus neeg mob.
Physiotherapy
Ntxiv nrog rau kev kho mob thiab pej xeem txoj kev kho mob lymphadenitis, cov kws kho mob tshwj xeeb feem ntau sau ntawv kho lub cev, uas yuav tsum suav nrog ultrasound thiab electrophoresis. Physiotherapy nyob rau tib lub sij hawm muaj ib tug stimulating nyhuv ntawm humoral thiab paj hlwb txheej txheem nyob rau hauv lub cev, thaum ua kom cov reactivity ntawm cov ntaub so ntswg. Cov txheej txheem no yog daws. Txoj kev kho lub cev kho mob ua rau muaj kev nce hauv phagocytosis hauv zos.
Surgery
Yog tias tsis muaj txiaj ntsig los ntawm kev kho mob lymphadenitis hauv tsev nrog cov tshuaj pej xeem thiab tshuaj, ces kev phais yuav raug sau tseg, vim tias cov ntsiab lus purulent raug tshem tawm ntawm lub cev los ntawm kev qhib lub foci ntawm tsub zuj zuj.. Suppurated lymph nodes raug tshem tawm thiab xa mus rau ib qho kev tshawb fawb tshwj xeeb, qhov kev loj hlob ntawm mob qog noj ntshav thiab oncology raug cais tawm.
kev kho neeg zoo
Lymphadenitis tuaj yeem kho nrog lwm cov tshuaj. Txawm li cas los xij, ua ntej ua qhov no, nws yog qhov yuav tsum tau sab laj nrog koj tus kws kho mob. Ua ntej kho lymphadenitis nrog pej xeem tshuaj, koj yuav tsum xyuam xim rau qhov tseeb hais tias xws li kev kho mob yuav tsum tau siv nyob rau hauv ib tug complex yam, xaiv ib tug natural tshuaj uas yuav tsum tau noj nyob rau hauv qhov ncauj, ib tug sau ntawm tshuaj ntsuab, ob yam tshuaj uas yuav tsum tau siv topically nyob rau hauv daim ntawv. ntawm compress los yog tshuaj pleev.
- Herbal sau, uas yog siv los kho cov kab mob lymphadenitis rov tshwm sim thiab mob ntev. Txhawm rau npaj nws, koj yuav tsum sib tov ib qho sib npaug ntawm yarrow, dioecious nettle, oregano, hop cones. Ntxiv 3 feem ntawm teb horsetail mus rau lub resulting muaj pes tsawg leeg. Ib tablespoon ntawm tshuaj ntsuab ncuav 300 ml ntawm dej dawb, ces xa mus rau ib tug da dej. Nws yog ib qho tsim nyog los simmer cov tshuaj ntsuab rau 15 feeb. Tom qab lub sij hawm no, cia lub broth brew rau 10-15 feeb. Ntxiv mus, nws yog lim. Cov khoom tiav yog siv 100 ml 30 feeb ua ntej noj mov 3 zaug hauv ib hnub.day.
- Dandelion kua txiv. Nyob rau hauv kev kho mob ntawm ncauj tsev menyuam lymphadenitis nrog pej xeem tshuaj, dandelion kua txiv yog zoo heev. Ua li no, koj yuav tsum tau zom cov nyom tshiab ntawm cov nroj tsuag no, thiab tom qab ntawd nyem cov kua txiv tawm ntawm nws. Lub resulting kua yuav tsum tau soaked nrog ib daim ntawm gauze, tom qab uas nws yog thov rau 2 teev mus rau qhov chaw mob. Cov txheej txheem no yuav tsum tau ua ob zaug ib hnub. Lub sijhawm kho yog 3 hnub. Yog tias tsis muaj qhov ua tau zoo, koj yuav tsum hu rau tus kws tshaj lij.
- Tshuaj pleev raws li boletus. Txhawm rau npaj cov tshuaj no, nws yog qhov yuav tsum tau yaj txog 200 g ntawm cov rog sab hauv hauv dej da dej. Koj kuj yuav tsum tau ntxiv peb dia ntawm tws qhuav nyom ntawm boletus, thiab simmer lub resulting sib tov nyob rau hauv ib tug da dej rau txog 4 teev. Cov sib tov kub yuav tsum tau lim, thiab ces xa mus rau lub khob ntim nrog lub hau. Npaj ointment yog khaws cia rau hauv lub tub yees. Siv cov tshuaj no rau cov qog ntshav qab zib 3 zaug hauv ib hnub.
- Infusion raws li horsetail thiab knotweed. Xws li ib qho infusion, raws li kws kho mob, yog cov ntshav purifier. Txhawm rau npaj nws, koj yuav tsum noj ib diav ntawm qhuav crushed knotweed nroj tsuag. Brew raw cov ntaub ntawv nrog 300 ml ntawm boiling dej, cia nws brew rau 20 feeb, ces dhau los ntawm gauze. Nws yog ib qho tsim nyog yuav tau noj cov tshuaj npaj tau 3 zaug hauv ib hnub 30 feeb ua ntej noj mov. Raws li tib daim ntawv qhia, ib qho infusion raws li horsetail yog npaj. Nws raug coj mus rau tib txoj kev. Nws yuav tsum raug sau tseg tias ob hom tshuaj ntsuab no tuaj yeem hloov pauv nrog rov tshwm sim thiab mob ntevlymphadenitis. Cov chav kawm ntawm kev kho mob nrog ib qho tshuaj ntsuab yuav tsum yog ib lub lis piam, tom qab ntawd koj yuav tsum pib noj infusion raws li lwm yam tshuaj ntsuab. Tag nrho lub sijhawm kho yog 2 lub hlis.
- Mint nplooj. Nrog lymphadenitis nyob rau hauv cov me nyuam, pej xeem tshuaj yuav kho nrog mint nplooj. Ua li no, koj yuav tsum tau knead thiab grind nplooj ntawm cov nroj tsuag no kom lawv muab kua txiv. Qhov tshwm sim muaj pes tsawg leeg yog siv rau cov kab mob qog nqaij hlav, cov tshuaj pleev xim tuaj yeem kho nrog plaster lossis ntaub qhwv. Cov compress no yuav tsum tau tso tseg 2 teev. Cov txheej txheem yog nqa tawm 2 zaug ib hnub twg. Cov niam txiv pom zoo kom muab cov kev kho mob no nrog cov kua txiv dandelion, qhov kev npaj uas tau piav qhia saum toj no.
- Mistletoe. Txhawm rau npaj xws li kev kho mob, koj yuav tsum noj ib diav ntawm crushed qhuav mistletoe nplooj. Ncuav raw cov ntaub ntawv nrog 3 liv dej, cia nws brew nyob rau hauv ib tug da dej da dej nyob rau hauv tsawg tshav kub rau 20 feeb. Tom qab lub sij hawm no, lub infusion yog txias thiab lim. Cov khoom tiav yog siv rau kev tsim cov compresses. Txhua txhua hnub rau 2 teev nws yog ib qhov tsim nyog los thov ib daim ntaub qhwv ntsej nrog cov neeg sawv cev no. Ib daim ntaub oilcloth yog siv rau saum lub gauze, txhua yam yog tsau nrog plaster.
- Chicory. Cov cuab yeej no raug suav hais tias los ntawm ntau tus neeg yuav khoom pheej yig thiab siv tau zoo. Nws yog siv los kho cov lymphadenitis nonspecific. Txhawm rau npaj nws, nws yog ib qho tsim nyog yuav tau zom cov cag chicory hauv qhov nyiaj uas yuav txaus los npog thaj tsam ntawm cov qog nqaij hlav o. Cov ntaub ntawv nyoos yog nchuav nrog dej npau npau kom cov kua npog tsuas yog chicory. Cov tshuaj yog infused rau 20 feeb. Tom qab ntawdNws yog ib qho tsim nyog yuav tau zuaj lub steamed chicory, thiab ntws tag nrho cov kua ntau dhau. Lub resulting loj yog faib tusyees mus rau hauv daim ntawm gauze, tom qab uas nws yog siv raws li ib tug compress rau cov qog nqaij hlav inflamed. Los ntawm saum toj no, ib tug gauze napkin yog them nrog ib tug zaj duab xis thiab tsau nrog ib tug bandage los yog plaster. Lub compress yuav tsum tau khaws cia rau 2 teev. Cov txheej txheem no tau ua ob zaug hauv ib hnub.
- Anti-inflammatory herbal collection. Siv me ntsis oregano, wormwood, peppermint, raspberry tua thiab nplooj, St. Cov txiaj ntsig tshuaj ntsuab sau yog siv los ua tinctures. Txhawm rau npaj nws, koj yuav tsum tau noj ob tablespoons ntawm cov tshuaj ntsuab no thiab ncuav rau hauv ib lub thermos nrog 0.5 liv ntawm boiling dej, cia nws brew rau 8 teev. Cov khoom tiav yog noj 5 zaug hauv ib hnub, 100 ml txhua.
- Kev kho sab nraud los ntawm nplooj walnut. Txhawm rau npaj cov txiaj ntsig zoo, raws li ntau tus neeg mob, cov nyiaj, nws yog ib qho tsim nyog yuav tau zom cov nplooj, ces ncuav lawv nrog boiling dej, cia nws brew rau 20 feeb. Lub resulting loj yog qhwv nyob rau hauv gauze, soaked ib tug me ntsis nrog tib infusion, tom qab uas lub compress yog thov mus rau qhov chaw mob. Sab saum toj ntawm lub gauze yog them nrog parchment ntawv los yog yas qhwv. Lub compress yog tso rau hauv daim ntawv no rau 2 teev. Kev kho mob yuav tsum tau ua ob zaug ib hnub.
Lymph nodes ua ib txwm vim kev kho mob lymphadenitis nrog pej xeem tshuaj los yogcov tshuaj uas kws kho mob tau sau tseg.
Zoo kawg
Nyob rau hauv xaus, nws yog tsim nyog sau cia hais tias nws yog tsim nyog los pib kho tus kab mob no tsuas yog tom qab ib tug tag nrho kev ntsuam xyuas los ntawm ib tug kws tshwj xeeb. Yog li ntawd, thawj cov tsos mob, nws yog ib qho tsim nyog yuav tau hu rau lub tsev kho mob. Kev kho mob ntawm lymphadenitis nrog pej xeem tshuaj yog suav hais tias zoo heev. Txoj kev ua neej noj qab nyob zoo siv tau los ua kev tiv thaiv kom tsis txhob muaj tus kab mob tsis kaj siab no.
