Ukuvuvuka kwama-Lymph Nodes: Izimpawu, Izimbangela, Ukuxilongwa Nokwelashwa

Ukuvuvukala kwama-lymph nodes, owaziwa nangokuthi i-lymphadenopathy, kuyisenzakalo esivamile esingabonisa izinkinga ezihlukahlukene zempilo eziyisisekelo. Lezi zakhiwo ezincane, ezimise okweqanda zibalulekile amasosha omzimba njengoba zihlunga izinto ezingaba yingozi noma ezinobuthi. Intamo, amakhwapha, kanye ne-groyne yizifunda ezimbalwa zomzimba lapho ama-lymph nodes angase abekwe khona. Axhunywe yimithambo ye-lymphatic ethwala i-lymph ezingxenyeni ezihlukene zomzimba. Ukwandiswa kwalawa ma-node noma ukuvuvukala kwe-lymph gland kuvame ukusebenza njengophawu lokuthi amasosha omzimba asabela ekuthelelekeni, ekulimaleni, noma kwezinye izimo zezokwelapha.

Yini I-Swollen Lymph Nodes?

Ama-lymph nodes ayingxenye yohlelo lwe-lymphatic, okuwuxhaxha lwemikhumbi namanodi ahambisa uketshezi olubizwa ngokuthi 'i-lymph' kuwo wonke umzimba. Ama-lymph nodes atholakala ezungeze umzimba ezingxenyeni ezahlukene ezifana, ngaphansi kwentamo, ikhanda, izingalo kanye ne-groyne. Zisebenza ngendlela yokuhlunga, zihlunge amagciwane, amagciwane kanye namanye amagciwane ngaphambi kokuba zithole ithuba lokufinyelela ezingxenyeni zesibili zomzimba wakho. Ukuvuvukala kwe-lymph gland kubonakala ngokuvuvukala kwalezi zigaxa ezincane, ezivame ukuvuvuka ngenxa yokutheleleka endaweni ethile emzimbeni. Nakuba zivame ukuhlotshaniswa nezifo, ezinye izinkinga zempilo ezingaphansi zingaholela ekuvuvukeni kwama-lymph node.

Izimpawu Zokuvuvuka Kwe-lymph Nodes

Inethiwekhi yomzimba wakho yezitho, imithambo, nama-lymph nodes yaziwa ngokuthi uhlelo lwakho lwe-lymphatic. Isifunda sekhanda nentamo yakho siyikhaya lenani elikhulu lama-lymph nodes. Ungase ubone lezi zimpawu ezilandelayo uma uvuvukele ama-lymph nodes entanyeni:

• Uphawu oluphawuleka kakhulu ukukhuliswa kwe-lymph nodes eyodwa noma ngaphezulu. Angase azizwe njengamaqhubu amancane, athambile, anyakazayo ngaphansi kwesikhumba.
• Umuntu angase ezwe ububele lapho ethinta ama-lymph nodes avuvukele. Izinga lobumnene lingahluka kuye ngembangela ewumsuka.
• Ama-lymph nodes avuvukele angase ahambisane nobuhlungu noma ukungakhululeki endaweni ehluphekile, ikakhulukazi lapho kufakwa ingcindezi.
• Kwezinye izimo, isikhumba esingaphezu kwama-lymph nodes avuvukele singase sibonakale sibomvu, futhi indawo ingase izwakale ifudumele lapho ithintwa.
• Kuye ngembangela eyinhloko, izimpawu ezengeziwe ezifana nomkhuhlane, ukukhathala, nokujuluka ebusuku zingase zibe khona.

Ungase futhi ube nalezi zimpawu nezimpawu ezilandelayo ngaphezu kwama-lymph nodes akho akhulisiwe, kuye ngesizathu:

• Umphimbo obuhlungu, ikhala eligijimayo, nezinye izimpawu zesifo esingenhla sokuphefumula
• Izithukuthuku ebusuku
• Fever
• Ama-node aqinile, angaguquki, akhula ngokushesha angase abe i-lymphoma noma umdlavuza

Izimbangela Zokuvuvuka Kwe-Lymph Nodes

Amaqoqo amaseli amancane, ayindilinga, noma amise okwebhontshisi abizwa ngokuthi ama-lymph nodes. Ama-lymph nodes ahlanganisa izinhlobo ezihlukahlukene zamangqamuzana amasosha omzimba. Lawa mangqamuzana akhethekile akuqapha ngokususa izihlaseli futhi ahlunge uketshezi lwe-lymphatic njengoba ludlula emzimbeni wakho. Noma yikuphi ukutheleleka, amagciwane, amagciwane, noma ukutheleleka kwefungal, kuyimbangela evame kakhulu yokuvuvukala kwama-lymph node. Izizathu ezengeziwe zokuthi kungani ama-lymph node engase avuvuke yilezi ezilandelayo:

• Izifo ze-Autoimmune, njenge rheumatoid arthritis noma i-lupus, ingabangela ukuvuvukala okuholela ekuvuvukeni kwama-lymph nodes.
• I-Lymphoma, i-leukemia, kanye nomdlavuza we-metastatic ziphakathi kwezimo ezingabangela ukwanda kwama-lymph node. Amangqamuzana omdlavuza angahamba ohlelweni lwe-lymphatic, okuholela ekuqongeleleni kwamaseli angavamile kumanodi.
• Imithi ethile, njenge-phenytoin (i-anticonvulsant) noma i-allopurinol (esetshenziselwa ukwelapha i-gout), ngezinye izikhathi ingabangela ukungezwani komzimba okuholela ekuvuvukeni kwama-lymph nodes.
• Izimbangela ezingezona ezithathelwanayo, njengokulimala noma ukuhlukumezeka eduze ne-lymph node, nazo zingaholela ku-lymphadenopathy.

Izinkinga ze-Swollen Lymph Nodes

Uma ungelapheki ukutheleleka okubangela ama-lymph nodes akho akhulisiwe, ithumba lingavela. Amathumba amancane, amaqoqo obomvu agxile endaweni okubangelwa izifo. I-Pus yakhiwe uketshezi, izicubu ezifile, amangqamuzana egazi amhlophe, nama-bacteria noma ezinye izihlaseli. Ukuze uthole ithumba, kungadingeka ukwelashwa kwe-drainage kanye nama-antibiotic. Ezinye izinkinga yilezi:

• Uma imbangela eyinhloko kuwukutheleleka, amagciwane angasakazekela kwezinye izingxenye zomzimba uma ama-lymph nodes avuvukele engakwazi ukuqukatha ukutheleleka ngokuphumelelayo.
• Kwezinye izimo, ama-lymph nodes angase ahlale ekhulisiwe isikhathi eside, okubangela ukungakhululeki futhi kuthinte izicubu ezizungezile.
• Ukuvuvukala okungapheli kungaphazamisa umsebenzi ojwayelekile we-lymphatic system, okuholela ezinkingeni ezifana ne-lymphedema.

Ukuxilongwa Kwe-Swollen Lymph Nodes

Udokotela wakho angase adinge lokhu okulandelayo ukuze anqume ukuthi kungenzeka yini imbangela yokwandiswa kwama-lymph node:

• Ukuhlolwa Komzimba: Udokotela uzohlola umzimba wonke ukuze ahlole ubukhulu, ukuzwela, kanye nendawo yama-lymph nodes avuvukele.
• Umlando Wezokwelapha: Ukuqonda umlando wezokwelapha wesiguli, izifo zakamuva, nanoma yikuphi ukuchayeka okungaba khona kuma-ejenti athathelwanayo kubalulekile ukuze kutholakale imbangela eyisisekelo.
• Ukuhlolwa Kwegazi: Kuqinisekile ukuhlolwa kwegazi ingasiza ekuqinisekiseni noma ekukhipheni noma yiziphi izinkinga ezingaba khona zezokwelapha.
• Izifundo Zokucabanga: Ukuze uhlonze izimila noma ukuhlonza imithombo engase ibe khona yokutheleleka, i-computerized tomography (CT) scan yendawo ethintekile noma i-X-ray yesifuba ingase ibe usizo.
• I-Biopsy: Ukuze kuqinisekiswe ukuxilongwa, udokotela angenza i-biopsy. Ukuze ahlole i-lymph node ngaphansi kwe-microscope, uzothatha isampula noma ngisho ne-node yonke.

Ukwelashwa Kwama-lymph Nodes Avuvukele

Ngemuva kokuthi ukutheleleka ngegciwane sekuhambile, ama-lymph nodes avuvukele adalwe yikho ajwayele ukuphinda abe ajwayelekile futhi. Ngoba ukutheleleka ngegciwane, ama-antibiotic awasebenzi. Ngokuya ngesizathu, izimbangela ezihlukahlukene zokwandiswa kwama-lymph nodes zidinga ukwelashwa okuhlukahlukene kwama-lymph nodes avuvukele. Ukwelapha imbangela eyisisekelo kuwukhiye ekuxazululeni ama-lymph nodes avuvukele.

• Uma une-infection, ungase unikezwe imithi elwa namagciwane noma elwa namagciwane ukuze welaphe imbangela eyinhloko yokuvuvukala kwama-lymph node. Ukuze usize ekunciphiseni ubuhlungu nokunciphisa ukuvuvukala, udokotela wakho angase futhi aphakamise imithi efana ne-ibuprofen ne-acetaminophen.
• Ukufaka ama-compress afudumele endaweni ethintekile kungase kunikeze impumuzo futhi kukhuthaze ukugeleza kwama-lymph nodes.
• Ukuphumula ngokwanele nokuhlala unamanzi amaningi kungasekela isimiso somzimba sokuzivikela ezifweni emizamweni yawo yokulwa nezifo.

Uyombona Nini Udokotela?

Nakuba ukuvuvukala kwe-lymph node okuthambile futhi okwesikhashana kuvame ukuba yingxenye evamile yokusabela komzimba komzimba, izimpawu ezithile zidinga ukunakekelwa kwezokwelapha ngokushesha:

• Uma ukuvuvukala kuqhubeka isikhathi esingaphezu kwamasonto amabili ngaphandle kokuba ngcono, kuhle bonana nodokotela.
• Amanodi akhula ngokushesha noma abe makhulu ngokungavamile kufanele ahlolwe udokotela.
• Isifo esiyisisekelo esiyingozi njengomdlavuza singaboniswa ngamanodi azizwa eqinile, eqinile, noma enganyakazi.
• Uma ama-lymph node avuvukele ehambisana nomkhuhlane ongapheli, ukuncipha kwesisindo ngendlela engachazeki, noma ezinye izimpawu, ukufuna iseluleko sezokwelapha kubalulekile.

Isiphetho

Ama-lymph nodes avuvukele ayimpendulo evamile ezifweni nezinye izimo zezempilo, esebenza njengenkomba ebalulekile yomsebenzi wokuzivikela komzimba. Nakuba izimo eziningi zizixazulula ngokwazo noma ngokwelashwa okulula, izimpawu eziqhubekayo noma ezinzima zidinga ukuhlolwa kochwepheshe. Eminye imidlavuza, i-lymphoma, i-leukemia, nomdlavuza webele, ingabangela ukuvuvukala kwama-lymph nodes. Kutuswa ukuthi uthole usizo lwezempilo uma unokukhathazeka mayelana nama-lymph node akhulisiwe, ikakhulukazi uma ukuvuvukala kuqhubeka noma unezinye izimpawu eziphathelene.

Imibuzo Evame Ukubuzwa

Q1. Kufanele ukhathazeke nini nge-lymph node evuvukile?

Izimpendulo. Kufanele ukhathazeke nge-lymph node evuvukele uma iphikelela isikhathi esingaphezu kwamasonto amabili, ikhula ngokushesha, izizwa iqinile noma inganyakazi, noma ihambisana nezimpawu ezinjengomkhuhlane ongapheli, ukuncipha kwesisindo ngendlela engachazeki, noma ezinye izimpawu. Kunconywa ukufuna usizo lwezokwelapha ngokushesha ezimweni ezinjalo.

Q2. Iyini imbangela eyinhloko yokuvuvukala kwama-lymph nodes?

Izimpendulo. Isizathu esiyinhloko sokuvuvukala kwama-lymph nodes ukuphendula kwamasosha omzimba ezifweni, okuhlanganisa izifo ezibangelwa amagciwane, igciwane, noma fungal. Ezinye izici ezifana nezimo zokuvuvukala, umdlavuza, imithi, noma ukuhlukumezeka eduze kwama-lymph nodes nakho kungaba nomthelela ekwandeni kwawo.

Q3. Ingabe ama-lymph nodes avuvukile ayingozi?

Izimpendulo. Ukuvuvuka kwama-lymph nodes kuvame ukusabela okuvamile komzimba ezifweni noma kwezinye izimo zempilo futhi kungase kungabi kubi kakhulu. Kodwa-ke, ukuphikelela, ukukhula ngokushesha, noma ama-hard nodes, ikakhulukazi uma ehambisana nezimpawu ezengeziwe, kungase kubonise inkinga ejulile eyisisekelo, eqinisekisa ukuhlolwa kwezokwelapha.

Q4. Ingabe kulungile ukuthi ama-lymph nodes avuvuke?

Izimpendulo. Ukuvuvukala kwama-lymph nodes ngezikhathi ezithile kuyindlela evamile futhi evamile yokusabela ezifweni noma eminye imisebenzi yamasosha omzimba. Kodwa-ke, ukuvuvukala okuqhubekayo, isikhathi eside, noma okunzima, ikakhulukazi okuhambisana nezimpawu, kungase kubonise inkinga eyisisekelo futhi kufanele kuhlolwe uchwepheshe wezempilo.

Q5. I-lymph nodes evuvukile izohlala isikhathi esingakanani?

Izimpendulo. Ubude besikhathi sama-lymph nodes avuvukele buhluka ngokuya ngembangela ewumsuka. Amagciwane ngokuvamile aholela ekuvuvukeni kwesikhashana okuphela phakathi namaviki ambalwa, kuyilapho ukuvuvukala okungapheli noma okuba kubi kakhulu kungase kudinge usizo lwezokwelapha ukuze kuhlolwe futhi ukwelashwa.