Lymphadenopathy yog lo lus kho mob uas feem ntau siv los hais txog qhov o ntawm cov qog ntshav qab zib. Muaj cov qog o yog ib qho cim ntawm kev puas tsuaj rau lub cev. Lymphadenopathy tuaj yeem pom tau tias yog lub cim ceeb toom. Lawv tuaj yeem txuas rau cov kab mob me me thiab ntuav, tab sis kuj tuaj yeem ua rau mob hnyav dua.

Kev txhais ntawm lymphadenopathy

Los ntawm kev txhais, lymphadenopathy yog ib qho txawv txav hauv cov qog ntshav. Txawm li cas los xij, lo lus kho mob no feem ntau siv los xa mus rau adenomegaly, uas yog o ntawm cov qog nqaij hlav. Qhov tshwm sim no tshwm sim thaum lub cev raug tawm tsam. 

Qhov no yog vim cov qog ntshav qab zib yog cov kabmob me me uas ua lub luag haujlwm tseem ceeb hauv lub cev tiv thaiv kab mob rau kev tshem tawm cov kab mob. Cov qog ntshav hauv tshwj xeeb yog lub rooj zaum ntawm kev loj hlob ntawm lymphocytes, lub cev tiv thaiv kab mob uas nws txoj haujlwm yog txhawm rau tshem tawm cov kab mob. Thaum cov qog nqaij hlav swell / swell, lub cev cuam tshuam nrog kev ua phem.

Ntau hom lymphadenopathy

Lymphadenopathy tuaj yeem cuam tshuam rau ib hom qog ntshav qab zib, lossis tshwm sim hauv ob peb lub raum ib txhij. Hauv qhov thib ob no, peb hais txog polyadenopathy lossis qee zaum ua rau lymphadenopathy. 

Nws yuav tsum nyob rau hauv qhov tseeb paub tias lub cev muaj ntau lymph nodes faib nyob rau hauv ntau theem. Cov paub zoo tshaj plaws yog cov caj dab. Feem ntau, lawv yooj yim palpable. Lawv yog ib feem ntawm cov qog nqaij hlav qog nqaij hlav, xws li cov nyob hauv puab tais thiab cov caj npab. Hloov pauv, kuj muaj cov ganglia sib sib zog nqus tam sim no hauv lub thorax thiab plab.

Qhov tseeb, nws tseem tuaj yeem paub qhov txawv:

• lymphadenopathy superficial, nrog rau lub ncauj tsev menyuam lymphadenopathy cuam tshuam rau cov qog nqaij hlav hauv lub caj dab, axillary lymphadenopathy uas tshwm sim hauv armpits thiab inguinal lymphadenopathy hauv puab tais;
• sib sib zog nqus lymphadenopathy, xws li mediastinal lymphadenopathy uas tshwm sim ntawm theem ntawm mediastinum hauv lub thorax.

Ua rau lymphadenopathy

Feem ntau cov teeb meem yog lub ncauj tsev menyuam lymphadenopathy, uas tshwm sim nyob rau hauv lub ganglia ntawm lub caj dab. Tej zaum nws yuav tshwj xeeb yog vim:

• kab mob ntawm ENT sphere, xws li pharyngitis;
• ib qho kab mob ntawm lub caj pas salivary;
• ib tug hniav abscess;
• thiab lwm yam

Yog tias cov laj thawj uas tau hais los saum toj no feem ntau yog qhov tsis zoo thiab ib ntus, lwm qhov kev tawm tsam hnyav tuaj yeem yog lub hauv paus ntawm lymphadenopathy. Feem ntau muaj ob hom: kab mob lymphadenopathy thiab mob qog noj ntshav lymphadenopathy.

Kab mob lymphadenopathy tuaj yeem yog vim:

• kab mob staph los yog strep;
• miv khawb kab mob;
• lub tularémie;
• kab mob sib deev (STDs) xws li syphilis;
• tuberculosis;
• toxoplasmosis;
• kis kab mob mononucleosis;
• thiab lwm yam

Cancerous lymphadenopathy yog txuas rau:

• mob qog noj ntshav ntawm lymphatic system, feem ntau hu ua lymphoma;
• lymph node metastases, uas yog hais txog cov qog nqaij hlav thib ob uas yuav tshwm sim los ntawm cov qog nqaij hlav hauv ENT, tus nplaig, thyroid, plab, plab, plab, lub mis, qhov chaw mos, qhov quav, qhov quav lossis daim tawv nqaij.

Kev kuaj mob lymphadenopathy

Cov lymphadenopathy superficial feem ntau yooj yim rau kev kuaj mob. Qhov o ntawm cov pob txha sab saum toj yog palpable, txawm tias pom nyob rau hauv cov ntaub ntawv ntawm lub ncauj tsev menyuam lymphadenopathy. Thaum lub sij hawm kev sab laj, tus kws kho mob yuav txaus siab rau qhov chaw ntawm lymphadenopathy thiab "kev sib raug zoo" ntawm cov qog nqaij hlav. Cov kev soj ntsuam no yuav qhia kev kuaj mob uas yuav tau txais kev txhawb nqa los ntawm kev txheeb xyuas cov tsos mob pom.

Kev kuaj mob tuaj yeem teeb tsa los ua kom tiav qhov kev kuaj mob hauv qee kis ntawm lymphadenopathy superficial lymphadenopathy, thiab ua kom zoo rau kev sib sib zog nqus lymphadenopathy. Tej kev xeem muaj xws li:

• lymph node zoo koob aspiration, ib tug qauv coj los ntawm lymph nodes siv ib rab koob;
• lymph node biopsy, uas cuam tshuam nrog kev tshem tawm thiab tshuaj xyuas cov qog nqaij hlav;
• cov ntshav suav, uas tuaj yeem siv los txheeb xyuas cov kab mob lymphadenopathy;
• kev kuaj mob microbiological txhawm rau txheeb xyuas cov kab mob cuam tshuam nrog cov kab mob lymphadenopathy;
• Kev ntsuam xyuas cov duab, tshwj xeeb tshaj yog nyob rau hauv cov kab mob sib sib zog nqus lymphadenopathy.

Cov tsos mob ntawm lymphadenopathy muaj ntau heev thiab txawv heev. Lawv nyob ntawm seb hom lymphadenopathy, thiab tshwj xeeb tshaj yog nyob rau ntawm qhov ua rau o ntawm cov nodes. Txawm li cas los xij, nws muaj peev xwm paub qhov txawv ntawm qee cov tsos mob ntawm tus kab mob lymphadenopathy. Cov no feem ntau tshwm sim los ntawm cov qog o / o thiab mob.

Cov xwm txheej tshwj xeeb ntawm inflammatory lymphadenopathy

Qee zaum qhov o ntawm cov nodes yog nrog los ntawm cov tshuaj tiv thaiv inflammatory. Inflammatory lymphadenopathy feem ntau tshwm sim los ntawm qhov kub taub hau.

Cov qog o muaj ntau yam ua rau thiab tuaj yeem nrog cov tsos mob sib txawv. Yog li ntawd, muaj ntau yam kev kho mob rau lymphadenopathy. Lawv lub hom phiaj tseem ceeb yog kho qhov ua rau lymphadenopathy. Kev them nyiaj yug yuav, piv txwv li, raws li:

• kev kho mob nrog tshuaj tua kab mob rau cov kab mob lymphadenopathy;
• anti-inflammatory kev kho mob rau inflammatory lymphadenopathy;
• chemotherapy, radiotherapy, tsom txoj kev kho lossis txawm tias phais mob qog noj ntshav lymphadenopathy.

Lymphadenopathy muaj ntau yam ua tau. Yog li ntawd tej zaum yuav muaj ntau txoj hauv kev los tiv thaiv nws. Cov tshuaj ntsuab tuaj yeem, piv txwv li, pab tiv thaiv qee hom kab mob lymphadenopathy. Yog xav paub ntxiv, tsis txhob yig mus sab laj peb cov npe ntawm cov roj yam tseem ceeb nrog cov khoom tiv thaiv kab mob.