Lymph node ntawm tus menyuam lub caj dab: ua rau, tsos mob thiab kev kho mob
Lymph node ntawm tus menyuam lub caj dab: ua rau, tsos mob thiab kev kho mob
Anonim

Thaum koj tuaj ntsib kws kho mob, koj yuav pom tias thaum lub sijhawm kuaj mob, tus kws kho mob yuav tsum khiav nws ob txhais tes raws caj dab, hauv qab puab tsaig thiab qab pob ntseg. Nrog rau cov kev tswj hwm no, nws tshawb xyuas cov qog nqaij hlav, vim tias lawv qhov nce tuaj yeem qhia tau tias muaj kev ua txhaum loj hauv kev ua haujlwm ntawm tus menyuam lub cev, yuav tsum tau kuaj xyuas kom meej thiab txheeb xyuas qhov ua rau. Ntau tus niam txiv xav tsis thoob - yog tias cov qog nqaij hlav hauv tus menyuam lub caj dab yog mob, kuv yuav ua li cas? Ua ntej koj yuav tsum nkag siab tias lub cev tiv thaiv kab mob yog dab tsi thiab qhov chaw cov qog ntshav nyob hauv nws.

Cov qog ntshav qab zib yog dab tsi

Palpation ntawm lymph nodes
Palpation ntawm lymph nodes

Hauv cov lus yooj yim, cov qog ntshav qab zib yog qhov txuas tseem ceeb tshaj plaws hauv lub cev tiv thaiv kab mob. Cov no yog ib hom kev lim dej uas muaj co toxins thiab lwm yam khoom uas txaus ntshai rau lub cev. Ntawm no lawv yog neutralized los ntawm cov tshuaj tiv thaiv thiab tawm los ntawm lub cev. Ua tsaug rau qhov no, cov qog ntshav tau ntxuav. Cov qog ntshav qab zib kuj tseem tsim cov lymphocytes.

Nquag, qhov loj ntawm cov qog ntshav tsis siab tshaj 1 cm thiab xyaum tsishnov ntawm palpation. Yog tias lawv nce, thiab qee zaum mob, tau dhau los ua pom, qhov no yuav qhia tau tias muaj kev sib ntaus sib tua tiv thaiv kab mob. Yog tias muaj ntau cov kab mob pathogenic thiab nws nyuaj, thiab qee zaum tsis tuaj yeem tiv nrog lawv, tom qab ntawd cov qog ntshav qab zib pib redden, ua rau mob thiab loj tuaj, vim tias thaum kis kab mob lossis kab mob nkag mus rau hauv lub cev, cov hlwb ntawm lub cev. Lub cev tiv thaiv kab mob txav mus los ntawm ntau tus lej.

Lymph nodes tau tawg thoob plaws hauv lub cev thiab nyob ib sab ntawm cov hlab ntsha loj, cov hlab ntsha thiab ze ntawm lub cev. Yog hais tias tus me nyuam muaj cov qog nqaij hlav hauv caj dab, ces koj yuav tsum nrhiav qhov laj thawj.

Cervical lymph nodes

Localization ntawm lub ncauj tsev menyuam lymph nodes
Localization ntawm lub ncauj tsev menyuam lymph nodes

Muaj ntau cov qog qog ntshav ntawm caj dab, nyob ntawm lawv qhov chaw.

  • Parotid.
  • Sublingual.
  • Submandibular.
  • YSupraclavicular.
  • Lub ncauj tsev menyuam.
  • Tub ncauj tsev menyuam.
  • Nkauj.
  • Retropharyngeal.

Cov qog nqaij hlav ntawm cov chaw hauv cheeb tsam no yog lub luag haujlwm rau kev noj qab haus huv ntawm caj pas, pob ntseg, nasopharynx, taub hau, caj dab (nrog rau cov pob txha thiab cov leeg nqaij).

  • Kev mob ntawm cov qog ntshav qab zib retropharyngeal tuaj yeem qhia tau tias muaj cov txheej txheem inflammatory hauv lub pharynx.
  • Submandibular o - muaj kev pheej hmoo kis mob ntawm qhov ncauj lossis ntsej muag.
  • Yog cov qog nqaij hlav hlav ntawm sab lossis nraub qaum ntawm caj dab, qhov no qhia tau tias muaj kab mob hauv cov kab mob nyob ze - cov kab mob ua pa, lub ntsws, thiab lwm yam.
  • Occipital lymph nodes, thaum loj, tuaj yeem qhia tau tias muaj kab mob hauv lub cev.
  • Parotid -feem ntau yuav muaj qhov mob hauv lub cev tsis hnov lus
  • Qhov loj ntawm cov qog ntshav nyob hauv qab lub puab tsaig hauv nruab nrab ntawm caj dab qhia tau tias muaj mob caj pas, toxoplasmosis, thiab lwm yam.

Yog cov qog nqaij hlav hauv tus me nyuam lub caj dab yog mob, qhov no tsis yog ib qho cim qhia tias muaj mob hnyav. Piv txwv li, hauv cov menyuam yaus hnub nyoog qis dua peb xyoos, qhov nce me ntsis tuaj yeem yog tus qauv, txij li thaum lub hnub nyoog no kev tsim ntawm lub cev tiv thaiv kab mob tshwm sim. Tab sis tseem, koj yuav tsum sab laj tus kws kho mob kom tsis suav cov txheej txheem pathological hauv lub cev, txij li qhov nce mus txog 2 cm qhia tau tias muaj cov txheej txheem inflammatory uas tau pib hauv lub cev. Tus mob no hu ua lymphadenitis.

Duab ntawm caj dab lymphadenitis

Daim duab hauv qab no qhia cov qog nqaij hlav ntawm caj dab ntawm tus menyuam nyob rau theem ntawm lymphadenitis. Cov tsos mob thiab kev kho mob ntawm tus kab mob no yuav tham ntxiv.

Cervical lymphadenitis hauv menyuam yaus
Cervical lymphadenitis hauv menyuam yaus

Yuav ua rau mob qog nqaij hlav

Nws yuav tsum tau muab sau tseg tam sim ntawd tias qhov mob ntawm cov qog nqaij hlav hauv lub caj dab tuaj yeem yog ob sab thiab ob sab. Yog tias qhov hloov pauv loj tshwm sim ntawm ib sab, qhov no qhia tau tias muaj kab mob hauv zos, tab sis yog tias ob sab, ces tus kab mob cuam tshuam rau tag nrho lub cev.

Yog tias muaj cov qog nqaij hlav hauv tus menyuam lub caj dab, qhov laj thawj yuav txawv. Feem ntau yog:

  • Cov txheej txheem kis mob tshwm sim hauv caj pas, ua pa thiab qhov ntswg. Nyob rau hauv cov ntaub ntawv no, lub lymph node nyob ze rau ntawm lub cev muaj tus kab mob ua rau o. Cov kab mob xws li rhinitis, tonsillitis, sinusitis, tonsillitis tuaj yeem ua rau nce ntxiv.
  • kab mob khaub thuas thiab kab mob. Hauv qhov no, yog tias lub cev tsis tuaj yeem tiv taus tus mob khaub thuas, qhov mob tuaj yeem nyob rau qee lub sijhawm tom qab rov zoo.
  • Kev kis kab mob.
  • Moonucleosis. Tus kab mob no tuaj yeem ua yuam kev rau qhov mob caj pas. Cov qog nqaij hlav submandibular ua rau mob, kub nce.
  • ntxuav thiab khawb ntawm tsiaj. Hauv qab lawv cov claws thiab cov qaub ncaug yog cov kab mob pathogenic uas, thaum tso rau hauv cov hlab ntsha, ua rau mob.
  • kev ua xua hnyav.
  • Kev tsis ua haujlwm hauv lub cev tiv thaiv kab mob.
  • Toxoplasmosis.

Kuj, mob qog nqaij hlav hauv caj dab ntawm tus menyuam yog tshwm sim los ntawm:

  • kab mob purulent.
  • Tumor formation.
  • kab mob xws li qhua pias, ua npaws liab.
  • Pathological txheej txheem hauv qhov ncauj kab noj hniav.
  • Tshuaj tiv thaiv.

Cov tsos mob ntawm caj dab lymphadenitis

Lymph nodes hauv caj dab
Lymph nodes hauv caj dab

Feem ntau, cov tsos mob ntawm cov qog nqaij hlav hauv caj dab ntawm tus menyuam yog qhov kaj heev. Cov txheej txheem inflammatory hauv lub cev muaj zog dua, cov tsos mob tshwm sim ntau dua.

Cov cim tseem ceeb ntawm kev txhim kho lymphadenitis hauv caj dab yog qhov txawv:

  • Lymph nodes loj tuaj.
  • Mob yuav tuaj. Yog tias mob hnyav heev uas ua rau tus menyuam nqos thiab tig taub hau, koj yuav tsum tau mus rau tom tsev kho mob tam sim ntawd kom tsis txhob muaj cov txheej txheem inflammatory.
  • Thaum o, cov qog nqaij hlav yuav ntom, yog tias nws xoob, suppuration pib.
  • Redness ntawm daim tawv nqaij nyob rau hauv qhov chawlymph node.
  • Me nyuam kub taub hau.
  • Qee zaum koj xav tias txias, qaug zog.
  • Headache.

Ntse

Cov qog nqaij hlav mob yuav tsum zoo li lub pob ntom ntom uas yooj yim yob hauv qab ntiv tes. Nws yuav tsum tsis txhob xoob los yog ua raws li lwm cov ntaub so ntswg. Kev kuaj xyuas qhov mob ntawm cov qog nqaij hlav ntawm cov chaw sib txawv tuaj yeem qhia tau tias muaj kab mob loj, kab mob ntshav, qog nqaij hlav malignant. Kev saib xyuas tshwj xeeb yuav tsum tau them rau qhov xwm txheej thaum muaj kev nce ntxiv hauv cov qog ntshav ntawm ob peb pawg.

Diagnosis

lub ncauj tsev menyuam lymph node
lub ncauj tsev menyuam lymph node

Vim qhov mob ntawm cov qog nqaij hlav tsis yog ib qho kab mob ywj pheej, tab sis yog ib qho kev qhia ntawm cov txheej txheem pathological loj dua tshwm sim hauv lub cev, qhov kev kuaj mob yuav yog txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau nce ntxiv.

Cov kev kuaj mob ntau tshaj plaws yog:

  • palpation ntawm cov qog ntshav los txiav txim qhov loj, qauv, thiab lwm yam.
  • kuaj ntshav thiab zis kom nkag siab tus kab mob;
  • ultrasound;
  • Mantoux test;
  • radiography, uas yuav nthuav tawm cov qog nqaij hlav zais;
  • nyob rau hauv cov mob lymphadenitis, yuav tsum tau kuaj pom (siv cov ntsiab lus ntawm cov node);
  • xam tomography;
  • MRI.

Tom qab kev tshawb fawb thiab kev kuaj mob tsim nyog, kev kho kom zoo rau ib tus menyuam tau raug sau tseg.

Specialists

Yog xav tias lymphadenitis, nws yog ua taukev sab laj ntawm cov kws tshaj lij tshwj xeeb yuav tsum tau txiav txim siab qhov tseeb tshaj plaws kev kuaj mob thiab kev kho mob. Cov kws tshwj xeeb no yog

  • tus kab mob;
  • kws phais;
  • oncologist;
  • ENT;
  • immunologist;
  • kws kho hniav.

Kev kho mob lymphadenitis

Tus me nyuam qhov kub thiab txias
Tus me nyuam qhov kub thiab txias

Yog cov qog nqaij hlav hauv caj dab mob, kuv yuav ua li cas? Yuav pib nrog, nws yuav tsum raug sau tseg tias nws tsis pom zoo los kho lymphadenitis ntawm koj tus kheej, vim tias kev kho tsis raug tuaj yeem ua mob rau tus menyuam xwb.

Thaum o ntawm cov qog nqaij hlav hauv tus menyuam lub caj dab, kev kho mob feem ntau yog hom kev saib xyuas, tshwj tsis yog cov suppuration thiab malignant qog - nyob rau hauv cov ntaub ntawv no, yuav tsum tau phais phais.

Kev kho yuav tsum tau sau tseg tom qab txheeb xyuas lub hauv paus thiab qhov tshwm sim ntawm qhov mob. Feem ntau muab:

  • tshuaj tua kab mob;
  • tshuaj tiv thaiv kab mob;
  • tshuaj tiv thaiv kab mob;
  • immunomodulators;
  • khoom noj tshwj xeeb (tsis suav yog cov khoom noj uas tuaj yeem ua rau khaus ntawm nasopharynx - dej qab zib, khoom noj khoom haus, ntsim tais diav, thiab lwm yam);
  • vitamin kho;
  • gargles yuav raug sau rau mob caj pas.

Tom qab sab laj kws kho mob thiab tau ua tiav tag nrho cov kev ntsuam xyuas tsim nyog, kev kho cov qog nqaij hlav hauv caj dab hauv cov menyuam yaus yuav tsum pib sai li sai tau.

Raws li txoj cai, nrog rau qhov mob ntawm ib leeg qog ntshav, kuaj ntshav nrog cov mis leukocyte tau sau tseg. Raws li nws cov txiaj ntsig, ib tus tuaj yeem txiav txim qhov xwm txheej ntawm qhov mob thiabsau tshuaj kho kom tsim nyog. Nrog rau tus kab mob kis, feem ntau, lub cev muaj peev xwm tiv tau nws tus kheej. Tab sis yuav tsum ceev faj saib xyuas tus menyuam tus mob.

Surgery

Yog cov tshuaj tsis pab, thiab pib suppuration sai sai, tus kws kho mob yuav txiav txim siab txog qhov xav tau kev phais txoj kev kho.

Nyob rau hauv cov tshuaj loog, cov qog nqaij hlav cuam tshuam tau qhib, cov ntaub so ntswg thiab cov kua paug raug tshem tawm. Tom qab ntawd, tom qab kev kho mob nrog antiseptic, lub cev yog sutured. Tom qab ntawd, ib lub raj xa dej tau muab tso rau kom ntws cov kua paug uas seem. Qee zaum yuav tsum muaj tshuaj tua kab mob.

Nyob rau hauv cov txheej txheem oncological, txoj kev kho yog txiav txim los ntawm oncologist ib leeg.

Yuav ua li cas tsis ua rau cov qog nqaij hlav loj

Ntau zaus, nrog rau cov qog nqaij hlav hauv tus menyuam lub caj dab, cov niam txiv pib kho lawv tus kheej, thaum ua yuam kev ntau uas tuaj yeem ua mob rau tus menyuam lub cev. Muaj ob peb categorical contraindications nyob rau hauv kev kho mob ntawm lymph nodes:

  • Cua sov. Nyob rau hauv tsis muaj cov ntaub ntawv yuav tsum tau warmed li, smeared nrog sov tshuaj pleev, raws li qhov no yuav pib cov txheej txheem ntawm suppuration. Tsis tas li ntawd, nyob rau hauv qhov kub thiab txias, cov qog ntshav nce siab, thiab cov kab mob pathogenic kis tau sai dua thoob plaws hauv lub cev.
  • Rubbing.
  • Kev siv daim phiaj iodine.
  • Nws txwv tsis pub siv cawv compresses rau qhov chaw mob.
  • Koj tsis tuaj yeem zaws cov qog nqaij hlav, vim qhov no tuaj yeem ua kom nws txoj kev loj hlob sai thiab ua rau muaj kev sib tsoo nrog cov kua paug tawm.

Nkauj HmoobKev kho mob ntawm lymphadenitis

Kev siv cov tshuaj pej xeem tsuas yog ua tau tom qab kev pom zoo los ntawm kws kho mob thiab tsis muaj kev fab tshuaj.

Zoo proven:

  • decoctions ntawm oats hauv mis nyuj;
  • tshuaj ntsuab tshuaj ntsuab - hawthorn, mint;
  • txiv hmab txiv ntoo haus los ntawm lingonberries, cranberries thiab lwm yam txiv hmab txiv ntoo nplua nuj nyob rau hauv vitamin C;
  • beetroot kua txiv.

ntsuas kev tiv thaiv

Vim tias qhov loj ntawm cov qog ntshav qog ntshav yog cov lus teb ntawm lub cev tiv thaiv kab mob, raws li kev tiv thaiv kev tiv thaiv, nws yog qhov tsim nyog, ua ntej ntawm tag nrho cov, txhawm rau txhim kho lub cev tiv thaiv kab mob. Qhov no yuav tso cai rau lub cev kom paub qhov mob sai sai thiab tshem tawm qhov ua rau. Tsis tas li, cov niam txiv yuav tsum ua raws li ntau cov lus pom zoo txhawm rau txo qhov muaj peev xwm ntawm kev tsim cov txheej txheem inflammatory.

Kev Tiv Thaiv General:

  • kev tiv thaiv kev tiv thaiv los ntawm kev ua kom tawv, taug kev txhua hnub hauv huab cua ntshiab, sunbathing;
  • nyob rau lub caij nplooj ntoos hlav-lub caij nplooj zeeg, cov kev kho mob vitamin raug pom zoo;
  • saib xyuas lub qhov ncauj tsis tu ncua thiab tshem tawm cov teeb meem kho hniav raws sijhawm;
  • Txhua yam kab mob, tshwj xeeb tshaj yog kis tus kab mob, yuav tsum tau kho kom txog thaum kawg, vim tias nws yog vim muaj kab mob sib kis uas mob lymphadenitis feem ntau tshwm sim;
  • thaum daim tawv nqaij puas lawm, kev tu lub qhov txhab yog tsim nyog kom tsis txhob kis kab mob;
  • tsim nyog kom tsis txhob muaj kev kub ntxhov;
  • khoom noj khoom haus yuav tsum sib npaug;
  • yuav tsum muaj niam txiv tswj xyuas tus menyuam txoj kev noj qab haus huv; ntawmcov qog ntshav o, koj yuav tsum mus ntsib kws kho mob sai li sai tau txhawm rau txheeb xyuas qhov ua rau thiab pib kho.

Ntawm cov pab pawg muaj kev pheej hmoo vim qhov mob ntawm lub ncauj tsev menyuam qog noj ntshav yog cov menyuam yaus uas ntau dua 6 zaug hauv ib xyoos raug kev txom nyem los ntawm cov kab mob ua pa sab saud thiab qis. Hauv cov xwm txheej no, tus kws kho mob yuav tsum tswj kom nruj dua.

Tus menyuam mob
Tus menyuam mob

Nyob hauv kaw

Yeej, yog tias pom cov qog ntshav nce siab nyob rau theem pib, tom qab qee yam kev kho mob, tus kab mob kis tau sai heev. Tab sis nws yog tsim nyog sau cia tias cov tsos mob no tsis tuaj yeem tsis quav ntsej. Txawm hais tias muaj qee qhov xwm txheej, qhov nce hauv cov qog ntshav qab zib tuaj yeem ploj mus ntawm nws tus kheej, koj yuav tsum sab laj nrog kws kho mob thiab kuaj qhov tsim nyog, vim qhov no yuav qhia tau tias muaj cov txheej txheem pathological loj uas tau pib hauv tus menyuam lub cev.

Pom zoo: