Nodes na Lymph ne ƙananan nau'i-nau'i-nau'i-nau'i a jikin jikin. Sun kasance ɓangare na tsarin lymph, hanyar sadarwa ta hanyar daidaituwa ga tasoshin jini na tsarin sigina. Ayyuka na Lymph kamar ƙananan tsarin kulawa na rigakafi, sun watse tare da tsarin hanyoyin da za su tsabtace ruwa daga kyallen takarda a yankunan musamman na jiki.
Yayin da ake amfani da ƙwayar lymph a wani ɓangare na jiki da aka sani anatomically yayin da retroperitoneum ya kara girma, akwai wasu matsaloli masu yawa, ciki har da waɗannan masu zuwa:
- Cutar cututtuka, irin su tarin fuka
- Kumburi daga wasu lambobi, ciki har da cututtuka irin su sarcoidosis
- Ciwon daji daga wani wuri mai nisa a cikin jiki wanda ya hadu da ƙananan ƙwayoyin ƙwayar lymph
- Magungunan jini wanda ke ci gaba a cikin ƙwayar lymph ko yada zuwa ga ƙananan lymph
- Wasu ƙananan haddasawa
Akwai wasu dalilai daban-daban na kowane kumburi na lymph zai kara, kuma ba dukkanin su bace. A gaskiya ma, idan mutum ya ga likita don ƙwayar lymph, wanda ba shine yawancin ciwon daji ba. Maimakon haka, kamuwa da kamuwa da kwayar cutar bidiyo yana iya zargewa-musamman ma idan akwai ƙwayar lymph a cikin wuyansa. Duk da haka, akwai wasu nau'i-nau'i na ƙumbodin lymph wadanda ba su da ma'ana game da yanayi mara kyau, irin su haɗin ƙaddamar da ƙananan lymph nodes wanda ya zama alaƙa tare a binciken binciken.
Retroperitoneal Lymph Nodes May Ana Girma a Various Cututtuka
Sodes na lymph a cikin wani wuri inda ba za a iya jin su ba ko kuma a lura da su lokacin da suka fara faduwa, don haka likitoci zasu iya sanin koyon su ta hanyar hanyar nazarin hoto kamar CT scan daga cikin ciki da ƙananan ƙwayar.
Wani lokuta lokuttan lymph a cikin kwayar cutar sunyi aiki tare da cutar da suke samar da alamun bayyanar, kamar yadda abubuwa na kusa zasu iya shafa. A wasu lokuta, alamar cututtuka na iya haifar da binciken hoto wanda yake gano ƙwayar cutar kututtuka na retroperitoneal. Duk da haka, dalilin kullun bazai iya fitowa daga ganinsu ba, kuma an buƙaci biopsy na ƙwayoyin lymph a ciki.
Game da mutanen da suka raunana tsari, wasu daga cikin damar da za a iya yaduwa da ƙwayoyin lymphatal reshoperitoneal shine: kamuwa da cuta tare da irin kwayoyin da ake kira Mycobacterium; lymphoma, ciwon daji wanda ya fara farawa a cikin lymph nodes; da sarcoma na Kaposi, ciwon daji wanda ke tasowa daga kwayoyin da ake amfani da shi a cikin lymph ko jini.
Lokacin da aka gano ƙananan lymph nodes a wani ɓangare na jiki kamar resroperitoneal area, akwai ainihin hoto a lokaci, don haka akwai yiwuwar bambanci game da cutar da ke da alhakin. Ƙaƙwalwar ƙaddamarwa zai zama kawai farkon fararen cutar wanda zai nuna nuna ƙutturar kututtuka ta hanzari a wurare daban-daban na jiki ko ci gaba na ciwon ƙwayar lymphadenopathy.
Yayin da akwai nau'i-nau'i na ƙwayar lymph da ke cikin retroperitoneum sannan kuma duba yayi nuna hanta mai haɗaka da kuma yadawa, wannan zai iya zama karin tunani game da lymphoma , duk da haka, akwai wasu hanyoyi. Maganar Castleman wata cuta ce mai wuya wadda ta shafi ƙwayoyin lymph. Sauran sunaye sun hada da hyperplasia lymph node hyperplasia, da hyperplasia na hypermplasia angiofollicular. Dokta Benjamin Castleman ya fara bayyana shi a shekarun 1950.
Kwayar Castleman tana dauke da cutar shan magani na lymphoproliferative, ma'anar akwai juyawa daga kwayoyin lymph.
Ko da yake ba shine ciwon daji ba, zai iya zama kama da lymphoma, kuma wasu siffofin zasu iya zama cikin lymphoma.
A ina ne Reroperitoneum da kuma Me ya sa yake da shi?
Ƙananan ƙwayar cuta yana ƙayyade sunan waɗannan ƙwayoyin lymph. Jakadar lymph na baya-bayan ƙwayar su ne lymph nodes dake cikin wani sashi na jiki, wanda ake kira retroperitoneum. Rikicin retroperitoneum ya bayyana wani ɓangare na cikin rami na ciki-ɓangare na ciki wanda yake kusa da kashin baya fiye da maballin ciki, a bayan bayanan hanji.
Sodes lymph resroperitoneal sune daya daga cikin ƙungiyoyi masu yawa na lymph da ke cikin jiki, kamar yadda aka nuna a jerin mai zuwa:
- Sodes na lymph na retroperitoneal - samuwa a cikin retroperitoneum
- Nodes lymph naman - an samo a cikin yanki
- Axillary lymph nodes - samu a cikin armpits
- Hatsarin lymph na jarida - a cikin kirji, kusa da zuciya
Za a iya sanya sunayen jinsin na musamman ga kowane yanki na jiki ko don wani sakonni. Alal misali, akwai ƙwayar lymph na musamman a cikin ƙirar da ke kusa da aorta. Wannan mayafi na lymph zai iya zama ma'anar lymph thoracic. Kasancewa da ƙayyadadden bayani, idan yana a cikin dakin kusa da zuciya, za a yi la'akari da kumburi na lymph na intanet , ko ma mahimmanci, idan an samo shi a gefen madara, wani ƙutturar ƙwayar lymph na ciki-duk wanda zai zama daidai da sunan, amma periaortic zai zama mafi musamman.
Cikin launi shine membrane wanda ke sanya shinge daga cikin ciki kuma yana rufe sassan jikin ciki. Ka yi la'akari da shi a matsayin 'nau'i biyu na filastik filastik' wanda ya sa duk ya juya cikin kanta yayin ci gaban. Wasu kwayoyin suna cikin jiki, ko a cikin peritoneum, yayin da wasu suna bayan shi, ko kuma retroperitoneal.
Ƙungiyoyi na Retroperitoneal
Dalilin yaduwar kumburi na lymph yana iya danganta wasu gabobin da ke kusa da ƙananan haɓuka. Yawancin gabobin suna cikin peritoneum kuma wasu suna cikin sashi a ciki kuma a wani waje a waje da peritoneum. Dalibai na iya amfani da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar don sanin ko wane ɓangarori ne na retroperitoneal:
S: suprarenal ko adrenal gland shine
A: aorta / na baya baya
D: Duodenum (na biyu da na uku)
P: pancreas (sai dai wutsiya na pancreas)
U: ureters
C: mallaka (hawa da sauka)
K: kodan
E: esophagus
R: dubura
Sassan da aka biyo bayan iyayensu ne kawai a cikin retroperitoneal. Wasu lokuta wani tsari na cutar da ke shafar ɗayan waɗannan gabobin zai shafi nau'in lymph da ke hade da kuma madaidaiciya. Alal misali, ureters suna ɗauke da fitsari daga koda zuwa mafitsara, kuma yawancin dake cikin wannan yanki zasu iya toshe maciji, haifar da bayyanar urinary. Magungunan lymphadenopathy na baya-bayan baya ba ya haifar da wani alamomi, amma cutar mai yawa zai iya haifar da rashin tausayi na ciki ko kariya daga fitsari.
Kwanan baya na Nemo na Lymph a Lymphoma
Lymphomas ƙungiya ne na ciwon sikila na tsarin lymph . Lymphomas sukan fara ne a cikin ƙananan lymph, kuma ana amfani da ƙananan lymph lymph a cikin yawancin lymphomas.
Akwai manyan kashi biyu na lymphoma:
1) lymphoma na Hodgkin, ko HL-- kuma a nan shi ne haɗin zuwa Hodgkin's.
2) lymphoma na Non-Hodgkin, ko NHL wanda ke da asusun kusan kashi 90 cikin 100 na dukan lymphomas, ya ƙunshi nau'o'in da yawa fiye da lymphoma na Hodgkin.
Dukkanin HL da NHL na iya haifar da haɗin ƙumbadar ƙwayar lymph. Yayinda HL zai iya yadawa a cikin tsari wanda aka tsara, daga rukunin ƙwayar lymph zuwa na gaba, NHL zai iya tashi kuma ya shiga kungiyoyi daban-daban na lymph nodes, ciki har da ƙananan lymph nodes, a lokacin gabatarwa.
Kwanan baya a cikin wasu ƙwayoyin cuta
Sauran cututtuka na iya ƙaddamar da ƙwayoyin lymph na retroperitoneal. Ɗaya daga cikin irin wannan ciwon daji shine ciwon daji. Magungunan gwaji yana yaduwa a cikin wata hanyar da za a iya ganewa ta hanyar jigilar lymphatal lymph nodes (RPLN), kuma a wasu lokuta, wani aikin da ake kira disseper lymph nail dissection (RPLND) ya yi. Ɗaya daga cikin yiwuwar aiwatar da wannan tiyata shi ne sake haifuwa. Idan likita mai cinyewa ya jiji a lokacin aikin tiyata, haɗuwa zai iya faruwa, amma sperm ya ƙare a cikin mafitsara, don haka rashin haihuwa ne matsala.
Kalma Daga
Lokacin da aka gano ƙananan lymph nodes a cikin retroperitoneum, muhimmancin wannan binciken ya dogara ne akan dukkanin bayanan, ciki har da tarihin likita na mutum tare da ƙaddarar hanyoyi. Ɗaya daga cikin muhimmin al'amari na ƙididdigewa a wannan wuri shi ne cewa an ware su daga sauran jiki kuma ba a gane su a matsayin ƙwayoyin lymph a cikin wuyansa, ko a cikin ƙuƙwalwa ba, misali.
Wani lokuta lokuttan lymph suna "girma-girma" a kan hoton, ma'anar sun kasance dan kadan fiye da saba, amma ba dole ba ne dalili. A cikin waɗannan lokuta, za'a iya yin nazarin bayanan da aka yi da kuma kwatanta karatun da suka gabata don ganin idan an kara girma a cikin lokaci.
Koyaushe ku yi magana da ƙungiyar kiwon lafiyarku idan kuna da tambayoyi game da binciken kamar yaduwar ƙwayar lymph na retroperitoneal ko tambayoyi game da muhimmancin waɗannan binciken.
Sources:
Nodes na Lymph. Lawrence M. Weiss. Jami'ar Cambridge University Press, Apr 28, 2008
Radiopaedia.org. Ƙungiyoyin reroperitoneal (mnemonic).
Non-Hodgkin Lymphomas. James Armitage et al. Lippincott Williams & Wilkins, Aug 8, 2013.