Lymphadenopathy: Cututtuka ko Ƙãra daga Nodes na Lymph
Nodes na Lymph su ne ƙananan sassa da suke cikin jiki. Suna samar da gida ko yakin ga sel - mafi yawan jini kwayoyin jini - wanda ke cikin kare jikin mutum daga cututtuka.
Lymphadenopathy zai iya faruwa don dalilai da dama , ciki har da waɗannan masu zuwa:
· Cutar- dalilin da ya fi dacewa
· Lymphomas da leukemias -cancers na fararen jini
· Cancers a wasu shafuka da suka yada zuwa ƙananan lymph
· Cututtuka na tsarin rigakafi, kamar lupus da sarcoidosis
· Lissafi mai yawa na wasu cututtuka da ba a sani ba.
Ƙunƙun wuyan wuyansa, ƙwanƙwasa, da kuma tsabar jiki shine sassan jikin da aka sanya ƙananan ƙwayoyin lymph. Harshen lumps a cikin wadannan wurare sune mafi yawan alamar na lymphadenopathy.
Lokacin da kwayar cutar lymphadenopathy ba ta bayyana ba, likitoci zasu iya ba da shawara ga gwaje-gwaje irin su cytology buƙatar ƙwararru mai kyau, ko FNAC. A cikin yanayin da aka gano na farko na lymphoma, an yi amfani da kwayar cutar kwayar lymph - cire wani ɓangare ko duk wani ƙwayar lymph don gwaji da bincike - ana buƙata.
Yin maganin lymphadenopathy ya dogara ne akan dalilin yaduwar kumburi lymph.
Me yasa Jodun Lymph ya Kashe?
Doctors yi la'akari da ƙumbadden ƙumbaduwa da yawa dabam dangane da alamomi da bayyanar cututtuka da suka zo tare da ƙananan ƙwayoyin lymph.
Wasu lokuta ya bayyana a fili cewa ƙwayoyin lymph na ƙumi ne saboda wani kamuwa da cuta. Alal misali, ƙuƙwalwar ƙwayar lymph tare da wuyansa zai iya zama wani ɓangaren al'ada na mononucleosis mai cutar, cutar da cutar ta Epstein-Barr ta haifar. Sauran lokuta, ƙwayoyin lymph nodes na iya ƙwarewa da buƙatar bincika.
A nan wasu wasu sukan tambayi tambayoyi game da ƙananan lymph nodes:
· Kwanan lymph namu ya tashi saboda dalili?
· Ina da kumburi mai kamala. Yana da lymphoma?
· Menene dalilin da yafi dacewa da gullun?
· Yaya zan iya fada idan kumburi ne na lymph ko wani abu dabam?
Akwai Daban Daban Daban Hanyoyi?
Lymphadenopathy na iya samun ƙarin rubutun bayanan, dangane da inda a cikin jiki kwayoyin lymph sun kumbura. Wasu misalai da kuma muhimmancin su ga cutar sankarar jini da lymphoma .
Cervical Lymphadenopathy
Hakan kumburi na lymph na kumburi yana nufin ƙaddamar da ƙwayoyin lymph a cikin wuyan yanki. Wannan alama ce ta al'ada ta cututtuka. Kadan ƙari, ƙwayoyin lymph nodes a wuyansa na iya zama alamar malignancy. Yara da cututtukan Hodgkin da ke ba da maganin ƙwayar cuta a cikin kashi 80-90 na lokuta a maimakon akasin kashi 40 cikin 100 na wadanda ba tare da lymphoma ba Hodgkin.
Mediastinal Lymphadenopathy
Harkokin lymphadenopathy na jarida ya faru a cikin mediastinum. Mediastinum wani lokaci ne wanda za'a iya ɗauka a matsayin akwati, ko akwati, har ma duk abinda ke cikin akwatin. Ka yi tunanin wata kwari, ta gefe biyu ta hanyar huhu; bangarorin biyu ta hanyar nono da kashin baya; a saman kanti zuwa wuyansa; kuma a kasa ta gefen bene, ko ƙwayar ƙwaƙwalwar ƙwayar da ake amfani dashi a numfashi.
Hakanan lymph na mai jarida zai iya girma a kansu, ko tare da cututtuka na huhu. Lymphoma Hodgkin, ko kuma HL , sukan fara ne tare da ƙwayoyin lymph na asibiti. Lymphoma non-Hodgkin, ko kuma NHL, na iya tashi a cikin ƙwayoyin lymph na magunguna, ma; Duk da haka, NHL sau da yawa yana da nau'i daban-daban na ƙwayar ƙumburi na lymph kuma yada.
Menene Generalized Lymphadenopathy?
Idan akwai fiye da nau'i biyu da aka haɗa daga bangarori daban-daban, an kira wannan lymphadenopathy na kowa. Yin amfani da wurare daban-daban na iya zama alamar abin da cututtuka zasu iya zama alhakin. An samo lymphadenopathy a cikin kashi biyu bisa uku na yara da aka gano da lymphoblastic leukemia (ALL) da kuma kashi ɗaya bisa uku na yara da myeloblastic leukemia (AML).
Cutar cutar Hodgkin, irin lymphoma, wata hanya ce kawai na lymphadenopathy, amma ɗalibai sukan yi amfani da ƙwaƙwalwar ƙwaƙwalwar ajiya don koyon wannan jerin jerin abubuwan da zai yiwu:
H. Hematologic: cutar Hodgkin, cutar sankarar bargo, da lymphoma ba na Hodgkin
O. Magungunan ilimin halitta: Ƙananan ƙwayoyin ƙwayar ƙwayar lymph, m melanoma
D. Dermatopathic lymphadenitis: ƙwayoyin lymph naman fom din da suke janye wani fata na fata da aka rushe ko kuma fushi
G. Gaucher: cututtukan kwayoyin cututtuka
K. Kawasaki: cututtuka da ke dauke da jini da ƙonewa
I. Cutar cututtuka: kwayoyin cuta, hoto ko bidiyo mai zagaya yanar gizo da sauri, da kuma parasitic
N. Niemann-ƙwace cutar: cututtukan kwayoyin cuta da suka shafi metabolism
S. Ciwon sikila: rashin kulawa da wasu magunguna ko jiyya
D. Drug amsa: amsa ga wasu kwayoyi
I. Lafiyar ilmin likita: alal misali, arthritis na rheumatoid da lupus
S. Sarcoidosis: cututtukan ƙwayar cuta wanda zai iya shafar sassa daban-daban na jiki
E. Endocrine: hyperthyroidism
A. Angioimmunoblastic lymphadenopathy: wannan tsohuwar magana ne; a halin yanzu dauke da lymphoma.
S. Lupus erythematosus (Lupus, ko SLE)
E. Eosinophilic granulomatosis: cututtuka na kwayar cutar da ke fama da rashin lafiyar da kuma bayyanar kumburi
> Sources:
Lymphadenopathy da Malignancy. http://www.aafp.org/afp/2002/1201/p2103.html.
Mnemonics In Medicine Internal & Pediatrics. Parmar HB. B. Jain Masu bugawa.
Agostinelli C, Pileri S. Pathobiology na Hodgkin Lymphoma. Madaidaita J Hematol Infect Dis . 2014; 6 (1): e2014040.