I-Lymphadenopathy yesigxina esiswini (LAP) yimeko yokukhubazeka ebonakaliswe ukwanda okwenyuka kwi-lymph nodes. Kubalulekile ukuxilonga i-pathology ngexesha elifanelekileyo ukwenzela ukuba akwazi ukuphendulela unyango olunyango.
Iintlobo zezifo
Oogqirha bachonga iifom ezi-3 eziphambili zesifo, ngokuqwalasela inani labachaphazelekayo kunye neendawo zabo:
- I-lymphadenopathy yengingqi - xa i-node enye ikhula kwindawo ethile.
- I-Lymphadenopathy yesigxina esiswini kunye nesithuba se-retroperitoneal - iindidi ezininzi ezikwindawo enye okanye ezikufutshane ziyakwandiswa.
- I-lymphadenopathy jikelele yomzimba wesisu - ngumphumo we-HIV, i-toxoplasmosis nezinye izifo ezinzulu.
Izizathu ze-LAPs
Xa ukuxilongwa kwe-lymphadenopathy yesiguli esiswini, kwenziwa izizathu ezilandelayo kwizifo ezilandelayo:
- i-syphilis;
- HIV;
- giardiasis;
- i-toxoplasmosis;
- isifo sofuba;
- actinomycosis;
- brucellosis ;
- cytomegalovirus.
Isifo esinjalo singahlakulela kwimvelaphi yentsholongwane ye-bhakteria okanye yentsholongwane.
Iimpawu zeLAP
Ikhondo elimangalisayo le-LAP lihamba kunye nokwanda okwenyuka kwi-lymph node. Esi sifo sihamba kunye nobuhlungu bendawo ngethuba kunye nokuvuvukala nokubomvu kwesikhumba.
Ukuba le fomu ingapheliyo, ngoko umfanekiso wekliniki unokugqithiswa.
Iimpawu eziphambili zesifo zi:
- ukwandiswa ngobukhulu bestile kunye nesibindi;
- iimpawu zomkhuhlane;
- bushushu obuphezulu;
- zanda .
Unyango lwe pathology
Ukuxilonga i-LAP, iimvavanyo zegazi kufuneka zingeniswe, kunye ne-ultrasound, i-CT kunye ne-X-ray. Ukwelashwa kwe-lymphadenopathy yesigxobo esiswini kunikwe ngabanye ngokweminyaka yesigulane, uhlobo lwe-pathology kunye nokubonakaliswa kwayo.
Amanyathelo okunyanga-kunye neprophylactic kwesi sifo zibandakanya iintshukumo ezijoliswe ekulungiseni ukukhusela. I-biopsy inokwenziwa kwaye i-chemotherapy okanye i-radiotherapy inokulawulwa ngokweziphumo zayo.
I-Lymphadenopathy yesigxina esiswini, ukuba unyango lwalo luhlobo olusisigxina aluvelisi nayiphi na isizathu, lunokuphiliswa kuphela ngendlela yokusebenza. Ingenelelo yokuphanda iquka ukususwa kwe-lymph node echaphazelekayo.