Ngokuqhelekileyo, i-cervical, i-axillary kunye ne-inguinal lymph nodes kumntwana zixutywa ngamandla. Nangona kunjalo, kwenzeka ukuba abazali baqaphela ukwanda kweelymode (lymphadenopathy).
Iimbangela ze-lymph nodes ezandisiweyo kubantwana
Ukwandiswa kwe-lymph node kwenzeka ngenxa ye:
- ubukho besifo esibandayo okanye esasifanelekileyo;
- iinkqubo ze-neoplastic;
- iingxaki zokuxilisa umzimba emzimbeni.
Ukwanda kwenzululwazi yomlomo wesibeleko kubantwana kubonakaliswe ukuvakalelwa okubuhlungu kunye nokwanda kwamanani amaninzi. Ukwanda okunjalo kunokubonisa ubungqina bentsholongwane yentsholongwane kwintsipho, indlebe okanye isifo sezinyo. Ngokuqhelekileyo ukwanda kwubunzima bee-lymph node zentsholongwane bufaka ubungqina bokuba ubukho beemvumba.
Ukuba i-lymph node inguinal emntwaneni ikhulisiwe, oku kuthetha ukusuleleka kweengcipheko ezantsi, ezinokuthi zenziwe kwindawo yesikhumba somntwana, emathanjeni okanye kwiimisipha. Ngokuqhelekileyo, oku kunyuka kunokubonwa ukuba umntwana unesifo se-diaper dermatitis, xa ukuvuvukala kwamalungu okanye izitho zenkqubo yokuzala, emva kokugonywa nge-BCG.
Ngethuba lexesha lento inganyuswa i-submandibular lymph nodes kumntwana.
I-lymph node ekhulisiweyo emntwaneni womntwana ibonisa ubukho besifo esithathelwanayo sesandla, isigxina okanye ingqungquthela yeziqhelo ezahlukeneyo (umzekelo, inkukhu yenkukhu okanye izilonda zesikhumba). Ukwandiswa kwee-lymph nodes kwicala elinye kungabangela ukugonywa, ukulimala ngesandla.
Njani kwaye nini ukuphatha i-lymph nodes kubantwana?
Kufuneka uqhagamshelane nodokotela ngokukhawuleza ukuba unempawu ezilandelayo:
- ukuba i-lymph nodes kumntwana yonyuka ngaphezu kweveki ezimbini;
- kwizifo zonke i-lymph node zandisiwe;
- kukho ukwanda kwimizimba ye-lymph nodes ekungabikho kwesifo esithathelwanayo okanye sesifo se-catarrhal kwi-anamnesis;
- ukwanda kweqondo lomzimba;
- uvakalelo olubuhlungu xa ugwinya;
- enye ye-lymph nodes ingaba sikhulu ngokukhululekisa nakwabanye.
Ngeengxaki ekumiseni i-diagnostic echanekileyo, ugqirha unokuncedisa ukubeka i-X-ray kwaye enze i-puncture ukuba afunde isakhiwo seethambo ze-lymph node ekhulisiweyo.
Izifo ezininzi ziqala nge-lymphadenopathy enye
Abazali kufuneka bakhumbule ukuba xa kukho ukunyuka kancinci kwimilo ye-lymph node kwindawo enye, kufuneka uqaphele ukuguqulwa kwesimo somntwana ixesha elithile. Ekubeni ubukho bombonakalo kwezinye iindawo, ukubonisana nodokotela kuyadingeka ukuba uhlalutyo oluchanekileyo kunye ne-ultrasound yazo zonke izitho zangaphakathi ukwenzela ukuphelisa izifo ezithathelwanayo (isibindi, isifo, i-spleen, isisu somzimba).