Balaadhinta qanjirada 'limph node' waa maxay, sababaha iyo goorta ay noqon karto mid daran
Qanacsan
Kordhinta limfa noodka waxay ka kooban tahay ballaadhinta qanjirada qanjirada, taas oo sida caadiga ah dhacda marka jirku isku dayayo inuu la dagaallamo infekshin, ama xitaa nooc ka mid ah kansarka. Si kastaba ha noqotee, waa dhif iyo naadir in ballaadhinta qanjirada bukaanku ay calaamad u tahay kansarka, iyo, markay dhacdo, waxay ku sii badan tahay dadka ka weyn 40 sano iyo taariikhda qoyska ee kansarka.
Lymph node waa xubno yaryar oo ka mid ah nidaamka lymfatiga ee toos ula xiriira nidaamka difaaca jirka. Marka, markii ganglion, oo caan ku ah carrabka, uu bararo ama xanuun yeesho, waxay muujineysaa in habka difaaca jirka uu ula dagaallamayo infekshinka gobollada ku dhow aaggaas.
Sababaha suuragalka ah
Kordhinta qanjirada 'Lymph node' waxaa sababi kara caabuq, isticmaalka daawada, cudurada isdifaaca jirka awgood ama waxaa sababa jiritaanka fiiruska qaar, fungi ama bakteeriya, iyo sababaha oo aad u kala duwan, waxaan halkaan ku xuseynaa sababaha ugu badan ee qanjirada loo kordhiyo. qaybo ka mid ah jirka:
- Balaadhinta qanjirada ilmo-galeenka qoorta, dhegta gadaasheeda iyo daanka agtiisa: pharyngitis, infekshinka maqaarka, conjunctivitis, mononucleosis, dhegta, caabuqa afka ama ilkaha;
- Balaadhinta qanjirada 'Clavicular limfode node': toxoplasmosis, sarcoidosis, qaaxada, caloosha, naaska, xiniinyaha, ugxan sidaha, sambabada, kansarka sanbabada ama hunguriga;
- Balaadhinta qanjirada 'Inguinal limph node': cudurada galmada lagu kala qaado awgood, sida waraabowga, kansarka jilicsan, herpes-ka xubnaha taranka, donovanosis, kansarka ku dhaca gobolka xubinta taranka;
- Ballaarinta qanjirka 'axillary limfode node': infekshannada naaska lagu shubo ee silicone, cudurka xoqista bisadaha, kansarka naasaha, melanoma, lymphoma;
- Balaadhinta qanjirada guud: mononucleosis, dhalinyarada idiopathic arthritis, dengue, brucellosis, cudurka Chagas, rubella, jadeecada, HIV, daawooyinka sida phenytoin, penicillin, captopril.
Sidaa darteed, habka ugu wanaagsan ee lagu ogaan karo waxa keena kordhinta qanjirada waa in loo tago dhaqtarka guud si dhaqtarka uu u qiimeeyo jiritaanka astaamo kale, marka lagu daro kormeerka calaamadaha kale ee goobta, sida xanuunka, cabirka iyo joogtaynta, tusaale ahaan.
Qiimeyntan ka dib, dhakhtarku wuxuu kugula talin karaa xoogaa daaweyn ah, haddii aad ka shakido xaalad fudud, sida infekshinka, ama amro baaritaanno, haddii aad ka shakisan tahay dhibaato aad u daran.
Goorma ayuu noqon karaa kansar
In kasta oo ballaadhinta qanjidhada qanjidhada ay sababi karto walaac, tan ugu caansan ayaa ah inaysan ahayn calaamado halis ah, gaar ahaan haddii cabirkiisu ka yar yahay 1 cm.
Calaamadaha iyo astaamaha qaarkood ee laga yaabo inay muujiyaan in ballaadhinta qanjirada ay ka sii darnaan karto waxaa ka mid ah:
- Hayso wax ka badan 2 cm;
- Joogto adag;
- Xanuun la’aan;
- Ku xirnaansho qandho, miisaan lumis iyo dhidid badan.
Waxaa jira xitaa fursado ka sii weyn in ballaadhinta qanjidhka buurbuurta uu noqon karo kansar marka uu qofku barar ku yeesho ganglia oo ku taal meel u dhow xuubka clavicle, oo saamayn ku leh dhinaca bidix ee jidhka, qofkanina uu ka weyn yahay 40 sano, gaar ahaan haddii ay jiraan kiisas qoyska kansarka naasaha, xiidmaha, tayroodh ama melanoma.
Jadwalka soo socda ayaa muujinaya farqiga u dhexeeya astaamaha kansarka iyo ballaadhinta qanjirada sababo kale awgood:
Kansarka | Cudurada kale |
Barar tartiib tartiib ah ayuu u muuqdaa | Barar ayaa soo baxa habeenkii |
Xanuun ma keeno | Aad ayey u xanuun badan tahay taabashada |
Caadi ahaan hal ganglion ayaa saameeya | Guud ahaan, dhowr ganglia ayaa saameysey |
Dusha sare oo aan sinnayn | Oogada oo siman |
Waa inuu ka badnaadaa 2 cm | Waa inuu ka yar yahay 2 cm |
Marka laga shakiyo, dhakhtarku wuxuu codsanayaa dalool ka soo baxa biopsy oo awood u yeelan doona inuu aqoonsado nooca nabarrada, iyo baaritaanno kale oo uu u arko inay lagama maarmaan u yihiin, iyadoo ku xiran hadba calaamadaha bukaanku soo bandhigo. Badanaa waxaa la muujiyaa in la sameeyo cad ka-qaadis (biopsy) marka bahalka ganglion-ka uu ka badan yahay 2 cm, kuna yaal laabta, kaas oo sii jira in ka badan 4 illaa 6 toddobaad isla markaana gaabis ah inuu koro.
Maxay ka dhigan tahay markay ka muuqato ilmaha
Kordhinta qanjirada qanjidhada ee qoorta ilmaha, kilkilaha ama gumaarka waa in had iyo jeer uu baaraa dhakhtarka carruurta. Xaaladaha badankood, qanjidhada la ballaadhiyey waxay jawaab u yihiin infekshinka qaar.
Qaar ka mid ah sababaha suurtagalka ah ee kororkaan waxay noqon karaan:
- Cudurada faafa: infekshinka hawo mareenka sare, Leishmaniasis, mononucleosis, rubella, waraabow, toxoplasmosis, qaaxada, cudurka xoqida bisadaha, cudurka Hansen, herpes simplex, hepatitis, HIV;
- Cudurada iswada: xanuunka loo yaqaan 'idiopathic arthritis', nidaamka lupus erythematosus;
- Kansarka: leukemia, lymphoma, metastases, kansarka maqaarka;
- Sababaha kale: Falcelinta tallaalka, hyperthyroidism, sarcoidosis, Kawasaki.
Sidaa darteed, haddii ilmuhu ballaadhiyey qanjidhada qanjidhada in ka badan 3 maalmood, waxaa lagula talinayaa in loo tago dhakhtarka carruurta, halkaas oo laga dalban karo dhiig, raajo, ultrasound, tomography ama baaritaannada 'magnetic resonance tests', marka lagu daro kuwa kale ee dhakhtarku tixgelinayo lagama maarmaanka u ah, sida biopsy.