Lymph nodes (oo sidoo kale loo yaqaan qanjidhada qanjidhada) waa qaababka yar yar ee jirka oo kala firdhiyey jirka. Lymph nodes waxaa ku jira unugyada dhiigga cad (WBCs), gaar ahaan WBCs loo yaqaanno lymphocytes. Lymphocytes waxay ku koraan oo yeeshaan gudaha gudaheeda qanjirka, waxayna ka mid yihiin noocyada badan ee unugyada difaaca jirka kuwaas oo ka caawiya jirku inuu la dagaalamo cudurrada. Lymph nodes waa qayb ka mid ah nidaamka xididada jirka.
Lymph nodes waa isku xiran yihiin kan kale ee lymphemics loo yaqaan 'lymphatics' - tuunbooyinka yar yar (sida maadooyinka dhiigga) - iyada oo loo maro dheecaanka lafdhabarta, iyo sidoo kale borotiinka iyo walxaha kale, waxay ka dhaqaaqaan qayb ka mid ah jidhka ilaa mid kale.
Lymph nodes qaybo kala duwan oo jirka ah ayaa loo magacaabaa si kala duwan
- Qanjirada qanjidhada dhuunta ilmagaleenka - qanjidhada qanjidhada qoorta
- Qanjirada qanjidhada qanjirada 'qanjaha' - qanjidhada qanjidhada ee kilkilaha
- Qanjirada dhexdhexaadinta - qanjidhada gudaha xabadka, agagaarka wadnaha
- Qanjirada nudaha ku dhaca - kuwa ku jira qanjirada
- Retroperitoneal iyo qanjirada mesenteric - qanjidhada qanjidhada ee qaybaha kala duwan ee caloosha.
- Qalabka lafaha (Pelvic lymph nodes) - qanjirada nudaha ee lafaha.
Marka lymph nodes ku kordhiso xajmiga, waxaa loo yaqaannaa qanjidhada qanjirada . Marka noodaha waaweyn ee jirka laga dareemo dhakhtarka (meelaha sida qoorta, armaajada, iyo gumaarka) waxaa loo yaqaannaa qanjidhada lafdhabarta .
In badan oo ku saabsan Nodeska ballaaran
Lymph nodes waxay kordhin kartaa cabbirka tiro xaalado ah.
Infakshannada, kansarka, iyo cudurrada difaaca jirka badan ayaa saameyn kara unugyada limfaha waxayna keenaan ballaarin qanjirada nudaha. Lymphed noodhadhku waa calaamad ugu horeysa ee lymphoma , kansar ku dhaca unugyada limfaha. Hase yeeshee dhammaan noodhadhka waaweyni maaha lymphoma. (Eeg qoraalka Miyir-beelka Lymphed Nodes Had iyo jeer Lymphoma? ).
Xanuunada qanjidhada ee ballaaran waa in aan la iska dhaga tirin.
Si kastaba ha noqotee, maadaama ay jiraan sababo badan oo aan kansarka lahayn ee ballaarinta limfaha, dhakhtarradu marar dhif ah ayay toos u socdaan qanjirada naqaska qanjiraha isla markiiba, marka boog loo ballaadhiyo. Waa inaad dareentaa inaad bilaash tahay inaad soo qaadato dhakhtarkaaga dareen kasta oo ah mugdi ama finan - iyo xummado badan oo caadi ah ayaa u muuqda inaysan ahayn qanjidhada noodhka.
Haddii aad qabtid qanjidhada lafdhabarka ah, dhakhtarkaaga ayaa loo tababbaray inuu raadiyo sababaha ugu macquulsan marka hore. Xanuunada sare ee neef-mareenka, tusaale ahaan, waxay ka mid yihiin sababaha ugu badan ee lafaha oo barara, sida kuwa laga yaabo in lagu qoorto qoorta. Xitaa marka ay sababtu tahay nuxurka qanjirada la balaariyey dhakhtar la'aantiis, maahan wax caadi ah in la sugo oo la arko haddii bararka uu iskiis u gaaro, ka dib mudo gaaban, ka hor inta aan baaritaan lagu sii wadin. Si kastaba ha noqotee, node joogto ah ayaa loo baahan yahay in la qiimeeyo.
Si aad wax dheeraad ah uga ogaatid waxa sababa qanjidhada nudaha si aad u bararato, fiiri maqaalka loo yaqaan ' Swollen Lymph Glands' , kana fiirso qalabka xasuusta ee hoos ku qoran:
Noocyada Waxyaabaha Laga Helo Waxyaabaha Leh Nafsiyo Leh?
Halkan waa qalab xusuusta jir ah oo dhakhaatiirta qaarkood wali xasuusin karaan. Cudurka Hodgkin waa hal suurtagal, laakiin waxay u adeegtaa sidii qalfoofka loogu talagalay mnemonic. Waxba ma daboolin wax kasta, laakiin waxay faa'iido u leedahay ka fekeridda cudurrada la xidhiidha lymphadenopathy, ama qanjidhada qanjidhada oo barara .
Lymphadenopathy-ga guud ahaan waxay ka dhigan tahay in ay jiraan wax ka badan laba noodood oo ku lug leh meelo kala duwan. Sida aad arki karto, waxaa jira sababo badan oo suurtagal ah:
H. Hematologic: Cudurka Hodgkin's, leukemia, iyo non-Hodgkin's lymphoma
O. Oncologic: Metastasis si ay u noqoto qanjirada, melanoma malignanteed
D. Dermatopathic lymfadenitis: qanjirada qanjidhada oo barara oo dillaacaya maqaarka maqaarka ee la jabiyey ama xanaaqay
Cudurka G. Gaucher: cudur halis ah oo hargabka
Cudurka K. Kawasaki: Cudurka halbowlaha dhifka ah ee ku lug leh xididdada dhiigga iyo bararka
I. Caabuqyada: bakteeriyada, fayruska, iyo dillaac
N. Cudurka Niemann-pick: Cudurka hargabka oo ku lug leh dheef-shiid kiimikaad hooseeya
S. Xanuunada Serum: jawaab celin difaac ah ee daawooyinka ama daaweynta qaarkood
D. Xasaasiyadda daroogada: jawaab celinta daawooyinka qaarkood
I. Cudurka Immunological: Tusaale ahaan, rheumatoid arthritis iyo lupus
S. Sarcoidosis: cudur kicin ah oo saameyn kara qaybo kala duwan oo jirka ah
E. Endocrine: hyperthyroidism
A. Cudurka dabaysha ee Angioimmunoblastic: Tani waa ereygii hore; hadda loo tixgeliyo lymphoma.
S. S. Lupus erythematosus (lupus, ama SLE)
E. Eosinophilic granulomatosis: cudur isdaba joog ah oo ku lug leh xasaasiyado iyo xasaasiyad
Waxbarashada dheeraadka ah ee Lymph Node
Qeybta Lymph Node Hub , dhammaan dhinacyada kala duwan ee qanjirada nudaha ayaa daboolan, sidaa daraadeed waa meel fiican oo lagu bilaabi karo haddii aad u baahatid in aad ku sii socotid. Haddii aad su'aal qabtid oo ku saabsan qanjidhada qanjirada, fursada ayaan ku helnay halkan. Mawduucyada la daboolay waxaa ka mid ah qanjirada noodhka iyo nidaamka difaaca, xannuun la'aan oo ka yimaadda qanjirada nudaha leh, qanjidhada lakabka ee raajada iyo baarista CT, qanjidhada lymphs in lymphadenopathy, iyo xoogaa qanjidhada caadiga ah ee caadiga ah.
Ilaha:
Cheson BD, Fisher RI, Barrington SF iyo al. Talooyinka loogu talagalay Qiimeynta Bilowga ah, Qiimeynta Waxqabadka iyo Jawaabinta Hodgkin iyo Non-Hodgkin Lymphoma: Qeybta Lugano. J Clin Oncol. 2014; 32 (27) 3059-3068.
Barrington SF, Mikhaeel NG, Kostakoglu L, et al. Doorka Imtixaanka ee Qiimeynta Dajinta iyo Jawaabinta Lymphoma: Isku waafaqsanaanta Shirka Caalamiga ah ee Kooxda La-shaqeeyaha Qalitaanka Lemphomas. J Clin Oncol. 2014; 32 (27): 3048-358.
Lymphadenopathy iyo Malignancy. Dhakhtarka Qoyska Maraykanka . > Andrew W. Bazemore, MD, iyo Douglas R. Smucker, MD 2002 Dec 1; 66 (11): 2103-2111
Mnemonics Daawada Gudaha & Fayadhowrka. Parmar HB. B. Jain Publishers, Jan 1, 2002.