Nharaunda yepakati yemugumisiro wemagetsi mumishonga inonzi inokosha izwi - mediastinum. Iine mapapu, bronchi uye lymph nodes, iyo, kufanana nedzimwe nhengo, inokonzera zvirwere zvepachikafu. Chimwe chazvo ndechekurara kwemuviri, iyo inokanganisa lymph nodes uye inoratidzwa nekuwedzera kukuru muhukuru hwavo.
Zvinokonzera chirwere chemidzimu chinonzi lymphadenopathy
Zvimwe zvinokonzera kukura kwechirwere ichi:
- carcinoma ne metastases;
- lymphoma;
- mhanje yemapapengenic emapapu;
- nyuchi dzinotyisa dzezvikamu zvemuviri wepamuviri, mammary gland, thyroid gland, itsvo, larynx.
Mediastinal lymphadenopathy nemidzi dzemapapu zvinokonzera:
- tuberculosis;
- sarcoidosis .
Sezvinoratidzwa nenhamba dzezvechiremba, chikonzero chinowanzovhiringidza chekushaya chirwere chemapapu yemapapu emapapu (80% emhosva).
Zviratidzo zve lymphadenopathy ye lymph nodes ye mediastinum
Pakati pezviratidziro zvinoratidzirwa zviratidzo zvinorwadziwa, zvinowanikwa mukati memapfupa echifuva, kunwisa mumapfudzi, mumutsipa, nzvimbo iri pakati pe scapulae.
Kana mastases inowedzera mumupanga, pane kuvhiringidzwa kwebasa remusana wemusana uye kusagona kukwanisa.
Zvimwe zviratidzo:
- kuwedzera kwekushisa kwemuviri;
- cyanosis yechiso;
- chifuva, kufema kwekufema ;
- kurwadziwa kukuru mumusoro;
- moyo rhythm kusagadzikana uye kupesana;
- kuwedzera kukuvadza kunetseka;
- kurasikirwa nokurema;
- sweating;
- kusimba uye kuneta.
Kurapa kwemuviri wechiremera lymphadenopathy
Iyo yakatsanangurwa mamiriro e-lymph nodes uye kuwedzera muhukuru hwavo, sezvakaratidzwa, inosvika nekuda kwezvikonzero zvakasiyana-siyana, saka, kurapa kunofanira kusarudzwa zvichienderana nechinangwa chechikonzero.
Nokuda kwezvirwere zvisingagoneki zvehutachiona hwehutachiona hwehutachiona hwehutachiona, antiparasitic, antifungal kana anti-
Kana chinokonzera lymphadenopathy chiri chirwere chakaipa, kurapa kwakakodzera kunodiwa - chemotherapy, radiation, glucocorticosteroid hormones, immunosuppressive therapy. Kana kushandiswa kwekurohwa kwechiremera uye metastases zvinogoneka, kupindira kwekuvhiya kunorudzirwa.