Lymphadenopathy yechipfuva chemuviri (LAP) chirwere chechirwere chinoratidzika nekuwedzera kwemaitiro emakirini. Zvakakosha kuongorora hutachiona nenzira yakakodzera kuitira kuti usakwanisa kushandura kurapwa.
Aina dzezvirwere
Vanachiremba vanoona 3 maitiro makuru echirwere ichi, vachitora nhamba ye nodhi dzakagadziriswa uye nzvimbo yavo:
- Local lymphadenopathy - kana node imwe chete inokura mune imwe nzvimbo.
- Lymphadenopathy yechipfuva chemimba uye retroperitoneal space - node dzakawanda dziri mune imwe kana dzinenge dziri pedyo dzakaparidzirwa.
- Generalized lymphadenopathy yedumbu remuviri - inoguma neHIV, toxoplasmosis nezvimwe zvirwere zvakakomba zvakadaro.
Zvinokonzera LAPs
Apo kuongororwa kwe lymphadenopathy yedumbu remuviri kunogadzirwa, zvikonzero zvinofanira kutsvaga mune zvirwere zvinotevera:
- syphilis;
- HIV;
- giardiasis;
- toxoplasmosis;
- tuberculosis;
- actinomycosis;
- brucellosis ;
- cytomegalovirus.
Chirwere chakadaro chinogona kukura mushure mekuzvarwa kwebhakitiriya kana utachiwana hwehutachiona.
Zviratidzo zveLAP
Nzira yakaoma yeLAP inofambidzana nekuwedzera kwakakura mumakirini anonzi lymph node. Chirwere chacho chinopindirana nekunetseka kwenharaunda panguva yekuropation nekuputika uye kubwinya kweganda.
Kana iyo fomu isingagumi, ipapo kliniki yekliniki inogona kunge yakanyanyisa.
Zviratidzo zvikuru zvechirwere ndezvi:
- kuwedzera muhukuru hwepleen nechiropa;
- zviratidzo zvefivha;
- high temperature;
- kuwedzera kutuka .
Kurapa kwezvirwere
Kuti uongorore LAP, kuongororwa kweropa kunofanira kutumirwa, uye ultrasound, CT uye X-ray miedzo yakaitwa. Kurapa kweLymphadenopathy yemuviri wemimba kunopiwa mumwe nomumwe maererano nezera remurwere, rudzi rwehutano uye kuratidzwa kwaro.
Kurapa-uye-prophylactic zviyero zvechirwere ichi zvinosanganisira zviito zvakakonzerwa nekugadzirisa zvirwere. Bhiopsy inogona kuitwa uye chemotherapy kana radiotherapy inogona kutarisirwa maererano nemigumisiro yayo.
Lymphadenopathy yechipfuva chemuviri, uyo kurapwa kwerudo rwekuchengetedza hakuiti chero chigumisiro, kunogona kurapwa chete nenzira inoshanda. Kupindira kwekuvhiya kunosanganisira kubviswa kwechiremera chinokonzera.