ʻO ka māhele waena o ka kolaki i loko o ka lāʻau lapaʻau i kapaʻia he inoa kūikawā - mediastinum. Loaʻa i nā māmā, bronchi a me nā pēpē lymph, ka mea, e like me nā mea'ē aʻe, e hiki ke loaʻa i nā maʻi kino. ʻO kekahi o lākou ka lymphadenopathy mediastinal, e pili ana i nā lymph nodes a uaʻikeʻia he piʻi nui i ko lākou nui.
Nā kumu o ka lymphadenopathy
Nā kumu e kākoʻo ana i ka piʻiʻana o kēia maʻi:
- carcinoma me nā kinona;
- lymphoma;
- ka maʻi maʻi pulchochoki;
- nā'āpana kino o nā'āpana o ka'ōpū o ka maʻi, ka mammary glands, ka thyroidland, nā puʻupaʻa, larynx.
Ke kumu o ka lymphadenopathy a me ka'ōpala.
- ke kīpoko;
- sarcoidosis .
E like me ka hōʻikeʻiaʻana e nāʻikeʻike lāʻau,ʻo ka hopena maʻamau loa o nā maʻi pilikino ka maʻiʻeha o ka huhu (80% o nā hihia).
Nā hōʻailona o ke lymphadenopathy o nā pūlani lymph o ka mediastinum
Ma waena o nā hōʻailonaʻikepili iʻikeʻia, heʻeha ia, i hoʻopaʻaʻia ma waenakonu o ka umauma, me ka hoʻoliliʻana ma nā poʻohiwi, ka'ā'ī, kahi i waena o ka pale.
Inā ulu ka metastases i loko o ka huela, aia ka haunaele i nā hana o ka'ōpū a me ke kūponoʻole.
Nā hōʻailona'ē aʻe:
- ka hoʻonuiʻia o ke kinohana;
- cyanosis o ka ihu;
- kaʻili, ka hanu o ka hanu ;
- ka eha nui ma ke poo;
- ka nui o ke kino o nā meaʻino a me nā kuewa;
- ka nui o ka ikaika o ka ikaika;
- ka poho kaumaha;
- hōʻalo;
- nāwaliwali a me ka luhi.
Hanaʻia o ka lymphadenopathy o nā meaʻimi
ʻO keʻano i hōʻikeʻia o nā kōpili waipiho a me ka hoʻonuiʻana i ko lākou nui, e like me ka mea i hōʻike muaʻia, e kū ana no nā kumu likeʻole, no laila, e kohoʻia kerapy ma muli o ke kumu hoʻoholo.
No nā maʻi kīʻole o ka'āina no nā maʻiʻeleʻele, antiparasitic, antifungal a anti anti-
Inā he maʻiʻino ka kumu o ka lymphadenopathy, pono ke koiʻana kūpono - ka chemotherapy, radiation, glucocorticosteroid hormones, immunosuppressive therapy. Inā hiki i ka hopena o ka'ōpū a me nā kinase, hiki ke kōkua i ka mea lawelawe.