Lymphadenopathy ntawm tus mediastinum

Nruab nrab nruab nrab ntawm cov kab noj hniav hauv tshuaj yog hu ua lub sijhawm tshwj xeeb - mediastinum. Nws muaj cov ntsws, bronchi thiab cov qog ntshav ntawm lub cev, uas zoo li lwm yam kabmob, yog cov kab mob oncological. Ib qho ntawm lawv yog cov tshuaj tua kab mob mediastinal lymphadenopathy, uas cuam tshuam rau cov qog ntshav ntawm lub cev thiab yog ib qho tseem ceeb ntawm lawv txoj kev loj hlob.

Ua rau mob mediastinal lymphadenopathy

Qhov teeb meem nrog rau kev mob ntawm tus kab mob:

• carcinoma nrog metastases;
• lymphoma;
• bronchogenic ntsws cancer;
• malignant neoplasms ntawm cov plab hnyuv siab raum ntawm txoj hnyuv hauv plab mammary, qog qog, thyroid gland, ob lub raum, larynx.

Mediastinal lymphadenopathy thiab lub ntsws cov kab mob ua rau:

• tuberculosis;
• kev mob siab .

Raws li tau pom los ntawm kev mob nkeeg, feem ntau ua rau pathology yog mob ntsws metastatic ntsws cancer (80% ntawm tus neeg mob).

Cov tsos mob ntawm cov qog lymphadenopathy ntawm cov qog ntshav ntawm cov tshuaj tua kab mob mediastinum

Ntawm cov tsos mob tshwm sim yog qhov mob, qhov chaw nyob hauv nruab nrab ntawm lub hauv siab kab noj hniav, irrigating nyob rau hauv lub xub pwg nyom, caj dab, qhov chaw ntawm lub scapulae.

Yog hais tias metastases hlav mus rau txha caj qaum, muaj kev cuam tshuam rau kev ua haujlwm ntawm tus txha caj qaum thiab ua tsis taus.

Lwm cov tsos mob:

• ntxiv zog kub cev;
• cyanosis ntawm lub ntsej muag;
• hnoos, txog siav ;
• mob hnyav nyob hauv taub hau;
• lub plawv dhia plawv tsis zoo thiab mob plawv;
• nce veneous siab;
• poob phaus;
• tawm hws;
• tsis muaj zog thiab qaug zog.

Kev kho mob mediastinal lymphadenopathy

Cov lus piav qhia txog cov qog ntshav hauv lub cev thiab ua rau lawv loj me, raws li twb tau qhia tseg lawm, tshwm sim rau ntau yam, vim li no, yuav tsum tau xaiv txoj kev kho mob raws li qhov txiav txim tau.

Rau cov kab mob uas tsis yog-oncological ntawm ib qho kev kis kab mob antiviral, antiparasitic, antifungal los yog anti- cov tshuaj tua kab mob raws li tus neeg mob ntsws ntsws (tom qab kev tsom xam ntawm qhov kev rhiab heev rau cov xaiv ntawm cov tshuaj). Tsis tas li ntawd zoo yog cov tshuaj nrog immunomodulatory cov khoom, anti-inflammatory painkillers.

Yog tias qhov ua rau lymphadenopathy yog cov hlav qog nqaij hlav, yuav tsum tau kho tshwjxeeb - chemotherapy, radiation, glucocorticoid hormones, immunosuppressive therapy. Yog hais tias phais kev phais mob ntawm lub qog thiab metastases yuav ua tau, kev kho phais raug pom zoo.