Lymphangitis: Nkag siab txog tus mob, nws ua rau, cov tsos mob, thiab kev kho mob
Introduction
Lymphangitis yog ib qho mob uas cuam tshuam nrog kev mob ntawm cov hlab ntsha lymphatic, uas yog cov khoom tseem ceeb ntawm lub cev tiv thaiv kab mob. Cov hlab ntsha no pab thauj cov qog ntshav, cov kua dej uas muaj cov kab mob sib tua cov qe ntshav dawb, thoob plaws hauv lub cev. Kev nkag siab txog lymphangitis yog qhov tseem ceeb vim tias nws tuaj yeem ua rau muaj teeb meem loj yog tias tsis kuaj thiab kho sai. Kab lus no yog npaj los muab cov lus qhia dav dav ntawm lymphangitis, suav nrog nws cov ntsiab lus, ua rau, cov tsos mob, kev kuaj mob, kev xaiv kho mob, teeb meem, cov tswv yim tiv thaiv, thiab kev kuaj mob.
Lus txhais
Lymphangitis yog dab tsi?
Lymphangitis yog txhais tau tias yog qhov mob ntawm cov hlab ntsha lymphatic, feem ntau tshwm sim los ntawm kev kis kab mob. Nws feem ntau tshwm sim thaum cov kab mob nkag mus rau hauv lymphatic system los ntawm kev tawg ntawm daim tawv nqaij, xws li kev txiav, khawb, lossis kab tom. Tus mob tuaj yeem ua rau o, liab, thiab mob raws li cov hlab ntsha lymphatic, feem ntau ntawm caj npab lossis ob txhais ceg. Yog tias tsis kho, lymphangitis tuaj yeem ua rau muaj kab mob hnyav dua thiab muaj teeb meem, ua kom paub txog ntxov thiab kev tswj xyuas tseem ceeb.
Ua rau thiab Risk Factors
Kab mob/ib puag ncig ua rau
Feem ntau cov kab mob Lymphangitis yog tshwm sim los ntawm cov kab mob bacterial, tshwj xeeb tshaj yog cov uas tshwm sim los ntawm Streptococcus thiab Staphylococcus . Cov kab mob no tuaj yeem nkag mus rau hauv lub cev lymphatic los ntawm:
- Kev raug mob ntawm daim tawv nqaij: Kev txiav, khawb, lossis kab tom tuaj yeem muab qhov chaw nkag rau cov kab mob.
- Cov kab mob: Cov kab mob uas twb muaj lawm, xws li cellulitis, tuaj yeem kis mus rau cov hlab ntsha lymphatic.
- Environmental factor: Kev kis cov dej tsis huv lossis av tuaj yeem ua rau muaj kev pheej hmoo kis mob.
Genetic/autoimmune ua rau
Txawm hais tias lymphangitis feem ntau yog kis tau los ntawm kev sib kis, qee yam mob caj ces lossis autoimmune yuav ua rau tib neeg muaj tus kab mob no. Piv txwv li, cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog vim muaj cov mob xws li HIV/AIDS , ntshav qab zib , lossis mob qog noj ntshav yuav yooj yim kis tau cov kab mob uas ua rau mob lymphangitis.
Txoj kev ua neej thiab kev noj haus
Kev xaiv ua neej nyob kuj tuaj yeem cuam tshuam qhov kev pheej hmoo ntawm kev tsim lymphangitis. Yam muaj xws li:
- Kev tu cev tsis zoo: Kev tu qhov txhab tsis zoo tuaj yeem ua rau muaj kev pheej hmoo kis mob.
- Noj cov zaub mov: Kev noj zaub mov tsis muaj cov as-ham tseem ceeb tuaj yeem ua rau lub cev tsis muaj zog, ua rau nws nyuaj rau lub cev tiv thaiv kab mob.
- Tshuaj lom neeg: Kev siv cawv thiab tshuaj yeeb tuaj yeem ua rau lub cev tsis muaj zog thiab ua rau muaj kev kis kab mob.
Yam Tseem Ceeb Risk
Muaj ntau yam kev pheej hmoo tuaj yeem ua rau muaj qhov tshwm sim ntawm lymphangitis:
- Hnub nyoog: Cov neeg laus tuaj yeem muaj kev pheej hmoo siab dua vim tias feem ntau tsis muaj zog tiv thaiv kab mob.
- Tub los ntxhais: Cov txiv neej feem ntau cuam tshuam ntau dua li poj niam, tej zaum yog vim muaj ntau dua ntawm kev ua si sab nraum zoov uas ua rau muaj kev pheej hmoo raug mob.
- Thaj chaw nyob: Qee thaj chaw uas muaj cov kab mob ntawm daim tawv nqaij ntau dua tuaj yeem pom ntau tus neeg mob lymphangitis.
- Cov xwm txheej hauv qab: Cov kab mob ntev, xws li ntshav qab zib lossis mob qog noj ntshav, tuaj yeem cuam tshuam lub cev tiv thaiv kab mob thiab ua rau muaj kev cuam tshuam ntau ntxiv.
Cov tsos mob
Cov tsos mob ntawm Lymphangitis
Cov tsos mob ntawm lymphangitis tuaj yeem sib txawv tab sis feem ntau suav nrog:
- Liab streaks: Cov kab liab pom pom raws txoj hauv kev ntawm cov hlab ntsha lymphatic.
- O: o nyob rau hauv cov cheeb tsam cuam tshuam, feem ntau nrog sov thiab rhiab.
- mob: Tsis xis nyob los yog mob raws li cov hlab ntsha lymphatic.
- Ua npaws: Ib qho kev teb rau kab mob, feem ntau ua rau kub taub hau thiab ua daus no.
- Qaug zog: General kev xav ntawm nkees los yog malaise.
Ceeb Toom Qhia Txog Kev Kho Mob Tam Sim No
Qee cov tsos mob yuav qhia tau tias mob hnyav dua yuav tsum tau mus kho mob tam sim:
- Mob hnyav: Kev mob hnyav uas tsis txhim kho nrog kev kho mob tom khw muag khoom.
- Tshaj tawm sai sai: Yog hais tias qhov redness kis sai heev los yog khaus.
- Ua npaws siab: Kub taub hau saum toj no 101°F (38.3°C) uas pheej mus txawm kho.
- Cov tsos mob ntawm sepsis: Cov tsos mob xws li tsis meej pem, ua pa nyuaj, los yog lub plawv dhia ceev.
mob
Soj ntsuam soj ntsuam
Kev kuaj mob ntawm lymphangitis feem ntau pib nrog kev soj ntsuam tag nrho. Qhov no suav nrog:
- Tus neeg mob keeb kwm: Tus kws kho mob yuav nug txog kev raug mob tsis ntev los no, kab mob, thiab cov tsos mob.
- Kev kuaj lub cev: Kev tshuaj xyuas qhov muag ntawm qhov chaw cuam tshuam yuav ua rau ntsuas qhov liab, o, thiab mob.
Kev kuaj mob
Qee zaum, kev kuaj mob ntxiv yuav tsim nyog:
- Laboratory xeem: Kev kuaj ntshav tuaj yeem pab txheeb xyuas qhov muaj tus kab mob thiab ntsuas kev noj qab haus huv tag nrho.
- Kev kawm duab: Ultrasound lossis lwm yam kev yees duab yuav raug siv los ntsuas cov hlab ntsha lymphatic thiab txiav txim siab lwm yam mob.
- Cov txheej txheem tshwj xeeb: Muaj tsawg zaus, kev kuaj ntshav lymphatic yuav ua tau los ntsuas kev ua haujlwm lymphatic.
Differential Diagnosis
Qee qhov xwm txheej yuav ua raws li cov tsos mob ntawm lymphangitis, suav nrog:
- Cellulitis: Cov kab mob ntawm daim tawv nqaij uas tuaj yeem ua rau cov tsos mob zoo sib xws.
- Deep vein thrombosis (DVT): Ib qho ntshav txhaws hauv cov hlab ntsha sib sib zog nqus uas tuaj yeem tshwm sim nrog o thiab mob.
- Lymphatic obstruction: Cov xwm txheej uas thaiv cov lymphatic ntws tuaj yeem ua rau o thiab tsis xis nyob.
Cov Kev Xaiv Kho
Kev kho mob kev kho mob
Kev kho mob ntawm lymphangitis feem ntau tsom rau kev hais txog tus kab mob hauv qab no:
- tshuaj tua kab mob: Lub hauv paus tseem ceeb ntawm kev kho mob yog tshuaj tua kab mob, uas tuaj yeem siv rau hauv qhov ncauj lossis tso dej, nyob ntawm qhov hnyav ntawm tus kab mob.
- Nyem qhov mob: Cov tshuaj kho mob tom khw muag khoom, xws li ibuprofen lossis acetaminophen, tuaj yeem pab tswj kev tsis xis nyob.
- Kev cuam tshuam kev phais: Nyob rau hauv cov xwm txheej hnyav, cov dej ntws tawm los yog qhov chaw muaj kab mob yuav tsim nyog.
Cov Kev Kho Mob Tsis-Pharmacological
Ntxiv nrog rau kev kho mob, ntau txoj hauv kev uas tsis yog tshuaj kho mob tuaj yeem pab rov zoo:
- So: Cia lub cev so tuaj yeem pab lub cev tiv thaiv kab mob sib kis.
- Qhov siab: Txhim kho cov ceg tawv tuaj yeem txo qhov o thiab tsis xis nyob.
- Ua kom sov compresses: Kev siv cov compresses sov rau thaj tsam cuam tshuam tuaj yeem pab txo qhov mob thiab txhawb kev kho mob.
Kev txiav txim siab tshwj xeeb rau cov neeg sib txawv
- Pediatric: Cov menyuam yaus yuav xav tau ntau npaum li cas ntawm cov tshuaj tua kab mob thiab yuav tsum tau saib xyuas kom zoo rau cov kev mob tshwm sim.
- Geriatric: Cov neeg laus tuaj yeem muaj kev pheej hmoo siab dua ntawm cov teeb meem thiab yuav xav tau kev saib xyuas ntau dua thiab txhawb nqa.
Teeb meem
Tej Yam Teeb Meem
Yog tias lymphangitis tsis kho lossis tswj tsis tau zoo, nws tuaj yeem ua rau muaj ntau yam teeb meem:
- Abscess tsim: Lub hnab ntim cov kua mis tuaj yeem tsim, yuav tsum tau phais cov kua dej.
- sepsis: Tus kab mob loj heev uas yuav ua rau muaj kev phom sij rau lub neej.
- Chronic lymphatic dysfunction: Kev puas tsuaj rau lub cev mus sij hawm ntev tuaj yeem ua rau lymphedema, uas tshwm sim los ntawm qhov mob tsis tu ncua.
Short-Term and Long-Term Complications
Cov teeb meem luv luv tuaj yeem suav nrog qhov mob thiab o, thaum lub sij hawm ntev tuaj yeem cuam tshuam nrog kev kis kab mob los yog cov teeb meem lymphatic tsis tu ncua. Kev kuaj mob ntxov thiab kev kho mob yog qhov tseem ceeb hauv kev tiv thaiv cov txiaj ntsig tsis zoo no.
Kev tiv thaiv
Cov tswv yim tiv thaiv Lymphangitis
Tiv thaiv lymphangitis yuav txo tau txoj kev pheej hmoo ntawm kev kis kab mob thiab tswj kev tu cev kom zoo:
- Kev kho mob: Ntxuav thiab tu kom raug txiav, khawb, thiab kab tom kom tsis txhob kis kab mob.
- Cov Tshuaj Tiv Thaiv: Nyob twj ywm tshiab ntawm kev txhaj tshuaj tiv thaiv kab mob uas tuaj yeem ua rau lymphangitis.
- Cov kev coj huv huv: Kev ntxuav tes tsis tu ncua thiab tswj tus kheej kom huv si tuaj yeem pab txo qis kev pheej hmoo kis mob.
- Kev hloov kho kev noj haus: Kev noj zaub mov kom zoo uas muaj cov vitamins thiab minerals tuaj yeem pab txhawb kev tiv thaiv kab mob.
- Txoj kev ua neej hloov: Tsis txhob siv tshuaj yeeb tshuaj thiab tswj cov mob ntev tuaj yeem pab txo qis kev kis kab mob.
Prognosis & Long-Term Outlook
Course of the Disease
Nrog rau kev kuaj mob sai thiab kev kho mob tsim nyog, kev kuaj mob rau lymphangitis feem ntau yog qhov zoo. Cov neeg feem coob rov zoo tag nrho hauv ob peb lub lis piam. Txawm li cas los xij, yam xws li qhov hnyav ntawm tus kab mob, tus tib neeg txoj kev noj qab haus huv tag nrho, thiab kev ua raws li kev kho mob tuaj yeem cuam tshuam kev rov zoo.
Factors Influencing Prognosis
- Kev kuaj mob thaum ntxov: Kev kho mob raws sij hawm tuaj yeem txhim kho cov txiaj ntsig zoo.
- Kev kho kom haum: Ua raws li cov phiaj xwm kev kho mob tau sau tseg thiab mus koom nrog kev teem sijhawm rov qab yog qhov tseem ceeb rau kev rov zoo.
- Cov mob hauv qab no: Cov tib neeg uas muaj mob ntev tuaj yeem ntsib txoj kev rov qab zoo dua.
Cov Lus Nquag Nug (FAQ)
- Cov tsos mob tseem ceeb ntawm lymphangitis yog dab tsi?
Cov tsos mob tseem ceeb ntawm lymphangitis muaj xws li liab streaks raws cov hlab ntsha lymphatic, o, mob, kub taub hau, thiab qaug zog. Yog tias koj pom cov tsos mob no, tshwj xeeb tshaj yog tias lawv hnyav dua, nrhiav kev kho mob.
- Yuav kuaj mob lymphangitis li cas?
Lymphangitis yog kuaj los ntawm kev soj ntsuam kev soj ntsuam, suav nrog cov neeg mob keeb kwm thiab kev kuaj lub cev. Kev kuaj ntxiv, xws li kev kuaj ntshav lossis kev tshawb fawb pom, yuav raug ua kom paub meej tias qhov kev kuaj mob.
- Dab tsi ua rau lymphangitis?
Lymphangitis feem ntau tshwm sim los ntawm kab mob, tshwj xeeb yog los ntawm kev raug mob ntawm daim tawv nqaij los yog kab mob uas twb muaj lawm. Cov xwm txheej ib puag ncig thiab kev noj qab haus huv hauv qab kuj tuaj yeem ua rau nws txoj kev loj hlob.
- Yuav kho lymphangitis li cas?
Kev kho mob feem ntau suav nrog tshuaj tua kab mob los daws qhov kis kab mob, nrog rau kev kho mob thiab kev txhawb nqa. Nyob rau hauv cov xwm txheej hnyav, kev phais yuav tsim nyog.
- lymphangitis puas tuaj yeem ua rau muaj teeb meem?
Yog, yog tias tsis kho, lymphangitis tuaj yeem ua rau muaj teeb meem xws li abscess tsim, sepsis, thiab mob lymphatic dysfunction.
- Kuv tuaj yeem tiv thaiv lymphangitis li cas?
Kev tiv thaiv lymphangitis suav nrog kev saib xyuas lub qhov txhab kom zoo, tswj kev tu cev kom zoo, nyob twj ywm rau cov tshuaj tiv thaiv, thiab tswj xyuas cov mob hauv qab no.
- Puas yog lymphangitis kis tau?
Lymphangitis nws tus kheej tsis kis tau, tab sis cov kab mob uas ua rau nws tuaj yeem ua tau. Kev coj tus cwj pwm zoo tuaj yeem pab tiv thaiv kev kis tus kab mob no.
- Thaum twg kuv yuav tsum mus ntsib kws kho mob rau lymphangitis?
Nrhiav kev kho mob yog tias koj pom cov tsos mob xws li mob hnyav, kis liab sai sai, kub taub hau, lossis cov tsos mob sepsis.
- lymphangitis puas tuaj yeem tshwm sim?
Yog lawm, cov tib neeg uas muaj keeb kwm ntawm lymphangitis tuaj yeem muaj kev pheej hmoo siab dua, tshwj xeeb tshaj yog tias lawv muaj kev noj qab haus huv hauv qab lossis koom nrog cov haujlwm uas ua rau muaj kev pheej hmoo raug mob.
- Dab tsi yog qhov kev xav mus sij hawm ntev rau lymphangitis?
Nrog kev kho mob sai, feem ntau cov tib neeg rov zoo los ntawm lymphangitis. Txawm li cas los xij, cov neeg uas muaj teeb meem kev noj qab haus huv ntev tuaj yeem ntsib cov txheej txheem rov qab nyuaj dua.
Thaum Mus ntsib Tus Kws Kho Mob
Nws yog ib qho tseem ceeb kom nrhiav kev kho mob tam sim yog tias koj ntsib ib qho ntawm cov tsos mob loj hauv qab no:
- Kev mob hnyav uas tsis txhim kho nrog cov tshuaj tom khw muag khoom.
- Ceev nrooj kis liab los yog o.
- Ua npaws siab saum toj no 101°F (38.3°C).
- Cov cim qhia ntawm sepsis, xws li tsis meej pem, ua pa nyuaj, lossis lub plawv dhia ceev.
Xaus & Tsis lees paub
Lymphangitis yog ib qho mob tseem ceeb uas yuav tsum tau kuaj xyuas sai thiab kho kom tsis txhob muaj teeb meem. Kev nkag siab txog nws cov laj thawj, cov tsos mob, thiab cov kev xaiv kho mob tuaj yeem pab cov tib neeg mus nrhiav kev kho mob raws sijhawm. Yog tias koj xav tias koj muaj lymphangitis lossis muaj cov tsos mob tshwm sim, sab laj nrog kws kho mob rau kev taw qhia.
Lus Ceeb Toom: Tsab xov xwm no tsuas yog rau kev qhia xwb thiab tsis hloov cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob yog tias muaj kev txhawj xeeb txog kev kho mob lossis cov lus nug txog koj txoj kev noj qab haus huv.
Nyuam qhuav ntxiv
Disclaimer:
Cov ntaub ntawv muab rau ntawm nplooj ntawv no tsuas yog rau kev qhia dav dav thiab kev kawm xwb. Txawm hais tias peb siv zog ua kom cov ntaub ntawv no muaj tseeb, txhim khu kev qha, thiab tshuaj xyuas tas li, nws yuav tsum tsis txhob raug suav hais tias yog ib qho kev hloov pauv rau cov lus qhia kho mob, kev kuaj mob, lossis kev kho mob.
Cov tsos mob, ua rau muaj, qhov hnyav, kev nce qib, thiab cov kev xaiv kho rau ib tus kab mob lossis tus mob yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Cov ntaub ntawv muab yuav tsis suav nrog txhua yam ntawm tus mob lossis txhua txoj kev xaiv kho mob.
Tsis txhob siv cov ntaub ntawv no rau kev kuaj mob lossis kev kho mob tus kheej. Thov nrog ib tus kws kho mob uas tsim nyog tham kom tau txais kev kuaj mob thiab cov lus qhia raws li koj tus mob.
Yog tias koj muaj cov tsos mob hnyav, tam sim ntawd, lossis mob hnyav zuj zus, nrhiav kev kho mob tam sim ntawd.
Yog xav paub ntxiv txog peb cov ntsiab lus kho mob raug tsim, tshuaj xyuas, hloov kho tshiab, thiab tswj hwm li cas, thov nyeem peb [Txoj Cai Kho Mob].