Sebaka se hare-hare sa mekhoa e metle ea meriana se bitsoa lentsoe le khethehileng - mediastinum. E na le matšoafo, li-bronchi le li-lymph node, tseo, joaloka litho tse ling tsohle, li ka hlasetsoang ke maloetse a tlhaho. E 'ngoe ea tsona ke li-lymphadenopathy, tse amang li-lymph nodes mme li khetholloa ka keketseho e kholo ea boholo ba tsona.
Lisosa tsa mediastinal lymphadenopathy
Lintho tse tlatsetsang tsoelo-pele ea lefu lena:
- carcinoma e nang le metastases;
- lymphoma;
- kankere ea matšoafo ea kankere;
- li-neoplasms tse kotsi tsa litho tsa lefu la moriana, litšoelesa tsa mammary, qoqotho ea qoqotho, liphio, larynx.
Lymphadenopathy le methapo ea matšoafo li bakoa ke:
- lefuba;
- sarcoidosis .
Joalokaha ho bontšitsoe lipalo-palo tsa bongaka, sesosa se tloaelehileng sa ho kula ke kankere ea matšoafo ea matšoafo (80% ea linyeoe).
Matšoao a lymphadenopathy ea lymph nodes ea mediastinum
Har'a lipontšo tse hlakileng tsa kliniki ke bohloko, bo bohareng ba sefuba, ho nosetsa mahetleng, molaleng, sebaka pakeng tsa scapulae.
Haeba metastase e hlahisa mokokotlo, ho na le ho ferekanya mesebetsing ea mokokotlo le bokhoni ba ho se sebetse.
Matšoao a mang:
- mocheso oa 'mele o eketsehileng;
- cyanosis ea sefahleho;
- ho khohlela, phefumoloho e khutšoanyane ;
- bohloko bo boholo hloohong;
- boikutlo bo sa tloaelehang ba pelo le likhetho;
- khatello ea maqhubu a eketsehileng;
- tahlehelo ea boima;
- ho fufuleloa;
- bofokoli le mokhathala.
Kalafo ea lymphadenopathy ea mediastinal
Mokhoa o hlalositsoeng oa lymph nodes le ho eketseha ka boholo ba bona, joalokaha ho se ho bontšitsoe, ho hlaha ka mabaka a fapa-fapaneng, kahoo, phekolo e lokela ho khethoa ho ea ka khetho e khethollang.
Bakeng sa maloetse ao e seng a ts'oaetso ea tšoaetso ea tšoaetsano ea mafu e thibelang mafu, antiparasitic, antitifungal kapa anti-
Haeba sesosa sa lymphadenopathy ke lihlahala tse kotsi, ho hlokahala phekolo e khethehileng - chemotherapy, mahlaseli a kotsi, li-hormone tsa glucocorticosteroid, phekolo ea immunosuppressive. Haeba ho khoneha ho buuoa ka tumor le metastases ho khoneha, ho kenella ho buoa ho buelloa.