Bolestivé uzliny

19.8.2012 , Július Jakubík

bolestive-uzliny.jpg - kopie
bolestive-uzliny.jpg - kopie
Bolestivé uzliny jsou příznakem, který by neměl být nikdy podceněn. Uzliny jsou sídlem imunitních buněk, a k jejich zvětšení dochází při zánětu, kdy se imunitní buňky množí a bojují proti infekci. Takto zduřené uzliny bolí. Uzliny mohou být zvětšeny i při nádorech, v této situaci jsou ale většinou nebolestivé...

Bolestivé uzliny

Všichni to známe. Zvětšené bolestivé uzliny na krku, které nás bolí a často nám nedovolí vůbec pohnout hlavou. Pojďme se tedy podívat, co za tímto nepříjemným příznakem stojí. Mízní uzliny lze považovat za jakési filtry jimi protékající mízy. Nachází se zde buňky obranného systému, které lemují místa, kterými proplouvá lymfa. Lymfa je tekutina, která do mízních uzlin připlouvá z tkání a nese v sobě jak samotné bakterie či viry, ale i speciální buňky imunitního systému, které na svém povrchu nesou informaci o tom, s jakou hrozbou se v tkáních setkaly. V mízní uzlině dochází ke styku zdejších imunitních buněk s buňkami v lymfě. Imunitní buňky se začnou v uzlině množit a vyzrávat tak, aby byly schopné zničit mikroby, o jejichž přítomnosti byly informovány. Poté takto vyzbrojené putují do dané tkáně, kde se účastní obranné reakce těla. Tyto překotné děje vedou ke stavu, který nazýváme jako bolestivé uzliny.

Příčiny bolestivých uzlin

Díky tomu, že se v dané uzlině imunitní buňky množí a tudíž se mnohonásobně zvyšuje jejich počet, uzlina se zvětšuje. Mohou se zde množit naopak i bakterie a viry, díky čemuž dochází v uzlině a přilehlé oblasti ke vzniku zánětu, což se projevuje otokem a také bolestí uzliny. Kromě toho se v uzlině mohou množit ještě nádorové buňky, což také způsobuje jejich zvětšení, nikoliv však bolestivost. Z výše uvedeného textu je potřeba si odnést alespoň jediné – zvětšené uzliny v jakémkoliv místě, které nebolí a nemizí po 2 týdnech, by měly být vždy co nejrychleji prohlédnuty lékařem, aby se vyloučila možnost nádorového bujení, eventuálně se nádorové bujení zachytilo včas. Mízní uzliny se nacházejí všude po těle, typicky se shlukují do skupin. Zvětšené a bolestivé uzliny lze potom rozdělit na místní a celkové, kdy jsou zvětšené a bolestivé uzliny na více vzdálených místech těla.

Bolestivé uzliny a jejich konkrétní příklady

  • U některých onemocnění jsou zduřelé uzliny v typických oblastech na těle. Například u zarděnek jsou zduřelé bolestivé uzliny za ušním boltcem a v týlní krajině. Proti zarděnkám se u nás děti očkují, proto se vyskytuje průměrně 8 případů ročně. Zarděnky jsou typické především svou červenou vyrážkou po celém těle.
  • U zánětu hrdla – angíny - jsou typicky zduřelé a bolestivé uzliny za čelistním úhlem. Uzliny v oblasti ucha se zvětšují při zánětech zvukovodu, např. při zánětech středního ucha u dětí.
  • Podčelistní uzliny a uzliny na krku nalézáme zduřelé u záškrtu – difterie. Ke zduření mízních uzlin se zde přidává silný otok okolních měkkých tkání až do toho stupně, že krk má obvod stejný jako hlava. Proti záškrtu se v ČR také povinně očkuje, proto se onemocnění téměř nevyskytuje.
  • V oblasti klíční kosti můžeme nalézt zvětšené a bolestivé uzliny při zánětech v hrudníku a mezihrudí.
  • Dobře hmatatelné jsou ještě uzliny v podpaží, které mohou být bolestivě zvětšené při zánětech prsní žlázy. Při nádoru prsní žlázy jsou v podpaží zvětšené, ale nemusí být bolestivé.
  • Dobře hmatatelné jsou uzliny v tříslu, do kterých míří míza z dolních končetin a také některých pánevních oblastí, tudíž záněty z těchto míst mohou způsobit zvětšení i zánět tříselných mízních uzlin (např. pohlavně přenosné choroby apod.).
  • Naproti tomu existují i onemocnění, u kterých jsou uzliny zvětšené povšechně. Je tomu tak například u infekční mononukleózy, HIV infekce, u toxoplazmózy apod.
  • Nebolestivé zvětšení více uzlin budí podezření z rakoviny imunitních buněk – leukemie a lymfomy.

Bolestivé uzliny a poučení na závěr

Rizikovými faktory pro získání bolestivých uzlin jsou především kontakt s nemocným člověkem, který přenáší určitá onemocnění, která se mezi jinými projevují právě bolestí mízních uzlin. Daná onemocnění je potřeba léčit, aby se předešlo jakýmkoliv následkům a také šíření do okolí.

 

Trpíte-li Vy nebo někdo ve vašem okolí bolestí uzlin ať už povšechně, anebo jen místně, neváhejte a obraťte se na svého lékaře, aby určil příčinu a mohl ji zavčas léčit. Na svého lékaře se zejména obraťte, máte-li Vy či někdo ve Vašem okolí zvětšené uzliny, které jsou nebolestivé, mohou být tuhé, nepohyblivé proti okolí.

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11. prosince 2019 15:22

WilliamQuani: Game examine

Pujols, bass homer, Goodwin 2 working hours, Angels wipe out Mariners 9 3Jul 21, 2019Associated media

FacebookTwitterFacebook MessengerPinterestEmailprintSEATTLE Albert Pujols reached another landmark, One that was a better choice because it came in a win.

Pujols sliced a second inning solo drive into the very best field seats for his 648th career homer, so it helps push his team another <a href=https://about.me/spanishwomen>hot spanish women</a> game above.500 with a 9 3 victory using the Seattle Mariners on Sunday.

That shot gave him no less than 15 home runs in the first 19 seasons of his career. He joined home run champ Barry Bonds and Hall of Famers Eddie Murray and Frank brown on that list.

"All glory to God for allowing me to be healthy for 19 seasons like that to do this number, Pujols referred to. "But for me at the end of the day it's as much about trying to help my team as much as I can to win games and try to win a great,

He did his part Sunday with another strong game because the All Star break. Mike Trout added to his AL leading totals with his 32nd home run and 79th RBI, And Brian Goodwin hit two home passes.

But Pujols was just as big a system of the offense.

After his home run, He beat the throw on an infield single in the pivotal four run fourth inning despite a tight hamstring, Later scoring to assist the Angels take a 5 0 lead. And he made it 7 0 with a give up fly in the fifth.

Pujols' two RBI give him 14 in his last eight games and 33 within the last few 32. His two moved him past Paul Waner for 16th place on position list with 3,154.

"Since the break he's been a big a part of the offense, ever before, officer Brad Ausmus said.

Pujols said he's been healthy this year right after up and down seasons and has been able to get his back leg more involved with his swing. He also went to old video aided by the Angels' team of hitting coaches, researching inspiration.

"We found a couple of things that I was doing when I had success and we tried to put it together, Pujols claimed. "It's serving me out so far, But usually it's being healthy and believing in myself, In the God given talent that we have,

Minor league call up Dillon Peters (2 0) Sent the Mariners to their eighth loss in nine games and 15th within the last few 18. Peters, replacing the injured Andrew Heaney, frequency five scoreless innings and allowed four hits.

Seattle novice Yusei Kikuchi (4 7) continued to struggle, stopping nine hits and seven runs in five innings. The Mariners are 0 3 in games in which Kikuchi and former Japanese high school classmate Shohei Ohtani have faced each other.

Kikuchi struck out Ohtani in the first and induced a groundout in the third before giving up a leadoff double to the designated hitter in the fifth. Ohtani obtained on Justin Upton's double.

The left hander is 1/3 contrary to the Angels and winless when facing Ohtani.

"It's been a little something different every game, Seattle team boss Scott Servais said. "positively a team he hasn't fared very well against. They put the bat on your golf ball,

EDGAR'S wedding

The Mariners opened T Mobile Park early to allow fans to sit in the stands and watch Edgar Martinez's induction into the Hall of Fame. several thousand watched on the stadium's big screen as Martinez gave his speech. He spent 18 years considering the team, on your own he played for during his career.

Martinez saluted his indigenous Puerto Rico, talking in in Spanish to fans there, His in addition to former manager Lou Piniella. He also gave shout outs to a couple of former teammates who are now fellow Hall of Famers.

at Ken Griffey Jr, "It was such a treat to see that beautiful swing from the on deck circle, And of Randy manley, he was quoted saying, "I love that edge you gave conduct,Seattle acquired reliever Matt Magill from the minnesota Twins for cash, most up-to-date move in a season long attempt to shore up the bullpen. Magill was given for assignment on July 18.

The right hander is expected to report to the team within the next day or two, Servais rumoured. He was 2 0 which included a 4.45 ERA in 28 appearances, But has tailed off as the summer season progressed <a href=https://www.wattpad.com/746576562-spanish-women-the-reason-you-have-to-travel-to>girls in spanish</a> after a strong start. He arrives with a chance to earn a spot in a bullpen which was ravaged by injuries and inconsistency.

"We've given an opportunity to a number of guys like this, Servais announced. "Some have worked out great. while some haven't. it's just kind of where we're at,

The Mariners gave All Star DH/1B Daniel Vogelbach each day off. Vogelbach has been handling a sore shoulder since the All Star break, Servais thought.

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