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Nổi hạch ở nách

 17:3106/05/2013

Câu hỏi

Chào bác sĩ cho e hỏi về việc em bị nổ 1 cục hách dưới nách nó rất đau rát khi sờ vào e cử đọng cánh tay cũng ko được thoải mái như bình thường.Tình trạng này đã kéo dài 2 ngày e chưa có điều kiên đi khám và nó làm em rất lo lắng.E muốn biết giống như tình trạng của e có gì nguy hiểm ko ak?Em cảm ơn

Trả lời

Chào em.

Hạch là một tổ chức limpho thuộc hệ bạch huyết. Ta có thể sờ thấy hạch trong một số trường hợp như viêm hạch, lao hạch, áp xe hạch, bệnh bạch cầu, giang mai hay ung thư hạch…, nhưng chủ yếu hay gặp nhất là viêm hạch.

Tính chất của hạch như kích thước, màu sắc da, di động ,số lượng, tình trạng viêm nhiễm xung quanh giúp gợi ý nguyên nhân nổi hạch. Trường hợp của em, tuy không có mô tả đầy đủ nhưng những tính chất đau rát gợi tính chất của hạch viêm.

Viêm hạch thường do nguyên nhân tụ cầu, liên cầu và thường là thứ phát sau nhiễm trùng ở vết thương, ổ áp xe lân cận theo đường bạch huyết, đường máu vào hạch. Chính vì vậy viêm họng, viêm amidal, viêm cuống răng hay gây nổi hạch vùng dưới hàm, sau tuyến mang tai, viêm nhiễm ở vùng lân cận gây nổi hạch ở nách...

Diễn biến của viêm hạch có thể gặp viêm hạch xuất tiết hay viêm hạch phản ứng do tổn thương viêm nhiễm từ nơi khác lan đến, nhưng cũng có khi là viêm hạch mủ, hoại tử hạch, áp-xe dò hạch v.v... Trong trường hợp viêm cấp tính hạch có thể viêm sưng to, chắc và đau, da trên vùng hạch đỏ rực, nóng, khi hạch làm mủ thì sờ thấy hạch mềm, lùng nhùng mủ ở trong và thường kèm theo triệu chứng sốt, rét run, đau đầu.

Tuy nhiên muốn chẩn đoán chính xác hạch viêm hay do các nguyên nhân khác cần dựa vào siêu âm chọc hạch và sinh thiết hạch. Do vậy em nên đến các bác sĩ chuyên khoa khám để có được chẩn đoán chính xác và tư vấn những điều cần thiết.

chúc em sức khỏe.

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