Cervical lymphadenopathy is a very scary disease, which is more common in children and young people. It mainly attacks people when their resistance or immunity is low. This is what makes it scary, and you cannot be prepared even if you are conscious of it. There are many children who suffer from this disease, so what are the types of cervical lymphadenopathy in children? Lymphatic tuberculosis is one of the most common extrapulmonary tuberculosis, and superficial lymphatic tuberculosis mainly affects the cervical, axillary and inguinal lymph nodes, with the neck being the most common. Classification of lymph node tuberculosis: caseous tuberculosis, proliferative tuberculosis, mixed tuberculosis, and anergic tuberculosis. Cervical tuberculosis develops into four types according to its course: 1) Nodular type: The disease onset is slow. In the early stage, 1-2 progressive painless lumps may appear on one or both sides. The lumps are slightly hard, scattered and movable, and have no adhesions. There is slight pain or tenderness. As the disease progresses, lymphadenitis forms and adhesions appear like beads. 2) Infiltrative type. There is obvious perilymphadenitis, which is adhered to the surrounding tissues, has poor mobility, and is accompanied by conscious pain and tenderness. Highly swollen lymph nodes can be felt. 3) Abscess type: The center of the swollen lymph nodes gradually softens and forms cold abscesses. When accompanied by secondary infection, the pain intensifies and the local area becomes red, swollen, hot and painful, showing symptoms of acute inflammation. Even during chemotherapy, abscesses may occur in 20%. 4) Ulcer-fistula type: The abscess ruptures on its own and does not heal for a long time, forming a fistula or ulcer. Treatment principles for cervical tuberculosis in children: 1. Pay proper attention to nutrition and rest. 2. Systemic anti-tuberculosis treatment. 3. Treatment of local tuberculous lymph nodes. A small number of localized, larger, and movable lymph nodes can be removed surgically. For those with cold abscesses, ulcers or sinus tracts, the pus can be drained and anti-tuberculosis drugs can be injected into the cavity, or the tuberculosis lesions can be removed and the dressings replaced with anti-tuberculosis drugs and wait for the wound to heal. If necessary, surgical removal can also be performed. To sum up, do you have a better understanding of the types of cervical tuberculosis in children? You must arrange good living habits for him at ordinary times, otherwise, if the living habits are not good, various diseases will come to visit. |
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