Ke makaʻu nei ʻoe i ka lymphadenectomy ma muli o ke kanesa? E kamaʻilio maʻalahi kākou e pili ana i ia mea.

Ke haʻi aku ke kauka iā ʻoe he maʻi kanesa kou, a laila ʻōlelo mai, "Pono wau e wehe i kekahi mau lymph nodes me ka puʻupuʻu," he mea maʻamau ke makaʻu iki. "No ke aha lākou e wehe ai i kēia mau lymph nodes? He aha ka mea e hana ʻia me kēia? He hana nui anei kēia?" Nui nā nīnau e like me kēia e hiki mai ana i kou manaʻo. Mai makaʻu. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia hana ʻoki kino i kapa ʻia ʻo Lymphadenectomy e pane i kēlā mau nīnau.

ʻO ka mea mua, he aha ka Lymphadenectomy?

I ka ʻōlelo maʻalahi, ʻo ka lymphadenectomy ka wehe ʻoki ʻana i hoʻokahi a ʻoi aku paha o nā lymph node i loko o kou kino. I kā mākou ʻōlelo maʻamau, ua kapa ʻia kēia he "lumpectomy."

E noʻonoʻo e like ko kākou kino me ke kūlanakauhale nui. Aia kahi pūnaewele o nā alanui (nā kīʻaha koko) ma nā wahi a pau o kēia kūlanakauhale. Eia kekahi, aia kahi ʻōnaehana kaʻawale e wehe i nā ʻōpala a hōʻoia i ka palekana ma kēia kūlanakauhale. Pēlā ke ʻano o ka ʻōnaehana lymphatic i loko o ko kākou kino. He mau wahi nānā palekana liʻiliʻi kēia ʻōnaehana. Kāhea mākou i kēlā mau wahi nānā he mau lymph node .

ʻO kā lākou hana nui, ʻo ia ke kānana a hoʻomaʻemaʻe i ka lymph e kahe ana ma o ka ʻōnaehana lymphatic. ʻO ia hoʻi, hopu lākou a luku i nā germs, nā cell i hōʻino ʻia, a ʻoi aku hoʻi nā cell cancer i loko o kēia wai. No laila, he ʻāpana koʻikoʻi loa lākou o ka ʻōnaehana pale o ko mākou kino.

A laila no ke aha e wehe ai i kēia mau lymph nodes mai kekahi kanaka me ka maʻi kanesa?

ʻO ke kumu nui o kēia, ʻo ia ka ʻike pono inā ua laha ka maʻi kanesa i nā ʻāpana ʻē aʻe o ke kino. ʻO ke ala nui e laha ai kēia (metastasis) ma o ka ʻōnaehana lymphatic.

E noʻonoʻo i kēia. Loaʻa iā ʻoe kahi puʻupuʻu ma kekahi ʻāpana o kou kino. Ua like ia me ke ahi liʻiliʻi ma kekahi lumi o kahi hale. I kēia manawa makemake mākou e ʻike inā ua pālahalaha kēia ahi i nā lumi ʻē aʻe. No laila he aha kā mākou e hana ai? Hele mākou i nā lumi kokoke loa a ʻike inā ua pālahalaha ke ahi ma laila.

Pēlā nō, nānā pū nā kauka i nā lymph nodes kokoke i ka puʻupuʻu e ʻike ai inā ua pālahalaha nā hunaola kanesa ma laila.

Hoʻokō kēia ʻoki kino i kekahi mau pahuhopu nui:

• E hoʻoholo i ke kahua o ke kanesa: Hiki i nā kauka ke hoʻoholo i ke kahua o ke kanesa ma muli o ka loaʻa ʻana o nā hunaola kanesa i loko o nā lymph node. He mea nui loa kēia no ka hoʻolālā ʻana i ka lāʻau e hiki mai ana.
• Ma ke ʻano he lāʻau lapaʻau: Inā he mau hunaola kanesa i loko o nā lymph nodes, ʻo ka wehe ʻana i kēlā mau hunaola e wehe pū i kēlā mau hunaola kanesa mai ke kino. ʻO ia hoʻi, he hōʻailona kēia a he lāʻau lapaʻau hoʻi.
• E kāohi i ke kanesa mai ka laha hou aku: ʻO ka wehe ʻana i nā lymph node i loaʻa nā hunaola kanesa e kāohi i ke kanesa mai ka laha hou aku i loko o ke kino.
• E pale i ka hoʻi hou ʻana mai o ke kanesa:Ma hope o ka wehe ʻana i ka puʻupuʻu, ʻo ka wehe ʻana i nā hunaola kanesa e waiho wale ana i loko o nā lymph node a puni e hiki ke hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa i ka wā e hiki mai ana.

He aha nā ʻano maʻi kanesa e pono pinepine ai kēia ʻoki kino?

Ua ʻōlelo ʻia kēia ʻoki kino no kekahi mau ʻano maʻi kanesa i ʻoi aku ka palahalaha ma o ka ʻōnaehana lymphatic. ʻO nā ʻano nui o ka maʻi kanesa e lawe nei i kahi kuleana koʻikoʻi:

• Ka maʻi ʻaʻai umauma
• Ka maʻi ʻili melanoma
• Ka maʻi ʻaʻai poʻo a me ka ʻāʻī
• Ka maʻi ʻaʻai thyroid
• Ka maʻi ʻaʻai māmā
• Ka maʻi ʻōpū
• Ka maʻi ʻaʻai colorectal
• Ka maʻi ʻaʻai testicular a me ka ovarian
• Ka maʻi ʻōpū, rectal, a me ka prostate

He aha nā ʻano nui o ke ʻoki ʻana o ka lymphadenectomy?

ʻElua ala e hana ai i kēia ʻoki kino. Ua like ia me ka nīnau ʻana a nā mākaʻi inā e nānā wale i ka wahi kānalua a i ʻole e nānā i ka wahi holoʻokoʻa.

Ma hea ma ke kino e wehe ai i nā ʻiole ma kēia ʻano?

Aia kēia i kahi o kou maʻi kanesa, ʻoiai ʻo kēlā me kēia ʻano kanesa e laha ana ma o nā wahi kikoʻī o ka lymph node i loko o ke kino.

He aha ka mea e hana ʻia ma mua, i ka wā, a ma hope o ke ʻoki kino?

Ma mua o ke ʻoki kino

Ma mua o ka hoʻonohonoho ʻana i kāu ʻoki kino, e kauoha paha kāu kauka i nā hoʻokolohua e like me nā scan e nānā i ke kūlana o kou mau lymph nodes. Hiki iā lākou ke hana i kahi biopsy nila, ʻo ia hoʻi ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo no ka hoʻokolokolo ʻana. Inā hōʻike kēia mau hoʻokolohua i nā hōʻailona o ka maʻi kanesa, hana ʻia kahi lymphadenectomy.

I ka wā o ke ʻoki kino

Hana pinepine ʻia kēia ʻoki kino ma lalo o ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea, e hiamoe loa ʻoe. ʻElua ala e hiki ai ke hana i ke ʻoki kino.

1. ʻOki Hāmama: Ma kēia, hana ʻia kahi ʻoki lōʻihi hoʻokahi ma kahi kūpono a wehe ʻia nā lymph nodes.

2. ʻO ke ʻoki Laparoscopic: Pili kēia i ka hana ʻana i kekahi mau ʻoki liʻiliʻi, ke hoʻokomo ʻana i kahi kāmela ma o kekahi, a me ke hoʻokomo ʻana i nā mea hana ma o nā ʻoki ʻē aʻe. He pōkole ka manawa ho'ōla o kēia ʻano hana a he liʻiliʻi nā ʻeha.

Ma hope o ke ʻoki ʻana, e kau ke kauka ʻoki i kahi ʻōmole liʻiliʻi i kapa ʻia he drain i loko o ka ʻoki ʻana a hoʻohui iā ia i kahi ʻōmole. ʻO kēia ke pale aku i ka hōʻiliʻili ʻana o ka wai pono ʻole ma kahi ʻoki. Pono e waiho ʻia kēia ʻōmole no kekahi mau lā a i ʻole mau pule.

Ma hope o ke ʻoki kino

Inā ua hana ʻia ʻoe i kahi ʻoki liʻiliʻi ma ke kī, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Inā ua hana ʻia ʻoe i kahi ʻoki hāmama, pono ʻoe e noho i ka haukapila no hoʻokahi a ʻekolu mau lā. Ke hoʻi ʻoe i ka home, e hāʻawi ʻia ʻoe i nā ʻōlelo kikoʻī e pili ana i ka mālama ʻana i ka ʻeha a pehea e lawe ai i kāu mau lāʻau lapaʻau. Pono ʻoe e ʻike hou i ke kauka e wehe i ka ʻauwai, ʻoki i nā humuhumu, a loaʻa ka hōʻike biopsy.

He aha nā pōmaikaʻi, nā pilikia, a me nā hopena ʻaoʻao o kēia ʻoki kino?

E like me kēlā me kēia ʻoki kino, loaʻa i kēia kekahi mau pono a me nā pilikia a me nā hopena ʻaoʻao.

I ka manawa hea e kāhea aku ai i kāu kauka

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o kāu ʻoki ʻana, e kāhea koke aku i kāu kauka .

• Inā ʻulaʻula ka ʻeha, e kahe ana ka pus, a i ʻole he kuni (he mau hōʻailona kēia o ka maʻi).
• Inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui, ka ʻūlū, a i ʻole ka ʻoʻoleʻa.
• Inā pehu nui kahi ʻōkana, e like me ka lima a i ʻole ka wāwae.
• Inā paʻakikī kekahi mau neʻe ʻana e hana.

He ʻanuʻu koʻikoʻi loa ka Lymphadenectomy i ke kaʻina hana mālama maʻi kanesa. Hāʻawi ia i ka ʻike waiwai e pili ana i kou kūlana a hiki ke kōkua i ka pale ʻana i ka laha ʻana o ke kanesa. E like me nā ʻoki kino āpau, aia nā pilikia, akā kūpono nā pono i nā pilikia. ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka e pili ana i ia mea a nīnau i nā nīnau āu e loaʻa ai.