Thaum tus kws kho mob hais rau koj tias koj muaj mob qog noj ntshav, thiab tom qab ntawd hais tias, "Kuv yuav tsum tshem tawm qee cov qog ntshav nrog rau cov qog ntshav," nws yog ib qho ib txwm muaj kev ntshai me ntsis. "Vim li cas lawv thiaj tshem tawm cov qog ntshav no? Yuav muaj dab tsi tshwm sim nrog qhov no? Qhov no puas yog kev phais loj?" Muaj ntau cov lus nug zoo li no yuav los rau hauv koj lub siab. Tsis txhob ntshai. Hnub no, peb tab tom tham txog qhov kev phais no hu ua Lymphadenectomy los teb cov lus nug ntawd.
Ua ntej tshaj plaws, Lymphadenectomy yog dab tsi?
Hais yooj yim xwb, kev phais tshem ib lossis ntau lub qog ntshav hauv koj lub cev yog kev phais tshem tawm ib lossis ntau lub qog ntshav hauv koj lub cev. Hauv peb cov lus, qhov no kuj hu ua "lumpectomy."
Xav txog tias peb lub cev zoo li lub nroog loj. Muaj ib txoj kev (cov hlab ntsha) nyob txhua qhov chaw hauv lub nroog no. Tsis tas li ntawd, muaj ib lub tshuab cais tawm los tshem tawm cov khib nyiab thiab xyuas kom muaj kev nyab xeeb hauv lub nroog no. Qhov ntawd yog qhov uas lub cev lymphatic hauv peb lub cev zoo li cas. Lub tshuab no muaj cov chaw kuaj xyuas kev nyab xeeb me me. Peb hu cov chaw kuaj xyuas ntawd ua cov qog ntshav .
Lawv txoj haujlwm tseem ceeb yog lim thiab ntxuav cov lymph uas ntws los ntawm lub cev lymphatic. Uas yog, lawv ntes thiab rhuav tshem cov kab mob, cov cell puas tsuaj, thiab tshwj xeeb tshaj yog cov cell mob qog noj ntshav hauv cov kua dej no. Yog li ntawd, lawv yog ib feem tseem ceeb heev ntawm peb lub cev tiv thaiv kab mob.
Yog li ntawd, vim li cas ho tshem cov qog ntshav no ntawm ib tus neeg uas muaj mob qog noj ntshav?
Qhov laj thawj tseem ceeb rau qhov no yog kom paub tseeb tias tus mob qog noj ntshav puas tau kis mus rau lwm qhov ntawm lub cev. Txoj kev tseem ceeb uas qhov kev kis no (metastasis) tshwm sim yog los ntawm lub cev lymphatic.
Xav txog qhov no. Koj muaj ib lub qog nyob rau hauv ib feem ntawm koj lub cev. Nws zoo li ib lub hluav taws me me hauv ib chav ntawm ib lub tsev. Tam sim no peb xav paub seb qhov hluav taws no puas tau kis mus rau lwm chav. Yog li peb yuav ua li cas? Peb mus rau cov chav ze tshaj plaws thiab saib seb qhov hluav taws puas tau kis mus rau ntawd.
Ib yam li ntawd, cov kws kho mob kuj kuaj xyuas cov qog ntshav ze ntawm qhov mob qog noj ntshav kom pom tias cov qog noj ntshav puas tau kis mus rau qhov ntawd.
Qhov kev phais no ua tiav ntau lub hom phiaj tseem ceeb:
- Txheeb xyuas theem ntawm tus mob qog noj ntshav: Cov kws kho mob tuaj yeem txheeb xyuas theem ntawm tus mob qog noj ntshav raws li seb puas muaj cov hlwb qog noj ntshav hauv cov qog ntshav. Qhov no tseem ceeb heev rau kev npaj kev kho mob yav tom ntej.
- Ua ib qho kev kho mob: Yog tias muaj cov qe ntshav qog hauv cov qog ntshav hauv lub cev, kev tshem tawm cov qog ntshav ntawd kuj tshem tawm cov qe ntshav qog ntawm lub cev. Qhov no txhais tau tias qhov no yog kev kuaj mob thiab kev kho mob.
- Tiv thaiv kom tus mob qog noj ntshav tsis txhob kis mus ntxiv: Tshem tawm cov qog ntshav uas muaj cov hlwb qog noj ntshav yuav tiv thaiv kom tus mob qog noj ntshav tsis txhob kis mus ntxiv rau hauv lub cev.
- Tiv thaiv kom tsis txhob rov qab los ntawm mob qog noj ntshav:Tom qab tshem tawm cov qog nqaij hlav lawm, tshem tawm cov qe ntshav qog nqaij hlav uas tseem nyob hauv cov qog ntshav ib puag ncig tuaj yeem txo qhov kev pheej hmoo ntawm kev rov qab los yav tom ntej.
Cov mob qog noj ntshav hom twg feem ntau yuav tsum tau phais mob no?
Kev phais mob no yog pom zoo rau ntau hom mob qog noj ntshav uas yuav kis tau los ntawm cov kua qaub ncaug. Cov hom mob qog noj ntshav tseem ceeb uas muaj lub luag haujlwm tseem ceeb yog:
- Mob qog noj ntshav hauv lub mis
- Mob qog nqaij hlav melanoma
- Mob qog noj ntshav hauv taub hau thiab caj dab
- Mob qog nqaij hlav
- Mob qog nqaij hlav ntsws
- Mob qog noj ntshav hauv plab
- Mob qog nqaij hlav ntawm txoj hnyuv
- Mob qog nqaij hlav thiab zes qe menyuam
- Mob qog nqaij hlav ntawm lub zais zis, qhov quav, thiab prostate
Cov hom kev phais mob lymphadenectomy tseem ceeb yog dab tsi?
Muaj ob txoj kev ua qhov kev phais no. Zoo li tub ceev xwm nug seb puas yuav tsum kuaj xyuas thaj chaw uas muaj kev txawv txav xwb lossis kuaj xyuas tag nrho thaj chaw.
| Hom kev phais mob | Hais yooj yim xwb... |
|---|---|
| Kev phais mob qog ntshav hauv cheeb tsam (xaiv) | Qhov no tsuas yog yuav tsum rho tawm ib qho qauv xwb, uas yog, tsuas yog me me xwb, los ntawm thaj tsam cov qog ntshav ze tshaj plaws rau qhov mob qog noj ntshav. |
| Kev phais mob qog ntshav (Tag Nrho/Tag Nrho) | Qhov no suav nrog kev tshem tawm tag nrho cov qog ntshav hauv thaj chaw ntawd. Qhov no ua tiav yog tias muaj kev xav tias tus mob qog noj ntshav tau kis mus deb txaus. |
Qee zaum, cov kws kho mob ua qhov Sentinel Node Biopsy ua ntej.Nws hu ua li cas. Ntawd yog, nrhiav lub qog ntshav "sentinel", qhov chaw uas cov qe ntshav qog yuav mus los ntawm lub qog ua ntej, thiab tshem tawm thiab kuaj xyuas tsuas yog lub ntawd xwb. Yog tias nws tsis muaj cov qe ntshav qog, feem ntau nws txiav txim siab tsis tshem tawm lwm cov. Yog tias nws muaj, yuav tsum tshem tawm ntau lub qog.
Koj tshem cov moles qhov twg ntawm lub cev li no?
Qhov no nyob ntawm seb koj tus mob qog noj ntshav nyob qhov twg, vim txhua hom mob qog noj ntshav kis mus rau cov cheeb tsam ntawm cov qog ntshav hauv lub cev.
| Lub npe ntawm qhov phais | Qhov twg muaj cov ntsaum yuav tsum tau tshem tawm | Feem ntau muaj feem cuam tshuam nrog cov mob qog noj ntshav |
|---|---|---|
| Kev phais tshem cov qog ntshav hauv qhov chaw axillary | Thaj tsam ntawm caj npab | Mob qog nqaij hlav mis, melanoma ntawm tes |
| Kev phais tshem cov qog ntshav hauv qhov chaw mos | Thaj chaw ntawm lub puab tsaig | Mob qog nqaij hlav ntawm qhov chaw mos thiab qhov chaw mos |
| Kev phais tshem cov qog ntshav hauv lub caj dab | Thaj tsam caj dab | Mob qog noj ntshav hauv lub taub hau, caj dab thiab thyroid |
| Kev phais tshem cov qog ntshav hauv plab | Sab nraub qaum ntawm lub plab (sab hauv lub plab) | Mob qog nqaij hlav thiab zes qe menyuam |
| Kev phais tshem cov qog ntshav hauv lub plab mog | Lub duav | Mob qog nqaij hlav ntawm lub zais zis, qhov quav, thiab prostate |
| Kev phais tshem cov qog ntshav hauv lub qhov ncauj tsev menyuam | Nruab nrab ntawm lub hauv siab | Mob qog nqaij hlav ntsws, Lymphoma |
Ua ntej, thaum lub sijhawm phais, thiab tom qab phais tas, muaj dab tsi tshwm sim?
Ua ntej phais
Ua ntej koj teem sijhawm phais mob, koj tus kws kho mob yuav xaj kom kuaj xws li scans los xyuas seb koj cov qog ntshav hauv lub cev zoo li cas. Lawv kuj tseem yuav siv koob biopsy, uas yog rho ib daim nqaij me me tawm los kuaj. Yog tias cov kev kuaj no qhia txog mob qog noj ntshav, yuav tsum tau phais lymphadenectomy.
Thaum lub sijhawm phais
Feem ntau qhov kev phais no yuav ua tiav nrog kev siv tshuaj loog dav dav. Qhov no txhais tau tias koj yuav tsis hnov dab tsi, koj yuav tsaug zog tag nrho. Muaj ob txoj hauv kev uas koj tuaj yeem ua tau qhov kev phais.
1. Kev Phais Qhib: Hauv qhov no, ib qho kev phais ntev yuav ua rau ntawm qhov chaw tsim nyog thiab cov qog ntshav yuav raug tshem tawm.
2. Kev Phais Mob Laparoscopic: Qhov no suav nrog kev txiav ob peb qhov me me, ntxig lub koob yees duab los ntawm ib qho, thiab ntxig cov cuab yeej los ntawm lwm qhov kev txiav. Txoj kev no muaj lub sijhawm kho luv dua thiab cov qhov txhab me dua.
Tom qab phais lawm, tus kws phais yuav muab ib lub raj me me hu ua lub qhov dej ntws rau hauv qhov phais thiab txuas nws rau lub raj. Qhov no yog los tiv thaiv cov kua dej tsis tsim nyog kom tsis txhob sib sau ua ke ntawm qhov chaw phais. Lub qhov dej ntws no yuav tsum tau tso rau hauv qhov chaw rau ob peb hnub lossis ob peb lub lis piam.
Tom qab phais mob
Yog koj tau phais qhov me me, koj yuav rov qab mus tsev tau tib hnub ntawd. Yog koj tau phais qhib, koj yuav tsum nyob hauv tsev kho mob ib mus rau peb hnub. Thaum koj mus tsev, koj yuav tau txais cov lus qhia ntxaws txog kev saib xyuas qhov txhab thiab yuav noj koj cov tshuaj li cas. Koj yuav tsum mus ntsib kws kho mob dua kom tshem cov kua dej tawm, txiav cov xov, thiab tau txais daim ntawv qhia biopsy.
Cov txiaj ntsig, kev pheej hmoo, thiab cov kev mob tshwm sim ntawm kev phais mob no yog dab tsi?
Ib yam li lwm yam kev phais mob, qhov no muaj cov txiaj ntsig zoo li qee qhov kev pheej hmoo thiab cov kev mob tshwm sim.
| Cov txiaj ntsig | Kev Pheej Hmoo & Cov Kev Mob Tshwm Sim |
|---|---|
| Koj tuaj yeem paub tseeb tias tus mob cancer puas tau kis mus rau lwm tus. | Kev kis kab mob ntawm qhov txhab. |
| Kev txiav txim siab txog theem ntawm tus mob qog noj ntshav pab xaiv txoj kev kho mob zoo tshaj plaws. | Kev puas tsuaj rau cov hlab ntsha thiab cov hlab ntsha ib puag ncig. |
| Nws tshem tawm cov qe ntshav qog nqaij hlav ntawm cov qog ntshav thiab tiv thaiv lawv kom tsis txhob kis mus rau lwm qhov. | Kev loog thiab mob ib puag ncig qhov txiav. |
| Txo qhov kev pheej hmoo ntawm kev rov qab mob qog noj ntshav. | Cov kua dej sib sau ua ke ntawm qhov chaw phais (Seroma). |
| Lymphedema: Qhov no yog ib qho kev mob tshwm sim uas koj yuav tsum paub txog. Thaum muaj ntau lub qog ntshav tawm, cov kua dej ntawm cov qog ntshav yuav raug cuam tshuam, ua rau lub cev o mus tas li, xws li caj npab lossis ceg. Qhov mob no tsis tshwm sim rau txhua tus. Tab sis nws yog ib qho tseem ceeb uas yuav tsum paub txog nws. |
Thaum twg koj yuav tsum hu rau koj tus kws kho mob
Yog tias koj muaj cov tsos mob no tom qab koj phais lawm, hu rau koj tus kws kho mob tam sim ntawd .
- Yog tias qhov txhab liab, muaj kua qaub tawm, lossis kub taub hau (cov no yog cov cim qhia txog kev kis kab mob).
- Yog tias koj muaj mob uas tsis tuaj yeem ua tau, loog, lossis mob nqaij tawv.
- Yog tias ib lub cev, xws li caj npab lossis ceg, o tuaj ntau dhau.
- Yog tias qee yam kev txav mus los nyuaj rau ua.
Kev phais mob qog ntshav (lymphadenectomy) yog ib kauj ruam tseem ceeb heev hauv kev kho mob qog ntshav. Nws muab cov ntaub ntawv tseem ceeb txog koj tus mob thiab tuaj yeem pab tiv thaiv kom tsis txhob kis tus kab mob qog ntshav. Ib yam li txhua qhov kev phais mob, muaj kev pheej hmoo, tab sis cov txiaj ntsig tsim nyog rau kev pheej hmoo. Qhov tseem ceeb tshaj plaws yog tham nrog koj tus kws kho mob txog nws thiab nug txhua yam lus nug uas koj muaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Lymphadenectomy yog kev phais tshem tawm cov qog ntshav (cov qog) uas tej zaum yuav muaj cov hlwb qog noj ntshav.
- Lub hom phiaj tseem ceeb ntawm qhov no yog nrhiav seb tus mob qog noj ntshav puas tau kis mus rau lwm qhov (kev kuaj mob) thiab tshem tawm cov hlwb uas kis mus rau lwm qhov (kev kho mob).
- Cov ntaub ntawv tau los ntawm kev phais mob no yog qhov tseem ceeb rau kev txiav txim siab txog theem ntawm koj tus mob qog noj ntshav thiab npaj kev kho mob yav tom ntej.
- Ib qho ntawm cov kev mob tshwm sim tseem ceeb uas tuaj yeem tshwm sim tom qab phais yog lymphedema, uas yog ib qho mob uas cov ceg thiab ceg o. Txawm li cas los xij, qhov no tsis tshwm sim rau txhua tus neeg.
- Thaum koj rov zoo los, nco ntsoov paub txog tej yam uas qhia tias koj muaj kab mob, o, lossis mob heev. Yog tias qhov no tshwm sim, qhia rau koj tus kws kho mob tam sim ntawd.
- Tham nrog koj tus kws kho mob txog tej kev ntshai lossis kev tsis ntseeg uas koj muaj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus