Tej zaum koj twb tau hnov tus kws kho mob hais tias, "Peb yuav tsum tshem tawm qee cov qog" thaum koj pom tias koj lossis ib tus neeg koj paub muaj mob qog noj ntshav. Nws yog ib qho ib txwm muaj kev ntshai thiab xav paub me ntsis thaum lub sijhawm ntawd. Cov qog no yog dab tsi? Vim li cas lawv thiaj raug tshem tawm thaum kho mob qog noj ntshav? Qhov kev phais no puas txaus ntshai? Hnub no, peb yuav tham txog txhua yam no yooj yim heev, hauv txoj kev uas koj tuaj yeem nkag siab.
Kev phais mob Lymph Nodes thiab Lymphadenectomy yog dab tsi?
Zoo, ua ntej, cia peb saib seb cov menyuam yaus no yog dab tsi. Peb muaj ib lub network ntawm cov hlab ntsha thoob plaws peb lub cev, ib yam li cov hlab ntsha. Peb hu qhov no ua Lymphatic System . Ib qho ntawm cov haujlwm tseem ceeb ntawm lub cev no yog los pab tiv thaiv peb lub cev.
Xav txog tias lub cev lymphatic zoo li ib txoj kev hauv peb lub tebchaws. Tom qab ntawd cov lymph nodes zoo li cov chaw kuaj xyuas tub ceev xwm nyob ntawm cov kev ntawd. Cov chaw kuaj xyuas no ntes thiab lim cov khib nyiab, cov kab mob, cov cell puas tsuaj, thiab tshwj xeeb tshaj yog cov cell mob qog noj ntshav hauv peb lub cev. Yog li cov no zoo li cov neeg zov hauv peb lub cev.
Hauv lwm lo lus, lymphadenectomy yog kev phais tshem tawm ib lossis ntau dua ntawm cov qog ntshav no.
Vim li cas koj thiaj xav tau qhov kev phais no?
Feem ntau, tus kws kho mob yuav pom zoo kom phais qhov no rau ib tus neeg uas twb tau kuaj pom tias muaj mob qog noj ntshav lawm. Muaj ob qho laj thawj tseem ceeb rau qhov no.
1. Kev Kuaj Mob thiab Kev Ntsuas Qib: Lub cev lymphatic yog txoj kev tseem ceeb uas cov qog nqaij hlav kis tau los ntawm ib qho chaw mus rau lwm qhov. Yog li, los ntawm kev tshem tawm thiab kuaj xyuas ob peb lub qog ze ntawm qhov mob qog, peb tuaj yeem paub tseeb tias qhov mob qog nqaij hlav puas tau kis mus rau sab nraud ntawm qhov mob qog nqaij hlav (Metastasis). Peb hu qhov no ua kev txiav txim siab txog theem ntawm qhov mob qog nqaij hlav (Cancer Staging). Raws li theem no, cov kws kho mob txiav txim siab seb txoj kev kho mob twg (piv txwv li, chemotherapy, radiation therapy) yog qhov zoo tshaj plaws rau koj.
2. Ua ib qho kev kho mob: Yog tias cov qog uas raug tshem tawm pom tias muaj cov hlwb qog nqaij hlav, nws txhais tau tias cov hlwb qog nqaij hlav kuj raug tshem tawm thaum lub sijhawm phais. Tsis tas li ntawd, yog tias tus mob qog nqaij hlav tau kis mus rau lwm qhov, qhov kev phais no tuaj yeem pab tshem tawm ntau cov qog nqaij hlav thiab tiv thaiv tus mob qog nqaij hlav kom tsis txhob kis mus rau lwm qhov hauv lub cev.
Qhov ntawd txhais tau tias qhov kev phais no yog ob qho tib si kev sim thiab kev kho mob.
Cov hom kev phais mob tseem ceeb yog dab tsi?
Kev phais mob no muaj ob hom loj. Kuj tseem muaj ib txoj kev tshwj xeeb.
| Hom kev phais mob | Lub ntsiab lus yooj yim |
|---|---|
| Kev phais mob qog ntshav hauv cheeb tsam (xaiv) | Tshem tawm tsuas yog ob peb lub hlwb ze tshaj plaws rau thaj chaw uas muaj mob qog noj ntshav ua qauv xwb. |
| Kev phais mob qog ntshav tag nrho (Radical) | Kev tshem tawm tag nrho lossis feem ntau ntawm cov ntaub so ntswg hauv thaj chaw uas muaj mob qog noj ntshav. |
Kev kuaj mob ntawm Sentinel Node Biopsy
Qee zaum cov kws phais yuav xub tshem tawm thiab kuaj xyuas tsuas yog lub qog ze tshaj plaws rau qhov qog, uas zoo li "thawj qhov chaw kuaj xyuas" uas cov qog nqaij hlav tuaj yeem kis mus rau lwm qhov ua ntej. Qhov no hu ua Sentinel Node Biopsy . Yog tias lub qog ntawd tsis muaj cov qog nqaij hlav, nws tsis zoo li lwm lub qog yuav muaj cov qog nqaij hlav. Yog li ntawd, tej zaum yuav tsis tas yuav phais loj.
Koj tshem tawm cov moles qhov twg ntawm lub cev?
Cov moles tsis nyob hauv ib qho chaw ntawm peb lub cev, tab sis ua pawg. Pawg twg yuav raug tshem tawm nyob ntawm seb qhov mob qog noj ntshav nyob qhov twg. Ntau hom mob qog noj ntshav sib txawv kis tau los ntawm ntau pawg moles sib txawv.
| Thaj chaw uas yuav raug tshem tawm hu ua thaj chaw Kuddeti. | Cov hom mob qog noj ntshav feem ntau |
|---|---|
| Axillary | Mob qog nqaij hlav mis, mob qog nqaij hlav ntawm tes (Melanoma) |
| Kab mob hernia | Mob qog nqaij hlav ntawm qhov chaw mos, qhov chaw mos, thiab qhov quav |
| Cervical mob | Mob qog noj ntshav hauv taub hau thiab caj dab, mob qog noj ntshav hauv thyroid |
| Qhov chaw mos ntawm lub plab mog (Pelvic cavity) | Mob qog nqaij hlav ntawm lub zais zis, qhov quav, prostate, thiab tsev menyuam |
| Kab mob retroperitoneal | Mob qog nqaij hlav ntawm noob qes, zes qe menyuam, thiab raum |
| Mediastinal | Mob qog nqaij hlav ntsws, Lymphoma |
Tseem Ceeb: Lo lus "Cervical" muaj ob lub ntsiab lus!
Kev phais kom tshem tawm cov qog ntshav hauv caj dab hu ua `(Cervical Lymphadenectomy). Ntawm no, ``Cervical'' txhais tau tias muaj feem cuam tshuam nrog caj dab. Mob qog ntshav ntawm lub ncauj tsev menyuam hu ua ``Cervical Cancer.'' Ob qho no sib txawv kiag li. Yog li ntawd, tsis txhob ntshai thaum hnov lo lus ntawd. Koj tus kws kho mob yuav piav qhia rau koj.
Muaj dab tsi tshwm sim thaum lub sijhawm phais thiab tom qab phais?
Ua ntej phais, koj tus kws kho mob yuav ua tej yam xws li kev luam theej duab los xyuas seb cov noob qes puas zoo. Lawv kuj tseem yuav ua qhov kev kuaj mob los ntawm koob, uas yog siv koob los kuaj cov ntaub so ntswg me me.
Qhov kev phais no ua tiav los ntawm kev siv tshuaj loog dav dav, yog li koj yuav tsis hnov mob dab tsi. Nws tuaj yeem ua tiav ua qhov phais qhib (los ntawm ib qho kev phais) lossis phais laparoscopic (los ntawm ntau qhov kev phais me me nrog lub koob yees duab). Tom qab tshem cov xov, yuav muab ib lub qhov dej tso rau hauv qhov txhab kom tiv thaiv cov kua dej kom tsis txhob sib sau ua ke. Qhov no raug tshem tawm los ntawm tus kws kho mob tom qab ob peb hnub lossis ob peb lub lis piam.
Koj yuav tsum tau nyob hauv tsev kho mob ib lossis ob hnub tom qab phais. Feem ntau qhov mob tsis hnyav heev thiab tuaj yeem tswj tau nrog cov tshuaj tua kab mob ib txwm.
Cov kev pheej hmoo thiab tej yam teeb meem ntawm kev phais no yog dab tsi?
Ib yam li lwm yam kev phais mob, qhov no muaj tej yam txaus ntshai me ntsis.
- Kev kis kab mob ntawm qhov txhab.
- Kev puas tsuaj rau cov hlab ntsha ua rau loog lossis mob nqaij hauv thaj chaw ntawd.
- Ntshav txhaws.
Qhov teeb meem feem ntau thiab ntev uas tuaj yeem tshwm sim tom qab phais yog ib qho mob hu ua Lymphedema .
Lymphedema yog dab tsi?
Thaum cov rog ntau dhau raug tshem tawm, cov kua dej lymph yuav ntws tsis tau. Tom qab ntawd cov kua ntawd yuav sib sau ua ke hauv ib txhais caj npab lossis ceg, ua rau o. Qhov no hu ua 'Lymphedema'. Qhov no yuav tshwm sim thiab ploj mus rau lub sijhawm luv luv rau qee tus, tab sis rau lwm tus nws tuaj yeem mus tas li. Qhov kev pheej hmoo no siab dua me ntsis yog tias koj kuj tau txais kev kho mob chemotherapy lossis kev kho mob hluav taws xob. Tab sis tam sim no muaj kev kho mob zoo thiab kev tawm dag zog los tswj nws.
Kuv yuav tsum mus ntsib kws kho mob yog tias muaj cov tsos mob dab tsi?
Thaum koj mus tsev tom qab phais lawm, saib xyuas cov tsos mob hauv qab no. Yog tias koj muaj ib qho ntawm cov no, hu rau koj tus kws kho mob tam sim ntawd.
- Qhov txhab yuav liab, tawm kua qaub, lossis kub taub hau (cov cim qhia tias muaj kev kis kab mob) .
- Qhov mob uas tswj tsis tau, loog, lossis mob nqaij tawv.
- Nyuaj siab txav cov ceg thiab cov ntiv tes kom zoo.
- Qhov o ntawm caj npab, ceg, lossis ntiv tes ntawm sab phais (tej zaum yuav yog ib qho cim ntawm lymphedema).
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais tshem cov qog ntshav tawm yog ib kauj ruam tseem ceeb heev hauv cov txheej txheem kho mob qog noj ntshav. Nws muab cov ntaub ntawv tseem ceeb txog theem ntawm koj tus mob qog noj ntshav.
- Qhov kev phais no yog siv los saib seb tus mob qog noj ntshav puas tau kis mus rau lwm tus, thiab los pab kho tus kab mob los ntawm kev tshem tawm cov hlwb qog noj ntshav uas tau kis mus rau lwm tus.
- Txawm hais tias muaj tej yam kev pheej hmoo me me zoo li lwm yam kev phais mob, qhov teeb meem loj tshaj plaws uas yuav tshwm sim mus sij hawm ntev yog Lymphedema (o ntawm ob txhais ceg). Nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no.
- Ua raws li koj tus kws kho mob cov lus qhia kom zoo tom qab phais. Qhia txog tej yam tsos mob txawv txawv rau koj tus kws kho mob tam sim ntawd.
- Tsis txhob yig nrog koj tus kws kho mob tham txog tej lus nug lossis kev txhawj xeeb uas koj muaj txog qhov no.
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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