Thaum koj pom tias koj lossis ib tus neeg koj paub muaj mob qog noj ntshav, ib qho kev ntshai loj tshaj plaws uas los rau hauv koj lub siab yog, "Puas yog nws kis mus rau lwm qhov ntawm lub cev?" Qhov ntawd yog ib qho kev ntshai tsim nyog. Hnub no, peb yuav tham txog ib qho kev kuaj mob tseem ceeb heev uas cov kws kho mob siv los nrhiav cov lus teb rau lo lus nug ntawd. Nws hu ua Sentinel Node Biopsy.
Sentinel Node Biopsy yog dab tsi hauv cov lus yooj yim?
Yuav kom nkag siab qhov no, cia peb xub kawm me ntsis txog cov qog ntshav hauv peb lub cev. Cov no yog cov qog ntshav me me zoo li taum uas nyob thoob plaws peb lub cev. Lawv zoo li "cov lim dej" hauv peb lub cev. Lawv txoj haujlwm yog lim cov kua dej hauv peb lub cev thiab ntes cov khoom phom sij xws li cov kab mob, cov kab mob me me, thiab cov qog nqaij hlav. Nws zoo li chaw kuaj xyuas tub ceev xwm.
Tam sim no xav txog tias yog tias cov qog nqaij hlav pib kis los ntawm ib qho qog, muaj ntau lub qog ntshav uas cov qog no yuav nres ua ntej . Cov qog ntshav 'gateway' thawj zaug yog qhov peb hu ua "sentinel nodes."
Hais yooj yim xwb, kev kuaj mob qog nqaij hlav yog kev phais tshem tawm ib lossis ntau lub qog nqaij hlav, uas zoo li thawj qhov chaw kuaj xyuas, los txiav txim seb tus mob qog nqaij hlav puas tau kis mus rau lwm qhov, thiab tom qab ntawd kuaj xyuas cov qog nqaij hlav.
Qhov kev xeem no ua rau muaj xwm txheej dab tsi?
Cov kws kho mob feem ntau siv qhov kev kuaj no los txiav txim siab seb mob qog noj ntshav theem twg. Uas yog, kom paub seb mob qog noj ntshav tau kis mus deb npaum li cas thiab nws hnyav npaum li cas. Qhov no tseem ceeb heev rau cov xwm txheej no:
- Mob Cancer Mis
- Mob qog nqaij hlav melanoma
Ntxiv mus, txoj kev no kuj siv los txiav txim siab theem ntawm mob qog nqaij hlav ntawm qhov chaw mos thiab mob qog nqaij hlav ntawm lub tsev menyuam. Tam sim no, kev tshawb fawb tab tom ua los txiav txim siab seb txoj kev no zoo li cas rau ntau hom mob qog nqaij hlav. Cov no suav nrog mob qog nqaij hlav ntawm lub tsev menyuam, mob qog nqaij hlav ntawm txoj hnyuv, thiab mob qog nqaij hlav ntawm lub qog thyroid.
Feem ntau, qhov kev kuaj nqaij no ua tib lub sijhawm nrog rau kev phais kom tshem tawm cov qog tseem ceeb, tab sis qee zaum nws tuaj yeem ua cais, ua ntej lossis tom qab.
Kuv yuav tsum npaj li cas ua ntej phais mob no?
Vim qhov no yog ib qho kev phais mob, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom meej. Feem ntau koj yuav tau txais cov lus qhia txog tej yam xws li:
- Kev Yoo Mov: Thaum twg yuav tsum tsis txhob noj thiab haus ua ntej phais thiab yuav tsum tsis txhob noj dab tsi.
- Tshuaj kho mob:Yog koj noj tshuaj, cov vitamins, lossis lwm yam tshuaj ntxiv, koj tus kws kho mob yuav nug seb koj puas yuav tsum tsis txhob noj ib qho ntawm lawv.
Tsis tas li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrog ib tus neeg tham kom coj koj mus tsev tom qab phais.
Yuav ua li cas thiaj phais tau?
Cov txheej txheem no tshwm sim heev.
Ua ntej lossis thaum lub sijhawm phais, koj tus kws kho mob yuav txhaj ib yam khoom tshwj xeeb rau hauv koj lub qog. Qhov no yuav yog ib yam khoom siv hluav taws xob uas muaj kev nyab xeeb (tracer) lossis ib yam xim xiav. Cov khoom no mus los ntawm lub qog mus rau lub qog sentinel, uas yog "thawj qhov chaw kuaj xyuas." Qhov no pab tus kws phais nrhiav lub qog kom raug.
Tom qab ntawd cia peb saib seb muaj dab tsi tshwm sim ib kauj ruam zuj zus.
| Cov kauj ruam | Muaj dab tsi tshwm sim? |
|---|---|
| 1. Kev Siv Tshuaj loog | Koj yuav raug muab tshuaj loog tag nrho (tsis nco qab kiag li) kom koj thiaj li tsis hnov mob. |
| 2. Nrhiav Sentinel Node | Yog tias cov khoom siv radioactive tau raug txhaj tshuaj lawm, qhov chaw ntawm lub node yuav pom nrog lub cuab yeej tshwj xeeb hu ua gamma detector. Yog tias cov xim xiav tau raug txhaj tshuaj lawm, lub node yuav tshwm sim xiav. Qee zaum ob txoj kev no siv tau. |
| 3. Tshem tawm lub node | Tus kws phais yuav ua ib qho kev phais me me thiab tshem tawm ib lossis ntau qhov ntawm cov qog nqaij hlav uas pom tau (feem ntau yog 1 txog 5). |
| 4. Xa mus kuaj | Cov qog nqaij hlav uas raug tshem tawm yuav raug xa mus rau chav kuaj mob, qhov chaw uas tus kws kho mob kuaj xyuas lawv hauv qab lub tshuab microscope kom pom tias lawv puas muaj cov qog nqaij hlav. Tom qab ntawd lawv yuav xaws qhov phais kom kaw. |
Koj tuaj yeem cia siab dab tsi tom qab phais?
Feem ntau cov neeg tuaj yeem mus tsev tib hnub ntawd, tab sis koj yuav tsum tau nyob hauv tsev kho mob ib hmos. Nco ntsoov tias nws yog ib qho ib txwm muaj cov no thaum lub sijhawm rov zoo tom qab phais.
- Nws mob qhov chaw uas tau txiav, thiab nws mob thaum koj nias rau nws .
- Daim tawv nqaij nyob rau thaj chaw ntawd yuav loog (qhov no yog qhov tshwm sim thaum cov hlab ntsha rov qab zoo li qub).
- Koj cov zis lossis quav yuav tig xiav lossis ntsuab rau ob peb hnub vim yog lub tsho xiav uas koj siv.
- Daim tawv nqaij nyob ib puag ncig qhov phais zoo li xiav .
- Muaj ib qho kev xav zoo li pob tawv hauv qab daim tawv nqaij thaum lub qhov txhab kho zoo.
- Yog koj tau tshem ib tug kab laum tawm ntawm koj lub qhov tso quav lawm, tej zaum koj yuav hnov qee qhov nruj lossis tsis xis nyob hauv koj txhais caj npab .
Ua ntej koj tawm hauv tsev kho mob, nug koj tus kws kho mob lossis tus nais txog yuav ua li cas saib xyuas koj qhov txhab thiab koj yuav tsum ua li cas. Thiab nug thaum twg koj thiaj li pib ua si thiab tsa cov hnyav dua.
Cov kev pheej hmoo thiab teeb meem ntawm kev phais mob no yog dab tsi?
Qhov no yog ib qho kev phais mob uas muaj kev nyab xeeb heev, tab sis zoo li lwm yam kev phais mob, muaj qee qhov kev pheej hmoo me me.
| Kev Pheej Hmoo/Teeb Meem | Kev piav qhia |
|---|---|
| Cov teeb meem ntsig txog qhov txhab | Qhov chaw txiav yuav los ntshav, mob nqaij, o, thiab mob. Qee zaum qhov txhab yuav kis tau kab mob. Yog tias qhov txhab liab, o, thiab kub taub hau, qhov ntawd yog ib qho cim qhia tias muaj kab mob. |
| Kev Ua Xua | Tsis tshua muaj neeg yuav ua xua rau xim xiav ntawd. |
| Lymphedema | Thaum cov qog ntshav raug tshem tawm, cov kua ntshav ntws tuaj yeem raug thaiv, ua rau cov kua dej sib sau ua ke thiab ua rau o ntawm caj npab lossis ceg. Txawm li cas los xij, qhov kev pheej hmoo no qis dua thaum tsuas yog ob peb lub qog ntshav raug tshem tawm. |
| Axillary Web Syndrome (AWS) | Qhov no kuj yog ib qho tshwm sim tsawg tsawg. Thaum cov qog ntshav tawm ntawm qhov caj npab, koj yuav hnov zoo li txoj hlua nyob hauv qab daim tawv nqaij ntawm sab hauv ntawm koj txhais caj npab. |
Yog koj muaj cov tsos mob no, qhia rau koj tus kws kho mob tam sim ntawd.
Daim ntawv qhia txog kev xeem tuaj li cas? Nws txhais li cas?
Cov txiaj ntsig ntawm daim ntawv tshaj tawm muaj ob hom: 'Tsis zoo' lossis 'Zoo' .
- Yog tias qhov tshwm sim yog 'Tsis Zoo':
Qhov ntawd txhais tau tias tsis pom muaj cov qe ntshav qog hauv koj cov qog ntshav sentinel. Qhov no yog xov xwm zoo heev vim nws txhais tau tias cov qog ntshav yuav tsis kis mus rau lwm cov qog ntshav lymph.
- Yog tias qhov tshwm sim yog 'Zoo':
Qhov no txhais tau tias muaj cov qog nqaij hlav hauv cov qog nqaij hlav uas tau raug tshem tawm. Thaum lub sijhawm no, koj tus kws kho mob yuav txiav txim siab tshawb xyuas ntxiv seb qog nqaij hlav tau kis mus deb npaum li cas thiab tshem tawm ntau cov qog nqaij hlav. Lossis, nws yuav pom zoo kom siv lwm yam kev kho mob, xws li kev kho mob hluav taws xob.
Lub sijhawm siv los kom tau txais cov txiaj ntsig yuav txawv. Tej zaum yuav yog tib hnub, lossis tej zaum yuav siv sijhawm ntau lub lis piam.
Kuv yuav tsum hu rau kws kho mob thaum twg?
Yog koj pom ib qho ntawm cov tsos mob no tom qab phais lawm, hu rau koj tus kws kho mob yam tsis muaj kev ncua.
- Yog koj kub taub hau .
- Yog tias qhov chaw txiav o, liab, lossis sov .
- Yog tias qhov txhab tseem los ntshav .
- Yog tias koj muaj mob uas tsis tuaj yeem ua tau txawm tias tom qab noj tshuaj loog mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev kuaj mob ntawm lub qhov ntswg Sentinel yog ib qho kev kuaj tseem ceeb heev los txiav txim seb puas muaj mob qog noj ntshav tau kis mus rau lwm qhov ntawm lub cev.
- Cov txiaj ntsig los ntawm qhov no yuav pab tau cov kws kho mob kom paub txog theem ntawm koj tus mob qog noj ntshav thiab npaj kev kho mob yav tom ntej.
- Feem ntau qhov no yog ib qho kev phais mob uas muaj kev nyab xeeb, thiab txhua yam kev phiv uas yuav tshwm sim feem ntau tuaj yeem tswj tau.
- Qhov tshwm sim 'tsis zoo' yog ib qho cim zoo tias tus mob qog noj ntshav tsis tau kis mus, thaum qhov tshwm sim 'zoo' muab kev taw qhia rau kev kho mob yav tom ntej.
- Tham nrog koj tus kws kho mob txog tej lus nug lossis kev txhawj xeeb uas koj muaj ua ntej lossis tom qab phais.
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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