Ndizachilendo kukhala ndi mafunso, mantha, komanso chisokonezo mutapezeka ndi khansa ya m'mawere. Pakadali pano, dokotala wanu adzakulankhulani za mayeso ndi chithandizo. Chimodzi mwa izo chingakhale chakuti "mukufunika kuchotsa zotupa m'khwapa mwanu." Kumva izi mwina kwakupatsani mantha pang'ono. Kodi opaleshoniyi ndi chiyani kwenikweni? Nchifukwa chiyani ndi yofunika kwambiri? Tiyeni tikambirane za izi mwaubwenzi zomwe mungamvetse.
Choyamba, tiyeni tiwone, kodi ziphuphu za m'khwapazi ndi chiyani?
Mwachidule, thupi lathu lili ndi dongosolo la lymphatic. Izi zili ngati dongosolo loyeretsa m'thupi lathu. Madzi otchedwa lymph amayenda mu dongosolo lonseli. M'njira za lymph iyi, pali malo ochepa otetezera. Ndicho chimene timachitcha ma lymph nodes , kapena "ma nodules" m'mawu olankhulidwa.
Pali ma lymph node pafupifupi 20 mpaka 40 m'khwapa mwanu. Timatcha ma lymph node awa kuti "axillary lymph nodes". Ntchito yawo yayikulu ndikusefa ndikuyeretsa madzi a lymph omwe amachokera m'manja mwanu, m'mawere, ndi pakhoma la pachifuwa. Mu kusefa kumeneku, amagwira majeremusi, zinthu zosafunikira, ndi maselo a khansa m'madziwo. Ndicho chifukwa chake, ngati khansa ya m'mawere ifalikira, nthawi zambiri imafalikira kaye ku ma lymph node omwe ali m'khwapa mwanu.
N’chifukwa chiyani muyenera kuchita opaleshoni imeneyi?
Pali zifukwa zingapo zomwe dokotala wanu wa opaleshoni (dokotala wa khansa) angakulimbikitseni opaleshoniyi. Nthawi zambiri imachitika nthawi imodzi ndi opaleshoni ya lumpectomy kapena mastectomy.
| Zifukwa zazikulu zochitira opaleshoni | Izi zikutanthauza... |
|---|---|
| Kutupa kwa bondo | Ngati muli ndi chotupa m'khwapa mwanu kapena pafupi ndi khosi lanu chomwe chimamva chofewa mukachikhudza, izi zitha kuchitika chifukwa cha kuchuluka kwa maselo a khansa. |
| Kuwonekera pa ma scan | Kodi mwachitapo ultrasound scan , CT scan , kapena PET scan?Ngati lipotilo likusonyeza kuti ziphuphu za m'khwapa zatupa kapena zikuwoneka zachilendo. |
| Zotsatira za Sentinel Node Biopsy | Izi zikuphatikizapo kutenga maselo oyamba ochepa omwe ali ndi mwayi waukulu wofalitsa khansa ndikuyesa. Ngati mayesowo atsimikizira kuti maselo opitilira atatu ali ndi maselo a khansa, |
| Pambuyo pa mankhwala a chemotherapy | Nthawi zina mankhwala a chemotherapy amaperekedwa musanachite opaleshoni kuti achepetse chotupa cha m'mawere. Ngati khansa yomwe ili m'khwapa siitha pambuyo pa chithandizo chimenecho, |
Kodi opaleshoniyi imachitika bwanji?
Palibe chodetsa nkhawa kwambiri. Iyi ndi opaleshoni yokonzedwa.
Musanachite opaleshoni
Mudzapatsidwa mankhwala oletsa ululu . Izi zikutanthauza kuti simudzamva chilichonse panthawi ya opaleshoni, ndipo mudzakhala mutulo tofa nato. Dokotala wanu adzakupatsani malangizo omveka bwino okhudza nthawi yoti musiye kudya ndi kumwa musanachite opaleshoni.
Pa nthawi ya opaleshoni
1. Kuduladula: Dokotala adzaduladula khungu la m'khwapa mwanu. Izi zidzakuthandizani kuti mufike mosavuta kumadera omwe akuganiziridwa kuti ali ndi maselo a khansa.
2. Kuchotsa Minofu: Kenako minofu yomwe ili ndi mafinya imachotsedwa mosamala. Izi zimatumizidwa kwa ``Pathologist``, dokotala yemwe ndi katswiri wa minofu.
3. Kutulutsa madzi ochulukirapo: Chitoliro chaching'ono chimayikidwa pamalo ochitira opaleshoni kuti chitulutse madzi ochulukirapo (monga magazi kapena mafinya) omwe amasonkhana pamenepo. Izi zimachotsedwa pakatha masiku ochepa.
4. Kusoka chodulidwacho: Pomaliza, chodulidwacho chimasokedwa ndi ulusi wosakaniza kapena ulusi wamba.
Kodi ubwino ndi zoopsa zake ndi ziti?
Ubwino waukulu wa opaleshoniyi ndi wakuti imatha kudziwa ngati khansa yafalikira m'khwapa komanso momwe yafalikira. Izi ndizofunikira kwambiri posankha chithandizo chomwe muyenera kudzipatsa mtsogolo.
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina zazing'ono, ndipo ndikofunikira kuzidziwa.
| Chiwopsezo chomwe chingakhalepo | Kufotokozera |
|---|---|
| Lymphedema | Ichi ndiye chiopsezo chachikulu. Pamene ma lymph nodes achotsedwa, pakhoza kukhala kutsekeka pang'ono kwa madzi a lymph. Izi zingayambitse kutupa m'dzanja lomwe lili pambali pa opaleshoni. Pali masewera olimbitsa thupi apadera ndi malangizo oletsa izi. |
| Matenda a Axillary Web (AWS) | Pakhoza kukhala ululu pansi pa kwapa, ndi kumva ngati chingwe pansi pa khungu. Izi zitha kuchiritsidwanso ndi physiotherapy. |
| Zoopsa zina | Monga momwe zimakhalira ndi opaleshoni iliyonse, pali mwayi wochepa wotuluka magazi, matenda, komanso kuwonongeka pang'ono kwa mitsempha. |
Musadandaule, dokotala wanu adzachita zonse zomwe angathe kuti achepetse zoopsazi. Angakutumizireninso kwa katswiri wa lymphedema kuti akuthandizeni kupewa lymphedema.
Kodi lipotilo likuti chiyani?
Pambuyo pa opaleshoni, minofu yochotsedwayo imafufuzidwa ndipo lipoti limaperekedwa. Limafotokoza kuchuluka kwa zitsanzo za minofu zomwe zili ndi maselo a khansa. Izi ndizofunikira kwambiri podziwa siteji ya khansa.
| Gulu la Mfundo | Tanthauzo losavuta |
|---|---|
| N1 | Pali maselo a khansa m'maselo a lymph omwe ali pakati pa 1 ndi 3 m'khwapa. |
| N2 | Pali maselo a khansa m'maselo a lymph 4 mpaka 9 m'khwapa. |
| N3 | Pali maselo a khansa m'ma lymph nodes 10 kapena kuposerapo m'khwapa, kapena khansayo yafalikira mpaka kuma lymph nodes omwe ali pansi pa collarbone. |
Koma kumbukirani izi: Kuchuluka kwa maselo mu chotupa si chinthu chokhacho chomwe chimatsimikizira kuopsa kwa khansa.
Dokotala wanu adzaganizira zinthu zina zingapo akamafufuza gawo lenileni la khansa.
- Kukula ndi malo a chotupa cha m'mawere.
- Kaya khansa yafalikira ku minofu yozungulira (yomwe yafalikira).
- Mkhalidwe wa ma receptor a mahomoni m'maselo a khansa. Ndiko kuti, kaya ali ndi ma receptor a estrogen kapena ma progesterone.
Ngati izi zikukuvutani kumvetsa, musadandaule. Musaope kufunsa dokotala wanu tanthauzo la lipotili komanso momwe likukhudzira vuto lanu.
Kodi muyenera kuyimbira dokotala nthawi yomweyo liti?
Mukafika kunyumba mutachita opaleshoni, samalani ndi zizindikiro izi. Ngati muli ndi chimodzi mwa izi, uzani dokotala wanu nthawi yomweyo.
- Ngati bala la opaleshoni likhala lofiira, lotupa, kapena lotulutsa madzi , izi zitha kukhala chizindikiro cha matenda.
- Ngati mukumva ululu waukulu kuposa momwe mumayembekezera, kapena ngati ululuwo suchepa ngakhale mutamwa mankhwala ochepetsa ululu.
- Ngati mkono kapena zala zomwe zili m'mbali mwa opaleshoni zatupa , izi zitha kukhala chiyambi cha matenda otchedwa `(Lymphedema)`.
Kuthana ndi khansa si ulendo wophweka. Koma kumbukirani, sitepe iliyonse ndi sitepe yopita kuchireni. Opaleshoni iyi ndi yofunika kwambiri paulendo umenewo. Chidziwitso chomwe mungapeze kuchokera pamenepo chidzakhala mphamvu yayikulu paulendo wanu wochira.
Uthenga Wopita Nawo Kunyumba
- Kuduladula kwa Axillary Lymph Node ndi gawo lofunika kwambiri pochiza khansa ya m'mawere.
- Izi zimachitika makamaka pofuna kutsimikizira ngati khansa yafalikira ku ziwalo zina za thupi.
- Dziwani zoopsa za kutupa kwa manja (lymphedema) mukatha opaleshoni. Tsatirani malangizo a dokotala wanu ndikuchita masewera olimbitsa thupi kuti mupewe izi.
- Ngati muli ndi mafunso okhudza malipoti a mayeso omwe mumalandira, musabise chilichonse ndipo musaope kufunsa dokotala wanu kuti akuthandizeni kumvetsetsa.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu