Kodi mukufuna kudziwa zambiri za biopsy ya lymph node yanu?

Kodi dokotala wanu anakuuzaninso kuti muyenera kuchitidwa opaleshoni ya lymph node? Kapena ndi chinthu chomwe mnzanu wanu anakonza ndipo mukufuna kudziwa zambiri za icho? Ndizachibadwa kumva mantha pang'ono komanso mantha mukamva izi. Koma ngati timvetsetsa bwino izi, tingachepetse mantha ndi mantha amenewo. Chifukwa chake, lero tikambirana mwachidule za tanthauzo la opaleshoni ya lymph node, chifukwa chake imachitidwa, momwe imachitikira, ndi zomwe zimachitika pambuyo pake.

Kodi biopsy ya lymph node ndi chiyani?

Mwachidule, biopsy ya lymph node ndi mayeso owunikira zizindikiro zilizonse za matenda, makamaka khansa, mu lymph node yanu. Mu mayesowa, dokotala (nthawi zambiri dokotala wa opaleshoni kapena katswiri wa radiation) amachotsa chidutswa chonse cha lymph node yanu. Kenako, katswiri wina wotchedwa pathologist amafufuza minofuyo mu labotale.

Tsopano mwina mukudabwa kuti ma lymph nodes awa ndi otani. Ma lymph nodes awa ndi ziwalo zazing'ono zomwe zimapezeka m'thupi lathu lonse, pafupifupi kukula kwa nandolo. Ntchito yawo yayikulu ndikusefa madzi a lymph `(Lymph)` omwe amachokera m'maselo ndi minofu yathu, ndikugwira zinthu zovulaza ndi majeremusi omwe ali mmenemo. Tangoganizirani, majeremusi omwe amalowa m'thupi lathu amakodwa mkati mwa ma lymph nodes awa. Komanso, khansa monga `(Lymphoma)` ingayambe mwachindunji kuchokera ku ma lymph nodes. Mitundu ina ya khansa imathanso kufalikira ku ma lymph nodes.

Choncho, potenga kachidutswa kakang'ono ka minofu n'kukayang'ana, tingathe kuzindikira ngakhale zizindikiro zosaoneka bwino. Zotsatira za `(Lymph Node Biopsy)` zimathandiza madokotala kudziwa bwino ngati matenda alipo, kudziwa kuopsa kwake, kenako n’kusankha chithandizo chabwino kwambiri.

Kodi dokotala amalangiza liti kuti achite biopsy?

Pali zifukwa zingapo zazikulu zomwe dokotala wanu angakulangizeni kuti mupange biopsy ya lymph node:

• Kuti adziwe khansa ndi kudziwa momwe ilili. Madokotala amachita mayesowa kuti aone ngati khansa ilipo komanso ngati yafalikira kupitirira malo oyamba. Izi zimagwiritsidwa ntchito pokonzekera chithandizo chanu. Zimakupatsiraninso lingaliro la zotsatira zomwe mungayembekezere kuchokera ku chithandizo (kuneneratu za matendawa).
• Dziwani chomwe chikuyambitsa kutupa kwa bondo. Ndizachilendo kuti bondo lizitupa tikadwala. Izi zimachitika tikamadwala malungo kapena chimfine. Koma nthawi zina, ngati kutupa sikutsika ndikupitirira, ndipo dokotala sangapeze chomwe chikuyambitsa, ndiye kuti pangafunike biopsy. Kungakhale matenda oopsa , kapena kungakhale matenda a chitetezo chamthupi monga sarcoidosis.

Mukapatsidwa mayesowa, dokotala wanu adzakufotokozerani matenda omwe akukayikira komanso zomwe akuyesa. Choncho ndikofunikira kwambiri kufunsa mafunso aliwonse omwe mungakhale nawo.

Kodi pali mitundu iti ya biopsies ya lymph node?

Pali mitundu ingapo ya `(Lymph Node Biopsy)`. Tiyeni tiwone zomwe zili:

• Kufufuza kwa Mano a Sentinel: Izi zimachitika kuti aone ngati khansa yafalikira kupitirira malo oyamba, kupita ku ma node apafupi. Mu njira imeneyi, dokotala amapeza ma node a lymph omwe ali pafupi ndi chotupacho (otchedwa ma node a sentinel lymph), amawachotsa, ndikuwunika maselo a khansa.

• Kufufuza kwa Singano: Zotupa zina zimapezeka pansi pa khungu lathu, m'malo osavuta kufikako. Pazochitika zotere, njira iyi yofufuzira singano imagwiritsidwa ntchito. Palinso mitundu iwiri ya izi:
• Kutulutsa Singano Yaing'ono (FNA): Izi zimaphatikizapo kugwiritsa ntchito singano yopyapyala kwambiri komanso yopanda kanthu kuti muchotse madzi ndi maselo ena pachotupacho.
• Kufufuza kwa Needle Biopsy: Izi zimaphatikizapo kugwiritsa ntchito singano yayikulu pang'ono kuposa FNA kuti mutenge chitsanzo cha minofu yonse.

• Kutsegula Biopsy: Nthawi zina, ngati chotupacho chili mkati mwa thupi ndipo sichingafikidwe mosavuta kudzera pakhungu, ndiye kuti njira yotsegula iyi ya biopsy imagwiritsidwa ntchito. Pachifukwa ichi, dokotala amapanga kudula pang'ono (kudula) pakhungu, kufika pa chotupacho, ndikuchichotsa kwathunthu (Excisional Biopsy)) kapena pang'ono (Incisional Biopsy)).

Nthawi zina madokotala amatchanso mitundu iyi ya "biopsy" kutengera komwe kuli zotupa. Malo akuluakulu ndi awa:

• Kufufuza kwa ma lymph node a axillary.
• Kufufuza za lymph node ya chiberekero.
• Kufufuza kwa lymph node ya inguinal.

Kodi ndiyenera kuyembekezera chiyani ndisanachite mayeso?

Dokotala wanu adzakufunsani mafunso angapo okhudzana ndi thanzi kuti atsimikizire kuti mayesowa ndi otetezeka. Adzakufunsani za:

• Mankhwala omwe mumamwa: Izi zikuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, zitsamba, mavitamini, ndi zakudya zowonjezera. Muyenera kuuza dokotala wanu za zonsezi.
• Mbiri yanu yachipatala: Adzafuna kudziwa ngati muli ndi vuto lililonse la kutuluka magazi (monga kutuluka magazi kwambiri kuposa masiku onse), ziwengo za mankhwala oletsa ululu kapena latex, komanso ngati muli ndi pakati kapena mungakhale ndi pakati.

Pa nthawi yomweyo, dokotala adzakupatsani malangizo awa:

• Ndi mankhwala ati omwe ayenera kusiyidwa masiku angapo mayeso asanachitike?, zomwe muyenera kupitiriza kutenga.
• Kodi muyenera "kusala kudya" kuti musiye kudya ndi kumwa kwa nthawi inayake musanayesedwe?
• Kodi mukufuna munthu woti akutengereni kunyumba ndikukusamalirani? Chifukwa, kutengera ndi biopsy, sizingakhale bwino kuyendetsa galimoto kapena kukhala nokha kwa maola 24 oyamba. Ngakhale mutakhala kuti simukuletsedwa kuyendetsa galimoto, ndi bwino kukhala ndi munthu woti akutonthozeni pamene mukutuluka kuchipatala.

Dokotala wanu adzakufotokozeraninso zomwe zidzachitike pa tsiku loyesa. Musazengereze kufunsa mafunso aliwonse omwe muli nawo panthawiyi.

Kodi chimachitika ndi chiyani panthawi ya biopsy ya lymph node?

Mudzalamulidwa kugona patebulo loyezetsa. Kaya ndi mtundu wanji wa biopsy womwe ukuchitidwa, dokotala adzakupatsani mankhwala oletsa ululu kuti musamve kupweteka kulikonse. Ngati chotupacho chili pafupi ndi khungu, mudzapatsidwa mankhwala oletsa ululu okha, omwe amathetsa ululu pamalopo. Koma ngati chotupacho chili mkati mwa thupi lanu, mudzapatsidwa mankhwala oletsa ululu, omwe amakupangitsani kugona mokwanira.

Mutagona kapena dera lonselo lachita dzanzi, dokotala adzachita izi:

• Chotupa chomwe chikufunika kuunikiridwa chapezeka. Dokotala angagwiritse ntchito ultrasound, computed tomography (CT) scan, kapena mammogram kuti apeze malo enieni. Nthawi zina utoto wapadera kapena tracer ingalowetsedwe. Izi zimalowa m'mabowo ndikuwapangitsa kuwoneka bwino.
• Chotupacho chimachotsedwa chonse kapena mbali yake. Amayesa kuwononga minofu yochepa momwe angathere ndikuchepetsa kapena kupewa zipsera.
• Chodulidwacho chidzasokedwa ndipo adzakuikani bandeji. Mungapatsidwe zosokedwa zomwe zingatengeke, kapena mungapemphedwe kuti mubwererenso pakatha masiku angapo kuti mudzachotse zosokedwazo.

Kodi biopsy ya lymph node imapweteka bwanji?

Dokotala akamabaya mankhwala oletsa ululu, amamva ngati kubayidwa ndi singano pang'ono, kenako amamva kutentha pang'ono. Komabe, simudzamva kupweteka kulikonse panthawi ya opaleshoniyi. Mungamve kusasangalala pambuyo pake. Komabe, mutha kuchepetsa kusasangalalako mwa kumwa mankhwala ochepetsa ululu (omwe amapezeka ku pharmacy omwe ali ndi dokotala) mpaka bala litachira.

Dokotala adzakulangizani mankhwala ochepetsa ululu omwe mungamwe.

Kodi biopsy ya lymph node imatenga nthawi yayitali bwanji?

Kufufuza kwa singano kungatenge mphindi 10 mpaka 30 zokha. Kufufuza kotseguka kungatenge mphindi 45. Izi zimadalira momwe mungafikire mosavuta khansa yanu.

Kodi chimachitika ndi chiyani pambuyo pa biopsy ya lymph node?

Kuyezetsa magazi m'malo olumikizirana mafupa nthawi zambiri kumachitika munthu akangopita kuchipatala, zomwe zikutanthauza kuti mukhoza kupita kunyumba tsiku lomwelo.

Musanapite kunyumba, dokotala wanu adzayang'ana zizindikiro zoyambira zaumoyo wanu (kutentha, kugunda kwa mtima, ndi zina zotero) kuti atsimikizire kuti n'kotetezeka kuti mupite kunyumba. Adzakupatsaninso malangizo a momwe mungasamalire malo oyeretsera magazi ndi momwe mungadzisamalire nokha.

Adzakupatsani malangizo pazinthu monga:

• Momwe chilonda chiyenera kuchira nthawi zonse. Mwachitsanzo, ndi zachilendo kukhala ndi magazi pang'ono, kutupa, kuvulala, ndi kusasangalala kwa masiku ochepa oyamba mutachita biopsy ya lymph node. Komabe, ngati magazi akuwonjezeka, ululu ukuwonjezeka, kapena malo ojambulidwawo akufiira ndikuwonetsa zizindikiro za matenda, si zachilendo.
• Momwe mungasungire bala kukhala loyera ndikulisamalira. Kuti muchepetse chiopsezo cha matenda, mungapemphedwe kuti musamasambe, kugwiritsa ntchito mabafa otentha, komanso mwina kusamba kwa masiku angapo.
• Adzakuuzani momwe mungadzisamalire nokha, nthawi yoti muyambenso kumwa mankhwala anu, komanso momwe mungachitire ntchito yanu popanda kuvutitsa thupi lanu panthawi yochira. Angakulimbikitseninso kuti musamanyamule chilichonse cholemera kuposa cholemera china.

Musanapite kunyumba, onetsetsani kuti mwamvetsetsa bwino zomwe mungachite kenako. Ndikofunikanso kudziwa nthawi yoti mulankhule ndi dokotala ngati bala silikuchira bwino.

Kodi zoopsa za biopsy ya lymph node ndi ziti?

Kuchotsa lymph node biopsy nthawi zambiri ndi njira yotetezeka. Komabe, palibe njira yachipatala yomwe ilibe zoopsa konse. Nazi zina mwa zovuta zomwe zingachitike:

• Matenda: Izi sizofala, koma ngati zitachitika, dokotala wanu angakupatseni mankhwala opha tizilombo toyambitsa matenda.
• Kuchuluka kwa magazi kuchokera pamalo oyeretsera: Chiwopsezo chanu chotaya magazi chimadalira mtundu wa biopsy ndi kuchuluka kwa minofu yomwe dokotala wachotsa. Adzakuuzani kuchuluka kwa magazi omwe mungayembekezere.
• Kusanza pamalo ochitira biopsy: Izi zitha kuchitika ngati mitsempha yawonongeka panthawi yochita biopsy. Kusanza kumeneku nthawi zambiri kumatha mkati mwa mwezi umodzi kapena iwiri.
• Kutupa pafupi ndi malo oyeretsera (Lymphedema) : Izi zitha kuchitika ngati pali vuto la kuyenda kwa madzi am'thupi pambuyo pochotsa chotupacho. Izi sizichitika kawirikawiri chifukwa chotupa chochepa chokha chimachotsedwa panthawi yoyeretsera.
• Matenda a Axillary Web (`(Axillary Web Syndrome)`) kapena `(Cording)`: Mukachotsa nsabwe m'khwapa mwanu, mungaone ngati chingwe pansi pa khungu mkati mwa mkono wanu. Kuchotsa chingwe m'khwapa sikuchitika kawirikawiri mukatha kuchitidwa biopsy. Kumathanso pakapita nthawi.

Kodi zotsatira zake ndi ziti? Kodi zotsatira zake zikutanthauza chiyani?

Zotsatira za `(Lymph Node Biopsy)` zimasonyeza ngati muli ndi matenda enaake (`(Positive)` - kutanthauza kuti muli ndi matendawa) kapena ayi (`(Negative)` - kutanthauza kuti mulibe matendawa).

Mwachitsanzo, ngati mutapeza zotsatira za "positive", zingatanthauze kuti muli ndi maselo a khansa m'machende anu. Dokotalayo adzachita mayeso ena kuti aone ngati khansayo inayamba m'machende anu kapena ngati yafalikira kuchokera kwina m'thupi lanu.

Dokotala wanu adzakulangizani zomwe mungachite pambuyo pake kutengera zotsatira zanu.

Kodi zotsatira zake ndidzadziwa liti?

Mungapeze zotsatira tsiku lomwelo, kapena zingatenge milungu ingapo.

Ngati mukukayikira kuti khansa yafalikira, nthawi zambiri imachitidwa tsiku lomwelo. Pambuyo pa biopsy, dokotala angakupempheni kuti mudikire kwakanthawi kuti muone ngati chitsanzocho chapezeka. Ngati zotsatira zanu zili zabwino, zomwe zikutanthauza kuti muli ndi khansa, dokotalayo angachotse minofu yambiri tsiku limenelo kuti aone momwe khansayo yafalikira. Mukatero simudzayenera kubwerera kudzachezanso.

Funsani dokotala wanu nthawi yoti muyembekezere zotsatira zake komanso momwe mudzazilandirire (madokotala ena amaimbira foni, ena amazitumiza pa intaneti kudzera pa tsamba lachinsinsi la odwala).

Ndiyenera kulankhula ndi dokotala liti?

Ngati muwona zizindikiro zilizonse za matenda, funsani dokotala nthawi yomweyo:

• Malungo ndi kuzizira.
• Kutupa, kutentha, kufiira, kapena kutuluka kwa madzi osadziwika bwino pamalo oyeretsera.

Anthu ambiri amachira popanda vuto lililonse, koma ngati muli ndi nkhawa iliyonse, nthawi zonse imbani dokotala wanu.

Pomaliza, Uthenga Wopita Nawo Kunyumba

Ndizachibadwa kusokonezeka, kuda nkhawa, komanso mwina kutopa kwambiri mukazindikira kuti mukufuna kuchitidwa opaleshoni ya lymph node. Ndizachibadwanso kufuna kuchita izi mwachangu momwe mungathere ndikudziwa yankho lake.

Pamene mukuyembekezera mayeso anu (kapena zotsatira zake), kumbukirani izi: Ngakhale kuti biopsy imatha kuzindikira matenda aakulu, ingathandizenso kupereka mpumulo waukulu. Mwachitsanzo, zotsatira zanu zingasonyeze kuti khansa yanu sinafalikire. Zingakupatseninso lingaliro la mankhwala abwino kwambiri a khansa kuti muchepetse matendawa. Ngakhale izi zitakhala zovuta bwanji, chidziwitso chomwe mumapeza kuchokera ku biopsy ya lymph node ndi chofunikira kwambiri pa thanzi lanu lamtsogolo komanso thanzi lanu.Kumbukirani zimenezo.

Kufufuza za lymph node, khansa, kusanthula, kutupa kwa lymph node, kusanthula kwa lymph node, kusanthula kwa sentinel node, kusanthula kwa singano, kusanthula kotseguka