Mwina mwamvapo dokotala akunena kuti, "Tiyenera kuchotsa zotupa zina" mukazindikira kuti inuyo kapena munthu amene mumamudziwa ali ndi khansa. Ndizachilendo kumva mantha pang'ono komanso chidwi panthawiyo. Kodi zotupa izi ndi ziti? Nchifukwa chiyani zimachotsedwa panthawi ya chithandizo cha khansa? Kodi opaleshoniyi ndi yoopsa? Lero, tikambirana zonsezi mosavuta, m'njira yomwe mungamvetse.
Kodi opaleshoni ya Lymph Nodes ndi Lymphadenectomy ndi chiyani?
Chabwino, choyamba tiyeni tiwone zomwe anyamatawa ali. Tili ndi netiweki ya mitsempha yamagazi m'thupi lathu lonse, monga momwe mitsempha yamagazi imagwirira ntchito. Timatcha izi kuti Lymphatic System . Chimodzi mwa ntchito zazikulu za dongosololi ndikuteteza thupi lathu.
Tangoganizani kuti dongosolo la lymphatic lili ngati netiweki ya misewu m'dziko lathu. Kenako ma lymph node ali ngati malo ofufuzira apolisi omwe ali m'mbali mwa misewu imeneyo. Malo ofufuzira awa amagwira ndikusefa zinyalala, majeremusi, maselo owonongeka, makamaka maselo a khansa m'thupi lathu. Choncho awa ali ngati alonda m'thupi lathu.
Mwachidule, Lymphadenectomy ndi opaleshoni yochotsa chimodzi kapena zingapo mwa ma lymph nodes awa.
N’chifukwa chiyani mukufunikira opaleshoni iyi?
Kawirikawiri, dokotala amalangiza opaleshoni imeneyi kwa munthu amene wapezeka kale ndi khansa. Pali zifukwa ziwiri zazikulu zomwe zimachititsa izi.
1. Kuzindikira ndi Kugawa Matenda: Njira ya lymphatic ndiyo njira yayikulu yomwe maselo a khansa amafalikira kuchokera pamalo amodzi kupita kwina. Chifukwa chake, pochotsa ndikuwunika ma node angapo pafupi ndi chotupa, titha kudziwa bwino ngati khansa yafalikira kunja kwa chotupa (Metastasis). Tikutcha izi kuti kudziwa gawo la khansa (Cancer Staging). Kutengera gawoli, madokotala amasankha njira yochizira (monga chemotherapy, radiation therapy) yomwe ndi yoyenera kwambiri kwa inu.
2. Monga chithandizo: Ngati zotupa zomwe zachotsedwa zapezeka kuti zili ndi maselo a khansa, zikutanthauza kuti maselo a khansa nawonso adachotsedwa panthawi ya opaleshoni. Komanso, ngati khansa yafalikira, opaleshoniyi ingathandize kuchotsa zotupa zambiri ndikuletsa khansa kuti isafalikire kwambiri m'thupi.
Izi zikutanthauza kuti opaleshoni iyi ndi mayeso komanso chithandizo.
Kodi mitundu ikuluikulu ya opaleshoni ndi iti?
Opaleshoni iyi ingagawidwe m'mitundu iwiri ikuluikulu. Palinso njira yapadera.
| Mtundu wa opaleshoni | Tanthauzo Losavuta |
|---|---|
| Kuchotsa Lymphadenectomy Yachigawo (Yosankha) | Kuchotsa maselo ochepa okha omwe ali pafupi ndi chotupa cha khansa ngati chitsanzo. |
| Kuchotsa Lymphadenectomy Kwambiri (Kwathunthu) | Kuchotsa kwathunthu minofu yonse kapena yambiri m'dera lomwe khansa ili. |
Kufufuza kwa Node ya Sentinel
Nthawi zina madokotala ochita opaleshoni amachotsa kaye ndikuyang'ana nsonga yomwe ili pafupi ndi chotupacho, zomwe zimakhala ngati "malo owunikira oyamba" komwe maselo a khansa angafalikire kaye. Izi zimatchedwa Sentinel Node Biopsy . Ngati nsonga imeneyo ilibe maselo a khansa, sizingatheke kuti nsonga zina zikhalenso ndi maselo a khansa. Zikatero, opaleshoni yayikulu singafunike.
Kodi mumachotsa madontho pa thupi pati?
Matumbo sali pamalo amodzi pa matupi athu, koma m'magulu. Ndi gulu liti lomwe limachotsedwa kutengera komwe khansa ili. Mitundu yosiyanasiyana ya khansa imafalikira m'magulu osiyanasiyana a matumbo.
| Malo oti achotsedwe amatchedwa dera la Kuddeti. | Mitundu yodziwika kwambiri ya khansa |
|---|---|
| Mchira wa m'khwapa | Khansa ya m'mawere, khansa ya pakhungu padzanja (Melanoma) |
| Chotupa cha Inguinal | Khansa ya mbolo, nyini, ndi rectum |
| Chiberekero | Khansa ya mutu ndi khosi, khansa ya chithokomiro |
| M'mimba mwa chiuno (Pelvic) | Khansa ya chikhodzodzo, rectum, prostate, ndi chiberekero |
| Chifuwa cha m'mimba chobwerera m'mimba | Khansa ya ma testes, mazira, ndi impso |
| Mediastinal | Khansa ya m'mapapo, Lymphoma |
Chofunika: Mawu oti "Chiberekero" ali ndi matanthauzo awiri!
Opaleshoni yochotsa ma lymph nodes m'khosi imatchedwa `(Cervical Lymphadenectomy). Pano, `Cervical'' imatanthauza yokhudzana ndi khosi. Khansa ya pachibelekero imatchedwa `Cervical Cancer.` Izi ziwiri ndi zosiyana kwambiri. Choncho musachite mantha mukamva mawuwo. Dokotala wanu adzakufotokozerani.
Kodi chimachitika n’chiyani panthawi ya opaleshoni komanso pambuyo pake?
Dokotala wanu asanachite opaleshoni, adzachita zinthu monga kusanthula kuti aone momwe machende alili. Angathenso kuchita biopsy ya singano, yomwe imaphatikizapo kutenga chitsanzo cha minofu.
Opaleshoniyi imachitika pansi pa mankhwala oletsa ululu, kotero simudzamva ululu uliwonse. Itha kuchitika ngati opaleshoni yotseguka (kudzera mu kudula kamodzi) kapena opaleshoni ya laparoscopic (kudzera mu kudula pang'ono kangapo ndi kamera). Pambuyo pochotsa zosokerazo, chotsukira chimayikidwa pabala kuti madzi asasonkhanitsidwe. Izi zimachotsedwa ndi dokotala patatha masiku kapena milungu ingapo.
Mudzafunika kukhala m'chipatala kwa tsiku limodzi kapena awiri mutachita opaleshoni. Ululu nthawi zambiri umakhala wochepa ndipo ukhoza kuchepetsedwa ndi mankhwala wamba ochepetsa ululu.
Kodi zoopsa ndi zovuta zomwe zingachitike chifukwa cha opaleshoniyi ndi ziti?
Monga opaleshoni iliyonse, opaleshoni iyi ili ndi zoopsa zazing'ono.
- Matenda a bala.
- Kuwonongeka kwa mitsempha kumayambitsa dzanzi kapena kuuma kwa malowo.
- Kuundana kwa magazi.
Vuto lofala kwambiri komanso la nthawi yayitali lomwe lingachitike pambuyo pa opaleshoni ndi matenda otchedwa Lymphedema .
Kodi Lymphedema ndi chiyani?
Mafuta ambiri akachotsedwa, madzi a m'thupi amatsekeka. Kenako madziwo amaunjikana m'dzanja kapena mwendo, zomwe zimapangitsa kutupa. Izi zimatchedwa `Lymphedema`. Izi zitha kubwera ndikutha kwa kanthawi kochepa kwa ena, koma kwa ena zimatha kukhala zosatha. Chiwopsezochi chimakhala chachikulu pang'ono ngati mukulandiranso mankhwala a chemotherapy kapena radiation. Koma tsopano pali mankhwala abwino komanso masewera olimbitsa thupi kuti muthane nacho.
Ndi zizindikiro ziti zomwe ndiyenera kuwonana ndi dokotala?
Mukapita kunyumba mutachita opaleshoni, samalani ndi zizindikiro zotsatirazi. Ngati muli ndi chimodzi mwa izi, imbani dokotala wanu nthawi yomweyo.
- Chilondacho chimafiira, chimatuluka mafinya, kapena chimakhala ndi malungo (zizindikiro za matenda) .
- Kupweteka kosalamulirika, dzanzi, kapena kuuma.
- Kuvuta kusuntha miyendo ndi zala bwino.
- Kutupa kosazolowereka m'dzanja, mwendo, kapena zala pambali pa opaleshoni (kungakhale chizindikiro cha lymphedema).
Uthenga Wopita Nawo Kunyumba
- Kuchotsa lymphadenectomy ndi gawo lofunika kwambiri pa chithandizo cha khansa. Kumapereka chidziwitso chofunikira chokhudza gawo la khansa yanu.
- Opaleshoni iyi imagwiritsidwa ntchito poona ngati khansa yafalikira, komanso kuthandiza kuchiza matendawa pochotsa maselo a khansa omwe afalikira.
- Ngakhale pali zoopsa zazing'ono monga momwe zimakhalira ndi opaleshoni iliyonse, vuto lalikulu lomwe lingachitike kwa nthawi yayitali ndi Lymphedema (kutupa kwa miyendo). Ndikofunikira kudziwa izi.
- Tsatirani malangizo a dokotala wanu mosamala mukatha opaleshoni. Uzani dokotala wanu zizindikiro zilizonse zachilendo nthawi yomweyo.
- Musazengereze kulankhula ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo pankhaniyi.
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