Dokotala wanu atakuuzani kuti muli ndi khansa, kodi anakuuzani za opaleshoni ya RPLND? Mwina munachita mantha pang'ono komanso kudabwa ndi dzinalo. Koma musadandaule. Iyi ndi opaleshoni yofunika kwambiri yomwe imachitidwa kuti ilepheretse kufalikira kwa maselo a khansa m'thupi lanu. Choncho tiyeni tikambirane mwachidule, m'njira yomwe mungamvetse.
Kodi opaleshoni ya RPLND ndi chiyani?
Mwachidule, RPLND (Retroperitoneal Lymph Node Dissection) ndi opaleshoni yomwe imachotsa ma lymph nodes m'dera linalake la thupi lanu. Malo amenewa amatchedwa 'retroperitoneal' area.
Taganizirani izi motere: malo opanda kanthu m'mimba mwanu kumbuyo kwa ziwalo zanu zazikulu, monga chiwindi ndi matumbo. Malo amenewo ndi omwe timawatcha retroperitoneal region.
Tsopano tiyeni tiwone zomwe ma lymph nodes awa ali. Izi kwenikweni ndi ziwalo zazing'ono kwambiri zomwe zimathandiza kuti chitetezo cha mthupi lathu chikhale chathanzi. Zili ngati alonda a thupi lathu. Pali mazana ambiri omwe afalikira m'thupi lathu lonse.
Choncho, dokotala wanu (katswiri wa khansa) akachotsa ma lymph nodes panthawi ya opaleshoniyi, amawatumiza kwa dokotala wa matenda kuti akawafufuze. Kumeneko, amawayang'ana ma lymph nodes pogwiritsa ntchito maikulosikopu kuti awone ngati pali maselo a khansa. Nthawi zina madokotala amatcha opaleshoniyi kuti 'retroperitoneal lymphadenectomy'.
Nchifukwa chiyani ndikufunika opaleshoni iyi ya RPLND?
Pali zifukwa zingapo zomwe dokotala wanu angakulimbikitseni opaleshoniyi. Tiyeni tiwone ubwino wa opaleshoniyi.
| Chifukwa chachikulu | Mwachidule... |
|---|---|
| Dziwani gawo la khansa | Kuchotsa ndi kufufuza ma lymph nodes kungathandize kudziwa momwe khansa yafalikira m'thupi. Izi zimatchedwa kudziwa siteji ya khansa. |
| Letsani kufalikira kwa khansa | Ngati maselo a khansa alowa m'malo olumikizirana mafupa, amatha kuyenda kudzera m'mitsempha ya lymph kupita ku ziwalo zina za thupi. Izi zimatchedwa metastasis. Chifukwa chake, kuchotsa malo olumikizirana mafupa awa kungathandize kuletsa kufalikira kwa matendawa. |
| Chepetsani chiopsezo cha khansa kubwerera | Kuchotsa ma lymph nodes omwe ali ndi maselo a khansa kungachepetse kwambiri chiopsezo cha khansa kubwereranso mtsogolo. |
| Ngati chithandizo ngati khansa yabwerera | Nthawi zina, ngati khansa yabwerera pambuyo pa chithandizo, opaleshoniyi imachitika kuti ichotse ma lymph nodes omwe ali ndi maselo a khansa. |
Makamaka, RPLND nthawi zina imachitidwa pochiza khansa ya m'ma testicular komanso poyambitsa matenda. Imachitidwanso pa mitundu ina ya khansa, monga khansa ya impso, khansa zina za m'thupi la akazi, ndi mitundu ina ya sarcomas.
Kodi madokotala amadziwa bwanji ngati ndikufunika RPLND?
Ngati mayeso anu ojambulira zithunzi akusonyeza kuti ma lymph nodes omwe ali kumbuyo kwa mimba yanu atupa, dokotala wanu angakuuzeni za opaleshoniyi. Mitundu iyi ya ma scan ikuphatikizapo:
- Kujambula kwa CT
- Kujambula kwa MRI
- Kujambula kwa PET
Dokotala wanu angakulangizeni opaleshoniyi nthawi ina paulendo wanu wochiza khansa. Dokotala wanu ndiye munthu wabwino kwambiri woti akufotokozereni chifukwa chake mukufunikira opaleshoniyi. Iye amadziwa bwino vuto lanu. Choncho musazengereze kumufunsa mafunso aliwonse omwe mungakhale nawo.
Kodi opaleshoni ya RPLND iyi imachitika bwanji?
Opaleshoni isanayambe, mudzapatsidwa mankhwala oletsa ululu. Izi zikutanthauza kuti mudzakhala mutagona mokwanira. Choncho simudzamva kupweteka kulikonse.
Kenako dokotalayo akudula m'mimba mwanu ndikuchotsa mosamala ma lymph nodes omwe ali pafupi ndi khansa.
Cholinga chachikulu cha opaleshoniyi ndikuchotsa ma lymph nodes onse omwe angakhale ndi maselo a khansa ndikuletsa kufalikira kwa khansa. Kuti cholinga ichi chikwaniritsidwe, nthawi zina zinthu zina zingafunike kuchotsedwa kuwonjezera pa ma lymph nodes.
- Ma lymph nodes ena angapo ochokera mbali ina ya thupi.
- Chiwalo china, ngati impso.
- Zotupa zina kapena minofu m'dera limenelo.
Masiku ano, zipatala zina zimachita opaleshoni iyi ngati opaleshoni ya laparoscopic, yomwe imachitika kudzera m'mabala ang'onoang'ono, kapena pogwiritsa ntchito opaleshoni ya robotic. Dokotala wanu adzakufotokozerani njira yoyenera kwa inu.
Opaleshoni ya RPLND iyi ingatenge maola atatu mpaka khumi .
Kodi mungayembekezere chiyani mutachita opaleshoni?
Muyenera kukhala m'chipatala kwa masiku anayi mpaka asanu ndi awiri mutachita opaleshoni. Ndizachibadwa kumva ululu pang'ono mutachita opaleshoni. Dokotala wanu adzakupatsani mankhwala ochepetsa ululu ofunikira. Choncho musadandaule za ululuwo.
Kodi zoopsa za opaleshoni iyi ndi ziti?
Monga opaleshoni iliyonse yaikulu, opaleshoni ya RPLND ili ndi zoopsa zina. Dokotala wanu adzakufotokozerani zonsezi pasadakhale.
| Chiwopsezo | Kufotokozera |
|---|---|
| Kuwonongeka kwa mitsempha yamagazi | Dokotala akuchita opaleshoniyi pafupi kwambiri ndi mitsempha ikuluikulu ya magazi m'thupi. Chifukwa chake, nthawi zina, mitsempha iyi yamagazi imatha kuwonongeka ndipo magazi ena amatha kutuluka. |
| Kukhudza chonde | Mavuto okhudzana ndi kutulutsa umuna amatha kuchitika pambuyo pa opaleshoni. Izi zili choncho chifukwa mitsempha yomwe imayang'anira kutulutsa umuna imadutsa m'dera lomwe opaleshoniyo imachitikira. Nthawi zambiri, madokotala opaleshoni amateteza mitsempha iyi kuti isawonongeke. Komabe, nthawi zina vuto lotchedwa anejaculation limatha kuchitika. |
| Kusonkhanitsa madzi a m'mitsempha (Lymphocele) | Madzi a m'mitsempha amatha kusonkhana pamalo otsala ndi ma lymph nodes omwe akuchotsedwa. Kuti achotse madzi owonjezerawa, dokotala wanu angaike chubu chaching'ono (drain) m'mimba mwanu. |
| Mavuto ena | Monga momwe zimakhalira ndi opaleshoni iliyonse, pali chiopsezo chochepa cha matenda, kupuma movutikira, kuwonongeka kwa ziwalo zina, kupweteka m'mimba, komanso kudzimbidwa. |
Kodi lipotilo likunena chiyani pambuyo pa opaleshoni?
Dokotala wanu adzakufotokozerani lipoti la matenda omwe mumalandira mutayang'ana ma lymph nodes anu.
Mungagwiritse ntchito mawu oti "chabwino" kapena "choipa" mmenemo.
- Zotsatira zabwino zikutanthauza kuti panali maselo a khansa m'malo olumikizirana mafupa omwe adachotsedwa.
- Zotsatira zoyipa zikutanthauza kuti panalibe maselo a khansa.
Kuphatikiza apo, lipotilo limafotokozanso kuchuluka kwa maselo a khansa omwe adachotsedwa mwa kuchuluka kwa maselo a khansa.
- Mtundu wa khansa.
- Maselo a khansa ndi osiyana bwanji ndi maselo abwinobwino (kalasi).
- Mlingo umene maselo a khansa amagawikana (mitotic rate).
Lipotilo likhoza kukhala ndi mfundo zina zofunika, monga:
Kodi chimachitika ndi chiyani pambuyo poti zotsatira zalandiridwa?
Kutengera ndi zotsatira za lipoti lanu, gulu lanu lachipatala lidzasankha chochita kenako. Zingakhale ngati izi:
- Kuyang'anitsitsa / kuyang'anira popanda chithandizo chilichonse
- Mankhwala a Chemotherapy
- Chithandizo cha radiation
Ndiyenera kuyimbira dokotala nthawi yanji?
Mukafika kunyumba, muyenera kusamalira bwino momwe mukuchira. Samalani kwambiri momwe bala lanu la opaleshoni limachiritsira. Ngati muli ndi zizindikiro zotsatirazi, imbani dokotala nthawi yomweyo.
| Zizindikiro zochenjeza - dziwitsani dokotala nthawi yomweyo | |
|---|---|
| Kusanza kapena kusanza | Ngati mukusanza kwambiri moti simungathe kusunga madzi pang'ono m'mimba mwanu. |
| Kupweteka m'mimba m'munsi | Ngati mukumva kupweteka kwambiri, kupweteka kwambiri, kapena kupweteka mukakhudza mimba yanu ya pansi. |
| Palibe kudzimbidwa kapena matumbo oyenda | Ngati simungathe kutulutsa mpweya kapena kuchita chimbudzi. |
| Mafinya akutuluka m'bala | Ngati pali madzi ofanana ndi mafinya omwe akutuluka mu opaleshoni. |
| Ululu waukulu | Ngati muli ndi ululu waukulu womwe sungathetsedwe ngakhale mutagwiritsa ntchito mankhwala ochepetsa ululu. |
Opaleshoni iliyonse ndi yoopsa, makamaka ikakhudzana ndi khansa. Koma kumbukirani, RPLND ndi njira yopulumutsa moyo yomwe imapatsa madokotala chidziwitso chofunikira chokhudza thanzi lanu ndipo imatha kuletsa kufalikira kwa khansa.
Ngati mukukayikirabe kapena mukuopa kuti mungapatsidwe opaleshoni yaikulu ngati imeneyi, palibe cholakwika ndi kufunsa katswiri wina kuti akuthandizeni. Mwina kulankhula ndi dokotala wina kungakupatseni mtendere wamumtima komanso kukupatsani mphamvu zamaganizo zomwe mukufunikira kuti muyang'ane opaleshoniyo.
Opaleshoni iyi ndi gawo lalikulu m'moyo wanu. Koma ikhoza kupulumutsa moyo wanu. Gulu lanu lachipatala lili pano kuti likuthandizeni. Choncho kambiranani nawo za mafunso kapena nkhawa zomwe muli nazo.
Uthenga Wopita Nawo Kunyumba
- RPLND ndi opaleshoni yaikulu yomwe imachotsa ma lymph nodes omwe ali kumbuyo kwa ziwalo za m'mimba.
- Izi zimachitika makamaka kuti aone ngati khansa yafalikira, kuiletsa kufalikira, komanso kupewa khansayo kuti isabwererenso.
- Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zina, monga kutuluka magazi ndi zotsatirapo zake pa kubereka. Dokotala wanu adzakuuzani za izi.
- Zimatenga nthawi kuti munthu achire pambuyo pa opaleshoni. Ndikofunikira kwambiri kudziwa zizindikiro za matenda (malungo, mafinya ochokera pabala, kupweteka kwambiri).
- Khalani omasuka ndi gulu lanu lachipatala pankhani ya mantha ndi nkhawa zanu. Musazengereze kufunsa maganizo a dokotala ngati pakufunika kutero.
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