Kana chiremba akakuudza kuti une kenza, obva ati, "Ndinofanira kubvisa mamwe ma lymph nodes pamwe chete nebundu," zvakajairika kuti unzwe kutya zvishoma. "Sei vachibvisa ma lymph nodes aya? Chii chichaitika neizvi? Uku kuvhiyiwa kukuru here?" Mibvunzo yakawanda yakaita seiyi ingangouya mupfungwa dzako. Usatya. Nhasi, tiri kutaura nezvekuvhiyiwa uku kunonzi Lymphadenectomy kuti tipindure mibvunzo iyoyo.
Kutanga, chii chinonzi Lymphadenectomy?
Zvichitaurwa zviri nyore, kubviswa kwelymphadenectomy kuvhiyiwa kweimwe kana akawanda ma lymph nodes mumuviri wako. Mumutauro wedu wakajairika, izvi zvinonziwo "lumpectomy."
Fungidzira kuti muviri wedu wakaita seguta guru. Kune network yemigwagwa (tsinga dzeropa) kwese kwese muguta rino. Zvakare, kune system yakasiyana yekubvisa tsvina uye kuona kuti guta rino rakachengeteka. Ndizvo zvakaita system ye lymphatic mumuviri wedu. System iyi ine nzvimbo diki dzekuchengetedza. Tinodaidza nzvimbo idzodzo kuti lymph nodes .
Basa ravo guru nderekusefa nekuchenesa lymph inoyerera nemu lymphatic system. Kureva kuti, vanobata nekuparadza utachiona, masero akakuvara, uye kunyanya masero ekenza ari mumvura iyi. Saka iwo chikamu chakakosha chekudzivirira muviri wedu.
Saka sei kubvisa ma lymph nodes aya kubva kumunhu ane kenza?
Chikonzero chikuru cheizvi ndechekuziva kana kenza yapararira kune dzimwe nhengo dzemuviri. Nzira huru iyo kupararira uku (metastasis) kunoitika nayo ndeye kuburikidza ne lymphatic system.
Fungidzira izvi. Une bundu mune imwe nhengo yemuviri wako. Zvakafanana nemoto mudiki uri mukamuri rimwe chete remba. Iye zvino tinoda kuziva kana moto uyu wapararira kune mamwe makamuri. Saka toita sei? Tinoenda kumakamuri ari pedyo tonoona kana moto wacho wapararira ikoko.
Saizvozvowo, vanachiremba vanoongororawo ma lymph nodes ari pedyo nebundu kuti vaone kana masero ekenza akapararira ipapo.
Kuvhiyiwa uku kunozadzisa zvinangwa zvikuru zvakati wandei:
- Kuziva danho regomarara: Vanachiremba vanogona kuona danho regomarara zvichienderana nekuti masero egomarara ari mumasero egomarara here kana kuti kwete. Izvi zvakakosha zvikuru pakuronga kurapwa mune ramangwana.
- Sekurapa: Kana paine masero ekenza muma lymph nodes, kubvisa ma nodes iwayo kunobvisawo masero ekenza mumuviri. Izvi zvinoreva kuti uku kuongororwa uye kurapwa.
- Kudzivisa kupararira kwegomarara: Kubvisa ma lymph nodes ane masero egomarara kunodzivisa kupararira kwegomarara mumuviri.
- Kudzivirira kenza kuti isadzoke:Mushure mekubvisa bundu, kubvisa chero masero ekenza angangosara muma lymph nodes akapoteredza kunogona kuderedza njodzi yekuti kenza idzoke zvakare mune ramangwana.
Ndeapi marudzi ekenza anowanzoda kuvhiyiwa uku?
Kuvhiyiwa uku kunokurudzirwa kune mhando dzakasiyana dzegomarara dzinogona kupararira kuburikidza ne lymphatic system. Mhando dzegomarara dzinonyanya kuzivikanwa dzinosanganisira:
- Kenza yemazamu
- Kenza yeganda reMelanoma
- Kenza yemusoro nemutsipa
- Kenza yethyroid
- Kenza yemapapu
- Kenza yemudumbu
- Kenza yemudumbu
- Kenza yematesticular neovarian
- Kenza yedundira, rectal, uye prostate
Ndedzipi mhando huru dzekuvhiyiwa kwe lymphadenectomy?
Pane nzira mbiri dzekuita kuvhiyiwa uku. Zvakafanana nemapurisa ari kubvunza kana ongotarisa nzvimbo inofungirwa chete kana nzvimbo yese.
| Rudzi rwekuvhiyiwa | Zvichitaurwa zviri nyore... |
|---|---|
| Kuvhiyiwa kweLymphadenectomy yeDunhu (Inosarudza) | Izvi zvinosanganisira kubvisa sampuro chete, kureva kuti, huwandu hushoma chete, kubva munzvimbo yelymph node iri pedyo negomarara. |
| Kuvhiyiwa kweLymphadenectomy kwakanyanya (Kwakakwana/Kwakakwana) | Izvi zvinosanganisira kubvisa ma lymph nodes ese ari munzvimbo iyi. Izvi zvinoitwa kana paine fungidziro yekuti kenza yapararira zvakakwana. |
Dzimwe nguva, vanachiremba vanotanga vaita Sentinel Node Biopsy.Zvinonzi chii. Kureva kuti, kutsvaga "sentinel" lymph node, uko masero ekenza angangotanga kufamba kubva mubundu, uye kubvisa nekuongorora iro chete. Kana risina masero ekenza, kazhinji zvinosarudzwa kusabvisa mamwe. Kana rikadaro, mamwe mafundo anofanira kubviswa.
Ndekupi pamuviri kwaunobvisa makonzo nenzira iyi?
Izvi zvinoenderana nekuti kenza yako iri kupi, sezvo mhando yega yega yekenza ichipararira munzvimbo dzakasiyana dzema lymph node mumuviri.
| Zita rekuvhiyiwa | Kune masvosve anofanira kubviswa | Kanza dzinowanzobatanidzwa |
|---|---|---|
| Kuvhiyiwa kweAxillary Lymphadenectomy | Nzvimbo yehapwa | Kenza yemazamu, melanoma yeruoko |
| Kuvhiyiwa kweInguinal Lymphadenectomy | Nzvimbo yegomarara | Kenza yenhengo yemurume neyemurume |
| Kuvhiyiwa kweCervical Lymphadenectomy | Nzvimbo yemutsipa | Kenza yemusoro, mutsipa uye thyroid |
| Kuvhiyiwa kweLymphadenectomy yeRetroperitoneal | Kumashure kwedumbu (mukati medumbu) | Kenza yematesticular neovarian |
| Kuvhiyiwa kweLymphaden yePelvic | Pfupa rechiuno | Dundira, rectal, kenza yeprostate |
| Kuvhiyiwa kweMediastinal Lymphadenectomy | Chikamu chepakati chechipfuva | Kenza yemapapu, Lymphoma |
Chii chinoitika usati wavhiyiwa, panguva uye mushure mekuvhiyiwa?
Usati wavhiyiwa
Usati waronga kuvhiyiwa kwako, chiremba wako angangoda kuti bvunzo dzakadai sedzinoongororwa kuti aone mamiriro ema lymph nodes ako. Vanogonawo kuita biopsy yetsono, iyo inosanganisira kubvisa chidimbu chidiki chenyama kuti chiongororwe. Kana bvunzo idzi dzikaita zviratidzo zvegomarara, lymphadenectomy inoitwa.
Panguva yekuvhiyiwa
Kuvhiyiwa uku kunowanzoitwa pasi peanesthesia. Izvi zvinoreva kuti hauzonzwi chero chinhu, uchange wakarara zvachose. Pane nzira mbiri dzekuvhiyiwa uku.
1. Kuvhiyiwa Kwakavhurika: Mukuita izvi, kucheka kamwe chete kwenguva refu kunoitwa panzvimbo yakakodzera uye ma lymph nodes anobviswa.
2. Kuvhiyiwa kweLaparoscopic: Izvi zvinosanganisira kucheka kadiki kakati wandei, kuisa kamera kuburikidza neimwe, uye kuisa zvishandiso kuburikidza nemamwe mavanga. Nzira iyi ine nguva pfupi yekupora uye mavanga madiki.
Mushure mekuvhiyiwa, chiremba anovhiya achaisa chubhu diki inonzi drain mukati mechikamu chedumbu oibatanidza nechubhu. Izvi zvinoitirwa kudzivirira mvura isingadiwi kuti isaungane panzvimbo yekuvhiyiwa. Duru iri rinofanira kusiyiwa panzvimbo yacho kwemazuva kana mavhiki akati wandei.
Mushure mekuvhiyiwa
Kana wakavhiyiwa kadiki keyhole, unokwanisa kuenda kumba zuva rimwe chete. Kana wakavhiyiwa wakavhurika, uchafanira kugara muchipatara kwemazuva rimwe kusvika matatu. Paunodzokera kumba, uchapihwa mirairo yakadzama yekuti ungachengeta sei ronda uye kuti ungatora sei mishonga yako. Uchafanirwa kuona chiremba zvakare kuti ubvise dhiri, ucheke masitichi, uye uwane mushumo we biopsy.
Ndezvipi zvakanakira, njodzi, uye migumisiro yekuvhiyiwa uku?
Kufanana nekuvhiyiwa kupi zvako, uku kune zvakanakira pamwe nenjodzi uye migumisiro.
| Mabhenefiti | Njodzi & Migumisiro Yezvimwe Zvinetso |
|---|---|
| Unogona kuziva kana kenza yapararira. | Utachiona hwemaronda. |
| Kuziva danho regomarara kunobatsira kusarudza nzira yakanakisisa yekurapa. | Kukuvadzwa kwetsinga netsinga dzeropa dzakapoteredza. |
| Inobvisa masero ekenza kubva muma lymph nodes uye inoamisa kupararira. | Kuomarara uye kuomarara kwakakomberedza nzvimbo yakachekwa. |
| Inoderedza njodzi yekudzoka kwekenza. | Kuunganidzwa kwemvura panzvimbo yekuvhiyiwa (Seroma). |
| Lymphedema: Uyu mhedzisiro yaunofanira kuziva. Kana huwandu hwakawanda hwema lymph nodes hukabviswa, kufamba kwe lymph fluid kunogona kukanganiswa, zvichikonzera kuzvimba kwechigarire kwenhengo, senge ruoko kana gumbo. Dambudziko iri hariitiki kune wese munhu. Asi zvakakosha kuti uzive nezvazvo. |
Nguva yaunofanira kufonera chiremba wako
Kana ukaona chimwe chezviratidzo izvi mushure mekuvhiyiwa kwako, fonera chiremba wako nekukasika .
- Kana ronda racho rakatsvuka, richibuda matumbu, kana kuti riine fivha (izvi zviratidzo zvehutachiona).
- Kana paine kurwadziwa kusingatsungiririki, kusanzwa, kana kuomarara.
- Kana nhengo, senge ruoko kana gumbo, ikazvimba zvakanyanya.
- Kana mamwe mafambiro akaoma kuita.
Kuvhiyiwa kweLymphadenectomy idanho rakakosha zvikuru mukurapa kenza. Kunopa ruzivo rwakakosha nezvechirwere chako uye kunogona kubatsira kudzivirira kupararira kwekenza. Sekuvhiyiwa kwese, kune njodzi, asi mabhenefiti acho akakodzera njodzi dzacho. Chinhu chakakosha kutaura nachiremba wako nezvazvo uye kubvunza chero mibvunzo yaungave nayo.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweLymphadenectomy kubvisa ma lymph nodes (ma nodes) anogona kunge aine masero ekenza.
- Chinangwa chikuru cheizvi ndechekuona kana kenza yapararira (diagnosis) uye kubvisa masero akapararira (kurapwa).
- Ruzivo rwakawanikwa kubva mukuvhiyiwa uku rwakakosha pakuziva danho regomarara rako uye kuronga kurapwa mune ramangwana.
- Lymphedema, chirwere chinoita kuti nhengo dzizvimbe, ndeimwe yemigumisiro mikuru inogona kuitika mushure mekuvhiyiwa. Zvisinei, izvi hazviitiki kune wese munhu.
- Paunenge uchipora, ziva zviratidzo zvehutachiona, kuzvimba kwakanyanya, kana kurwadziwa kusingatsungiririki. Kana izvi zvikaitika, zivisa chiremba wako nekukasika.
- Taura pachena nachiremba wako nezvekutya kana kusava nechokwadi kwaungave nako.
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