Ngaba wena okanye umntu omaziyo uxelelwe ngugqirha wakho ukuba kufuneka wenze utyando lokususa iqhuma elisesinqeni sakho? Usenokuba woyika kancinci xa usiva eli gama. Kodwa ungakhathazeki, eli lingaba linyathelo elibaluleke kakhulu kunyango lomhlaza. Namhlanje, siza kuthetha ngolu tyando lubizwa ngokuba yi-'Inguinal Lymph Node Dissection', olumalunga nokususa iqhuma elisesinqeni sakho.
Okokuqala, masibone ukuba eli qhetseba lincinci lithini.
Kulungile, ukuyibeka ngokulula, ii-lymph nodes zizinto ezincinci, ezimile okweembotyi ezifumaneka kuyo yonke imizimba yethu. Ziyinxalenye yenkqubo yokuzikhusela yomzimba wethu, inkqubo yokuzikhusela . Xa ulwelo oluhamba kwinkqubo ye-lymphatic yomzimba wethu ludlula kwezi nodes, lusebenza njengesihluzo. Ezi nodes zibamba izinto ezinobungozi ezifana neentsholongwane kunye neeseli zomhlaza.
Ngoko ke ii-lymph nodes ze-inguinal zii-nodes ezikwindawo ye-groin, apho imilenze yakho idibana khona nesisu sakho esisezantsi. Kukho ii-nodes ezimalunga ne-10 ezingaphezulu, phantsi nje kwesikhumba. Ulwelo olucocwa kwezi -nodes luya kwii-nodes ezininzi ezinzulu. Ukusuka apho, luya kwezinye iindawo zomzimba.
Kutheni kufuneka wenze olu tyando?
Oku kubaluleke kakhulu ukukuqonda. Le nkqubo yemithambo yegazi yindlela ephambili esetyenziswa ziiseli zomhlaza ukusuka kwenye indawo ukuya kwenye. Oku kuthetha ukuba iiseli zomhlaza zinokuhamba ngezi mithambo yegazi ziye nakweyiphi na indawo yomzimba.
Khawucinge nje, xa umhlaza uvela ndaweni ithile emzimbeni wethu, ezo seli zomhlaza ziqala ziye kwizicubu ezikufutshane nawo. Umzekelo, umhlaza okhula kwiindawo ezifana nezangasese (ipenis, ukuvulwa kwesini), i-rectum, kunye nolusu olusemilenzeni uqala ngokuzama ukusasazeka kwizicubu ezikwisinqe.
Oogqirha baqala ngokuthatha isampuli encinci kwi-lymph node yokuqala ekufutshane nomhlaza, ebizwa ngokuba yi-sentinel lymph node , baze bayivavanye (i-`sentinel lymph node biopsy`). Kufana nendawo yokujonga. Ukuba akukho ziseli zomhlaza kule node yokuqala, kusenokwenzeka ukuba akukho ziseli zomhlaza kwi-node elandelayo.
Nangona kunjalo, ukuba uvavanyo luqinisekisa ukuba kukho iiseli zomhlaza kwi-nodes, ii-nodes zisuswa ngokupheleleyo ngotyando. Oku kubizwa ngokuba yi-'inguinal lymph node dissection'.
Oku kungayithintela intsholongwane ukuba isasazeke ngakumbi. Kwakhona, ukwazi ukuba intsholongwane isasazeke na kwii-lymph nodes zakho kuya kunceda ugqirha wakho ukuba agqibe ukuba loluphi unyango olulungele wena.
Ziziphi iinjongo eziphambili zolu tyando?
Kukho izizathu ezininzi eziphambili zokwenza olu tyando. Masiziqonde ngokucacileyo.
| Injongo | Icacisiwe ngokulula |
|---|---|
| Ukujonga ukusasazeka komhlaza | Qinisekisa ukuba umhlaza ovela kwenye indawo emzimbeni usasazeke waya kwindawo yesinqe. |
| Ukususa iiseli zomhlaza | Susa ngokupheleleyo naziphi na iziqwenga ezineeseli zomhlaza okanye ezinokuba nazo kwaye uthintele umhlaza ukuba ungasasazeki ngakumbi. |
| Ukunciphisa umngcipheko wexesha elizayo | Nciphisa umngcipheko wokuba umhlaza uphinde uvele kuloo ndawo kwixesha elizayo. |
| Ucwangciso lonyango | Ngokusekelwe kulwazi olufunyenweyo, gqiba ukuba loluphi unyango olufanele wena kwixesha elizayo (umz. i-chemotherapy, i-radiotherapy). |
Ulungiselela njani ngaphambi kotyando?
Ugqirha wakho uza kukuchazela oku ngokweenkcukacha. Ngokwesiqhelo ngaphambi kotyando,
- Usenokucelwa ukuba uyeke ukusebenzisa amayeza athile (ingakumbi amayeza okunciphisa igazi) okwethutyana.
- Uza kuxelelwa ukuba ungatyi okanye ungaseli nto kangangeeyure ezimbalwa ngaphambi kotyando.
- Uza kuxelelwa kwangaphambili ukuba zingaphi iintsuku oza kuhlala esibhedlele kunye nendlela oza kuziva ngayo emva kokuba ubuyele ekhaya.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha ngokuchanekileyo.
Lwenziwa njani olu tyando?
La ngamanyathelo adla ngokwenzeka.
1. Okokuqala, ingcali yokubulala iintlungu iza kukubulala iintlungu . Oku kuthetha ukuba uza kube ulele ngokupheleleyo. Awuyi kuva nto ngexesha lotyando, kwaye awuyi kuba sayikhumbula emva koko.
2. Emva koko ugqirha wenza utyando oluncinci eluswini lwe-groin aze asuse ngononophelo amasende aza kuhlolwa kunye nezinye izicwili ezinamafutha ezijikelezileyo.
3. Emva kotyando , kufakwa umbhobho omncinci (umbhobho wokukhupha) ukuze kususwe naluphi na ulwelo olugqithisileyo (igazi, amanzi, njl.njl.) olunokuqokelelwa kuloo ndawo.
4. Emva koko i-incision ivalwa ngezititshi .
5. Ingxowa incamatheliswa kwisiphelo sangaphandle setyhubhu ukuze kuqokelelwe ulwelo . Oku kungashiywa endaweni yayo kangangeentsuku okanye iiveki ezininzi.
6. Izicwili kunye neeseli ezisusiweyo zithunyelwa kwingcali yezifo , oko kukuthi, elebhu, ukuze kuhlolwe iiseli zomhlaza.
Ngoku, ezinye izibhedlele zenza olu tyando zisebenzisa ubuchwepheshe berobhothi (`utyando lwerobhothi`). Inani leengxaki ezivela kulo liphantsi.
Kwenzeka ntoni emva kotyando? Kuza kuthatha ixesha elingakanani ukuze umntu aphile?
Uza kuba sesibhedlele kangangeentsuku ezimbini ukuya kwezine. Mhlawumbi ixesha elingaphezulu kancinci. Kungcono uqale ukuhamba ngokukhawuleza xa ugqirha wakho ekuxelela ukuba unako. Oku kunokunceda ekuthinteleni izinto ezifana nokuqhekeka kwegazi.
Xa ubungakanani bolwelo oluphuma kwityhubhu buncipha, ugqirha uya kulususa. Kungathatha iiveki ezininzi ukuba luphole ngokupheleleyo. Ngeli xesha, elimalunga neeveki ezi-4 ukuya kwezi-6, kufuneka uziphephe izinto ezifana nokuqhuba okanye ukuphakamisa iintsimbi. Ugqirha wakho uya kukuxelela ngqo into onokuyenza nengenakuyenza.
Zithini iingozi kunye neziphumo ebezingalindelekanga zoku?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile. Ezi zezona ngxaki zixhaphakileyo kunye neziphumo ebezingalindelekanga.
| Umngcipheko/isiphumo esibi | Ithetha ntoni le nto? |
|---|---|
| Usulelo | Usulelo olubangelwa ziintsholongwane ezijikeleze inxeba. |
| Ukuqokelelana kolwelo kunye nokudumba | Ulwelo luyaqokelelana luze ludumbe kwindawo yokusikwa. |
| Ukudumba kwemilenze (i-Lymphedema) | Ukususwa kwezithungo kunokuphazamisa ukuhamba kolwelo emithanjeni, okubangela ukudumba emilenzeni. Oku kungathatha ixesha elide. |
| Ihlwili legazi (DVT) | Amahlwili egazi, ingakumbi kwimithambo yemilenze. |
| Ukuphola kwenxeba okulibazisekileyo | Ukusika kuthatha ixesha elide kunesiqhelo ukuphola. |
| Ukungakhululeki kwethanga | Ngexesha lotyando, imithambo-luvo ethile kuloo ndawo inokonakala, nto leyo ebangela ukurhawuzelela ethangeni eliphezulu. Oku kuhlala kuqhubeka. |
Yintoni esinokuyifunda kwingxelo yelabhoratri?
Ingxelo evela ekuvavanyweni kweeswabs ezithunyelwe kwilebhu ibaluleke kakhulu. Ingatyhila izinto ezinje.
- Nokuba izicwili ezisusiweyo zineeseli zomhlaza okanye azinazo. Ukuba kukho iiseli zomhlaza, zibizwa ngokuba "zilungile" okanye "zimbi."
- Luhlobo luni lomhlaza ?
- Udidi lomhlaza . Oku kubhekisa kwindlela iiseli zomhlaza ezifana okanye ezahluke ngayo kwiiseli eziqhelekileyo ezisempilweni.
- Ingakanani isantya sokwahlulwa kweeseli (isantya se-mitotic)?
- Iimargins . Nokuba kukho iiseli zomhlaza emaphethelweni ezicubu ezisusiweyo okanye azikho. Ukuba kukho iiseli zomhlaza emaphethelweni, oku kubizwa ngokuba yi-'positive margin', kungenjalo yi-'negative' okanye yi-'clear margin'.
Kungathatha iintsuku ezimbalwa okanye iveki ukuba le ngxelo ifike. Nje ukuba ifike, ugqirha wakho uza kukuchazela ukuba iqulethe ntoni kunye noko kufuneka kwenziwe emva koko.
Ndifanele ndimbone nini ugqirha ngoko nangoko?
Ukuba unezinye zezi mpawu xa ubuyela ekhaya emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko . Ezi zinokuba ziimpawu zosulelo.
- Ukuba ufumana umkhuhlane
- Ukuba intlungu yendlela eya ekupholeni iyanda
- Ukuba inxeba libomvu, lidumbile, kwaye likhupha ulwelo olufana nobovu
Musa ukulibazisa ngamaxesha anje. Kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Kwenziwa utyando lokususa iqhuma elisesinqeni ukuze kubonwe ukuba umhlaza usasazekile na kwaye kuthintelwe umhlaza ukuba ungasasazeki ngakumbi.
- Ulwazi olufunyenwe kolu tyando luya kunceda kakhulu ugqirha wakho ukuba acebe unyango olungcono kuwe.
- Kuza kuthatha iiveki ezininzi ukuba uphile, ngoko ke phumla ngokwaneleyo. Musa ukungxama.
- Landela imiyalelo kagqirha wakho ngononophelo malunga nokuba yintoni elungileyo nengalunganga onokuyenza ngexesha lokuchacha kwakho.
- Ukuba ubona iimpawu zosulelo, ezinje ngomkhuhlane, iintlungu eziqatha, ukubomvu kwenxeba, okanye ubomvu, yazisa ugqirha wakho ngoko nangoko.
- Musa ukoyika ukuthetha nogqirha ngayo nayiphi na imibuzo, uloyiko, okanye amathandabuzo onokuba nawo ngale nto.
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