Kuqhelekile ukuba nemibuzo, uloyiko, kunye nokudideka emva kokuba ufunyaniswe unomhlaza webele. Ngeli xesha, ugqirha wakho uza kuthetha nawe malunga novavanyo kunye nonyango. Enye yazo isenokuba kukuba "kufuneka ususwe amaqhuma ekhwapheni lakho." Ukuva oku kusenokuba kukothuse kancinci. Yintoni kanye kanye le nkqubo yotyando? Kutheni ibaluleke kangaka? Masithethe ngayo ngendlela enobuhlobo onokuyiqonda.
Okokuqala, masibone, zeziphi ezi ziqhuma zekhwapha?
Ngamafutshane, imizimba yethu inenkqubo ye-lymphatic. Oku kufana nenkqubo yokucoca emzimbeni wethu. Ulwelo olubizwa ngokuba yi-lymph luhamba kulo lonke eli nkqubo. Kwindlela yale lymph, kukho iindawo ezincinci zokujonga. Yiloo nto siyibiza ngokuba yi-lymph nodes , okanye "ii-nodules" ngokwentetho eqhelekileyo.
Kukho malunga nama-20 ukuya kuma-40 ee-lymph nodes ekhwapheni lakho. Sizibiza ngokuba "zii-lymph nodes ze-axillary". Umsebenzi wazo ophambili kukucoca nokucoca ulwelo lwe-lymph oluvela ezingalweni zakho, emabeleni, nasodongeni lwesifuba. Kolu hluzo, zibamba iintsholongwane, izinto ezingafunekiyo, kunye neeseli zomhlaza kolo lwelo. Yiyo loo nto, ukuba umhlaza webele usasazeka, uhlala usasazeka kuqala kwii-lymph nodes ekhwapheni lakho.
Kutheni kufuneka wenze olu tyando?
Kukho izizathu ezahlukeneyo zokuba ugqirha wakho otyandayo (ugqirha otyandayo) angacebisa olu tyando. Ludla ngokwenziwa ngaxeshanye notyando lwe-lumpectomy okanye i-mastectomy.
| Izizathu eziphambili zokubhenela kutyando | Ithetha ukuba... |
|---|---|
| Ukuba neqatha elivuvukileyo | Ukuba uneqhuma ekhwapheni lakho okanye kufutshane nethambo lakho lentamo elivakala lithambile xa ulichukumisa, oku kunokubangelwa kukuqokelelana kweeseli zomhlaza. |
| Inkangeleko kwiiskeni | Ngaba ukhe wayenza i-ultrasound scan , i-CT scan , okanye i-PET scan?Ukuba ingxelo ibonisa ukuba amaqhuma asemakhwapheni avuvukile okanye abonakala engaqhelekanga. |
| Isiphumo se-Sentinel Node Biopsy | Oku kuquka ukuthatha iiseli zokuqala ezimbalwa ezinokuthi zisasaze umhlaza kwaye uzivavanye. Ukuba uvavanyo luqinisekisa ukuba iiseli ezingaphezu kwezintathu zineeseli zomhlaza, |
| Emva konyango lwe-chemotherapy | Ngamanye amaxesha i-chemotherapy inikwa ngaphambi kotyando ukuze kuncitshiswe ithumba lebele. Ukuba umhlaza osemakhwapheni awupheli emva kolo nyango, |
Lwenziwa njani olu tyando?
Akukho nto ixhalabisa kakhulu. Olu lutyando olucwangcisiweyo.
Ngaphambi kotyando
Uza kunikwa i-anesthesia eqhelekileyo . Oku kuthetha ukuba awuyi kuva nto ngexesha lotyando, kwaye uza kube ulele ngokupheleleyo. Ugqirha wakho uza kukunika imiyalelo ecacileyo malunga nexesha lokuyeka ukutya nokusela ngaphambi kotyando.
Ngexesha lotyando
1. Ukwenza i-incision: Ugqirha uza kwenza i-incision encinci eluswini lwekhwapha lakho. Oku kuya kukuvumela ukuba ufikelele lula kwiindawo apho kukho amaqhuma ekucingelwa ukuba aqulathe iiseli zomhlaza.
2. Ukususwa kwezicubu: Emva koko izicubu eziqulethe ubovu zisuswa ngononophelo. Ezi zithunyelwa kwi-"Pathologist", ugqirha ochwephesha kwizicubu.
3. Ukukhupha amanzi ngotyando: Kubekwa ityhubhu encinci kwindawo yotyando ukuze kukhutshwe naluphi na ulwelo olugqithisileyo (njengegazi okanye ubomvu) oluqokelelana apho. Olu tyando luyasuswa kwiintsuku ezimbalwa.
4. Ukuthunga isiko: Okokugqibela, isiko lithungwa ngentambo edibeneyo okanye intambo eqhelekileyo.
Zithini iingenelo kunye neengozi zoku?
Eyona nzuzo inkulu yolu tyando kukuba lunokwazi ukubona ukuba umhlaza usasazeke emakhwapheni na kwaye usasazeke kangakanani. Olu lwazi lubalulekile ekugqibeni ukuba loluphi unyango omele ulunike wena ukususela kwixesha elizayo.
Njengakwezinye iindlela zotyando, kukho iingozi ezincinci, kwaye kubalulekile ukuba uzazi.
| Umngcipheko onokwenzeka | Inkcazo |
|---|---|
| I-Lymphedema | Le yeyona ngozi iphambili. Xa ii-lymph nodes zisusiwe, kunokubakho ukuphazamiseka okuncinci ekuhambeni kolwelo lwe-lymph. Oku kunokubangela ukudumba engalweni ecaleni lotyando. Kukho iziqhelo ezikhethekileyo kunye nemiyalelo yokuthintela oku. |
| I-Axillary Web Syndrome (AWS) | Kunokubakho iintlungu phantsi kwekhwapha, kunye nemvakalelo efana nentambo phantsi kolusu. Oku kunokunyangeka nangonyango lwe-physiotherapy. |
| Ezinye iingozi | Njengakwezinye iintlobo zotyando, kukho ithuba elincinci lokopha, usulelo, kunye nomonakalo omncinci wemithambo-luvo. |
Ungakhathazeki, ugqirha wakho uza kwenza konke okusemandleni akhe ukunciphisa ezi ngozi. Angakuthumela kwingcali ye-lymphedema ukukunceda uthintele i-lymphedema.
Ithini ingxelo?
Emva kotyando, izicubu ezisusiweyo ziyahlolwa kwaye kunikwe ingxelo. Ixela ukuba zingaphi iisampulu zezicubu ezineeseli zomhlaza. Oku kubaluleke kakhulu ekumiseleni inqanaba lomhlaza.
| Udidi lweNode | Intsingiselo elula |
|---|---|
| N1 | Kukho iiseli zomhlaza kwi-1 ukuya kwi-3 lymph nodes ekhwapheni. |
| N2 | Kukho iiseli zomhlaza kwii-lymph nodes ezi-4 ukuya kwezi-9 ekhwapheni. |
| N3 | Kukho iiseli zomhlaza kwii-lymph nodes ezili-10 nangaphezulu ekhwapheni, okanye umhlaza usasazeke kwii-lymph nodes eziphantsi kwe-collarbone. |
Kodwa khumbula oku: Inani leeseli kwithumba alilo lodwa elichaza ubukhali bomhlaza.
Ugqirha wakho uza kuthathela ingqalelo ezinye izinto ezininzi xa efumanisa inqanaba lomhlaza.
- Ubungakanani kunye nendawo yethumba lebele.
- Ingaba umhlaza usasazeke kwizicubu ezingqongileyo (ezifakwe i-metastasized).
- Imeko ye-hormone receptor yeeseli zomhlaza. Oko kukuthi, nokuba zine-estrogen receptors okanye ii-progesterone receptors.
Ukuba oku kunzima ukukuqonda, ungakhathazeki. Ungoyiki ukubuza ugqirha wakho ukuba le ngxelo ithetha ukuthini kwaye iyichaphazela njani imeko yakho.
Ufanele ufowunele ugqirha nini ngoko nangoko?
Xa ufika ekhaya emva kotyando, lumka ezi mpawu. Ukuba unayo nayiphi na kwezi, xelela ugqirha wakho ngoko nangoko.
- Ukuba inxeba lotyando liba bomvu, lidumbe, okanye likhuphe ulwelo oluphumayo , oku kungaba luphawu losulelo.
- Ukuba unentlungu eqatha ngaphezu kokuba ulindele, okanye ukuba intlungu ayipheli nokuba sele usele amayeza okudambisa iintlungu.
- Ukuba ingalo okanye iminwe ecaleni lotyando idumbile , oku kungaba sisiqalo semeko ebizwa ngokuba yi-`(Lymphedema)`.
Ukujongana nomhlaza akuyonto ilula. Kodwa khumbula, inyathelo ngalinye linyathelo eliya ekuphilisweni. Olu tyando linyathelo elibalulekileyo kolo hambo. Ulwazi olufumanayo kulo luya kuba ngamandla amakhulu kuhambo lwakho lokuchacha.
Umyalezo Wokuya Ekhaya
- Ukuqhaqha i-Axillary Lymph Node linyathelo elibalulekileyo kunyango lomhlaza webele.
- Oku kwenziwa ikakhulu ukuqinisekisa ukuba umhlaza usasazeke na kwezinye iindawo zomzimba.
- Qaphela iingozi zokudumba kwengalo (i-lymphedema) emva kotyando. Landela imiyalelo kagqirha wakho kwaye uzilolonge ngokuchanekileyo ukuze uthintele oku.
- Ukuba unemibuzo malunga neengxelo zovavanyo ozifumanayo, musa ukuzibamba kwaye ungoyiki ukubuza ugqirha wakho ukuba akucacisele.
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