Xa ugqirha ekuxelela ukuba unomhlaza, aze athi, "Kufuneka ndisuse ii-lymph nodes kunye nethumba," kuyinto eqhelekileyo ukuziva usoyika kancinci. "Kutheni besusa ezi nodes? Kuza kwenzeka ntoni ngale nto? Ngaba olu lutyando olukhulu?" Imibuzo emininzi efana nale mhlawumbi ifika engqondweni yakho. Musa ukoyika. Namhlanje, sithetha ngolu tyando olubizwa ngokuba yiLymphadenectomy ukuphendula loo mibuzo.
Okokuqala, yintoni i-Lymphadenectomy?
Ngamafutshane, i-lymphadenectomy kukususwa kwe-lymph nodes enye okanye ezingaphezulu emzimbeni wakho ngotyando. Ngolwimi lwethu oluqhelekileyo, oku kukwabizwa ngokuba yi-"lumpectomy".
Khawuthelekelele ukuba imizimba yethu ifana nesixeko esikhulu. Kukho uthungelwano lweendlela (imithambo yegazi) kuyo yonke indawo kwesi sixeko. Kwakhona, kukho inkqubo eyahlukileyo yokususa inkunkuma nokuqinisekisa ukhuseleko kwesi sixeko. Yiyo loo nto inkqubo ye-lymphatic emzimbeni wethu injalo. Le nkqubo ineendawo zokujonga ezincinci zokhuseleko. Ezo ndawo zokujonga sizibiza ngokuba zii-lymph nodes .
Umsebenzi wabo ophambili kukucoca nokucoca i-lymph ehamba kwinkqubo ye-lymphatic. Oko kukuthi, babamba kwaye batshabalalise iintsholongwane, iiseli ezonakeleyo, ingakumbi iiseli zomhlaza ezikule fluid. Ngoko ke ziyinxalenye ebaluleke kakhulu kwinkqubo yethu yokuzikhusela yomzimba.
Kutheni ke ngoko ukususa la ma-lymph node kumntu onomhlaza?
Eyona sizathu siphambili soku kukwazi ukuba umhlaza usasazeke na kwamanye amalungu omzimba. Indlela ephambili esasazeka ngayo le ntsholongwane (i-metastasis) kukusebenzisa inkqubo ye-lymphatic.
Khawucinge nje ngoku. Unethumba kwelinye icala lomzimba wakho. Lifana nomlilo omncinci kwigumbi elinye lendlu. Ngoku sifuna ukwazi ukuba lo mlilo usasazeke nakwamanye amagumbi. Ngoko ke senza ntoni? Siya kumagumbi akufutshane size sibone ukuba umlilo usasazeke apho na.
Ngokufanayo, oogqirha bajonga nee-lymph nodes ezikufutshane nethumba ukuze babone ukuba iiseli zomhlaza zisasazeke apho na.
Olu tyando lufezekisa iinjongo eziphambili ezininzi:
- Fumana inqanaba lomhlaza: Oogqirha banokufumanisa inqanaba lomhlaza ngokusekelwe ekubeni kukho iiseli zomhlaza kwi-lymph nodes okanye hayi. Oku kubaluleke kakhulu ekucwangciseni unyango lwexesha elizayo.
- Njengonyango: Ukuba kukho iiseli zomhlaza kwi-lymph nodes, ukususa ezo nodes kususa nezo seli zomhlaza emzimbeni. Oku kuthetha ukuba oku kukuxilongwa kunye nonyango.
- Nqanda umhlaza ukuba ungasasazeki ngakumbi: Ukususa ii-lymph nodes ezineeseli zomhlaza kuthintela umhlaza ukuba ungasasazeki ngakumbi emzimbeni.
- Ukuthintela umhlaza ukuba ungabuyi:Emva kokususa ithumba, ukususa naziphi na iiseli zomhlaza ezinokuthi zihlale kwii-lymph nodes ezingqongileyo kunokunciphisa umngcipheko wokuba umhlaza uphinde ubuye kwixesha elizayo.
Zeziphi iintlobo zomhlaza ezidla ngokufuna olu tyando?
Olu tyando lucetyiswa kwiintlobo ezahlukeneyo zomhlaza ezinokusasazeka kwinkqubo ye-lymphatic. Ezona ntlobo zixhaphakileyo zomhlaza ziquka:
- Umhlaza webele
- Umhlaza wolusu weMelanoma
- Umhlaza wentloko nentamo
- Umhlaza we-thyroid
- Umhlaza wemiphunga
- Umhlaza wesisu
- Umhlaza weColoral
- Umhlaza wamasende kunye nomhlaza wesibeleko
- Umhlaza wesinyi, umhlaza wamathumbu, kunye nomhlaza weprostate
Ziziphi iintlobo eziphambili zotyando lwe-lymphadenectomy?
Zimbini iindlela zokwenza olu tyando. Kufana namapolisa abuza ukuba ajonge kuphela indawo ekrokrisayo okanye yonke indawo.
| Uhlobo lotyando | Kalula nje... |
|---|---|
| Utyando lweLymphadenectomy lweSithili (oluKhethayo) | Oku kuquka ukususa isampuli kuphela, oko kukuthi, isixa esincinci kuphela, kummandla we-lymph node okufutshane nethumba lomhlaza. |
| Utyando lwe-Lymphadenectomy oluQhelekileyo (olupheleleyo/olupheleleyo) | Oku kuquka ukususa zonke ii-lymph nodes ezikuloo ndawo. Oku kwenziwa ukuba kukho ukurhanelwa kokuba umhlaza usasazeke ngokwaneleyo. |
Ngamanye amaxesha, oogqirha baqala benze iSentinel Node Biopsy.Ibizwa ngokuba yintoni. Oko kukuthi, ukufumana i-lymph node "sentinel", apho iiseli zomhlaza zinokuhamba khona kuqala ukusuka kwithumba, kunye nokususa nokuhlola elo kuphela. Ukuba ayinazo iiseli zomhlaza, kudla ngokugqitywa ukuba zingasusi ezinye. Ukuba injalo, kuya kufuneka kususwe amanye amaqhuqhuva.
Uzisusa phi ii-moles emzimbeni ngale ndlela?
Oku kuxhomekeke ekubeni umhlaza wakho ukuphi, njengoko uhlobo ngalunye lomhlaza lusasazeka kwiindawo ezithile ze-lymph node emzimbeni.
| Igama lotyando | Apho kukho iimbovane eziza kususwa khona | Umhlaza odla ngokunxulunyaniswa nawo |
|---|---|---|
| Utyando lwe-Axillary Lymphadenectomy | Indawo ekhwapheni | Umhlaza webele, i-melanoma yesandla |
| Ukususwa kweLymphadenectomy ye-Inguinal | Indawo yokukhula | Umhlaza wepenis kunye ne-vulva |
| Utyando lwe-Cervical Lymphadenectomy | Indawo yentamo | Intloko, intamo kunye nomhlaza we-thyroid |
| Ukususwa kweLymphadenectomy engasemva kwesisu | Umva wesisu (ngaphakathi esiswini) | Umhlaza wamasende kunye nomhlaza wesibeleko |
| Utyando lwe-pelvic Lymphadenectomy | I-pelvis | Isinyi, umhlaza we-rectal, umhlaza we-prostate |
| Utyando lwe-Mediastinal Lymphadenectomy | Inxalenye ephakathi yesifuba | Umhlaza wemiphunga, iLymphoma |
Kwenzeka ntoni ngaphambi, ngexesha nasemva kotyando?
Ngaphambi kotyando
Ngaphambi kokuba ucwangcise utyando lwakho, ugqirha wakho usenokuyalela iimvavanyo ezifana neeskeni ukujonga imeko yee-lymph nodes zakho. Banokwenza ne-biopsy yenaliti, equka ukususa iqhekeza elincinci lezicubu ukuze lihlolwe. Ukuba ezi mvavanyo zibonisa iimpawu zomhlaza, kwenziwa i-lymphadenectomy.
Ngexesha lotyando
Olu tyando ludla ngokwenziwa phantsi kwe-anesthesia eqhelekileyo. Oku kuthetha ukuba awuyi kuva nto, uza kube ulele ngokupheleleyo. Zimbini iindlela olu tyando olunokwenziwa ngazo.
1. Utyando Oluvulekileyo: Kule meko, kwenziwa umngxuma omnye omde kwindawo efanelekileyo kwaye ii-lymph nodes ziyasuswa.
2. Utyando lweLaparoscopic: Oku kuquka ukwenza imingxunya emincinci emininzi, ukufaka ikhamera kwenye, kunye nokufaka izixhobo kwezinye imingxunya. Le ndlela inexesha elifutshane lokuphola kunye namanxeba amancinci.
Emva kotyando, ugqirha uza kubeka ityhubhu encinci ebizwa ngokuba yidrayivu ngaphakathi kwe-incision aze ayidibanise netyhubhu. Oku kwenzelwa ukuthintela ulwelo olungafunekiyo ukuba luqokeleleke kwindawo yotyando. Le drayivu kuya kufuneka ishiywe endaweni yayo kangangeentsuku okanye iiveki ezininzi.
Emva kotyando
Ukuba wenze utyando oluncinci lwe-keyhole, uya kukwazi ukuya ekhaya ngaloo mini inye. Ukuba wenze utyando oluvulekileyo, kuya kufuneka uhlale esibhedlele usuku olunye ukuya kwezintathu. Xa ubuyela ekhaya, uya kunikwa imiyalelo eneenkcukacha malunga nendlela yokunyamekela inxeba kunye nendlela yokusela amayeza akho. Kuya kufuneka uphinde ubonane nogqirha ukuze asuse umsele, asike izitishi, aze afumane ingxelo ye-biopsy.
Zithini iingenelo, iingozi, kunye nemiphumo emibi yolu tyando?
Njengalo naluphi na utyando, olu luneengenelo kunye neengozi ezithile kunye nemiphumo emibi.
| Iinzuzo | Iingozi kunye nemiphumo emibi |
|---|---|
| Ungayazi kakuhle ukuba umhlaza usasazeke na. | Usulelo lwenxeba. |
| Ukuchonga inqanaba lomhlaza kunceda ekukhetheni unyango olungcono. | Ukonakala kwemithambo-luvo nemithambo yegazi ejikelezileyo. |
| Isusa iiseli zomhlaza kwi-lymph nodes kwaye iyayithintela ukuba ingasasazeki. | Ubungqindilili kunye nokuqina okujikeleze i-incision. |
| Inciphisa umngcipheko wokuphinda umhlaza. | Ukuqokelelana kolwelo kwindawo yotyando (iSeroma). |
| I-Lymphedema: Esi sisiphumo esibi ekufuneka usiqaphele. Xa kususwa inani elikhulu lee-lymph nodes, ukuhamba kolwelo lwe-lymph kunokuphazamiseka, okubangela ukudumba okungapheliyo kwesitho, njengengalo okanye umlenze. Le meko ayenzeki kuwo wonke umntu. Kodwa kubalulekile ukuba uyiqaphele. |
Ufanele ubize ugqirha wakho nini
Ukuba ufumana naziphi na ezi mpawu emva kotyando lwakho, fowunela ugqirha wakho ngoko nangoko .
- Ukuba inxeba libomvu, likhupha ubomvu, okanye linomkhuhlane (ezi ziimpawu zosulelo).
- Ukuba kukho intlungu enganyamezelekiyo, ukungaziva, okanye ukuqina.
- Ukuba isitho somzimba, njengengalo okanye umlenze, sidumba kakhulu.
- Ukuba iintshukumo ezithile kunzima ukuzenza.
Utyando lwe-lymphadenectomy linyathelo elibaluleke kakhulu kwinkqubo yonyango lomhlaza. Lubonelela ngolwazi oluxabisekileyo malunga nemeko yakho kwaye lunokunceda ekuthinteleni ukusasazeka komhlaza. Njengakwezinye iindlela zotyando, kukho iingozi, kodwa iingenelo zifanelekile kwiingozi. Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngayo kwaye ubuze nayiphi na imibuzo onokuba nayo.
Umyalezo Wokuya Ekhaya
- I-Lymphadenectomy kukususwa kwee-lymph nodes (ii-nodes) ezinokuba neeseli zomhlaza ngotyando.
- Injongo ephambili yoku kukufumanisa ukuba umhlaza usasazekile na (ukuxilongwa) kunye nokususa iiseli ezisasazekileyo (unyango).
- Ulwazi olufunyenwe kolu tyando lubalulekile ekumiseleni inqanaba lomhlaza wakho kunye nokuceba unyango lwexesha elizayo.
- I-Lymphedema, imeko apho amalungu avuvukala khona, yenye yeziphumo ebezingalindelekanga ezinokwenzeka emva kotyando. Nangona kunjalo, oku akwenzeki kuwo wonke umntu.
- Ngexesha lokuchacha kwakho, qaphela naziphi na iimpawu zosulelo, ukudumba okugqithisileyo, okanye iintlungu ezinganyamezelekiyo. Ukuba oku kuyenzeka, yazisa ugqirha wakho ngoko nangoko.
- Thetha ngokukhululekileyo nogqirha wakho malunga naluphi na uloyiko okanye amathandabuzo onokuba nawo.
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