Xa ugqirha wakho ekuxelela ukuba unomhlaza, ngaba wakuxelela ngotyando lwe-RPLND? Usenokuba uzive usoyika kancinci kwaye woyisiwe ligama. Kodwa ungakhathazeki. Olu lutyando olubaluleke kakhulu olwenziwayo ukunqanda ukusasazeka kweeseli zomhlaza emzimbeni wakho. Ngoko masithethe ngalo ngokulula, ngendlela onokuyiqonda.
Yintoni utyando lwe-RPLND?
Ngamafutshane, i-RPLND (i-Retroperitoneal Lymph Node Dissection) yinkqubo yotyando esusa ama-lymph nodes kwindawo ethile yomzimba wakho. Le ndawo ibizwa ngokuba yi-'retroperitoneal' area.
Cinga ngale ndlela: indawo engenanto esiswini sakho emva kwamalungu akho aphambili, njengesibindi sakho namathumbu. Loo ndawo yileyo siyibiza ngokuba yi-retroperitoneal region.
Ngoku masibone ukuba zeziphi ezi lymph nodes. Ezi zizinto ezincinci kakhulu ezinceda ukugcina inkqubo yomzimba yethu yokuzikhusela isempilweni. Zifana nabalindi bomzimba wethu. Kukho amakhulu azo asasazeke emizimbeni yethu.
Ngoko ke, emva kokuba ugqirha wakho (ugqirha we-oncologist) ekhuphe ii-lymph nodes ngexesha lotyando, uzithumela kwingcali yezifo ukuze zihlolwe. Apho, zijonga ii-lymph nodes phantsi kwe-microscope ukuze zibone ukuba kukho iiseli zomhlaza na. Ngamanye amaxesha oogqirha babiza olu tyando ngokuthi 'yi-retroperitoneal lymphadenectomy'.
Kutheni kufuneka ndenze olu tyando lwe-RPLND?
Kukho izizathu ezahlukeneyo zokuba ugqirha wakho angacebisa olu tyando. Makhe sijonge iingenelo zalo tyando.
| Isizathu esiphambili | Kalula nje... |
|---|---|
| Chonga inqanaba lomhlaza | Ukususa nokuhlola ii-lymph nodes kunokunceda ekuqinisekiseni ukuba umhlaza usasazeke kangakanani emzimbeni. Oku kubizwa ngokuba kukumisela inqanaba lomhlaza. |
| Yeka ukusasazeka komhlaza | Ukuba iiseli zomhlaza zingena kwii-lymph nodes, zinokuhamba ngemithambo ye-lymph ukuya kwezinye iindawo zomzimba. Oku kubizwa ngokuba yi-metastasis. Ngoko ke, ukususa ezi lymph nodes kunokunceda ekumiseni ukusasazeka. |
| Nciphisa umngcipheko wokubuya komhlaza | Ukususa ii-lymph nodes ezineeseli zomhlaza kunokunciphisa kakhulu umngcipheko wokuba umhlaza uphinde ubuye kwixesha elizayo. |
| Njengonyango ukuba umhlaza ubuya | Ngamanye amaxesha, ukuba umhlaza ubuya emva konyango, olu tyando lwenziwa ukuze kususwe ii-lymph nodes ezineeseli zomhlaza. |
Ngokukodwa, i-RPLND ngamanye amaxesha yenziwa kokubili ukumisela kunye nokunyanga umhlaza wamasende . Ikwasetyenziswa nakwezinye iintlobo zomhlaza, ezifana nomhlaza wezintso, ezinye iintlobo zomhlaza wenkqubo yokuzala yabasetyhini, kunye nezinye iintlobo ze-sarcomas.
Oogqirha bazi njani ukuba ndifuna i-RPLND?
Ukuba uvavanyo lwakho lwemifanekiso lubonisa ukuba ii-lymph nodes ezingasemva kwesisu sakho zidumbile, ugqirha wakho unokukuxelela ngolu tyando. Olu hlobo lweziskeni luquka:
- Iskeni ye-CT
- Iskeni ye-MRI
- Iskeni yePET
Ugqirha wakho angacebisa olu tyando kwelinye ixesha kuhambo lwakho lokunyanga umhlaza. Ugqirha wakho ngumntu ofanelekileyo ukuchaza isizathu sokuba udinga olu tyando. Nguye owaziyo imeko yakho ngcono. Ngoko ke ungathandabuzi ukumbuza nayiphi na imibuzo onokuba unayo.
Olu tyando lwe-RPLND lwenziwa njani?
Ngaphambi kokuba utyando luqale, uza kube ulaliswe ngokupheleleyo. Oku kuthetha ukuba uza kube ulele ngokupheleleyo. Ngoko ke awuyi kuva ntlungu.
Emva koko ugqirha wenza utyando esiswini sakho aze asuse ngononophelo ii-lymph nodes ezikufutshane nomhlaza.
Injongo ephambili yolu tyando kukususa zonke ii-lymph nodes ezinokuba neeseli zomhlaza kunye nokuthintela ngokupheleleyo ukusasazeka komhlaza. Ukuze kufezekiswe olu njongo, ngamanye amaxesha ezinye izinto zinokufuneka zisuswe ukongeza kwii-lymph nodes.
- Ezinye ii-lymph nodes ezininzi ezivela kwelinye icala lomzimba.
- Esinye isitho somzimba, njengesintso.
- Ezinye iithumba okanye izicubu ezikuloo ndawo.
Kule mihla, ezinye izibhedlele zenza olu tyando njengotyando lwe-laparoscopic, oluqhutywa ngokusikwa okuncinci, okanye ngokusebenzisa utyando lwerobhothi. Ugqirha wakho uza kukuchazela ukuba yeyiphi indlela efanelekileyo kuwe.
Olu tyando lwe-RPLND lungathatha naphi na ukusuka kwiiyure ezintathu ukuya kwezilishumi .
Yintoni onokuyilindela emva kotyando?
Kuya kufuneka uhlale esibhedlele kangangeentsuku ezine ukuya kwezisixhenxe emva kotyando. Kuqhelekile ukuba neentlungu emva kotyando. Ugqirha wakho uza kukunika amayeza okudambisa iintlungu afunekayo. Ngoko ke ungakhathazeki ngentlungu.
Zithini iingozi zolu tyando?
Njengalo naluphi na utyando olukhulu, utyando lwe-RPLND luneengozi ezithile. Ugqirha wakho uza kukuchazela zonke ezi zinto kwangaphambili.
| Umngcipheko | Inkcazo |
|---|---|
| Ukonakala kwemithambo yegazi | Ugqirha wenza olu tyando kufutshane kakhulu nemithambo yegazi emikhulu yomzimba. Ngenxa yoko, kwiimeko ezingaqhelekanga, le mithambo yegazi inokonakala kwaye kunokubakho ukopha okungakumbi. |
| Ichaphazela ukuzala | Iingxaki zokukhupha incindi zinokwenzeka emva kotyando. Oku kungenxa yokuba imithambo-luvo elawula ukuphuma kwencindi idlula kwindawo apho kwenziwa khona utyando. Uninzi lwexesha, oogqirha botyando bakhusela le mithambo-luvo ekonakalisweni. Nangona kunjalo, ngamanye amaxesha imeko ebizwa ngokuba yi-anejaculation inokwenzeka. |
| Ukuqokelelana kolwelo lwe-lymphatic (i-Lymphocele) | Ulwelo lwe-lymph lunokuqokeleleka kwindawo eshiywe zii-lymph nodes ezisuswayo. Ukuze asuse olu lwelo lungaphezulu, ugqirha wakho unokufaka umbhobho omncinci (idreyini) esiswini sakho. |
| Ezinye iingxaki | Njengakwezinye iintlobo zotyando, kukho umngcipheko omncinci wokosuleleka, ubunzima bokuphefumla, umonakalo kwamanye amalungu omzimba, iintlungu zesisu esisezantsi, kunye nokuqhinwa. |
Yintoni ekwingxelo emva kotyando?
Ugqirha wakho uza kukuchazela ingxelo yesifo osifumanayo emva kokuhlola ii-lymph nodes zakho.
Ungasebenzisa amagama athi "alungileyo" okanye "angalunganga" kuyo.
- Iziphumo ezilungileyo zithetha ukuba bekukho iiseli zomhlaza kwi-lymph nodes ezisusiweyo.
- Isiphumo esibi sithetha ukuba bekungekho ziseli zomhlaza.
Ukongeza, ingxelo ikwachaza ukuba zingaphi kwiiseli zomhlaza ezisusiweyo kwinani lilonke.
- Uhlobo lomhlaza.
- Indlela iiseli zomhlaza ezahluke ngayo kwiiseli eziqhelekileyo (udidi).
- Izinga apho iiseli zomhlaza zahlukana khona (izinga le-mitotic).
Ingxelo inokuba nolunye ulwazi olubalulekileyo, olufana nolu:
Kuza kwenzeka ntoni emva kokuba iziphumo zifunyenwe?
Ngokusekelwe kwiziphumo zengxelo yakho, iqela lakho lezonyango liza kugqiba ngento ekufuneka yenziwe ngokulandelayo. Isenokuba yinto efana nale:
- Ukujonga/ukubeka esweni ngaphandle konyango
- Unyango ngamakhemikhali
- Unyango ngemitha
Ndifanele ndimfowunele nini ugqirha?
Wakufika ekhaya, kufuneka unyamekele kakhulu ukuchacha kwakho. Lumka ngakumbi malunga nendlela inxeba lakho lotyando eliphola ngayo. Ukuba unezinye zeempawu ezilandelayo, fowunela ugqirha wakho ngoko nangoko.
| Iimpawu zesilumkiso - yazisa ugqirha ngoko nangoko | |
|---|---|
| Isicaphucaphu okanye ukuhlanza | Ukuba uhlanza kakhulu kangangokuba awukwazi ukugcina namanzi amancinci esiswini sakho. |
| Intlungu yesisu esisezantsi | Ukuba uziva uxinezelekile, intlungu enzima, okanye intlungu xa uchukumisa isisu sakho esisezantsi. |
| Akukho kuqunjelwa okanye ukuhamba kwamathumbu | Ukuba awukwazi ukuphuma umoya okanye ukuya kwindawo yokulahla inkunkuma. |
| Ukukhupha ubofu enxebeni | Ukuba kukho ulwelo olufana nobovu oluphuma kwindawo yotyando. |
| Intlungu ebuhlungu | Ukuba unentlungu enzima engenakulawuleka nokuba usebenzisa amayeza okudambisa iintlungu. |
Naluphi na utyando luyoyikisa, ingakumbi xa lubandakanya umhlaza. Kodwa khumbula, i-RPLND yinkqubo esindisa ubomi enika oogqirha ulwazi olubalulekileyo malunga nempilo yakho kwaye inokuthintela ukusasazeka komhlaza.
Ukuba usenamathandabuzo okanye uloyiko malunga nokwenza utyando olukhulu kangaka, akukho nto imbi ngokufuna uluvo lwesibini komnye ugqirha. Mhlawumbi ukuthetha nomnye ugqirha kuya kukunika uxolo lwengqondo kwaye kukunike amandla engqondo owadingayo ukuze ujongane notyando.
Olu tyando linyathelo elikhulu ebomini bakho. Kodwa lunokusindisa ubomi bakho. Iqela lakho lezonyango lilapha ukukunceda. Ngoko thetha nabo ngayo nayiphi na imibuzo okanye uloyiko onalo.
Umyalezo Wokuya Ekhaya
- I-RPLND lutyando olukhulu olususa ii-lymph nodes ezingasemva kwamalungu esisu.
- Oku kwenziwa ikakhulu ukuze kubonwe ukuba umhlaza usasazekile na, kuthintelwe ukuba ungasasazeki, kwaye kuthintelwe ukuba umhlaza ungabuyi.
- Njengakwezinye iintlobo zotyando, kukho iingozi, ezinje ngokopha kunye nemiphumo ekuzaleni. Ugqirha wakho uza kukwazisa ngezi zinto.
- Kuthatha ixesha ukuba umntu aphile emva kotyando. Kubaluleke kakhulu ukuba azi iimpawu zosulelo (umkhuhlane, ubomvu obuvela kwinxeba, iintlungu eziqatha).
- Xoxa neqela lakho lezonyango malunga noloyiko lwakho kunye neenkxalabo zakho. Ungaze uthandabuze ukufumana uluvo lwesibini ukuba kuyimfuneko.
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