Xa ufumanisa ukuba wena okanye umntu omaziyo unomhlaza, enye yezona zinto zinkulu zoloyiko ezifika engqondweni kukuba, "Ngaba usasazeke kwamanye amalungu omzimba?" Ngokwenene olo luloyiko olufanelekileyo. Namhlanje, siza kuthetha ngovavanyo olubaluleke kakhulu olusetyenziswa ngoogqirha ukufumana impendulo yalo mbuzo. Lubizwa ngokuba yiSentinel Node Biopsy.
Yintoni iSentinel Node Biopsy ngokulula?
Ukuze siqonde oku, masiqale sifunde kancinci malunga nama-lymph nodes emizimbeni yethu. La ngamadlala amancinci amile okweembotyi afumaneka kuyo yonke imizimba yethu. Afana "nezihluzo" emizimbeni yethu. Umsebenzi wawo kukucoca ulwelo emizimbeni yethu nokubamba izinto ezinobungozi ezifana neentsholongwane, iibhaktheriya, kunye neeseli zomhlaza. Kufana nendawo yokuhlola yamapolisa.
Ngoku khawucinge ukuba ukuba iiseli zomhlaza ziqala ukusasazeka ukusuka kwithumba, kukho ii-lymph nodes ezininzi apho ezo seli zinokuma khona kuqala . Ezo lymph nodes zokuqala 'zesango' zezo sizibiza ngokuba "zii-sentinel nodes."
Ngamafutshane, i-sentinel node biopsy kukususwa ngotyando kwe-sentinel nodes enye okanye ezingaphezulu, ezifana nendawo yokuqala yokuhlola, ukuze kuqinisekiswe ukuba umhlaza usasazekile na, uze emva koko uvavanye iiseli zomhlaza.
Kweziphi iimeko apho olu vavanyo lwenziwa khona?
Oogqirha basebenzisa olu vavanyo ikakhulu ukuze babone inqanaba lomhlaza. Oko kukuthi, ukuze bafumanise ukuba umhlaza usasazeke kangakanani kwaye unzulu kangakanani. Oku kubaluleke kakhulu kwezi meko:
- Umhlaza webele
- Umhlaza wolusu weMelanoma
Ukongeza, le ndlela ikwasetyenziselwa ukufumanisa inqanaba lomhlaza wepenis kunye nomhlaza we-endometrial. Okwangoku, uphando luyaqhubeka ukufumanisa ukuba le ndlela isebenza kangakanani kwezinye iintlobo zomhlaza. Ezi ziquka umhlaza womlomo wesibeleko, umhlaza we-colorectal, kunye nomhlaza we-thyroid.
Amaxesha amaninzi, olu tyando lwe-biopsy lwenziwa ngexesha elinye notyando lokususa ithumba eliphambili, kodwa ngamanye amaxesha lunokwenziwa ngokwahlukeneyo, ngaphambi okanye emva koko.
Ndingazilungiselela njani ngaphambi kolu tyando?
Ekubeni le yinkqubo yotyando, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Uya kufumana imiyalelo ngezinto ezifana nezi:
- Ukuzila ukutya: Ixesha lokuyeka ukutya nokusela ngaphambi kotyando kunye nento omawuyeke ukutya.
- Iyeza:Ukuba uthatha amayeza, iivithamini, okanye ezinye izongezo, ugqirha wakho uza kukubuza ukuba kufuneka uyeke na ukuthatha naliphi na la mayeza.
Kwakhona, kubalulekile ukuthetha nomntu oza kukusa ekhaya emva kotyando.
Lwenziwa njani utyando?
Le nkqubo yenzeka ngendlela ecwangcisiweyo kakhulu.
Ngaphambi okanye ngexesha lotyando, ugqirha wakho uza kufaka into ekhethekileyo kwithumba lakho. Le isenokuba yinto ekhuselekileyo ene-radioactive (tracer) okanye idayi eluhlaza okwesibhakabhaka. Le nto ihamba ukusuka kwithumba ukuya kwi-sentinel node, "indawo yokuqala yokujonga." Oku kunceda ugqirha otyandayo ukuba afumane i-node echanekileyo aza kuyisusa.
Emva koko masibone ukuba kwenzeka ntoni inyathelo ngenyathelo.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. I-Anesthesia | Uza kuthomalaliswa ngokupheleleyo (ungazazi nto konke konke) ukuze ungabi nantlungu. |
| 2. Ukufumana iSentinel Node | Ukuba izinto ezisebenzisa i-radioactive zifakwe kwi-injection, indawo ye-node ifumaneka ngesixhobo esikhethekileyo esibizwa ngokuba yi-gamma detector. Ukuba idayi eluhlaza okwesibhakabhaka ifakwe kwi-injection, i-node iya kubonakala iluhlaza okwesibhakabhaka. Ngamanye amaxesha zombini ezi ndlela ziyasetyenziswa. |
| 3. Ukususa i-node | Ugqirha wenza umsikelo omncinci aze asuse elinye okanye ngaphezulu kwamaqhuqhuva afunyenweyo (ngokuqhelekileyo ukusuka kwi-1 ukuya kwi-5). |
| 4. Ukuthumela uvavanyo | Amaqhuqhuva asusiweyo athunyelwa kwilebhu, apho ingcali yezifo iwahlola phantsi kwe-microscope ukuze ibone ukuba anazo na iiseli zomhlaza. Emva koko inxeba livalwa ngemithungo. |
Yintoni onokuyilindela emva kotyando?
Uninzi lwabantu lunokubuyela ekhaya ngaloo mini inye, kodwa kunokufuneka uhlale esibhedlele ubusuku bonke. Khumbula ukuba kuqhelekile ukuba nezi zinto ngexesha lokuchacha emva kotyando.
- Kubuhlungu apho kuthe kwasikwa khona, kwaye kubuhlungu xa usicinezela .
- Ulusu olukuloo ndawo luziva lungenamsebenzi (oku kwenzeka xa loo mithambo-luvo ibuyiselwa).
- Umchamo okanye ilindle lakho lisenokujika libe luhlaza okwesibhakabhaka okanye libe luhlaza kangangeentsuku ezimbalwa ngenxa yehempe eluhlaza okwesibhakabhaka oyisebenzisileyo.
- Ulusu olujikeleze i-incision lubonakala luluhlaza okwesibhakabhaka .
- Ukuziva ngathi liqhuma lokuqina phantsi kolusu njengoko inxeba liphola.
- Ukuba ukhuphe ikhakhayi ekhwapheni lakho, ungaziva uxinezelekile okanye ungakhululeki engalweni yakho .
Ngaphambi kokuba uphume esibhedlele, buza ugqirha wakho okanye umongikazi malunga nendlela yokunyamekela inxeba lakho kunye namanyathelo okhuseleko ekufuneka uwathathe. Buza nokuba ungaqalisa nini kwakhona ukuzilolonga nokuphakamisa iintsimbi.
Zithini iingozi kunye neengxaki zolu tyando?
Olu lutyando olukhuselekileyo kakhulu, kodwa njengalo naluphi na utyando, kukho iingozi ezincinci.
| Umngcipheko/Ingxaki | Inkcazo |
|---|---|
| Iingxaki ezinxulumene namanxeba | Indawo etyumkileyo inokuba negazi, ivuvuke, idumbe, kwaye ibe buhlungu. Ngamanye amaxesha inxeba linokuba nesifo. Ukuba inxeba libomvu, lidumbile, kwaye linomkhuhlane, olo luphawu losulelo. |
| Ukusabela kwi-Allergic | Kunqabile kakhulu ukuba abanye abantu babe ne-allergy kuloo mbala uluhlaza okwesibhakabhaka. |
| I-Lymphedema | Xa kususwa ii-lymph nodes, ukuhamba kolwelo lwe-lymph kunokuthintelwa, okubangela ukuba ulwelo ludibane luze lubangele ukudumba engalweni okanye emlenzeni. Nangona kunjalo, le ngozi iphantsi kakhulu xa kususwa ii-sentinel nodes ezimbalwa kuphela. |
| I-Axillary Web Syndrome (AWS) | Oku nako kuyinto engaqhelekanga. Xa ii-lymph nodes zisusiwe ekhwapheni, ungaziva ngathi kukho intambo phantsi kwesikhumba ngaphakathi kwengalo yakho. |
Ukuba ufumana naziphi na kwezi mpawu, yazisa ugqirha wakho ngoko nangoko.
Ingxelo yovavanyo ingena njani? Ithetha ukuthini?
Iziphumo zengxelo zimbini: nokuba 'zimbi' okanye 'zintle' .
- Ukuba isiphumo 'sibi':
Oko kuthetha ukuba akukho ziseli zomhlaza ezifunyenweyo kwiindawo zakho zokulinda. Ezi ziindaba ezimnandi kakhulu kuba kuthetha ukuba umhlaza akunakwenzeka ukuba usasazeke kwezinye iindawo zokulinda.
- Ukuba isiphumo 'Silungile':
Oku kuthetha ukuba kukho iiseli zomhlaza kwiindawo ezisele zisusiwe. Ngeli xesha, ugqirha wakho unokugqiba ekubeni aphande ngakumbi ukuba umhlaza usasazeke kangakanani aze asuse ezinye iindawo ezisele zifile. Okanye, unokucebisa ezinye iindlela zonyango, ezifana nonyango lwemitha.
Ixesha elithathwayo ukufumana iziphumo linokwahluka. Kusenokuba lusuku olufanayo, okanye kungathatha iiveki ezininzi.
Ndifanele ndimtsalele umnxeba nini ugqirha?
Ukuba ubona naziphi na ezi mpawu emva kotyando, fowunela ugqirha wakho ngaphandle kokulibazisa.
- Ukuba unomkhuhlane .
- Ukuba indawo etyumkileyo idumbile, ibomvu, okanye ifudumele .
- Ukuba inxeba liyaqhubeka nokopha .
- Ukuba unentlungu enganyamezelekiyo nokuba sele usele amayeza okudambisa iintlungu.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwe-sentinel node biopsy luvavanyo olubaluleke kakhulu ukuze kuqinisekiswe ukuba umhlaza usasazeke na kwezinye iindawo zomzimba.
- Iziphumo ezivela koku ziya kuba luncedo kakhulu koogqirha ekumiseleni inqanaba lomhlaza wakho kunye nokuceba unyango lwexesha elizayo.
- Olu lutyando olukhuselekileyo ngokubanzi, kwaye naziphi na iziphumo ebezingalindelekanga ezinokubakho zihlala zilawulwa.
- Iziphumo 'ezingalunganga' luphawu oluhle lokuba umhlaza awukasasazeki, ngelixa iziphumo 'ezilungileyo' zibonelela ngesikhokelo sonyango lwexesha elizayo.
- Thetha ngokukhululekileyo nogqirha wakho malunga nemibuzo okanye iinkxalabo onokuba nazo ngaphambi okanye emva kotyando.
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