Ingabe wena noma othile omaziyo utshelwe udokotela wakho ukuthi udinga ukuhlinzwa ukuze kususwe iqhubu embotsheni yakho? Kungenzeka ukuthi wesaba kancane lapho uzwa leli gama. Kodwa ungakhathazeki, lokhu kungaba isinyathelo esibaluleke kakhulu ekwelapheni umdlavuza. Namuhla, sizokhuluma ngalokhu kuhlinzwa okubizwa ngokuthi 'i-Inguinal Lymph Node Dissection', okumayelana nokususa amaqhubu embotsheni yakho.
Okokuqala, ake sibone ukuthi lesi sigebengu esincane sithini.
Kulungile, ukukubeka kalula, ama-lymph node ayizakhiwo ezincane, ezimile njengobhontshisi ezitholakala kuyo yonke imizimba yethu. Ayingxenye yesimiso sokuzivikela somzimba wethu, isimiso sokuzivikela komzimba . Uma uketshezi oluhamba ohlelweni lwe-lymphatic lomzimba wethu ludlula kula ma-node, lusebenza njengesihlungi. La ma-node abamba izinto eziyingozi njengamagciwane namaseli omdlavuza.
Ngakho-ke ama-lymph node angama-inguinal angama-node asendaweni ye-groin, lapho imilenze yakho ihlangana khona nesisu sakho esingezansi. Kunama-node angaba yi-10 angaphandle, ngaphansi kwesikhumba. Uketshezi oluhlanzwa kula ma-node luya kuma-node amaningana ajulile. Ukusuka lapho, luya kwezinye izingxenye zomzimba.
Kungani udinga ukwenza lo msebenzi?
Lokhu kubaluleke kakhulu ukukuqonda. Lolu hlelo lwemithambo luyindlela enkulu esetshenziswa amangqamuzana omdlavuza ukusuka kwenye indawo ukuya kwenye. Lokhu kusho ukuthi amangqamuzana omdlavuza angahamba ngalezi zitsha aye kunoma iyiphi ingxenye yomzimba.
Cabanga nje, lapho umdlavuza uvela ndawana-thile emzimbeni wethu, lawo maseli omdlavuza aqala aye ezicutshini eziseduze nawo. Isibonelo, umdlavuza okhula ezindaweni ezifana nezitho zangasese (ipenisi, ukuvulwa kwesitho sangasese sowesifazane), i-rectum, kanye nesikhumba emilenzeni uqala ngokuzama ukusabalala ezicutshini ezisesinqeni.
Odokotela baqala ngokuthatha isampula encane ku-lymph node yokuqala eseduze nomdlavuza, ebizwa ngokuthi i-sentinel lymph node , bese beyihlola (i-`sentinel lymph node biopsy`). Kufana nendawo yokuhlola. Uma kungekho maseli omdlavuza kule node yokuqala, kungenzeka ukuthi awekho amaseli omdlavuza kuma-node alandelayo.
Kodwa-ke, uma ukuhlolwa kuqinisekisa ukuthi kukhona amangqamuzana omdlavuza kuma-node, ama-node asuswa ngokuphelele ngokuhlinzwa. Lokhu yilokho esikubiza ngokuthi `ukuhlukaniswa kwama-lymph node angu-inguinal`.
Lokhu kungavimba umdlavuza ukuthi ungasabalali kakhulu. Futhi, ukwazi ukuthi umdlavuza ususakazeke yini kuma-lymph node akho kuzosiza udokotela wakho ukuthi anqume ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe.
Yiziphi izinjongo eziyinhloko zalokhu kuhlinzwa?
Kunezizathu eziningana eziyinhloko zokwenza lo msebenzi. Ake siziqonde kahle.
| Inhloso | Kuchazwe kalula |
|---|---|
| Ukuhlola ukusabalala komdlavuza | Qiniseka ukuthi umdlavuza ovela kwenye indawo emzimbeni ususakazekele endaweni yesinqe. |
| Ukususa amaseli omdlavuza | Susa ngokuphelele noma yiziphi izigaxa eziqukethe noma ezingase zibe namangqamuzana omdlavuza bese uvimba umdlavuza ukuthi ungasabalali kakhulu. |
| Ukunciphisa ingozi yesikhathi esizayo | Nciphisa ingozi yokuphinda umdlavuza kuleyo ndawo esikhathini esizayo. |
| Ukuhlela ukwelashwa | Ngokusekelwe olwazini olutholiwe, nquma ukuthi yiziphi izindlela zokwelapha zesikhathi esizayo (isib. i-chemotherapy, i-radiotherapy) ezifanele kakhulu kuwe. |
Ulungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho uzokuchazela lokhu ngokuningiliziwe. Ngokuvamile ngaphambi kokuhlinzwa,
- Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile (ikakhulukazi imithi yokunciphisa igazi) isikhashana.
- Uzotshelwa ukuthi ungadli noma uphuze lutho amahora ambalwa ngaphambi kokuhlinzwa.
- Uzotshelwa kusenesikhathi ukuthi zingaki izinsuku ozohlala esibhedlela nokuthi uzozizwa kanjani ngemva kokubuyela ekhaya.
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.
Kwenziwa kanjani lokhu kuhlinzwa?
Lezi yizinyathelo ezivame ukwenzeka.
1. Okokuqala, udokotela wezinzwa uzokubulala izinzwa . Lokhu kusho ukuthi uzobe ulele ngokuphelele. Ngeke uzwe lutho ngesikhathi sokuhlinzwa, futhi ngeke usakhumbula lutho ngemva kwalokho.
2. Udokotela ohlinzayo ube esesika isikhumba esincane esinqeni bese esusa ngokucophelela amasende ukuze ahlolwe kanye nezicubu ezinamafutha ezizungezile.
3. Ngemva kokuhlinzwa , kufakwa ipayipi elincane (idreyini) ukuze kususwe noma yiluphi uketshezi oluningi (igazi, amanzi, njll.) olunganqwabelana endaweni.
4. Ukusika kuyavalwa ngezithungo .
5. Isikhwama sinamathiselwa engxenyeni engaphandle yepayipi ukuze kuqoqwe uketshezi . Lokhu kungashiywa endaweni izinsuku noma amasonto ambalwa.
6. Izicubu namaseli asusiwe athunyelwa kudokotela wezifo , okungukuthi, elebhu, ukuze ahlole amaseli omdlavuza.
Manje, ezinye izibhedlela zenza lo msebenzi kusetshenziswa ubuchwepheshe berobhothi (`ukuhlinzwa kwerobhothi`). Inani lezinkinga ezivela kukho liphansi.
Kwenzekani ngemva kokuhlinzwa? Kuzothatha isikhathi esingakanani ukululama?
Uzoba sesibhedlela cishe izinsuku ezimbili kuya kwezine. Mhlawumbe isikhathi esijana. Kungumqondo omuhle ukuqala ukuhamba ngokushesha nje lapho udokotela wakho esho ukuthi ungakwazi. Lokhu kungasiza ekuvimbeleni izinto ezifana nokuqhekeka kwegazi.
Uma inani loketshezi oluphuma epayipini lehla, udokotela uzolususa. Kungathatha amasonto amaningana ukuphola ngokuphelele. Phakathi naleso sikhathi, esingaba amasonto amane kuya kwayisithupha, kufanele ugweme izinto ezifana nokushayela noma ukuphakamisa izinsimbi. Udokotela wakho uzokutshela ngqo ukuthi yini ongayenza nengafanele uyenze.
Ziyini izingozi nemiphumela emibi yalokhu?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Lezi yizinkinga ezivame kakhulu kanye nemiphumela emibi.
| Ingozi/umphumela ongemuhle | Kusho ukuthini lokhu? |
|---|---|
| Ukutheleleka | Ukutheleleka okubangelwa amagciwane azungeze indawo yokusikwa. |
| Ukuqongelela koketshezi nokuvuvukala | Uketshezi luyaqoqana futhi luvuvuke endaweni yokusikwa. |
| Ukuvuvukala kwemilenze (i-Lymphedema) | Ukususwa kwezithungo kungaphazamisa ukuhamba koketshezi emithanjeni, okubangela ukuvuvukala emilenzeni. Lokhu kungaba isikhathi eside. |
| Ihlule legazi (DVT) | Amahlule egazi, ikakhulukazi emithanjeni yemilenze. |
| Ukupholisa amanxeba okulibaziseka | Ukusikwa kuthatha isikhathi eside kunokujwayelekile ukuphola. |
| Ukuqina kwethanga | Ngesikhathi sokuhlinzwa, imizwa ethile kuleyo ndawo ingase yonakale, okubangela ukuqaqamba ethangeni eliphezulu. Lokhu kuvame ukuqhubeka njalo. |
Yini esingayifunda embikweni webhubhu?
Umbiko ovela ekuhlolweni kwama-swabs athunyelwe elabhorethri ubaluleke kakhulu. Ungaveza izinto ezinjengalezi.
- Kungakhathaliseki ukuthi izicubu ezisusiwe zinamaseli omdlavuza noma cha. Uma amangqamuzana omdlavuza ekhona, abizwa ngokuthi "aqondile" noma "angemuhle."
- Luhlobo luni lomdlavuza ?
- Izinga lomdlavuza . Lokhu kubhekisela ekutheni amangqamuzana omdlavuza afana noma ahluke kangakanani kumaseli aphilile avamile.
- Liyini izinga lokuhlukaniswa kwamaseli (izinga le-mitotic)?
- Ama-Margins . Kungakhathaliseki ukuthi akhona yini amangqamuzana omdlavuza emaphethelweni ezicubu ezisusiwe noma cha. Uma kukhona amangqamuzana omdlavuza emaphethelweni, kubizwa ngokuthi `i-margin enhle`, ngaphandle kwalokho `i-negative` noma `i-margin ecacile`.
Kungathatha izinsuku ezimbalwa noma isonto ukuthi lo mbiko ufike. Uma usufikile, udokotela wakho uzochaza ukuthi uquketheni nokuthi yini okudingeka yenziwe ngokulandelayo.
Kufanele ngibone nini udokotela ngokushesha?
Uma unezinye zalezi zimpawu uma ubuyela ekhaya ngemva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha . Lezi kungaba izimpawu zokutheleleka.
- Uma uthola umkhuhlane
- Uma ubuhlungu bomgwaqo oya ekululameni bukhula
- Uma imbobo ibomvu, ivuvukile, futhi ikhipha uketshezi olufana nobovu
Ungalibali ngezikhathi ezinje. Kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokususa iqhubu esinqeni kwenziwa ukuze kubonakale ukuthi umdlavuza ususabalele yini futhi kuvinjwe umdlavuza ukuthi ungasabalali kakhulu.
- Ulwazi olutholakale kulokhu kuhlinzwa luzosiza kakhulu udokotela wakho ukuthi ahlele ukwelashwa okungcono kakhulu kuwe.
- Kuzothatha amasonto ambalwa ukuphulukiswa, ngakho-ke thola ukuphumula okwanele. Ungasheshi.
- Landela imiyalelo kadokotela wakho ngokucophelela mayelana nokuthi yini enhle nokuthi yini embi okufanele uyenze ngesikhathi sokululama kwakho.
- Uma ubona izimpawu zokutheleleka, njengomkhuhlane, ubuhlungu obukhulu, ukubomvu kwesilonda, noma ubomvu, yazisa udokotela wakho ngokushesha.
- Ungesabi ukukhuluma nodokotela nganoma yimiphi imibuzo, ukwesaba, noma ukungabaza ongase ube nakho ngalokhu.
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