Ufuna ukwazi ngokuhlolwa kwe-lymphangiography okuthatha izithombe zesistimu yakho ye-lymphatic?

Ngezinye izikhathi kufanele senze izivivinyo ezikhethekile ukuze sibone ukuthi kwenzekani ngaphakathi emizimbeni yethu, akunjalo? Nokho, lokhu ukuhlolwa okubalulekile okubizwa ngokuthi i-Lymphangiography, okwenziwa ukuthola ukuthi kukhona yini okungahambi kahle ngohlelo lwethu lwe-lymphatic (sizoxoxa ngalokhu kamuva). Ungakhathazeki, sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kuyini i-Lymphangiography? Kuhilelani?

Kalula nje, i-(Lymphangiography) ukuhlolwa kwezithombe okuthatha izithombe zesistimu yakho ye-lymphatic . Cabanga ngakho, sinenethiwekhi yemithambo ye-lymph emzimbeni wethu, njengemithambo yegazi? Leyo mithambo ye-lymph, ama-lymph node (ngizokhuluma nangalawa futhi) yilokho lokhu okukubheka ngokusobala. Kulokhu, kufakwa idayi ekhethekile emzimbeni wakho. Le dayi ibizwa nangokuthi ( Lipoidal). Ngemuva kwalokho, kusetshenziswa umshini (we-X-ray) noma umshini (we-MRI) ukuthatha izithombe zesistimu ye-lymphatic. Uma kusetshenziswa (i-MRI), indlela ibizwa ngokuthi (i-Magnetic Resonance Lymphangiography) noma (i-MR Lymphangiography).

Manje ungase uzibuze ukuthi luyini uhlelo lwe-lymphatic . Luyingxenye ebalulekile yesimiso sethu sokuzivikela (uhlelo olusivikela ezifweni) kanye nohlelo lokujikeleza kwegazi (uhlelo oluthwala igazi emzimbeni wonke). Kuyo, kunenethiwekhi yemithambo ethwala uketshezi olucacile olubizwa ngokuthi i-lymph emzimbeni wonke. Le lymph isebenza njengesihlungi, iqoqa uketshezi oluningi kanye nemfucuza eqoqana emzimbeni. Futhi, lolu hlelo luhlanganisa izindlala ezibizwa ngokuthi ama-lymph node . Lawa yiwo akhiqiza amaseli alwa nokutheleleka. Afana nezindawo zokuhlola zokuphepha ezincane emzimbeni wethu.

Lezi zingxenye zesistimu ye-lymphatic azibonakali kahle ekuhlolweni okuvamile kwezithombe. Yingakho kusetshenziswa idayi ekhethekile ku-lymphangiography. Le dayi ivumela imithambo ye-lymph kanye nama-lymph node ukuthi abonakale ngokucacile ezithombeni, okuthiwa i-lymphangiograms. Lokhu kuhlolwa kubizwa nangokuthi i-lymphography.

Kungani kwenziwa lokhu kuhlolwa (kwe-Lymphography)?

Odokotela basebenzisa lolu vivinyo (i-Lymphangiography) ngezizathu ezimbalwa. Ake sibheke ukuthi luyini:

• Thola ukuthi unesifo esingakanani ohlelweni lwakho lwe-lymphatic.
• Thola ukuthi lesi sifo sesisabalele yini kwezinye izingxenye zomzimba.
• Uma welapha, nquma ukuthi yiziphi izindawo ezingelashwa kahle kakhulu (isiqondiso sokwelashwa). Kufana nokunikeza umuntu ohlosiwe umuthi.
• Ngaphambi kokuhlinzwa noma okunye ukungenelela kwezokwelapha, dala imephu yesistimu yakho ye-lymphatic. Lokhu kuzoba usizo olukhulu kudokotela ohlinzayo.
• Bheka ukuthi ukwelashwa kuyasiza yini nokuthi kuyasebenza yini .

Lolu vivinyo lusiza ekuxilongeni nasekuphatheni izimo ezifana nalezi:

• Ukuvuza koketshezi oluvela ohlelweni lwe-lymphatic ((Ukuvuza kwe-lymphatic)) noma ukulimala.
• I-Lymphedema yisimo lapho uhlelo lwe-lymphatic luvuvukala khona, okubangela ukuvuvukala ezindaweni ezifana nezitho zomzimba.
• Uhlobo lomdlavuza olubizwa ngokuthi i-Hodgkin lymphoma.
• Uhlobo lomdlavuza olubizwa ngokuthi i-Non-Hodgkin lymphoma.

Ubani owenza lolu vivinyo (lwe-Lymphangiography)?

I-Lymphangiography ivame ukwenziwa yi- interventional radiologist . Ungudokotela ogxile ekuxilongeni nasekwelapheni izifo esebenzisa izithombe zezokwelapha kanye nezinqubo ezingangenisi kakhulu. Okusho ukuthi, umuntu ofaka amathuluzi ngemigodi emincane, kunokuba enze izimbobo ezinkulu.

Kufanele ngilungiselele kanjani ngaphambi kokuhlolwa?

Udokotela wakho uzokunikeza imiyalelo ecacile yokuthi ungalungiselela kanjani lolu vivinyo. Le miyalelo ingafaka:

• Gwema ukudla noma ukuphuza amahora ambalwa ngaphambi kokuhlolwa, ngokuvamile cishe amahora ayisithupha kuya kwayisishiyagalombili.
• Ngaphambi kokuya ohlolweni , iya endlini yokugezela bese ukhipha amanzi esinyeni sakho .
• Tshela udokotela wakho uma ukhulelwe noma unezinkinga zokopha (njengokuphazamiseka kokujiya kwegazi).
• Unganikwa umuthi wokudambisa ukuze uphumule , ozokusiza ukunciphisa noma yikuphi ukwesaba ongase ube nakho ngokuhlolwa.
• Uma uke waba nokusabela kokungezwani komzimba ne-iodine noma ezinye izivivinyo zezokwelapha esikhathini esidlule, kufanele nakanjani utshele udokotela wakho.
• Uma unomlando wesifo senhliziyo , ikakhulukazi isimo esibizwa ngokuthi i-Patent Foramen Ovale (PFO) (okuyimbobo encane enhliziyweni), tshela udokotela wakho ngaso.

Ngezinye izikhathi, i-lymph node biopsy, ehilela ukususa ingxenye encane ye-lymph node ukuze ihlolwe, ingenziwa phakathi nalolu vivinyo. Kulesi simo, ungase unikezwe i-anesthesia ukuze uvimbele ukuthi ungezwa ubuhlungu.

Kwenzekani ngesikhathi sokuhlolwa kwe-lymphangiography?

Kulungile, manje ake sibone ukuthi kuzokwenzekani ngesikhathi sokuhlolwa.

Okokuqala, udokotela uzokucela ukuthi uhlale noma ulale esihlalweni noma etafuleni lokuhlolwa. Ngemuva kwalokho, indawo encane yesikhumba sakho izohlanzwa bese kufakwa inani elincane ledayi eluhlaza okwesibhakabhaka. Ungase uzizwe umuzwa omncane wokuhlaba lapho unikezwa lo mjovo, kodwa uzohlala isikhathi esifushane nje.

Lezi zijovo zodayi zivame ukunikezwa kulezi zindawo:

• Eduze nendawo yakho yezimbotshana (yilokhu okwenziwa kaningi).
• Phakathi kweminwe (lokhu kwenziwa kancane kancane).
• Phakathi kwezinzwane (lokhu kwenziwa kaningi).

Lo mbala oluhlaza okwesibhakabhaka ubangela ukuba kuvele imigqa eluhlaza okwesibhakabhaka . Lezi yiziteshi ze-lymph ezibonakala kahle. Udokotela ube esefaka umuthi oqeda izinhlungu endaweni lapho kukhona imigqa eluhlaza okwesibhakabhaka. Kwenziwa ukusika okuncane kuleyo ndawo,Kufakwa ipayipi elincane neligobile, njenge-cannula encane.

Enye idayi ekhethekile (njenge-Lipoidal) ifakwa kancane kancane emzimbeni ngaleli payipi cishe ihora. Ungase uzizwe ucindezelekile noma uzizwa ugcwele njengoba idayi ingena emzimbeni wakho.

Ngezinye izikhathi udokotela usebenzisa umshini we-ultrasound ukufaka le payipi ngokunembile. Lokhu kusho ukubheka ngaphakathi emzimbeni ngamaza omsindo. Ngezinye izikhathi, iphampu ebizwa ngokuthi i-insufflator isetshenziswa ukusiza ukufaka le dayi emzimbeni.

Okulandelayo, udokotela uzothatha izithombe zengaphakathi lomzimba wakho esebenzisa inqubo ekhethekile ye-X-ray ebizwa ngokuthi i-fluoroscopy noma umshini we-MRI. I-Fluoroscopy ifana nokuhambisa izithombe ze-X-ray.

Lo mshini uveza izithombe zesistimu yakho ye-lymphatic esikrinini. Ungahlola ukuthi idayi ijikeleza kahle emzimbeni wakho wonke, njengokubuka izimoto emgwaqweni.

Ngemva kokuba idayi isifakwe futhi isisabalale emzimbeni wakho wonke, udokotela uzosusa ipayipi bese efaka umthungo owodwa noma emibili phezu kwesilonda. Ngemuva kwalokho, kuzothathwa izithombe zemilenze yakho, i-pelvis, isisu, isifuba, nanoma yiziphi ezinye izindawo ezisolisayo. Kungase kudingeke futhi ukuthi uthathe izithombe ezimbalwa kamuva ukuze ubone ukuthi idayi isabalale kanjani.

Unjani ngemva kokuhlolwa?

(I-Lymphangiography) Indawo yokusikwa ingaba buhlungu kancane futhi ithambe izinsuku ezimbalwa ngemva kokuhlolwa. Udokotela uzokunikeza amaphilisi obuhlungu ngalokhu.

Into ebaluleke kakhulu ukuthi kuze kube yilapho idayi isiphelile ngokuphelele, umbala wesikhumba sakho (ikakhulukazi izintende zezandla zakho kanye nezinyawo zakho), umchamo, kanye nendle nakho kungase kube luhlaza okwesibhakabhaka/oluhlaza okwesibhakabhaka . Lokhu kuvamile, ungakhathazeki. Lokhu kuzophela ezinsukwini ezimbalwa. Kodwa-ke, enye idayi ingahlala kuma-lymph node akho kuze kube yiminyaka emibili. Kulungile futhi.

Uma ungakwazi, phumula kancane ngosuku lokuhlolwa. Gwema umsebenzi onzima. Gcina indawo yokusikwa ihlanzekile njengoba udokotela wakho ekutshela.

Ingabe zikhona izingozi ngalolu vivinyo?

I-Lymphangiography ngokuvamile iyisivivinyo esiphephile . Njengezinye izivivinyo ze-X-ray, isebenzisa imisebe. Kodwa inani lemisebe aliphezulu ngokwanele ukubangela izinkinga. Kodwa-ke, uma kuvela izimpawu, zingase zihlanganise:

• Ukusabela kokungezwani komzimba nodayi noma okunye (njengokulunywa, ukuqubuka, ubunzima bokuphefumula)
• Ukopha ngenxa yokusikeka.
• Ukutheleleka endaweni yokusikwa (ububomvu, ukuvuvukala, ubomvu, umkhuhlane)
• Ukuvuvukala kwemithambo ye-lymphatic, okungukuthi, ukuvuvukala.

"Kodwa futhi, lezi zingozi azivamile. ""Udokotela wakho uzokutshela ngakho konke lokhu kusenesikhathi. Uma unenkinga, ungesabi ukubuza."

Ngizoyazi nini imiphumela yokuhlolwa?

Ezimweni eziningi, imiphumela yokuhlolwa kwe-lymphangiography ingabikwa kudokotela ngosuku olufanayo . Ngezinye izikhathi, uma kudingeka, ukwelashwa kunganikezwa ngenkathi kwenziwa ukuhlolwa kwe-lymphangiography.

Kodwa-ke, kwezinye izimo, ithimba lochwepheshe, isibonelo i-interventional radiologist kanye ne-oncologist, bayahlangana ukuze baxoxe ngale miphumela futhi benze izinqumo. Uma kunjalo, kungathatha usuku noma ezimbili ukuthola imiphumela.

Udokotela wakho uzokhuluma nawe ngale miphumela futhi akuchazele ukuthi isho ukuthini. Isibonelo, uma idayi ingakwazi ukudlula endaweni ethile, kungasho ukuthi kukhona okuyivimbayo . Kungaba isimila, ukulimala, noma ukutheleleka. Futhi, uma ama-lymph node ekhulisiwe, enesimo esihlukile, noma ebukeka njengegwebu, kungaba uphawu lomdlavuza we-lymphatic.

Yiziphi izimpawu okufanele ngizibone kudokotela uma ngiba nazo ngemva kokuhlolwa?

Ngemva kokuhlolwa, uma unezinye zalezi zimpawu zokungezwani komzimba noma ukutheleleka, shayela udokotela wakho noma uye esibhedlela ngokushesha:

• Umkhuhlane noma ukubanda .
• Ubuhlungu obukhulu endaweni yokusikwa (ikakhulukazi ubuhlungu obukhula futhi obungapheli naphezu kokuthatha imithi).
• Uma indawo lapho okusikiwe khona ibomvu, ivuvukele, izwakala ishisa uma uyithinta, futhi uma kukhona uketshezi olufana nobovu oluphuma kuyo .
• Ukuqubuka kwesikhumba , okusho ukubomvu, amaqhubu, noma ukuvuvukala, kuvela kwenye indawo emzimbeni.
• Uma unenkinga yokuphefumula noma ubuhlungu esifubeni.

Nakekela lezi zinto.

Ngakho-ke, yini okudingeka siyikhumbule kukho konke lokhu?

I-Lymphangiography ukuhlolwa okukhethekile kwe-X-ray okusiza odokotela ukuxilonga nokwelapha izimo ezifana nezimila, ukuvuvukala, izifo, kanye nokuvuza koketshezi ohlelweni lwe-lymphatic.

Udokotela wakho uzokuchazela ngokuningiliziwe ukuthi kungani udinga ukwenza lokhu kuhlolwa nokuthi imiphumela izoba yini. Asikho isizathu sokwesaba. Lokhu kwenzelwa ukuthuthukisa impilo yakho nokukunikeza ukwelashwa okufanele kakhulu. Buza udokotela wakho noma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.

Uhlelo lwe - lymphatic, i-lymphangiography, imithambo ye-lymphatic, ama-lymph node, ukuxilongwa, ukuhlolwa kwezokwelapha, ukuhlolwa kodayi