Uma uthola ukuthi wena noma othile omaziyo unomdlavuza, okunye kokwesaba okukhulu okufika engqondweni ukuthi, "Ingabe ususakazekele kwezinye izingxenye zomzimba?" Empeleni lokho ukwesaba okunengqondo. Namuhla, sizokhuluma ngokuhlolwa okubaluleke kakhulu odokotela abakusebenzisayo ukuthola impendulo yalowo mbuzo. Kubizwa ngokuthi i-Sentinel Node Biopsy.
Kuyini i-Sentinel Node Biopsy ngamagama alula?
Ukuze siqonde lokhu, ake siqale sifunde kancane ngama-lymph node emizimbeni yethu. Lawa ama-gland amancane amise okwebhontshisi atholakala kuyo yonke imizimba yethu. Afana "nezihlungi" emizimbeni yethu. Umsebenzi wawo ukuhlunga uketshezi emizimbeni yethu nokubamba izinto eziyingozi njengamagciwane, amabhaktheriya, namaseli omdlavuza. Kufana nendawo yokuhlola yamaphoyisa.
Manje ake ucabange ukuthi uma amangqamuzana omdlavuza eqala ukusabalala esuka esimilanjeni, kunezinhlayiya eziningana ze-lymph okungenzeka ukuthi lawo maseli azoqala ukuzivimba . Lawo ma-lymph node okuqala 'esango' yilawo esiwabiza ngokuthi "ama-sentinel node."
Kalula nje, i-sentinel node biopsy ukususwa ngokuhlinzwa kwe-sentinel node eyodwa noma ngaphezulu, okufana nendawo yokuqala yokuhlola, ukuze kutholakale ukuthi umdlavuza ususakazeke yini, bese kuhlolwa amaseli omdlavuza.
Kukuziphi izimo lapho kwenziwa khona lokhu kuhlolwa?
Odokotela basebenzisa kakhulu lolu vivinyo ukuthola isigaba somdlavuza. Okusho ukuthi, ukuthola ukuthi umdlavuza ususakazeke kangakanani nokuthi uyingozi kangakanani. Lokhu kubaluleke kakhulu kulezi zimo:
- Umdlavuza Webele
- Umdlavuza wesikhumba we-Melanoma
Ngaphezu kwalokho, le ndlela isetshenziselwa nokunquma isigaba somdlavuza we-penis kanye nomdlavuza we-endometrial. Njengamanje, ucwaningo luyaqhubeka ukuthola ukuthi le ndlela isebenza kangakanani kwezinye izinhlobo eziningana zomdlavuza. Lokhu kufaka phakathi umdlavuza wesibeletho, umdlavuza we-colorectal, kanye nomdlavuza we-thyroid.
Ngokuvamile, lokhu kuhlolwa kwe-biopsy kwenziwa ngesikhathi esifanayo nokuhlinzwa ukuze kususwe isimila esiyinhloko, kodwa ngezinye izikhathi kungenziwa ngokwehlukana, ngaphambi noma ngemva kwalokho.
Ngingalungiselela kanjani ngaphambi kwalokhu kuhlinzwa?
Njengoba lokhu kuyinqubo yokuhlinzwa, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo. Ngokuvamile uzothola imiyalelo ngezinto ezifana nalezi:
- Ukuzila Ukudla: Kunini lapho kufanele uyeke ukudla nokuphuza ngaphambi kokuhlinzwa nokuthi yini okufanele uyeke ukudla.
- Umuthi:Uma uthatha noma yimiphi imithi, amavithamini, noma ezinye izithako, udokotela wakho uzobuza ukuthi udinga ukuyeka yini ukuthatha noma iyiphi yazo.
Futhi, kubalulekile ukukhuluma nothile ozokuthatha akuyise ekhaya ngemva kokuhlinzwa.
Kwenziwa kanjani ukuhlinzwa?
Le nqubo yenzeka ngendlela ehlelekile kakhulu.
Ngaphambi noma ngesikhathi sokuhlinzwa, udokotela wakho uzofaka into ekhethekile esimila sakho. Lokhu kungaba yinto ephephile enemisebe (i-tracer) noma idayi eluhlaza okwesibhakabhaka. Le nto ihamba isuka esimila iye e-sentinel node, okuyindawo "yokuhlola yokuqala." Lokhu kusiza udokotela ohlinzayo ukuthola i-node efanele ukuyisusa.
Ake sibone ukuthi kwenzekani isinyathelo ngesinyathelo.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukubulala izinzwa | Uzolaliswa ngokuphelele (ungazi lutho) ukuze ungezwa ubuhlungu. |
| 2. Ukuthola i-Sentinel Node | Uma izinto ezikhipha imisebe zifakwe, indawo ye-node itholakala ngedivayisi ekhethekile ebizwa ngokuthi i-gamma detector. Uma idayi eluhlaza okwesibhakabhaka ifakwe, i-node izovela iluhlaza okwesibhakabhaka. Ngezinye izikhathi zombili izindlela ziyasetshenziswa. |
| 3. Ukususa i-node | Udokotela ohlinzayo wenza i-incision encane bese esusa i-node eyodwa noma ngaphezulu ezitholakalayo (ngokuvamile kusuka ku-1 kuya ku-5). |
| 4. Ukuthumela ukuhlolwa | Amaqhubu asusiwe athunyelwa elabhorethri, lapho udokotela wezifo ewahlola khona ngaphansi kwesibonakhulu ukuze abone ukuthi aqukethe yini amangqamuzana omdlavuza. Ukusika kuyavalwa ngokuthunga. |
Yini ongayilindela ngemva kokuhlinzwa?
Iningi labantu lingaya ekhaya ngalolo suku, kodwa kungadingeka uhlale esibhedlela ubusuku bonke. Khumbula ukuthi kuyinto evamile ukuzwa lezi zinto ngesikhathi sokululama ngemva kokuhlinzwa.
- Kubuhlungu lapho kunqunywe khona, futhi kubuhlungu uma ucindezela .
- Isikhumba kuleyo ndawo sizizwa singasasebenzi (yilokhu okwenzekayo lapho lezo zinzwa zibuyiselwa).
- Umchamo noma indle yakho ingase ibe luhlaza okwesibhakabhaka noma iluhlaza izinsuku ezimbalwa ngenxa yehembe eliluhlaza okwesibhakabhaka olisebenzisile.
- Isikhumba esizungeze indawo yokusikwa sibukeka siluhlaza okwesibhakabhaka .
- Umuzwa ofana neqhubu lokuqina ngaphansi kwesikhumba njengoba inxeba liphola.
- Uma usususe umkhaza ekhwapheni lakho, ungase uzizwe uqinile noma ungakhululekile engalweni yakho .
Ngaphambi kokuba uphume esibhedlela, buza udokotela wakho noma umhlengikazi ukuthi ungalinakekela kanjani inxeba lakho nokuthi yiziphi izinyathelo zokuphepha okudingeka uzithathe. Buza nokuthi ungaqala nini ukuzivocavoca nokuphakamisa izinsimbi futhi.
Yiziphi izingozi nezinkinga zalokhu kuhlinzwa?
Lokhu kuyindlela yokuhlinzwa ephephile kakhulu, kodwa njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane.
| Ingozi/Inkinga | Incazelo |
|---|---|
| Izinkinga ezihlobene namanxeba | Indawo lapho kuqhume khona ingase yophe igazi, ivuvuke, ivuvuke, futhi ibe buhlungu. Ngezinye izikhathi inxeba lingatheleleka. Uma inxeba libomvu, livuvukile, futhi linomkhuhlane, lokho kuyisibonakaliso sokutheleleka. |
| Ukusabela Kokungezwani Nomzimba | Akuvamile kakhulu ukuthi abanye abantu babe nomzimba ongezwani nomzimba kulowo mbala oluhlaza okwesibhakabhaka. |
| I-Lymphedema | Uma ama-lymph node esuswa, ukugeleza koketshezi lwe-lymph kungavinjelwa, okubangela ukuthi uketshezi luhlangane futhi kubangele ukuvuvukala engalweni noma emlenzeni. Kodwa-ke, le ngozi iphansi kakhulu uma kususwa ama-cell node ambalwa kuphela. |
| I-Axillary Web Syndrome (AWS) | Lokhu futhi kuyinto engavamile. Uma ama-lymph node esuswa ekhwapheni, ungase uzizwe sengathi unentambo ngaphansi kwesikhumba ngaphakathi kwengalo yakho. |
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, yazisa udokotela wakho ngokushesha.
Umbiko wokuhlolwa ungena kanjani? Kusho ukuthini?
Imiphumela yombiko ingezinhlobo ezimbili: kungaba 'Engemihle' noma 'Emihle' .
- Uma umphumela 'uyi-Negative':
Lokho kusho ukuthi awekho amangqamuzana omdlavuza atholakale kuma-node akho e-sentinel. Lezi yizindaba ezinhle kakhulu ngoba kusho ukuthi umdlavuza cishe awunakusabalala kwamanye ama-node e-lymph.
- Uma umphumela 'ulungile':
Lokhu kusho ukuthi kunamangqamuzana omdlavuza kuma-node onogada asusiwe. Kuleli qophelo, udokotela wakho angase anqume ukuqhubeka nokuphenya ukuthi umdlavuza ususakazeke kangakanani futhi asuse ama-lymph node engeziwe. Noma, angase ancome ezinye izindlela zokwelapha, njengokwelashwa ngemisebe.
Isikhathi esithathwayo ukuthola imiphumela singahluka. Kungaba usuku olufanayo, noma kungathatha amasonto ambalwa.
Kufanele ngimshayele nini udokotela?
Uma ubona noma yiziphi zalezi zimpawu ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha.
- Uma unomkhuhlane .
- Uma indawo yokusikwa ivuvukele, ibomvu, noma ifudumele .
- Uma inxeba liqhubeka nokopha .
- Uma uzwa ubuhlungu obungabekezeleleki ngisho nangemva kokuthatha imithi yobuhlungu.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-Sentinel node biopsy kuyindlela ebaluleke kakhulu yokuthola ukuthi umdlavuza ususakazekele kwezinye izingxenye zomzimba.
- Imiphumela yalokhu izoba usizo olukhulu kodokotela ekunqumeni isigaba somdlavuza wakho nokuhlela ukwelashwa kwesikhathi esizayo.
- Lokhu ngokuvamile kuyindlela yokuhlinzwa ephephile, futhi noma yimiphi imiphumela emibi engase ivele ingalawulwa.
- Umphumela 'ongemuhle' uwuphawu oluhle lokuthi umdlavuza awukasabalali, kanti umphumela 'omuhle' unikeza isiqondiso sokwelashwa kwesikhathi esizayo.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho ngaphambi noma ngemva kokuhlinzwa.
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