Uma udokotela ekutshela ukuthi unomdlavuza, bese ethi, "Kufanele ngisuse ama-lymph node kanye nesimila," kuvamile ukuzizwa wesaba kancane. "Kungani besusa la ma-lymph node? Kuzokwenzekani ngalokhu? Ingabe lokhu kuwukuhlinzwa okukhulu?" Imibuzo eminingi efana nale cishe ifika engqondweni yakho. Ungesabi. Namuhla, sikhuluma ngalokhu kuhlinzwa okubizwa ngokuthi i-Lymphadenectomy ukuphendula leyo mibuzo.
Okokuqala, kuyini i-Lymphadenectomy?
Kalula nje, i-lymphadenectomy ukususwa ngokuhlinzwa kwe-lymph node eyodwa noma ngaphezulu emzimbeni wakho. Ngolimi lwethu oluvamile, lokhu kubizwa nangokuthi "i-lumpectomy."
Cabanga nje ukuthi umzimba wethu ufana nedolobha elikhulu. Kukhona inethiwekhi yemigwaqo (imithambo yegazi) yonke indawo kuleli dolobha. Futhi, kunesistimu ehlukile yokususa imfucuza nokuqinisekisa ukuphepha kuleli dolobha. Yilokho uhlelo lwe-lymphatic emzimbeni wethu oluyikho. Lolu hlelo lunezindawo zokuhlola ezincane zokuphepha. Sibiza lezo zindawo zokuhlola ngokuthi ama-lymph node .
Umsebenzi wabo oyinhloko ukuhlunga nokuhlanza i-lymph egeleza ohlelweni lwe-lymphatic. Okusho ukuthi, babamba futhi babhubhise amagciwane, amangqamuzana alimele, ikakhulukazi amangqamuzana omdlavuza akulolu ketshezi. Ngakho-ke bayingxenye ebaluleke kakhulu yesimiso sokuzivikela somzimba wethu.
Pho kungani kususwe la ma-lymph node kumuntu onomdlavuza?
Isizathu esiyinhloko salokhu ukwazi kahle ukuthi umdlavuza ususakazeke yini kwezinye izingxenye zomzimba. Indlela eyinhloko okwenzeka ngayo lokhu kusabalala (i-metastasis) iwukusebenzisa uhlelo lwe-lymphatic.
Cabanga ngalokhu. Unesimila engxenyeni ethile yomzimba wakho. Kufana nomlilo omncane ekamelweni elilodwa lendlu. Manje sifuna ukwazi ukuthi lo mlilo ususakazekele kwamanye amakamelo. Ngakho-ke senzani? Siya emakamelweni aseduze siyobona ukuthi umlilo ususakazekele lapho.
Ngokufanayo, odokotela bahlola nama-lymph node aseduze nesimila ukuze babone ukuthi amangqamuzana omdlavuza asakazeke lapho yini.
Lokhu kuhlinzwa kufeza imigomo eminingana eyinhloko:
- Thola isigaba somdlavuza: Odokotela banganquma isigaba somdlavuza ngokusekelwe ekutheni akhona yini amangqamuzana omdlavuza kuma-lymph node noma cha. Lokhu kubaluleke kakhulu ekuhleleni ukwelashwa kwesikhathi esizayo.
- Njengokwelashwa: Uma kukhona amangqamuzana omdlavuza kuma-lymph node, ukususa lawo ma-node kususa nalawo maseli omdlavuza emzimbeni. Lokhu kusho ukuthi lokhu kuyisifo kanye nokwelashwa.
- Misa umdlavuza ukuthi ungasabalali kakhulu: Ukususa ama-lymph node aqukethe amangqamuzana omdlavuza kuvimbela umdlavuza ukuthi ungasabalali kakhulu emzimbeni.
- Vimbela umdlavuza ukuthi ungabuyi:Ngemva kokususa isimila, ukususa noma yimaphi amangqamuzana omdlavuza angase ahlale kuma-lymph node azungezile kunganciphisa ingozi yokuthi umdlavuza uphinde ubuye esikhathini esizayo.
Yiziphi izinhlobo zomdlavuza ezivame ukudinga lolu kuhlinzwa?
Lokhu kuhlinzwa kunconywa ezinhlotsheni eziningana zomdlavuza okungenzeka ukuthi usakazeke kakhulu ohlelweni lwe-lymphatic. Izinhlobo ezivame kakhulu zomdlavuza zifaka:
- Umdlavuza webele
- Umdlavuza wesikhumba we-Melanoma
- Umdlavuza wekhanda nentamo
- Umdlavuza we-thyroid
- Umdlavuza wamaphaphu
- Umdlavuza wesisu
- Umdlavuza we-Colorectal
- Umdlavuza wamasende kanye nomdlavuza wesibeletho
- Umdlavuza wesinye, i-rectal, kanye ne-prostate
Yiziphi izinhlobo eziyinhloko zokuhlinzwa kwe-lymphadenectomy?
Kunezindlela ezimbili zokwenza lokhu kuhlinzwa. Kufana namaphoyisa abuza ukuthi ahlole indawo esolisayo kuphela noma yonke indawo.
| Uhlobo lokuhlinzwa | Kalula nje... |
|---|---|
| Ukuhlinzwa kwe-Lymphadenectomy Kwesifunda (Okukhethayo) | Lokhu kuhilela ukususa isampula kuphela, okungukuthi, inani elincane kuphela, esifundeni se-lymph node esiseduze nesimila somdlavuza. |
| Ukuhlinzwa kwe-Lymphadenectomy Okukhulu (Okuphelele/Okuphelele) | Lokhu kuhilela ukususa wonke ama-lymph node endaweni. Lokhu kwenziwa uma kukhona okusolakala ukuthi umdlavuza ususabalale ngokwanele. |
Ngezinye izikhathi, odokotela baqale benze i-Sentinel Node Biopsy.Kubizwa ngokuthini. Okusho ukuthi, ukuthola i-lymph node "ye-sentinel", lapho amangqamuzana omdlavuza kungenzeka ahambe khona kuqala esuka esimila, bese kususwa futhi kuhlolwe lelo kuphela. Uma lingenawo amangqamuzana omdlavuza, kuvame ukunqunywa ukuthi lingasusi amanye. Uma linjalo, kuzodingeka kususwe amanye ama-node.
Ususa kuphi ama-moles emzimbeni ngale ndlela?
Lokhu kuncike ekutheni umdlavuza wakho ukuphi, njengoba uhlobo ngalunye lomdlavuza lusakazeka ezindaweni ezithile ze-lymph node emzimbeni.
| Igama lokuhlinzwa | Lapho kukhona khona izintuthwane okufanele zisuswe khona | Umdlavuza ovame ukuhlotshaniswa nawo |
|---|---|---|
| Ukususwa kwe-Axillary Lymphadenectomy | Indawo yasekhwapheni | Umdlavuza webele, i-melanoma yesandla |
| Ukususwa kwe-Inguinal Lymphadenectomy | Indawo yokukhula | Umdlavuza wepenis kanye ne-vulva |
| Ukususwa kwe-lymphadenectomy yomlomo wesibeletho | Indawo yentamo | Umdlavuza wekhanda, intamo kanye ne-thyroid |
| Ukususwa kwe-Lymphadenectomy e-Retroperitoneal | Ingemuva lesisu (ngaphakathi kwesisu) | Umdlavuza wamasende kanye nomdlavuza wesibeletho |
| Ukususwa kwe-pelvic Lymphadenectomy | I-pelvis | Umdlavuza wesinye, i-rectal, i-prostate |
| Ukuhlinzwa kwe-Mediastinal Lymphadenectomy | Ingxenye ephakathi yesifuba | Umdlavuza wamaphaphu, i-Lymphoma |
Kwenzekani ngaphambi, ngesikhathi nangemva kokuhlinzwa?
Ngaphambi kokuhlinzwa
Ngaphambi kokuhlela ukuhlinzwa kwakho, udokotela wakho cishe uzoyala ukuhlolwa okufana nokuskena ukuhlola isimo sama-lymph node akho. Bangase futhi benze i-biopsy yenaliti, ehilela ukususa ingxenye encane yezicubu ukuze ihlolwe. Uma lokhu kuhlolwa kubonisa izimpawu zomdlavuza, kwenziwa i-lymphadenectomy.
Ngesikhathi sokuhlinzwa
Lokhu kuhlinzwa kuvame ukwenziwa ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ngeke uzwe lutho, uzobe ulele ngokuphelele. Kunezindlela ezimbili ukuhlinzwa okungenziwa ngazo.
1. Ukuhlinzwa Okuvulekile: Kulokhu, kwenziwa ukusika okukodwa okude endaweni efanele bese kususwa ama-lymph node.
2. Ukuhlinzwa kwe-Laparoscopic: Lokhu kuhilela ukwenza izimbobo eziningana ezincane, ukufaka ikhamera ngeyodwa, nokufaka amathuluzi ngezinye izimbobo. Le ndlela inesikhathi esifushane sokuphola kanye nezibazi ezincane.
Ngemva kokuhlinzwa, udokotela ohlinzayo uzofaka ipayipi elincane elibizwa ngokuthi i-drain ngaphakathi kwe-incision bese elixhuma epayipini. Lokhu kwenzelwa ukuvimbela uketshezi olungadingekile ukuthi luqongelelane endaweni yokuhlinzwa. Le payipi kuzodingeka ishiywe endaweni yayo izinsuku eziningana noma amasonto.
Ngemva kokuhlinzwa
Uma uhlinzwe imbobo encane yokhiye, uzokwazi ukuya ekhaya ngalolo suku. Uma uhlinzwe ivulekile, kuzodingeka uhlale esibhedlela usuku olulodwa kuya kwezintathu. Uma ubuyela ekhaya, uzonikezwa imiyalelo eningiliziwe yokuthi ungalinakekela kanjani inxeba nokuthi ungayithatha kanjani imithi yakho. Kuzodingeka ubone udokotela futhi ukuze ususe ipayipi, usike izitishi, bese uthola umbiko we-biopsy.
Yiziphi izinzuzo, izingozi, kanye nemiphumela emibi yalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezithile kanye nemiphumela emibi.
| Izinzuzo | Izingozi Nemiphumela Engemihle |
|---|---|
| Ungazi kahle ukuthi umdlavuza ususabalele yini. | Ukutheleleka kwenxeba. |
| Ukunquma isigaba somdlavuza kusiza ukukhetha ukwelashwa okungcono kakhulu. | Ukulimala kwemizwa nemithambo yegazi ezungezile. |
| Isusa amangqamuzana omdlavuza kuma-lymph node futhi iwavimbele ekusabalaleni kwawo. | Ukuba ndikindiki nokuqina okuzungeze indawo yokusikwa. |
| Kunciphisa ingozi yokuphinda umdlavuza. | Ukuqongelela koketshezi endaweni yokuhlinzwa (i-Seroma). |
| I-Lymphedema: Lona umphumela ongemuhle okufanele uwuqaphele. Uma kususwa inani elikhulu lama-lymph node, ukuhamba koketshezi lwe-lymph kungaphazamiseka, okubangela ukuvuvukala okungapheli kwesitho, njengengalo noma umlenze. Lesi simo asenzeki kuwo wonke umuntu. Kodwa kubalulekile ukuqaphela. |
Nini okufanele ushayele udokotela wakho ucingo
Uma uhlangabezana nanoma yiziphi zalezi zimpawu lapho ubuyela ekhaya ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha .
- Uma inxeba libomvu, likhipha ubomvu, noma linomkhuhlane (lezi yizimpawu zokutheleleka).
- Uma kukhona ubuhlungu obungabekezeleleki, ukungazweli, noma ukuqina.
- Uma isitho somzimba, njengengalo noma umlenze, sivuvukala kakhulu.
- Uma ukunyakaza okuthile kunzima ukukwenza.
Ukuhlinzwa kwe-lymphadenectomy kuyisinyathelo esibaluleke kakhulu enkambisweni yokwelashwa komdlavuza. Kuhlinzeka ngolwazi olubalulekile ngesimo sakho futhi kungasiza ekuvimbeleni ukusabalala komdlavuza. Njengakuzo zonke izinhlobo zokuhlinzwa, kunezingozi, kodwa izinzuzo zifanele izingozi. Into ebaluleke kakhulu ukukhuluma nodokotela wakho ngakho bese ubuza noma yimiphi imibuzo ongase ube nayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Lymphadenectomy ukususwa ngokuhlinzwa kwama-lymph node (ama-node) angase abe namaseli omdlavuza.
- Umgomo oyinhloko walokhu ukuthola ukuthi umdlavuza ususabalele yini (ukuxilongwa) kanye nokususa amaseli asakazekile (ukwelashwa).
- Ulwazi olutholakale kulokhu kuhlinzwa lubalulekile ekunqumeni isigaba somdlavuza wakho nokuhlela ukwelashwa kwesikhathi esizayo.
- I-Lymphedema, isimo lapho izitho zomzimba zivuvukala khona, ingenye yemiphumela emibi eyinhloko engenzeka ngemva kokuhlinzwa. Kodwa-ke, lokhu akwenzeki kuwo wonke umuntu.
- Ngesikhathi ululama, qaphela noma yiziphi izimpawu zokutheleleka, ukuvuvukala okukhulu, noma ubuhlungu obungabekezeleleki. Uma lokhu kwenzeka, yazisa udokotela wakho ngokushesha.
- Khuluma nodokotela wakho ngokukhululekile nganoma yikuphi ukwesaba noma ukungabaza ongase ube nakho.
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