Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile lapho udokotela wakho ekutshela noma othile omaziyo ngokuhlinzwa kwentamo. Ikakhulukazi uma uzwa igama elithi 'Ukusikwa Kwentamo', ungase uzibuze ukuthi lokhu kuyini. Kodwa uma usukuqonda kahle ukuthi kuyini nokuthi kungani kwenziwa, ukwesaba kwakho kuzophela. Namuhla, sizoxoxa ngakho konke ngendlela elula ongayiqonda.
Kuyini ngempela lokhu okubizwa ngokuthi i-Neck Dissection?
Kalula nje, ukuhlukaniswa kwentamo ukususwa kwama-lymph node, noma "ama-lymph node" njengoba sivame ukuwabiza kanjalo, entanyeni.
Manje ungase uzibuze, "Kungani sisusa lezi zintwala ezincane?" Nokho, kunezinkulungwane zalezi zintwala ezisakazeke emizimbeni yethu. Zifana nezihlungi ezincane. Umsebenzi wazo oyinhloko ukuhlunga nokuhlanza uketshezi olubizwa ngokuthi i-lymph oluvela emaseli nasezicutshini zomzimba.
Cabanga nje, uma umuntu enomdlavuza, lawa maseli omdlavuza ngezinye izikhathi angahamba ngoketshezi lwe-lymph bese ebhajwa kula maseli aseduze. Ngakho odokotela benza lokhu kuhlinzwa ngezizathu ezimbili eziyinhloko:
1. Yazi kahle ukuthi umdlavuza ususakazeke yini: Ezimweni zomdlavuza wekhanda nentamo, umdlavuza we-thyroid, noma eminye imidlavuza yesikhumba, kubaluleke kakhulu ukwazi ukuthi umdlavuza ususakazeke yini kuma-lymph node. Lokhu kusiza ekunqumeni ngokunembile isigaba somdlavuza nokukhetha ukwelashwa okungcono kakhulu.
2. Njengokwelashwa: Uma umdlavuza ususakazekele kuma-lymph node, ukususa lawo ma-node kuzovimba umdlavuza ukuthi ungasabalali kakhulu. Ngezinye izikhathi lokhu kuhlinzwa kungavimbela nesidingo sokwelashwa ngemisebe noma nge-chemotherapy.
Kufanele ngilungiselele kanjani ngaphambi kokuhlinzwa?
Njengoba lokhu kuwukuhlinzwa okukhulu, kudinga ukulungiselela okuningi kusengaphambili. Udokotela wakho uzokunikeza imiyalelo ecacile ngalokhu, kodwa ungangabazi ukubuza noma yimiphi imibuzo ongase ube nayo.
Qaphela lezi zinto ngaphambi kokuhlinzwa:
- Imikhuba okufanele uyeke: Uma ubhema noma uphuza utshwala, thola ukuthi kufanele uyeke isikhathi esingakanani ngaphambi kokuhlinzwa. Lokhu kungathinta inqubo yokuphulukiswa.
- Imithi: Buza ngokuqondile ukuthi udinga ukuyeka okwesikhashana yini ukuthatha noma yimiphi imithi (ikakhulukazi imithi yokunciphisa igazi), amavithamini, noma amakhambi noma izithasiselo, nokuthi kufanele uyenze nini.
- Ukudla Nokuphuza: Uzonikezwa imiyalelo yokuthi kufanele uyeke nini ukudla nokuphuza ngaphambi kokuhlinzwa.
- Izingubo: Buza ukuthi kulungile yini ukugqoka ubucwebe, ama-deodorant, kanye nama-cream ngosuku lokuvakashela kwakho esibhedlela.
- Ukulungiselela ukuhlala kwakho esibhedlela: Lungisa izingubo nezinye izinto ezidingekayo njengoba uzobe usesibhedlela izinsuku ezimbalwa.
- Isikhathi sokuphumula emsebenzini: Thola umbono oqondile wokuthi uzodinga isikhathi esingakanani sokuphumula emsebenzini.
- Ukusekelwa Komndeni: Xoxa kusengaphambili ukuthi uzodinga ukwesekwa komndeni okungakanani ngesikhathi sokululama kwakho.
Ukuhlinzwa kwenziwa kanjani? Yiziphi izinhlobo?
Ukuhlinzwa kwenzeka egumbini lokuhlinza esibhedlela. Okokuqala, uzonikezwa i-anesthesia ejwayelekile ukuze ulale ngokuphelele. Ngemuva kwalokho, udokotela ohlinzayo uzosusa amaqhubu ohlangothini lwesobunxele, ohlangothini lwesokudla, noma ngezinye izikhathi zombili izinhlangothi zentamo yakho.
Izinto ezisuswayo ziyahlukahluka kuye ngohlobo lokuhlinzwa okwenziwe. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lokuhlinzwa | Incazelo elula |
|---|---|
| Ukusikwa Kwentamo Okukhulu | Zonke izinzwa ohlangothini oluthintekile ziyasuswa. Ngaphezu kwalokho, inzwa esiza ukuphakamisa ingalo (i-nerve yokusekela umgogodla), imisipha esiza ukujika intamo nekhanda (imisipha ye-sternocleidomastoid), kanye nomthambo wegazi omkhulu (umthambo wangaphakathi we-jugular) nawo uyasuswa. |
| Ukususwa Kwentamo Eguquliwe Enesisindo Esibanzi | Lokhu kufana nalokhu okungenhla, kodwa isakhiwo esisodwa noma ngaphezulu okukhulunywe ngaso ngaphambili, njengenzwa, imisipha, noma umthambo wegazi, sishiywa singathintekile . |
| Ukususwa Kwentamo Okukhethiwe | Lokhu kususa amaqembu ambalwa kuphela amaseli lapho umdlavuza usakazeka khona kakhulu , ngaphandle kokulimaza ezinye izakhiwo ezibalulekile. |
| Ukususwa Kwentamo Ebanzi Okukhulu | Lokhu kwenziwa uma, ngaphezu kokuhlinzwa okukhulu, kudingeka kususwe imizwa eyengeziwe, imithambo yegazi, noma izingxenye zemisipha. |
Ngemva kokuhlinzwa, kufakwa ipayipi elilodwa noma ngaphezulu elincane (amapayipi okukhipha amanzi) ukuze kukhishwe noma yiluphi uketshezi oluqoqana ngaphakathi kwenxeba. Lokhu kusiza inxeba ukuthi liphole ngokushesha. Ekugcineni, inxeba livalwa ngezitishi noma ngezinduku.
Izicubu ezisusiwe zithunyelwa elabhorethri ukuze kuhlolwe amangqamuzana omdlavuza. Lokhu kubizwa ngokuthi i-lymph node biopsy . Imiphumela ivame ukutholakala cishe ngemva kwesonto noma amabili.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Khumbula, odokotela batusa lolu hlobo lokuhlinzwa kuphela uma izinzuzo zidlula kakhulu izingozi.
Inzuzo enkulu ukuthi isigaba somdlavuza singatholakala ngokunembile, futhi ukwelashwa kungaqalwa ngokususa amangqamuzana omdlavuza ngokushesha.
Futhi, njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane. Ngaphezu kwezivamile njengokuphuma kwegazi nokutheleleka, kunezingozi ezithile eziqondene nalokhu kuhlinzwa. Lokhu kuhlobene kakhulu nokulimala kwemizwa entanyeni nasebusweni.
- Ukuba ndikindiki okungapheli noma kwesikhashana endaweni yokuhlinzwa.
- Ubunzima bokugwinya, ukudla, noma ukukhuluma .
- Ukubonakala kwengxenye yobuso ohlangothini lapho kwenziwa khona ukuhlinzwa igobile .
- Ukugoba kwehlombe noma ubunzima bokuphakamisa ihlombe ohlangothini lokuhlinzwa.
Kodwa into ebalulekile ukuthi lezi zingozi ziyahlukahluka kakhulu kuye ngohlobo lokuhlinzwa . Futhi, isikhathi esiningi, lezi zinkinga zingezesikhashana. Ezinye zingelapheka ngokuphelele ngokwelashwa ngokomzimba. Khuluma ngokukhululekile nodokotela wakho ngezingozi ezihlobene nokuhlinzwa ozokwenziwa.
Yini okufanele ngiyenze uma ngifika ekhaya ngemva kokuhlinzwa?
Kuzodingeka uhlale esibhedlela izinsuku ezimbili kuya kwezinhlanu ngemva kokuhlinzwa. Phakathi nalesi sikhathi, abasebenzi bezokwelapha bazokunakekela kahle. Bazokunikeza imithi yokwelapha izinhlungu, imithi yokuvimbela ukutheleleka, bakusize uhambe kancane, bakuphe ukudla, futhi banakekele indle.
Uzothola isethi yemiyalelo okufanele uyilandele uma usubuyela ekhaya.
- Ukunakekelwa kwenxeba: Gcina inxeba lihlanzekile ukuze uvimbele ukutheleleka. Ungase ucelwe ukuthi ugcobe amafutha okubulala amagciwane kuze kuphume imithungo.
- Ukunakekela ipayipi: Uma unepayipi elibekwe ekhaya, kuzodingeka ufunde ukuthi ungalihlanza kanjani, ulithulule, bese uqopha inani loketshezi oluqongelelayo.
- Ukugeza: Ngokuvamile, utshelwa ukuthi ungagezi kuze kube yilapho ipayipi lisusiwe. Ngemva kwalokho, lapho ugeza, kufanele ugeze inxeba kahle futhi ungalihlikihli ngamandla.
- Ukudla Nokuphuza: Uzoqala ngokudla okumanzi bese kancane kancane uqhubekela ekudleni okuqinile. Uzonikezwa iseluleko ngokudla okuzokunikeza ukudla okunomsoco okudingekayo.
- Imisebenzi:Bangase basikisele ukuzivocavoca okulula ukunciphisa ukuqina kwentamo namahlombe. Bangase basikisele nokuzivocavoca kokuphefumula ukuze ugcine amaphaphu akho ephilile.
Kunini lapho udinga ukubonana nodokotela khona maduze?
Uma ubona noma yiziphi zalezi zimpawu ngesikhathi ululama, shayela udokotela wakho noma uye esibhedlela ngokushesha .
- Izimpawu zokutheleleka: umkhuhlane, ukubomvu endaweni yokuhlinzwa, ukufudumala, ubuhlungu obandayo, noma ukuphuma kobomvu.
- Uma inxeba liqala ukopha futhi .
- Uma unenkinga yokugwinya noma uzizwa sengathi ukudla kuyabhajwa.
- Uma unenkinga yokuphefumula . Lesi yisimo esiphuthumayo, ngakho-ke hamba uye esibhedlela i-ETU (Emergency Treatment Unit) esiseduze ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukusikwa kwentamo kuyindlela ebaluleke kakhulu yokuhlinzwa ukuze kubonakale ukuthi amangqamuzana omdlavuza asabalale yini kuma-lymph node entanyeni bese esuswa. Ungesabi igama.
- Njengoba lokhu kuwukuhlinzwa okukhulu, ukulungiselela nokunakekela okufanele ngaphambi nangemva kwako kubalulekile. Landela imiyalelo kadokotela wakho ngokucophelela.
- Njenganoma yikuphi ukuhlinzwa, kunezingozi, ikakhulukazi lezo ezihlobene nezinzwa. Kodwa isikhathi esiningi, lezi zingokwesikhashana. Vula kudokotela wakho ngezingozi ezihlobene nokuhlinzwa kwakho.
- Uma uhlangabezana nanoma yiziphi izimpawu ngesikhathi sokululama kwakho, njengomkhuhlane, ukopha noma ubomvu esilondeni, noma ubunzima bokugwinya noma ukuphefumula, funa iseluleko sezokwelapha ngokushesha .
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho