Lapho udokotela wakho ekutshela ukuthi unomdlavuza, ingabe wakutshela ngokuhlinzwa kwe-RPLND? Kungenzeka ukuthi uzizwe wesaba kancane futhi wakhungatheka yileli gama. Kodwa ungakhathazeki. Empeleni lokhu kuyindlela ebaluleke kakhulu yokuhlinzwa eyenziwa ukuvimba ukusabalala kwamaseli omdlavuza emzimbeni wakho. Ngakho ake sixoxe ngakho kalula, ngendlela ongayiqonda.
Kuyini ukuhlinzwa kwe-RPLND?
Kalula nje, i-RPLND (Retroperitoneal Lymph Node Dissection) inqubo yokuhlinzwa esusa ama-lymph node endaweni ethile yomzimba wakho. Le ndawo ibizwa ngokuthi indawo 'ye-retroperitoneal'.
Cabanga ngale ndlela: isikhala esingenalutho esiswini sakho ngemuva kwezitho zakho eziyinhloko, njengesibindi sakho namathumbu. Leyo ndawo yilokho esikubiza ngokuthi isifunda se-retroperitoneal.
Manje ake sibone ukuthi lawa ma-lymph node ayini. Empeleni lawa yizitho ezincane kakhulu ezisiza ukugcina amasosha omzimba wethu ephilile. Afana nabalindi bomzimba wethu. Kunamakhulu awo asakazeke emizimbeni yethu.
Ngakho-ke, ngemva kokuba udokotela wakho ohlinzayo (udokotela ohlinzayo) esuse ama-lymph node ngesikhathi sokuhlinzwa, uwathumela kudokotela wezifo ukuze ayohlolwa. Lapho, babheka ama-lymph node ngaphansi kwe-microscope ukuze babone ukuthi akhona yini amangqamuzana omdlavuza. Odokotela ngezinye izikhathi babiza lokhu kuhlinzwa ngokuthi 'i-retroperitoneal lymphadenectomy'.
Kungani ngidinga ukwenza lokhu kuhlinzwa kwe-RPLND?
Kunezizathu eziningana zokuthi kungani udokotela wakho engase akuncome lokhu kuhlinzwa. Ake sibheke izinzuzo zalokhu kuhlinzwa.
| Isizathu esiyinhloko | Kalula nje... |
|---|---|
| Thola isigaba somdlavuza | Ukususa nokuhlola ama-lymph node kungasiza ekutholeni ukuthi umdlavuza ususakazeke kangakanani emzimbeni. Lokhu kubizwa ngokuthi ukunquma isigaba somdlavuza. |
| Misa ukusabalala komdlavuza | Uma amangqamuzana omdlavuza engena kuma-lymph node, angahamba ngemithambo ye-lymph aye kwezinye izingxenye zomzimba. Lokhu kubizwa ngokuthi i-metastasis. Ngakho-ke, ukususa la ma-lymph node kungasiza ekumiseni ukusabalala. |
| Nciphisa ingozi yokubuya komdlavuza | Ukususa ama-lymph node aqukethe amangqamuzana omdlavuza kunganciphisa kakhulu ingozi yokuphindaphinda komdlavuza esikhathini esizayo. |
| Njengokwelashwa uma umdlavuza ubuya | Ngezinye izikhathi, uma umdlavuza ubuya ngemva kokwelashwa, lokhu kuhlinzwa kwenziwa ukuze kususwe ama-lymph node aqukethe amangqamuzana omdlavuza. |
Ikakhulukazi, i-RPLND ngezinye izikhathi yenziwa kokubili ukwelapha umdlavuza wamasende kanye nokuqeda umdlavuza. Iphinde yenziwe nakwezinye izinhlobo zomdlavuza, njengomdlavuza wezinso, eminye imidlavuza yesistimu yokuzala yabesifazane, kanye neminye imidlavuza yama-sarcoma.
Odokotela bazi kanjani ukuthi ngidinga i-RPLND?
Uma ukuhlolwa kwakho kwezithombe kubonisa ukuthi ama-lymph node angemuva kwesisu sakho avuvukele, udokotela wakho angakutshela ngalokhu kuhlinzwa. Lezi zinhlobo zokuskena zifaka:
- Ukuskena kwe-CT
- Ukuskena kwe-MRI
- Ukuskena kwe-PET
Udokotela wakho angase akuncome lokhu kuhlinzwa ngesikhathi esithile ohambweni lwakho lokwelashwa komdlavuza. Udokotela wakho ungumuntu ongcono kakhulu ukuchaza ukuthi kungani udinga lokhu kuhlinzwa. Uyazi kangcono isimo sakho. Ngakho-ke ungangabazi ukumbuza noma yimiphi imibuzo ongase ube nayo.
Lokhu kuhlinzwa kwe-RPLND kwenziwa kanjani?
Ngaphambi kokuba ukuhlinzwa kuqale, uzonikezwa i-anesthesia ephelele. Lokhu kusho ukuthi uzobe ulele ngokuphelele. Ngakho ngeke uzwe ubuhlungu.
Udokotela ohlinzayo ube esesika isisu sakho bese esusa ngokucophelela ama-lymph node aseduze nomdlavuza.
Umgomo oyinhloko walokhu kuhlinzwa ukususa wonke ama-lymph node angase abe namaseli omdlavuza nokuvimbela ngokuphelele ukusabalala komdlavuza. Ukuze kufezwe lo mgomo, ngezinye izikhathi ezinye izinto kungadingeka zisuswe ngaphezu kwama-lymph node.
- Amanye ama-lymph node amaningana avela kwenye ingxenye yomzimba.
- Esinye isitho, njengesinso.
- Ezinye izimila noma izicubu kuleyo ndawo.
Kulezi zinsuku, ezinye izibhedlela zenza lokhu kuhlinzwa njengokuhlinzwa kwe-laparoscopic, okwenziwa ngokusika okuncane, noma ngokusebenzisa ukuhlinzwa kwerobhothi. Udokotela wakho uzochaza ukuthi iyiphi indlela efanele wena.
Lokhu kuhlinzwa kwe-RPLND kungathatha noma yikuphi kusukela emahoreni amathathu kuya kwayishumi .
Yini ongayilindela ngemva kokuhlinzwa?
Kuzodingeka uhlale esibhedlela cishe izinsuku ezine kuya kweziyisikhombisa ngemva kokuhlinzwa. Kuvamile ukuba nobuhlungu ngemva kokuhlinzwa. Udokotela wakho uzokunikeza imithi yokudambisa ubuhlungu edingekayo. Ngakho ungakhathazeki ngobuhlungu.
Ziyini izingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa okukhulu, ukuhlinzwa kwe-RPLND kunezingozi ezithile. Udokotela wakho uzokuchazela konke lokhu kusenesikhathi.
| Ingozi | Incazelo |
|---|---|
| Ukulimala kwemithambo yegazi | Udokotela wenza ukuhlinzwa eduze kakhulu nemithambo yegazi emikhulu yomzimba. Ngakho-ke, ezimweni ezingavamile, le mithambo yegazi ingase yonakale futhi kungase kuvele ukopha okwengeziwe. |
| Kuthinta ukuzala | Izinkinga zokukhipha uketshezi zingavela ngemva kokuhlinzwa. Lokhu kungenxa yokuthi imizwa elawula ukukhipha uketshezi idlula endaweni lapho kwenziwa khona ukuhlinzwa. Esikhathini esiningi, odokotela abahlinzayo bavikela le mizwa ekulimaleni. Kodwa-ke, ngezinye izikhathi isimo esibizwa ngokuthi i-anejaculation singavela. |
| Ukuqongelela koketshezi lwe-lymphatic (i-Lymphocele) | Uketshezi lwe-lymph lunganqwabelana esikhaleni esishiywe yi-lymph node esuswayo. Ukuze asuse lolu ketshezi olwengeziwe, udokotela wakho angase afake ipayipi elincane (idreyini) esiswini sakho. |
| Ezinye izinkinga | Njenganoma yikuphi ukuhlinzwa, kunengozi encane yokutheleleka, ubunzima bokuphefumula, ukulimala kwezinye izitho zomzimba, ubuhlungu besisu esingezansi, kanye nokuqunjelwa. |
Yini ebhalwe embikweni ngemva kokuhlinzwa?
Udokotela wakho uzokuchazela umbiko we-pathology owutholayo ngemva kokuhlola ama-lymph node akho.
Ungasebenzisa amagama athi “okuhle” noma “okubi” kuwo.
- Umphumela omuhle usho ukuthi kwakukhona amangqamuzana omdlavuza kuma-lymph node asusiwe.
- Umphumela ongemuhle usho ukuthi bekungekho maseli omdlavuza.
Ngaphezu kwalokho, umbiko uphinde uveze ukuthi zingaki izinkomba ze-lymph ezisusiwe ezazinamangqamuzana omdlavuza.
- Uhlobo lomdlavuza.
- Indlela amangqamuzana omdlavuza ahluke ngayo kumaseli ajwayelekile (ibanga).
- Izinga amangqamuzana omdlavuza ahlukana ngalo (izinga le-mitotic).
Umbiko ungase uqukathe olunye ulwazi olubalulekile, olufana nalokhu:
Kwenzekani ngemva kokuthola imiphumela?
Ngokusekelwe emiphumeleni yombiko wakho, ithimba lakho lezokwelapha lizonquma ukuthi yini okufanele liyenze ngokulandelayo. Kungaba into efana nale:
- Ukuqaphela/ukuqapha ngaphandle kokwelashwa
- Ukwelashwa ngamakhemikhali
- Ukwelashwa ngemisebe
Ngingashayela nini udokotela ucingo?
Uma usufikile ekhaya, udinga ukunakekela kakhulu ukululama kwakho. Qaphela kakhulu indlela inxeba lakho lokuhlinzwa eliphola ngayo. Uma unezinye zezimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
| Izimpawu zesexwayiso - yazisa udokotela ngokushesha | |
|---|---|
| Isicanucanu noma ukuhlanza | Uma uhlanza kakhulu kangangokuthi awukwazi ukugcina ngisho namanzi amancane esiswini sakho. |
| Ubuhlungu besisu esingezansi | Uma uzwa ukuqina, ubuhlungu obukhulu, noma ubuhlungu uma uthinta isisu sakho esingezansi. |
| Akukho ukuqunjelwa noma ukunyakaza kwamathumbu | Uma ungakwazi ukuphuma umoya noma ukuya endlini yangasese. |
| Ubomvu obuphuma esilondeni | Uma kukhona uketshezi olufana nobovu oluphuma endaweni yokuhlinzwa. |
| Ubuhlungu obukhulu | Uma uzwa ubuhlungu obukhulu obungenakulawuleka ngisho nangemithi yobuhlungu. |
Noma yikuphi ukuhlinzwa kuyesabeka, ikakhulukazi uma kuhilela umdlavuza. Kodwa khumbula, i-RPLND inqubo esindisa impilo enikeza odokotela ulwazi olubalulekile mayelana nempilo yakho futhi ingamisa ukusabalala komdlavuza.
Uma usenokungabaza noma ukwesaba ngokuhlinzwa okukhulu kangaka, akukho okubi ngokufuna umbono wesibili komunye uchwepheshe. Mhlawumbe ukukhuluma nomunye udokotela kuzokunikeza ukuthula kwengqondo okukhulu futhi kukunike amandla engqondo owadingayo ukuze ubhekane nokuhlinzwa.
Lokhu kuhlinzwa kuyisinyathelo esikhulu empilweni yakho. Kodwa kungasindisa impilo yakho. Ithimba lakho lezokwelapha lilapha ukuzokusiza. Ngakho khuluma nabo nganoma yimiphi imibuzo noma ukwesaba onakho.
Umlayezo Wokuya Nawe Ekhaya
- I-RPLND iwukuhlinzwa okukhulu okususa ama-lymph node ngemuva kwezitho zesisu.
- Lokhu kwenziwa kakhulu ukuze kubonakale ukuthi umdlavuza ususakazeke yini, uvinjelwe ukuthi ungasabalali, futhi kuvinjelwe ukuthi umdlavuza ungabuyi.
- Njenganoma yikuphi ukuhlinzwa, kunezingozi, njengokuphuma kwegazi kanye nemiphumela ekuzaleni. Udokotela wakho uzokwazisa ngalokhu.
- Kuthatha isikhathi ukululama ngemva kokuhlinzwa. Kubaluleke kakhulu ukuqaphela izimpawu zokutheleleka (umkhuhlane, ubomvu obuvela esilondeni, ubuhlungu obukhulu).
- Khuluma ngokukhululekile ngezinkinga zakho nokwesaba kwakho nethimba lakho lezokwelapha. Ungalokothi unqikaze ukuthola umbono wesibili uma kudingeka.
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