Kodi mliri wamakono ndi wotani?
Nthendayi ndi njira yaying'ono yomwe minofu imatengedwa kuchokera ku nthendayi kapena mbali ina ya thupi yomwe ikuwoneka kuti ili ndi chotupa, ndipo imatumizidwa ku labotale kuti ayesedwe ndi kuyesedwa ndi wodwalayo. Pamene lymphoma ikukayikiridwa, maselo am'mimba amatha kukhala opangidwa.
Nchifukwa chiyani nkofunikira kutenga biopsy?
Minofu yotengedwa kuchokera muzigawozi ingathe kukonzedwa mu labu, ndipo imaperekedwa kwa munthu wodwalayo.
Wodwala amayang'ana minofu iyi pansi pa microscope ndikudziwitsa mtundu wa matenda omwe alipo. Sikuti nodes zonse zowonjezereka zakhala zotupa chifukwa zimakhala ndi maselo a lymphoma ndi maselo ena omwe amachititsa kukhalapo kwa lymphoma. Zina zomwe zingayambitse ziyenera kuwonetsedwa kunja, kuphatikizapo matenda ndi mabakiteriya ndi mavairasi.
Kodi maseŵera am'mimba amatha bwanji?
Pofuna kupeza matenda a lymphomas , kawirikawiri chiwopsezo chiyenera kutengedwa kuchokera ku lymph node. Ndondomeko ikhoza kuchitidwa kuchipatala chachipatala kapena kuchipatala chochita opaleshoni. Dokotala wanu adzasankha malo anu m'thupi momwe angamve kuti ali ndi lymph node. Mudzapatsidwa jekeseni wa kupweteka kwapanyumba komweko kuti musamve ululu panthawiyi. Khungu kakang'ono kamapangidwa khungu ndipo kamphanga kamodzi kokha kamene kamachotsedwa. Mdulidwewu umayikidwa mmbuyo. Njirayi imatenga pafupifupi mphindi 30 mpaka 45. Mukhoza kupita kunyumba mwamsanga mutangotha njirayi.
Muyenera kuleka kutenga odwala magazi kwa sabata kapena kuposerapo musanachitike, ndipo mungafunsidwe kuti musadye kapena kumwa chirichonse chisanachitike. Onetsetsani kuti muwerenge malangizo aliwonse omwe mwandipatsa poyamba. Ngati palibe chinthu chodziwika bwino kwa inu kapena muli ndi mafunso ena, funsani dokotala kuti athetsere ndondomekoyi isanakwane.
Kufikira nodes ndi ziphuphu mkati mwa thupi:
Nthawi zina mitsempha yowonjezereka kapena mbali zina zomwe zimayesedwa zomwe zimafunikira kuyesedwa zingakhale mkati mwa thupi pomwe zinthu zophweka sizikhoza kuchitika. Dokotala akhoza kutenga chithandizo cha radiologist kuti afufuze thupi ndi kutsogolera singano ku gawo lenileni lomwe liri ndi chotupacho. Nthano imatha kuyamwa minofu yomwe ingatumizedwe kwa odwala matenda kuti ayesedwe.
Puloteni yabwino yotchedwa asple cytology (FNAC):
FNAC ndi njira yosavuta yomwe singano yabwino imagwiritsira ntchito kuyamwa (aspirate) maselo omwe amachokera ku nodes kapena matenda omwe amafunika kuyesedwa. Sichimayambitsa ululu uliwonse, ndipo ndi njira yofulumira yomwe ingakhoze kuchitidwa ku ofesi ya dokotala. Ultrasound ingagwiritsidwe ntchito kutsogolera singano kuti ikhale yolondola bwino. Koma mayesowa sali abwino ngati atulukira kale kuti ali ndi lymphoma. Maselo ofikira ku FNAC sangatiuze nthawi zonse mtundu wa lymphoma. Pa zotupa zina zomwe biopsy sizingakhoze kuchitidwa mosavuta, mayesowa amagwiritsidwa ntchito kupeza minofu yowunika.
Zotsatira:
John A. Daller, MD. Lymph node biopsy, MedlinePlus, 8/5/2014. Laibulale ya National National Medicine.
Ophunzira a Mayo Clinic. Kutupa kwa ma lymph nodes, Jan. 02, 2014. MayoClinic.org.