Chotupa cha m'mawere chingathe kupatsira maselo a khansa m'thupi lanu. Maselo amenewa akhoza kutsekedwa m'mayendedwe a pafupi ndi mitsempha yapafupi, kawirikawiri malo anu ozungulira. Dokotala wanu angathe kuchotsa ma lymph nodes kuti athe kuwonedwa pansi pa microscope. Ngati maselo a khansa ali m'matumbo anu, chiopsezo chanu cha khansa ya m'mawere imatuluka. Ndondomeko ya mankhwala osokoneza bongo amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda .
Axillary Lymph Node Dissection (ALND)
Matenda a mitsempha yambiri amatha kuchitidwa ngati mbali ya lumpectomy kapena mastectomy . Dokotala wanu akhoza kuchotsa kagulu kakang'ono ka nodes kapena node zonse mu axilla yanu. Izi zidzatumizidwa ku labata yomwe imayang'aniridwa ndi khansa. Muyenera kudziwa ngati minofu yanu ndi yoipa (yosalala ndi khansara) kapena yabwino (ili ndi khansara). Mfundo zofunika izi zimakhudza momwe mukudwala khansa yanu komanso zimakhudza njira zomwe mungasankhe.
Kufunika kwa Lymph Nodes
Ngakhale kuti maselo a mitsempha amapezeka m'magulu m'thupi lanu lonse, malo anu opangira mawere ndi omwe amapezeka kumene maselo a kansa ya m'mawere angayende. Mankhwala amtunduwu amayamba kusungunuka kumene mabakiteriya, mavairasi kapena maselo a khansa amapezeka. Pamene maselo a khansa alipo mu nodes lanu amatanthauza kuti matendawa atha kuchoka pachifuwa chanu ndikupita ku ziwalo zina za thupi lanu.
Ngati maselo a khansa amakhala mu nthenda yamakono, akhoza kutupa. Nthawi zonse muyenera kufufuza malo anu opatsirana pogwiritsa ntchito bere lanu pamwezi kuti mudziwe bwinobwino kuti musunge ma lymph.
Mitundu ya Kusokonezeka kwa Mankhwala a Lymph
Mankhwala am'mimba amachotsedwa ngati gawo la opaleshoni ya m'mawere , kapena ngati njira yosiyana. Nazi mitundu yosiyanasiyana ya ma opaleshoni opatsirana amadzimadzi:
- Sentinel Lymph Node Biopsy (SLNB): Iyi ndiyo njira yothandizira kuti achotse kachidutswa kakang'ono ka maselo a khansa omwe kansalu ikhoza kuyamwa. Nkhotayi zoterezi zimaganiziridwa kuti ndizo nambala zoyamba zomwe maselo a khansa ayenera kuyendera asanapite patsogolo. Daya la buluu ndi wothandizira ofooka omwe amagwiritsidwa ntchito powasakaniza adzagwiritsidwa ntchito kuthandizira dokotala wanu kupeza malo enieni. Njirayi imachotsa nyerere zochepa.
- Axillary Lymph Node Dissection (ALND): Njirayi nthawi zambiri imachitika monga gawo lalikulu kwambiri kapena losinthidwa mastectomy kapena lumpectomy. Zoperewera zokwana 10 kapena zambirimbiri zimachotsedwa kuti ziyesedwe.
- Kuthamangitsidwa kwathunthu kwa Axillary Lymph Node:
Ngati khansa imapezeka panthawi ya nthendayi kapena nthendayi, dokotala wanu angapite patsogolo ndikuchotsani mitsempha yanu yonse, kotero kuti nodezi zonse zikhoza kuyesedwa kuti zitheke.
Zowopsa ndi Zotsatira Zachidule za Kuthamangitsidwa kwa Axillary Lymph Node Dissection
Zotsatira zofala kwambiri za matenda a mitsempha yotchedwa lymph node dissection ndi lymphedema (kutupa kwa mkono). Popeza, mutatha opaleshoni, muli ndi lymph nodes zochepa pansi pa mkono wanu kuti mugwiritse ntchito lymphatic fluid, madzi amatha kumanga ndi kuyambitsa kutupa pa mkono wanu ndipo nthawi zina dzanja lanu. Ngati nthiti zing'onozing'ono zimachotsedwa, lymphedema ikhoza kukhala yochepa , koma ngati minofu yanu yambiri imachotsedwa, ikhoza kukhala vuto lalitali.
Kuchiza minofu ndi zovala zothandizira kungathandize ndi lymphedema. Khungu lanu limakhala lofewa kapena lochepetsetsa kukhudza pambuyo pa opaleshoni chifukwa mitsempha ingakhale yawonongeka panthawiyi. Kuthamanga kwa magulu ndi mapepala kungasokonezeke, choncho onetsetsani kuti mupemphe thandizo lachilengedwe kuti muthandizenso kuyendetsa ndi mphamvu zanu.
Maonekedwe a Lymph Node Amakhudza Chithandizo
Matenda a mitsempha yothamanga kwambiri ndi gawo lofunika kwambiri la matenda anu onse. Chotsani nthiti ndi chotupa chaching'ono chimafuna mankhwala ochepa chifukwa mwayi wa metastasis ndi wotsika. Komabe, ndizofunika kudziŵa kuti ndi zingati zomwe zimayambitsa khansa, choncho mayesero ochuluka angakhoze kuchitidwa kuti adziwe ngati khansara ingafalikire komanso kuti.
Zomwezi zimakhudza njira zomwe mungapangire chithandizo ndipo zimakuthandizani inu ndi dokotala wanu kusankha njira yabwino kwambiri yothandizira.
Zotsatira
Zowonjezereka Guide: Khansa ya m'mawere mwa amuna - Opaleshoni. American Cancer Society.
> Kutenga node kumalo osokonezeka a maselo a m'magazi: malingaliro ang'onoang'ono manambala kuti akhale otsimikiza za > nambala yosalimba > mkhalidwe. YESU > Somner >, JMJ Dixon, ndi JSJ Thomas. J Clin Pathol. 2004 August; 57 (8): 845-848.