Ngati mutakhala opaleshoni ya khansa ya m'mawere , dokotala wanu angakulimbikitseni kuti mukhale ndi nthenda ya fetinel node nthawi yomweyo. Ndondomekoyi yachitidwa kuti mudziwe ngati khansara yanu ingafalikire kupyola m'mawere anu. Popeza malangizidwe a mankhwala amasiyana ndi momwe minofu yanu ilili yoipa kapena yabwino kwa metastases (kufalitsa) izi ndi mayeso ofunikira.
Kodi mungayang'ane chiyani pa nthawi yanu ya chithunzithunzi komanso zotsatira zake zikutanthauza chiyani? Tiyeni titenge gawo ndi phazi kuyang'ana pa yesero ili.
Chiyeso Chofunika Kwambiri
Nthendayi ya chidziwitso ndi njira yodziwira opaleshoni yomwe imachotsedwa kuti ichotse nyemba za mitsempha kuti apitirize kuyesedwa kwa maselo a khansa ya m'mawere. Mankhwala amtunduwu ndi oyamba kansalu ya khansa yomwe ikuyenera kufalikira, ndipo amafufuzidwa kuti awone ngati khansara yanu yafalikira kupyola chilakolako chanu choyambirira.
Ngati palibe opaleshoni ina ikuchitidwa panthawi imodzimodzi, izi ndizo njira zochiritsira matenda ndipo ndizofunikira pakugwiritsira ntchito kansa ya m'mawere . Ngati muli ndi lumpectomy kapena mastectomy, nodepus node biopsy ikhoza kuchitidwa pamodzi ndi njirayi. Kulumikiza molondola, kukuthandizani inu ndi dokotala wanu kusankha zosankha zabwino kwambiri za mankhwala kapena kansa ya m'mawere.
Zochitika
Pali njira zingapo zomwe zimaphatikizidwa kuti mudziwe kuti ndi ma lymph node omwe ali ndi nambala yanu, onetsetsani izi mwanjira ina, ndiyeno yesani nambalazi.
Njira yonseyi imatenga maola angapo kuyambira nthawi yomwe mumakafika mpaka nthawi yomwe muli ndi zotsatira zanu. Nazi njira zomwe mungayembekezere.
Kuyamba ndi Kujambula Zamankhwala
Musanayambe njira yanu, dokotala wanu akufunikira kudziwa komwe kuli mimba yanu komanso majekeseni. Kuphatikiza njira zamaganizo zidzagwiritsidwa ntchito kupeza ndi kusindikiza malo awa asanachitike opaleshoni.
Kupeza Matenda
Mudzapita ku Nuclear Medicine Department ya chipatala kapena kuchipatala komwe anu otchedwa reninode node biopsy adzachitidwa. Monga momwe mungakhalire ndi mammogram kapena mawere a ultrasound, mudzapukuta kuchokera m'chiuno, ndikubvala chovala cha chipatala. Kenaka, mudzagona pansi pa tebulo la zofufuzira. Katswiri wodziŵa zamagetsi adzagwiritsa ntchito makina a ultrasound kuti apeze chotupa chanu. Malo obisala adzadziwika pa khungu lanu, kotero dokotala wanu angathe kuchipeza mosavuta.
Anesthesia ndi Kuipa kwa Dye ndi Tracer
Katswiri wa zamankhwala kapena katswiri wa mankhwala a nyukiliya adzasokoneza dera lanu pa chifuwa chanu. Izi zikhoza kuchitika ndi topical lidocaine patch (popeza ili ndi malo okonda kwambiri) kenako ndi jekeseni wa lidocaine m'mimba mwanu. Mukadzatopa kwambiri, adzalandira dye yofiira (technetium-labeled sulfur colloid) ndi dawisi ya buluu (isosulfan buluu) kumalo otupa. Jekeseniyo imatenga nthawi yaitali kusiyana ndi chimfine chimene chimapanga makamaka ndipo imakhala ndi jekeseni zingapo. Mwa kuyankhula kwina, mungafune kupempha mozama mankhwala osokoneza bongo ngakhale mukuganiza kuti zidzakhala zolekerera.
Mapu Mapulogalamu a Lymph
Mukakayiratu, dyes amafunika nthawi yoyenda kuchokera kumalo anu otupa kupita kumalo anu am'mimba. Kamodzi pa malo otupa, utoto umayenera kutengedwa ndi njira zazing'ono zamakono zomwe zimapita kumalo am'mimba.
Mudzakhala nthawi yambiri m'chipinda choyembekezera, choncho mubweretseni zinthu zina zowerengera kapena nyimbo. Dyes akafika pamene akupita, akupemphedwa kuti abwerere ku Nuclear Medicine Department ndikugona pa tebulo lakuyezetsa kachiwiri. Maphunziro a kujambula (lymphoscintigraphy) adzachitidwa kuti asonyeze mtundu wina wa ma lymph node umene ukutenga utoto, ndipo ukusonyeza kuti malo amtundu wanu wa retinel amapezeka. Wogwira ntchitoyo amavomereza malo apa khungu lanu, kotero dokotala wanu adzadziwa kumene angayambe kuyang'ana.
Kuchotsa Sentinel Lymph Node
Mudzabweretsedwa m'chipinda chogwiritsira ntchito, kumene opaleshoni yanu adzakhala okonzeka kuyamba mutapatsidwa mankhwala osokoneza bongo .
Dokotalayo amagwiritsa ntchito kafukufuku wogwiritsa ntchito dzanja kuti apeze maselo am'mimba omwe ali ndi dye kwambiri. Kumalo amenewo, dokotala wanu opaleshoni amapanga kanyumba kakang'ono kam'mbali, ndipo ayang'ane zitsempha zomwe zapaka utoto wabuluu. Chimodzi mwa zigawo zitatu zokha zichotsedwa pokhapokha ambiri atayengedwa. Nodezi zimatumizidwa ku Dipatimenti ya Mafupa, komwe amafufuzidwa ndi metastasis ndi micrometastasis . Kutenga kwanu kudzatsekedwa ndi kuvala, ndipo inu mudzatengedwera ku Kubwezeretsa.
Kuyesera mu Matenda
Kamodzi mu kalasi ya matenda, zizindikiro zanu zidzayesa khansa. Nthawi zina dokotala wanu amalamula mayeso a gawo lachisanu kuti apeze zotsatirapo. Ngati node yanu ili ndi maselo a khansa, mukhoza kukhala ndi majekesiti odzaza mitsempha mwamsanga, kuti mupeze momwe thupi limakhudzidwira. Ngati gawo lachisanu silidalamulidwa, ndipo node zanu zili ndi khansara, kuthamanga kwathunthu kwa mitsempha ya mitsempha kungapangidwe mtsogolo.
Kuchokera ku Mawu Anu Osemphana ndi Mauthenga Abwino
Ngati utoto wa buluu umagwiritsidwa ntchito kupeza retinel node yanu, yang'anani kuwona utoto wabuluu mu mkodzo kwa maola pafupifupi 24. Nthawi zina padzakhala mtundu wina wodula ndi wabuluu pa khungu pozungulira incision. Mudzakhala ndi kuvala ndi sutures kuti muume ndipo mungafunike mankhwala opweteka mpaka machiritso akuyamba. Gwiritsani ntchito dzanja lanu la opaleshoni mwapang'onopang'ono (palibe kukweza!) Kwa sabata imodzi mutatha. Madontho ochokera ku utoto wabuluu amachepetsa ndipo kuvulaza kwanu kudzachiritsa; chidziwitso chomwecho chidzatha mpaka mzere wabwino panthawi yambiri.
Kupeza Zotsatira Zanu
Dokotala wanu kapena a oncologist adzakuitanani inu za zotsatira za chidziwitso mwamsanga pamene wodwala matenda atamaliza kukambirana kwake. Lipotili lidzaphatikizapo kudziwa kuti ndi angati omwe ali ndi maselo a khansa. Pemphani kafukufuku wanu wa mbiri yanu ndipo muzisunga ndi zolemba zanu zaumoyo. Ngati nthenda ili ndi khansara, imapezeka ngati yabwino, ndipo ngati palibe khansa imapezeka mu mfundo, imapezeka ngati yosasangalatsa. Kupezeka kwa ma lymph node kumatanthauza kuti khansara yako yafalikira (yowonongeka) kupyola chilakolako choyambirira. Zotsatirazi zidzakhudza momwe zimakhalira ndi mankhwala omwe amafunika kuti muwathandize khansa ya m'mawere.
Tikamayankhula za metastases ku maselo a mitsempha, izi sizikutanthauza kuti munthu ali ndi khansa yambiri. Ndipotu, m'mawere oyamwa khansa monga siteji 1A akhoza kukhala ndi micrometastases ku maselo am'mimba. Kufalikira kwa khansa ya m'mawere ku mitsempha yamatenda sikukutanthauza kuti muli ndi kansa ya m'mawere, koma kuti chotupa chanu chawonetsa "cholinga" chofalikira kupitirira chifuwa ndi zam'mimba.
Zowopsa ndi Zotsatira Zotsatira
Zambiri za zotsatira zoyipa za nthendayi ndizochepa. Zingakhale zomvetsa chisoni ngati utoto kapena wojambula atayikidwa. Ndondomekoyi ikhoza kuwonjezeranso maola angapo ku tsiku lokwanira la opaleshoni ya khansa ya m'mawere.
Zoopsa zowopsazi ndi monga lymphedema ndi chiopsezo cholakwika. Izi zikufotokozedwa apa.
Lymphedema
Zotsatira zowonjezereka za kutayika kwa mitsempha yathunthu ndi chikhalidwe chotchedwa lymphedema . Chifukwa chakuti maselo a mitsempha mumtunda wanu sakusowa, mitsempha yamadzi yomwe imapangidwira kumeneko ikhoza kumanga ndi kuyambitsa kutupa. Ngati izi zikupitirira kapena kuwonjezeka, zingakhale zopweteka. Komabe, ngati mukufunikira kokha nthenda yamagetsi, mumakhalabe ndi node zokwanira zogwiritsira ntchito lymph zamadzimadzi zomwe zimayenda kudutsa m'dera lanu la armpit, kotero kuti mlingo wa lymphedema mulimonsemo, ndi oposa asanu peresenti. Ndipotu, zifukwa zambiri zomwe zimapangitsa kuti tizirombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda m'malo moti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda ndi kupewa lymphedema ngati n'kotheka.
Zolakwa Zonyenga
Mankhwala amtunduwu amatha kukula mosiyanasiyana, ena ang'onoang'ono ngati mutu wa pin, ena akuluakulu kuposa nyemba. Dokotala wanu adzakhala akusaka kupyola mu khungu ndi mafuta, kufunafuna node zofiirira, ndipo ayenera kugwiritsa ntchito luso ndi chiweruzo. N'zotheka kuti nthendayi imayesa kusayera (khansa), komabe khansayo ikhoza kukhala m'magulu ena. Izi zimatchedwa zoipa zabodza. Kuti muteteze ku zotsatira zabodza, magulu anu opaleshoni ndi odwala amatsatira malangizo okhwima, ndipo ngati zotsatira ziri mu kukaikira kulikonse, zizindikiro zambiri zidzachotsedwa ndi kuyesedwa, kuti zitsimikizire zotsatira zolondola.
Pansi
Kukhala ndi chidziwitso cha nthendayi kumafuna masitepe angapo ndipo mukhoza kudabwa chifukwa chake ntchito yonse ikufunika. Kusankha njira zabwino zothandizira khansa ya m'mawere kumafuna kulongosola molondola, komanso kuti kansalu ya m'mawere ikhale yoyenera, imafuna kudziwa ngati khansara iliyonse yayamba kufalikira ku maselo am'mimba. Kuwonjezera pamenepo, dziwani ngati kulimbikitsana komwe kuli ndi micrometastases kapena macrometastases komanso. Tsiku lazinthu lanu likhoza kuwoneka lalitali, koma zotsatira zidzakhala zofunikira masiku ndi miyezi ikubwera.