Kana iwe uchange uine chirwere chekenza yemazamu , chiremba wako anokwanisa kukurudzira kuti une nodeinel node biopsy panguva imwecheteyo. Iyi nzira inoitwa kuitira kuti uone kana kenza yako ingangopararira mberi kwechando chako kupinda mumakirini ako. Sezvo mazano ekurapwa akasiyana nechekuita kuti lymph nodes yako haina kunaka kana kuti yakanaka kune metastases (kupararira) ichi chiyeuchidzo chinokosha.
Chii chaunogona kutarisira munguva yako yeininel node biopsy uye zvinoguma zvinorevei? Ngatitorei danho nhanho tarisai pamuedzo uyu.
Chirongwa Chinokosha Chokuongorora
A nodeinod node biopsy inzira yekuongorora yekuvhiya inoitwa kubvisa samudiki shomanana emakirini nhengo kuitira kuti inogona kuongororwa nekenza yengamera yemasere (metastases). Idzo node node ndiyo yekutanga lymph nodes kenza yemazamu inotarisirwa kupararira, uye inoongororwa kuona kana kenza yako yakapararira mberi kwemuviri wako wepakutanga.
Kana pasina imwe chirwere ichi chiri kuitwa panguva imwe chete, iyi ndiyo nzira yekurapa uye inokosha pakugadzirisa kenza yako yepabonde . Kana iwe uine lumpectomy kana mastectomy, chirwere chinonzi node chipo chinogona kuitwa pamwe chete neyoyo nzira. Kurongeka kwakarurama, iwewo, kuchakubatsira iwe nachiremba wako kusarudza nzira dzakanakisisa dzokurapa kana kenza yako yepamu.
Maitiro Anobatanidzwa
Kune matanho akawanda anobatanidzwa kuitira kuti uone kuti lymph nodes ipi yako inotendesa node, nyora izvi mune imwe nzira, wozoedza node idzi.
Iyo yose nzira inotora kusvika maawa akawanda kubva panguva yaunosvika kusvika panguva yaunenge uine mhinduro dzako. Heano matanho aunogona kutarisira.
Kutanga Nekurapa Kwekurapa
Usati wasvika, chirwere chako chinoda kuziva nzvimbo yemukirini yako uye lymph nodes. Kusanganiswa kwemasayenzi ekufungidzira kuchashandiswa kuwana nekucherechedza nzvimbo idzi vasati vavhiyiwa.
Kutsvaga Mubhutu
Iwe uchaenda kuNuclear Medicine Dhipatimendi rechipatara kana kliniki apo yako sentinel node biopsy ichaitwa. Sezvaunenge uchida kuita mammamiro kana kuti mazamu ultrasound, iwe uchanamatira kubva pachiuno, ndokupfekedza chipfeko chechipatara. Zvadaro, iwe ucharara pasi patafura yekuongorora. Mumwe nyanzvi yehupiritsi yehudhiyo achashandisa mushonga we ultrasound kuti uwane tumarara yako. Chikwangwani chinoputika chichanyatsoonekwa paganda rako, saka chiremba wako anokwanisa kuzviwana nyore nyore.
Anesthesia uye Injection yeDye uye Mutambi
A radiologist kana nyanzvi yemushonga we nyukliya ichapedza nzvimbo panzvimbo yepamuviri yako. Izvi zvinogona kuitwa netiopical lidocaine patch (sezvo ichi chiri nzvimbo yakanyanya nyoro) yakateverwa nejojo ye lidocaine muzamu rako. Paunenge wakakwana zvakakwana, achabata mukana usina simba revhisikiya (technetium-labeled sulfuri colloid) uye dhayi rebhuruu (isosulfan bluu) mumumhanyi wemarara. Iyo jira inotora nguva refu kupfuura chirwere chinoputika zvinowanzoita uye unogona kudikanwa majekiseni akawanda. Mune mamwe mazwi, unogona kunge uchida kunyatsokumbira mishonga inoshaya kunyange iwe uchifunga kuti ichave yakanyanyisa.
Lymph Node Mapping
Kana imwe inopindwa muropa, dhayi inoda nguva yekufamba kubva panzvimbo yako yemarara kunzvimbo dzako dzemakirini. Kamwe pane imwe nzvimbo yepamuviri, dhayi inofanira kutorwa nemakirini maduku anonzi lymphatic anoenda kune lymph nodes.
Iwe uchapedza nguva yakati pane imwe nzvimbo yekurindira iri pedyo, saka tauya zvimwe zvekuverenga kana mimhanzi. Kana dhayi dzasvika pakuenda kwadzo, unobvunzwa kudzokera kuNuclear Medicine Department uye urere pasi patafura yekuongorora zvakare. Kufungidzira zvidzidzo (lymphoscintigraphy) zvichaitwa kuratidza kuti chikamu chei lymph nodes chiri kugamuchira dyes, uye iyo inoratidza kuti lymph node yako yeininel ichawanikwa kupi. Mudzidzisi uyu achacherechedza nzvimbo iyi paganda rako, saka chiremba wako anoziva kuti anotanga kutarisa kupi.
Kubvisa Sentinel Lymph Node
Iwe uchaunzwa muimba yekushanda, apo chiremba wako achagadzirira kutanga shure kwekunge wapiwa chirwere chekushaya muviri .
Chiremba anovhiya achishandisa shanduro inobata ruoko kuti awane lymph nodes ine dhiyabhorosi yakawanda. Munzvimbo iyoyo, chiremba wako anoita chirwere chiduku, uye tsvaga lymph nodes dzakasvibiswa nebhuruu dye. Chimwe chete kusvika kune nhatu nodes ichabviswa kunze kwekuti akawanda akawanda akatariswa. Aya nodes anotumirwa kudhipatimendi rezvirwere, kwaanoongororwa nokuda kwemasastasis uye micrometastasis . Kutora kwako kuchavharwa uye kupfekedzwa, uye iwe uchaendeswa kuRokudzoka.
Kuedzwa muPathology
Pane imwe nguva mubasa rekurwara, node dzako dzichaongororwa nekenza. Dzimwe nguva chiremba wako anorayira chikamu chechikamu chemazhenje che node, kuitira kuti uwane mhinduro ipapo. Kana node dzako dziine kenza yemukenza, unogona kunge uine lymph node dissection yakakwana pakarepo, kuti uwane huwandu hwakazara hwekuita lymph node. Kana chikamu chechando chisina kurongedzwa, uye nodes dzako dzine kenza, sarafu yakakwana ye-lymph node dissection inogona kuitwa gare gare.
Kubva Kubva Mudare Renyu Rokunyora Node
Kana ruvara rwebhuruu rwakashandiswa kuwana yako sentinel lymph node, tarisira kuona dhayi yebhuruu mumugini wako kwemaawa anenge 24. Dzimwe nguva pachava nekuputika uye dhayi rebhuruu paganda rakapoteredza kuvhara. Iwe uchange uine kupfeka uye sutures kuti ugare wakaoma uye ungada mishonga inorwadza kusvika kupora kunotanga. Shandisa chirwere-kuruoko rwako zvinyoro-nyoro (pasina kusimudza!) Kwekunge vhiki imwe mushure mekuita. Matanda kubva muvara rebhuruu achaderera uye maronda ako achaporesa; iyo incision pachayo pachayo ichapera kusvika kumurongo wakanaka kwazvo kupfuura nguva.
Kuwana Zvaunofunga Zvako
Chiremba wako kana oncologist achakushevedza nezvemigumisiro yebhiopi nokukurumidza apo muchengeti wezvirwere apedza kumuongorora. Mharidzo ichabatanidza ruzivo rwekuti vangani, kana varipo, lymph nodes ine kenza yemasera. Kumbira kopi yemashoko ako ehutano uye uchengetedze nemabhuku ako ehutano. Kana node ine kenza, inorwara seyakanaka, uye kana pasina kenza inowanika mune node, inoonekwa seisina kunaka. Kuongororwa kwemakirini anonzi lymph nodes kunoreva kuti kenza yako yakapararira (inoshandiswa mumasitadhi) kupfuura kwechirwere chepakutanga. Izvi zvinokanganisa kuvepa nekurapa kunoda kurapa kenza yako yepabonde.
Apo patinotaura nezvemasastases kune lymph nodes izvi hazvirevi kuti munhu ane kenza yemasita. Kutaura zvazviri, kutanga kwemawere emakondomu emakwenzi akadai sechitsauko 1A inogona kuva nemakrometastases kumakirinikodhi. Kupararira kwekenza yemazamu kune lymph nodes hazvirevi kuti une kenza yepamusoro yepabonde, asi ndeyekuti tsvina yako yakaratidza "chinangwa" kupararira mberi kwezamu uye lymph nodes.
Ngozi uye Migumisiro Yechirwere
Zvizhinji zvemigumisiro yemusana wenodein biodsy zvishoma. Inogona kunge isinganzwisisiki kana dhayi kana mucheki ari mujenya. Iyo nzira inogonawo kuwedzera kusvika kumaawa akawanda kusvika kune zuva ratozara rakazara rekuvhiya kwepabonde rako remazamu.
Zvinokonzerwa nengozi dzenzira yacho dzinosanganisira lymphedema uye mungozi yezvakaipa zvisina kururama. Izvi zvinokurukurwa mberi pano.
Lymphedema
Chimwe chigumisiro chinowanikwa chezere lymph node dissection chirwere chinonzi lymphedema . Nemhaka yokuti lymph nodes mubindu rako risina kukwana, lymph fluid inowanzotariswa ipapo inogona kuvaka uye inokonzera kubvunda. Kana izvi zvikaramba zvichiwedzera, zvinogona kuva zvinorwadza. Zvisinei, kana iwe uchitoda chete nodefodhi node, iwe uchave uine node dzinokwana kugadzirisa lymph fluid inofamba nepamusoro penzvimbo yako yeArmpit, saka chiyero che lymphedema munyaya iyo, inenge mishanu chete. Ichokwadi, chikonzero chikuru chekuita musinel node biopsies panzvimbo yekuzara kwemaitiro emakirini nhengo ndeyokudzivirira lymphedema kana zvichibvira.
Nhema Hwenhema
Lymph nodes dzinogona kusiyanisa muhukuru, zvimwe zviduku seheadhead, zvimwe zvakakura kudarika bhinzi. Chiremba wako achave achivhima kuburikidza neganda nemafuta, achitarisa bhuu-dyed nodes, uye anofanira kushandisa imwe hutano uye kutonga. Zvingaita kuti nhamba yemutambo iongorore zvisina kunaka (yakajeka nekenza), asi kenza inogona kuva mune imwe nhengo dzemaitiro. Izvi zvinonzi maitiro akaipa. Kuti ukudzivirire kubva pamigumisiro yemanyepo, mapoka ako ekugadzirira uye anorwara achatevera mirayiridzo yakasimba, uye kana zvizoitika zviri mune kusava nechokwadi kupi zvako, dzimwe node dzichabviswa uye dziongororwa, kuve nechokwadi chezvibereko zvakarurama.
Pasi Pasi
Kuva nekodhi node biopsy kunoda matanho akawanda uye iwe unganetseka kuti nei zvose zvinodiwa zvichidiwa. Kusarudza mishonga yakanakisisa yekenza yepamu inoda kuenzanisa, uye kuti kunyatsogadzirisa kenza yemazamu inoda kuziva kana chero kenza ipi yakapararira kune lymph nodes. Mukuwedzera, kusarudza kana chero kushanda kweropa nhengo ine micrometastases kana macrometastase zvakare. Zuva rehupenyu hwako rinogona kuratidzika kwenguva yakareba, asi migumisiro ichave yakakosha mumazuva nemwedzi inouya.