Chifuva chemufupa chinogona kukonzera masero emukenza muyamu lymph system yako. Izvo masero anogona kuvharirwa mune lymph nodes dziri pedyo, kazhinji ako nhamba ye axillary. Chiremba wako anogona kubvisa mamwe lymph nodes kuitira kuti aongororwe pasi pe microscope. Kana kenza masero aripo mumakirini ako emakirini, njodzi yako yekaseti yemasitemasi inobuda mumasikati. Nzira yekutengesa lymph nodes removal inonzi axillary lymph node dissection .
Axillary Lymph Node Dissection (ALND)
Axillary lymph node dissection inogona kuitwa sechikamu che lumpectomy kana mastectomy . Chiremba wako anogona kubvisa boka duku re nodes kana nodes ese mu axilla yako. Izvi zvinotumirwa kubhuku rezvemapfupa apo vachazonyatsoongororwa nokuda kwekenza masero. Iwe unoda kuziva kana lymph nodes yako isisina kunaka (yakachena yekenza) kana yakanaka (ine kenza). Iyi inonyanya kukoshesa ruzivo inosangana nekugadzirwa kwekenza yako uye inokurudzira nzira dzako dzokurapa.
Kukosha kweLymph Nodes
Kunyange zvazvo lymph nodes iripo mumapoka mumuviri wako wose, node yako axillary ndiyo inowanikwa nzvimbo iyo mazamu epabonde emvere anogona kufamba. Lymph nodes dzinoshanda semafuta apo mabhakitiriya, mavairusi kana masero ekenza anobatwa. Apo kenza masero aripo munharaunda dzako zvinoreva kuti chirwere chacho chakakwanisa kubuda muchifuva chako uye kuenda kune dzimwe nhengo dzomuviri wako.
Kana kenza masero inogara muine lymph node, inogona kukura. Iwe unofanira kugara uchitarisa nzvimbo yako yepasiki paunenge uchiita bhurozi rako roga roga kuzvidzivirira kuti uchengetedze ma tabs ako lymph nodes.
Mhando dzeLymph Node Dissection
Lymph nodes dzinogona kubviswa sechikamu chekuvhiyiwa kwemazamu , kana seyo nzira yakasiyana. Pano pane zvakasiyana-siyana zve lymph node dissection surgeries:
- Sentinel Lymph Node Biopsy (SLNB): Iyi ndiyo nzira yekuongororwa inoitwa kubvisa samudiki shoma yemaitiro emukenza inogona kuve nekenza. Iyi node dzakatumirwa dzinofungidzirwa kuti ndiyo node dzokutanga dzinoshandiswa nemasero emukenza isati dzaenda mberi. Dhayi rebhuruu uye ine simba rakashata remagetsi richashandiswa kubatsira chiremba wako kuti awane node chaiyo. Iyi nzira inobvisa nhamba shoma ye lymph nodes.
- Axillary Lymph Node Dissection (ALND): Nzira iyi inowanzoitwa sechikamu chakakura kana chakashandurwa radical mastectomy kana kuti lumpectomy. Sezvishoma kana gumi kana makumi mana kana makumi mana emakirini anokwanisa kubudiswa kuti aongorore.
- Yakazara Axillary Lymph Node Dissection:
Kana kenza inowanika panguva yako yeininel node kana axillary node biopsy, chiremba wako anogona kuenderera mberi obvisa ose ako axillary lymph nodes, kuitira kuti node dzose dzigone kuongororwa kuti zvigone kushandiswa kwemasastasis.
Ngozi uye Migumisiro Yechechi yeAxillary Lymph Node Dissection
Nzira yakanyanya kufanana nayo yechirph nodes dissection is lymphedema (kubhururuka kwesimba). Sezvo, mushure mekuvhiyiwa, une lymph nodes shoma pasi pechanza chako kuti ushandise lymphatic fluid, iyo mvura inogona kuvaka uye inokonzera kubhururuka paruoko rwako uye dzimwe nguva ruoko rwako. Kana zvikamu zvishomanana chete zvabviswa, lymphedema inogona kunge iri mamiriro mashoma , asi kana akawanda emakirini ako akabviswa, inogona kuva dambudziko rinogara kwenguva refu.
Kurapa kupisa uye kupfeka nguo kunogona kubatsira ne lymphedema. Ganda rako rinogadzirisa rinogona kunge risina kana rakaderera kubata kune mushure mushure mekuvhiyiwa nokuti mishonga ingangodaro yakakanganiswa panguva iyo. Hondo uye mafudzi ekufambisa zvinogona kuchinjwa, saka iva nechokwadi chekukumbira kurapwa kwepanyama kuti ubatsirezve kudzoka kwako nesimba.
Lymph Node Nyaya Inobata Kurapa
Axillary lymph node dissection chikamu chinokosha chekuzorora kwako uye kugadzirisa. Nzira dzakasara uye tumarara duku zvichange zvisingadariki kurapwa nokuti mikana ye metastasis yakaderera. Zvisinei, zvinokosha kuti uzive kuti nhamba dzakawanda dzinobatwa nekenza, saka kuedza kwakawanda kunogona kuitwa kuti uone kana uye kana kenza ingapararira sei.
Idzi ruzivo runokanganisa maitiro ako ekurapwa uye inokubatsira iwe uye chiremba wako kusarudza chirongwa chinonyatsoshanda kurapa iwe.
Sources
Detailed Guide: Chirwere Chepabonde Mumarume - Kuvhiya. American Cancer Society.
> Node kugadziriswa mumasikironi emadysryry node dissections: mazano kumadhini mashoma kuti ave nechivimbo pamusoro > node isina > mamiriro. JEA > Somner >, JMJ Dixon, naJSJ Thomas. J Clin Pathol. 2004 August; 57 (8): 845-848.