Isisu sesifuba singakwazi ukumisela amangqamuzana omhlaza kwisistim sakho se-lymph. Ezi iiseli zingabanjwa kwii- lymph nodes ezikufuphi, ngokuqhelekileyo zidibanisi zakho ze-axillary. Udokotela wakho otyando angasusa ezinye i-lymph nodes ukuze zihlolwe phantsi kwe-microscope. Ukuba umhlaza weseli ukhona kwii-lymph nodes zakho, umngcipheko wakho wesifo somhlaza wesisu se-metastatic . Inkqubo yokukhupha i-lymph node ukususwa kuthiwa yi- axillary lymph node dissection .
I-Axillary Node Dissection (ALND)
I-lymph node dissection ye-lymph node ingenziwa njengenxalenye ye- lumpectomy okanye i- mastectomy . Udokotela wakho ogqirha unokususa iqela elincinci leenombolo okanye zonke iisodes kwi- axilla yakho. Ezi ziya kuthunyelwa kwibhubhorha yokugula apho ziya kuhlolisiswa ngononophelo lweeseli zomhlaza. Uya kufuneka ukwazi ukuba i-lymph nodes zakho zibi (zicacileyo zomhlaza) okanye zichanekile (ziqulethe umhlaza). Le ngcaciso ebalulekileyo ichaphazela isiteji somhlaza wakho kwaye ithintela zakho iindlela zokonyango.
Kubaluleka kwamaLymph Nodes
Nangona i-lymph nodes ikhona kumaqela kuwo wonke umzimba wakho, amaqonga akho e-axillary yindawo ebonakalayo apho iiseli zomhlaza zesisu zihamba khona. I-lymph nodes isebenza njengezihlunu apho ibhakteria, iintsholongwane okanye ieseli zomhlaza ziyabanjwa. Xa umhlaza weseli ukhona kwiindawo zakho ezibonisa ukuba isifo sele sakwazi ukushiya isifuba sakho uze uhambe kwezinye iindawo zomzimba wakho.
Ukuba umhlaza wesibeleko ungena kwi-lymph node, inokukhuba. Kufuneka uhlale uqwalasela indawo yakho ye-underarm ngexesha lakho lokuhlolwa kwebhokhwe rhoqo ngenyanga ukuze ugcine iithebhu kwii-lymph nodes zakho.
Iintlobo zeLymph Node Dissection
I-lymph nodes zingasuswa njengenxalenye yokuhlinzwa kwebele , okanye njengenkqubo ehlukile. Nazi iintlobo ezahlukeneyo ze-lymph node dissection surgeries:
- I-Sentinel Lymph Node Biopsy (SLNB): Le nkqubo yinkqubo yokuxilonga eyenziwe ukususa isampula encinane yeelym nodes apho umhlaza ungadla. Ezi node ze-sentinel zicatshangelwa ukuba ziyi-nodes zokuqala apho iiseli zomhlaza kufuneka zihambe ngaphambi kokuba ziqhubeke. Idayi eluhlaza okwesibhakabhaka kunye ne-ejenti ye-radioactive engenako iya kusetyenziselwa ukunceda ugqirha wakho ukuba athole i-nodes ethile. Le nqubo iyakususa inani elincinci le-lymph nodes.
- I-Axillary Node Dissection (ALND): Le nqubo ivame ukuyenza njengenxalenye ye- mastectomy okanye i-lumpectomy. Ekubalwa nje nge-10 okanye ezininzi ezinama-lymph node ezingama-40 zingasuswa ekuhlolweni.
- I-Axillary Full Lymph Node Dissection:
Ukuba umhlaza ufunyanwa ngexesha lakho le-sentinel okanye i-axillary node biopsy, ugqirha wakho unokuqhubeka kwaye ususe yonke i-lymph nodes yakho, ukuze zonke iisodes zibe zihlolwe kwi-metastas.
Iingozi kunye Neempembelelo Zecala ze-Axillary Node Dissection
Umphumo oqhelekileyo wesigxina se-lymph node dissection i- lymphedema (ukuvuvukala kwengalo). Ekubeni, emva kokuhlinzwa, unezitho zomzimba ezincinci phantsi kwengalo yakho ukucoca i-lymphatic fluid, i-fluid ingakha kwaye ibangela ukuvuvukala ngengalo yakho kwaye ngamanye amaxesha isandla sakho. Ukuba ngaba iisalathisi ezimbalwa zisuswe, i-lymphedema ingaba yimeko yesikhashana , kodwa ukuba uninzi lwawo lymph node lususwe, lungaba yinkinga enaphakade.
Ukucoca umzimba kunye neengubo zengcinezelo kunokunceda nge-lymphedema. Isikhwama sakho se-axillary sinokuba sisiphazamise okanye sithintele ukuchukumisa emva kokuhlinzwa ngenxa yokuba izitya zonakaliswe ngexesha le nkqubo. Ubungakanani kunye nobunzima beentloko zenkqubela zingathinteka, ngoko qiniseka ukuba ubuze unyango lomzimba ukuze uncedise kwakhona ukunyuswa kwakho kunye namandla.
Isimo seLymph Node sithinta unyango
I-lxphry node dissection yindawo ebalulekileyo yokuxilongwa ngokupheleleyo kunye nesiteji. Amacwecwe acacileyo kunye ne- tumor encinci iya kufuna unyango oluncinci kuba amathuba emetastasti aphantsi. Nangona kunjalo, kubalulekile ukwazi ukuba zingaphi iindidi ezibandakanyekayo nomhlaza, ngoko ke unokuhlola iimvavanyo ezingakumbi ukuze unqume ukuba kunye nomdlavuza ungasasazeka njani.
Olu lwazi luchaphazela ukhetho lwakho lwezonyango kwaye lunceda wena kunye nogqirha wakho ukhethe isicwangciso sonyango esisebenzayo.
Imithombo
Isikhokelo esinqununu: I-Cancer Breast in Men - Surgery. American Cancer Society.
> Ukubuyiswa kweNode kwiingcambu ze-lymph node: iziphakamiso zamanani ezincinci ukuzithemba nge > node negative > isimo. UYA > Somner >, uJMJ Dixon kunye noJSJ Thomas. J Clin Pathol. 2004 Agasti; 57 (8): 845-848.