I- tumor yebele ikwazi ukuchitha amangqamuzana omdlavuza ohlelweni lwakho lymph. Lawo maseli angase abanjwe ezithombeni eziseduzane ze- lymph , ngokuvamile ama-axillary nodes akho. Udokotela wakho ohlinzayo angase asuse amanye amantombazane e-lymph ukuze ahlolwe ngaphansi kwe-microscope. Uma amangqamuzana omdlavuza akhona kuma-lymph nodes akho, ingozi yakho yokuphakama umdlavuza webele we- metastatic . Inqubo yokususwa kwe-lymph node ukususwa ngegama elibizwa nge- axillary lymph node dissection .
I-Axillary Lymph Node Dissection (ALND)
I-axillary lymph node dissection ingenziwa njengengxenye ye- lumpectomy noma i- mastectomy . Udokotela wakho ohlinzayo angasusa iqembu elincane lama-nodes noma wonke ama-node e- axilla yakho. Lezi zizothunyelwa ebhodini lokugula lapho zizohlolwa khona ngokucophelela ngomdlavuza wamangqamuzana. Uzodinga ukwazi ukuthi izitho zamakhansela zakho azibi yini (kucwecwe komdlavuza) noma zihle (zine umdlavuza). Lolu lwazi olubalulekile luthinta isiteleka somdlavuza wakho futhi luthonya izinketho zakho zokwelashwa.
Ukubaluleka kwama-Lymph Nodes
Nakuba ama-lymph nodes ekhona ngamaqembu kuwo wonke umzimba wakho, ama-node akho axillary angase abe indawo lapho amangqamuzana omdlavuza webele angase ahambe khona. Ama-lymph nodes asebenza njengezihlungi lapho amabhaktheriya, amagciwane noma amangqamuzana omdlavuza abanjwa. Uma amangqamuzana omdlavuza ekhona emazwini akho kusho ukuthi lesi sifo sithole ikhono lokushiya isifuba sakho bese uhamba kwezinye izingxenye zomzimba wakho.
Uma umdlavuza wamangqamuzana ungena endaweni ye-lymph node, ingase ivule. Kufanele njalo uhlole indawo yakho engaphansi kwesifo ngesikhathi sesifuba sakho sezinyanga zenyanga ukuhlola ukugcina amathebhu kuma-lymph nodes akho axillary.
Izinhlobo ze-Lymph Node Dissection
Ama-lymph nodes angasuswa njengengxenye yokuhlinzwa kwebele , noma njengenqubo ehlukile. Nazi izinhlobo ezehlukene zokuhlinzwa kwama-lymph node dissection:
- I-Sentinel Lymph Node Biopsy (SLNB): Lena inqubo yokuxilonga eyenziwe ukususa isampula encane yama-lymph nodes lapho umdlavuza ungase ukhiphe khona. Lezi zinombolo zokuthunyelwa komzimba zicatshangwa ukuthi ziyiziqalo zokuqala lapho amangqamuzana omdlavuza kufanele ahambe ngaphambi kokuhamba noma yikuphi okunye. Idayi eluhlaza okwesibhakabhaka kanye ne-ejenti ye-radioactive ebuthakathaka izosetshenziselwa ukusiza udokotela wakho ohlinzayo ukuthola izakhi ezithile. Le nqubo isusa inombolo encane ye-lymph nodes.
- I-Axillary Lymph Node Dissection (ALND): Le nqubo ivame ukwenza njengengxenye ye- mastectomy eguquguqukayo noma eguquguqukayo noma i-lumpectomy. Njengoba ambalwa ama-lymph nodes angu-10 noma amaningi angasuswa ukuze ahlolwe.
- Ukususwa kwe-Lymph Node Dissection egcwele i-Axillary:
Uma umdlavuza utholakala ngesikhathi sakho se-sentinel noma i-axillary node biopsy, udokotela wakho ohlinzayo angase aqhubeke futhi asuse wonke ama-lymph nodes akho axillary, ukuze wonke ama-node ahlolwe ngamathambo ayisisekelo.
Izingozi nemiphumela emibi ye-Axillary Lymph Node Dissection
Umphumela ovame kakhulu womphumela we-lymph node dissection yi- lymphedema (ukuvuvukala kwengalo). Njengoba, emva kokuhlinzwa, unezakhi zamakhansela ngaphansi kwezingalo zakho ukucubungula uketshezi lwe-lymphatic, uketshezi kungakha futhi kubangele ukuvuvukala ngakwesandla sakho futhi ngezinye izikhathi isandla sakho. Uma nje izisombululo ezimbalwa zisusiwe, i-lymphedema ingaba yisimiso sesikhashana , kodwa uma iningi lymph node yakho isusiwe, kungaba yinkinga ehlala njalo.
Ukusikhipha imithi nokucindezela izingubo kungasiza nge-lymphedema. Isikhwama sakho se-axillary singase sibe yinqwaba noma singacabangi ukuthintana emva kokuhlinzwa ngoba izinzwa zingase zonakaliswe ngesikhathi senqubo. Ukuphakama kwesibhamu kanye nehlombe kungathinteka, ngakho-ke qiniseka ukuthi ucela ukwelapha ngokomzimba ukuze usize ukuvuselela ukunyakaza kwakho namandla.
Isimo se-Lymph Node sithinta ukwelashwa
I-axillary lymph node dissection yingxenye ebalulekile yokuxilongwa kwakho okuphelele kanye nesiteji. Ukususa ama-nodes nesifo esiyingcosana kuyodinga ukwelashwa okungaphansi ngoba amathuba okuthola imethadasi aphansi. Noma kunjalo, kubalulekile ukwazi ukuthi zingaki izakhi ezibandakanyeka nomdlavuza, ngakho-ke ukuhlolwa okuningi kungenziwa ukuze kunqume ukuthi ngabe umdlavuza ungasakazeka yini nokuthi kuphi.
Lolu lwazi luthinta izinketho zakho zokwelapha futhi kusiza wena nodokotela wakho ukhethe uhlelo oluhle kakhulu yokwelashwa kwakho.
Imithombo
Umhlahlandlela oningiliziwe: Cancer Breast in Men - Ukuhlinzwa. I-American Cancer Society.
> Ukubuyiswa kwe-Node kuma-axillary lymph node ukuphazamiseka kwezincomo: izincomo zamanani ezincane okumele uqiniseke mayelana > node engekho > isimo. UJA > Somner >, uJMJ Dixon noJSJ Thomas. J Clin Pathol. 2004 Agasti; 57 (8): 845-848.