I-Lymphangiogram

I-lymphangiogram iyi-x-ray ekhethekile yama-lymph node nemikhumbi ye-lymph. Ama-lymph node akhiqiza amangqamuzana amhlophe egazi (ama-lymphocyte) asiza ukulwa nezifo. Ama-lymph node abuye ahlunge futhi abambe amangqamuzana omdlavuza.

Ama-lymph node nemikhumbi akubonakali kwi-x-ray ejwayelekile, ngakho-ke idayi noma i-radioisotope (i-radioactive compound) ijojowe emzimbeni ukugqamisa indawo efundwayo.

Unganikezwa umuthi ozokusiza uphumule ngaphambi kokuhlolwa.

Uhlala esihlalweni esikhethekile noma etafuleni le-x-ray. Umhlinzeki wezokunakekelwa kwezempilo uhlanza izinyawo zakho, bese ejova idayi elincane eliluhlaza okwesibhakabhaka endaweni (ebizwa ngokuthi i-webbing) phakathi kwezinzwani zakho.

Imigqa ezacile, eluhlaza okwesibhakabhaka ivela ngaphezulu konyawo kungakapheli imizuzu eyi-15. Le migqa ikhomba iziteshi ze-lymph. Umhlinzeki uyindikindiki le ndawo, enze ukusika okuncane okuhlinza eduze kolunye lolayini obukhulu obuhlaza okwesibhakabhaka, bese efaka ithubhu elincane eliguquguqukayo libe yisiteshi se-lymph. Lokhu kwenziwa ngonyawo ngalunye. Idayi (okuphakathi kokuqhathanisa) igeleza ngeshubhu kancane kakhulu, esikhathini esiyimizuzu engama-60 kuya kwengu-90.

Enye indlela ingasetshenziswa futhi. Esikhundleni sokujova udayi oluhlaza okwesibhakabhaka phakathi kwezinzwani zakho, umhlinzeki wakho angaqaqamba isikhumba ngaphezu kokugwinya kwakho bese ufaka inaliti ezondile ngaphansi kokuholwa kwe-ultrasound ku-lymph node yakho. Umehluko uzofakwa ngenaliti naku-lymph node kusetshenziswa uhlobo lwepompo okuthiwa i-insufflator.

Uhlobo lomshini we-x-ray, obizwa nge-fluoroscope, luveza izithombe kusibukeli se-TV. Umhlinzeki usebenzisa izithombe ukulandela udayi njengoba usakazeka ohlelweni lwe-lymphat up up your legs, groin, and back the back of the abdominal cavity.

Lapho udayi usujove ngokuphelele, i-catheter iyasuswa bese kusetshenziswa imithungo ukuvala ukusika kokuhlinzwa. Indawo ibhandishiwe. Ama-X-ray athathwa emilenzeni, okhalweni, esiswini nasesifubeni. Ama-x-ray amaningi angathathwa ngosuku olulandelayo.

Uma ukuhlolwa kwenziwa ukuze kubonwe ukuthi umdlavuza webele noma i-melanoma usakazekile yini, udayi oluhlaza okwesibhakabhaka uxubene nenhlanganisela enemisebe. Izithombe zithathwa ukubuka ukuthi le nto isakazeka kanjani kwamanye ama-lymph node. Lokhu kungasiza umhlinzeki wakho ukuthi aqonde kangcono lapho umdlavuza usabalale khona lapho kwenziwa i-biopsy.

Kufanele usayine ifomu lokuvuma. Ungacelwa ukuthi ungadli noma uphuze amahora ambalwa ngaphambi kokuhlolwa. Ungase ufise ukukhipha isinye sakho ngaphambi nje kokuhlolwa.

Tshela umhlinzeki uma ukhulelwe noma unenkinga yokopha. Futhi yisho ukuthi ngabe uke waba neguliswa yini ngezinto zokuqhathanisa ze-x-ray noma enye into equkethe iodine.

Uma wenza lokhu kuhlolwa nge-sentinel lymph node biopsy (yomdlavuza webele ne-melanoma), kuzodingeka ulungiselele igumbi lokuhlinza. Udokotela ohlinzayo nodokotela obulala izinzwa uzokutshela ukuthi ungayilungiselela kanjani inqubo.

Abanye abantu bazizwa belunywa okwesikhashana lapho kujovwa udayi oluhlaza okwesibhakabhaka nemithi yokundikindiki. Ungazizwa ucindezelekile njengoba idayi iqala ukugeleza emzimbeni wakho, ikakhulukazi ngemuva kwamadolo nasendaweni yokububula.

Ukusikeka kokuhlinzwa kuzoba buhlungu izinsuku ezimbalwa. Idayi eluhlaza okwesibhakabhaka ibangela ukuguqulwa kwesikhumba, umchamo, kanye nesitokisi cishe izinsuku ezimbili.

I-lymphangiogram isetshenziswa ne-lymph node biopsy ukucacisa ukusabalala komdlavuza nokusebenza kokwelapha komdlavuza.

Idayi yokuqhathanisa kanye nama-x-ray asetshenziselwa ukusiza ukuthola imbangela yokuvuvukala engalweni noma emlenzeni nokubheka izifo ezingabangelwa izimuncagazi.

Izimo ezingeziwe lapho ukuhlolwa kungenziwa khona:

• IHodgkin lymphoma
• I-non-Hodgkin lymphoma

Ama-lymph node akhulisiwe (izindlala ezivuvukile) ezinokubukeka okunamagwebu kungaba uphawu lomdlavuza we-lymphatic.

Ama-node noma izingxenye zezindawo ezingagcwalisi ngedayi ziphakamisa ukuvinjelwa futhi kungaba uphawu lomdlavuza osakazeka ngohlelo lwe-lymph. Ukuvalwa kwemikhumbi ye-lymph kungabangelwa isimila, ukutheleleka, ukulimala, noma ukuhlinzwa kwangaphambilini.

Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Izingozi ezihlobene nomjovo wedayi (okuhlukile) zingafaka:

• Ukusabela okweqile
• Imfiva
• Ukutheleleka
• Ukuvuvukala kwemikhumbi ye-lymph

Kukhona ukutholakala kwemisebe ephansi. Kodwa-ke, ochwepheshe abaningi banomuzwa wokuthi ingozi yama-x-ray amaningi incane kunezinye izingozi esizithatha nsuku zonke. Abesifazane abakhulelwe nezingane bazwela kakhulu ezingozini ze-x-ray.

Idayi (okuhlukile) ingahlala kuma-lymph node kuze kube yiminyaka emi-2.

I-lymphography; I-Lymphangiography

• Uhlelo lweLymphatic
• I-Lymphangiogram

I-Rockson SG. Izifo ze-lymphatic circulation. Ku: Creager MA, Beckman JA, Loscalzo J, ama-eds. VUmuthi we-ascular: Umlingani wezifo zenhliziyo zeBraunwald. 3rd ed. IPhiladelphia, PA: Elsevier; 2020: isahluko 57.

UWitte MH, uBernas MJ. I-lymphatic pathophysiology. Ku: Sidawy AN, Perler BA, ama-eds. Rutherford’s Vascular Surgery and Endovascular Therapy. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2019: isahluko 10.