Ukuhlukaniswa kwentamo

Ukuhlukaniswa kwentamo ukuhlinzwa ukuhlola nokususa ama-lymph node entanyeni.

Ukuhlukaniswa kwentamo kungukuhlinzwa okukhulu okwenziwe ukususa ama-lymph node aqukethe umdlavuza. Kuyenziwa esibhedlela. Ngaphambi kokuhlinzwa, uzothola i-anesthesia ejwayelekile. Lokhu kuzokwenza ulale futhi ungakwazi ukuzwa ubuhlungu.

Inani lezicubu kanye nenombolo yama-lymph node asusiwe kuncike ekutheni umdlavuza usabalale kangakanani. Kunezinhlobo ezintathu eziyinhloko zokuhlinzwa kwentamo yokuqhekeka:

• Ukuhlukaniswa kwentamo okukhulu. Kususwa zonke izicubu ezisehlangothini lentamo kusukela emhlathini womhlathi kuye kukhola. Imisipha, imizwa, indlala yamathe, nomthambo omkhulu wegazi kule ndawo konke kuyasuswa.
• Ukuhlukaniswa okuguqukayo kwentamo okuguquliwe. Lolu uhlobo oluvame kakhulu lokuhlukaniswa kwentamo. Wonke ama-lymph node asusiwe. Izicubu zentamo ezincane ziyakhishwa ngaphandle kokuhlukaniswa okukhulu. Lokhu kuhlinzwa kungasindisa izinzwa ezisentanyeni futhi, kwesinye isikhathi, imithambo yegazi noma imisipha.
• Ukuhlukaniswa kwentamo okukhethiwe. Uma umdlavuza ungakasakazeki kude, kufanele kususwe ama-lymph node ambalwa. Imisipha, imisipha, negazi entanyeni nakho kungasindiswa.

I-lymph system ithwala amaseli egazi amhlophe azungeze umzimba ukulwa nokutheleleka. Amaseli womdlavuza emlonyeni noma emphinjeni angahamba ku-lymph fluid abhajwe kuma-lymph node. Ama-lymph node asuswa ukuvimbela umdlavuza ukuthi usabalalele kwezinye izingxenye zomzimba futhi kunqume ukuthi ngabe lukhona yini olunye unyango oludingekayo.

Udokotela wakho angancoma le nqubo uma:

• Unomdlavuza womlomo, wolimi, wendlala yegilo, noma ezinye izindawo zomphimbo noma zentamo.
• Umdlavuza usabalalele kuma-lymph node.
• Umdlavuza ungadlulela nakwezinye izingxenye zomzimba.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukungezwani komzimba nemithi
• Izinkinga zokuphefumula
• Ukopha
• Ukutheleleka

Ezinye izingozi zalokhu kuhlinzwa yilezi:

• Ukuba ndikindiki esikhunjeni nasendlebeni ohlangothini lokuhlinzwa, okungaba unomphela
• Ukulimala kwemizwa yesihlathi, udebe nolimi
• Izinkinga zokuphakamisa ihlombe nengalo
• Ukunyakaza kwentamo okulinganiselwe
• Ukwehlisa ihlombe ohlangothini lokuhlinzwa
• Izinkinga ukukhuluma noma ukugwinya
• Ukudonsa ebusweni

Njalo utshele umhlinzeki wakho wezokunakekelwa kwempilo:

• Uma ukhulelwe noma ungakhulelwa.
• Imiphi imithi oyisebenzisayo, kufaka phakathi leyo oyithenge ngaphandle kwemithi kadokotela. Lokhu kufaka amavithamini, amakhambi, nezithako.
• Uma uphuze utshwala obuningi, uphuza iziphuzo ezingaphezu kwezingu-1 noma ezi-2 ngosuku.

Phakathi nezinsuku ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin), kanye neminye imithi eyenza kube nzima ukuthi igazi lakho ligodle.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Ngosuku lokuhlinzwa kwakho:

• Uzocelwa ukuthi ungaphuzi noma ungadli lutho ngemuva kwamabili ebusuku ngaphambi kokuhlinzwa kwakho.
• Thatha noma imiphi imithi evunyiwe ngesiphuzo esincane samanzi.

Uzoyiswa egumbini lokutakula ukuze uvuke ngemuva kokuhlinzwa.

• Inhloko yombhede wakho izophakanyiswa engela elincane.
• Uzoba neshubhu emthanjeni (IV) wamanzi nokondleka. Ungahle ungakwazi ukudla noma ukuphuza amahora angama-24 okuqala.
• Uzothola umuthi wezinhlungu nemithi elwa namagciwane.
• Uzoba nemisele entanyeni yakho.

Abahlengikazi bazokusiza uvuke embhedeni futhi uzulazule kancane ngosuku lokuhlinzwa. Ungaqala ukwelashwa ngokomzimba ngenkathi usesibhedlela nangemva kokuya ekhaya.

Iningi labantu liya ekhaya lisuka esibhedlela ezinsukwini ezimbili kuya kwezi-3. Uzodinga ukubona umhlinzeki wakho ukuvakashelwa okulandelayo ezinsukwini eziyi-7 kuya kwezingu-10.

Isikhathi sokuphulukisa sincike ekutheni kungakanani izicubu ezisusiwe.

Ukuhlukaniswa kwentamo okukhulu; Ukuhlukaniswa okuguqukayo kwentamo okushintshiwe; Ukuhlukaniswa kwentamo okukhethiwe; Ukususwa kwe-lymph node - intamo; Umdlavuza wekhanda nentamo - ukuhlukaniswa kwentamo; Umdlavuza womlomo - ukuhlukaniswa kwentamo; Umdlavuza womqala - ukuhlukaniswa kwentamo; Umdlavuza we-squamous cell - ukuhlukaniswa kwentamo

I-Callender GG, Udelsman R. Indlela yokuhlinzwa yomdlavuza we-thyroid. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: 782-786.

URobbins KT, uSamant S, uRonen O. Ukuhlukaniswa kwentamo. Ku: Flint PW, Haughey BH, Lund V, et al, ama-eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhlaka 6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 119.