I-Lymph Node Biopsy

-Delile

• Yiziphi izinhlobo ze-lymph node biopsy?
• I-Needle biopsy
• Vula i-biopsy
• I-Sentinel biopsy
• Yiziphi izingozi ezihambisana ne-lymph node biopsy?
• Ngililungiselela kanjani i-lymph node biopsy?
• Iyini inqubo yokutakula ngemuva kwe-lymph node biopsy?
• Isho ukuthini imiphumela?
• Imiphumela engenzeka
• Khuluma nodokotela wakho

Iyini i-lymph node biopsy?

I-lymph node biopsy isivivinyo esihlola izifo kuma-lymph node akho. Ama-lymph node amancane, izitho ezimise okweqanda ezikhona ezingxenyeni ezihlukene zomzimba wakho. Zitholakala eduze kwezitho zangaphakathi ezifana nesisu sakho, amathumbu, namaphaphu, futhi zivame ukubonakala emakhwapheni, emgodini nasentanyeni.

Ama-lymph node ayingxenye yamasosha akho omzimba, futhi asiza umzimba wakho ukubona nokulwa nezifo. I-lymph node ingakhukhumala ukuphendula ukutheleleka kwenye indawo emzimbeni wakho. Ama-lymph node avuvukile angavela njengesigaxa ngaphansi kwesikhumba sakho.

Udokotela wakho angathola ama-lymph node avuvukile noma akhulisiwe ngesikhathi sokuhlolwa okujwayelekile. Ama-lymph node avuvukile abangelwa ukutheleleka okuncane noma ukulunywa yizinambuzane ngokuvamile akudingi ukunakekelwa kwezokwelapha. Kodwa-ke, ukukhipha ezinye izinkinga, udokotela wakho angaqapha futhi ahlole ama-lymph node akho avuvukile.

Uma ama-lymph node akho ahlala evuvukala noma ekhula ngokwengeziwe, udokotela wakho angalawula i-lymph node biopsy. Lokhu kuhlolwa kuzosiza udokotela wakho abheke izimpawu zokutheleleka okungamahlalakhona, ukugula komzimba noma umdlavuza.

Yiziphi izinhlobo ze-lymph node biopsy?

I-lymph node biopsy ingenzeka esibhedlela, ehhovisi likadokotela wakho, noma kwezinye izikhungo zezokwelapha. Ngokuvamile inqubo yokwelashwa kweziguli, okusho ukuthi akudingeki uhlale ubusuku kuleso sikhungo.

Nge-lymph node biopsy, udokotela wakho angasusa yonke i-lymph node, noma athathe isampula lesicubu ku-lymph node evuvukile. Lapho nje udokotela esusa i-node noma isampula, bayithumela kudokotela wezifo elabhoratri, ohlola i-lymph node noma isampula lesicubu ngaphansi kwesibonakhulu.

Kunezindlela ezintathu zokwenza i-lymph node biopsy.

I-Needle biopsy

Inaliti biopsy isusa isampula elincane lamaseli ku-lymph node yakho.

Le nqubo ithatha cishe imizuzu eyi-10 kuye kwengu-15. Ngenkathi ulele etafuleni lokuhlola, udokotela wakho uzohlanza indawo ye-biopsy futhi asebenzise imithi yokwenzakalisa indawo. Udokotela wakho uzofaka inaliti enhle ku-lymph node yakho bese esusa isampula lamaseli. Bazobe sebesusa inaliti bese befaka ibhandishi kusayithi.

Vula i-biopsy

I-biopsy evulekile isusa noma iyiphi ingxenye ye-lymph node yakho noma yonke i-lymph node.

Udokotela wakho angenza le nqubo nge-anesthesia yendawo, esebenzisa umuthi onamafutha osetshenziswe kusayithi le-biopsy. Ungacela futhi i-anesthesia ejwayelekile ezokwenza ulale ngenqubo.

Yonke inqubo ithatha phakathi kwemizuzu engama-30 nengama-45. Udokotela wakho uzo:

• usike kancane
• susa i-lymph node noma ingxenye ye-lymph node
• thunga isiza se-biopsy sivaliwe
• gcoba ibhandishi

Ubuhlungu ngokuvamile bumnene ngemuva kwe-biopsy evulekile, futhi udokotela wakho angase asikisele imithi yokwelapha engaphezulu kwe-counter. Kuthatha cishe izinsuku eziyi-10 kuye kwezingu-14 ukuthi imbotshana iphole. Kufanele ugweme umsebenzi onzima nokuzivocavoca ngenkathi ukusika kwakho kusaphola.

I-Sentinel biopsy

Uma unomdlavuza, udokotela wakho angenza i-sentinel biopsy ukuthola ukuthi umdlavuza wakho ungasakazeka kuphi.

Ngale nqubo, udokotela wakho uzofaka idayi eluhlaza okwesibhakabhaka, ebizwa nangokuthi i-tracer, emzimbeni wakho eduze kwendawo yomdlavuza. Idayi ihambela kuma-sentinel node, okuyizinhlayiya zokuqala ezimbalwa lapho isimila singena khona.

Udokotela wakho uzobe esusa le-lymph node bese eyithumela ebhodini ukuze ayihlole amaseli womdlavuza. Udokotela wakho uzokwenza izincomo zokwelashwa ngokuya ngemiphumela yebhu.

Yiziphi izingozi ezihambisana ne-lymph node biopsy?

Kunezingozi ezihilelekile nganoma yiluphi uhlobo lwenqubo yokuhlinzwa. Izingozi eziningi zezinhlobo ezintathu ze-lymph node biopsy ziyefana. Izingozi eziphawulekayo zifaka:

• ubumnene ezungeze isiza se-biopsy
• ukutheleleka
• ukopha
• ukuba ndikindiki okubangelwa ukulimala kwezinzwa ngengozi

Ukutheleleka akuvamile futhi kungelashwa ngama-antibiotic. Ubuntofontofo bungenzeka uma i-biopsy yenziwa eduze kwezinzwa. Noma ikuphi ukuphazamiseka kuyanyamalala ezinyangeni ezimbalwa.

Uma ususwe yonke i-lymph node yakho - lokhu kubizwa ngokuthi yi-lymphadenectomy - ungaba neminye imiphumela emibi. Umphumela ongaba khona yisimo esibizwa nge-lymphedema. Lokhu kungadala ukuvuvukala endaweni ethintekile. Udokotela wakho angakutshela okuningi.

Ngililungiselela kanjani i-lymph node biopsy?

Ngaphambi kokuhlela i-lymph node biopsy yakho, tshela udokotela wakho nganoma imiphi imithi oyiphuzayo. Lokhu kufaka phakathi imishanguzo engeyona kadokotela, efana ne-aspirin, ezinye izinciphisi zegazi, nezithasiselo. Phinda utshele udokotela wakho ukuthi ukhulelwe yini, futhi ubatshele nganoma imiphi imishanguzo yokwaliwa yimithi, ukungezwani komzimba ne-latex, noma ukuphazamiseka kokopha onakho.

Yeka ukuthatha imithi yokuncishiswa kwegazi kadokotela noma ongayinikiwe okungenani izinsuku ezinhlanu ngaphambi kwenqubo yakho ehleliwe. Futhi, ungadli noma uphuze amahora ambalwa ngaphambi kwe-biopsy yakho ehleliwe. Udokotela wakho uzokunikeza imiyalo ethe xaxa yokuthi ungazilungiselela kanjani.

Iyini inqubo yokutakula ngemuva kwe-lymph node biopsy?

Ubuhlungu nobumnene bungahlala ezinsukwini ezimbalwa ngemuva kwe-biopsy. Uma ufika ekhaya, gcina indawo ye-biopsy ihlanzekile futhi yomile ngaso sonke isikhathi. Udokotela wakho angakucela ukuthi ugweme ukugeza noma ukugeza izinsuku ezimbalwa ngemuva kokuhlinzwa.

Kufanele futhi unake kakhulu isayithi le-biopsy nesimo sakho somzimba ngemuva kwenqubo. Shayela udokotela wakho uma ubonisa izimpawu zokutheleleka noma izinkinga, kufaka phakathi:

• imfiva
• Ukugodola
• ukuvuvukala
• ubuhlungu obukhulu
• ukopha noma ukukhishwa esizeni se-biopsy

Isho ukuthini imiphumela?

Ngokwesilinganiso, imiphumela yokuhlolwa isilungile zingakapheli izinsuku ezinhlanu kuya kwezi-7. Udokotela wakho angakushayela ngemiphumela, noma ungadinga ukuhlela ukuvakashelwa kwehhovisi lokulandelela.

Imiphumela engenzeka

Nge-lymph node biopsy, udokotela kungenzeka ukuthi ufuna izimpawu zokutheleleka, isifo sokuzivikela komzimba noma umdlavuza. Imiphumela yakho ye-biopsy ingakhombisa ukuthi awunayo le mibandela, noma ingakhombisa ukuthi ungaba nayo eyodwa yazo.

Uma kutholakala amangqamuzana omdlavuza ku-biopsy, kungaba uphawu lwesimo esisodwa salezi ezilandelayo:

• I-lymphoma kaHodgkin
• i-non-Hodgkin's lymphoma
• umdlavuza webele
• umdlavuza wamaphaphu
• umdlavuza womlomo
• i-leukemia

Uma i-biopsy ilawula umdlavuza, udokotela wakho angalawula izivivinyo ezengeziwe ukuthola imbangela yama-lymph node akho akhulisiwe.

Imiphumela engavamile ye-lymph node biopsy ingasho nokuthi unesifo noma isifo sokuzivikela komzimba, njenge:

• I-HIV noma esinye isifo esithathelwana ngocansi, njenge-syphilis noma i-chlamydia
• isifo samathambo
• isifo sofuba
• umkhuhlane wekati
• mononucleosis
• izinyo elinegciwane
• ukutheleleka kwesikhumba
• i-systemic lupus erythematosus (SLE), noma i-lupus

Khuluma nodokotela wakho

I-lymph node biopsy inqubo encane engasiza udokotela wakho ukuthola imbangela yama-lymph node akho avuvukile. Khuluma nodokotela wakho uma unemibuzo mayelana nokuthi yini ongayilindela nge-lymph node biopsy yakho, noma imiphumela ye-biopsy. Phinda ubuze imininingwane mayelana nokunye ukuhlolwa kwezokwelapha okungahle kusikiselwe udokotela wakho.