Chii chinonzi Sentinel Node Biopsy? Chinangwa, Mhando/Maitiro & Mhedzisiro

Sentinel node biopsy inzira yekuvhiya inobvisa uye kuyedza lymph node yekutanga uko maseru ekenza anonyanya kupararira kubva pagomarara. Fungidzira sekutarisa "gatekeeper" lymph node inosefa mvura kubva munzvimbo yakatenderedza gomarara rako.

Iyi nzira shoma yekupindira inobatsira vanachiremba kuona kana kenza yatanga kupararira kupfuura saiti yekutanga yegomarara. Chikwata chako chekurapa chinoshandisa ruzivo urwu kuronga nzira yekurapa inoshanda zvakanyanya kune yako chaiyo mamiriro.

Chii chinonzi sentinel node biopsy?

Iyo sentinel node ndiyo yekutanga lymph node inogamuchira mvura kubva kunzvimbo yegomarara. Munguva iyi nzira, chiremba wako anoziva uye anobvisa iyi node chaiyo kuti aiongorore maseru ekenza pasi pemicroscope.

Iyo lymphatic system yako inoshanda senge network yemigwagwa mikuru inotakura mvura mumuviri wako wese. Kana maseru ekenza akabuda kubva pagomarara, anowanzoenda nemunzira idzi kuenda kune yepedyo lymph node kutanga. Nekuyedza iyi "sentinel" node, vanachiremba vanogona kazhinji kuona kana kenza yatanga kupararira vasina kubvisa akawanda lymph nodes.

Iyi nzira yakatarwa zvinoreva kuvhiyiwa kushoma kwauri uchiri kupa ruzivo rwakakosha nezve maitiro ekenza yako. Iyi nzira inowanzo shandiswa kenza yemazamu, melanoma, uye mamwe marudzi ekenza.

Sei sentinel node biopsy ichiitwa?

Vanachiremba vanokurudzira sentinel node biopsy kuti vaone kana kenza yapararira kune yako lymph nodes. Ruzivo urwu runokanganisa zvakananga chirongwa chako chekurapa uye runobatsira kufanotaura maonero ako.

Iyi nzira inoshanda zvinangwa zvakawanda zvakakosha mukuchengetwa kwako kenza. Kutanga, inobatsira kutora danho rekenza yako, zvinoreva kuona kuti yakafambira mberi sei. Chechipiri, inotungamira sarudzo dzekurapa nezvekuti unoda kuvhiyiwa kwakawedzerwa, chemotherapy, kana radiation therapy.

Mberi kwekuwanikwa kwe sentinel node biopsy, vanachiremba vaiwanzobvisa ma lymph nodes mazhinji kuti vaone kupararira kwekenza. Iyi nzira, inonzi lymph node dissection, inogona kukonzera mhedzisiro yechigarire yakaita sekuzvimba kwemaoko. Sentinel node biopsy inobvumira vanachiremba kuunganidza ruzivo rwakakosha rwakafanana pavanenge vachidzivirira matambudziko aya.

Ndeipi nzira ye sentinel node biopsy?

Nzira ye sentinel node biopsy inosanganisira kuisa chinhu chakakosha chekutevera pedyo nebundu rako, wobva watevera nzira yaro kuti uone sentinel node. Chiremba wako anobvisa node iyi kuburikidza nekucheka kudiki kuti aongororwe murabhoritari.

Hezvino zvinoitika panguva yechirongwa chako, nhanho nedanho:

1. Uchagamuchira anesthesia kuti ikuchengetedze uchizorodzwa panguva yekuvhiyiwa
2. Chiremba wako anoisa radioactive tracer uye/kana ruvara rwebhuruu pedyo nenzvimbo yako yebundu
3. Iyo tracer inofamba kuburikidza ne lymphatic system yako kuenda ku sentinel node
4. Chiremba wako anoshandisa probe yakakosha kuti awane chiratidzo che radioactive
5. Kucheka kudiki kunoitwa kuti uwane uye ubvise sentinel node
6. Iyo node inotumirwa kulabhu yepathology kuti iongororwe nekukasira kana zvakadzama

Nzira yose inowanzotora maminitsi makumi matatu kusvika makumi matanhatu, zvichienderana nenzvimbo uye kuoma kwenyaya yako. Vanhu vazhinji vanogona kuenda kumba zuva rimwe chete, kunyange vamwe vachigona kuda kugara muchipatara kwenguva pfupi.

Maitirwo ekugadzirira sentinel node biopsy yako?

Kugadzirira kwako kunotanga nekubvunzana kwekutanga kwekuvhiyiwa uko timu yako yezvokurapa inotsanangura nzira yacho uye kupindura mibvunzo yako. Uchagamuchira mirairo chaiyo yekudya, kunwa, uye mishonga usati wavhiyiwa.

Chikwata chako chekuchengetedza hutano chichakupa gwara rakadzama rekugadzirira rinogona kusanganisira:

• Kumisa mishonga yakati wandei inogona kuwedzera njodzi yekubuda ropa
• Kutsanya kwemaawa 8-12 musati mavhiyiwa kana uchizotorwa anesthesia yakajairika
• Kuronga kutakurwa kumba mushure mekuvhiyiwa
• Kupfeka mbatya dzakanaka, dzakasununguka pazuva rekuvhiyiwa
• Kubvisa zvishongo, makontakiti, uye polish yezvipikiri

Zivisa timu yako yezvokurapa nezve mishonga yese yaunotora, kusanganisira mavitamini uye zvinowedzerwa. Vachadawo kuziva nezve chero allergies dzaunadzo, kunyanya kune iodine kana dyes yekusiyanisa.

Ungaverenga sei mhedzisiro ye sentinel node biopsy yako?

Mushumo wako we pathology uchataura zvakajeka kana maseru ekenza akawanikwa mu sentinel node yako. Mhedzisiro isina kunaka zvinoreva kuti hapana maseru ekenza akawanikwa, nepo mhedzisiro yakanaka inoratidza kuti kenza yakapararira kunodhi re lymph.

Kunzwisisa mhedzisiro yako kunokubatsira kutora chikamu muzvisarudzo zvekutariswa. Kana sentinel node yako isina kunaka, kazhinji hapana chikonzero chekubvisa mamwe ma lymph nodes. Izvi zvinoreva kuti kenza yako haina kutanga kupararira kuburikidza ne lymphatic system yako, izvo zviri mashoko anokurudzira.

Kana sentinel node yako iri yakanaka, chiremba wako achakurukura matanho anotevera newe. Izvi zvinogona kusanganisira kubvisa mamwe ma lymph nodes, kugadzirisa chirongwa chako chekurapa, kana kuwedzera marapirwo ekunangana nemaseru ekenza anogona kunge akapararira. Rangarira kuti kunyangwe mhedzisiro yakanaka haichinji kugona kwako kuwana kurapwa kunoshanda.

Ndezvipi zvinhu zvine njodzi zvekuda sentinel node biopsy?

Chiremba wako anokurudzira sentinel node biopsy zvichienderana nerudzi rwako rwekenza, saizi, uye nzvimbo. Zvimwe zvinoratidza bundu rako zvinoita kuti kupararira kwenodhi re lymph kuitike, zvichikodzera iyi nzira.

Zvimwe zvinhu zvinokanganisa kana iwe uchizoda iyi nzira:

• Saizi re bundu guru kupfuura 1-2 sentimita
• Masero ekenza akakwirira kana ane hasha
• Mhando dzekenza dzakadai sekenza yemazamu kana melanoma
• Nzvimbo ye bundu munzvimbo dzine lymphatic drainage yakawanda
• Zviratidzo zvekuti lymph node inogona kubatwa pamifananidzo yekufungidzira

Chikwata chako chekurapa chinofunga nezvezvinhu izvi pamwe chete neutano hwako hwese uye zvinangwa zvekurapa. Vachatsanangura kuti sei vachikurudzira maitiro acho uye kuti anoenderana sei nechirongwa chako chekuchengetedza chakazara.

Ndezvipi zvingaitika zve sentinel node biopsy?

Sentinel node biopsy inowanzo chengeteka, asi senge chero maitiro ekuvhiya, inotakura njodzi. Zvizhinji zvezvinetso zvidiki uye zvenguva pfupi, zvichigadzirisa mukati memavhiki mashoma ekuvhiyiwa.

Zvinowanzoitika zvaungasangana nazvo zvinosanganisira:

• Kuvadzwa kwenguva pfupi kana kuzvimba panzvimbo yekucheka
• Kurwadziwa kudiki kana kusagadzikana kunovandudzwa nekuzorora uye mushonga
• Ruvara rwebhuruu kana girini renguva pfupi reganda uye weti kubva muruvara
• Kusanzwa kana kunzwa nzvimbo iyo inowanzo gadzirisa nekufamba kwenguva
• Njodzi diki yekutapukirwa panzvimbo yekucheka

Zvisingawanzoitiki asi zvakanyanya zvinetso zvinogona kusanganisira allergic reactions kune tracer zvinhu, kupera simba, kana lymphedema (kuvaka kwemvura kunokonzera kuzvimba). Chikwata chako chekuvhiya chinokutarisa zvakanyatsonaka uye chinopa mirairo yekuziva zviratidzo zvinoda kutariswa kwekurapa.

Ndingafonere chiremba rini mushure me sentinel node biopsy?

Bata chikwata chako chehutano nekukasira kana ukaona zviratidzo zveutachiona, kurwadziwa kwakanyanya, kana kuzvimba kusinganzwisisike mushure mekuvhiyiwa kwako. Vanhu vazhinji vanopora zvakanaka, asi kuziva zviratidzo zvekuyambira kunobatsira kuona kurapwa nekukurumidza kana zvichidikanwa.

Fonera chiremba wako nekukasira kana ukaona:

• Fivha inodarika 101°F (38.3°C)
• Kuwanda kutsvuka, kudziya, kana pus panzvimbo yekuvhiyiwa
• Kurwadziwa kukuru kusingavanduki nemishonga yakarairwa
• Kutanga kamwe kamwe kuzvimba kukuru muruoko rwako kana gumbo
• Kuramba uchinetseka kana kurutsa

Unofanirawo kubata kana uine chero zvaunonetseka kana mibvunzo pamusoro pekupora kwako. Chikwata chako chekurapa chinoda kukutsigira kuburikidza neiyi nzira uye kugadzirisa chero zvaunonetseka.

Mibvunzo inowanzo bvunzwa pamusoro pe sentinel node biopsy

Mubvunzo 1. Ko sentinel node biopsy bvunzo yakanaka pakuona kupararira kwekenza here?

Hongu, sentinel node biopsy yakanyatsojeka pakuona kana kenza yapararira kumaguru ako. Zvidzidzo zvinoratidza kuti inonyatsoona kupararira kwekenza mune angangoita 95% yezviitiko, zvichiita kuti ive chishandiso chikuru chekuongorora kenza yako.

Maitiro aya akatsiva zvakanyanya kubviswa kwemaguru akawanda nekuti anopa ruzivo rwakakosha rwakafanana nemhedzisiro shoma. Murapi wako anoongorora sentinel node zvakadzama, dzimwe nguva achishandisa mavara akakosha kuona kunyange nhamba shoma dzekenza masero.

Mubvunzo 2. Ko sentinel node biopsy yakanaka zvinoreva here kuti kenza yangu yapararira kwese kwese?

Kwete, sentinel node biopsy yakanaka hairevi kuti kenza yapararira mumuviri wako wese. Zvinoratidza kuti masero ekenza akasvika paguru rekutanga munzira yekudonha, asi izvi zvichiri kutariswa sekuvhurika kwekutanga.

Vanhu vazhinji vane sentinel nodes yakanaka vanopindura zvakanaka kurapwa. Chikwata chako cheoncology chichashandisa ruzivo urwu kuraira mamwe marapirwo anonyatso tarisa chero masero ekenza asara uye kuvandudza maonero ako enguva refu.

Mubvunzo 3. Zvinotora nguva yakareba sei kuti uwane mhedzisiro ye sentinel node biopsy?

Iwe unowanzo gamuchira mhedzisiro yako mukati me3-7 mazuva mushure mekuvhiyiwa. Mamwe masangano ekurapa anogona kupa mhedzisiro yekutanga panguva yekuvhiyiwa kwako vachishandisa nzira inonzi frozen section analysis.

Mushumo wakazara wepathology unotora mazuva mashoma nekuti pathologist wako anoongorora nyama zvakadzama uye anogona kuita mamwe maedzo. Chiremba wako achaita musangano wekutevera kuti akurukure mhedzisiro yako uye matanho anotevera murongwa wako wekurapa.

Mubvunzo 4. Ndingada kuvhiyiwa zvimwe here kana node yangu ye sentinel iri positive?

Kuvhiyiwa zvimwe kunoenderana nezvinhu zvakati wandei, kusanganisira mhando yako yekenza, huwandu hwekubatanidzwa kwenode yelymph, uye chirongwa chako chekurapa chose. Varwere vazhinji vane ma sentinel nodes akanaka havadi kuvhiyiwa kwakawanda kwelymph node.

Kurapa kenza kwemazuva ano kazhinji kunoshandisa chemotherapy, radiation therapy, kana mishonga inotarwa kugadzirisa kubatanidzwa kwelymph node. Chikwata chako cheoncology chichakurukura kana kuvhiyiwa zvimwe kuchabatsira mamiriro ako chaiwo.

Mubvunzo 5. Ndingaita maekisesa zvakajairika mushure me sentinel node biopsy here?

Unogona zvishoma nezvishoma kudzokera kuzviitwa zvakajairika, kusanganisira maekisesa, asi chiremba wako achapa gwara rakatarwa zvichienderana nekupora kwako. Vanhu vazhinji vanogona kutangazve zviitwa zvakareruka mukati memazuva mashoma uye maekisesa akazara mukati me2-4 mavhiki.

Tanga nekufamba zvinyoro-nyoro uye zvishoma nezvishoma wedzera chiyero chako chekuita sezvaunonzwa wakasununguka. Dzivisa kusimudza zvinhu zvinorema kana maekisesa akasimba kusvikira saiti yako yekuvhiya yapora zvachose uye chiremba wako akupa mwenje wegirini.