Tashin ƙwaƙwalwar nono zai iya zubar da kwayoyin cutar kanjamau cikin tsarin lymph ɗinku. Wadannan kwayoyin zasu iya kamawa a cikin ƙananan lymph , kusa da kullun axillary. Kwararrenka zai iya cire wasu takalmin lymph don haka za'a iya nazarin su a ƙarƙashin microscope. Idan ciwon daji ke kasancewa a cikin ƙananan lymph, haɗarin ku don ciwon ƙwayar cutar ciwon ƙwayar cuta . Hanyar hanyar cire ƙumbodin ƙananan ƙananan ƙwayoyin cuta ba shi da ake kira ƙaddarar ƙumbadodin ƙwayar lymph .
Axillary Lymph Node Dissection (ALND)
Zai yiwu a yi watsi da yaduwar kumburi na Axillary a matsayin ɓangare na lumpectomy ko mastectomy . Kwararrenka na iya cire ƙananan rukuni na nodes ko duk nodes a cikin axilla . Wadannan za a aika su a tashar ilimin lissafi inda za a binciki su a hankali don kwayoyin cutar ciwon daji. Kuna buƙatar sanin idan ƙwayar lymph dinku ba daidai ba ne (bayyanar da ciwon daji) ko tabbatacce (dauke da ciwon daji). Wannan muhimmin bayani yana rinjayar labarun ciwon kuji kuma yana rinjayar zaɓin kuɓutarku.
Muhimmancin Nodes na Lymph
Kodayake ƙwayoyin lymph suna cikin kungiyoyi a cikin jikinka, ƙananan magungunan axillary su ne mafi kusantar wuri inda ƙwayoyin ciwon nono na iya tafiya. Ayyukan Lymph suna aiki a matsayin filtattun inda aka kama kwayoyin cutar, ƙwayoyin ƙwayoyin cutar ko ciwon daji. Lokacin da kwayoyin cutar kanjamau ke kasancewa a cikin takalminka yana nufin cewa cutar ta sami ikon barin ƙwajin ka kuma tafi zuwa wasu sassan jikinka.
Idan kwayoyin cutar ciwon daji ke zaune a cikin kumburi na lymph, zai iya ƙara. Ya kamata ku rika duba yankinku na yau da kullum a lokacin jarrabawar jaririnku na wata don ajiye shafuka a kan takalmin lymph axillary.
Nau'in Node Disgustar Lymph
Za a iya cire takunkumi na asibiti a matsayin ɓangare na tiyata , ko a matsayin hanya dabam. Ga wasu nau'o'in lymph node dissection surgeries:
- Sentinel Lymph Node Biopsy (SLNB): Wannan hanya ne da aka gano domin cire samfurin samfurin lymph wanda zai iya ciwo da ciwon daji. Wadannan zakoki na sakonni suna zaton su zama farkon kusoshi wanda kwayoyin ciwon daji ke tafiya kafin su tafi gaba. Za a yi amfani da launi mai laushi da kuma wani wakili mai raunin rediyo don taimakawa likitan likitanka don gano ainihin ƙira. Wannan hanya ta kawar da ƙananan ƙwayoyin lymph.
- Axillary Lymph Node Dissection (ALND): Ana yin wannan hanya ne a matsayin wani ɓangare na mastectomy mai juyayi ko wani lumpectomy. Yayinda aka kai kimanin 10 ko kuma kamar yadda za'a iya cire nau'in ƙwayar lymph 40 don gwadawa.
- Cikakken Node Axillary:
Idan ana samun ciwon daji a lokacin kumbun kumbun ku ko na jikin rayuka, sai likitan likitanku zai iya ci gaba da cire dukkan dukkanin hanzarin lymph ɗinku na axillary, don haka za'a iya nazarin dukkanin hanyoyi don yiwuwar ganyayyaki.
Risks da Side Side na Axillary Lymph Node Dissection
Sakamakon mafi rinjaye na yaduwar kyadar lymph shine lymphedema (busa hannu). Tun da, bayan tiyata, kana da ƙananan ƙwayar lymph a ƙarƙashin hannunka don aiwatar da ruwa mai ruɗarin jini, ruwan zai iya ginawa kuma ya haifar da kumburi a hannunka kuma wani lokaci hannunka. Idan an cire wasu ƙananan ƙananan, lymphedema na iya kasancewa na wucin gadi , amma idan an cire yawancin ƙwayar lymph ɗinku, zai iya zama matsala mai dorewa.
Tsara ta asibiti da kuma matsa lamba suna iya taimakawa wajen lymphedema. Ƙafin fata na fata zai iya zama mai rauni ko marar kyau don taɓawa bayan tiyata saboda ana iya lalata jijiyoyi a lokacin aikin. Za a iya shafar motsi da kafa na kafada, don haka tabbatar da tambaya don farfadowa na jiki don taimakawa wajen sake motsa motsi da ƙarfin ku.
Matsayin Node na Lymphi yana Shafar Jiyya
Harshen ƙirar ƙirar lymph na Axillary yana da muhimmin ɓangare na cikakkiyar ganewar asali da kuma daidaitawa. Cire nodes da ƙananan ƙwayar za su buƙaci kulawa kadan saboda chances of metastasis suna da ƙasa. Duk da haka, yana da mahimmanci a san yawancin ƙwayoyin hannu da ke fama da ciwon daji, don haka za a iya yin gwaje-gwaje don sanin idan kuma inda cutar kankara ta iya yadawa.
Wannan bayani yana tasiri game da zaɓinka na likita kuma yana taimaka maka da likitan ka zaɓi tsarin mafi mahimmanci na magani.
Sources
Jagoran Jagora: Ciwon Daji na Mutum a Men - Tiyata. Cibiyar Cancer na Amurka.
> Nemo dawowa a cikin ƙaddamarwar ƙirar ƙirar ƙirar ƙirar ƙira: ƙira don ƙananan lambobi don tabbatarwa game da > kuskuren ƙira > matsayi. JEA > Somner >, JMJ Dixon, da JSJ Thomas. J Jarin Pathol. 2004 Agusta; 57 (8): 845-848.