Lymphangiogram

Lymphangiogram ndi x-ray yapadera yamankhwala am'mimba ndi zotengera zam'mimba. Ma lymph lymph amapanga ma cell oyera (ma lymphocyte) omwe amathandiza kulimbana ndi matenda. Ma lymph node amathanso kusefa ndikukola maselo a khansa.

Ma lymph node ndi zotengera sizimawoneka pa x-ray yodziwika bwino, chifukwa chake utoto kapena radioisotope (radioactive compound) imalowetsedwa mthupi kuti iwonetse malo omwe akuphunziridwa.

Mutha kupatsidwa mankhwala okuthandizani kupumula musanayezedwe.

Mumakhala pampando wapadera kapena patebulo la x-ray. Wosamalira zaumoyo amatsuka mapazi anu, kenako amabaya utoto wochepa wabuluu m'deralo (wotchedwa ulusi) pakati pa zala zanu.

Mizere yopyapyala, yamabuluu imawonekera pamwamba pamapazi mkati mwa mphindi 15. Mizere iyi imazindikira njira zamitsempha. Wogulitsayo amadziphweketsa m'derali, amadula pang'ono pafupi ndi umodzi mwamizere yayikulu yabuluu, ndikulowetsa chubu chofewa mosinthana ndi njira yamagetsi. Izi zimachitika phazi lililonse. Utoto (chosiyanitsira sing'anga) umayenda pang'onopang'ono kwambiri, pakadutsa mphindi 60 mpaka 90.

Njira ina itha kugwiritsidwanso ntchito. M'malo mojambulira utoto wabuluu pakati pa zala zakumapazi, woperekayo amatha kufinya khungu lanu ndikubowola singano yopyapyala motsogozedwa ndi ultrasound mumalovu am'mimba mwanu. Kusiyanitsa kudzalowetsedwa kudzera mu singano ndikulowetsa ma lymph node pogwiritsa ntchito mpope wotchedwa insufflator.

Mtundu wa makina a x-ray, otchedwa fluoroscope, amapanga zithunzizo pa TV. Woperekayo amagwiritsa ntchito zithunzizo kutsatira utoto pamene ukufalikira kudzera mumitsempha yam'mimba mwanu, kubuula kwanu, komanso kumbuyo kwa m'mimba.

Utotowo utabayidwa jekeseni wonse, kathumba kameneka kamachotsedwa ndipo timitengo timagwiritsidwa ntchito potseka kudula kumeneku. Malowa ndi omangika. Ma X-ray amatengedwa m'miyendo, m'chiuno, m'mimba, komanso pachifuwa. Ma x-ray ambiri atha kutengedwa tsiku lotsatira.

Ngati kuyezetsa kukuchitika kuti awone ngati khansa ya m'mawere kapena khansa ya pakhungu yafalikira, utoto wabuluu umasakanikirana ndi makina a radioactive. Zithunzi zimatengedwa kuti ziwone momwe mankhwalawo amafalira kupita ku ma lymph node ena. Izi zitha kuthandiza omwe akukuthandizani kumvetsetsa komwe khansara yafalikira pomwe biopsy ikuchitika.

Muyenera kusaina fomu yovomerezeka. Mutha kupemphedwa kuti musadye kapena kumwa kwa maola angapo musanayesedwe. Mungafune kutulutsa chikhodzodzo chanu mayeso asanakwane.

Uzani wothandizira ngati muli ndi pakati kapena muli ndi vuto lakutaya magazi. Tchulaninso ngati simunayanjane ndi X-ray yosiyanitsa zinthu kapena chinthu chilichonse chokhala ndi ayodini.

Ngati mukuyesedwa ndi sentinel lymph node biopsy (ya khansa ya m'mawere ndi khansa ya pakhungu), ndiye kuti muyenera kukonzekera chipinda chogwiritsira ntchito. Dokotala wochita opaleshoni komanso wochita opaleshoni adzakuwuzani momwe mungakonzekerere.

Anthu ena amamva kuluma kwakanthawi pomwe utoto wabuluu ndi mankhwala opha magazi amabayidwa. Mutha kumva kupanikizika pamene utoto umayamba kulowa mthupi lanu, makamaka kumbuyo kwa mawondo komanso m'malo obulira.

Mabala a opaleshoni adzakhala owawa kwa masiku angapo. Utoto wabuluu umapangitsa khungu, mkodzo, ndi chopondapo kusandulika kwa masiku awiri.

Lymphangiogram imagwiritsidwa ntchito ndi lymph node biopsy kuti mudziwe kufalikira kwa khansa komanso kuthandizira kwa khansa.

Utoto wosiyanitsa ndi ma x-ray amagwiritsidwa ntchito kuthandizira kudziwa chomwe chimayambitsa kutupa m'manja kapena mwendo ndikuwona matenda omwe angayambitsidwe ndi tiziromboti.

Zowonjezera zomwe mayeso angayesedwe:

• Hodgkin lymphoma
• Non-Hodgkin lymphoma

Matenda otupa (ma gland otupa) omwe amawoneka ngati thovu atha kukhala chizindikiro cha khansa ya m'mitsempha.

Ma node kapena magawo amadzimadzi omwe samadzaza ndi utoto amawonetsa kutsekeka ndipo atha kukhala chizindikiro cha khansa yomwe imafalikira kudzera m'mitsempha. Kutsekedwa kwa zotengera zam'mimba kumatha chifukwa cha chotupa, matenda, kuvulala, kapena opaleshoni yapita.

Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Zowopsa zokhudzana ndi jakisoni wa utoto (kusiyanasiyana pakati) zitha kuphatikizira izi:

• Matupi awo sagwirizana
• Malungo
• Matenda
• Kutupa kwa ziwiya zamitsempha

Pali kuchepa kwa ma radiation. Komabe, akatswiri ambiri amaganiza kuti chiopsezo cha ma x-ray ambiri ndi ochepa kuposa zovuta zina zomwe timakhala nazo tsiku lililonse. Amayi oyembekezera ndi ana amazindikira zowopsa za x-ray.

Utoto (sing'anga wosiyanitsa) umatha kukhala mumizimba mpaka zaka ziwiri.

Zolemba; Makanema ojambula pamanja

• Makina amitsempha
• Lymphangiogram

[Adasankhidwa] Rockson SG. Matenda a mitsempha yamagazi. Mu: Creager MA, Beckman JA, Loscalzo J, olemba., Eds. Vascular Medicine: Wothandizana ndi Matenda a Mtima a Braunwald. Wachitatu ed. Philadelphia, PA: Elsevier; 2020: chap 57.

Witte MH, Bernas MJ. Matenda a Lymphatic pathophysiology. Mu: Sidawy AN, Perler BA, olemba. Rutherford Opaleshoni ya Mitsempha ndi Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019: mutu 10.