Mlembi: Judy Howell
Tsiku La Chilengedwe: 6 Kulayi 2021
Sinthani Tsiku: 15 Novembala 2024
Anonim
Examination of the Lymph Nodes - Clinical Examination
Kanema: Examination of the Lymph Nodes - Clinical Examination

Zamkati

Kodi lymph node biopsy ndi chiyani?

Lymph node biopsy ndi mayeso omwe amafufuza matenda m'matenda anu. Ma lymph lymph ndi ziwalo zazing'ono, zooneka ngati chowulungika zomwe zimakhala mbali zosiyanasiyana za thupi lanu. Amapezeka pafupi ndi ziwalo zamkati monga mimba, matumbo, ndi mapapo, ndipo amadziwika kwambiri m'khwapa, m'mimba, ndi m'khosi.

Ma lymph node ndi gawo la chitetezo chanu chamthupi, ndipo amathandiza thupi lanu kuzindikira ndikulimbana ndi matenda. Lymph node imatha kutupa chifukwa cha matenda kwinakwake mthupi lanu. Ma lymph node otupa amatha kuwoneka ngati chotupa pansi pa khungu lanu.

Dokotala wanu amatha kupeza ma lymph node otupa kapena okulirapo nthawi zonse mukamamuyesa. Ma lymph node otupa omwe amabwera chifukwa cha matenda ang'onoang'ono kapena kulumidwa ndi tizilombo nthawi zambiri safuna chithandizo chamankhwala. Komabe, kuti athetse mavuto ena, dokotala wanu amatha kuwunika ndikuwunika ma lymph node anu otupa.

Ngati ma lymph node amakhalabe otupa kapena okulirapo, dokotala wanu atha kuyitanitsa lymph node biopsy. Mayesowa athandiza dokotala wanu kuti ayang'ane zizindikiro za matenda opatsirana, matenda amthupi, kapena khansa.


Kodi mitundu ya lymph node biopsy ndi iti?

Chidziwitso cha lymph node chitha kuchitika kuchipatala, kuofesi ya dokotala wanu, kapena kuzipatala zina. Nthawi zambiri ndimadongosolo azachipatala, zomwe zikutanthauza kuti simusowa kuti mugone komweko.

Pogwiritsa ntchito lymph node biopsy, dokotala wanu akhoza kuchotsa lymph node yonse, kapena kutenga chitsanzo cha minofu yotupa. Dokotala akachotsa mfundo kapena nyembazo, amazitumiza kwa wodwala labu, yemwe amafufuza zam'mimba kapena michere pansi pa microscope.

Pali njira zitatu zopangira lymph node biopsy.

Chidziwitso cha singano

Chigoba cha singano chimachotsa pang'ono maselo am'mimba mwanu.

Njirayi imatenga pafupifupi mphindi 10 mpaka 15. Mukamagona patebulo loyesa, dokotala wanu amayeretsa tsamba la biopsy ndikugwiritsa ntchito mankhwala kuti achepetse malowo. Dokotala wanu amalowetsa singano mu lymph node yanu ndikuchotsa maselo angapo. Kenako achotsa singano ndikuyika bandeji pamalopo.


Tsegulani zolemba

Biopsy yotseguka imachotsa gawo lina la lymph node kapena lymph node yonse.

Dokotala wanu amatha kuchita izi ndi anesthesia yakomweko, pogwiritsa ntchito mankhwala osokoneza bongo omwe amagwiritsidwa ntchito patsamba la biopsy. Muthanso kufunsa mankhwala oletsa ululu omwe angakupangitseni kugona.

Njira yonseyi imatenga pakati pa 30 ndi 45 mphindi. Dokotala wanu:

  • dulani pang'ono
  • Chotsani mwanabele kapena gawo la mwanabele
  • sungani tsambalo litsekedwa
  • mangani bandeji

Ululu nthawi zambiri umakhala wofatsa pambuyo polemba biopsy yotseguka, ndipo dokotala wanu atha kupereka malingaliro opititsa patsogolo. Zimatenga pafupifupi masiku 10 mpaka 14 kuti cheke lithe kuchira. Muyenera kupewa kuchita masewera olimbitsa thupi komanso kuchita masewera olimbitsa thupi mukamachiritsa.

Chidziwitso cha Sentinel

Ngati muli ndi khansa, dokotala wanu amatha kulemba biopsy kuti adziwe komwe khansa yanu imafalikira.

Ndi njirayi, dokotala wanu amalowetsa utoto wabuluu, womwe umatchedwanso kuti wosaka, mthupi lanu pafupi ndi tsamba la khansa. Utoto umapita ku ma sentinel node, omwe ndi ma lymph node oyamba omwe chotupa chimatulukira.


Dokotala wanu amachotsa lymph node iyi ndikuitumiza ku labu kuti akawone ngati ali ndi khansa. Dokotala wanu adzakupatsani chithandizo chamankhwala potengera zotsatira za labu.

Kodi ndi zoopsa ziti zomwe zimakhudzana ndi lymph node biopsy?

Pali zoopsa zomwe zimachitika ndi mtundu uliwonse wa opaleshoni. Zowopsa zambiri zamitundu itatu ya lymph node biopsy ndizofanana. Zowopsa ndizo:

  • Chikondi mozungulira tsamba la biopsy
  • matenda
  • magazi
  • dzanzi chifukwa cha kuwonongeka kwamitsempha mwangozi

Matendawa ndi ochepa kwambiri ndipo amatha kuchiritsidwa ndi maantibayotiki. Dzanzi limatha kuchitika ngati biopsy itachitika pafupi ndi mitsempha. Dzanzi lililonse limasowa m'miyezi ingapo.

Ngati mwachotsa lymph node yanu yonse - iyi imatchedwa lymphadenectomy - mutha kukhala ndi zovuta zina. Chotsatira chimodzi chotheka ndi chikhalidwe chotchedwa lymphedema. Izi zitha kuyambitsa kutupa m'deralo. Dokotala wanu akhoza kukuwuzani zambiri.

Kodi ndingakonzekere bwanji ma lymph node biopsy?

Musanapangire biopsy yanu, muuzeni dokotala zamankhwala omwe mukumwa. Izi zimaphatikizapo mankhwala osapatsidwa mankhwala, monga aspirin, othandizira magazi ena, ndi zowonjezera. Muuzeni adotolo ngati muli ndi pakati, ndi kuwauza zamankhwala zilizonse, ziwengo za latex, kapena zovuta zamagazi zomwe muli nazo.

Siyani kumwa mankhwala ochepetsa magazi osakulimbikitsani masiku osachepera asanu musanachitike. Komanso, musadye kapena kumwa kwa maola angapo nthawi yanu isanachitike. Dokotala wanu adzakupatsani malangizo achindunji momwe mungakonzekerere.

Kodi kuchira kumachitika bwanji pambuyo pa lymph node biopsy?

Ululu ndi kukoma mtima kumatha kukhala masiku ochepa pambuyo polemba. Mukafika kunyumba, sungani malowa kuti akhale oyera komanso owuma nthawi zonse. Dokotala wanu akhoza kukupemphani kuti mupewe mvula kapena malo osambira masiku angapo pambuyo pa opaleshoniyi.

Muyeneranso kuyang'anitsitsa tsamba la biopsy ndi thanzi lanu mutatha kuchita izi. Itanani dokotala wanu ngati mukuwonetsa zizindikiro za matenda kapena zovuta, kuphatikizapo:

  • malungo
  • kuzizira
  • kutupa
  • kupweteka kwambiri
  • Kutuluka magazi kapena kutuluka patsamba latsamba

Kodi zotsatirazi zikutanthauza chiyani?

Pafupifupi, zotsatira zoyesedwa zakonzeka pasanathe masiku 5 kapena 7. Dokotala wanu akhoza kukuyitanani ndi zotsatira, kapena mungafunikire kukonzekera ulendo wotsatira wotsatira.

Zotsatira zotheka

Ndi lymph node biopsy, dokotala mwina mukuyang'ana zizindikiro za matenda, matenda amthupi, kapena khansa. Zotsatira zanu za biopsy zitha kuwonetsa kuti mulibe izi, kapena zitha kuwonetsa kuti mwina muli nawo.

Ngati maselo a khansa amapezeka mu biopsy, ikhoza kukhala chizindikiro cha chimodzi mwazinthu izi:

  • Hodgkin's lymphoma
  • non-Hodgkin's lymphoma
  • khansa ya m'mawere
  • khansa ya m'mapapo
  • khansa yapakamwa
  • khansa ya m'magazi

Ngati biopsy ikuletsa khansa, dokotala wanu atha kuyitanitsa mayeso ena kuti mudziwe chomwe chimayambitsa ma lymph node.

Zotsatira zachilendo za lymph node biopsy zitha kutanthauza kuti muli ndi matenda kapena chitetezo chamthupi, monga:

  • HIV kapena matenda ena opatsirana pogonana, monga chindoko kapena chlamydia
  • nyamakazi
  • chifuwa chachikulu
  • malungo amphaka
  • mononucleosis
  • dzino loyera
  • matenda akhungu
  • systemic lupus erythematosus (SLE), kapena lupus

Lankhulani ndi dokotala wanu

Lymph node biopsy ndi njira yocheperako yomwe ingathandize dokotala kudziwa zomwe zimayambitsa ma lymph node. Lankhulani ndi dokotala wanu ngati muli ndi mafunso okhudza zomwe mungayembekezere ndi lymph node biopsy yanu, kapena zotsatira za biopsy. Komanso funsani zambiri zamankhwala ena omwe dokotala angakuuzeni.

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