I-Lymphangiogram

I-lymphangiogram yi-x-ray ekhethekileyo ye-lymph nodes kunye nemithambo ye-lymph. Ii-lymph nodes zivelisa iiseli ezimhlophe zegazi (ii-lymphocyte) ezikunceda ukulwa izifo. Ii-lymph node zikwacoca kwaye zibambe iiseli zomhlaza.

Ii-lymph node kunye neenqanawa azibonwa kwi-x-ray yesiqhelo, ke idayi okanye i-radioisotope (i-radioactive compound) ifakwe ngaphakathi emzimbeni ukuqaqambisa indawo efundwayo.

Unokufumana iyeza lokukunceda uphumle ngaphambi kovavanyo.

Uhleli kwisitulo esikhethekileyo okanye kwitafile ye-x-ray. Umboneleli wezempilo ucoca iinyawo zakho, emva koko utofe inani elincinci ledayi eluhlaza endaweni (ebizwa ngokuba yi-webbing) phakathi kweenzwane zakho.

Ubhityile, imigca eluhlaza okwesibhakabhaka ivela phezulu kunyawo ngaphakathi kwemizuzu eli-15. Le mizila ichonga iziteshi ze-lymph. Umboneleli undikhulula loo ndawo, enze usiko oluncinci lokuhlinzwa ngakwelinye imigca emikhulu eluhlaza, kwaye afake ityhubhu ecekeceke eguqukayo ibe ngumjelo we-lymph. Oku kwenziwa kunyawo ngalunye. Idayi (umahluko ophakathi) ihamba ityhubhu ngokucotha, kwisithuba semizuzu engama-60 ukuya kwengama-90.

Enye indlela inokusetyenziswa. Esikhundleni sokujoba idayi eluhlaza okwesibhakabhaka phakathi kweenzwane zakho, umboneleli wakho unokubamba isikhumba phezu kwe-groin yakho uze ufake inaliti encinci phantsi kolawulo lwe-ultrasound kwi-lymph node kwi-groin yakho. Umahluko uyakufakwa ngenaliti kunye nakwinkovu node usebenzisa uhlobo lwempompo ebizwa ngokuba yi-insufflator.

Uhlobo lomatshini we-x-ray, obizwa ngokuba yi-fluoroscope, uvelisa imifanekiso kwimonitha yeTV. Umboneleli usebenzisa imifanekiso ukulandela idayi njengoko isasazeka ngenkqubo ye-lymphatic ukuya kwimilenze yakho, kwi-groin, nasemva kwesisu esiswini.

Nje ukuba idayi ifakwe inaliti ngokupheleleyo, i-catheter iyasuswa kuze kusetyenziswe imithungo ukuvala utyando. Indawo ibhandiwe. I-X-ray ithathwa kwimilenze, kwi-pelvis, kwisisu nakwindawo zesifuba. Ezinye ii-ray zingathathwa kusuku olulandelayo.

Ukuba uvavanyo luyenziwa ukubona ukuba umhlaza webele okanye i-melanoma isasazekile, idayi eblue ixutywe nekhompawundi enemitha. Imifanekiso ithathwa ukujonga indlela into esasazeka ngayo kwezinye ii-lymph node. Oku kunokunceda umboneleli wakho aqonde ngcono ukuba umhlaza usasazekile xa kwenziwa i-biopsy.

Kufuneka usayine ifom yemvume. Unokucelwa ukuba ungatyi okanye usele iiyure ezininzi ngaphambi kovavanyo. Unokunqwenela ukukhupha isinyi sakho ngaphambi kovavanyo.

Xelela umboneleli ukuba ukhulelwe okanye uneengxaki zokopha. Kwakhona khankanya ukuba ngaba une-allergical reaction kwizinto ze-x-ray umahluko okanye nayiphi na into ene-iodine.

Ukuba wenza olu vavanyo nge-sentinel lymph node biopsy (yomhlaza webele kunye ne-melanoma), kuya kufuneka ulungiselele igumbi lokusebenza. Ugqirha kunye ne-anesthesiologist baya kukuxelela indlela yokulungiselela le nkqubo.

Abanye abantu baziva behlatywa kancinci xa kufakwa idayi eblowu kunye namayeza abindayo. Unokuziva uxinzelelo njengoko idayi iqala ukungena emzimbeni wakho, ngakumbi ngasemva kwamadolo nakwindawo ye-groin.

Ukusikwa kotyando kuya kuba buhlungu kangangeentsuku ezimbalwa. Idayi eluhlaza okwesibhakabhaka ibangela ulusu, umchamo, kunye nokutshintsha kwesitulo malunga neentsuku ezimbini.

I-lymphangiogram isetyenziswa kunye ne-lymph node biopsy ukumisela ukusasazeka komhlaza kunye nokusebenza konyango lomhlaza.

Idayi yokwahluka kunye ne-x-reyi zisetyenziselwa ukufumanisa unobangela wokudumba engalweni okanye emlenzeni kunye nokujonga izifo ezinokubangelwa zii-parasites.

Iimeko ezongezelelweyo apho uvavanyo lunokwenziwa khona:

• IHodgkin lymphoma
• I-non-Hodgkin lymphoma

I-lymph nodes ezandisiweyo (izilonda ezidumbileyo) ezinokubonakala njengegwebu kunokuba luphawu lomhlaza we-lymphatic.

Iimpawu okanye iinxalenye zeendawo ezingazalisanga idayi zibonisa ukucinywa kwaye kunokuba ngumqondiso womhlaza osasazeka kwinkqubo ye-lymph. Ukuvalwa kweenqanawa ze-lymph kunokubangelwa yithumba, usulelo, ukwenzakala, okanye uqhaqho lwangaphambili.

Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Iingozi ezinxulumene nokufakwa kwenaliti yedayi (umahluko ophakathi) zinokubandakanya:

• Ukuphendula ngokuchaseneyo
• Ifiva
• Usulelo
• Ukudumba kwemithambo nkovu

Kukho ukubonakaliswa kwemitha ephantsi. Nangona kunjalo, uninzi lweengcali zivakalelwa kukuba umngcipheko wezininzi ii-ray-ray zincinci kunezinye iingozi esizithatha mihla le. Abafazi abakhulelweyo kunye nabantwana banomdla ngakumbi kumngcipheko we-x-ray.

Idayi (umahluko phakathi) inokuhlala kwii-lymph node ukuya kuthi ga kwiminyaka emibini.

Umgca-mfanekiso; I-Lymphangiography

• Inkqubo yeLymphatic
• I-Lymphangiogram

I-Rockson SG. Izifo zokujikeleza kwe-lymphatic. Ku: Creager MA, Beckman JA, Loscalzo J, ii-eds. VAmayeza e-ascular: Umhlobo kwiBraunwald's Isifo sentliziyo. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; 2020: isahluko 57.

Witte MH, uBernas MJ. I-lymphatic pathophysiology. Ku: Sidawy AN, Perler BA, ii-eds. Utshintsho lukaRutherford lweeVascular and Therapy ze-Endovascular Therapy. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2019: isahluko 10.