Ukuqhekeka kwentamo

Ukuqhaqha intamo lutyando lokuvavanya nokususa ii-lymph node entanyeni.

Ukuqhaqhaqhaqhaqhaqhaqha kotyando kukhulu kuqhaqho olwenziwe ukususa iindawo ezinesifo somhlaza. Yenziwe esibhedlele. Phambi kotyando uya kufumana i-anesthesia ngokubanzi. Oku kuyakwenza ukuba ulale kwaye ungakwazi ukuva iintlungu.

Inani leethishu kunye nenombolo ye-lymph node ezisusiweyo zixhomekeka ekubeni umhlaza usasazeke kangakanani. Zintathu iintlobo eziphambili zonyango lwentamo:

• Ukuqhaqhaqhaqhaqha kwentamo. Zonke izicubu ezisecaleni lentamo ukusuka kumhlathi womhlathi ukuya kwikhola ziyasuswa. Imisipha, imithambo-luvo, amadlala amathe, kunye nomthambo wegazi omkhulu kule ndawo zonke ziyasuswa.
• Ulungelelwaniso oluhlengahlengiso lwentamo. Olu lolona hlobo luqhelekileyo lwentambo yokuqhekeka. Zonke ii-lymph node ziyasuswa. Izicubu ezincinci zentamo zikhutshiwe ngaphandle kokuqhekeka ngokuqatha. Olu tyando lunokugcina imithambo-luvo entanyeni kwaye, ngamanye amaxesha, imithambo yegazi okanye umsipha.
• Ukukhethwa kwentamo ekhethiweyo. Ukuba umhlaza awusasazekanga kude, kufuneka kususwe ii-lymph node. Imisipha, imithambo-luvo, kunye negazi elisentanyeni linokugcinwa.

Inkqubo ye-lymph ithwala iiseli ezimhlophe zegazi emzimbeni ukulwa usulelo. Iiseli zomhlaza emlonyeni okanye emqaleni zinokuhamba kwi-lymph fluid kwaye zibanjiswe kwii-lymph node. Ii-lymph node ziyasuswa ukuthintela umhlaza ekubeni usasazeke uye kwamanye amalungu omzimba kwaye uthathe isigqibo sokuba ngaba lukhona na olunye unyango olufunekayo.

Ugqirha wakho unokucebisa le nkqubo ukuba:

• Unomhlaza womlomo, ulwimi, i-thyroid gland, okanye ezinye iindawo zomqala okanye zentamo.
• Umhlaza unwenwele kwii-lymph node.
• Umhlaza unganwenwela nakwamanye amalungu omzimba.

Umngcipheko we-anesthesia kunye notyando ngokubanzi zezi:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla
• Ukopha
• Usulelo

Eminye imingcipheko kolu tyando yile:

• Ubungqindilili elukhumbeni nasendlebeni kwicala lotyando, olunokuba sisigxina
• Ukonakaliswa kwemithambo yesidlele, imilebe nolwimi
• Iingxaki zokuphakamisa igxalaba nengalo
• Intshukumo encinci yentamo
• Ukugxotha igxalaba kwicala lotyando
• Ingxaki xa uthetha okanye uginya
• Idrophu yobuso

Soloko uxelela umboneleli wakho wezempilo:

• Ukuba ukhulelwe okanye unokukhulelwa.
• Ngawaphi amayeza owathathayo, kubandakanya lawo uwathengileyo ngaphandle kommiselo. Oku kubandakanya iivithamini, iiherbs, kunye nezongezo.
• Ukuba ubusele utywala obuninzi, ngaphezu kwesiselo esinye okanye ezi-2 ngosuku.

Ngexesha leentsuku ngaphambi kokuhlinzwa kwakho:

• Unokucelwa ukuba uyeke ukuthatha i-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin), kunye nawaphi na amanye amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye.
• Buza umboneleli wakho ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando lwakho.
• Uzakuxelelwa ukuba ufike nini esibhedlele.

Ngomhla wotyando lwakho:

• Uya kucelwa ukuba ungaseli okanye utye nantoni na emva kobusuku ezinzulwini zobusuku ngaphambi kotyando lwakho.
• Thatha nawaphi na amayeza avunyiweyo ngesiphuzo esincinci samanzi.

Uya kusiwa kwigumbi lokubuyisela kwakhona ukuze uvuke emva kotyando.

• Intloko yebhedi yakho iya kuphakanyiswa ngekona elincinci.
• Uya kuba nombhobho emthanjeni (IV) wamanzi kunye nesondlo. Awungekhe ukwazi ukutya okanye usele iiyure ezingama-24 zokuqala.
• Uya kufumana amayeza entlungu kunye namayeza okubulala iintsholongwane.
• Uya kuba nemisele entanyeni yakho.

Abongikazi baya kukunceda uphume ebhedini kwaye ujikeleze kancinci ngosuku lotyando. Ungaqala unyango lomzimba ngelixa usesibhedlele nasemva kokuba ugodukile.

Uninzi lwabantu luya ekhaya lusuka esibhedlele kwiintsuku ezi-2 ukuya kwezi-3. Uya kudinga ukubona umboneleli wakho kutyelelo olulandelayo kwiintsuku ezisi-7 ukuya kwezi-10.

Ixesha lokuphilisa lixhomekeke ekubeni zingakanani izicubu ezisusiweyo.

Ukuqhaqhaqhaqhaqha kwentamo; Ulungelelwaniso lwentamo eguqulweyo; Ukukhethwa kwentamo ekhethiweyo; Ukususwa kwe-lymph node - intamo; Intloko kunye nentamo yomhlaza wentamo - ukusasazeka kwentamo; Umhlaza womlomo-wentamo yokuqhaqha; Umhlaza womqala-intamo yokuqhaqha; Umhlaza wesifo somhlaza wes squamous-intamo

I-Callender GG, u-Udelsman R.Indlela yotyando kumhlaza wedlala lengqula. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-12. IPhiladelphia, PA: Elsevier; Ngo-2017: 782-786.

Robbins KT, Samant S, Ronen O. Intamo yokuqhaqha. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 119.