Yintoni i-Lymphocele, yintoni ebangela oko kunye nendlela yokuyinyanga

Umxholo

• Izizathu eziphambili
• 1. Utyando
• 2. Ukwenzakala
• 3. Umhlaza
• Iimpawu ezinokuvela
• Unyango lwenziwa njani

I-lymphocele nakuphi na ukuqokelelwa kwe-lymph kwingingqi yomzimba, esona sizathu siqhelekileyo sokususwa okanye ukwenzakala kweenqanawa ezithwala olu lwelo, emva kokubetha okanye isisu, i-pelvic, i-thoracic, i-cervical okanye i-inguinal surgeon, umzekelo. . Ukuvuza kwamanzi kwi-lymph kuqokelela kwizicubu ezikufutshane nommandla ochaphazelekayo, onokubangela ukudumba, usulelo okanye ukwakheka kwe-cyst kwindawo leyo.

Inkqubo ye-lymphatic iseti yamalungu e-lymphoid kunye neenqanawa ezisasazwa emzimbeni wonke, kunye nomsebenzi wokutsala kunye nokucoca ulwelo olungaphezulu emzimbeni, ulalathisela kwigazi, ukongeza ekusebenzeni kwenkqubo yomzimba yokuzikhusela ekukhuseleni into ephilayo. Fumanisa ukuba yintoni inkqubo ye-lymphatic kwaye isebenza njani.

Ngokubanzi, ulwelo lwe-lymphatic kwi-lymphocele lubuyiselwa ngokwemvelo ngumzimba, kwaye akukho nyango luyimfuneko. Nangona kunjalo, kwezinye iimeko, xa kukho ingqokelela enkulu yolwelo okanye xa ibangela iimpawu, ezinjengentlungu, usulelo okanye uxinzelelo lwemithambo yegazi, kunyanzelekile ukuba kwenziwe iinkqubo zokukhupha ulwelo nge-catheter kwaye, kwezinye iimeko, Isclerotherapy iyimfuneko.

Izizathu eziphambili

I-lymphocele ivela nanini na xa i-lymph ephuma kwimithambo ye-lymphatic, kwaye inokuthi iqulethwe kwizicubu ezijikelezileyo, ingakhokelela ekuphuhliseni ukuvuvukala kunye ne-capsule, ekhokelela ekubunjweni kwe-cyst. Le ngxaki ixhaphake kakhulu kwiimeko ezinje:

1. Utyando

Naluphi na utyando lunokubangela i-lymphocele, ngakumbi leyo apho kwenziwa khona imithambo yegazi okanye apho kususwa khona ii-lymph node, kwaye inokubonakala phakathi kweeveki ezi-2 ukuya kwiinyanga ezi-6 emva kotyando. Olunye utyando olunxulunyaniswa nololu hlobo lwengxaki zezi:

• Isisu okanye i-pelvic, efana ne-hysterectomy, utyando lwamathumbu, uqhaqho lwezintso okanye ukufakelwa kwezintso;
• I-Thoracic, efana nemiphunga, i-aorta, ibele okanye ummandla wekhwapha, umzekelo;
• Yomlomo wesibeleko, kwakunye idlala lengqula;
• Imithambo yegazi, efana nokususwa kwesithintelo okanye ukulungiswa kwesiphene, njenge-aneurysm.

Emva kotyando lwesisu, kuqhelekile ukuba i-lymphocele igcinwe kwisithuba se-retroperitoneal space, owona mmandla ungasemva kwesisu esiswini. Ukongeza, utyando lomhlaza olwenziwe ukususa okanye ukunyanga umhlaza zizizathu ezibalulekileyo ze-lymphocele, njengoko kuqhelekile ukuba kukho imfuneko yokususa izicubu ze-lymphatic ngexesha lenkqubo.

2. Ukwenzakala

Ukulimala okanye ukwenzakala okubangela ukugqabhuka kwegazi okanye izitya ze-lymph kunokubangela i-lymphocele, enokuthi yenzeke xa kubethwa okanye kwiingozi, umzekelo.

I-lymphocele inokubonakala nakwindawo yesini, ngohlobo lwenkozo elukhuni, emva koqhakamshelwano olusondeleyo okanye ukuphulula amalungu esini, kwaye inokubonakala njengeqhuma kwimilebe emikhulu okanye kwilungu lobudoda, iiyure ukuya kwiintsuku emva kwesenzo. Ukuba lincinci, unyango alunakuba yimfuneko, kodwa ukuba lukhulu, kufuneka kwenziwe utyando.

Fumanisa ngakumbi ngezi kunye nezinye izizathu zelungu lobudoda.

3. Umhlaza

Ukuphuhliswa kwethumba okanye umhlaza kunokubangela ukonakala kwigazi okanye kwimithambo ye-lymph, kukhuthaza i-lymph ukuba ivuze kwimimandla ekufutshane.

Iimpawu ezinokuvela

Xa incinci kwaye ingenzima, i-lymphocele ayihlali ibangela iimpawu. Nangona kunjalo, ukuba inyusa ivolumu, kwaye kuxhomekeke kwindawo ekuyo kwaye ukuba ibangela uxinzelelo lwezakhiwo ezikufuphi, kunokubangela iimpawu ezinje:

• Intlungu zesisu;
• Rhoqo umnqweno okanye ubunzima bokuchama;
• Ukuqunjelwa;
• Ukudumba kummandla wesini okanye kwimilenze engezantsi;
• Uxinzelelo lwegazi;
• Isifo semithambo;
• Isigaxa esinokutsalwa esiswini okanye kummandla ochaphazelekayo.

Xa i-lymphocele ibangela ukuphazamiseka kwendlela yokuchama, njengama-ureters, kunokwenzeka ukuba kuthintele ukusebenza kwezintso, okunokuba nzima.

Ukuqinisekisa ubukho be-lymphocele, ugqirha unokuyalela iimvavanyo ezinje nge-ultrasound, ikhompyuter ye-tomography okanye uhlalutyo lwe-biochemical yolwelo.

Unyango lwenziwa njani

Xa i-lymphocele incinci, ihlala iphinda ibuyiselwe kwiveki e-1, ihamba kuphela nogqirha kwiimviwo, ezinje nge-ultrasound.

Nangona kunjalo, xa bengabuyeli emva, bonyusa ubungakanani okanye babangele iingxaki ezinje ngokudumba, usulelo, iimpawu zomchamo okanye ukunyuka koxinzelelo lwe-lymphatic, kubalulekile ukwenza inkqubo, enokuthi ibe kukuhluza ukukhupha ulwelo okanye utyando lokususa umqala .

Ukusetyenziswa kwee-antibiotics kunokuboniswa ngugqirha xa usola ukukrokreleka.