Mutsipa kupatsanura

Neck dissection kuvhiyiwa kuongorora uye kubvisa ma lymph node mumutsipa.

Neck dissection kuvhiya kukuru kunoitwa kubvisa ma lymph node ane cancer. Izvo zvinoitwa muchipatara. Usati wavhiyiwa, iwe uchagamuchira anesthesia yakajairika. Izvi zvinokuita iwe kurara uye kutadza kunzwa kurwadziwa.

Huwandu hweturu uye huwandu hwema lymph node ayo anobviswa anoenderana nekuti kenza yapararira zvakadii. Kune matatu makuru mhando dzehuro dissection kuvhiyiwa:

• Radical mutsipa kupatsanura. Tissue dzese dziri kudivi remutsipa kubva pashaya kusvika kukora dzinobviswa. Iyo mhasuru, tsinga, gland yematehwe, uye huru yeropa munzvimbo ino yese inobviswa.
• Yakagadziriswa radical mutsipa dissection. Iyi ndiyo mhando yakajairika yemutsipa dissection. Ma lymph node ese anobviswa. Pasina mutsipa tishu inotorwa kunze pane ine radical dissection. Kuvhiya uku kunogona zvakare kuchengetedza tsinga dziri mumutsipa uye, dzimwe nguva, tsinga dzeropa kana mhasuru.
• Kusarudza mutsipa kupatsanura. Kana gomarara risina kupararira kure, mashoma ma "lymph node" anofanira kubviswa. Iyo mhasuru, tsinga, uye ropa reropa mumutsipa zvinogona zvakare kuponeswa.

Iyo lymph system inotakura machena masero eropa akakomberedza muviri kurwisa hutachiona. Cancer maseru mumuromo kana pahuro anogona kufamba mune iyo lymph fluid uye ndokubatwa mune iyo lymph node. MaLymph node anobviswa kudzivirira kenza kubva pakupararira ichienda kune dzimwe nhengo dzemuviri uye kuona kana paine mumwe mushonga unodikanwa.

Chiremba wako anogona kukurudzira iyi maitiro kana:

• Iwe une kenza yemukanwa, yerurimi, yegland gland, kana dzimwe nzvimbo dzehuro kana mutsipa.
• Gomarara rapararira kuma lymph node.
• Gomarara rinogona kutapukira kune dzimwe nhengo dzemuviri.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji ndezvi:

• Allergic reaction kumishonga
• Matambudziko ekufema
• Kubuda ropa
• Utachiona

Dzimwe njodzi dzekuvhiya uku ndedzinotevera:

• Unhu mukati meganda nenzeve parutivi rwekuvhiya, izvo zvinogona kuve zvechigarire
• Kukuvadza kune tsinga dzedama, muromo, uye rurimi
• Matambudziko ekusimudza fudzi uye ruoko
• Yakatemerwa mutsipa kufamba
• Kudonhedza papfudzi parutivi rwekuvhiya
• Zvinetso kutaura kana kumedza
• Chiso chakadonha

Nguva dzose udza mupi wako wehutano:

• Kana iwe uri kana uchigona kuve nepamuviri.
• Ndeipi mishonga yauri kutora, kusanganisira iyo yawakatenga pasina tsamba yakanyorwa. Izvi zvinosanganisira mavitamini, mahebhu, uye zvinowedzera.
• Kana iwe wanga uchinwa doro rakawanda, zvinopfuura 1 kana 2 zvinwiwa pazuva.

Munguva yemazuva usati wavhiyiwa:

• Iwe unogona kubvunzwa kumira kutora aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin), uye chero mimwe mishonga inoita kuti ropa rako rigwambe kuvhara.
• Kumbira mupi wako kuti ndeapi mishonga yaunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Unozoudzwa nguva yekuuya kuchipatara.

Pazuva rekuvhiyiwa kwako:

• Iwe unozokumbirwa kuti usanwa kana kudya chero chinhu pakati pehusiku husiku pamberi pekuvhiyiwa kwako.
• Tora chero mishonga yakatenderwa nekamwe kadiki kemvura.

Uchaendeswa kukamuri yekudzorera kuti umuke mushure mekuvhiyiwa.

• Musoro wemubhedha wako uchasimudzwa pakona kadiki.
• Iwe unenge uine chubhu mutsinga (IV) yemvura uye chikafu. Unogona kusakwanisa kudya kana kunwa kwemaawa makumi maviri nemana ekutanga.
• Iwe unozowana mushonga wemarwadzo uye maantibayoti.
• Uchava nemadhireni mumutsipa mako.

Vanamukoti vachakubatsira iwe kubva pamubhedha uye kufamba-famba zvishoma pazuva rekuvhiyiwa. Iwe unogona kutanga kurapwa kwemuviri iwe uri muchipatara uye mushure mekuenda kumba.

Vanhu vazhinji vanoenda kumba kubva kuchipatara mumazuva maviri kusvika matatu. Iwe unozofanirwa kuwona wako mupi wekutevera-kushanya mumazuva manomwe kusvika gumi.

Nguva yekuporesa zvinoenderana nekuti turu yakawanda yakabviswa sei.

Radical mutsipa dissection; Yakagadziriswa radical neck dissection; Kusarudza mutsipa kupatsanura; Lymph node kubviswa - mutsipa; Kenza yemusoro uye yemutsipa - mutsipa dissection; Kenza yemumuromo - mutsipa kupatsanura; Kenza yehuro - mutsipa dissection; Squamous cell cancer - mutsipa dissection

Callender GG, Udelsman R. Nzira yekuvhiya kune cancer kenza. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: 782-786.

Robbins KT, Samant S, Ronen O. Neck kupatsanurwa. Mune: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 119.