Lymphangiogram

Daim lymphangiogram yog xoo hluav taws xob tshwj xeeb rau cov qog ntshav thiab cov hlab ntsws. Cov qog ntshav ua cov qe ntshav dawb (lymphocytes) uas pab tua kab mob sib kis. Cov qog ntshav kuj lim thiab ntxiab qog hlwb.

Cov qog ntshav thiab lub nkoj tsis pom nyob ntawm xoo hluav taws xob, yog li cov zas xim lossis xov tooj cua (xov tooj cua) tau txhaj rau hauv lub cev kom qhia qhov chaw tau kawm.

Luag yuav muab tshuaj rau koj noj ua ntej koj yuav kuaj.

Koj zaum hauv lub rooj zaum tshwj xeeb lossis ntawm cov duab xoo hluav taws xob. Tus kws kho mob ntxuav koj txhais taw, thiab tom qab ntawd txhaj ib qho me me ntawm kob xiav rau hauv thaj chaw (hu ua webbing) nruab nrab ntawm koj cov ntiv taw.

Nyias, xiav txoj kab tshwm sim nyob rau sab saum toj ntawm ko taw li ntawm 15 feeb. Cov kab no pom cov lymph channels. Tus kws zov me nyuam laij thaj chaw, txiav me me phais ib qho ntawm cov kab xiav loj dua, thiab ntxig rau cov kav hlau xaim me me mus rau hauv cov lymph channel. Qhov no yog ua tiav ntawm txhua txhais ko taw. Zas (zoo li nruab nrab) ntws los ntawm lub raj xa tawm qeeb heev, dhau li ntawm 60 txog 90 feeb.

Tseem yuav siv lwm txoj hauv kev thiab. Hloov chaw txhaj tshuaj zas xiav ntawm koj cov ntiv taw, koj tus kws kho mob yuav loog tawv nqaij rau ntawm koj puab tais thiab tom qab ntawd ntxig ib rab koob nyias nyias hauv qab qhov kev taw qhia ultrasound rau hauv lub lymph ntawm koj lub puab tais. Qhov zoo sib yuav yuav hno los ntawm rab koob thiab mus rau hauv lub qog siv hom twj tso kua mis hu ua insufflator.

Ib hom kev siv tshuab xoo hluav taws xob, hu ua fluoroscope, ua cov duab saib ntawm lub TV saib. Tus kws kho mob siv cov duab ua raws li cov zas xim raws li nws kis tau los ntawm cov npluas kab ke ua ke rau koj ob txhais ceg, puab tais, thiab raws sab nraum qab ntawm lub plab.

Thaum cov zas xim tiav tag rau hauv lawm, lub raj xa dej tawm thiab stitches raug siv los kaw qhov phais mob phais. Thaj chaw yog daim ntaub qhwv. Kev xoo hluav taws xob yog xoo ntawm txhais ceg, plab, plab, thiab hauv siab. Yuav siv ntau cov duab xoo hluav taws xob rau lwm hnub.

Yog tias qhov ntsuas tau sim ua kom pom tias tus mob qog mis lossis mob qog ntshav tau kis, cov kob xiav xiav tau sib xyaw nrog ib qho kev xoos. Cov duab yuav coj los saib seb cov tshuaj kis mus rau lwm cov muaj qog ntshav li cas. Qhov no tuaj yeem pab koj tus kws kho mob nkag siab zoo dua qhov twg mob qog nthuav dav thaum kuaj qog nqaij.

Koj yuav tsum kos npe rau tsab ntawv tso cai. Lawv yuav hais kom koj tsis txhob noj lossis haus rau ntau xuaj moos ua ntej qhov kev kuaj mob. Koj yuav xav plam koj lub zais zis ua ntej qhov kev kuaj ntawd.

Qhia tus kws kho mob yog koj cev xeeb tub los yog koj muaj teeb meem los ntshav. Kuj tseem hais txog yog tias koj muaj qhov tsis haum ntawm xoo hluav taws xob tsis zoo lossis cov khoom muaj iodine.

Yog tias koj tab tom kuaj cov kab mob no seb mob li cas (rau mob cancer mis thiab mob qog mis), ces koj yuav tsum tau npaj rau chav ua haujlwm. Tus kws phais neeg thiab tshuaj loog yuav qhia koj txog kev npaj rau qhov txheej txheem.

Qee tus neeg hnov ​​lub ntsej muag luv luv thaum cov kob xiav thiab lias siv tshuaj loog. Koj tuaj yeem hnov ​​zoo li cov xim pib pib rau hauv koj lub cev, tshwj xeeb hauv qab lub hauv caug thiab hauv puab tais.

Kev phais mob yuav ua mob rau ob peb hnub. Cov kob xiav xiav ua rau tawv nqaij, tso zis thiab tso quav tawm ntev li ntawm 2 hnub.

Ib lub lymphangiogram siv nrog lymph node biopsy los txiav txim seb puas muaj kev sib kis mob qog nqaij hlav cancer thiab kev siv tshuaj kho mob qog nqaij hlav.

Qhov zas xim thiab xoo hluav taws xob tau siv los pab txiav txim qhov ua rau muaj mob ntawm caj npab lossis txhais ceg thiab kuaj xyuas cov kab mob uas yuav ua los ntawm cab.

Lwm cov xwm txheej ntxiv hauv qhov ntsuas uas yuav ua tau:

• Hodgkin lymphoma
• Tsis-Hodgkin lymphoma

Cov qog ua ntshav (lub qog o) uas muaj lub ntsej muag ua npuas ncauj tej zaum yuav yog qhov pom ntawm lymphatic cancer.

Cov qog lossis qhov ntawm cov ntshav tsis lo nrog qhov zas xim qhia tias muaj kev txhaws thiab tej zaum nws yog qhov qhia tias mob cancer kis los ntawm lub lymph system. Kev txhaws ntawm lub lymph cov hlab ntsha tuaj yeem ua rau mob qog, mob, raug mob, lossis raug phais yav dhau los.

Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

Kev phom sij ntsig txog qhov txhaj cov zas xim (qhov nruab nrab nruab nrab) yuav suav nrog:

• Kev fab tshuaj tiv thaiv
• Ua npaws
• Kab mob
• Kev mob o cov hlab ntsha

Muaj hluav taws xob hluav taws xob tsawg tsawg. Txawm li cas los xij, cov kws tshaj lij feem ntau xav tias qhov kev pheej hmoo ntawm cov xoo hluav taws xob tsawg dua li lwm qhov kev pheej hmoo peb coj txhua hnub. Cov poj niam cev xeeb tub thiab menyuam yaus yuav nkag siab ntau dua rau cov kev pheej hmoo ntawm xoo hluav taws xob.

Qhov zas xim (qhov sib txawv nruab nrab) tuaj yeem nyob hauv lub qog txog li 2 xyoos.

Cov duab kos; Lymphangiography

• Lymphatic system
• Lymphangiogram

Rockson SG. Kab mob ntawm cov ntshav ncig. Hauv: Creager MA, Beckman JA, Loscalzo J, eds. Vtshuaj ascular: Ib Khub Rau Braunwald's Kab Mob PlawvCov. 3lawm ed. Philadelphia, PA: Elsevier; 2020: chap 57.

Witte MH, Bernas MJ. Lymphatic pathophysiology. Hauv: Siavy AN, Perler BA, eds. Rutherford's Kev Kho Mob Ntshav Qab Zib thiab Kev Kho Mob EndovascularCov. 9le ed. Philadelphia, PA: Elsevier; 2019: chap 10.