Lymphangiogram

ʻO ka lymphangiogram kahi x-ray kūikawā o nā lymph node a me nā moku lymph. Hoʻokumu nā lymph node i nā hunaola keokeo (lymphocytes) e kōkua i ke kaua ʻana i nā maʻi. Hoʻopili pū nā lymph nodes a hoʻopaʻa i nā hunaola maʻi ʻaʻai.

ʻAʻole ʻike ʻia nā lymph node a me nā moku ma kahi x-ray maʻamau, no laila ua hoʻokomo ʻia kahi kala a radioisotope (radioactive compound) i loko o ke kino e hōʻike i kahi i hoʻopaʻa ʻia.

Hāʻawi ʻia ʻoe i ka lāʻau e kōkua iā ʻoe e hoʻomaha ma mua o ka hoʻāʻo.

Noho ʻoe i kahi noho kūikawā a i ʻole ka pākaukau x-ray. Hoʻomaʻemaʻe ka mea mālama ola i kou mau wāwae, a laila injects i kahi liʻiliʻi o ka waihoʻoluʻu polū i ka wahi (i kapa ʻia ʻo webbing) ma waena o kou manamana wāwae.

ʻIke ʻia nā lālani lahilahi ma ka piko o ka wāwae ma waena o 15 mau minuke. Hoʻomaopopo kēia mau laina i nā kahawai lymph. Hoʻomaʻamaʻa ka mea hāʻawi i ka wahi, hana i kahi ʻoki liʻiliʻi ʻoki kokoke i kekahi o nā laina polū nui aʻe, a hoʻokomo i kahi paipu maʻalahi lahilahi i kahi kahawai lymph. Hana ʻia kēia i kēlā me kēia wāwae. Kahe (ka waena waena) e kahe mālie ma o ka paipu, ma kahi o 60 a 90 mau minuke.

Hoʻohana ʻia kekahi hana hou. Ma kahi o ke kuʻi ʻana i ka pena polū ma waena o kou manamana wāwae, kuhi paha kāu mea hāʻawi i ka ʻili ma luna o kou ʻūlū a laila hoʻokomo i kahi nila nikii ma lalo o ke alakaʻi ʻana o ultrasound i loko o kahi pūnana lymph i loko o kou ʻūlū. E hoʻopili ʻia ka hoʻohālikelike ma o ka nila a i loko o ka lymph node e hoʻohana ana i kahi ʻano o ka pauma i kapa ʻia he insufflator.

ʻO kekahi ʻano mīkini x-ray, i kapa ʻia he fluoroscope, hoʻolālā i nā kiʻi ma kahi kīwī TV. Hoʻohana ka mea hāʻawi i nā kiʻi e ukali i ka kala ke pālahalaha ʻia ma o ka ʻōnaehana lymphatic i kou mau wāwae, ʻūhā, a ma ke kua o ka ʻōpū o ka ʻōpū.

Ke kuhi piha ʻia ka kala, wehe ʻia ka catheter a hoʻohana ʻia nā humuhumu e pani ai i ka ʻoki ʻoki. Hoʻopili ʻia ka ʻāpana. Lawe ʻia nā kukuna X i nā wāwae, pelvis, ʻōpū, a me nā wahi umauma. E lawe hou ʻia nā kukuna x i ka lā aʻe.

Inā ke hana ʻia nei ka hoʻāʻo e ʻike inā ua pālahalaha ka maʻi ʻaʻai o ka umauma a melanoma paha, ua hui pū ʻia ka ʻalani polū me kahi hui radioactive. Lawe ʻia nā kiʻi e nānā pehea e hoʻolaha ai ka mea i nā lymph node ʻē aʻe. Hiki i kēia ke kōkua i kāu mea lawelawe e hoʻomaopopo pono i kahi o ka maʻi ʻaʻai i hoʻolaha ai ke hana ʻia kahi biopsy.

Pono ʻoe e kau inoa i kahi palapala ʻae. E noi ʻia ʻoe ʻaʻole e ʻai a inu paha no kekahi mau hola ma mua o ka hoʻāʻo. Hiki paha iā ʻoe ke hoʻonele i kāu ʻōpū ma mua o ka hoʻāʻo.

E haʻi i ka mea hāʻawi inā hāpai ʻoe a i ʻole pilikia pilikia ke kahe. ʻ mentionlelo pū kekahi inā ua loaʻa ʻoe i kahi hopena maʻi ʻaʻai i ka x-ray mea ʻokoʻa a i ʻole nā ​​mea i loko o ka iodine.

Inā ʻoe e hana nei i kēia hōʻike me ka biopsy lymph node sentinel (no ka maʻi ʻaʻai umauma a me ka melanoma), a laila pono ʻoe e hoʻomākaukau no ka lumi lumi. E haʻi aku kahi kauka lāʻau lapaʻau a me ka anesthesiologist pehea e hoʻomākaukau ai no ke kaʻina hana.

Manaʻo kekahi poʻe i kahi ʻōkole pōkole ke kiʻi ʻia ka kala polū a me nā lāʻau numbing. Hoʻomaopopo paha ʻoe i ke kaomi ke hoʻomaka ke kahe o ke kala i kou kino, keu hoʻi ma hope o nā kuli a ma ka ʻeha.

E ʻehaʻeha nā ʻokiʻoki no kekahi mau lā. Hana ke kala polū i ka ʻili, ka mimi, a me ka noho o ka noho no kahi o 2 mau lā.

Hoʻohana ʻia kahi lymphangiogram me ka biopsy lymph node e hoʻoholo ai i ka laha hiki ʻana o ka maʻi ʻaʻai a me ka pono o ka maʻi ʻaʻai.

Hoʻohana ʻia ka kala ʻokoʻa a me nā kukuna x e kōkua ai e hoʻoholo i ke kumu o ka pehu ʻana ma ka lima a i ʻole ka wāwae a nānā i nā maʻi i hiki i nā parasites.

Nā kūlana hou aʻe e hana ʻia ai ka hōʻike:

• Hodgkin lymphoma
• Non-Hodgkin lymphoma

ʻO nā lymph node i hoʻonui ʻia (nā ʻōpū pehu) i loaʻa i kahi helehelena hua paha he hōʻailona ia o ka maʻi ʻaʻai lymphatic.

ʻO nā piko a i ʻole nā ​​ʻāpana o nā piko i hoʻopiha ʻole me ka wai kala e hōʻike ana i ka paʻa ʻana a he hōʻailona paha ia o ka maʻi ʻaʻai e hohola ana ma o ka ʻōnaehana lymph. ʻO ka pale ʻana i nā kīʻaha lymph ke kumu ʻia e ka tumo, maʻi, ʻeha, a i ʻole ke ʻoki o mua.

E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

Nā pōpilikia e pili ana i ka pahu kui o ke kala (ʻokoʻa waena) hiki ke hoʻopili ʻia:

• Ka hopena hoʻowali
• Fiva
• Maʻi kīnā
• ʻO ka wela o nā kīʻaha lymph

Aia ka hōʻike radiation haʻahaʻa. Eia nō naʻe, manaʻo ka hapanui o ka poʻe loea i ka makaʻu o ka hapanui o nā kukuna x he mea liʻiliʻi ia ma mua o nā pilikia ʻē aʻe a mākou e lawe ai i kēlā me kēia lā. ʻOi aku ka maʻalahi o nā wahine hāpai a me nā keiki i nā makaʻu o ka x-ray.

Hiki i ke kala (medium medium) ke noho i nā lymph node a hiki i 2 mau makahiki.

Lymphography; Lymphangiography

• ʻŌnaehana Lymphatic
• Lymphangiogram

ʻO Rockson SG. Nā maʻi o ka holo lymphatic. I: Creager MA, Beckman JA, Loscalzo J, eds. Vka lāʻau ascular: He Hoa i ka Maʻi Puʻuwai ʻo Braunwald. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2020: chap 57.

ʻO Witte MH, Bernas MJ. Pathophysiology Lymphatic. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 10.