Izibhedlela Ezingcono Kakhulu Zokuhlinzwa Kwe-Axillary Lymphadenectomy e-Hyderabad

Ukuhlinzwa Okuthuthukisiwe Kwe-Axillary Lymphadenectomy

I-Axillary lymph nodes idlala indima ebaluleke kakhulu kuyo ukwelashwa umdlavuza webele. Odokotela benza i-axillary lymphadenectomy - ukususa izicubu ze-lymphatic endaweni yamakhwapha - njengendlela yokuhlinzwa eyinhloko yeziguli eziningi ezinomdlavuza. I-axilla ibamba u-95% we-lymphatic drainage yebele, okwenza kubaluleke kakhulu ukuthi odokotela abahlinzayo bathole isithombe esigcwele salezi zakhiwo ngaphambi kokuba benze lokhu kuhlinzwa okunembile.

Namuhla, odokotela batusa kakhulu le nqubo ezigulini ezinomdlavuza webele ezine-axillary lymph nodes ezibandakanyeka emtholampilo, ukuphindaphinda kwama-axillary node, kanye nama-lymph nodes amahle kwamanye ama-cancer afana ne-melanoma ne-squamous cell carcinoma.

Kungani Izibhedlela Zeqembu Le-CARE Kuyisinqumo Sakho Esiphezulu Sokuhlinzwa Kwe-Axillary Lymphadenectomy e-Hyderabad

Izibhedlela ze-CARE Group seziyisinqumo esiphezulu sokuhlinzwa kwe-axillary lymphadenectomy e-Hyderabad. Ukuzinikela kwabo okuqinile ekwelapheni izimo ezihlobene namazinga e-axillary lymph node kubazuzele ukutuswa okukhulu kokubili iziguli kanye nodokotela.

Izibhedlela ze-CARE zisekela iziguli kulo lonke ulwazi lwazo lokwelashwa. Banikeza ukuhlela kwangaphambi kokuhlinzwa, ukuhlinzwa okunembile, nokunakekelwa ngokucophelela kwangemva kokuhlinzwa. Inhlanganisela yesibhedlela yobuhle bezokwelapha nokusekelwa ngokomzwelo ikwenza kube ukukhetha okungcono kakhulu kwe-axillary lymphadenectomy e-Hyderabad.

Odokotela Abahlinza Kakhulu Be-Axillary Lymphadenectomy eNdiya

Khetha indawo Hyderabad Visakhapatnam Bhubaneshwar Nagpur Raipur esilengayo I-Aurangabad Imitholampilo Nezikhungo Zezokwelapha

Khetha Isibhedlela CARE Hospitals, Banjara Hills, Hyderabad CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad CARE Hospitals, HITEC City, Hyderabad CARE Hospitals, Nampally, Hyderabad I-Gurunanak CARE Hospitals, Musheerabad, Hyderabad CARE Hospitals, Bhubaneswar I-Ganga CARE Hospital Limited, eNagpur I-Ramkrishna CARE Hospitals, eRaipur CARE Izibhedlela, Ramnagar, Visakhapatnam CARE Hospitals Outpatient Centre, HITEC City, Hyderabad CARE Hospitals, Malakpet, Hyderabad Izibhedlela ze-CARE CHL, e-Indore Izibhedlela Ezihlangene ze-CIIGMA (Iyunithi Yezibhedlela ze-CARE), Chh. Sambhajinagar CARE Izibhedlela, Health City, Arilova CARE Medical Center, Tolichowki, Hyderabad

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  UDkt. Avinash Chaitanya S

  I-Consultant Head and Neck Surgical Oncology

  I-oncology

  Bhala iNqunto
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  UDkt. Geetha Nagasree N

  Sr. Umeluleki kanye Nomqondisi Womtholampilo Ohlangene

  I-oncology

  Bhala iNqunto
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  UDkt. Satish Pawar

  Sr. Consultant & Head – Surgical Oncology & Robotic Surgery

  I-oncology

  Bhala iNqunto
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  UDkt. Yugandar Reddy

  umxhumanisi

  I-oncology

  Bhala iNqunto
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  UDkt. Ashvin Kumar Rangole

  Umqondisi Womtholampilo - I-Oncology, i-HIPEC kanye nodokotela ohlinzayo we-Robotic

  Oncology steel

  Bhala iNqunto
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  UDkt. Tanuj Shrivastava

  Umxhumanisi - Udokotela Wokuhlinza Amarobhothi

  Bhala iNqunto
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  UDkt. Vikranth Mummaneni

  Sr. Consultant

  I-Oncology yokuhlinzwa

  Bhala iNqunto
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  UDkt. Manindra Nayak

  umxhumanisi

  Oncology steel

  Bhala iNqunto
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  UDkt. Ritesh Tapkire

  Umeluleki Omkhulu Wokuhlinza Oncology

  Oncology steel

  Bhala iNqunto
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  UDkt. Metta Jayachandra Reddy

  Sr. Consultant

  Oncology steel

  Bhala iNqunto
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  UDkt. Saleem Shaik

  umxhumanisi

  Oncology steel

  Bhala iNqunto
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  UDkt. Jyothi A

  umxhumanisi

  Oncology steel

  Bhala iNqunto
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  UDkt. Suyash Agarwal

  Uchwepheshe Wokuhlinza Oncologist

  Oncology steel

  Bhala iNqunto

Izithuthukisi Zokuhlinza Ezisezingeni eliphezulu esibhedlela i-CARE

Odokotela abahlinzayo Bezibhedlela ze-CARE basebenzisa amasu athuthukile njenge-Lymphatic Microsurgery Preventive Healing Approach (LYMPHA). Le nqubo ye-groundbreaking ixhuma i-lymphatic yengalo ne-axillary vein tributary ngesikhathi sokuphuma kwe-axillary. Imiphumela iyamangalisa - izinga le-lymphoedema yengalo lehlile. 

Isibhedlela siphinde sisebenzisa i-invasive kancane i-liposuction izinqubo zokulungisa amaqhuqhuva e-axillary.

Odokotela abahlinzayo abayizimonyo abahamba phambili baseNdiya abanolwazi olunzulu ngezinqubo ze-axillary bakha ithimba labahlinzayo le-CARE. Izinsiza zesimanje zesibhedlela zisiza ekutholeni imiphumela emihle kakhulu yokuhlinzwa yawo womathathu amazinga ama-axillary lymph nodes kuyilapho kulethwa ukunakekelwa kwesiguli okungcono kakhulu.

Izimo Zokuhlinzwa Kwe-Axillary Lymphadenectomy

Izibhedlela ze-CARE zelapha izimo ezimbalwa nge-axillary lymphadenectomy:

• Umdlavuza wesibeletho enama-lymph nodes e-axillary positive
• Umdlavuza webele ovuthayo odinga ukuhlolwa okuphelele kwe-nodal
• I-melanoma ene-axillary nodal nodal
• I-squamous cell carcinoma ene-lymph nodes enempilo
• Ukuphindaphinda kwe-lymph node ye-axillary ngemva kokwelashwa kwangaphambili komdlavuza
• Umsila we-axillary we-Spencer obangela ukukhathazeka kwezimonyo nobuhlungu

Izinhlobo ze-Axillary Lymphadenectomy Procedures

Izibhedlela ze-CARE zinikeza uhla oluphelele lwezinqubo zokuhlukaniswa kwe-axillary lymph node:

• I-Level I-II dissection: Isusa ama-lymph nodes lateral kuya nangemuva kwe-pectoralis minor muscle
• I-Level I-III dissection: Inwebela phezulu kwe-axilla ngamakesi athuthukile
• I-Sentinel lymph node i-biopsy: Inketho encane ehlaselayo yeziguli ezisesigabeni sangaphambi kwesikhathi
• Indlela ye-LYMPHA: Indlela yokuvimbela eyehlisa kakhulu ingozi ye-lymphoedema

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

Odokotela benza isibuyekezo esiphelele sangaphambi kokuhlinzwa. Umsebenzi wegazi, ukuhlolwa kwezithombe, nokulungiswa kwemithi kuyingxenye yamalungiselelo ayisisekelo. Izisebenzi zezokwelapha kufanele zinikeze ama-antibiotics e-prophylactic phakathi nemizuzu engama-30 ngaphambi kokusika. Isiguli akufanele sidle amahora angu-6 ngaphambi kokuhlinzwa kodwa singaphuza amanzi amancane kuze kube amahora angu-2 ngaphambili.

I-Axillary Lymphadenectomy Inqubo Yokuhlinzwa

Ithimba labahlinzayo libeka isiguli emhlane nengalo yaso yeluliwe. I-axilla ibheke onqenqemeni lwetafula lokusebenza ukuze inikeze ukufinyelela okungcono kakhulu. Udokotela ohlinzayo wenza ukusika okungu-5-10 cm eduze kwe-axillary hairline engaphansi. Bese behlukanisa i-dermis ne-subcutaneous tissue nge-electrocautery, bathole i-clavipectoral fascia, futhi bafinyelele i-axilla. Udokotela ohlinzayo ugcina ngokucophelela izinzwa ezibalulekile nemithambo yegazi ngenkathi ekhipha ama-lymph nodes angaba ngu-10-15.

Ukubuyisela Ngemva Kokuhlinzwa

Iziguli eziningi zihlala ubusuku bonke, nakuba ezinye izibhedlela zivumela iziguli ukuthi zigoduke ngalo lolo suku. Ishubhu lokudonsa amanzi lihlala kuze kube yilapho okukhiphayo kwehla ngaphansi kuka-30 ml nsuku zonke izinsuku ezimbili ziqondile. Iziguli kufanele ziqale ukuhamba kusenesikhathi—iningi liqala ukuvivinya izingalo phakathi namahora angu-48-72. Izikhathi ezijwayelekile ze-physiotherapy zisiza ukubuyisela ukunyakaza kwehlombe futhi kwehlise ingozi ye-lymphedema.

Izingozi Nezinkinga

Izinkinga zihlanganisa:

• Ukwakhiwa kwe-Seroma
• I-Lymphedema
• Ukutheleleka kwamanxeba
• Ukuba ndikindiki engalweni yakho noma udonga lwesifuba
• I-Axillary web syndrome-izicubu ezibomvu emithanjeni ye-lymph ezibangela ubuhlungu futhi zikhawulele ukunyakaza kwehlombe

Izinzuzo Zokuhlinzwa Kwe-Axillary Lymphadenectomy

Lokhu kuhlinzwa kunikeza ulwazi olubalulekile lwesiteji futhi kusiza odokotela bakhethe ukwelashwa okufanele kokulandelela. Ukulawulwa kwendawo kuhle kakhulu, namazinga okuphinda ahlala ngaphansi kuka-2%. 

Usizo Lomshwalense Wokuhlinzwa Kwe-Axillary Lymphadenectomy

Izinkampani zomshwalense zivala kakhulu i-lymphedema. Xhumana nomhlinzeki wakho womshwalense mayelana nesicelo sakho.

Umbono Wesibili Wokuhlinzwa Kwe-Axillary Lymphadenectomy

Ukuthola umbono womunye uchwepheshe kuzosiza ukuqinisekisa ukuthi uthola ukunakekelwa okungcono kakhulu. Udokotela uzobuyekeza izimpawu zakho nakho konke ukuhlolwa nokuhlolwa okwenziwe ngaphambilini. Bazochaza imiphumela yakho nokuthi udinga ukuhlinzwa noma cha.

Isiphetho

I-Axillary lymphadenectomy idlala indima ebalulekile ezigulini eziningi ezinomdlavuza, ikakhulukazi lezo ezilwa nomdlavuza webele. Lokhu kuhlinzwa kuza nezingozi ezithile, njenge-lymphoedema, kodwa izinzuzo zako zikwenza kubaluleke ekuhleleni umdlavuza okunembile nokuhlela ukwelashwa.

Isayensi yezokwelapha iyaqhubeka nokuthuthukisa imiphumela yesiguli ngamasu afana ne-sentinel node biopsy. Lokhu kuthuthuka kwehlise izinkinga kakhulu ngenkathi ugcina amazinga angcono kakhulu okulawula wendawo.

Iziguli kufanele zibe nezingxoxo ezinemininingwane mayelana nezinketho zazo nethimba lazo lokunakekelwa kwezempilo. Izibhedlela ze-CARE Group e-Hyderabad zihamba phambili ngeqembu labo elikhethekile labahlinzayo nezindlela ezisezingeni eliphezulu ezinciphisa izinkinga.

Impumelelo yakho yokutakula incike ekutheni uzilandela kahle kangakanani iziqondiso zangemuva kokuhlinzwa. Ukuzivocavoca okulula kusiza ukubuyisela ukusebenza kwehlombe futhi kunciphise ingozi ye-lymphoedema lapho iqalwa kusenesikhathi. Imisebenzi evamile ingaphinda iqale phakathi namaviki ambalwa ngezinyathelo ezithile zokuphepha.

Ukukhetha ukuthola i-axillary lymphadenectomy kudinga ukubhekwa ngokucophelela kuzo zombili izingozi kanye nezinzuzo. Icala lesiguli ngasinye lihlukile, ngakho izinhlelo zokwelashwa ezenziwe ngezifiso ziletha imiphumela engcono kakhulu. 

Ukwelashwa komdlavuza kuletha izinselele, kodwa izikhungo ezikhethekile manje zenza i-axillary lymphadenectomy iphephe futhi isebenze kangcono. Ukulungiselela kahle, ukunakekelwa kokuhlinzwa okungochwepheshe, nemizamo yokuzimisela yokululama kudala isisekelo sokwelashwa okuyimpumelelo. Lezi zakhi zisiza ukuthuthukisa ikhwalithi yempilo yakho ngemva kokuhlinzwa.