Qhov sib txawv tseem ceeb ntawm cov kab mob qog noj ntshav thiab cov qog ntshav hauv axillary yog tias cov qog ntshav qog ntshav qog ntshav yog thawj ob peb cov qog ntshav hauv cov qog ua rau cov qog ntshav tawm thaum cov qog ntshav qog ntshav yog cov qog ntshav hauv tib neeg lub caj dab uas yog lub luag haujlwm rau cov qog ntshav tawm ntawm lub cev. ob lub mis thiab ib puag ncig.
Cov kab mob lymphatic yog lub network ntawm cov ntaub so ntswg thiab cov kabmob uas thauj cov qog ntshav mus thoob plaws lub cev. Lymph nodes yog ib pawg me me ntawm lub cev tiv thaiv kab mob uas pab tiv thaiv kab mob. Axillary lymph nodes muaj nyob rau hauv lub underarm los yog lub axilla. Sentinel lymph nodes yog cov qog nqaij hlav hauv lub mis uas mob qog noj ntshav yuav kis tau ua ntej. Yog li ntawd, sentinel node biopsy yog siv los xyuas cov qog nqaij hlav axillary rau kev kis mob qog noj ntshav.
Dab tsi yog Sentinel Lymph Nodes?
Sentinel lymph nodes yog thawj ob peb lub qog ntshav uas ua rau mob qog noj ntshav mis. Yog li ntawd, lawv yog thawj qhov chaw uas mob qog noj ntshav yuav kis tau. Cov kws phais mob siv cov kab mob qog noj ntshav los txheeb xyuas cov qog nqaij hlav qog nqaij hlav uas kis tau. Lawv siv cov xim tsis muaj teeb meem lossis cov tshuaj tsis muaj zog hauv xov tooj cua kom pom.
Daim duab 01: Sentinel Lymph Nodes
Yog tias qhov kev kuaj ntshav kuaj ntshav kuaj ntshav yog qhov tsis zoo, nws yuav muaj feem ntau tias tag nrho cov dej ntws tawm tsis zoo. Yog tias nws yog qhov zoo, nws txhais tau tias, tej zaum yuav muaj lwm cov qog ntshav qab zib zoo. Yog li, sentinel node biopsy yog qhov tseem ceeb txhawm rau txiav txim siab seb cov qog ntshav qab zib twg yuav tsum raug tshem tawm. Nws txo qhov kev pheej hmoo ntawm cov teeb meem cuam tshuam nrog kev phais tshem tawm tag nrho cov qog nqaij hlav qog noj ntshav, tsis zoo li axillary dissection, uas tshem tawm ntau cov nodes thiab cuam tshuam ntau cov ntaub so ntswg hauv axilla. Txij li thaum ob peb cov nodes raug tshem tawm hauv sentinel node biopsy, feem ntau cov neeg tsis tau lymphedema. Yog li ntawd, cov kws phais neeg xav tau cov kab mob qog nqaij hlav hauv lub cev ua thawj kauj ruam los kuaj xyuas cov qog nqaij hlav qog nqaij hlav hauv lub mis.
Axillary Lymph Nodes yog dab tsi?
Axillary lymph nodes yog pawg ntawm cov qog ntshav nyob hauv thaj tsam ntawm axilla. Yeej, lawv yog cov qog nqaij hlav hauv qab caj dab. Peb lub cev muaj li 20 - 40 taum zoo li axillary lymph nodes teem nyob rau hauv tsib pawg li subscapular axillary (posterior), apical (medial los yog subclavicular), pectoral axillary (anterior), brachial (lateral), thiab central lymph nodes.
Daim duab 02: Axillary Lymph Nodes
Axillary lymph node dissection yog txheej txheem kho mob rau kev kuaj mob qog noj ntshav. Yog tias mob qog noj ntshav ntawm lub mis pib kis, nws kis mus rau hauv cov qog ntshav hauv qab caj dab (axilla). Yog li, axillary lymph nodes tuaj yeem raug tshem tawm thiab tshuaj xyuas hauv chav kuaj. Hauv axially node biopsy, nws yog ib qho tsim nyog yuav tsum tshem tawm li 10 mus rau 40 lymph nodes los ntawm thaj tsam ntawm caj npab. Ntawm no, ntau cov qog nqaij hlav raug tshem tawm ntau dua li cov qog nqaij hlav qog nqaij hlav. Yog li ntawd, ua ntej axillary lymph node biopsy, cov kws phais neeg xav tau sentinel node biopsy vim nws tsis muaj kev cuam tshuam tsawg dua li axillary node biopsy.
Dab tsi zoo sib xws ntawm Sentinel thiab Axillary Lymph Nodes?
- Sentinel nodes feem ntau yog nyob rau hauv axillary nodes, hauv qab caj npab.
- Ob leeg xa mus thiab axially nodes biopsies yog siv los txheeb xyuas cov qog nqaij hlav hauv lub mis thiab lawv kis mus rau lwm qhov chaw.
Qhov txawv ntawm Sentinel thiab Axillary Lymph Nodes yog dab tsi?
Sentinel lymph nodes yog thawj cov qog nqaij hlav qog nqaij hlav yuav kis tau. Ntawm qhov tod tes, axillary lymph nodes yog cov qog nqaij hlav hauv qab caj npab. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm sentinel thiab axillary lymph nodes.
Ntxiv mus, lwm qhov sib txawv tseem ceeb ntawm cov kab mob qog noj ntshav thiab cov qog nqaij hlav axillary yog nyob rau hauv cov qog nqaij hlav qog nqaij hlav, tsuas yog ob peb lub pob raug tshem tawm, yog li tib neeg tsis kis mob qog nqaij hlav. Hauv qhov sib piv, axillary lymph node dissection tshem tawm ntau cov nodes thiab cuam tshuam ntau ntawm cov ntaub so ntswg hauv thaj tsam hauv qab. Yog li ntawd, nws yuav ua rau lymphedema ntau dua.
Summary – Sentinel vs Axillary Lymph Nodes
Sentinel lymph nodes yog thawj cov qog qog nqaij hlav uas yuav kis mus rau. Lawv feem ntau yog nyob rau hauv axillary lymph nodes. Axillary lymph nodes yog cov qog nqaij hlav hauv qab caj npab. Sentinel node biopsy yog cov txheej txheem kho mob uas muaj ntau tshaj plaws thiab tsis tshua muaj kev cuam tshuam rau kev txheeb xyuas mob qog noj ntshav ntawm lub mis thiab nws kis tau ntau dua li axillary lymph node dissection. Yog li, qhov no qhia txog qhov sib txawv ntawm cov kab mob xa mus thiab cov qog axillary.
