Ngaphambi kowe-1990, unyango oluqhelekileyo lwesifo somhlaza wesifuba sasisisifo somhlaza, ukususwa kwebele lonke.
Emva ko-1990, ngenxa yesiphakamiso esivela kwiZizwe zeSizwe zezeMpilo, abaninzi abafazi abanomdlavuza wesibeleko sele benokukhetha ukhetho. Esikhundleni se-mastectomy, banokukhetha ngokukhuselekileyo i-lumpectomy, utyando lokususa umhlaza kunye nezicubu ezijikeleze isisu, kodwa kungekhona isifuba sonke.
I-lumpectomy ilandelwa ngokunyanga kwamayeza okunciphisa umngcipheko wokuphindaphinda kwibele okanye i-lymph nodes.
Bobabini i- lumpectomy kunye ne-mastectomy surgeries ziquka ukususa i-lymph nodes phantsi kwengalo ukuvavanya ubukho beeseli zomhlaza.
Iziko lezeMpilo zikaZwelonke zenze iziphakamiso zabo zokunika i-lumpectomy njengendlela ekhuselekileyo yokugcina imastectomy ngokusekelwe kwiziphumo ezininzi, ezilindelekileyo izilingo ezingabonisi umahluko phakathi kweminyaka e-20 yokusinda kwabasetyhini abane-lumpectomy ne-radiation okanye i-mastectomy.
Ngenxa yeziphakamiso zeSizwe zengcebiso zezeMpilo, amazinga omastectomy kubasetyhini abanesifo somhlaza wesifuba esasisuka ekuqaleni bavela kwi-100% kuma-1980 ukuya kuma-40% ekhulwini namhlanje. Nangona kunjalo, uphando olutshanje, olupapashwe kwiphepha le-JAMA Surgery, lufumene ukuba ipesenteji yabasetyhini abanomdlavuza webele wexesha lokuqala ekukhetheni i-mastectomy iyakhula. Iirhafu ze-Mastectomy zenyuka ukusuka kuma-34 ekhulwini ngo-1998 ukuya kuma-38 ekhulwini ngo-2011.
Iingqalelo ngezoBini zoPhando
I-lumpectomy inokugcina ubuninzi beembonakalo, kunye nokuva kwebele. Ekubeni ukuhlinzwa okungaphantsi kwe-invasive, ixesha lokubuyisela lifutshane kwaye lilula kune-mastectomy.
I-Lumpectomy ayifanelekanga kubafazi abathile. Ubungakanani besisu, kwakunye nommandla wesisu kunye nobungakanani besifuba, sinqume ukuba ingaba i-lumpectomy inokwenzeka.
Enye ingqalelo ekukhetheni i-lumpectomy ngaphezu kwe-mastectomy yithuba kunye nokuzinikela kwezohambo. I-Lumpectomy idinga unyango lwamayeza kwithuba leveki. Ukuba ibhinqa lihlala kude kummandla wonyango, i-lumpectomy ingabi yinto efanelekileyo yokhetho. Ukongezelela, umbane awuyiyo inketho kubasetyhini ngeemeko ezithile zezempilo ezifana ne-systemic lupus.
I-Mastectomy yindlela yokuhlinzwa ngokubanzi ngaphezu kwe-lumpectomy kwaye inexesha elide lokubuyisela.
Ngo-1999, ndafumana i-lumpectomy, elandelwa ngamayeza angama-36. Ubunzima bube buncinane; Ndabuyela ukusebenza kwiintsuku. Izaphulo ezingenabuhlungu. Iimpembelelo zokunyuka kwemitha zenzeke ngomhla we-15, kwaye ndaqala ukufumana ukulahleka kwamandla. Ndakwazi ukusebenza 5 kwiiveki ezingama-6+ kwonyango. Umgangatho wam amandla uphuculo phakathi kweentsuku zokugqiba unyango.
Ngo-2009, umhlaza wam wesibili, owawunomnye oyintloko kwisifuba esichaseneyo (kungekhona ukuphindaphinda komhlaza wam wokuqala), ndakhetha ukwanda komzimba. Kwakungenangqiqo ukugcina isifuba esake sinomdlavuza.
Emva kweentsuku ezimbini zokuqala emva kokuhlinzwa, intlungu yayilawulwa yiTylenol. Ndaphinda ndibuye ndisebenze ngenyanga.
Ukususela ekubeni zombini iintsholongwane zamanomhlaza, ndingafuneki i-chemotherapy.
Iingcamango Zokugqibela
Isigqibo somfazi sokuba ne-lumpectomy okanye i-mastectomy yinto enokuthi ifumaneke ngoncedo lwesigqirha sesifuba sakhe emva kwengxoxo epheleleyo malunga nenzuzo kunye nenkunkuma yengqubo nganye, kunye nokukhathazeka kwayo kunye nokukhethwa kwayo.
UJean Campbell ungumdlavuza wesibeleko se-2x kunye nomongameli owayesungula iNational Cancer Society iNew York City Patient Navigator Programme kwizibhedlele zikarhulumente nezikarhulumente ezi-14. Ungumlawuli olawulayo wentlangano engenzi nzuzo enikeza ulwazi kunye nolwazi kunye nenkxaso kubasetyhini namadoda osandul 'uvavanyo lwesifo somhlaza wesifuba.