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Ulwaphulo olunjani lwe-Lumpectomy Breast Breast?I-lumpectomy yinkqubo yokuqhawula ukususa indawo encinci yeengxube zesifuba esinomdlavuza okanye okhankanywa ukuba ngumhlaza. Inqubo ye-lumpectomy iyaziwa ngamagama amaninzi, kubandakanya ukuhlinzwa kwebele, kunye ne- mastectomy .
Ukuhlinzwa okwenziwa yi-Lumpectomy kwenziwa ngokugqithisileyo kwi-oncologist, ugqirha ogxininise ekwenzeni unyango lomhlaza ngokungenelela kokugonywa. Utyando luyakwenziwa kwi-patient or patient patient basis. Ukuba i- anesthesia jikelele isetyenziselwa, isigulane sihlala esibhedlele ngobusuku. Ukuba i-anesthesia yendawo isetyenziselwa, isigulane singaya ekhaya ngosuku olufanayo kunye nokuhlinzwa.
Olu hlobo lugqirha lugcinwa kubasetyhini abanomnye owodwa, indawo encinci yeetayisi ezimele zisuswe. Abasetyhini abanomlinganiselo omkhulu bangadinga ukuba banokususwa kakhulu izicubu zesifuba, esoloko zifuna indlela enobudlova enjenge- mastectomy .
Nangona i-lumpectomy ingaphazamisi ngaphantsi kwe-mastectomy kwaye ngokuqhelekileyo ayifuni ukuhlinzwa okwenziwa ngeplastiki emva koko, i-lumpectomy ingabangela ukuba utshintsho oluphawulekayo ekubonakaleni kwebele xa kukho inani elikhulu leethambo. Ukongeza kwinqaba okanye izibazi ezishiywe ngugqirha , kunokukho utshintsho olubonakalayo ekubunjeni kwesikhumba kwisayithi. Kukho nokuba kukho ukungabikho kwamathambo kwindawo leyo, nangemva kokuba ulusu luphilisa.
Nceda uqaphele ukuba i-biopsy kunye ne-lumpectomy iyahluke. I-Lumpectomy iyenziwa xa kukho ukuxilongwa okwenziwe ngumhlaza wesibeleko kunye nomsebenzi ukususa yonke umdlavuza ngomda wezempilo weethambo ezijikelezayo. I-biopsy ekhethiweyo ayiyonyango lophando, yinkqubo yokuxilonga.
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Ngexesha leLumpectomy Breast SurgeryEmva kokuba ulusu lulungiselelwe inkqubo kunye ne- aneshesia , utyando luqala ngokuchithwa kweso siza sisuswe. Xa isikhumba sivuliwe kwaye izicubu eziza kususwa zichongiwe, ugqirha uya kuhlola ubunzima ukuze abone ukuba luhlobo luni lweethambo ezenziwe ngalo.
Kwezinye iimeko, ubunzima bunokuba yi-cyst, isikhwama esincinci esigcwele amanzi. Ukuba ngaba i-cyst, i-fluid iya kugxinwa kuze kube yilapho i-cyst ichithwe. Umkhuhlane uya kugcinwa ukuhlalutya emva kokuhlinzwa.
Kwiimeko ezininzi, uhla lweethambo aluyi-cyst kwaye luyakususwa kwibele. Ukongeza kwimizimba ekhunjulwayo yomhlaza, indawo ejikeleze ubunzima iya kususwa, indawo ebizwa ngokuba ngumda. Zonke izicubu zigcinwa ukuhlalutya kamva ngumhlaza wezilwanyana. Ugqirha uya kuphinda ahlole indawo ukuze abone ukuba ziphi na izakhiwo ezongezelelweyo zomzimba ezichaphazelekayo, njenge-muscle ephantsi kwebele.
Emva kokususwa kweethambo, ugqirha uya kuhlola iisifuba zesifuba eseleyo naziphi na iimpawu zomhlaza ezingasasazeka ngaphandle kwesikhumba esasuswe. Ukuba akukho zibonakaliso zengxube ezongezelelekileyo iingxaki, ukugqitywa kungavalwa kunye ne- sutures kwaye utyando luphelile.
Kwezinye izigulane, ugqirha uya kususa i- lymph nodes okanye athathe iisampulu ze- lymph nodes zokuvavanya. Oku kufuna ukudibanisa okuhlukile phantsi kwengalo. Udokotela ogqirha angasenza isampuli ezininzi zee-lymph nodes okanye asuse amaninzi angama-15 okanye angama-20 amaninzi kuwo onke, kuxhomekeke kwizidingo zesigulane. Oku kwenziwayo ukuqinisekisa ukuba umhlaza usasazeke kwi-mass mass in the breast, ukuba unomdlavuza.
Isifuba siya kugutyungulwa ngebhanki engumyanga ngexesha le nkqubo, njengoko kuya kukhankanywa ukuxilongwa kwe-infarm if i- lymph nodes zisuswe.
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Ukubuyisela emva kwe-Lumpectomy SurgeryEmva kokuba utyando lugqitywe kwaye isigulane siphakamise ngokupheleleyo kwi-anesthesia, ukubuyisela ekugqibeleni kuyaqala ngokwenene. Ukuba i- lymph node zisuswe, i-drain ifakwa kwindawo engaphantsi kwe-underarm ukuze isuse umbane ogqithiseleyo. Ukukhupha kuya kuba phantsi kwebhanki engummanga, kwaye iyakususwa kalula emva kokuhlinzwa xa umjelo ungancinci.
I-sutures ezingenakunyuswa zingathathwa ngokukhawuleza emzimbeni ngokuhamba kwesikhathi, kunokuba zisuswe. I-sutures ephezulu iya kususwa ngugqirha ngexesha lokutyelela i-ofisi, ngokuqhelekileyo kwiiveki ezimbini zokuhlinzwa.
Emva kwe-lumpectomy eqhelekileyo, ukususa ubunzima obungaphantsi kwe-5 cm ngobukhulu, ukubuyiswa kuthatha iiveki ezintathu ukuya kwezine. Ukuba inkqubo ifuna ukususwa kweethambo ezininzi, ukubuyiswa kuthatha ixesha elide kwiiveki ezintandathu.
Ngexesha lokubuyiselwa kweentsuku ezimbini zokuqala ukuya kwiintsuku ezintathu kuya kuba yintlungu kakhulu, kunye nentlungu iyancipha enye intsuku emva koko. Ngethuba lesigaba sokubuyisela kuyona nto ingcono ukuphepha naluphi na uhlobo lomsebenzi olubandakanya ukunyakaza, njengokusebenza, kwaye kubalulekile ukunyamekela ukukhangela kwakho .
Ukuphakama kudimazekile ngeeveki ezilandelayo ukuphulukana, njengoko nantoni na into efuna ukuba iingalo ziphakanyiswe phezu kwentloko, enokubeka ingxaki kwi-incision kwaye kubangele ubuhlungu obukhulu. Ibhoksi yokuxhasa, njengebhodi yezemidlalo, inokuqhubeka iqhutywe ngeveki yokuqala okanye ezimbini ukwenzela ukunciphisa ukunyakaza kwesifuba ukukhusela intlungu kunye nenkxaso yokubakho.
Ukuba isilwanyana sihlolwe kwaye sifumaneka ngumhlaza, ukunyangwa kwamayeza kunconywa ukuphatha nayiphi na imimandla enomdla engazange ibe khona ngexesha lotyando.
> Imithombo:
> I-Cancer yaBestile kuMadoda. I-American Cancer Society http://www.cancer.org/Cancer/IsiXhosaCancerinMen/DetailedGuide/index
> Ukwelashwa kweNtsholongwane kaBester By Stage. I-American Cancer Society http://www.cancer.org/docroot/CRI/content/CRI_2_4_4X_Treatment_by_Stage_Breast_Cancer_5.asp?rnav=cri
> Ukubuyiswa kwesisu. Isiseko seSusan G. Komen http://cms.komen.org/Komen/AboutBreastCancer/Treatment/3-5-8?ssSourceNodeId=99&ssSourceSiteId=Komen
> Ukunyanga kwamayeza kunye nawe. AmaZiko eZiko lezeMpilo. http://www.cancer.gov/cancertopics/radiation-therapy-and-you/page2