Ukukhetha Phakathi kweLumpectomy kunye neMastectomy
Xa isifuba sakho sesifuba sibonisa umdlavuza kwaye ujamelene nesigqibo phakathi kwe-lumpectomy kunye ne- mastectomy , unokuba uzive ukhululekile kwaye udidekile. Ulwahluke ngokwenene phakathi kwale nkqubo kwaye yintoni efanelekileyo kuwe?
Unokuzifumana ubuyela emva nangaphandle kwaye uphinde uphinde uphinde ukhethe ukhetho lwakho phakathi kwe-lumpectomy kunye ne-mastectomy . Unokufumanisa ukuba izimvo ziyahluka, nokuba ngaba uluvo lwakho logqirha okanye umhlobo. Kutheni i ngxabano? Kwaye kutheni kubalulekile ukuqonda ingcamango yokugqithisa?
Ngenxa yokuba bobabini kunye nodokotela wakho ugqirha ufuna ukuba kwiphepha elifanayo. Ngelinye icala lombandela umnqweno wokugcina isifuba sakho, okanye ubuninzi bebele yakho ngokunokwenzeka. Ngakolunye uhlangothi kukubaluleka kokufumana wonke umhlaza kunye nokuba neentlobo ezifanelekileyo zokucoca. Ukuqonda ngokubanzi malunga neengcambu zokugada kunokukunceda ufumane ingxaki engcono apho unokusondeza kwiphilisi.
Fumana iNgcebiso malunga neLumpectomy vs Mastectomy
Ukuba ujongene nale sigqibo-lumpectomy okanye i-mastectomy-uya kufuneka ukwazi ukuba imeko yeerhagi yakho yokugqirha ifike njani kwi-equation equation. Qala ngokufunda le ngxubusho evela kwi- UpToDate ukubona ukuba kutheni ukubaluleka kokugqithisa kubalulekile kuwe.
Uvavanyo lweMicroscopic of the tumor: Iingxoxo kwiindlela zokuhlinzwa
Ukuhlolwa kwe-microscopic yezicubu zisuswe ngexesha le-biopsy okanye ngexesha lotyando lungaqwalasela iimpawu ezichaphazela isincomo se-BCT [isilondolozo sokunakekelwa kwebele] ngokubhekiselele kwisifo se-mastectomy. kwimida). Ukuba kusekho iiseli zomhlaza zesifo nangona isisombululo esikhulu sisuswe, i-mastectomy inokukhetha. "
Ukufumana Umyalezo Ngeentlobo Zogqirha
Iimpawu Zogqirha?
Xa i-tumor yakho iqhutywe okanye ikhutshwe ngokugqithiseleyo, ugqirha wakho ugqirha ngaphezu kwe-tumor-ezinye izicubu ezijikeleze i-tumor nazo zithathwa. Lo mda weethambo phakathi komda wangaphandle wesampuli kunye ne-tumor kuthiwa ngumda wokugqitywa .
Emva kokuba ugqirha ugqirha izicubu, idibene ngokucophelela kwisitya kwaye ithunyelwe kwilebhu yokukhubazeka. I-pathologist isebenzisa inki ekhethekileyo ukugubungela umda wangaphandle we-sampuli yonke. Emva koko isampuli ifakwe kumacandelo amancinci kwaye ihlolwe phantsi kwe-microscope. Imijikelo, kunye neengqungquthela, zihlolwe ukuba zibone ukuba nayiphi na iseli somhlaza sele lilahlekile ngaphandle kwehlamba kwaye, ukuba kunjalo, bahambe kangakanani.
Ukuqonda iMigqaliselo yeeDokotela Ukusetyenziswa ukuchaza iMigca yokuTyhila
Kukho izikhokelo eziqhelekileyo, kodwa inkcazo yamanqaku angalunganga okanye acacileyo angachaphaka kwisibhedlele esinye okanye kwikliniki kwenye. Le migaqo emithathu isetyenziselwa ukuchaza imida:
- Margin Negative: Akunamaseli omhlaza kwinqanaba elingaphandle le-tissue
- Umendo ochanekileyo: Iiseli zesifo somhlaza okanye i-tumor ifikelela kwinqanaba leesampuli
- Umda oValiweyo: Nayiphi na imeko phakathi kwezinto ezimbi kunye ezintle
Xa Ulwimi LweeNzululwazi Lugqirha I-Cancer
Vala imida emva kokuba i-lumpectomy ingaphathwa ngenye inqubo yokupasa, ebizwa ngokuba yi-exc-excision. Udokotela wakho ugqirha uza kubuya kwisiza sokuqala aze asuse izicubu ezongezelelweyo ukuze azame kwaye afumaneke (ezicacileyo). Ukuba oko kuphumelele, unyango lwamayeza luya kulandelwa.
Abanye abesifazana abasemagqabini asondeleyo bakhetha ukuba ne-mastectomy, kunokuba baqhutywe omnye okanye mhlawumbi ezimbini. Amanqabileyo afanelekileyo angabonisa ukuba khona komhlaza wesifuba ongenayo , kwaye unokufuna ukuba ne-mastectomy ukwenzela ukuba uqiniseke ukuba yonke isifo sesususwe kwaye ukhusele ukuphindaphinda.
Iimpawu eziMbi kunye neZonyango
Ukuba unayo i-biopsy, i-tumor yakho encinci (ngaphantsi kwamasentimitha angama-4), kwaye izigulane zakho zokucoca zicacile, ngoko i- lumpectomy inokuba yinto yonke yokutyunjwa kwebele (nangona unako ukhetha ukhetho lwe-mastectomy). Ukuba kukhethwe i-lumpectomy, unyango lwe-radiation kwisibele esisele sithintela ukukhusela umdlavuza ophindaphindiweyo.
Imoya yakho ye- lymph node kufuneka ihlolwe; ukuba i-lymph nodes yakho ayinayo isifo, mhlawumbi awudingi unyango lwe-radiation kuloo ndawo emva kokuhlinzwa. Ukuba azinakucaca, i-oncologist yakho inganconyisa i-radiation. Xa usuqedile i-radiation, xa kuyimfuneko, kwaye ukuba unomhlaza wesi-estrogen, uza kuthatha unyango lwe-hormonal ubuncinane iminyaka emihlanu, kwaye ngokuphindaphindiweyo kwelishumi, ukukhusela ukuphindaphinda kwenye indawo emzimbeni wakho.
Umyalezo weKhaya lokuThatha
Kufuneka ukwazi ukuba iimitha zokurhoxisa zakho zibi, zilungile, okanye zivale. Oku, kunye nohlobo lomhlaza , isigaba kunye nesimo se-lymph node, kuya kukunceda ugqirha wakho ukhethe unyango olungcono.
> Umthombo:
> UDaniel F Hayes, uMichael S Sabel, MD. "Utyando lomhlaza wesifuba: i-mastectomy kunye nebele yokulondoloza unyango: Ukuhlolwa kwe-microscopic ye-tumor," UpToDate. Ukuhlaziywa 05/26/16.