Ngama-1990, ezininzi izicwangciso ze-inshorensi zaqala ukunyamekela ngononophelo olunezilonda ezingaphiliyo emva kwe-mastectomy orbilateral mastectomy kwizame zokudibanisa iindleko. Baye banciphisa i-inshorensi yokuhlala kwisibhedlele ihlala kwiiyure ezingama-24 emva kwezi zonyango ezinkulu, kwaye zihlukanise le nkqubo njengogqirha. Ngaphambi koko, ugqirha wesigqirha ngokuqhelekileyo uzimisele ngokunyamekela kokunyamekela esibhedlele ngaphambi kokuba abuyele ekhaya.
Ukwahlula kwale misebenzi yokuhlinzwa ngokubanzi njengendlela yokuphulukana nokuphulukana neziphumo zenze i-Traffic-through Mastectomies.
Yintoni ephosakeleyo ngcamango yokuba ibhinqa liyakwazi ukubuyela ekhaya emva kokuba libonisa ukuba lifumene ngokupheleleyo kwi-anesthetic ukuba unomntu omthabatha ekhaya? Kuyingozi! Kungenzeka kubekho ukugcina indleko ekuqaleni kodwa kungekudala.
Yintoni e ngahambi kakuhle? Kukho ingozi yokusuleleka kunye nokuphuma kwegazi kunye ne-groggy kunye ne-nauseated kwi-anesthesia. Kukho imfuneko yokulawula amayeza anamandla ngokukhawuleza ukuze kuphuculwe intlungu. Ukuba ibhinqa liyakhiwa ngokukhawuleza emva kokususwa kwebele, le nto iya kwongeza iiyure eziliqela ekusebenzeni kwakhe.
Ibhinqa idinga ixesha lokufunda indlela yokunyamekela iimveliso ezikhuphayo eziza kuthwala izikhukhula ngaphandle kwendawo yakhe enxeba iintsuku eziliqela emva kokuhlinzwa kwakhe. Kwakhona udinga iintsuku ezimbalwa ukulungelelanisa oko kuye kwenzeke kuye, kungekhona nje ngokwenyama, kodwa ngokwemvakalelo.
Wonke umfazi udinga ithuba lokuhlala esibhedlele ubuncinci beentsuku ezimbini, kwaye ixesha elide ukuba kukho iingxaki.
Andizange ndiphinde ndakhiwe ngomhlaza wesibeleko sam sesibini; Ndaya kuhlinzwa ngo-8: 30 ekuseni nge-bi-lateral mastectomy, ndavuka ndavuka ngo-3 PM. Ukucatshulwa, kwi-morphine drip, engakwazi ukuvuka nokusebenzisa igumbi lokuphumla, andinakucinga ukuba kwakunzima kangakanani ukuba ndihambe ekhaya emva kweeyure emva kokuhlinzwa.
Emva kweentsuku ezimbini zokuphucula, ndakwazi ukubuyela ekhaya ndithembele ukuba ndiyazi indlela yokunyamekela.
Ndiyakhumbula yonke into endiyilandelayo emva kwesigulane sam isifo samathambo eminyaka eyi-10 ngaphambili. Ndifikile ukuhlinzwa ngo-7: 30 ekuseni. Ndatshitshiswa ekamelweni lokusebenza eliya kwi-1PM. Umgangatho ngelo xesha kwakuyinkqubo yeyathelo eli-1 elaqala nge-biopsy yento eyasuswa ebusweni sam ngelixa ndisephantsi kwe-anesthesia. Emva koko, ngokusekelwe kwiziphumo, ugqirha wam ugqirha uza kwenza i-lumpectomy okanye i-mastectomy. Ndaphakamisela kwigumbi lokubuyisela emva kwe-4PM ukuze ndifunde, okokuqala ngqa, ukuba ndibe nomhlaza wesifuba, kwaye udokotela wam ogqirha wayenze i-lumpectomy.
Le nkqubo yayithathe ixesha elide kunokuba lilindelekile kwaye ndandingumgroggy kwaye ndonwabile kakhulu ngenxa yokuba ndihlala ngenyameko. Ngo-8PM, ndisekho ngaphaya kwayo ukuba ndihambe ngam. Ngoko ndacela ukuba ndikwazi ukulala ebusuku ndihambe ekuseni. Ndatshelwa ukuba akunakwenzeka ngaphandle kokugunyazwa okubhaliweyo kwipropati yam inshurensi, kwaye kwakungasekho ukulungiselela ukuba kunikwe ixesha.
Kwakubanda kakhulu, kunye nekhephu kakhulu. Indodana yam yayifanele ihambe nayo emotweni yayo ize ifike kwindlu yam, emva kokuba ndifike ekhaya. Kufuneka kubekho umda kwiiyure ezingama-24 zeemeko ezizodwa, nangenxa ye-lumpectomi.
Ngemizamo yokubhengeza amaqela okuxhasa umdlavuza wamabele kunye namagosa akhethiweyo, amazwe angaphezu kwama-20 adlulisele umthetho ofuna iinkampani ze-inshorensi zempilo ukuba zifake ubuncinci bokuhlala kwisibhedlele seentsuku ezimbini kunye nexesha elide lokuhlinzwa ngokugqithisileyo.
Ngelishwa, "iDrive-through the Mectectomies" isaphaya kwihafu engama-US e-US
Amagosa akhethiweyo asebenza kwimithetho yokumisa oko kuye kwaba ngumgangatho wesizwe. INdlu yabaBameli ivume umthetho oya kuphelisa umkhwa wokuqhubela phambili "ukuqhubela phambili".
"Umthetho woKhuseleko weMfuyo weZifo seBester" (HR 135), uza kwenza ukuba kubekho izicwangciso ze-inshorensi ukubonelela ubuncinane iiyure ezingama-48 zokunyamekela esibhedlela emva kokuhlinzwa kwe-mastectomy.
Kukho kwakhona kuya kubakho ubuncinci beeyure ezingama-24 zokunakekelwa kwabangaphantsi komzimba emva kwe-lymph node dissection.
Lo myalelo uvumela ukuba umntu oncinci ahlale ekhulelwe isigulane ukuba umfazi kunye nodokotela wakhe uvakalelwa kukuba kufanelekile. Iinkampani ze-inshurensi ziya kufuneka zihlawule ixesha lokuhlala ixesha elide kuneeyure ezingama-48 ukuba ugqirha uziva ukuba kuyimfuneko.
Ukufunda ukuba urhulumente wakho unomgaqo-nkqubo ekusekeleni "uMthetho woKhuselo weMfuyo weZifo soBusayo" ubone i-Mastectomy Hospital Rests.