Ukwandiswa Kwempumelelo Kwi-Nipple Yokunciphisa I-Mastectomy
Ukulibaziseka kwe-Nipple yinkqubo yokucwangcisa eyenziwa ekulungiseleleni i -mastectomy . Isigulane mhlawumbi singabiza lo msebenzi "ukulibaziseka kwe-mastectomy" endaweni yoko, kuba uphakamisa umhla we-mastectomy yakho ukuya kwiiveki ezimbini. Ukulibaziseka kwe-Nipple yiyona enye yezinto ezininzi zokugcoba ingono-zonke eziphikisanayo, kuba ezininzi iintsholongwane zebele zivela kwimidon ye-nipple ngokwayo. I-biopsy yezicubu ezivela ngaphantsi kwengxubane iya kubonisa ukuba okanye ingasayi kubakho ingono yakho.
Ukugcina Iimpawu Zakho Zendalo Emva kweMastectomy
Ingxube yakho kunye ne-asola complex (NAC) idinga ukunikezelwa kwegazi ukuze unike impilo. Ukuba akukho mveliso enokwethenjelwa kulezi zicubu emva kwe-mastectomy ye-nipple-ignoring mastectomy, ezo zakhiwo ziya kufa, kwaye izicubu zonyango ziza kupheliswa. Inqubo yokuhlinzwa eyenziwa ngokuthi "ukulibaziseka kwengono" ihlose ukudala uxhulumaniso olutsha olusuka kwilusu lwebele ukuya kwi-NAC oluya kugcina iinjunu zakho zendalo kunye neziphiko eziphilayo kunye kakuhle.
I-Mastectomy ye-Nipple-Distribution Mastectomy Akuyona yonke into
Abasetyhini abane- BRCA iinguqu zezofuzo ezikhetha i- prophylactic mastectomies banokukwazi ukugcina iimvumba zabo zendalo. Abanye abaviwa abalungileyo ziquka izigulane ezinesifo esiqhelile esikhwameni, okanye abangenayo isikhumba sebele esichaphazeleka ngumhlaza. Akukho mhlaza kufuneka ufunyenwe kwi-biopsy ye-subareolar esithathiweyo phambi kokuba i-mastectomy ye-nipple kunye ne-skin-sparing-out brearing, kwaye akufuneki kubekho ukukhutshwa kwegazi kwenzalo . Akufanele ube ngumsiza osebenzayo, njengoko oku kunqanda ukuhamba kwegazi kunye nokunciphisa inkqubo yezempilo kunye nokuphulukisa.
Ubungozi be-Ingono yokuLawula iMastectomy
Ukongeza kwimingcipheko eqhelekileyo yokuhlinzwa - i-anesthesia, intlungu, ukuphuma kwegazi kunye nosuleleko-kukho ingozi ephantsi kakhulu yokuba ingono ingasinda naphezu kwemizamo engcono yokuyigcina. Uphononongo olwenziwa kwi-Institute of John Wayne Cancer Institute eSanta Monica, eCalifornia, luchaze ngeziphumo zokuhlinzwa okwenziwa ngabasetyhini abangama-99 abaye balandelwa iminyaka emihlanu. Bika ingxelo yokuba i-22 ye-nipples egcinwe ekugqibeleni ilahlekelwe ngumhlaza, 8 ayiphumelelanga, kwaye i-2 yayisuswe ngokukhawuleza. Ucwaningo lubonisa ukuba, "Kwakungabikho i-nepprosis xa i-NSM (i-inglers-sparing mastectomy) eyenziwa emva kokuba inkqubo yokulibazisa." Nangona kunjalo, ukuba i-biopsy ye-subareolar ibonisa umdlavuza ngaphambi kokuba i-mastectomy ikhuni, kufuneka isuswe. Kwanomdla wesinye somhlaza uninzi kakhulu ukugcina.Iingenelo zoKwazisa kweNtshu
Ukugcina iimvumba zakho zendalo zigcina ubonakala bokuqala kunye nokuziva kwakho amabele akho, ngaphandle kokufuna ukuvuselelwa kwezono . Ezinye zeentlobo zeengcambu zendalo ziya kuqhubeka ukuba isampuli esihle seentsholongwane zihlala zidibeneyo, kodwa ingxowa eyakhiwe kwakhona ayiyi kuba nobutyebi ngaphandle koxinzelelo.
Inkqubo yokuPhelelwa kweeNgxube
Inkqubo yokulibaziseka kweenkukhu ihlelwe njengophenyo lwangaphantsi kweeveki ezimbini phambi kokuba u- mastectomy yakho. Uya kuba phantsi kwe-anesthesia kwaye akayi kuva nantlungu xa kutyunjwa. Udokotela wakho ogqirha uya kwenza ukukhangela kwesikhumba sakho kwindawo ekuya kubakho ubuqheba bakho besikhumba. Le nto ingaba phantsi kwe-orola yakho okanye kwi-bottom under your breast. Phantse isiqingatha sekhumba sakho siya kunqunyulwa kwiindawo ezinamafutha kunye neengqumbo zesifuba sakho; Oku kuya kunqumla imithana yegazi edla ngokusasaza kwi-ingono yakho, kwaye ikhuthaze iinqwelo ezintsha zokuxhuma kwesikhumba sebele kwinkimbinkimbi ye-nipple-areola, igcine iphila. Udokotela wakho ogqirha uya kuthatha i-biopsy yeesishubhu phantsi kwe-NAC yakho kwaye uyithumele kwibhanki yokugula. Abasetyhini abanesisundu esikhoyo esisekufuphi kwenzalo kunye ne-awaola baya kuzuza kwinkqubo yokulibazisa kweengono.
UkuPhilisa nokuThatha
Unokungahambi kakuhle kwaye utyumle ngexesha lokuphulukana kwinkqubo yokubambezeleka kwenzeni. Abanye oogqirha banokuthi usebenzise i-cream cream kwibele ngaphambi okanye emva kokuhlinzwa kwakho. Ukuba ufuna imithi yokuncikiza isisulu, qiniseka ukuthatha loo nto imiselweyo - ungalindelanga uze uzive uluhlaza, njengoko oku kusebenza kakuhle xa kuthathwa ngokuthintela. Thatha lula uze uvale amanqanaba akho wamandla abuyele kwisiqhelo.Imithombo:
I-Mastectomy Yokunyusa Ingumzimba Kwi-99 Izigulane ezineNqanaba eliPhezulu lokuLandela iminyaka emi-5. J. Arthur Jensen MD, i-Jay S. Orringer MD, i-Armando E. Giuliano MD. I-Annals ye-Oncology yokugada. NgoJuni 2011, uMqulu 18, iNqaku 6, iphe 1665-1670.
Jensen, JA; Lin, JH; Kapoor, N; Giuliano, AE (2012). "Ukutshatyalaliswa kokukhawuleza kweComplex-Areolar Complex: Isisombululo esinamandla sokwandisa ukuPhepha kweeNtshu emva kokuLawula i-Nipple-Distribution Mastectomy". Ama-Annal of Oncology yokugada 19 (10): 3171-3176.