Ukuthelekiswa kweentlobo zoPhando lweCarcer Breast
Ziziphi iintlobo ezahlukeneyo zonyango olunikezwa ngumhlaza wesifuba, kwaye unokuzifanisa njani na?
Ukuthintela ukuphindaphinda komhlaza yiyo eziphambili xa zifika ekuvelweni komhlaza webele. Injongo kukususa i-tumor ukwenzela ukuba ayiyi kubuya kamva kwifuba lakho, okanye isasazeka kwaye ivele kwezinye iindawo zomzimba wakho.
Izinto Ezifuneka Ziyiqwalasele Ngokukhetha Utyando Lwemhlaza Webele
Ukuba udinga utyando lwebele lombele, unokhetho olululo kwinkqubo.
Cinga le miba njengoko ufunda malunga neendlela ezahlukeneyo:
- Ubungakanani besisu sakho, ibanga, kunye nesimo sakho se-lymph node ukuba uyazi ..
- Ngubani oya kwenza utyando lwakho? Udokotela ogqirha, okanye ugqirha ogqirha ngokugqithwa kwebele?
- Yiyiphi imiphumo yezityalo onokuyilindela kwinkqubo nganye. Oku kunokuxhomekeka kubini ubukhulu besisu sakho kunye nalapho ufumaneka khona.
- Ixesha othanda ukulikhupha emsebenzini okanye ukhuphe ebomini. Ezinye iinkqubo zinexesha elide lokubuyisa kunezinye.
- Ubungozi obunxulumene nophando ngalunye.
- Iintlobo zonyango nganye ngokuphathelele ithuba lokuphindaphinda kwendawo (ukuphindaphinda kwibele).
- Unyango oya kuba nayo ngaphezu kokuhlinzwa, kuquka i-chemotherapy kunye neyeza-hormonal.
- Isidingo sokufumana unyango lwe-radiation.
- Unokwenzeka ukuba unomdlavuza webele.
Iintlobo zeeNtsholongwane zeCanscer Breast
Iinkqubo ezintathu zokuhlinzwa ezisetyenziselwa umdlavuza webele zi:
- I-Lumpectomy - Ukususwa kwesisu esinomhlaza kunye nomda weenthambo ezizungezile.
- I-Quadrantectomy - Ukususwa komhlaza kunye nommandla omkhulu weetekisi ezingenayo.
- I-Mastectomy - Ukususwa kwazo zonke izicubu zesifuba kwelinye okanye kumabini omabili. Kwezinye iimeko, inxalenye yesifuba yonke imisipha ingasuswa kwakhona.
Ukuthelekiswa koBuchule beCanscer Breast and Making Choice
Nye yale nkqubo iya kuchazwa ngokufutshane apha ngezantsi, kunye nezikhonkco ukuze ufunde kabanzi malunga nantoni na enomdla ekuqwalaseleni. Ukufunda kwinqanaba ngalinye kunokukunceda uqonde iingenelo kunye nobungozi kwaye uncede uxoxe ngeendlela ozikhethayo kunye nodokotela wakho ogqirha ukuze wenze ukhetho olungakumbi. Xa ufundile ufunde malunga nazo zonke iinketho ezingezantsi, khangela le uluhlu lwemibuzo eyi-10 ekufuneka uyiqwalasele xa usenza isigqibo phakathi kwe-mastectomy kunye ne-lumpectomy .
I-Lumpectomy yeCanscer Breast
I-lumpectomy yindlela yokuhlinzwa eyenziwa yinto encinci ebizwa ngokuba "yinkcazo ebanzi." Ukuba uva u kuthetha malunga 'nenkqubo yokulondolozwa kwebele' oku kwenzeka ukuba inkqubo iyacaciswa. Umsebenzi wakho wobugqirha uya kuba kukususa isilwanyana ngokwawo kunye nomda weethambo ezijikeleze umtya. Udokotela wakho ogqirha uya kusebenza ngokuziva kunye nolwazi olufakwe kwi-mammogram yakho okanye ingxelo ye-ultrasound.
Ukufumana "imida ecacileyo" kubaluleke kakhulu xa kwenziwa inkqubo yokwenza i-lumpectomy , kwaye kutheni ukuba indawo yesisu ejikeleze isisu nayo isuswe. Ekubeni i-tumor iqhubekile okanye i-spiculated surfaces ezinokuba zizama ukutsala kunye nokusabalalisa, ugqirha uya kufuna ukuqiniseka ukuba xa isisu sisusiwe akukho bungqina besikhalala esishiye kwiisishu.
Iintambo okanye iimvumba zangaphandle zomhlaza yilezo ezinika umhlaza igama layo, livela kwigama lomkhwa.
Ngokuxhomekeke ekubeni zininzi izicubu zisuswe, awunakudinga i-prosthesis, okanye i-padding eyengeziwe kwi-bra yakho, emva kokuba ufumene i-lumpectomy. Umzimba wakho uza kuvelisa ezinye izicubu ezibomvu kwindawo yokuhlinzwa, eya kuzaliswa kwindawo apho isalonda sasiyiyo. Oku kuya kutshintsha ukubunjwa kwesifuba sakho, kwaye le ndawo iya kubonakalisa kwimimmograms ezayo eyahlukileyo kwiisisu zomzimba ezingaphazamiseki. Uza kuba nekhanda elukhumbeni apho ukuqhutyelwa kwakho kwenziwe khona, kodwa ngokunyamekela, oku kuya kuphelela kumgca omncinci onokukhanya nje kwesikhumba esingqongileyo.
Buza udokotela wakho ugqirha okanye ugqirha wentsapho indlela onokuyinyamekela ngayo ingqwalasela kunye nokukhuthaza ukuphulukiswa.
I-Quadrantectomy yeCanscer Breast
Iimvumi ezinkulu zifuna i- quadrantectomy . Olu hlobo lotyando lususa enye kwikota yesifuba kwaye lubonwa njengenkqubo yokugcinwa kwebele. Kukwaziwa nangokuthi i-mastectomy ekhethekileyo. Udokotela wakho ogqirha uya kususa i-tumor kunye no-2-3 centimeters (1 -1½ intshi) zeengxube zesifuba ezizungezile ukuze uqiniseke ukuba iindawo ezijikelezileyo ezijikeleze isisu zicacile ngumhlaza.
Isikhumba esilala phezu kwekota yesibindi sakho siya kususwa kwaye esinye isisipha sobhantshi lwesifuba, ngaphantsi kwesisu, kusenokufuneka sithathwe. I- lymph node eziseduze kakhulu ne-tumor ziya kususwa kwaye zivavanywe ngamaseli omhlaza, njengokuba luya kukwenza ulusu kunye nezicubu ezijikelezayo.
I-quadrantectomy iya kubangela utshintsho lobungakanani kunye nesimo sakho sesifuba, kwaye emva kokuba uphinde ufumane ukuhlinzwa, unokwenza okanye ungakhethi ukusebenzisa i-padding eyongezelelweyo ebhokheni yakho ukuze kuvele ukubonakala kwakho. Unokuba unqwenela ukuba unogqirha weplastiki uvuselele isifuba kwisayizi encinci kunye nesimo sendalo. Olu hlobo lwenkqubo luyenziwa kangcono ngaphambi kokuba nayiphi na imithi yokwelapha, njengemitha okanye i-chemotherapy, yenziwe.
I-Mastectomy yeCanscer Breast
Ukuba i-tumor iyinkulu okanye ingabonakali, i- mastectomy ingafuneka . Olu hlobo lotyando luyakususa ubuninzi beethambo zesifuba kunokwenzeka. Kukho iintlobo ezimbini ze-mastectomy: i-modified radical mastectomy kunye ne-total, okanye i-Halstead, i-mastectomy.
- I -mastectomy eguquguqukayo ishintshwe zonke izicubu zesifuba kwelinye okanye kumacala amabini kuxhomekeke ekubeni unayo inqubo engasetyenziswayo kunye kunye neyamanye amazwe. Isikhumba sebele nesinci sinakho okanye asinakususwa, kuxhomekeke ekubeni ngaba ugqirha wakho ukhululekile ukwenza le nkqubo, kwaye ukuba i-tumor yakho isendaweni apho oku kwenzeka khona. I-lymph node dissection i-lymph node dissection ingenziwa xa i- nodeel node biopsy inquma ukuba umdlavuza ukhona kwii-lymph nodes.
- Ingqungquthela, okanye i- Halstead i-mastectomy isusa ingono kunye ne-areola, isikhumba semfuba kunye nezicubu, kwaye isenokususa inxalenye yesifuba sendonga yesifuba phantsi kwebele. I-lymph nodes kwindawo ye-armpit (axilla) iya kususwa kwaye ihlolwe ngumhlaza.
Ngaphandle kokuba uvuselelwe isisu okanye utyando lweplastiki olwenziwe emva kwe-mastectomy, uya kuba nebala elincinci elincinci kwi-incision, kwaye isikhumba esikulo sifuba siza kuba sichitha. Ukunyamekela kakuhle isiqabana kuya kubangela umgca wokukhanya omhle, emva kwexesha. Unokusebenzisa ibhondi ye-prosthetic, eneepokotshi zokubamba isifuba sebele , ukuba uthanda, ukulinganisela ukubonakala kwakho.
Ukubuyiswa kwesisu emva kweMastectomy
Ukuba ukhethe ukuvuselelwa kwangaphambili kwebele , ugqirha awuyi kususa isikhumba esikhulu, ukuze ivalwe phezu kwebele. Ukuba intshontsho yakho isuswe nge-mastectomy, unakho ukhetho lokuba ne-ingono kunye ne-asola ekwakhiwe kwesikhumba sakho esisele.
Ukufumana iSigqirha esihle
Ukuba awuzange ube nokuhlinzwa, okanye ungayazi ugqirha ukuba ubone ngale nto, cela ugqirha wakho weentsapho okanye umongikazi ukuba acebise ugqirha. Ukuba unayo i-oncologist, kufuneka kwakhona akwazi ukukuthumela kwiingcali ezigqirha ezenzile ezi ntlobo zonyango lwebele.
Ukufumana udokotela ogqirha onamava amaninzi ekuvuleni kwebele kwaye ngubani owaziwa kakuhle uncedo olukhulu. Ukuba nabo banazo izakhono zokuphulaphula kakuhle kwaye bayakwazi ukuphendula imibuzo yakho ngolwimi olucacileyo kunye nokunyamezela, ngoko ufumene ixabiso.
Ukujongana noMshuwalense wezeMpilo
Hlola nenkampani yakho yoshishino lomshuwalense, ukuba unalo, uqinisekise ukuba ugqirha ozikhethelayo kunye nesibhedlele okanye isikhungo sokuhlinzwa apho esebenza khona. Kwakhona, phambi kokuba uvumelane naluphi na inkqubo, tshekisha abasebenzi bakho ogqirha ukuze ubone ukuba banokusebenza kunye nenkampani yakho yinshorensi yezempilo ukuze ufumane ezilungileyo.
Nangona uhlola ingxelo yakho yomshuwalense, fumana ukuba iifisi ze-aneshesia zisebenza njani esibhedlele. Qinisekisa ukuba ezo zihlanganiswe yinshorensi yakho yempilo. Ugqirha wakho, isibhedlele, kunye ne-anesthesiologist baya kuhlawula zonke i-inshurensi kunye / okanye yakho yinshuwalense yempilo ngokwahlukileyo. Ukwenza umsebenzi wakho wesikolo kuqala kunokukunceda ukukhusela nayiphi na imingxuma yemali emva kokuhlinzwa kwakho.
Ukunyamezela kunye nenkxaso
Ekuqwalaseleni ukhetho lwenkqubo onokuyifunayo, kubalulekile ukuba ukhethe owodwa ukhululekile kakhulu. Ukuba intsapho okanye abahlobo bengavumelani, baxolelane ngokuzithoba ngombono wabo kwaye ubazise ukuba wenza isigqibo ovakalelwa kukuba kukulungele. Cinga ukufumana umbono wesibini kungakhathaliseki ukuba uyiphila. Kukho ukhetho oluninzi kunokuba iminyaka embalwa edlulileyo xa kufikelele ekulawuleni umdlavuza webele, kodwa oku kuthetha ukuba kukho izigqibo ezininzi eziya ku funeka zenziwe. Funda indlela yokuzithethelela njengesigulane somhlaza ukuze ufumane uncedo olungcono.