Iingozi, iimpembelelo nokuphilisa
Ukuba uye wafumanisa ukuba unesifo somhlaza wesifuba esisekuqaleni, ngokuqhelekileyo uthathwa njenge-DCIS kwisigaba se-3A somhlaza wesifuba, mhlawumbi uya kutyunjwa. Ngelishwa, nayiphi na ixesha ixesha lokutshitshiswa kwenziwa kwimibala yesikhumba, inqabunga inqabile. Utyando lwePlastiki aluthetha ukuba awuyi kuba nekratshi, kuphela ukuba oogqirha beeplastiki basebenzisa isayensi emva kokuphilisa ukunciphisa ukubonakala kweso sibalo kunokwenzeka.
Oko kwathiwa, ukuphazamiseka ngenxa yonyango lwebele lomhlaza akunakwenzeka.
Ziziphi iindlela zokwelapha?
Unokuba ucinga i-lumpectomy okanye i-mastectomy xa ucinga ngokukrazula, kodwa kukho ezinye iinkqubo ezinxulumene nomhlaza wesifuba ongabangela ukonakala. Ukulungelelaniswa kwezinye zezi "zixhobo ezongezelelweyo" ngaphambi kwexesha kunokugcina ezi zinto zingasimangalanga ngokungafuneki kamva.
Ukuba unesifo se- chemotherapy esibekwe kwi- chemotherapy , ukunyanzelwa (ngokuqhelekileyo nje phantsi kwekhola yakho ezalwe) kuya kushiya isiqhekeza.
Ukunyanga kwamayeza kunokubangela ukonakala, nangona ukutshabalala kwahluke kunokuba izikhwama zisuka kutyando. I-Breast fibrosis esuka kwipilisi ye-radiation ingakhokelela ekuqineni okanye ekuqiniseni kwindawo apho ufumene i-radiation. Ngamanye amaxesha ulusu lushintsha oluhambelana nolwaphulo lwe-radiation-njengobomvu okanye izilonda onokuzihlakulela ezinjenge-blisters-ezinokuthi zihlale zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala zihlala. Akuqhelekanga ukuba neyona nto ibonakala ihlala isigxina (kodwa ngokungaqhelekanga) "i-suntan" kwisifuba sakho ehambelana nemitha.
Kanti olunye unyango olunokubangela ukusila i-lymph node dissection kunye nokususwa. Nangona oku kukhangeka kungabonakali, ngaphandle kwe-swimsuit, kunokubangela ukuqina kunye nokukhawuleza ukunyakaza engalo yakho. Abagqirha bahluke kwiindlela zabo zokususa i-lymph node.
Ekugqibeleni, iimfudu ezibekwe emva kokuhlinzwa komhlaza wesifuba zishiya izikhongo ezincinci xa zisuswa.
Isixa sokuqhawula siya kuxhomekeka kwimiba emininzi yamanzi kunye nexesha elingakanani le mifudumfuno kufuneka ishiywe endaweni.
Izinto ezichaphazela ukuHlukana
Isixa kunye nobungakanani obunobunzima obangela ukuba unyango lwebele lwebele luxhomekeka kwizinto eziliqela, kubandakanya uhlobo lotyando olwenziweyo kwaye isigulane ngasinye somntu ngamnye senze iisisiti ezibomvu. Ukubhema kunokubangela ukuphulukiswa kokulibaziseka kwaye, kwandula, ukwandiswa kwebala. Abanye abantu banomdla wokuhlakulela amacwecwe angabonakaliyo, amanxeba aphakanyisiweyo apho kukho ukufakwa.
I-Lumpectomi neeMastectomy
Ngokuqhelekileyo, i-lumpectomy ifaka i-incastectomy encinci kune-mastectomy, nangona, ngokuxhomekeka kwindawo ehlala kuyo, inokubangela ukungena okanye ukungalingani kwebele. Izaphulo ezinikwe emva kwe-lumpectomy zingabangela ukuqina kwamathambo.
Ukubuyiswa kwesisu kunye nokuHlanywa
Ukwakhiwa kwesisu kukukhethwa kokubili ukwakha isifuba kulabo ababenesifo sokukhwabanisa okanye ukuphuma nesifuba esenziwe kuyo i-lumpectomy. Ekubeni ukuvuselelwa kwebele kubandakanya ukuhlinzwa, le nkqubo ibeka inomngcipheko wokutshatyalaliswa. Amaxesha amaninzi ukuphinda kwenziwe kwakhona kusetyenziswe indawo efanayo yendawo yokukhutshwa njenge-lumpectomy okanye i-mastectomy ukunciphisa ukonakala.
Ukuba uya kuba nenkqubo yokuphosa, mhlawumbi i- TRAM ipopu usebenzisa isikhumba esiswini sakho okanye i- latissimus dorsi flap usebenzisa isikhumba esivela ngasemva kwakho, uya kuba nobunzima obongezelelweyo kwisayithi apho izicubu zivunwa khona. Ukuba ukhetha ukuba uphinde wakhiwe kwakhona, le nto ingaqwalaselwa njengoluhlobo lokunqanda.
Ukwakhiwa kwakhona kunye noTywala
Inkxalabo engakhuliyo ngokwaneleyo xa ukuvuselelwa komhlaza wesikhumbuzo (ukuqala ngokutsha kwakhona) kwenziwa, kwaye kamva umfazi ukhetha ukufumana unyango lwe-radiation, ngenxa yeziphumo ezingalindelekanga ze-lymph nodes ngexesha lotyando.
Iimfucu eziye zanyangwa nge-radiation kunzima kakhulu ukuba ugqirha asebenze kunye kwaye kunokubangela ukuphulukiswa ukulibala.
Ukuba ukhetha ukuhlaziywa ngokusisiseko emva kwesigxina, xela nodokotela wakho malunga nethuba lokuba unokufuna unyango lwe-radiation, kwaye oko kuthetha ntoni kuwe.
Izibilini zesifuba, umfanekiso wesithombeni kunye nobudlelwane obusondeleyo
Ukuqhekeka okuhambelana nokuhlinzwa komhlaza webele kunokuba nzima kakhulu kubafazi. Ukutshatyalaliswa kunokuchaphazela umfanekiso wakho womzimba, kwaye ngokwenza njalo, kunokudala iingxaki ngokusondelana. Abanye abesetyhini banenkxwaleko encinci, kanti abanye bafumana olu tshintsho olubuhlungu kakhulu.
Ukuba unenkxalabo malunga nokukhwela kwangaphambili okanye ukufumana ubunzima bokujamelana nexesha elizayo, unganqikazi ukuthetha nomcebisi. Ukubandakanyeka kwiqela leenkxaso kunceda kakhulu abantu abaninzi abafumana ukujamelana nomfanekiso wabo womzi womngeni kumngeni.
Funda kabanzi malunga nokuba umhlaza wesifuba unokuchaphazela njani umfanekiso wakho womzimba .
Ukuphulukiswa nokujongana neengcawa
Enye yezona ndlela ezifanelekileyo zokunciphisa ukutshabalala kukukhusela intsholongwane emva kokuhlinzwa. Izigulane ezininzi zithunyelwa ekhaya zivela esibhedlele zizikhuni ezixhomekeke kwizigqibo ezikhupha igazi elingaphezulu kunye ne-lymph fluid kwisayithi. Emva kokuba zithathwe iintsuku ezimbalwa emva koko, izigulane kufuneka zigcine isilonda zicocekile njengoko ziqhubeka ukuphilisa kwaye zilandele ngokulandelelanayo imiyalelo yonyango malunga nokutshintshwa kwebhanki.
Ukubhema kunokubangela ukuphulukiswa kokulibaziseka, kwaye kubalulekile ukuyeka ukutshaya xa ubhema ukuze ube neyona ndlela efanelekileyo yokuziqhenqa ekugqibeleni kwakho.
Ezinye iindlela zokunciphisa ukubhubha ziquka ukulula ngokulula kunye nokwenza umonakalo wendawo ebomvu kwimihla yokuqala xa unyango oluninzi lwenzeka (ncokola nodokotela ohlinzayo kuqala.) Eyaziwa ngabaphengululi njengama-massage friction massage, kubandakanya ngokunyanisekileyo ukukhupha isikhumba ngasentla nangaphantsi kwe-incision , ukusuka kwithambo le-collar kuze kube sezantsi kwe-ribcage, kwaye ukusuka kwifuba ukuya ngaphantsi kwe-armpits.
Ekubeni iimpembelelo zokuqhekeza azigcini nje ngezonyameko kunye nobunzima bungabangela ukuba abanye abaqeqeshi bafune ukuphucula umzimba wesigulane kwisifo esipheleleyo sokuphilisa. Ukusebenzisa i-massage enamandla, enzulu kunye ne-soft-tissue massage, iingcali zomzimba ziyakunceda ukukhulula intlungu kunye neemvakalelo zokunyanzelisa. Amasu amatsha aphuhliswa ngokusebenzisa i-lasers, i-Botox kunye ne-cytokines.
Ezinye iindlela zokwelapha zinokubandakanya i-yoga, equka ukuphefumla kancinci kunye nokugqithisa umzimba wonke, kunye ne-acupuncture, esebenzisa iinaliti ezincinci ezifakwe ngaphantsi kwesikhumba kwiindawo ezithile ukuze kunciphise intlungu. Enye indlela yokujongana nengqumbo kukufihla nge tattoo . Yiyo ndlela yokukhetha ekuthandeni.
Ukujamelana Neengxaki Zomhlaza Webele
Uninzi lwethu lunamabala athile ngethuba esilula ngalo ixesha elidlulayo. Ezi zibazi azibonakali zisoloko zibonakala, kwaye ngamanye amaxesha iimvakalelo zethu zengqondo zinzima kunzima ukujamelana nezilonda zethu zomzimba. Ukuba uhlangabezana nezikrakra ezinxulumene nomhlaza wesifuba, mhlawumbi enye yeengcaphuno ezibhekiselele kumacwe anokunceda nje kancane. "Inqabana ithetha nje ukuba unamandla ngaphezu kwanoma yini ezama ukukulimaza." (umbhali ongaziwa).
> Imithombo:
> I-Hammer, C., Maduro, J., iBantema-Joppe, E. et al. Indawo ephakamileyo ye-Fibrosis emva kweThathu-Dimensional> / a> I-Radiotherapy kunye neCandelo eliQinisekayo lokuThuthukiswa kweNtsholongwane ye-Breast: Isisombululo sokuQinisekisa. Radiotherapy kunye ne-Oncology . 2016 Oktobha 25. (Epub phambi kokuprinta).
> Liu, A., Moy, R., no-D. Ozog. Iindlela ezikhoyo ezisetyenziswayo kwiNqandezelo kunye nokuNciphisa iMigca yokuThengisa. Dermatologic Surgery . 2011. 37 (12): 1740-6.