Le ndlela yokwelapha umdlavuza webele iyingcipheko encinci kune-mastectomy.
I-lumpectomy yinkqubo yokuqhawula ukususa indawo encinci yeengxube zesifuba esinomdlavuza okanye okhankanywa ukuba ngumhlaza. Ngamanye amaxesha kubhekiselwa ekutyunjweni kwebele okanye kumathambo omzimba .
Ngokuqhelekileyo, utyando lwe-lumpectomy lugcinwe kwizigulane ezinomzimba owodwa, omncinci wenyama. Labo abanomthwalo omkhulu bangadinga ukuba banqunywe kakhulu izicubu zebele, ezidinga indlela enobundlobongela, njenge- mastectomy .
Nangona i-lumpectomy ingaphazamiseki ngaphantsi kwe-mastectomy kwaye ngokuqhelekileyo ayifuni ukuhlinzwa okwenziwa ngeplastiki emva koko, i-lumpectomy ingabangela ukuba utshintsho olubonakalayo kubonakala kwebele-ngokukodwa xa kukho inqwaba yeethambo.
Ukongeza kwimiba eshiywe ngugqirha , kunokukho utshintsho olubonakalayo ekubunjweni kwesikhumba kwisayithi. Kukho kwakhona kunokusweleka okubonakalayo kwezicubu (i-dent engacacanga, umzekelo) kuloo ndawo, nangona ulusu luphilisa.
Qaphela ukuba i-biopsy kunye ne-lumpectomy ehlukileyo ihlukile. I-Lumpectomy yenziwa xa i-cancer yombele ifunyenwe kwaye injongo yenkqubo ukususa izicubu zomhlaza kunye nomda wezilwanyana eziphilileyo. I-biopsy ekhethiweyo ayiyonyango lophando, yinkqubo yokuxilonga.
I-oncologist yokugqirha, okanye ingcali yomhlaza, ngokuqhelekileyo yenza uphenyo lwe-lumpectomy olungenziwa nge-anesthesia yengingqi kwisithuba sengqondo sokugula .
Ukuba i- anesthesia jikelele isetyenziswe isigulane kuyakufuneka ihlale esibhedlele ngobusuku.
Yintoni eyenzekayo ngexesha leLumpectomy
Ukuba uya kuba ne-lumpectomy, isikhumba ejikeleze indawo apho i-bundu iya kulungiswa kwaye uya kunikwa i- anesthesia ngaphambi kokuba ugqirha wakho enze ugqirha. Ngaphambi kokuba asuse isalathisi, uya kuwuhlola ukuze aqiniseke ukuba iyisisu kwaye ayikho i-cyst (i-sac encane egcwele amanzi).
Ukuba ngaba i-cyst, i-fluid iya kukhanga kuze kube yilapho i-cyst ichithwe ngumkhuhlane kwaye igcinwe ukuhlalutya emva kokuhlinzwa.
Ukuba isalonda sinomhlaza, ugqirha uya kuwukhupha kunye nomda wezilwanyana eziphilileyo ezijikelezile. I-tumor kunye nezicubu ziya kuhlaziywa kamva ngumathambo. Ugqirha uya kuphinda ahlole indawo ukuba abone ukuba ziphi na izakhiwo ezikufuphi, ezinjenge-muscle ephantsi kwesifuba, ziye zathinteka yintonga.
Ekugqibeleni, ugqirha uya kuhlola iisifuba zesifuba eziseleyo malunga neempawu zomhlaza ezingasasazeka ngaphandle kwesikhumba esasuswe. Uya kuthi ke avalile ukuxubusha kunye ne- sutures kwaye agube loo ndawo ngebhanki engumzimba.
Ukuba ugqirha ugxeka umdlavuza unokusasazeka kwii-lymph nodes, unokwenza udibaniso oluhlukile phantsi kwengalo kwaye uthathe iisampula ezimbalwa zeetysidi ze-lymph node okanye ususe amaninzi angama-15 okanye ama-nodes angama-20. Kwakhona unokufakela umbane kwindawo engaphili-mhlaba ukuze avumele ukuphuma kwamanzi. I-drain iya kugcinwa endaweni kunye nokugqoka okungeyinyumba kwaye iyakususwa kalula emva kokuhlinzwa xa umjelo ungancinci.
Ukubuyisela emva kwe-Lumpectomy Surgery
Ubungakanani bexesha elithathayo ukubuyisela kwi-lumpectomy eqhelekileyo kuxhomekeke kakhulu kubukhulu bomlinganiselo kunye nenani leethambo ezisuswe.
Ukuba i-tumor incinci kune-5 cm, kufuneka uhlaziywe ngokupheleleyo kwiiveki ezintathu ukuya kwezine. Ukuba inani elincinci leetyhuse lidlulile, ukubuyisela kuthatha ixesha elide kwiiveki ezintandathu.
Iintsuku zokuqala ezimbini ukuya kwiintsuku ezintathu zokuphulukana kwi-lumpectomy zivame ukuba zibuhlungu kakhulu. Uyacetyiswa ukuba ungenzi naluphi na uhlobo lomsebenzi olubandakanya ukunyusa ukunyakaza, njengokusebenza, ngoko ungayifaki ingcamango yakho yokuphilisa. Ezinye izinto ezidangala emva kwe-lumpectomy ziquka ukuphakamisa izinto okanye ukuphakamisa iingalo phezu kwentloko. Ukuncedisa ukuxhasa isifuba esasetyenziswa kuyo, kunokukunceda ukugqoka ibhondi exhasa ngokuqhubekayo (imini nobusuku) kwiveki yokuqala okanye njalo.
Ngeli xesha, i-sutures edibeneyo iya kuthathwa ngokukhawuleza ngumzimba. I-sutures ephezulu iya kususwa ngudokotela ogqirha ekutyelelweni kokulandelelwano phakathi kweeveki ezimbalwa zokuhlinzwa.
> Imithombo:
> I-American Cancer Society. "Ukwelashwa Kwemhlaza Ngomhlaza Ngesigaba." Sept 27, 2107.