Dokotala wanu akakuuzani kuti muyenera kuchitidwa opaleshoni ya khansa ya m'mawere, n'zachibadwa kumva mantha ambiri, nkhawa, komanso kusatsimikizika. Mwina muli ndi mafunso ambiri m'maganizo mwanu, monga, 'Ndi opaleshoni yanji yomwe ndidzachita?', 'Kodi bere langa lidzachotsedwa kwathunthu?', 'Chiyani chidzachitike pambuyo pake?' Zonsezi ndi zomveka. Choncho musachite mantha, lero tikambirana zonsezi, mu Chisinhala chosavuta chomwe mungamvetse, ngati kuti mukulankhula ndi mnzanu wapamtima.
Kodi cholinga chachikulu cha opaleshoni n'chiyani?
Mwachidule, cholinga chachikulu cha opaleshoni ya khansa ya m'mawere ndikuchotsa chotupacho ndi minofu yathanzi yozungulira . Izi zimachitika kuti pasakhale maselo a khansa. Izi zikuyembekezeredwa kuti ziletsa khansayo kubwerera ndikufalikira ku ziwalo zina za thupi. Madokotala amayesetsanso kusunga mawonekedwe achilengedwe a bere momwe angathere.
Mtundu wa opaleshoni yomwe mudzachita idzadalira zinthu zingapo. Mwachitsanzo, kukula kwa chotupacho, komwe chili m'mawere, momwe khansayo yafalikira, komanso malingaliro anu pankhaniyi. Pambuyo pokambirana nanu zonsezi, dokotala wanu adzasankha opaleshoni yomwe ili yoyenera kwa inu.
Mitundu ikuluikulu ya opaleshoni ya khansa ya m'mawere
Opaleshoni ya khansa ya m'mawere ingagawidwe m'magulu awiri akuluakulu. Choyamba ndi opaleshoni yochotsa gawo lokha la bere, ndipo china ndi opaleshoni yochotsa bere lonse. Tiyeni tiwone chilichonse mwa izi padera.
| Dzina la Opaleshoni | Mwachidule, kodi chikuchitika n’chiyani? | Kodi nthawi zambiri amalangizidwa kwa ndani? |
|---|---|---|
| Kuchotsa Lumpectomy (Amatchedwanso Partial Mastectomy) | Chotupa cha khansa ndi minofu yochepa yathanzi yozungulira ndi zomwe zimachotsedwa, zomwe zimasiya bere lonse liri lonse. | Iyi ndi njira yabwino kwa iwo omwe khansa yawo si yayikulu kwambiri ndipo amatha kulandira chithandizo cha radiation atachitidwa opaleshoni. |
| Kuchotsa Mabere Kosavuta/Konse | Bere lonse, kuphatikizapo nipple, limachotsedwa. Nthawi zina lymph node imodzi kapena zingapo zomwe zili m'khwapa zimathanso kuchotsedwa. | Kwa iwo omwe ali ndi chiopsezo chochepa cha khansa kufalikira ku ma lymph nodes kapena omwe akuchitidwa opaleshoni kuti achepetse chiopsezo cha khansa mtsogolo. |
| Kuchotsa Mabere Osasinthika | Mabere onse, nsonga ya m'chiuno, ndi mafuta ambiri omwe ali pansi pa kwapa amachotsedwa, koma minofu ya pachifuwa imasiyidwa yonse. | Izi zitha kukhala zoyenera kwa anthu omwe ali ndi khansa ya m'mawere yoopsa. |
| Kuchotsa Mabere Kwambiri | Chifuwa chonse, tsitsi la m'khwapa, komanso minofu ya pachifuwa yomwe ili pansi pa bere imachotsedwa. | Opaleshoni iyi tsopano ndi yosowa kwambiri ndipo nthawi zambiri imalimbikitsidwa pokhapokha ngati khansa yafalikira ku minofu ya pachifuwa. |
| Kuchotsa Khungu ndi Mastectomy Yothandiza Kuteteza Khungu | Ngakhale kuti minofu yomwe ili mkati mwa bere imachotsedwa, khungu lalikulu lomwe lili pamwamba pake limasiyidwa. Khungu lotsalalo lingagwiritsidwe ntchito pochita opaleshoni yokonzanso bere. | Yoyenera anthu omwe maselo awo a khansa sali pafupi kwambiri ndi khungu ndipo akuchitidwa opaleshoni yokonzanso mawere posachedwa. |
| Kuchotsa Mastectomy Yoteteza Malungo | Ngakhale kuti minofu ya m'mawere imachotsedwa, nipple ndi khungu lozungulira (areola) zimasiyidwa zonse. Izi zimathandizanso kuti bere liwoneke bwino kwambiri pokonzanso bere. | Izi zitha kukhala zoyenera anthu omwe maselo awo a khansa sanafalikire ku nipple kapena pakhungu lozungulira. |
N’chifukwa chiyani ma lymph nodes a m’khwapa amachotsedwa?
Ili ndi vuto lomwe anthu ambiri ali nalo. Ganizirani ziphuphu ngati malo ochepetsera thupi lathu. Maselo a khansa akayamba kufalikira m'thupi lonse, amayamba kupita kumalo ochepetsera thupi ndikukhala m'malo ochepetsera thupi. Chifukwa chake, pochotsa ziphuphu zingapo pansi pa kwapa ndi kuzifufuza, mutha kudziwa bwino ngati khansa yafalikira kunja kwa bere kapena ayi. Izi ndizofunikira kwambiri kwa dokotala wanu kuti asankhe chithandizo china (monga chemotherapy, radiation) chomwe mukufuna mutachita opaleshoni.
Pali njira ziwiri zazikulu zochotsera ziphuphu:
- Kufufuza kwa Sentinel Lymph Node Biopsy: Izi zimaphatikizapo kupeza "malo oyambira owunikira" kapena node ya sentinel yomwe khansa ingapiteko ngati ifalikira, ndikuchotsa nodeyo yokha kuti ikayang'aniridwe. Ngati ilibe maselo a khansa, node zina siziyenera kuchotsedwa. Njirayi imachepetsa chiopsezo cha kutupa m'dzanja (lymphedema).
- Kuduladula kwa Axillary Lymph Node (ALND): Mu njirayi, ma lymph node pafupifupi 10 mpaka 20 omwe ali pansi pa kwapa amachotsedwa ndikufufuzidwa ngati ali ndi maselo a khansa.
Kukonzanso Mabere
Azimayi ambiri omwe amachitidwa opaleshoni ya mastectomy amasankha kuchitidwa opaleshoni yokonzanso mabere. Ichi ndi chisankho chaumwini.
Opaleshoni iyi ingachitike nthawi yomweyo ndi opaleshoni yanu ya khansa, kapena ingachitike miyezi kapena zaka pambuyo pake. Ikhoza kugwiritsidwa ntchito ndi ma implants a m'mawere kapena minofu yotengedwa kuchokera ku gawo lina la thupi lanu (nthawi zambiri kuchokera m'mimba mwanu). Lankhulani momasuka ndi dokotala wanu za zomwe mungasankhe.
Kodi mumakonzekera bwanji musanachite opaleshoni?
Kaya opaleshoni yanu ndi yamtundu wanji, imafunika kukonzekera pasadakhale.
Choyamba, dokotala wanu adzakufunsani za mbiri yanu yonse ya matenda .
- Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi zowonjezera ).
- Tiuzeni ngati mudakumanapo ndi vuto lililonse la ziwengo chifukwa cha mankhwala kapena mankhwala oletsa ululu.
- Ngati muli ndi matenda ena monga matenda a mtima, matenda a shuga, kapena kuthamanga kwa magazi, onetsetsani kuti mwatidziwitsa.
Pamene mukuyandikira opaleshoni, dokotala adzafufuza ngati thupi lanu lakonzeka kuchitidwa opaleshoni.Iye akuti tichite mayeso .
- X-ray pachifuwa
- Mayeso a EKG
- Kuyezetsa magazi ndi mkodzo
- Kujambula kwa CT kapena MRI ya m'mawere kungachitike kuti muwone kukula ndi malo enieni a chotupacho.
Kodi ndidzakhala m'chipatala kwa nthawi yayitali bwanji?
Chiwerengero cha masiku omwe muyenera kukhala m'chipatala chimadalira zinthu monga mtundu wa opaleshoni yomwe mwachita komanso thanzi lanu mutachita opaleshoniyo.
- Opaleshoni ya lumpectomy nthawi zambiri imachitika kwa wodwala wakunja. Izi zikutanthauza kuti mudzayang'aniridwa kwa maola angapo pambuyo pa opaleshoni ndipo mutha kupita kunyumba tsiku lomwelo.
- Ngati mwachitidwa opaleshoni ya mastectomy kapena ALND, muyenera kukhala m'chipatala kwa tsiku limodzi kapena awiri.
Ulendo uwu si ulendo wokha. Banja lanu, abwenzi, makamaka gulu lanu lachipatala lili nanu. Musazengereze kulankhula ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo.
Uthenga Wopita Nawo Kunyumba
- Ndi zachilendo kuchita mantha mukamva za opaleshoni ya khansa ya m'mawere. Kambiranani momasuka ndi dokotala wanu za zomwe mungachite.
- Mtundu wa opaleshoni yoyenera kwa inu umadalira zinthu zingapo, monga mtundu ndi kukula kwa khansa, komanso zomwe mumakonda.
- Kuyang'ana ma lymph nodes m'khwapa ndi gawo lofunika kwambiri podziwa ngati khansa yafalikira ndikukonzekera chithandizo chamtsogolo.
- Ngati bere lachotsedwa kwathunthu, pali njira zina zochitira opaleshoni yokonzanso bere. Kambiranani izi ndi dokotala wanu.
- Kumbukirani kuti muli ndi gulu lachipatala loti likuthandizeni musanachite opaleshoni komanso mutachita opaleshoni. Gawani nawo nkhawa zanu.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu