Kodi khansa ya m'mawere imafuna kuti bere lonse lichotsedwe? Tiyeni tiphunzire za opaleshoni ya Lumpectomy!

Tonsefe timadziwa mantha ndi kudabwa komwe kumabwera m'maganizo mwathu tikamva mawu oti "khansa ya m'mawere." Funso lalikulu lomwe limabwera m'maganizo mwathu ndi lakuti, "Kodi ndiyenera kuchotsa bere langa lonse?" Anthu ambiri amaopa kwambiri izi. Komabe, si khansa zonse za m'mawere zomwe zimafuna kuchotsedwa mastectomy. Lero, tikulankhula za opaleshoni yapadera yomwe ingakuthandizeni pankhaniyi, kusunga bere ndikuchotsa khansa yokha. Imeneyo ndi opaleshoni ya `Lumpectomy`.

Mwachidule, kodi Lumpectomy ndi chiyani?

Kuchotsa lumpectomy ndi opaleshoni yomwe imachotsa chotupa cha khansa chokha komanso minofu yaying'ono yathanzi yozungulira bere lanu, ndikusiya bere lanu lonse. Izi zimatchedwanso kuti partial mastectomy. Cholinga chake ndikuchotsa khansa yonse pamene bere lanu likuoneka bwino komanso likugwira ntchito bwino momwe mungathere. Ichi ndichifukwa chake imatchedwanso "opaleshoni yosunga bere."

Chithandizo cha radiation nthawi zambiri chimaperekedwa pambuyo pa opaleshoni yochotsa lumpectomy kuti achepetse chiopsezo chobwereranso kwa khansa.

Nthawi zina opaleshoni iyi imachitika kuti ione ngati chotupa m'mawere chili ndi khansa kapena ayi. Koma nthawi zambiri imachitika ngati chithandizo cha khansa.

Kodi pali mitundu yosiyanasiyana ya opaleshoni iyi?

Inde, pali njira zosiyanasiyana zomwe dokotala angasankhe malinga ndi momwe zinthu zilili. Tiyeni tiwone zomwe zili.

Ndani woyenera opaleshoni yochotsa lumpectomy?

Dokotala wanu adzasankha ngati opaleshoniyi ndi yoyenera kwa inu. Nthawi zambiri, mungalimbikitsidwe opaleshoniyi pazochitika zotsatirazi:

• Ngati khansayo ili m'dera limodzi la bere lanu .
• Ngati khansa si yayikulu kwambiri poyerekeza ndi kukula kwa bere lanu.
• Ngati dokotala akuona kuti kuchuluka kwa minofu yotsala mutachotsa chotupacho ndikokwanira kukonzanso bere.
• Ngati muli ndi thanzi labwino, muyenera kumaliza chithandizo cha radiation chomwe chikufunika mutachita opaleshoni.

Ndani angakhale bwino ngati sanachite opaleshoniyi?

Nthawi zina, opaleshoni ya mastectomy, yomwe imachotsa bere lonse, ingakhale yoyenera kuposa opaleshoni ya lumpectomy.

Dokotala wanu sangakulangizeni opaleshoni iyi ngati muli ndi zifukwa izi:

• Ngati pali zotupa zambiri za khansa m'bere limodzi .
• Ngati chotupacho ndi chachikulu kwambiri poyerekeza ndi kukula kwa bere.
• Ngati khansa yafalikira pakhungu la bere kapena khoma la pachifuwa .
• Ngati muli ndi khansa yamtundu womwe imafalikira mofulumira (monga khansa ya m'mawere yotupa).
• Ngati muli ndi chiopsezo chachikulu cha khansa kubwereranso chifukwa cha mbiri ya banja lanu ya khansa kapena zinthu zina za majini (monga kusintha kwa majini a `BRCA`).
• Ngati munachitidwapo opaleshoni ya lumpectomy ndi radiation therapy kale, ndipo khansa yabwereranso .

Komanso, opaleshoni iyi si yoyenera ngati pali zoopsa zokhudzana ndi chithandizo cha radiation. Zitsanzo:

• Ngati munalandirapo chithandizo cha radiation pa bere lomwelo .
• Ngati muli pachiwopsezo cha mavuto chifukwa cha chithandizo cha radiation chifukwa cha matenda a pakhungu monga `Scleroderma` kapena `Sjögren's syndrome`.
• Uli ndi pakati.(Koma nthawi zina opaleshoni imatha kuchitika m'miyezi itatu yomaliza ya mimba ndipo chithandizo cha radiation chingaperekedwe mwana akangobadwa).

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Tiyeni tiwone pang'onopang'ono zomwe zimachitika tsiku la opaleshoni.

1. Kuzindikira komwe kuli chotupa: Choyamba, katswiri wa radiology amagwiritsa ntchito ultrasound kapena mammogram kuti adziwe komwe kuli chotupa mkati mwa bere. Kenako, waya kapena chip kakang'ono kamalowetsedwa m'derali kuti dokotala wa opaleshoni azitha kufika mosavuta.

2. Mankhwala Oletsa Kupweteka: Mudzapatsidwa mankhwala oti musamve ululu. Nthawi zambiri, mudzapatsidwa mankhwala oletsa kupweteka, omwe angakupangitseni kugona tulo tofa nato. Nthawi zina, mudzapatsidwa mankhwala oti muchepetse ululu pamalo omwe mukuchitidwa opaleshoni ndikupangitsani kumva tulo pang'ono.

3. Kuchotsa chotupa: Dokotala wa opaleshoni amagwiritsa ntchito chizindikiro chomwe chinapangidwa kale kuchotsa chotupa cha khansa ndi minofu yopyapyala yathanzi yozungulira.

4. Kulemba: Zidutswa zingapo zazing'ono zachitsulo (zolemba) zimayikidwa pomwe panali chotupacho. Izi ndizofunikira kuti dokotala wa khansa ya radiation adziwe komwe angayang'anire kuwalako akamapereka chithandizo cha radiation pambuyo pake.

5. Kusoka: Pomaliza, khungu limasokedwa pamodzi. Nthawi zambiri, ma stitches osungunuka amagwiritsidwa ntchito pa izi. Choncho palibe chifukwa chobwerera kudzawadulanso.

Kufunika kochotsa mitsempha ya miyendo (Sentinel Node Biopsy)

Pa opaleshoni yochotsa lumpectomy, lymph node imodzi kapena zingapo zomwe zili m'khwapa mwanu zomwe zili pafupi ndi khansa yanu zimachotsedwa ndikutumizidwa ku labu kuti zikayesedwe. Izi zimatchedwa Sentinel Node Biopsy (SNB). Ma node awa ndi oyamba kuyezedwa ngati maselo a khansa afalikira. Ngati maselo a khansa apezeka m'ma node awa, zikutanthauza kuti khansa yafalikira kupitirira chotupacho. Mungafunike chithandizo china.

Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?

Pambuyo pa opaleshoni, chithandizo chanu chamtsogolo chidzatsimikiziridwa kutengera lipoti la matenda a chotupa chomwe chachotsedwa ndi minofu yozungulira.

• Zotsatira zabwino kwambiri: Palibe maselo a khansa mu chotupacho ndipo palibe maselo a khansa mu minofu yathanzi yochotsedwa mozungulira chotupacho (malire oipa).
• Zotsatira za "Mbali Yabwino": Ngati pali maselo a khansa m'dera la minofu yathanzi yomwe yachotsedwa, opaleshoni ina ingafunike kuti ichotse maselo onse otsala a khansa.
• Maselo a khansa m'machende: Ngati maselo a khansa apezeka m'machende, mungafunike chithandizo china kapena mayeso .
• Makhalidwe apadera a maselo a khansa: Maselo ena a khansa amathandizidwa kukula ndi mahomoni (monga estrogen). Zikatero, mungafunike kuyamba chithandizo cha mahomoni .

Dokotala wanu adzakufotokozerani zonsezi.

Ubwino ndi zoopsa zomwe zingachitike chifukwa cha opaleshoni

Ubwino waukulu

Ubwino waukulu wa izi ndikuti mumasunga bere lanu pamene mukuchotsa khansa. Imatha kusunga mawonekedwe ake, momwe amamvekera, ndi zina zonse zomwe zili pakati.

Kuchotsa bere lonse m'malupa kunkachitika kokha kumayambiriro kwa khansa. Komabe, kafukufuku waposachedwapa wasonyeza kuti nthawi zambiri, palibe kusiyana kwakukulu pakati pa kuchotsedwa bere lonse ndi chithandizo cha radiation, ndi mastectomy, yomwe imachotsa bere lonse . Chifukwa chake, tsopano ikulangizidwa ngati chithandizo choyamba cha mitundu yambiri ya khansa.

Zoopsa zomwe zingachitike (Zovuta)

Monga opaleshoni iliyonse, opaleshoni iyi ikhoza kukhala ndi zoopsa zazing'ono.

• Matenda pa malo olumikizirana mafupa.
• Kusonkhanitsa madzi m'malo ochitira opaleshoni (Seroma).
• Kusonkhanitsa magazi `(Hematoma)`.
• Zilonda chifukwa cha chithandizo cha radiation.
• Kutupa m'dzanja kapena m'khwapa (Lymphedema).
• Ululu m'dera la opaleshoni (umachepa pakatha milungu ingapo).

Mukafunika kuyimbira dokotala mwachangu

Ngati muwona zizindikiro zilizonse za matenda panthawi yomwe mukuchira, zitha kukhala zoopsa. Choncho dziwani zizindikiro izi. Ngati muli ndi chimodzi mwa izi , uzani dokotala wanu nthawi yomweyo .

• Kufiira ndi kutupa kwa bere lochitidwa opaleshoni.
• Kumva kutentha mukakhudza khungu.
• Mafinya okhuthala, ngati mkaka (mafinya) amatuluka pabala.
• Malungo, kuzizira, thukuta .
• Kuchuluka kwa madzi m'thupi kuzungulira kapena mkati mwa bere.
• Ululu ukuwonjezeka pambuyo pa opaleshoni.