Ngati wina m'banja mwanu, mwina amayi anu, mlongo wanu, kapena azakhali anu, adadwala khansa ya m'mawere , mumakhala ndi mantha akuti, "Kodi inenso ndidwala nayo?" Kodi uwu si mantha omwe anthu ambiri ali nawo? Azimayi ena omwe ali pachiwopsezo chachikulu chotenga khansa ya m'mawere amachotsedwa mabere awo onse awiri khansa isanayambe. Ichi ndi chomwe timachitcha kuti preventive mastectomy . Popeza ichi ndi chisankho chachikulu, tiyeni tinene momveka bwino komanso molondola za icho.
Kodi Kuchotsa Mastectomy Yoteteza Ndi Chiyani?
Mwachidule, uku ndi kuchotsa minofu ya m'mawere yomwe ingakhale ndi maselo a khansa kuti achotse kapena kuchepetsa kwambiri mwayi wokhala ndi khansa ya m'mawere mtsogolo. Izi sizichitika khansa itatha, koma ngati njira yodzitetezera isanachitike, chifukwa cha chiopsezo chachikulu chotenga khansa. M'mawu azachipatala, izi zimatchedwanso `Bilateral Prophylactic Mastectomy`.
Cholinga chachikulu cha opaleshoniyi ndi kuchotsa minofu yambiri ya m'mawere yomwe ingayambitse khansa, komanso kuteteza ku zoopsa zamtsogolo.
Kodi opaleshoni iyi ndi yoyenera kwa ndani kwenikweni?
Funso ili ndi lofunika kwambiri. Opaleshoni iyi si yoyenera aliyense. Ngakhale mabungwe monga National Cancer Institute amalimbikitsa kuti akazi okha omwe ali pachiwopsezo chachikulu cha khansa aziganizira izi.
Kumbukirani, izi sizinthu zomwe mumachita chifukwa choopa kutenga khansa ya m'mawere (cancer phobia). Payenera kukhala zifukwa zomveka bwino zachipatala za izi.
Aliyense amene ali ndi chimodzi kapena zingapo mwa zinthu zomwe zili patebulo ili m'munsimu akhoza kulankhula ndi dokotala wake za izi.
| Zoopsa | Kufotokozera kosavuta |
|---|---|
| Kusintha kwa majini a BRCA1 kapena BRCA2 | Awa ndi majini omwe amawonjezera kwambiri chiopsezo cha khansa ya m'mawere. Izi zitha kuzindikirika kudzera mu mayeso a majini. |
| Mbiri ya banja yolimba kwambiri | Ngati achibale angapo apamtima (amayi, mlongo, mwana wamkazi) adadwala khansa ya m'mawere, makamaka ngati adayamba matendawa ali aang'ono. |
| Mkhalidwe wa Lobular Carcinoma In Situ (LCIS) | Ngakhale kuti iyi si khansa, ndi vuto lomwe limawonjezera chiopsezo cha khansa mtsogolo. Chiwopsezocho chimakhala chachikulu kwambiri ngati pali mbiri ya banja la matendawa. |
| Atalandira chithandizo cha radiation pachifuwa asanakwanitse zaka 30 | Ngati munalandira chithandizo cha radiation pachifuwa chanu muli mwana chifukwa cha matenda ena (monga Hodgkin's Lymphoma), izi zimawonjezera chiopsezo chanu cha khansa ya m'mawere mtsogolo. |
| Kukhala ndi khansa m'bere limodzi ndipo kukhala ndi chiopsezo chachikulu chotenga khansa m'bere lina | Ngati khansa yachiritsidwa kale m'bere limodzi ndipo pali chiopsezo chachikulu chotenga khansa m'bere lina chifukwa cha majini kapena zifukwa zina. |
Musanapange chisankho chotere, ndikofunikira kufunafuna upangiri wa majini ndi upangiri wa zamaganizo , chifukwa ichi ndi chisankho chachikulu chomwe chimakhudza thupi ndi malingaliro.
Kodi izi zimachotsadi chiopsezo cha khansa 100%?
Izi ndi zomwe anthu ambiri amafunsa. Kunena zoona, n'kovuta kupereka chitsimikizo cha 100%. Komabe, chiopsezochi chikhoza kuchepetsedwa ndi kuchuluka kwakukulu, monga 90% - 95% . Izi ndi zoona makamaka kwa iwo omwe ali ndi kusintha kwa majini a BRCA.
Ndiye bwanji osachita 100%?
Taganizirani izi ... Minofu ya bere lathu siili pamalo amodzi monga momwe timaganizira. Imafalikira kuyambira pakhosi mpaka m'mbali zapansi, komanso kuchokera pakati pa chifuwa mpaka m'khwapa. Tizilombo tomwe timatulutsa mkaka (milk lobules) ndi njira zotulutsira mkaka, zomwe zimatha kukhala khansa, zimafalikira m'minofu yonse ya bere, ngakhale pansi pa khungu.
Kaya dokotala wa opaleshoni ali ndi luso lotani, ngakhale opaleshoniyo itachitidwa mosamala bwanji, sikothandiza kuchotsa selo lililonse m'minofu lomwe lafalikira motere. Chifukwa chake, minofu yochepa kwambiri ingasiyidwe. Ichi ndichifukwa chake chiopsezo sichimachotsedwa 100%. Koma chiopsezocho chimachepa kwambiri chifukwa kuchuluka komwe kwatsala ndi kochepa kwambiri.
Pambuyo pa opaleshoni ... kodi pali njira zamakono?
Inde. Mwamwayi, masiku ano pali njira zamakono kwambiri zochitira opaleshoniyi. Mosiyana ndi kale, zotsatira zake tsopano zikuyenda bwino kwambiri.
Kuchotsa Khungu ndi Mastectomy Yothandiza Kuteteza Khungu
Iyi ndi njira yodziwika kwambiri masiku ano. Pa njira imeneyi, madokotala amachotsa mosamala minofu ya glandular yomwe ili pansi pa bere yomwe ili pachiwopsezo chotenga khansa, popanda kuwononga khungu. Izi zimachotsa minofu yambiri yomwe ingakhale khansa.
Kawirikawiri, nipple ndi khungu lakuda lozungulira (areola) zimachotsedwa. Izi zili choncho chifukwa chakuti njira zonse zotulutsira mkaka zimalumikizidwa ndi nipple, ndipo pali minofu yambiri ya glandular m'derali. Komabe, popeza khungu la bere latsala, zimakhala zosavuta kukonzanso bere (kukonzanso bere).
Kukonzanso Mabere Mwamsanga
Nthawi zambiri, kukonzanso mabere tsopano n'kotheka nthawi yomweyo ndi mastectomy, pogwiritsa ntchito minofu yochokera kwina m'thupi lanu kapena ma implants apadera.
Njira ziwirizi zikaphatikizidwa, ndiko kuti, khungu likasungidwa, mabere amachotsedwa, kenako n’kukonzedwanso nthawi imodzi, zotsatira zake zimakhala zabwino kwambiri. Azimayi ambiri omwe amachitidwa opaleshoniyi amasangalala kwambiri ndi chisankho chawo komanso mawonekedwe omwe amapeza pambuyo pa opaleshoniyi.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa mastectomy yoteteza si chinthu chomwe aliyense angachite. Ndikoyenera kwa amayi okha omwe ali pachiwopsezo chachikulu cha khansa ya m'mawere.
- Ngakhale opaleshoniyi siichotsa kotheratu (100%) chiopsezo cha khansa, ingathe kuchepetsa ndi zoposa 90% .
- Musanapange chisankho chachikulu chotere, ndikofunikira kufunafuna upangiri wa majini ndi upangiri wa zamaganizo .
- Ndi maopaleshoni amakono oteteza khungu komanso njira zokonzanso khungu mwachangu , n'zotheka kubwezeretsanso mawonekedwe abwino kwambiri.
- Chofunika kwambiri ndi kukambirana momasuka ndi dokotala wanu mafunso ndi mantha aliwonse omwe muli nawo pankhaniyi. Iye adzakufotokozerani zoopsa zanu komanso njira zabwino kwambiri zomwe mungasankhire.
Khansa ya m'mawere, Kuchotsa Mabere Oteteza, Kuchotsa Mabere, BRCA, Kuopsa kwa Khansa, Kuchotsa Mabere, Thanzi la Akazi
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