Mukuda nkhawa ndi mawonekedwe anu mutachita opaleshoni ya khansa ya m'mawere? Dziwani zambiri za kuchotsedwa kwa khungu ndi mabere

Mkazi aliyense amadabwa dokotala akamuuza kuti ayenera kuchotsedwa bere, zomwe zikutanthauza kuti ayenera kuchotsedwa bere lonse chifukwa cha khansa ya m'mawere. Ndi nkhani yovuta kwambiri. Ngakhale kuti chinthu chachikulu ndikuchiritsa khansa, anthu ambiri akuda nkhawa kwambiri ndi kusintha kwa mawonekedwe a thupi lawo pambuyo pa opaleshoni. Komabe, ndi kupita patsogolo kwa sayansi ya zamankhwala, tsopano pali njira zatsopano zomwe zingachepetse mantha a mawonekedwe pambuyo pa opaleshoniyi. Njira imodzi yapadera yotereyi imatchedwa 'Skin-Sparing Mastectomy'. Tiyeni tikambirane za izi lero.

Choyamba, kodi kuchotsa mastectomy n'chiyani?

Mwachidule, kuchotsa bere lonse ndi opaleshoni yochotsa bere lonse ngati chithandizo cha khansa ya m'mawere. Pali mitundu ingapo ikuluikulu ya kuchotsa bere lonse. Dokotala wanu adzasankha njira yomwe ili yoyenera kwa inu.

Ubwino waukulu wa Skin-Spring Mastectomy ndi wakuti bere likakonzedwanso pambuyo pake, sipafunika kuchotsa khungu kuchokera ku mbali ina ya thupi. Mwachitsanzo, khungu lotengedwa kuchokera m'mimba kapena kumbuyo lingakhale losiyana ndi mtundu, makulidwe, ndi kapangidwe kake kuposa khungu la bere. Komabe, popeza njira iyi imasiya khungu la bere lonse, n'zotheka kukhala ndi mawonekedwe achilengedwe kwambiri pambuyo pokonzanso.

Ndi nthawi ziti pamene mastectomy imafunika?

Pali zochitika zingapo zapadera zomwe madokotala amalimbikitsa kuchotsa bere lonse m'malo mongochotsa chotupa (lumpectomy).

• Ngati kuchuluka kwa calcium m'maselo (microcalcifications) kwafalikira m'mawere onse.
• Ngati pali ziphuphu za khansa m'malo awiri kapena angapo osiyana m'mawere.
• Ngati mutakhala ndi khansa panthawi ya mimba ndipo mukuda nkhawa kuti chithandizo cha radiation chingakhudze mwana wosabadwa.
• Ngati munalandirapo chithandizo cha radiation m'dera la bere ndipo khansa yabwereranso m'bere lomwelo.
• Ngati muli ndi matenda a minofu yolumikizana monga lupus kapena scleroderma ndipo mukuona kuti zotsatirapo za chithandizo cha radiation sizingakhale zovuta kuzipirira.
• Ngati chotupa cha khansa chili chachikulu kwambiri, kuchotsa chotupacho (lumpectomy) chokha sikungasiye minofu yokwanira yathanzi kuti chiwoneke bwino.
• Ngati muli ndi kusintha kwa majini komwe kumawonjezera chiopsezo chanu chotenga khansa ya m'mawere.
• Ngakhale chotupa chimodzi chokha chikachotsedwa (lumpectomy), zikunenedwa kuti pali maselo a khansa omwe atsala m'mphepete mwa opaleshoni.

Kodi pali amene angachite opaleshoni yoteteza khungu imeneyi?

Ngakhale anthu ambiri akhoza kuchita opaleshoni yoteteza khungu imeneyi, si yoyenera aliyense. Njirayi siilimbikitsidwa makamaka ngati bere silikukonzedwanso nthawi yomweyo opaleshoni itatha . Kupanda kutero, khungu lotsalalo likhoza kufooka ndikugwa.

Komanso, njira iyi si yoyenera ngati maselo anu a khansa ali pafupi kwambiri ndi khungu kapena ngati khansa yafalikira pakhungu . Mwachitsanzo, opaleshoni iyi si yoyenera kwa munthu amene ali ndi khansa ya m'mawere yotchedwa 'inflammatory breast cancer'. Dokotala wanu wa opaleshoni komanso katswiri wa khansa ndi anthu abwino kwambiri kupanga chisankho ichi.

Kodi pali chiopsezo choti khansa ibwererenso ndi njira iyi?

Popeza njira imeneyi imateteza khungu kwambiri kuposa opaleshoni ya mastectomy yachizolowezi, mwina mukudzifunsa kuti, "Kodi zimenezo zidzawonjezera chiopsezo cha khansa kubwerera?" Ndi mantha oyenera. Komabe, kafukufuku wambiri wasonyeza kuti opaleshoni yoteteza khungu siiwonjezera chiopsezo cha khansa kubwerera.

Chifukwa chake, iyi ndi njira yotetezeka kwambiri kwa munthu woyenera.

Kodi kukonzanso bere kumachitika bwanji pambuyo pa opaleshoniyi?

Pali njira zingapo zazikulu zokonzanso bere pambuyo pochotsa mastectomy yoteteza khungu. Izi zimachitika ndi dokotala wa opaleshoni yokongoletsa bere.

Kodi mungayembekezere chiyani mutachita opaleshoni?

Nthawi yochira pambuyo pa opaleshoni yoteteza khungu (Skin-Sparing Mastectomy) ndi yofanana ndi opaleshoni yochotsa khungu nthawi zonse. Izi ndi zomwe mungayembekezere:

• Muyenera kukhala m'chipatala kwa masiku angapo mutachita opaleshoni. Ngati kukonzanso mabere kunachitidwanso nthawi yomweyo, nthawi yoti mukhale m'chipatala ikhoza kukhala yayitali pang'ono.
• Mungathe kuyika ngalande m'khwapa mwanu kapena m'mabere kuti mutulutse madzi pambuyo pa opaleshoni. Ngalandezi ziyenera kuchotsedwa madzi kangapo patsiku. Zidzakhalabe m'malo mwake mpaka nthawi yoyamba yopita kuchipatala, zomwe zingatenge pafupifupi sabata imodzi kapena ziwiri.
• Mungathe kusamba thupi lanu (kusamba ndi siponji) mpaka ma stitches ndi machubu atachotsedwa.
• Zimatenga nthawi kuti munthu achire kuchokera ku opaleshoni. Choncho pezani nthawi yokwanira yopumula kwa milungu ingapo yoyambirira . Pezani thandizo kuchokera kwa achibale ndi abwenzi pa ntchito zapakhomo, kusamalira ana, ndi kunyamula zakudya. Palibe manyazi pa zimenezo.
• Gulu lanu lachipatala lidzakupatsani masewera olimbitsa thupi kuti mupewe kuuma kwa manja ndi mapewa. Chitani izi mosalephera . Komabe, angakuuzeni kuti musachite masewera olimbitsa thupi mpaka madzi anu atachotsedwa.
• Malo omwe munachitidwa opaleshoni ayenera kuchiritsidwa musanavale bra. Funsani dokotala wanu kuti muyenera kudikira nthawi yayitali bwanji .