Kana chiremba wako akakuudza kuti unofanira kuvhiyiwa kenza yemazamu, zvakajairika kunzwa kutya kukuru, kuzvidya mwoyo, uye kusava nechokwadi. Pamwe une mibvunzo yakawanda mupfungwa dzako, yakaita sekuti, 'Ndichavhiyiwa rudzii?', 'Zamu rangu richabviswa zvachose here?', 'Chii chichaitika mushure mezvo?' Zvese izvi zvine musoro. Saka usatya, nhasi tichataura nezveizvi zvese, muchiSinhala chiri nyore chaunogona kunzwisisa, sekunge uri kutaura neshamwari yepedyo.
Chinangwa chikuru chekuvhiyiwa ndechei?
Zvichitaurwa zviri nyore, chinangwa chikuru chekuvhiyiwa kwegomarara remazamu ndechekubvisa bundu racho zvachose pamwe chete nenyama shoma ine hutano yakaripoteredza . Izvi zvinoitwa kuitira kuti pasave nemasero egomarara aripo. Izvi zvinotarisirwa kudzivirira gomarara kuti risadzoke uye ripararire kune dzimwe nhengo dzemuviri. Vanachiremba vanoedzawo nepavanogona napo kuchengetedza chitarisiko chechisikigo chezazamu zvakanyanya sezvinobvira.
Rudzi rwekuvhiyiwa kwauchaita runoenderana nezvinhu zvakati wandei. Semuenzaniso, kukura kwebundu, kuti riri papi muzamu, kuti kenza yapararira kusvika papi, uye mafungiro ako nemanzwiro ako nezvayo. Mushure mekukurukura zvese izvi newe, chiremba wako achasarudza kuvhiyiwa kwakakunakira.
Mhando huru dzekuvhiyiwa kwekenza yemazamu
Kuvhiyiwa kwegomarara rezamu kunogona kukamurwa kuita mhando mbiri huru. Imwe ndeyekuvhiyiwa kunobvisa chikamu chezamu chete, uye imwe ndeyekuvhiyiwa kunobvisa zamu rose. Ngatitarisei chimwe nechimwe cheizvi zvakasiyana.
| Zita rekuvhiyiwa | Zvichitaurwa zviri nyore, chii chiri kuitika? | Inowanzo kurudzirwa kunaani? |
|---|---|---|
| Kuvhiyiwa kweLumpectomy (Inonziwo Partial Mastectomy) | Bundu regomarara pamwe chete nenyama shoma dzakaripoteredza ndizvo zvinobviswa, zvichisiya zamu rose rasara risina kukuvadzwa. | Iyi isarudzo yakanaka kune avo vane kenza isiri yakakura zvakanyanya uye vanogona kurapwa nemwaranzi mushure mekuvhiyiwa. |
| Kuvhiyiwa kweMastectomy kuri Nyore/Kwakakwana | Zamu rese, kusanganisira zamu, rinobviswa. Dzimwe nguva lymph nodes imwe kana kupfuura dziri muhapwa dzinogonawo kubviswa. | Kune avo vane mukana mudiki wekupararira kwekenza kuma lymph nodes kana vari kuvhiyiwa kuderedza njodzi yekubatwa nekenza mune ramangwana. |
| Kuvhiyiwa kweRadical Radical | Zamu rose, zamu remuzamu, nemafuta mazhinji ari pasi pehapwa zvinobviswa, asi tsandanyama dzepachipfuva dzinosiyiwa dzakadaro. | Izvi zvinogona kukodzera vanhu vane kenza yemazamu inopararira. |
| Kuvhiyiwa kweMazamu Kwakanyanya | Zamu rese, bvudzi remuhapwa, uye kunyange tsandanyama dzepachipfuva dziri pasi pezamu zvinobviswa. | Kuvhiyiwa uku kwava kushoma uye kunowanzo kurudzirwa chete kana kenza yapararira kusvika mutsandanyama dzechipfuva. |
| Kuvhiyiwa kweMastectomy Kunodzivirira Ganda | Kunyange zvazvo nyama iri mukati mezamu ichibviswa, ganda rakawanda rinorifukidza rinosara. Ganda rasara rinogona kushandiswa pakuvhiya kugadzirisa mazamu. | Yakakodzera avo vane masero egomarara asiri pedyo neganda uye vari kuvhiyiwa mazamu munguva pfupi iri kutevera. |
| Kuvhiyiwa kweMastectomy yekudzivirira kurutsa | Kunyangwe nyama yezamu ichibviswa, zamu neganda rakaripoteredza zvinosara zvisina kukuvadzwa. Izvi zvinoitawo kuti riratidzike zvakanaka pakuvakazve zamu. | Izvi zvinogona kukodzera vanhu vane masero egomarara asina kupararira kusvika pazamu kana paganda rakatenderedza. |
Sei ma lymph nodes emuhapwa achibviswa?
Iri idambudziko rine vanhu vazhinji. Funga nezvemapundu senzvimbo diki dzekuongorora mumiviri yedu. Kana masero egomarara atanga kupararira mumuviri wese, anotanga aenda kunzvimbo idzi dzekuongorora obva abatwa. Saka, nekubvisa mapundu mashoma pasi pehapwa woaongorora, unogona kuziva zvechokwadi kana gomarara racho rapararira kunze kwezamu kana kwete. Ruzivo urwu rwakakosha zvikuru kuti chiremba wako asarudze kuti ndeapi mamwe marapirwo (semuenzaniso chemotherapy, radiation) aunoda mushure mekuvhiyiwa.
Kune nzira mbiri huru dzekubvisa maronda:
- Kuongororwa kweSentinel Lymph Node Biopsy: Izvi zvinosanganisira kutsvaga "nzvimbo yekutanga yekutarisa" kana kuti sentinel node iyo kenza ingangoenda kana ikapararira, uye kubvisa chidimbu ichocho chete kuti chiongororwe. Kana chisina masero ekenza, mamwe mafundo haafanire kubviswa. Nzira iyi inoderedza njodzi yekuzvimba muruoko (lymphedema).
- Kubviswa kweAxillary Lymph Node (ALND): Mukuita uku, malymph nodes angangoita gumi kusvika makumi maviri ari pasi pehapwa anobviswa uye anoongororwa masero ekenza.
Kuvakazve Zamu
Vakadzi vazhinji vanovhiyiwa mazamu vanosarudza kuvhiyiwa kugadzirisa mazamu. Ichi chisarudzo chavo pachavo.
Kuvhiyiwa uku kunogona kuitwa panguva imwe chete nekuvhiyiwa kwako kwegomarara, kana kuti kunogona kuitwa mwedzi kana makore gare gare. Kunogona kushandiswa ma "implants" emazamu kana tishu zvakatorwa kubva kune imwe nhengo yemuviri wako (kazhinji kubva mudumbu rako). Taura pachena nachiremba wako nezvesarudzo dzako.
Unogadzirira sei usati wavhiyiwa?
Pasinei nerudzi rwekuvhiyiwa kwaunoita, zvinoda kugadzirira nguva isati yasvika.
Kutanga, chiremba wako achakubvunza nezvenhoroondo yako yese yezvekurapa .
- Unofanira kuudza chiremba wako nezvemishonga yese yaunotora (kusanganisira mavhitamini nezvimwe zvinovaka muviri ).
- Tiudzei kana makambosangana neallergy yemishonga kana anesthesia.
- Kana muine zvimwe zvirwere zvakaita sechirwere chemwoyo, chirwere cheshuga, kana BP, iva nechokwadi chekutizivisai.
Paunenge wava kuda kuvhiyiwa, chiremba achaongorora kana muviri wako wagadzirira kuvhiyiwa.Anoti ndiite bvunzo .
- X-ray yechipfuva
- Kuongororwa kweEKG
- Kuongororwa kweropa neweti
- Kuongororwa kweCT kana MRI yezamu kunogona kuitwa kuti uone saizi chaiyo uye nzvimbo yebundu.
Ndichagara muchipatara kwenguva yakareba sei?
Kuwanda kwemazuva auchafanira kugara muchipatara kunoenderana nezvinhu zvakaita serudzi rwekuvhiyiwa kwauchaita uye mamiriro ehutano hwako mushure mekuvhiyiwa.
- Kuvhiyiwa kweLumpectomy kunowanzoitwa kunze kwechipatara. Izvi zvinoreva kuti uchatariswa kwemaawa mashoma mushure mekuvhiyiwa uye unogona kukwanisa kuenda kumba zuva rimwe chete.
- Kana wakabviswa mazamu kana kuti wakabviswa dumbu, unofanira kugara muchipatara kwezuva rimwe kana maviri.
Rwendo urwu harusi rwega. Mhuri yako, shamwari, uye kunyanya timu yako yezvekurapa iri newe. Usazeze kutaura nachiremba wako nezvemibvunzo kana zvinokunetsa zvaungave nazvo.
Mharidzo Yekuenda Nayo Kumba
- Zvakajairika kuti unzwe kutya kana ukanzwa nezvekuvhiyiwa kwegomarara remazamu. Taura pachena nachiremba wako nezvesarudzo dzako.
- Rudzi rwekuvhiyiwa rwakakunakira runoenderana nezvinhu zvakati wandei, zvakaita serudzi uye kukura kwegomarara, uye zvaunofarira iwe pachako.
- Kuongorora ma lymph nodes ari muhapwa idanho rakakosha pakuona kana kenza yapararira uye kuronga kurapwa mune ramangwana.
- Kana zamu rikabviswa zvachose, pane dzimwe nzira dzekuvhiya patsva mazamu. Kurukura izvi nachiremba wako.
- Yeuka kuti une timu yezvekurapa inokubatsira usati wavhiyiwa uye mushure mekuvhiyiwa. Vaudze zvinokunetsa.
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