Xa ugqirha wakho ekuxelela ukuba unomhlaza webele , uze uve amazwi athi 'ufuna utyando,' kuyinto eqhelekileyo ukuziva uloyiko olukhulu kunye nokothuka. Kodwa ungakhathazeki. Le asinto ekufuneka ujongane nayo wedwa. Masithethe ngotyando lomhlaza webele ngendlela elula necacileyo. Emva koko uya kuba namandla amakhulu okuqhubeka nolu hambo.
Luluphi olu tyando lomhlaza webele?
Ngamafutshane, utyando yeyona ndlela ibalulekileyo nesebenzayo yokususa iiseli zomhlaza emzimbeni wakho. Ukuba unomhlaza webele, ugqirha wakho ngokuqinisekileyo uya kucebisa utyando. Ngamanye amaxesha olu tyando lunokwenziwa ngaphambi kolunye unyango, kwaye ngamanye amaxesha emva kolunye unyango.
Kodwa khumbula ukuba ukuba umhlaza usasazeke kwiindawo ezikude zomzimba, ezifana nesibindi , imiphunga , okanye ubuchopho ( umhlaza webele osasazekayo), utyando lusenokungabi lolona nyango lusebenzayo.
Nangona olu tyando lwenziwa ikakhulu njengonyango, ngamanye amaxesha lusetyenziselwa iinjongo zokuxilonga kunye nezizathu zobuhle, njengokwakha kwakhona amabele. Umzekelo, kukho utyando lokujonga ukuba umhlaza usasazekile na. Kukwakho notyando lokubuyisela amabele emva kokuba umhlaza ususiwe.
Ziziphi iintlobo eziphambili zotyando lomhlaza webele?
Kukho iintlobo ezahlukeneyo zotyando lomhlaza webele. Ugqirha wakho uya kugqiba ukuba loluphi utyando olulungele wena ngokwemeko yakho. Masiqonde kakuhle uhlobo ngalunye kwezi.
| Uhlobo lotyando | Kalula nje... |
|---|---|
| Ukususwa kwethumba kuphela (iLumpectomy) | Oku kuquka ukususa lonke ibele, kodwa kuphela iqhuma elinomhlaza kunye nenani elincinci lezicubu eziphilileyo ezijikeleze lona. Oku kudla ngokwenziwa kwizigaba zokuqala zomhlaza. |
| Ukususwa ngokupheleleyo kwebele (iMastectomy) | Olu tyando lubandakanya ukususwa kwebele elinye okanye omabini ngokupheleleyo. Kwezinye iimeko, ezinye izicwili, ezifana nemisipha yesifuba ekufutshane, nazo zisenokufuna ukususwa. |
| I-biopsy ye-Sentinel node | Ukuze kubonwe ukuba umhlaza usasazeke na kwiindawo ze-lymph ezikwikhwapha, i-lymph node enye okanye ezingaphezulu ziyasuswa ekhwapheni zize zithunyelwe kwilebhu. Ezi zizinto esizibiza ngokuba yi-"stomach swabs". |
| Ukususwa kwe-lymphadenectomy ekhwapheni | Ukuze kuchongwe ukuba umhlaza usasazeke na ukuya kumaqhuqhuva amaninzi, inani elikhulu lamaqhuqhuva asemakhwapheni liyasuswa lize lihlolwe. |
| Ukwakhiwa ngokutsha kwamabele | Utyando lokubuyisela imo yebele emva kokuba umhlaza ususiwe. Oku kungasebenzisa izinto ezifakelweyo okanye izicubu ezithathwe kwenye indawo yomzimba wakho. |
Uhlobo lotyando olucetyiswayo kuwe luxhomekeke kwizinto ezininzi, kuquka uhlobo lomhlaza onalo, ukuba usasazeke kangakanani (inqanaba), impilo yakho iyonke, kunye nezinto ozikhethayo. Kwabanye abantu, utyando lodwa lunokwanela. Kwabanye, utyando yinxalenye nje yesicwangciso sonyango.
Olu tyando kufuneka lwenziwe ngokukhawuleza kangakanani?
Unyango lomhlaza luhlala lungxamisekile. Okukhona unyango luqala ngokukhawuleza, kokukhona amathuba okuthintela ukusasazeka komhlaza ayanda .
Ngokwezibalo, ukuba umhlaza ufunyenwe kwaye utyando lwenziwa kwiiveki ezisi-8 , izinga lempumelelo liphezulu. Nangona kunjalo, kukho iimeko apho ezinye iindlela zonyango (umzekelo, `iKhemotherapy`) zinikwa ngaphambi kotyando.
Utyando lufuneka kwinqanaba lini lomhlaza?
Ngaphandle kwesigaba sokugqibela (iSigaba V okanye umhlaza webele osasazekayo), apho umhlaza usasazeke emzimbeni wonke, utyando lolona nyango luphambili kuzo zonke ezinye izigaba.
Khawucinge nje, ukuba umhlaza usasazeke ngaphaya kwebele nekhwapha ukuya kwiindawo ezikude ezifana nesibindi, imiphunga, kunye nengqondo, kufuneka unikwe unyango olusebenza kuwo wonke umzimba. Oko kuthetha unyango olufana ne-'Chemotherapy' okanye ' Radiation therapy'. Ngamafutshane, ukuba umhlaza ukwindawo enye, unokusikwa ususwe, kodwa ukuba usasazeke kuwo wonke umzimba, kufuneka unikwe iyeza elisebenza kuwo wonke umzimba.
Ingaba olu lutyando olukhulu okanye oluncinci?
Iyahluka ngokuxhomekeke kuhlobo lotyando oluqhutywayo. Umzekelo, i-lumpectomy (ukususwa kweqhubu kuphela) kunye ne-sentinel node biopsy (ukuhlolwa kweqhubu) zizinto ezincinci. Nangona kunjalo, ukuba zombini zenziwa ngaxeshanye, ixesha lotyando kunye nexesha lokuchacha linokuba lide kancinci.
Ukususwa ngokupheleleyo kwebele (iMastectomy) kunye nokwakhiwa kwakhona kwebele (ukwakhiwa kwakhona kwebele) zizinto ezinkulu zotyando. Zithatha ixesha elide kwaye zinomngcipheko ophezulu kancinci weengxaki.
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ngaphambi kotyando...
Wakuba ufunyenwe unomhlaza, ugqirha wakho uza kuthetha nawe malunga neendlela onokukhetha kuzo utyando. Isicwangciso sakho sonyango kunye nexesha lotyando luya kuxhomekeka kwimpilo yakho kunye nenqanaba lomhlaza wakho. Kwinqanaba lokuqala lomhlaza, utyando ludla ngokuba linyathelo lokuqala. Ungaxoxa nangokuba uyaludinga na utyando lokulungisa amabele kunye nokuba luya kwenziwa nini.
Ngexesha lotyando...
Ugqirha uza kuzama ukususa zonke izicwili ezinokuba neeseli zomhlaza. Oku kunokubandakanya ukususa inxalenye yebele lakho, ibele lakho lonke, okanye amabele omabini. Angasusa nezinye okanye zonke izicwili zekhwapha. Ukuba ugqibe ekubeni wenze uhlengahlengiso lwebele, oko kungenziwa ngaxeshanye.
Iingozi kunye nemiphumo emibi yotyando
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile kunye nemiphumo emibi enokubakho. Musa ukoyika, kubalulekile ukuba uzazi ezi zinto.
| Umngcipheko/isiphumo esibi | Inkcazo kunye noko kufuneka ukwazi |
|---|---|
| Iingozi eziqhelekileyo kulo naluphi na utyando | |
| Usulelo lwenxeba | Xelela ugqirha wakho ukuba uneempawu ezinje ngokuba bomvu, ubushushu, okanye umkhuhlane kwindawo yenxeba. |
| Amahlwili egazi | Ukuba ufumana ukudumba okubuhlungu komlenze, iintlungu zesifuba, okanye ubunzima bokuphefumla, funa ingcebiso kagqirha ngokukhawuleza. |
| Ukuqokelelana kolwelo (iSeroma) | Ukuqokelelana kolwelo kwindawo yotyando. Oku kudla ngokuziphilisa ngokwako. Ukuba kukho ukungakhululeki, ulwelo lungasuswa ngenaliti. |
| Iziphumo ebezingalindelekanga ezichaphazela utyando lwebele | |
| Ukungaziva mnandi kunye nokurhawuzelela | Ukonakala kwemithambo-luvo ngexesha lotyando kunokubangela ukurhawuzelela esifubeni, emakhwapheni, okanye ezingalweni. Oku kuya kusombulula emva kweeveki ezimbalwa. |
| Ukuqina kwamagxa | Kuqhelekile ukuba nobunzima bokushukuma igxalaba lakho nengalo emva kotyando. Kubaluleke kakhulu ukwenza umthambo kanye njengoko ugqirha wakho ekuyalele. |
| Ukuzibopha emakhwapheni | Abanye abantu abasuswe iinwele emakhwapheni banokufumana le meko. Ivakala ngathi yintambo eqinileyo esuka emakhwapheni iye ezantsi engalweni. Oku kunokupheliswa ngokumasaja. |
| Ukudumba kwengalo (iLymphedema) | Ukuvaleka kwenkqubo ye-lymphatic kunokubangela ukudumba esandleni okanye engalweni. Nangona oku kungenakunyangwa ngokupheleleyo, kunokulawulwa ngonyango. |
Kuthatha ixesha elingakanani ukuphiliswa?
Usenokuva iintlungu kunye nokunyakaza okuncinci esifubeni nasezingalweni zakho kangangeeveki ezimbalwa emva kotyando. Ugqirha wakho uza kukunika amayeza okuthomalalisa iintlungu kunye nokuzivocavoca onokukwenza imihla ngemihla kwiingalo zakho nasemagxeni. Le mithambo ibalulekile ukuthintela ukuqina kwamagxa akho. Usenokuziva udiniwe okwethutyana. Kungathatha iiveki ezimbalwa ukuba amandla akho abuyele esiqhelweni. Uninzi lwabantu lunokubuyela kwimisebenzi yalo yesiqhelo emva kwenyanga.
Ndifanele ndiphinde ndimbone ugqirha kwakhona?
Iqela lakho lezonyango liza kucwangcisa idinga lokubonana nawe emva kweveki okanye ezimbini emva kotyando lwakho. Ngeli xesha ledinga, baza kujonga imeko yakho, bachaze iziphumo zovavanyo, baze bacebe unyango lwakho olulandelayo.
Nangona kunjalo, ukuba uneempawu zeengxaki ezinje ngokudumba okugqithisileyo, umkhuhlane, okanye ukuqina kwekhwapha, ungalindi de kube yiloo mini. Fowunela ugqirha wakho ngoko nangoko ukuze akunike ingcebiso.
Kumhlaza webele, utyando lubaluleke kakhulu kuhambo lonyango. Nokuba kukususa ithumba, ukubona ukuba iiseli zomhlaza zisekho na, okanye ukwakha kwakhona ibele, wena nogqirha wakho niza kuqhubeka nolu hambo kunye. Thetha ngokukhululekileyo nabo ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo.
Umyalezo Wokuya Ekhaya
- Utyando lomhlaza webele lolona nyango luphambili noluphumeleleyo lokususa iiseli zomhlaza.
- Kukho iintlobo ezahlukeneyo zotyando. Ugqirha wakho uya kugqiba uhlobo olulungele wena ngokusekwe kuhlobo kunye nenqanaba lomhlaza wakho.
- Qaphela iziphumo ebezingalindelekanga emva kotyando. Ingakumbi, yenza umthambo wamagxa ugqirha wakho akunike wona kanye.
- Ukuba ubona naziphi na iimpawu ezilumkisayo emva kotyando, ezinje ngomkhuhlane, ukudumba okugqithisileyo, okanye intlungu eqatha, funa ingcebiso kagqirha ngokukhawuleza.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Awuwedwa kolu hambo.
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