Ngaba umhlaza webele ufuna ukuba lonke ibele lisuswe? Masifunde ngotyando lweLumpectomy!

Sonke siyayazi ixhala kunye nokothuka okufika engqondweni xa sisiva amagama athi "umhlaza webele." Umbuzo omkhulu ofika engqondweni ngulo, "Ngaba kuya kufuneka ndisuswe lonke ibele lam?" Abantu abaninzi bayayoyika kakhulu le nto. Nangona kunjalo, ayizizo zonke iimhlaza zebele ezifuna i-mastectomy. Namhlanje, sithetha ngotyando olukhethekileyo olunokukunceda kwimeko enjalo, ukugcina ibele kunye nokususa umhlaza kuphela. Olu lutyando lwe-'Lumpectomy'.

Ngamafutshane, yintoni iLumpectomy?

I-lumpectomy yinkqubo yotyando esusa kuphela ithumba elinomhlaza kunye nenani elincinci lezicubu eziphilileyo ezijikeleze yona, ishiya ibele lakho liphelele. Oku kukwabizwa ngokuba yi-partial mastectomy. Injongo kukususa wonke umhlaza ngelixa kugcinwa ukubonakala nokusebenza kwebele lakho kangangoko kunokwenzeka. Yiyo loo nto ikwabizwa ngokuba "lutyando lokugcina amabele."

Unyango lwemitha ludla ngokunikezelwa emva kokususwa kwesilonda ukuze kuncitshiswe umngcipheko wokubuya komhlaza.

Ngamanye amaxesha olu tyando lwenziwa ukujonga ukuba iqhuma elisebeleni lingumhlaza na, kodwa amaxesha amaninzi lwenziwa njengonyango lomhlaza.

Ngaba kukho iintlobo ezahlukeneyo zolu tyando?

Ewe, kukho iindlela ezahlukeneyo ugqirha aza kuzithatha izigqibo ngokuxhomekeke kwimeko yakho. Masibone ukuba zeziphi.

Ngubani ofanelekileyo kutyando lwe-lumpectomy?

Ugqirha wakho uya kugqiba ukuba olu tyando lukulungele na. Ngokwesiqhelo, unokucetyiswa ukuba wenze olu tyando kwezi meko zilandelayo:

• Ukuba umhlaza ulinganiselwe kwindawo enye yebele lakho .
• Ukuba umhlaza awumkhulu kakhulu xa uthelekiswa nobukhulu bebele lakho.
• Ukuba ugqirha uvakalelwa kukuba inani lezicubu ezisele emva kokususwa kwethumba lanele ukwakha kwakhona ibele.
• Ukuba usempilweni entle, kufuneka ugqibezele unyango lwemitha olufunekayo emva kotyando.

Ngubani obenokuba ngcono ukuba angenzi olu tyando?

Kwezinye iimeko, i-mastectomy, esusa lonke ibele, inokuba yeyona ifanelekileyo kunokususwa kwe-lumpectomy.

Ugqirha wakho usenokungacebisi olu tyando ukuba unezizathu ezilandelayo:

• Ukuba kukho iithumba ezininzi ezinomhlaza kwibele elinye .
• Ukuba ithumba likhulu kakhulu xa lithelekiswa nobukhulu bebele.
• Ukuba umhlaza usasazeke eluswini lwebele okanye eludongeni lwesifuba .
• Ukuba unohlobo lomhlaza olusasazeka ngokukhawuleza (njengomhlaza webele ovuvukalayo).
• Ukuba usemngciphekweni omkhulu wokuphinda umhlaza ngenxa yembali yosapho lwakho yomhlaza okanye izinto zemfuza (ezifana notshintsho lwemfuza lwe-`BRCA`).
• Ukuba ukhe wayenza i-lumpectomy kunye ne-radiation therapy ngaphambili, kwaye umhlaza uphinde wavela .

Kwakhona, olu tyando alufanelekanga ukuba kukho iingozi ezinxulumene nonyango lwemitha. Imizekelo:

• Ukuba sele ufumene unyango lwe-radiation kwibele elifanayo ngaphambili.
• Ukuba usemngciphekweni weengxaki ezivela kunyango lwemitha ngenxa yeemeko zesikhumba ezifana ne-'Scleroderma' okanye i-'Sjögren's syndrome'.
• Ukhulelwe.(Kodwa ngamanye amaxesha utyando lunokwenziwa kwiinyanga ezintathu zokugqibela zokukhulelwa kwaye unyango lwe-radiation lunokunikwa emva kokuba umntwana ezelwe).

Kwenzeka ntoni ngexesha lotyando?

Makhe sijonge inyathelo ngenyathelo okwenzekayo ngomhla wotyando.

1. Ukuphawula indawo yethumba: Okokuqala, ingcali ye-radiology isebenzisa i-ultrasound okanye i-mammogram ukuze ifumane indawo echanekileyo yethumba ngaphakathi kwebele. Emva koko, kufakwa ucingo oluncinci okanye itshiphusi kuloo ndawo ukuze kube lula ukuba ugqirha afikelele kuyo.

2. I-Anesthesia: Uza kunikwa amayeza okukwenza ungabi nantlungu. Amaxesha amaninzi, uza kunikwa amayeza okuthomalalisa umzimba, aza kukwenza ulale ngokupheleleyo. Ngamanye amaxesha, uza kunikwa amayeza okuthomalalisa kuphela indawo otyandwa kuyo kwaye akwenze uzive ulele kancinci.

3. Ukususa ithumba: Ugqirha usebenzisa uphawu olwenziwe ngaphambili ukususa ithumba elinomhlaza kunye nomaleko omncinci wezicubu eziphilileyo ezijikeleze lona.

4. Ukuphawula: Kubekwa ii-metal clips ezimbalwa ezincinci (ii-marker clips) apho kwakukho khona ithumba. Oku kubalulekile ukuze i-radiation oncologist yazi kakuhle apho ifanele ijolise khona kwi-radiation xa inika unyango lwe-radiation kamva.

5. Ukuthungwa: Ekugqibeleni, ulusu luthungwa ndawonye. Ngokwesiqhelo, kusetyenziswa izithungo ezinyibilikayo. Ngoko ke akukho mfuneko yokubuya ukuze uzinqumle kwakhona.

Ukubaluleka kokususa imithambo yemilenze (iSentinel Node Biopsy)

Ngexesha lotyando lwe-lumpectomy, i-lymph node enye okanye ezingaphezulu kwikhwapha lakho elikufutshane nomhlaza wakho ziyasuswa zize zithunyelwe kwilebhu ukuze zivavanyelwe. Oku kubizwa ngokuba yi-Sentinel Node Biopsy (SNB). La ma-node ngawokuqala ukuvavanywa ukuba iiseli zomhlaza zisasazekile. Ukuba iiseli zomhlaza zifunyenwe kula ma-node, oko kuthetha ukuba umhlaza usasazeke ngaphaya kwe-tumor. Ungadinga unyango olongezelelweyo.

Kwenzeka ntoni emva kotyando?

Emva kotyando, unyango lwakho lwexesha elizayo luya kugqitywa ngokusekelwe kwingxelo yesifo sethumba elisusiweyo kunye nezicubu ezijikelezileyo.

• Isiphumo esingcono: Akukho ziseli zomhlaza kwithumba kwaye akukho ziseli zomhlaza kwizicubu eziphilileyo ezisusiweyo ezijikeleze ithumba (umda ongemhle).
• Iziphumo "zoMda Olungileyo": Ukuba kukho iiseli zomhlaza kwindawo yezicubu eziphilileyo ezisusiweyo, kunokufuneka olunye utyando ukuze kususwe zonke iiseli zomhlaza eziseleyo.
• Iiseli zomhlaza kumasende: Ukuba iiseli zomhlaza zifunyenwe kumasende, unokufuna unyango olongezelelweyo okanye uvavanyo .
• Iimpawu ezikhethekileyo zeeseli zomhlaza: Ezinye iiseli zomhlaza zincedwa ukuba zikhule ziihomoni (ezifana ne-estrogen). Kwimeko enjalo, kunokufuneka uqalise unyango lweehomoni .

Ugqirha wakho uza kukuchazela konke oku.

Iingenelo kunye neengozi ezinokubakho zotyando

Iingenelo eziphambili

Eyona nzuzo inkulu yoku kukuba ufumana ithuba lokulondoloza ibele lakho ngelixa ususa umhlaza. Lingagcina inkangeleko yalo, indlela elivakala ngayo, kunye nayo yonke into ephakathi kwalo.

Utyando lwe-Lumpectomy lwalusenziwa kuphela kwizigaba zokuqala zomhlaza. Nangona kunjalo, uphando lwakutshanje lubonise ukuba kwiimeko ezininzi, akukho mahluko mkhulu kwiziphumo zokusinda phakathi kotyando lwe-lumpectomy kunye nonyango lwe-radiation, kunye ne-mastectomy, esusa lonke ibele . Ke ngoko, ngoku iyacetyiswa njengonyango lokuqala kwiintlobo ezininzi zomhlaza.

Iingozi ezinokwenzeka (Iingxaki)

Njengalo naluphi na utyando, olu lunokuba neengozi ezincinci.

• Usulelo kwindawo yokuthungwa.
• Ukuqokelelana kolwelo kwindawo yotyando (iSeroma).
• Ukuqokelelwa kwegazi `(Hematoma)`.
• Izibazi ngenxa yonyango lwemitha.
• Ukudumba engalweni okanye ekhwapheni (iLymphedema).
• Intlungu kwindawo yotyando (iyancipha kwiiveki ezimbalwa).

Xa kufuneka ufowunele ugqirha ngokukhawuleza

Ukuba ubona naziphi na iimpawu zosulelo ngexesha lokuchacha kwakho, kunokuba yinto enzulu. Ngoko ke ziqaphele ezi mpawu. Ukuba unayo nayiphi na kwezi , xelela ugqirha wakho ngoko nangoko .

• Ububomvu kunye nokudumba kwebele elityandiweyo.
• Ukuziva ushushu xa uchukumisa ulusu.
• Ulwelo olujiyileyo, olufana nobisi (ububomvu) luphuma enxebeni.
• Umkhuhlane, ukubanda, ukubila .
• Ukwanda kolwelo oluqokelelanayo ngaphakathi okanye ngaphakathi kwebele.
• Intlungu iyanda emva kotyando.