Ukuba kukho umntu kusapho lwakho, mhlawumbi umama wakho, udadewenu, okanye umakazi wakho, okhe waba nomhlaza webele , unoloyiko engqondweni yakho, “Ngaba nam ndiza kuwufumana?” Ngaba olu asiloloyiko abantu abaninzi abanalo? Abanye abafazi abasengozini enkulu yokuba nomhlaza webele basuswa amabele abo omabini ngotyando ngaphambi kokuba umhlaza uvele. Oku kubizwa ngokuba yi-preventive mastectomy . Ekubeni esi sisigqibo esikhulu, masicacise kwaye sichaneke ngaso.
Yintoni i-Preventive Mastectomy?
Ngamafutshane, oku kukususwa kwezicubu zebele ezinokuba neeseli zomhlaza ukuze kususwe okanye kuncitshiswe kakhulu amathuba okuba nomhlaza webele kwixesha elizayo. Oku akwenziwa emva kokuba umhlaza uvele, kodwa njengenyathelo lokukhusela ngaphambi kokuba uvele, ngenxa yomngcipheko omkhulu wokuba nomhlaza. Ngokwezonyango, oku kukwabizwa ngokuba yi-'Bilateral Prophylactic Mastectomy'.
Injongo ephambili yolu tyando kukususa izicubu zamabele ezininzi kangangoko kunokwenzeka ezinokuba ngumhlaza, kunye nokukhusela kwiingozi ezizayo.
Ngubani kanye kanye olu tyando lufanelekileyo kuye?
Lo ngumbuzo obaluleke kakhulu. Olu tyando alukhuthazwa ngumntu wonke. Nemibutho efana neNational Cancer Institute icebisa ukuba ngabafazi abasengozini enkulu yomhlaza kuphela abacinga ngalo.
Khumbula, oku akuyonto oyenzayo kuba nje ukoyika ukufumana umhlaza webele (cancer phobia). Kufuneka kubekho izizathu zonyango ezicacileyo zoku.
Nabani na onayo enye okanye ezingaphezulu kwezi zinto zibangela umngcipheko kwitheyibhile engezantsi angathetha nogqirha wakhe ngale nto.
| Into Engumngcipheko | Ingcaciso elula |
|---|---|
| Utshintsho lwezakhi zofuzo lwe-BRCA1 okanye i-BRCA2 | Ezi zii-genes ezinyusa kakhulu umngcipheko womhlaza wamabele. Ezi zinokuchongwa ngovavanyo lwe-genetic. |
| Imbali yosapho enamandla kakhulu | Ukuba izalamane ezininzi ezisondeleyo (umama, udade, intombi) ziye zaba nomhlaza webele, ingakumbi ukuba zafumana esi sifo zisencinci. |
| Imeko yeLobular Carcinoma in Situ (LCIS) | Nangona oku kungengomhlaza, yimeko eyonyusa umngcipheko wokuba nomhlaza kwixesha elizayo. Umngcipheko uphezulu nangakumbi ukuba kukho imbali yosapho enxulumene noku. |
| Emva kokufumana unyango lwe-radiation esifubeni ngaphambi kokuba uneminyaka engama-30 ubudala | Ukuba ufumene unyango lwe-radiation kwindawo yesifuba usengumntwana ngenxa yesinye isifo (umz. i-Hodgkin's Lymphoma), oko kwandisa umngcipheko wokuba nomhlaza webele kwixesha elizayo. |
| Ukuba nomhlaza kwelinye ibele kwaye unobungozi obukhulu bokuwufumana kwelinye ibele | Xa umhlaza sele unyangiwe kwelinye ibele kwaye kukho umngcipheko omkhulu wokuba nomhlaza kwelinye ibele ngenxa yemfuza okanye ezinye izizathu. |
Ngaphambi kokuba wenze isigqibo esifana nesi, kubalulekile ukufumana ingcebiso ngemfuza kunye nengcebiso yengqondo , kuba esi sisigqibo esikhulu esichaphazela umzimba nengqondo.
Ngaba oku kuyawususa ngokwenene umngcipheko womhlaza nge-100%?
Oku kubuzwa ngabantu abaninzi. Ukuba ndithetha inyani, kunzima ukunika isiqinisekiso se-100%. Nangona kunjalo, umngcipheko ungancitshiswa ngepesenti ephezulu kakhulu, efana ne-90% - 95% . Oku kuyinyani ngakumbi kwabo bane-BRCA gene mutations.
Kutheni ke kungabi yi-100%?
Cinga ngako... Izicubu zethu zebele azikho kwindawo enye njengoko sicinga. Zisasazeka ukusuka kwi-collarbone ukuya kwiimbambo ezisezantsi, naphakathi kwesifuba ukuya ekhwapheni. Iindlala ezivelisa ubisi (ii-milk lobules) kunye nemibhobho yobisi, enokuba ngumhlaza, zisasazeka kulo lonke eli zicubu zebele, nangaphantsi kolusu.
Nokuba ugqirha wotyando unobuchule kangakanani na, nokuba utyando lwenziwe ngononophelo kangakanani na, akusebenzi ukususa yonke iseli kwizicubu ezisasazeke ngolu hlobo. Ke ngoko, inani elincinci kakhulu lezicubu linokusala. Yiyo loo nto umngcipheko ungasuswa ngokupheleleyo. Kodwa umngcipheko uncitshiswa kakhulu kuba inani eliseleyo lincinci kakhulu.
Emva kotyando… ngaba kukho naziphi na iindlela zanamhlanje?
Ewe. Ngethamsanqa, namhlanje kukho iindlela eziphucukileyo kakhulu zolu tyando. Ngokungafaniyo nexesha elidlulileyo, iziphumo ngoku ziphumelele kakhulu.
Utyando lweMastectomy olusindisa ulusu
Le yeyona ndlela ixhaphakileyo esetyenziswayo namhlanje. Kule nkqubo, oogqirha basusa ngononophelo kuphela izicwili ze-glandular ezingaphantsi kwebele ezisengozini yokuba nomhlaza, ngaphandle kokonakalisa ulusu. Oku kususa inani elikhulu kakhulu lezicwili ezinokuba ngumhlaza.
Ngokwesiqhelo, i-nipple kunye nolusu olumnyama oluyijikelezileyo (i-areola) ziyasuswa. Oku kungenxa yokuba yonke imibhobho yobisi idibene ne-nipple, kwaye kukho izicubu ezininzi ze-glandular kuloo ndawo. Nangona kunjalo, ekubeni ulusu lwebele lushiywe, kulula kakhulu ukuphinda ulwakhe ibele (ukwakhiwa kwakhona kwebele).
Ukwakhiwa Kwamabele Kwangoko
Kwiimeko ezininzi, ukwakhiwa kwakhona kwamabele ngoku kunokwenzeka ngaxeshanye nokususwa kwamabele, kusetyenziswa izicubu ezivela kwenye indawo emzimbeni wakho okanye ii-implants ezikhethekileyo.
Xa ezi ndlela zimbini zidibene, oko kukuthi, xa ulusu lugcinwa, amabele asuswa, aze akhiwe kwakhona ngaxeshanye, iziphumo ziyaphumelela kakhulu. Abafazi abaninzi abenza olu tyando bavuya kakhulu ngesigqibo sabo kunye nenkangeleko abayifumanayo emva kotyando.
Umyalezo Wokuya Ekhaya
- Ukususwa kwebele ngokuthintela akwenziwa ngumntu wonke. Kucetyiswa kuphela kubafazi abasengozini enkulu yokuba nomhlaza webele.
- Nangona olu tyando lungayisusi ngokupheleleyo (100%) ingozi yomhlaza, lunokuyinciphisa ngaphezulu kwe-90% .
- Ngaphambi kokuba wenze isigqibo esikhulu kangaka, kubalulekile ukufumana ingcebiso ngemfuza kunye nengcebiso yengqondo .
- Ngotyando lwanamhlanje lokusindisa ulusu kunye neendlela zokulungisa ngokukhawuleza , kunokwenzeka ukuba uphinde ujongeke kakuhle.
- Eyona nto ibalulekileyo kukuxoxa ngokukhululekileyo ngayo nayiphi na imibuzo kunye noloyiko onalo malunga noku nogqirha wakho. Uza kuchaza iingozi zakho kunye nezona ndlela zilungileyo kuwe.
Umhlaza Webele, Ukususwa Kwesisu Okuthintelweyo, Ukususwa Kwesisu, I-BRCA, Umngcipheko Womhlaza, Ukususwa Kwesisu, Impilo Yabasetyhini
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