Ngaba wakha weva ngotyando lokunciphisa amabele, apho elinye okanye omabini amabele asuswa ngaphambi kokuba akhule, ukunciphisa umngcipheko wokuba nomhlaza wamabele? Nangona oku kunokuvakala kutsha kwaye kuyoyikisa kancinci kuwe, eneneni lukhetho olubaluleke kakhulu lwezonyango olunokusindisa ubomi bakho kwabanye abafazi abasengozini enkulu yokuba nomhlaza wamabele. Esi sisigqibo sobuqu kakhulu. Ngoko ke, namhlanje siza kuthetha ngale nto, oko kukuthi, 'iProphylactic Mastectomy', ngendlela elula onokuyiqonda.
Ngamafutshane, yintoni iProphylactic Mastectomy?
Nangona igama lisenokuvakala liyinkimbinkimbi, le ngcamango ilula. Ukususwa kwebele eliphilileyo okanye omabini amabele ngaphambi kokuba umhlaza uvele, ngenjongo yokunciphisa umngcipheko womhlaza wamabele.
Ngamafutshane, oku "kukususwa kwesisu okuthintelweyo." Abanye abantu bakubiza ngokuba 'kukususwa kwesisu okuthintelweyo' okanye 'ukususwa kwesisu okuncitshiswayo.' Oku kwenzelwa ukunciphisa umngcipheko wokuba nomhlaza kwixesha elizayo, endaweni yokuwunyanga ukuba sele ukho.
Ngubani omele acinge ngolu tyando? Ngaba wonke umntu uyaludinga olu tyando?
Hayi, ngokuqinisekileyo akunjalo. Olu tyando alufanelekanga kuye wonke umntu. Umntu onobungozi obuqhelekileyo akufuneki acinge ngolu hlobo lotyando. Ugqirha wakho uza kucebisa olu khetho kuphela ukuba kuqinisekiswa ukuba unobungozi obukhulu bokufumana umhlaza webele.
Kulungile, masibone ukuba zeziphi ezo zinto zinobungozi obukhulu.
- Ukuba nembali eqinileyo yomhlaza kwintsapho yakho: Ukuba isalamane esisondeleyo (umzekelo, umama wakho, udadewenu, okanye intombi yakho) sikhe saba nomhlaza webele, umngcipheko wakho uyanda kakhulu. Oku kuyinyani ngakumbi ukuba loo mntu waba nomhlaza ngaphambi kokuba abe neminyaka engama-50 ubudala .
- Ukuba nembali yakho yomhlaza: Khawuthelekelele ukuba sele unomhlaza kwelinye ibele, kwaye kufuneka ususwe ibele ukuze kususwe elo bele njengonyango. Ngelo xesha, abanye abantu bagqiba ekubeni basuswe nelinye ibele elisempilweni, ukuze kuncitshiswe umngcipheko wokuba nomhlaza kwelo cala kwixesha elizayo. Nangona kunjalo, oku akuchaphazeli imeko yomhlaza okhoyo okanye naluphi na unyango olongezelelweyo olunokunikwa lona.
- Uvavanyo lweGenetic oluqinisekileyo: Utshintsho okanye utshintsho kwiijini ezithile emzimbeni wethu lunokunyusa kakhulu umngcipheko wokuba nomhlaza. I-BRCA1 kunye ne -BRCA2 ziijini ezimbini eziphambili. Ukuba uvavanyo lwe-genetic luqinisekisa ukuba unenye yezi nguqu ze-genetic, umngcipheko wakho wokuba nomhlaza webele uphezulu kakhulu. Kwimeko enjalo, ungacinga ngolu tyando.
- Unyango lwemisebe kwixesha elidlulileyo: Ukuba ukhe wanyangwa ngemisebe esifubeni nangasiphi na isizathu, ingakumbi phakathi kweminyaka eli-10 nengama-30 (kwesinye isifo somhlaza, esifana ne-Hodgkin's lymphoma), umngcipheko wakho wokuba nomhlaza webele kwixesha elizayo unokwanda.
Esi sisigqibo esibaluleke kakhulu. Esi asinto omele uyenze wedwa. Ufanele uthethe nogqirha wakho, ugqirha otyandayo, kunye nosapho lwakho ngononophelo kwaye uqonde zonke izinto ezilungileyo nezingalunganga ngaphambi kokuba wenze isigqibo.
Olu tyando luyinciphisa kangakanani ingozi?
Lo ngumbuzo obaluleke kakhulu. Ewe, ukhuseleko lolu tyando luphezulu kakhulu kwabo basengozini enkulu. Izifundo zifumanise ukuba:
- Olu tyando lunokunciphisa umngcipheko womhlaza wamabele kubafazi abane -BRCA1 okanye i-BRCA2 gene mutation malunga ne- 95% , oko kuthetha ukuba umngcipheko phantse uphele ngokupheleleyo.
- Abafazi abanembali yomhlaza kwiintsapho zabo banokunciphisa umngcipheko wabo malunga ne- 90% .
Eli lipesenti ephezulu kakhulu, yiyo loo nto lilukhetho olufanelekileyo kwabo bakwicandelo elinomngcipheko ophezulu.
Ngaba kukho iintlobo ezahlukeneyo zolu tyando?
Ewe, kukho iindlela ezahlukeneyo zokwenza olu tyando kuxhomekeke kwiimfuno zesigulana, uhlobo lomzimba, kunye nengcebiso kagqirha. Masiyiqonde ngokucacileyo le theyibhile.
| Uhlobo lotyando | Inkcazo elula |
|---|---|
| Utyando lweMastectomy olusecaleni elibini | Oku kuquka ukususwa ngokupheleleyo kwamabele omabini. Le ndlela idla ngokukhethwa ngabo baneempawu zofuzo ezibangela umngcipheko. |
| Utyando lwe-Contralateral Mastectomy (oluchaseneyo) | Oku kubizwa ngokuba yi-mastectomy, apho umntu onomhlaza kwelinye ibele esuswa elinye ibele eliphilileyo ngexesha elinye nelo likhutshwa ngalo elo bele. |
| Utyando lweMastectomy olusindisa ulusu | Apha, i-nipple kunye nendawo emnyama eyijikelezileyo (i-areola) ziyasuswa, kwaye kuphela izicubu zebele ezingaphakathi ezisuswa ngaloo mngxuma mncinci. Uninzi lwesikhumba sebele lushiywa ngasemva. |
| Ukususwa Kweengono Ezigcina Isisu | Ngale ndlela, kususwa kuphela izicubu zebele ezingaphakathi, nto leyo eshiya ingono kunye nendawo eyijikelezileyo ingaphazanyiswanga. |
| Utyando lweMastectomy kunye nokwakhiwa kwakhona | Utyando lokulungisa amabele lwenziwa ngexesha elinye okanye emva kokususwa kwamabele. Oku kungenziwa kusetyenziswa ii-silicone implants okanye izicubu ezithathwe kwenye indawo yomzimba (umz., isisu). |
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ugqirha wakho uza kukunika yonke imiyalelo efunekayo ngaphambi kotyando. Ngomhla wotyando, uza kufakwa ilokhwe yesibhedlele kwaye uqhagamshelwe umgca we-IV engalweni yakho. Oku kuza kukufaka phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba awuyi kuva nto ngexesha lotyando kwaye uza kulala ubuthongo obupheleleyo.
Emva koko bamsa kwigumbi lotyando, aze ugqirha aqalise utyando.
1. Okokuqala, kwenziwa isikere kwindawo efanelekileyo ebeleni.
2. Emva koko, izicubu zebele zahlulwe ngononophelo kulusu nakwimisipha yesifuba.
3. Izicubu zebele ezisusiweyo zisusiwe ngokupheleleyo. Ukuba uceba ukuphinda uzenze ibele, elo nyathelo lingaqala ngeli xesha.
4. Emva kotyando, kubekwa iityhubhu ezininzi ezibizwa ngokuba ziidrain ukuze kukhutshwe ulwelo olugqithisileyo (igazi, amanzi, njl.njl.) oluqokelelana ngaphakathi kwenxeba. Ezi ziyasuswa kwiintsuku ezimbalwa.
5. Ekugqibeleni, isilonda siyathungwa size sigqunywe kakuhle ngebhandishi.
Olu tyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezintathu, kodwa ukuba ukwakhiwa kwakhona kwamabele kwenziwa ngaxeshanye, kungathatha ixesha elide.
Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?
Kuya kufuneka uhlale esibhedlele malunga nosuku emva kotyando. Eli xesha linokwahluka ngokuxhomekeke kwimeko yakho yempilo kunye nokuba wenze utyando lokwakha kwakhona na.
Ngexesha lokuchacha kwakho, iqela lezonyango liza kucebisa umthambo olula ukunceda ekunciphiseni ukuqina nokuxinana kweengalo zakho namagxa.Uza kufundiswa. Ezi ziqhelo ziya kunciphisa ukwakheka kwezicubu ezibuhlungu. Ngaphambi kokuba uphume esibhedlele, uza kuchazelwa yonke into, efana nendlela yokunyamekela inxeba ekhaya kunye nendlela yokusela amayeza.
Ixesha Lokubuyisela Ubukho:
- Ngokwesiqhelo kuthatha malunga neeveki ezi-3-4 ukuphiliswa kokuqala .
- Ukuba ukhe watyandwa ukwakhiwa kwakhona kwamabele, kungathatha ukuya kuthi ga kwiiveki ezisi-8 ukuze uphile.
- Kungathatha iinyanga eziliqela ngaphambi kokuba uqalise yonke imisebenzi yakho yesiqhelo, ingakumbi izinto ezifana nokuphakamisa iintsimbi.
Zithini iingozi kunye neengxaki zolu tyando?
Njengalo naluphi na utyando, olu luneengozi ezithile.
- Ukopha
- Usulelo
- Ukulahlekelwa yimvakalelo esifubeni nakwingono
Ukongeza kwezi ngozi zomzimba, kukho enye into ebalulekileyo ekufuneka iqwalaselwe: impembelelo yengqondo .
Usenokuziva uxhalabile kwaye ulusizi ngomzimba wakho emva kotyando. Ukulahlekelwa libele elinye okanye omabini kunokuba nzima ngokweemvakalelo ukumelana nalo. Oku kuqhelekile kakhulu. Musa ukulwa nezi mvakalelo wedwa. Kunganceda kakhulu ukuthetha nogqirha wengqondo okanye umcebisi onokukunceda uthethe ngale nto kwaye akuncede uvumelane nayo.
Ndifanele ndimbone nini ugqirha emva kotyando?
Ukuba ufumana naziphi na kwezi mpawu zilandelayo emva kokuba ubuyele ekhaya emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko .
- Ukuba unesifo somkhuhlane .
- Ukuba inxeba liphuma igazi .
- Ukuba intlungu ayipheli emva kweeveki ezimbalwa okanye ukuba iba mandundu.
- Ukuba kukho ukubomvu nokudumba okujikeleze inxeba.
- Ukuba uziva ubushushu ecaleni kwenxeba.
Ezi zinokuba ziimpawu zosulelo, ngoko ke kubaluleke kakhulu ukuzixela ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- Utyando lokuthintela ukudumba kwebele alulolwabantu bonke. Lwenziwa kuphela kwabo basengozini enkulu yokuba nomhlaza webele.
- Ukuba lwenziwa kumntu ofanelekileyo, olu tyando lunokunciphisa umngcipheko womhlaza wamabele ngama-90-95%.
- Kukho iindlela ezahlukeneyo zokwenza olu tyando, kwaye kukwakho nokukhetha ukwakhiwa kwakhona kwamabele ngaxeshanye okanye emva kokususwa kwebele.
- Kuthatha ixesha ukuphiliswa emzimbeni nasengqondweni. Kuqhelekile ukuba uzive ulusizi kwaye uxhalabile njengoko umzimba wakho utshintsha. Musa ukuthandabuza ukufuna uncedo kwingcali yezempilo yengqondo.
- Esi sisigqibo esikhulu kakhulu nesinobuqu esiya kuchaphazela ubomi bakho. Ngoko ke, thetha nogqirha wakho ngaso ngononophelo, uqonde zonke izinto ezilungileyo nezingalunganga, kwaye wenze isigqibo esifanelekileyo kuwe.
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