Ngamanye amaxesha ungaziva uloyiko entliziyweni yakho, "Owu, nomama wayenomhlaza webele, andazi ukuba ndiza kuwufumana na...". Ngaba nawe unolu hlobo loloyiko nokuthandabuza entliziyweni yakho? Enyanisweni, abanye abantu bathambekele ekubeni nomhlaza webele kunabanye, oko kukuthi, banomngcipheko ophezulu. Ngoko ke kwabo basengozini enkulu kangaka, sithetha namhlanje ngenkqubo ekhethekileyo yezonyango enokunciphisa loo mngcipheko kangangoko kunokwenzeka.
Ngamafutshane, yintoni iProphylactic Mastectomy?
Nangona igama livakala linzima, okwenzekayo kulula kakhulu. Ukususwa kwebele elinye okanye omabini amabele ngotyando ngaphambi kokuba akhule, ngenjongo yokunciphisa umngcipheko wokuba nomhlaza wamabele. Oku kukwabizwa ngokuba yi-"Preventative Mastectomy" okanye "Risk-reducing Mastectomy."
Eyona nto ibalulekileyo kukuba, olu tyando alulolwawo wonke umntu. Lucetyiswa kuphela kwabo oogqirha abafumanise ukuba basengozini enkulu yokuba nomhlaza webele.
Ngubani omele acinge ngolu tyando?
Ukuba ucinga ukuba usemngciphekweni omkhulu wokuba nomhlaza webele, ungathetha nogqirha wakho ngale nto uze wenze isigqibo. Olu tyando ludla ngokuqwalaselwa kubantu abanezi zinto zilandelayo zomngcipheko:
- Imbali yosapho yomhlaza: Umngcipheko wakho uphezulu ukuba umntu kusapho lwakho, ingakumbi isalamane esisondeleyo njengomama, udadewenu, okanye intombi yakho, uye waba nomhlaza webele. Kwaye umngcipheko wakho uphezulu nangakumbi ukuba loo mntu ufumene umhlaza ngaphambi kokuba abe neminyaka engama-50 ubudala.
- Iziphumo zovavanyo lwemfuza: Uvavanyo lwemfuza lunokufumanisa utshintsho oluthile lwemfuza oluyandisa umngcipheko womhlaza webele. Ngokukodwa, ukuba utshintsho kwimfuza ye -BRCA1 kunye ne-BRCA2 luqinisekisiwe, umngcipheko womhlaza uphezulu kakhulu.
- Ukuba nomhlaza nawe: Ukuba sele unomhlaza kwelinye ibele, abanye abantu bakhetha ukususwa elinye ibele elisempilweni ngale ndlela. Nangona kunjalo, oku akutshintshi unyango okanye iziphumo zomhlaza okhoyo.
- Ufumana unyango lwemitha: Ukuba ukhe wafumana unyango lwemitha esifubeni ngesinye isizathu xa wawusemncinci, phakathi kweminyaka eli-10 nengama-30, loo nto ikwayinto eyonyusa umngcipheko womhlaza webele.
Luphumelele kangakanani olu tyando?
Eyona nzuzo inkulu yolu tyando kukuba lunokunciphisa kakhulu umngcipheko wokuba nomhlaza webele.
- Umntu onotshintsho lwemfuza olufana ne-BRCA1 okanye i-BRCA2 usengozini ye-95% yokuba nomhlaza emva kolu tyando.Iyancipha malunga ne-.
- Umntu osengozini enkulu ngenxa yembali yosapho lwakhe unokunciphisa umngcipheko wakhe malunga ne- 90% .
Oku akuthethi ukuba umngcipheko uza kupheliswa ngokupheleleyo, kodwa kuthetha ukuba ungancitshiswa uye kwinqanaba elincinci kakhulu.
Ngaba kukho iintlobo ezahlukeneyo zolu tyando?
Ewe, olu tyando lwenziwa ngeendlela ezahlukeneyo ngokuxhomekeke kwiimfuno zesigulana kunye neengcebiso zonyango. Makhe sibone ukuba zeziphi iintlobo eziphambili.
| Uhlobo lotyando | Kwenzeka ntoni nje? |
|---|---|
| Utyando lweMastectomy olusecaleni elibini | Ukususwa ngokupheleleyo kwamabele omabini. |
| Utyando lwe-Contralateral Mastectomy | Xa ibele elinomhlaza lisuswa, elinye ibele eliphilileyo nalo liyasuswa. |
| Ukususwa kweMastectomy okuhlangula ulusu | Ukususa ingono kunye nendawo emnyama eyijikelezileyo (i-areola), ukushiya ulusu lungaphazanyiswa kwaye kususwe izicubu ezingaphakathi. |
| Ukususwa kweMastectomy egcina iingono | Kususwa kuphela izicubu zesifuba sangaphakathi, kushiye ulusu kunye nengono ziphelele. |
| Utyando lweMastectomy kunye nokwakhiwa kwakhona | Ukwakhiwa kwakhona kwamabele kusetyenziswa i-implant okanye i-tissue ethathwe kwenye indawo emzimbeni, kunye nokususwa kwamabele. |
Kwenzeka ntoni ngaphambi nangexesha lotyando?
Ngaphambi kotyando
Ugqirha wakho kunye neqela lezonyango baza kukunika yonke imiyalelo oyifunayo ngaphambi kotyando. Ngomhla wotyando, uza kunikwa isambatho sesibhedlele. Emva koko, umgca we-IV uza kuqhagamshelwa engalweni yakho kwaye uza kunikwa i-anesthesia. Oku kuthetha ukuba uza kube ulele ngokupheleleyo. Ngoko awuyi kuva ntlungu okanye nantoni na ngexesha lotyando .
Ngexesha lotyando
Ugqirha ulandela la manyathelo:
- Ulusu lunqunyulwa (lusikwe) kwindawo efanelekileyo ebeleni.
- Izicubu zebele zahlulwe ngononophelo kulusu nakwimisipha yesifuba.
- Izicubu zebele ezahluliweyo zisusiwe ngokupheleleyo.
- Ukuba ugqibe ekubeni wenze uhlengahlengiso lwamabele, elo nyathelo liqala ngoku.
- Ityhubhu enye okanye ezingaphezulu ezincinci (iidrain) zibekwe kufutshane nenxeba ukuze kukhutshwe ulwelo olugqithisileyo kunye negazi eliqokelelana njengoko inxeba liphola.
- Ekugqibeleni, inxeba lithungwa lidityaniswe lize ligqunywe ngebhandishi.
Olu tyando ludla ngokuthatha malunga neeyure ezimbini ukuya kwezintathu, kodwa lungathatha ixesha elide ukuba ukwakhiwa kwakhona kwamabele kwenziwa ngaxeshanye.
Kwenzeka ntoni emva kotyando?
Emva kotyando, kuya kufuneka uhlale esibhedlele usuku olunye okanye ezimbini. Eli xesha liza kuxhomekeka kwimpilo yakho nokuba wenze utyando lokwakha kwakhona na. Ngaphambi kokuba uphume esibhedlele, iqela lezonyango liza kukunika imiyalelo yokuba unganyamekela njani inxeba lakho ekhaya kunye nendlela yokunyamekela imibhobho yakho yokukhupha amanzi.
Kwakhona, uza kufundiswa imithambo ekhethekileyo yokunciphisa ukuqina kweengalo zakho namagxa emva kotyando. Kubaluleke kakhulu ukwenza oku ngokuchanekileyo.
Ixesha lokuchacha liyahluka kumntu nomntu. Ngokuqhelekileyo kuthatha iiveki ezi-3-4 ukuba uzive ungcono kancinci. Ukuba wenze utyando lokwakha, kunokuthatha iiveki ezi-8 okanye ngaphezulu ukuze uphile. Kungathatha iinyanga ezininzi ngaphambi kokuba uqalise imisebenzi yakho yesiqhelo.
Ngaba akukho mingcipheko kolu tyando?
Njengalo naluphi na utyando, olu luneengozi ezithile.
- Ukopha
- Usulelo
- Ukulahlekelwa okanye ukuncipha kokuziva kwesikhumba sebele
Ukongeza kwezi ngozi zomzimba, kufuneka siqwalasele nempembelelo yengqondo . Emva kotyando, ungaziva uxhalabile, ulusizi, kwaye ulahlekile malunga nokubonakala komzimba wakho. Oku kuqhelekile kakhulu.
Ukuba uziva uxinezelekile kwaye uxhalabile, musa ukuba neentloni ngaloo nto. Musa ukulwa nezo mvakalelo wedwa. Ukuthetha nogqirha wengqondo okanye umcebisi wezempilo yengqondo kunokuba ngumthombo omkhulu wamandla.
Ziziphi iimpawu ezifuna ukuba ubone ugqirha ngokukhawuleza?
Ukuba ufumana naziphi na ezi mpawu emva kokubuya ekhaya emva kotyando, kufuneka ufowunele ugqirha wakho ngoko nangoko .
- Ukopha kakhulu enxebeni
- Ifiva
- Intlungu ehlala ihleli okanye iyanda kangangeeveki ezininzi
- Ububomvu okanye ukudumba okujikeleze inxeba okungapheliyo
- Ukufudumala xa kuchukunyiswa enxebeni
Umyalezo Wokuya Ekhaya
- Utyando lokuthintela ukudumba kwebele alulolwabantu bonke. Lwenziwa kuphela kwabo basengozini enkulu yokuba nomhlaza webele.
- Olu tyando lunokunciphisa kakhulu umngcipheko womhlaza (ngama-90-95%), kodwa aluyisusi ingozi nge-100%.
- Ukuba ucinga ukuba usenokuba semngciphekweni, thetha ngokukhululekileyo nogqirha wakho ngezinto ezifana nembali yosapho kunye novavanyo lwemfuza (BRCA1/2).
- Esi sisigqibo esikhulu. Kuya kuthatha ixesha ukuphiliswa, emzimbeni nasengqondweni. Ungaze ungathandabuzi ukufuna uncedo lwempilo yengqondo ukuba kuyimfuneko.
- Ngaphambi kokuba wenze nasiphi na isigqibo, kubalulekile ukuxoxa kakuhle ngezinto ezilungileyo nezingalunganga zotyando, kunye nezinye iindlela onokukhetha kuzo, nogqirha wakho.
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