Uma udokotela wakho ekutshela ukuthi udinga ukuhlinzwa ngenxa yomdlavuza webele, kuvamile ukuzizwa ukwesaba okukhulu, ukukhathazeka, nokungaqiniseki. Cishe unemibuzo eyinkulungwane engqondweni yakho, njengokuthi, 'Luhlobo luni lokuhlinzwa engizolwenza?', 'Ingabe ibele lami lizosuswa ngokuphelele?', 'Kuzokwenzekani ngokulandelayo?' Konke lokhu kunengqondo. Ngakho ungesabi, namuhla sizokhuluma ngakho konke lokhu, ngesiSinhala esilula ongasiqonda, njengokungathi ukhuluma nomngane oseduze.
Iyini injongo eyinhloko yokuhlinzwa?
Kalula nje, umgomo oyinhloko wokuhlinzwa komdlavuza webele ukususa ngokuphelele isimila kanye nenani elincane lezicubu ezinempilo ezizungezile . Lokhu kwenziwa ukuze kungabikho maseli omdlavuza asele. Lokhu kunethemba lokuthi kuzovimbela umdlavuza ukuthi ungabuyi futhi usakazekele kwezinye izingxenye zomzimba. Odokotela bazama konke okusemandleni abo ukulondoloza ukubukeka kwemvelo kwebele ngangokunokwenzeka.
Uhlobo lokuhlinzwa ozolwenza luzoncika ezintweni eziningana. Isibonelo, ubukhulu besimila, ukuthi sikuphi ebeleni, ukuthi umdlavuza ususakazeke kangakanani, kanye nemicabango nemizwa yakho ngawo. Ngemva kokuxoxa nawe ngakho konke lokhu, udokotela wakho uzokhetha ukuhlinzwa okukulungele.
Izinhlobo eziyinhloko zokuhlinzwa komdlavuza webele
Ukuhlinzwa komdlavuza webele kungahlukaniswa ngezinhlobo ezimbili eziyinhloko. Olunye ukuhlinzwa okususa ingxenye yebele kuphela, kanti olunye ukuhlinzwa okususa lonke ibele. Ake sibheke ngayinye yalezi ngokwehlukana.
| Igama Lokuhlinzwa | Kalula nje, kwenzekani? | Ngokuvamile kunconywa bani? |
|---|---|---|
| Ukususwa kwe-Lumpectomy (Kubizwa nangokuthi i-Partial Mastectomy) | Kususwa isimila somdlavuza kanye nenani elincane lezicubu ezinempilo ezisizungezile, okushiya lonke ibele liphelele. | Lena inketho enhle kulabo abanomdlavuza ongemkhulu kakhulu futhi abangathola ukwelashwa ngemisebe ngemva kokuhlinzwa. |
| Ukuhlinzwa Kwesisu Okulula/Okuphelele | Ibele lonke, kuhlanganise nengono, liyasuswa. Ngezinye izikhathi i-lymph node eyodwa noma ngaphezulu ekhwapheni nayo ingasuswa. | Kulabo abasengozini encane yokusabalala komdlavuza kuma-lymph node noma abahlinzwa ukuze kuncishiswe ingozi yomdlavuza wesikhathi esizayo. |
| Ukuhlinzwa Kwesisu Okuguquliwe Okukhulu | Ibele lonke, ingono, kanye namafutha amaningi ngaphansi kwekhwapha kuyasuswa, kodwa imisipha yesifuba ishiywa ingaphazanyiswa. | Lokhu kungafaneleka kubantu abanomdlavuza webele ohlaselayo. |
| Ukuhlinzwa Kwesisu Okukhulu | Ibele lonke, uboya obusemakhwapheni, ngisho nemisipha yesifuba engaphansi kwebele kuyasuswa. | Lokhu kuhlinzwa akuvamile ukwenziwa manje. Ngokuvamile kunconywa kuphela uma umdlavuza ususakazekele emisipheni yesifuba. |
| Ukususwa Kwesisu Okungaphazamisi Isikhumba | Nakuba izicubu ezingaphakathi kwebele zisusiwe, iningi lesikhumba esilimbozile liyasala. Isikhumba esisele singasetshenziswa ekuhlinzeni kabusha ibele. | Ilungele labo abanamaseli omdlavuza angasondelene kakhulu nesikhumba futhi abazohlinzwa kabusha amabele maduze. |
| Ukususwa Kwebele Okungagcini Izingono | Nakuba izicubu zebele zisusiwe, ingono kanye nesikhumba esizungezile (i-areola) zishiywa zinjalo. Lokhu kuvumela nokubukeka kwemvelo lapho kwakhiwa kabusha ibele. | Lokhu kungafaneleka kubantu abanamaseli omdlavuza angasakazekelanga engonweni noma esikhumbeni esizungezile. |
Kungani kususwa ama-lymph node ekhwapheni?
Lena inkinga abantu abaningi abanayo. Cabanga ngamaqhubu njengezindawo zokuhlola ezincane emizimbeni yethu. Lapho amangqamuzana omdlavuza eqala ukusabalala emzimbeni wonke, aqala ngokuya kulezi zindawo zokuhlola futhi abhajwe kuzo. Ngakho-ke, ngokususa amaqhubu ambalwa ngaphansi kwekhwapha bese uwahlola, ungazi ngokuqinisekile ukuthi umdlavuza usakazeke ngaphandle kwebele noma cha. Lolu lwazi lubaluleke kakhulu kudokotela wakho ukuze anqume ukuthi yiziphi izindlela zokwelapha ezengeziwe (isib. i-chemotherapy, i-radiation) ozidingayo ngemva kokuhlinzwa.
Kunezindlela ezimbili eziyinhloko zokususa ama-warts:
- I-Sentinel Lymph Node Biopsy: Lokhu kuhilela ukuthola "indawo yokuhlola yokuqala" noma i-sentinel node okungenzeka ukuthi umdlavuza uye kuyo uma isakazeka, bese kususwa lelo qhubu kuphela ukuze lihlolwe. Uma lingenawo amangqamuzana omdlavuza, amanye amaqhubu akudingeki asuswe. Le ndlela inciphisa ingozi yokuvuvukala engalweni (i-lymphedema).
- Ukuhlukaniswa Kwe-Axillary Lymph Node (ALND): Kule nqubo, ama-lymph node angaba ngu-10 kuya ku-20 ngaphansi kwekhwapha ayasuswa futhi ahlolwe amaseli omdlavuza.
Ukwakhiwa Kabusha Kwesifuba
Abesifazane abaningi abahlinzwa ibele banquma ukuhlinzwa kabusha. Lesi yisinqumo somuntu siqu ngokuphelele.
Lokhu kuhlinzwa kungenziwa ngesikhathi esifanayo nokuhlinzwa kwakho komdlavuza, noma kungenziwa ezinyangeni noma eminyakeni kamuva. Kungasebenzisa izimila zebele noma izicubu ezithathwe kwenye ingxenye yomzimba wakho (ngokuvamile esiswini sakho). Khuluma ngokukhululekile nodokotela wakho ngezinketho zakho.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Kungakhathaliseki ukuthi uhlobo luni lokuhlinzwa oluzokwenziwa, kudinga ukulungiselela kusengaphambili.
Okokuqala, udokotela wakho uzobuza ngomlando wakho wezokwelapha ophelele.
- Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nezithasiselo ).
- Sitshele uma uke waba nokusabela kokungezwani komzimba ngaphambilini ngemithi noma i-anesthesia.
- Uma unezinye izimo zezokwelapha ezifana nesifo senhliziyo, isifo sikashukela, noma umfutho wegazi ophakeme, qiniseka ukuthi usazise.
Njengoba usuzohlinzwa, udokotela uzohlola ukuthi umzimba wakho usukulungele yini ukuhlinzwa.Uthi akenze izivivinyo ezithile.
- I-X-ray yesifuba
- Ukuhlolwa kwe-EKG
- Ukuhlolwa kwegazi nomchamo
- Kungadingeka i-CT scan noma i-MRI yebele ukuze kutholakale ubukhulu obuqondile nendawo yesimila.
Kuzodingeka ngihlale isikhathi esingakanani esibhedlela?
Inani lezinsuku okuzodingeka uhlale esibhedlela lincike ezintweni ezifana nohlobo lokuhlinzwa olwenzile kanye nesimo sakho sempilo ngemva kokuhlinzwa.
- Ukuhlinzwa kwe -Lumpectomy kuvame ukwenziwa ngaphandle kwesibhedlela. Lokhu kusho ukuthi uzoqashwa amahora ambalwa ngemva kokuhlinzwa futhi ungase ukwazi ukuya ekhaya ngalolo suku.
- Uma uhlinzwe ibele noma i-ALND, kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili.
Lolu hambo aluyona eyomuntu wedwa. Umndeni wakho, abangani, ikakhulukazi ithimba lakho lezokwelapha linawe. Unganqikazi ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
Umlayezo Wokuya Nawe Ekhaya
- Kuvamile ukuzizwa wesaba uma uzwa ngokuhlinzwa komdlavuza webele. Khuluma nodokotela wakho ngokukhululekile ngezinketho zakho.
- Uhlobo lokuhlinzwa olukufanele luncike ezintweni eziningana, njengohlobo nobukhulu bomdlavuza, kanye nezintandokazi zakho.
- Ukuhlola ama-lymph node ekhwapheni kuyisinyathelo esibalulekile ekunqumeni ukuthi umdlavuza ususakazeke yini futhi uhlela ukwelashwa kwesikhathi esizayo.
- Uma ibele lisusiwe ngokuphelele, kunezindlela zokuhlinzwa kabusha kwebele. Xoxa ngalokhu nodokotela wakho.
- Khumbula ukuthi unethimba lezokwelapha elizokusekela ngaphambi nangemva kokuhlinzwa. Yabelana nabo ngezinto ezikukhathazayo.
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