Sonke siyakwazi ukwesaba nokushaqeka okufika engqondweni uma sizwa amagama athi "umdlavuza webele." Umbuzo omkhulu ofika engqondweni uthi, "Ingabe kuzomele ngisuswe lonke ibele lami?" Abantu abaningi bayakwesaba kakhulu lokhu. Kodwa-ke, akuwona wonke umdlavuza webele odinga i-mastectomy. Namuhla, sikhuluma ngokuhlinzwa okukhethekile okungakusiza esimweni esinjalo, ukulondoloza ibele nokususa umdlavuza kuphela. Lokho ukuhlinzwa kwe-'Lumpectomy'.
Kalula nje, kuyini i-Lumpectomy?
Ukususwa kwe-lumpectomy inqubo yokuhlinzwa esusa kuphela isimila somdlavuza kanye nenani elincane lezicubu ezinempilo ezizungezile, okushiya ibele lakho liphelele. Lokhu kubizwa nangokuthi i-partial mastectomy. Umgomo uwukususa wonke umdlavuza ngenkathi kulondolozwa ukubukeka nokusebenza kwebele lakho ngangokunokwenzeka. Yingakho kubizwa nangokuthi "ukuhlinzwa kokulondoloza amabele."
Ukwelashwa ngemisebe kuvame ukunikezwa ngemva kokususwa kwe-lumpectomy ukunciphisa ingozi yokubuya komdlavuza.
Ngezinye izikhathi lokhu kuhlinzwa kwenziwa ukuze kuhlolwe ukuthi iqhubu elisebeleni linomdlavuza noma cha. Kodwa ngokuvamile kwenziwa njengokwelashwa komdlavuza.
Ingabe kunezinhlobo ezahlukene zalolu hlinzeko?
Yebo, kunezindlela eziningana ezahlukene udokotela azonquma ngazo kuye ngesimo sakho. Ake sibone ukuthi ziyini.
| Uhlobo lokuhlinzwa | Kalula nje... |
|---|---|
| I-Excisional Biopsy | Empeleni lena inqubo yokuxilonga. Lapha, isimila sisuswa ngokuphelele bese sithunyelwa ukuze sihlolwe ukuze kubonakale ukuthi sinomdlavuza (oyingozi noma ongemuhle). |
| Ukususwa Kwendawo Okubanzi | Umdlavuza ususwa kanye nendawo encane kakhulu yezicubu ezinempilo (umngcele) ezizungezile. Le ndawo enempilo ibe isihlolwa ukuthi ayinawo yini amangqamuzana omdlavuza. Uma kungekho amangqamuzana, ukuhlinzwa kuyaphumelela. |
| Ukuhlinzwa kwe-quadrantectomy | Kulokhu, cishe ingxenye yesine yebele iyasuswa. Isimila siyasuswa kanye nezicubu eziphilile ezizungezile kanye nendawo equkethe imibhobho yobisi. |
| Ukususwa kabusha kwemingcele | Ngemva 'kokususwa kwezicubu ezibanzi' okukhulunywe ngakho ngenhla, uma kutholwa imibiko yokuthi kukhona amangqamuzana omdlavuza ezicutshini eziphilile ezisusiwe, kuzokwenziwa ukuhlinzwa kwesibili ukuze kususwe ezinye izicubu. |
Ubani ofanelekela ukuhlinzwa kwe-lumpectomy?
Udokotela wakho uzonquma ukuthi lokhu kuhlinzwa kulungile yini kuwe. Ngokuvamile, ungase unconywe lokhu kuhlinzwa ezimweni ezilandelayo:
- Uma umdlavuza ukhawulelwe endaweni eyodwa yebele lakho .
- Uma umdlavuza ungemkhulu kakhulu uma uqhathaniswa nosayizi webele lakho.
- Uma udokotela enomuzwa wokuthi inani lezicubu ezisele ngemva kokususwa kwesimila lanele ukwakha kabusha ibele.
- Uma unempilo enhle, kufanele uqedele ukwelashwa ngemisebe ngemva kokuhlinzwa.
Ubani obengaba ngcono uma engakwenzi lokhu kuhlinzwa?
Kwezinye izimo, i-mastectomy, esusa lonke ibele, ingaba ngcono kune-lumpectomy.
Into ebaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho mayelana nokuthi yikuphi ukwelashwa okungcono kakhulu esimweni sakho.
Udokotela wakho angase angakuncomi lokhu kuhlinzwa uma unezizathu ezilandelayo:
- Uma kunezimila eziningi ezinomdlavuza ebeleni elifanayo .
- Uma isimila sikhulu kakhulu uma siqhathaniswa nosayizi webele.
- Uma umdlavuza ususakazekele esikhumbeni sebele noma odongeni lwesifuba .
- Uma unohlobo lomdlavuza olusakazeka ngokushesha (njengomdlavuza webele ovuvukalayo).
- Uma usengozini enkulu yokuphinda umdlavuza ngenxa yomlando womndeni womdlavuza noma izici zofuzo (njengokuguqulwa kwezakhi zofuzo ze-`BRCA`).
- Uma uke wahlinzwa i-lumpectomy kanye ne-radiation therapy ngaphambilini, futhi umdlavuza usuphinde wavela .
Futhi, lokhu kuhlinzwa akufaneleki uma kunezingozi ezihlobene nokwelashwa ngemisebe. Izibonelo:
- Uma uke wathola ukwelashwa ngemisebe ngaphambilini ebeleni elifanayo .
- Uma usengozini yezinkinga ezivela ekwelashweni ngemisebe ngenxa yezimo zesikhumba ezifana ne-'Scleroderma' noma i-'Sjögren's syndrome'.
- Ukhulelwe.(Kodwa ngezinye izikhathi ukuhlinzwa kungenziwa ezinyangeni ezintathu zokugcina zokukhulelwa futhi ukwelashwa ngemisebe kunganikezwa ngemva kokuzalwa komntwana).
Kwenzekani ngesikhathi sokuhlinzwa?
Ake sibheke kancane kancane ukuthi kwenzekani ngosuku lokuhlinzwa.
1. Ukumaka indawo yesimila: Okokuqala, udokotela we-radiologist usebenzisa i-ultrasound noma i-mammogram ukuthola indawo eqondile yesimila ngaphakathi kwebele. Ngemuva kwalokho, kufakwa ucingo noma i-chip encane endaweni ukuze kube lula ngodokotela ohlinzayo ukufinyelela kuyo.
2. I-Anesthesia: Uzonikezwa imithi yokukwenza ungezwa ubuhlungu. Ngokuvamile, uzonikezwa imithi yokukwenza ulale ngokuphelele, okuzokwenza ulale ngokuphelele. Ngezinye izikhathi, uzonikezwa imithi yokuthulisa indawo ohlinzwa kuyo kuphela futhi ikwenze uzizwe ulele kancane.
3. Ukususa isimila: Udokotela ohlinzayo usebenzisa uphawu olwenziwe ngaphambilini ukususa isimila somdlavuza kanye nongqimba oluncane lwezicubu ezinempilo ezizungezile.
4. Ukumaka: Kubekwa iziqeshana ezimbalwa zensimbi (iziqeshana zokumaka) lapho kwakukhona khona isimila. Lokhu kubalulekile ukuze udokotela wezifo zomdlavuza wemisebe azi kahle ukuthi kufanele abhekise kuphi emisebeni lapho enikeza ukwelashwa ngemisebe kamuva.
5. Ukuthungwa: Ekugcineni, isikhumba sithungwa ndawonye. Ngokuvamile, kusetshenziswa izithungo ezincibilikayo kulokhu. Ngakho-ke asikho isidingo sokubuya sizozisika futhi.
Ukubaluleka kokususa imithambo yemilenze (i-Sentinel Node Biopsy)
Ngesikhathi sokuhlinzwa kwe-lumpectomy, i-lymph node eyodwa noma ngaphezulu ekhwapheni lakho eliseduze nomdlavuza wakho iyasuswa bese ithunyelwa elebhu ukuze ihlolwe. Lokhu kubizwa ngokuthi i-Sentinel Node Biopsy (SNB). La ma-node angokuqala ukuhlolwa uma amangqamuzana omdlavuza esakazekile. Uma amangqamuzana omdlavuza etholakala kula ma-node, kusho ukuthi umdlavuza ususakazeke ngale kwesimila. Ungadinga ukwelashwa okwengeziwe.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, ukwelashwa kwakho kwesikhathi esizayo kuzonqunywa ngokusekelwe embikweni we-pathology wesimila esisusiwe kanye nezicubu ezizungezile.
- Umphumela omuhle kakhulu: Akukho maseli omdlavuza esiqwini futhi akukho maseli omdlavuza esicutshini esinempilo esisusiwe eduze kwesiqhwithi (umkhawulo ongemuhle).
- Umphumela "We-Positive Margin": Uma kukhona amangqamuzana omdlavuza endaweni yezicubu ezinempilo ezisusiwe, kungase kudingeke olunye ukuhlinzwa ukuze kususwe wonke amangqamuzana omdlavuza asele.
- Amaseli omdlavuza emasendeni: Uma kutholakala amaseli omdlavuza emasendeni, ungadinga ukwelashwa okwengeziwe noma ukuhlolwa .
- Izici ezikhethekile zamaseli omdlavuza: Amanye amaseli omdlavuza asizwa ukukhula ngama-hormone (njenge-estrogen). Uma kunjalo, kungadingeka uqale ukwelashwa ngama-hormone .
Udokotela wakho uzochaza konke lokhu kuwe.
Izinzuzo kanye nezingozi ezingaba khona zokuhlinzwa
Izinzuzo eziyinhloko
Inzuzo enkulu yalokhu ukuthi uthola ukulondoloza ibele lakho ngenkathi ususa umdlavuza. Kungalondoloza ukubukeka kwalo, umuzwa walo, nakho konke okuphakathi kwalo.
Ukuhlinzwa kwe-Lumpectomy kwakwenziwa kuphela ezigabeni zokuqala zomdlavuza. Kodwa-ke, ucwaningo lwamuva lukhombisile ukuthi ezimweni eziningi, akukho mehluko omkhulu emiphumeleni yokusinda phakathi kokuhlinzwa kwe-lumpectomy kanye nokwelashwa ngemisebe, kanye nokuhlinzwa kwe-mastectomy, okususa lonke ibele . Ngakho-ke, manje sekunconywa njengokwelashwa kokuqala kwezinhlobo eziningi zomdlavuza.
Izingozi ezingaba khona (Izinkinga)
Njenganoma yikuphi ukuhlinzwa, lokhu kungaba nezingozi ezincane.
- Ukutheleleka endaweni yokuthunga.
- Ukuqongelela koketshezi endaweni yokuhlinzwa (i-Seroma).
- Ukuqoqwa kwegazi `(Hematoma)`.
- Izibazi ngenxa yokwelashwa ngemisebe.
- Ukuvuvukala engalweni noma ekhwapheni (i-Lymphedema).
- Ubuhlungu endaweni yokuhlinzwa (buyancipha emavikini ambalwa).
Uma udinga ukushayela udokotela ucingo ngokushesha
Uma ubona noma yiziphi izimpawu zokutheleleka ngesikhathi sokululama kwakho, kungaba kubi kakhulu. Ngakho-ke qaphela lezi zimpawu. Uma unazo , tshela udokotela wakho ngokushesha .
- Ukubomvu nokuvuvukala kwebele elihlinzwe.
- Ukuzizwa ufudumele uma uthinta isikhumba.
- Kuphuma uketshezi olujiyile, olufana nobisi (ubomvu) esilondeni.
- Umkhuhlane, ukubanda, ukujuluka .
- Ukwanda kokuqongelela koketshezi ngaphakathi noma ngaphakathi kwebele.
- Ubuhlungu buyakhula ngemva kokuhlinzwa.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Lumpectomy kuyindlela enhle kakhulu futhi ephephile engalondoloza ibele lakho ngenkathi kususwa umdlavuza webele.
- Lokhu kuhlinzwa akufanele wonke umuntu. Udokotela wakho uzonquma ukwelashwa okufanele kakhulu kuwe ngokusekelwe kuhlobo lomdlavuza wakho.
- Ezimweni eziningi, ukususwa kwe-lumpectomy kuhlanganiswe nokwelashwa ngemisebe kunikeza imiphumela emihle njengokususwa kwebele lonke.
- Xoxa nodokotela wakho ngazo zonke izinto ezikukhathazayo nokwesaba kwakho ngaphandle kokungabaza. Kubalulekile ukwenza isinqumo esingcono kakhulu kuwe.
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