Uma othile emndenini wakho—umama wakho, udadewenu, noma u-anti wakho—eke waba nomdlavuza webele , ungase ube nokwesaba okungapheli: “Ingabe nami ngizowuthola?” Kuyinto ekhathazayo kakhulu. Kwabesifazane abasengozini enkulu yokuba nomdlavuza webele , abanye bakhetha ukuhlinzwa ukuze basuse womabili amabele ngaphambi kokuba umdlavuza uqale. Lokhu yilokho esikubiza ngokuthi `Ukuvimbela` noma ` ukususwa kwebele` . Ngenxa yokuthi lesi yisinqumo esikhulu, ake sixoxe ngamaqiniso ngokucacile nangokunembile.
Kuyini i-Preventive Mastectomy?
Kalula nje, le nqubo isusa izicubu zebele lapho amangqamuzana omdlavuza angakhula khona, ukuze kuqedwe noma kuncishiswe kakhulu ingozi yomdlavuza webele esikhathini esizayo. Lokhu akwenziwa ngemva kokuxilongwa; kwenziwa njengendlela yokuvikela labo abasengozini enkulu. Ngokwezokwelapha, lokhu kwaziwa ngokuthi i-'Bilateral Prophylactic Mastectomy'.
Umgomo oyinhloko walokhu kuhlinzwa ukususa izicubu zebele eziyingozi kakhulu ngangokunokwenzeka ukuze kuvikelwe impilo yakho yesikhathi esizayo.
Empeleni lokhu kuhlinzwa kwenziwa ngobani?
Lona umbuzo obaluleke kakhulu. Lokhu kuhlinzwa akukhuthazwa wonke umuntu. Izinhlangano ezifana ne-National Cancer Institute ziphakamisa ukuthi kucatshangelwe kuphela kwabesifazane abasengozini enkulu kakhulu yokuba nomdlavuza.
Khumbula, lokhu akuyona into eyenziwa ngenxa yokwesaba umdlavuza (Cancer Phobia). Kumelwe kube nezinkomba zezokwelapha ezicacile.
Uma unesinye noma ngaphezulu sezici eziyingozi kuthebula elingezansi, kufanele uxoxe ngalolu khetho nodokotela wakho.
| Isici Sengozi | Incazelo Elula |
|---|---|
| Ukuguqulwa kwezakhi zofuzo ze-BRCA1 noma ze-BRCA2 | Lezi yizakhi zofuzo ezandisa kakhulu ingozi yomdlavuza webele. Zingabonakala ngokuhlolwa kwezakhi zofuzo. |
| Umlando Womndeni Oqinile | Uma izihlobo eziningi eziseduze (umama, udadewabo, indodakazi) ziye zaba nomdlavuza webele, ikakhulukazi zisencane. |
| I-Lobular Carcinoma in Situ (LCIS) | Nakuba kungewona umdlavuza ngokwawo, kuyisimo esanda ingozi yesikhathi esizayo, ikakhulukazi uma sihlanganiswa nomlando womndeni. |
| Ukukhishwa kwemisebe esifubeni ngaphambi kweminyaka engama-30 | Uma wathola ukwelashwa ngemisebe esifubeni useyingane ngenxa yesinye isifo (isib. i-Hodgkin's Lymphoma), kwandisa ingozi yesikhathi esizayo. |
| Umdlavuza okhona kwelinye ibele onengozi enkulu kwelinye | Uma usuvele ululame emdlavuza kwelinye ibele futhi unezinkomba eziyingozi kakhulu kwelinye. |
Ngaphambi kokwenza isinqumo, ukwelulekwa ngofuzo kanye nokwelulekwa ngokwengqondo kubalulekile, njengoba lesi kuyisinqumo esishintsha impilo esithinta umzimba wakho kanye nengqondo yakho.
Ingabe kuyayiqeda ingozi yomdlavuza ngo-100%?
Yilokhu abantu abaningi abakubuzayo. Ngokweqiniso, isiqinisekiso esingu-100% sinzima. Kodwa-ke, singanciphisa ingozi ngamaphesenti aphezulu kakhulu, ngokuvamile angu-90% - 95% . Kulabo abanezakhi zofuzo ze-BRCA, isivikelo sibalulekile.
Kungani kungenakuba yi-100%?
Cabanga ngale ndlela: izicubu zethu zesifuba aziyona nje iqhubu elilodwa elisendaweni. Lisuka entanyeni liye ezimbanjeni ezingezansi, futhi lisuka enkabeni yesifuba liye ekhwapheni. Ama-lobules akhiqiza ubisi kanye nemigudu yobisi ingaba khona kulo lonke le ndawo, ngisho nangaphansi kwesikhumba.
Ngisho nakudokotela ohlinzayo onekhono kakhulu, akunakwenzeka ngokomzimba ukususa wonke amaseli ezicubu ezihlakazekile. Kodwa-ke, ngenxa yokuthi kusele inani elincane kakhulu lezicubu, ingozi iyonke iphansi kakhulu.
Ngemva Kokuhlinzwa: Ingabe zikhona izinketho zesimanje?
Yebo. Ngenhlanhla, kunezindlela ezithuthukisiwe ezitholakalayo namuhla. Imiphumela iphumelela kakhulu kunangaphambili.
Ukususwa Kwesisu Okungaphazamisi Isikhumba
Lena indlela esetshenziswa kakhulu namuhla. Odokotela abahlinzayo basusa ngokucophelela izicubu zezindlala eziqukethe ingozi yomdlavuza ngenkathi beshiya isikhumba sebele siphelele. Lokhu kususa iningi lezicubu ezisengozini.
Ngokuvamile, ingono kanye nesikhumba esimnyama esizungezile (i-areola) kuyasuswa ngoba kunemibhobho eminingi lapho. Kodwa-ke, ngenxa yokuthi isikhumba sebele siyalondolozwa, kwenza ukwakhiwa kabusha kwebele kube lula kakhulu.
Ukwakhiwa kabusha kwebele ngokushesha
Ngokuvamile, manje kungenzeka ukuqala ukwakha kabusha amabele ngesikhathi sokuhlinzwa okufanayo nokuhlinzwa kwe-mastectomy. Lokhu kungabandakanya ukusebenzisa izicubu zomzimba wakho noma izimila ezikhethekile.
Uma zihlanganiswa, lezi zindlela ziveza imiphumela ephumelela kakhulu. Abesifazane abaningi abadlula kulokhu bazizwa benethemba ngesinqumo sabo futhi bajabule kakhulu ngokubonakala kwabo ngemva kokuhlinzwa.
Izinto Ezibalulekile Okufanele Uzicabangele
- Ukususwa kwesisu okuvimbelayo akuwona wonke umuntu; kunconywa kuphela kwabesifazane abasengozini enkulu kakhulu yomdlavuza webele.
- Nakuba kungase kungayiqedi ingozi ngo-100%, kunganciphisa amathuba okuba nomdlavuza ngamaphesenti angaphezu kuka-90 .
- Ngaphambi kokwenza isinqumo esibaluleke kangaka, ukwelulekwa ngokwezakhi zofuzo kanye nokwengqondo kuyalulekwa kakhulu.
- Ukuhlinzwa kwesimanje kokusindisa isikhumba kanye namasu okuvuselela ngokushesha kunikeza imiphumela emihle kakhulu yobuhle.
- Okubaluleke kakhulu, xoxa ngazo zonke izinkinga kanye nemibuzo onayo ngokukhululekile nodokotela wakho. Bazocacisa iphrofayili yakho yengozi kanye nendlela engcono kakhulu kuwe.
Umdlavuza Webele, Ukususwa Kwesisu Okuvinjelwayo, Ukususwa Kwesisu, I-BRCA, Ingozi Yomdlavuza, Ukususwa Kwesisu, Impilo Yabesifazane
