Ngezinye izikhathi ungase uzizwe ukwesaba enhliziyweni yakho, "O, umama naye wayenomdlavuza webele, angazi ukuthi nami ngizowuthola yini...". Ingabe nawe unalo lolu hlobo lokwesaba nokungabaza enhliziyweni yakho? Eqinisweni, abanye abantu bathambekele kakhulu ekutholeni umdlavuza webele kunabanye, okungukuthi, basengozini enkulu. Ngakho-ke kulabo abasengozini enkulu kangaka, sikhuluma namuhla ngenqubo ekhethekile yezokwelapha enganciphisa leyo ngozi ngangokunokwenzeka.
Kalula nje, kuyini i-Prophylactic Mastectomy?
Nakuba igama lizwakala liyinkimbinkimbi, okwenzekayo kulula kakhulu. Ukususwa kwebele ngokuhlinzwa kwebele elilodwa noma womabili ngaphambi kokuba akhule, ngenhloso yokunciphisa ingozi yokuba nomdlavuza webele. Lokhu kubizwa nangokuthi "Ukususwa kwebele okuvimbelayo" noma "Ukususwa kwebele okunciphisa ubungozi."
Into ebalulekile ukuthi, lokhu akulona ukuhlinzwa kwawo wonke umuntu. Kunconywa kuphela kulabo odokotela ababona ukuthi basengozini enkulu yokuba nomdlavuza webele.
Ubani okufanele acabangele lokhu kuhlinzwa?
Uma ucabanga ukuthi usengozini enkulu yokuba nomdlavuza webele, ungakhuluma nodokotela wakho ngalokhu bese wenza isinqumo. Lokhu kuhlinzwa kuvame ukucatshangelwa abantu abanezici ezilandelayo eziyingozi:
- Umlando womndeni womdlavuza: Ingozi yakho iphakeme uma othile emndenini wakho, ikakhulukazi isihlobo esiseduze njengomama , udadewabo, noma indodakazi, eke waba nomdlavuza webele. Futhi ingozi yakho iphakeme nakakhulu uma lowo muntu eba nomdlavuza engakafiki eminyakeni engu-50.
- Imiphumela yokuhlolwa kwezakhi zofuzo: Ukuhlolwa kwezakhi zofuzo kungathola izinguquko ezithile zezakhi zofuzo ezandisa ingozi yomdlavuza webele. Ikakhulukazi, uma izinguquko zezakhi zofuzo ze -BRCA1 ne-BRCA2 ziqinisekiswa, ingozi yomdlavuza iphezulu kakhulu.
- Ukuba nomdlavuza wena ngokwakho: Uma usuvele unomdlavuza kwelinye ibele, abanye abantu bakhetha ukususwa elinye ibele elinempilo ngale ndlela. Kodwa-ke, lokhu akushintshi ukwelashwa noma umphumela womdlavuza okhona.
- Ukwelashwa ngemisebe: Uma wake welashwa ngemisebe esifubeni ngesinye isizathu ngesikhathi usemncane, uneminyaka ephakathi kweyi-10 nengama-30, lokho nakho kuyisici esanda ingozi yomdlavuza webele.
Kuphumelele kangakanani lokhu kuhlinzwa?
Inzuzo enkulu yalokhu kuhlinzwa ukuthi kunganciphisa kakhulu ingozi yokuba nomdlavuza webele.
- Umuntu onoguquko lwezakhi zofuzo njenge-BRCA1 noma i-BRCA2 usengozini engu-95% yokuthola umdlavuza ngemva kwalokhu kuhlinzwa.Iyancipha cishe ngo-.
- Umuntu osengozini enkulu ngenxa yomlando womndeni anganciphisa ubungozi bakhe cishe ngo -90% .
Lokhu akusho ukuthi ingozi izosuswa ngokuphelele, kodwa ukuthi ingancishiswa ibe sezingeni eliphansi kakhulu.
Ingabe kunezinhlobo ezahlukene zalolu hlinzeko?
Yebo, lokhu kuhlinzwa kwenziwa ngezindlela ezahlukene kuye ngezidingo zesiguli kanye nezincomo zezokwelapha. Ake sibone ukuthi yiziphi izinhlobo eziyinhloko.
| Uhlobo Lokuhlinzwa | Kwenzekani nje? |
|---|---|
| Ukuhlinzwa Kwesisu Kwamacala Amabili | Ukususwa ngokuphelele kwamabele womabili. |
| Ukuhlinzwa Kwesisu | Uma ibele elinomdlavuza lisuswa, elinye ibele eliphilile nalo liyasuswa. |
| Ukususwa Kwesisu Okungaphazamisi Isikhumba | Ukususa ingono nendawo emnyama eyizungezile (i-areola), ukushiya isikhumba siphelele bese kususwa izicubu ezingaphakathi. |
| Ukususwa Kwesisu Okungagcini Izingono | Kususwa izicubu zesifuba sangaphakathi kuphela, kushiye isikhumba kanye nengono kungathinteki. |
| Ukuhlinzwa Kwesisu Ngokuvuselelwa Kabusha | Ukwakhiwa kabusha kwebele kusetshenziswa i-implant noma izicubu ezithathwe kwenye indawo emzimbeni, kanye nokususwa kwebele. |
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Ngaphambi kokuhlinzwa
Udokotela wakho kanye nethimba lezokwelapha bazokunikeza yonke imiyalelo oyidingayo ngaphambi kokuhlinzwa. Ngosuku lokuhlinzwa, uzonikezwa ingubo yasesibhedlela. Ngemuva kwalokho, kuzoxhunywa umugqa we-IV engalweni yakho bese unikezwa i-anesthesia. Lokhu kusho ukuthi uzobe ulele ngokuphelele. Ngakho ngeke uzwe ubuhlungu noma yini ngesikhathi sokuhlinzwa .
Ngesikhathi sokuhlinzwa
Udokotela ohlinzayo ulandela lezi zinyathelo:
- Isikhumba siyasikwa (sinqunywe) endaweni efanele ebeleni.
- Izicubu zebele zihlukaniswa ngokucophelela esikhumbeni nasemisipheni yesifuba.
- Izicubu zebele ezihlukanisiwe zisusiwe ngokuphelele.
- Uma usunqume ukwakha kabusha amabele, leso sinyathelo siqala manje.
- Ipayipi elilodwa noma ngaphezulu elincane (amapayipi okukhipha amanzi) libekwa eduze kwesilonda ukuze kukhishwe uketshezi oluningi kanye negazi eliqoqana njengoba isilonda siphola.
- Ekugcineni, ukusikwa kuthungwa ndawonye futhi kuhlanganiswe ngebhandeji.
Lokhu kuhlinzwa kuvame ukuthatha cishe amahora amabili kuya kwamathathu, kodwa kungathatha isikhathi eside uma ukuvuselelwa kwamabele kwenziwa ngesikhathi esifanayo.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, kuzodingeka uhlale esibhedlela usuku olulodwa noma ezimbili. Lesi sikhathi sizoncika empilweni yakho nokuthi ngabe uhlinzwe ngendlela yokwakha kabusha yini. Ngaphambi kokuba uphume esibhedlela, ithimba lezokwelapha lizokunikeza imiyalelo yokuthi ungalinakekela kanjani inxeba lakho ekhaya nokuthi ungalinakekela kanjani amapayipi akho okukhipha amanzi.
Futhi, uzofundiswa izivivinyo ezikhethekile zokunciphisa ukuqina kwezingalo zakho nasemahlombe ngemva kokuhlinzwa. Kubaluleke kakhulu ukwenza lokhu ngendlela efanele.
Isikhathi sokululama siyahlukahluka kuye ngomuntu nomuntu. Ngokuvamile kuthatha amasonto ama-3-4 ukuthi uqale ukuzizwa ungcono kancane. Uma uhlinzwe kabusha, kungathatha amasonto ayi-8 noma ngaphezulu ukululama. Kungathatha izinyanga eziningana ngaphambi kokuthi uqalise imisebenzi yakho evamile.
Azikho yini izingozi kulokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezingozi ezithile.
- Ukopha
- Ukutheleleka
- Ukulahlekelwa noma ukuncipha kokuzwa kwesikhumba sesifuba
Ngaphezu kwalezi zingozi zomzimba, sidinga futhi ukunaka umthelela wengqondo . Ngemva kokuhlinzwa, ungase uzizwe ukhathazekile, udabuke, futhi udidekile ngokubukeka komzimba wakho. Lokhu kuvamile kakhulu.
Uma uzizwa ukhungathekile futhi ukhathazekile, ungabi namahloni ngakho. Ungalwi naleyo mizwa wedwa. Ukukhuluma nodokotela wengqondo noma umeluleki wezempilo yengqondo kungaba umthombo omkhulu wamandla.
Yiziphi izimpawu ezidinga ukuthi ubonane nodokotela ngokushesha?
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokubuya ekhaya evela ekuhlinzweni, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Ukopha ngokweqile okuvela enxebeni
- Imfiva
- Ubuhlungu obuqhubekayo noma obukhulayo emavikini amaningana
- Ubomvu noma ukuvuvukala okuzungeze isilonda okungapheli
- Ukufudumala uma kuthintwa eduze kwesilonda
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Prophylactic Mastectomy akuyona eyawo wonke umuntu. Kwenziwa kuphela kulabo abasengozini enkulu yokuba nomdlavuza webele.
- Lokhu kuhlinzwa kunganciphisa kakhulu ingozi yomdlavuza (ngo-90-95%), kodwa akususi ingozi ngo-100%.
- Uma ucabanga ukuthi ungase ube sengozini, khuluma nodokotela wakho ngokukhululekile ngezinto ezifana nomlando womndeni kanye nokuhlolwa kofuzo (BRCA1/2).
- Lesi yisinqumo esikhulu. Kuzothatha isikhathi ukuphulukiswa, ngokomzimba nangokwengqondo. Ungalokothi unqikaze ukufuna usizo lwezempilo yengqondo uma kudingeka.
- Ngaphambi kokwenza noma yisiphi isinqumo, kubalulekile ukuxoxa ngokugcwele ngezinzuzo kanye nokungalungi kokuhlinzwa, kanye nezinye izinketho zakho, nodokotela wakho.
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