Noma yimuphi owesifazane uyashaqeka lapho udokotela emtshela ukuthi kuzodingeka ahlinzwe ibele, okusho ukuthi kuzodingeka asuswe ngokuphelele ibele ngenxa yomdlavuza webele. Kuyindaba ebucayi kakhulu. Nakuba into eyinhloko ukwelapha umdlavuza, abantu abaningi bazizwa bekhathazekile kakhulu ngokushintsha kokubukeka kwemizimba yabo ngemva kokuhlinzwa. Kodwa-ke, ngokuthuthuka kwesayensi yezokwelapha, manje sekunezindlela ezintsha ezinganciphisa ukwesaba ukubonakala ngemva kwalokhu kuhlinzwa. Enye indlela ekhethekile yokuhlinzwa ibizwa ngokuthi 'i-Skin-Sparing Mastectomy'. Ake sixoxe ngalokhu namuhla nje.
Okokuqala, kuyini i-Mastectomy?
Kalula nje, i-mastectomy ukususwa kwebele lonke ngokuhlinzwa njengokwelashwa komdlavuza webele. Kunezinhlobo eziningana eziyinhloko ze-mastectomy. Udokotela wakho uzokhetha indlela engcono kakhulu kuwe.
| Uhlobo lokuhlinzwa kwesisu | Incazelo elula |
|---|---|
| Ukuhlinzwa Kwesisu Okuphelele (Okulula) | Izicubu zesifuba kanye nesembozo semisipha yesifuba kuyasuswa. |
| Ukuhlinzwa Kwesisu Okuguquliwe Okukhulu | Isifuba, udonga lwesifuba, kanye nama-lymph node endaweni engaphansi kwekhwapha kuyasuswa. |
| Ukususwa Kwesisu Okungaphazamisi Isikhumba | Indlela esikhuluma ngayo namuhla ihilela ukulondoloza isikhumba samabele esiningi ngangokunokwenzeka. |
| Ukususwa Kwebele Okungagcini Izingono | Lena futhi inqubo yokonga isikhumba. Ize ishiye ingono kanye nendawo enombala eyizungezile (i-areola) ingathintekile. |
Inzuzo enkulu ye-Skin-Sparing Mastectomy ukuthi lapho ibele liphinde lakhiwa kabusha kamuva, asikho isidingo sokususa isikhumba kwenye ingxenye yomzimba. Isibonelo, isikhumba esithathwe esiswini noma emhlane singase sihluke ngombala, ukujiya, kanye nokuthungwa kunesikhumba sesifuba. Kodwa-ke, njengoba le ndlela ishiya isikhumba sesifuba singaphelele, kungenzeka ukuthi kufezwe ukubukeka kwemvelo kakhulu ngemva kokwakhiwa kabusha.
Kukuziphi izimo lapho kudingeka khona i-mastectomy?
Kunezimo eziningana ezikhethekile lapho odokotela batusa khona ukususa lonke ibele esikhundleni sokususa nje iqhubu (i-lumpectomy).
- Uma ama-calcium deposits anomdlavuza (ama-microcalcifications) esakazeke kulo lonke ibele.
- Uma kukhona izigaxa ezinomdlavuza ezindaweni ezimbili noma ngaphezulu ezihlukene ebeleni.
- Uma uba nomdlavuza ngesikhathi sokukhulelwa futhi ukhathazekile ngokuthi ukwelashwa ngemisebe kungase kuthinte ingane engakazalwa.
- Uma uke wathola ukwelashwa ngemisebe endaweni yebele futhi umdlavuza uphinde wavela ebeleni elifanayo.
- Uma unesifo sezicubu ezixhumene njenge-lupus noma i-scleroderma futhi unomuzwa wokuthi imiphumela emibi yokwelashwa ngemisebe ngeke ibekezeleleke.
- Uma iqhubu elinomdlavuza likhulu kakhulu, ukususa iqhubu kuphela (i-lumpectomy) kungase kungashiyi izicubu ezinempilo ezanele ukuze kubonakale kahle.
- Uma une-gene change eyandisa ingozi yakho yokuba nomdlavuza webele.
- Ngisho noma kususwa iqhubu kuphela (i-lumpectomy), kubikwa ukuthi kusekhona amangqamuzana omdlavuza asele emaphethelweni okuhlinzwa.
Ingabe ukhona ongenza lolu hlinzeko lokusindisa isikhumba?
Nakuba abantu abaningi bengenza lokhu kuhlinzwa kokususa isikhumba, akufanele wonke umuntu. Le ndlela ayikhuthazwa ikakhulukazi uma ibele lingakhiwa kabusha ngokushesha ngemva kokuhlinzwa. Ngaphandle kwalokho, isikhumba esisele singancipha futhi sitsheke.
Futhi, le ndlela ayifaneleki uma amangqamuzana akho omdlavuza eseduze kakhulu nesikhumba noma uma umdlavuza ususakazekele esikhumbeni . Isibonelo, lokhu kuhlinzwa akufaneleki kumuntu onohlobo lomdlavuza webele olubizwa ngokuthi 'umdlavuza webele ovuvukalayo'. Udokotela wakho ohlinzayo kanye nodokotela wezifo zomdlavuza yibo abangcono kakhulu ukwenza lesi sinqumo.
Ingabe ikhona ingozi yokuthi umdlavuza uphinde ubuye ngale ndlela?
Ngenxa yokuthi le nqubo isindisa isikhumba esiningi kunokuhlinzwa okuvamile kwe-mastectomy, ungase uzibuze, "Hawu, ingabe lokho kuzokwandisa ingozi yomdlavuza wokubuya?" Lokho ukwesaba okunengqondo. Kodwa-ke, izifundo eziningi zikhombisile ukuthi ukuhlinzwa kwe-mastectomy okusindisa isikhumba akukhulisi ingozi yomdlavuza wokubuya.
Eqinisweni, olunye ucwaningo lukhombisile ukuthi le ndlela inciphisa ingozi yokubuya komdlavuza. Ocwaningweni lwabesifazane abangu-435 ababene-mastectomies, u-4.8% kuphela walabo ababene-mastectomy yokusindisa isikhumba ababuye nomdlavuza endaweni efanayo. Kodwa u-9.5% walabo ababene-mastectomy evamile babuye nomdlavuza.
Ngakho-ke, lena indlela ephephile kakhulu kumuntu ofanele.
Kwenziwa kanjani ukwakhiwa kabusha kwebele ngemva kwalokhu kuhlinzwa?
Kunezindlela eziningana eziyinhloko zokuvuselela ibele ngemva kokususwa kwesikhumba. Lokhu kwenziwa udokotela ohlinzayo olungisa izicubu.
| Indlela yokwakha kabusha | Yini esetshenziswayo | Izinto okufanele uzazi |
|---|---|---|
| Ukwakhiwa kabusha kwe-TRAM flap | Amafutha, imisipha, kanye nesikhumba ngaphansi kwenkinobho yesisu. | Amabele azizwa ethambile ngokwemvelo ngenxa yezicubu zawo. Akufanele labo abake bahlinzwa isisu ngaphambilini noma labo abangenazo izicubu eziningi zesisu. |
| Ukwakhiwa kabusha kwe-DIEP flap | Isikhumba kanye nezicubu ezinamafutha esiswini esingezansi. | Lokhu akubandakanyi ukusebenzisa imisipha. Kuyindlela yokuhlinzwa eyinkimbinkimbi futhi edla isikhathi kune-TRAM flap. |
| Ukwakhiwa kabusha kwe-flap muscle ye-Latissimus | Umsipha we-latissimus emhlane kanye ne-implant. | Njengoba inani lezicubu emisipheni yangemuva lilinganiselwe, kusetshenziselwa i-graft ukunikeza ibele ubukhulu obudingekayo. Ngisho noma isibazi sesifuba sincane, kusala isibazi eside emhlane. |
Yini ongayilindela ngemva kokuhlinzwa?
Isikhathi sokululama ngemva kokususwa kwesikhumba kufana nokususwa kwesisu okuvamile. Nakhu ongakulindela:
- Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ngemva kokuhlinzwa. Uma ukuvuselelwa kwamabele kwenziwa ngesikhathi esifanayo, ukuhlala esibhedlela kungase kube isikhathi eside kancane.
- Ungase ubeke amapayipi okuhlinzwa ekhwapheni lakho noma endaweni yebele ukuze kukhishwe uketshezi ngemva kokuhlinzwa. Lawa mapayipi azodinga ukukhushulwa izikhathi eziningana ngosuku. Azohlala endaweni yawo kuze kube yilapho uvakashela okokuqala emtholampilo, okuzothatha cishe isonto noma amabili.
- Ungageza umzimba wakho kuphela (ibhavu lesiponji) kuze kube yilapho izithungo namapayipi kususiwe.
- Kuthatha isikhathi ukuphulukiswa ngemva kokuhlinzwa. Ngakho-ke thola ukuphumula okwanele emasontweni ambalwa okuqala . Thola usizo emndenini nakubangane ngemisebenzi yasekhaya, ukunakekela izingane, nokuphatha ukudla. Akukho namahloni kulokho.
- Ithimba lakho lezokwelapha lizokunikeza izivivinyo ezithile ukusiza ukuvimbela ukuqina kwezingalo namahlombe. Kwenze nakanjani . Kodwa-ke, bangase bakutshele ukuthi ungenzi ezinye izivivinyo kuze kube yilapho ipayipi lakho lisusiwe.
- Indawo lapho uhlinzwe khona kufanele ilashwe ngaphambi kokuthi ugqoke i-bra. Buza udokotela wakho ukuthi kufanele ulinde isikhathi esingakanani .
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Skin-Saving Mastectomy kuyindlela yokuhlinzwa ethuthukisiwe esebenzisa isikhumba sesifuba uqobo ukuze sibonakale singokwemvelo ngemva kokuhlinzwa komdlavuza webele.
- Le ndlela ayikhulisi ingozi yokubuya komdlavuza. Ezinye izifundo zisikisela nokuthi inganciphisa ingozi.
- Le ndlela ayifaneleki uma umdlavuza ususakazeke eduze kakhulu nesikhumba noma uma ukuvuselelwa kwamabele kungenziwa ngokushesha.
- Khuluma ngokukhululekile nodokotela wakho ohlinzayo mayelana nokuthi le nqubo ikufanele yini nokuthi ukwakhiwa kabusha kuzokwenziwa kanjani. Uzolalela yonke imibuzo yakho futhi abhekane nanoma yiziphi izinkinga ongase ube nazo.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho