Esicwaningweni esivela kumagazini we-intanethi wephephandaba i- JAMA Surgery , abacwaningi bathole ukuthi owesifazane kwabayisishiyagalombili ku-lumpectomy uzodinga ukuhlinzwa okulandelwayo phakathi kwezinsuku ezingu-90. Ucwaningo lwaluqhutshwa ukuhlola izigameko zokuhlinzwa okwesibini, futhi umphumela wesipiliyoni somhlinzeki wabahlinzeki waba nesidingo sokuhlinzwa okwesibini.
Okutholakele kulolu cwaningo akubalulekile kuphela abesifazane okwamanje ababhekene nokuhlinzwa komdlavuza webele, kodwa kuwo wonke owesifazane odingayo futhi ofuna ukufundiswa ngokukhetha kwakhe okudingekayo kufanele atholakale enesifo somdlavuza esikhathini esizayo.
Owesifazane udinga ukukhetha izinqubo zokuhlinzeka ngokuzizwa kahle ukuthi yikuphi ukuhlinza ngalunye okubandakanya, imiphumela yokuqala engaba khona, kanye nokuhlala isikhathi eside, kanye nethuba lokuthi ukuhlinzekwa okwengeziwe kungadingeka ukuba ususe umdlavuza wakhe webele ngempumelelo.
I-lumpectomy, okuyi-breast-conserving operation, iyiseluleko esivamile sokuhlinzekwa kwabafazi abanomdlavuza webele wesandulela. I-lumpectomy elandelwa ukwelashwa kwemisebe iboniswe ukuthi iyasebenza njenge-mastectomy yokwelapha umdlavuza webele webele. Isikhathi sokuphumula sokuhlinzwa sifushane, kanti owesifazane usenaso isifuba sakhe semvelo. Kukhona futhi inketho yokwakha kabusha ukubuyisela ukulinganisa kwebele.
Phakathi ne-lumpectomy, udokotela ohlinzayo ususa i-tumor yebele kanye nendawo yezicubu ezizungezile. Le ndawo ibizwa ngokuthi umkhawulo, empeleni lokho okubonakala kubonakala sengathi kuyisigqamu sezicubu ezijwayelekile ezizungeze lesi sifo. Uma i-margin of tishu itholakala ukuthi iqukethe amangqamuzana omdlavuza uma ihlolwe ngumhlengikazi olandela ukuhlinzwa, kuyodingeka ukuhlinzekwa kwesibili.
Ukuhlinzekwa okwengeziwe kwenziwa ukuvimbela ukuphindaphinda kwendawo yomdlavuza webele.
Ucwaningo luhlolisise amarekhodi angama-90,000 abesifazane abene-lumpectomy eNew York State kusukela ngoJanuwari 1, 2003 kuya kuDisemba 31, 2013. Ucwaningo lwabheka amarekhodi kuzo zonke izibhedlela kanye nezikhungo zokuhlinza izigameko eNew York State.
Ukuthola:
- Ukusetshenziswa kwe-lumpectomy kuyeke, ikakhulukazi kwabesifazane abasebasha.
- Phakathi neminyaka yokutadisha, izinga lokuvuselela okwenzeka ngaphakathi kwezinsuku ezingu-90 lumpectomy yokuqala kwakungeyona ngempela 31%. Lokho kwehla kusuka ku-40% eminyakeni eminingana edlule.
- Amanani okusebenza kabusha aphakeme kakhulu phakathi kwabesifazane abaneminyaka engama-20 kuya kwengu-49 ubudala futhi ephansi kulabo besifazane abaneminyaka engu-65 + nangaphezulu.
- Amazinga okusebenza kabusha alandela ama-lumpectomi ahlukene ngokuphawulekayo kusuka ku-surgeon kuya ohlinzayo. Lawo odokotela abahlinzayo abenza okungaphezu kwamangqamuzana angama-34 ngonyaka babe nengozi ephansi yokuvuselela kabusha.
- Amazinga wokusebenza kabusha ahla uma kukhona abahlinzayo abaqeqeshiwe ababelethwe kahle, futhi indlela yeqembu yokunakekelwa.
- Nakuba isifundo senzeke eNew York State, sinemigomo yezinye izifunda ezweni lonke.
- Ukwazi ukuthi abesifazane badinga ukuhlinzwa kangaki ngokulandela i-lumpectomy kubalulekile kubahlinzayo ngoba badinga ukuthola izindlela abangakwazi ukusiza ukunciphisa ingozi yowesifazane ngamunye.
- Wonke owesifazane unelungelo lokumazi ingozi yokudinga ukusebenza uma ekhetha i-lumpectomy. Kudingeka abe nalolu lwazi ukuze enze isinqumo esinolwazi.
Lokho Lesi Sifundo Sisho Kuwe
Njengoba ngine-lumpectomy yomdlavuza wami webele wokuqala, ngiyakwazi ukuhlanganyela lapho udokotela wami ohlinzayo ephakamisa i-lumpectomy, angizange ngiyazi ngisho nemibuto okufanele ngiyibuze.
Wachaza inqubo, kodwa hhayi ukuthi kungenzeka yini ukuthi ngidinga ukwelashwa okwengeziwe uma engenzi izikhala zakhe. Ngesikhathi sokuqala ngalizwa igama lamapheshana kwaba lapho udokotela wami ohlinzayo engibiza ngemiphumela yombiko wami wezempilo. Wathi, "Ngenze amathafa ami; ngeke udinga ukuhlinzwa okungeziwe. "
Angikwazi ukucabanga ukuthi kwakungaba ukwesaba nokuthukuthela kanjani ngabe ngidinga ukwelashwa okungeziwe futhi ngingazange ngilungiselele ngaphambili lokho. Nginenhlanhla; Ngiyazi abesifazane abaningi abadinga ukuhlinzekwa kwesibili. Ukukhathazeka okungeziwe kokuhlinzwa okwesibini kwenziwa ukuphulukisa inqubo ende.
Kubalulekile kuwo wonke owesifazane, osanda kutholakala ukuthi unomdlavuza webele, ukuqonda izinketho zakhe zokuhlinzwa.
Zonke izici zokuhlinza, kungaba i-lumpectomy, i-mastectomy noma i-mastectomy yezizwe kumele zihlolwe ngesikhathi lapho ukwesaba nokungaqiniseki kungenza isinqumo senzeke khona futhi senze izinqumo kunzima kakhulu. Kungakho ukuletha ilungu lomngane noma lomndeni emhlanganweni wokuqala udokotela ohlinzayo webele ubalulekile. Indima yomuntu idinga ukucaca:
- Ngaphambi kokuvakashela odokotela, siza isiguli sibeke uhlu ndawonye imibuzo yokubuza udokotela ohlinzayo.
- Ngesikhathi sokuvakasha, khumbuza isiguli nganoma imiphi imibuzo ayikhohliwe ukuyibuza.
Lolu cwaningo luveza ukuthi nakuba abesifazane abaningi besengadingeka ukuhlinzekwa okwengeziwe ngokulandela i-lumpectomy, kunendlela yokunciphisa amathuba okudinga ukuhlinzwa kwesibili. Kubalulekile ukukhetha udokotela ohlinzayo owenza lo msebenzi njalo. Izikhungo ze-Cancer nezindawo ezinkulu zezokwelapha zineziqhwaga ezihlinzeka ngama-lumpectomi njalo.
Umthombo:
I-JAMA Ukuhlinzwa. 2016 February 17: Phinda Ukwelashwa Emva Kokulondolozwa Kwesisu Ukuphathwa Kwezinga 0 kuya II Breast Carcinoma A Umbiko Kusuka National Cancer Data Base, 2004-2010.