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Iyini Ukuhlinzwa Kwebele Lumpectomy?I-lumpectomy yindlela yokuhlinza ukususa indawo encane yezicubu zesifuba esinesifo somdlavuza noma osolwa ukuthi unomdlavuza. Inqubo ye-lumpectomy iyaziwa ngamagama amaningana, kuhlanganise nokuhlinzekwa kokulondolozwa kwebele, kanye ne- mastectomy eyingxenye.
Ukuhlinzwa kwe-Lumpectomy kuqhutshwa ngokuhlinzwa kwe-oncologist, udokotela ogxile ekwelapheni umdlavuza ngokungenelela kokuhlinzwa. Ukuhlinzwa kungenziwa ekwenzeni isifo sengqondo noma isiguli . Uma i- anesthesia ejwayelekile isetshenziswa, isiguli ngokuvamile sihlala esibhedlela ubusuku bonke. Uma i-anesthesia yendawo isetshenziswa, isiguli singaya ekhaya ngosuku olufanayo nokuhlinzwa.
Lokhu kuvulwa kuvame ukugcinwa kwabesifazane abanesidingo esisodwa, esincanyana samathambo okufanele asuswe. Abesifazane abanesisindo esikhulu bangadingeka ukuba basuswe kakhulu izicubu zebele zesifuba, okuvame ukudinga indlela enonya kakhulu njenge- mastectomy .
Ngenkathi i-lumpectomy ingcolile kancane kune-mastectomy futhi ngokuvamile ayidingi ukuhlinzeka nge-plastic reconstructive ngemuva kwalokho, i-lumpectomy ingabangela ushintsho olukhulu ekubukeni kwesifuba uma inani elikhulu lamathambo lithathwa. Ngaphezu kobuchopho noma izibazi ezishiywe ukuhlinzwa , kungase kube khona ushintsho olubonakalayo ekuthunjweni kwesikhumba phezu kwesayithi. Kungase kube nokuntuleka okubonakalayo kwezicubu endaweni, ngisho nangemva kokuba isikhumba siphulukisa.
Sicela uqaphele ukuthi i-biopsy ne-lumpectomy ye-excisional ihlukile. I-Lumpectomy yenziwa uma kune-diagnostic eyaziwayo yomdlavuza wesifuba futhi umgomo ukukhipha wonke umdlavuza onomdlavuza wezincuba ezungeze lesi sifo. I-biopsy yokuzikhethela akuyona ukwelashwa okuhlinzayo, kuyinkqubo yokuxilonga.
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Phakathi ne-Lumpectomy Breast SurgeryNgemuva kokuba isikhumba silungiselelwe inqubo kanye ne- anesthesia inikezwa, ukuhlinzwa kuqala ngokuchotshozwa phezu kwesayithi lezicubu ezizosuswa. Lapho isikhumba sivuliwe futhi izicubu ezizosuswa zikhonjisiwe, udokotela ohlinzayo uzohlola ubukhulu ukuze anqume ukuthi yiluphi uhlobo lwamacubu olwenziwe.
Kwezinye izimo, ubukhulu bungaba yi-cyst, isaka elincane eligcwele amanzi. Uma ngabe i-cyst, i-fluid izobe igxiliwe kuze kube yilapho i-cyst ichithelwa uketshezi. I-fluid izogcinwa ngokuhlaziywa ngemuva kokuhlinzwa.
Ezimweni eziningi, uhla lwezincubu aluyona i-cyst futhi luzosuswa esiswini. Ngaphandle kwezicubu ezinomdlavuza osolakala ukuthi unomdlavuza, indawo ezungeze ubukhulu izosuswa futhi, indawo ebizwa ngokuthi i-margin. Zonke izicubu zisindiswa ukuhlaziywa kamuva ngumuntu wezokwelapha. Udokotela ohlinzayo uzohlola futhi indawo ukuze abone ukuthi izakhi ezengeziwe zomzimba ziyathinteka yini inhlama, njenge-muscle eyenza ibele.
Emva kokukhipha izicubu, udokotela ohlinzayo uzohlola izicubu zesifuba esisele nganoma yiziphi izimpawu zomdlavuza okungenzeka zisakaze ngaphandle kwesikhumba esisusiwe. Uma kungekho sibonakaliso sokwenza ezinye izicubu eziyinkimbinkimbi, ukufakwa komzimba kungavalwa nge- sutures futhi ukuhlinzwa sekuphelile.
Kwezinye iziguli, udokotela ohlinzayo uzosusa futhi ama- lymph nodes noma athathe amasampuli ama- lymph nodes ukuze ahlolwe. Lokhu kudinga ukufakwa okuhlukile ngaphansi kwengalo. Udokotela ohlinzayo angase asuse izitho zamakhemikhali eziningana noma asuse amanothi angama-15 noma angu-20 kuwo wonke, kuye ngezidingo zesiguli. Lokhu kwenziwa ukunquma ukuthi umdlavuza usakaze yini kusukela ebusweni bokuqala esifubeni, uma unomdlavuza.
Isifuba sizoboshwa nge-bandage oyinyumba ngenkathi kwenziwa inqubo, njengoba kuzodingeka ukungena ngaphansi kwe-underarm uma i- lymph nodes isuswa.
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Ukwamukela Ngemva Kokuhlinzwa Kwe-LumpectomyNgemuva kokuhlinzwa sekuphelile futhi isiguli siphakamise ngokugcwele kusuka ku-anesthesia, ukutholakala ekuhlinzeni kuqala. Uma ama- lymph nodes asusiwe, i-drain ifakwa endaweni engaphansi kwe-underarm ukuze ususe uketshezi okwedlulele. I-drain izoba ngaphansi kwe-bandage oyinyumba, futhi ingasuswa kalula ngemuva kokuhlinzwa ngenkathi amanzi emanzi engaphansi.
I-sutures engenakunyulwa ingase ifakwe kancane kancane emzimbeni ngokuhamba kwesikhathi, esikhundleni sokususwa. Ama-sutures ajwayelekile azosuswa ngudokotela ohlinzayo ngesikhathi sokuvakasha kwehhovisi, ngokuvamile kungakapheli amasonto amabili okuhlinzwa.
Ngemuva kwe-lumpectomy ejwayelekile, isusa isisindo esingaphansi kuka-5 cm usayizi, ukutakula kuyathatha amaviki amathathu kuya kwamane. Uma inqubo idinga ukukhipha izicubu ezingaphezulu, ukutakula kungathatha isikhathi eside amasonto ayisithupha.
Ngesikhathi sokubuyiselwa kwezinsuku ezimbili kuya kwezintathu zokuqala kuzoba buhlungu kunazo zonke, kanti ubuhlungu bubuhlungu cishe usuku ngalunye emva kwalokho. Ngesikhathi sesigaba sokutakula kungcono ukugwema noma yiluphi uhlobo lomsebenzi olubandakanya ukunyakaza, njengokusebenza, futhi kubalulekile ukunakekela ukukhokha kwakho .
Ukukhuphula kudikibala phakathi kwamasonto emva kokululameka, njengoba kunoma yimuphi umsebenzi odinga ukuthi izingalo ziphakanyiswe phezu kwekhanda, okungafaka ingcindezi ekukhusheni futhi kubangele ubuhlungu obukhulu. Ibhoksi elisekelayo, njengebhangi lokugijima, lingagqunywa njalo ngesonto lokuqala noma amabili ukunciphisa ukunyakaza kwesifuba ukuvimbela ubuhlungu nokusekela ukukhishwa.
Uma isilonda sihlolwe futhi sitholakale singumdlavuza, kunconywa ukwelashwa kwemisebe ukuphatha noma yiziphi izindawo zomdlavuza okungenzeka zingatholakali ngesikhathi sokuhlinzwa.
> Imithombo:
> Ingculaza Yamabele Emadodeni. I-American Cancer Society http://www.cancer.org/Cancer/OkudalaCancerinMen/DetailedGuide/index
> Ukwelashwa Kwebele Ngomzimba Ngesiteji. I-American Cancer Society http://www.cancer.org/docroot/CRI/content/CRI_2_4_4X_Treatment_by_Stage_Breast_Cancer_5.asp?rnav=cri
> Ukwakhiwa kabusha kwebele. Isisekelo se-Susan G. Komen http://cms.komen.org/Komen/AboutBreastCancer/Treatment/3-5-8?ssSourceNodeId=99&ssSourceSiteId=Komen
> Ukwelashwa kwe-Radiation & You. Izikhungo zezempilo zikazwelonke. http://www.cancer.gov/cancertopics/radiation-therapy-and-you/page2