Ukukhetha phakathi kwe-Lumpectomy ne-Mastectomy
Uma i- biopsy yakho iveza isifo somdlavuza futhi ubhekene nesinqumo phakathi kwe-lumpectomy ne- mastectomy , ungase uzizwe ukhululekile futhi udidekile. Uyini umehluko wangempela phakathi kwalezi zinqubo futhi okungcono kakhulu kuwe?
Ungase uzithole uhamba emuva nangemva futhi uphinde uphinde uyenze ngenkathi ukhetha phakathi kwe-lumpectomy ne-mastectomy . Ungase uthole nokuthi imibono ihlukile, kungukuthi umbono womhlinzeki wakho ohlinzayo noma umngane. Kungani kungqubuzana? Futhi kungani kubalulekile ukuqonda umqondo wezigqoko zokuhlinzwa?
Ngoba bobabili wena nodokotela wakho ohlinzayo bafuna ukuba sekhasini elifanayo. Ngakolunye uhlangothi yenkinga isifiso sokugcina isifuba sakho, noma isifuba sakho ngangokunokwenzeka. Ngakolunye uhlangothi kubaluleka kokuthola wonke umdlavuza futhi ube nemigqa emihle yokuhlinzwa. Ukuqonda okuningi mayelana nemigqa yokuhlinzeka kungakusiza uthole isibambo esingcono okungasondeza ukwelashwa.
Thola ezinye iziphakamiso ze-Lumpectomy vs. Mastectomy
Uma ubhekene nalesi sinqumo-lumpectomy noma i-mastectomy-kuzodingeka wazi ukuthi isimo samagqabha akho okuhlinza sifinyelela kanjani esilinganisweni esiphelele. Qala ngokufunda le ngcaphuno evela ku- UpToDate ukuze ubone ukuthi kungani izigigaba zokuhlinzwa zibalulekile kuwe.
Ukuhlolwa Okuncane Kwama-Tumor: Ingxoxo Kuzokhethwa Ukuhlinzwa
"Ukuhlolwa okuncane kwamathambo okususiwe ngesikhathi se-biopsy noma ngesikhathi sokuhlinzwa kungase kubonakale izici ezithinta izincomo ze-BCT [ukwelashwa kwebele okubhekene ne-mastectomy]. Enye yalezi zici kukhona ukutholakala kwamangqamuzana omdlavuza we-residual emaphethelweni we-tumor (ukuhlinzwa ama-margin). Uma kushiyelwa amangqamuzana omdlavuza kungakhathaliseki ukuthi isisindo esikhulu sisuswe, i-mastectomy ingase ikhetheke. "
Ukuthola Umlayezo Ngeziphezu Zokuhlinza
Yiziphi Izinyathelo Zokugqoka?
Uma isisu sakho sibiziwe noma sisuswa ngokuhlinzwa, udokotela wakho ohlinzayo uthatha okungaphezu nje kwesisu-ezinye izicubu ezungeze lesi sifo nazo ziyathathwa. Lo mngcele wezicubu phakathi komngcele ongaphandle wesampula kanye ne-tumor ubizwa ngokuthi umkhawulo wokuhlinzwa .
Ngemuva kokuthi udokotela wakho ohlinzayo asuse izicubu, ihlanganiswe ngokucophelela esitsheni bese ithunyelwa ebhokisini le-pathology. I-pathologist isebenzisa inki ekhethekile ukumboza umphetho wangaphandle we-sampula yonke yesisindo. Khona-ke isampula ihlukaniswe zibe izingxenye ezincane futhi ihlolwe ngaphansi kwe-microscope. Emaphethelweni, kanye nasemaphethelweni, ahlolwe ukuze abone ukuthi ngabe noma yimaphi amangqamuzana omdlavuza alahlekile ngaphandle kwesisu futhi, uma kunjalo, ukuthi kude kangakanani.
Ukuqonda Imigomo Odokotela Basebenzisa Ukuchaza Izinkomba Zokuhlinzeka
Kunemihlahlandlela evamile, kodwa incazelo yezinhlanzi ezimbi noma ezicacile zingahluka esibhedlela esisodwa noma emtholampilo kwenye. Le migomo emithathu isetshenziselwa ukuchaza ama-margins:
- Margin Negative: Ayikho amangqamuzana omdlavuza ohlangothini lwangaphandle lwama-tishu
- I-Margin enhle: Amangqamuzana omdlavuza noma i-tumor iya phezulu ekugcineni kwesampula
- Vala iMargin: Noma yisiphi isimo phakathi kokungalungile nokuhle
Lapho Izinyathelo Zokuhlinzeka Zine Cancer
Vala ama-margins emva kwe-lumpectomy ingase iphathwe ngenye inqubo yokuhlinza, okuthiwa i-re-excision. Udokotela wakho ohlinzayo wayezobuyela esakhiweni sokuqala futhi asuse izicubu ezengeziwe ukuze azame futhi athole amamaki amabi (acacile). Uma lokho kuphumelela, ukwelashwa kwemisebe kungase kube kuwe.
Abanye besifazane abanezimangalo eziseduze bakhetha ukuba nesisindo somzimba, kunokuba bahlinzekwe okunye noma okunye okunye okuhlinzwa. Amagqabhezana afanele angabonisa ukuthi kukhona umdlavuza webele we- invasive , futhi kungase kudingeke ukuba ube nesifo socansi ukuze uqiniseke ukuthi wonke umdlavuza ususiwe futhi uvimbele ukuphindaphindiwe.
Izinyathelo Ezimbi Nezinkinga Zokunakekelwa
Uma unesifo se-biopsy, isisu sakho sincane (ngaphansi kwamamentimitha angu-4), futhi amakhemikhali akho okugcoba ahlanzekile, khona-ke i- lumpectomy ingaba yiyo yonke insizwa yokubeletha oyidingayo (noma ngabe ungase ukhethe ukuthola i-mastectomy). Uma kukhethwe i-lumpectomy, ukwelapha imishanguzo emathunjini asele kunikelwa ukuvimbela umdlavuza ophindaphindiwe.
Isimo sakho se- lymph node kufanele futhi sihlolwe; uma i-lymph nodes yakho ingenaso isifo, cishe ngeke udinga ukwelashwa kwemisebe kuleyo ndawo ngemva kokuhlinzwa. Uma engacacile, i-oncologist yakho ingancoma imisebe. Uma usuqede imishanguzo, uma kudingeka, futhi uma unesifo somdlavuza we-estrogen, uzobe uthatha ukwelashwa kwama-hormone okungenani iminyaka emihlanu, futhi kaningi ukuvimbela ukuphindaphinda kwenye indawo emzimbeni wakho.
Umlayezo Wasekhaya Wokuthatha
Udinga ukwazi ukuthi amamitha akho okugqoka ayengalungile, aqondile, noma avaliwe. Lokhu, kanye nomhlobo wesifo somdlavuza , isimo sesigaba nesigaba se- lymph node, kuzokusiza wena nodokotela wakho ukhethe ukwelashwa okuphumelela kakhulu kuwe.
> Umthombo:
> Daniel F Hayes, uMichael S Sabel, MD. "Ukwelashwa komdlavuza wesifu: ukwelashwa kwe-mastectomy nokubeletha kwebele: Ukuhlolwa kwe-Microscopic kwe-tumor," UpToDate. Kubuyekezwe 05/26/16.