Ukwandiswa Kwempumelelo Ye-Ingono Yakho Yokuvikela I-Mastectomy
Ukubambezeleka kwemisipha kuyinkqubo yokuhlinzwa eyenziwa ngokulungiselela imastectomy ye-nipple-sparing-ignoring . Isiguli mhlawumbe singabiza lokhu kuhlinzwa "ukuphuza isikhathi somzimba" kunalokho, ngoba kuphinda ubuyekeze usuku lwe-mastectomy yakho ngamasonto amabili kuya kwamabili. Ukubambezeleka kwembilini kungenye yezindlela eziningi zokuhlinza izikhwebu - zonke eziphikisanayo, ngoba eziningi zebele zomdlavuza zingase zitholakale emiphakathini ye-ingono ngokwazo. I-biopsy yezincubu ezivela ngaphansi kwengono izoveza ukuthi ngabe ingono yakho ingasindiswa noma cha.
Ukugcina Izindwangu Zakho Zemvelo Ngemva Kwemastectomy
I- Nipple ne-areola eyinkimbinkimbi (NAC) idinga ukunikezwa kwegazi okuzinikezele ukuze kube nempilo. Uma kungekho ukusakazeka okunokwethenjelwa kulezi zicubu ngemuva kokugaya isikhumba semisipha, lezo zakhiwo zingase zife, futhi izicubu ze-necrotic kuzodingeka zisuswe ngokuhlinzwa. Inqubo yokuhlinzwa ebizwa ngokuthi "ukulibaziseka kwe-nipple" ihloselwe ukwakha uxhumano olusha lwe-circulatory kusuka esikhunjeni sebele kuze ku-NAC oluzogcina izingono zakho zemvelo nama-asolas ephila kahle.
I-Mastectomy Ye-Nipple-Sparing-Sparing Not Distribution For Everyone
Abesifazane abanezakhi zofuzo ze- BRCA abakhetha ukwelashwa kwe-prophylactic bangakwazi ukugcina izinsipho zabo zemvelo. Abanye abakhethiweyo abalungile bahlanganisa iziguli ezinesifo esivela kude ne-ingono, noma abangenaso isikhumba sebele esithinteka ngumdlavuza. Akukho mdlavuza okufanele utholakale kwi-biopsy ye-subareolar esithathwe ngaphambi kokuba i-mastectomy ye-nipple ne-skin-sparing, futhi futhi akumele kube khona ukukhishwa kwamantombazane egazi . Akufanele ube umbhema osebenzayo, njengoba lokhu kuvimbela ukugeleza kwegazi futhi kunciphisa inqubo yezempilo nokuphulukisa.
Izingozi ze-Nipple Sparing Mastectomy
Ngaphandle kwezingozi ezijwayelekile zokuhlinzwa - i-anesthesia, ubuhlungu, ukuphuma kwegazi nokutheleleka - kunengozi ephansi kakhulu yokuthi ingono ingeke iphile ngaphandle kwemizamo engcono yokuyigcina. Ucwaningo olwenziwe kuJohn Wayne Cancer Institute eSanta Monica, California, lubike ngemiphumela yokuhlinzeka ngokukhishwa kwamantombazane okwenziwa ngabesifazane abangu-99 abalandelwa iminyaka emihlanu. Bika ukuthi ama-nipples angu-22 alondolozwe ekugcineni alahlekelwa ngumdlavuza, 8 ahlulekile, futhi 2 asuswe ngokukhululekile. Ucwaningo lubonisa ukuthi, "Kwakungenayo i-necrosis ye-nipple lapho i-NSM (i-mastectomy ye-inglers-sparing mastectomy) yenziwa ngemuva kwenqubo yokubambezeleka kokuhlinzwa." Kodwa-ke, uma i-biopsy ye-subareolar yembula umdlavuza ngaphambi kokuba i-mastectomy ye-nipple-sparing-out, kufanele isuswe. Ngisho nomunye umdlavuza weselula uningi kakhulu ongawugcina.Izinzuzo ze-Nipple Sparing
Ukugcina izinsipho zakho zemvelo kugcina ukubukeka kwangempela nokuzizwa kwamabele akho, ngaphandle kokudinga ukuvuselelwa kwezinsipho. Okunye ukuzwa okuthinta izinsipho zemvelo kuzoqhubeka uma isampula esihle sezinzwa zihlala zixhunyiwe, kodwa ingono eyakhiwe kabusha ngeke ibe nozwela ngaphandle kokucindezelwa.
Inqubo Yokuhlinza Yokuvuza Yokuvuza
Inqubo yokubambezeleka kwezinyosi ihlelwe njengokuhlinzekwa ngeziguli ezingakapheli amasonto amabili ngaphambi kwe- mastectomy yakho. Uzoba ngaphansi kwe-anesthesia futhi ngeke uzizwe ubuhlungu phakathi nokuhlinzwa. Udokotela wakho ohlinzayo uzokwenza ukuchotshozwa esikhumbeni sakho lapho uthola khona umbala wakho we-mastectomy. Lokhu kungase kube ngaphansi kwe-areola yakho noma ku-crease ngaphansi kwebele lakho. Cishe isigamu sesikhumba sakho sebele sizokhusulwa ngaphandle kwezingxenyeni ezinamafutha nesifuba esiswini sakho; lokhu kuzonqamula imithwalo yegazi evame ukuhlinzeka ukujikeleza ensikeni yakho, futhi ikhuthaza izitsha ezintsha zokuxhuma kusuka esikhunjeni sezinyosi kuze kube yinkimbinkimbi yakho ye-nipple-areola, igcine iyaphila. Udokotela wakho ohlinzayo uzophinde athathe i-biopsy yezicubu ezivela ngaphansi kwe-NAC yakho bese uyithumela ebhokisini lobungqabavu. Abesifazane abanesisindo esikhulayo esiseduze ne-nipple kanye ne-areola bazozuza ngenqubo yokubambezeleka kwebele.
Ukuphulukisa nokuPhepha
Ungase ube nokuhlukumezeka nokulimaza ngesikhathi ululameka inqubo yokubambezeleka kwezinsipho. Abanye odokotela abahlinzayo kungenzeka ukuthi usebenzise ukhilimu kesikhumba ngaphambi noma emva kokuhlinzwa kwakho. Uma udinga imishanguzo yokulwa nesicanshu, qiniseka ukuthi uthatha labo njengoba nje kunqunywe - ungalindeli uze uzizwe uhlaza, njengoba lokhu kusebenza kahle uma kuthathwa ngokuvimbela. Thatha lula uze uzizwe ukuthi amazinga akho we-energy abuyela ejwayelekile.Imithombo:
I-Mastectomy Yokudwengula Ingxube Ezingu-99 Eziguli Eziphethe Ukulandelwa Kweminyaka emihlanu. J. Arthur Jensen MD, Jay S. Orringer MD, i-Armando E. Giuliano MD. Ama-Annal of Oncology Yokuhlinza. June 2011, Umqulu 18, Issue 6, iphe 1665-1670.
Jensen, JA; I-Lin, i-JH; U-Kapoor, uN .; I-Giuliano, i-AE (2012). "Ukuphelelwa Ukupheka Kwenkimbinkimbi Ye-Niople-Areolar: Ikhono Elinamandla Lokukhulisa Ukukhubazeka Kwe-Ingono Elandela Ukukhishwa Kwe-Nipple-Sparing Mastectomy". Ama-Annal of Oncology Yokuhlinza 19 (10): 3171-3176.