Ngaphambi kuka-1990, ukwelashwa okujwayelekile kwesifo somdlavuza wesifuba wasencane kwakuyisisindo somzimba , ukususa lonke isifuba.
Ngemuva kuka-1990, ngenxa yezincomo ezivela eNational Institutes of Health, abesifazane abaningi abanomdlavuza webele wezinsana zakudala manje babe nokukhetha okukhethwa kukho. Esikhundleni se-mastectomy, babengakwazi ukukhetha ngokuphepha i-lumpectomy, ukuhlinzwa ukukhipha umdlavuza kanye nezicubu ezungeze isisu, kodwa hhayi lonke isifuba.
I-lumpectomy ivame ukulandelwa ngemithi yokwelashwa ukuze kuncishiswe ingozi yokuphindaphinda ebeleni noma emalini.
Kokubili ukuhlinzwa kwe-lumpectomy kanye ne-mastectomy kubandakanya ukukhipha izitho zamagciwane ngaphansi kwengalo ukuhlola ukutholakala kwamangqamuzana omdlavuza.
I-Institutes of Health kazwelonke yenza izincomo zabo zokunikeza i-lumpectomy njengendlela ephephile yokugcina imastectomy esekelwe emiphumeleni yezinhlolo eziningi eziningi ezilawulwayo ezingabonisi umehluko emkhatsini weminyaka engu-20 yokusinda yabesifazane ababenayo i-lumpectomy ne-radiation noma i-mastectomy.
Ngenxa yeziphakamiso zeNational Institutes of Health, ama-mastectomy rates abesifazane abanesifo somdlavuza webele wasesiswini baqala kusuka ku-100% ngonyaka we-1980 kuya ngaphansi kwamaphesenti angu-40 namuhla. Kodwa-ke, ucwaningo lwamuva, olwanyatheliswa kuyi-JAMA Surgery, lwathola ukuthi iphesenti labesifazane abanomdlavuza webele we-early-stage okwenzela izibalo zanda. Amanani omzimba ayenyuka ngamaphesenti angu-34 ngo-1998 kuya kuma-38 amaphesenti ngo-2011.
Ukucabangela Kokubili Ukuhlinzwa
I-lumpectomy ingagcina iningi lokubukeka, kanye nokuzwa kwesifuba. Njengoba kungukuhlinzwa okungenasisindo esincane, isikhathi sokuphumula sifushane futhi silula kune-mastectomy.
I-Lumpectomy ayifanele kwabanye besifazane.Ubukhulu besisu, kanye nendawo yesikhumba nesayizi sesifuba, sinquma ukuthi kungenzeka yini ukuthi i-lumpectomy ingenzeka noma cha.
Okunye ukucabangela ekukhetheni i-lumpectomy phezu kwe-mastectomy yisikhathi nokuzinikela kokuhamba kokwelashwa. I-Lumpectomy idinga imithi yokwelashwa okwesikhathi semasonto. Uma owesifazane ehlala kude nesikhungo sokunakekelwa, i-lumpectomy ingase ingabi yinto engokoqobo. Ukwengeza, imisebe ayiyona inketho yabesifazane abanezimo ezithile zezempilo ezifana ne-systemic lupus.
I-mastectomy iyindlela ehlinzekwa kakhulu kune-lumpectomy futhi inesikhathi sokutakula eside.
Ngo-1999, ngine-lumpectomy, elandelwa izidakamizwa ezingu-36. Ubuhlungu bebuncane; Ngabuyela ekusebenzeni zingakapheli izinsuku. Imishanguzo ayibuhlungu.Iziphumo ezithintekayo zemisebe ziqala ukusebenza ngosuku lwe-15, futhi ngaqala ukulahlekelwa amandla. Ngakwazi ukusebenza amaviki angu-6 kwangu-6 + ngelashwa. Izinga lami lamandla lithuthukisiwe ngaphambi kwezinsuku zokuqeda ukwelashwa.
Ngonyaka ka-2009, ngomdlavuza wami wesibili, owodwa owawuyisisekelo esibelethweni esingafani (hhayi ukuphindaphindiwe komdlavuza wami wokuqala), ngakhetha i-mastectomy yamazwe amabili. Kwakungenangqondo ukugcina isifuba esake sinomdlavuza.
Ngemuva kwezinsuku ezimbili zokuqala ngemva kokuhlinzwa, ubuhlungu bebuhlungu be-Tylenol. Ngangibuye ngisebenze ngenyanga.
Njengoba kokubili amagciwane ami ayengumdlavuza wesandulela, ngangingasidingi imithi yokwelapha.
Imicabango Yokugcina
Isinqumo sowesifazane sokuthola i-lumpectomy noma i-mastectomy yiyona engayifinyelelwa ngosizo lwesigqila sesifuba sakhe ngemuva kokuxoxwa ngokugcwele ngenzuzo kanye nenhlalakahle yenqubo ngayinye, kanye nokukhathazeka nokuthandwa kwakhe.
UJean Campbell ungumdlavuza wesibeletho se-2x nomqondisi osungula we-American Cancer Society Uhlelo lwe-New York City Patient Navigator Programm ezibhedlela zomphakathi nezizimele ezingu-14. Ungumqondisi ophezulu wenhlangano engenzi inzuzo enikeza ulwazi nophando nolwazi kubantu besifazane namadoda esanda kutholakala ngomdlavuza webele.