Eminyakeni eyisithupha eyedlule ngesikhathi ngivakashela ohlinzayo lwami webele ngemva kokuhlinzwa kwami, ngangibuzwa ingxenye, "Ngabe kunjalo," kusho u-half, "Akusekho ama-mammograms, akunjalo?" Wamomotheka futhi waphendula, "Azikho amabele, akukho mammograms." Ngacabanga ngalokhu okwesikhashana, wabe esebuza, "Ngiyiphi indlela yokuhlolwa yonyaka? Ngithola i-MRI? "Waphendula," Nope; uyangibona ukuhlolwa njalo ezinyangeni eziyisithupha iminyaka yokuqala, futhi kanye ngonyaka emva kwalokho.
Uma ngibona noma ngizwa okuthile, ngizokudlulisela ukuhlolwa okungeziwe, okungafaka phakathi i-MRI. "Nganginganeliseki; Ngidinga ukwazi kahle ukuthi lokhu kuhlola kuzobandakanya. Udokotela wesigqila ungowesifazane wesineke; wanikeza i-rundown ephelele ngalokho engingakulindela.
"Ngizokwenza isheke sangempela endaweni yonke lapho amabele akho ayekusebenzisa khona, indawo yakho yesikhumba, izindawo eziseduzane nezigqoko zakho," esho. "Kuzothatha nje imizuzu embalwa nje." Wayenembile. Nginezibalo eziningi zalezi zivivinyo, futhi zithatha imizuzu embalwa nje engenabuhlungu.
Udokotela wabe esechaza ukuthi uma owesifazane ephelele, noma i-radical modified, noma i-mastectomy ephawulekayo ehlanganisa nokususwa kwazo zonke izicubu zesifuba, ne-nipple ne-areola, angeke adinge i-mammogram yonyaka evamile ethintekayo, kodwa kuphela isifuba esele. Uma kunjalo, wayenesisindo sokususa izicubu zesifuba, kodwa eshiya ingono kanye ne-areola eqondile, wayezoqhubeka edingekile ukuba aqhubeke ene-mammogram yaminyaka yonke enomdlavuza, kanye nesifuba esingathinteki.
Ukushiya ingono kanye ne-areola ngemuva kokushiya ama-mastectomy okwanele izicubu zesifuba ukuze kuqinisekiswe ukuthi i-mammograms yonyaka.
Njengoba ngangikhethile ukuthi angabe ngisaqala kabusha, ngangingaqonda ukuthi izibani noma izimpumputhe zingabonwa kalula noma zizwele kimi, kodwa kuthiwani ngabesifazane abakhe kabusha; bahlolwe kanjani ukuphindaphinda noma isisekelo sesibili esifubeni esifanayo esinesifo somdlavuza?
Udokotela wami wabeka ukuthi i-mammogram yonyaka ayitholakali eyenziwa ngesifuba nge-implants, izicubu noma inhlanganisela yazo. Izicubu zesisu zisusiwe, futhi i-mammogram ayikwazi ukubuka izicubu eziyisisekelo ngemuva kokufakelwa. Kodwa-ke, uma ukuhlolwa kwesifuba semitholampilo kubonisa ukukhathazeka okungenzeka, i-mammogram ingenziwa ngemibono eyengeziwe.
Ngokuvamile akudingekile ukuba u-mammogram abuyele ngemuva kokuvuselela izicubu usebenzisa isisindo somuntu wesinye isitho somzimba wakhe, ngokuvamile esivela esiswini sakhe noma emuva, ukuze avuselele isifuba sakhe. Ezinye izimo ezingase zibonise isidingo sokuxilongwa kwemithi zibandakanya: abesifazane besengozini enkulu yokuphindaphinda, abesifazane abanamabele amakhulu kakhulu noma amabele okunzima ukuwahlola, nanoma yimuphi owesifazane onesisu esingavamile.
Ngikhumbule emuva kumdlavuza wami webele wokuqala, eminyakeni eyishumi ngaphambili. Ngine-lumpectomy kanye nama-36 wangaphandle kwemisebe ye-radiation. Ukuthoma kwami kokubili kokubili amabele kwakunezinyanga eziyisithupha emva kokuhlinzwa, nokuqeda ukwelashwa kwami kwemisebe. Ngesikhathi se-mammography, kwakungeke kube khona ukungathandeki esifubeni esinesifo somdlavuza kunaphambi kokuhlinzwa kwe-lumpectomy.
Izinkinga engangizibonela ngemva kokulondoloza i-lumpectomy yami, zivela ekuguqulweni kwezicubu zami zesifuba ngenxa yomuthi wokwelashwa.
Izinguquko zingabonakala kumammogram, okwenza kube nzima ukufunda. Amammograms amaningana, ngaphezu kweminyaka eyi-10 emkhatsini wamangqamuzana ami amabili ayisisekelo, athatha izinto okumele zihlolwe ngokusebenzisa izivivinyo ezengeziwe, kufaka phakathi: i-ultrasound, i-good-needle aspiration, ne-biopsy yokuhlinza. Zonke izivivinyo zazingezona umdlavuza webele webele, kepha zadala ukukhathazeka nokungahambi kahle.
Kungakhathaliseki ukuthi ukuhlinzeka kwakhe ngomdlavuza webele, kungakhathaliseki ukuthi owesifazane udinga i-mammogram yonyaka, udinga ukulandelwa udokotela wakhe ohlinzayo, imisebe kanye / noma i-oncologist yezokwelapha njalo.
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.