Izingozi, Imiphumela nokuPhulukisa
Uma uthola ukuthi unesifo somdlavuza webele webele, esivame ukucubungula i-DCIS kwisiteji se-3A somdlavuza webele, cishe uzohlinzwa. Ngeshwa, noma yisiphi isikhathi ukucubungula kwenziwa ngezingqimba zesikhumba, isikhala singenakugwemeka. Ukuhlinzwa kwepulasitiki akusho ukuthi ngeke ube nesibalo, kuphela ukuthi odokotela abahlinzayo basePlastiki basebenzisa isayensi ngemuva kokuphulukisa ukuze kuncishiswe ukubonakala kwesibalo ngangokunokwenzeka.
Lokho kusho ukuthi ukuhlukunyezwa ngenxa yokwelapha umdlavuza webele kungenakugwemeka.
Yikuphi Ukwelashwa Okubangela Ukuqhekeka?
Kungenzeka ucabanga ukuthi i-lumpectomy noma i-mastectomy uma ucabanga ngokusila, kodwa kunezinye izinqubo ezihlobene nomdlavuza webele ongabangela ukulimala. Ukulungisela ezinye zalezi "izibazi ezengeziwe" kusengaphambili kungase kugcine lezi zingabi isimanga esingadingeki kamuva.
Uma unesikebhe se- chemotherapy esabekwa i- chemotherapy , ukuchotshozwa (ngokuvamile nje ngaphansi kwekhola yakho ezalwe) kuzoshiya isibazi.
Ukwelashwa kwezidakamizwa nakho kungabangela ukuhluleka, nakuba ukuhlukana kuhlukile kunezinhlamvu ezivela ekuhlinzekeni. I-Breast fibrosis evela ekwelashweni kwama-radiation ingabangela ukuqina noma ukuqina esifundeni lapho uthole khona imisebe. Ngezinye izikhathi isikhumba sishintsha kuhlobene nokwelashwa kwemishanguzo-njengokubomvu noma izilonda okungenzeka uyenze njengezibhanti-zingaba unomphela. Kuyinto engavamile ukuthatha lokho okubonakala sengathi kunomphela (kodwa ngokuvamile okungavamile) "i-suntan" esifubeni sakho esihlobene nomswakama.
Kodwa olunye ukwelashwa okungabangela ukushaywa yi-lymph node dissection nokususwa. Ngenkathi lokhu kutholakala kungavamile kubonakala, ngaphandle kokushushela, kungabangela ukuqina futhi kuvinjelwe ukunyakaza engalweni yakho. Odokotela abahlinzayo bahluke ezindleleni zabo zokususwa kwe-lymph node.
Okokugcina, izikhukhula ezibekwe emva kokuhlinzwa komdlavuza webele zishiya izibazi ezincane nxazonke lapho zisusiwe.
Inani lokushaya lizoxhomeka ukuthi unamaphi ama-drain onayo nokuthi isikhathi eside kangakanani lezi zidonsa zidinga ukushiywa endaweni.
Izingosi Ezithinta Ukuqhekeka
Inani kanye nobukhulu bokuqothula okubangelwa ukwelapha umdlavuza webele kuncike ezintweni eziningana, kufaka phakathi uhlobo lokuhlinzwa olwenziwe kanye nesimo ngasinye somuntu ngamunye wesiguli sokwenza izicubu ezibomvu. Ukubhema kungabangela ukuphulukiswa okulibalekile, futhi, nokwanda kwesikhala. Abanye abantu banomkhuba wokuhlakulela izibazi ezibuhlungu, izibazi eziphakanyisiwe lapho kukhishwa khona.
I-Lumpectomi vs. Mastectomy
Ngokuvamile, i-lumpectomy ihlanganisa ukungcola okuncane kune-mastectomy, nakuba, kuye ngokuthi indawo ye-tumor, ingabangela ukuphazamiseka noma ukungalingani kwebele. I-radiation enikezwe ngemva kwe-lumpectomy ingabangela nokuqina kwezicubu zesifuba.
Ukwakhiwa Kwebele Nekhanda
Ukwakhiwa kwesisu kuyindlela yokubili ukwakha isifuba kulabo ababenesifo sengculaza noma ngisho nesifuba lapho i-lumpectomy yenziwe khona. Njengoba ukuvuselelwa kwebele kuhilela ukuhlinzwa, lezi zinqubo zonke zithwala ingozi. Izikhathi eziningi ukwakha kabusha kwenziwa ngokusebenzisa indawo efanayo yokucubungula njenge-lumpectomy noma i-mastectomy ukunciphisa ukulahleka.
Uma uzobe nenqubo ye-flap, noma i- TRAM flap isebenzisa isikhumba kusuka esiswini sakho noma i- latissimus dorsi flap usebenzisa isikhumba ngemuva kwakho, uzoba nokulimala okwengeziwe kusayithi lapho lezi zicubu zivunwa khona. Uma ukhetha ukuba nokuvuselelwa kwe-nipple, lokhu kungase kubhekwe njengendlela yokuhlukumeza.
Ukwakhiwa kabusha kanye nokwelashwa kwezidakamizwa
Ukukhathazeka okungakhuliswa ngokwanele lapho ukuvuselelwa komdlavuza wesifuba (ukwakha kabusha okuyisisekelo) kwenziwa, futhi owesifazane kamuva ukhetha ukuba nomuthi wokwelashwa, ngokuvamile ngenxa yokuthola okungalindelekile kwe-lymph nodes emihle ngesikhathi sokuhlinzwa.
Izicubu eziye zaphathwa nge-radiation kunzima kakhulu ukuthi udokotela ohlinzayo asebenze nazo futhi kungaholela ekuphulukiseni ukuphulukiswa.
Uma ukhetha ukuba nomsebenzi oyinhloko ngemuva kokuthola i-mastectomy, khuluma nodokotela wakho mayelana nethuba lokuthi ungadinga ukwelashwa kwemishanguzo, nokuthi lokho kungasho ukuthini kuwe.
Ama-Scars e-Breast, Isithombe somzimba, nobudlelwane obuseduze
Ukuhlukumeza okuhlobene nokuhlinzwa komdlavuza wesifuba kungaba nomzwelo kakhulu kwabesifazane. Ukwehlukanisa kungathinta isithombe sakho somzimba, futhi ngokwenza kanjalo, kungadala izinkinga ngokusondelana. Abanye besifazane bahlukunyezwa kakhulu, kuyilapho abanye bethola lezi zinguquko zicindezela kakhulu.
Uma ukhathazekile ngokukhishwa kwesikhashana kusengaphambili noma ukubhekana nobunzima bokubhekana nakho kamuva, ungangabazi ukukhuluma nomeluleki. Ukuba yingxenye eqenjini lokusekela kuyasiza kakhulu kubantu abaningi abathola ukubhekana nesithombe sabo somzimba esishintshile inselele.
Funda kabanzi mayelana nokuthi umdlavuza webele ungathinta kanjani umzimba wakho .
Ukuphulukisa nokubhekana nezinhlamvu
Enye yezindlela ezingcono zokunciphisa ukukhwabanisa ukugwema ukutheleleka ngokushesha ngemuva kokuhlinzwa. Iziguli eziningi zithunyelwa ekhaya zisuka esibhedlela ezinezingxube ezinamathele ekucatsheni kwabo okukhipha igazi elingaphezu kwegazi kanye nesimiso samanzi esakhiweni. Emva kwalokhu kukhishwa izinsuku ezimbalwa kamuva, iziguli zidinga ukugcina isilonda sihlanzekile ngangokunokwenzeka njengoba siyaqhubeka nokuphulukisa futhi silandela ngokucophelela imiyalo kadokotela mayelana nokushintsha kwebhande.
Ukubhema kungabangela ukuphulukiswa okulibala, futhi kubalulekile ukuyeka ukubhema uma ubhema ukuze ube nomphumela omuhle kakhulu wezithokozi kusuka ekuhlinzekeni kwakho.
Amanye amasu okunciphisa ukukhwabanisa afaka ukulula nokululaza indawo ebomvu nsuku zonke phakathi nonyaka wokuqala lapho kutholakala iningi lokuphulukisa (khuluma nodokotela wakho wokuhlinza kuqala.) Eyaziwa ngokuthi abahlinzeki njengama-massage e-transverse friction, kuhilela ukuphatha isikhumba ngokucophelela ngenhla nangaphansi kwe-incision , kusukela emthonjeni we-collar kuze kube phansi kwe-ribcage, futhi kusukela emgqeni wesifuba kuya ngaphansi kwezingubo.
Njengoba impikiswano yokudoba akuyona nje imonyo - ubuhlungu nokuqina kungabangela - ngezikhathi ezithile abaqeqeshiwe badinga ukusiza ukuphucula izicubu ezilalayo zibe iphethini lokuphulukisa okunempilo. Ukusebenzisa massage ezijulile, ejulile futhi soft-tissue, izifo ezingokwenyama zingasiza ukukhulula ubuhlungu kanye nemizwa yokunciphisa. Amasu amasha nawo asethuthukiswa ngokusebenzisa ama-lasers, i-Botox, nama-cytokines.
Ezinye izindlela zokwelashwa zingafaka i-yoga, okubandakanya ukuphefumula okujulile nokuthungula umzimba wonke, futhi nokusebenzisa izinyosi, ezisebenzisa izinaliti ezincane ezifakwe ngaphansi kwesikhumba kwezinye izindawo ukuze kunciphise ubuhlungu. Enye indlela yokubhekana nobunzima ukuyifihla ngombhalo . Lokho kuyindlela yokuthola ukuthandwa.
Ukubhekana Nezikhwama Zomdlavuza Webele
Abaningi bethu banezibazi zenye uhlobo ngenkathi sifika eminyakeni lapho amaningi amaningi ebelevuza aphakama khona. Lezi zibazi azibonakali njalo, futhi ngezinye izikhathi izibazi zethu ezingokomzwelo zinzima kakhulu ukubhekana nazo kunezibazi zethu zomzimba. Uma uhlangabezana nezibazi ezihlobene nomdlavuza wesifuba, mhlawumbe enye yezingcaphuno ezikhuluma ngezibazi zingasiza kancane nje. "Isibhamu sisho nje ukuthi unamandla ngaphezu kwanoma yini eyakuzama ukukulimaza." (umbhali ongaziwa).
> Imithombo:
> Hammer, C., Maduro, J., Bantema-Joppe, E. et al. I-Fibrosis ekhiqizwa ngamafutha emkhakheni wezokukhuphula ngemuva kwe-Three-dimensional> / a> Radiotherapy nge-Technique Yokuxhunyaniswa Kwamanye Amanxushunxushu Ngomdlavuza Wesifuba Wasencane: Isibonelo Esibikezelayo Esibikezelayo. I-Radiotherapy ne-Oncology . 2016 Okthoba 25. (i-Epub ngaphambi kokuphrinta).
> Liu, A., Moy, R., no D. Ozog. Izindlela Zamanje Eziqashwe Ukuvimbela Nokunciphisa Amakhanda Wokudla. I-Dermatologic Surgery . 2011. 37 (12): 1740-6.