Le ndlela yokwelapha umdlavuza webele isincane kakhulu kune-mastectomy.
I-lumpectomy yindlela yokuhlinza ukususa indawo encane yezicubu zesifuba esinesifo somdlavuza noma osolwa ukuthi unomdlavuza. Ngezinye izikhathi kubhekiselwa ekuhlinzekeni kokulondolozwa kwebele noma ekusebenziseni i-mastectomy encane .
Ngokuvamile, ukuhlinzeka nge-lumpectomy kugcinwe iziguli ezinezindawo ezincane, ezincane kakhulu zezicubu ezizosuswa. Labo abanesisindo esikhulu bangadingeka ukuba basuswe kakhulu izicubu zebele zesifuba, okuvame ukuthi kudinga indlela enonya kakhulu, njenge- mastectomy .
Ngenkathi i-lumpectomy ingcolile kancane kune-mastectomy futhi ngokuvamile ayidingi ukuhlinzekwa kabusha kwepulasitiki kamuva, i-lumpectomy ingabangela ushintsho olukhulu ekubukeni kwesifuba-ikakhulukazi uma isisindo esikhulu sezincuba sithathwa.
Ngaphezu kwezibazi ezisala ngokuhlinzwa , kungase kube khona ushintsho olubonakalayo ekuthunjweni kwesikhumba ngaphezu kwesayithi. Kukhona futhi ukuntuleka okubonakalayo kwezicubu (isibindi esingajulile, isibonelo) endaweni, ngisho nangemva kokuba isikhumba siphulukisa.
Qaphela ukuthi i-biopsy kanye ne-lumpectomy ehlukile. I-Lumpectomy yenziwa lapho isifo somdlavuza webele sesitholakale futhi inhloso yenkambiso ukukhipha izicubu zomdlavuza kanye nomkhawulo wezicubu ezinempilo ezungezile. I-biopsy yokuzikhethela akuyona ukwelashwa okuhlinzayo, kuyinkqubo yokuxilonga.
I-oncologist yokuhlinza, noma isazi sekhanda, ngokuvamile yenza imisebenzi yokuhlinza i-lumpectomy engenziwa nge-anesthesia yendawo ngesikhathi sokugula .
Uma i- anesthesia ejwayelekile isetshenziswa isiguli kuzodinga ukuhlala esibhedlela ubusuku bonke.
Kwenzekani Ngesikhathi Lumpectomy
Uma uzothola i-lumpectomy, isikhumba esizungezile indawo lapho i-lump izobe ilungele khona futhi uzonikezwa i- anesthesia ngaphambi kokuba udokotela wakho ohlinzayo enze ukuchotshozwa. Ngaphambi kokuba asuse le nsima, uzoyihlola ukuze aqiniseke ukuthi iyisisu futhi akuyona iklasi (isikhwama esincane esigcwele amanzi).
Uma ngabe i-cyst, i-fluid izobe igxiliwe kuze kube yilapho i-cyst ichithelwa uketshezi futhi igcinwe ukuhlaziywa ngemuva kokuhlinzwa.
Uma isikhumba singumzimba, udokotela ohlinzayo uyothatha kanye nomkhawulo wezincubu ezinempilo ezizungezile. I-tumor kanye nezicubu zizohlaziywa kamuva ngumhlengikazi. Udokotela ohlinzayo uzohlola futhi indawo ukuze abone ukuthi ngabe yiziphi izakhiwo eziseduzane, njenge-muscle ezisekela isifuba, ziye zathinteka yi-lump.
Okokugcina, udokotela ohlinzayo uzohlola izicubu zesifuba ezisele zezimpawu zomdlavuza okungenzeka zisakaze ngaphandle kwesikhumba esisusiwe. Uzobe esevale umshini we- sutures bese umboza indawo nge-bandage oyinyumba.
Uma udokotela ohlinzayo esho ukuthi umdlavuza ungase usakaze kuma-lymph nodes, angase enze ukuchotshozwa okuhlukile ngaphansi kwengalo futhi athathe amasampula ambalwa amathishudi amancane noma asuse ama-node angu-15 noma angu-20 wonke. Futhi angase afake isikhala endaweni engaphansi kwe-underarm ukuze avumele uketshezi oludlulele ukugeleza. I-drain izogcinwa endaweni ngokugqoka oyinyumba futhi ingasuswa kalula ngemuva kokuhlinzwa lapho amanzi engenawo amanzi ephansi.
Ukwamukela Ngemva Kokuhlinzwa Kwe-Lumpectomy
Isilinganiso sesikhathi esithatha ukuze siphinde sithole kusuka ku-lumpectomy ejwayelekile sincike ekutheni ubukhulu besisindo nesisindo samathambo asusiwe.
Uma lesi sifo sincane kune-5 cm, kufanele utholakale ngokugcwele ngaphakathi kwamasonto amathathu kuya kwamane. Uma inani elikhulu lamathishu lidliwe, ukutakula kungathatha isikhathi esingangamaviki ayisithupha.
Izinsuku zokuqala ezimbili kuya kwezintathu zokuthola i-lumpectomy zivame ukuba zibuhlungu kunazo zonke. Uzokwaziswa ukuthi ungenzi noma yiluphi uhlobo lomsebenzi olubandakanya ukushaya ukunyakaza, njengokugijima, ngakho-ke awuyikufaka ukukhokha kwakho okuqhubekayo okuphulukisa. Enye imisebenzi edikibala ngemuva kwe-lumpectomy ihlanganisa izinto zokuphakamisa noma ukuphakamisa izingalo phezu kwekhanda. Ukuze usize ukusekela isifuba esasetshenziswa, kungasiza ukugqoka ibhiya elisekelayo ngokuqhubekayo (imini nobusuku) ngesonto lokuqala noma kunjalo.
Ngalesi sikhathi, i-sutures engaxubeki izokwenziwa kancane kancane emzimbeni. Ama-sutures ajwayelekile azosuswa ngudokotela ohlinzayo ekuvakashelweni okulandelwayo ngaphakathi kwamasonto ambalwa okuhlinzwa.
> Imithombo:
> I-American Cancer Society. "Ukwelashwa Kwebele Ngesifo Sebele. Sept 27, 2107.