Mu kafukufuku omwe akupezeka pa intaneti pa JAMA Surgery , ofufuza anapeza kuti amayi amodzi mwa anayi ali ndi lumpectomy adzafuna opaleshoni yowatsatala mkati mwa masiku 90. Phunziroli linayesedwa kuti liwone momwe zimachitikira opaleshoni yachiwiri, ndipo zotsatira za opaleshoni ya opaleshoniyo zinafunika kuchitidwa opaleshoni yachiwiri.
Zomwe zapezeka mu phunziroli sizothandiza kwa amayi omwe akuyang'aniridwa ndi khansa ya m'mawere, koma kwa amayi onse omwe amafunikira komanso akufuna kuphunzitsidwa za chisankho chake ayenera kupezeka ndi khansa ya m'mawere m'tsogolomu.
Mayi amafunikira kusankha opaleshoni kudziwa zonse zomwe opaleshoni iliyonse imaphatikizapo, zotsatira zake zoyamba, komanso nthawi yaitali, komanso mwayi woti opaleshoni yowonjezera ikhoza kuthana ndi khansa yake ya m'mawere.
Lumpectomy, yomwe ndi opaleshoni yoyamwitsa pachifuwa, ndiyo ndondomeko ya opaleshoni yachizolowezi kwa amayi omwe ali ndi kansa ya m'mawere oyambirira. Lumpectomy yotsatiridwa ndi ma radiation yatsimikiziridwa kukhala yothandiza kwambiri monga mankhwala ophera khansa yoyambirira ya m'mawere. Nthawi yothandizira opaleshoni ndi yaifupi, ndipo mayi adakali ndi chifuwa chachibadwa. Palinso mwayi wokonzanso kubwezeretsa chifuwa cha m'mawere.
Pakati pa lumpectomy, dokotalayo amachotsa chifuwa cha m'mawere komanso malo amodzi. Mbali iyi imatchulidwa ngati malire, omwe kwenikweni amaoneka ngati nthiti ya minofu yachibadwa pafupi ndi chotupacho. Ngati chiwerengero cha minofu chikupezeka kuti chiri ndi maselo a khansa pamene akufufuzidwa ndi munthu wodwala matenda opatsirana pambuyo pa opaleshoniyo, adzachita opaleshoni yachiwiri.
Opaleshoni yowonjezereka ikuchitika pofuna kuteteza kubwereza kwa kansalu ya m'mawere.
Kafukufukuyu anafufuza zolembedwa za amayi pafupifupi 90,000 omwe anali ndi lumpectomy ku New York State kuyambira pa January 1, 2003 mpaka December 31, 2013. Kafukufukuyu adawoneka pazipatala zonse ndi malo opaleshoni opaleshoni ku New York State.
Zotsatira:
- Kugwiritsira ntchito lumpectomy kwatha, makamaka pakati pa atsikana achichepere.
- Pakati pa zaka zophunzira, kuchuluka kwa ntchito zomwe zinabweretsanso m'masiku 90 a lumpectomy poyamba sizinali 31%. Izi ndizochokera pa 40% zaka zambiri zapitazo.
- Mitengo yowonjezeredwa inali yaikulu pakati pa akazi a zaka zapakati pa 20 ndi 49 ndi otsika kwambiri mwa akazi awo 65+ ndi zaka zambiri.
- Mapulogalamu ogwiritsanso ntchito amatsatirano osiyanasiyana amasiyana kwambiri kuchokera kwa opaleshoni mpaka opaleshoni. Ochita opaleshoni amene amachita zoposa 34 zokha chaka chilichonse anali ndi mwayi waukulu wopitanso.
- Mapulogalamu opatsirana amapita pansi pamene pali opaleshoni opaleshoni ophunzitsidwa bwino, komanso njira yothandizira.
- Ngakhale kuti phunziroli linachitika ku New York State, lili ndi ramifications kwa mayiko ena kudera lonselo.
- Kudziwa kuti nthawi zambiri amai amafunika kuchita opaleshoni mobwerezabwereza ndi kofunika kwa madokotala chifukwa amafunika kupeza njira zomwe angathe kuthandizira kuchepetsa chiopsezo kwa amayi onse.
- Mkazi aliyense ali ndi ufulu wodziwa chiopsezo chake chofuna kubwezeretsedwa ngati akusankha lumpectomy. Ayenera kukhala ndi chidziwitso kuti athe kupanga chisankho chodziwitsa.
Zimene Phunziroli Limatanthauza Kwa Inu
Popeza ndinali ndi lumpectomy pa khansa yanga yoyamba ya m'mawere, ndimatha kugawana nawo pamene dokotala wanga opaleshoni amalimbikitsa lumpectomy, sindinadziwe ngakhale mafunso omwe angafunse.
Anandifotokozera ndondomekoyi, koma sizingatheke kuti ndikusowa opaleshoni yowonjezereka ngati iye sanapange mazenera ake. Nthawi yoyamba yomwe ndinamva mawu ammunsi ndi pamene dokotala wanga adandiitana ndi zotsatira za lipoti langa la matenda. Iye anati, "Ine ndinapanga mazenera anga; simusowa opaleshoni ina yowonjezera. "
Sindingathe kuganiza kuti ndikanakhala ndi mantha ndi ukali bwanji ndikufunikira opaleshoni yowonjezera ndipo sindinakonzekere kuti izi zichitike. Ine ndinali wodala; Ndikudziwa amayi ambiri omwe amafunikira opaleshoni yachiwiri. Chisoni chowonjezereka cha opaleshoni yachiwiri chinapanga machiritso kwa nthawi yayitali.
Ndikofunika kwa mkazi aliyense, yemwe watulukira kumene ali ndi kansa ya m'mawere, kuti amvetse zomwe angapange opaleshoni.
Gawo lirilonse la opaleshoniyo, kaya likhale lumpectomy, mastectomy kapena masewera omwe akuyenera kuwonedwa panthawi yomwe mantha ndi kusatsimikizika kungapangitse chiweruzo ndikupanga kupanga zovuta kwambiri. Ichi ndi chifukwa chake kubweretsa bwenzi kapena abwenzi kumsonkhano woyamba ndi dokotala wa opaleshoni wa m'mawere ndi wofunika kwambiri. Udindo wa munthuyu ukuyenera kumveka bwino:
- Asanapite kukaonana ndi dokotalayo, thandizani wodwalayo kulemba mndandanda pamodzi wa mafunso ofunsa dokotalayo.
- Pa ulendowu, kumbutsani wodwalayo mafunso aliwonse omwe anaiwala kufunsa.
Phunziroli likuwonetsa kuti ngakhale kuti amayi ambiri amafunikanso opaleshoni yowonjezera potsatira lumpectomy, pali njira yochepetsera mwayi wofunikira opaleshoni yachiwiri. Ndikofunika kusankha dokotala yemwe amachita opaleshoni nthawi zambiri. Malo opatsirana khansa ndi zipatala zazikulu ali ndi opaleshoni opaleshoni omwe amachititsa zinthu zambiri nthawi zonse.
Chitsime:
Kuchita opaleshoni ya JAMA. 2016 February 17: Kubwerezanso Opaleshoni Pambuyo pa Kusungidwa kwa Mimba kwa Chithandizo cha Gawo 0 mpaka II Mimba ya Carcinoma Report Kuchokera ku National Cancer Data Base, 2004-2010.