Ngozi, Zotsatira ndi Machiritso
Ngati mwapezeka kuti muli ndi kansa ya m'mawere oyambirira, yomwe nthawi zambiri imalingalira kuti DCIS ikuyendetsa khansa ya m'mawere 3A, mwina mukuchita opaleshoni. Mwamwayi, nthawi iliyonse kutengeka kumapangidwa kupyolera mu zigawo za khungu, chilakolako sichingapeweke. Kuchita opaleshoni ya pulasitiki sikukutanthauza kuti simudzakhala ndi chilonda, okha opaleshoni apulasitiki amatha kugwiritsa ntchito sayansi ya machiritso kuti achepetse maonekedwe a chilonda ngati momwe zingathere.
Izi zidati, kuchepa chifukwa cha matenda a khansa ya m'mawere sikungapeweke.
Kodi Ndi Zifukwa Ziti Zosokoneza?
Mwinamwake mukuganiza za lumpectomy kapena mastectomy pamene mukuganiza za zovuta, komabe palinso njira zina zokhudzana ndi khansa ya m'mawere zomwe zingayambitsenso kuvulaza. Kukonzekera zina mwa "zida zina" pasanapite nthawi zingathe kukhala osadodometsedwa pambuyo pake.
Ngati muli ndi doko la chemotherapy limene limapatsidwa mankhwala a chemotherapy , kutengeka kwa thupi (kawirikawiri basi pansi pa collar yako yobadwa) kumasiya chilonda.
Mankhwalawa amatha kupweteka, ngakhale kuti kupweteka kwake kuli kosiyana ndi zilonda za opaleshoni. Breast fibrosis kuchokera kuchipatala chingayambitse kuuma kapena kuphulika m'madera kumene mudalandira ma radiation. Nthaŵi zina khungu limasintha zokhudzana ndi mankhwala othandizira kutentha kwa dzuwa, monga kufiira kapena zilonda zomwe mwakhala mukuzipanga monga mabelter-akhoza kukhala osatha. Si zachilendo kukhala ndi chowoneka ngati chosatha (koma kawirikawiri) "suntan" pachifuwa chanu chokhudzana ndi kuwala kwa dzuwa.
Koma chithandizo china chomwe chingayambitse kupweteka ndi mitsempha ya mitsempha yothamanga ndi kuchotsa. Ngakhale kuti kuperewera kwachilendo kawirikawiri sikuwoneke, kupatulapo kusambira, kungayambitse kusinthana ndi kuchepetsa kayendetsedwe ka mkono. Ochita opaleshoni amasiyana mosiyana ndi njira yochotsedwera.
Pomaliza, zida zomwe zimayikidwa pambuyo pa opaleshoni ya khansa ya m'mawere zimachotsa zipsinjo zazing'ono pozungulira.
Kuchuluka kwa scarring kumadalira kuchuluka kwa madontho omwe muli nawo komanso kuti zotupazo zikhale zotalika bwanji.
Zinthu Zomwe Zimakhudza Kufooketsa
Kuchuluka kwa kupweteka kumene kumachitika chifukwa cha khansa ya m'mawere kumadalira zifukwa zingapo, kuphatikizapo mtundu wa opaleshoni yomwe imachitidwa ndipo wodwala aliyense amawongolera kupanga minofu yowopsya. Kusuta kungabweretse machiritso mofulumira, ndipo kuwonjezereka kwachulukidwe. Anthu ena ali ndi chizoloŵezi chokhala ndi zipsera zopanda pake, zida zowonongeka kumene kumapangidwira.
Malingaliro ndi Mavuto
Kawirikawiri, lumpectomy imaphatikizapo kutengeka kochepa kusiyana ndi chifuwa chachikulu, ngakhale, malingana ndi malo a chotupacho, chingayambitse kuperewera kapena kusagwirizana kwa m'mawere. Mankhwala omwe amaperekedwa pambuyo pa lumpectomy amachititsanso kuti thupi likhale lopweteka kwambiri.
Kubwezeretsedwa kwa Amayi ndi Kuphwanyaphwanya
Kubwezeretsa mimba ndi njira yokha yomanganso chifuwa kwa iwo amene ali ndi vuto lopweteketsa mimba kapena ngakhale m'mawere omwe a lumpectomy achita. Popeza kumanganso kachipatala kumaphatikizapo opaleshoni, njira zonsezi zimakhala ndi chiopsezo. Kawirikawiri kumangidwanso kumagwiritsidwa ntchito malo omwe amachititsa kuti malowa asamangidwe monga lumpectomy kapena mastectomy kuti achepetse zovuta.
Ngati mutakhala ndi ndondomeko yamoto, kapena chotsatira cha TRAM pogwiritsa ntchito khungu kuchokera mimba yanu kapena la latissimus dorsi pogwiritsa ntchito khungu kuchokera kumbuyo kwanu, mudzakhala ndi scarring yowonjezera pa malo omwe minofuyi ikukololedwa. Ngati mwasankha kukhala ndi khungu lakumangidwanso, izi zikhoza kuonedwa ngati mtundu wa scarring.
Ntchito yomangidwanso ndi ma ARV
Chisamaliro chomwe sichikwezedwa mokwanira ndi pamene khansara ya mimba imamangidwanso, ndipo pambuyo pake mkazi amasankha kukhala ndi mankhwala opatsirana ndi dzuwa, nthawi zambiri chifukwa cha zotsatira zosayembekezereka za ma lymph node pamene opaleshoni.
Mankhwala omwe amachiritsidwa ndi ma radiation ndi ovuta kwambiri kwa dokotalayo kuti agwire nawo ntchito ndipo amatha kuchepetsa machiritso.
Ngati mwasankha kukhala ndi maziko oyambirira pambuyo pa vutoli, lankhulani ndi dokotala wanu za mwayi woti mungafunike mankhwala othandizira ma ARV, ndi zomwe zingatanthauze kwa inu.
Mabala a Abambo, Chithunzi Cha Thupi, ndi Chibwenzi
Kuphwanyidwa kokhudzana ndi opaleshoni ya khansa ya m'mawere kumakhala kovuta kwambiri kwa amayi. Kuwongolera kungakhudze thupi lanu, ndipo pochita zimenezo, zingayambitse mavuto ndi chibwenzi. Azimayi ena amavutika maganizo pang'ono, pamene ena amaona kuti kusintha kumeneku kumakhala kovuta kwambiri.
Ngati mukudandaula za kuvulaza msanga kapena kuvutika kukumana ndi mtsogolo, musazengereze kukambirana ndi mlangizi. Kukhala nawo mu gulu lothandizira ndiwothandiza kwambiri kwa anthu ambiri omwe amapeza kuthana ndi chikhalidwe chawo chosinthika kukhala chovuta.
Phunzirani zambiri za momwe khansa ya m'mawere imakhudzira thupi lanu .
Kuchiritsa ndi Kuchita ndi Mipira
Imodzi mwa njira zabwino kwambiri zochepetsera ululu ndikuteteza matenda mwamsanga mutatha opaleshoni. Odwala ambiri amatumizidwa kunyumba kuchokera kuchipatala ali ndi matope omwe amachotsa zomwe zimachotsa magazi ochulukirapo ndi zamadzimadzi kuchokera pa webusaitiyi. Zitatha izi patapita masiku angapo, odwala amafunika kuti chilonda chikhale choyera ngati chikupitirizabe kuchiza ndikutsatira mosamala malangizo a dokotala pankhani ya kusintha kwa bandage.
Kusuta kungabweretse machiritso, ndipo ndikofunika kusiya kusuta fodya ngati mumasuta kuti mukhale ndi zodzoladzola zabwino kwambiri kuchokera ku opaleshoni yanu.
Njira zina zochepetsera khungu zimaphatikizapo kutambasula ndi kuzisakaniza malo oundana tsiku lililonse chaka choyamba pamene machiritso ambiri amapezeka (kambiranani ndi dokotala wanu woyamba). , kuchokera pa khola la pansi mpaka pansi pa nthiti, komanso kuchokera pachifuwa mpaka pansi pa mphutsi.
Popeza kuti kupweteka sikungokhala zokongoletsa - kupweteka ndi kuumitsa kungapangitsenso - akatswiri nthawi zina amafunika kuthandizira kuti wodwalayo asaphedwe mthupi labwino. Pogwiritsa ntchito minofu yamphamvu, yozama ndi yofewa, opaleshoni zakuthupi angathandize kuthetsa ululu ndi kumverera kwa mphamvu. Njira zatsopano zimayambanso kugwiritsa ntchito lasers, Botox, ndi cytokines.
Njira zina zochiritsira zingakhale ndi yoga, zomwe zimaphatikizapo kupuma kwambiri ndi thupi lonse, komanso kumagwiritsira ntchito singano zochepa zomwe zimapezeka pansi pa khungu m'malo ena kuti zithetse ululu. Njira imodzi yothetsera vutoli ndi kubisala ndi cholembera . Ndiyo njira yopezera kutchuka.
Kulimbana ndi Matenda a khansa ya m'mimba
Ambiri a ife timakhala ndi zipsera za mtundu wina panthawi yomwe timadwala zaka zambiri zomwe zimayambitsa khansa ya m'mawere. Mabala awa siwowoneka nthawi zonse, ndipo nthawi zina zipsinjo zathu zamaganizo zimakhala zovuta kuthana nazo kusiyana ndi zilonda zathu zakuthupi. Ngati mukulimbana ndi zilonda zokhudzana ndi khansa ya m'mawere, mwinamwake umodzi wa ndemanga zomwe zikuyankhula za zida zingathandize pang'ono. "Chiwopsezo chimangotanthauza kuti iwe uli wamphamvu kuposa chilichonse chimene chiyesa kukupweteka." (wolemba wosadziwika).
> Zotsatira:
> Hammer, C., Maduro, J., Bantema-Joppe, E. et al. Fibrosisi Yotulutsa Mazira Kumalo Opititsa Patsogolo Pakati pa Zitatu>>> Radiotherapy ndi Njira Yophatikizapo Yophatikizapo Yophatikiza Khansa Yamtundu Woyamba: Njira Yopangidwira Yosakaniza. Radiotherapy ndi Oncology . 2016 Oct 25. (Epub patsogolo pa kusindikiza).
> Liu, A., Moy, R., ndi D. Ozog. Njira Zamakono Zogwiritsidwa Ntchito Poletsa Kuletsa ndi Kuchepetsa Zopangira Opaleshoni. Dermatologic Surgery . 2011. 37 (12): 1740-6.