Kuyerekeza Mitundu ya Opaleshoni ya Khansa ya Amuna
Kodi mitundu yosiyanasiyana ya opaleshoni yoperekedwa ku khansa ya m'mawere ndi yotani, ndipo mungawayerekezere bwanji?
Kupewa kubwereza khansa ndiko Chofunika kwambiri pankhani ya opaleshoni ya khansa ya m'mawere. Cholinga ndicho kuchotsa chotupacho kuti pasapezeke m'tsogolo mwa bere lanu, kapena kufalikira ndikuwonekera m'mbali zina za thupi lanu.
Zinthu Zomwe Mungaganizire Posankha Opaleshoni ya Khansa
Ngati mukufunikira opaleshoni ya khansa ya m'mawere, muli ndi zosankha zina.
Ganizirani izi pamene mukuphunzira za njira zosiyanasiyana:
- Kukula kwa chifuwa chanu, ndi kalasi, ndi malo anu a minofu ngati mukudziwa ..
- Ndani angachite opaleshoni yanu? Dokotala wa opaleshoni, kapena dokotala wa opaleshoni amene amadziŵa opaleshoni ya m'mawere?
- Kodi ndi zotsatila zotani zomwe mungathe kuziyembekezera pamtundu uliwonse? Izi zikhoza kudalira kukula kwa chifuwa chanu komanso komwe kuli pachifuwa chanu.
- Nthawi yomwe mukufuna kuichotsa ntchito kapena kuchoka pa moyo. Njira zina zimakhala ndi nthawi yowonongeka kuposa ena.
- Kuopsa kwa opaleshoni iliyonse.
- Mapindu a opaleshoni iliyonse ponena za mwayi wobwereranso m'midzi (kubwereza m'mawere).
- Chithandizo chimene inu mudzakhala nacho kuwonjezera pa opaleshoni, kuphatikizapo chemotherapy ndi mankhwala otchedwa hormonal therapy.
- Kufunika kokhala ndi mankhwala odzola.
- Zotheka kuti mungakhale ndi khansa ya m'mawere.
Mitundu ya khansa ya m'mawere
Njira zitatu zopaleshoni zomwe zimagwiritsidwa ntchito pa khansa ya m'mawere ndi izi:
- Lumpectomy - Kuchotsa chotupa cha khansa komanso chigawo cha minofu yozungulira.
- Quadrantectomy - Kuchotsa khansa komanso malo akuluakulu a minofu.
- Mastectomy - Kuchotsa minofu yonse pambali imodzi kapena ziwiri. Nthawi zina, chifuwa chonse chimachotsedwanso.
Kuyerekezera Opaleshoni ya Khansa ya Abambo ndi Kusankha
Zonse mwa njirazi zidzafotokozedwa mwachidule pansipa, ndi maulumikizi kuti muthe kuphunzira zambiri za zomwe mukufuna kuziganizira. Kuwerenga pa aliyense kungakuthandizeni kumvetsa ubwino ndi zoopsa ndikuthandizani kukambirana zomwe mungachite ndi dotolo wanu kuti muthe kusankha bwino. Mukamaliza kuwerenga zazomwe mungachite, onani mndandanda wa mafunso 10 omwe muyenera kuganizira mukamasankha pakati pa mastectomy ndi lumpectomy .
Lumpectomy kwa khansa ya m'mawere
A lumpectomy ndi opaleshoni yochepa yomwe imatchedwanso "kuyendetsa kwanuko." Ngati mukumva za "ndondomeko ya kusamalidwa m'mawere" izi zikhoza kukhala njira yomwe ikufotokozedwa. Ntchito yanu ya dokotalayo idzakhala kuchotsa mtanda wokha ndi chigawo cha minofu yomwe ili pafupi ndi mtanda. Dokotala wanu adzagwira ntchito mwakumverera komanso pazomwe mukuphatikizidwa mu lipoti lanu la mammogram kapena lipoti la ultrasound.
Kupeza "mitsinje yoonekera" ndi kofunika kwambiri pamene njira ya lumpectomy ikuchitika, ndipo chifukwa chake malo amodzi ozungulira chifuwacho amachotsedwanso. Popeza kuti chotupacho chimakhala ndi malo ovuta kapena otupa omwe angayesere kuti afalikire ndi kufalikira, dokotalayo adzafuna kutsimikiza kuti pamene chotupacho chichotsedwa palibe umboni wa chotupa chosiyidwa mu minofu.
Mahema kapena kunja kwa khansara ndi zomwe zimapereka khansara dzina lake, kuchokera ku mawu oti nkhanu.
Malinga ndi kuchuluka kwa minofu yomwe imachotsedwa, simungasowe ma prosthesis, kapena papepala yowonjezera mu bra, mutachira kuchokera ku lumpectomy. Thupi lanu lidzapanga minofu yowopsya mu dera la opaleshoni, lomwe lidzadzaza malo pomwe mtandawo unali. Izi zidzasintha maonekedwe a chifuwa chanu, ndipo dera lino liwonetseratu zizindikiro za mtsogolo zomwe zimakhala zosiyana ndi minofu yopanda chifuwa. Mudzakhala ndi chikopa pakhungu pomwe makina anu amapangidwa, koma mosamala, izi zidzatha kulowa mu mzere wochepa chabe umene uli pafupi ndi khungu lozungulira.
Funsani dokotala wanu opaleshoni kapena dokotala wanu momwe mungagwiritsire ntchito chisamaliro chabwino ndikukweza machiritso.
Quadrantectomy kwa khansa ya m'mawere
Ziphuphu zazikulu zingapangitse quadrantectomy . Opaleshoni yamtundu uwu imachotsa gawo limodzi mwa magawo atatu a m'mawere ndipo imaonedwa kuti ndiyake njira yobweretsera. Amadziwikanso ngati mastectomy. Dokotala wanu amachotsa chotupacho ndi 2-3 masentimita (1-1½ mainchesi) a minofu yoyaka kuzungulira izo kuti atsimikizire kuti mitsinje yomwe ili pafupi ndi chotupa ili ndi khansara.
Khungu lomwe lili pamtunda wa chifuwa chanu lidzachotsedwanso ndipo phokoso la khoma la chifuwa, pansi pa chotupacho, lifunikanso kutulutsidwa. Mafupa omwe ali pafupi kwambiri ndi chotupacho amachotsedwa ndi kuyesedwa kwa maselo a khansa, monga momwe khungu ndi minofu zimayendera pakhosi.
Kachitidwe ka quadrantectomy chidzasintha kusintha ndi maonekedwe a m'mawere anu, ndipo mutatha kuchira, mukhoza kapena musasankhe kugwiritsa ntchito padding yowonjezera mububu lanu kuti muwonekere. Mwinanso mungakonde kukhala ndi opaleshoni ya pulasitiki kukonzanso mawere ndi kukula kwake. Ndondomekoyi ndi yabwino kwambiri asanayambe kumwa mankhwala ena monga khansa kapena chemotherapy.
Kachilombo ka khansa ya m'mawere
Ngati chotupacho chiri chachikulu kapena chosokoneza, vutoli lingakhale lofunikira. Opaleshoni yamtundu uwu imachotsa minofu yambiri ya m'mawere ngati n'kotheka. Pali mitundu iŵiri ya mastectomy: yosinthidwa modical mastectomy ndi totalika, kapena Halstead, mastectomy.
- Kusinthika kwakukulu koopsa kumachotsa minofu yonse pambali imodzi kapena mbali zonse malingana ndi momwe muli ndi njira imodzi kapena imodzi. Khungu la m'mawere ndi nkhono zimatha kapena sizingachotsedwe, malinga ndi kuti dokotala wanu amatha kuchita izi, ndipo ngati chotupa chanu chiri pamalo omwe mungathe. Mankhwala osokoneza bongo amatha kuchitidwa ngati nthenda yamagetsi imasonyeza kuti khansara imapezeka m'matumbo.
- Chiwerengero cha Halstead chikhoza kuchotsa msuzi ndi mchere wa mfupa ndi minofu, ndipo imachotsanso gawo la minofu pansi pa bere. Mitsempha yam'mimba kumtunda (axilla) idzachotsedwanso ndikuyesedwa ndi khansa.
Popanda kubwezeretsa m'mimba kapena opaleshoni ya pulasitiki yomwe yachitidwa pambuyo pa mastectomy, mudzakhala ndi khungu kochepa pambali pa incision, ndipo khungu la m'chifuwa lidzakhala lathyathyathya. Kusamalira bwino chilondacho kumabweretsa mzere wabwino, patapita nthawi. Mungagwiritse ntchito ubweya wa prostate, womwe uli ndi matumba omwe amachititsa mawere , ngati mukufuna, kuwonetsa maonekedwe anu.
Kubwezeretsa Amtabata Pambuyo pa Mastectomy
Ngati mwasankha kuti musamangidwanso mwamsanga, dokotalayo sangathe kuchotsa khungu lambiri, kotero kuti akhoza kutsekedwa pa chifuwa chokonzedwanso. Ngati nkhono yanu imachotsedwa ndi matendawa, muli ndi mwayi wokhala ndi msuzi ndi toola omwe amamangidwa kuchokera ku khungu lanu.
Kupeza Dokotala Wopaleshoni Wabwino
Ngati simunayambe mwachitidwa opaleshoni, kapena simudziwa dokotala wina kuti muwone za izi, funsani dokotala wanu kapena dokotala wanu kuti akalangize dokotala wa opaleshoni. Ngati muli ndi oncologist, nayenso ayenera kukutumizani kwa madokotala ochita opaleshoni omwe achita ma opaleshoni a khansa ya m'mawere.
Kupeza dokotala wochita opaleshoni ali ndi zambiri pa opaleshoni ya m'mawere ndipo amene ali ndi mbiri yabwino ndiwothandiza kwambiri. Ngati iwo ali ndi luso lomvetsera bwino ndipo amatha kuyankha mafunso anu ndi chilankhulo choyera komanso kuleza mtima, ndiye mwapeza mwala.
Kuchita ndi Inshuwalansi ya Umoyo
Fufuzani ndi kampani yanu ya inshuwalansi, ngati muli ndi imodzi, kuti muonetsetse kuti dokotala wanu wa opaleshoni ndi chipatala kapena malo opaleshoni omwe akugwira ntchito akuphimbidwa. Komanso, musanavomereze njira iliyonse, funsani ogwira ntchito anu opaleshoni kuti muwone ngati angagwire ntchito ndi kampani ya inshuwalansi yanu kuti akupindulitseni.
Pamene mukuyang'ana pa inshuwalansi yanu, funsani makampani omwe ali ndi anesthesia amagwira ntchito ndi chipatala. Onetsetsani kuti iwo ali ndi inshuwalansi ya umoyo wanu. Dokotala wanu, chipatala, ndi katswiri wamagetsi amodzi adzakulipirani inu ndi / kapena inshuwalansi yanu ya umoyo payokha. Kuchita ntchito zanu zapakhomo poyamba kungathandize kupewa zovuta zachuma pambuyo pa opaleshoni yanu.
Kulimbana ndi Kuthandizidwa
Pofuna kusankha njira zomwe mungakonde, ndibwino kuti musankhe nokha amene mumakhala nawo bwino. Ngati abwenzi kapena abwenzi sakuvomerezana, mwayamikireni mofatsa chifukwa cha malingaliro awo ndipo awauzeni kuti mukupanga chisankho chomwe mukuganiza kuti ndi chabwino kwa inu. Taganizirani kupeza lingaliro lachiwiri mosasamala kanthu komwe mukudalira. Pali zina zambiri zomwe zimasankhidwa kuposa zaka zingapo zapitazo zokhudzana ndi kasamalidwe ka khansa ya m'mawere, koma izi zikutanthauzanso kuti pali zisankho zambiri zomwe zidzafunikila kupanga. Phunzirani momwe mungadzilimbikitsire nokha ngati wodwala khansa kuti muthe kusamalira bwino.