Lumpectomy Surgery: Njira Yoyenera Kuchiza Khansa ya M'bwere

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Kodi Chifuwa cha Lumpectomy N'chiyani?

Lumpectomy ndi njira yopaleshoni yochotsera dera laling'ono la khansa kapena akuganiza kuti ali ndi khansa. Njira yotchedwa lumpectomy imadziwika ndi mayina angapo, kuphatikizapo opaleshoni yachisamaliro cha m'mawere, komanso kuperewera kwapadera.

Opaleshoni ya Lumpectomy imachitidwa ndi odwala opaleshoni ya opaleshoni, dokotala yemwe amadziwika bwino kwambiri pochizira khansa ndi opaleshoni. Kuchita opaleshoni kungathe kuchitidwa kwa odwala kapena odwala matenda opatsirana pogonana . Ngati amagwiritsa ntchito anesthesia , wodwala amakhala m'chipatala usiku wonse. Ngati anesthesia akugwiritsidwa ntchito, wodwalayo akhoza kupita kunyumba tsiku lomwelo monga opaleshoni.

Opaleshoniyi imakhala yosungidwa kwa amayi omwe ali ndi kachilombo kamodzi kakang'ono kamene kamayenera kuchotsedwa. Azimayi okhala ndi misazi ambiri amafunika kukhala ndi minofu yambiri yamtundu, yomwe nthawi zambiri imafuna njira yowononga kwambiri monga mastectomy .

Ngakhale kuti lumpectomy imakhala yosasokoneza kwambiri kusiyana ndi mastectomy ndipo sichikusowa opaleshoni yokonzanso pulasitiki pambuyo pake, nthendayi imayambitsa kusintha kwa mawere ngati minofu yambiri imatengedwa. Kuphatikiza pa zilonda kapena zipsera zomwe zatsala ndi opaleshoni , pangakhale kusintha kooneka kansalu khungu pamwamba pa tsamba. Zitha kukhala zosaoneka bwino m'deralo, ngakhale khungu likachiza.

Chonde onani kuti excisional biopsy ndi lumpectomy ndizosiyana. Lumpectomy imachitidwa ngati pali matenda odziwika bwino a kansa ya m'mawere ndipo ntchitoyo ndi kuchotsa khansa yonse ndi matenda a minofu kuzungulira chotupacho. Chidziwitso chodabwitsa si mankhwala opaleshoni, ndi njira yothandizira.

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Pa Lumpectomy Breast Surgery

Khungu likakonzekera kuti liperekedwe ndipo anesthesia imaperekedwa, opaleshoniyi imayambira ndi kusakaniza pa tsamba la minofu kuti lichotsedwe. Khungu likayamba kutsegulidwa ndipo minofu yomwe iyenera kuchotsedwa, dokotalayo adzayang'ana misala kuti adziwe mtundu wa minofu yomwe wapangidwa.

Nthawi zina, misa ikhoza kukhala kansalu kakang'ono kakang'ono. Ngati nthendayi imakhala yamadzimadzi, madziwo amatha kuyamwa mpaka chimbudzi chichotsedwe. Madzi oterewa adzapulumutsidwa kuti awunika pambuyo pa opaleshoniyo.

Kawirikawiri, mtanda wa minofu sizitsulo ndipo udzachotsedwa m'mimba. Kuwonjezera pa anthu omwe akuwoneka kuti ali ndi khansa, dera lomwe liri pafupi ndi misa lidzathetsedwanso, dera lomwe limatchedwa margin. Mitundu yonseyi imasungidwa kuti iwonetseredwe kamodzi ndi wodwalayo. Dokotalayo adzayang'ananso deralo kuti awone ngati ziwalo zina za thupi zimakhudzidwa ndi mtanda, monga minofu yomwe ili pansi pa bere.

Pambuyo pochotsa minofu, dokotalayo adzayang'anitsitsa minofu yotsala ya zifuwa za zizindikiro zilizonse za khansa zomwe zikhoza kufalikira kunja kwa mtanda umene unachotsedwa. Ngati palibe chisonyezero cha minofu yowonjezera, incision ikhoza kutsekedwa ndi sutures ndipo opaleshoni yatha.

Kwa odwala ena, dokotalayo adzachotsanso ma lymph nodes kapena kutenga zitsanzo za ma lymph node kuti ayesedwe. Izi zimafuna kutengeka kwapadera pansi pa mkono. Dokotala wa opaleshoni amatha kupopera mankhwala ambirimbiri kapena kuchotsa nambala 15 kapena 20, malinga ndi zosowa za wodwalayo. Izi zatsimikiziridwa kuti ngati khansara yayamba kufalikira pachifuwa choyamba m'mimba, ngati ndi khansa.

Chifuwacho chidzaphimbidwa ndi bandage wosabala panthawiyi, monga momwe mankhwalawa amathandizira ngati sopo amachotsedwa.

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Kupeza Opaleshoni Pambuyo pa Opaleshoni ya Lumpectomy

Pambuyo pa opaleshoniyo itatha ndipo wodwalayo wadzutsidwa kuchokera ku anesthésia, kuchiza kwa opaleshoni kumayambadi. Ngati mitsempha yamatenda imachotsedweratu, chimbudzi chimayikidwa pamalo osokonezeka kuti achotse madzi owonjezera. Kutha kumakhala pansi pa bandage wosabala, ndipo kumatha kuchotsedwa mosavuta pambuyo pa opaleshoni pamene ngalandeyo ndi yochepa.

Sutures osasunthika ikhoza kukhala pang'onopang'ono kulowa m'thupi mwamsanga, osati kuchotsedwa. Sutures Standard idzachotsedwa ndi dokotala wa opaleshoni paulendo wa ofesi, kawirikawiri mkati mwa masabata awiri a opaleshoni.

Pambuyo pa mtundu wa lumpectomy, kuchotsa misa osachepera 5 masentimita mu kukula, kupuma kumatenga masabata atatu kapena anayi. Ngati ndondomeko imafuna kuchotsa minofu yowonjezereka, chidziwitso chingatenge ngati milungu isanu ndi umodzi.

Pomwe mukubwezeretsa masiku awiri kapena atatu oyambirira adzakhala opweteka kwambiri, ndikumva kupweteketsa pang'onopang'ono tsiku lililonse. Pa nthawi ya kuchira ndikobwino kupeŵa ntchito iliyonse yomwe ikuphatikizapo kuthamanga, monga kuyendetsa, ndipo ndikofunika kuti musamalireko .

Kukwezeka kumataya mtima patatha masabata pambuyo pochira, monga ntchito iliyonse yomwe imayenera kuti mikono ikhale pamwamba pa mutu, yomwe ingayambitse kupweteka ndikupweteka. Bongo lothandizira, monga bwalo la masewera olimbitsa thupi, lingathe kupitirirabe sabata yoyamba kapena awiri kuti achepetse kayendetsedwe ka m'mawere kuti ateteze ululu ndi kuthandizira kutengeka.

Ngati nthendayi ikufufuzidwa ndikupezeka kuti ili ndi khansa, ndibwino kuti mankhwala opatsirana pogwiritsa ntchito mazira akuyendetsedwe kuti asamalire malo alionse omwe angakhale asanakhalepo pa opaleshoni.

> Zotsatira:

> Khansa ya m'mimba mwa Amuna. American Cancer Society http://www.cancer.org/Cancer/BastastCancerinMen/DetailedGuide/index

> Chithandizo cha khansa ya m'mawere ndi siteji. American Cancer Society http://www.cancer.org/docroot/CRI/content/CRI_2_4_4X_Treatment_by_Stage_Breast_Cancer_5.asp?rnav=cri

> Kumangidwanso kwa mimba. Foundation ya Susan G. Komen http://cms.komen.org/Komen/AboutBreastCancer/Treatment/3-5-8?ssSourceNodeId=99&ssSourceSiteId=Komen

> Mankhwala othandiza mafilimu ndi Inu. National Institutes of Health. http://www.cancer.gov/cancertopics/radiation-therapy-and-you/page2