Pambuyo pa chaka cha 1990, chithandizo choyenera cha khansa ya m'mawere oyambirira chinali chiwombankhanza, kuchotsa chifuwa chonse.
Pambuyo pa 1990, chifukwa cha ndondomeko yochokera ku National Institutes of Health, amayi ambiri omwe ali ndi khansa ya m'mawere oyambirira tsopano anali ndi opaleshoni. Mmalo mwa vutoli, iwo akhoza kusankha bwino lumpectomy, opaleshoni kuchotsa khansa ndi minofu yozungulira chifuwacho, koma osati chifuwa chonse.
Lumpectomy imakhala ikutsatiridwa ndi mankhwala opatsirana ndi dzuwa pofuna kuchepetsa chiopsezo cha kubwerekanso m'mawere kapena m'mafupa.
Kuchita opaleshoni zonse komanso kuperewera kwa matendawa kumaphatikizapo kuchotsa ma lymph nodes pansi pa mkono kuti ayese kupezeka kwa maselo a khansa.
National Institutes of Health anapanga malingaliro awo kuti apereke lumpectomy ngati njira yowonjezera yowonongeka pogwiritsa ntchito zotsatira za mayesero ambiri, olamulidwa omwe sasonyeza kusiyana pakati pa zaka 20 zapakati pa amayi omwe anali ndi lumpectomy ndi radiation kapena mastectomy.
Chifukwa cha mayankho a National Institutes of Health, chiwerengero cha amayi omwe ali ndi khansa ya m'mawere oyambirira chinachokera ku 100% m'ma 1980 mpaka kuchepera 40 peresenti lero. Komabe, kafukufuku waposachedwapa, wofalitsidwa mu nyuzipepala ya JAMA yachipatala, adapeza kuti chiwerengero cha amayi omwe ali ndi khansa ya m'mawere oyambirira akuyandikira zochitika zowonongeka. Chiwerengero cha anthu odwala matendawa chiwonjezeka kuchoka pa 34 peresenti mu 1998 kufika pa 38 peresenti mu 2011.
Mfundo Zokhudza Opaleshoni Zonse
Lumpectomy ikhoza kukhala ndi maonekedwe ambiri, komanso mawere. Popeza ndi opaleshoni yochepa kwambiri, nthawi yowonongeka ndi yofupika komanso yosavuta kusiyana ndi matenda opatsirana.
Lumpectomy si yoyenera kwa akazi ena. Kukula kwa chotupa, komanso malo a chotupa ndi kukula kwa bere, kudziwa ngati ndi kotheka kapena ayi.
Kuganizira zina posankha lumpectomy pa mastectomy ndi nthawi ndi ulendo wopita kuchipatala. Lumpectomy imafuna chithandizo cha mazira kwa milungu ingapo. Ngati mkazi amakhala kutali ndi chipatala, vuto la lumpectomy silingakhale loyenera. Kuonjezera apo, sizimasewero kwa amayi omwe ali ndi matenda ena monga systemic lupus.
Mastectomy ndi opaleshoni yambiri kuposa lumpectomy ndipo imakhala ndi nthawi yowonjezera.
Mu 1999, ndinali ndi lumpectomy, ndipo ndinatsatiridwa ndi mankhwala opangira mazira 36. Ululu unali wochepa; Ndinabwerera kuntchito m'masiku angapo. Mafunde ndi opweteka kwambiri. Kuwonjezereka kwa dzuwa kunayamba kugwira ntchito pa tsiku la 15, ndipo ndinayamba kutaya mphamvu. Ndinatha kugwira ntchito zisanu pa masabata asanu ndi limodzi (6+) ndikuchiritsidwa. Mphamvu yanga imakhala yabwino mkati mwa masiku omaliza.
Mu 2009, chifukwa cha khansa yanga yachiŵiri, yomwe inali yaikulu pachifuwa chosiyana (osati chiwerewere cha khansa yanga yoyamba), ndinasankha mastectomy. Izo sizinali zomveka kusunga bere limene poyamba linali ndi khansa.
Patadutsa masiku awiri oyambirira atatha opaleshoni, ululu unali wodalirika ndi Tylenol. Ndinabwerera kumwezi.
Popeza khansa yanga yonse inali khansa yoyambirira, sindinkafunikira mankhwala a chemotherapy.
Maganizo Otsiriza
Chisankho cha mkazi kuti akhale ndi lumpectomy kapena mastectomy ndi omwe angathe kuthandizidwa mothandizidwa ndi opaleshoni yake ya mawere atatha kukambirana momveka bwino za ubwino ndi zoyipa za njira iliyonse, komanso nkhawa zake ndi zomwe amakonda.
Jean Campbell ali ndi khansa ya khansa ya 2x ndi mkulu woyambitsa bungwe la American Cancer Society ku New York City Patient Navigator Programme muzipatala 14 zapagulu ndi zapadera. Iye ndi mkulu woyang'anira bungwe lopanda phindu lomwe amapereka kafukufuku ndi zowonjezera zowunikira komanso thandizo kwa amayi ndi abambo omwe amapezeka kumene ali ndi khansara ya m'mawere.