Kusankha Pakati pa Lumpectomy ndi Mastectomy
Pamene chifuwa chanu cha m'mawere chimawulula khansara ndipo mukukumana ndi chisankho pakati pa lumpectomy ndi mastectomy , mukhoza kukhala wokhumudwa kwambiri ndi wosokonezeka. Kodi kusiyana kwakukulu pakati pa njirazi ndi kotani kwa inu nokha?
Mwinamwake mungakhale mukubwerera kumbuyo ndi kumbuyo komanso mobwerezabwereza pamene mukupanga kusankha pakati pa lumpectomy ndi mastectomy . Mungapezenso kuti maganizo anu amasiyana, kaya ndi maganizo a dokotala wanu kapena mnzanu. N'chifukwa chiyani amakangana? Ndipo nchifukwa ninji kuli kofunikira kumvetsetsa lingaliro la mapiritsi opanga opaleshoni?
Chifukwa inu ndi dokotala wanu mukufuna kukhala pa tsamba limodzi. Mbali imodzi ya nkhaniyi ndi chilakolako chokhala ndi bere, kapena chifuwa chanu. Kumbali inayo ndi kufunika kokhala ndi khansara yonse komanso kukhala ndi mapiritsi abwino opaleshoni. Kumvetsetsa zambiri za mitsempha ya opaleshoni kungakuthandizeni kupeza njira yabwino yomwe mungayandikire kwambiri kuchiza.
Pezani Malangizo Ena pa Lumpectomy vs. Mastectomy
Ngati mukukumana ndi vutoli, muyenera kudziwa momwe malo anu opangira opaleshoni amachitira. Yambani mwa kuwerenga ichi kuchokera ku UpToDate kuti muwone chifukwa chake mapulogalamu opaleshoni ndi ofunika kwa inu.
Kuyeza kwa Microscopic ya Mimba: Njira Yokambirana pa Opaleshoni
"Kufufuza kwa tizilombo toyambitsa tizilombo timene timachotsa panthawi yoperewera kapena panthawi ya opaleshoni kumatithandiza kudziwa zomwe zimapangitsa kuti BCT [kuteteza mawere] kusamalidwe." Mmodzi mwa zinthuzi ndi kukhalapo kwa maselo a kansa pamphepete mwa chotupacho (opaleshoni Mzere wa m'magazi) Ngati kuchepetsa maselo a khansa kulipo ngakhale kuti minofu yambiri ikuchotsedwa, vutoli lingakhale lopambana. "
Kupeza Uthenga Pazochita Zopangira Opaleshoni
Kodi Zidali Zophatikiza Zimatani?
Pamene chotupa chanu chimasokonezedwa kapena opaleshoni chichotsedwe, dokotala wanu amatenga zambiri kuposa khunyu chabe-minofu yozungulira pathupiyo imatengedwanso. Mpaka wa minofu pakati pa kunja kwa msampha ndi chotupacho chimatchedwa kuperekera .
Dokotala wanu akachotsa minofuyi, imayikidwa mosamala mu chidebe ndipo imatumizidwa ku labata. Wodwala amagwiritsira ntchito inki yapaderadera kuti aphimbe m'mphepete kunja kwa zitsanzo zonse za minofu. Kenaka nyembazo zimadulidwa mu magawo ofunika ndikuyang'anitsitsa pang'onopang'ono. Mphepete, komanso m'mphepete mwa mitsinje, amayang'anitsitsa kuti awone ngati maselo aliwonse a khansara asochera kunja kwa chotupa ndipo, ngati zili choncho, apita kutali bwanji.
Kumvetsetsa Malamulo Madokotala Amagwiritsa Ntchito Kufotokozera Mitsinje Yopaleshoni
Pali zowonjezereka, koma tanthauzo la mzere wotsalira kapena woonekera akhoza kusiyana ndi chipatala chimodzi kapena chipatala. Mawu atatuwa amagwiritsidwa ntchito pofotokoza mzerewu:
- Marginal Negative: Palibe maselo a kansa pamphepete kunja kwa minofu
- Mzere Wokongola: Maselo a khansa kapena chotupa chimapitirira mpaka kumapeto kwa chitsanzo
- Yambani Margin: Mkhalidwe uliwonse pakati pa zolakwika ndi zabwino
Pamene Mapulogalamu Opaleshoni Amakhala ndi Khansa
Tsekani mitsinje pambuyo pa lumpectomy kuti ingachiritsidwe ndi njira ina yopaleshoni, yotchedwa re-excision. Dokotala wanu adzabwerera kubwalo loyambirira ndikuchotsa minofu yowonjezerapo kuti muyese ndikupeza mitsinje yoyipa (yosamveka). Ngati izo zikupambana, mankhwala odzoza mazira akhoza kukhala oyenera kwa inu.
Azimayi ena omwe ali pambali mwapafupi amayamba kukhala ndi vutoli, m'malo mochita opaleshoni imodzi kapena iwiri. Mafunde okongola angasonyeze kukhalapo kwa khansara ya m'mawere , ndipo mungafunikire kukhala ndi vutoli kuti muwonetsetse kuti khansara yachotsedwa ndi kuteteza kubwereza.
Mitsinje Yolakwika ndi Zosankha Zochiza
Ngati muli ndi biopsy, chotupa chanu n'chochepa (pansi pa masentimita 4), ndipo mapiritsi anu opangidwa ndi opaleshoni amawoneka bwino, ndiye kuti lumpectomy ingakhale yonse ya opaleshoni ya m'mawere yomwe mukufunikira (ngakhale, mungathe kusankhabe vutoli). Ngati lumpectomy imasankhidwa, mankhwala opatsirana pogwiritsa ntchito mankhwalawa amatetezedwa kuti athe kupewa khansa yowonongeka.
Mkhalidwe wanu wamaliseche uyeneranso kufufuzidwa; Ngati minofu yanu ilibe nthendayi, mwina simungasowe chithandizo chamankhwala kumalo amenewo mutatha opaleshoni. Ngati iwo sali omveka, wanu oncologist akhoza kulangiza ma radiation. Mukamaliza kutentha kwa dzuwa, ngati mukufuna, komanso ngati muli ndi khansara yowopsa, ndiye kuti mutenga mankhwala a hormonal kwa zaka zosachepera zisanu, ndipo kawirikawiri mumapewa kubwereza kwinakwake m'thupi lanu.
Uthenga Wotenga
Muyenera kudziwa ngati matabwa anu opaleshoni anali oipa, abwino, kapena otseka. Izi, kuphatikizapo mtundu wa khansa , malo oyamba komanso odwala matenda a lymph node, adzakuthandizani inu ndi dokotala wanu kusankha mankhwala othandiza kwambiri.
> Chitsime:
> Daniel F Hayes, Michael S Sabel, MD. "Kupaleshoni kwa khansa ya m'mawere: mastectomy ndi m'mawere ochizira mankhwala: Kuyeza kwapadera kwa chifuwa," UpToDate. Kusinthidwa 05/26/16.