Kukula Kowonjezereka Kwa Kupewa Kachilombo ka Nkhono
Kuthamanga kwa kugwa ndi njira yopaleshoni yomwe yachitidwa pokonzekeretsa vutoli . Wodwala angayitane opaleshoni imeneyi "kuchepetsa kuchepetsa" mmalo mwake, chifukwa kumaponyera tsiku la masewardomy anu kwa masabata awiri kapena awiri. Kuchedwa kwa kugwa ndi njira imodzi yokha yopewera opaleshoni - zonse zomwe zimatsutsana, chifukwa khansa zambiri za m'mawere zimachokera m'mphepete mwa khungu. Chiwopsezo cha minofu pansi pa msomali chidzawone ngati nkhono yanu ingapulumutsidwe kapena ayi.
Kusunga Mankhwala Anu Achilengedwe Pambuyo pa Kugonana Kwambiri
Nkhumba zanu ndi alexol complex (NAC) zimafuna magazi odzipereka kuti akhale ndi thanzi labwino. Ngati palibe mchitidwe wodalirika kwa makisitomawawa pambuyo pa kupweteka kwa msana, ziwalozo zingamwalire, ndipo minofu yodetsedwa iyenera kuchitidwa opaleshoni. Njira yopaleshoni yotchedwa "kuchepa kwa msana" imagwiritsidwa ntchito popanga mauthenga atsopano kuchokera ku khungu la mbuzi mpaka ku NAC yomwe idzasunga mazira anu achilengedwe ndi maasola ali amoyo.
Kuwonetsa Kachilombo kosalamba Siko Kwa Aliyense
Azimayi omwe ali ndi BRCA zamasinthidwe omwe amasankha zinthu zowonongeka zimatha kusunga mazira awo. Ena omwe amafunira zabwino amakhala ndi odwala omwe ali ndi chifuwa chapafupi, kapena omwe alibe chifuwa cha khansa. Palibe khansa yomwe iyenera kupezeka mu chiwopsezo chotsalira chisanachitike musanagwiritse ntchito mankhwala osokoneza khungu, ndipotu sipadzakhalanso magazi amagazi . Simukuyenera kusuta fodya, chifukwa izi zimaletsa kuti magazi aziyenda ndipo amalepheretsa thanzi komanso machiritso.
Ngozi za Kusapseza Kwachitsulo kwa Nkhumba
Kuphatikiza pa zoopsa zomwe zimachitika pa opaleshoni - anesthesia, kupweteka, kutuluka magazi ndi matenda - pali chiwopsezo chochepa kuti msungwana sangathe kupulumuka ngakhale kuti kuyesera kuyisunga. Kafukufuku amene adachitika ku John Wayne Cancer Institute ku Santa Monica, California, adafotokoza zotsatira za opaleshoni yoperekera operekera amayi okwana 99 omwe adatsatiridwa zaka zisanu. Amanena kuti nsomba 22 zopulumutsidwazo zinatha kutaya khansa, 8 zinalephera, ndipo 2 zidachotsedwa mosamala. Phunziroli likuti, "Panalibe nipple necrosis pamene NSM (kupsepesa mastectomy) inachitika pambuyo pochita opaleshoni mwamsanga." Komabe, ngati chiwopsezo chowopsa chimawulula khansa musanayambe kugwiritsira ntchito mastectomy, iyenera kuchotsedwa. Ngakhale selo imodzi ya khansa ndi yambiri kuti musunge.Ubwino Wotsalira Nkhumba
Kusunga maonekedwe anu achibadwa kumateteza mawonekedwe anu oyambirira ndi kumverera kwa mabere anu, popanda kufunikira kumanganso kansalu . Zina mwa zovuta zokhudzana ndi chiwombankhanga zapachilengedwe zidzapitirizabe ngati chitsimikizo chabwino cha mitsempha chikukhala chogwirizanitsa, koma chitsulo chokonzedwanso sichingakhale nacho chokhudzidwa kupatula kukakamizidwa.
Ndondomeko Yotsalira Yogwiritsira Ntchito Opaleshoni
Njira yochedwa kuchepetsa ululu imakonzedwa ngati opaleshoni yapakati pa milungu iwiri musanayambe kugonana . Mudzakhala pansi pa anesthesia ndipo simudzamva ululu panthawi ya opaleshoni. Dokotala wanu amachititsa kuti khungu lanu likhale lopweteka pang'onopang'ono pamene chifuwa chanu cha mastectomy chidzapezeka. Izi zikhoza kukhala pansi pa doola yanu kapena pansi pa chifuwa chanu. Pafupi theka la khungu lanu la chifuwa lidzachotsedwa kuchoka ku mafuta ndi ziwalo zochepa za bere lanu; izi zidzathetsa mitsempha ya magazi imene imapereka kufalikira kwa chiuno chako, ndipo imalimbikitsa ziwiya zatsopano zogwirizanitsa kuchokera pachifuwa cha mbuzi kupita kuntchito yako ya nipple-areola, kukhalabe yamoyo. Dokotala wanu amathanso kutenga kachilombo ka minofu kuchokera pansi pa NAC yanu ndikuitumizira ku laboratory. Azimayi omwe ali ndi minofu yomwe ilipo pafupi ndi mbozi ndi isola angapindule ndi njira yochedwa kuchepa.
Machiritso ndi Atatha
Mutha kukhala ndi zovuta komanso zovulaza pamene mukupulumuka ku njira yochedwa kuchepa. Madokotala ena opaleshoni angagwiritse ntchito khungu la khungu pamutu musanayambe kapena opaleshoni yanu. Ngati mukusowa mankhwala osokoneza bongo, onetsetsani kuti mutengere monga momwe mwalamulidwa - musayembekezere mpaka mutakhala wobiriwira, chifukwa izi zimagwira bwino ngati mutengedwera. Khalani omasuka kufikira mutamva mphamvu zanu zowonjezera.Zotsatira:
Matenda Opatsirana Momwe Akugwiritsira Ntchito Mthupi mwa Odwala 99 Omwe Amakhala ndi Zaka 5 Zotsatira. J. Arthur Jensen MD, Jay S. Orringer MD, MD Armando E. Giuliano. Zolemba za Oncology Opaleshoni. June 2011, Voliyumu 18, Nkhani 6, masamba 1665-1670.
Jensen, JA; Lin, JH; Khalid, N .; Giuliano, AE (2012). "Kutsegulira Kutha kwa Makina Opangidwa ndi Nipple-Areolar: Njira Yamphamvu Yowonjezera Kulimbitsa Nkhanza ya Zipangizo Pambuyo Potsata Mastectomy ya Nkhono". Zolemba za opaleshoni yopanga opaleshoni 19 (10): 3171-3176.