Mutha kuyamwa mazira a m'mawere pambuyo pa lumpectomy kapena pambuyo pa mastectomy ngati minofu yanu ili ndi maselo a khansa kapena chotupa chanu chinali 5cm kapena kuposa. Mazira amachitidwa kuti aphe maselo aliwonse a khansa omwe angakhalebe m'mawere anu, minofu yanu (armpit,) kapena khoma la chifuwa.
Mankhwalawa amachitidwa kuchipatala mwamsanga. Magetsi amphamvu a X-ray adzakhala opangira malo anu opaleshoni kuti awononge maselo onse a khansa yofulumira. Mazira amathyola DNA m'maselo anu a khansa kotero kuti sangathe kugawa ndi kuchulukana. Maselo anu osakhala ndi khansa akhoza kupulumuka kuchipatala.
Kuthamanga Kwambiri Kwambiri
Khola lakunja ndilo mtundu wofala kwambiri wa mankhwala a m'mawere. Kuchokera kunja kwa thupi lanu, miyendo ya miyendo ya collimated idzayendetsedwa ndi makina ku malo anu opaleshoni. Mungafunike ma radiation mu chifuwa chanu chonse kapena kudera laling'ono. Ngati ma lymph nodes kapena khoma la chifuwa likufuna chithandizo, izo zingathenso kutenthedwa.
Mankhwala sadzayambira mpaka mutachira kuchipatala kapena kumaliza chemotherapy ngati mukufunikira. Muyenera kupatula nthawi ya chithandizo tsiku lililonse kwa sabata zisanu ndi chimodzi kapena zisanu ndi ziwiri kuti mukhale ndi ma ARV. Nthawi yofunika ya mankhwalawa ndi yaifupi, koma perekani nthawi yokonzekera komanso kusamala bwino kuti mupereke mankhwala abwino kwambiri.
Kuthamanga Kwambiri kwa Mawere
Kwa odwala ena, mankhwala ochizira mazira amatha kuperekedwa kwa nthawi yochepa. Mazira othamanga amatha kuperekedwa pachifuwa chonse kapena gawo lanu la mbuzi, momwemo amatchedwa Accelerated Partial Irradiation (APBI).
Ma radiologists ena tsopano amapereka mankhwala ochepa kwambiri pa masabata atatu, kudula pakati pa masabata asanu ndi limodzi. Njira imeneyi ya ma radiation ya m'mawere ikuwoneka ngati ikugwira ntchito komanso pulogalamu yoyenera. Ngati mazira akuluakulu angaperekedwe, wodwalayo angalandire mlingo wonse pa masiku asanu ndi asanu ndi asanu ndi atatu kudzera mu mankhwala omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda.
Brachytherapy
Ma radiation wamkati, kapena Brachytherapy, amachitika pambuyo pa lumpectomy ndipo ntchito imagwiritsidwa ntchito pambuyo pa lumpectomy ndipo amagwiritsa ntchito mbewu zing'onozing'ono kapena mapepala a ma radioactive kuti atuluke mlingo wa mazira kuchokera m'mimba. Mlingo wa mankhwalawa umaperekedwa mwachindunji ku bedi lopweteka ndipo amachepetsa kwambiri kuwonongeka kwa mthupi lanu labwino lomwe lili pafupi.
Kukula ndi malo a chotupa chanu chidzatsimikizira ngati mulibe mwayi wothandizidwa ndi brachytherapy. Pali mitundu yambiri ya brachytherapy, kuphatikizapo:
- Brachytherapy yobereka
- Brachytherapy yamakono
Thandizo la ma Radiation Ratraation
Njira yowonongeka yothandizira ma ARV (IORT) imayesedwa m'mayesero a mankhwala ku US IORT amagwiritsira ntchito mlingo waukulu wa ma radiation - woperekedwa mwachindunji pabedi - pambuyo pochotsa chotupa ndi lumpectomy ndipo kutsegula kumatsegukabe.
Pambuyo pa mankhwalawa, kutentha kwanu kumatsekedwa ndipo simukusowa mankhwala enaake. Kuti mukhale wodzitetezera wabwino wa mtundu uwu wamachiritso, mapiritsi anu opaleshoni ayenera kukhala ochotsa khansa ndipo, pakalipano, muyenera kutenga nawo mbali muyeso la kuchipatala.
Kusankha Njira Yabwino
Musanayambe opaleshoni ya m'mawere kapena musanafike, dokotala wanu adzakambirana zomwe mungachite kuti mukhale ndi radiation. Kusankha kwanu mankhwala odzoza mazira kudzatsimikiziridwa ndi maumboni angapo a momwe mumadziwira.
Dinani pa lirilonse la maulumikizi kuti mudziwe zambiri za momwe chomwecho chikuthandizira kupeza njira zabwino zothandizira zomwe mungachite:
- Kukula kwa mimba
- Malo otupa
- Malo ndi kukula kwa metastasis
- Mtundu wa opaleshoni
- Zitsulo zopangira opaleshoni
- Mmene thupi lilili
Kuzisamalira Bwino
Mafilimu a khansa ya m'mawere amaonedwa kuti ndi mankhwala omwe akukhudza malo okha omwe amachiritsidwa. Mankhwalawa sapweteka ndipo mankhwala amatha pafupifupi 30 minutes.
Mukhoza kukhala ndi zotsatira zochepa zochokera ku dzuwa. Koma kusamalira khungu lanu ndi kuchenjeza dokotala wanu ku vuto lililonse la khungu n'kofunika kuti mupeze. Kumbukirani kuti mazira a m'mawere amachepetsa kwambiri chiopsezo chanu chobwerezabwereza ndikuwonjezera kupulumuka kwanu.
> Zotsatira:
> American Cancer Society. Mankhwala othandizira ma ARV chifukwa cha khansa ya m'mawere. Kusinthidwa 01/15/16.
> Chikumbutso cha Memorial Sloan-Kettering Center. Khansa ya m'mawere. Mankhwala Opanga Mafuta.