Umhlaza endinokujongana nawo. Ukuphulukana namabele am andikwazi

Umxholo

•  
• UFiona MacNeill uneminyaka embalwa mdala kunam, kwiminyaka yakhe yama-50.
• Unyango lomhlaza webele luya lusiba ngokobuqu nangakumbi.
• Kodwa ukukhathaza into eyenzekayo kubafazi emva kwesibeleko kunzima.
• Kwiveki elandelayo emva kokuba ndirhoxisiwe i-mastectomy, ndibuyele esibhedlele ndayokwenza i-lumpectomy.

Iteksi ifike ekuzeni kokusa kodwa ibinokufika kwangethuba; Bendivukile ubusuku bonke. Ndandisoyika malunga nosuku oluzayo kunye nokuba luyakuba yintoni ebomini bam bonke.

Esibhedlele ndatshintsha ndanxiba i-high-tech gown eyayizakundigcina ndifudumele ngexesha leeyure ezinde ndingazi, kwaye ugqirha wam wotyando wafika ukuzokukhawuleza ukujonga kwangaphambili ukusebenza. Kwakungekho de kwaba semnyango, malunga nokuphuma egumbini, apho uloyiko lwam ekugqibeleni lafumana ilizwi lalo. "Nceda," ndatsho. "Ndidinga uncedo lwakho. Ngaba uza kuphinda undixelele kwakhona: kutheni ndiyidinga le mastectomy? ”

Uye wabuyela kum, ndaye ndabona ebusweni ukuba sele eyazi into, ngaphakathi ngaphakathi, bendiziva ngalo lonke elixesha. Lo msebenzi wawungazukwenzeka. Kwakufuneka sifumane enye indlela.

Umhlaza webele wabugubungela ubomi bam kwiiveki ezimbalwa ezidlulileyo, xa ndabona isuntswana elincinane kufutshane nengono yasekhohlo. Ugqirha wacinga ukuba ayisiyonto- kodwa kutheni uthatha umngcipheko, wabuza echwayitile, ecofa ikhibhodi yakhe ukulungiselela ukudluliselwa.

Eklinikhi kwiintsuku ezilishumi kamva, iindaba zazibonakala zinethemba kwakhona: i-mammogram yayicacile, umcebisi wayeqikelela ukuba yi-cyst. Kwiintsuku ezintlanu kamva, emva eklinikhi, ukuzingela komcebisi kwafunyanwa kungalunganga. I-biopsy ityhile ukuba ndine-grade 2 engenayo i-carcinoma.

Ndothuka, kodwa andabuhlungu. Umcebisi wandiqinisekisa ukuba kufanelekile ukuba ndibengumgqatswa ofanelekileyo wento ayibiza ngokuba luqhaqho lokugcina amabele, ukususa kuphela izihlunu ezichaphazelekayo (oku kuhlala kwaziwa njenge lumpectomy). Oko kuyakuba sisinye isiprofeto esingalunganga, nangona ndinombulelo ngethemba endandinike lona. Ndacinga ukuba ndinomhlaza. Ukuphulukana namabele am andikwazi.

Umdlalo otshintshayo wafika kwiveki elandelayo. Ithumba lam bekunzima ukulixilonga kuba belikwi-lobules lesifuba, ngokuchaseneyo nemibhobho (apho iipesenti ezingama-80 zomhlaza webele zingenayo). Umhlaza we-Lobular uhlala ukhohlisa i-mammography, kodwa kunokwenzeka ukuba ubonakale kwiskena se-MRI. Kwaye isiphumo sokuvavanywa kwam kwi-MRI sasibuhlungu.

Ithumba elalifakwe ebeleni lam lalilikhulu kakhulu kunelo laliboniswe yi-ultrasound, lalide lafikelela kwi-10 cm ubude (i-10 cm! Ugqirha otyhile iindaba akajonganga kum; Amehlo akhe adityaniswa kwiscreen sekhompyuter yakhe, isikrweqe sakhe ngokuchasene neemvakalelo zam. Sasihlukaniswe ngee-intshi kodwa sinokuba kwiiplanethi ezahlukeneyo. Njengokuba wayeqala ukudubula amagama athi "implant", "dorsi flap" kunye "nokwakhiwa kweengono" kum, andizange ndiqalise ukuqhubekeka neendaba zokuba, ubomi bam bonke, ndingabinalo elinye ibele.

Lo gqirha wayebonakala ngathi unomdla wokuthetha ngeentsuku zotyando kunokuba andincede ndiqonde nge-maelstrom. Inye into endiyiqondayo kukuba kufuneka ndimke kuye. Ngosuku olulandelayo umhlobo wam wandithumelela uluhlu lwabanye abacebisi, kodwa apho ndiza kuqala khona? Kwaye ke ndaqaphela ukuba ligama elinye kuphela kuluhlu lelabasetyhini. Ndithathe isigqibo sokuzama ixesha lokumbona.

UFiona MacNeill uneminyaka embalwa mdala kunam, kwiminyaka yakhe yama-50.

Andikhumbuli kwanto malunga nengxoxo yethu yokuqala, kwiintsuku nje ezimbalwa emva kokuba ndifunde igama lakhe. Ndandiselwandle, ndijikeleza. Kodwa kwisaqhwithi somoya 10 ubomi bam ngequbuliso baba njalo, iMacNeill yaba ngumbono wam wokuqala womhlaba owomileyo kangangeentsuku. Bendisazi ukuba ngumntu endinokumthemba. Ndaziva ndonwabe kakhulu ezandleni zakhe kangangokuba ndandisele ndiqalile ukucima ububi bokulahleka kwamabele.

Into endingazange ndiyazi emva koko kukuba ububanzi beemvakalelo bokuba abafazi banamabele abo. Ekupheleni kwabo banendlela yokuthabatha okanye yokubashiya, abavakalelwa kukuba amabele abo akabalulekanga ngokukodwa kulwazi lwabo. Kwelinye ngabafazi abafana nam, kubo amabele abonakala ngathi abalulekile njengentliziyo okanye imiphunga.

Into endiyifumanisileyo kukuba kuhlala kuncinci okanye akukho kuvunywa koku. Uninzi lwabasetyhini oluya kuba notyando oluza kutshintsha ubomi bomhlaza wamabele alinalo ithuba lokubona ugqirha wezengqondo ngaphambi kotyando.

Ukuba bendinikwe elo thuba, bekuya kubonakala phakathi kwemizuzu elishumi yokuqala ukuba ndingonwabi kangakanani, ngaphakathi kwam, kwingcinga yokuphulukana namabele. Kwaye ngelixa iingcali zomhlaza wamabele zisazi ukuba uncedo lwengqondo luya kuba luncedo olukhulu kubafazi abaninzi, amanani apheleleyo abo bafunyanisiweyo enza ukuba kungenzeki.

Kwizibhedlele ezininzi ze-NHS, izixhobo zeklinikhi zesifo somhlaza wamabele zilinganiselwe. UMark Sibbering, ugqirha wamabele kwisibhedlele iRoyal Derby kunye nomlandeli kaMacNeill njengomongameli we-Association of Breast Surgery, uthi uninzi lusetyenziselwa amaqela amabini: abaguli bacinga utyando lokunciphisa umngcipheko kuba bathwala utshintsho oluza kubabeka kumhlaza wamabele, kunye abo banomhlaza kwisifuba esinye abajonga imastectomy yabo engachaphazelekiyo.

Inxalenye yesizathu sokuba ndingcwabe ukungonwabi kwam ngenxa yokuphulukana nesifuba sam kungenxa yokuba uMacNeill wayefumene enye indlela ebhetele kunenkqubo yedorsi yomnye ugqirha awayesinikezela: ukwakhiwa kwakhona kwe-DIEP. Ebizwa emva kwesitya segazi esiswini, inkqubo isebenzisa ulusu kunye namafutha ukusuka apho ukwakha kwakhona ibele. Ithembise eyona nto ilandelayo yokugcina isifuba sam, kwaye bendinokuzithemba kakhulu kugqirha wotyando owayezokwakha kwakhona njengoko ndenzayo eMacNeill, owayezakwenza imastectomy.

Kodwa ndiyintatheli, kwaye apha izakhono zam zophando zindiphoxile. Into ebekufanele ukuba bendiyibuza yile: ngaba zikhona ezinye iindlela zokwenza imastectomy?

Ndijongene notyando olukhulu, utyando lweeyure ezili-10 ukuya kwezi-12. Ingandishiya nesifuba esitsha endandingaziva kwaye ndinamanxeba aqatha esifubeni nakwisisu sam, kwaye andisayi kuphinda ndibenengono yasekhohlo (nangona ukwakhiwa kweengono kunokwenzeka kwabanye abantu). Kodwa ngeempahla zam, kwakungathandabuzeki ukuba ndiza kubonakala ndimangalisa, nge-perter boobs kunye nesisu esincinci.

Ngokwemvelo ndinethemba. Kodwa ngelixa ndandibonakala kwabo bandingqongileyo ukuba ndihamba ngokuzithemba ukuya kulungiswa, i-subconscious yam yayixhasa ngakumbi nangakumbi kude. Ewe ndandisazi ukuba utyando lwaluza kuwususa umhlaza, kodwa into endandingakwazi ukuyibala yindlela endandiza kuziva ngayo ngomzimba wam omtsha.

Ndihlala ndiwathanda amabele am, kwaye abalulekile kwingqondo yam. Bayinxalenye ebalulekileyo yesini sam, kwaye bendincancisa umntwana wam ngamnye kubantwana bam iminyaka emithathu. Uloyiko lwam olukhulu yayikukuba ndiza kuncitshiswa yi-mastectomy, ukuba ngekhe ndiphinde ndiziva ndiphelele, okanye ndithembele ngokwenyani okanye ndikhululekile kum.

Ndizikhanyele ezi mvakalelo ixesha elide kangangoko bendinako, kodwa ngentsasa yoqhaqho kwakungekho ndawo yokuzimela. Andazi ukuba bendilindele ntoni xa ekugqibeleni ndivakalise uloyiko lwam. Ndicinga ukuba bendicinga ukuba uMacNeill uzakubuyela egumbini, ahlale phantsi ebhedini andinike intetho yokuthetha. Mhlawumbi bendifuna ukubanjwa ngesandla kunye nokuqinisekiswa ukuba yonke into izakulunga ekugqibeleni.

Kodwa uMacNeill akazange andinike ntetho. Kwaye akazange azame ukundixelela ukuba ndenza into elungileyo. Into awayeyithetha yayikukuba: Kuya kufuneka ube ne-mastectomy kuphela ukuba uqinisekile ukuba yinto elungileyo. Ukuba awuqinisekanga, akufuneki senze lo msebenzi - kuba izakutshintsha ubomi, kwaye ukuba awululungelanga olo tshintsho kungenzeka ukuba nefuthe elikhulu kwezengqondo kwikamva lakho. "

Kuthathe enye iyure okanye ngaphezulu ngaphambi kokuba senze isigqibo sokurhoxisa. Umyeni wam wayedinga ukukholisa ukuba yayiyindlela elungileyo yokusebenza, kwaye kufuneka ndithethe noMacNeill malunga nento anokuyenza endaweni yokususa umhlaza (ngokusisiseko, uya kuzama i-lumpectomy; ngekhe athembise ukuba uya kuba nakho ukuyisusa kwaye undishiye nesifuba esifanelekileyo, kodwa uya kwenza konke okusemandleni akhe). Kodwa ukusukela oko waphendula njengoko wayesenza, ndandisazi ukuba i-mastectomy ayizukwenzeka, kwaye isisombululo esifanelekileyo kum.

Into ibicace gca kuthi sonke kukuba impilo yam yengqondo ibisemngciphekweni. Ewe bendifuna ukuba umhlaza uhambe, kodwa kwangaxeshanye bendifuna ukuqonda kwam.

Kwisithuba seminyaka emithathu enesiqingatha ukusukela ngala mini ndisesibhedlele, ndiphinde ndadibana noMacNeill.

Inye kuphela into endiyifundileyo kuye kukuba uninzi lwabasetyhini bakholelwa ngempazamo ukuba imastectomy yeyona kuphela okanye eyona ndlela ikhuselekileyo yokujongana nomhlaza wabo.

Undixelele ukuba uninzi lwabasetyhini abafumana ithumba lesifuba- okanye nomhlaza webele wangaphambi kokuhlasela njenge-ductal carcinoma endaweni yokuhlala (DCIS) - bakholelwa ekubeni ukuncama elinye okanye zombini amabele abo kuya kubanika into abayifunayo: ithuba lokuqhubeka nokuphila kunye nekamva elingenamhlaza.

Oko kwabonakala kungumyalezo abantu abasithathileyo kwisigqibo sika-Angelina Jolie esipapashwe kakhulu ngo-2013 sokuba ne-mastectomy ephindwe kabini. Kodwa oko kwakungeyiyo ukunyanga umhlaza wokwenene; yayisisenzo sothintelo, esanyulwa emva kokuba efumanise ukuba uphethe into enobungozi kuhlobo lwe-BRCA. Oko, nangona kunjalo, yayiyinto eyahlukileyo kwabaninzi.

Iinyani malunga ne-mastectomy zintsonkothile, kodwa uninzi lwabasetyhini luye luye kwi-mastectomy enye okanye ephindwe kabini ngaphandle kokuqala ukuyityhila. Ngoba? Kuba into yokuqala eyenzekayo kuwe xa uxelelwa ukuba unomdlavuza wamabele kukuba woyike kakhulu. Eyona nto woyikisayo iyacaca: ukuba uza kufa. Kwaye uyazi ukuba ungaqhubeka uphile ngaphandle kwamabele akho, ke ucinga ukuba ukubasusa sisitshixo sokuhlala uphila, ukulungele ukubavalelisa.

Ngapha koko, ukuba unomdlavuza kwisifuba esinye, umngcipheko wokuwufumana kwelinye ibele uhlala ungaphantsi komngcipheko wokuba nomhlaza wokuqala ubuyele kwindawo eyahlukileyo yomzimba wakho.

Ityala le-mastectomy mhlawumbi linyanzela ngakumbi xa uxelelwa ukuba unokwakhiwa ngokutsha okuya kuphantse kulunge njengeyona nto yokwenyani, ngokunokwenzeka ngesisu ukuqala. Kodwa nantsi into oyifunayo: ngelixa uninzi lwabo benza olu khetho bakholelwa ukuba benza eyona nto ikhuselekileyo neyona ilungileyo yokuzikhusela ekufeni nakwizifo ezizayo, inyani ayiphantse icace gca.

"Uninzi lwabasetyhini lucela imastectomy ephindwe kabini kuba bacinga ukuba kuyakuthetha ukuba abayi kuphinda bafumane umhlaza wamabele, okanye abayi kufa ngawo," utshilo uMacNeill. “Kwaye abanye oogqirha batyhalela nje kwidayari yabo. Kodwa into ekufuneka beyenzile kukubuza: kutheni ufuna i-mastectomy ephindwe kabini? Unethemba lokuphumelela ntoni? ”

Ngelo xesha, uthi, abantu basetyhini bahlala besithi, "Kuba andifuni kuphinda ndiyifumane," okanye "andifuni kufa kuyo," okanye "andifuni kuphinda ndifumane ichemotherapy kwakhona." "Kwaye emva koko ungancokola," utshilo uMacNeill, “kuba akukho nanye kwezi njongo inokufezekiswa nge-mastectomy ephindwe kabini.”

Ogqirha ngabantu kuphela. Bafuna ukugxila kokuqinisekileyo, utshilo uMacNeill. Ubunyani obuqondwa phosakeleyo be-mastectomy, utshilo, yile: ukuthatha isigqibo sokuba ngaba isigulana kufanele okanye asifanelanga ukuba sinaso akusoloko kunxibelelene nomngcipheko obangelwa ngumhlaza. “Sisigqibo sobugcisa, hayi isigqibo somhlaza.

“Kusenokwenzeka ukuba umhlaza mkhulu kangangokuba awukwazi ukuwususa uze ushiye naliphi na ibele lihleli; okanye isifuba sincinci kakhulu, kwaye ukukhupha ithumba kuya kuthetha ukususa uninzi [lwebele]. Konke malunga nomthamo womhlaza xa kuthelekiswa nomthamo webele. "

UMark Sibbering uyavuma. Iincoko ugqirha wamabele afuna ukuba nazo kunye nomntu obhinqileyo ofunyenwe enomhlaza, utshilo, ezinye zezona zinzima kunzima ukuzicingela.

"Abasetyhini abafunyaniswa benomhlaza webele baya kuza namanqanaba ohlukeneyo olwazi ngomhlaza webele, kunye neengcinga esele zikho ngokubhekisele kunyango olunokubakho," utshilo. Rhoqo kufuneka ugwebe ulwazi oluxutyushwe ngokufanelekileyo. ”

Umzekelo, uthi, owasetyhini onomhlaza webele osandula ukufumanisa ukuba unokucela imastectomy yamazwe amabini kunye nokwakha kwakhona. Kodwa ukuba unesifo somhlaza wamabele esisongela ubomi, unyango loko kufuneka lube yeyona nto iphambili. Ukususa elinye ibele ngekhe kutshintshe iziphumo zolu nyango kodwa, uSibbering uthi, "konyusa ubunzima bokuhlinzwa kwaye kunokwandisa amathuba eengxaki ezinokulibazisa kunyango olubalulekileyo njenge-chemotherapy".

Ngaphandle kokuba isiguli sele sazi ukuba sengozini yomhlaza wesifuba wesibini ngenxa yokuba sithatha utshintsho kwi-BRCA, uSibbering uthi uyakucaphukela ukubonelela ngotyando lwamazwe amabini kwangoko. Umnqweno wakhe kukuba abasetyhini abasandula ukufumanisa ukuba banolwazi, bathathe izigqibo bazithathela ingqalelo ngaphandle kokuziva isidingo sokungxamela kuqhaqho.

Ndicinga ukuba ndize kufutshane njengoko kunokwenzeka ukuba ndize kwisigqibo endikholelwa ukuba bendiya kuzisola ngaso. Kwaye ndicinga ukuba kukho abantu ababhinqileyo ngaphandle abanokuthi benze isigqibo esahlukileyo ukuba bebeyazi yonke into abayaziyo ngoku.

Ngelixa ndiphanda eli nqaku, ndacela omnye umhlaza wesisa malunga nabasindileyo bomhlaza ababanikezela njengabathethi beendaba ukuba bathethe ngamatyala abo. Uthando lundixelele ukuba abanalo uphando lweziganeko zabantu abangazithembi malunga nokukhetha kwe-mastectomy abayenzileyo. "Ucwaningo lweziganeko ngokubanzi kuvunyelwene ukuba bangabathethi kuba baziva benelunda ngamava abo kunye nomzimba wabo omtsha," latsho igosa leendaba. "Abantu abaziva bengazithembanga bathanda ukuhlala kude nodumo."

Kwaye baninzi abantu ababhinqileyo ngaphandle abanelisekileyo sisigqibo abasenzileyo. Kunyaka ophelileyo ndenze udliwanondlebe nomsasazi waseBritane kunye nentatheli uVictoria Derbyshire. Wayenomhlaza ofana kakhulu nam, ithumba lobular elalingama-66 mm ngexesha lokufunyanwa kwalo, kwaye wakhetha ukwenza imastectomy enokwakhiwa kwakhona kwamabele.

Uye wakhetha ukufakelwa endaweni yokwakhiwa ngokutsha kwe-DIEP kuba ukufakelwa yeyona ndlela ikhawulezayo kunye neyona ilula yokwakha ngokutsha, nangona ingeyiyo eyendalo njengotyando endilukhethileyo. UVictoria akaziva ukuba amabele akhe amchazile: ukwelinye icala lesiphelo kum. Unelisekile sisigqibo asenzileyo. Ndiyasiqonda isigqibo sakhe, naye uyasiqonda esam.

Unyango lomhlaza webele luya lusiba ngokobuqu nangakumbi.

Iseti entsonkothileyo yeenguqulelo kufuneka zilinganiswe ngokunxulumene nesifo, ukhetho lonyango, uvakalelo lomfazi ngomzimba wakhe, kunye nokuqonda kwakhe umngcipheko. Konke oku kuyinto enhle - kodwa kuya kuba bhetele nangakumbi, ngokokubona kwam, xa kukho ingxoxo ethembekileyo malunga nento enokuyenza kwaye engenakukwazi ukuyenza i-mastectomy.

Ukujonga idatha efumanekayo yamva nje, imeko ibikukuba abafazi abaninzi nangakumbi abanesifo somhlaza kwisifuba esinye bakhetha imastectomy ephindwe kabini. Phakathi kuka-1998 no-2011 e-US, amaxabiso e-mastectomy ephindwe kabini phakathi kwabasetyhini abanomhlaza kwisifuba esinye kuphela.

Ukonyuka kwabonwa eNgilane phakathi konyaka wama-2002 nowama-2009: phakathi kwabasetyhini abasebenza okokuqala ngomhlaza wamabele, inqanaba lesibini lokuzala.

Kodwa ngaba ubungqina buyalixhasa eli nyathelo? Uphononongo olwenziwe ngo-2010 eCochrane lwezifundo luphetha: umhlaza kwelinye ibele, kodwa akukho bungqina baneleyo bokuba oko kuyaphucula ukusinda. ”

Ukwanda e-US kunokwenzeka ukuba, ngokuyinxenye, kubangelwe yindlela exhaswa ngayo kukhathalelo lwempilo- abasetyhini abane-inshurensi elungileyo banokuzimela ngakumbi. I-mastectomies ephindwe kabini inokuba yeyona inomdla kwabanye kuba ulwakhiwo ngokutsha e-US lwenziwa kusetyenziswa ukufakelwa endaweni yezicubu zomzimba wesigulana- kunye nokufakwa kwisifuba esinye nje kuthanda ukunika iziphumo ezingangqinelaniyo.

"Kodwa," utsho uMacNeill, "utyando oluphindwe kabini luthetha umngcipheko ophindwe kabini-kwaye ayiziphindi izibonelelo." Kukuphinda kwakhiwe, endaweni ye-mastectomy uqobo, ethwala le mingcipheko.

Kukho ukubakho kwicala elisezantsi ngokwasemphefumlweni njengenkqubo. Kukho uphando olucebisa ukuba abantu basetyhini abaye benziwa utyando, kunye okanye ngaphandle kokuphinda kwakhiwe, baziva benesiphumo esibi kukuziva kwabo, ubufazi kunye nokwabelana ngesondo.

Ngokwe-National Mastectomy and Breast Reconstruction Audit yaseNgilani ngo-2011, umzekelo, bane kuphela kwabasetyhini abalishumi eNgilane abanelisekayo yindlela ababebonakala benganxibanga ngayo emva kwembumba ngaphandle kokuphinda kwakhiwe, bekhuphukela kwabathandathu kwabalishumi kwabo babenokwakhiwa kwangoko kwamabele

Kodwa ukukhathaza into eyenzekayo kubafazi emva kwesibeleko kunzima.

UDiana Harcourt, unjingalwazi wenkangeleko kunye nokusebenza kwengqondo kwiYunivesithi yaseNtshona yeNgilani, wenze umsebenzi omninzi kunye nabasetyhini abaye banomhlaza wamabele. Uthi iyaqondakala into yokuba umntu obhinqileyo onesifo sokukrokra akafuni kuziva ngathi wenze impazamo.

Uthi: "Nokuba yintoni na abasetyhini abaya kuyo emva kwesifo sokukhula kwamathambo, bathambekele ekuziqinisekiseni ukuba indlela engeyiyo ibinokuba mandundu," utshilo. “Kodwa ngaphandle kwamathandabuzo inefuthe elikhulu kwindlela umfazi avakalelwa ngayo ngomzimba wakhe nembonakalo yakhe.

“Ukuphulula amalungu omzimba nokwakha ngokutsha ayisiyiyo ukusebenza nje okukodwa- awupheleli nje koko kuphele. Sisiganeko esibalulekileyo kwaye uhlala neziphumo ngonaphakade. Nokuba olona lwakhiwo luhle alunakuze lufane nokubuyela kwakho ebeleni. ”

Kuba, i-mastectomy epheleleyo yayiyeyona nqanaba liqhelekileyo lonyango kumhlaza webele. Iiforays zokuqala zotyando lokugcina amabele zenzeka ngeminyaka yoo-1960. Obu buchule benza inkqubela phambili, kwaye ngo-1990, amaziko eMpilo kaZwelonke e-US akhupha isikhokelo esincomela ukuba i-lumpectomy kunye ne-radiotherapy kwabasetyhini abanomhlaza wamabele. "Kwakukhethwa kuba kubonelela ngokusinda ngokulingana ne-mastectomy iyonke kunye ne-axillary dissection ngelixa kugcinwa isifuba".

Kwiminyaka ukusukela, olunye uphando lubonakalisile ukuba i-lumpectomy kunye ne-radiotherapy zinokukhokelela kwiziphumo ezingcono kune-mastectomy. Umzekelo, esekwe eCalifornia yajonga phantse i-190,000 yabasetyhini abanomhlaza webele ongabandakanyekanga (inqanaba le-0 ukuya kwele-III). Isifundo, esapapashwa ngo-2014, sabonisa ukuba imastectomy yamazwe amabini yayingadibani nokusweleka okuncinci kune-lumpectomy ene-radiation. Kwaye zombini ezi nkqubo zazinokufa okuncinci kunesifo se-unilateral mastectomy.

Kwajongwa kwizigulana ezili-129,000. Iqukumbele ngelithi i-lumpectomy kunye ne-radiotherapy "zinokukhethwa kwizigulana ezinomhlaza wamabele" ezinokuthi zilungele loo indibaniselwano okanye imastectomy.

Kodwa ihlala ingumfanekiso oxubeneyo. Kukho imibuzo ephakanyisiweyo kolu phononongo kunye neminye, kubandakanya indlela yokujongana nezinto eziphazamisayo, kunye nendlela iimpawu zezigulana ezifundwe ezinokuthi zibe nefuthe ngayo kwiziphumo zazo.

Kwiveki elandelayo emva kokuba ndirhoxisiwe i-mastectomy, ndibuyele esibhedlele ndayokwenza i-lumpectomy.

Ndandisisigulana esineinshurensi yabucala. Nangona ngekhe ndafumana ukhathalelo olufanayo kwi-NHS, umahluko onokubakho bekungafuneki ukuba ulinde ixesha elide ukuze uphinde usebenze kwakhona.

Ndandinendawo yokusebenza kwindawo engaphantsi kweeyure ezimbini, ndaya ekhaya ebhasini emva koko, kwaye kwakungekho mfuneko yokuba ndithathe ipilisi zentlungu enye. Xa ingxelo yengcali yethishu kwithishu eyayikhutshiwe yaveza iiseli zomhlaza eziyingozi kufutshane nemida, ndabuya ndaphinda ndaphinda ndaphinda ndaphinde ndangumlaza. Emva kwale, imida yayicacile.

IiLumpectomies zihlala zikhatshwa yiradiotherapy. Ngamanye amaxesha kuthathwa njengokubuyela umva, njengoko kufuna ukutyelelwa esibhedlele kangangeentsuku ezintlanu ngeveki kangangeeveki ezintathu ukuya kwezintandathu. Inxulunyaniswe nokudinwa kunye notshintsho lolusu, kodwa konke oko kubonakala ngathi lixabiso elincinci lokuhlawula ukugcina isifuba sam.

Enye into ehlekisayo malunga nenani elinyukayo le-mastectomies kukuba amayeza enza inkqubela phambili anciphisa isidingo sotyando olukhulu, nangamathumba amakhulu ebeleni. Zimbini izinto eziphambili: eyokuqala ngophando olwenziwe ngeplastiki, apho kwenziwa khona i-lumpectomy ngaxeshanye nokwakhiwa kwakhona. Ugqirha uyawususa umhlaza kwaye emva koko ahlengahlengise izicubu zamabele ukuthintela ukushiya isifotho okanye ukudipha, njengoko bekusenzeka rhoqo nge-lumpectomies kwixa elidlulileyo.

Okwesibini kusetyenziswa ichemotherapy okanye iziyobisi ze-endocrine ukunciphisa ithumba, oko kuthetha ukuba utyando alunakuba sengozini. Ngapha koko, iMacNeill inezigulana ezilishumi eMarsden ezikhethe ukungaphinde zenze utyando kuba amathumba abonakala ngathi anyamalale emva konyango lweziyobisi. "Sinexhala kancinci kuba asazi ukuba ikamva liza kuba njani, kodwa ngaba ngabasetyhini abanolwazi kakhulu, kwaye sineengxoxo ezivulekileyo nezithembekileyo," utshilo. "Andikwazi ukucebisa ngale ndlela, kodwa ndiyayixhasa."

Andizicingeli njengomntu osindileyo kumhlaza wamabele, kwaye kunqabile ukuba ndikhathazeke malunga nokubuya komhlaza. Isenokuba, okanye isenokungabi- ukukhathazeka akuyi kwenza mahluko. Xa ndikhupha iimpahla zam ebusuku okanye ejimini, umzimba endinawo ngumzimba endandihlala ndinawo. UMacNeill usike ithumba-elithe lajika laba yi-5.5 cm, hayi i-10 cm-ngokuqhekezwa kwi-areola yam, ngenxa yoko andinasibetho sibonakalayo. Wabuya walungisa izicubu zamabele, kwaye isifotho asibonakali.

Ndiyazi ndibenethamsanqa. Inyani yile yokuba andazi ukuba bekuya kwenzeka ntoni ukuba siye saqhubeka ne-mastectomy. Ithumbu lam, lokuba liza kundishiya ndinengxaki yengqondo, lisenokuba lilahlekile. Inokuba bendilungile emva kwayo yonke le nto ngomzimba wam omtsha. Kodwa oku ndikwaziyo: ngekhe ndikwindawo engcono kunangoku. Kwaye ndiyazi ukuba uninzi lwabasetyhini abaye baba ne-mastectomies bakufumanisa kunzima ukuzilungelelanisa nomzimba abahlala kuwo emva kotyando.

Into endiyifumeneyo kukuba i-mastectomy ayisiyiyo kuphela, eyona ndlela okanye indlela ekhaliphileyo yokujongana nomhlaza wamabele. Into ebalulekileyo kukuqonda kangangoko kunokwenzeka ukuba naluphi na unyango lunokukwazi kwaye alunakufezekiswa, ke isigqibo osithathayo asisekelwanga kwiinyani ezingafundiswanga kodwa kuqwalaselo olufanelekileyo olunokwenzeka.

Okubaluleke nangakumbi kukwazi ukuba ukuba sisigulana esinomhlaza, nokuba sisoyikeka kangakanani, akukukhululi kuxanduva lwakho lokwenza ukhetho. Abantu abaninzi kakhulu bacinga ukuba ugqirha wabo angabaxelela ukuba mabenze ntoni. Inyani yile yokuba ukhetho ngalunye luza nendleko, kwaye ekuphela komntu onokugqibela ukulinganisa izinto ezilungileyo nezingalunganga, kwaye wenze olo khetho, ayinguye ugqirha wakho. Nguwe.

Oku inqaku yaqala ukupapashwa ngu Wamkelekile ivuliwe UMoses kwaye ipapashwe kwakhona apha phantsi kwelayisenisi yeCreative Commons.