Yintoni eguqulweyo ngokuMastectomy egqibeleleyo?

Umxholo

• Uhlengahlengiso olukhulu lwe-mastectomy vs. radical mastectomy
• Ngubani odla ngokufumana i-radical mastectomy eguqulweyo?
• Inkqubo eguqulweyo ye-radical mastectomy
• Uhlengahlengiso olukhulu lweengxaki zemastectomy
• Yintoni onokuyilindela emva kotyando
• Imbonakalo

Ushwankathelo

Xa unyanga abaguli abanomhlaza, eyona njongo iphambili kugqirha kukususa umhlaza kangangoko kunokwenzeka. Ngelixa iindlela zokwenza utyando zikhona, zinokubonakalisa ukuba azisebenzi kangako. Ngenxa yeso sizathu, ukuba unomdlavuza webele, oogqirha banokucebisa i-radical mastectomy (MRM) eguqulweyo.

I-radical mastectomy eguqulweyo yinkqubo esusa lonke ibele-kubandakanya ulusu, izicubu zamabele, i-areola, kunye nengono-kunye noninzi lwee-lymph node. Nangona kunjalo, izihlunu zesifuba sakho zishiyekile.

Inkqubo ye-MRM lukhetho oluqhelekileyo lokunyanga umhlaza wamabele. Olunye ukhetho lotyando lubandakanya:

• Mastectomy elula okanye iyonke
• imastectomy egqibeleleyo
• i-mastectomy ekhethekileyo
• ukukhusela ingono (i-mastectomy engaphantsi)
• Ulusu olusindisa ulusu
• lumpectomy (unyango lolondolozo lwebele)

Uhlengahlengiso olukhulu lwe-mastectomy vs. radical mastectomy

Ngokufana nenkqubo ye-MRM, i-radical mastectomy ibandakanya ukususa lonke ibele-isicubu sebele, ulusu, i-areola kunye nengono. Nangona kunjalo, le nkqubo ikwabandakanya nokususa izihlunu zesifuba. I-radical mastectomy yeyona nkqubo ingenayo kwaye ithathelwa ingqalelo kuphela ukuba kufunyenwe ithumba esele lisasazekile kwizihlunu zesifuba.

Xa sele yenziwe njengonyango oluqhelekileyo lomhlaza wamabele, i-radical mastectomy ngoku kunqabile ukuba isetyenziswe. I-radical mastectomy eguqulweyo ibonakalise ukuba yinkqubo engenakuncipha kunye neziphumo ezilinganayo.

Ngubani odla ngokufumana i-radical mastectomy eguqulweyo?

Abantu abanomhlaza wamabele osasazeke kwii-axillary lymph node abagqiba ekubeni babe ne-mastectomy banokucetyiswa ukuba babe nenkqubo ye-MRM. I-MRM ikwafumaneka kwizigulana ezinalo naluphi na uhlobo lomhlaza wamabele apho kunokuba nesizathu sokususa ii-lymph node ze-axillary.

Inkqubo eguqulweyo ye-radical mastectomy

Injongo iyonke yenkqubo ye-MRM kukususa wonke okanye uninzi lomhlaza okhoyo, ngelixa kugcinwa okuninzi kwesikhumba esisempilweni ngokusemandleni. Oku kwenza ukuba kube nakho ukwenza ukwakhiwa kwakhona kwebele okusebenzayo emva kokuba uphilise ngokufanelekileyo.

Nge-radical mastectomy eguqulweyo, uya kubekwa phantsi kwe-anesthesia ngokubanzi. Ugqirha wakho uya kuthi emva koko aphawule isifuba sakho ukulungiselela ukubonwa. Ukwenza isicatshulwa esifubeni sakho, ugqirha wakho uya kukukhupha ngononophelo ulusu lwakho kude ngokwaneleyo ukuze ususe izicwili zakho zebele. Ziya kususa uninzi lwee-lymph node phantsi kwengalo yakho. Yonke le nkqubo ithatha iiyure ezimbini ukuya kwezine.

Nje ukuba ususwe, ii-lymph node zakho ziya kuvavanywa ukufumanisa ukuba umhlaza usasazekile kubo okanye uye kwezinye iindawo zomzimba wakho. Ugqirha wakho uya kubeka iityhubhu ezincinci zeplastiki kwindawo yakho yesifuba ukukhupha nayiphi na into engaphezulu kolwelo. Bahlala esifubeni sakho ukuya kuthi ga kwiiveki ezimbini.

Uhlengahlengiso olukhulu lweengxaki zemastectomy

Njengayo nayiphi na inkqubo yotyando, i-MRM inokubangela iingxaki ezininzi. Iingozi zale nkqubo zibandakanya:

• intlungu okanye ukuthamba
• ukopha
• ukudumba engalweni okanye kwindawo yokusika
• intshukumo yengalo encinci
• ukuba ndindisholo
• i-seroma (i-fluid buildup phantsi kwendawo yesilonda)
• hematoma (igazi elakhiweyo enxebeni)
• isiva

Yintoni onokuyilindela emva kotyando

Amaxesha okufumana kwakhona ahluka kumntu omnye aye kwelandelayo. Ngokwesiqhelo, abantu bahlala esibhedlele usuku olunye okanye ezimbini. Kwezinye iimeko, ugqirha wakho unokucebisa unyango lwe-radiation okanye i-chemotherapy emva kwenkqubo yakho ye-mastectomy.

Ekhaya, kubalulekile ukugcina indawo yakho yokuhlinzwa ihlambulukile kwaye yomile. Uya kunikwa imiyalelo ekhethekileyo yendlela yokunyamekela indawo enenxeba kunye nendlela yokuhlamba ngokufanelekileyo. Ubuhlungu buqhelekile, kodwa isixa sokubandezeleka osifumanayo singahluka. Ugqirha wakho unokucebisa ukuphelisa iintlungu, kodwa thabatha kuphela oko kumiselweyo. Amanye amayeza eentlungu anokubangela iingxaki kwaye acothise inkqubo yakho yokuphilisa.

Ukususwa kwe-lymph node kunokubangela ukuba ingalo yakho ive nzima kwaye ibuhlungu. Ugqirha wakho unokucebisa ngeendlela ezithile zokunyanga okanye ukunyanga umzimba ukunyusa intshukumo kunye nokukhusela ukudumba. Yenza le mithambo kancinci kancinci ukuthintela ukwenzakala kunye neengxaki.

Ukuba uqala ukufumana ukungonwabi ngakumbi okanye xa uqaphela ukuba uyaphilisa kwinqanaba elincinci, cwangcisa utyelelo kunye nogqirha wakho.

Imbonakalo

Zininzi iindlela zotyando ezikhoyo kumhlaza wamabele. Ngelixa i-radical mastectomy eguqulweyo iqhelekile, ugqirha wakho uya kuncoma olona khetho lufanelekileyo kwimeko yakho.

Ukuba unenkxalabo malunga nayiphi na inkqubo, cwangcisa ukutyelela kunye nogqirha wakho. Banokukunceda bakukhokelele kwesona sigqibo sihle sempilo yakho.