Iindidi / isifuba / ukhetho lotyando
Iziqulatho
Ukhetho lotyando lwabasetyhini abane-DCIS okanye umhlaza webele
Ngaba ujongene nesigqibo malunga notyando lweDCIS okanye umhlaza webele?
Ngaba unayo i-ductal carcinoma in situ (DCIS) okanye umhlaza webele onokususwa ngotyando? Ukuba kunjalo, unokukwazi ukukhetha ukuba loluphi uhlobo lotyando lwebele olunokuba nalo. Rhoqo, ukhetho lwakho luphakathi kotyando lokonga ibele (utyando olukhupha umhlaza kwaye lishiya uninzi lwebele) kunye ne-mastectomy (utyando olususa lonke ibele).
Xa sele ufunyanisiwe, unyango alusayi kuqala kwangoko. Kuya kubakho ixesha elaneleyo lokuba udibane noogqirha bomhlaza wamabele, ufunde iinyani malunga nokhetho lwakho lotyando, kwaye ucinge malunga nokubalulekileyo kuwe. Ukufunda konke onakho kuya kukunceda wenze ukhetho onokuziva ulungile ngalo.
Thetha nogqirha wakho
Thetha nogqirha womhlaza wamabele malunga nokhetho lwakho. Fumanisa:
- kwenzeka ntoni ngexesha lotyando
- iintlobo zeengxaki ezidla ngokwenzeka ngamanye amaxesha
- naluphi na unyango onokulufuna emva kotyando
Qiniseka ukuba ubuza imibuzo emininzi kwaye ufunde okuninzi kangangoko. Usenokunqwenela ukuthetha namalungu osapho, abahlobo, okanye abanye abaye batyandwa.
Fumana uluvo lwesibini
Emva kokuthetha nodokotela ogqirha, cinga malunga nokufumana olunye uluvo. Uluvo lwesibini luthetha ukufumana ingcebiso komnye ugqirha wotyando. Lo gqirha usenokukuxelela ngezinye iindlela zonyango. Okanye, unokuvumelana neengcebiso ozifumene kugqirha wokuqala.
Abanye abantu bayakhathazeka malunga nokwenzakalisa iimvakalelo zoogqirha babo ukuba bafumana olunye uluvo. Kodwa, kuqhelekile kwaye ogqirha abalungileyo abanangxaki. Kwakhona, ezinye iinkampani zeinshurensi ziyayifuna. Kungcono ufumane uluvo lwesibini kunokuba nexhala lokuba wenze ukhetho oluphosakeleyo.
Ukuba ucinga ukuba unokuba ne-mastectomy, eli lixesha elifanelekileyo lokufunda ngokwakhiwa kwakhona kwebele. Cinga ngokuhlangana nogqirha weplastiki owakha ngokutsha ukuze ufunde malunga nolu tyando kwaye ukuba kubonakala kuyindlela elungileyo kuwe.
Jonga iNkampani yeinshurensi yakho
Isicwangciso seinshurensi nganye sahlukile. Ukwazi ukuba isicwangciso sakho siyakuhlawula malini kuhlobo ngalunye lotyando, kubandakanya ukwakhiwa kwakhona, iibras ezikhethekileyo, ukufakelwa kwamalungu, kunye nolunye unyango olufunekayo kunokukunceda uthathe isigqibo sokuba loluphi na unyango olulungeleyo.
Funda malunga neendidi zotyando lwebele
Uninzi lwabasetyhini abane-DCIS okanye umhlaza webele onokuphathwa ngokuhlinzwa unokukhetha ezintathu zotyando.
Utyando lokuLondolozwa kwebele, olulandelwa lonyango lweRadiation
Utyando lokuthintela ukubeleka kuthetha ukuba ugqirha osusa ugqirha ususa kuphela i-DCIS okanye umhlaza kunye nezinye izicubu eziqhelekileyo ezijikeleze yona. Ukuba unomdlavuza, ugqirha uya kususa enye okanye ngaphezulu i-lymph node phantsi kwengalo yakho. Utyando lokulondolozwa kwesifuba kuhlala kugcina isifuba sakho sijongeka njengakuqala ngaphambi kotyando. Amanye amagama otyando lokugcina ibele lubandakanya:
- Lumpectomy
- Mastectomy ekhethekileyo
- Utyando olugcina amabele
- Icandelo le-mastectomy
Emva kotyando lokugcina ibele, uninzi lwabasetyhini lufumana nonyango lwemitha. Eyona njongo iphambili yolu nyango kukugcina umhlaza ungabuyi kwebele elinye. Abanye abantu basetyhini baya kufuna ikhemotherapy, unyango lwehomoni, kunye / okanye unyango olujolisiweyo.
Mastectomy
Kwi-mastectomy, ugqirha ususa lonke ibele eliqulethe iDCIS okanye umhlaza. Zimbini iintlobo eziphambili ze-mastectomy. Bazi:
- Iyonke imastectomy. Ugqirha ususa lonke ibele lakho. Ngamanye amaxesha, ugqirha wotyando ukhupha enye okanye nangaphezulu kwee-lymph node phantsi kwengalo yakho. Ikwabizwa ngokuba yimastectomy elula.
- Ilungiswe ngokugqibeleleyo imastectomy. Ugqirha ususa lonke ibele, uninzi lwee-lymph node phantsi kwengalo yakho, kunye nethambo phezu kwezihlunu zesifuba sakho.
Abanye abantu basetyhini baya kudinga unyango ngemitha, i-chemotherapy, unyango lwehomoni, kunye / okanye unyango olujolisiweyo.
Ukuba une-mastectomy, unokukhetha ukunxiba iprosthesis (ifom efana nencum) kwi-bra yakho okanye uqhaqho lokwakha kwakhona amabele.
I-Mastectomy ngoqhaqho olwenziwa ngokutsha kwesifuba
Unokwakha kwakhona amabele ngaxeshanye njenge-mastectomy, okanye nangaliphi na ixesha emva. Olu hlobo lotyando lwenziwa ngugqirha weplastiki onamava kotyando lokwakha kwakhona. Ugqirha usebenzisa ukufakelwa okanye izicwili ezivela kwelinye ilungu lomzimba wakho ukwenza imilo efana nebele ethatha indawo yebele elalisuswe. Ugqirha angenza kwakhona uhlobo lwengono kwaye ongeze itattoo ebonakala ngathi yi-areola (indawo emnyama ejikeleze ingono yakho).
Zimbini iintlobo eziphambili zotyando lokwakhiwa kwakhona kwamabele:
Ukufakwa kwebele
Ukwakhiwa kwakhona kwesifuba ngokufakelwa kuhlala kwenziwa kumanqanaba. Inyathelo lokuqala libizwa ngokuba kukwandiswa kwezicubu. Yilapho ugqirha weplastikhi ebeka ibhaluni eyandisiweyo phantsi kwemisipha yesifuba. Ngaphezulu kweeveki ezininzi, ityuwa (amanzi etyuwa) iya kongezwa kwi-expander ukolula umsipha wesifuba kunye nolusu ngaphezulu. Le nkqubo yenza ipokotho yokufakelwa.
Nje ukuba ipokotho ibungakanani obuchanekileyo, ugqirha uya kususa i-expander kwaye abeke into yokumiliselwa (ezaliswe nge-saline okanye i-silicone gel) epokothweni. Oku kudala imilo entsha efana nebele. Nangona obu bume bukhangeleka ngathi libele, awuyi kuba nemvakalelo efanayo kuyo ngenxa yokuba imithambo-luvo yanqunyulwa ngexesha lokuzala kwakho.
Ukufakwa kwesifuba akuhlali ubomi bonke. Ukuba ukhetha ukufakelwa, kunokwenzeka ukuba uya kufuna utyando olungakumbi kamva ukuze ususe okanye ubeke endaweni yalo. Ukufakwa kunokubangela iingxaki njengokuqina kwebele, iintlungu kunye nosulelo. Ukufakwa kungaphula, kushukume, okanye kutshintshe. Ezi ngxaki zinokwenzeka kungekudala emva kotyando okanye kwiminyaka kamva.
Ithishu Flap
Kuqhaqho olwenziwe nge-flap, ugqirha weplastikhi owakha ngokutsha wakha ubume obutsha obunjengamabele obuvela kwimisipha, amanqatha, kunye nolusu oluthathwe kwamanye amalungu omzimba wakho (ngesiqhelo isisu sakho, umva, okanye iimpundu). Olu hlobo lutsha lufana nesifuba kufuneka luhlale ubomi bakho bonke. Abasetyhini ababhityileyo kakhulu okanye abatyebe kakhulu, abatshayayo, okanye abaneengxaki zempilo kaninzi abanakho ukwenza utyando olwenziwe ngomchamo.
Ukuphilisa emva kotyando olwenziwe ngochuku emzimbeni kuhlala kuthatha ixesha elide kunokuphilisa emva kotyando lwebele. Unokuba nezinye iingxaki, ngokunjalo. Umzekelo, ukuba umsipha ususiwe, unokuphelelwa ngamandla kwindawo ethathwe kuyo. Okanye, unokufumana usulelo okanye unengxaki yokuphilisa. Utyando lwe-Tissue flap lwenziwa ngcono ngugqirha wotyando weplastiki owakha ngokutsha onoqeqesho olukhethekileyo kolu hlobo lotyando kwaye ukwenzile kaninzi ngaphambili.
Nika amandla ukuphinda uzihlaziye izimvo