Izinhlobo / ukukhetha amabele / ukuhlinzwa
Okuqukethwe
Izinketho Zokuhlinzwa Kwabesifazane abane-DCIS noma Umdlavuza Webele
Ngabe ubhekene nesinqumo mayelana nokuhlinzwa kwe-DCIS noma umdlavuza webele?
Ingabe unayo i-ductal carcinoma in situ (DCIS) noma umdlavuza webele ongasuswa ngokuhlinzwa? Uma kunjalo, ungakwazi ukukhetha ukuthi hlobo luni lokuhlinzwa kwebele okufanele ube nalo. Imvamisa, ukukhetha kwakho kuphakathi kokuhlinzwa kokuvikela amabele (ukuhlinzwa okukhipha umdlavuza futhi kushiye iningi lesifuba) kanye ne-mastectomy (ukuhlinzwa okususa lonke ibele).
Uma usutholakele, ukwelashwa ngokuvamile ngeke kuqale ngokushesha. Kufanele kube nesikhathi esanele sokuthi uhlangane nodokotela abahlinzayo bomdlavuza webele, ufunde amaqiniso ngokukhetha kwakho ukuhlinzwa, futhi ucabange ngokubalulekile kuwe. Ukufunda konke ongakusiza kuzokusiza wenze ukukhetha ongazizwa kahle ngakho.
Khuluma nodokotela wakho
Khuluma nodokotela ohlinzayo womdlavuza webele mayelana nezinketho zakho. Thola:
- kwenzekani ngesikhathi sokuhlinzwa
- izinhlobo zezinkinga ezenzeka kwesinye isikhathi
- noma yikuphi ukwelashwa ongakudinga ngemuva kokuhlinzwa
Qiniseka ukuthi ubuza imibuzo eminingi futhi ufunde okuningi ngangokunokwenzeka. Ungase futhi ufise ukukhuluma namalungu omndeni, abangane, noma abanye abaye bahlinzwa.
Thola Umbono Wesibili
Ngemuva kokukhuluma nodokotela ohlinzayo, cabanga ngokuthola umbono wesibili. Umbono wesibili usho ukuthola ukwelulekwa ngomunye udokotela ohlinzayo. Lo dokotela ohlinzayo angakutshela ngezinye izindlela zokwelashwa. Noma, angavumelana neseluleko ositholile kudokotela wokuqala.
Abanye abantu bakhathazeka ngokulimaza imizwa yabo ohlinzayo uma bethola umbono wesibili. Kepha, kuvamile kakhulu futhi odokotela abahlinzayo abahle abanandaba. Futhi, ezinye izinkampani zomshuwalense ziyayidinga. Kungcono ukuthola umbono wesibili kunokukhathazeka ngokuthi wenze ukukhetha okungalungile.
Uma ucabanga ukuthi ungahle ube ne-mastectomy, lesi futhi yisikhathi esihle sokufunda ngokwakhiwa kabusha kwamabele. Cabanga ngokuhlangana nodokotela ohlinzayo oplastiki owakha kabusha ukuze ufunde ngalokhu kuhlinzwa futhi uma kubonakala kuyindlela enhle kuwe.
Buza neNkampani Yakho Yomshwalense
Uhlelo ngalunye lomshwalense lwehlukile. Ukwazi ukuthi uhlelo lwakho luzokhokha malini kuhlobo ngalunye lokuhlinzwa, kufaka phakathi ukwakhiwa kabusha, ama-bras akhethekile, ama-prostheses, nezinye izindlela zokwelashwa ezidingekayo kungakusiza unqume ukuthi yikuphi ukuhlinzwa okungcono kakhulu kuwe.
Funda ngezinhlobo Zokuhlinzwa Kwamabele
Iningi labesifazane abane-DCIS noma umdlavuza webele ongelashwa ngokuhlinzwa banezinketho ezintathu zokuhlinzwa.
Ukuhlinza Ukuncelisa Amabele, Kulandelwe Ukwelashwa Kwemisebe
Ukuhlinzwa kokuncelisa ibele kusho ukuthi udokotela ohlinzayo ususa kuphela i-DCIS noma umdlavuza kanye nezicubu ezithile ezijwayelekile ezizungezile. Uma unomdlavuza, udokotela ohlinzayo uzophinda asuse i-lymph node eyodwa noma ngaphezulu ngaphansi kwengalo yakho. Ukuhlinzwa kokuncelisa amabele kugcina isifuba sakho sibukeka ngendlela esasibukeka ngayo ngaphambi kokuhlinzwa. Amanye amagama wokuhlinzwa okonga ibele afaka:
- I-Lumpectomy
- I-mastectomy engaphelele
- Ukuhlinzwa okulondoloza amabele
- I-mastectomy eyingxenye
Ngemuva kokuhlinzwa kokuncelisa ibele, abesifazane abaningi bathola nokwelashwa ngemisebe. Inhloso enkulu yalokhu kwelashwa ukugcina umdlavuza ungabuyi ebeleni elifanayo. Abanye besifazane bazodinga nokwelashwa ngamakhemikhali, ukwelashwa ngama-hormone, kanye / noma ukwelashwa okuhlosiwe.
Ukuzivocavoca umzimba
Ku-mastectomy, udokotela ohlinzayo ususa lonke ibele eliqukethe iDCIS noma umdlavuza. Kunezinhlobo ezimbili eziyinhloko ze-mastectomy. Kunjalo:
- Ingqikithi yemastectomy. Udokotela ohlinzayo ususa lonke ibele lakho. Kwesinye isikhathi, udokotela ohlinzayo ukhipha eyodwa noma amaningi ama-lymph node ngaphansi kwengalo yakho. Ebizwa nangokuthi i-mastectomy elula.
- Kushintshwe i-mastectomy enamandla. Udokotela ohlinzayo ususa lonke ibele lakho, ama-lymph node amaningi ngaphansi kwengalo yakho, nolwelwesi olungaphezu kwemisipha yesifuba sakho.
Abanye besifazane bazodinga nokwelashwa ngemisebe, i-chemotherapy, i-hormone therapy, kanye / noma ukwelashwa okuhlosiwe.
Uma une-mastectomy, ungakhetha ukugqoka i-prosthesis (ifomu elinjengesifuba) kubhodisi wakho noma uhlinzwe ngokwakhiwa kabusha kwamabele.
I-Mastectomy nge-Breast Reconstry Surgery
Ungaba nokwakhiwa kabusha kwamabele ngasikhathi sinye ne-mastectomy, noma nganoma yisiphi isikhathi ngemuva kwalokho. Lolu hlobo lokuhlinzwa lwenziwa ngudokotela ohlinzayo waseplastiki onolwazi lokuhlinzwa kabusha. Udokotela ohlinzayo usebenzisa okutshalwe emzimbeni noma izicubu kusuka kolunye uhlangothi lomzimba wakho ukwakha isimo esifana nesesifuba esishintsha ibele elisusiwe. Udokotela ohlinzayo angenza futhi uhlobo lwengono bese engeza i-tattoo ebukeka njenge-areola (indawo emnyama ezungeze ingono yakho).
Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa okwakhiwa kabusha kwamabele:
Ukufakwa Kwamabele
Ukwakhiwa kabusha kwesifuba ngokufakelwa kuvame ukwenziwa ngezinyathelo. Isinyathelo sokuqala sibizwa ngokuthi ukunwetshwa kwezicubu. Yilapho lapho udokotela ohlinzayo epulasitiki ebeka khona ibhaluni expander ngaphansi kwemisipha yesifuba. Emasontweni amaningi, kuzofakwa usawoti (amanzi anosawoti) ku-expander ukwelula imisipha yesifuba nesikhumba ngaphezulu kwawo. Le nqubo yenza iphakethe lokufaka.
Lapho iphakethe lingosayizi ofanele, udokotela ohlinzayo uzosusa isandiso bese efaka okutshalwe (okugcwele i-saline noma i-gel abicah) ephaketheni. Lokhu kudala isimo esisha esifana nesamabele. Yize lesi sakhiwo sibukeka njengesifuba, ngeke ube nomuzwa ofanayo kuso ngoba izinzwa zasikwa ngesikhathi se-mastectomy yakho.
Ukufakwa kwamabele akuhlali impilo yonke. Uma ukhetha ukufakelwa, maningi amathuba okuthi uzodinga ukuhlinzwa okwengeziwe ngokuhamba kwesikhathi ukuze usisuse noma ukubuyisele okunye. Izimila zingadala izinkinga ezifana nobulukhuni besifuba, ubuhlungu kanye nokutheleleka. Ukufakwa kungaphula, kuhambise, noma kugudluke. Lezi zinkinga zingenzeka ngemuva nje kokuhlinzwa noma eminyakeni elandelayo.
Izicubu Flap
Ekuhlinzekweni kwezicubu zomzimba, udokotela ohlinzayo waseplastiki owakha kabusha wakha isimo esifana nesabele esisuswini, emafutheni, nasesikhunjeni esithathwe kwezinye izingxenye zomzimba wakho (imvamisa isisu sakho, emuva, noma izinqe). Lesi simo esisha esifana nesamabele kufanele sihlale impilo yakho yonke. Abesifazane abancane kakhulu noma abakhuluphele kakhulu, ababhemayo, noma abanezinkinga ezinkulu zempilo ngokuvamile abakwazi ukuhlinzwa ngezicubu zomzimba.
Ukuphulukiswa ngemuva kokuhlinzwa kwezicubu zomzimba ngokuvamile kuthatha isikhathi eside kunokuphola ngemuva kokuhlinzwa kokufakwa kwebele. Ungaba nezinye izinkinga, futhi. Isibonelo, uma umsipha ususiwe, ungalahlekelwa amandla endaweni lapho ususwe khona. Noma, ungathola ukutheleleka noma ube nenkinga yokuphulukiswa. Ukuhlinzwa kwezicubu zomzimba kwenziwa kangcono ngudokotela ohlinzayo oplastiki owakha kabusha oqeqeshwe ngokukhethekile kulolu hlobo lokuhlinzwa futhi ukwenze kaningi ngaphambilini.
Nika amandla ukuvuselelwa okuzenzakalelayo kwamazwana