Kodi Kusintha Kwakukulu Kwambiri Kwathupi Ndi Chiyani?

Zamkati

• Kusintha kwakukulu kwa mastectomy vs.
• Ndani amakonda kutenga mastectomy osinthika?
• Njira zosinthidwa zazikulu za mastectomy
• Kusintha kwakukulu kwamatenda amisala
• Zomwe muyenera kuyembekezera mukamachita opaleshoni
• Chiwonetsero

Chidule

Pochiza odwala khansa, cholinga chachikulu cha dokotala ndikuchotsa khansa yambiri momwe angathere. Ngakhale njira zosavomerezeka zilipo, zitha kukhala zosathandiza kwenikweni. Pachifukwachi, ngati muli ndi khansa ya m'mawere, madokotala amalimbikitsa kusintha kwakukulu kwa mastectomy (MRM).

Kusintha kwakukulu kwa mastectomy ndi njira yomwe imachotsa bere lonse - kuphatikiza khungu, minofu ya m'mawere, areola, ndi nipple - komanso ma lymph node anu am'munsi. Komabe, minofu yanu pachifuwa imatsalira.

Njira ya MRM ndiyo njira yovomerezeka yochizira khansa ya m'mawere. Zosankha zina ndizo:

• mastectomy yosavuta kapena yathunthu
• kwakukulu mastectomy
• pang'ono mastectomy
• kusungitsa mawere (subcutaneous mastectomy)
• Matenda oteteza khungu
• lumpectomy (chithandizo choteteza m'mawere)

Kusintha kwakukulu kwa mastectomy vs.

Zofanana ndi njira ya MRM, mastectomy yayikulu imakhudza kuchotsa bere lonse - minofu ya m'mawere, khungu, areola, ndi nsonga zamabele. Komabe, njirayi imaphatikizaponso kuchotsa minofu ya pachifuwa. Matenda opatsirana kwambiri ndiwo njira yowonongeka kwambiri ndipo imangoganiziridwa ngati chotupa chapezeka chomwe chafalikira m'minyewa ya chifuwa.

Matenda opatsirana pogwiritsa ntchito khansa akagwiritsidwa ntchito ngati chithandizo chofala kwambiri cha khansa ya m'mawere, sagwiritsidwa ntchito kawirikawiri. Kusintha kwakukulu kwa mastectomy kwatsimikizira kuti ndi njira yocheperako yomwe imakhala ndi zotsatira zofananira.

Ndani amakonda kutenga mastectomy osinthika?

Anthu omwe khansa ya m'mawere yafalikira ku ma axillary lymph node omwe amasankha kukhala ndi mastectomy atha kulimbikitsidwa kuti akhale ndi njira ya MRM. MRM imapezekanso kwa odwala omwe ali ndi khansa ya m'mawere yamtundu uliwonse pomwe pakhoza kukhala chifukwa chochotsera ma lymph node a axillary.

Njira zosinthidwa zazikulu za mastectomy

Cholinga chachikulu cha njira ya MRM ndikuchotsa khansa yonse kapena ambiri, pomwe akusunga khungu labwino kwambiri momwe zingathere. Izi zimapangitsa kukhala kotheka kugwira ntchito yomanganso mawere mutachira bwino.

Pa radical mastectomy yosinthidwa, adzaikidwa pansi pa anesthesia wamba. Dokotala wanu adzalemba chifuwa chanu kukonzekera zomwe mungachite. Pogwiritsa ntchito chidutswa chimodzi pachifuwa, dokotala wanu amakoka khungu lanu mokwanira kuti achotse minofu yanu. Amachotsanso ma lymph node ambiri m'manja mwanu. Njira yonseyi imatenga maola awiri kapena anayi.

Mukachotsedwa, ma lymph node anu amayesedwa kuti awone ngati khansara yafalikira kwa iwo kapena kudzera m'malo ena a thupi lanu. Dokotala wanu adzaikanso timachubu tating'onoting'ono ta pulasitiki m'chifuwa chanu kuti muthe madzi aliwonse owonjezera. Amatha kukhala pachifuwa chanu mpaka sabata limodzi kapena awiri.

Kusintha kwakukulu kwamatenda amisala

Monga momwe zimakhalira ndi opaleshoni iliyonse, MRM imatha kubweretsa zovuta zingapo. Zowopsa za njirayi ndi monga:

• kupweteka kapena kukoma
• magazi
• kutupa m'manja mwanu kapena malo obowolera
• kuyenda pang'ono mikono
• dzanzi
• seroma (madzi amadzimadzi pansi pa tsamba la bala)
• hematoma (magazi amadzipweteka pachilondacho)
• minofu yofiira

Zomwe muyenera kuyembekezera mukamachita opaleshoni

Nthawi zobwezeretsa zimasiyana malinga ndi munthu wina. Nthawi zambiri, anthu amakhala mchipatala tsiku limodzi kapena awiri. Nthawi zina, dokotala wanu amalangiza mankhwala a radiation kapena chemotherapy kutsatira njira yanu ya mastectomy.

Kunyumba, ndikofunikira kuti malo anu opangira opaleshoni akhale oyera komanso owuma. Mupatsidwa malangizo achindunji amomwe mungasamalire tsamba lanu lamabala ndi momwe mungasambire bwino. Ululu ndi wabwinobwino, koma kuchuluka kwa zovuta zomwe mumakumana nazo zimatha kusiyanasiyana. Dokotala wanu angakuuzeni zothetsa ululu, koma tengani zomwe zalembedwazo. Mankhwala ena opweteka amatha kuyambitsa mavuto ndikuchepetsa machiritso anu.

Kuchotsa ma lymph node kumatha kupangitsa mkono wanu kumva kukhala wolimba komanso wowawa. Dokotala wanu angakulimbikitseni kuchita masewera olimbitsa thupi kapena chithandizo chamankhwala kuti muwonjezere kusuntha komanso kupewa kutupa. Chitani masewerowa pang'onopang'ono komanso pafupipafupi kuti mupewe kuvulala komanso zovuta.

Ngati mukuyamba kukumana ndi zovuta zambiri kapena ngati muwona kuti mukuchira pang'onopang'ono, pangani nthawi yocheza ndi dokotala wanu.

Chiwonetsero

Pali njira zambiri zopangira opaleshoni za khansa ya m'mawere. Ngakhale kusinthasintha kwakanthawi kofala ndikofala, dokotala wanu amalangiza njira yabwino kwambiri pamkhalidwe wanu.

Ngati muli ndi nkhawa ndi njira iliyonse, konzani ulendo wanu ndi dokotala. Amatha kukuwongolera kukutengera zisankho zabwino zathanzi lanu.