Chilichonse Chimene Muyenera Kudziwa Zokhudza Khansa Yambiri Yomwe Imalumikizidwa Ndi Zoyala Za M'mawere

Zamkati

• Kodi Amayi Omwe Amaika Ziphuphu M'mawere Ayenera Kuda nkhawa Ndi Khansa?
• Momwe BIA-ALCL ndi Matenda Opangira Mabere Amagwirizanirana
• Izi Zikutanthauzanji Kutsogolo kwa Ziphuphu Za M'mawere
• Zomwe Amayi Akulingalira Zobzala M'mawere Muyenera Kudziwa
• Onaninso za

Kumayambiriro kwa mwezi uno, bungwe la Food and Drug Administration (FDA) lidapereka chikalata chotsimikizira kuti pali kulumikizana kwachindunji pakati pa ma implants opangidwa m'mawere ndi mtundu wosowa wa khansa yamagazi yotchedwa anaplastic big cell lymphoma (ALCL). Pakadali pano, azimayi osachepera 573 padziko lonse lapansi apezeka kuti ali ndi ma implastic large cell lymphoma (BIA-ALCL) - osachepera 33 amwalira chifukwa cha izi, malinga ndi lipoti laposachedwa la FDA.

Zotsatira zake, Allergan, omwe amatsogola opanga mawere padziko lapansi, adavomera pempho la FDA kuti dziko lonse lapansi likumbukiridwe.

"Allergan ikuchitapo kanthu ngati chenjezo potsatira zidziwitso zachitetezo chapadziko lonse lapansi chomwe chasinthidwa posachedwa chokhudza zachilendo kwa mabere omwe amalumikizidwa ndi ma cell lymphoma (BIA-ALCL) operekedwa ndi US Food and Drug Administration (FDA)," adatero Allergan. mu kulengeza kwa atolankhani komwe CNN.

Ngakhale kuti nkhaniyi ingakhale yodabwitsa kwa ena, aka sikanali koyamba kuti a FDA amve alamu pa BIA-ALCL. Madokotala akhala akufotokoza zochitika za khansa yapaderayi kuyambira 2010, ndipo a FDA adalumikiza madontho mu 2011, akunena kuti panali chiopsezo chochepa koma chofunikira chokhala ndi ALCL atalandira ma implants. Panthawiyo, adangolandira ma akaunti 64 okha a amayi omwe akudwala matendawa. Chiyambire lipotilo, asayansi pang'onopang'ono aphunzira zambiri za BIA-ALCL, zomwe zapezedwa posachedwa zikulimbitsa kulumikizana pakati pa zopangira mawere ndi kukula kwa matendawa omwe atha kupha.

"Tikukhulupirira kuti chidziwitsochi chimalimbikitsa opereka chithandizo ndi odwala kukhala ndi zokambirana zofunikira, zodziwitsa za zopangira mawere komanso chiopsezo cha BIA-ALCL," adatero m'mawuwo. Adasindikizanso kalata yopempha othandizira azaumoyo kuti apitilize kunena za milandu ya BIA-ALCL ku bungweli.

Kodi Amayi Omwe Amaika Ziphuphu M'mawere Ayenera Kuda nkhawa Ndi Khansa?

Pongoyambira, ndikofunikira kudziwa kuti a FDA samalimbikitsa kuchotsedwa kwa zinthu zopangira mawere azimayi omwe alibe zisonyezo za BIA-ALCL. M'malo mwake, bungweli likulimbikitsa azimayi kuti aziona momwe aliri komanso madera omwe amadzala m'mawere kuti asinthe. Ngati mukuwona ngati chinachake chazimitsidwa, muyenera kupita kukalankhula ndi dokotala wanu.

Ngakhale amayi omwe ali ndi mitundu yonse yazodzala ali pachiwopsezo chachikulu chokhala ndi ALCL, a FDA adapeza kuti ma implants otsekedwa, makamaka, amakhala pachiwopsezo chachikulu. (Amayi ena amasankha ma implants opangidwa ndi ma textures chifukwa amakonda kupewa kutsetsereka kapena kusuntha pakapita nthawi. Ma implants osalala amatha kusuntha ndipo angafunike kusinthidwa nthawi ina, koma nthawi zambiri amamva kuti ndi achilengedwe.)

Ponseponse, chiopsezo cha amayi omwe ali ndi implants ndi chochepa. Kutengera kuchuluka kwaposachedwa komwe bungweli lalandira, BIA-ALCL itha kukula mwa 1 mwa 3,817 mpaka 1 mwa azimayi 30,000 aliwonse omwe ali ndi zopangira mawere.

Komabe, "izi nzokulirapo kuposa zomwe zidanenedweratu," Elisabeth Potter, MD, dokotala wa opaleshoni ya pulasitiki wovomerezeka ndi womanganso, akutero. Maonekedwe. "Ngati mayi wapanga ma implant m'malo mwake, ayenera kumvetsetsa chiopsezo chokhala ndi BIA-ALCL." (Zokhudzana: Kuchotsa Zoyikira M'mawere Nditatha Kuchitidwa Mastectomy Kawiri Pomaliza Kunandithandiza Kubwezeretsa Thupi Langa)

Pakadali pano, sizikudziwika bwinobwino chifukwa chake ma implants opangidwa ndi utoto amatha kutengera BIA-ALCL, koma madotolo ena ali ndi malingaliro awo. "Mwa kudzionera kwanga, ma implants opangidwa ndi utoto amapanga kapulesi womata mozungulira yoyikamo mawere yomwe ndi yosiyana ndi kapisozi kamene kamayandikira kokhako kosalala, chifukwa kapisozi kozungulira choikapo nsalu chimamatira kwambiri kumatupi ozungulira," akutero Dr. Potter. "BIA-ALCL ndi khansa ya chitetezo cha mthupi. Chifukwa chake pakhoza kukhala kulumikizana pakati pa chitetezo cha mthupi ndi kapisozi uyu wopangidwa yemwe amathandizira matendawa."

Momwe BIA-ALCL ndi Matenda Opangira Mabere Amagwirizanirana

Mwina mudamvapo za matenda oyika ma implants (BII) m'mbuyomu, osachepera miyezi ingapo yapitayo pamene ayamba kukopa anthu omwe alankhula za zizindikiro zawo zosamvetsetseka komanso malingaliro awo momwe amagwirizanirana ndi ma implants awo. Mawuwa amagwiritsidwa ntchito ndi amayi kufotokoza zizindikiro zotsatizana zomwe zimachokera ku ma implants osweka m'mawere kapena kusagwirizana ndi mankhwala, mwa zina. Matendawa sakudziwika pano ndi akatswiri azachipatala, koma azimayi masauzande ambiri adapita pa intaneti kuti afotokozere momwe amadzipangitsirawo amayambitsa zizindikilo zosamveka kuti zonse zidatha atachotsedwa. (Sia Cooper adanena Maonekedwe zokhazokha pamavuto ake mu Ndachotsa Zobzala Zanga M'chifu Ndikumva Bwino Kuposa Zomwe Ndili Ndi Zaka.)

Kotero pamene BIA-ALCL ndi BII ndi zinthu ziwiri zosiyana kwambiri, ndizotheka kuti amayi omwe akuganiza kuti akudwala ma implants awo angakhale ndi chinachake choopsa kwambiri monga BIA-ALCL. “Ndikuganiza kuti n’kofunika kumvera akazi ndi kupitirizabe kusonkhanitsa deta yokhudzana ndi vuto lililonse lokhala ndi implants,” akutero Dr. Potter. "Pamene tikumvetsera ndikumvetsetsa, tidzaphunzira. Lipoti latsopanoli la BIA-ALCL ndi chitsanzo cha izo."

Izi Zikutanthauzanji Kutsogolo kwa Ziphuphu Za M'mawere

Chaka chilichonse, amayi 400,000 amasankha kutenga ma implants ku US okha-ndipo palibe njira yodziwira ngati chiwerengerocho chidzachepa chifukwa cha zomwe FDA yapeza. Kuphatikiza apo, poganizira kuti kuthekera kopanga chinthu chovuta kwambiri ngati BIA-ALCL ndikotsika kwambiri-pafupifupi 0.1 peresenti kukhala yeniyeni-chiwopsezo ndi gawo lofunikira kulingaliridwa, koma mwina sichingakhale chosankha kwa ena. (Zokhudzana: Zinthu 6 Zomwe Ndaphunzira Kuchokera ku Boob Boob Job)

Dr. "Njira yowonetsera zochitika zoipa ikuchitika kuti zitsimikizire kuti chidziwitso chathu cha chitetezo chikukula pakapita nthawi pamene tikuphunzira zambiri kuchokera ku zochitika za odwala. Mwachiwonekere, kumvetsetsa kwathu kwa chitetezo cha ma implants a m'mawere kukukula ndipo mawu ochokera ku FDA amasonyeza kuti. " (Zokhudzana: Wokopa uyu Watsegulira Pazisankho Zomupangitsa Kuti Zoyikapo Zake Zichotsedwe Ndi Kuyamwitsa)

Chimene tikusowa ndi kufufuza kwina. "Tiyenera kumvetsetsa zambiri zamatendawa kuti tithandizire ndikuwapewa," akutero Dr. Potter. "Kuti izi zitheke, azimayi akuyenera kuyankhula. Ngati muli ndi zopangira mawere, muyenera kukhala ochirikiza thanzi lanu."

Zomwe Amayi Akulingalira Zobzala M'mawere Muyenera Kudziwa

Ngati mukuganiza zopanga implants, kudziphunzitsa nokha zomwe mukuyika m'thupi lanu ndikofunikira, akutero Dr. Potter. "Muyenera kudziwa ngati choyikacho chidapangidwa kapena chosalala panja, ndi zinthu ziti zomwe zikudzaza zomwe zimayikidwazo (saline kapena silicone), kapangidwe kake (kuzungulira kapena misozi), dzina la wopanga, ndi chaka kuyikika kunayikidwa, "akufotokoza. "Choyenera, mudzakhala ndi khadi lochokera kwa dokotala wanu wa opaleshoni ndi chidziwitso ichi ndi nambala ya seriyoni ya implants." Izi zidzakuthandizani ngati mungakumbukire zomwe zimayikidwa kapena ngati mukukumana ndi zovuta.

Ndikofunikanso kudziwa kuti makampani omwe amapanga mawere akuyesetsa kuchitapo kanthu poyankha izi zomwe zimapangitsa amayi kukhala otetezeka. "Ma implants ena atsopano tsopano ali ndi zitsimikizo zomwe zimalipira ndalama zachipatala za kuyesa kwa BIA-ALCL," akutero Dr. Potter.

Koma pamlingo wokulirapo, ndikofunikira kuti azimayi adziwe kuti ma implantia siabwino ndipo pakhoza kukhala njira zina zomwe angapeze. "Mwazochita zanga, ndawona kusintha kwakukulu kuchoka pakukonzanso kwa mawere komwe kumayikidwa ndikukhazikika komwe sikumagwiritsanso ntchito kuyika konse. M'tsogolomu, ndikuyembekeza kuwona opareshoni yotsogola ikupezeka kwa azimayi onse, kuphatikiza azimayi omwe akufuna kupititsa patsogolo mabere awo pazodzikongoletsa, osafunikira kuyikapo nkomwe, "akutero.

Mfundo yofunika: Lipotili likukweza mbendera zofiira. Ikutsegulanso kukambirana kofunikira ndi akatswiri azachipatala kuti atenge zovuta za amayi.

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