unyango utyando umhlaza webele Izibhedlele

Ukujonga utyando lomhlaza wamabele iinketho kunokuba nzima. Esi sikhokelo sinika inkcazo ebanzi yeenkqubo zotyando ezahlukeneyo, izinto ekufuneka uziqwalasele xa ukhetha isibhedlele, kunye nento onokuyilindela ngexesha nasemva kotyando, kukuxhobisa ukuba wenze izigqibo ezizizo malunga nonyango lwakho. unyango.Ukuqonda uTyando loMhlaza wamabeleUtyando lomhlaza wamabele yinxalenye eqhelekileyo kwaye rhoqo kuyimfuneko unyango lomhlaza webele. Injongo yotyando kukususa izicubu ezinomhlaza kwaye, kwezinye iimeko, i-lymph nodes ezikufutshane ukujonga ukusasazeka komhlaza. Uhlobo lotyando olucetyiswayo luxhomekeke kwizinto ezininzi, kubandakanywa inqanaba lomhlaza, ubungakanani kunye nendawo yethumba, kunye nempilo yonke yesigulana kunye nezinto ezikhethwayo.Iintlobo zoTyando loMhlaza wamabeleZimbini iindidi eziphambili ze utyando lomhlaza wamabele: utyando olugcina ibele kunye ne-mastectomy. Ukuwuqonda umahluko phakathi kolu khetho kubalulekile ekwenzeni ukhetho olululo.Utyando Lokugcina Amabele (Lumpectomy)Utyando lokonga ibele, nokwaziwa ngokuba lumpectomy, lubandakanya ukususa ithumba kunye nentwana yethishu esempilweni engqongileyo (umda). Olu khetho lufanelekile kubasetyhini abaneethumba ezincinci ezingakhange zisasazeke kakhulu. Emva kwe-lumpectomy, unyango lwemitha luhlala lufuneka ukuze kubulawe naziphi na iiseli zomhlaza eziseleyo. Izinto eziluncedo ezingundoqo:Igcina uninzi lwezicubu zamabele.Idla ngokukhokelela kwinkangeleko yebele yendalo.I-MastectomyA mastectomy ibandakanya ukususa ibele lonke. Kukho iintlobo ezininzi ze-mastectomies, kuquka:Ukususwa kweMastectomy elula okanye iyonke: Ukususwa kwebele lonke.Ukususwa kweRadical Mastectomy eLungisiweyo: Ukususwa kwebele lonke kunye ne-axillary (underar) lymph nodes.Ukunyangwa kweMastectomy: Ukususwa kwezicubu zebele, ingono, kunye ne-areola, ngelixa ugcina imvulophu yesikhumba ukuze iphinde yakhiwe.Ukususwa kweNipple-Sparing Mastectomy: Ukususwa kwezicubu zebele, ukugcina zombini ulusu kunye ne-areola.Mastectomy inokucetyiswa kubasetyhini abanamathumba amakhulu, amathumba amaninzi kwibele enye, okanye xa utyando lokugcina ibele lungenakwenzeka. Utyando lokuvuselelwa kwebele lunokwenziwa ngexesha elifanayo ne-mastectomy (ukwakhiwa kwakhona ngokukhawuleza) okanye ngomhla olandelayo (ukwakhiwa kwakhona okulibazisekayo). I-Lymph Node SurgeryNgaphezu kokususa i-tumor, utyando luhlala lubandakanya ukuhlola i-lymph nodes phantsi kwengalo (i-axillary lymph nodes) ukuze ubone ukuba umhlaza usasazekile. Zimbini iindlela eziphambili zoku:I-Sentinel Lymph Node Biopsy (SLNB): Oku kubandakanya ukuchonga kunye nokususa ii-lymph nodes ezimbalwa zokuqala ezinokuthi iiseli zomhlaza zisasazeke kuzo. Ukuba ezi nodi azinawo umhlaza, mancinci amathuba okuba ezinye iilymph nodes zinomhlaza.I-Axillary Lymph Node Dissection (ALND): Oku kubandakanya ukususa inani elikhulu le-lymph nodes kwi-armpit. I-ALND yenziwa ukuba i-lymph nodes iqulethe iiseli zomhlaza. Ukukhetha iSibhedlele soTyando loMhlaza wamabeleUkukhetha ilungelo esibhedlele yakho utyando lomhlaza wamabele sisigqibo esibalulekileyo. Khangela izibhedlele ezine:OoGqirha abanamava: Iingcibi ezikhethekileyo utyando lomhlaza wamabele. Jonga iziqinisekiso zabo kunye namava.Iqela eliBanzi lokukhathalelwa kwamabele: Iqela lezinto ezininzi ezibandakanya oogqirha botyando, ii-oncologists, i-radiation oncologists, i-radiologists, i-pathologists, abongikazi, kunye nabasebenzi abaxhasayo.Ubuchwephesha obukwinqanaba eliphezulu: Ukufikelela kwimifanekiso ephucukileyo, ubuchule botyando, kunye nonyango lwemitha.Uqinisekiso: Uqinisekiso olusuka kwimibutho eyaziwayo.Iinkonzo zeNkxaso yezigulana: Iingcebiso, amaqela enkxaso, kunye neenkqubo zokusinda.Izinto ekufuneka uziqwalasele xa ukhetha isibhedlele Qwalasela le miba xa usenza isigqibo:Indawo kunye nokuLuleka: Khetha isibhedlele esifikelelekayo nesikulungeleyo wena nosapho lwakho.Ukhuseleko lwe-inshurensi: Qinisekisa ukuba isibhedlele sikuthungelwano lwe-inshorensi yakho.Udumo lweSibhedlele kunye noMalunga: Phanda ngodumo lwesi sibhedlele kunye namanqanaba okhathalelo lomhlaza.Uphononongo lwezigulane kunye nobungqina: Funda uphononongo lwezinye izigulana eziye zadlula utyando lomhlaza wamabele kwi esibhedlele.Unxibelelwano neNkxaso: Vavanya umgangatho wonxibelelwano kunye nenkxaso enikezelwa liqela lezonyango.At IZiko loPhando ngoMhlaza laseShandong Baofa, iqela lethu elizinikeleyo libonelela ngokubanzi unyango izicwangciso, ukusuka ekubhaqweni kwangethuba ukuya kwiinkqubo zotyando eziphambili.Ukulungiselela uTyando loMhlaza wamabele Ulungiselelo oluchanekileyo lunokunceda ukuqinisekisa utyando olugudileyo kunye nokuchacha. Iqela lakho lezonyango liya kunika imiyalelo ethile, kodwa nantsi izikhokelo jikelele:Uvavanyo lwezonyango: Yenza uvavanyo lwezonyango olucokisekileyo, olubandakanya uvavanyo lwegazi, ukuskena umfanekiso, kunye novavanyo lomzimba.Uphononongo lwamayeza: Yazisa ugqirha wakho malunga nawo onke amayeza, izongezo, kunye namayeza esintu owathathayo. Ezinye kusenokufuneka zimiswe ngaphambi kotyando.Uhlengahlengiso kwindlela yokuphila: Yeka ukutshaya, ukunciphisa ukusetyenziswa kotywala, kwaye ugcine ukutya okunempilo.Imiyalelo yokuSebenza kwangaphambili: Landela yonke imiyalelo yangaphambi kotyando enikelwe liqela lakho lezonyango, njengeemfuno zokuzila ukutya kunye nokuhlamba ngesepha yokulwa neentsholongwane.Lungiselela iNkxaso: Lungiselela ukuthuthwa ukuya nokubuya esibhedlele, kunye noncedo kwimisebenzi yemihla ngemihla ngexesha lokuchacha kwakho.Into Onokuyilindela Ngexesha LotyandoInkqubo yotyando ngokwalo iya kwahluka ngokuxhomekeke kuhlobo lotyando olwenzayo. Nangona kunjalo, nantsi isishwankathelo esiqhelekileyo sento onokuyilindela:I-anesthesia: Uya kufumana i-anesthesia jikelele, oku kuthetha ukuba uya kulala ngexesha lotyando.Ngotyando: Ugqirha wotyando uya kwenza i-incision ukufikelela kwizicubu zebele kwaye asuse ithumba kunye / okanye i-lymph nodes.Ubude benkqubo: Ubude bexesha lotyando luya kuhluka ngokuxhomekeke kubunzima benkqubo.Ukhathalelo lwasemva kokusebenza: Emva kokuhlinzwa, uya kubekwa iliso kwigumbi lokubuyisela ngaphambi kokuba udluliselwe kwigumbi lakho lesibhedlele.Ukubuyisela emva koCwangciso lweCancer yeBreast Ixesha lokubuyisela liyahluka ngokuxhomekeka kuhlobo lotyando kunye nezinto ezizimeleyo. Nazi izikhokelo ngokubanzi:Ulawulo lweentlungu: Uya kufumana amayeza eentlungu ukulawula ukungakhululeki emva kotyando.Ukhathalelo lwamanxeba: Landela imiyalelo yokhathalelo lwenxeba, kuquka nokugcina inxeba lokusikwa licocekile kwaye lomile.Imibhobho yokuhambisa amanzi: Unokuba neetyhubhu zokukhupha amanzi ukususa ulwelo olugqithisileyo kwindawo yotyando.Unyango loNyango: Unyango lomzimba lunokucetyiswa ukuba luphucule uluhlu lwentshukumo kunye nokunciphisa ukuvuvukala.Ukuqeshwa kolandelo: Yiya kuzo zonke iindibano zokulandelela kunye neqela lakho lezonyango ukujonga inkqubela yakho kunye nokujongana nayo nayiphi na inkxalabo. utyando lomhlaza wamabele ithwala iziphumo ebezingalindelekanga kunye neengxaki. Oku kunokubandakanya:Iintlungu kunye nokungonwabi: Intlungu kwindawo yokusikeka okanye kwikhwapha.Ukudumba (Lymphedema): Ukudumba engalweni okanye esandleni kwicala lotyando.Usulelo: Usulelo kwindawo yotyando.Ukuba ndindisholo okanye ukuntlitheka: Ukuba ndindisholo okanye ukuntyiloza eludongeni lwesifuba, ingalo, okanye isandla.Ukonakaliswa: I-scarring kwindawo yokusika.Iqela lakho lezonyango liza kuxoxa ngale mingcipheko enokubakho kunye nawe kwaye uthathe amanyathelo okunciphisa.Ukhathalelo lwexesha elide kunye neNkxasoEmva utyando lomhlaza wamabele, ukhathalelo oluqhubekayo kunye nenkxaso zibalulekile kwimpilo-ntle yakho ngokwasemzimbeni nangokweemvakalelo.Unyango lweAdjuvant: Ngokuxhomekeke kwinqanaba kunye neempawu zomhlaza wakho, unokufuna unyango olongezelelweyo olunjengonyango lweradiation, ichemotherapy, unyango lwehomoni, okanye unyango olujoliswe kuyo.Uqhaqho loKwakha kwakhona: Ukuba une-mastectomy, unokuqwalasela utyando lokuvuselela ibele ukubuyisela ubume kunye nokubonakala kwebele lakho.Uvavanyo olulandelayo: I-mammograms rhoqo kunye nolunye uvavanyo lubalulekile ukubeka iliso lokuphindaphinda.Amaqela eNkxaso kunye neeNgcebiso: Ukunxibelelana nabanye abafazi abaye baba umhlaza wamabele inokunikela inkxaso exabisekileyo ngokweemvakalelo. Ukucetyiswa kunokukunceda ukuba umelane nemingeni yeemvakalelo yomhlaza kunye nonyango lwawo. Ukukhetha okulungileyo esibhedlele kwaye unyango isicwangciso ngamanyathelo abalulekileyo. IZiko loPhando ngoMhlaza laseShandong Baofa uzinikele ekuboneleleni ngononophelo lwehlabathi jikelele kwizigulane ezijongene nalo mngeni.Isishwankathelo seNkqubo yeNkqubo yeNkcazo yeNkcazo yeXesha eliqhelekileyo lokuBuyisa iLumpectomy Ukususwa kwe-tumor kunye nenani elincinci lezicubu ezijikelezayo. Iiveki ezi-1-2 Ukususwa kwebele lonke. Iiveki ezi-4-6 ze-Sentinel Lymph Node Biopsy Ukususwa kwee-lymph nodes ezimbalwa zokuqala ukujonga ukusasazeka komhlaza. Iiveki ezi-1-2 i-Axillary Lymph Node Dissection Ukususwa kwenani elikhulu le-lymph nodes kwi-armpit. Iiveki ezi-4-6 I-Disclaimer: Olu lwazi lulwazi ngokubanzi kunye neenjongo zolwazi kuphela, kwaye aluquki iingcebiso zonyango. Kubalulekile ukubonisana nochwepheshe bezempilo abaqeqeshiweyo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango.