Ukwelapha Umdlavuza Webele: Umhlahlandlela Wokuhlinza kanye Nokunye Ukuqonda izinketho zakho zokwelapha umdlavuza webele, ikakhulukazi ukuhlinzwa, kubalulekile. Lo mhlahlandlela ophelele uhlola izinqubo ezihlukene zokuhlinzwa, izinqubo zokululama, nokucatshangelwa okwengeziwe kokwelashwa.
Izinhlobo Zokuhlinza Ngomdlavuza Webele
I-Lumpectomy (Ukuhlinzwa Konga Isifuba)
I-lumpectomy ihilela ukususa isimila esinomdlavuza kanye nengxenye encane yezicubu ezinempilo ezizungezile. Le nqubo ivame ukulandelwa ukwelashwa ngemisebe ukuze kuqinisekiswe ukuthi wonke amangqamuzana omdlavuza ayaqedwa. Kuyindlela esebenzayo yomdlavuza webele wesigaba sokuqala. I-Lumpectomy iyinqubo engavamile kakhulu kune-mastectomy, egcina izicubu eziningi zamabele.
I-Mastectomy
I-mastectomy iwukususwa ngokuhlinzwa kwebele lonke. Kunezinhlobo eziningana ze-mastectomies, okuhlanganisa: I-Mastectomy Elula (Ingqikithi): Ukususwa kwezicubu zebele kuphela. I-Modified Radical Mastectomy: Ukususwa kwezicubu zebele, ama-lymph nodes aseduze, futhi ngezinye izikhathi nemisipha yesifuba. I-Radical Mastectomy: Ukuhlinzwa okubanzi okubandakanya ukukhishwa kwebele, imisipha yesifuba engaphansi, nama-lymph nodes. Lokhu akuvamile ukwenziwa namuhla.Ukukhethwa phakathi kwe-lumpectomy ne-mastectomy kuncike ezicini ezihlukahlukene, okuhlanganisa ubukhulu nendawo yesimila, isigaba somdlavuza, kanye nezinketho zesiguli ngasinye. Udokotela wakho ohlinzayo uzoxoxa ngenketho engcono kakhulu kuwe.
I-Sentinel Lymph Node Biopsy
Le nqubo ikhomba ukuthi umdlavuza ususabalele yini kuma-lymph nodes. Inani elincane lama-lymph nodes liyahlolwa, linciphise isidingo sokususwa okubanzi kwe-lymph node (i-axillary dissection).
I-Axillary Lymph Node Dissection
Uma i-sentinel lymph node biopsy ibonisa ukusabalala komdlavuza, kungase kudingeke ukuthi kukhishwe i-axillary lymph node. Lokhu kuhilela ukususa inani elikhulu lama-lymph nodes ngaphansi kwengalo.
Ukubuyiselwa Nokucatshangelwa Kwangemva Kokuhlinzwa
Isikhathi sokululama siyahlukahluka kuye ngohlobo lokuhlinzwa olwenziwa. Lindela ubuhlungu, ukuvuvukala, nokungaphatheki kahle. Ithimba lakho labahlinzayo lizokunikeza imiyalelo ethile yangemva kokuhlinzwa. Ukulawula izinhlungu kubalulekile, futhi udokotela wakho uzokunikeza imithi efanele. Ukwelashwa ngokomzimba kungase futhi kube yinzuzo ukuze uthole kabusha uhla lokunyakaza namandla. I-Lymphedema, ukuvuvukala engalweni noma esandleni, kuyinkinga engenzeka; amasu okuphatha lokhu kuzoxoxwa ngakho.
Ngaphandle Kokuhlinzwa: I-Adjuvant Therapies
Ukwelapha ukuhlinzwa komdlavuza webele ngokuvamile kuyingxenye eyodwa yohlelo lokwelapha oluphelele. Ukwelashwa kwe-Adjuvant kungase kuhlanganise: I-Chemotherapy: Ukusebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. I-Radiation Therapy: Ukusebenzisa imisebe enamandla amakhulu ukubhubhisa amangqamuzana omdlavuza. I-Hormone Therapy: Ukuqondisa umdlavuza ozwela ama-hormone. Ukwelapha Okuhlosiwe: Ukusebenzisa imithi eqondisa izici ezithile zeseli lomdlavuza.Ukukhetha ukwelashwa okufanele kwe-adjuvant kuncike ekuxilongweni kwakho okuqondile kanye nempilo yonke. I-oncologist yakho izosebenza nawe ukwenza uhlelo lokwelapha lomuntu siqu.
Ukukhetha Umhlinzeki Wezempilo Ofanele
Ukuthola udokotela ohlinzayo oqeqeshiwe nonolwazi kanye ne-oncologist kubaluleke kakhulu. Cwaninga kahle abahlinzeki bezempilo abangaba khona futhi ucabangele izici ezifana nobuchule babo, ulwazi lwabo, ukubuyekezwa kwesiguli, kanye nokutholakala kwezinketho zokwelashwa ezithuthukisiwe. Izibhedlela eziningi ezihlonishwayo nezikhungo zomdlavuza zinikeza ulwazi olunzulu
ukwelashwa ukuhlinzwa umdlavuza webele nokunakekelwa okuhlobene. Isibonelo, izikhungo ezifana neShandong Baofa Cancer Research Institute (
https://www.baofahospital.com/) zinikezelwe ekuhlinzekeni ukunakekelwa okuthuthukisiwe komdlavuza.
Inothi elibalulekile
Lolu lwazi luhloselwe izinjongo zemfundo kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze nixoxe ngesimo sakho esithile futhi ninqume inkambo engcono kakhulu yokwenza izidingo zakho zomuntu ngamunye. Ukutholwa kusenesikhathi nokungenelela okufika ngesikhathi kuyisihluthulelo sempumelelo
ukwelashwa ukuhlinzwa umdlavuza webele kanye nemiphumela ethuthukisiwe.
| Inketho Yokwelapha | Incazelo | Isikhathi Sokuthola kabusha (Cishe) |
| I-Lumpectomy | Ukususwa kwesimila kanye nezicubu ezizungezile. | Amasonto amaningana |
| I-Mastectomy | Ukususwa kwebele lonke. | Amasonto ambalwa kuya ezinyangeni |
| I-Sentinel Lymph Node Biopsy | Ukuhlolwa kwenani elincane lama-lymph nodes. | 1-2 amaviki |