Mune chidzidzo chinowanikwa muIndaneti shanduro yeJAMA Surgery , vatsvakurudzi vakawana kuti 1 muvakadzi vana vane lumpectomo vachada kuravhirwa kwekutevera mukati memazuva makumi mapfumbamwe. Chidzidzo chacho chakaitwa kuti chiongorore chiitiko chekuvhiya kwechipiri, uye chiitiko chiitiko chechiremba chikava nekudiwa kwechipiri chirwere.
Zvakawanikwa munyaya ino hazvisizvo zvakakosha kuvakadzi vemazuva ano vanotariswa nekuvhiyiwa kwekenza yepabonde, asi kumudzimai wese anoda uye anoda kudzidziswa pamusoro pokusarudza kwake kusarudza anofanira kuonekwa kuti ane kenza yemazamu munguva yemberi.
Mukadzi anofanira kusarudza chirwere chekuvhiya achiziva zvakajeka kuti chirwere chimwe nechimwe chinobatanidza, izvo zvinogona kuitika pamigumisiro pakutanga, uye kwenguva yakareba, uye mukana wokuti kuvhiyiwa kwepamusoro kunogona kudikanwa kuti ubvise kanhi yekenza yake.
A lumpectomy, iyo inochengetedza mazamu ekuchengetedza, ndiyo inowanzopiwa chirongwa chekuvhiya kwevakadzi vane kenza yemazamu. I-lumpectoma yakateverwa nehutachiona hwehutachiona yakaratidza kuva yakakosha sekuita mastectomy mukurapa kenza yenguva yemazamu. Kutsvaga kupora nguva nguva shoma, uye mukadzi achiri kuine chifuva chake chepanyama. Ikoko kunewo sarudzo yekuvaka zvakare yekudzorera kuenzanisa kwemazamu.
Munguva ye lumpectomy, chiremba anovhiya anobvisa chifuva chemuzamu uye nzvimbo yezvivara zvakapoteredza. Iyi nzvimbo inotumidzwa semuganhu, izvo chaizvoizvo izvo zvinoita seine mhete yezvisikwa zvakakomba zvakapoteredza bundu. Kana chikamu chemuviri chikawanikwa chiine masero emukenza kana chichiongororwa nemumwe munhu anotevera chirwere ichi, chirwere chechipiri chichadikanwa.
Kuvhiyiwa kwakawedzerwa kunoitwa kudzivirira kudzoka kwepakati pekenza yemazamu.
Chidzidzo chacho chakaongorora zvinyorwa zvevakadzi vanosvika 90 000 vakange vane lumpectoma muNew York State kubva musi waJanuary 1, 2003, kusvika musi waDecember 31, 2013. Chidzidzo chakatarisa pane zvinyorwa zvezvipatara zvose uye zvivako zvekuvhiya zvivako muNew York State.
Zviwanikwa:
- Kushandisa lumpectomy kwakaramba, kunyanya pakati pevakadzi vaduku.
- Munguva yemakore ekudzidza, chiyero chekudzoka zvakare chakaitika mumazuva makumi mapfumbamwe ekutanga lumpectomusi chakanga chisati chave 31%. Icho chiri pasi kubva ku40% makore akawanda akapfuura.
- Izvo zviyero zvekudzoka zvakare zvakakwirira pakati pevakadzi pakati pemakore makumi maviri nemakumi maviri nemashanu uye zvakaderera kune vakadzi ivavo makumi matanhatu nemakumi matanhatu nemakore.
- Kudzorerazve maitiro anotevera lumpectomies akasiyana zvikuru kubva kuchiremba uye chiremba. Vaya vanovhiya vanoita zvinopfuura 34 lumpectomies pagore vaiva nehuwandu hwekuita zvakare zvakare.
- Kudzokorora kwemaitiro kunowira pasi apo paine vakadzi vakarovedzwa mazamu, uye nzira yeboka yekutarisira.
- Kunyange zvazvo chidzidzo chikaitika muNew York State, ine ine ramifications kune dzimwe nyika munyika yose.
- Kuziva kuti vakadzi vanodikanwa sei kuti vave nekuvhiyiwazve mushure meLumpectoma kunokosha kune vanovhiya nokuti vanoda kuwana nzira dzavanogona kubatsira kubatsira kuderedza ngozi kune mukadzi mumwe nomumwe.
- Mukadzi wese ane kodzero yekuziva dambudziko rake rekuda kudzokazve kana akasarudza lumpectomy. Anofanirwa kuva neruzivo urwu kuitira kuti awane chisarudzo chakanaka.
Icho Chidzidzo Ichi Chinoreva Kwauri
Ndine lumpectoma yemukenza wangu wekutanga wepabonde, ndinogona kugovana iyo apo chiremba wangu chiremba akandipa lumpectomy, handina kumboziva mibvunzo yekubvunza.
Akatsanangura nzira yacho, asi kwete mukana wekuda kwangu kuvhiyiwa kana akasaita marita ake. Nenguva yokutanga ndakanzwa izwi iri pamakona apo apo chiremba wangu akandibvunza nemigumisiro yerondedzero yangu yehutano. Akati, "Ndakaita maruva angu; iwe haugoni kuvhiyiwazve. "
Handigoni kufungidzira kutya uye kutsamwa ndingadai ndakanga ndakaita sei ndaida kuravhirwazve uye ndakanga ndisati ndakagadzirirwa kuti dai zvakadaro. Ndaiva nerombo; Ndinoziva vakadzi vakawanda vanoda chirwere chechipiri. Kunyanya kunetseka kwechipiri kuvhiyiwa kwakaita kuti kuporesa kwenguva refu.
Zvakakosha kumudzimai wese, achangobva kuongororwa nekenza yemazamu, kuti anzwisise zvaanosarudza pakuvhiya.
Chimwe nechimwe chekuvhiya, kuti iro lumpectomy, mastectomy kana kuti mastectomy inofanirwa kuongororwa panguva iyo kutya uye kusava nechokwadi kunogona kupedza kutonga uye kuita sarudzo zvakaoma zvikuru.Nokusaka kuunza shamwari kana mhuri kumusangano wekutanga chiremba chechipfuva chakakosha. Basa romunhu uyu rinofanira kujeka:
- Vasati vaenda kuchiremba, batsira murwere kuisa mutsara pamwe chete nemibvunzo yekubvunza chiremba.
- Pakushanya, yeuchidza murwere wemibvunzo ipi yaakakanganwa kubvunza.
Chidzidzo ichi chinoratidza kuti nepo vakadzi vakawanda vachiri kuda kuvhiyiwazve kuitevera lumpectoma, kune nzira yekuderedza mikana yekuda chirwere chechipiri. Zvakakosha kusarudza chiremba anovhiya anoita chirwere ichi kakawanda. Kanzura nzvimbo uye makuru ekurapa ane vanachiremba vanoita maitiro evanhu nguva dzose.
Kunobva:
JAMA Surgery. 2016 February 17: Dzokorora Kuvhiya Mushure mekuchengetedza Breast kuchengetwa kweSiteji 0 kusvika II Breast Carcinoma Mharidzo Kubva ku National Cancer Data Base, 2004-2010.