Kusarudza Pakati peLumpectomy uye Mastectomy
Kana chifuva chako chechifu chinoratidza chirwere uye unotarisana nechisarudzo pakati pe-lumpectomy uye mastectomy , iwe unganzwa uchinzwa wakasimudzirwa uye wakavhiringidzika. Ndezvipi zvakasiyana chaizvo pakati pezvibvumirano izvi uye zvakakunakira iwe pachako?
Unogona kuzviwana uchidzokera shure uye shure uye shure zvakare apo iwe uchisarudza kwako pakati pe lumpectomy uye mastectomy . Iwe unogonawo kuwana kuti maonero akasiyana, angave maonero echiremba wako kana shamwari. Sei kukakavadzana? Uye nei zvakakosha kunzwisisa mutemo wezvokuvhima?
Nokuti iwe newachiremba wako munoda kuve pane imwecheteji peji. Kune rumwe rutivi rwebasa iri chido chekuchengeta mazamu ako, kana zvakawanda zvezamu rako sezvinobvira. Kune rumwe rutivi ndiko kukosha kwekutora kese yekenza uye kuva nemaitiro akanaka ekuvhiya. Kunzwisisa zvakawanda pamusoro pezvokugadzira zvinogona kukubatsira kuwana rubatsiro rwakanaka pane izvo zvingakuita kuti uswedere pedyo nemishonga.
Tsvaga dzimwe mazano mazano pamusoro peLumpectomy vs. Mastectomy
Kana iwe unotarisana nechisarudzo-lumpectomy kana mastectomy-iwe unoda kuziva kuti nyika yemagariro ako ekugadzirira anouya sei muhutano wese. Tanga nekuverenga iyi nyanzvi kubva kune UpToDate kuti uone kuti nei maitiro ekugadzirira anokosha kwauri.
Kubvunzurudzwa kweMakiriniki ekunyengera: A Kukurukurirana pamusoro peUvhiya Options
"Kuongorora zvinyorwa zvinyorwa zvitsva zvakabviswa munguva yebiopsy kana panguva yekuvhiyiwa zvinogona kujekesa zvinokonzera kukurudzirwa kweBCT [mazamu ekuchengetedza remishonga] kupikisa mastectomy. Chimwe chezvinhu izvi ndehupo hwekugarara kwemasero emukenza pamakona emakumbo (chirwere margins) Kana kusara kwemasero emukenza aripo pasinei nehuwandu hwemhuka inobviswa, mastectomy inogona kuva yakanakisisa. "
Kuwana Mharidzo Nezvokuvhiya Mazamu
Chii Chinotarisa Margins?
Kana chirwere chako chichigadziriswa kana kuti chichibviswa, chirwere chako chinowedzera zvinopfuura kungoita chirwere-zvimwe zvipembenene zvakapoteredza tumarara zvinotorwa zvakare. Uyu muganhu wematema pakati pekunze kwekunze kwemuenzaniso uye tumarara inonzi margin ekuvhiya .
Mushure mekunge chiremba wako chivhiya achibvisa mavara, anonyatsopindirwa mukati memubhodhoro uye anotumirwa kubhuku rezvemapfupa. Muongorori anoshandisa inki chaiyo kuti ifukidze nechekunze kwekunze kwemuviri wezamu. Zvadaro sampu inonatswa muzvikamu zviduku uye inoongororwa pasi pekroscope. Mhedzisiro, pamwe chete nemasvingo, anotariswa kuona kana chero kenza yemukenza yakatsauka kunze kwechirwere uye, kana zvakadaro, yakareba zvakadini.
Kunzwisisa Mazano Vanachiremba Shandisa Kurondedzera Zvitsva Zvokuvhima
Pane mitsara yakawanda, asi tsanangudzo yezvakaipa kana yakajeka mumiganhu inogona kusiyanisa kubva kuchipatara chimwe kana kliniki kune imwe. Aya mazwi matatu anoshandiswa kurondedzera maruva:
- Marginal Negative: Hapana masero ekenza pane imwe yenhivi yekunze yeiyo
- Nzira Yakanaka: Masero eC Cancer kana tumarara inosvika kumucheto wemuenzaniso
- Pedyo Margin: Chero mamiriro ezvinhu pakati pezvakaipa uye zvakanaka
Apo Kuvhima Kwemagumisi Kune Kenza Cancer
Pedyo margins pashure pe lumpectoma inogona kurapwa neimwe nzira yekuvhiya, inonzi re-excision. Chiremba wako aizodzokera kunzvimbo yepakutanga uye abvisa michina yakawedzerwa kuedza uye kuwana zvakaipa (zvakajeka) mazamu. Kana izvozvo zvichibudirira, kurapwa kwemaawa kunogona kuenderana newe.
Vamwe vakadzi vane mitsetse yakasarudzwa vanosarudza kuva nehutachiona, pane kuti vawane rimwe kana mamwe maviri mavhivhi. Nzira dzakanaka dzinogona kuratidza kuvapo kwekenza yepamu inoputika , uye iwe unogona kuve nehutachiona kuitira kuti uve nechokwadi chokuti kenza yose yakabviswa uye kudzivirira kudzokorora.
Marginal Margins uye Treatment Zvisarudzo
Kana iwe wakanga uine biopsy, chirwere chako chiduku (pasi pe 4 masentimita), uye mararamiro ako okugadzira akajeka, saka lumpectomusi inogona kunge iri yose inoberekwa mazamu yaunoda (kunyange, iwe unogona kusarudzwa kuti uite mastectomy). Kana chirwere chinosarudzwa, chirwere chemaawa chinoshandiswa kune chifuva chakasara chinopiwa kuti chidzivirire chirwere chekare.
Nzvimbo yako yeclph node inofanirawo kuongororwa; kana lymph nodes yako isina zvirwere, iwe ungangodaro hauchazodi kurapwa kwemishonga kune iyo nzvimbo mushure mekuvhiyiwa. Kana vasina kunyatsojeka, oncologist yako inogona kukurudzira mahara. Paunenge wapedza mazairo, kana zvichidiwa, uye kana uine kenza ye-estrogen, iwe unotora hormonal therapy kwemakore mashanu, uye kazhinji gumi, kudzivirira kudzokorora kune imwe nzvimbo mumuviri wako.
Tora-Home Message
Iwe unofanirwa kuziva kana mararamiro ako ekugadzira akanga asina kunaka, akanaka, kana kuti akavhara. Izvi, pamwe nemhando yekenza , nzvimbo yepakati uye lymph node, ichakubatsira iwe uye chiremba wako kusarudza mushonga unoshanda zvakanyanya kwauri.
> Kwakabva:
> Daniel F Hayes, Michael S Sabel, MD. "Kuvhiya kenza yemazamu: mastectomy uye mazamu kuchengetedza chirwere: Microscopic kuongorora kwechirwere," UpToDate. Updated 05/26/16.