Pamberi pegore ra1991, kurapwa kwakakwana kwekenza yepabonde kwepabonde kwakanga kuri kutadza, kubviswa kwezamu rose.
Mushure megore ra1990, semugumisiro wekurudziro kubva kuNational Institutes of Health, vakadzi vakawanda vane kenza yepabonde pekutanga vaine chisarudzo chokuvhiya. Panzvimbo pekuita mastectomy, vaigona kusarudza zvakachengeteka lumpectomi, chirwere chokubvisa kenza uye mhuka dzakapoteredza tumarara, asi kwete yose yepamu.
I-lumpectoma inowanzo kuteverwa nemishonga inonzi radiation kuderedza dambudziko rekudzoka muzamu kana lymph nodes.
Zvose zvinokonzerwa nemakondomu uye mastectomy zvinosanganisira kubvisa lymph nodes pasi pesimba kuti uedze kuvepo kwekenza masero.
Sangano reNational Institutes of Health rakapa mazano avo ekupa lumpectomy seimwe nzira yakachengeteka kune mastectomy inotarisana nemigumisiro yemitemo yakawanda, yakarongedzwa isina kuratidza kusiyana kwepakati pemakore makumi maviri ekupona kwevakadzi vakadzi vane lumpectomy uye radiation kana mastectomy.
Somugumisiro weNational Institutes of Health recommendation, mastectomy rates yevakadzi vane kambani yekutanga yekenza yemazamu yakabva kubva ku100% muma1980 kusvika kudarika 40% muzana nhasi. Zvisinei, kuongorora kwechangobva kuitwa, kwakabudiswa mumagazini yeJAMA Surgery, kwakawana kuti chikamu chemadzimai ane kenza yepabonde yekare-kare achisarudzwa nokuda kwemastectomies iri kuwedzera. Mastectomy rates yakawedzera kubva ku 34 muzana muna 1998 kusvika 38 muzana muna 2011.
Kufungisisa kweZviri Kuvhiya
I-lumpectoma inogona kuchengetedza yakawanda yechitarisiko, pamwe chete nekunzwa kwezamu. Sezvo iri chirwere chisina kuvhiringidzika, nguva yekudzikinura ifupika uye iri nyore kupfuura mastectomy.
Lumpectomy haisi yakakodzera kune vamwe vakadzi.Ukukura kwechirwere, uyewo nzvimbo yechipfuva uye ukuru hwezamu, sarudza kana kana kwete lumpectomy inogoneka.
Chimwe chikonzero pakusarudza lumpectomy pamusoro pemastectomy inguva uye kufamba kunozvipira kurapwa. Lumpectomy inoda kurapwa kwemazuva kwevhiki. Kana mukadzi akagara kure nechepakati pekurapa, lumpectomy ingasave yakasarudzwa. Uyezve, kupisa kwezuva hakusi nzira yevakadzi vane humwe hutano hwakadai sa systemic lupus.
Mastectomy chirwere chinowedzera kupfuura lumpectomi uye ine nguva refu yekudzikinura.
Muna 1999, ndaiva ne-lumpectoma, yakateverwa nemishonga makumi matatu nemasere. Urombo hwakanga husingaiti; Ndakadzokera kubasa mukati memazuva. Mishonga inopisa isinganzwisisiki. Kuwedzera kwemigumisiro yehuipi yakatanga kushanda musi we15, uye ini ndakatanga kuona kurasikirwa kwemazwi. Ndakanga ndakwanisa kushanda mavhiki mashanu kubva pamasere angu matanhatu + mukurapa. Simba rangu rakanatsiridzwa mukati memazuva ekupedzisa kurapwa.
Muna 2009, nokuda kwekenza yangu yechipiri, iyo yaiva imwe yepamuviri mune zvakamuputira musasa (kwete kudzokorora kenza yangu yekutanga), ndakasarudza mastectomy pamwe chete. Izvo hazvina kuve zvakanakira kuchengeta chifuva chaimbova nekenza.
Mushure memazuva maviri okutanga mushure mekuvhiyiwa, marwadzo aikwanisika neTylenol. Ndakanga ndadzokera kushanda mumwedzi.
Sezvo mbiri dzangu dzekenza dzakanga dzatanga kurwisa kanzira, ndakanga ndisingadi chemotherapy.
Mifungo Yokupedzisira
Chisarudzo chemukadzi chekuva ne-lumpectomy kana kuti mastectomy ndeimwe inogona kuwanikwa nekubatsirwa kwechiremba wake wechiremba mushure mekukurukurirana kwakakwana kwezvakanaka uye zvakanakira zveimwe nzira, uye zvinetso zvake uye zvaanoda.
Jean Campbell muchengeti wekamu we 2x wekamu uye mukuru wekutanga wekuAmerican Cancer Society New York City Patient Navigator Program muzvigaro zvehurumende zvehurumende nehurumende. Iye ndiye mutungamiri mukuru wesangano risina ribatsiro anopa tsvakurudzo uye ruzivo ruzivo uye rubatsiro kuvakadzi nevarume achangobva kuongororwa nekenza yemazamu.