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Iziguli Ezijabule
Abanolwazi futhi 
 odokotela abanekhono
17
Izikhungo Zokunakekela Ezempilo
Isikhungo Sokudluliswa Okuphezulu kakhulu 
 Ngokuhlinzwa Okuyinkimbinkimbi
I-Lumpectomy ikhombisa impumelelo umdlavuza webele Ukwelashwa okunikeza iziguli enye indlela yokuhlinzwa engangeneleli ukuze iqede ukususwa kwebele. Lokhu kuhlinzwa okonga ibele kususa "isigaxa" esinomdlavuza kanye nengxenye encane yezicubu ezinempilo ezizungezile.
Odokotela baphinde babize le nqubo ngokuthi ngokwengxenye i-mastectomy, i-quadrantectomy, noma i-segmental mastectomy. Inqubo isiphenduke insika yokwelashwa komdlavuza webele ngesikhathi sokuqala. Ukunemba kokuhlinzwa sekuthuthukile ngentuthuko entsha efana ne-intraoperative fluorescence guide esiza odokotela abahlinzayo ukuthi babone izicubu ezinomdlavuza ngaphakathi kwe-resection cavity. Lesi sihloko sihamba nawe ngesipiliyoni esiphelele se-lumpectomy-kusukela ezisekelweni zenqubo kanye nezinyathelo zokulungiselela kulokho ongayilindela ngesikhathi sokululama kanye nezinzuzo ezingaba khona.
I-CARE Cancer Institute ithatha indlela ehlanganisa konke yokwelashwa komdlavuza ngokuhlanganisa ezokwelapha, ukuhlinzwa, kanye i-radiation oncology amasevisi. Isibhedlela selapha izinkulungwane zeziguli ezilaliswayo minyaka yonke kuzo zonke izici ezikhethekile ngamazinga empumelelo amangalisayo. Iziguli zingalindela:
Odokotela Abahlinza Nge-Lumpectomy Abangcono Kakhulu eNdiya
Ithimba labahlinzayo lisebenzisa amasu amasha afana ne-oncoplastic lumpectomy ehlanganisa ukukhishwa kwesimila nokuhlinzwa kwebele okuhle ukuze kuthuthukiswe imiphumela yangemva kokuhlinzwa. Ithimba liphinde lisebenzisa ubuchwepheshe obusha ukukhomba okunembile kwesimila.
Odokotela batusa i-lumpectomy ye:
Izibhedlela ze-CARE zinikeza izindlela ezahlukahlukene ze-lumpectomy, njenge:
Ithimba labahlinzayo likhetha indlela efaneleke kakhulu ngokusekelwe esimweni sesiguli ngasinye kanye nemigomo yokwelashwa ukuze kuqinisekiswe imiphumela engcono kakhulu engenzeka.
Udokotela wakho ohlinzayo uzohlangana nawe ukuze axoxe ngezinketho zokwelapha futhi aphendule imibuzo yakho. Ithimba lokunakekelwa kwezempilo linikeza isiqondiso esithile mayelana:
I-Lumpectomies ivame ukwenzeka ngaphansi kwe-anesthesia ejwayelekile futhi ihlala imizuzu eyi-15-40. Isazi se-radiologist sithola isimila ngokuthwebula bese sibeka ucingo oluncane noma imbewu ekhipha imisebe njengomaka. Udokotela ohlinzayo ususa umdlavuza kanye nomphetho omncane wezicubu ezizungezile. Inqubo ngokuvamile ihlanganisa ukuhlola amanye ama-lymph nodes.
Iziguli ngokuvamile zibuyela ekhaya ngosuku olufanayo ngemva kokuhlinzwa. Ungase uzwe ukungakhululeki, nakuba imithi yezinhlungu enikeziwe noma izinketho ezitholakala ekhawuntaleni zingasiza ukukulawula. Ithimba lakho lokunakekelwa kwezempilo lizokuqondisa ekunakekelweni kwesilonda, imikhawulo yomsebenzi, kanye nokuvakasha kokulandelela.
Izinkinga ezingaba khona zihlanganisa:
I-lumpectomy isindisa iningi lebele lakho ngenkathi isusa umdlavuza ngempumelelo. Ucwaningo lukhombisa ukuthi iziguli ezithola i-lumpectomy ngemisebe zinezilinganiso zokusinda ezilingana ne-mastectomy. Ngaphezu kwalokho, igcina ukuzwa okungokwemvelo nokubukeka.
Iningi lezinhlelo zomshuwalense wezempilo zihlanganisa i-lumpectomy, nakuba ungase ubhekane nezindleko ezingaphandle kwephaketheni. Umhlinzeki wakho womshwalense angachaza imininingwane yekhava, futhi itilosi yezezimali ingase ikusize uqonde izindleko kangcono.
Umbono wesibili usiza ukuqinisekisa ukuxilongwa kwakho, ukuqonda izinketho zokwelashwa, noma ufunde ngezindlela ezahlukene. Lesi sinyathelo singase sisekele uhlelo lwakho lwamanje noma sikubonise amathuba amasha. Odokotela bayakwamukela imibono yesibili.
I-Lumpectomy iyindlela enhle kakhulu yeziguli eziningi ezinomdlavuza webele namuhla. Le ndlela yokonga ibele isiza abesifazane ukuthi bagcine ukubukeka kwabo kwemvelo futhi belaphe umdlavuza ngempumelelo. Intuthuko yezokwelapha ishintshe kakhulu ukuhlinzwa komdlavuza webele. Izimo zesigaba sokuqala zibonisa amazinga empumelelo afanayo phakathi kwe-lumpectomy enemisebe kanye nokususwa kwebele okuphelele.
Izibhedlela ze-CARE ziletha impumelelo kulo mkhakha. Iziguli zithola ukwesekwa okuphelele kulo lonke ulwazi lwazo lokwelashwa. Ithimba lezokwelapha lihlanganisa ubuchwepheshe bokuhlinza nobuchwepheshe besimanje ukuze kuzuzwe imiphumela engcono kakhulu. Iziguli zithola inani elikhulu ezinhlelweni zokunakekela eziqondene nomuntu ngamunye. Abasebenzi bakhuluma ngokucacile mayelana nokulindelwe ngaphambi, phakathi, nangemuva kokuhlinzwa.
Ukuhlinzwa komdlavuza kungase kubonakale kunzima, kodwa ukuqonda yonke inqubo kunciphisa ukukhathazeka. Ulwazi luhlomisa iziguli ukuthi zibambe iqhaza ezinqumweni zazo zokwelashwa kanye nokululama. Isikhungo esikhethekile se-lumpectomy se-CARE Hospitals sinikeza ithemba ezigulini ezinomdlavuza webele. Inikeza ithuba lokunqoba umdlavuza ngenkathi igcina ikhwalithi yokuphila kanye nokuphelela komzimba.
Izibhedlela Zokuhlinza I-Lumpectomy eNdiya
I-lumpectomy isindisa iningi lezicubu zakho zebele ngokusebenzisa indlela yokuhlinzwa ehlosiwe. Udokotela ohlinzayo ususa isimila esinomdlavuza kanye nengxenye encane yezicubu ezinempilo ezisizungezile. Le ndlela yehlukile kune-mastectomy ngoba igcina ukubukeka kwebele kwebele lakho esikhundleni sokulisusa lonke ibele.
Amaqembu ezokwelapha ancoma lokhu kuhlinzwa ukuze kwelaphe umdlavuza webele osanda kuzalwa, ikakhulukazi uma unesimila esincane uma siqhathaniswa nosayizi webele lakho. Iziguli ezinethumba elilodwa endaweni eyodwa zenza abantu abafanelekayo, njengoba odokotela abahlinzayo bengakwazi ukususa ukukhula ngaphandle kokushintsha ukwakheka kwebele ngokuningi.
Abazongenela ukhetho abafanelekela ukuhlinzwa kwe-lumpectomy banezinkomba ezilandelayo:
Yebo, kuphephile futhi kufakazelwe ukuthi kuyasebenza. Noma kunjalo, lokhu kuhlinzwa kunezingozi ezithile njenganoma iyiphi inqubo. Lokhu kubandakanya ukutheleleka okuzungeze ukusikeka, ukugcwala koketshezi, izibazi, nokuvuvukala kwengalo yesikhashana.
Iziguli ngokuvamile zizwa ukungakhululeki okuthile okuphela phakathi namaviki. Izidambisi zinhlungu ezilula ezitholakala ngaphandle kwekhawunta njenge-acetaminophen zisiza ukuphatha noma yibuphi ubuhlungu.
Odokotela abahlinzayo baqeda inqubo ngehora elilodwa kuya kwamabili.
Lokhu kuhlinzwa kubalulekile kodwa akungeni esigabeni esikhulu sokuhlinza. Iziguli ngokuvamile zingaya ekhaya ngalo lolo suku njengoba kuyinqubo yokulaliswa ngaphandle.
I-Lumpectomy iyinqubo ephephile, kodwa njenganoma yikuphi ukuhlinzwa, iza nezingozi ezingaba khona. Lokhu kubandakanya:
Umzimba wakho kufanele ululame ngokuphelele emasontweni amabili ngemva kokuhlinzwa. Isifuba sakho, ikhwapha, nendawo yehlombe kuzozwakala kubuhlungu ezinsukwini zokuqala. Ungabuyela esimisweni sakho sansuku zonke phakathi nezinsuku, kodwa kufanele ulinde ukuphakamisa izinto ezinzima uze ululame ngokwengeziwe. Iziguli eziningi zibuyela emsebenzini lingakapheli isonto, ngokusekelwe kulokho okudingwa umsebenzi wazo.
Ungase ubone ukuba ndikindiki eduze kwendawo yakho yokuhlinzwa, izinhlungu ezibukhali ngezikhathi ezithile, noshintsho ekubukekeni kwebele lakho. Izicubu ezibomvu zingenza ezinye izindawo zizwe nzima. Uma udokotela wakho ohlinzayo esusa ama-lymph nodes, ungase uthuthukise i-lymphedema (ukuvuvukala kwengalo) ngemva kokuhlinzwa noma ngisho neminyaka phansi komugqa.
Odokotela abahlinzayo ngokuvamile bafaka iziguli ngaphansi kwe-anesthesia ejwayelekile ngesikhathi se-lumpectomi. Kwesinye isikhathi bavele bandikindiki indawo yebele ngendawo i-anesthesia kanye ne-sedation, ekugcina uphapheme kodwa ukhululekile.
Udokotela wakho ohlinzayo uzosebenzisa izithungo ezincibilika ngokwazo. Bangase futhi babeke i-Steri-Strips (imicu emincane enamathelayo) noma iglue ekuhlinzeni ukuze basize ukuphulukisa. Indawo ohlinzwe kuyo izozizwa iqinile ekuqaleni kodwa ithambe njengoba isikhathi sihamba.
Ukwelashwa ngamakhemikhali ayidingeki ngaso sonke isikhathi ngemva kwe-lumpectomy. Udokotela wakho uzobheka izici ezithile zomdlavuza wakho, isigaba, nokuthi ingabe usakazekela kuma-lymph nodes. Ukwelashwa ngemisebe kuvame kakhulu ngemva kwe-lumpectomy ngoba kusiza ukubulala noma yimaphi amangqamuzana omdlavuza angase asale.