Iindlela ezilungileyo zokunyanga umhlaza webele, kwaye xa unyango luba lungenakwenzeka?

Unokufuna unyango lwemitha yebele emva kwe-lumpectomy okanye emva kwe-mastectomy ukuba ii-lymph nodes zakho zineeseli zomhlaza okanye i-tumor yakho yi-5 cm okanye ngaphezulu. Imitha yenzelwe ukubulala naziphi na iiseli zomhlaza ezinokuthi zihlale kwibele okanye kwi-axillary tissue (ikhwapha okanye udonga lwesifuba).

Unyango lwemitha ludla ngokwenziwa kwisibhedlele esingaphandle. Imiqadi yeX-reyi ene-eneji ephezulu iya kujoliswa kwindawo yonyango ukuze yonakalise naziphi na iiseli zomhlaza ezikhula ngokukhawuleza. Ukusasazeka kwemitha kophula i-DNA kwiiseli zomhlaza ukuze zingakwazi ukwahlula nokuphindaphinda. Iiseli ezingenawo umhlaza zinokusinda kunyango lwemitha.

Imitha yangaphandle

Umqadi wangaphandle lolona hlobo luxhaphakileyo lweradiotherapy kwibele. Ukusuka ngaphandle komzimba wakho, imiqadi ye-symmetric iya kuqondiswa ngumatshini kwindawo yonyango. Unokufuna i-radiation yebele lonke okanye indawo encinci. Ukuba i-lymph nodes okanye udonga lwesifuba lufuna ukunyangwa, loo mitha yemitha nayo inokukhutshwa.

Unyango aluyi kuqala de kube emva kokuba uphilise utyando lwebele okanye ichemotherapy ukuba uyayifuna. Kuya kufuneka wenze ixesha lonyango yonke imihla yeveki iiveki ezintandathu okanye ezisixhenxe kwikhosi eqhelekileyo yonyango lwemitha. Ixesha elifunekayo kunyango ngalunye lifutshane, kodwa ixesha elifunekayo lokulungiselela kunye nendawo echanekileyo livumelekile ukuba likunikeze unyango olusebenzayo kunye nolukhuselekileyo.

ukukhawuleza kwemitha yebele

Kwezinye izigulana, iradiotherapy inokunikwa ngexesha elifutshane. Imitha ekhawulezayo yokusasazeka inokunikwa ibele lonke okanye inxalenye yebele lakho, apho ibizwa ngokuba yi-Accelerated Partial Breast Dissection (APBI).

Ezinye iingcali ngemitha ngoku zinika iithamo ezinkulu kancinane zemitha yemitha kwisithuba seeveki ezintathu, zehlisa isiqingatha serejimeni eqhelekileyo yeeveki ezintandathu. Le ndlela yokusasazeka kwemitha yamabele ibonakala isebenza ukongeza kwinkqubo eqhelekileyo. Ukuba iidosi ezinkulu zemitha yokusasazeka zinokunikwa, isigulana sinokufumana ithamo elipheleleyo kwisithuba seentsuku ezintlanu ngento ebizwa ngokuba yi-attenuated radiotherapy.

ibrachytherapy

Ukusasazeka kwemitha yangaphakathi ebeleni, okanye ibrachytherapy, yenziwa emva kwe lumpectomy, kwaye isetyenziswa emva kwe lumpectomy, isebenzisa imbewu encinci okanye iipellets zemathiriyeli yeradioactive ukuhambisa ithamo lemitha yemitha ngaphakathi kwethishu yebele. Ithamo lokusasazeka ngemitha linikwa ngokuthe ngqo kwithumba kwaye liwunciphisa kakhulu umonakalo onokwenzeka kwithishu yamabele esempilweni ekufutshane.

Ubungakanani kunye nendawo ye-tumor iya kugqiba ukuba ungumviwa olungileyo we-brachytherapy. Kukho iintlobo ezininzi ze-brachytherapy, kuquka:

Unyango lwe-ultrasound lwe-Intrapulmonary
ibrachytherapy

I-Radiotherapy ngexesha lotyando

Indlela yovavanyo yonyango lweradiyo kwi-intraoperative ikulingo lwezonyango eMelika. Isebenzisa idosi enye enkulu yemitha - enikwe ngqo kwibhedi yethumba - emva kokuba ithumba lisusiwe nge lumpectomy kunye nokusikwa kusavuliwe.

Emva kolu hlobo lwemitha, indlu yakho ivaliwe kwaye awudingi naluphi na unyango lwemitha. Ukuze ube ngumgqatswa olungileyo kolu hlobo lonyango, imida yakho yotyando kufuneka ingabinamhlaza kwaye, okwangoku, kufuneka uthathe inxaxheba kulingo lwezonyango.

Khetha eyona ndlela ilungileyo
Ngaphambi okanye emva kotyando lwebele, ugqirha wakho uya kuxoxa ngeendlela onokukhetha kuzo ngemitha nawe. Ukhetho lwakho lweradiotherapy luya kugqitywa neenkcukacha ezininzi zokuxilongwa kwakho.

Imitha yomhlaza webele lunyango lwasekuhlaleni oluchaphazela kuphela indawo enyangwayo. Unyango alunantlungu kwaye unyango ngalunye luthatha malunga nemizuzu engama-30.

Unokuba neziphumo ebezingalindelekanga ezingephi ukusuka kwimitha. Kodwa ukunyamekela ulusu lwakho kunye nokwazisa ugqirha wakho ngazo naziphi na iingxaki zolusu kubalulekile ekubuyiseleni kwakho. Khumbula ukuba imitha yebele iwunciphisa kakhulu umngcipheko wokuphindaphinda kwaye inyuse ukusinda kwakho.

Umhlaza wamabele awukwazi ukunyanga, kodwa kunzima ukunyanga xa ukwimeko ephucukileyo.