Bvisa bundu kubviswa

Chipfuva kubvisa bundu kuvhiya kubvisa bundu iro rinogona kunge riri gomarara repazamu. Nyama yakakomberedza bundu inobviswawo. Uku kuvhiya kunodaidzwa kunokatyamadza chipfuva biopsy, kana lumpectomy.

Kana bundu risingaratidzi gomarara rakadai sefibroadenoma yezamu rikabviswa, izvi zvinodaidzwawo kunzi zamu biopsy, kana lumpectomy.

Dzimwe nguva, mupi wezvehutano haakwanise kunzwa bundu kana achikuongorora. Zvisinei, inogona kuonekwa pamigumisiro yekufungidzira. Mune ino kesi, waya nzvimbo inoitwa pamberi pekuvhiya.

• A radiologist anoshandisa mammogram kana ultrasound kuisa tsono (kana kuti netsiva) mukati kana padyo nenzvimbo yemazamu isina kujairika.
• Izvi zvinobatsira chiremba anovhiya kuziva kuti gomarara riripi kuti ribviswe.

Chipfuva bundu kubviswa kunoitwa sekuvhiya kwekunze nguva zhinji. Iwe unozopihwa general anesthesia (iwe unenge wakarara, asi kurwadziwa pasina) kana yemuno anesthesia (iwe wakamuka, asi wakagadzikana uye unorwadziwa mahara). Maitiro acho anotora inenge 1 awa.

Chiremba anovhiya anoita kucheka kudiki pazamu rako. Iyo gomarara uye nezvimwe zvakajairwa zvemazamu zvinyoro zvakakomberedza zvinobviswa. Nyanzvi yezvirwere anoongorora sampuro yetissue yakabviswa kuti ave nechokwadi chekuti gomarara rese raburitswa.

• Kana pasina masero ekenza akawanikwa padhuze nemipendero yetishu yakabviswa, unonzi mwero wakajeka.
• Chiremba wako anovhiya anogona zvakare kubvisa mamwe kana ese ma lymph node muhapwa mako kuti aone kana gomarara rapararira kwavari.

Dzimwe nguva, zvidimbu zvidiki zvesimbi zvichaiswa mukati mechipfuva kuratidza nzvimbo yekubvisa matishu. Izvi zvinoita kuti nzvimbo iyi ive nyore kuona pane ramangwana mammograms. Izvo zvakare zvinobatsira kutungamira radiation radiation, pazvinenge zvichidikanwa.

Chiremba anovhara ganda rako nemastitch kana staples. Izvi zvinogona kunyungudika kana kuda kubviswa gare gare. Kazhinji, dhureipi chubhu inogona kuiswa kuti ibvise mamwe emvura. Chiremba wako anozotumira bundu kuna chiremba kuti arambe achiongororwa.

Kuvhiya kubvisa kenza yemazamu kazhinji ndiyo nhanho yekutanga yekurapa.

Sarudzo yekuvhiya kwakanakira iwe inogona kuve yakaoma. Zvinogona kuve zvakaoma kuziva kuti lumpectomy kana mastectomy (kubviswa kwese zamu) kwakanyanya kunaka. Iwe nevatapi vari kurapa kenza yemazamu yenyu muchasarudza pamwe chete. Kazhinji:

• Lumpectomy inowanzo sarudzirwa madiki madiki ezamu. Izvi zvinodaro nekuti idiki nzira uye ine mukana wakafanana wekurapa kenza yemazamu seye mastectomy. Iyi sarudzo yakanaka sezvo iwe uchisvika pakuchengeta yakawanda yemazamu ako enyama isina kukanganiswa nekenza.
• Mastectomy kubvisa zvese zvipfuva zvemuzamu zvinogona kuitwa kana nzvimbo yekenza yakakura kwazvo kana paine mamota akawanda asingakwanise kubviswa pasina kuora zamu.

Iwe nemupi wako munofanira kufunga:

• Kukura kwebundu rako
• Iko kuri muzamu rako
• Kana paine bundu rinopfuura rimwe chete
• Zvakawanda sei zamu rinokanganiswa
• Kukura kwemazamu ako zvine chekuita nebundu
• Zera rako
• Nhoroondo yemhuri yako
• Hutano hwako hwakazara, kusanganisira kana wasvika kumwedzi
• Kana iwe uri nepamuviri

Ngozi dzekuvhiyiwa ndeidzi:

• Kubuda ropa
• Utachiona
• Kupora maronda
  
• Kurwara kwemoyo, sitiroko, kufa
  
• Zviitiko kumishonga
• Njodzi dzakabatana neanesthesia yakajairika

Kuonekwa kwezamu rako kunogona kuchinja mushure mekuvhiyiwa. Iwe unogona kuona kudzikira, vanga, kana mutsauko muchimiro pakati pemazamu ako. Zvakare, iyo nzvimbo yezamu yakatenderedza incision inogona kunge iri chiveve.

Iwe ungangoda imwe nzira yekubvisa mamwe mazamu echipfuva kana bvunzo dzichiratidza kuti gomarara rave padyo zvakanyanya kumucheto kwetishu yatobviswa.

Nguva dzose udza mupi wako:

• Kana iwe uchigona kuve nepamuviri
• Ndeapi madhiragi auri kutora, kunyangwe madhiragi kana mahebhu awakatenga pasina mushonga
• Allergies iwe aungave uine anosanganisira mishonga uye latex
  
• Zviitiko kune anesthesia munguva yakapfuura
  

Munguva yemazuva usati wavhiyiwa:

• Unogona kubvunzwa kuti usiye kutora aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin), uye chero mimwe mishonga inoita kuti ropa rako rigone kugwamba. Ive neshuwa yekubvunza mupi wako kuti ndeapi mishonga mishonga inofanirwa kumiswa, uye kwenguva yakareba sei usati waita maitiro ako.
• Kumbira mupi wako kuti ndeapi madhiragi aunofanirwa kutora pazuva rekuvhiyiwa kwako.
• Ukasvuta, edza kumira kweanenge mavhiki maviri pamberi pekuvhiyiwa. Mupi wako anogona kubatsira.

Pazuva rekuvhiyiwa:

• Tevera mirairo yemupi wako nezvekudya kana kunwa usati wavhiyiwa.
• Tora mishonga yawakaudzwa nemupi wako kuti utore nekamwe kadiki kemvura.
• Wako mupi achakuudza iwe kuti usvike riini maitiro.

Iyo yekudzoresa nguva ipfupi kwazvo kune yakapusa lumpectomy. Vakadzi vazhinji vane marwadzo mashoma, asi kana iwe uchinzwa kurwadziwa, unogona kutora mushonga wemarwadzo, senge acetaminophen.

Ganda rako rinofanira kupora munenge mwedzi. Iwe unozofanirwa kutarisira iyo yekuvhiya yakatemwa nzvimbo. Chinja kupfeka sezvaunokuudzwa nemupi wako. Tarisa zviratidzo zvehutachiona paunosvika kumba (senge kutsvuka, kuzvimba, kana kubuda kubva kune iyo incision). Pfeka bhurugwa rakanaka rinopa rutsigiro rwakanaka, senge bhora remitambo.

Iwe ungangoda kudurura mvura inonwisa mvura kashoma pazuva kwevhiki imwe chete kana mbiri. Iwe unogona kukumbirwa kuyera uye kurekodha huwandu hwemvura yakadururwa. Wako mupi achabvisa dhureni gare gare.

Vazhinji vakadzi vanogona kudzokera kuzvinhu zvavo zvenguva dzose muvhiki kana zvakadaro. Dzivisa kusimudza zvinorema, kumhanya, kana zviitiko zvinokonzeresa kurwadziwa munzvimbo yekuvhiya kwevhiki imwe chete kana mbiri.

Mhedzisiro ye lumpectomy yekenza yemazamu inoenderana zvakanyanya nehukuru hwecancer, pamwe neyakaumbwa bundu. Izvo zvakare zvinoenderana nekupararira kwayo kune lymph node pasi peruoko rwako.

Lumpectomy yekenza yemazamu inowanzo kuteverwa ne radiation radiation uye mamwe marapirwo akadai chemotherapy, hormonal therapy, kana zvese zviri zviviri.

Muzviitiko zvakawanda, haudi kuvakwazve zamu mushure mekuputika.

Lumpectomy; Kunakidzwa kwese kwenzvimbo; Kuvhiya mazamu; Kuvhiya kwepabonde; Partial mastectomy; Segmental resection; Tylectomy

• Chipfuva chekunze danda radiation - kubuda
• Lymphedema - kuzvitarisira
• Mastectomy - kubuda
• Kuchengeta ronda rekuvhiya - rakavhurika

• Chipfuva chevakadzi
• Tsono biopsy yezamu
• Vhura biopsy yezamu
• Chipfuva kuzviongorora
• Chipfuva kuzviongorora
• Chipfuva kuzviongorora
• Mazamu mapundu
• Lumpectomy
• Zvinokonzera mapundu emuzamu
• Chipfuva kubvisa bundu - nhevedzano

American Cancer Society. Kuvhiya-kuchengetedza zamu (lumpectomy). www.cancer.org/cancer/breast-cancer/treatment/surgery-for-breast-cancer/breast-conservation-surgery-lumpectomy. Yakagadziridzwa Nyamavhuvhu 13, 2017. Yakasvika munaNovember 5, 2018.

Bevers TB, Brown PH, Maresso KC, Hawk ET. Kenza kudzivirira, kuongorora, uye kutanga kuona. Mune: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff's Clinical Oncology. 5 ed. Philadelphia, PA: Elsevier Saunders; 2014: chitsiko 23.

Hunt KK, Mittendorf EA. Zvirwere zamu. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 34.

IAmerican Society yeMazamu Vanachiremba. Mashandiro uye maitiro ekudzidzira ekuvhiya chipfuva / epacheche mastectomy. www.revolution.ge/ Yakagadziridzwa Kukadzi 22, 2015. Yakasvika munaNovember 5, 2018.

Wolff AC, Domchek SM, Davidson NE, Sacchini V, McCormick B. Kenza yezamu. Mune: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff's Clinical Oncology. 5 ed. Philadelphia, PA: Elsevier Saunders; 2014: chits. 91.