Gomarara randaigona kutarisana naro. Kurasikirwa neBreast yangu Ndakatadza

Zvemukati

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• Fiona MacNeill ane makore mashoma kundikurira, ane makore ekupedzisira makumi mashanu.
• Kurapa gomarara repazamu kuri kuwedzera kuve munhu.
• Asi kuseka zviri kuitika kuvakadzi post-mastectomy kunonetsa.
• Vhiki mushure mekuregererwa kwangu kwemastectomy, ndakadzokera kuchipatara kunotora lumpectomy.

Tekisi yakasvika kwaedza asi yaigona kunge yakatouya kare; Ndanga ndakasvinura husiku hwese. Ndakanga ndichitya pamusoro pezuva rakanga rakamirira mberi uye zvarinoreva kwoupenyu hwangu hwese.

Kuchipatara ndakachinja kuita gown repamusoro-soro raizondidziisa mukati memaawa marefu ndingave ndisingazive, uye chiremba wangu wekuvhiya akasvika kuzoita pre-operative check nekukurumidza. Yakanga iri kutozosvikira ave pamusuwo, ave kuda kubuda mumba, apo kutya kwangu kwakazowana izwi rayo. "Ndapota," ndakadaro. “Ndinoda rubatsiro rwako. Uchandiudza zvakare imwezve nguva: nei ndichida ichi mastectomy? ”

Akadzokera kwandiri, uye ini ndikaona kumeso kwake kuti aitoziva chii, mukati kati, ini ndainzwa nguva yese iyi. Uku kuvhiya kwaisazoitika. Taizofanira kutsvaga imwe nzira.

Gomarara repazamu rakange razara hupenyu hwangu mavhiki mashoma apfuura, pandakaona diki diki pedyo nezamu rangu rekuruboshwe. Chiremba akafunga kuti chaisava chinhu - asi sei kuzviisa panjodzi, akabvunza achifara, achirovera pabhodhi rake kuronga kuendesa.

Pakiriniki mazuva gumi gare gare, nhau dzakaita sedzine tariro zvakare: iyo mammogram yakanga yakajeka, chipangamazano akafungidzira kuti yaive cyst. Mazuva mashanu gare gare, adzoka kukiriniki, hunhu hweanopa mazano akawanikwa achirasika. Bhiopsy yakaratidza kuti ndaive negiredhi 2 invasive carcinoma.

Ndakavhunduka, asi kwete kupererwa. Murairidzi akandivimbisa kuti ndinofanira kuve mukwikwidzi akanaka pane yaakadana kuvhiya kuchengetedza zamu, kubvisa chete nyama yakakanganiswa (izvi zvinowanzozivikanwa se lumpectomy). Izvo zvaizoguma zvave zvekare kumwe kufanotaura zvisizvo, asi ini ndinotenda tariro yekutanga yaakandipa. Cancer, ndakafunga, ini ndaigona kubata nayo. Kurasikirwa nezamu rangu handina kukwanisa.

Iyo yekuchinja-mutambo kurova kwakauya svondo rinotevera. Bundu rangu rakanga ronetsa kunzvera nekuti raive mumakomba emuzamu, zvichipesana nemakomba (panosvika makumi masere muzana emakenza anokanganisa mazamu). Lobular kenza inowanzo nyengedza mammography, asi zvinowanzoitika kuratidza paMRI scan. Uye mhedzisiro yeMRI scan yangu yaiparadza.

Bundu rakapetwa nepazamu rangu raive rakakura kudarika iro ultrasound yakanga yaratidza, kusvika pamasendimita gumi (10 cm! Ini handina kumbonzwa nezve chero munhu ane bundu rakakura kudaro). Chiremba uyo akaburitsa nhau haana kutarisa kumeso kwangu; maziso ake akasunganidzwa pakombuta yake, nhumbi dzake dzekurwa nemanzwiro angu. Isu taive takaparadzana mainches asi tingave takave pamapuraneti akasiyana. Paakatanga kupfura mazwi akaita sekuti "kudyara", "dorsi kurova" uye "kuvaka nyini" pandiri, ndakanga ndisati ndatombotanga kugadzirisa nhau dzekuti, kwehupenyu hwangu hwese, ndinenge ndisina zamu rimwe chete.

Chiremba uyu airatidzika kunge ane shungu pamazuva ekuvhiya ekutaura pane kundibatsira kuti ndiite njere dzemaelstrom. Chinhu chimwe chandakaziva ndechekuti ndaifanira kubva paari. Zuva rakatevera shamwari yakanditumira runyorwa rwevamwe vanachipangamazano, asi ndotangira papi? Uyezve ndakacherekedza kuti zita rimwe chete pachiratidziro raive remukadzi. Ndakafunga kuyedza kuwana nguva yekumuona.

Fiona MacNeill ane makore mashoma kundikurira, ane makore ekupedzisira makumi mashanu.

Ini handirangarire chero chinhu nezve yedu yekutanga chat, mazuva mashoma mushure mekunge ndaverenga zita rake. Ini ndaive zvese pagungwa, ndichifamba-famba. Asi mune simba 10 dutu iro hupenyu hwangu hwakangoerekana hwave, MacNeill ndiyo yaive yekutanga kuona kwangu nyika yakaoma kwemazuva. Ndakaziva kuti aive munhu wandaigona kuvimba naye. Ndakanzwa kufara zvakanyanya mumaoko ake zvekuti ndakanga ndatanga kudzima kutyisa kwekurasikirwa nezamu rangu.

Chandakanga ndisingazive ipapo ndechekuti kuwanda kwemanzwiro kuri kuita kwevakadzi pamusoro pemazamu avo. Pakupedzisira kune avo vane nzira yekuvatora-kana-kuvasiya, vanonzwa kuti mazamu avo haana kunyanya kukosha kune kwavo kuzivikanwa. Kune vamwe vakadzi vakaita seni, kwavari mazamu anoita kunge akakosha kunge moyo kana mapapu.

Zvandakawanawo ndezvekuti kazhinji kazhinji pane zvishoma kana hapana kubvumwa kweizvi. Vazhinji vakadzi vane izvo zvichave kuvandudza hupenyu kwecancer yemazamu havana mukana wekuona chiremba wezvepfungwa pamberi pekuvhiya

Dai ndakanga ndapihwa mukana iwoyo, zvingadai zvakave pachena mukati memaminetsi gumi ekutanga kuti ndakanga ndisina mufaro zvakadii, mukati mangu, nepfungwa yekurasa zamu rangu. Uye nepo nyanzvi dzegomarara repazamu dzichiziva kuti rubatsiro rwepfungwa rungave mukana mukuru kuvakadzi vazhinji, huwandu hwakawanda hweavo vanoonekwa hunoita kuti husaite.

Muzvipatara zvakawanda zveNHS, zvekurapa psychology zviwanikwa zvecancer yemazamu ishoma. Mark Sibbering, chiremba wezvechiremba kuRoyal Derby Hospital uye mutsivi waMacNeill semutungamiriri weChechi yeChechi Kuvhiya, anoti ruzhinji rwunoshandiswa kumapoka maviri: varwere vanofunga nezvekuvhiya kunoderedza njodzi nekuti vanotakura majini kuchinjisa kenza yemazamu, uye avo vane gomarara mune rimwe zamu avo vari kufunga nezve mastectomy yeavo asina kubatika.

Chikamu chechikonzero chekuti ndakaviga kusafara kwangu pakurasikirwa nechipfuva changu ndechekuti MacNeill anga awana imwe nzira iri nani pane dorsi flap maitiro ayo mumwe chiremba anovhiya aipa: kuvaka DIEP. Yakatumidzwa mushure meropa muropa mudumbu, maitiro anoshandisa ganda nemafuta kubva ipapo kuvaka zvakare chipfuva. Yakavimbisa chinotevera-chakanakisa chinhu chekuchengetedza zamu rangu, uye ndaive nechivimbo chakanyanya kuna chiremba wekuvhiya uyo aizoita kuvaka zvakare sezvandakaita muMacNeill, uyo aizoita mastectomy.

Asi ini ndiri mutori venhau, uye pano hunyanzvi hwangu hwekuferefeta hwandiwisira pasi. Zvandaifanira kunge ndichi bvunza ndezvekuti: kune dzimwe nzira here kune mastectomy?

Ndakanga ndakatarisana nekuvhiyiwa kukuru, kuvhiyiwa kwemaawa gumi kusvika gumi nemaviri. Chaizondisiya ndine zamu nyowani randisinganzwe uye nekukuvara kwakakomba pachipfuva changu nepadumbu, uye ndingadai ndisisina zamu rekuruboshwe (kunyangwe kuvakwa kwemazamu kunokwanisika kune vamwe vanhu). Asi ndine mbatya dzangu, pakanga pasina mubvunzo kuti ndaizotaridza kushamisika, neepter boobs uye dumbu rakatetepa.

Ndiri wepamoyo ndine tariro. Asi nepo ini ndaitaridza kune avo vakandikomberedza kunge ndichifamba ndine chivimbo ndichienda kunogadzirisa, iko kuziva kwangu kwaive kutsigira kumberi nekure kure. Hongu ndaiziva kuti oparesheni yacho yaizobvisa gomarara, asi chandakatadza kuverenga ndechekuti ndaizonzwa sei nezvemuviri wangu mutsva.

Ndakagara ndichida mazamu angu, uye akakosha kune pfungwa yangu pachangu. Ivo chikamu chakakosha chebonde rangu, uye ini ndaiyamwisa mumwe nemumwe wevana vangu vana kwemakore matatu. Kutya kwangu kukuru kwaive kwekuti ndinoderedzwa nemastectomy, kuti handizombonzwazve kuzara, kana kuzvivimba zvechokwadi kana kugadzikana neni.

Ndakaramba manzwiro aya kwenguva yakareba sezvandaigona, asi mangwanani ekuvhiya pakanga pasina kwekuhwanda. Handizive zvandaitarisira pandakazotaura kutya kwangu. Ini ndinofungidzira ndaifunga kuti MacNeill achadzokera mumba, agare pasi pamubhedha andipe pep hurukuro. Pamwe ini ndaingoda kumbobata-ruoko uye kuvimbiswa kuti zvese zvaizoitika zvakanaka pakupedzisira.

Asi MacNeill haana kundipa pep hurukuro. Kana iye haana kuedza kundiudza kuti ndaiita chinhu chakarurama. Zvaakataura ndezvekuti: "Unofanira kungoitwa nemastectomy kana uine chokwadi chekuti ndicho chinhu chakakodzera. "Kana usina chokwadi, hatifanire kuita oparesheni iyi - nekuti ichave ichichinja hupenyu, uye kana usati wagadzirira shanduko iyi ingangove nepfungwa huru pane ramangwana rako."

Zvakatora imwe awa kana zvakadaro tisati taita sarudzo chaiyo yekukanzura. Murume wangu aida kumwe kunyengetedza kuti yaive nzira kwayo yekuita, uye ini ndaifanira kutaura naMacNeill nezve izvo zvaaigona kuita pachinzvimbo chekubvisa kenza (zvakanyanya, aizoedza lumpectomy; aisakwanisa kuvimbisa kuti achakwanisa kuti abvise uye andisiye nezamu rakanaka, asi aizoita zvese zvaainogona). Asi kubva panguva yaakapindura sezvaaiita, ini ndaiziva kuti mastectomy yaisazove ichitora nzvimbo, uye kuti yaive zvachose mhinduro isiri yangu.

Chakanga chave pachena kwatiri tese ndechekuti hutano hwangu hwepfungwa hwaive panjodzi. Ehe ndaida kuti cancer yaenda, asi panguva imwe chete ndaida kuti pfungwa yangu ive yakasimba.

Kwemakore matatu nehafu kubva musi iwoyo muchipatara, ndakave nekumwe kugadzwa kwakawanda naMacNeill.

Chinhu chimwe chete chandakadzidza kwaari ndechekuti vakadzi vazhinji vanotenda zvisizvo kuti mastectomy ndiyo chete kana nzira yakachengeteka yekubata nekenza yavo.

Akandiudza kuti vakadzi vazhinji vanowana bundu remuzamu - kana kunyangwe pre-inopinda kenza yemazamu yakadai seductal carcinoma In situ (DCIS) - tenda kuti kubayira rimwe kana mazamu avo ese kuchavapa izvo zvavanoshuvira zvakanyanya: mukana wekurarama uye ramangwana risina gomarara.

Iwayo airatidzika kunge ari meseji yakatorwa nevanhu kubva kuna Angelina Jolie's yakasarudzika sarudzo muna2013 kuve nemastectomy yakapetwa kaviri. Asi izvo zvaisave zvekurapa gomarara chairo; ichi chaive chiito chekudzivirira, chakasarudzwa mushure mekunge aona kuti aive akatakura zvakasiyana zvine njodzi zvejini reCAA. Izvo, zvakadaro, zvaive nuance kune vazhinji.

Izvo chokwadi nezve mastectomy chakaoma, asi vakadzi vazhinji vanoitisa imwechete kana zvakapetwa mastectomy vasina kana kutanga kuvasunungura. Sei? Nekuti chinhu chekutanga chinoitika kwauri paunoudzwa kuti une cancer yemazamu ndechekuti iwe unotya zvakanyanya. Izvo iwe zvaunotya kwazvo zviri pachena: kuti uchafa. Uye iwe unoziva kuti unogona kuramba uchirarama usina zamu (rako), saka iwe unofunga kana kuvabvisa ndiyo kiyi yekuramba uri mupenyu, wakagadzirira kuvaonekana.

Muchokwadi, kana iwe uine kenza mune rimwe zamu, njodzi yekuiwana mune rimwe zamu rako kazhinji ishoma pane njodzi yekenza yepakutanga inodzoka mune chimwe chikamu chemuviri wako.

Iyo kesi yemastectomy ingangodaro inotonyanya kunyengetedza kana iwe uchiudzwa iwe unogona kuve nekuvakazve iyo ichave ingangoita seyakanaka seicho chaicho chinhu, pamwe nechidumbu chinosvika kubhuti. Asi heino rubha: nepo vazhinji veavo vanoita sarudzo iyi vachitenda kuti vari kuita chinhu chakachengeteka uye chakanakisa kuzvidzivirira kubva kurufu uye chirwere chemunguva yemberi, chokwadi hachinyatso kuve pachena.

"Vakadzi vazhinji vanokumbira miviri mastectomy nekuti vanofunga zvichareva kuti havazowana gomarara repazamu zvakare, kana kuti havazofi nazvo," anodaro MacNeill. “Uye vamwe vanovhiya vanongotora dhayari ravo. Asi izvo zvavanofanira kuita kubvunza: nei iwe uchida iro repiri mastectomy? Chii chaunotarisira kuzadzikisa? ”

Uye panguva iyoyo, anodaro, vakadzi vanowanzo taura, "Nekuti ini handitombodi kuitora zvakare," kana "Handidi kufa nazvo," kana "Handidi kuzowana chemotherapy zvakare." "Uye ipapo unogona kuita hurukuro," MacNeill anoti, "nekuti hapana chimwe cheizvi zvishuwo chinogona kuzadzikiswa nekaviri mastectomy."

Vanachiremba vanovhiya vanhu chete. Ivo vanoda kutarisisa pane zvakanaka, anodaro MacNeill. Icho chokwadi chakanyanya kusanzwisisika chemastectomy, anodaro, ichi: kusarudza kuti murwere anofanirwa here kana kuti haafanire kuva nayo kazhinji haina kubatana nenjodzi inokonzerwa nekenza. “Icho chisarudzo chehunyanzvi, kwete sarudzo yekenza.

“Kungave kuti gomarara rakakura zvekuti haugone kuribvisa uye kusiya zamu chero riripo; kana kuti ringave kuti chipfuva chidiki kwazvo, uye kubvisa bundu richareva kubvisa mazamu mazhinji. Izvo zvese ndezvehuwandu hwegomarara kana huwandu hwezamu. "

Mark Sibbering anobvumirana. Nhaurirano dzinoitwa nachiremba wekuvhiya zamu nemukadzi akawanikwa aine chirwere checancer, anodaro, zvimwe zvezvakaomesesa zvinogoneka kufungidzira.

"Vakadzi vanoonekwa kuti vane gomarara repazamu vanouya nematanho akasiyana eruzivo rwegomarara repazamu, uye mazano akafanotarisirwa maererano nesarudzo dzekurapa," anodaro. "Kazhinji unofanirwa kutonga ruzivo rwakurukurwa zvinoenderana."

Semuenzaniso, anodaro, mukadzi ane chirwere chekenza yemazamu ichangobva kuongororwa anogona kukumbira kubatana kwemastectomy uye kuvakazve. Asi kana aine hasha, inogona kutyisidzira hupenyu kenza yemazamu, kurapwa kweizvozvo kunofanirwa kuve kwekutanga kukoshesa. Kubvisa rimwe zamu hakuchinje mhedzisiro yekurapwa uku asi, Sibbering anoti, "kuwedzera kuomarara kwekuvhiya uye kungangowedzera mukana wezvinetso zvinogona kunonoka kurapwa kwakakosha senge chemotherapy".

Kunze kwekunge murwere atoziva kare kuti ari panjodzi yekuwedzera kenza yemazamu yechipiri nekuti anotakura shanduko yeBRCA, Sibbering anoti anovenga kupa kuvhiya kwenyika mbiri. Chishuwo chake ndechekuti vakadzi vachangobva kuongororwa vaite ruzivo, vafunge zvisarudzo pane kunzwa kudiwa kwekumhanyira mukuvhiyiwa.

Ini ndinofunga ndakauya padhuze sezvazvinogona kuuya kuchisarudzo chandinotenda ndingadai ndakademba. Uye ndinofunga kune vakadzi kunze uko vangangodaro vakaita sarudzo dzakasiyana dai vaiziva izvo zvese zvavanoziva izvozvi.

Ndichiri kutsvagurudza chinyorwa ichi, ndakabvunza mumwe gomarara vanobatsira nezvevapenyu vegomarara vavanopa sevatauriri venhau kuti vataure nezvenyaya dzavo. Iyo charity yakandiudza kuti ivo havana nyaya dzenyaya dzevanhu vasinganzwe chivimbo pamusoro pemastectomy sarudzo dzavakaita. "Nyaya dzenyaya dzaiwanzobvumiranwa kuva vatauriri nekuti vanonzwa kudada neruzivo rwavo uye nemuviri wavo mutsva," akadaro mupepanhau. "Vanhu vanonzwa vasina chivimbo vanowanzoita kunzvengwa nevanhu."

Uye zvechokwadi pane vakadzi vazhinji kunze uko vanogutsikana nesarudzo yavakaita. Gore rakapera ndakabvunzurudza nhepfenyuro yeBritish uye mutori wenhau Victoria Derbyshire. Aive aine gomarara rakafanana kwandiri, bundu rinobvarura raive nemamirimita makumi matanhatu nematanhatu panguva yaakabatwa, uye akasarudza kuita mastectomy nekuvakazve zamu.

Akasarudzawo kudyara pane kuvakazve DIEP nekuti kudyara ndiyo inokurumidza uye yakapusa nzira yekuvakazve, kunyangwe zvisiri zvepanyama sekuvhiya kwandakasarudza. Victoria haanzwe kuti mazamu ake akamutsanangudza: ari kune rimwe divi remitambo kubva kwandiri. Anofara kwazvo nesarudzo yaakaita. Ini ndinogona kunzwisisa sarudzo yake, uye naiye anokwanisa kunzwisisa yangu.

Kurapa gomarara repazamu kuri kuwedzera kuve munhu.

Seti yakasarudzika yemhando dzakasiyana inofanirwa kuyerwa zvine chekuita nechirwere, nzira dzekurapa, manzwiro emukadzi nezve muviri wake, nemaonero ake enjodzi. Zvese izvi chinhu chakanaka - asi zvichave zviri nani, mumaonero angu, kana paine hurukuro yakatendeseka nezve izvo mastectomy inogona uye isingakwanise kuita.

Tichitarisa pane yazvino data, maitiro anga ari ekuti vakadzi vazhinji uye vane kenza mune rimwe zamu vari kusarudza kaviri mastectomy. Pakati pa1998 na2011 muUS, mitengo yeviri mastectomy pakati pevakadzi vane kenza mune rimwe zamu.

Kuwedzera kwakaonekwa zvakare muEngland pakati pa2002 na2009: pakati pevakadzi vane yavo yekutanga kenza yemazamu oparesheni, iyo mbiri mastectomy chiyero.

Asi humbowo hunotsigira chiito ichi here? Ongororo yaCochrane yedzidzo yakagumisa ichiti: "Mumadzimai akambova nekenza mune rimwe zamu (uye nekudaro vari panjodzi huru yekubatwa negomarara rekutanga mune rimwe) kubvisa rimwe zamu (contralateral prophylactic mastectomy kana CPM) kunogona kuderedza kuitika kwe kenza mune rimwe zamu, asi hapana humbowo hwakakwana hwekuti izvi zvinovandudza kupona. ”

Iko kuwedzera muUS kungangoita, muchidimbu, kuve nekuda kwenzira yekuchengetwa kwehutano - vakadzi vane hutano hwakanaka hweinishuwarenzi vane kuzvitonga kuzhinji. Double mastectomies inogona zvakare kuve inosarudzika sarudzo kune vamwe nekuti kuwanda kwekuvaka muUS kunoitwa uchishandisa masisitimu kwete matishu kubva mumuviri wemurwere - uye kuiswa mune zamu rimwe chete kunopa kupa asymmetrical mhedzisiro.

"Asi," anodaro MacNeill, "kuvhiya kwakapetwa kunoreva zvakapetwa njodzi - uye haisi zvakapetwa zvakapetwa." Iko kuvaka patsva, pane kuita mastectomy pachayo, iyo inotakura idzi njodzi.

Panogona zvakare kuve neyakagadzikana yepfungwa kune mastectomy semaitiro. Pane tsvagiridzo inoratidza kuti vakadzi vakavhiyiwa, vaine kana vasina kuvaka zvakare, vanonzwa kukanganisa maitiro avo ezvo, zvechikadzi uye zvebonde.

Sekureva kweEngland National Mastectomy uye Breast Reconstruction Audit mu2011, semuenzaniso, vakadzi vana chete pagumi muEngland vakagutsikana nekutaridzika kwavakaita vasina kupfeka mushure mekuzvimba pasina kuvakwazve, vachikwira kusvika kune vatanhatu pagumi yeavo vaive nekukurumidza kuvakwazve zamu.

Asi kuseka zviri kuitika kuvakadzi post-mastectomy kunonetsa.

Diana Harcourt, purofesa wechitarisiko uye hutano hwepfungwa paUniversity yeWest yeEngland, akaita basa rakawanda nemadzimai akambove nekenza yemazamu. Iye anoti izvo zvinonzwisisika kuti mukadzi akave nemitezo haadi kunzwa kuti akanganisa.

"Chero vakadzi vanofamba mushure mekuberekwa, vanowanzozviratidza kuti nzira iyi ingadai yakanyanya kuipa," anodaro. “Asi hapana mubvunzo kuti zvine simba guru pamaonero anoita mukadzi nezvemuviri wake uye nechitarisiko chake.

“Kunaka uye kuvaka patsva hakusi kungoita kamwe chete - haungopfuure pazviri uye ndizvozvo. Icho chiitiko chakakosha uye unogara nemhedzisiro nekusingaperi. Kunyange kuvaka patsva kwakanyanya hakuzombofi kwakafanana nekudzoserwa zamu rako zvakare. ”

Nekuti, yakazara mastectomy yaive yegoridhe-yakajairwa kurapwa kwekenza yemazamu. Yekutanga forays mukuvhiya-kuchengetedza zamu kwakaitika muma1960. Iyo nzira yakafambira mberi, uye muna 1990, iyo US National Institutes of Health yakaburitsa nhungamiro ichikurudzira lumpectomy pamwe ne radiotherapy yevakadzi vane gomarara repazamu rekutanga. Yakanga "iri nani nekuti inopa kupona kwakaenzana neiyo yakazara mastectomy uye axillary dissection ichichengetedza zamu".

Mumakore apfuura, kumwe kutsvagurudza kwakaratidza kuti lumpectomy pamwe ne radiotherapy zvinogona kutungamira kune zvirinani kupfuura mastectomy. Semuenzaniso, yakavakirwa muCalifornia yakatarisa vakadzi vanosvika 190,000 vane unilateral kenza yemazamu (nhanho 0 kusvika III). Chidzidzo, chakaburitswa muna2014, chakaratidza kuti bilatical mastectomy yakanga isingabatanidzwe neyepasi kufa pane lumpectomy ine radiation. Uye ese maitirwo aya aive nerufu rwakaderera pane unilateral mastectomy.

A akatarisa varwere gumi nevaviri. Yakagumisa kuti lumpectomy pamwe neradiotherapy "inogona kusarudzika muvazhinji varwere vegomarara repazamu" avo vanogona kunge vakasanganiswa kana mastectomy.

Asi inoramba iri mufananidzo wakasanganiswa. Pane mibvunzo yakamutswa neichi chidzidzo uye mimwe, kusanganisira maitiro ekugadzirisa zvinhu zvinokanganisa, uye maitiro evarwere vakadzidza anogona kukanganisa zvabuda.

Vhiki mushure mekuregererwa kwangu kwemastectomy, ndakadzokera kuchipatara kunotora lumpectomy.

Ini ndaive murwere weinishuwarenzi ndega. Kunyangwe ini ndingadai ndakazowana chengetedzo imwechete paNHS, mumwe mutsauko unogoneka wanga usiri wekumirira kwenguva yakareba kuti riitwe basa.

Ini ndaive mune yekuvhiya theatre kwemaawa asingasviki maviri, ndakaenda kumba mubhazi mumashure, uye ini ndaisada kutora painkiller imwe chete. Kana rondedzero yachiremba pamusoro penyama yainge yabviswa yaburitsa maseru egomarara zvine ngozi padyo nemahombekombe, ndakadzokera kechipiri lumpectomy. Mushure meiyi, margins aive akajeka.

Lumpectomies anowanzo kuperekedzwa ne radiotherapy. Izvi dzimwe nguva zvinofungidzirwa sekudzokera shure, sezvo zvinoda kushanyirwa kuchipatara kwemazuva mashanu pasvondo kwevhiki nhatu kusvika kumatanhatu. Yakave yakabatanidzwa nekuneta uye shanduko yeganda, asi zvese izvo zvakaita senge mutengo mudiki wekubhadhara kuchengetedza zamu rangu.

Kumwe kusanzwisisika pamusoro pekuwedzera kwenhamba yemastectomies ndeyekuti mushonga urikufambira mberi kuri kudzikisa kudiwa kwekuvhiyiwa kwakanyanya, kunyangwe nemamota makuru emuzamu. Pane zvikamu zviviri zvakakosha: yekutanga ndeyekuvhiya kweplastic, uko lumpectomy inoitwa panguva imwechete nekuvakazve. Iye anovhiya anobvisa gomarara uyezve kugadzirisa maronda echipfuva kuti arege kusiya chiuno kana kunyudza, sezvakawanzoitika nemalumpectomies munguva yakapfuura.

Wechipiri arikushandisa chemotherapy kana endocrine madhiragi kuti abvise bundu, izvo zvinoreva kuti kuvhiyiwa kwacho kunogona kushomeka. Muchokwadi, MacNeill ine varwere gumi paMarsden vakasarudza kusavhiyiwa chero nekuti mamota avo airatidzika kunge akanyangarika mushure mekurapwa kwemishonga. "Tiri kunetsekana nekuti hatizive kuti ramangwana richamira sei, asi ava vanhukadzi vane ruzivo rwakanyanya, uye takave nekutaurirana kwakajeka, kwakatendeseka," anodaro. "Handikwanise kukurudzira maitiro aya, asi ndinogona kutsigira."

Handifunge nezvangu semunhu akapona nekenza yemazamu, uye handimbonetseki nezvegomarara richidzoka. Zvinogona, kana zvingasadaro - kunetseka hakuite mutsauko. Kana ndikabvisa mbatya dzangu husiku kana kujimu, muviri wandinayo ndiwo muviri wandagara ndinawo. MacNeill akacheka bundu - rakazove 5.5 cm, kwete 10 cm - kuburikidza necision pane yangu areola, saka handina vanga rinooneka. Iye akabva agadzirisazve chipfuva chemazamu, uye iyo denda iri isingaonekwe.

Ndinoziva ndakaita rombo rakanaka. Chokwadi ndechekuti handizive kuti chii chaizoitika dai takaenda kumberi nemastectomy. Uturu hwangu, kuti hwaizondisiya ndiine matambudziko epfungwa, hunogona kunge hwakaiswa zvisirizvo. Ndingave ndakanaka mushure mezvose nemuviri wangu mutsva. Asi izvi ndinoziva: Ini handingave ndiri munzvimbo iri nani kupfuura zvandiri izvozvi. Uye ini zvakare ndinoziva kuti vakadzi vazhinji vakamboita mastectomies vanoona zvakaoma kuzviyananisa pachavo nemuviri wavanogara mushure mekuvhiyiwa.

Chandakawana ndechekuti mastectomy haisiriyo yega nzira, yakanakisa kana yakashinga nzira yekubata nekenza yemazamu. Chinhu chakakosha kunzwisisa sekukwanisika izvo chero kurapwa kunogona uye kusingakwanise kuzadzikiswa, saka sarudzo yaunotora haina kubva pane zvisina kuongororwa hafu-chokwadi asi pakufungisisa kwakakodzera izvo zvinogoneka.

Kunyanya kukosha kuziva kuti kuve murwere wekenza, zvinotyisa kunyangwe kuri, hakuregererwe pabasa rako rekuita sarudzo. Vanhu vakawandisa vanofunga kuti chiremba wavo anogona kuvaudza zvavanofanira kuita. Ichokwadi ndechekuti sarudzo yega yega inouya nemubhadharo, uye munhu wega anogona pakupedzisira kuyera zvayakanakira nezvayakaipira, uye kuita sarudzo iyoyo, haasi chiremba wako. Ndiwe.

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