He aha te Lumpectomy? Te Whāinga, te Hātepe & te Whakaora

Ko te lumpectomy he pokanga e tiaki ana i te u e tango ana i te puku mate pukupuku me te iti o te kiko hauora e karapoti ana. Ma tenei tikanga ka taea e koe te pupuri i te nuinga o to u i te wa e rongoa ana i te mate pukupuku u. He maha nga wa ka kiia ko te "pokanga tiaki u" na te mea e tiaki ana i te ahua me te ahua o to u.

He maha nga wahine e rongo ana i te taumaha i te wa tuatahi ka rongo ratou mo te hiahia pokanga u. Ko te mohio ki nga mea e pa ana ki te lumpectomy ka awhina i te whakaora i aua awangawanga me te whai mana ki a koe ki te whakatau i nga whakatau mohio mo to tiaki.

He aha te lumpectomy?

Ko te lumpectomy he tikanga pokanga e tango ana i te mate pukupuku u i te wa e tiaki ana i te nuinga o to kiko u taiao. I te wa o tenei pokanga, ka tangohia e to taote te puku me te taha o te kiko hauora huri noa kia mohio ai kua whakakorea nga pūtau mate pukupuku katoa.

Whakaarohia he pokanga tika e aro ana ki te waahi raru anake. Ko te whainga kia tutuki te tango i te mate pukupuku katoa i te wa e mau tonu ana te ahua me te mahi o to u. Kua whakamatauria tenei huarahi he rite tonu te whai hua ki te mastectomy mo te mate pukupuku u i te wa o te waahi tuatahi i te wa e honoa ana ki te rongoa iraruke.

Ko te tikanga ka roa te 1-2 haora, ka mahia i raro i te rongoa whanui. Ko te nuinga o nga turoro ka taea te haere ki te kainga i te ra kotahi, i muri ranei i te noho i te po, i runga i nga ahuatanga takitahi me nga taunakitanga a te taote.

He aha te take i mahia ai te lumpectomy?

Ka mahia te Lumpectomy hei rongoa i te mate pukupuku u i te wa e tiaki ana i to u. Koinei te whiringa maimoatanga pai ina kitea te mate pukupuku i te wa wawe, ka herea ki tetahi waahi iti o te kiko u.

Ka tohutohu pea tō tākuta i te lumpectomy mēnā he mate pukupuku ū e pā ana, he ductal carcinoma in situ (DCIS) rānei tō, he momo mate pukupuku ū kāore e pā ana. Ko te rahi me te wāhi o tō puku, me tō hauora whānui, ka whakatau mēnā he kaitono pai koe mō tēnei tikanga.

He maha ngā painga o tēnei pokanga i ngā tikanga nui ake. Ka mau tonu tō āhua ū, ka poto te wā whakaora, ā, he maha ngā wā ka pai ake te tūāhua o tō tinana i muri i te rongoā. E whakaatu ana ngā rangahau ko te lumpectomy e whai ana i te rongoā iraruke e whakarato ana i ngā reiti oranga e rite ana ki te mastectomy mō te mate pukupuku ū i te wā tuatahi.

He aha te tikanga mō te lumpectomy?

E whai ana te tikanga lumpectomy i tētahi huarahi i whakamaherehia kia tino tangohia te mate pukupuku i te wā e tiaki ana i te kiko hauora. Kua tino arotakehia e tō rōpū pokanga tō keehi me ngā rangahau whakaahua i mua i te tīmatanga o te mahi.

Anei ngā mea ka pā i te wā o tō pokanga lumpectomy:

1. Ka whiwhi koe i te rongoā whānui kia tino pai koe i te wā o te tikanga
2. Ka hanga e tō tākuta pokanga tētahi tapahi iti ki runga i te wāhi puku, e whai ana i te āhua tūturu o tō ū
3. Ka tino tangohia te puku me tētahi taha o te kiko hauora huri noa i a ia
4. Ka tukuna te kiko i tangohia ki te pathology mō te whakamātau tonu kia whakapumautia ngā taha mārama
5. Mēnā kāore i te mārama ngā taha, ka tangohia pea ētahi atu kiko i te wā o te tikanga kotahi
6. Ka katia e tō tākuta pokanga te tapahi ki ngā tuitui, ki ngā topenga pokanga rānei
7. Ka whakatakotoria pea tētahi ngongo waipuke mō te wā poto mēnā e tika ana

Ko te tikanga katoa te nuinga o te wā ka roa te 1-2 haora, i runga i te rahi me te wāhi o te puku. Ka mahi pea tō tākuta pokanga i tētahi biopsy pona lymph sentinel i te wā o te mahi kotahi ki te tirotiro mēnā kua horahia te mate pukupuku ki ngā pona lymph tata.

I ētahi wā, ka whakamahi pea tō tākuta i te waea whakatakoto, i ētahi atu tikanga whakaahua rānei hei kimi tika i ngā puku iti e kore e taea te rongo i te wā o te whakamātautau. Mā tēnei ka mōhio ai te tango tika i te wā e tiaki ana i te nui o te kiko hauora ka taea.

Me pēhea te whakarite mō tō lumpectomy?

Ko te whakarite mō te lumpectomy e hāngai ana ki te whakarite tinana me te aronganui kia pai ai te hua. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake i hangaia mō tō āhuatanga takitahi.

He maha ngā mahi ka āwhina i a koe ki te whakarite mō te pokanga angitu me te whakaora:

• Kati te tango i ngā rongoā whakaheke toto i runga i te tohutohu a tō tākuta, te nuinga 7-10 rā i mua i te pokanga
• Whakaritea kia whai tangata hei taraiwa i a koe ki te kāinga me te noho tahi me koe mō te 24 haora tuatahi
• Puhi mō te 8-12 haora i mua i te pokanga i runga i te tohutohu a tō rōpū pokanga
• Mau i ngā kākahu pai, ngā kākahu wātea e pātene ana, e rānei te kumemau i mua
• Tangohia ngā whakapaipai katoa, ngā whakapaipai, me te whao i mua i te taenga atu ki te hōhipera
• Kaukau ki te hopi anti-pākētiā i te pō i mua me te ata o te pokanga
• Kawea mai he rārangi o ngā rongoā katoa me ngā tāpiringa e tango ana koe i tēnei wā

Ka tūtaki tō tākuta ki a koe i mua i te tikanga ki te whakautu i ngā pātai whakamutunga me te whakarite kia pai koe ki te haere tonu. He wā pai tēnei ki te kōrero mō ngā āwangawanga mō te pokanga, te tukanga whakaora rānei.

Whakaarohia te whakarite i tō kāinga mō te whakaora mā te whakarite i tētahi wāhi okiokinga pai me te uru ngāwari ki ngā mea e tika ana. Ko te whai i ngā pākete huka, ngā urunga pai, me ngā kōwhiringa whakangahau e wātea ana ka pai ake ai tō whakaora.

Me pēhea te pānui i ō hua lumpectomy?

Ko te māramatanga ki tō pūrongo pathology lumpectomy ka āwhina i a koe ki te mārama ki te mea i tutuki i te pokanga me ngā mahi ka whai ake i roto i tō mahere maimoatanga. E whakarato ana te pūrongo pathology i ngā mōhiohio nui mō tō mate pukupuku me te angitu o te pokanga ki te tango i ngā kiko mate pukupuku katoa.

Ka whakauru tō pūrongo pathology i ētahi kitenga matua hei ārahi i tō manaakitanga e haere tonu ana. Ko te mea nui ko te whakatutuki a tō tākuta i te "mārama o ngā taha," arā, kāore he pūtau mate pukupuku i kitea i ngā taha o te kiko i tangohia.

Koinei ngā wāhanga matua ka kōrerohia e tō pūrongo pathology:

• Te tūnga o ngā taha - mehemea ka toro atu ngā pūtau mate pukupuku ki ngā taha o te kiko i tangohia
• Te rahi me te momo o te puku - ngā āhuatanga motuhake o tō mate pukupuku
• Te tūnga o te kaiwhakawhiwhi homoni - mehemea ka aro tō mate pukupuku ki ngā homoni
• Te tūnga HER2 - he pūmua e pā ana ki te tipu o te mate pukupuku me ngā whiringa maimoatanga
• Te tohu - te āhua o te kaha o ngā pūtau mate pukupuku i raro i te tirotiro moroiti
• Te whai wāhi o te pona rākau - mehemea kua horapa te mate pukupuku ki ngā pona rākau e tata ana

Ko te mārama o ngā taha te tikanga i tangohia angitu e tō tākuta te mate pukupuku katoa e kitea ana me te kiko hauora e karapoti ana. Ki te kore e mārama ngā taha, tērā pea ka hiahia koe ki te pokanga atu anō hei tango i ētahi atu kiko me te whakarite kia tino tangohia te mate pukupuku.

Ka arotake tō tākuta mate pukupuku i ēnei hua ki a koe, ā, ka whakamārama me pēhea te pānga ki tō mahere maimoatanga. Mā ēnei kōrero e āwhina ki te whakatau mehemea ka hiahia koe ki ētahi atu maimoatanga pēnei i te chemotherapy, te rongoā homoni, te rongoā whāinga rānei.

Me pēhea te ora i muri i tō lumpectomy?

He tika tonu te ora i te lumpectomy, ā, ka hoki te nuinga o te tangata ki ngā mahi noa i roto i te 1-2 wiki. E hiahia ana tō tinana ki te wā ki te whakaora, ā, mā te whai i ngā tohutohu a tō tākuta e whakatairanga ana i te ora pai.

I ngā rā tuatahi i muri i te pokanga, tērā pea ka pā tētahi mamae, te pūhi, me te pānga o te pānga ki te wāhi pokanga. He mea noa ēnei tohu, ā, ka pai haere i te wā e ora ana tō tinana.

Me whakauru tō mahere whakaora i ēnei aratohu nui:

• Tangohia ngā rongoā mamae i whakaritea kia rite ki ngā tohutohu kia noho pai ai koe
• Kia ma, kia maroke te wāhi i pokaia, me whai i ngā tohutohu tiaki patunga motuhake
• Kaua e hiki i ngā mea taumaha (nui atu i te 10 pauna) mō te 1-2 wiki
• Whakahokia ngā mahi noa i te wā e rite ana koe
• Haere ki ngā hui whai muri katoa me tō rōpū tākuta
• Mātakitaki mō ngā tohu o te mate, pēnei i te whero nui ake, te mahana, te rerenga wai rānei
• Mahia ngā whakakōkiri ringa ngawari i te mea e tūtohutia ana kia kore ai e mārō

Ka taea e te nuinga o te tangata te hoki ki te mahi i roto i te wiki, i runga i ngā whakaritenga o tā rātou mahi. Ko ngā mahi e hāngai ana ki te hiki i ngā mea taumaha, ki te whakangungu rānei i ngā ringa me karo kia tukuna rānei e tō tākuta, te tikanga 2-4 wiki i muri i te pokanga.

He mea nui te whakaora i tō ngākau pērā i te whakaora tinana. He mea noa te āwangawanga, te pōuri, te taumaha rānei i muri i te pokanga mate pukupuku. Kaua e whakaroa ki te toro atu ki tō rōpū hauora, ki ngā rōpū tautoko, ki ngā kaiwhakatakoto whakaaro rānei mēnā e hiahia ana koe ki te tautoko aronganui i tēnei wā.

He aha ngā āhuatanga tūpono mō te hiahia ki te lumpectomy?

Ko ngā āhuatanga tūpono mō te hiahia ki te lumpectomy he rite tonu ki ngā āhuatanga tūpono mō te whanaketanga o te mate pukupuku u. Mā te māramatanga ki ēnei āhuatanga ka āwhina koe ki te whakatau whakatau mō te tirotiro me ngā rautaki ārai.

Ko ētahi āhuatanga tūpono mō te mate pukupuku u e kore e taea e koe te whakahaere, i te wā e pā ana ētahi atu ki ngā whiringa oranga e taea ana e koe te awe. Ko te pakeke tonu te āhuatanga tūpono nui rawa atu, ko te nuinga o ngā mate pukupuku u ka puta i roto i ngā wāhine neke atu i te 50 tau.

Anei ngā āhuatanga tūpono tuatahi e whakanui ana i te tūponotanga o te mate pukupuku u:

• Ko te wahine me te koroheketanga, ina koa i muri i te paheketanga
• He hitori o te whanau mo te mate pukupuku u, te mate pukupuku ovarian ranei
• Nga huringa ira tuku iho penei i te BRCA1, BRCA2 ranei
• Te mate pukupuku u o mua, etahi ahuatanga pai ranei o te u
• Te kiko u matotoru e uaua ai te kitea o te mate pukupuku
• Te pa atu ki te estrogen mo nga wa roa
• Te pa atu ki te radiation ki te rohe o te uma i te wa o te tamarikitanga, te pakeketanga ranei

Ko nga mea e pa ana ki te oranga e piki ake ai te tupono ko te inu waipiro, te taumaha i muri i te paheketanga, me te kore mahi tinana. Heoi, ko te whai i nga mea morearea ehara i te mea ka puta te mate pukupuku u.

Ko te tirotiro i nga wa katoa ma te mammograms me nga whakamatautau u haumanu ka awhina i te kitenga wawe i te mate pukupuku i te wa e angitu ana te lumpectomy. Ko te kitenga wawe ka tino pai ake nga hua maimoatanga me nga reeti oranga.

He aha nga raruraru ka puta mai i te lumpectomy?

Ko te Lumpectomy te tikanga he haumaru me te iti o te tupono o nga raruraru nui. Heoi, pera i etahi atu pokanga, he tupono ano kei roto i te pokanga, ka korerohia e to roopu pokanga ki a koe i mua i te tikanga.

Ko te nuinga o nga raruraru he iti noa, ka whakatauhia i te wa tika. Ka whai ngaio to roopu pokanga i nga tikanga whakatupato kia iti ake ai nga tupono me te whakarite i te putanga haumaru rawa atu mo to ahuatanga motuhake.

Ko nga raruraru noa ka puta ko:

• Te mate i te waahi pokanga, e pai ana te whakautu ki nga paturopi
• Te whakaheke toto, te hanga hematoma ranei e hiahia ana ki etahi atu maimoatanga
• Nga huringa o te ahua o te u, he wa poto, he pumau ranei
• Te hanga Seroma (kohinga wai) e hiahia ana ki te waikeri
• Te whiu e pa ana ki te ahua o te u
• Nga taha pai e hiahia ana ki etahi atu pokanga
• Lymphedema mena i tangohia nga ngongo lymph

Ko ngā raruraru onge engari he nui te kino ko ngā tauhohenga mate pāwera ki te rongoā whakamoe, ngā pūhui toto, he nui rānei te toto e hiahia ana ki te rongoā ohorere. Ka āta titiro tō rōpū tākuta ki a koe i te wā o te mahi me muri i te mahi ki te whakatika wawe i ngā raruraru.

Ko te nuinga o te tangata he iti noa te mamae, ka ora katoa i roto i te 4-6 wiki. Ko tō tūponotanga ki ngā raruraru e whakawhirinaki ana ki ngā mea pēnei i tō hauora whānui, te rahi me te wāhi o tō puku, me te pai o tō whai i ngā tohutohu i muri i te mahi.

Āhea au e kite ai i te tākuta i muri i te lumpectomy?

Me whakapā atu koe ki tō rōpū hauora tonu mēnā ka pā ki a koe ētahi tohumate e pā ana ki te lumpectomy. Ahakoa he mamae me te pōhū, me whai whakaaro tonu ki ētahi tohu.

Ka whakarite tō rōpū tākuta i ngā whakaritenga whai-a-roto i ngā wā katoa ki te aroturuki i tō whakaora me te kōrero mō ngā mahi e whai ake nei i roto i tō mahere rongoā. He mea nui ēnei whakaritenga ki te whakarite i te whakaora pai me te manaaki tonu i te mate pukupuku.

Whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe:

• Ngā tohu o te mate pūhui pēnei i te kirika, te whero nui, te mahana, te pūhi rānei mai i te tapahi
• Te mamae nui kāore e pai ake me ngā rongoā kua whakaritea
• Te nui o te toto, te piki ohorere rānei o te wai
• Ngā tohu o ngā pūhui toto pēnei i te pōhū waewae, te mamae o te uma, te poto rānei o te manawa
• Te nui o te whakapairuaki, te ruaki rānei e kore ai koe e noho wai
• Te pōhū rereke i tō ringa, i tō ringa rānei i te taha o te mahi
• Ētahi puku hou, ētahi rānei huringa i tō ū, i ngā wāhi huri noa rānei

Ko tō whakaritenga whai-a-roto tuatahi ka puta i roto i te 1-2 wiki i muri i te pokanga ki te tirotiro i tō ahunga whakamua whakaora me te tango i ngā tūāhua mēnā e tika ana. Ko ngā whakaritenga atu ka āwhina i te rongoā iraruke, ētahi atu rānei rongoā e tūtohu ana tō tākuta mate pukupuku.

Kei roto i te tiaki whai muri-roa te mammograms, nga whakamatautau u o te hōhipera, me te aroturuki tonu mō te hokinga mai o te mate pukupuku. Ka hangaia e tō rōpū hauora tētahi mahere aroturuki whaiaro i runga i tō āhuatanga me ō āhuatanga tūpono.

Ngā pātai e pā ana ki te lumpectomy

Q1. He rite tonu te whai hua o te lumpectomy ki te mastectomy mō te mate pukupuku u?

Āe, he rite tonu te whai hua o te lumpectomy me te rongoā iraruke mō te mate pukupuku u i te wā tuatahi. He maha ngā rangahau nui kua whakaatu he ōrite ngā reiti oranga i waenga i ēnei huarahi e rua i te wā i kitea wawe te mate pukupuku.

Ko te rerekētanga nui kei roto i te nui o te tango i te kiko me te hiahia mō te rongoā iraruke i muri i te lumpectomy. Ahakoa ka tangohia e te mastectomy te u katoa, ka tiakina e te lumpectomy te nuinga o tō kiko u i te wā e tutuki ana ngā hua whakahaere mate pukupuku.

Q2. Me rongoā iraruke au i muri i te lumpectomy?

Ko te nuinga o ngā tāngata kua whai lumpectomy ka hiahia rongoā iraruke hei whakaiti i te tūponotanga o te hokinga mai o te mate pukupuku i roto i te u. Ko te rongoā iraruke ka tīmata i te 4-6 wiki i muri i te pokanga i te wā i ora tika ai tō tapahi.

Ka whakatau tō tākuta mate pukupuku mēnā e tika ana te rongoā iraruke i runga i ō āhuatanga mate pukupuku, te pakeke, me te hauora whānui. I ngā wā onge, kāore pea ngā tūroro pakeke me ngā mate pukupuku iti, iti-tūpono e hiahia rongoā iraruke.

Q3. Me pēhea te āhua o taku u i muri i te lumpectomy?

Ko te nuinga o ngā tāngata e koa ana ki te āhua o tō rātou u i muri i te lumpectomy, ina koa ki te whakataurite ki ngā kōwhiringa pokanga nui ake. Ko te whāinga he tango i te mate pukupuku i te wā e tiaki ana i te āhua me te āhua tūturu o tō u.

He mea noa ētahi huringa i te āhua o te u, ā, kei roto pea i tēnei he kiko iti, he rerekētanga iti, he huringa iti rānei i te āhua o te u. Ko ēnei huringa he mea ngawari noa, ā, ka pai ake i te wā e haere ana te whakaora me te heke o te pūhihi.

Q4. Ka taea e au te whāngai u i muri i te lumpectomy?

He maha ngā wāhine ka taea te whāngai u angitu i muri i te lumpectomy, ahakoa ka whakawhirinaki pea tō kaha ki te wāhi me te whānuitanga o te pokanga. Ki te kāore i pā nui ngā ngongo miraka, ka noho tonu te mahi whāngai u.

Whakawhitiwhiti kōrero mō āu mahere whāngai u ā muri ake nei ki tō tākuta i mua i te mahi. Ka taea e rātou te whakamahere i te huarahi pokanga kia iti ai te pānga ki ngā ngongo miraka me te pupuri i te kaha whāngai u i te wā e taea ana.

Q5. Kia pēhea te roa ka kore au e mahi i muri i te lumpectomy?

Ka taea e te nuinga o te tāngata te hoki ki te mahi i roto i te 1-2 wiki i muri i te lumpectomy, i runga i ngā whakaritenga o tā rātou mahi me te ahunga whakamua o te whakaora. Ko ngā kaimahi tari ka hoki wawe mai i te hunga e hāngai ana ā rātou mahi ki te hiki taumaha, ki te mahi tinana rānei.

Ka hoatu e tō tākuta ngā tohutohu motuhake mō te wā ka taea e koe te tīmata anō i ngā momo mahi rerekē i runga i tō ahunga whakamua o te whakaora me ngā hiahia o te mahi. Whakarongo ki tō tinana, kaua e tere ki te hoki ki te mahi katoa i mua i te wā e rite ana koe.