Sake gyaran ƙwayar jikin abu ne a kan yawancin mata a lokacin da suka san dole ne su dauki mastectomy . A kan batun magance matsalolin maganin cutar kanjamau, mata suna fuskantar gwagwarmayar maganin cutar daji da sanin cewa jikinsu ba zasu zama daidai ba. Suna iya damuwa game da sha'awa da jima'i bayan tiyata, kuma suna kallo zuwa sake ginawa a matsayin hanyar magance wadannan damuwa.
Ma'anar ƙwaƙwalwar ƙuƙwalwar ƙirji na iya zama mai sha'awa saboda yana iya zama kamar hanyar da za a duba da kuma jin "al'ada" sake. Yana da ma yiwu don fara sake tiyata yayin da yake ƙarƙashin maganin rigakafin da aka ba da mastectomy. Amma idan idan kana buƙatar shan radiation da chemotherapy bayan ƙwaƙwalwar ƙirjin ka? Shin wa] annan maganin za su lalata sakamakon da kuke fata su cimma?
Har sai kawai 'yan shekaru da suka gabata, yawancin masana sunyi gargadin cewa ba a sake gina su ba kafin radiation. Amma bincike na baya-bayan nan, ciki har da wanda Fox Chase Cancer Center a Philadelphia da kuma wani daga Cibiyar Ma'aikatar Jami'ar Cleveland, tace babu wani dalili da za a kashe shi. Duk da haka, hukumomin kiwon lafiya basu yarda da cewa ko marasa lafiya su jira ko su ci gaba ba.
Duk wani mai yin haƙuri idan ya yi la'akari da gyaran ƙirjin ya kamata ya tuntubi masanin ƙwararrun ƙwararrun ƙirji (tare da masanin ilimin likitancin) ba da daɗewa ba bayan ganewar cutar sankarar da zai yiwu don ƙayyade aikinta.
Matsalar da ke faruwa a gaba tare da ƙwayar nono
Akwai wadata da yawa don sake ginawa a yanzu. Yawancin gyaran ƙwayar nono ya bukaci fiye da ɗaya tiyata, kuma farawa yayin da yake ƙarƙashin magungunan ƙwayar cuta yana nufin cewa tsari yana da kyau sosai kafin maciji ya farka.
Kwayar fata mai laushi, wadda take barin ƙirjin "jakar," an shawarce shi ne kawai idan sake ginawa zai kasance sananne.
A matsayinka na yau da kullum, matan da ke fama da ciwon daji na farko (ƙananan ciwon ƙwayar cuta da ba su yada zuwa ga kogin lymph ko wanda aka ci gaba da kasancewa a cikin ƙananan ƙwayoyin cuta a gefe daya kamar nono) zai iya ci gaba da sake ginawa. Sai dai idan ba a tabbatar da cewa mai haƙuri zai buƙatar radiation ba bayan tajinta saboda ciwo mai tsanani a cikin ƙirjin ko ciwon daji a cikin mahaifa, Dokta Christy Russell, masanin ilimin likitancin jiki a Jami'ar Southern California, ya yarda cewa an sake ginawa a lokacin mastectomy.
Duk da haka, yana da wuya a ƙayyade ko za a buƙaci radiation ga wasu marasa lafiya a gaban mastectomies. A cewar Dr. Russell, yawancin likitoci masu kula da nono zasu fi son yin haƙuri a kan magunguna, maimakon jinkirta shi don kaucewa aikin tiyata na biyu da kuma ƙarin maganin cutar.
Matsalolin da za su yiwu zai iya zama likita, kwaskwarima ko duka biyu. Zasu iya haɗa da samuwar nauyin ƙwayar aljihun ƙwaƙwalwar ƙwaƙwalwar ƙwayar zuciya, ƙwarewar jiki, kamuwa da cuta ko necrosis (mutuwa) na wasu abubuwa mai laushi, wanda zai haifar da lumps. Idan yawancin, matsalolin na iya buƙatar ƙarin tiyata don gyara ko gyara gyarawa.
Sabbin binciken sun kammala cewa lokacin da radiation ta biyo bayan sake gina ƙwayar nono, babu ƙara yawan ƙananan ko ƙananan matsaloli. Wani bincike ya gano cewa kashi 75 cikin 100 na marasa lafiya da ke da ƙwayar ƙirjinta kafin radiation sun bayyana sakamakon kyakkyawar kyakkyawar kyakkyawan kyakkyawan abu, wanda yake daidai ko fiye da gamsuwa da marasa lafiya wanda ba su da radiation.
Duka tiyata a lokacin mastectomy yana da yawa a cikin cibiyoyin kiwon lafiya na multidisciplinary wanda ke da masu ilimin likita da magungunan filastik dake aiki tare a cikin wannan makaman.
Halin da ake yi na Tsayawa ga ƙwayar ƙwayar jikin
Ƙungiyar Ciwon Ƙwayar Yammacin Amirka ta lura cewa, likitocin da dama sun bayar da shawarar jinkirta sake ginawa ga wadanda suka san cewa suna da radiation, wanda shine kusan rabin dukan marasa lafiya.
Hakanan, radiation na iya rinjayar har abada launin fata, nau'in rubutu, da kuma rubutun fata, wanda zai iya tasirin bayyanar ƙirjin ƙirjin.
Mata da suka san cewa suna da matsakaici ko ciwon ciwon ciwon ciwon ciwon daji (waɗanda suke cike da ciwon sukari fiye da 5 centimeters tare da ƙwayoyin lymph wadanda suka kamu da su) an umarce su su jira watanni shida zuwa shekara don tiyata har sai an kammala jiyya. Wadanda ke da ci gaba da ci gaba da ciwon ƙwayar cutar ciwon ƙwayar cutar ciwon ƙwayar cuta suna gargadi sosai don ci gaba da sake ginawa.
Yayin da ake yin la'akari da radiation da gyaran nono, yana da muhimmanci a gane ko wane irin aikin tiyata ne mafi kyau a gare ku:
Autologous Tissue Tsunaniyar Abincin
Sake gyaran gyare-gyaren nama na jiki shine mafi yawan aikin tiyata, kuma akwai hanyoyi da dama da za'a iya amfani da su, dukansu sun haɗa da amfani da nama wanda ya fito daga wani ɓangare na jiki banda nono.
An kira mutum mai suna TRAM , wanda ake kira bayan ƙwayar ƙwayar ƙafa ta tsakiya (TRAM) wanda aka yi amfani dashi a cikin hanya. Wannan yana aiki mafi kyau a cikin mata waɗanda ke da ƙwayar koda a cikin ciki ko fata da aka shimfiɗa daga ciki.
Sabbin nau'o'i na gyaran gyare-gyaren nama na ƙwayoyin autologous sun haɗa da ƙananan ƙarancin ƙarfin wartsakewa (SIEA) da zurfin wariyar launin fata da aka fi sani (DIEP), wanda ya hada da fata da mai.
Yayin da radiation na jikin mutum ya shafi jini zuwa fatar jiki da kyallen takalma na kirji, a hankali, ya fi kyau a yi haske a farko sannan a kawo shi a baya maimakon ƙoƙari ya haskaka wani abu daga cikin ciki ko baya.
Tsarin artificial ko nono
An sanya kayan artificial ko nono ne a bayan sabanin kayan da ke cikin jiki yana kara yawan abin da ake kira "nono mound." Ana yin amfani da ƙwayar nono ne kawai don mata da ƙananan ƙwararru ko waɗanda ba su da isasshen ƙwayar ciki don a yi wani TRAM. Idan la'akari da radiation bayan implant, tabbatar da cewa ka karɓi maƙerin tare da tashar filastik maimakon wani karfe.
Duk da yake TRAM yana da haɗari na ƙwayar ƙwayoyin mai, shi ne mafi kyawun zabi don guje wa magungunan gyaran gyare-gyaren nan gaba bayan radiation. Zai iya kasancewa mafi kyawun zaɓi ga waɗanda suke jira don sake ginawa har sai bayan radiation saboda ƙwayar da aka cire daga ciki, baya ko kuma wasu wurare a jiki ba a haskaka ba.
Chemotherapy da Sauran Harkokin Harkokin Harkokin Tsuntsaye
Ko masu lafiya marasa lafiya za su jinkirta sake ginawa har sai ƙarshen chemotherapy wani maimaita muhawara ne. Ɗaya daga cikin binciken da matan da ke fama da chemo bayan sake ginawa sun nuna cewa kashi 25 cikin 100 ne suka yi tsalle a cikin yawan cibiyoyin da suka biyo baya don dalilai masu kyau. Kuma akwai wata matsala: Idan an yi amfani da chemo ba da daɗewa ba bayan an sake ginawa, zai iya dakatar da tsari na warkaswa, samar da wata babbar hadarin kamuwa da cuta.
Marasa lafiya waɗanda suke shirin yin implants na iya samun karin fadada a lokacin mastectomy. Bayan haka, idan ya cancanta, zasu iya shawo kan cutar kullun a cikin watanni da dama da ake bukata ga masu fadada don shimfiɗa fata (kafin a fara dasawa).
Akwai matsala ga batun batun ko maganin ya shafi sakamako na tiyata: Shin tiyata ne zai shafi jiyya? Chemotherapy yawanci farawa bayan mastectomy. Idan chemo ya jinkirta don kaucewa tsangwama tare da tsari na warkarwa, za'a iya rage tasirinta. Rashin jinkirin radiation, wanda aka ba da shi kawai bayan da aka samu daga chemotherapy, zai iya zama fiye da sau biyu na halin da ake ciki na ciwon nono.
Layin Ƙasa
A halin yanzu, akwai tambayoyin da yawa kamar amsoshin idan ya zo da lokaci na sake gina ƙwayar nono da kuma warkaswa na post-mastectomy. Idan kuma lokacin da za a sake gina ƙwayar ƙirjin su ne yanke shawara masu sauye-sauye na rayuwa ga marasa lafiya da suka rigaya suke yin wasu zabi masu mahimmanci. Tare da rikice-rikice bayani da ke fitowa daga asali masu yawa, bincike kan batutuwa da yin magana da likitocinka yana da muhimmiyar muhimmanci kafin magance wani bayani da ke daidai a gare ku.
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