Mastectomy

ʻO kahi mastectomy kahi ʻoki e wehe i kaʻiʻo o ka umauma. Hiki ke hoʻoneʻe ʻia kekahi o ka ʻili a me ka nipple. Eia nō naʻe, hiki ke hana pinepine ʻia ke ʻoki nāna e hoʻokoe i ka nipple a me ka ʻili. Hana pinepine ʻia ke ʻoki e mālama i ka maʻi ʻaʻai umauma.

Ma mua o ka hoʻomaka ʻana o ke ʻoki, hāʻawi ʻia iā ʻoe ka anesthesia ākea. ʻO kēia ka mea e hiamoe ʻoe a ʻaʻohe ʻeha i ka wā o ke kaha.

Aia kekahi mau ʻano mastectomies. ʻO ka mea a kāu kauka lāʻau e hana ai e pili ana i ke ʻano o ka pilikia o kou umauma. ʻO ka hapa nui o ka manawa, hana ʻia ka mastectomy e mālama ai i ka maʻi ʻaʻai. Eia nō naʻe, hana ʻia i kekahi manawa i mea e pale aku ai i ka maʻi ʻaʻai (masthomy prophylactic).

E ʻoki kahi kaukōpō i kou umauma a hana i kekahi o kēia mau hana:

• Nect-sparing mastectomy: Wehe ka mea lapaʻau i ka umauma holoʻokoʻa, akā haʻalele i ka nipple a me ka areola (ka pōʻai kala a puni ka nipple) ma kahi. Inā loaʻa ʻoe i ka maʻi ʻaʻai, hiki i ke kauka lāʻau ke hana i kahi biopsy o nā lymph node ma ka wahi underarm e ʻike inā ua laha ka maʻi ʻaʻai.
• ʻO ka mastectomy pale ʻia o ka ʻili: Wehe ke kauka i ka umauma me ka nipple a me nā areola me ka hemo liʻiliʻi o ka ʻili. Inā loaʻa ʻoe i ka maʻi ʻaʻai, hiki i ke kauka lāʻau ke hana i kahi biopsy o nā lymph node ma ka wahi underarm e ʻike inā ua laha ka maʻi ʻaʻai.
• ʻO ka mastectomy huina a maʻalahi paha: Wehe ka mea lapaʻau i ka umauma holoʻokoʻa me ka nipple a me ka areola. Inā loaʻa ʻoe i ka maʻi ʻaʻai, hiki i ke kauka lāʻau ke hana i kahi biopsy o nā lymph node ma ka wahi underarm e ʻike inā ua laha ka maʻi ʻaʻai.
• Hoʻololi i ka mastectomy radical: Wehe ke kauka i ka umauma āpau me ka nipple a me ka areolar a me kekahi o nā lymph node ma lalo o ka lima.
• ʻO ka mastectomy radical: Lawe ka mea lapaʻau i ka ʻili ma luna o ka umauma, nā lymph node āpau ma lalo o ka lima, a me nā mākala o ka umauma. ʻAʻohe hana iki kēia ʻoki.
• Hoʻopili ʻia ka ʻili me nā sutures (humuhumu).

Hoʻokahi a ʻelua paha mau kahawai ʻāpana ʻāpana a i ʻole nā ​​paipu e waiho pinepine ʻia i kou umauma e lawe i nā wai keu mai kahi ma mua o ka umauma.

Hiki paha i kahi kauka lula ke hoʻomaka i ke kūkulu hou ʻana o ka umauma i ka hana like. Hiki paha iā ʻoe ke koho e hana hou i ka umauma i kahi manawa hope. Inā loaʻa iā ʻoe kahi kūkulu hou ʻana, kahi ʻili a i ʻole nipple-sparing mastectomy paha he koho.

E lawe ʻo Mastectomy ma kahi o 2 a 3 mau hola.

WAIWAI IA WAHANA ME KE KANAKA BREAST

ʻO ke kumu maʻamau no ka mastectomy ka maʻi ʻaʻai umauma.

Inā ʻike ʻia ʻoe me ka maʻi ʻaʻai o ka umauma, e kamaʻilio me kāu kauka olakino e pili ana i kāu koho.

• ʻO ka Lumpectomy ke hoʻopau ʻia ka maʻi ʻaʻai umauma a me nā mea a puni ka maʻi ʻaʻai. Ua kapa ʻia kēia he mālama mālama umauma a i ʻole mastectomy hapa. E waiho ka hapa nui o kou umauma.
• ʻO ka mastastomy ke wehe ʻia nāʻiʻo umauma āpau.

Pono ʻoe a me kāu mea hāʻawi e noʻonoʻo:

• Ka nui a me kahi o kou tum tum
• Komo ka ʻili o ka tumo
• Ehia mau puʻukū i ka umauma
• Ehia ka nui o ka umauma i hoʻopili ʻia
• Ka nui o kou umauma
• Kou makahiki
• ʻO ka mōʻaukala olakino hiki ke kāpae ʻia iā ʻoe mai ka mālama ʻana i ka umauma (hiki i kēia ke hoʻopili i ka radiation radiation mua a me kekahi mau ʻano olakino)
• Mōʻaukala ʻohana
• ʻO kou olakino ākea a inā ua hōʻea ʻoe i ka menopause

ʻO ke koho ʻana o ka mea ʻoi loa no ʻoe hiki ke paʻakikī. ʻO ʻoe a me nā mea lawelawe e mālama nei i kāu maʻi ʻaʻai umauma e hoʻoholo pū i ka mea ʻoi loa.

NA WAHINE MA KE KULA KIEKIE NO CANCER BREAST

Hiki i nā wahine i loaʻa i kahi kiʻekiʻe loa o ka hoʻomohala ʻana i ka maʻi ʻaʻai umauma ke koho e loaʻa i kahi mastectomy preventive (a prophylactic) e hōʻemi i ka makaʻu o ka umauma maʻi 'aʻai.

E loaʻa paha ʻoe i ka maʻi ʻaʻai o ka umauma inā loaʻa i hoʻokahi a ʻoi paha ʻohana pili ʻohana ka maʻi, ʻo ia hoʻi i ka wā ʻōpio. Hiki ke kōkua i nā hoʻāʻo genetic (e like me BRCA1 a i ʻole BRCA2) e hōʻike he pilikia nui kāu. Eia nō naʻe, ʻoiai me kahi hoʻokolohua kūlohelohe maʻamau, aia paha ʻoe i ka makaʻu nui loa i ka maʻi ʻaʻai umauma, e like me nā kumu ʻē aʻe. He mea pono paha e launa me ke kākāʻolelo aʻoaʻo e nānā i kāu pae o ka makaʻu.

Pono e hana ʻia ka mastectomy prophylactic ma hope o ka noʻonoʻo pono a me ke kūkākūkā ʻana me kāu kauka, kahi kākāʻōlelo, kou ʻohana, a me nā mea aloha.

Hoʻoemi nui ka Mastectomy i ka makaʻu o ka maʻi ʻaʻai umauma, akā ʻaʻole ia e hoʻopau iā ia.

ʻO ka scabbing, blaming, wehe i ka ʻeha, seroma, a i ʻole ka nalo ʻana o ka ʻili ma ka lihi o ka ʻoki ʻoki a i ʻole ma loko o nā ʻili o nā ʻili i kū.

Nā pilikia:

• ʻO kaʻeha o ka poohiwi a me ka paʻakikī. Hiki paha iā ʻoe ke ʻike i nā kui a me nā nila ma mua o ka umauma a ma lalo o ka lima.
• ʻO ka pehu ʻana o ka lima a i ʻole ka umauma (i kapa ʻia ʻo lymphedema) ma ka ʻaoʻao like me ka umauma i hemo. ʻAʻole maʻamau kēia ʻōhū, akā hiki ke lilo i pilikia mau.
• Hoʻopōʻino i nā aʻalolo e hele i nā mākala o ka lima, kua, a me ka paia o ka umauma.

Loaʻa paha iā ʻoe ke koko a me nā hoʻokolohua kiʻi (e like me ka CT scans, iwi scans, a me ka x-ray umauma) ma hope o ka loaʻa ʻana o ka maʻi maʻi umauma i kāu mea hāʻawi. Hana ʻia kēia e hoʻoholo inā ua pālahalaha ka maʻi ʻaʻai ma waho o ka umauma a me nā lymph nodes ma lalo o ka lima.

E haʻi mau i kāu mea hāʻawi inā:

• Hiki iā ʻoe ke hāpai
• Ke lawe nei ʻoe i nā lāʻau a lāʻau paha a i ʻole nā ​​mea hoʻopihapiha āu i kūʻai ai me ka ʻole o ka lāʻau
• Puhi ʻoe

I loko o ka pule ma mua o ke kahakaha ʻana:

• I kekahi mau lā ma mua o kou ʻoki ʻana, noi ʻia ʻoe e haʻalele i ka lawe ʻana i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), wikamina E, clopidogrel (Plavix), warfarin (Coumadin), a me nā lāʻau ʻē aʻe e paʻakikī. e kōpulu ai kou koko.
• E nīnau i nā lāʻau āu e lawe ai i ka lā o ke ʻoki.

I ka lā o ke kaha:

• E hāhai i nā ʻōkuhi mai kāu kauka a kahu hānai paha e pili ana i ka ʻai ʻana a i ʻole ka inu ʻana ma mua o ke kaha ʻana.
• Lawe i nā lāʻau i kauoha ʻia iā ʻoe e lawe me kahi wahi wai ʻuʻuku.

E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila. E hōʻea pono i ka manawa.

Noho ka hapa nui o nā wahine i ka haukapila no 24 a 48 mau hola ma hope o ka mastectomy. E hilinaʻi kou lōʻihi o ka noho ʻana ma ke ʻano o ke ʻoki āu i loaʻa. Hele nā ​​wahine he nui i ka home me nā paipu hoʻokahe i loko o ko lākou umauma ma hope o ka mastectomy. E lawe ke kauka iā lākou ma hope ma ke kipa ʻana ma ke keʻena. E aʻo aku kahi kahu iā ʻoe pehea e mālama ai i ka ʻauwai, a i ʻole hiki iā ʻoe ke loaʻa i kahi kahu mālama home e kōkua iā ʻoe.

Loaʻa paha iā ʻoe ka ʻeha a puni ka pūnaewele o kāu ʻoki ma hope o ke kahakaha ʻana. Kūpono ka ʻeha ma hope o ka lā mua a laila hele i kahi manawa o kekahi mau pule. E loaʻa iā ʻoe nā lāʻau ʻeha ma mua o kou hoʻokuʻu ʻia ʻana mai ka haukapila.

Hiki i ka Fluid ke hōʻiliʻili ma kahi o kāu mastectomy ma hope o ka hemo ʻana o nā ʻauwai āpau. Kapa ʻia kēia he seroma. Hele pinepine ia iā ia iho, akā pono paha e ninini ʻia me ka hoʻohana ʻana i ka nila.

ʻO ka hapa nui o nā wahine e ola maikaʻi ma hope o ka mastectomy.

Ma waho aʻe o ke kaha ʻana, pono ʻoe i nā mālama ʻē aʻe no ka maʻi ʻaʻai umauma. Hiki paha i kēia mau hōʻailona ke hoʻopili i ka hormonal therapy, radiation radiation, a me ka chemotherapy. Loaʻa nā hopena āpau i nā mea āpau, no laila pono ʻoe e kamaʻilio me kāu mea hoʻolako e pili ana i nā koho.

ʻOki hoʻohemo umauma; ʻO ka mastectomy Subcutaneous; Nipple hoʻokoe mastectomy; Huina mastectomy; ʻIli hoʻokoe mastectomy; ʻO mastectomy maʻalahi; Hoʻohuli i ka mastectomy radical; Ka maʻi ʻaʻai umauma - mastectomy

• Ma hope o chemotherapy - hoʻokuʻu
• Pākuʻi ka lālā o waho - hoʻokuʻu
• Pāhawewe umauma - hoʻokuʻu
• ʻOki kino umauma Cosmetic - hoʻokuʻu
• Ka inu ʻana i ka wai me ka palekana i ka wā o ka mālama ʻana i ka maʻi ʻaʻai
• ʻO ka waha maloʻo i ka wā o ka mālama ʻana i ka maʻi ʻaʻai
• Keʻai nei i nā calorie keu ke maʻi - nā mākua
• Lymphedema - mālama pono iā ʻoe iho
• Mastectomy a me ka hana hou ʻana o ka umauma - he aha e nīnau ai i kāu kauka
• Mastectomy - hoʻokuʻu
• Mucositis oral - mālama pono iā ʻoe iho
• ʻAi palekana i ka wā o ka mālama ʻana i ka maʻi ʻaʻai
• Mālama ʻeha ʻeha - wehe

• Uma wahine
• Mastectomy - moʻo
• Hana hou i ka umauma - series

ʻO Davidson NE. ʻO ka maʻi ʻaʻai umauma a me nā maʻi maʻi o ka umauma maikaʻi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 188.

ʻO Henry NL, Shah PD, Haider I, Freer PE, Jagsi R, Sabel MS. Kanesa o ka umauma. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 88.

Hunt KK, Mittendorf EA. Nā maʻi o ka umauma. I: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 34.

Lunalilo Home RD Mastectomy. I: Dixon JM, Barber MD, eds. ʻOki poʻomanaʻo: kahi hoa pili i ka hana ʻoki kino hoʻomalu. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: 122-133.

Pūnaewele Pūnaewele Manuahi Manuahi. Nā kulekele hana lapaʻau NCCN o ka oncology: ka maʻi ʻaʻai umauma. Mana 2.2020. www.nccn.org/professionals/physician_gls/pdf/breast.pdf. Hoʻohou i Pepeluali 5, 2020. Loaʻa iā Pepeluali 25, 2020.