A mastectomy chirongwa chekuvhiya chinosanganisira chikamu kana zvachose ablation yezamu. Iyo inonziwo mastectomy, inoitwa nechinangwa chekubvisa zvachose bundu regomarara rezamu.

Kana gomarara rezamu raonekwa, nzira dzakawanda dzekurapa dzinogona kutariswa.

Yese kana chidimbu mastectomy ndiyo inonyanya kukurudzirwa nzira yekubvisa bundu, nekuti inobvisa zvese zvakakanganisika nyama uye inomisa kudzoka.

Mhando mbiri dzekupindira dzinogona kupihwa:

• la chikamu mastectomy, inonziwo lumpectomy kana kuti kuvhiyiwa kwekuchengetedza mazamu, kunosanganisira kubvisa bundu racho chete uye kusiya mazamu akawanda sezvaanogona. Munguva iyi, chiremba anovhiya achiri kubvisa "muganho" wenyama ine hutano yakatenderedza bundu kuti uve nechokwadi chekusiya maseru egomarara.
• La zvachose mastectomy, iyo ndiyo kubviswa kwakakwana kwezamu rinorwara. Inodiwa muchinenge chikamu chimwe muzvitatu chegomarara rezamu.

Panguva yekuitwa, ma lymph nodes muhapwa (axillary region) anobviswa uye oongororwa kuti gomarara racho rakaramba riri panzvimbo here kana kuti rakapararira. Zvichienderana nenyaya, mastectomy inofanira kuteverwa nechemotherapy kana radiotherapy (kunyanya kana iri chikamu).

Mastectomy inoitwa pasi peanesthesia yakawanda nachiremba-oncologist. Zvinoda mazuva mashoma ekuchipatara.

Kazhinji kupinda muchipatara kunoitwa zuva risati raitwa oparesheni. Sezvinoita chero kupindira, zvinodikanwa kuve padumbu risina chinhu. Zuva rimwe chetero, unofanira kugeza nemvura ine antiseptic chigadzirwa uye armpit inoveurwa usati wapinda muimba yekushanda.

Chiremba anovhiya anobvisa zvese kana chikamu chezamu remammary, pamwe nezamu uye areola (munyaya yekubvisa zvachose). Vanga iri rinenge rakatsetseka kana kuti rakachinjika, rakadzikira sezvinobvira, uye rinotambanuka rakananga kuhapwa.

Mune zvimwe zviitiko, a reconstruction operation kuvhiyiwa kwekuisa mazamu kunoitwa mushure mekubviswa (kuvakazve pakarepo), kuitira kudzivirira kupindira kwakawanda, asi tsika iyi ichiri kushoma.

Zvichienderana nenyaya, kuchipatara kunotora kubva pamazuva maviri kusvika ku2 mushure mekuvhiyiwa, kuitira kutarisa kufambira mberi kwakakodzera kwekuporesa (madhini, anonzi Redon drains, anoiswa panzvimbo mushure mekuvhiyiwa kudzivirira kuunganidzwa kwemvura muronda).

Painkillers uye anticoagulants inorayirwa. Ronda racho rinotora nguva yakareba kuti apore (mavhiki akati wandei), uye vashandi vezvokurapa vachakudzidzisa kuti ungachengeta sei vanga mushure mekunge sutures inonyura yaenda.

Nechidimbu mastectomy, kubvisa bundu kunogona kushandura chimiro chezamu. Zvichienderana nemamiriro ezvinhu, radiotherapy kana chemotherapy kurapwa inogona kuitwa mushure mekuita mastectomy. Muzviitiko zvese, kuongororwa kwezvekurapa nguva dzose kuchaita kuti pasave nekudzoka uye kuti gomarara harina metastasized.