Usebenzo olubizwa ngokuthi ukuthengiswa kweesifuba kukususa inxalenye yalo ukuba kukho izibonakaliso ezizodwa. Njengomthetho, ukuthengiswa kwebele kunqunywe ukunyangwa kwezifo ezingapheliyo. Ukwahlula phakathi kwamacandelo kunye nokuqhelaniswa okukhulu kweentlobo ze-mammary. Xa wenza u-resection olukhulu, njengoko igama libonisa, inxalenye enkulu ye-grey gland iyasuswa. Ngentsebenziswano yecandelo, indlela yokulondolozwa komzimba iyagqitywa, kuba iqela elincinci le-hemispheric gland lebele isusiwe.
Ukutyunjwa kwecandelo le-mammary gland
Ngoko ke, ngokuthengiswa kwamacandelo kuyaqondwa ukuba kususwe isahluko se-mammary , okufunekayo ngenxa yokuphuhliswa kwenkqubo ye-tumor. Ngaphantsi kwecandelo lesifuba, oogqirha abahlukeneyo baqonda ukulingana okuhlukeneyo: ukusuka kwi-1/6 ukuya kwi-1/8 inxalenye. Akunandaba nokuba i-tumor isifuba okanye iyingozi - le nkqubo kufuneka ihlawulwe kwaye isuse indawo echaphazelekayo ukwenzela ukuphepha ukuphuhliswa kwesimo esibi.
Uphando lweCandelo lwenziwa:
- ukwenzela unyango okhankanywe ngumhlaza, xa kuyimfuneko ukumisela ukuxilongwa ngokuchanekileyo ngokusebenzisa izinto ezikhishiwe;
- ukwenzela unyango lweengxaki zeentlungu;
- ukwenzela unyango lomhlaza wesifuba (njengento evumela ukuba kugcinwe iqumrhu).
Ukurhoxiswa ngokukhawuleza kwebele, njengoko ku funeka kuqatshelwe, ukususwa kwesithathu okanye isiqingatha sesifuba. Ngelo xesha, i-muscle encinci ye-pectoral, izicubu ezinamafutha, kunye nezo zine-lymph nodes ezifumaneka kwimimandla ye-subscapular, subclavia kunye ne-axillary nazo zisuswe.
Ngoku ukuthengiswa kwamacandelo okubeleko kwaqala ukuvelisa nokutyumba rhoqo. Inokuthi iqhutywe kumanyathelo okuqala okuphuhliswa kwesifo somhlaza (xa singekho ngaphezu kwe-3 cm). Iimeko ezilandelayo kufuneka zijongwe, ukwenzela ukuba ukuthengiswa kwezinto eziqhelekileyo kungekhona nje kuphela ukuba kwenzeke, kodwa kwanikezela nesiphumo esifanelekileyo:
- I-tumor kufuneka ibekwe kwindawo engaphezulu;
- ukungabikho kweemastastases kwi-lymph nodes kufuneka kuqinisekiswe;
- Ubungakanani be-grey gland kufanele kube ngokwaneleyo ukuqhuba ukungenelelo ngoncedo;
- ukuba kungenzeka ukuba u-radiotherapy emva kokuhlinzwa kufuneka kuqinisekiswe.
I-radical resection yenziwa phantsi kwe-anesthesia jikelele, nangona kunjalo, kuvumelekile ukuba kuqhutywe i-resection ngaphantsi kwe-anesthesia yendawo (novocaine okanye i-lidocaine). Okwangoku, kucetywayo ukuba kwenziwe lo msebenzi ngaphantsi kokuthiwa ubuthongo obusweleko. I-anesthesia yendawo ayifakwanga xa kutholakala i-neoplasm engenakulinganiswa, kwaye kwaye xa kuqhutywa ukusebenza ngenjongo yokulondoloza ilungu. I-anesthesia jikelele iboniswa kwakhona xa isigulane sinesifo sokungabikho komzimba kuwo onke amachiza e-anesthesia yendawo.
Ukuthengiswa kwesisu: iziphumo
Njengomthetho, iziphumo ezimbi ze-resection zebele ziyaqatshelwa:
- utshintshe ngohlobo lwesifuba;
- ukubunjwa kweengxowa ezikufuphi kwiphonsi kunye nesigxina;
- ukukhangela okungabonakaliyo kunye nokuziphatha okungalunganga;
- stasis ye-lymph (xa ususa i-lymph nodes);
- ukusuleleka kwamanxeba phambi okanye emva kokuhlinzwa, okukhokelela ekuxhaseni kwabo;
- ukwakheka kwe-hematoma ngenxa yokumisa ukungafihla kakuhle kwegazi ngexesha lotyando.
Ukuba i-resection yecandelo le-mammary gland yenziwa, imiphumo ibonakalisa ngokwentlungu, ukuphuhliswa kwegazi. Kakade, i-mammary gland iya kutshintsha kwinqanaba elithile emva kokuthengiswa kwecandelo, kodwa oku kunganakunyulwa ukuba ngumbuzo wokusindisa ubomi bomguli.