ʻO ka mastectomy kahi hana ʻokiʻoki e pili ana ʻoki hapa a i ʻole holoʻokoʻa o ka umauma. Kapa ʻia hoʻi he mastectomy, hana ʻia me ka manaʻo e wehe loa i kahi maʻi maʻi ʻaʻai ma ka umauma.

Ke ʻike ʻia ka maʻi kanesa o ka umauma, hiki ke noʻonoʻo ʻia kekahi mau koho lapaʻau.

ʻO ka mastectomy holoʻokoʻa a ʻāpana paha ka ʻenehana i ʻōlelo ʻia no ka wehe ʻana i ka ʻōpū, no ka mea, wehe ia i nā ʻiʻo āpau i hoʻopilikia ʻia a kaupalena i ka hoʻi hou ʻana.

Hiki ke hāʻawi ʻia nā ʻano hana ʻelua:

• la ʻāpana mastectomy, i kapa ʻia hoʻi he lumpectomy a i ʻole ka ʻokiʻoki ʻana i ka umauma, ʻo ia ka wehe ʻana i ka ʻōpū wale nō a waiho i ka nui o nā ū. I loko o kēia kaʻina hana, hoʻoneʻe ke kauā i kahi "margin" o ka ʻiʻo olakino a puni ka ʻōpū e hōʻoia ʻaʻole e haʻalele i nā pūnaewele maʻi maʻi.
• La huina mastectomy, ʻo ia ka wehe piha ʻana i ka umauma maʻi. Pono ia ma kahi o ka hapakolu o nā maʻi maʻi umauma.

I ka wā o ke kaʻina hana, wehe ʻia nā pūnaʻi lymph ma ka ʻāʻī (axillary region) a nānā ʻia no ka ʻike ʻana inā paʻa mau ka maʻi kanesa a inā ua laha. Ma muli o ka hihia, pono e hahai ʻia ka mastectomy e ka chemotherapy a i ʻole radiotherapy (ʻoi loa inā he hapa ia).

Hana ʻia ka mastectomy ma lalo o ka anesthesia maʻamau e ke kauka lapaʻau-oncologist. Pono ia i kekahi mau lā o ka halemai.

Hana ʻia ke komo ʻana i ka haukapila i ka lā ma mua o ka hana. E like me kekahi hana, pono ia ma ka ʻōpū ʻole. I ka lā hoʻokahi, pono ʻoe e ʻauʻau me kahi huahana antiseptic a kahi ʻia ka armpit ma mua o ke komo ʻana i ka lumi hana.

Hoʻopau ke kauka lapaʻau i nā mea āpau a i ʻole kekahi hapa o ka mammary gland, a me ka nipple a me ka areola (i ka hihia o ka ablation holoʻokoʻa). He oblique a i ʻole ka ʻili ʻeleʻele ka ʻili, me ka haʻahaʻa e hiki ai, a hiki i ka ʻāʻī.

I kekahi mau hihia, a hana hana hou Hana ʻia ke ʻoki ʻana i ka umauma ma hope o ka wehe ʻana (hana hou koke), i mea e pale aku ai i nā hana he nui, akā ʻaʻole kakaikahi kēia hana.

Ma muli o ka hihia, hoʻomaha ka hale maʻi mai 2 a 7 mau lā ma hope o ka hana, i mea e nānā ai i ka holomua kūpono o ka ho'ōla (drains, i kapa ʻia ʻo Redon drains, ua kau ʻia ma hope o ka hana e pale ai i ka hōʻiliʻili ʻana o ka wai i ka ʻeha).

Kau ʻia nā painkillers a me nā anticoagulants. He lōʻihi ka manawa e ho'ōla ai ka ʻeha (he mau pule), a na nā limahana lapaʻau e aʻo iā ʻoe pehea e mālama ai i ka ʻili ma hope o ka pau ʻana o nā humuhumu hiki ke hoʻopaʻa ʻia.

Me ka mastectomy hapa, hiki ke hoʻololi i ke ʻano o ka umauma i ka wehe ʻana i ke koko. Ma muli o ke kūlana, hiki ke hoʻokō ʻia ka radiotherapy a i ʻole ka chemotherapy ma hope o ka mastectomy. I nā hihia a pau, ʻo ka mālama maʻi maʻamau e hōʻoia i ka loaʻa ʻole o ka hoʻi hou ʻana a ʻaʻole i metastasized ke kanesa.