oeka Y%S ,xldfõ§;a mshhqre bj;a fkdlr isÿlrk ms<sld ie;alula
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r;akmqr uy frday‍f,a Y,H ffjoHjrfhl=f.a ymkalula

^wreK ,laIauka m%kdkaÿ&

ldka;d ,d,s;H iy ia;%S YÍrdx. lúhg ksñ;a;la jQfha wo Bfha isg fkdfõ' thg ishjia .Kklg b;sydihla we;' ld,fhka ld,hg úúO jQ Wmud rEml fhdod lú is;=ú,s ueõ ia;%S YÍrdx. w;r mshhqrej,g ysñjkafka iqúfYaIS ia:dkhls' w;S; ikafoaY lúhka rK ;sirekago kQ;k fld<U hq.fha lúhka cmka neÆka hqj<lgo mshhqre Wmud lf<a tneúks' laISSrmdhS i;=kg iqúfYaIS  YÍrdx.hla jQ mshhqrej, msysgd we;s laISr .%ka:s wdY%s;j yg.kakd ms<sld j¾;udkfha§ ldka;djka w;r iq,Nj jd¾;d fjhs' ms<sld wjodkug ,lajQ ldka;djkag uq¿ mshhqru fyda bka fldgila bj;a lsÍfï mSvdldß w;aoelSug uqyqK §ug wksjd¾hfhka isÿfjhs' mQ¾j ms<sld mÍlaIKhl§ ´wÅta kï ms<sld ldrl cdkh ;u isref¾ wvx.= nj ikd: ùu ksid ckm%sh fyd,sjqâ ks<shl jQ wekac,Skd fcd,s yg ;u mshhqre hqj< ie;alulska bj;a lsÍug isÿùu thg fyd|u WodyrKhhs'
tfy;a ms<sld wdidÈ; mshhqr fyda bka fldgila bj;a fkdlr wdidÈ; ffi, iy jid .%ka:s muKla bj;a lr mshhqr h<s f.dv ke.Sfï wmQ¾j ie;alï úfYaIhlao f,dalfha we;' õVkk;{ bkpmVoG ¾pMn{cnO:r hkqfjka y÷kajk fuu ie;alu f,dalfha ÈhqKq fi!LH myiqlï iys; rgj, iq,nj isÿ lrhs' fï j¾.fha ie;alï .Kkdjla Y%S ,xldfõo id¾:lj ksulsÍug r;akmqr uy frday‍f,a úfYaI{ ms<sld Y,H ffjoH wkqreoaO f;jrmafmreu uy;d iu;a ù isà' ffjoH wkqreoaO f;jrmafmreu fï iqúfYaIS ie;alu m%:ujrg isÿ lrkqfha wÈka jir .Kklg fmr nÿ,a, frday‍f,a§h'
fuh isÿlrkq ,oafoa mshhqre ms<sldjla je<÷K ody;a yeúßÈ ;reKshl fjkqfjks' wkd.;fha§ újdy ù ujl ùfï wdYdfjka isá weh Y%S ,xldfõ mshhqre ms<sld wdidÈ; <dnd,u frda.shd úhyels nj ffjoH f;jrmafmreu mjihs'
mshhqre ms<sld ie;alï iy ta ms<sn| Tng jeo.;a jk fï ,smsh úfYaI{ Y,H ffjoH wkqreoaO f;jrmafmreu uy;d yd l< idlÉPdjla weiqfrka ,shfjhs'
mshhqre ms<sld je<÷Kq ldka;djkag isÿ lrkd Y,Hl¾u j¾. y;rla ;sfí' bka m<uqjeks l%uh y÷kajkq ,nkqfha MODIFIED RADICAL MASTECTOMY   hkqfjks' fuu l%ufha§ iuia; mshhqru bj;a lrkq ,nhs' bka wk;=rej wjYH;dj u; muKla úlsrK m%;sldr ,nd Èh yels w;r fuu l%ufhka ms<sldj bj;a l<o mshhqr wysñj hhs'
fofjks Y,Hl¾uh úfYaIh WIDE LOCAL EXCISION   f,i y÷kajkq ,nhs' fuu l%ufha§ uq¿ mshhqru bj;a lsÍu fkdlrk w;r ms<sld ffi, iys; fldgi muKla bj;a lrkq ,nhs' fuu l%ufha§ kej; ms<sldj je<£fï wjodku m<uq l%uhg jeä neúka úlsrK m%;sldr ,nd §u wksjd¾h fjhs'
mshhqre ms<sld i|yd jk ;=ka jk Y,Hl¾u úfYaIh SKIN SPARING MASTECTOMY AND TRAM VECONSTRUCTION f,i y÷kajhs' fuu l%ufha§ mshhqf¾ iu b;sß fldg ;kmqvqj iy mshhqf¾ mgl bj;a lsÍu isÿlrhs' fuh hï ;rulg id¾:l l%uhla jqj;a ;k mqvqj bj;a lsÍu ksid mshhqr úlD;s wdldrhla .kS'
mshhqre ms<sld i|yd Ndú;d lrkd isõjeks Y,Hl¾u úfYaIhNIPPLE SPARING MASTECTOMY hkqfjka y÷kajk w;r fuu l%uh mshhqre ms<sldjg f,dj Ndú;d lrk jvd;a id¾:lu Y,Hl¾uh f,i y÷kajd Èh yel'
fuu ie;alu isÿlsÍfï§ ffjoHjrhd úiska isÿ lrk m<uq ld¾hh jkqfha ms<sld wdidÈ; mshhqf¾ ;k mqvqjg jvd;a iómj w¾O ljdldr lemqula fh§uhs' fuu lemqu ;=<ska Y,H ffjoH WmlrK mshhqrg we;=¿ lr tys ms<sld wdidÈ; ffi, iy jid .eá;s bj;a lrkq ,nhs' ta ie;alfï m<uq jeks fldgihs' ie;alfï offjks fldgi i|yd frda.shd wfkla mig yerúh hq;= fjhs' tys§ frda.shdf.a msg me;af;a 5c: muK l=vd lemqula fhdod LATTISIMUS DORSI   kï fmaYsh tys reêr iemhqï iu. bÈßhg f.k tau isÿlrhs' wk;=rej tu fmaIsh mshhqf¾ ms<sld ffi, bj;a lrk ,o ia:dkfha  wvqj msrùug fhdod .kshs' bka miq ;kmqvqj wi, w¾Oljdldrj isÿl< lemqu jid oud ie;alu ksu lrhs' Èk lsysmhla ;=< ;=jd,h iqjùfuka wk;=rej wef.a mshhqr ie;alug ,la l< nj lsisfjl=g;a y÷kd .; fkdyel' ndysr iajrEmfhka muKla fkdj iam¾Y lsÍfuka mjd ie;alula isÿl< nj jgyd .; fkdyel' udi follg miq msg fmfoiska  f.k wd fmaYsfhka mshhqf¾ bj;a l< fldgi ksis f,i iïmQ¾K jk neúka ie;alu hkq frda.shdg w;S; isysjgkhla muKls'
ie;alu i|yd msg fmfoiska  òtaBBb¾Wb Éwb fmaYsh ,nd .kq jia fhdokd  5c:l muK l=vd lemqu mjd fhdokqfha ldka;djlf.a ;sir mfÜ miqmi fldgiska wdjrKh jk mßÈh' tneúka YÍrh wj,iaik lrk le,e,a fkdue;sj ie;alu ksu lsÍug yelshdj we;'
mshhqre bj;a lsÍfï ie;alïj,g idfmalaIj jeä ld,hla õòÊ btawõÜ ¾tabBÊÅB¾l ie;alulg .; fjkuq;a thska frda.shd ,nk m%;s,dNh úYd,h'
ms<sld ksid mshhqre wysñ jQ ldka;djka  fukau mshhqßka fldgila wysñ jQ ldka;djkao ta ms<sn| Ôú; ld,h mqrd miq ;efjkd nj Tn fkdokakjd úh yel' fndfyda ldka;djka ish mshhqre bj;a lsÍug leue;a; ,nd fokqfha urKhg úl,amh f,i nj ms<sld frda.Ska iu. Ôú;fha  fndfyda l,a f.jd we;s  fi!LH ld¾h uKav, idudðlhka fyd¢ka oks;s' ,sx.sl wdl¾IKh iys; ia;%S YÍr wx.hla jQ mshhqre bj;a lsÍug jvd õòÊ btawõÜ ¾tabBÊÅB¾l  l%uhg mshhqre h<s  f.dvke.Sug f,dalfha ÈhqKq  fi!LH myiqlï iys; rgj,a mshjr .kafka tneúks'
fuu l%uh fld;rï id¾:l jqjo we;eï ms<sld frda.Ska fjkqfjka  Ndú;d l< fkdyel' ms<sldj  iuf;la me;sr we;s frda.Ska iy ;kmqvqjg iómj Bg háka ms<sldj msysgd we;s frda.Skago  fï j¾.fha ie;alï isÿl< fkdyel' ;jo Èhjeähdfjka wdidÈ; jqjkago fuu ie;alu iqÿiq fkdfõ' thg fya;=j reêr ixirKfha we;s ÿn,;d ksid ;kmqvqj jkùug bv ;sfnk neúks'
wka ishÆ ms<sld fukau mshhqre ms<sldjo l,a ;nd y÷kd .ekSu u.ska myiqfjka  iqj l< yelsh' iajhx mshhqre  mÍlaIdfõ § Tn olskd hï fjkialï ms<sn| ie,ls,su;a ùu b;du;a fyd| l%uh fjhs'  mshhqre ms<sld muKla fkdj ´kEu ms<sldjla ms<sn| we;sjk ielfha jdish ms<sldfõ md¾Yajhg ,nd § iqmqreÿ ffjoHjrfhl=  fj; f.dia  Wmfoia .ekSu  b;du;a fhda.H l%uh fjhs'
Wmqgd .ekSu ,laìu mqj;a m;weiqfrks