Isigaxa samabele

Isigaxa sesifuba kukudumba, ukukhula, okanye ubunzima ebeleni.

Amaqhuma amabele emadodeni nakwabasetyhini aphakamisa inkxalabo yomhlaza webele, nangona uninzi lwamaqhuma lingengomhlaza.

Bobabini abesilisa nabasetyhini bayo yonke iminyaka banezicubu zesifuba eziqhelekileyo. Esi sihlunu siphendula kutshintsho lwehomoni. Ngenxa yoku, amaqhuma angeza ahambe.

Amaqhuma amabele anokuvela nangaliphi na ixesha:

• Zombini iintsana ezingamadoda nabasetyhini zinokuba namaqhuma amabele kwi-estrogen yoonina xa bezalwa. Iqhuma liya kuhlala lihamba lodwa njengoko i-estrogen isusa emzimbeni wosana.
• Amantombazana amancinci ahlala ekhula "amabele," avele ngaphambi nje kokuba afikisa. Ezi ziqhuma zinokuba nethenda. Ziqhelekile malunga neminyaka eli-9, kodwa zinokwenzeka kwasekuqaleni kweminyaka yobudala engama-6.
• Amakhwenkwe akwishumi elivisayo anokukhulisa ukukhula kwamabele kunye namaqhuma ngenxa yokutshintsha kwehomoni xa ufikisa. Nangona oku kungabacaphukisa abafana, amaqhuma okanye ukukhula phantse kuhlala kuhamba ngokwazo kwisithuba seenyanga.

Amaqhuma kumfazi ahlala edla ngokuba yi-fibroadenomas okanye ii-cysts, okanye umahluko nje oqhelekileyo kwithishu yamabele eyaziwa ngokuba lutshintsho lwe-fibrocystic.

Utshintsho lwe-Fibrocystic lubuhlungu, amabele anamaqhuqhuva. Le yimeko enobungozi enganyusi umngcipheko womhlaza webele. Iimpawu zihlala zibi kakhulu ngaphambi kokuba uye esikhathini, kwaye uphucule emva kokuba ixesha lakho liqale.

I-Fibroadenomas zizigaqa ezingenancanca eziva ngathi zirabha.

• Zihamba ngokulula ngaphakathi kwithishu yebele kwaye zihlala zingenathambo. Zenzeka rhoqo ngexesha lokuzala.
• La maqhuma awunawo umhlaza okanye abe ngumhlaza ngaphandle kweemeko ezinqabileyo.
• Umboneleli wezempilo ngamanye amaxesha unokukrokrela ukuba iqhuma yi-fibroadenoma esekwe kuvavanyo. Kwakhona, i-ultrasound kunye ne-mammogram zihlala zinika ulwazi ukumisela ukuba ngaba iqhuma libukeka njenge-fibroadenoma.
• Ekuphela kwendlela yokuqiniseka, nangona kunjalo, kukuba nenaliti yokutshixa okanye ususe lonke iqhuma.

Iicyst zizingxobo ezigcwele ulwelo ezihlala zivakala ngathi ziidiliya ezithambileyo. Ezi ngamanye amaxesha zinokuba nethenda, rhoqo ngaphambi kokuba uye exesheni. I-Ultrasound inokumisela ukuba ngaba isigaxa sisitshingitshane. Ingabonisa nokuba ingaba yinto elula, enzima, okanye eyinkimbinkimbi.

• Iicyst ezilula zizingxowa nje ezizaliswe lulwelo. Akukho mfuneko yokuba zisuswe kwaye zisenokuzihambela zodwa. Ukuba i-cyst elula ikhula okanye ibangela iintlungu, inokucetyiswa.
• I-cyst eyinkimbinkimbi inenkunkuma encinci kulwelo kwaye inokujongwa nge-ultrasound okanye i-fluid inokutsalwa.
• I-cyst entsonkothileyo ijongeka ngathi iyakhathaza kwi-ultrasound. Kufuneka kwenziwe i-biopsy yenaliti kwezi meko. Ngokuxhomekeka kwinto eboniswa yinaliti, i-cyst inokujongwa ngeemviwo ze-ultrasound okanye isuswe ngotyando.

Ezinye izinto ezibangela amabele emabeleni zibandakanya:

• Umhlaza webele.
• Ukwenzakala. Igazi linokuqokelela kwaye livakale njengeqhuma ekuthiwa yihematoma ukuba isifuba sakho sikrunekile. Ezi zivumba zivame ukuba ngcono ngokwazo kwiintsuku okanye iiveki ezimbalwa. Ukuba aziphuculanga, umboneleli wakho unokufuna ukukhupha igazi.
• Lipoma. Le yingqokelela yamaqatha anamafutha.
• Ii-cysts zobisi (iisaka ezigcwele ubisi). Ezi cysts zinokwenzeka ngokuncancisa.
• Ithumba lebele. Oku kwenzeka xa uncelisa okanye usandula ukuzala, kodwa kunokwenzeka nakwabasetyhini abangancancisi.

Bona umboneleli wakho ukuba unamaqhuma amatsha okanye utshintsho lwebele. Buza malunga nemingcipheko yakho yomhlaza webele, kunye nokuhlolwa kunye nokuthintela umhlaza webele.

Fowunela umnikezeli wakho ukuba:

• Isikhumba esifubeni sakho sibonakala sidibeneyo okanye sishwabene (njengexolo leorenji).
• Ufumana iqhuma elitsha lebele ngexesha lokuzivavanya.
• Unemivumbo esifubeni sakho kodwa khange uve nakuphi na ukwenzakala.
• Unencindi yokukhutshwa kwengono, ngakumbi ukuba inegazi, icacile njengamanzi, okanye ipinki (inegazi).
• Ingono yakho iguqulwe (yajika yangena ngaphakathi) kodwa ngesiqhelo ayiguquki.

Biza kwakhona ukuba:

• Ungumfazi, uneminyaka engama-20 okanye ngaphezulu, kwaye ufuna isikhokelo malunga nendlela yokuzihlola ngokwakho.
• Ungumfazi ongaphezu kweminyaka engama-40 kwaye khange ube nayo i-mammogram kunyaka ophelileyo.

Umboneleli wakho uya kufumana imbali epheleleyo kuwe. Uya kubuzwa malunga nezinto zakho ezinokuthi zonyuse umngcipheko womhlaza wamabele. Umboneleli uya kwenza uvavanyo lwebele olunzulu. Ukuba awuyazi indlela yokuzivavanya ngokwakho, buza umboneleli wakho ukuba akufundise indlela efanelekileyo.

Unokucelwa imibuzo yembali yezonyango enje:

• Uliqale nini kwaye njani iqhuma?
• Ngaba unazo ezinye iimpawu ezinjengeentlungu, ukukhutshwa kwengono, okanye umkhuhlane?
• Liphi iqhuma?
• Ngaba uyazivivinya ngokwakho amabele, kwaye ngaba eli qhuma lutshintsho kutshanje?
• Ngaba unalo naluphi na uhlobo lokulimala ebeleni lakho?
• Ngaba uthatha nawaphi na amahomoni, amayeza, okanye izongezo?

Amanyathelo angabonelelwa ngumboneleli wakho ngokulandelayo abandakanya:

• Oda i-mammogram ukuba ijonge umhlaza, okanye isibeleko se-ultrasound ukubona ukuba isigaxa siqinile na okanye sisirhintyelo.
• Sebenzisa inaliti ukuzoba ulwelo ngaphandle kwecyst. Ulwelo ludla ngokulahlwa kwaye akukho mfuneko yokuba luvavanywe ngemicroscope.
• Myalelo we-biopsy yenaliti edla ngokwenziwa ngugqirha wonyango.

Ukuphathwa kweqhuma lamabele kuxhomekeke kwisizathu.

• Izigaxa zesifuba eziqinileyo zihlala zidityaniswa ngenaliti ngu-radiologist. Kuxhomekeka kwimeko, banokususwa ngotyando. Banokubekwa esweni ngokuhamba kwexesha ngumboneleli.
• Iicyst zinokutsalwa kwiofisi yomboneleli. Ukuba isigaxa siyanyamalala emva kokuba sikhutshiwe, awusayi kufuna olunye unyango. Ukuba isigaxa asinyamalali okanye sibuya, kungafuneka uphinde uhlolwe ngoviwo kunye nokucinga.
• Usulelo lwebele luphathwa ngamayeza okubulala iintsholongwane. Ngamanye amaxesha ithumba lebele lifuna ukukhutshwa ngenaliti okanye kukhutshwe utyando.
• Ukuba ufunyaniswe ukuba unomdlavuza webele, uya kuxoxa ngononophelo kunye nangokufanelekileyo kunye nomboneleli wakho.

Ubunzima bebele; Isifuba sebele; Ithumba lebele

• Ibele labasetyhini
• Amaqhuma amabele
• Utshintsho lwebele lweFibrocystic
• Fibroadenoma
• Ukususwa kwesigaqa samabele - uthotho
• Oonobangela besi sifo

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UGilmore RC, uLang JR. Isifo sesifuba seBenign. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 657-660.

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