Yintoni Inqanaba 0 Umhlaza Webele?

Umxholo

• Ushwankathelo
• Inqanaba 0 lomhlaza webele kunye ne-lobular carcinoma in situ
• Inqanaba 0 vs. isigaba 1 somhlaza webele
• Kuqheleke kangakanani?
• Ngaba zikhona iimpawu?
• Ngaba abantu abathile basemngciphekweni owandayo?
• Ufunyanwa njani umhlaza webele webele 0?
• Unyangwa njani umhlaza webele webele 0?
• Ngaba ndiya kufuna i-chemo?
• Iinkxalabo zempilo yengqondo
• Yintoni imbonakalo?

Ushwankathelo

Inqanaba 0 lomhlaza webele, okanye i-ductal carcinoma in situ (DCIS), kuxa kukho iiseli ezingaqhelekanga kuludwe lwemibhobho yobisi. Kodwa ezo seli azisasazekanga ngaphaya kodonga lwendlela yokufikelela kwizicubu ezijikelezileyo, igazi, okanye ii-lymph node.

I-DCIS ayisebenzi kwaye ngamanye amaxesha ibizwa ngokuba yi "precancer". Nangona kunjalo, iDCIS inako ukubangungenelelo.

Inqanaba 0 lomhlaza webele kunye ne-lobular carcinoma in situ

Inqanaba 0 lomhlaza wamabele osetyenziselwa ukubandakanya i-lobular carcinoma in situ (LCIS). Nangona igama liqulethe igama elithi carcinoma, i-LCIS ayisayi kubekwa njengomhlaza. I-LCIS ibandakanya iiseli ezingaqhelekanga kwii-lobules, kodwa azisasazeli ngaphaya kwe-lobules.

I-LCIS ngamanye amaxesha ibizwa ngokuba yi "lobular neoplasia." Akufuneki unyango. Nangona kunjalo, i-LCIS inokuwunyusa umngcipheko wokuhlaselwa ngumhlaza kwixa elizayo, ke kubalulekile ukuba ulandele.

Inqanaba 0 vs. isigaba 1 somhlaza webele

Kwinqanaba loku-1 lomhlaza wamabele, umhlaza uyangena, nangona umncinci kwaye uqulethwe kwizicubu zamabele (inqanaba loku-1A), okanye inani elincinci leeseli zomhlaza zifunyenwe kwi-lymph node ezikufutshane (isigaba 1B).

Njengoko sijonga inqanaba 0 lomhlaza webele, sithetha ngeDCIS, hayi inqanaba 1 lomhlaza webele okanye i-LCIS.

Kuqheleke kangakanani?

Ngo-2019, kuya kubakho malunga nama-271,270 amatyala amatsha omhlaza wamabele eUnited States.

I-DCIS imele malunga nazo zonke izifo ezintsha.

Ngaba zikhona iimpawu?

Ngokuqhelekileyo akukho zimpawu zenqanaba lesifo somhlaza webele, nangona ngamanye amaxesha kunokubangela isigaxa sebele okanye ukuphuma kwegazi kwingono.

Ngaba abantu abathile basemngciphekweni owandayo?

Isizathu ngqo somdlavuza webele weSigaba 0 awucaci, kodwa kukho izinto ezinokunyusa umngcipheko, njenge:

• ukwanda kweminyaka
• Imbali yobuqu ye-atypical hyperplasia okanye esinye isifo sesifuba
• Imbali yosapho yomhlaza webele okanye uguquko kwimfuzo olunokuthi lukhulise umngcipheko womhlaza wamabele, njenge-BRCA1 okanye i-BRCA2
• ukuba nomntwana wakho wokuqala emva kweminyaka engama-30 okanye ungaze ukhulelwe
• ukuba nexesha lakho lokuqala ngaphambi kweminyaka eyi-12 okanye ukuqala ukuya exesheni emva kweminyaka engama-55

Kukwakho nemingcipheko yokuphila, enokuthi iguqulwe ukunciphisa umngcipheko, kubandakanya:

• ukungasebenzi
• ukutyeba kakhulu emva kokuyeka ukuya exesheni
• ukuthatha unyango lwe-hormone okanye unyango oluthile lomlomo
• ukusela utywala
• ukutshaya

Ufunyanwa njani umhlaza webele webele 0?

Jonga ugqirha wakho ukuba unesigaqa okanye olunye utshintsho kumabele akho. Xoxa ngembali yosapho lwakho yomhlaza kwaye ubuze ukuba kufuneka uhlolwe kangaphi.

Inqanaba 0 umhlaza webele uhlala ufumaneka ngexesha lokuhlolwa kwe-mammogram. Ukulandela i-mammogram ekrokrisayo, ugqirha wakho unokuyalela i-mammogram yokuxilonga okanye olunye uvavanyo lokucinga, njenge-ultrasound.

Ukuba kusekho umbuzo malunga nendawo ekrokrisayo, uyakufuna i-biopsy. Kule nto, ugqirha uya kusebenzisa inaliti ukususa isampulu yethishu. Ugqirha wezifo uya kuvavanya izicwili phantsi kwemicroscope kwaye anike ingxelo kugqirha wakho.

Ingxelo yezifo iya kuthi ingaba zikhona iiseli ezingaqhelekanga ezikhoyo kwaye, ukuba kunjalo, zinokuba ndlongondlongo kangakanani.

Unyangwa njani umhlaza webele webele 0?

I-Mastectomy, okanye ukususwa kwebele lakho, yayikhe yanyangwa kwinqanaba lesifo somhlaza webele, kodwa akusoloko kuyimfuneko namhlanje.

Ezinye zezizathu zokujonga imastectomy zezi:

• uneDCIS ngaphezulu kwenxalenye enye yebele
• indawo inkulu ngokubhekisele kubukhulu besifuba sakho
• awunakho ukufumana unyango ngemitha
• ukhetha i-mastectomy ngaphezulu kwe-lumpectomy ngonyango lwe-radiation

Ngelixa i-mastectomy isusa lonke ibele, i-lumpectomy isusa kuphela indawo ye-DCIS kunye nomda omncinci ojikeleze yona. I-Lumpectomy ikwabizwa ngokuba luqhaqho lokulondolozwa kwamabele okanye ukusikwa okubanzi kwendawo. Oku kugcina uninzi lwebele kwaye awunakufuna utyando lokwakha kwakhona.

Unyango ngemitha lusebenzisa imitha yamandla aphakamileyo ukutshabalalisa naziphi na iiseli ezingaqhelekanga ezinokuthi zishiywe ngasemva emva kotyando. Ukunyanga ngemitha kwinqanaba lesifo somhlaza webele kunokulandela i-lumpectomy okanye i-mastectomy. Unyango lunikwa iintsuku ezintlanu ngeveki iiveki ezininzi.

Ukuba i-DCIS i-hormone receptor-positive (HR +), unyango lwehomoni lunokusetyenziselwa ukunciphisa amathuba okuphuhliswa komhlaza wamabele emva koko.

Ityala ngalinye lahlukile, ke thetha nogqirha wakho malunga nezibonelelo kunye nomngcipheko kuhlobo ngalunye lonyango.

Ngaba ndiya kufuna i-chemo?

I-Chemotherapy isetyenziselwa ukunciphisa amathumba kunye nokutshabalalisa iiseli zomhlaza kuwo wonke umzimba. Ukusukela kwinqanaba lesifo somhlaza webele elingaqhelekanga, olu nyango lwenkqubo aludingeki.

Iinkxalabo zempilo yengqondo

Xa ufunda ukuba unomdlavuza webele wenqanaba 0, unezigqibo ezinkulu ekufuneka uzenze. Kubalulekile ukuba uthethe nogqirha wakho malunga noxilongo lwakho nzulu. Buza ukucaciselwa ukuba awuqondi kakuhle ukuba uxilongiwe okanye unyango lwakho. Unokuthatha ixesha lokufumana uluvo lwesibini.

Kuninzi onokucinga ngako. Ukuba unexhala, uxinezelekile, okanye unengxaki yokujamelana nokuxilongwa kunye nonyango, thetha nogqirha wakho. Banokukuthumela kwiinkonzo zenkxaso kwindawo yakho.

Nazi ezinye izinto ekufuneka ziqwalaselwe:

• Fikelela kubahlobo nakusapho ukuze ufumane inkxaso.
• Thetha nonyango okanye enye ingcali yezempilo yengqondo.
• Joyina i-intanethi okanye iqela lenkxaso lomntu. Inkqubo yeeNkxaso zeCancer Society kunye neNkonzo yeeNkonzo zibonelela ngolwazi malunga nezixhobo, kwi-intanethi okanye kwindawo yakho. Unako kwakhona ukuhlala ingxoxo nommeli okanye, ukuba uhlala eUnited States, tsalela umnxeba kwi-1-800-227-2345.

Iindlela zokunciphisa uxinzelelo kunye noxinzelelo zibandakanya:

• umthambo
• iyoga okanye ukucamngca
• imithambo yokuphefumla nzulu
• umyalezo (cela ugqirha kuqala)
• ukulala ngokwaneleyo yonke imihla ebusuku
• ukugcina ukutya okunezondlo

Yintoni imbonakalo?

Inqanaba 0 umhlaza webele unokucothisa ukukhula kwaye ngekhe uqhubele phambili ube ngumhlaza. Inokunyangwa ngempumelelo.

Abasetyhini abaye baba neDCIS banamathuba angama-10 okuba nomhlaza webele ongenayo kunabasetyhini abangazange babe neDCIS.

Ngo-2015, kwajongwa ngaphezulu kwabasetyhini abayi-100,000 ababefumaniswe ukuba banesifo somhlaza webele. Abaphandi baqikelela ukuba izinga lokufa komhlaza webele likhethekileyo kwi-1.1 yeepesenti kunye ne-20 yeminyaka kwi-3.3 yeepesenti.

Kwabasetyhini ababene-DCIS, umngcipheko wokufa ngumhlaza wamabele wanyuswa ngamatyeli ayi-1.8 ngaphezulu kwabasetyhini kubemi ngokubanzi. Amanqanaba okusweleka ayephezulu kwabasetyhini abachongiweyo ngaphambi kweminyaka yobudala engama-35 kunabasetyhini abadala, kunye nabase-Afrika-baseMelika ngaphezulu kweCaucasians.

Ngenxa yezi zizathu, ugqirha wakho unokucebisa ukuhlolwa rhoqo kunokuba ungazange ube neDCIS.