Uma uke waba nesifuba sebele futhi utshelwe ukuthi une-loperrous hyperplasia, kungenzeka ukuthi ukhathazekile. Kusho ukuthini lokhu? Ingabe le mdlavuza webele? Ake sibheke ukuthi impela lokhu kutholakala kusho ukuthini, yiziphi izinketho zokwelapha ezitholakalayo, nokuthi yini ongayilindela esikhathini esizayo.
Sibutsetelo
I-aperptic lobular hyperplasia (ALH) akuyona umdlavuza wesifuba , kodwa kubhekwa njengesimo esinqunyiwe.
Udokotela wakho angabuye abhekisele kule nkinga ngokuthi "isifo sebele sesisasa." I-opipical lobular hyperplasia ivela kumaseli e- epithelial akha u-lobes obisi, okhiqiza amangqamuzana amaningi kunokuba avame ukukhula lapho. Amanye alawa maseli ayesimweni esilinganiselwe nobukhulu, ngakho-ke abizwa ngokuthi yi-atypical. Ngokuvamile, i-lobe ihlanganiswe nesigcawu esisodwa sezingqamuzana ezifakwe ngendlela efanayo, kodwa nge-lobular hyperplasia kungenzeka kube nezingqimba eziningana zamaseli. Lokhu kufana ne- atypical ductal hyperplasia .
Ukuxilongwa kwe-lobular hyperplasia e-atypical kusho ukuthi impilo yakho engozini yokuthuthukisa umdlavuza webele isengozini engama-4 kuya kwezihlanu. Amaseli we-lobular atypical awavamile futhi angakwazi ukuthuthukisa i-lobular carcinoma in situ (LCIS), uhlobo lomdlavuza webele ongavumelekile. Kuzodingeka uqaphele impilo yakho yebele , futhi kungenzeka ukuthi ube ne- MRI yebele kanye nesimiso sakho sokuhlolwa kwonyaka.
Abesifazane abaneminyaka engama-45 kuya ku-55 abanama-hyperplasia ase-atypical banomngcipheko ozayo kakhulu wokuthuthukisa umdlavuza webele.
I-ALH ibizwa nangokuthi i-lobular hyperplasia nge-atypia, i-mammary atypical lobular hyperplasia, i-epithelial hyperplasia yama-epysial noma isifo sebele se-proliferative.
Izimpawu Nezibonakaliso
I-aperptic lobular hyperplasia ayibangeli noma yiziphi izimpawu eziphawulekayo.
Kuvame ukutholakala esimweni sokubukwa kwesimiso esijwayelekile. Ezimweni ezimbalwa, i-loyrrous hyperplasia engama-atypical ingabangela ubuhlungu besifuba . Uma i-hyperplasia ibonisa ukuthi i-mammogram noma i-ultrasound, isampula yesisindo ingathathwa ukuze uthole ukuxilongwa okucacile.
Ukuxilongwa
Ngeke udinga zonke lezi zivivinyo zokuxilonga, kodwa kuzodingeka ezinye ze-imaging kanye nesampula yamathambo ukuze uthole ukuxilongwa okucacile.
- I-Mammogram - i-ALH ibonakala njengeqoqo lezinkampani ezincane emkhathini
- I-Ultrasound - I-ultrasound yebele isebenzisa amagagasi omsindo ukudalula amaqembu ezinkampani ezincane
- Isitoreji Sesiko Esiyinhloko
- I-Biopsy yase-stereotactic
Kunzima ukubikezela ukuthi yiziphi izimo ze-lobular hyperplasia eziyohlala zihlala zingenangqondo futhi zingase zibe zimbi, futhi odokotela bangavumelani nokuthi yini ongakhetha ngayo ngemuva kokuxilongwa. Abantu abaningi badinga ukuhlolwa okungaphezulu kokumamemograms kanye / noma i-MRIs yamabele ukugcina ithrekhi yanoma yiziphi izinguquko.
Abanye abantu bangase bakhethe i-biopsy yokuzikhethela ukususa izicubu ezisolisayo. Uma unomlando womndeni wesifo somdlavuza webele noma we-ovarian, noma uma une-BRCA yesiguquko sokuguqula izakhi, uzodinga ukulinganisela lokho ngezinqumo zakho zokwelashwa. Ngomlando womndeni wesifo somdlavuza webele kanye / noma izakhi zofuzo, ngokuvamile kungcono ukubonisana nomeluleki wezakhi zofuzo. Ukuhlola i-Gene kusengumntwana, futhi kukhona okuningi okushiwo ukuthi ufunde mayelana nezindlela zokubeletha ezingase zibe khona kumdlavuza webele.
Umeluleki omuhle angakusiza ngokumangalisayo ngokubuka umlando wakho womndeni wakho womdlavuza (isibonelo, umlando wesifo somdlavuza we-pancreatic uphakamisa ithuba lokuthi une-BRCA2 ye-gene mutation) futhi kungase kube usizo ukukuqondisa kunoma yiziphi izinqumo ozenzayo.
Ukwelapha
Abesifazane abane-ALH kufanele babeluleke ukuba bayeke ukuthatha imithi yokwelapha ngomlomo, gwema ukwelashwa kwe-hormone. Kokubili iphilisi yokulawula ukubeletha kanye ne-hormone therapy esikhundleni sokuthi kungakwandisa ingozi yokuthuthukisa umdlavuza webele.
Ukwenza indlela efanele yokuphila kanye nezinguquko zokudla ezinganciphisa ingozi yomdlavuza wesifuba (ngokwesibonelo, ukudla ukudla okunezithelo nemifino, inhlanzi, namafutha omnqumo nokuzivocavoca umzimba okungenani izinsuku ezinhlanu ngesonto) kubalulekile.
Kufanele bakhuthazwe ukubona isazi esizobala izingozi zabo zokuthuthukisa umdlavuza webele we-invasive ngokusebenzisa i-model yeGail. Izinzuzo nezingozi kufanele zixoxwe ngendlela efanele futhi, ukuvimbela okuyinhloko ngokusebenzisa i-tamoxifen noma i-raloxifene, kungase kuphakanyiswe kwabanye besifazane.
Uma i-ALH itholakala nge-needle core i-biopsy kufanele kwenziwe ukuzivikela okugwenywa ukuze kugweme ukungaqaphelwanga kokuthola ukuxilongwa.
Ukubhekana
Cishe owesifazane kwabayisishiyagalolunye ku-25 uzotholakala ene-hyperplasia ye-atypical, noma emathangeni abo abisi noma amathumbu ama-lobes. Amaphesenti angaba ngu-20 alaba besifazane angase athuthukise i-lobular carcinoma engozini noma engavamile i-lobular carcinoma engakapheli iminyaka engu-15 emva kokuxilongwa.
Izwi elivela
Uma uthola ukuthi unesifo se-lobular hyperplasia, yenza lokho ongakwenza ukuze unciphise ingozi yokuthuthukisa umdlavuza webele. Bheka umsoco futhi uthuthukise uhlelo lokudla okunempilo. Buka isisindo sakho, ugcine utshwala obuncane futhi ungabhemi. Thola ukuhlolwa okuvamile. Thatha isikhathi sokufunda ngezingozi. Isibonelo, abesifazane abaningi abazi ukuthi ukusebenzisa iphilisi yokulawula ukuzalwa kuphakamisa ingozi yomdlavuza webele. Ukwanda akukona lokho okuphakeme, kodwa kumuntu osenayo ingozi eyengeziwe, ngokuqinisekile kubalulekile.
Thatha isikhathi sokufunda ngokuphikisana ngama-mammograms nokuqapha okuningi. Asinaso ukuhlolwa kokuhlolwa komdlavuza webele wesifuba ngalesi sikhathi. Ama-Mammograms angakwazi ukulahlekelwa amakhemikhali kokubili, futhi akhombise ama-alamu amanga. I-MRIs yebele isondela cishe ekujwayelekile ukunakekelwa kulabo abasengozini enkulu yesifo ngenxa yokuthola kangcono.
> Imithombo:
> I-American Cancer Society. Hyperplasia of the Breast (Ductal noma Lobular). Kubuyekezwe 09/20/17. https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/hyperplasia-of-the-breast-ductal-or-lobular.html
> U-Racz, J., no-A. Badikibala. I-Atypical Ductal Hyperplasia Iyadingeka Ngani Ukufuna Ukucabangela? . Imitholampilo ye-Oncology eNorth America . 2018. 27 (1): 23-32.