Izimpawu, Ukuxilongwa, Nokunakekelwa
Uma utshelwe ukuthi une "atypical ductal hyperplasia" kusho ukuthini lokhu? Ingabe iphakamisa ingozi yokuthuthukisa umdlavuza webele noma ingabe isivele isenomdlavuza webele? Ziyini izinyathelo ezilandelayo, futhi ziphathwa kanjani?
Sibutsetelo
I-atypical ductal hyperplasia (ADH) ayikona umdlavuza webele kodwa kubhekwa njengesimo esinqunyiwe . I-atypical ductal hyperplasia ibonisa ukuthi kukhona amangqamuzana amaningi ahlanganisa i-duct kunokuba ayengaba khona lapho, futhi amanye alawa maseli awavamile noma "evamile" -wawo ajwayelekile ngendlela engafanele.
Ngokujwayelekile, i-milk conduit ibhekwe ngqamuzana elilodwa ngisho namaseli afane ngendlela efanayo, kodwa ku-hyperplasia ye-ductal, kungase kube nezinhlaka eziningi zamaseli.
Lokhu kufana ne -lobular hyperplasia , kodwa i-loperrous hyperplasia ihlanganisa amangqamuzana e-epithelial ahlanganisa ama-lobul of the breast kunokuba amathanga ebisi.
I-atypical ductal hyperplasia ingase futhi ibizwe ngokuthi i-mammary atypical ductal hyperplasia, i-epithelial hyperplasia ye-atypical, i-intraductal hyperplasia ne-atypia, noma umdlavuza webele we-proliferative.
Ingozi Yomdlavuza Webele
Uma uthola ukuthi une-atypical ductal hyperplasia, ingozi yakho yokudala umdlavuza webele iphindwe izikhathi ezine kuya kwezingu-5 isilinganiso sezinga lokuphila kwengozi. Ama-apipical cells ajwayelekile futhi angakwazi ukuthuthukisa umdlavuza webele ongaphephile, njengengculazi ye- ductal carcinoma in situ (DCIS).
Kungaba ukwesaba kakhulu ukuzwa ukuthi unesimo esibangela ingozi yomdlavuza webele.
Kungasisiza ukukhumbula ukuthi izinguquko esiswini sakho zisengaguquguquki, kanti ngisho nalapho lezi zinguquko zithuthukile ku-carcinoma, izinga lokusinda kufanele libe cishe kumaphesenti angu-100. I-Ductal carcinoma in situ (noma isigaba somdlavuza webele we-stage) asikabi nakakhulu kunento ethiwa "i-membrane engaphansi" futhi ngenxa yalesi sizathu asikakucabangi njengomdlavuza wokuhlasela.
Lokhu kulula ukusho kunokubhekana nokubaluleka futhi kubalulekile ukuba nengxoxo ngokucophelela nodokotela wakho mayelana nenzuzo nokuqeda ukukhipha noma yiziphi izindawo ze-hyperplasia yama-atypical esiswini sakho.
Izimpawu Nezibonakaliso
I-atypical ductal hyperplasia ngokuvamile ayibangeli izimpawu eziphawulekayo. Kuvame ukutholakala lapho i-biopsy yenzeka ukuhlola isifuba sezinyosi noma indawo yokuqina esifubeni. Ngokuvamile, i-atypical ductal hyperplasia ingabangela ubuhlungu besisu . I-hyperplasia ingase isetshenziswe ngokufundwa kumammogram noma i-ultrasound, kodwa isampula yamathambo iyadingeka (i-biopsy) ithole ukuxilongwa okucacile.
Izivivinyo ezisetshenziselwa ukuhlola i-ADH
Izivivinyo ezingase ziphakamise ukuthi i-ADH ikhona noma iqinisekisa ukuxilongwa kufaka:
- I-Mammography - i-ADH ivame ukubonakala njengephethini lokubalwa kwamakhompiyutha.
- I-Ultrasound - I-ultrasound isebenzisa ukushayela amagagasi ukuhlola ukubukeka kwesikhumba noma ukuqina esifubeni futhi kungabonakalisa ukubalwa.
- Ukwelashwa Kwama-Ductal - Esikhathini sokulahla kwe-ductal, amangqamuzana asebele asekhishwa ngokusebenzisa ingxube ngokusebenzisa inqubo yokuluthwa. Ngaphansi kwe-microscope, amanye alawa maseli angabonakala e-atypical.
- I-Breast Biopsy - Isivivinyo esiqondile sokuthola i-hyperplasia ye-atypical hyperplasia yi-biopsy yebele. Ngokungafani nokulahla kwamathambo okungase kutholakale amangqamuzana angama-atypical, i-biopsy yebele ivumela futhi udokotela wakho ukuba anqume indawo yalawo maseli. Isampula yamathambo ingatholakala nge- core needle biopsy (inaliti yendawo ye-biopsy ngesikhathi se-ultrasound) noma nge- biopsy evulekile yokubeletha .
Ukulandela emva kokuthola ukuhlolwa
Njengoba kunzima ukubikezela ukuthi lapho i-atypical ductal hyperplasia izoqhubeka ibe yinhle (engeyona umdlavuza) futhi uma ingaba yingozi (umdlavuza), unezinketho ezithile emva kokuxilongwa. Abantu abaningi bazokhetha ukuhlola okungaphezulu kokumakeka kuphela, ukugcina ithrekhi kwanoma yiziphi izinguquko. Ucwaningo olwenziwa abahlinzayo baseKorea ngonyaka ka-2008 lwathola ukuthi abesifazane abangaphansi kwesigamu sabo bonke abathola ukuthi bane-ADH bathuthukiswe umdlavuza webele. Abesifazane abaningi abazoqhubeka nokuthuthukisa umdlavuza webele babeneminyaka engaphansi kwengu-50 ubudala, babe nemikhakha emincane kumammogram, ubukhulu obukhulu kunamamitha angu-15 (1.5 cm noma encane kancane kune-intshi ububanzi), kanye nesikhumba esingafunyanwa ngokuthinta (ihlombe elinamathele).
Abanye abantu bangakhetha ukuthi bangakhetha uhlobo lokuhlinzwa kwebele ukususa izicubu ezisolisayo.
Ukwelapha
Uma usuvele uthola ukuthi unesifo se-ADH, uzocelwa ukuba wenze isinqumo ngalokho okufanele ukwenze ngokulandelayo. Izinketho zakho ngaleso sikhathi zihlanganisa:
Ukubuka ukulinda - Ngokuvamile odokotela bazokwazisa abesifazane ukuthi bahlale "balinde futhi babone" indlela eya ku-atypical ductal hyperplasia. Isizathu esivela kule ndlela ukuthi okungenani isigamu sabesifazane abane-ADH ngeke baqhubeke nokuthuthukisa umdlavuza webele, nokususwa kungabangela ingozi engadingekile.
Ukwelashwa okuhlinzekwayo - Kulabo abasengozini enkulu yokuthuthukisa umdlavuza webele, noma uzizwa ukhathazekile kakhulu futhi ukhathazekile ngokutholakala kwe-ADH, ukwelashwa okuhlinzekwa ngokuqinisekile kuyindlela yokukhetha. Abanye abantu bathi ngisho nalabo abangenabo i-ADH abasengozini yomdlavuza webele ngezinye izikhathi banokuhlinzwa okuvimbela. Ngenkathi ukuhlinzwa kungase kube ukukhetha okungcono kulabo abasengozini-isibonelo, labo abangaphansi kuka-50, abanezicubu ezinkulu noma izicubu ezingase zizwakale ekuhlolweni, noma ngezinye izici eziyingozi-kubonakala ngokuzikhethela ngisho nalabo abangenayo lezi zinto eziyingozi.
Izinketho zokuhlinzwa zingabandakanya:
- Ukuqondiswa kwe-Ultrasound-Ukusizwa-Ukusizwa Okusizayo-Ukusizwa okusizwa nge-Vacuum kuyindlela engavamile yokususa indawo enobungozi yamathambo. Lokhu akuyona inketho kuwo wonke umuntu.
- I-Lumpectomy - I-Lumpectomy ihilela ukususa izicubu eziqukethe indawo yamangqamuzana angavamile kanye nomkhawulo wezicubu ezizungezile ukusiza ukuvimbela ukuphindaphindiwe.
- I-mastectomy - Abesifazane abathile banezindawo ze-ductal hyperplasia esasakazeka kakhulu phakathi kwebele (noma kokubili amabele.) Uma kwenzeka lokhu owesifazane angakhetha ukushaya isisu ukuze asuse zonke izicubu zesifuba ezingavamile.
Isibikezelo
Cishe owesifazane kwabayisishiyagalolunye ku-25 bayotholakala benesifo se-hyperplasia esesimweni esiphundu-kungakhathaliseki ukuthi bangamakhanda noma ubisi lwebele. Cishe owesinye kwabahlanu kulaba besifazane bazohlakulela umdlavuza webele we-invasive engakapheli iminyaka engu-15 ngemuva kokuxilongwa.
Ngaphansi
Isinqumo sokuthi ubuke futhi ulinde ngamammograms noma indawo yesifuba sakho ne-atypical ductal hyperplasia isuswe kakhulu.
Kungakhathaliseki ukuthi unquma "ukubuka nokubona" noma ube nokukhathazeka esifubeni sakho kususiwe, umdlavuza webele usalokhu uvame kakhulu kubantu besifazane. Abacwaningi bathi izikhathi ezicindezelayo ezifana nalezi-ukuthola ukuthi une-atypical ductal hyperplasia-kuyithuba elihle lokunciphisa izingozi zakho ezibangelwa impilo ebuthakathaka ngokujwayelekile. Uma uthola ukuthi unesifo se-ADH, lokhu kungaba yisikhathi esihle sokuthuthukisa impilo yakho yonke ngokudla okunomdlavuza , ukuvivinya umzimba njalo, amazinga okucindezeleka okuphansi, kanye nesifuba sokuzivivinya ngezikhathi zonke kanye nokuhlolwa.
Imithombo:
Kuerer, H. Ductal Carcinoma in Situ: Ukwelashwa noma Active Surveillance. Ukubuyekezwa kochwepheshe ku-Antiticancer Therapy . 2015. 15 (7): 777-85.
Mastropasqua, M., noG. Viale. Ukuhlolwa Kwemitholampilo Nezifo Eziphezulu Zezinkinga Eziphakeme Zengozi Nezibeletho Zezibeletho: Yiziphi Izidakamizwa Okufanele Zizazi. I-European Journal of Oncology Yokuhlinza. 2016 Aug. (I-Epub ngaphambi kokuphrinta).