Ukuhlukanisa i-Necrosis ne-Cancer Breast
Yini ngempela i-fat necrosis yebele? Uma udokotela wakho ekutholile ukuthi unenkinga kungenzeka ukuthi udidekile futhi ukhathazekile, ikakhulukazi ngoba ingabonakala njengomdlavuza wesifuba ekuhlolweni kwe-imaging njenge-mammogram. I-fat necrosis iyenzeka kanjani? Kungabangela umdlavuza webele? Ingabe uzodela eyedwa noma idinga ukuphathwa?
Ngemuva kokuhlinzwa kwebele noma ngemva kokulimala kwebele-kusuka ezemidlalo, ezingozini, noma ebhantshini lokuhlala-ungase uhlakulele isifuba esifubeni sakho. Lezi zinhlobo zezinyosi zesifuba zibizwa ngokuthi i-fat fat necrosis ngoba zenziwe ngezicubu ezilimazayo, ezimele, noma ezifile.
Ngeshwa, i-fat fat necrosis iyinkinga evamile futhi ibeka inselele odokotela nakwabesifazane ngokufanayo. Inkinga nge-necrosis yamafutha esiswini ukuthi ngokuvamile ibukeka futhi izwa njengomdlavuza webele, futhi ingabonakala njengomdlavuza webele esifundeni semvelo nakuba ibuhlungu. Eqinisweni, izimpawu zingesabisa uma ujwayele izimpawu zesifo somdlavuza webele. Abanye abantu besaba, bezibuza ukuthi odokotela bazo bangaqiniseka kanjani ukuthi "kuphela" bane-fat necrosis yebele.
I-necrosis ye-fat ingathatha izinhlobo eziningi futhi kungaba nzima ukuyihlolisisa. Ake sibuke izimpawu, izimbangela, kanye nokwelashwa kwe-fat fat necrosis, nokuthi wena nodokotela wakho banganquma kanjani ukuthi yilokho okubangela ukubola kwakho.
Kuyini i-Fat Necrosis ye-Breast?
I-necrosis ye-Fat isifo sesifuba esinobuthi esingaba khona esifubeni sakho. Iqukethe izicubu ezinamafutha eziye zaphazamiseka, zalimala, noma zafa. I-necrosis ye-fat ingabangela ngemuva kwanoma yiluphi uhlobo lwezinyosi zesisu, kusukela ku-biopsy kuya ekwakhiweni kabusha , noma noma yiluphi uhlobo lokulimala kwebele.
Uma izicubu ezinamafutha zilimazekile noma sezifile, kancane kancane zingashintsha zibe izicubu ezibomvu noma zingase ziqoqe njengetshezi ngaphakathi kwe- cyst yamafutha . I-fat necrosis ayikho ekuthuthukiseni umdlavuza webele, kodwa ngezinye izikhathi ingabangela ubuhlungu bebele .
Eminye imigomo ye-fat necrosis - Ukwengeza kokukhathazeka okudalwe ukuxilongwa kwe-fat necrosis yimibolo yemigomo esetshenziselwa ukuyichaza okusho into efanayo. I-necrosis yamafutha ingabizwa nangokuthi:
- I-Membranous fat necrosis
- Liponecrosis microcystica calcificata
- I-pseudolipoma ehamba phambili
Izimpawu Ze-Breast Fat Necrosis
Indawo ye-necrosis yamafutha esifubeni sakho ingase izwe njengenhlamba enzima, noma njengengxenye yesikhumba esinyene-ngokuyinhloko, uhlobo olufanayo lwezimpawu ezivamile nomdlavuza webele.
Isibeletho sakho singase sibe nomuzwa wokuthi sinesihe noma sibuhlungu esizungezile endaweni ye-fat necrosis, kodwa lokhu akusiyo njalo, kanti ngokuvamile indawo ye-necrosis ayibuhlungu (iphinda imlingise umdlavuza webele.)
Ungase ubone amanye amanzi emzimbeni oseduze nesifunda esilimazayo. Ngezinye izikhathi, ingono yakho ingase idonse ngaphakathi kancane, noma isikhumba sakho sebele singase siphume ngaphezu kwenhla ye-fat necrosis. Nalapha futhi, lezi ziyimpawu sonke sitshelwe ukuthi sibuke izimpawu zesifo somdlavuza webele.
Uma une- cyst yamafutha , kungase kube nomuzwa wokuthi uyisicebo esiphundu nesigubhu, esifana nomzwa wesithelo samagilebhisi amancane ngaphansi kwesikhumba sakho.
Kwesinye isifundo se-fat fat necrosis sitholwe ukuthi amaphesenti angu-97 angazwakala (ayengenakwenzeka) kanti izingxenye ezimbili kwezintathu azibuhlungu.
Izici ze-fat necrosis ocwaningweni owodwa zathola ukuthi:
- Izivame zivame ukuhamba ngezikhathi (ezungeze ingono) futhi engaphezulu (zizwa nje ngaphansi kwesikhumba)
- Ukukhwabanisa noma ukuthambekela kwaphawula ngamaphesenti angama-24 we-tie.
- Ukwehliswa isikhumba noma ukudilika kwesikhumba kwaphawulwa ngamaphesenti angu-14.
- Ukuhoxiswa kwe-ingono kwakukhona ngamaphesenti angu-9.
Ngemuva kokuthi indawo ye-fat fat necrosis ibonakala ingakhula ngesayizi, iyancipha ngobukhulu, noma ihlale ifana. Kungase kuqhubeke iminyaka noma kungase kulungiswe ukushiya ngemuva kwe-fibrosis nokubalwa (okungabonakala kumammogram.)
Izimbangela ze-Breast Fat Necrosis
Kunezinhlobo ezihlukahlukene zezimbangela ze-fat necrosis esiswini.
Izicubu ezinamafutha esifubeni sakho zingase ziphule noma zife emva kwanoma yiluphi uhlobo lokulimala kwebele noma ukuhlinzwa kwebele. I-biopsy yebele - kungakhathaliseki ukuthi i-biopsy yenaliti noma i- biopsy yokuhlinzwa - ingabangela ne-fat fat necrosis. I-necrosis ye-fat ingase futhi idale ezungeze izinto eziye zafakwa emabeleni akho, njenge-silicone noma iparafini.
Ukwelashwa kwemisebe yamabele ngezinye izikhathi kungabangela indawo ye-fat necrosis futhi kungase iphutha ngokuphindaphinda umdlavuza webele. Kubonakala sengathi ivame kakhulu kubantu besifazane abaye bahamba ngokushesha ngama-radiation nama radiologists bafuna izindlela ezingcono zokuhlola lokhu, kuhlanganise nokusetshenziswa kwesistimu yokubamba.
Kulabo abahlinzekwa umdlavuza webele, kuvame kakhulu kulabo abathola i-adjuvant chemotherapy. I-necrosis ye-Fat isaba kakhulu ukukhathazeka ngamafutha okuhlanganiswa ngesikhathi sokuvuselelwa nokuhlukanisa i-necrosis yamafutha kusuka ekuphindeni komdlavuza webele.
I-Fat Necrosis Imisa Ezinye I-Breast Lumps
Esinye sezizathu zokuthi i-fat necrosis ingaba nzima ukuyihlolisisa ukuthi ifana nezinye izimbungu zebele . Imisipha eyenziwe ngamathambo e-breast necrosis ingase ibonakale njengezifuba ezincelisayo zesifuba kumammograms nezinye izifundo zokucabanga. Isisindo singase sibonakale sinesidingo, sibe nesimo esingavamile, umngcele we-spiky, kanye neqoqo lezinkampani ezincane . I-necrosis yamafutha esiswini ingahle ibonakale i-lipoma noma i-liposarcoma, noma kokubili okungekho okutholakala ngezicubu zesifuba. Uma amafutha ephenduke amanzi, angabonakala njenge- cyst kwi-ultrasound. I-fat necrosis ye-Breast ingathatha ukubonakala okwehlukile ngokuhamba kwesikhathi, ngakho-ke ukulandelana kwamammogram kuzobonisa ushintsho ngobuningi.
I-fat fat necrosis ingabangela nokutholakala kwamanga okungalungile ku-PET scan.
Indlela I-Breast Fat Necrosis Eyaziwa Ngayo
I-necrosis yamafutha ngokuvamile ibukeka futhi izwa njengezinye izimbungu eziningi zebele. Uma ucabanga ukuthi unendawo ye-necrosis yamafutha esifubeni sakho, bheka udokotela wakho womndeni noma umthambo wezinkinga zokubeletha ukuze uthole ukuhlolwa kwesifuba somtholampilo . Kuzodingeka ube nohlu lwezinhlinzeko zebele kanye nezimo zezempilo zakamuva ukukhombisa udokotela wakho. Lindela ukuthi ithunyelwe nge-mammogram, engase iveze isisindo esikhulu, ubunzima obubi ngamaphethelo we-spicy (spiky) kanye nesimo esingavamile. Kungenzeka ukuthi i- ultrasound yebele izayo -njengoba lokhu kusiza ukuthola ama-cysts amafutha. Uma kungenjalo isithombe singaphelele, i- MRI yebele ingalawulwa .
Ukuxilongwa kokugcina kungadinga i- biopsy ukuqinisekisa i-fat necrosis ngoba ukuhlolwa okuncane kwamaseli kuzokhipha ukukhanya kakhulu esimweni sakho.
Ukwelashwa Kwe-Fat Necrosis Ye-Breast
Icala ngalinye le-fat necrosis lihlukile, ngakho-ke ukwelashwa kuzohluka. Uma i-fat necrosis yakho isanda kwenzeka, ukusebenzisa izingcindezi ezifudumele kungasiza ekusizeni. Uma i-necrosis fat ibangela ubuhlungu, ungasebenzisa i-Advil (ibuprofen) ne-aspirin. Uma ubuhlungu bakho bukhulu, kungase kudingeke ubuze udokotela wakho ngemithi yokuhlunguphazwa kwemithi.
Ezimweni lapho inhlama ye-fat necrosis inkulu futhi ibangela ukunganaki noma ukucindezeleka, ingase isuswe ngenaliti yomsizi osizayo noma i- lumpectomy . I-cyst yamafutha ingasuswa ngedaliti enhle , noma ingasuswa ngokuhlinzwa.
Uma usanda kutholakala ukulimala kwebele noma ukuhlinzwa futhi usola ama-fat necrosis, zama ukucindezela okufudumayo nokusikhipha kahle-ngoba ngokunakekelwa, ngezinye izikhathi izicubu zizophulukisa futhi i-necrosis izozixazulula yedwa, kodwa qiniseka ukuthi ukhuluma nodokotela wakho ngisho uma izimpawu zakho zingekho.
Ngezansi ku-Fat Necrosis ye-Breast
Umdlavuza wesibeletho we-Breast necrosis ungasabisa abesifazane futhi inselele odokotela. Lokhu kusho, ngokusebenzisa inhlanganisela yezifundo ze-imaging, kanye ne-biopsy uma kudingeka, wena nodokotela wakho ungaqiniseka ukuthi uhlangabezana ne-necrosis yamafutha kuphela futhi akukho okubi nakakhulu.
> Imithombo:
> Adejolu, M., Huo, L., Rohren, E., Santiago, L., noWel Lang. Izilonda Ezikhohlisayo Ezixilisa I-Cancer Yasebele ku-FDG PET ne-PET / CT. I-AJR American Journal of Roentgenology . 2012. 198 (3): W304-14.
> Ayyappan, A., Crystal, P., Torabi, A., Foley, B., no B. Ukukhohlwa. Ukucatshangwa kwezilonda ezinamafutha eziswini: I-Pictorial Essay. I-Journal ye-Clinical Ultrasound . 2013. 41 (7): 424-33.
> Hickey, B., Lehman, M., Francis, D., no A. Bheka. I-Radial Breast Irradiation ye-Cancer Early Breast. I-Cochrane Database yezibuyekezo ezihleliwe . 2016. 7: CD007077.
> Kerridge, W., Kryvenko, O., Thompson, A., noBh. Shah. I-Fat Necrosis ye-Breast: Ukubukezwa Kwama-Pictorial we-Mammographic, Ultrasound, CT, ne-MRI Findings ne-Histopathologic Correlation. Ukucwaninga nge-Radiology kanye nokuSebenza . 2015. 2015: 613139.
> Taboada, J., Stephens, T., Krishnamurthy, S. et al. Izimo Eziningi Zamafutha Esikhulu Esibelethweni. I-American Journal ye-Roentgenology . 2009. 192 (3): 815-825.