Izimpawu, Ukwelapha, Nokuguqulwa Kwe-Cancer Invitable Ductal Breast Cancer
Ukungena ngaphakathi kwe-ductal carcinoma (i-IDC), eyaziwa nangokuthi ukungena ngaphakathi kwe-carcinoma noma umdlavuza webele ongavamile , uhlobo olujwayelekile kakhulu lomdlavuza webele . Iqala ukukhula emathangeni ebisi ebelethweni lakho, kodwa iphuma emibhodleleni yokudoba, futhi ihlasela noma ifake izicubu ezizungezile.
Ngokungafani ne- ductal carcinoma in situ (i-DCIS) , okungumdlavuza ongenawo umonakalo, i-IDC ayikona umdlavuza oqukethe.
I-IDC inamandla okuhlasela amasosha akho we-lymph kanye negazi, ekusakazeni amangqamuzana omdlavuza kwezinye izingxenye zomzimba wakho. Uma i-IDC isakazeka ngaphesheya kwesayithi yayo yangempela, sisho ukuthi ihlelwe kabusha.
Kubalulekile ukuphawula ukuthi leli gama elimangalisa lisho ukuthi lo mdlavuza usakaze ngaphesheya kwamathayi, kodwa akusho ukuthi uyesabeka njengoba kuzwakala. Leli gama elihlabayo alisho ukuthi umdlavuza usakaze ngaphesheya kwamabele, noma ukuthi uye wangena emithanjeni yakho noma emithanjeni yegazi. Ngesikhathi isifo somdlavuza webele se-stage (carcinoma in situ) singenasidingo, zonke izifo zomdlavuza zesifuba kusukela esigabeni 1 kuya kwesigaba 4 zibhekwa njengokuthi "zihlasela."
Ukuvama
I-IDC yiyona ukuxilongwa komdlavuza wesifuba ovame kakhulu futhi kulandisa cishe okungu-8 kwayishumi kuzo zonke izinhlobo zomdlavuza webele. Lolu hlobo lomdlavuza webele lungenzeka kunoma yisiphi isikhathi, kodwa abantu abaningi baneminyaka engaphezu kwengu-55 ngesikhathi sokuxilongwa. I-IDC yilelo uhlobo oluvame kakhulu lomdlavuza webele emadodeni , ukubalwa kwamaphesenti angama-80 emdlavuza webele wesilisa.
Izimpawu Nezibonakaliso
I-ductal carcinoma engavamile ingabonisa ngezindlela eziningi ezahlukene. kungase kuzwe njengenhlamba elukhuni, e-bumpy, engavamile ngokweqile ngaphansi kwe- areola noma eduze nendawo ephakathi kwesifuba sakho. I-IDC ihlombe izozizwa sengathi ifakwe emathisini asebele, ngakho-ke ingase ibonakale ihambahamba.
Kodwa kuyobe ishukunyiswa ngezicubu ezifake ngaphakathi.
I-IDC ingabangela ukuhoxiswa kwe-ingono (ingono noma i-areola yokudonsa). Uma wenza isifuba sakho esijwayelekile sokuzihlola , uma ingono yakho ingeke ihlale iphuma e-areola yakho, kuyinto enhle ukuhamba uyobona udokotela wakho ukuhlolwa kwebele. Ukudonswa kwesikhumba, nezinye izimpawu zesifuba zingase zibe khona. Iningi lezinhlungu zesifuba esiswini libangelwa isimo sesifuba esinomsoco, kodwa, ngokungafani nalokho okushiwo abesifazane abaningi (nabesilisa), ubuhlungu ngezinye izikhathi buba uphawu lomdlavuza webele
Ukuxilongwa
Uma uthola isifuba sebele ngesikhathi sokuhlolwa kwakho kwesifuba noma ukuhlolwa komtholampilo , kungcono ukuyihlola kahle. Khumbula ukuthi ukulimala okungama-80 kuzo zonke izimbilini zesifuba akuyona umdlavuza . Kodwa uma umdlavuza webele ubanjwa ekuseni, amathuba akho okusinda ahle kakhulu. Ezinye izivivinyo ezisetshenziselwa ukuthola ukuxilongwa okucacile kwe-ductal carcinoma ezinamandla ziyi:
- I-Mammogram
- I-ultra-resolution ultrasound
- I-Breast MRI
- I-Breast biopsy (noma i-aspiration aspiration, i-core biopsy, noma i-biopsy yokuvula evulekile)
Ku-mammogram, ukuhlanganiswa okuncane kungavela eduze kwesisindo se-IDC, noma ubukhulu bungabonakala ngokuqondile. Ngokungafani nemibandela eminingi yebele yesisu, isifo somdlavuza wesifuba singase sibe nokubonakala okubonakalayo, okusho ukuthi kunokuba kube yindilinga, isibalo sabantu sihamba sisondele emzimbeni omkhulu njengesikhumba.
(Igama elithi umdlavuza empeleni livela kulesi sikhumulo segama ngenxa yalokhu kubukeka.)
I-Ultrasound iyasiza ekuhlukaniseni i-cyst ebukhulu obuqinile. I-Breast MRI ingaba usizo kakhulu, ikakhulukazi kwabesifazane abasebasha abanesisindo esinomsoco esinciphisa ukunemba kwe-mammography.
Ngisho nokuhlola izithombe ezifana ne-mammograms, ultrasounds, ne-MRI, kunezimo eziningana zesifuba ezinobuthi ezilingisa umdlavuza webele . I-biopsy ibalulekile kokubili ukuqinisekisa ukuthi umdlavuza webele awuphuthelwa, kepha futhi ukuqinisekisa ukuthi lokho okubonakala sengathi umdlavuza webele akusikho isimo sesifuba esingenabungozi.
Izigaba
I-ductal carcinoma engavamile ingahlolwa kusukela esiteji 1 kuya ku-4.
Uma umdlavuza webele we-invasive ubanjwe futhi uphathwe kusencane, akunakwenzeka ukuba ubuyeke. Ukwelashwa kwe-IDC kuzolungiswa esiteji kanye nezinye izici ezibalulekile zesisu sakho okuxoxwa ngezansi.
Isibikezelo
Odokotela basebenzise lesi sigameko sokuthi ukukhuluma ngesimo sakho sekusasa sokuphila. Ukuzimela kwakho kuzoxhomeka emininingwaneni eminingi mayelana ne-tumor yakho, futhi leyo mininingwane izosiza ukunquma ukuthi yiziphi izindlela zokwelapha ezizophumelela kakhulu kuwe. Imininingwane embikweni wakho wezokwelapha uzofaka:
- Usayizi we-tumor
- Amaphethini wokuhlinza
- Ibanga le-Tumor
- Isimo se-receptor ye-hormone
- Amazinga angu-HER2
- Isimo se-lymph node
Ukwelapha
Umgomo wokwelapha noma yisiphi isifo somdlavuza webele kufanele ususe amaseli omdlavuza futhi uvimbele ukuphindaphindiwe. Ukwelapha kungafaka:
- I-Lumpectomy (ukuhlinzwa ukukhipha isisu kanye nezinye izicubu eziseduze)
- I-mastectomy (ukuhlinzwa ukukhipha zonke izicubu zesifuba)
- I-Sentinel node biopsy kanye / noma i-axillary node dissection
- I-Chemotherapy
- Umswakama
- Imithi ehlosiwe yomdlavuza webele we- HER2 omuhle
- Ukwelashwa kwamahomoni njenge- tamoxifen noma i- aromatase inhibitor
Kuye ngesigaba somdlavuza wakho nezinye izici, ukuhlolwa okuqhubekayo kungenziwa ukuze kuqinisekiswe ukuthi umdlavuza awusakazeki kwezinye izifunda zomzimba wakho. I-PET scan is a test lapho ushukela omsakazo ujojelwa khona emthanjeni, bese kuhlolwa umbala wokubala izithombe ukuze ubheke izindawo emzimbeni wakho obonakala usebenzayo, njengoba kungalindeleka ngomdlavuza. Uma i-ductal carcinoma isakazeke kwezinye izifunda ezifana namapayipi akho, amathambo akho, isibindi sakho, noma ubuchopho bakho kubhekwa njengomdlavuza webele we-metastatic.
Ukulandelela Emva Kokuphathwa Okuyisisekelo
Ngemuva kokuthi usuqedile ukwelashwa okuyinhloko ngomdlavuza wesifuba, usazobona i-oncologist yakho iminyaka eminingana, ukuze uhlolwe. Kuze kube yiminyaka eyi-10, kungase kudingeke uthathe ukwelashwa kwe-hormone uma isisu sakho sine-estrogen noma i-progesterone ebucayi. Uzoqhubeka unamammograms kunoma yikuphi izicubu zesifuba onawo, kanye nesisindo samathambo sihlola uma ungumama we-menopausal ukuqinisekisa ukuthi awuhlakuleli i-osteoporosis.
Ukusekela nokuphikisana
Uma uthola ukuthi une-IDC, finyelela emndenini nabangani bakho. I-Cancer ayiyona i-sprint, iyimarathon, futhi ingaba usizo kakhulu ukuba nabangani bakho abaningi basize ngezidingo zakho kunokuba nje eyodwa noma ezimbili. Kunezinyathelo eziningi ezingokomzwelo zokuxilongwa komdlavuza wesifuba , kanti ngezinye izikhathi zonke zikhona ngosuku. Thatha isikhathi sokuzikhandla. Vumela izinto ongakwazi ukuzilawula.
Siye safunda ukuthi umdlavuza webele udala izinselelo eziningi, futhi umgwaqo omude, kepha ngokuvamile kunezinsimbi zesiliva endleleni. Eqinisweni, ucwaningo manje lusitshela ukuthi kanye nokucindezeleka okuqhubekayo, abaningi abasengozini yomdlavuza webele abathola "ukukhula okulandelayo". Ngamanye amazwi, ukuba nomdlavuza kungakwenza ube umuntu ongcono .
Imithombo
I-American Cancer Society. Kuyini i-Breast Cancer?