Umdlavuza wesifuba wokuvuvukala ngumdlavuza ongavamile futhi onobudlova ongasenza isifuba sibonakale sibomvu futhi siguquke, sinikeza ukubonakala kwesibindi. E-United States, ukuxilongwa kwe-IBC akhawunti ngamaphesenti angamahlanu kuya kwawo wonke amacala omdlavuza webele. Uma kuqhathaniswa nezinye izinhlobo zomdlavuza webele , umdlavuza wesifuba wokuvuvukala uvame ukushaya abesifazane abasebasha, futhi kuvame kakhulu kubesifazane abamnyama kunabesifazane abamhlophe.
Amadoda atholakala ukuthi ane-IBC asebekhulile ngokwesilinganiso kuneziguli zesifazane. I-IBC ivame ukuphutha ngezinye izimo.
Izimpawu
Izimpawu eziningi zomdlavuza wesifuba ovuvukalayo zingalingisa ezinye izimo. Ngaphezu kwalokho, lezi zomshukela zingase zingabonakali kumammogram ukuze kube nenhlawulo ephezulu yokusola. Njengoba i-IBC ikhula, ivimba izitsha zethriph kanye nemithambo yegazi esifubeni, okuzokwenza kube yizibalo eziningi zezimpawu. Izimpawu nezimpawu zingabandakanya.
- Ubomvu kanye / noma ukuqubuka esikhumbeni (okungenzeka ekuqaleni ukulinganisa i-eczema noma ukutheleleka kwesikhumba). Kungenzeka kube khona izindawo ezinombala wesikhumba, obomvu, obomvu, noma obumnyama kakhulu nge-tinge eluhlaza okwesibhakabhaka noma eluhlaza okwesibhakabhaka. Lokhu kubomvu kuvame ukubanzi, kufaka ingxenye yesithathu yebele noma ngaphezulu.
- Ukwanda okungazelelwe kwesayizi lesifuba (njengokungathi usayizi wekomishi ezinsukwini ezimbalwa).
- Isikhumba sibonakala njengeqabunga le-orange (okuthiwa i-peau d'orange).
- Ukushaya njalo isikhumba sebele.
- Ubuthakathaka besisu, lapho isifuba esisodwa sinomuzwa "obuthakathaka" kunomunye.
- Ukuqina kokuqina kwesifuba esisodwa.
- Ukufudumala kwesifuba esisodwa.
- Ubisi bufudumele, bukhuni noma bukhulu kunokuba kuvamile.
- Ubuhlungu besisu abuhambisani nemijikelezo yokuya esikhathini.
- Ukuguqulwa kwengono noma ezinye izinguquko zezinsipho.
- Ukuvuvukala kwe- lymph nodes ngaphansi kwengalo noma ngaphezu kwe-collarbone.
Izimbangela Nezici Zengozi
Asiqiniseki ukuthi yini ebangela i-IBC, kodwa ezinye izici eziyingozi zitholakale.
Uma kuqhathaniswa nezinye izifo zomdlavuza webele, kuvamile kakhulu kwabesifazane abasebasha kunabesifazane asebekhulile. Kubuye kuvame nakakhulu kwabesifazane abakhuluphele ngokweqile noma abakhuluphele (kodwa bangase babe nabantu abanesisindo esivamile.
Ukuxilongwa
Udokotela wakho uzokwenza ukuhlolwa kwesifuba semitholampilo , kufaka phakathi isheke esibukwayo sesifuba sakho sibheke izinguquko embala wesikhumba ongase ubangelwe amangqamuzana omdlavuza avimbela i-lymph nodes kanye nezitsha esikhunjeni sakho sebele. Uma isifuba sakho siguqile, singabangelwa ukukhipha oketshezi, isimo esibizwa ngokuthi i-edema. Udokotela wakho uzophinde ahlole amantombazane lymph emagumbini akho. Uma isikhumba sakho sebele siphelile, siboshiwe, si-bumpy, noma sifana ne-orange peel, okuzophinde kuqashelwe. Lezi zimpawu zingathuthuka masinyane, ngezinye izikhathi zibonakala ebusuku futhi kwezinye izikhathi zithatha amasonto ambalwa noma izinyanga ezimbalwa.
Ukucatshangelwa Ukuhlola
Ngemuva kokuthatha umlando oqaphele futhi uhlole ukuhlolwa ngokomzimba, udokotela wakho cishe uzohlehlisa izifundo zokucabanga noma ukwenza i-biopsy ukuze aqhubeke nokuqonda izimpawu zakho. Lezi zifundo azikwazi ukusiza kuphela ukuxilonga umdlavuza wesifuba ovuvukalayo, kodwa zingasiza ukulawula izimo ezibonakala ezifanayo, njenge-mastitis (isifo sofuba). Izivivinyo ezingenziwa zingabandakanya:
- I-Mammogram: Njengoba kuphawuliwe, i-mammogram ingase ibe ne-IBC, kodwa ingabonisa nobufakazi bokuqina kwesikhumba, isisu noma ukunyuka kwesifuba.
- I-Ultrasound: I-Ultrasound ingase ingabi yusizo nge-IBC uma ubuningi obudibeneyo abukho, kodwa kungase kube usizo ekuhloleni ama-lymph node axillary (ama-armpit nodes).
- I-CT scan: IT ingase ibe usizo ekunqumeni ukuthi umdlavuza usakaze yini kumasayithi akude.
- I-MRI: I-MRI ingahlinzeka ngolwazi oluhle ngamathambo alula, futhi ingase ibone i-IBC engabonakali kumammogram.
- Ukuskena kwe-Bone: I-scan scan itholakala ukuthi ihlolwe ukusakazeka komdlavuza emathanjeni.
- I-PET scan: I-PET scan isifo esibucayi sokuthola izindawo zomdlavuza osebenzayo emzimbeni. Kuvame ukwenza okunye ukugibela kunokuba kuhlolwe, futhi kungasiza ekuboneni imithi yokudla okungenzeka ukuthi i-lymph nodes nezinye izingxenye zomzimba.
I-Biopsy
Uma ubukhulu bephawulwe, i-biopsy yebele ingenziwa. Uma isisindo singekho, i-biopsy yesikhumba yendawo engavamile yesikhumba ingabonisa umdlavuza.Amanqamu amathumba okuvuvukala amaningi ahlasela ama-ductal carcinoma
Imfuneko Yokuthola Ukuxilongwa
I-IBC ingaba inselele ekuxilongeni, ngakho odokotela baye bahlangabezana nezinqubo ezingadingekile ukuze zihlolwe. Lokhu kufaka:
- Izimpawu ezifana nokubomvu, ukufudumala, kanye / noma ukuvuvukala kwebele, nokubukeka kwe-orange-peel okuvela ngokushesha. Isisindo singase sibe noma singabi khona.
- Ubude bezimpawu ezingaphansi kwezinyanga ezingu-6.
- Izimpawu ezibandakanya isithathu noma ngaphezulu kwebele.
- I-biopsy ebonisa umdlavuza ongenayo.
Ukukhula
Umdlavuza wesifuba wokuvuvukala uvame ukukhula ezidlekeni noma kumashidi, hhayi ezinkanyeni. I-IBC isakazeka emzimbeni ngokuyinhloko nge-lymph system. Ekuqaleni, lezi zicubu zingase zibonakale zikhula kancane, zikhula kancane, kodwa uma isikhumba esiswini sishiswa, singakwazi ukushintsha ngokushesha.
Izigaba
Ngokungafani nezigaba zomdlavuza webele, abantu abaningi bajwayele (izigaba 1 kuya ku-4), i-IBC ihlukaniswa noma isigaba sesi-3 noma isigaba 4.
- Isigaba sesi-3: Amagciwane e-Stage 3 amancane kunama-5 cm ububanzi futhi asakaze okungenani i-lymph node eyodwa, kepha awazange asakaze kwezinye izifunda zomzimba.
- Isigaba sesine: Amagciwane e-Stage 4 afana nesigaba 3B, kepha umdlavuza usulele nasezindaweni ezikude zomzimba.
Ukwelapha
Umdlavuza wesifuba wokuvuvukala ulaka, futhi uvame ukuphathwa kabi ngokuhlanganiswa kwemithi yokwelapha ukunciphisa ingozi yokuphindaphinda (isigaba 3).
I-Neoadjuvant Chemotherapy
I-neoadjuvant chemotherapy ibhekisela kumakhemikhali anikezwa ngaphambi kokuhlinzwa. Inhlanganisela yezidakamizwa ivame ukunikezwa ngemijikelezo ezinyangeni ezingu-4 kuya kwezingu-6.
Ukuhlinzwa
Ukuhlinzwa okuvame kakhulu kuyindlela yokuguqula i-radical mastectomy, efana ne-mastectomy yezinye izinhlobo zomdlavuza webele. Kodwa nge-IBC, enye yezinhlanzi zesifuba (i-pectoral encane) ingasuswa, futhi iningi le-lymph nodes lisusiwe (hhayi nje i-reninel node biopsy). Uma abesifazane befuna ukuhlinzeka kabusha, lokhu kuvame ukubambezeleka kuze kube yilapho okungenani izinyanga ezingu-6 ngemuva kokwelashwa kwemishanguzo sekuqediwe.
I-Radiation Therapy
Ukwelashwa kwezidakamizwa kuvame ukusetshenziswa emva kwesifo sokugaya imithi ukuphatha udonga lwesifuba kanye nanoma yimaphi amantombazane e-lymph asele.
Imithi ehlosiwe
Amanqamu amaningi amathumba okuvuvukala ayenayo i-HER2 enhle, ngakho-ke ukwelashwa ngezokwelapha ezibhekiswe ku-HER2 kungasebenza kakhulu ekulawuleni isisu. Lezi zidakamizwa zivame ukunikezwa kanye nezinye izifo emva kokuxilongwa kwe-IBC.
Ukwelashwa kwamaHormonal
Amanqamu amanengi okuvuvukala isifuba se-estrogen ne-progesterone receptor engafanele, ngakho-ke ukwelashwa kwe-hormonal ne-tamoxifen noma i-aromatase inhibitors akuvame ukusetshenziswa.
Izivivinyo zemitholampilo
Kunezinhlobo eziningi zokwelashwa kwemitholampilo eziqhubekayo zomdlavuza wesifuba ovuvukalayo, ubheka izinhlanganisela zokwelashwa ngenhla, kanye nezinqubo ezintsha ezifana nokuzivikela nge-immunotherapy.
Ingozi Yokuphindaphinda Nokunakekelwa
I-IBC inengozi ephakeme yokuphindaphinda kunezinye izinhlobo zemdlavuza webele. Uma ukuphinda kwenzeke, kwenzeka, ukwelashwa kuyatholakala, futhi kungabandakanya imithi yokwelapha ye-HER2, i-chemotherapy, ukwelashwa kwe-hormonal, noma ezinye zokwelashwa ezivivinyweni zomtholampilo.
Izwi elivela
Uma wena noma othandekayo uthola ukuthi unomdlavuza wesifuba ovuvukalayo kungenzeka ukwesaba, futhi udangele ngokubuka izibalo futhi uqhathanise lezi zicubu nezinye izinhlobo zomdlavuza webele. Kubalulekile ukuqaphela ukuthi umuntu ngamunye nomdlavuza uhlukile. Ukwelashwa kungaba inselele, kodwa kukhona abasinde isikhathi eside besifo. Imiphumela emibi yokwelashwa nayo ibuye ngcono, njengoba izidakamizwa ezifana ne-HER2 ezibhekiswe kwezokwelapha ngokuvamile ziba nemiphumela emibi kakhulu kunezidakamizwa zendabuko yemithi.
> Imithombo:
> National Cancer Institute. I-inflammatory Cancer Breast. Kubuyekezwe 01/06/15.