Umdlavuza webele wesithathu omncane ungumuthi wesifo somdlavuza webele. Ukulinganisela kufaka inani lamakhansela okubeletha aphindwe kathathu ngamaphesenti angu-15-20. Kuvame ukwenzeka kaningi kunabesifazane abasebasha. Umdlavuza webele wezintathu ongaphenduki ungase ube khona nakwabesifazane abathwala ukuguqulwa kwe-BRCA, ikakhulukazi uma betholakala besencane. Lo mdlavuza uvame ukutholakala ngesikhathi sokuhlolwa komzimba kunokuba kuhlolwe i-mammogram njengendlela yamathemikhali engathembeki ithuluzi lokuhlolisisa labesifazane abasebasha njengabesifazane asebekhulile.
Ngenxa yalokho, izifo zomdlavuza kathathu ezingezansi zivame ukutholakala esikhathini esizayo. Zivame ukutholakala kaningi kulabo besifazane base-Afrika-American naseSpain / Latina. I-triple negative ijwayele ukuba ngumdlavuza webele wesibindi.
Umdlavuza wesifuba we-triple omubi uthatha igama lakhe kusukela kuyi-estrogen engalungile, i-progesterone engalungile, ne-HER2 engalungile. Lokhu kusho ukuthi ayinayo i-estrogen receptors, ama-progesterone receptors, noma ama-receptor e-HER2, okuyi-proteins eyaziwa ukutshala ukukhula komdlavuza webele.
Amathumba omzimba ahlolwe ngenye ye-receptors okukhulunywe ngenhla ngokuvamile aphendule ukwelashwa kwe-hormone, ethathwa ifomu lepilisi, nsuku zonke iminyaka emihlanu noma ngaphezulu, ngemuva kokuqeda ukwelashwa okusebenzayo. Esinye sezidakamizwa zokwelapha i-hormone, i- tamoxifen , esebenzelana amashumi eminyaka, iyaqhubeka ishiwo kubesifazane besimameopausal neposi post menopausal kanye nami n ngubani ehlolwe estrogen-positive.
I-Aromatase inhibitors, isigaba samanje sezidakamizwa ze-hormone esifanele ukuthunyelwa kwabesifazane besilisa, sesibonakala sisebenza kangcono kune-tamoxifen ekunciphiseni ingozi yokuphindaphinda umdlavuza webele.
I-hormone therapy ayiphumeli ngezicubu ezintathu ezimbi. Iziguli ezintathu ezingenakho ukuthula kwengqondo yokwazi ukuthi eminyakeni emihlanu noma ngaphezulu bayoba nethuba lokuthatha ukwelashwa kwe-hormone eyaziwa kakhulu ukunciphisa ingozi yokuphindaphinda umdlavuza webele. Ngenkathi ucwaningo luqhubeka nokuthola izindlela zokwelashwa ezihlosiwe futhi kukhona imithi emgwaqeni obukeka uthembisa, okwamanje awutholakali ukuthi usebenzise umdlavuza wesifuba kathathu.
Ngabe I-Cancer Negative Breast Negative Ihlonishwa Kanjani?
I-Cancer Negative Breast Cancer isinqunywe ngemuva kokuhlinzwa, ngumuntu wezempilo ohlola izicubu zesisu esususwe. Usebenzisa i-microscope, udokotela wezinambuzane anganquma ukuthi ingabe umdlavuza webele usukhona noma cha, uma ubona, uthola uhlobo lomuthi wesifo somdlavuza webele. I-pathologist iphinda ihlole amantombazane lymph ukubona ukuthi ngabe yimuphi umdlavuza usakaze ngaphesheya kwesifuba. I-pathologist izohlola futhi ukucacisa izici ze-hormonal kanye nezakhi zofuzo emathisini.
Umbiko we-pathologist uzonikeza ithimba lokunakekela umdlavuza ulwazi oludinga ukuthuthukisa uhlelo olufanele kakhulu ukwelapha ngempumelelo uhlobo oluthize lomuthi wesifo somdlavuza.
Izinketho zokwelapha
I-Cancer Breast Negative Breast iphathwa njengezinye izifo zomdlavuza webele esifundeni esisebenzayo, ukwelashwa ukususa umdlavuza, imisebe njengoba kuboniswe ngokulandela i-lumpectomy yezifo zakuqala, nesifo samakhemikhali. Njengoba izivivinyo ezintathu ezingalungile zingenayo izidakamizwa ze-estrogen, ama-progesterone receptors, nama-receptors we-HER2, ayiphathwa nge-hormone noma ukwelashwa okuhlosiwe.
I-Chemotherapy isebenza kahle kakhulu nokwelapha umdlavuza wesifuba kathathu omubi. Ngokuvamile, i-chemotherapy inikezwa ngemuva kokuhlinzwa, kodwa inganikezwa ngaphambi kokuhlinzwa ukuze unciphise isisu somuntu ngesayizi esingasuswa nge- lumpectomy futhi ingadingi i- mastectomy .
Ukwesaba Ukuphindaphindiwe
Uma ukwelashwa okusebenzayo sekuphelile, ukwesaba ukuphindaphindiwe kuvamise ukufakwa kulabo abaphathwe umdlavuza wesifuba kathathu omubi. Njengoba ukwelashwa kwe-hormone, okunikezwe ngemuva kokwelashwa okusebenzayo ukunciphisa ingozi yokuphindaphinda ngeke kusebenze, ayikho ukwelashwa okuqhubekayo. Esikhundleni salokho, abesifazane kumele bafunde ukuphatha ukwesaba kwabo bese beqhubeka nokuphila kwabo. Izindaba ezinhle ukuthi abesifazane abaningi abaphathwe umdlavuza wesifuba kathathu abangeke baphinde baphinde baphinde bakwazi ukuthola umdlavuza omusha webele.
Umsindisi wesifo somdlavuza wesifuba kathathu, ongafani nomuntu osinda kunoma yiziphi izifo ezisongela ukuphila, angase azibuze ukuthi ukwesaba ukuphindaphinda akuyona yini umcabango wokuqala lapho uvuka futhi ucatshangelwa ngaphambi kokulala.
Njengoba isikhathi sidlula, ukwesaba kuncipha kuphela ukuze uphinde uhlangane nakho ngezinsuku zokuzalwa, amaholide, nezinye izenzakalo ezikhethekile. Ukuzwa ngomunye umuntu okutholwa ukuthi kungabangela ukwesaba phezulu. Amaviki ngaphambi kokuvakashelwa kwezokwelapha okuhleliwe noma ukulinda imiphumela ye-mammogram noma ukuskena kungabangela ukuphakama okuphawulekayo kokukhathazeka njengemicabango yokuphindaphinda ukubuya.
Ukuphila njengoMsindisi
Ukulungiswa kuthatha isikhathi, inqubo ingasheshe ifinyelelwe ngokungahambi yedwa. Amaqembu asekela abesifazane abaphathwe umdlavuza webele wesithathu angenayo angadlala indima ebalulekile ekuphulukisweni. Abesifazane abanezintathu ezimbi, ngokuvamile bazizwa beqhelile njengoba bengavamile ukuhlangana nabanye abane-diagnosis. Uma bejoyina iqembu lesifo somdlavuza webele, ngokuvamile bawodwa kuphela eqenjini elinesifo sokuxilongwa okungemithathu. Nakuba bekwazi ukubhekana nokuhlangenwe nakho okuvamile okufana nemiphumela emibi, abakwazi ukubhekana nokwelashwa abanye abakhuluma nabo okungahambisani nabo.
Ukuba eqenjini le-intanethi noma iqembu elibheke ubuso nobuso nabanye abelana nakho okuvamile kusiza ilungu ngalinye ukuba liqaphele ukuthi liyenzile konke okungenziwa ngomuthi ukushaya umdlavuza wakhe. Ukwesekwa komphakathi kuzosiza abesifazane ukuba bagxile ekuhlaleni nokujabulela usuku ngalunye nokuqhubeka nokuphila.
Amaqembu asekelayo asebenza ngoba aqeda ukuhlukana kokubhekana nokwabo futhi ukuletha ndawonye nabanye ababhekana nezimo ezifanayo.
Izwi elivela
Amaqembu okusekela angaba izindawo zokubambisana, okwenza abangane abangunaphakade, nokuthola ukuqonda wonke umuntu osindile kudingeka adlule ngaphesheya komdlavuza wakhe.
Izinhlangano ezilandelayo zinezinhlelo ze-intanethi kanye namaqembu okusekela anika abesifazane besifo somdlavuza wesifuba kathathu ithuba lokuhlangana nokufunda komunye nomunye.
- CancerCare
- Ukuphila Ngaphandle Kwezifo Zebele
- I-Foundation Triple Negative Breast Cancer Foundation