Indlela Yokukwenza Ukuzihlola Kwebhongo Lomzimba (MBSE)

Isinyathelo ngesinyathelo Umhlahlandlela wokuhlola i-Breast Cancer kubantu

Kungenzeka ukuthi uzwile ukuthi abesifazane kufanele benze izivivinyo ze-self-breast, kodwa bewazi ukuthi amadoda angenza izivivinyo zesifuba? Nakuba kungakhulumi ngaso sonke isikhathi, umdlavuza wesifuba wesilisa wenziwa. Eqinisweni, abantu abanomdlavuza wesifuba bavame ukutholakala lapho besesimweni esiphakeme kakhulu sesifo kunabesifazane.

Isifo somdlavuza wesilisa

Umdlavuza wesibeletho kumadoda awuvamile, futhi amadoda amaningi ayazi ukuthi basengozini; bayibheka njengomdlavuza wesifazane. Kodwa uma unezicubu zesifuba ungathola umdlavuza webele, futhi amadoda anezicubu zebele. Lokho kusho ukuthi umdlavuza wamabele kubantu besifazane uphindwe kaningi ngaphezu kwamadoda. Unyaka ngamunye e-United States, kutholakala ukuthi abantu abangaba ngu-2 000 banesifo.

Umdlavuza wesibindi emadodeni ubonakala sengathi uyanda. Ngokwesifundo se-2017 kuye kwaba nokwanda komdlavuza webele njengomdlavuza oyinhloko (umdlavuza wokuqala) emadodeni, kodwa futhi nokwanda okuphawulekayo komdlavuza webele njengomdlavuza wesibili oyinhloko emadodeni ayekade ephathwa nge-lymphoma.

Inhloso Yezivivinyo Zama-Self-Breast Exams

Ngenxa yokuthi ukuhlolwa kwebele emtholampilo ngokuvamile akuyona ingxenye yonyaka womzimba, futhi amadoda angenawo ukuhlolwa kwe-mammogram, amantombazane amaningi asebele abesilisa atholakala ngamadoda ngokwawo, noma ngenxa yokushintsha kokubonakala noma ukuzwa kwendawo yabo yebele. Uma umuntu engazi izimpawu zomdlavuza webele, angazichitha; ngenkathi efuna ukunakekelwa, umdlavuza ungase uphumelele udinga ukwelashwa okubanzi. Umlando usitshela lokhu kuyiqiniso, futhi amadoda athambekele ekutholeni izigaba zesifo kamuva kunabesifazane. Ngeshwa, lokhu kusho nokuthi ukusinda ngomdlavuza wesifuba kuncane kumadoda kunabesifazane. (Ukusinda, noma kunjalo, kufana nalabo abesilisa nabesifazane abafakwe ezigabeni ezifanayo, futhi imbangela yokufa okuphezulu kamuva ixilongwa).

Ukuzivocavoca kwebele lomama (MBSE) Kunconywa inyanga ngayinye, njengabesifazane, nakuba singenayo imihlahlandlela emihle echaza isikhathi esihle kakhulu. Ukwazi impilo yakho yonke, nokuthi isifuba sakho sivame ukuthanda kanjani indlela engcono yokuqapha impilo yakho yebele.

Izingozi Zezifo Zomdlavuza Wesilisa Wesilisa

Ngenkathi izifo eziningi zomdlavuza zesilisa zenzeka emadodeni anomlando womndeni wesifo somdlavuza webele, bonke abantu bangazuza ngokukwazi ukwenza isifuba sokuzivivinya esilisa. Ngokungafani nokuhlolwa okuningi kokuhlola, akunabungozi ngokwenza izivivinyo, ngaphandle kokwesaba nokwelashwa okudingekayo ukuze kuhlolwe ukuhlolwa okungavamile. Lokho kusho ukuthi amadoda aphansi kakhulu ukuba abe "amanga" ngokuqondene nabesifazane, njengoba izimo ezifana ne-cysts zingavamile.

Kubalulekile futhi ukuba amadoda aqaphele izimpawu nezimpawu zesifo somdlavuza wesilisa .

Wonke amadoda nabesifazane kufanele bafunde ngomlando wabo hhayi kuphela umdlavuza webele kodwa wonke amantombazane. Ingozi yomdlavuza wesibeletho iphakeme uma ezinye izihlobo zegazi zithola lesi sifo, kodwa ingozi yomdlavuza webele ingabuye yanda kulabo abanomlando womndeni womdlavuza we-colon, umdlavuza wesifo sofuba, umdlavuza we-pancreatic, i-melanoma, nokuningi. Ngesikhathi esilandelayo lapho uhlangana nomndeni, thatha isikhathi sokuba nale ngxoxo ebalulekile .

Njengabesifazane, amadoda athatha i-BRCA1 noma i- BRCA2 ye-gene mutation cishe amathuba okuthuthukisa umdlavuza webele, nokho kunezinye izindlela eziningi lapho izakhi zofuzo zingandisa khona ingozi. Thatha isikhashana ukuze ufunde kabanzi mayelana nokuthi uhlelo lwakho lwezakhi zofuzo lungathinta kanjani ingozi yomdlavuza . Uma unabantu abambalwa abanomdlavuza wesifuba, inhlanganisela yomuntu oyedwa nomdlavuza webele kanye nomunye umdlavuza we-pancreatic, noma kubonakala sengathi umdlavuza ugijima emndenini wakho nganoma iyiphi enye indlela, cabanga ngokuvakashela umeluleki wezakhi zofuzo. Esikhathini samanje sinezivivinyo ezithile zezinto ezingafani ezenza abantu babe nomdlavuza, kepha umeluleki omuhle wezakhi zofuzo angase abone ukuthi usengozini ephakeme yalezi zinto ezingavamile ukuzitholela ukuze ukwazi ukuzijwayeza ekuqaleni ukuthola uma kufanelekile.

Ngaphandle kwengozi yomndeni, amadoda angase abe engozini enkulu, afaka nalabo abaye bathola ukwelashwa kwe-estrogen, ukutholakala kwemisebe, nalabo abanezifo ezivezwe yi-estrogen enjenge-cirrhosis yesibindi ne- Klinefelter's syndrome.

A Thought kusuka

Amadoda kufanele aqaphele ukuthi yiziphi izinto eziyingozi ezingenayo umdlavuza webele, azi kangcono izimpawu, unake noma yiziphi izinguquko ezenzeka emathunjini azo, bese ucela udokotela ukuba ahlole ukuhlolwa kwesifuba njengengxenye yesimiso sabo seminyaka ngonyaka.

Abesifazane abafunda lesi sihloko bangase basikisele ukuthi umyeni wabo noma omunye umuntu ophawulekayo babuze mayelana nomphumela wesifo somdlavuza emndenini wabo. Umlando wesifo somdlavuza webele, ikakhulukazi ukuguquguquka kwe-BRCA, kufanele kwabiwe nodokotela futhi kudingeka kube nengxoxo mayelana nobungozi bokuthuthukisa umdlavuza webele.

Nazi izinyathelo zokwenza ukuhlolwa kwesifuba sakho:

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Yenza Usuku Lwezinyanga Zakho Zonke Nge-MBSE Yakho.

Isinyathelo sokuqala nesibaluleke kakhulu ekwenzeni izivivinywa zesilisa ezibelethweni ziwukumisa usuku lwenyanga ukwenza lokhu futhi uthole ipeni.

Maka usuku lwesifuba sakho sokuzivivinya kwamakhanda ekhalenda lakho. Lokhu kuzokusiza ukuba uhlale endleleni futhi unciphise ukukhathazeka mayelana nezinguquko ezivamile zesifuba.

Njengoba ukuhlolwa kwe-testicular kubalulekile nakwamanye amadoda, ungase uthande ukuthatha usuku lokwenza kokubili lezi zivivinyo ngenyanga ngayinye. Kubalulekile ukuqaphela ukuthi umdlavuza awuyona into ehlulekayo kuphela phakathi kweminyaka yobudala, nomdlavuza we-testicular ngokuvamile uvela ezinsizweni.

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Qala kuBhati Wakho noma Ukugeza

Ngenkathi ungenza izivivinyo zakho zesifuba noma kuphi, ukuzenza eshaweni kunezinzuzo ezithile.

Ukugeza ishawa noma ukugeza okufudumele. Sebenzisa isipuni noma igaleli lokugeza ukuze udale islaphu, islayi esishelelayo phezu kwesifuba sakho. Isikhumba esinomsoco uzoba lula ukuyihlola, njengoba kuvumela iminwe yakho ukuba isilale isikhumba sakho ngaphandle kokugcoba.

(Ngokufanelekile, ngokuhamba kwesikhathi, ukwenza izivivinyo zakho ezindaweni ezahlukene kungaba nomqondo omuhle. Isibonelo, ungase ubone isilonda esilala phansi okunzima ukuzizwa uma usukuma futhi ngokuphambene nalokho).

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Hlola ukuThambisa kwakho kwebele

Phakamisa ingalo yakho yesokunxele phezu kwekhanda lakho, futhi uma kungenzeka, faka isandla sakho sobunxele ngemuva kwekhanda lakho. Ngesandleni sakho sokunene, faka inkomba yakho yomunwe, umunwe ophakathi, bese ushaya umunwe ndawonye njengeqembu. Uzosebenzisa leminwe emithathu ukuhlola isifuba sakho sesobunxele. Hlola ukuthungwa kwesifuba sakho sobunxele ngokuqala emaphethelweni angaphandle. Beka iminwe yakho emithathu igqoke isikhumba sakho, cindezela phansi bese uhamba emibuthanweni encane. Phinda lokhu nxazonke zakho. Ungasheshi.

Kusebenza kahle uma usebenzisa iminwe yakho ngale ndlela kunokuba udwebe ngomunwe owodwa. Amadoda ambalwa kakhulu (noma abesifazane) anezifuba ezizizwa njenge-marshmallows, futhi kulula ukuzwa "izimpumputhe" ngokungahambi ngendlela eyodwa.

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Hlola Ingono Yakho

Bobabili abesilisa nabesifazane bavame ukukhohlwa ukuhlola izingono zabo lapho benza izivivinyo zezinyosi, kodwa le ngxenye yesifuba ayibalulekile.

Isifo se-Paget se-ingono ngumdlavuza wesifuba ongavamile oqala ngokubomvu, ukukala, nokukhwabanisa isikhumba esikhwameni. Amanqamu esifubeni angase alethe ne-nipple drainage noma ushintsho emgqeni ojwayelekile we-ingono.

Hlola ingono yakho ngokuyifinyelela ngobumnene phakathi kwenkomba yakho bese udweba iminwe. Bheka noma yikuphi ukukhipha, ukudonsa noma ukukhipha (ukudonsa ngaphakathi).

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Hlola kokubili izinto

Phendulela izandla zakho bese uhlola isifuba sakho sokunene, usebenzisa izindlela ezifanayo njengezinyathelo ezintathu no-4. Zombili amabele kufanele ahlolwe.

Abanye abantu abanesandla esinamandla noma esinxusa kakhulu bangase babe nobunzima ngokuhlola isifuba sabo eceleni kolunye uhlangothi lomzimba. Ungase ufise ukucela umlingani wakho ukuthi ahlole amabele akho (futhi ungaphinda ubonise umusa).

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Ukuhlolwa Okubukwayo

Zihlanza bese usomile ngehawula. Yima phambi kwesibuko esikhulu ngokwanele ukuthi ubone amabele. Qaphela noma yikuphi ukuguqulwa kwe-asymmetry kanye nesikhumba (ukuqhuma, amaphuphu, ama-dimples).

Ngokuvamile kunconywa ukuba ubheke esibukweni ngqo, kusuka ohlangothini ngalunye, futhi futhi uma uguqa. Lokhu kungaba yisikhathi esihle sokwenza ukuhlolwa kwesikhumba nyangazonke ukufuna umdlavuza wesikhumba kanye. Funda ukuthi ungazihlola kanjani izivivinyo zesikhumba ukuze ubheke izimpawu zokuqala zomdlavuza wesikhumba. Ngenkathi umdlavuza webele ungavamile emadodeni (amaphesenti angu-1.6 azo zonke izinhlobo zomdlavuza emadodeni kanye namadoda angu-1 kwababili kulindeleke ukuba ahlakulele umdlavuza), cishe amaphesenti angu-30 amadoda azokwakha umdlavuza wesikhumba wohlobo oluthile ekuphileni kwabo konke.

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Indlela Yokusingatha I-Lump

Uma uthola isifuba sebele, yisiphi isinyathelo esilandelayo?

Okokuqala, ungaqinisekiswa ukuthi izibilini eziningi zesifuba ezibelethweni zesilisa azikona umdlavuza wesifuba.

Okuvamile "inhlama" evezwe kumadoda yi-gynecomastia noma amabele akhulisiwe. I-Gynecomastia ivame ukusebenzisana ngamazwe, kepha hhayi ngaso sonke isikhathi, futhi njengoba nje amabele asebesifazane engavamile ukuba afane nobukhulu obufanayo, i-gynecomastia emadodeni ivame ukuvela kolunye uhlangothi ngaphezu kolunye. I-Gynecomastia phakathi neminyaka eyishumi iyinhlangano evamile ngamaphesenti angaba ngu-50 abafana abasha abanesisindo sokwandisa kwesifuba. Emadodeni, i-gynecomastia ivamile kanye futhi ingahlobene nemibandela ehlukahlukene.

Uma uzizwa into engavamile, yenza i-aphoyintimenti ukuze ubone udokotela wakho ngaso leso sikhathi. Izivivinyo ezinjengama-mammograms, ama-ultrasound, nama-MRIs webele zingenziwa kumadoda njengoba nje angabesifazane.

Uma ukuxilongwa kungenakuqinisekiswa, i-biopsy yesigcawu noma isifunda esingavamile izokuvumela wena nodokotela wakho ukuba wazi kahle ukuthi usebenza kanjani.

Amadoda amaningi azizwa ehlazekile lapho ekhuluma ngesifuba sebele, futhi amadoda ahlakulela umdlavuza webele abonakala ewodwa olwandle. Ngesikhathi esifanayo, kukhona ukusekelwa okuningi okwedlule kunomdlavuza wesifuba wesilisa futhi kukhona umphakathi osebenzayo we-intanethi wesilisa ongakwazi ukubhekana nesifo namanye amadoda okuzowabelana ngawo.

> Imithombo:

> Farr, D., Thomas, A., Khan, S., noMnu Schroeder. Isifo somdlavuza webele wesilisa njengesifo somdlavuza wesibili esiyinhloko: Ingozi eyanda kakhulu Ilandela i-Lymphoma. Oncologist . 2017. 22 (8): 895-900.

> Humphries, M., Sundara Rajan, S., Honarpisheh, H. et al. Ukuqhathaniswa kweCancer Breast Breast: A Study Biomarker echazayo kusuka Series Series Iziguli. Imibiko yeSayensi . 2017. 7: 45293.

> Lecarpentier, J., Silvestri, V., Kuchenbaecker, K. et al. Ukubikezela Izingozi Zebele Zesibindi Ne-Prostate ku-BRCA1 Yamadoda Nama-BRCA2 Ukuthuthwa Kwezithuthi Ukusebenzisa Iziqu Ze-Polygenic Risk Scores. I-Journal ye-Clinical Oncology . 2017 Apr 27. (Epub ngaphambi kokuphrinta).