Isifo somdlavuza wesilisa: Ukubhekana Nokuthola Ukusekelwa

by ULynne Eldridge, MD; Ibukezwe nguDoru Paul, MD

Uhlolojikelele kanye Nethonya Lokusebenza Kwengqondo Ngomdlavuza Webele Wesilisa

Akudingeki sibheke kude ukubona ubufakazi bokusekela abesifazane abanomdlavuza webele , kodwa kuthiwani ngamadoda anomdlavuza webele? Abantu abaningi, eqinisweni, abazi ukuthi kukhona into enjengomdlavuza wesilisa wamabele . Ngandlela-thile, umdlavuza webele usemadodeni namuhla yilokho umdlavuza wesifuba kwabesifazane eminyakeni engamashumi amane edlule-kunzima ukukhuluma ngomthelela omkhulu ongokwengqondo kodwa ukusekela okuncane kakhulu.

Ake siqale ngokubheka umqondo wesifo somdlavuza wesilisa wamadoda, izibalo, izici eziyingozi, kanye nezinketho zokwelashwa, bese ugxila ekusebenzeni kwakho kahle futhi uthole ukusekelwa kokubili ngokomzimba nangokomzwelo njengomuntu onomdlavuza wesifuba.

I-Breast Breast Cancer-The Basics

Amadoda athola umdlavuza wesifuba, nakuba aphindwe izikhathi eziyi-100 ukuthuthukisa lesi sifo kunabesifazane. Kulinganiselwa ukuthi ngo-2017 kuyoba namadoda angu-2,470 abhekene nomdlavuza webele futhi abangu-460 bazofa ngesifo. Ngeshwa, ekutadisheni okukodwa, amaphesenti angama-80 amadoda anesifo somdlavuza webele ayengazi ukuthi amadoda angathola umdlavuza webele.

Ngesikhathi samanje, cishe owesifazane kwabayisishiyagalolunye kwabayisishiyagalolunye bazokwakha umdlavuza webele, okubalwa cishe ngamaphesenti angama-25 amakilasi kwabesifazane. Kubantu, ingozi yemvelo yomdlavuza webele i-1 ku-1000 ne-akhawunti yomdlavuza webele kuphela amaphesenti angu-0.1 kuphela ekhansela emadodeni. Inani lamadoda atholakala ukuthi unesifo somdlavuza webele selande eminyakeni embalwa edlule.

Amadoda athambekele ekutholeni ukuthi asebekhulile kunabesifazane abaneminyaka yobudala ekuxilongweni yi-68.

Ngenkathi kukhona ukufana okufana phakathi kwamadoda nabesifazane abanomdlavuza wesifuba, kunemibono eminingi ebalulekile kanye nokuthi sizoxoxa ngani. Kuye kwaba namahemuhemu ukuthi amazinga okusinda aphansi kubantu abesifo somdlavuza webele, kodwa kubalulekile ukukhuluma ngezizathu ezilandelayo.

Amadoda-ngenxa yokuntuleka kokuhlola, ukungabi nokuqwashisa (kokubili umphakathi kanye nabachwepheshe bezezempilo), futhi mhlawumbe nakakhulu ukungabaza ukubona udokotela wezimpawu ezihlobene nesifuba-kuvame ukutholakala ukuthi uma umdlavuza usesimweni esiphezulu sesifo . Izinga lokusinda lamadoda nabesifazane uma lilingana nesiteji sesifo kufana kakhulu nokuphila okuphelele kakhulu kwamadoda.

Anatomy of the Breast in Men

Abesilisa banezicubu zesifuba njengabesifazane, kodwa isakhiwo sehlukile kakhulu. Ngenkathi amadoda enamaqanda esifuba, aphansi kangcono kunabesifazane. Ngokungafani nabesifazane, amadoda ngokuvamile ayenayo ilamulule yebele.

Izinhlobo zeCanscer Breast in Men

Izinhlobo zomdlavuza webele emadodeni nakwabesifazane ziyahlukahluka, kubonisa ukuhluka okuhlukile kwamabele. Cishe amaphesenti angu-80 emdlavuza webele emadodeni yi- ductal carcinomas . I-lobular carcinomas , i-cancer ephuma emlonyeni webele, i-akhawunti kuphela ngamaphesenti amabili kuphela ekhanda lamabele emadodeni. Isifo se- Paget se-ingono asivamile kodwa sibeka amaphesenti aphezulu wegciwane lesifuba emadodeni ngokuphathelene nabesifazane. Ezinye izinhlobo zomdlavuza webele njengesifo somdlavuza webele wesibindi kanye nama-sarcomas ajwayelekile kakhulu.

Izimpawu Ze-Cancer Sebele Emadodeni

Izimpawu zesifo somdlavuza wamabele emadodeni zifana nalabo besifazane futhi zingabandakanya:

Isilonda sesifuba (noma ngaphandle kobuhlungu)
Ukukhishwa kwengono
Isikhumba siqina
Ukulinganisa noma ukubomvu kwe-ingono (lokhu kuvame ukubonakala ekuqaleni kwamadoda kunabesifazane)
Ukukhwabanisa kwesikhumba (ukubukeka kwe-"peel orange")
Ukuhlehlisa noma ukuchithwa kwe-ingono (uma ingono ibonakala idonswa ngaphakathi)
Iphunga e-armpit yakho noma ngenhla kwe-collarbone yakho

Njengabesifazane, amadoda ngokuvamile afunda ukuthi unomdlavuza wesifuba ngemuva kokuthola inhlama. Akuzona zonke izibilini zesifuba emadodeni enomdlavuza.

Ubisi Buya Emadodeni

Akuzona zonke izibilini zesifuba emadodeni aba nomdlavuza, kodwa ngokungafani nabesifazane abangase babe nezinhlobonhlobo zezinyosi zebele zesisu, inhlama emadodeni cishe inomdlavuza.

I-Gynecomastia isimweni samadoda okungesilo inhlama kodwa kunalokho ukukhuliswa okufanako kwamathambo amafutha emabeleni. I-Gynecomastia ivamile, eyenzeka ngezinga elithile cishe phakathi kwengxenye yabafana ngesikhathi sobusha. Lapho usukhulile, kunezimbangela eziningana ze-gynecomastia kanye nokusukela emithini eya esibhedlela kuze kube sekukhulupheni.

Izimbangela Nezici Zengozi YeCanscer Breast Breast

Asazi ngempela ukuthi yini ebangelwa umdlavuza webele emadodeni, kodwa kunezici eziningana zokufaka ingozi ezikhonjisiwe. Lokhu kufaka:

I-Genetics: Kucatshangwa ukuthi izakhi zofuzo zidlala indima enkulu kakhulu emdlalweni webele wesilisa kunabesifazane. Njengabesifazane, amadoda ane-BRCA mutations at engozini enkulu, nakuba lokhu kuhlukile kunabesifazane. Amaphesenti angama-55 kuya kwangu-65 wabesifazane abashintshayo nge-BRCA1 bazokwakha umdlavuza webele, kodwa kuphela abangu-1 kumadoda angu-100 abanokuguqulwa komzimba. Ukuguqulwa kwe-BRCA2 kuhlotshaniswa nomdlavuza webele esifundeni esingamaphesenti angama-45 abesifazane beshintsho kodwa amaphesenti angu-6 kuphela amadoda. Okunye ukuguqulwa okubalulekile emdlalweni wesilisa wamabele kufaka phakathi i-CHEK2, PTEN, ne-PALB2.
Ubudala: Umdlavuza wesifuba emadodeni unyuke ngeminyaka yobudala obuphakathi kweminyaka engu-68.
Umjaho: Amadoda ase-Afrika aseMelika anomphumela omkhulu womdlavuza webele kunamadoda aseCaucasus, Asia, noma aseSpain. Amadoda aseMelika aseMelika nawo athambekele ekutholeni umdlavuza webele ngesikhathi esencane (okuphambene nasiqiniso kwabesifazane abanomdlavuza webele).
I-Klinefelter's syndrome (XXY): Amadoda ane- Klinefelter's syndrome, i-trisomy yama-chromosome ocansi njengo-XXY (nabanye) athatha ingozi yomdlavuza wesilisa womuntu oyedwa kumadoda angu-100.
Imithi yokwelapha yangaphambilini: Ukwelashwa kwezidakamizwa esifubeni (isibonelo, amadoda aphethwe isifo sikaHodgkin), isrogen yokwelapha umdlavuza we-prostate, kanye ne-orchiectomy yomdlavuza we-testicular ingase ihlotshwe nengozi eyandayo.
Utshwala usebenzisa
Isifo sesibindi
Ukukhuluphala: Ukuphuza ngokweqile utshwala, izifo zesibindi, nokukhuluphala konke kuhlotshaniswa namazinga aphezulu e-estrogen futhi kungandisa ingozi.
Amathambo angenakunqunywa
I-orchitis yamaqabunga
Ukuvezwa kwemvelo: Kungenzeka ukuthi ukushisa okunye kwemvelo kuyandisa ingozi, kodwa ngaphandle kwe-fuoline fumes lokhu kufundwe kancane kakhulu.
Ukuzalwa kokuqala: Ukuba ngowokuqala kuhlotshaniswa ngandlela-thile kumdlavuza webele emabesilisa nabesifazane.

Ukuqaphela I-Cancer Breast Cancer

Umdlavuza wesifuba wesilisa utholakala ngendlela efana nokuxilongwa komdlavuza webele kwabesifazane futhi ungafaka i-mammogram, i- breast ultrasound , noma i-MRI. Lezi zivivinyo ze-imaging zingase ziphakamise umdlavuza, kodwa indlela kuphela ephelele yokuthola ukuxilongwa yi-biopsy.

Kunezinhlobo eziningana zezinhlobo zezinhlobo zebele ze-biopsy ezingenziwa. I-aspire enhle isifiso isebenzisa inaliti encane kakhulu egayelwe ibe yisisu ukuze ithole isampula. Ngesisekelo senaliti ye-biopsy , njengoba isampula esincane kakhulu isusiwe. I- biopsy yokuvula evulekile ingenziwa ngezindlela ezimbili ezihlukene, okungahambi kahle noma okungaqondakali. Ngokuvame ukwenziwa kwe-biopsy yokuzijabulisa kuyokwenziwa kumuntu ohilela ukukhipha isisindo sonke kanye nezinye izicubu ezizungezile.

Ngesikhathi se-biopsy evulekile (noma phakathi nokuhlinzwa kwe-mastectomy noma kwebele okukhulunywe ngezansi) udokotela wakho angase futhi ancoma i-sentinel node biopsy. Kule nqubo, umshini omsakazo ujojelwa ku-tumor yakho lapho wenza khona indlela eya ohlelweni lymphatic. Ngale ndlela, kungenza udokotela wakho afunde ukuthi yikuphi i-lymph node umdlavuza ongayihamba kuqala, okungahle ube khona ukuze ubone ukuthi kukhona yini ubufakazi bomdlavuza kumalini wakho we-lymph nodes.

I-pathologist izobuka imboni yakho ye-biopsy ngaphansi kwe-microscope ukuthola ukuthi isisindo somdlavuza webele, futhi uma kunjalo, yiluphi uhlobo. Ngaphezu kwalokho, uzobika ibanga lesifo somdlavuza, esinikezwa inombolo yesinye kuya kweyithathu kuye ngokuthi ubuhlungu bubukeka bunjani. Izivivinyo zenziwa futhi ukuhlola isimo se-receptor ye-hormone futhi ubone ukuthi umdlavuza ulungile yini ku-HER2 / neu (bheka ngezansi).

Ukwethula isifo somdlavuza webele besilisa

Ngaphezu kokuhlola isisu sakho nge-biopsy, ezinye izivivinyo zingenziwa ukuze ubone ukuthi umdlavuza wakho usakazeke yini. Ukuhlola ukuhlolwa okufana ne-x-ray yesifuba, i-CT scan, i-MRI, i-scan scan, noma i-PET scan ingenziwa kuye ngezici eziningi. Izifunda zomzimba lapho umdlavuza wesifuba uvame ukusabalalisa khona ( amasayithi omzimba we-metastases wamabele ) amaphaphu, amathambo, isibindi, nobuchopho.

I-Breast carcinomas ingaba "in situ" noma ingene. Kubalulekile ukuqaphela ukuthi zonke izigaba, kusukela ku-I kuya ku-IV zibhekwa njenge "invasive" i-carcinoma. Lokhu akusho ukuthi "bahlasele" ezinye izicubu, basakaza, noma bahlukumezeka, nakuba kungesabisa ukubona lelo gama embikweni wezokwelapha. Umdlavuza webele we-invasive ungenye lapho amangqamuzana omdlavuza asakaze khona isifunda esaziwa njengekhanda eliphansi.

Ukuze anqume isigaba somdlavuza onamandla, odokotela babheka izindinganiso ezintathu:

T ibhekisela ebukhulu besisu.
N ibhekisela ebukhosini bomdlavuza emitholampilo futhi unikezwa inombolo ngokusekelwe ekutheni lezi zinhlayiya zitholakala kumdlavuza wokuqala.
M ibhekisela ebukhosini obude obude.

Amagciwane ebeletha emadodeni athambekele ekusakazeni ngokushesha kunabesifazane, ngenxa yobuncane besisindo sebele. Lezi zomshukela akudingeki zihambe kude ukuze zifinyelele esikhumbeni nasezinsikeni noma ngakolunye uhlangothi, izihluthu esifubeni.

Incazelo elula yezigaba zomdlavuza webele ihlanganisa:

Isiteji se-0 noma i-carcinoma in situ yi-cancers engenawo amandla.
I-Stage I kansela kaningi kaningi amakhemikhali amancane angazange asakaze kuma-lymph nodes.
Amagciwane e-Stage II angase abe mkhulu noma asakaze kuma-lymph nodes eseduze.
Amagciwane e-Stage III ahlanganisa nalawo angamakhulu, ayangena endaweni yangakini, noma anezinyathelo eziningana ze-lymph nodes eduze kwe-tumor noma i-lymph nodes kude ne-tumor.
Amagciwane e-Stage IV yiwo asetshenziswe ezindaweni ezikude.

Izinketho zokwelapha for Cancer Breast Cancer

Kunezinketho eziningi zokwelashwa ezihlukene ezitholakalayo ngomdlavuza webele emadodeni, kanti ezinye izindlela zokwelashwa zihlolwe ekuhlolweni kwemitholampilo. Ukwelapha kungafaka:

Ukuhlinzwa: Emadodeni, i-mastectomy yenziwa kaningi kunokubeletha kokubeletha. Ukuze uthole ukwelashwa amancane, ukuhlinzwa kungase kube nokwelapheka.
Ukwelashwa kwamahomoni: Amaphesenti angaba ngu-90 emdlavuza webele emadodeni yi-estrogen-receptor enhle futhi angaphendula kahle kwezokwelapha ze-hormonal . Isidakamizwa esivame kakhulu esetshenziselwa umdlavuza wesifuba wesilisa ngu-tamoxifen esetshenziselwa ukuvimbela ama-receptors kumaseli omdlavuza webele ukuze i-estrogen ingakwazi ukubopha futhi ibangele ukuba ikhule. Amahomoni angamadoda angabangela namaseli omdlavuza webele. I-Orchiectomy (ukususwa kwe-testes) yayivame ukuqhutshwa, kodwa imithi efana ne-Zoladex ne-Lupron ivame ukusetshenziselwa ukuvimbela ama-testes ekwenzeni ama-hormone abesilisa.
I-Chemotherapy: I- Chemotherapy yomdlavuza wesifuba ingenziwa ngezindlela ezimbalwa ezahlukene. Kunganikwa ngemuva kokuhlinzwa (i-adjuvant chemotherapy) ukuze uphathe noma yiliphi amangqamuzana omdlavuza okungenzeka ahambe kude nendawo yomdlavuza kodwa angakabonakali ekuhloleni. Kungabuye kunikwe ngaphambi kokuhlinzwa (i-neoadjuvant chemotherapy) ukuze kunciphise ubukhulu besisu ngaphambi kokuhlinzwa.
Ukwelashwa okuhloswe: Ngezikhwama eziyi- HER2 / neu positive, isidakamizwa u-Herceptin (noma abanye) sisetshenziswa njalo. Lezi zidakamizwa zivimbela i-receptor ukuze izici zokukhula zingakwazi ukubopha bese zikhomba ukuthi amangqamuzana akhule.
Ukwelashwa kwezidakamizwa: Kunezinhlobo eziningi zezindlela lapho ukwelapha imishanguzo kungasetshenziswa ukuphatha umdlavuza wesifuba wesilisa.
Ukuhlolwa kwemitholampilo: Kunezinye izindlela zokwelashwa ezihlosiwe kanye nezidakamizwa zokuzivikela ezifundiswa umdlavuza webele ongaphenduli kwezinye izifo.

Ukuchazwa kwesifo somdlavuza webele wesilisa

Izibalo mayelana nomdlavuza wesifuba wesilisa zingasiza ngezindlela ezithile, kodwa kubalulekile ukukhumbula ukuthi lezi zingacabangi izindlela zokwelashwa ezintsha ezitholakalayo manje. Isibonelo, amazinga okusinda ominyaka emihlanu asinika umbono wokubikezelwa komuntu "omaphakathi" otholwe okungenani eminyakeni emihlanu eyedlule, kodwa ukwelashwa okusha kususelwe kusukela ngaleso sikhathi. Izindleko zokusinda ezineminyaka emihlanu yamadoda anomdlavuza wesifuba ngesigaba (kusukela ngo-2017) yizi:

Isigaba 0 - amaphesenti angu-100
Isigaba I - amaphesenti angu-100
Isigaba II - amaphesenti angu-91
Isigaba III - amaphesenti angu-72
Isigaba IV - amaphesenti angu-20

Kukhohliswa ukuthi amazinga okusinda kubantu abesifo somdlavuza webele abancani kunalabo besifazane. Uma kuqhathaniswa nesiteji, noma kunjalo, izinga lokusinda lifana kakhulu phakathi kobulili futhi mhlawumbe kancane kumadoda. Lokho kusho ukuthi ukuthuthukiswa kokusinda eminyakeni engamashumi amathathu edlule kuncane kumadoda kunabesifazane.

Ukuhlolwa kwe-Genetic

Njengoba amancelisi amaningi asebele emadodeni anesici sezakhi zofuzo, amadoda amaningi anesithakazelo ekuhloleni izakhi zofuzo. Uma ucabangela lokhu, kubalulekile ukuba uqale ukhulume nomeluleki wezakhi zofuzo. Ukuhlola i-genetic kusencane. Umeluleki wezakhi zofuzo angase abone iphethini engozini ngenkathi ebuka ohamba naye ohlinzeka ngolwazi olwedlula ukuhlolwa okwamanje.

Abantu abaningi abangaqapheli ukuthi ezinye izinguquko ezithatha isifo somdlavuza webele zingase zenzeke kwezinye izifo zomdlavuza. Isibonelo, ukuguquguquka kwe-BRCA2 kuhlotshaniswa nobungozi obuningi bomdlavuza we-pancreatic. Umeluleki omuhle wezofuzo angafaka zonke lezi zicucu ukuze zikusize uqonde ingozi yakho kanye neyomndeni wakho.

Impikiswano ye-Psychological Impact of Cancer Breast in Men

Umdlavuza wesibeletho ungaba nomthelela omkhulu kubantu besimo sengqondo-into enganakiwe kokubili nokuqwashisa nokucwaninga. Amadoda anomdlavuza wesifuba abike imizwa yokukhathazeka, amahloni, ngisho nokucindezeleka ngokuphathelene nokuxilongwa kwabo.

Ukuxilongwa komdlavuza wesifuba nakho kungathinta isimo somuntu nesimo somzimba. Ngokomzimba, i-mastectomy ibangela ushintsho ekubukeni kwesifuba somuntu, futhi ukwelashwa kwe-hormone kungabangela izinkinga eziningana ezibandakanya imiphumela yocansi. Emotionally, ukuba nomdlavuza ovame ukuthathwa ngokuthi "umdlavuza wesifazane" ungaba nomthelela omubi ekuziphatheni ngokobulili. Cishe isigamu samadoda ababuzwa ocwaningweni olulodwa sathi ukubhekana nenkinga yesifuba kuzothinta ubukhulu babo besilisa.

Ukwengeza eminye imizwelo evamile njengesizungu, ukucwasa, ukuhlukumeza, nomqondo wokungabi nabulungisa, kuyacaca ukuthi amadoda anomdlavuza wesifu adinga ukusekelwa okuningi njengabangane babo besifazane. Ngandlela-thile, amadoda abhekene nomdlavuza webele namuhla ahlangabezana nezimpikiswano ezifanayo zenzalo abesifazane abazenza eminyakeni emithathu noma emine eyedlule.

Ukubhekana Nezimo Zomdlavuza Webele Wesilisa

Ungabhekana kanjani nakho konke lokhu? Ucwaningo lwabesifazane lithole ukuthi kunezinto eziningana ezingathinta impendulo yomzwelo, ngakho-ke amandla okubhekana nesifo somdlavuza webele. Lokhu kufaka:

Ikhono lokubona nokuveza imizwelo
Inethiwekhi yokusekela eqinile
Ukuthuthukiswa kwezindlela eziphikisanayo zokubhekana (ngokuphambene nezindlela ezingathintekiyo ezifana nokusetshenziswa kotshwala)
Uhlelo lokukholelwa olusiza abantu ukuthola incazelo ekuguleni

Ngeshwa, eziningi zalezi zindlela zokubhekana nazo zibonakala zingaphansi kwamadoda kunabesifazane. Izindlela abantu abavame ukuzibheka ezibalulekile ezihlanganisa amandla ngokomzimba nangokomzwelo, ukukhubaza, ukulawula, nokuzithemba ngezindlela ezithile okuphambene nalokho okuboniswe ukuthi kuyasiza ekubhekaneni nakho. Ake sibheke ukuthi amadoda angabhekana kanjani nemizwelo yomdlavuza webele:

Bonisa imizwelo yakho: Ukuveza imizwelo kuboniswe ngokuphindaphindiwe ukwenza umehluko uma kuziwa ekubhekaneni nomdlavuza. Ngeshwa, akuzona nje amadoda "afunde" ukubamba imizwelo ngaphakathi. Abahlinzeki bokunakekelwa kwezempilo babonakala bephuza ukuqonda izidingo ezingokomzwelo zamadoda anomdlavuza wesifuba, kanye nombono odumile (kodwa ongalungile) womphakathi okudingeka "uhlale unesimo sengqondo esihle ngomdlavuza ozoqhubeka nomdlavuza" okudambisa ukuveza imizwa. Nakuba ukuhleleka, ngokuvamile, kungenza kube lula ukubhekana nomdlavuza webele, ukuveza imizwelo emibi uma unomdlavuza ubaluleke kakhulu.
Thuthukisa amasu okubhekana nokuphikisana okuhle: Ukusebenza nomdlavuza wengqondo kungasiza kakhulu amadoda abhekana nomdlavuza webele, kodwa kunezinqubo ezimbalwa zokubhekana nazo noma yikuphi umuntu angaqala ngokushesha. Inqubo yokumiswa kabusha kwengqondo, ikakhulukazi, ingasiza ngezindlela eziningi. Ngamaqhinga okuvuselela, isimo somuntu asishintshi, kodwa indlela yakhe yokuyibheka ayifuni. Isibonelo, esikhundleni sokulila ukulahlekelwa izinwele ekhanda lakho kusuka chemotherapy ungase ugubhe ungadingi izinyanga ezimbalwa. Sisebenzisa lesi sibonelo ukuqaphela ukuthi ngezinye izikhathi udinga "ukuyikhohlisa" kuze kube yilapho usenza "ngale ndlela, kodwa ngokuhamba kwesikhathi kungasebenza kakhulu. Thatha isikhathi sokufunda ngamanye amasu okubhekana nokunciphisa ukucindezeleka.
Thuthukisa ingokomoya lakho: Sesilokhu sifunda ukuthi ukukhula okungokomoya kungase kuthuthukise izinga lempilo kubantu abanomdlavuza futhi sekuye kwahlanganiswa nokuphila ezinkambweni ezimbalwa. Ngokusho kweNational Cancer Institute, ingokomoya libhekisela emicabangweni nemicabango yomuntu mayelana nenhloso yabo, ukuxhumana kwabo kwabanye, nezinkolelo mayelana nenjongo yokuphila. Abanye abantu bakuthola lokhu ngenkolo ehleliwe, kanti abanye bangakhetha ukuxhumana nemvelo. Kungakhathaliseki ukuthi ingokomoya lisho ukuthini kuwe, thola izindlela zokondla le ngxenye yakho.
Nweba uhlelo lwakho lokusekela: Ngezansi sixoxa ngamaqembu asekela kanye nemiphakathi yokusekela, kodwa uhlobo lokusekela oluthuthukisa ikhwalithi yokuphila kuhlanganisa umndeni nabangane. Lokhu kungadinga amadoda ukuba abe nobungozi kakhulu kunabo abajwayele, futhi angabe esaba kakhulu. Amadoda angase afise ukuqala ngokuthola umngane oyedwa ongaba yimfihlo.

Imisebenzi Yokusekela Amadoda Ngomdlavuza Webele

Akukhona nje ukuthi amadoda anomdlavuza webele abengabonakali imicabango nezidingo zabo, kodwa umthwalo omkhulu uhlala kubahlinzeki bezempilo. Kutholakale ukuthi odokotela banciphisa izidingo zamadoda anomdlavuza webele.

Isibonelo sibonakala ekubhekeni izinhlelo ezitholakalayo kwabesifazane abanesifo. Lokhu kufaka phakathi imfundo yesiguli / umbhangqwana / umndeni, amaqembu okusekela, amaqembu okuzivocavoca, izinkulumo zokudla okunomsoco, ulwazi lwezimpawu zengqondo, ulwazi lokubhekana nezinwele zokulahleka (kubandakanya ama-wigs nama-scarves mahhala), nokuningi okuningi. Akukhona ukuthi lezi zinsiza azitholakali kumadoda, kodwa kungathatha umsebenzi omningi ukuzithola futhi udokotela wakho angase angabi ncane amathuba okukuqondisa.

Lokho okuvame ukusho ukuthi amadoda-angaphansi kakhulu kunabesifazane ukufuna usizo-angadinga ukufuna usizo ngisho nangaphezulu kwabesifazane abanesifo. Ngenkathi lokhu kungalungile, yilapho sisekhona ngesikhathi samanje.

Izimpawu Zokucindezeleka Ezithuthumayo Emadodeni Ngomdlavuza Webele

Kungenzeka ukuthi uzwile ukuthi abantu base-Veterans kanye nabantu abaye babhekana nezinhlekelele zemvelo basengcupheni yokucindezeleka ngemuva kokucindezeleka, kodwa abantu abaningi abaye baphethwe ukwelashwa komdlavuza bazwa imizwa efanayo. Esicwaningweni esanyatheliswa kuyi-Journal of Clinical Oncology, cishe ingxenye yesine yamadoda anomdlavuza webele abhekana nezimpawu zokucindezeleka emva kokucindezeleka. Izimpawu azikwazi nje ukunciphisa izinga lakho lokuphila kodwa zinganciphisa ikhono lakho lokubuyela emuva emhlabeni uma ukwelashwa kwenziwa.

Ukuthola Ukusekelwa Kwabesilisa Ngomdlavuza Webele

Siye sabona ngokuphindaphindiwe ukuthi ukwesekwa kwengqondo kubalulekile kwabesifazane abanekhanda lesifuba, futhi lokho kubonakala kungasona icala lamadoda. Ukusekelwa okungcono kuphela okuhlobene nokubhekana kangcono nekhwalithi yokuphila, kodwa sekuye kwaxhunyaniswa nokusinda kwezinye izifundo.

Kodwa-ke, amadoda ayenamathuba okufuna ukusekelwa futhi akakwazi ukukhuluma ngokukhululekile ngokuxilongwa kwabo phakathi kwabahlobo nomndeni ngezizathu eziningi.

Ukuthola amanye amadoda abhekene nomdlavuza webele angabalulekile, kokubili ekuhlinzekeni lokhu kusekelwa, nangokukunika ithuba lokukhuluma nabanye ababhekene nezinselele ezifanayo.

Njengoba umdlavuza wesifuba emadodeni ungavamile, abantu abaningi abanalo iqembu lenkxaso yendawo elenzelwe ngokuqondile amadoda anekhanda lesifuba. Kodwa kunezinketho eziningi. Kunomphakathi wesifo somdlavuza wesilisa omatasa kakhulu. Eqinisweni, ku-Twitter, kunamadoda amaningana anomdlavuza webele abasebenza ngokungakhathali ukuletha ukwaziswa nokufinyelela kubantu abesanda kutholakala benomdlavuza webele. Uma uhamba nge-twitter, kulula kakhulu ukuthola laba bantu ngokusebenzisa ama-hashtag.

I-Online, I-Breast Breast Cancer Coalition iyimzamo emangalisayo yokusekela amadoda anesifo ngokukhumbuza umphakathi ukuthi "amadoda anamabele." I-website yabo ihlanganisa izindaba eziningana zokusinda ezingaletha ithemba. I-Susan G Komen Male Female Breast Cancer Patient Support Group yinye indlela.

Ukuba Ummeli Wakho Emkhakheni Wokunakekela I-Cancer

Ukucwaninga kuze kube yimanje umthelela wengqondo womdlavuza webele emadodeni kubonakala sengathi kubonisa ngokuphindaphindiwe ukuthi ukubhekana nokusebenza "okusebenzayo" kungenza umehluko. Ukubhekana ngokuphumelelayo kungahlanganisa ukufunda konke ongakwenza mayelana nomdlavuza wakho (funda ucwaningo ngomdlavuza wakho ku-intanethi ), ufune ulwazi nokusekelwa ngokusebenzisa imithombo yezokuxhumana, futhi ufuna usizo kumphakathi wakho kanye nomndeni nabangane.

Kubalulekile ukuba yingxenye esebenzayo yethimba lakho lezokwelapha. Ukwelapha umdlavuza kushintsha ngokushesha kangangokuthi kunzima kunoma yimuphi udokotela ukungahambisani nazo zonke izifundo ezintsha nocwaningo. Ngaphezu kwalokho, akekho okhuthazwayo njengoba uzobhekana nomdlavuza wakho. Thatha isikhashana ukuthi ufunde mayelana nokuthi ungaba kanjani ummeli wakho ekunakekelweni komdlavuza wakho .

Okokugcina, cabanga ukukhuluma nomeluleki onolwazi ekusebenzeni namadoda nomdlavuza wesifuba nazo zonke izinselele eziyingqayizivele ezinikezayo. Ukwenza kanjalo akuyona isibonakaliso sokuba buthakathaka, kodwa empeleni kuyisibonakaliso esikhulu sesibindi namandla. Njengoba i-perk, ucwaningo luze luphakamisa nokuthi luthuthukisa ukusinda. Izinga lokusinda lihle kunanini ngaphambili lamadoda anomdlavuza webele, kodwa ngisho nalapho ukwelashwa kwenziwa, imiphumela emibi nokucindezeleka kungase kuhlale isikhathi eside. Uma usufinyelele leli phuzu uhambo uthathe isikhashana ufunde "ngomdlavuza" futhi zonke izinketho ezikhona manje ukusiza abasindile bomdlavuza babe "ngcono okuvamile".

> Imithombo:

> I-American Cancer Society. Amanani nezinombolo ze-Cancer 2017. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2017/cancer-facts- futhi-izibalo-2017.pdf

> Johansson, I., Nilsson, C., Berglund, P. et al. Isisombululo Esiphezulu Sokuguqulwa Kwegciwane Lesandulela Ngculaza Lesifuba Sasebantwini Siveza Ukuhlukana Okufihlekile Okubheka Ukufana Nekhanda Lomama Webele. Ucwaningo lwe-Cancer Research and Treatment . 2011. 129 (3): 747-60.

> Kipling, M., uRalph, J., noK. Callanan. Impikiswano Yengqondo Yezinkinga Zomzimba Wesilisa: Ukubuyekezwa Kwezincwadi kanye Neziphakamiso Zezinhlolovo. Ukunakekelwa kwebele . 2014. 9 (1): 29-33.

> National Cancer Institute. Ukwelashwa Kwesifo Sengculaza Yamadoda (PDQ) - I-Health Professional Version. Kubuyekezwe 02/08/18. https://www.cancer.gov/types/breast/hp/male-breast-treatment-pdq

> Silva, T. Male Breast Cancer: Ukuphathwa Kwezokwelapha Nezengqondo Ngokuqhathaniswa Nomdlavuza Webele Wesifazane. Ukubuyekezwa. Ukwelashwa kweCans and Research Research . 2016. 7: 23-34.