Ukuze ngithole izimpendulo kumi-10 evame ukubuzwa ngomdlavuza webele, ngabuza uDkt. William Gradishar, oncologist eFeinberg School Medicine eNorthwestern University eChicago. Ukhuluma ngokukhathazeka ngezimbangela ezikhona zomdlavuza webele futhi unikeza ulwazi mayelana nokwelapha.
Q: Ingabe ukusebenzisa amaphilisi okulawula ukubeletha kubangela umdlavuza webele?
A: Kubonakala sengathi akukho ukwanda okucacile phakathi kokusetshenziswa kwamaphilisi okulawula ukubeletha nokwandisa ingozi yomdlavuza wesifuba. Nakuba amaphilisi okulawula ukubeletha aqukethe amahomoni athile, amanani amancane. Njengoba wonke owesifazane kanye necala lomdlavuza wesifuba lihlukile, abesifazane kufanele bakhulume nodokotela babo ngezingozi zabo siqu zomdlavuza webele .
Q: Ungadla ukudla okunye kungabangela umdlavuza webele.
A: Ucwaningo oluthile oluningi olubheke isixhumanisi phakathi kokudla kanye nomdlavuza webele luye lwaqhutshwa. Kuze kube manje, ukuxhumana phakathi kokudla nesifo somdlavuza webele akuzange kubonakale. Ucwaningo oluthile luye lwathola ukuxhumana okukhona phakathi komdlavuza we-fat kanye nesifuba, kodwa ucwaningo oluqhubekayo luzodinga ukuqedwa. Njengomthetho ojwayelekile wesithupha, umkhuba omuhle ukudla ukudla okunempilo okunamaprotheni ahlanzekile, okusanhlamvu okugcwele kanye nezithelo nemifino eluhlaza. Okubaluleke kakhulu, sicela ukhulume nodokotela wakho ngaphambi kokuqala noma iyiphi indlela yokudla noma yokudla okunomsoco.
Q: Ingabe bonke abaphikisana nezidakamizwa babangela umdlavuza webele?
A: Abaphikisana nabaphikisana nabo abonakala bengabangela umdlavuza webele. Amahemuhemu amasha asakaze ukuthi isidumbu sidinga ukuhlanza ubuthi ngokuthuthumela ngamagundane nokuthi uma kusetshenziselwa izidakamizwa, umzimba uzolondoloza lezo zinyosi emalini engaphansi kwesandla, okwenza umdlavuza webele. Lezi zimangalo azilona iqiniso; umzimba awuyikukhulula i-toxins ngokusebenzisa i-underarm sweat. I-sweat etholakala endaweni engaphansi kwe-underarm yenziwe ngamaphesenti angu-99.9%, i-sodium, i-potassium ne-magnesium.
Q: Kungabe ukulimala esifubeni sami kungaba ngumdlavuza webele?
A: Ukulimala esiswini akubanga umdlavuza webele. Kwezinye izimo, isifuba singase sikhutshazwe ngemuva kokulimala futhi, ezimweni ezingavamile, ukuthuthukisa umuthi ongenawo umdlavuza okuthiwa i-fat necrosis . I-fat necrosis ayingozi, futhi izimpawu ngokuvamile ziyancipha phakathi nenyanga. Uma unesilonda esifubeni sakho futhi ukhathazekile ukuthi kungaba umdlavuza webele, xhumana nodokotela wakho ngokushesha.
Q: Ingabe ukugqoka i-underwire bras kubangela umdlavuza webele?
A: Ukugqoka i-underwire bra ngeke kubangele umdlavuza webele. Incwadi ethandwayo eyanyatheliswa ngo-1995 yasikisela ukuthi ngaphansi kwe-bras bras isimiso se-body lymph node system, eyenza umdlavuza webele. Lesi simangalo asilungile. Azikho izifundo ezitholile ukuxhumana phakathi kwezingubo zangaphansi kanye nomdlavuza webele.
Q: Ingabe izidakamizwa zibangela umdlavuza webele?
A: Qha, izidakamizwa azibangeli umdlavuza webele. Eqinisweni, i-American Cancer Society incoma ukuthi abesifazane abaneminyaka engaphezu kwengu-40 noma engu-44 banomzimba waminyaka yonke kuze kube seminyaka yobudala engama-55, bese kuthi njalo eminyakeni emibili.
Ama-Mammograms asebenzisa amazinga aphansi emisebeni ezimisele ukuphepha yi-American College of Radiology. Amammograms iyithuluzi elihle kakhulu lokuthola umdlavuza webele ngesikhathi sokuqala, futhi ukutholakala kokuqala kubalulekile ekunciphiseni inani labesifazane abathuthukisa isigaba IV, owaziwa nangokuthi umdlavuza webele we-metastatic . Njengoba wonke owesifazane kanye necala lomdlavuza wesifuba lihlukile, abesifazane kufanele bakhulume nodokotela babo ngezingozi zabo siqu zomdlavuza webele. Kwezinye izimo, abesifazane abanengozi enkulu yesifo somdlavuza webele kumele babe nomzimba ongakafiki ngaphambi kweminyaka engama-40.
Q: Uma nginamabele e-fibrocystic, ingabe ngisengozini enkulu yomdlavuza webele?
A: Amaphesenti angama-50 abesifazane beshintshwe ngesimo sebele se-fibrocystic ngesikhathi esithile empilweni yabo. Amabele e-Fibrocystic avamile futhi ayengabanomdlavuza. Amabele e-Fibrocystic akuyona into engozini yomdlavuza webele. Benza ukutholakala nge-imaging ejwayelekile nezindlela zokuhlola kunzima kakhulu, kodwa akunakwenzeka.
Q: Ingabe ukuhlinza ukususa isifuba kungabangela ukuba umdlavuza usakazeke?
A: Uma umdlavuza webele usakazeka, kuthiwa uhlelwe kabusha. Akekho owazi ukuthi kungani kubangelwa umdlavuza webele we-metastasize, kodwa ayikho isixhumanisi phakathi kokukhishwa kwesifuba nokusabalalisa umdlavuza webele.
Umdlavuza webele we-metastatic yisigaba esiphezulu kakhulu somdlavuza webele. Kunezinketho eziningi zokwelashwa ezitholakalayo namuhla kubantu besifazane abanesifo - kuhlanganise ne-chemotherapy, ukwelashwa kwe-endocrine kanye nokwelapha okuhlosiwe - okuqhubeka nokudlala indima ebalulekile ekwelapheni umdlavuza webele we-metastatic. Kubalulekile ukuthi abesifazane abanalesi sifo bakhulume nodokotela babo mayelana nezinketho zabo zokwelapha.
Q: Ingabe umdlavuza wesifuba uthinta abesifazane besifazane abahamba phambili?
A: Qha, abesifazane besonke ubudala bangathuthuka umdlavuza webele. Ingozi yowesifazane yokuthuthukisa umdlavuza webele iyakhula njengoba ikhula iminyaka eminingi, yenza kube kubalulekile kubo bonke abesifazane 40 nangaphezulu ukuba babe nobukhulu bonyaka. I-American Cancer Society ithi ukuzitholela isifuba kungabhekana nabesifazane abangaphezu kuka-20, kodwa kuncoma ukuthi abesifazane bazi kahle ukuthi amabele abo abukeka kanjani futhi bazizwa kanjani. Abesifazane kufanele babike noma yiziphi izinguquko ezintsha zesifuba kudokotela wabo ngokushesha nje lapho zitholakala. Ukutholakala kokuqala kubalulekile ekwandiseni ukusinda nokunciphisa amathuba okunciphisa umdlavuza (ukusakaza).
Q: Ngingathola yini umdlavuza webele uma ungagijimi emndenini wami?
A: Umlando womndeni wesifo somdlavuza wesikhumba ukwandisa ingozi; Nokho, abesifazane abangaphezu kuka-80% abatholakala benomdlavuza webele abanayo izifo ezingabonakali ezibangelwa umdlavuza webele, njengomlando womndeni.
UWilliam Gradishar, MD
UWilliam Gradishar, MD ungumprofesa wezokwelapha ekuhlukaniseni i-hematology kanye ne-oncology yezokwelapha e-Feinberg School of Medicine eNorthwestern University eChicago. Ungelungu leRobert H. Lurie Comprehensive Cancer Centre eNyakatho-ntshonalanga Yunivesithi futhi unikezele umsebenzi wakhe wokuphila ukuze athole ukwelashwa okusha nokuhle komdlavuza webele. Usebenze nezinhlangano zikahulumeni nezokukhuthaza ukuletha umdlavuza webele esifundeni ukuze abesifazane nabomndeni babhekene nesifo bangathola ukusekelwa abayidingayo namuhla futhi babheke phambili isithembiso sekusasa.
Imithombo:
I-American Cancer Society. Izincomo ze-American Cancer Society zokuthola umdlavuza wokuqala webele wezinsikazi kubesifazane abangenayo izimpawu zesifuba. Kubuyekezwe ngo-10/20/15. http://www.cancer.org/cancer/breastcancer/moreinformation/breastcancerearlydetection/breast-cancer-early-detection-acs-recs
I-American Cancer Society. Abaphikisana nezidakamizwa / izidakamizwa kanye ne-Cancer Breast. Kubuyekezwe 01/04/08. http://www.cancer.gov/about-cancer/causes-prevention/risk/myths/antiperspirants-fact-sheet