Muva nje, amaCentral for Disease Control (CDC) asetshenzisile ukuletha umkhankaso we-Bring Your Brave ukuze wenze abasha abancane, abaneminyaka engu-18-44, baqaphele izinkinga zabo zokuthuthukisa umdlavuza webele. Ngenkathi ama-cancer amaningi asebele abonakala kubantu besifazane abangaphezu kuka-50, i-CDC ithi i-11% yamathambo omdlavuza amasha atholakala emadodeni angaphansi kweminyaka engama-45 ubudala.
Yini i-11% ebukeka njengonyaka?
Ngo-2015, i-American Cancer Society inqume ukuthi kuzoba namacala amasha angu-231,840 omdlavuza webele we-invasive, otholakala e-US abesifazane. Ngaphezu kwalokho, kuzoba namacala amasha angu-60,290 we-carcinoma in situ (CIS), uhlobo olungenayo invasive nolokuqala lomdlavuza webele olutholakala kwabesifazane. Lokhu kuzoletha inani lezinkinga ezintsha zomdlavuza webele kuya ku-292,130. Ukusebenzisa iphesenti ye-CDC ye-11%, lokho kusho ukuthi ngo-2015, cishe abesifazane abangu-32,134, abangaphansi kweminyaka engama-45 bazothola umdlavuza webele wesifuba.
Umdlavuza wesifuba, kunoma yisiphi ubudala, kuyinto ebaluleke kakhulu esesabekayo futhi esongela ukuphila. Kwabesifazane abasebasha, liphinde lishintsha impilo enkulu lapho abesifazane abaningi 18-44 beqhubeka nemfundo yabo, ukuphola, ukushada, ukukhulisa umndeni, nokukhulisa umsebenzi.
Ngenxa yokuthi abesifazane abaningi abasha abahluleka ukubona ukuthi bangathola umdlavuza webele, abatholi izivivinyo ezijwayelekile zesifuba noma baqale imitholampilo ekuqaleni.
Ngenxa yalokho, amakhemikhali abo ebelethwe atholakale kamuva lapho ehamba phambili, futhi kunzima ukuphatha. Abaningi abazi umlando wabo womndeni, nokubaluleka kokuba nomdlavuza webele emndenini.
Ngenkathi kunezici ezithile ezingozini zomdlavuza webele omama abesifazane abancane abanakho, njengokwesifazane nokuba nesiswini sezinsana, kunezici ezithile ezingozini ezibeka abesifazane besifazane abangaphezu kuka-45 engozini enkulu, kubandakanya abesifazane abane:
- Amalungu omndeni athola umdlavuza webele ngaphambi kweminyaka engama-45
- Amalungu omndeni athola ukuthi unomdlavuza we-ovarian nganoma yisiphi isikhathi
- Isihlobo esilisa esitholakale sinomdlavuza webele.
- Vala izihlobo ezinezinguquko kumagciwane azo we-BRCA1 ne-BRCA2, kodwa azihlolwanga ngokwabo
- Ifa le-Ashkenazi lamaJuda
- Umlando odlule we-radiation therapy kuya esifubeni noma esifubeni ebuntwaneni noma njengomuntu osemusha osemusha
- Umlando wezinkinga zezempilo zebele
- Amabele anamandla agcizelelwe emkhathini
Abesifazane abasebasha abanoma yiziphi izici eziyingozi kumele badane nodokotela wabo futhi babuyekeze umlando wabo womndeni ngokuningiliziwe. Ukwelulekwa nge-genetic nokuhlolwa kwe-BRCA izakhi zofuzo zomsakazo cishe kuzotuswa kubesifazane abanomlando womndeni wabo obonisa uhlobo oluthile lwegazi lomama ne-ovarian.
Ingxoxo yowesifazane ngamunye nodokotela wayo idinga ukufaka uhlelo lokusingatha izinto eziyingozi, ezifana nokuhlola umdlavuza webele. Ngenkathi ukuhlolwa kungavimbele umdlavuza webele, izifo zomdlavuza ezibanjwe ekubukeni zivame ukutholakala ekuqaleni, uma kulula ukuphatha futhi zibe nomphumela omuhle.
Abesifazane abasha banganciphisa ingozi yabo yokuthola umdlavuza webele nge:
- Ukugcina isisindo esinempilo
- Ukuthola amahora amane okuzivocavoca ngesonto
- Ukulala ngokwanele
- Ukunciphisa ukuphuza ngokweqile kwesiphuzo esisodwa ngosuku
- Gwema ukuvezwa kwamakhemikhali abangela umdlavuza
- Noma kunini lapho kunokwenzeka khona kuncishiswa ukunciphisa imisebe ngesikhathi sokuhlolwa kwezokwelapha njenge-X-rays, i-CT, ne-PET
- Xoxa ngezingozi zokuthatha, ukwelashwa kwe-hormone noma ukuvimbela izisu zomlomo (amaphilisi okulawula ukuzalwa), nodokotela ngaphambi kokuqala ukwenza kanjalo.
- Khetha ukondla, uma kungenzeka.
I-CDC iqinisekisa ukuthi kunezici ezinobungozi zomdlavuza webele akusho ukuthi kunikezwa ukuthi owesifazane osemncane uzothola umdlavuza webele, futhi akusho ukuthi ukungenazizathu eziyingozi kuyisiqinisekiso angeke asenze.