Umdlavuza wesibeletho awutholakali njalo ngeso lengqondo. Izibonakaliso zayo zakudala zivame ukufihla ngaphakathi kwezicubu zakho zesifuba.
Izinguquko ezibelethweni zakho ozibonayo zingase zingabi umphumela wesifo somdlavuza webele. Izimpumputhe nama-bumps angase ahambe ahambe njengoba ama-hormone akho eqala futhi egeleza futhi uma ukhula. Futhi, isikhumba sebele singashintsha ukuthungwa ngenxa yokushisa kwelanga, ukwelashwa kwemisebe , noma izifo ezibangelwa ukuqhuma.
Ngakho-ke, ungazi kanjani ngokuqinisekile ukuthi ukukhwabanisa isikhumba noma ukukhwabanisa isikhumba noma isifo sesikhumba kunesifo esibucayi noma umdlavuza? Uzodinga usizo oluvela ochwepheshe bezokwelapha ukuze uthole ukuxilongwa okucacile.
Isimo se-Hormone
Amagciwane ebelethwe ahlukaniswe abe izinhlobo ezimbili eziyinhloko:
- I-Estrogen receptor inhle
- I-Estrogen receptor ayibi
Uma uhlola ukuthi unomdlavuza wesifuba, i-estrogen kanye ne-progesterone biomarker imiphumela yokuhlola evela embikweni wakho wezokwelapha uzosiza udokotela wakho ukuthi anqume ukuthi yiluphi uhlobo lwesifo onalo. Lolu lwazi luthinta ukwelashwa kwakho kanye nokunakekelwa kwakho kokulandelwa.
Isimo se-HER2
I-HER2 (i-epidermal growth factor receptor 2) amaprotheni angenza ukukhula okungalawuleki kwe-tumor yebele yomdlavuza. I-Herceptin isetshenziselwa ukuphatha lolu hlobo lomdlavuza wesifuba, ngokuhambisana nezinye izidakamizwa zamakhemikhali.
I-Lapatanib iyatholakala kulabo abano-HER2 obuhle. Ukwazi isimo sakho se-HER2 kuthinta ukuxilongwa nokuphathwa kwakho.
Isivivinyo seBrippinal Breast (CBE)
Abesifazane abaneminyaka engama-20 kuya kwengu-30 ubudala kufanele babe nokuhlolwa kwesifuba samathambo ngesikhathi sonyaka. Uma ukungatholakali kuyatholakala, i-mammogram ne-ultrasound ingasiza ekucaciseni uhlobo lwenkinga.
Amammograms
I-mammogram iyinqubo yegolide yokuhlolwa komdlavuza wesifuba nokutholakala kokuqala.
I-American Cancer Society incoma ukuthi abesifazane abaneminyaka engama-40 ubudala baphakamise ubuningi beminyaka yonke, nakuba ezinye izinhlangano zezokwelapha zishukumisa leso sincomo sibe neminyaka engu-50.
Amammograms angasiza ekutholeni amaphesenti angama-85 kuya kwengu-90 azo zonke izinhlobo zomdlavuza webele, ngisho nangaphambi kokuba uzizwe ucebile. Hlola ulwazi olulandelayo ukuze wazi kangcono ukuthi yini ongayilindela:
- Ukuba neMammogram: Isikhathi sokuqokwa kwakho ngemiphumela emihle, ulethe amarekhodi akho wezokwelapha , futhi wazi ukuthi kuzokwenzekani ngempela
- Ukubukwa kwe-Mammogram Ukuhlolwa Kwesimo Sokujwayelekile Nokuxilongwa : Amabele akho ngamunye azocindezelwa futhi afakwe kabili
- Izithombe ze-Mammogram, Izincazelo, kanye Nemininingwane : Bona izithombe zamammograms nokuthi i-radiologist yakho izohlola ini
- Ukuqonda Umbiko Wakho WeMammogram: Funda ukuthi kungaba yini embikweni wakho wokuthola izithombe kanye nokuthi kusho ukuthini imigomo yezokwelapha
- Okutholakele kuMammogram: ama-cysts , izibalo , ama- fibroadenomas , ama- hematomas , izicubu , izimila
- Ukubika Ukufaniswa Kwesisu NeSistimu Yedatha (BIRADS): Umbiko wakho uzolinganiswa nalesi simiso futhi leso sibalo sizofakwa ekuxilongweni kwakho
Ukufaniswa kwe-Breast Magnetic Resonance (MRI)
I- MRI yesifuba yembula imininingwane ehlukene yempilo yakho yesifuba kune-mammogram, ngakho ingasetshenziswa njengesivivinyo esihambisanayo.
I-MRIs ayisebenzisi ukucindezela, njengama-mammograms, kodwa ayabiza kakhulu futhi ayitholakali kakhulu.
Elastography
I-Elastography iyinhlangano yobuchwepheshe entsha, nakuba isaphenyweni, yethemikhali . Kungcono kakhulu kunomzimba we-mammography, i-ultrasound, ne-MRI ukuhlukanisa phakathi kokukhula okunesifo esibucayi nesifo somdlavuza. Ama-Elastograms angathola inhlama yomdlavuza ngaphandle kwe-biopsy.
Ukuhlolwa kwe-Pathology
Uma isilonda sesifuba sisola, isampula yamathambo noma uketshezi kufanele kuthathwe futhi ihlolwe ngumhlengikazi.
Ukuhlolwa kwe-Fluid
- I-Ductal lavage ibizwe ngokuthi "i-pap smear yebele." I-tube encane ifakwa esifubeni ukudweba amanzi avela emathanjeni esifuba, abuye ahlolwe ngaphansi kwe-microscope noma ahlolwe ngamaseli omdlavuza. Lokhu kuyindlela yokuhlola yokuphenya.
- Ngesikhathi sokufisa, udokotela wakho uzosebenzisa inaliti enhle ukuze athamele isampula yetshezi ephuma esitsheni, njenge-cyst, ezohlolwa.
Ukuhlolwa kweTishu
- Nge- biopsy yebele , udokotela ohlinzayo ususa isampula esincane kakhulu esiswini sakho. Lezi zicubu zizohlolwa futhi zihlolwe ngaphansi kwe-microscope yomdlavuza usebenzisa i- good-needle aspiration (FNA) , i- core needle biopsy (CNB) , i- biopsy stereotactic , noma i- biopsy evulekile
Isiteji
Uma yonke imiphumela yokuhlolwa ikhona, udokotela wakho uzofingqa ukuxilongwa kwakho. Umdlavuza wakho uzobekwa ngezigaba , kanye nge-oncologist yakho, futhi futhi nge-radiologist yakho. Ukwazi isiteleka somdlavuza wakho webele kunesidingo sokunquma ngesifundo sokwelashwa