Uma sizwa amagama omdlavuza webele, iningi lethu livame ukucabanga ukuthi kunehlobo olulodwa kuphela lomdlavuza wesifuba, akunjalo. Kunezinhlobo eziningana zomdlavuza webele, futhi zihlukile komunye nomunye.
Ngokususelwa kuhlobo lomdlavuza webele olwenziwe embikweni wezokwelapha , ngemuva kokuhlinzwa, ithimba lezokwelapha lingase lihlele ukwelashwa okuphumelela kakhulu kulolo hlobo oluthile lomdlavuza webele.
Izinhlobo zeCanscer Breast
I-Ductal In-Situ (i-DCIS) uhlobo lomdlavuza webele olwenzayo emgodini, kodwa aluzange luphumele ngaphandle kwenduku futhi lusetshenziselwa izicubu zesifuba. I-DCIS ibhekwa njengendlela yokuqala yomdlavuza webele, futhi iyaphathwa kakhulu. Kodwa-ke, kwesokunxele kungelashwa kungasakazeka ngaphesheya kwendlela bese kuhlasela izicubu zesifuba ezinempilo. Incazelo ye-In-Situ ibhekisela eqinisweni lokuthi umdlavuza usekuqaleni lapho uwakhiwa khona.
Izinhlobo ezijwayelekile kakhulu zomdlavuza wesifuba i- Invuctable Ductal Carcinoma (i- IDC) efaka ama-80% azo zonke izifo zomdlavuza webele. Ku-IDC, amangqamuzana omdlavuza okwakhiwa ekuqaleni emakhakheni obisi, asakazeka ngaphesheya kwamathayi, ehlasela izicubu zesifuba. I-IDC inekhono lokusakaza ngaphezu kwebele kwezinye izingxenye zomzimba.
I-Lobular Carcinoma (i-ILC) evamile yilelihlobo lwesibili lomdlavuza webele. Ilandisa ngamaphesenti angu-10-15 ezitholakalayo ezingenayo izifo zomdlavuza webele.
I-IDC ivame ukubonakala kunzima ekuboneni ukuhlola izithombe ngoba ikhula ngamagatsha asakaza.
I-Canplegen Negative Breast Cancer uhlobo lomdlavuza webele olunezidingo ezidingekayo ukuze zizuze ezikwelapha ezisetshenziswa kaningi ezihlose i-estrogen, i-progesterone, ne-HER-2. I-Chemotherapy iyindlela ephumelelayo.
I-Breast Cancer Inflammatory (IBC) uhlobo lomdlavuza wesifuba ovame ukukhiqiza inhlama engabonakala.
Idala amangqamuzana omdlavuza angena ngaphakathi esikhunjeni sesikhumba nasezindlini ze-lymph, futhi izimpawu zivela lapho izitsha zellimini zivinjelwe. Uma izimpawu zivela, zigijima i-gamut ekubambeni kanye nokuqhuma noma lokho okufana nokuluma kwezinambuzane kuya kwebele kubomvu, ukuvuvukala nokufudumala. Izimpawu zingase zifake isikhumba sibukeka sifana nesilwane se-orange. Izinguquko ze-ingono, kufaka phakathi i-ingono ephikisiwe, ukucwiliswa, noma ukujula kwe-ingono kungase kube ezinye zezimpawu.
I-IBC ingumdlavuza webele wesibindi odinga ukwelashwa okunonya, okungafaka phakathi ukuhlinzeka, ukwelashwa kwamakhemikhali, ukwelashwa kwama-hormone kanye nokwelashwa kwemisebe.
Izifo ze-Paget ze-Nipple uhlobo lokubalwa kwemiphumela yesifo somdlavuza webele wezingane ezingaphansi kuka-3% yazo zonke izinhlobo zomdlavuza webele. Izimpawu zezifo ze-Paget, ukuphuma kwegazi, ukucheka, ukukhwabanisa, nokukhishwa kwengono, ngokuvamile kutholakala ngokungaqondile ngokutholwa njenge-eczema noma ukutheleleka.
Ukwelashwa kuzoncika esiteji somdlavuza futhi kuhlanganise eyodwa noma ngaphezulu yezokwelapha ezijwayelekile zokuhlinzwa, imishanguzo, i-chemotherapy kanye ne-hormone therapy.
I-Metastatic Cancer Breast izobe isiqalile esifubeni bese isakazeka ezingxenyeni ezikude zomzimba. Abesifazane bangase babe nesifo se-metastatic kusukela lapho beqala ukutholakala nomdlavuza webele noma izinyanga noma iminyaka emva kokuba betholakale futhi baphathwe umdlavuza webele wendawo.
Amasayithi avamile kakhulu okusakazeka ngaphesheya komdlavuza wesifuba wendawo kukhona amathambo, amaphaphu, isibindi nobuchopho. I-Metastatic Breast Cancer ibhekwa njengesiteji sesi-4 sesifo somdlavuza, esingelashwa kodwa singelapheki.
Ngaphandle kwe-chemotherapy, ukwelapha imishanguzo, kanye nokwelashwa kwe-hormone, abesifazane abanomdlavuza webele we-metastatic bangakhetha ukuhlola ukuthi kungenzeka ukuthi bahlanganyele ekuvivinyweni kokwelashwa ngezinkinga eziphuthumayo.
Izinhlobo eziningana ze-Cancer Breast zihlanganisa:
- I-Medullary Carcinoma , evame ukubonakala kumzimba, ungase uzizwe unesihluthulelo ekuthinteni, ungafani nesinhla. Yenza ama-cancer angu-3-5% webele.
- I-Tubular Carcinoma inezakhi ezibukeka njenge-tubular uma zibonwa nge-microscope. Futhi uzizwa njengendawo yokuphefumula yezicubu zesifuba. Lo mdlavuza uvame ukutholakala kwabesifazane abangaphezu kweminyaka engu-50 ubudala.
- Ama-carcinoma amnandi angama-1-2% azo zonke izinhlobo zomdlavuza webele. Amaseli ahlukumezwa ngokukhiqizwa kwe-mucus.
Ngeshwa, imithombo eminingi yolwazi ngomdlavuza webele ongatholakala kuwebhu ungacacisi ukuthi umdlavuza webele unama-subtypes amaningi futhi akuwona wonke ama-subtypes akhona njengenhlama. Ngenxa yalokho, abanye besifazane, besebenzisa lolu lwazi ukuhlola izimpawu abanalo, bangase bayeke ukufuna usizo ngoba bengenalo ukhula noma ukuqina esifubeni.