Ubuhlungu besisu abuvamile, kodwa uma kwenzeka kungenzeka kube buhlungu. Ubuhlungu bungabhekana nesifuba esisodwa noma kokubili amabele, kwesinye isifuba noma sonke isifuba, kanye nasesigqumeni. Kungaba nomuzwa oshisayo, ongeyena, okhaliphile noma odubulayo. Kungaba njalo noma okuphakathi.
Ubuhlungu besisu buhlasela cishe amaphesenti angu-70 kubo bonke abesifazane esikhathini esithile ngesikhathi sokuphila kwabo; Amaphesenti angaba ngu-15 abesifazane beswele ukwelashwa ukuze bathole usizo lokuphumula.
Ubuhlungu bezinhlungu zesifuba buhluka kusukela kwabesifazane kuya kubafazi. Ubuhlungu besisu buvame kakhulu kubesifazane abasebasha, kunokuba besifazane abaye badlula esikhathini sokuya esikhathini.
Abaningi bethu bakholelwa ukuthi ubuhlungu buyisignali yokuthi kukhona okungalungile. Ngezinye izikhathi kuba njalo, kodwa ngezinye izikhathi kuba ngumkhiqizo womsebenzi wemvelo njengokungathi ube nezibeletho ezinzima noma ezibuhlungu ngaphambi kokuya esikhathini esisodwa nyangazonke.
Ubuhlungu bebele buvame ukukhombisa isimo sesifuba esingenayo umdlavuza. Amaphesenti angaba ngu-5 ezithombeni zesifuba angabangela ubuhlungu besisu kumdlavuza wesigaba sokuqala.
Izinhlobo Ezinhlanu Eziyinhloko Zezinhlungu Zebele
- Ukuhlukunyezwa kwesisu: Lokhu kubuhlungu mayelana nokuthi izicubu zesifuba zithinta kanjani izinguquko kumazinga e-estrogen kanye ne-progesterone yam hormone njalo ngenyanga phakathi nomjikelezo wakhe wokuya esikhathini. Amanye amabele wabesifazane angase azizwe evuvukale; zingaba buhlungu, futhi zibuhlungu. Bangase bazizwe bengenalutho emthonjeni. Uma kwenzeka lokhu, kuvame ukuthi kwenzeke ezinsukwini ezimbalwa ngaphambi kokuba owesifazane aqale ukuya enyangeni inyanga ngayinye bese ephela ngemuva kokuya esikhathini sokuya esikhathini. Ubuhlungu besifuba esibelethwayo buhlungu kakhulu besifo sebele, ngamaphesenti angama-75 abesifazane abathola lolu hlobo lobuhlungu. Nakuba lolu hlobo lobuhlungu luvame ukuxhunyaniswa nomjikelezo wesifazane wesifazane, ukucindezeleka kuye kwaziwa ukuthi kuyisici ekuthinteni amazinga e-hormone nokuthinta ubuhlungu besifuba.
- Ubunzima bokubeletha obubelethweni: Lokhu kubuhlungu kwenzeka kaningi kunokuba ubuhlungu besisu buqhutshwe. Akuthinteki umjikelezo wenyanga wokuya esikhathini wesifazane. Abesifazane abanezinhlungu zesifuba ezingezona isisindo bazizwa endaweni eyodwa yebele. Ukulimala noma ukuhlukunyezwa kwebele noma ukubhekana ne-biopsy kungabangela owesifazane onololu hlobo lobuhlungu. Ukuzikhandla ngokomzimba, njengokuphakamisa okunzima kungabangela isiqephu sezinhlungu zesifuba ezingezona zomsindo.
Izimbangela Zezinhlungu Ze-Breast
Akunakwenzeka ngaso sonke isikhathi ukukhomba imbangela eqondile yobuhlungu besisu; ezinye izimbangela eziyaziwayo zifaka kodwa azikhawulelwe ku:
- Amahomoni: Ubuhlungu besisu bubonakala buxhunyaniswe kakhulu namahomoni wesifazane nomjikelezo wakhe wokuya esikhathini. Ubuhlungu buyaziwa ukuthi buyancipha noma buyanyamalala ngokuphelele ngenxa yokuthi ukhulelwe noma buya esikhathini sokuya esikhathini.
- Ukwakhiwa kwesifuba: Ubuhlungu buvame ukuqala ngenxa yezinguquko kumathanga ebisi noma izigulane. Ama-cyst angakhula. Ukuhlinzwa kwebele kwangaphambili, noma ukuhlukumezeka esifubeni kungabangela ubuhlungu besisu.
- Imithi: Imithi ethile, njengalabo abaphatha ukwelashwa nokubeletha komlomo amaphilisi kanye nemithi ye-hormonal, ingabangela ubuhlungu besisu.
- Usayizi wesifuba sowesifazane: Amabele amakhulu angabangela ubuhlungu besifuba futhi mhlawumbe abangela ubuhlungu obengeziwe emqaleni kwentambo, ehlombe nasemhlane.
- Ukwelashwa kwesisu: Ukuhlinzwa kwebele kanye nokukhwabanisa izicubu kungabangela ubuhlungu besifuba obuqhubekayo.
Ukuhlolwa kwebele
Sekuyisikhathi sokubona udokotela futhi uhlolisise isifuba sakho lapho uzwa ubuhlungu endaweni eyodwa yebele, okubonakala sengathi iyanda; iphazamisa imisebenzi yakho evamile; futhi sekuphele isikhathi esingaphezu kwamasonto ambalwa.
Nakuba ingozi yomdlavuza webele iphansi kubantu besifazane abanesifo esiyinhloko ubuhlungu besisu, uma udokotela wakho uncoma ukuhlolwa, kubalulekile ukuba ube nomunye.
Ngesikhathi sokuhlola, udokotela uzokuhlola futhi enze ukuhlolwa kokubelethwa kwesifuba ukuhlola noma yiziphi izinguquko zomzimba esifubeni sakho, njengesikhumba noma ukuqina, Angakubiza ngokuhlolwa okungeziwe okufaka:
- i-mammogram: Uma udokotela wakho ezwa ubuhlungu noma ukuqina phakathi nokuhlolwa kwakho kwemitholampilo, uzokutshela ukuthi uhlolwe kanjani, ukuhlolwa kwe-x-ray ukuhlola indawo okukhathazayo.
- i-Ultrasound. Ukuhlolwa kwe-ultrasound kusebenzisa amagagasi omsindo ukwenza izithombe zamabele akho. Lokhu kuhlolwa kungadingeka ukugxila emthonjeni wezinhlungu zakho. I-ultrasound ingenziwa, noma ngabe i-mammogram yakho ithathwa njengokujwayelekile.
- I-biopsy yebele. I-mammogram kanye ne-ultrasound kungenzeka ukuthi ayiqineli ngokwanele ukuze udokotela wakho ahlolwe; angase akudinge ukuthi ube ne-biopsy yebele. Isampula encane yezicubu zakho zesifuba sizosuswa kusayithi lobuhlungu bakho; isampula izohlolwa ngumhlengikazi kanye nombiko wokuthola okuthunyelwe kudokotela wakho.
Ukwelashwa Kwezinhlungu Zebele
Ngokuvamile ubuhlungu besisu abudingi ukwelashwa; kungase kuhambe ngokuhamba kwesikhathi ngaphandle kokungenelela.
Uma ubuhlungu bakho bufuna ukungenelela, udokotela wakho angase asikisele ukuthi usebenze ekuqedeni noma yini engase ibangele yi:
- sigqoke ibrashi ngokusekelwa okwengeziwe, ikakhulu uma unamabele amakhulu
- ukusebenzisa ukhilimu ngqo endaweni ebuhlungu, uqiniseke ukuthi usebenzisa imithi engeyona-anti-inflammatory (NSAID)
- ukulungisa amaphilisi okulawula ukuzalwa kwakho ngeseluleko sikadokotela wakho
- ukumisa ukusetshenziswa kwe- hormone therapy ye- menopausal
- ukuthatha imishanguzo kadokotela evela kudokotela wakho ukuze uphathe ubuhlungu nobubele
Ubunzima Bokubeletha Ukulandela Ukwelashwa Kwebelevuza
Kulabo besifazane abaningi ababenokuhlinzwa komdlavuza webele esikhathini esidlule, ukuthola ubuhlungu obusha endaweni yesifuba lapho umdlavuza ususiwe khona, noma lapho isifuba sabo sasikhona khona, singasusa ukwesaba ukuphindaphindiwe. Ezinyangeni ngisho nangemva kokuhlinzwa kwebele, abanye besifazane bayoba nobuhlungu obungapheli obuhlangene nokuphindaphindiwe.
I-Post-mastectomy Pain Syndrome (PMPS)
Ukulandela ukuhlinzwa komdlavuza wesifuba, abesifazane abaningi babika ubuhlungu be-nerve (neuropathic) ababuzwa eludongeni lwesifuba, i-armpit, nangengalo. Ubuhlungu abuyanyamalala ngokuhamba kwesikhathi. Lezi zibuhlungu zibizwa ngokuthi yi-post-mastectomy pain syndrome (PMPS) njengoba ekuqaleni yachazwa njengobuhlungu obutholwa abesifazane abanobunzima. Kubikwa futhi ngabesifazane abalandela ukuhlinzwa kwebele. Kulinganiselwa ukuthi amaphesenti angu-20 kuya kwamaphesenti angu-30 abesifazane abika izimpawu ze-PMPS emva kokuhlinzwa komdlavuza webele.
Nakuba izimbangela eziqondile ze-PMPS aziqiniseki, usuku lwamanje olucatshangelwa ukuthi i-PMPS ingaxhunyaniswa nomonakalo emithanjeni esifubeni nesifuba esenzeka ngesikhathi sokuhlinzwa komdlavuza webele.
Ubuhlungu obuvela ku-PMPS bungenza ukuthi uvumele ingalo yakho futhi ungayisebenzisi njengoba kufanele isetshenziswe. Ngaphandle kokungenelela kwezokwelapha, ungase ulahlekelwe amandla okusebenzisa ingalo yakho ngokujwayelekile, ngokuhamba kwesikhathi, uma uqhubeka ukuvimbela ukusetshenziswa kwayo ukugwema ubuhlungu.
Uma une-PMPS, indlela engcono kakhulu yokuqhubeka nokulawula ubuhlungu ukuthi usebenze nodokotela wakho noma, uma kudingeka, ubone isazi sokuphatha ubuhlungu ukuze uthole imithi efanele. Akuyona yonke imithi eyenza kahle ubuhlungu benzwa.
Enye imbangela yokuhlunguphazwa komdlavuza webele isifuba i-lymphedema, okuyisimo esingase senzeke njengomphumela wokususa noma ukulimaza ama-lymph nodes ngesikhathi sokuhlinzwa komdlavuza webele. Ubuhlungu bungumphumela wokuvuvukala okuphazamisa izinzwa, noma kusuka emithanjeni ewonakele ngenxa yokuvuvukala, noma ukuhlala isikhathi eside.
Kubalulekile ukuthi abesifazane bathole ukuthi bane-lymphedema ukuba babe nemithi engakwazi ukukhawulela izinga lokuvuvukala kwabo, kanye nobude besikhathi sokuvuvukala. Abesifazane abanalesi simo bayelulekwa ukuba babheke ukudla kwabo nokuzivocavoca njalo. Kudingeka bagweme ukugqoke izingubo noma izindwangu zokugqoka ezifanelekile.
Izwi elivela
Ubuhlungu ngenxa yokuhlinzwa komdlavuza webele kungenzeka iminyaka; imizwa engavamile, emfushane, ephoqelekile ngaphakathi kwezicubu zesifuba esele ingase ivele ngokuzumayo bese ishiya masinyane njengoba ifika, ingabe isaba khona isikhathi esithile.
Ubuhlungu besisu, noma yikuphi imbangela yaso, kudinga ukuhlolwa ngokwemithi. Ezimweni eziningi, kungancishiswa noma kunciphise. Ubuhlungu bungagqoka ngokomzimba futhi kukhishwe ngokomzwelo. Uma singazi imbangela yayo, ingaba ukukhathazeka okuqhubekayo. Ungakhathazeki; thola ukwelashwa.
> Imithombo:
> I-American Cancer Society. Isisu se-Breast. Ukubuyekezwa Kwezokwelapha Okokugcina: 07/21/2014 Kubuyekezwe: 10/20/2015
> Breastcancer.org. Ukuhlolisisa ngokubhekisisa ama-mammograms? Kugcine ukuguqulwa ngo-Septhemba 17, 2012
> Izikhungo Zikazwelonke Zempilo. I-National Cancer Foundation Foundation. Ubuhlungu besisu . Kubuyekezwe 11/04/2014