Izindlela zokwelapha Ukubhekana Ne-Fibroadenoma Yesibindi
Ziphathwa kanjani i-fibroadenomas yebele? Ingabe kukhona ithuba lokuthi bazobuya? Futhi bangakwazi yini ukwandisa amathuba okuba uhlakulele umdlavuza webele? Ngisho noma bengewona umdlavuza webele, fibroadenomas kukhona ukukhathazeka ukukhiqiza uma kungenjalo ubuhlungu kakade. Ngaphezu kwalokho bangadideka kakhulu uma uzama ukwenza izivivinyo zakho ezisebusweni. Ake sibheke izindlela zokwelapha zokuqeda ama-fibroadenomas ukuze usebenze nodokotela wakho ukuze wenze isinqumo esinolwazi mayelana nezinyathelo zakho ezilandelayo.
Sibutsetelo
Ama-fibretenomas asebelethweni angama-tumors amathumba angewona umdlavuza owakhiwa nge-stroma (izicubu ezinamafutha afana ne-mammary) kanye ne-adenosis (i-lobes eyenze i-hyperplasia).
I-Fibroadenomas ingazizwa ngesikhathi sezinyosi zakho zenyanga zokuzihlola futhi zizobonisa ukuthi i-mammograms ne-ultrasounds. Abesifazane abaneminyaka engama-20 noma engama-30 banamathuba amaningi okuthuthukisa i-fibroadenoma yebele, okungase ikhule kakhulu ngesikhathi sokukhulelwa noma ukuncelisa (i-lactation.)
Izinhlobo
Kunezinhlobo ezimbili ezihlukene ze-fibroadenomas futhi kubalulekile ukuhlukanisa phakathi kwalokhu uma ukhetha izinketho zokwelashwa ezingcono kakhulu. Abantu bavame ukubuza ukuthi uma i-fibroadenoma ivusa ingozi yokuba nomdlavuza webele. Ngezinhlobo ezivame kakhulu, impendulo ayikho. Izinhlobo ze-fibroadenomas zihlanganisa:
- Okulula. Ama-fibroadenomas amaningi yizinhlobo ezilula-ngokuvamile kuvamise nje eyodwa yazo esifubeni sakho, enomngcele oqondile kanye namaseli afanelana kakhulu. I-fibroadenoma elula ayiphakamisi ingozi yomdlavuza webele .
- Inkimbinkimbi. I-fibroadenomas eyinkimbinkimbi ayifani kakhulu, futhi ngenkathi ingaba nomngcele oqondile, yilokho okuphakathi kwaloluhlobo lwe-fibroadenoma olwenza luhluke. I-fibroadenoma eyinkimbinkimbi ngeke ibukeke ihlelekile futhi ifane ngendlela efanayo ne-fibroadenoma elula. Ngisho noma fibroadenomas eziyinkimbinkimbi zingabi nomdlavuza, zingase ziqukethe iqoqo le- cysts encane, izibalo , i- lobulules yamathambo ekhulisiwe, ama- papillomas nezinhlobo ezahlukene ze-hyperplasia. Uma i -hyperplasia e-atypical ivela, kungabangela ingozi yokuthuthukisa umdlavuza webele.
Ukuxilongwa
I-fibroadenoma yebele ivame ukuzizwa ithambile, iqine futhi i-rubbery. Kungase kuhambise ngaphakathi kwezicubu zakho zesifuba lapho wenza isifuba sakho sokuzihlola, futhi akunakwenzeka ukuba uzizwe ubuhlungu noma unethenda. Eziningi zalezi zibani ezinobuningi ziphakathi kwamamitha amabili nantathu (½ kuya ku-1 ½ amasentimitha), kodwa ezinye zingakhula ezinamamitha angu-5 (amasentimitha amabili).
I-radiologist yakho izokwazi ukubona i-fibroadenoma ekuhloleni kwakho kwe-mammogram , futhi i- ultrasound izosiza ukuhlukanisa phakathi ne-cyst egcwala amanzi. Kodwa indlela ecacile kakhulu yokuthola ukuxilongwa kwe-fibroadenoma ine- biopsy yebele .
Ukuqapha
Kubalulekile ukukhomba izixwayiso ezimbalwa nge fibroadenomas. Lezi zinyosi ezincelisayo zivame kakhulu kubantu besifazane abangaphansi kweminyaka engama-35. Kwabesifazane abadala kuneminyaka engama-35 ubudala, ukuxilongwa okuqondile kubaluleke kakhulu. I-biopsy yesifuba yindlela eyodwa yokwenza lokhu, nakuba i-biopsy yebele iphela isampula ingxenye eyodwa yesikhumba. Manje siyazi ukuthi izilonda eziningi zebele, zombili ezinobungozi kanye nomdlavuza ziyingqimba. Lokhu kusho ukuthi amangqamuzana engxenyeni eyodwa ye-tumor angase ahluke kunezinye ezingxenyeni ze-tumor. Kube khona amacala lapho i-biopsy yebele iveza khona i-fibroadenoma, kodwa ngemva kokususwa, lapho lonke lesi sifo lihlolwe ngumuntu we-pathologist, umdlavuza ubekhona.
Ukwelapha
Uma udokotela wakho eqinisekisile ukutholakala kwe-fibroadenoma, kunezinketho eziningi zokwelashwa ezihlukene. Lezi zihlanganisa lo mkhakha ngokumane uqaphele i-fibroadenoma, i-lumpectomy. Kunezici eziningi ezingathinta ukhetho lwakho lwezokwelapha. Esinye singukuthi une fibroadenoma elula noma eyinkimbinkimbi. Izimpawu zakho zibalulekile futhi. Ingabe ukhululekile? Noma, kunalokho, unesifo esingokomzwelo ngenxa yokubuza ukuthi kungenzeka yini ulahlekile okuthile. Lokho ozizwayo ngokomzwelo kubalulekile njengokuthi uzizwa kanjani ngokomzimba kakhulu.
Qinisekisa ukuthi udokotela wakho uyaqonda lokho okuhlangenwe nakho ukuze ufunde ekhasini elifanayo. Ungasho ukuthi konke kuhle ukuhamba ekhaya nokukhathazeka. Izinketho zokwelapha zihlanganisa:
- Buka futhi ulinde indlela eyodwa. Njengoba i-fibroadenomas ayinzima ngaso sonke isikhathi futhi ngezinye izikhathi ihlupha yodwa, ukugcina amehlo ekuqhubekeni kwayo kuyindlela encane engavamile yokubhekana nayo.
- I-Lumpectomy , noma ukususwa kokuhlinzwa kwe-fibroadenoma, kungenziwa uma ukhathazekile ngokuyibeka esifubeni sakho. Ngokuya ngobukhulu obulinganiselwe bale nsima nesifuba sakho, i-lumpectomy ingenza ushintsho usayizi wesifuba noma isimo sakho. Ama-fibroadenomas amasha angakhula endaweni eyisiqalo sokuqala, ngakho-ke kufanele wazi ukuthi ukuhlinzeka akuyona isiqinisekiso sokuthi ngeke ube nelinye i-fibroadenoma. Ngakolunye uhlangothi, i-fibroadenoma yakho ingahlolwa ngokucophelela yilobhu yokukhubazeka ukuze kuqinisekiswe ukuthi ukuxilongwa kwakungalungile (i-biopsy ayiyona i-100% ephumelelayo ekwenzeni ukuxilongwa njengoba isampula kuphela ingxenye eyodwa yesikhumba) nomdlavuza webele waphathwa ngaphandle.
- I-Laser ablation iyindlela engeyona yokuhlinzwa yokuqeda i-fibroadenoma. Ehhovisi lakho lohlinza, idivayisi ye-laser eqondiswa i-ultrasound isetshenziselwa ukubhubhisa i-fibroadenoma, ishiya isikhala esincane nje, akukho sutures, futhi akukho ukushintsha kwesimo sebele. Ayikho i-anesthesia ejwayelekile edingekayo futhi ngokuvamile ingenziwa njengendlela yokuhlinzwa yosuku olufanayo.
- I-Cryoablation yindlela esheshayo, ephumelelayo yokufometha i-fibroadenoma. Kokuvakasha kwehhovisi elilodwa, i-cryoablation imane ikhulule isikhumba ukuze izicubu ezinempilo zingathatha. Le nqubo ithatha imizuzu engaphansi kwezingu-30 futhi imiphumela yesikhala esincane.
- Ukususwa kwe-radiation frequency (RFA) kwe-fibroadenomas enye enye indlela yokuthatha isikhumba esingafuneki esiswini sakho ngaphandle kokusebenzisa i-lumpectomy. Ukusebenzisa i- anesthesia yendawo kanye nokuqondiswa kwe-ultrasound, ukusika okungu-6 kuya kwezingu-8-millimeter kwenziwa ngenhla kwe-fibroadenoma. Ngalesi sinqunyiwe, u-wand wokufaka ungeniswa bese ubanjwe ummese oshiswa yi-radiofrequency yamanje. Lokhu kusiza ukusika izicubu zesifuba ngaphandle kokubangela ukuphuma kwegazi okuningi. Uma ifinyelela kulitshe, izintambo ezincane kanye nezingalo ze-robotic zithatha i-fibroadenoma bese zikhipha.
- Ama-breastpiece ama- biopsy systems angasetshenziswa njengendlela engavumelekile yokususa i-fibroadenomas. Ngaphansi kwehora, futhi ngaphansi kwe-anesthesia yendawo, isinqunyiwe esingamamitha ayisithupha (1/4 intshi) senziwa phezu kwe-fibroadenoma. Khona-ke ngokuqondiswa kwe-ultrasound, i-probe yeMammotone ifakwe ngaphakathi kwesikhumba, esivimbela izingxenye zezicubu. Ukubuyisela kuyashesha futhi uketshezi lwakho luzoba lukhulu kakhulu.
- I-high-frequency egxilile i-ultrasound (i-HFU) imishanguzo emisha kakhulu esetshenziselwa ama-fibroadenomas, futhi ngezinye izikhathi, ngisho nangomdlavuza webele. I-HFU ingabangela ukubhujiswa okukhethiwe kwamathambo ajulile ngaphandle kokulimaza izicubu ezinempilo ezizungezile.
- Ukwelashwa kwe-homeopathic uye kwavame ukuvimbela noma ukuphatha i-fibroadenomas yebele, nakuba kunezifundo ezimbalwa ezilawulwayo ezibheke kulezi zinqubo. Ama-herbal, ama-teas, ama-ointments, noma amaphilisi e-homeopathic asetshenziswe emasikweni wendabuko ye-fibroadenomas. Ukucindezela okushisayo kwamanzi, amafutha we-castor, noma itiye le-ginger kuye kwavivinywa futhi, ukuze kutholakale ukusizwa kwebele lesifuba okungenzeka noma kungabi ngenxa ye-fibroadenoma. Kubalulekile ukuqaphela ukuthi ngaphandle kwe-biopsy, futhi kungenzeka ukususwa kwe-fibroadenoma, ngaso sonke isikhathi kukhona ithuba lokuthi umdlavuza webele ungabikho, ngakho-ke ukwelashwa kubambezeleka.
Izwi elisuka kuzinketho zokwelapha ze-Fibroadenomas
Kucacile ohlwini lwezinketho zokwelashwa ngenhla ukuthi kunezinketho eziningi ezahlukene zokwelapha i-fibroadenoma yebele. Ama-Fibroadenomas ahluke kakhulu, futhi lokhu kungabangela ezinye zezinhlobonhlobo.
Ngokuvamile, ama-fibroadenomas amaningi akhulisa ingozi yokuthi uzoba nomdlavuza wesifuba, nakuba ama-fibroadenomas ajwayelekile ajwayelekile angahlanganiswa nengozi eyanda. Ezinye "izimpumputhe" zingase zibe yinhlanganisela yesimo esingaphezu kwesisodwa, isibonelo, i-fibroadenoma kanye nomdlavuza webele, futhi lokhu kufanele kugcinwe engqondweni.
Indlela kuphela yokuthola ukuxilongwa okucacile kwe-fibroadenoma ine-biopsy yebele. Nakuba lokhu kungabangela ukukhathazeka okuthile, kungase kube yindlela engcono kakhulu yokunciphisa ukukhathazeka, ngoba ukuxilongwa kwezicubu kungakuqinisekisa lokho okusebenzelana ngempela.
Khumbula ukuthi kunezinhlobo eziningi zezinyosi zesifuba, okuwukuphela kwayo okuyi-fibroadenoma. Uma unesilonda sebele, noma ngabe unesiqiniseko sokuthi yi-fibroadenoma kuphela, thola ukuhlolwa. Kukhona, ngeshwa, abantu abaningi abaye baxosha isifuba sebele njengoba "kuphela" i-fibroadenoma, kamuva kuphela ukuthi bafunde ukuthi empeleni babe nomdlavuza webele.
> Imithombo:
> Cavallo Marincola, B., Pediconi, F., Anzidei, M. et al. I-Ultrasound Focused Focs Ultrasound In Breast Pathology: Ukwelapha Okungavamile Kwezilonda Ezibuhlungu Nezilonda. Ukubuyekeza kobuchwepheshe bamadivayisi wezokwelapha . 2015. 12 (2): 191-9.
> Li, P., Xiao-Yin, T., Cui, D. et al. Ukuhlolwa kokuphepha nokusebenza kwe-Abduction Percutaneous Radiofrequency Ablation yokuPhatha i-Fibroadenoma ye-Breast Multiple. Journal of Research Cancer and Therapeutics . 2016. 12 (Isongezelelo): C138-C142.