Abaningi bethu bahamba ngendlela efanayo ngemva kokuthola ukuthi banomdlavuza webele. Cishe amaphesenti angu-80 kuthiwa anesifo somdlavuza wesifuba esivame kakhulu, okuthiwa i-Invasive Ductal Carcinoma (IDC). Ngezinye izikhathi kuthiwa yi-Infiltrating Ductal Carcinoma. Njengoba i-IDC, umdlavuza uqala ngaphakathi kwesikhumba sesifuba, ekugcineni uphumele emgodini futhi uhlasele izicubu zesifuba.
Labo abathola ukuthi bane-IDC banendlela yokwelapha ezovame ukufaka i-lumpectomy noma i-mastectomy ukususa umdlavuza. Uma umdlavuza unqunywa ukuthi usezingeni lokuqala, kungase kungadingeki ukuthi uphathwe nge-chemotherapy. I-lumpectomy izolandelwa inkambo edingekayo yokwelashwa kwemisebe.
I-chemotherapy ingadingeka uma isisu sikhulu, noma amangqamuzana omdlavuza atholakale emagqumeni lymph. Ekugcineni, sizofinyelela ekupheleni kokwelashwa okusebenzayo. Uma umdlavuza wethu uvivinywa ukuthi u-estrogen, i-oncologist yethu yezokwelapha izotusa ngokuqinile inkambo ye-hormone therapy, okubandakanya ukuthatha iphilisi nsuku zonke, ngokuvamile iminyaka emihlanu, ukunciphisa amathuba okuba nomdlavuza webele webele.
Amantombazane amaningi abelethwe ngamabele
Abesifazane abaxilongwa ngamanqamu angavamile nabanolaka kakhulu; abesifazane nabesilisa abavivinya ama-BRCA1 noma i-BRCA2 ukuguqulwa kwezakhi zofuzo; abesifazane abatholakala benomdlavuza webele ngenkathi bekhulelwe, kanti abesifazane nabesilisa abanomdlavuza wesifo sezinyosi, banezinyathelo ezide futhi ngezinye izikhathi ezingapheli.
Uma kuziwa ezinhlobonhlobo ezingavamile zesifo somdlavuza webele, kungathatha izinyanga ezimbalwa ngaphambi kokuba kutholakale ukuxilongwa okunembile.
Endabeni yabesifazane abanesifo se-Paget ye-Nipple, izimpawu zivame ukuphutha ngenxa ye-eczema ngenxa yokweqa isikhumba esibucayi noma kungabhekwa njenge-infection noma ezinye izimo zesikhumba.
Izinyanga zihamba ngaphambi kokuthola isifo esifanele; izinyanga lapho umdlavuza uqhubeka khona.
I-inflammatory Cancer Breast, eveza izimpawu ezinjengokugqwala futhi mhlawumbe i-orange peel appearance, ivame ukuphutha ngezinye izimo ezifana nemastitis. Lokhu kutholakala okungalungile kuvame ukuholela kubesifazane abanomdlavuza wezinyanga ngesikhathi esifinyeleleke kahle.
Abesifazane abaxilongwa nge-Triple Negative Breast Cancer babelana ngezindlela ezithile ezifana nalabo abathintekayo ukuthi banezinhlobo ezivamile zesifo somdlavuza webele, kodwa inkambo yokwelapha ingase ibe yinde, ibe nebudlova futhi idinga ukulandelwa okusheshayo ngemva kokuqeda ukwelashwa okusebenzayo. I-hormone therapy ayiphumeli njengokwelashwa ekunciphiseni ukuphindaphinda kwalolu hlobo lomdlavuza webele.
Bobabili abesifazane nabesilisa bangakwazi ukuhlolwa okuhle kwe-BRCA1 noma ye-BRCA2 yokuguqula izakhi zofuzo. Ngaphandle kokwelashwa ngomdlavuza webele, uhambo lomuthi wesifazane lungabandakanya ukwenza izinqumo ezibandakanya ukuthi zonke izibeleko zisuswe kanye namaqanda ayo. Njengoba abantu bangabathwali bezakhi zofuzo ze-BRCA, bona, kanye nabesifazane abathwali, kufanele banqume ukuthi bazoxoxa kanjani nezingane zabo mayelana nokushintsha. Izingane zabathwali be-BRCA zidinga ukunikezwa ithuba lokuhlolwa.
Uma bephethe izakhi zofuzo, badinga ukufundiswa ukuthi banganciphisa kanjani ingozi yokuthola umdlavuza webele.
Umdlavuza Webele Ngesikhathi Ukukhulelwa
Owesifazane othola umdlavuza webele ngesikhathi ekhulelwe unendlela yokwelashwa ehlanganisa ezinye izinqumo ezinzima kakhulu. Ingabe uqeda ukukhulelwa kokuqala futhi uqale ukwelashwa ngokushesha? Ingabe ukhetha ukuthatha ingane isikhathi esigcwele ngaphambi kokuqala ukwelashwa? Ingabe uyaqhubeka nokukhulelwa akhethe ukwelashwa uma ithimba lakhe lokunakekelwa kwezempilo lizwa ukuthi liphephile ukwenza kanjalo?
Izwi Lokugcina
Kwabesifazane nabesilisa abatholakala benomdlavuza webele we-metastatic indlela yokwelashwa yabo ayisoze yaphela.
Ngomdlavuza wesifuba isifo esingelapheki ngokuphathwa okuqhubekayo, hhayi nje ukukhulisa impilo, kodwa ukuhlinzeka ngemfanelo yokuphila.
Yize kungase kungabi ngongqondo ukulindela ukuthola amaqembu asekela endaweni ngayinye yalezi zimo "ezihamba kancane", i-Intanethi ingaba yimithombo enhle uma kuziwa ekutholeni amasayithi anikezela ukusekela futhi abeke abesifazane nabesilisa ekuthintaneni nabanye abaphilayo ukubhekana nalezi zomshukela zebele.