I-American Cancer Society (ACS) isincoma ukuthi abesifazane abangu-20 kuya ku-39 bathole ukuhlolwa kwesifuba semitholampilo (CBE) kanye njalo eminyakeni emithathu ngesikhathi bevakashelwa kahle abesifazane besifazane . Udokotela wakho oyinhloko angenza eyodwa kokuhlola njalo ngonyaka. Uma uneminyaka engu-40 nangaphezulu, i-ACS incoma ukuthi uthole i-CBE njalo ngonyaka. Ukuba nokuhlolwa kwebele emtholampilo kuyindlela enhle yokugcina iso empilweni yakho yebele, futhi odokotela abaningi bakhetha ukwenza okunye ngaphambi kokukutshela ukuthi ubukhulu bokuhlolwa bubukeka kanjani .
Udokotela wakho wezifo / wezifo zomzimba, udokotela oyinhloko, noma umhlengikazi angenza i-CBE yakho kuwe. Uma ubona i-oncologist, udokotela noma umhlengikazi angenza ukuhlolwa kwesifuba sakho semitholampilo noma kunini lapho kudingekile. Nakuba kunezindinganiso ezithile zezinqubo zokwelashwa zebele zomtholampilo, abanye ochwepheshe bezempilo banezindlela zabo ezihlukile ekuhlolweni.
Ukwazi ukuthi yini ongayilindela ngesikhathi sokuhlolwa kwesifuba sakho somtholampilo kungakusiza ukulungisa. Isikhundla sakho se-CBE yisikhathi esihle sokubuza imibuzo mayelana nanoma yikuphi ukukhathazeka kwezempilo kwebele. Uma udinga ukufunda ukuthi ungenza kanjani isifuba sakho sezinyanga zenyanga ukuhlolwa , cela enye coaching phakathi nalokhu kuhambela.
Ungathanda ukuletha irekhodi lomjikelezo wakho wokuya esikhathini, uhlu lwemithi oyithatha njalo, nanoma yimaphi amarekhodi ezempilo angathinta impilo yakho yebele. Gqoka kahle, ekugqokeni okungasuswa kusuka okhalweni phezulu. Zama ukugqoka ibhola lezemidlalo noma elinye ibhotela elithambile elingeke libeke ingcindezi emabeleni akho, uma kwenzeka uzizwa ithenda ngemva kokuhlolwa.
Ukuhlolwa Okubukwayo, Ingxenye Yokuqala
Ukuhlolwa kwesifuba sakho somtholampilo kuqala ngokuhlolwa okubukwayo, njengokuhlola kwakho kwebele .
Uzophoqa kusuka okhalweni up futhi ugqoke ingubo. Udokotela angase aqale ngokukubuza imibuzo mayelana nokukhathazeka kwezempilo kwebele, ikakhulukazi noma yiziphi izinguquko ongase uziqaphele lapho wenza isifuba sakho sezinyosi zenyanga. Qinisekisa ukuthi utshele udokotela wakho uma unesifo sobele, ukhulelwe noma uncelisa, uye waba nesifo sezinyosi noma ukuhlinzwa, noma unomlando womndeni wesifo somdlavuza webele noma ovari.
Udokotela wakho uzoqala ngokuhlola isifuba esibukwayo . Uzobe uhlezi phezulu nejazi lakho livulekile ngaphambili, futhi udokotela wakho uzobheka ukulinganisa, isimo sesikhumba, nezinguquko zezinsipho . Noma yikuphi ukungajwayelekile noma izinguquko ezivela ekuhlolweni kwakho kwangaphambilini kuyothathwa. Uma amabele akho ashintshile ngosayizi, umumo, umbala, noma ukuthungwa, phawula lokhu bese uxoxisana nodokotela wakho. Ngokufanayo, uma unesipuni sokukhukhulwa, isikhumba se-scaly noma i-pitted esiswini, ingono, noma i-aola - qiniseka ukuthi ubuze udokotela wakho ukuthi ahlole lezi zinguquko.
Ukuhlolwa kwesibeletho somtholampilo - Ukuhlolwa okubukwayo, Ingxenye yesibili
Ukuhlolwa Okubukwayo, Ingxenye Yesibili
Ukuhlola okubukwayo okuyingxenye yokuhlolwa kwesifuba sakho somtholampilo kuyaqhubeka ngenkathi usuhlezi phezulu. Uzocelwa ukubamba izingalo zakho phezulu, ukuhambisa izandla zakho ohlangothini, nokubeka izandla zakho ezinqulwini. Lokhu akukhona nje ukukholelwa kwesinye isikhathi - kunezizathu ezithile ezinhle zokuhambisa izingalo zakho ngesikhathi se-CBE yakho.
Izicubu zakho zesifuba ziphezu kwesisindo semisipha yesifuba sakho. Uma uhambisa izingalo zakho ngendlela ehambisanayo, amabele akho kufanele futhi athuthele ngokulinganayo. Njengoba uhambisa izingalo zombili, amabele akho azoshintsha ukuma kancane, futhi angase aveze izinguquko ku-contour noma ku-drape. Ngezinye izikhathi ama- Nipples angena lapho uphakamisa izingalo zakho. Futhi uma izingalo zakho zingaphezulu, kulula ukuba udokotela wakho abone ama- lymph nodes emagumbini akho. Indlela indlela izicubu zakho zesifuba ezithinta ngayo ukunyakaza kwezingalo zinikeza udokotela izici ezithile mayelana nokuthi ungagxila nini phakathi kwengxenye yezincwadi zokuhlolwa kwesifuba sakho somtholampilo.
Ukuhlolwa kweMibhalo
Ingxenye yesithathu yokuhlolwa kwesifuba sakho somtholampilo ukuhlolwa kwamathumbu amabele akho. Uzocelwa ukuba ulale phansi uphinde ubeke izandla zakho phezu kwekhanda lakho ngenkathi amabele akho ehlolwa.
Njengoba uzokwenza ukuhlolwa kwakho kwebele , udokotela wakho uzosebenzisa ingcindezi yomunwe ukuze uzizwe zonke izicubu zakho zesifuba. Amabele ayenziwe ngezicubu ezinamafutha nezigulisayo, futhi azohluka ngokulingana. Udokotela wakho uzothatha isifuba ngasinye ngamanqanaba amathathu okucindezela:
A: Ukucindezela Kokukhanya okwenziwe izicubu zesifuba
B: Ukucindezela okuphakathi kokungqimba okuphakathi
C: Ukucindezeleka Okujulile Kwamathambo eduze kwendonga yesifuba
Lokhu akuhloswe ukudala ubuhlungu noma ukungakhululeki - kodwa kwenziwa ukuze uqiniseke ukuthi ukuhlolwa kwebhuku kuphelele. Uma unesihlungu phakathi ne-CBE yakho, ake udokotela wakho azi ngokushesha.
Noma yiziphi izinguquko zesifuba noma izinguquko zemizimba kuzothola ukunakwa okukhethekile - kanye nendlela izimpande ezithinta ngayo ingcindezi futhi zihambe ngaphakathi kwezicubu zesifuba. Ubukhulu kanye nendawo yazo zonke izimbungulu nezimpumputhe zizophawulwa, futhi uma uzoba nomswakama wokuhlola, i-radiologist izokhokha ngokukhethekile kulezo zindawo.
Ukuhlolwa kwe-Lymph Node
Ingxenye yesine yokuhlolwa kwesifuba sakho somtholampilo ukuhlolisiswa okubhaliwe kwama- lymph nodes akho . Ama-node asezindaqenjini ezingenhla futhi eceleni kwamabele akho. Kubalulekile ukuhlola lokhu ukuvuvukala ngoba lokho kungabonisa ukutheleleka noma ukuvuvukala. Uma kwenzeka i-tumor yebele, amangqamuzana omdlavuza angaya ezilwaneni eziseduzane ze-lymph bese enza ukuba bavule. Isimo se-lymph node yingxenye ebalulekile yesifo somdlavuza webele.
Ama-lymph nodes akho emagumbini akho, ngaphezu kwe-collarbone yakho, nentamo yakho izobe ihlolwe ukubona ukuthi ivuvukile noma iyajwayelekile. Esithombeni, ungabona isikhundla sezinombolo ezizohlolwa:
A: Amakhadi wesibeletho entanyeni yakho
B: Amanothi angaphezu kwe-Supraclavicular ngenhla ngaphezu kwe-collarbone yakho
C: Ama-node angama-infravicular nje ngemuva kwe-collarbone yakho
D: Amanothi ama-axillary ku-armpit yakho
Ingono ne-Areola Ukuhlolwa
Ingxenye yokugcina yokuhlolwa kwesifuba sakho somtholampilo ukuhlolwa okubhaliwe kwezinsipho zakho kanye nama-asolas. Uma wenza isifuba sakho sezinyanga zenyanga ukuhlolwa , ungabona ezinye izinguquko ze-nipple - zilethe udokotela wakho.
Udokotela uzohlola ukukhishwa kwengono , umbala wesikhumba, nesimo. Qinisekisa ukuthi utshele udokotela wakho uma unezinhlungu zezinsipho, ukhulelwe noma uncelisa, uye waba nokuhlinzwa kwebele, noma unomlando womndeni wesifo somdlavuza webele noma se-ovarian. Uma kukhona ukukhishwa kwengono ngaphandle kobisi lwebele, kungathathwa isampuli futhi ithunyelwe ukuhlolwa kwelebhu.
Udokotela wakho uzohlola isikhundla sakho se- nipple ngokubambezela ngobumnene noma i-index kanye neminwe emaphakathi bese edonsela phambili. Bayoqapha ukuze babone uma ingono ibuyele endaweni, noma ibuyele emathunjini.
Ama-olalas akho azohlolwa futhi, ukubona ukuthi unayo yini ubuhlungu noma ukuvuvukala phansi kwawo, njengoba lokho kungase kube i- abscess yamabhomu . Uma i-areola i-bumpy, iphika, i-red, i-scaly, noma i-tingles eqhubekayo, ingaba isifo noma isifo se-Paget se-ingono , uhlobo lomdlavuza webele.
Izinzuzo Zokukhumbula
Ukuhlolwa kwesifuba sakho somtholampilo kuyisitoreji sokuqala sokuthola okuzuzisa wena. Uma kulandelwa ukuxilongwa kwe- mammogram , i-CBE yakho iyindlela enhle yokuhlola amabele akho ngezimo zesifuba ezincelisayo noma umdlavuza webele. Izicubu ezincane (ngaphansi kuka-2cm) zivame ukusabela ekwelapheni kangcono kunezikhudlwana, futhi zihambisana namazinga okusinda okude.
Uma ubona izinguquko ezinsizeni zakho noma uthola isifuba sebele, kufanele uhlele ukuhlolwa kwesifuba somtholampilo ngemibono yobuchwepheshe bese uthola usizo. Ungalindi kuze kube yisikhathi sokuqokwa kwakho okujwayelekile ukuze uhlolwe ngokomzimba uma ukhathazekile ngokushintsha kwamabele akho. Thola i-CBE uma ubona noma uzizwa ushintsho olubonakala lusizi.
I-American Cancer Society (ACS) incoma ukuthi abesifazane abangu-20 kuya ku-39 bathole i-CBE kanye njalo eminyakeni emithathu ngesikhathi bevakashele abesifazane abaneminyaka yonke. Udokotela wakho womndeni angenza okufanayo njalo ngonyaka. Abesifazane 40 nangaphezulu bayanconywa ukuba bathole i-CBE njalo ngonyaka. Qhubeka nokuzivocavoca kwesifuba sakho nyangazonke, ufunde umzimba njalo, uhlale uncane, unamathele ekudleni okunempilo , futhi wenze ukukhetha kokuphila okuhlakaniphile. Hlanganisa nodokotela wakho ukuze uthole impilo yakho engcono kakhulu yebele.
Imithombo:
Ingabe I-Cancer Can Can Be Found Early? I-American Cancer Society. Kugcine ukubuyekezwa: 09/18/2009
Ukuqonda Izinguquko Zebele: Umhlahlandlela wezeMpilo wabesifazane. Hlola Ngomhlinzeki Wakho Wokunakekelwa Kwezempilo Mayelana Nezinguquko Zebele. I-National Cancer Institute. Kuthunyelwe: 09/28/2009.
Ukuhlolwa Kwebhedlela Kwasemtholampilo: Izincomo Eziwusizo Zokuthuthukisa Ukusebenza Nokubika. UDebbie Saslow, PhD, Judy Hannan, RN, MPH, Janet Osuch, MD, MS, et al. I-CA Cancer J Clin 2004; 54: 327-344.