Ingaba ingxelo ye-biopsy ithi i-ADH? Ungakhathazeki, masithethe ngale nto! (I-Atypical Ductal Hyperplasia)

Usenokuba uqaphele utshintsho ebeleni lakho, okanye ugqirha wakho usenokuba ucebise ukuba kwenziwe i-biopsy emva kwe-mammogram. Xa ufumana loo ngxelo ye-biopsy uze ubone ukuba ithi "Atypical Ductal Hyperplasia" okanye "ADH," kuyinto eqhelekileyo ukuziva usoyika kwaye uxhalabile. "Ingaba ngumhlaza lo?" "Kuza kwenzeka ntoni kum ngoku?" Usenokuba nemibuzo emininzi engqondweni yakho. Kodwa ungakhathazeki. Namhlanje, siza kuthetha ngokuba yintoni i-ADH, kutheni isenzeka, kunye nento omawuyenze ngayo ngendlela elula neqondakalayo.

Yintoni kanye kanye i-Atypical Ductal Hyperplasia (ADH)?

Ngamafutshane, i-ADH kukukhula okungaqhelekanga kweeseli ngaphakathi kwimibhobho yobisi yamabele akho. Ayingomhlaza . Kodwa ayiqhelekanga.

Khawucinge nje, imibhobho yobisi emabeleni ethu ifana nemibhobho emincinci. Udonga lwangaphakathi lwale mibhobho lwenziwe ngeeseli. Kumntu ophilileyo, ezi seli zihlelwe ngokwamaleko amabini, zicwangciswe kakuhle, zibekwe kakuhle.

Kodwa kumntu one-ADH, ezi seli zingcolile kancinci, ziqokelelene phezu kwenye, kwaye zikhula zibe ziingqimba ezahlukeneyo. Kwaye imo yezi seli nayo ayiqhelekanga. Ezi seli azizo iiseli zomhlaza, oko kuthetha ukuba 'azinabungozi'. Nangona kunjalo, ezinye zeempawu zazo zifana neeseli ezikwimeko ebizwa ngokuba yi-"DCIS - Ductal Carcinoma In Situ", elilinqanaba lokuqala lomhlaza webele.

Oku kufana nesibane esimthubi endleleni. Akuthethi ukuba kukho ingozi, kodwa kuthetha ukuba kufuneka ulumke kakhulu xa usiya phambili.

I-ADH kunye ne-ALH: Yintoni umahluko phakathi kwezi zimbini?

Usenokuliva negama elithi 'Atypical Hyperplasia'. Eli ligama eliqhelekileyo lokukhula okungaqhelekanga kweeseli. Kukho iintlobo ezimbini eziphambili zale nto. Kubalulekile ukwazi umahluko phakathi kwezi zimbini.

Zombini ezi ntlobo zonyusa umngcipheko womhlaza kwixesha elizayo. Izifundo zibonise ukuba umfazi onenye yezi meko unokuba nethuba eliphindwe kane lokufumana umhlaza webele kunomntu ongenawo.

Zithini iimpawu ze-ADH?

Kwiimeko ezininzi, i-ADH ayibangeli zimpawu zithile. Idla ngokufunyaniswa ngengozi. I-ADH idla ngokufunyaniswa xa kufunyenwe ukukhubazeka kwebele (umz., i-microcalcifications) ngexesha le-mammogram eyenziwa ngesinye isizathu kwaye kwenziwa i-biopsy ukuze kuphandwe ukungasebenzi kakuhle.

Nangona kunjalo, kunqabile kakhulu, abanye abantu banokubona iimpawu ezifana nezi:

• Iqhuma elisesifubeni livakala esandleni.
• Ukuva iintlungu ebeleni.
• Ukuphuma kwamanzi kwingono ngendlela engaqhelekanga (ingakumbi igazi).

Ukuba uneempawu ezinje, akunyanzelekanga ukuba ube ne-ADH. Nangona kunjalo, ukuba ubona naluphi na utshintsho olungaqhelekanga emabeleni akho , kulungile ukubona ugqirha wakho ngoko nangoko uze uhlolwe.

Izizathu kunye nezinto ezibangela umngcipheko we-ADH

Oogqirha abakayazi kakuhle ukuba kutheni ezi seli zemibhobho yobisi ziziphatha ngendlela engaqhelekanga. Nangona kunjalo, kukholelwa ukuba ezinye izinto ezinyusa umngcipheko womhlaza webele nazo zinxulunyaniswa nomngcipheko wokufumana i-ADH.

Zithini ezi zinto zinobungozi?

• Imbali yosapho: Ukuba ilungu losapho (ingakumbi isalamane esisondeleyo njengomama, udade, okanye intombi) liye laba nomhlaza webele.
• Utshintsho kwimfuza: Ukuba notshintsho kwimfuza olufana `(BRCA1, BRCA2)` olunyusa umngcipheko womhlaza webele.
• Imbali yakho: Ukuba ukhe waba nomhlaza ngaphambili.
• Ukutyeba kakhulu: Ukusilela ukugcina ubunzima bomzimba busempilweni.
• Indlela yokuphila:Ukusela utywala rhoqo nokusebenzisa iimveliso zecuba.

Kubalulekile ukukhumbula ukuba nomntu ongenazo naziphi na ezi zinto zinobungozi unokufumana i-ADH okanye umhlaza webele.

Inkqubo yokuxilonga nokunyanga i-ADH

Makhe sijonge into eyenziwa ngugqirha wakho emva kokuxilonga i-ADH.

1. I-Biopsy yotyando/yokunyanga ngaphandle kwesizathu

I-ADH idla ngokuqala ifunyaniswe ukuba ine-'inaliti biopsy', equka ukuthatha iqhekeza elincinci lesicwili esifubeni ngesixhobo esifana nenaliti size silihlolisise.

Nje ukuba i-ADH iqinisekisiwe, inyathelo elilandelayo koogqirha kukwenza 'i-biopsy yotyando' okanye 'i-biopsy ekhethekileyo' . Oku kuquka ukususa ngotyando lonke ummandla weeseli ezingaqhelekanga, kunye nezinye izicwili eziphilileyo ezizijikelezileyo.

Ngoko ke, ngokususa nokuhlola yonke indawo, ungaqiniseka nge-100% ukuba akukho ziseli ziyingozi ezikujikelezileyo. Malunga ne-20% yotyando olwenziwe ngale ndlela, kufunyenwe iiseli zomhlaza ukongeza kwi-ADH. Ngoko ke olu tyando lwenziwa ngenxa yokhuseleko lwakho.

2. Amayeza Okunciphisa Umngcipheko

Ukuba izicubu zihlolwe emva kotyando kwaye akukho ziseli zomhlaza eziseleyo, amaxesha amaninzi akufuneki unyango olongezelelweyo. Nangona kunjalo, ukuba ugqirha wakho ucinga ukuba umngcipheko wakho wokuba nomhlaza kwixesha elizayo uphezulu kakhulu , ngokusekelwe kwizinto ezifana nembali yakho yobuqu neyentsapho, unokukunika amayeza okunceda ukunciphisa loo mngcipheko.

La mayeza asebenza ngokuthintela ukusebenza kwehomoni i-estrogen emzimbeni, eyaziwa ngokuba negalelo ekukhuleni kwezinye iintlobo zomhlaza wamabele.

• I-Tamoxifen yabasetyhini abangaphambi kokuya exesheni.
• Amayeza afana neRaloxifene okanye iAnastrozole kubasetyhini abasele beyekile ukuya exesheni.

La mayeza adla ngokucetyiswa kangangeminyaka emi-5. Nangona enokubangela ezinye iziphumo ebezingalindelekanga, iziphumo ebezingalindelekanga ezibi azifumaneki rhoqo. Ukuba eli yeza likulungele okanye alikulungele yinto omele uyixoxe nogqirha wakho.

3. Ukubeka esweni ngokusondeleyo

Wakuba ufunyenwe une-ADH, eyona nto ibalulekileyo kukunika ingqalelo engakumbi kumabele akho. Ugqirha wakho angacebisa oku kulandelayo:

• I-Mammogram Yonyaka: Ungaze uyiphose le nto.
• Uvavanyo lwebele lweklinikhi: Ukuhlolwa kwamabele akho ngugqirha rhoqo emva kweenyanga ezi-6 ukuya kwezi-12.
• I-MRI yamabele: Ukuba umngcipheko wakho uphezulu, unokucetyiswa ukuba wenze i-MRI scan kanye ngonyaka ukongeza kwi-mammogram.
• Uvavanyo Lwebele Lomntu Ozijonga Ngalo: Funda indlela yokuhlola amabele akho ekhaya kanye ngenyanga kwaye ukwenze umkhwa. Ukuba ubona naluphi na utshintsho, xelela ugqirha wakho ngoko nangoko.

Iyintoni ingozi yokuba nomhlaza kumntu one-ADH?

I-ADH ayingomhlaza, kodwa iyawonyusa umngcipheko kwixesha elizayo. Musa ukothuka zezi zibalo, azithethi ukuba wonke umntu one-ADH uza kuba nomhlaza.

• Kwiminyaka emi-5 emva kokufunyaniswa ukuba une-ADH, malunga nabantu abasi-7 kwabayi-100 (7%) baya kuba nomhlaza webele.
• Emva kweminyaka eli-10 , malunga ne-13 kubantu abali-100 (13%) banokuba nayo.
• Emva kweminyaka engama-25 , malunga nabantu abangama-30 kwabali-100 (30%) banokuba nayo.

Oku kubonisa indlela ekubaluleke ngayo ukuxilongwa rhoqo , njengoko umngcipheko usanda ngokuhamba kwexesha. Kuba nokuba umhlaza uvela ngandlela thile, ukuxilongwa rhoqo ngale ndlela kunokuwubona kwasekuqaleni. Emva koko amathuba onyango nokuphiliswa ngokupheleleyo aphezulu kakhulu.

Ndingenza ntoni ukunciphisa umngcipheko?

Nangona kungekho ndlela iqinisekileyo yokuthintela i-ADH, zininzi izinto onokuzenza ukunciphisa umngcipheko wokuba nomhlaza webele kwixesha elizayo. Ezi zilungile kakhulu kwimpilo yakho iyonke.

• Gcina ubunzima obusempilweni: Zama ukuhlala ubunzima obusempilweni obuhambelana nobude bakho.
• Zilolonge yonke imihla: Zilolonge ubuncinane imizuzu engama-30 ngosuku.
• Nciphisa utywala: Ukuba usela utywala, nciphisa kangangoko unako. Kungcono ukuyeka ukusela utywala ngokupheleleyo ukuba kunokwenzeka.
• Kuphephe ukutshaya: Yeka ukutshaya nokusebenzisa iimveliso zecuba ngokupheleleyo.
• Ukutya okunempilo: Yitya ukutya okutyebileyo kwimifuno, iziqhamo, kunye nemifuno, kunye neoyile encinci, iswekile, kunye netyuwa.