Ingaba ingxelo ye-biopsy yebele ithi 'ADH'? Masithethe ngale nto ngokulula (i-Atypical Ductal Hyperplasia)

Masithi emva kwe-mammogram, ugqirha wakho uthathe iqhekeza elincinci lesicubu waza walithumela ukuba livavanywe. Oku sikubiza ngokuba yi-biopsy. Ukuba ingxelo ibuya emva kweentsuku ezimbalwa ize ithi "Atypical Ductal Hyperplasia" okanye "ADH," ungaziva uloyiko kwaye uxhalabile ngequbuliso. Kuqhelekile ukuzibuza, "Ngaba lo ngumhlaza?" Kodwa ungakhathazeki. I-ADH ayingomhlaza. Nangona kunjalo, yimeko eyonyusa kancinci umngcipheko wakho wokuba nomhlaza wamabele kwixesha elizayo. Yiyo loo nto kubaluleke kakhulu ukuyiqonda. Namhlanje, masithethe ngokulula nangokucacileyo malunga nokuba yintoni i-ADH, ithetha ukuthini ngokwenene, kunye nento esifanele siyenze.

Ngamafutshane, yintoni i-Atypical Ductal Hyperplasia (ADH)?

Ukuze siqonde oku, masiqale sijonge ulwakhiwo lwebele. Amabele ethu anee-gland ezivelisa ubisi (ii-lobules) kunye nenethiwekhi yeetyhubhu ezincinci (ii-ducts) ezithwala olo bisi ziye kwi-nipple. Ngokwesiqhelo, iindonga zangaphakathi zezi ducts zobisi zibekwe kakuhle, zineeleya ezimbini zeeseli.

Nangona kunjalo, kwimeko ebizwa ngokuba yi -Atypical Ductal Hyperplasia (ADH), nantsi into eyenzekayo:

• I-Hyperplasia: Iiseli ezingaphakathi kwezi misele zobisi ziyanda ngobukhulu. Igama elithi "hyperplasia" lithetha "ukwanda kwenani leeseli."
• Angaqhelekanga: Ezi seli azifani neeseli eziqhelekileyo ezisempilweni. Imilo yazo, ubungakanani bazo, kunye nendlela ezihlanganiswe ngayo "aziqhelekanga." Oku kuthetha ukuba endaweni yokuba zibekwe zibe ziileya ezimbini, zihlanganiswe zibe yipatheni engaqhelekanga, enamaleya amaninzi.

Into ebalulekileyo kukuba ezi seli azinawo umhlaza . Ziiseli ezingenabungozi. Nangona kunjalo, zifana nezinye iiseli ezikwimeko ebizwa ngokuba yiDuctal Carcinoma in Situ (DCIS), elilinqanaba lokuqala lomhlaza. Ngamanye amazwi, ezi seli ziphakathi kweeseli eziqhelekileyo kunye neeseli zomhlaza. Yingakho kuthiwa umntu one-ADH unobungozi obuphezulu kancinci bokufumana umhlaza webele kwixesha elizayo kunomntu ongena-ADH.

Kuthetha ukuthini ukuba ne-ADH?

Ukuba ingxelo yakho ye-biopsy ithi ADH, akuthethi ukuba unomhlaza. Nangona kunjalo, oogqirha bacinga ukuba le meko yinto eyonyusa umngcipheko wakho wokuba nomhlaza webele kwixesha elizayo. Izifundo zifumanise ukuba umfazi one-ADH unokuba namathuba aphindwe kane okuba nomhlaza webele kunomfazi ongenaso esi sifo.

Ngenxa yesi sizathu, ugqirha wakho unokucebisa ukuba wenze uvavanyo lomhlaza webele kufutshane kancinci neshedyuli yakho eqhelekileyo. Umzekelo:

• Ukuba ne-mammogram rhoqo ngonyaka.
• Mhlawumbi i-ultrasound yebele okanye i-MRI scan.
• Yenza uvavanyo lwamabele rhoqo ngugqirha (uvavanyo lwamabele lweklinikhi).

Injongo yokuhlolwa rhoqo ngale ndlela kukuqinisekisa ukuba ukuba umhlaza ukhe wavela, unokubonwa kwangoko kwaye unyangwe ngempumelelo.

Zithini iimpawu ze-ADH?

Ixesha elininzi, akukho zimpawu zithile ze-ADH. Oku kuthetha ukuba usenokungaqapheli nto. Uninzi lwabantu lufunyaniswa lunale meko xa kwenziwa i-biopsy ngenxa yesinye isizathu esingaqhelekanga esifunyenwe kwi-mammogram.

Nangona kunjalo, kunqabile kakhulu, abanye abantu banokubona ezi mpawu zilandelayo. Kunzima ukutsho ukuba ezi zibangelwa yi-ADH okanye akunjalo, kodwa ukuba ubona into efana nale, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Izizathu kunye nezinto ezibangela umngcipheko wokuphuhlisa i-ADH

Oogqirha abakayazi kakuhle ukuba kutheni iiseli ezikule mibhobho yobisi ziziphatha ngale ndlela ingaqhelekanga. Nangona kunjalo, kukholelwa ukuba izinto ezifanayo ezibangela umhlaza webele nazo zinokuba negalelo ekuphuhlisweni kwe-ADH.

Izinto ezinobungozi ezinokuchaphazela i-ADH

• Imbali yosapho: Ukuba nelungu losapho (ingakumbi umama, udade, intombi) elinomhlaza webele.
• Utshintsho lwemfuza: Ukuba notshintsho lwemfuza olunyusa umngcipheko womhlaza wamabele, olufana ne-`BRCA1` okanye i-`BRCA2`.
• Imbali yobuqu: Ndikhe ndanesinye isifo somhlaza ngaphambili.
• Ukutyeba kakhulu: Ukusilela ukugcina ubunzima bomzimba busempilweni.
• Indlela yokuphila: Ukusela utywala nokusebenzisa iimveliso zecuba.

Iphathwa njani i-ADH?

Nje ukuba i-biopsy yakho iqinisekise ukuba une-ADH, ugqirha wakho uya kucebisa olunye unyango oluncinci njengenyathelo elilandelayo. Oku kubizwa ngokuba yi-excisional biopsy .

Oku kuquka ukususa kungekuphela nje indawo yezicubu apho kufunyanwa khona iiseli ezingaqhelekanga (ADH), kodwa kunye nenani elincinci lezicubu eziphilileyo ezijikeleze yona. Kutheni oku kwenziwa? Kuba ngamanye amaxesha, kufutshane kakhulu nendawo apho i-ADH ifumaneka khona, kunokubakho imeko embi ngakumbi, efana namanqanaba okuqala omhlaza njenge-'DCIS', okanye iiseli zomhlaza ezifihliweyo.

Nje ukuba izicubu ezisusiweyo ngexesha lotyando zibuyiselwe kwilebhu kwaye kuqinisekiswe ukuba azinazo iiseli zomhlaza, awusayi kuphinda ufune unyango. Ukususela ngoko, okufuneka ukwenze kukwenza uvavanyo lwamabele rhoqo njengoko ugqirha wakho ecebisa.

Amayeza Anciphisa Umngcipheko

Ukuba umngcipheko wakho wokuba nomhlaza webele uphezulu kakhulu ngenxa yesimo sakho se-ADH kunye nezinye izinto (ezifana nembali yosapho), ugqirha wakho unokukunika amayeza athile okunciphisa umngcipheko wakho. La mayeza asebenza ngokuthintela ukusebenza kwehomoni ye-estrogen emzimbeni.

• I-Tamoxifen: Kwabasetyhini abangakhange bafikelele kwixesha lokuya exesheni.
• I-Raloxifene (Evista®), i-Exemestane (Aromasin®), i-Anastrozole (Arimidex®): Kwabasetyhini abasele beyekile ukuya exesheni.

La mayeza anokucetyiswa ukuya kuthi ga kwiminyaka emihlanu. Nangona kunjalo, ekubeni onke la mayeza enemiphumo ethile, kubalulekile ukuba uxoxe ngawo ngononophelo nogqirha wakho ukuze ugqibe ukuba afanelekile na kuwe.

Imibuzo omele uyibuze ugqirha wakho

Kuqhelekile ukuba nemibuzo emininzi xa ufumanisa ukuba une-ADHD. Ungathandabuzi ukubuza le mibuzo xa ubona ugqirha wakho.

• "Gqirha, ithetha ukuthini kanye kanye le ngxelo yam yovavanyo?"
• "Ngaba ndiyaludinga ngokwenene utyando?"
• "Ingaba ndisengozini yokuba nomhlaza webele kwixesha elizayo?"
• "Ndifanele ndenze uvavanyo olufana ne-mammogram kangaphi?"
• "Zeziphi iinguqu ekufuneka ndizenze kwindlela endiphila ngayo?"
• "Ingaba licebo elihle ukuba ndifumane ingcebiso ngemfuza?"

Ungawunciphisa njani umngcipheko wakho xa uphila ne-ADHD?

Nangona ungenakukwazi ukulawula imeko yakho ye-ADH, kukho izinto onokuzenza ukunciphisa umngcipheko wokuba nomhlaza kwixesha elizayo. Ezi zinokukunceda uphile ubomi obusempilweni.

• Gcina ubunzima obusempilweni: Ukuzilolonga kunye nokutya okunesondlo kubaluleke kakhulu.
• Ukuzilolonga: Zama ukuhlala usebenza yonke imihla.
• Nciphisa utywala: Nciphisa ukusetyenziswa kotywala kangangoko unako okanye uyeke ngokupheleleyo.
• Kuphephe ukutshaya: Ukutshaya nokusebenzisa iimveliso zecuba kuyandisa kakhulu umngcipheko womhlaza.

Kwakhona, zenze umkhwa wokwenza uvavanyo lwamabele akho . Qaphela inkangeleko eqhelekileyo yamabele akho ubuncinane kanye ngenyanga. Ngale ndlela, unokubona ngokukhawuleza naziphi na iziqwenga ezintsha, ukuqina, okanye utshintsho.