Ukuba ukhe wafakelwa ii-implants zamabele okanye ucinga ngokuzifumana, eli nqaku liza kuba libaluleke kakhulu kuwe. Namhlanje siza kuthetha ngomhlaza ongaqhelekanga onxulunyaniswa nee-implants zamabele, kodwa abantu abaninzi abathethi ngawo. Musa ukoyika xa usiva oku, kuba le yimeko engaqhelekanga kakhulu. Nangona kunjalo, kubaluleke kakhulu ukuqaphela oku ngenxa yokhuseleko lwakho.
Yintoni kanye kanye iBIA-ALCL?
Ngamafutshane, igama elipheleleyo lale nto yiBreast Implant-Associated Anaplastic Large Cell Lymphoma, okanye iBIA-ALCL. Lo asingomhlaza webele. Kubalulekile ukukhumbula oko. I-BIA-ALCL luhlobo lwe-lymphoma, umhlaza ochaphazela inkqubo yomzimba wethu yokuzikhusela.
Ikhula kwi-capsule ene-fibrous kunye nolwelo olujikeleze i-implant yebele. Idla ngokuba ngumhlaza onzima kakhulu. Uninzi lwabantu lunokuphiliswa ngokupheleleyo ngotyando lokususa i-implant kunye nezicubu ezingqongileyo. Nangona kunjalo, kwiimeko ezingaqhelekanga nezinzima ngakumbi, inokusasazeka kwii-lymph nodes ezikufutshane, njengalezo ezisemakhwapheni, nakwezinye iindawo zomzimba.
Ixhaphake kangakanani le meko?
Le yeyona nto ibalulekileyo. I-BIA-ALCL yimeko engaqhelekanga kakhulu . Kukho izigidi zabasetyhini kwihlabathi liphela abaye bafakelwa amabele. Kodwa ukusukela ngoJanuwari 2020, esi sifo besixelwe izihlandlo ezingama-733 kuphela kwihlabathi liphela. Oko kuthetha ukuba amathuba okuba senzeke aphantsi kakhulu. Ngoko ke nangona usazi ngale nto, ungoyiki ngokungeyomfuneko.
Loluphi uhlobo lwe-implants zamabele olubandakanyekayo koku?
Uphando oluqhubekekayo lubonise ukuba i-BIA-ALCL ixhaphake kakhulu kwii -implants zebele ezi-textured . Ngaphambili, ii-implants ezi-textured zazisetyenziswa kuba zazinceda ibele lihlale endaweni yalo ngaphandle kokuhambahamba.
Zimbalwa kakhulu iingxelo zokuba esi sifo sinxulunyaniswa nee-implants ezigudileyo zamabele. Kwakhona, nokuba i-implant izaliswe yi-silicone okanye i-saline akubonakali ngathi kuyayichaphazela le sifo.
Masifunde nangee-implants ezikhutshiweyo.
Ngokutsho kwe-US Food and Drug Administration (FDA), malunga ne-85% yezigulana ze-BIA-ALCL ezixeliweyo zazifakelwe i-implant ene-textured ebizwa ngokuba yi-BIOCELL®, eyenziwe yi-Allergan. Ngenxa yoko, u-Allergan wagqiba ekubeni arhoxise olo hlobo lwe-implant kwimarike.
Ukuba unenye yezi zifakelo zibuyiselweyo, i-FDA ayikucebisi ukuba uyisuse ngoko nangoko. Endaweni yoko, icebisa ukuba uqaphele iimpawu.
Zeziphi iimpawu ekufuneka uzazi?
Iimpawu zihlala zibonakala kwibele elinye kuphela. Iimpawu zinokubonakala kanye emva konyaka emva kokufakwa kwe-implant, okanye zinokubonakala emva kweminyaka. Kwabasetyhini, iimpawu zihlala ziqala malunga neminyaka esi-8 emva kokufakwa kwe-implant.
Qaphela ezi mpawu zilandelayo.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukudumba okanye ukwanda kwamabele | Elinye ibele liba likhulu kunelinye, okanye kuvele iqhuma elitsha. Olu lolona phawu luqhelekileyo. |
| Ukuziva uxinezelekile esifubeni | Xa ndichukumisa ibele lam, livakala liqinile kunesiqhelo. |
| Amaqhuma esifubeni okanye ekhwapheni | Iqhuma elinokuvakala esandleni okanye kwindawo esemakhwapheni. |
| Intlungu | Intlungu engapheliyo emabeleni okanye emakhwapheni. |
| Utshintsho lolusu (alufane lwenzeke) | Into efana nokubomvu okanye ukukrweleka kwesikhumba phezu kwebele. Oku kunqabile kakhulu. |
Kodwa khumbula, ayizizo zonke ezi mpawu ezibangelwa ngumhlaza. Uninzi lwexesha, zibangelwa,
- Ukuqiniswa kweCapsular
- Ukuqhekeka kwe-implant
- Usulelo
- Ukwenzakala kwakutshanje (Ukwenzakala)
Kusenokubakho ezinye izizathu ezingezizo umhlaza, ezinje: Ngoko ke, ukuba ubona naluphi na utshintsho, ungoyiki, kodwa bonana nogqirha wakho kuqala.
Ifunyaniswa njani le nto?
Ukuba uneempawu, ugqirha wakho uza kuqala akuhlole. Emva koko, ukuba kukho i-BIA-ALCL ekrokrelwayo, banokukuthumela kwiimvavanyo ezifana nezi.
1. Uvavanyo lweMifanekiso: Into yokuqala oza kuyenza kukuskena nge-ultrasound. Oku kuya kukhangela naluphi na ulwelo oluqokeleleneyo okanye amaqhuma esifubeni. Ukuba oko akucaci ngokwaneleyo, kungenziwa i-MRI scan ukujonga ibele kunye nee-lymph nodes ngokweenkcukacha.
2. I-Biopsy: Ukuba iskeni ibonisa ulwelo okanye iqhuma, inyathelo elilandelayo yi-biopsy yenaliti. Apha, isampuli encinci yolwelo okanye izicubu ithathwa kusetyenziswa inaliti encinci ize ithunyelwe kwilebhu.
3. Uvavanyo lweLebhu: Kwilebhu, isampulu ihlolwa phantsi kwemicroscope ukuze kubonwe ukuba kukho iiseli zomhlaza na. Uvavanyo olukhethekileyo (uvavanyo lwe-biomarker) lwenziwa ukuqinisekisa ukuba le yi-BIA-ALCL okanye yenye imeko.
Iphathwa njani?
Ukuba uxilongo luqinisekisiwe, uza kuthunyelwa kwingcali yomhlaza (ingcali yomhlaza).
- Unyango oluphambili lutyando: Unyango oluphambili noluphumelele kakhulu lwe-BIA-ALCL kukususwa ngotyando kwe-implant yebele kunye ne-clipsule yonke ejikeleze yona.
- Kwinqanaba lokuqala, utyando lolona khetho luphela: Ukuba isifo sikwinqanaba lokuqala kwaye ugqirha uyakwazi ukususa lonke ulwelwesi, akukho nyango lunokufuneka.
- Ezinye iindlela zonyango: Nangona kunjalo, ukuba umhlaza usasazekile, okanye ukuba ulwelwesi alunakushenxiswa ngokupheleleyo, ungadinga unyango olongezelelweyo. Ezi zingabandakanya:
- Unyango ngemitha: Ukusebenzisa imitha enamandla aphezulu ukubulala iiseli zomhlaza.
- Unyango lweKhemotherapy: Ukunika amayeza okubulala iiseli zomhlaza.
Yintoni enokwenziwa ukunciphisa umngcipheko?
Nangona kungekho ndlela yokuthintela esi sifo, ukubonwa kwangethuba kunokuphucula kakhulu iziphumo.
- Ukuhlolwa kwamabele nyanga nganye: Jonga amabele akho nyanga zonke. Khangela nakuphi na ukudumba, amaqhuma, iintlungu, okanye olunye utshintsho olungaqhelekanga.
- Funa ingcebiso kagqirha ngoko nangoko ukuba ubona naluphi na utshintsho: Ukuba ubona notshintsho oluncinci, musa ukulutyeshela kwaye bonana nogqirha wakho ngoko nangoko.
- Yazi i-implant yakho: Yazi ukuba loluphi uhlobo lwe-implant yebele yakho (ethambileyo okanye egudileyo) kwaye yenziwe yinkampani enjani. Ukuba awuzazi ezi nkcukacha, ungabuza ugqirha wakho okanye isibhedlele apho wenze khona utyando.
- Malunga neeMammogram: Nangona iiMammogram zibalulekile ekufumaneni umhlaza webele, azisoloko ziluncedo ekufumaneni le meko ye-lymphoma ebizwa ngokuba yi-BIA-ALCL.
Eyona nto ibalulekileyo kukuyixilonga kwangethuba uze ususe yonke i-appendix kunye ne-membrane ngotyando. Ukuba wenza njalo, ungasinyanga ngokupheleleyo esi sifo.
Umyalezo Wokuya Ekhaya
- I-BIA-ALCL ngumhlaza wenkqubo yomzimba yokuzikhusela ongaqhelekanga, kodwa onzima kakhulu , onxulunyaniswa nokufakelwa kwamabele. Asingomhlaza webele.
- Oku kudla ngokunxulunyaniswa nee-implants ezine-textured.
- Ukuba ukhe wafakelwa ibele, kubalulekile ukwazi iinkcukacha ze-implant yakho (uhlobo, umenzi).
- Zihlole ngokwakho amabele akho inyanga nenyanga. Ukuba ubona into efana nokudumba, amaqhuma, iintlungu, okanye utshintsho kwimo , ungoyiki kwaye ubone ugqirha ngoko nangoko.
- Ukuba esi sifo sifunyenwe kwangethuba, amathuba okuba sinyangeke ngokupheleleyo ngotyando aphezulu kakhulu.
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