Ukuphinda-phinda komhlaza webele? Musa ukoyika, masithethe ngale nto.

Xa unyangelwe umhlaza webele kwaye uzive ungcono kancinci, ngequbuliso uziva usoyika... 'Ngaba esi sifo siza kubuya?' Mhlawumbi olu loyiko luba lukhulu ngakumbi xa usiya kubona ugqirha wakho we-oncologist, okanye xa ulinde iziphumo ze-mammogram. Le yingxaki kubantu abaninzi. Yiyo loo nto kubaluleke kakhulu ukuthetha ngeemvakalelo zakho nogqirha wakho, umntu othembekileyo, okanye iqela lenkxaso nabantu abaye badlula kwizinto ezifanayo nezakho. Ngoko ke namhlanje, masithethe malunga nokuba kuthetha ukuthini ukuphinda umhlaza webele , ukuba unzulu kangakanani, kunye nendlela esinokuyiphatha ngayo.

Kuthetha ukuthini ngokwenene ukuba umhlaza ubuye?

Ngamafutshane, oku kuthetha ukuba umhlaza ofanayo owawunawo ngaphambili ubuya emva konyango. Oku kungenzeka emva konyaka emva konyango, emva kweminyaka emi-5, eli-10, okanye engama-20.

Kodwa kunokubakho iintlobo ezimbini zale mbuyekezo.

1. Ukuphinda kwenzeke kwakhona: Ukubuya kweeseli zomhlaza kwibele elinye apho umhlaza wawukhona khona ngaphambili.

2. Ukusasazeka kwezinye iindawo: Umhlaza osasazeke kwezinye iindawo zomzimba, njengamathambo, imiphunga, okanye ingqondo. Oogqirha bakubiza oku ngokuthi "kukwahlulwahlulwa kwesifo" okanye "ukuphinda kwenzeke kwakhona kwaso." Le meko idla ngokuba yingozi ngakumbi kuneyokuqala.

Kukho enye into. Ngamanye amaxesha, umhlaza omtsha unokuvela kwelinye ibele . Oogqirha bawujonga njengomhlaza 'omtsha', hayi ukuphinda ubuye.

Ngaba unyango luza kutshintsha ukuba umhlaza ubuya?

Ewe, isicwangciso sonyango singahluka. Kuxhomekeke kwizinto ezininzi. Ukuba umhlaza ubuya ebeleni (ongaguqukiyo), loo nto ihlala ingcono.

Into ebalulekileyo ekufuneka uyiqwalasele kukuba sele kudlule ixesha elingakanani ukususela oko umhlaza wokuqala wavela . Umzekelo, ukuba umhlaza wakho ubuya emva kweminyaka esi-7 ufunyenwe okokuqala, iqela lakho lezonyango liza kuwuphatha ngokungathi ngumhlaza omtsha. Kwiimeko ezininzi, inyathelo lokuqala kukususa ithumba ngotyando.

Emva kotyando, kuza kuqala olunye unyango. Unyango lwemitha ludla ngokunikezelwa emva kotyando, kodwa ukuba ibele lakho liye lanyangwa ngemitha emva kotyando lwangaphambili, kusenokwenzeka ukuba akunakwenzeka ukuphinda likwenze oko.

Kodwa ungakhathazeki, kukho ezinye iindlela. Ugqirha wakho uza kuqwalasela ezi zinto:

• Unyango lwehomoni
• Unyango olujoliswe kulo
• Unyango lwe-immunotherapy
• Unyango ngamakhemikhali

Nangona kunjalo, ukuba umhlaza wokuqala uphinda ubuye kwixesha elifutshane , njengeenyanga ezi-6, iqela lezonyango linokucinga ukuba kusenokwenzeka ukuba usasazeke (uqhekeze i-metastasize) ngokukhawuleza. Emva koko banokuba nethuba elikhulu lokusebenzisa i-chemotherapy.

Kodwa ukuba usandul’ ukugqiba umjikelo we-chemotherapy, umzimba wakho usenokungakulungeli umjikelo we-chemotherapy. Ngoko ke iqela lezonyango liza kukuqwalasela konke oko ngaphambi kokuba lenze isigqibo. Umzekelo, ukuba unikwe iyeza elifana ne-doxorubicin, elinokuchaphazela intliziyo yakho, ngexesha lomjikelo wangaphambili we-chemotherapy, usenokungakwazi ukuphinda ulifumane.

Ingakanani ingozi yokuphindeka kwakhona?

Ubunzima bomhlaza buxhomekeke ekubeni usasazeke kangakanani ukusuka kwindawo owawukuyo ekuqaleni. Oku kunokwahlulwahlulwa kube ziintlobo ezintathu eziphambili.

Ngaba umhlaza wam uza kubuya? Zithini izinto ezinokubangela umngcipheko?

Le yeyona ngxaki inkulu kubantu abaninzi. Into yokuqala ekufuneka uyiqonde kukuba umhlaza obuyayo asinto oyenzileyo okanye ongayenzanga . Musa ukuzibeka ityala ngayo.

Nangona kunjalo, kukho izinto ezithile ezibangela ukuba umhlaza uphinde ubuye.

• Inqanaba lomhlaza wokuqala: Okukhona inqanaba lomhlaza wakho wokuqala liphezulu (inqanaba loku-1 ukuya kwelesi-4), kokukhona umngcipheko wokuphinda ubuye, oko kuthetha ukuba ithumba likhulu okanye lisasazeke kwiindawo ze-lymph nodes.
• Ubudala: Ukuba umfazi ongaphantsi kweminyaka engama-35 ubudala unesifo somhlaza webele, usengozini enkulu yokuba ubuye kwakhona kunabasetyhini abadala.
• Uhlobo lomhlaza: Ezinye iintlobo zomhlaza wamabele zinobundlongondlongo ngakumbi, ngoko ke zinokuphinda zibuye zisasazeke. Umzekelo, umhlaza wamabele ovuvukalayo kunye nomhlaza wamabele oneempembelelo ezintathu.
• Indlela eziziphatha ngayo ezinye iiseli zomhlaza: Ukuba kukho iiseli zomhlaza ezingaphenduliyo kunyango lweehomoni, okanye ukuba kukho iiseli zomhlaza ezingaphenduliyo kunyango olujoliswe kulo olunikwa i-`(i-HER2 gene)`, oko kungaba luphawu lomngcipheko ophezulu wokuphinda ubuye.
• Isalathisi sobunzima bomzimba (BMI): Amafutha amaninzi emzimbeni, okwaziwa ngokuba kukutyeba kakhulu, anokunyusa umngcipheko wokuphinda umhlaza webele.

Lo mngcipheko uza kuhlala ixesha elingakanani?

Uphando lwakutshanje lufumanise ukuba umhlaza webele usenokubuyela emva kweminyaka engama-32 emva kokuba ufunyenwe okokuqala. Kodwa oku akufani kuye wonke umntu. Umngcipheko wokubuya kwawo emva kweminyaka eli-10 yokukhululwa kwawo uxhomekeke kwizinto ezifana nobukhulu bethumba lokuqala kunye nenani lee-lymph nodes umhlaza osasazeke kuzo.

Ngamafutshane, ukuba ukhe waba nomhlaza webele kanye, nokuba ubusempilweni iminyaka emininzi, kubalulekile ukuhlala uphaphile kwaye ufumane uhlolo rhoqo njengoko ugqirha wakho ecebisa . Okukhona ufunyaniswa kwangoko, kokukhona unyango luya kuba ngcono. Thetha nogqirha wakho ukuze ugqibe ukuba loluphi ucwangciso lovavanyo olukulungeleyo.