Xa ugqirha wakho ekuxelela ukuba unomhlaza webele 'weSigaba 0', ungaziva usoyika kwaye unomdla. Ngaba lo ngumhlaza ngokwenene? Okanye ngaba uyisandulela somhlaza? Kwenzeka ntoni emva koko? Imibuzo eliwaka efana nale isenokuba idlula engqondweni yakho. Ungakhathazeki, kuyinto eqhelekileyo. Masithethe ngale nto ngokulula, ngendlela onokuyiqonda.
Yintoni kanye kanye iSigaba 0 somhlaza webele?
Inyaniso kukuba, kukho izimvo ezithile phakathi koogqirha malunga noku. Ezinye iingcali zicinga ukuba eli linqanaba lokuqala lomhlaza webele. Ezinye zicinga ukuba linqanaba langaphambi komhlaza.
Ngamafutshane, umhlaza kukwahlulwa okungalawulekiyo kweeseli ezingaqhelekanga. Ezi seli zinokuhlasela izicwili eziphilileyo ezijikelezeyo. Nangona kunjalo, kwiSigaba 0 somhlaza webele, ezi seli ezingaqhelekanga azisasazeki (`ezingenasivazi`). Oku kuthetha ukuba iiseli zihlala apho zaqala khona kwaye azisasazeki kwizicwili ezijikelezileyo. Nangona kunjalo, kukho ithuba lokuba zingenza njalo kwixesha elizayo. Eli linqanaba elingaphantsi kakhulu kuneSigaba 1 somhlaza.
Kukho iintlobo ezimbini eziphambili zomhlaza webele wesigaba 0.
1. Isifo sikaPaget esingangenisi ntsholongwane: Esi sisifo esingaqhelekanga. Sisifo somhlaza esifumaneka kwingono.
2. I-Ductal Carcinoma in Situ (DCIS): Le yinto esihlala sibhekisela kuyo xa sithetha ngomhlaza webele weSigaba 0. Kule meko, iiseli ezingaqhelekanga zikhula kuphela ngaphakathi kwimibhobho yobisi ebeleni lakho. Okubalulekileyo kukuba, ezi seli azikasasazeki ngaphandle kwemibhobho, apho uninzi lwezicubu zamafutha ebeleni lufumaneka khona.
Isizathu esichanekileyo se-DCIS asikaziwa okwangoku. Abantu abaninzi abanazo iimpawu. Nangona kunjalo, ngamanye amaxesha kunokuvakala iqhuma elincinci okanye kuvele ukukhupha igazi kwingono .
Ezi seli zingaqhelekanga zisenokukhula zibe ngumhlaza ohlaselayo okanye zingaphumi. Akukho mntu unokuqikelela ngokuthe ngqo ukuba oku kuya kwenzeka nini. Lo ngumngeni omkhulu kule meko.
Ngaba oku kufuneka kuphathwe? Ndingasenza njani isigqibo?
Emva kokuba ufunyaniswe une-DCIS, inikwa amanqaku kwingxelo yesifo osifumanayo.
- Ibanga lesi -3 lenyukliya: Olu luhlobo olunamandla aphezulu okusasazeka.
- Ibanga loku-1 lenyukliya: Oku kunethuba eliphantsi kakhulu lokusasazeka.
Uza kuvavanywa kwakhona ukuze kubonwe ukuba iiseli zakho zomhlaza zine-estrogen receptors na. Ugqirha wakho angabiza oku ngokuthi "ER-positive" okanye "ER+." Ukuba kunjalo, oko kuthetha ukuba umhlaza wakho ungakhula kancinci.
Okwangoku, ugqirha wakho unokucebisa ukuba kwenziwe uvavanyo lwemfuza, olunokufumanisa ukuba kukho naluphi na utshintsho kwiimfuza zakho oluya kwandisa umngcipheko wakho wokuba nomhlaza webele .
Oko ukwenzayo emva koko kuxhomekeke kuzo zonke ezi zinto, kunye nezinto ozikhethayo .
Uninzi loogqirha lukholelwa ukuba kungcono ukufumana unyango kuba nokuba umhlaza weSigaba 0 awusasazeki, unokutshintsha kwixesha elizayo. Ngoko ke, intetho ethi, "Kungcono ukukhuseleka kunokuzisola" iyasebenza nalapha.
Kukho iindlela ezintathu eziphambili zonyango . Masizijonge kwitheyibhile.
| Ukhetho Lonyango | Ngamafutshane... (Ingcaciso elula) |
|---|---|
| Utyando lweLumpectomy | Oku kuquka ukususa ngotyando kuphela indawo eneeseli ezingaqhelekanga kunye nenani elincinci lezicubu eziphilileyo ezijikelezileyo. |
| Ukususwa kweLumpectomy kunye nonyango lwemitha | Emva kotyando olungasentla, unyango lwemitha lunikezelwa ukutshabalalisa naziphi na iiseli ezingaqhelekanga ezinokuthi zihlale. |
| Utyando lweMastectomy | Olu tyando lususa lonke ibele. Lunokucetyiswa ukuba i-DCIS isasazeke kulo lonke ibele okanye ngenxa yezinye izizathu. |
Ngaba kufuneka silinde ixesha elide ngaphandle konyango? (Ukulinda ngononophelo)
Le yingongoma ephikiswana ngayo. Ezinye iingcali zikholelwa ukuba icebo elibizwa ngokuba yi- "watchful waiting," elithetha ukungayinyangi kwangoko kodwa ukujonga imeko ngovavanyo oluqhelekileyo, likhetho elifanelekileyo. Malunga nesinye kwisithathu sabasetyhini abane-DCIS baya kuba nomhlaza osasazeka kwixesha elizayo.
Ngoko ke ugqirha wakho unokucebisa ukuba uphephe unyango olukhawulezileyo kwaye endaweni yoko ujonge imeko ngovavanyo oluqhelekileyo.
Oku kunezibonelelo kunye neengxaki. Cinga ngako...
Ukuba utyando (mhlawumbi ngonyango lwemitha) kwasekuqaleni, unokukwazi ukuphepha ukusasaza umhlaza ongaze uvele. Kwelinye icala, usenokuba ufumene unyango olubuhlungu lwento engasoze ibe yingxaki.
Kodwa ukuba ugqiba ekubeni ulinde ngaphandle kotyando, kwaye ngelishwa imeko yakho ikhula ibe ngumhlaza osasazekayo, isenokuba yingozi kakhulu (kwaye kube nzima ukuyinyanga) xa ifunyaniswa.
Esi sisigqibo somntu ngamnye. Wena nogqirha wakho nifanele nenze esi sigqibo kunye, emva kokuxoxa kakuhle ngaso. Yabelanani ngazo zonke izinto ezikuxhalabisayo nezoyikisayo nogqirha wakho.
Umyalezo Wokuya Ekhaya
- Umhlaza webele weSigaba 0, okanye i-DCIS, yimeko engangenisi gazi . Iiseli ezingaqhelekanga zingaphakathi kwimibhobho yobisi kuphela.
- Le meko isenokuba ngumhlaza okanye ingaphumi ibe ngumhlaza kwixesha elizayo. Akunakwenzeka ukuba ixelwe kwangaphambili.
- Ukuba uza kunyangwa okanye awuzukunyangwa, kunye nonyango oza kulusebenzisa, kuxhomekeke kwizinto ezininzi (inqanaba lomhlaza, imeko ye-ER) kunye nezinto ozikhethayo.
- Iindlela eziphambili zokukhetha lutyando (`Lumpectomy` okanye `Mastectomy`), unyango lwemitha, okanye ukungabikho konyango konke konke (`ukulinda ngononophelo`).
- Esi asisosigqibo omele usenze wedwa. Thetha ngokukhululekileyo nangokucokisekileyo nogqirha wakho ukuze wenze isigqibo esikulungeleyo.
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