Xa sisiva igama elithi "umhlaza," uninzi lwethu luzaliswa luloyiko. Phakathi kwabo, xa sisiva igama elithi umhlaza webele, abafazi bethu baxhalaba kakhulu. Kodwa uloyiko alusona sisombululo silungileyo. Endaweni yoko, ukuqonda nokuqaphela oku yeyona ndlela ilungileyo yokuzikhusela. Ngoko ke namhlanje, masithethe ngomhlaza webele ngendlela elula neyobuhlobo.
Ngaba umhlaza webele uyafana kubo bonke abantu? Okanye ngaba kukho iintlobo ezahlukeneyo?
Hayi. Enyanisweni, ayinguye wonke umntu ohlakulela umhlaza webele ngendlela efanayo. Kukho iintlobo ezahlukeneyo, okanye iintlobo ezahlukeneyo, zomhlaza webele. Oogqirha bahlula ezi ntlobo ngokusekwe ekubeni zinazo na iiproteni ezithile (ii-receptors) ezinceda iiseli zomhlaza zikhule. Ngamafutshane, ezinye iiseli zomhlaza zifana nabantwana abancinci abalambileyo. Zifuna izinto ezifana neehomoni emizimbeni yethu "njengokutya" ukuze zikhule.
Kukho iintlobo ezimbini eziphambili zee-receptors:
1. Ii-hormone receptors (HR): Ezi zii-hormones zabasetyhini i-estrogen kunye ne -progesterone . Ukuba ezi receptors zikhona kwiiseli zomhlaza, ezi hormones zinceda umhlaza ukuba ukhule.
2. I-HER2 receptor: Le yenye iproteni ebizwa ngokuba yi-`(Human Epidermal Growth Factor Receptor 2).` Ukuba oku kugqithise kakhulu kwiiseli zomhlaza, umhlaza unokukhula ngokukhawuleza.
Iimhlaza zahlulwe zibe ziintlobo ezahlukeneyo ngokusekwe ekubeni zinazo na ezi receptors okanye azinazo. Makhe sijonge iintlobo eziphambili.
| Uhlobo lomhlaza | Ingcaciso elula |
|---|---|
| HR+/HER2- (Luminal A) | Olu lolona hlobo luxhaphakileyo. Lune-hormone receptors (HR), kodwa alunayo i-HER2 receptor. Lusabela kakuhle kunyango lwe-hormone, ngoko ke izinga lokunyanga liphezulu. |
| HR+/HER2+ (Luminal B) | Inee-receptor ze-hormone kunye nee-receptor ze-HER2. Olu hlobo lunokukhula ngokukhawuleza kancinci. |
| HR-/HER2+ | Ayinazo ii-hormone receptors, kodwa inayo i-HER2 receptor. Unyango olujoliswe kwi-HER2 lusebenza kakhulu koku. |
| I-Triple-Negative (i-TNBC) | Olu lolona hlobo lunobundlongondlongo ngakumbi. Ngenxa yokuba alunazo zonke ii-receptor ezintathu ze-estrogen, i-progesterone, kunye ne-HER2, alunakunyangeka ngonyango lwe-hormone okanye unyango olujoliswe kwi-HER2. I-chemotherapy lolona nyango luphambili. Olu hlobo luhlala lubonwa kubasetyhini abaselula. |
Izakhi zofuzo ziwuchaphazela njani umhlaza?
Abanye abantu bacinga ukuba, "Akukho mntu kwisizukulwana sam owayenayo, ngoko ke akukho ndlela yokuba ndiyiphuhlise." Kodwa oko akuyonyani ngokupheleleyo. Nangona kunjalo, kukwakho nempembelelo yemfuza evela kwizizukulwana ngezizukulwana.
Kukho ii-genes ezikhethekileyo emzimbeni wethu ezilawula indlela iiseli ezahlukana ngayo. Ukuba kukho utshintsho kwezi genes, iiseli zingaqala ukwahlukana ngokungalawulekiyo kwaye zibe nomhlaza. Ezona genes zaziwayo ezinxulumene nomhlaza webele yi -BRCA1 kunye ne-BRCA2 . Umfazi onotshintsho kwezi genes usemngciphekweni omkhulu wokufumana umhlaza webele (kunye nomhlaza wesibeleko) kunezinye.
Into ebalulekileyo kukuba nawuphi na umfazi anokuba nomhlaza webele, nokuba une-BRCA mutation okanye akanayo. Ukuba kukho umntu kusapho lwakho oye waba nomhlaza webele emncinci, kuya kuba bubulumko ukuthetha nogqirha wakho malunga nokuba kufuneka kwenziwe uvavanyo lwemfuza okanye hayi.
Ukongeza, uphando lwenziwa kwezinye iijini ezininzi, ezifana ne-'TP53' kunye ne-'PALB2'. Njengoko isayensi iqhubeka, siya kukwazi ukufumana unyango olufanelekileyo kwezi.
Ngaba indlela esiphila ngayo ichaphazela umngcipheko?
Ewe, ngokuqinisekileyo. Ayizozakhi zofuzo kuphela, kodwa nendlela esiphila ngayo ikwanegalelo elikhulu kumngcipheko womhlaza wamabele. Ezinye izifundo zibonise ukuba umngcipheko womhlaza uyanda xa sisebenzisa indlela yokuphila yamazwe aphuhlileyo. Kukho izizathu ezahlukeneyo zoku.
- Ukutyeba kakhulu: Xa amafutha emzimbeni esanda, ingakumbi emva kokuya exesheni, amanqanaba e-estrogen ayakhula. Le yingxaki yomhlaza we-HR+.
- Ukutya okungenampilo: Ukutya ukutya okune-processed foods eninzi, inyama ebomvu, iswekile, kunye namafutha kwandisa umngcipheko. Ukutya okunemifuno, iziqhamo, iimbotyi kunye neenkozo ezipheleleyoInceda ekunciphiseni umngcipheko womhlaza .
- Ukungazilolongi: Abantu abaphila ubomi bokungahlali phantsi basengozini enkulu kunabo baphila ubomi bokukhuthala.
- Ukungancancisi: Kukho ubungqina obucacileyo bokuba ukuncancisa kunciphisa umngcipheko womhlaza webele kumama.
- Ukusela utywala: Ukusela utywala yinto ephambili eyonyusa umngcipheko womhlaza webele .
Kutheni ukubhaqwa kwangoko kuyinto esindisa ubomi?
Umyalezo obalulekileyo kweli nqaku usenokuba ngowokuba: Nokuba umhlaza webele unzima kangakanani na, unokunyangeka phantse ngokupheleleyo ukuba ufunyenwe kwangethuba . Kuphela xa imeko ibambezelekile apho imeko iba mandundu khona.
Khawucinge nje, ukuba umhlaza ufunyanwa kwangethuba, xa uphela emabeleni (kwinqanaba lendawo), izinga lokusinda kweminyaka emi-5 lingaphezulu kwama-95% . Oko kuthetha ukuba abantu abangama-95 kwabayi-100 baya kusinda kakuhle.
Nangona kunjalo, ukuba umhlaza usasazeke kwiindawo ze-lymph ezikufutshane (isigaba sengingqi), eli nani limalunga nama-85%. Ngelishwa, ukuba umhlaza ufunyaniswa emva kokuba usasazeke kwiindawo ezikude ezifana nesibindi, imiphunga, kunye nengqondo (isigaba esikude), eli nani liyehla liye kuma-30%.
Ngaba uyayiqonda umahluko? Ukufunyanwa kwangoko kunokuthetha umahluko phakathi kokuchacha kunye nokufa.
Kutheni ke ngoko silibazisa? Ngamanye amaxesha, ngenxa yokoyika, iintloni, sicinga ukuba, "Liqhekeza elincinci nje, liza kulunga ngokwalo," okanye ngenxa yokungazi, silibazisa ukuya kugqirha. Leyo yeyona mpazamo inkulu esiyenzayo.
Ufanele wenze ntoni?
- Uvavanyo Lwebele Lomntu Ozijonga Ngalo: Jonga amabele akho ubuncinane kanye ngenyanga. Nika ingqalelo ngokukhawuleza ukuba ubona iqhuma, utshintsho lolusu, utshintsho kwimilo, okanye ukuphuma kwencindi kwingono.
- Bona ugqirha wakho: Ukuba ungaphezulu kweminyaka engama-40 kwaye awunazo iimpawu, thetha nogqirha wakho uze ufumane i-mammogram ukuba kuyimfuneko. I-mammogram inokubona namaqhuma amancinci esingawavayo.
- Musa ukoyika: Musa ukoyika kwaye uzifihle ukuba ubona naluphi na utshintsho. Ayizizo zonke iziqwenga ezisebeleni ezibangela umhlaza. Kodwa ugqirha kufuneka agqibe ukuba ingaba ngumhlaza okanye akunjalo. Ngoko ke ukuba unamathandabuzo amancinci, bonana nogqirha wakho ngoko nangoko.
Iindlela zonyango ngoku ziphucuke kakhulu. Kukho iindlela ezininzi, ezinje ngotyando, i-chemotherapy, i-radiotherapy, unyango lweehomoni, kunye nonyango olujoliswe kulo. Ugqirha wakho uya kumisela unyango olulungele wena. Eyona nto ibalulekileyo kukungalibazisi unyango.
Umyalezo Wokuya Ekhaya
- Umhlaza webele asinto yokoyika nokuyifihla, kodwa yinto ekufuneka uyiqaphele kwaye uyijongane nayo.
- Kukho iintlobo ezahlukeneyo zomhlaza, ngoko ke unyango lunokwahluka kumntu nomntu.
- Nangona kukho impembelelo yemfuza, indlela esiphila ngayo (ukutya, ukuzilolonga) inokunciphisa umngcipheko.
- Ukubhaqwa kwangethuba yeyona nto ibalulekileyo ekusindiseni ubomi. Ukuba kubhaqwe kwangethuba, amathuba okuchacha aphezulu kakhulu.
- Ukuba ubona naluphi na utshintsho emabeleni akho (iqhuma, utshintsho eluswini), musa ukoyika kwaye ungalibazisi, bona ugqirha wakho ngokukhawuleza.











💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho