Ukuba wena okanye umntu omaziyo ufunyenwe enomhlaza webele , kuyinto eqhelekileyo ukuziva usoyika, wothukile, kwaye ungaqinisekanga. "Kuza kwenzeka ntoni ngoku?", "Luhlobo luni lonyango endiza kulufumana?", "Ngaba oku kuza kunyangwa?" yimibuzo yonke efika engqondweni. Okokuqala, qonda ukuba awuwedwa ngeli xesha. Namhlanje siza kuthetha 'ngesigaba', into ephambili echaza unyango lomhlaza webele, kunye nendlela unyango olucwangcisiweyo ngayo ngokwesigaba ngasinye.
Yintoni 'inqanaba' lomhlaza?
Ngamafutshane, inqanaba lomhlaza yindlela yokuchaza ukuba umhlaza usasazeke kangakanani emzimbeni wakho. Njengokuphawula apho sikuyo kwimephu, oogqirha basebenzisa le nkqubo 'yokulinganisa' ukuqonda imeko yomhlaza. Oku kumiselwa zizinto ezimbini eziphambili.
1. Ubungakanani bethumba: Lingakanani ithumba?
2. Ukusasazeka okanye iMetastasis: Ingaba ithumba lisasazeke ngaphandle kwebele, ukuya kuma-lymph nodes emakhwapheni, okanye nakwezinye izitho ezikude emzimbeni (ezifana nesibindi, imiphunga, amathambo)?
Ngokusekelwe kolu lwazi, umhlaza webele wahlulwe waba ngamanqanaba amahlanu aphambili (0 ukuya kwi-IV). Ukwazi oku kubaluleke kakhulu kuwe nakwiqela lezonyango elikunyangayo.
Ngaba unyango lumiselwa kuphela ngokwenqanaba?
Hayi. Nangona isigaba siyinto ebalulekileyo, asikuphela kwayo. Ugqirha wakho uza kuqwalasela ezinye izinto ezininzi ukuze enze isicwangciso sonyango esifanelekileyo kuwe.
- Uhlobo lomhlaza webele onalo: Kukho iintlobo ezahlukeneyo zomhlaza webele.
- Inani leethumba ezinomhlaza: Ngaba yithumba elinye okanye ezininzi?
- Isantya okhula ngaso umhlaza: Eminye imhlaza ikhula kancinci, ngelixa eminye isasazeka ngokukhawuleza.
- Ubudala bakho kunye nempilo yakho iyonke: Kubalulekile ukwazi ukuba unezinye izifo, ezifana nesifo seswekile okanye isifo sentliziyo.
- Ngaba wakha waba nomhlaza webele ngaphambili?
- Uhlobo lweeseli zomhlaza: Nokuba iihomoni zabasetyhini ziyayichaphazela na ukukhula kweeseli zomhlaza (imeko ye-receptor yehomoni), okanye nokuba izinto ezithile zemfuza ezifana ne -HER2 zikhona kwezo seli, nazo zibaluleke kakhulu ekumiseleni unyango.
Khumbula, umhlaza womntu wonke wahlukile. Ngoko ke unyango olufanayo olunikwe umhlobo wakho lusenokungasebenzi kuwe.Isicwangciso sonyango senzelwe wena ngokukodwa.
Zithini iindlela zonyango zesigaba ngasinye?
Kulungile, makhe sijonge ukuba loluphi unyango olufanelekileyo kwinqanaba ngalinye. Esi sisikhokelo nje esifutshane sokukuqalisa. Khumbula ukuba isicwangciso sakho sonyango siya kugqitywa ngugqirha wakho.
| Inqanaba lomhlaza | Intsingiselo nje | Unyango olusetyenziswa rhoqo |
|---|---|---|
| Inqanaba 0 (I-Ductal Carcinoma in Situ - DCIS) | Eli linqanaba lokuqala kakhulu. Iiseli zomhlaza zikwimibhobho yobisi yebele kuphela. Azikasasazeki kwizicubu ezingqongileyo. | - Utyando: ukususwa kweqhubu kuphela (i-lumpectomy) okanye mhlawumbi ukususwa ngokupheleleyo kwebele (i-mastectomy). - Unyango lweMisebe: Ludla ngokunikezelwa emva kokuba ithumba lisusiwe. - Unyango lweehomoni: Ukuba umhlaza uxhomekeke kwiihomoni. |
| Inqanaba loku-1 | Umhlaza usemncinci. Ungaphakathi kwebele. Awukasasazeki kwiindawo ze-lymph ezisemakhwapheni (okanye awusasazeki kangako). | - Utyando: (Ukususwa kweLumpectomy okanye iMastectomy). Kwenziwa i-sentinel lymph node biopsy. - Unyango lwemitha: Olu hlobo lonyango luhlala lunikwa ukuba utyando lwe-lumpectomy. - Unyango olongezelelweyo: Ngokuxhomekeke kuhlobo lomhlaza, i-chemotherapy, unyango lwehomoni, okanye unyango olujoliswe kulo lunokufuneka. |
| Isigaba II | Iqhuma likhulu kancinci, kwaye/okanye umhlaza usenokuba usasazeke kwiindawo ze-lymph ezikufutshane ekhwapheni. | - Utyando: (Ukususwa kweLumpectomy okanye iMastectomy). - I-Chemotherapy: Inganikwa ngaphambi kotyando (ukunciphisa ithumba) okanye emva koko. - Unyango ngemitha. - Unyango lwehomoni kunye nonyango olujoliswe kulo: kuxhomekeke kuhlobo lomhlaza. |
| Inqanaba lesi-3 | Le yimeko 'ephambili'. Umhlaza usasazeke ngaphandle kwebele ukuya eludongeni lwesifuba okanye eluswini. Usasazeke ukuya kwiindawo ezininzi ze-lymph ezisemakhwapheni. Kodwa awusasazeki ukuya kumalungu akude. | - Unyango lweKhemotherapy: Unyango ludla ngokuqala ngekhemotherapy. Injongo kukunciphisa ithumba ngaphambi kotyando. - Utyando: Idla ngokuba yiMastectomy. - Unyango lwemitha: emva kotyando. - Iihormone kunye nonyango olujoliswe kuzo. |
| Inqanaba lesi-4 | Lo ngumhlaza 'osasazekayo'. Umhlaza usasazeke ngaphaya kwebele kunye nee-lymph nodes ezikufutshane ukuya kwizitho ezikude emzimbeni (ezifana namathambo, imiphunga, isibindi, ubuchopho). | - Injongo ephambili: ukulawula esi sifo, ukunciphisa iimpawu, kunye nokuphucula umgangatho wobomi. - Unyango: Olu lunyango olusebenza emzimbeni wonke oluchaphazela umzimba wonke. I-chemotherapy, unyango lwe-hormone, unyango olujoliswe kuyo, kunye ne-immunotherapy zezona ziphambili. - Unyango lwemitha okanye utyando lungasetyenziswa kwiimeko ezikhethekileyo, njengokunciphisa iintlungu. |
Thetha nogqirha wakho.
Olu lwazi lusenokuvakala lunzima kancinci, kodwa into ebalulekileyo kukuba zonke ezi ndlela zonyango zenzelwe ukukunceda ufumane okuninzi kunyango lwakho. Iqela lakho lezonyango liza kuxoxa nawe ngako konke oku.
Yenza uluhlu lwemibuzo yakho yonke kunye nezinto ozixhalabisayo uze uzizise kugqirha wakho. Ungoyiki ukubuza imibuzo efana nale, "Zithini iziphumo ezingezizo zolu nyango?", "Ndiza kuhlala ixesha elingakanani esibhedlele?", "Ngaba kufuneka nditshintshe indlela enditya ngayo?" Ungumntu othatha inxaxheba kwizigqibo zakho zonyango.
Uhambo lokunyanga umhlaza webele lunokuba nzima. Kodwa khumbula, ngesayensi yezonyango yanamhlanje ephucukileyo, esi sifo sinokunyangeka kakhulu, ingakumbi ukuba sifunyenwe kwangethuba. Kwaye kukho unyango oluninzi oluhle olunokunceda ukugcina umgangatho wobomi ulungile kwinqanaba ngalinye.
Umyalezo Wokuya Ekhaya
- Unyango lomhlaza webele luyinkqubo eyenzelwe umntu ngamnye, eyodwa kumntu ngamnye.
- Inqanaba lomhlaza libaluleke kakhulu ekumiseleni unyango. Kodwa asilo lodwa. Zininzi nezinye izinto eziwuchaphazelayo, kubandakanya uhlobo lomhlaza, imeko yakho yamahomoni, kunye nobudala bakho.
- Okukhona umhlaza ufunyanwa ngokukhawuleza, kokukhona kukho iindlela ezininzi zonyango kwaye kokukhona amathuba okuchacha ngokupheleleyo aphezulu.
- Ungaze woyike ukubuza ugqirha wakho imibuzo uze uthethe ngezinto oyoyikayo kunye nezinto ezikuxhalabisayo. Uyinxalenye ebalulekileyo yohambo lwakho lokuphila kakuhle.
- Inkxaso nothando losapho nabahlobo luya kuba namandla amakhulu kuwe kolu hambo. Musa ukuzama ukulwa wedwa.
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