Ukuba ingxelo yakho ye-mammogram ithi "Izicubu zakho zebele zixinene kakhulu" okanye "Izicubu Zebele Ezixineneyo", usenokuba ukhathazekile kancinci, akunjalo? Usenokuba ucinga, "Owu, ngaba ndinento enzulu?" Kodwa akukho mfuneko yokukhathazeka . Le yinto abafazi abaninzi, ingakumbi abo baseSri Lanka, abayibona rhoqo. Ngoko ke, masithethe ngale nto ngokucacileyo nangokulula namhlanje.
Yintoni le "nyama yesifuba exineneyo"?
Ngamafutshane, kuthetha ukuba amabele akho anezicubu ezininzi ze-fibrous kunye ne-glandular kunye nezicubu ezincinci zamafutha . Esi asisosifo. Khawucinge nje, malunga nesiqingatha sabo bonke abafazi banale meko.
Into ebalulekileyo kukuba ungaziboni iimpawu zokuba nezicubu ezixineneyo zebele. Awuyi kuva ntlungu yebele, utshintsho, okanye nokuhlolwa kwebele ekhaya. Nokuba ugqirha uyakuxilonga, akuyi kubonwa.
Ngoko ke ukwazi njani oku? Ngokwesiqhelo, xa usenza i-mammogram (ingakumbi i-3D mammogram - eyaziwa ngokuba yi-digital breast tomosynthesis), oku kukhankanyiwe kwingxelo. Ingcali ye-radiology iza kujonga i-mammogram yakho ize ikuxelele ukuba izicubu zakho zebele zixinene okanye azixinene. Oogqirha banokubiza oku ngokuthi 'uxinano lwebele' okanye 'uxinano lwe-fibroglandular'.
Ngoko ke, kutheni kubalulekile ukwazi oku?
Kungamangalisa kancinci ukufumanisa ukuba izicubu zebele lakho zixinene. Kodwa asiyonto ibalulekileyo ukuyixhalabela. Nangona kunjalo, kubalulekile ukuthetha nogqirha wakho ngale nto uze uqonde ukuba ingxelo yakho ye-mammogram ithini.
Kukho imiba emibini ephambili kule nto:
1. Njengoko izicubu zebele zisiba nkulu, kunokuba nzima ukufumana izinto ezifana neeseli zomhlaza kwi-mammogram. Kuba izicubu ezixineneyo kunye neeseli zomhlaza zibonakala zimhlophe kwi-mammogram. Kufana nokukhangela unogwaja omhlophe kwiqhwa.
2. Abantu abanezicwili zamabele ezixineneyo banokuba nomngcipheko ophezulu kancinci wokuba nomhlaza wamabele kunabanye. Oku akuthethi ukuba ngokuqinisekileyo baza kuba nomhlaza, kodwa endaweni yoko basengozini enkulu kancinci.
Ngoko ke, ungothuswa yingxelo ethi "Izicubu Zesifuba Ezixineneyo." Kodwa ungalibali ukuthetha nogqirha wakho ngale nto.
Masifunde kancinci ngezicubu zethu zamabele?
Ukuze siqonde eli bali "lezicubu eziqinileyo", kuyanceda ukuba nombono omncinci ngeentlobo zezicubu ezenza amabele ethu. Kukho iintlobo ezintathu eziphambili zezicubu:
- Izicubu ezinamafutha / Izicubu zamafutha:Ezi azixinene kangako. Kwi-mammogram, zibonakala zimnyama, ngamanye amaxesha zikhanya. Ngoko ke ukuba kukho into emhlophe (efana nomhlaza) ebeleni elinje, inokubonwa lula.
- Izicubu ezidityanisiweyo ezinemicu: Le yizicubu ezixineneyo. Inceda ukuxhasa, ukukhusela, nokugcina izihlunu zethu kunye nezinye izicubu kunye. Ibonakala imhlophe kwi-mammogram.
- Izicubu ze-fibroglandular: Kulapho kukho khona ii-glands ezivelisa ubisi kunye nemijelo ethwala ubisi iye kwi-nipple. Njengezicubu ze-fibrous, le zicubu ixinene kwaye ibonakala imhlophe kwi-mammogram.
Ngoko ke, ukuba ubungakanani bezicubu ezine-fibrous kunye ne-fibro-glandular emabeleni akho bukhulu kunobungakanani bezicubu ezinamafutha, ngoko ke sizibiza ngokuba "ngamabele axineneyo."
Oogqirha balinganisa njani obu bukhulu?
Iingcali ze-radiology zisebenzisa inkqubo yokwahlula ubukhulu bezicubu zebele. Ibizwa ngokuba yi-Breast Imaging Reporting and Data System (BI-RADS) . Phantsi kwale nkqubo, ubukhulu bebele bahlulwe baba ziindidi ezine eziphambili. Cinga ngale ndlela:
- Uhlobo A (Phantse lunamafutha ngokupheleleyo): Amabele enziwe ikakhulu (ngaphezu kwe-90%) yezicubu ezinamafutha. Ezi zincinci kakhulu. Ukuba kukho into engaqhelekanga, inokubonwa lula kwi-mammogram.
- Iqela B (Iindawo ezisasazekileyo ezinobuninzi be-fibroglandular): Izicubu ezixineneyo (izicubu ze-fibroglandular) zisasazeke apha naphaya zinezicubu ezinamafutha. Kuselula ukubona izinto ezifana nomhlaza.
- Udidi C (oluxineneyo): Ibele lizaliswe zizicubu ezininzi ezixineneyo. Nangona kunjalo, olu xinano alufani, kodwa luyahluka ukusuka kwindawo ukuya kwindawo. Kwezi ntlobo zamabele, ezinye iintlobo zomhlaza zisenokufihlwa ngasemva kwezicwili ezixineneyo kwi-mammogram, nto leyo eyenza kube nzima ukuyifumana.
- Udidi D (Oluxineneyo kakhulu): Ibele lixinene kakhulu. Oku kuthetha ukuba ikakhulu lenziwe zii-fibrous kunye ne-glandular tissue. Kwimeko enjalo, kunokuba nzima nangakumbi ukubona umhlaza nge-mammogram yodwa. Ngenxa yokuba umhlaza kunye nezicubu zimhlophe, kunzima ukwahlulahlula.
Ingxelo yakho ye-mammogram iza kudwelisa olu didi lwe-BI-RADS, oluya kukunceda uqonde ukuba amabele akho aqinile kangakanani.
Yintoni ebangela ukuba la mabele abe ngqindilili?
Akukho sizathu sithile sokuzala kwamabele, kodwa kukho izinto ezininzi ezinokubangela oku:
- Ubudala: Amabele adla ngokuba makhulu ngokwendalo xa uneminyaka engama-20 nengama-30. Njengoko ukhula, olu xinano lunokwehla kancinci kancinci, ingakumbi emva kokuya exesheni.
- Ubunzima bomzimba: I-Body Mass Index (BMI) ephantsi ithetha ukuba abantu abancinci banamathuba amaninzi okukhula kwezicubu zamabele ezixineneyo.
- Imbali yosapho: Ubuninzi bebele bubangelwa lufuzo.Isenokuba yinto eza nayo. Oko kuthetha ukuba ukuba umama okanye oodadewenu banamabele aqinileyo, nawe unokuba nawo.
- Amayeza: Ezinye iindlela zonyango lweehomoni, ezifana nonyango lokutshintshwa kweehomoni xa umntu eyeka ukuya exesheni, zinokubangela utshintsho kuxinano lwamabele.
Ngaba ikhona indlela yokunyanga oku?
Hayi. Okwangoku akukho nyango okanye utyando oluthile olunokunciphisa ubungakanani bezicubu ezine-fibrous kunye ne-fibroglandular emabeleni akho. Esi asisosifo, ngoko ke akukho nyango.
Nangona kunjalo, ukuba i-mammogram yakho ibonisa ukuba unamabele aqinileyo, ugqirha wakho uya kwenza uvavanyo lomngcipheko womhlaza webele. Oku kujonga umngcipheko wokufumana umhlaza webele ebomini bakho bonke.
Ngokusekelwe kolu vavanyo lomngcipheko kunye neziphumo ze-mammogram, ugqirha unokuyalela iimvavanyo ezongezelelweyo. Ezi ziquka:
- I-MRI yebele (iMagnetic Resonance Imaging): Olu vavanyo lusebenzisa amasimi emagnethi, amaza erediyo, kunye nekhompyutha ukuvelisa imifanekiso ecacileyo neneenkcukacha zezicubu zebele. Kunokwenzeka ukuba lubone nomhlaza omncinci ofihliweyo phakathi kwezicubu ezixineneyo.
- I-ultrasound yebele: Olu vavanyo lusebenzisa amaza esandi ukwenza imifanekiso yezicubu zebele. Lunceda ukufumana ulwazi ukongeza kwi-mammogram.
- Uvavanyo lweMolecular Breast Imaging (MBI): Olu luvavanyo olukhethekileyo. Into enemisebe ifakwa emzimbeni ize ijongwe ngesixhobo esikhethekileyo sokuskena. Ukuba kukho iiseli zomhlaza ngaphakathi kwizicubu zebele ezixineneyo, zigqanyiswa ngokucacileyo.
Ayinguye wonke umntu odinga olu vavanyo longezelelweyo. Ugqirha wakho uya kugqiba ukuba luyimfuneko na okanye aluyimfuneko ngokusekwe kubunzima bakho, imbali yosapho lwakho, kunye nezinye izinto ezinobungozi.
Ngaba izicubu eziqinileyo zingaba ngumhlaza?
Lo ngumbuzo abantu abaninzi abawubuzayo. Hayi, izicubu ezixineneyo aziguquki ngokuthe ngqo zibe ngumhlaza. Umhlaza webele uyenzeka xa iiseli zebele zitshintsha zibe ngumhlaza. Oku kunokwenzeka emabeleni anezicubu ezininzi ezinamafutha okanye emabeleni anezicubu ezininzi ezixineneyo.
Kodwa, njengoko bekutshiwo ngaphambili, ukuba nezicubu zebele ezixineneyo kakhulu kuyawonyusa kancinci umngcipheko wakho wokuba nomhlaza webele . Kungenxa yokuba umhlaza webele uhlala uqala kwinto ebizwa ngokuba yi-fibroglandular tissue. Ngoko ke, okukhona unezicubu ze-fibroglandular ezininzi emabeleni akho, kokukhona umhlaza "weendawo" ungakhula. Yiyo loo nto umngcipheko wakho unyuka kancinci.
Khumbula, ukuba namabele aqinileyo akuthethi ukuba uza kuba nomhlaza. Nangona kunjalo, kubalulekile ukuba uqaphele loo nto kwaye ufumane uvavanyo olufanelekileyo.
Ngoko ke, zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule?
Kulungile, ngoko ke, ngokwezinto esithethe ngazo malunga "neZihlunu zesifuba ezixineneyo," nazi ezinye izinto ekufuneka uzikhumbule ngokuqinisekileyo:
- Oku kuqhelekile: Ukwanda koxinano lwezicubu zebele akusisifo, kodwa yimeko echaphazela abafazi abaninzi.
- Fumana impendulo kwingxelo ye-mammogram: Ungafumanisa ukuba unale meko okanye awunayo ngovavanyo lwe-mammogram.
- Thetha nogqirha wakho: Ukuba ufumanisa ukuba amabele akho axinene kakhulu, thetha nogqirha wakho ngaloo nto uze uxoxe ngemingcipheko yakho kunye nento omawuyenze ngokulandelayo. Xoxa nangovavanyo olongezelelweyo, ingakumbi ukuba izicubu zakho "zixinene kakhulu" (BI-RADS D).
- Fumana uhlolo rhoqo: Nokuba unamabele aqinileyo okanye awunawo, eyona ndlela ilungileyo yokubona umhlaza wamabele kwangethuba kukwenza ii-mammogram rhoqo kunye nezinye iimvavanyo ukuba kuyimfuneko. Ungalibali ukwenza uvavanyo lwebele lwakho rhoqo ngenyanga.
- Izicubu eziqinileyo azinakushenxiswa: Akukho ndlela yokususa ezi zicubu ziqinileyo. Ke ngoko, kufuneka sigxile ekufumaneni kwangethuba.
Ngoko ke, ndiyathemba ukuba ngoku uyiqonda ngcono i-"Dense Breast Tissue". Eyona nto ibalulekileyo kukuba ungoyiki, ube nolwazi, kwaye uhlale usempilweni. Ukuba uneminye imibuzo, qiniseka ukuba ubuza ugqirha wakho.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ngaba i-Dense Breast Tissue luhlobo lomhlaza webele?
Hayi! Oku akuyomhlaza okanye sisifo. Le yimeko eqhelekileyo emabeleni abafazi. Ibele lomfazi lenziwe ngokudibanisa 'amafutha' kunye 'nezicwili ze-glandular/connective' (izicubu ezixineneyo). Le yimeko apho amabele abasetyhini abancinci kunye nabo banezinga eliphezulu leehomoni anamafutha amancinci kwaye uninzi lwawo 'lunezicwili ezixineneyo'.
💬 Ingaba kuyingozi ukuba ndinezicwili ezixineneyo emabeleni am?
Ingozi kuphela ngale nto kukuba ukuba kuvela iqhuma ebeleni lakho, iqhuma limhlophe, kwaye nezicubu ezixineneyo nazo zimhlophe. Ngenxa yoko, kunzima kakhulu koogqirha ukufumana iqhuma elinomhlaza 'lifihliwe emva kwezicubu ezimhlophe' nge-mammogram eqhelekileyo. Kwakhona, aba bantu basengozini enkulu yokuba nomhlaza webele.
💬 Uyibona njani i-cancer ukuba ayibonakali kwi-mammogram?
Musa ukoyika ukuba ugqirha wakho ukuxelela ukuba 'uneebele ezixineneyo'. Ukongeza kwi-mammogram, ugqirha wakho ngokuqinisekileyo uya kucebisa ukuba wenze i-'Breast Ultrasound Scan' okanye i-'Breast MRI' ukuze ufumane ulwazi olupheleleyo njengenye indlela yokhuseleko.
Ubuninzi bebele , i-mammogram, umhlaza webele, impilo yebele, impilo yabasetyhini, i-BI-RADS, izicubu zebele
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