Ukuba usandul’ ukwenza i-mammogram, ugqirha wakho okanye ingcali isenokuba ikuxelele ukuba amabele akho aqinile, okanye ukuba ‘unamabele aqinileyo.’ Kuqhelekile ukuba uzive unexhala kwaye usoyika xa usiva la mazwi. “Amabele aqinileyo? Kuthetha ukuthini oko? Ngaba sisifo? Ndenze ntoni ngoku?” Usenokuba nemibuzo emininzi engqondweni yakho. Ngoko ke ungoyiki. Makhe sithethe ngale nto ngokulula nangokucacileyo.
Ngamafutshane, ziintoni ezi 'Zifuba Ezixineneyo'?
Into yokuqala ekufuneka uyiqonde kukuba 'amabele axineneyo' ayisosifo, kwaye ayisiyonto ekufuneka uyinyange . Kwakhona, ayisiyonto onokuyilawula. Le meko inokutshintsha ngokuhamba kwexesha.
Oku akubhekiselele kwindlela amabele akho abonakala okanye avakala ngayo, kodwa kuxhomekeke kwindlela amabele akho abonakala ngayo kwi-mammogram, eyi-X-ray.
Cinga ngako, amabele ethu enziwe ngamalungu amabini aphambili:
1. Izicubu ezinamafutha: Ezi zibonakala zimnyama, zimnyama kwi-mammogram.
2. Izicubu zeGlandular kunye neziXhobo: Olu didi luquka ii-gland ezivelisa ubisi, imibhobho ethwala ubisi, kunye nezicubu ezinxibelelanayo ezinika imilo amabele. Zonke ezi zibonakala zimhlophe kwi-mammogram.
' Amabele axineneyo ' athetha ukuba amabele akho anezicwili ezininzi ze-glandular kunye nezinxibelelanayo, ezibonakala zimhlophe, kunezicwili ezinamafutha. Ngamafutshane, zibonakala zimhlophe ngakumbi kwi-mammogram.
Ingcali ye-radiology iza kujonga i-mammogram yakho ize ihlele uxinano lwamabele akho kwiindidi ezine eziphambili ngokusekelwe kumlinganiselo weendawo ezimhlophe nezimnyama.
| Inqanaba loxinano | Ingcaciso elula |
|---|---|
| 1. Uninzi lwamafutha | Amabele ikakhulu zizicubu ezinamafutha. Zimbalwa kakhulu iindawo ezimhlophe kwi-mammogram. |
| 2. Uxinano lweFibroglandular oluHlakazekileyo | Nangona uninzi lwezicubu ezinamafutha lukhona, kukho amabala amhlophe asasazeke apha naphaya. |
| 3. Ixinene kakhulu | Amabele aquka ikakhulu izicubu ezixineneyo (iindawo ezimhlophe), kunye nezicubu ezinamafutha (iindawo ezimnyama) ezisasazeke kuyo yonke indawo. |
| 4. Ixinene kakhulu | Akukho phantse zicubu zinamafutha emabeleni. I-mammogram yonke ifana, imhlophe. |
Ukuba uwela kudidi lwesithathu nolwesine, sithi 'unamabele axineneyo'. Phantse isiqingatha sabasetyhini eSri Lanka nakwihlabathi liphela banamabele axineneyo. Ngoko ke, le yimeko eqhelekileyo kakhulu.
Zithini izizathu zokuminyana kwamabele?
Kukho izinto ezininzi ezichaphazela uxinano lwamabele, uninzi lwazo olungaphaya kwamandla ethu.
- Ubudala: Amabele abafazi abancinci adla ngokuba makhulu kuneentombi ezindala. Njengoko sikhula, ingakumbi emva kokuya exesheni, amabele aya encipha njengoko izicubu ezinamafutha zithatha indawo yezicubu ze-glandular.
- Ilifa: Ukuba umama wakho wayenamabele aqinileyo, nawe unokuba nawo.
- IiHormones: Ukusebenzisa unyango lokutshintshwa kweehomoni okanye ukusebenzisa iipilisi zokulawula ukuzalwa kunokunyusa uxinano lwamabele.
- Ukuncancisa: Ubisi luveliswa kwizicubu ze-glandular, ngoko ke uxinano lwamabele lunokwanda okwethutyana ngexesha lokuncancisa.
Oku kuyichaphazela njani i-mammograms kunye nomngcipheko womhlaza?
Le yeyona nto ibalulekileyo ekufuneka sigxile kuyo. Kukho imingeni emibini ephambili yokuba 'namabele axineneyo'.
1. Ubunzima bokufunda iimammogram
Khumbula, njengoko benditshilo ngaphambili, izicubu ezixineneyo zibonakala zimhlophe kwi-mammogram. Ngelishwa, umhlaza webeleIithumba kunye nezinye iziqwenga ezingaqhelekanga zibonakala zimhlophe kwi-mammogram.
Ngoko ke, njengoko ibele lisiba likhulu, oko kuthetha ukuba liba mhlophe ngakumbi, ukufumana elinye iqhuma elimhlophe leeseli zomhlaza ezifihliweyo kuloo mvelaphi imhlophe kunokuba nzima njengokufumana umvundla omhlophe kwiqhwa. Oku ngamanye amaxesha kunokukhokelela ekubeni umhlaza omncinci ungafumaneki.
Kodwa oku akuthethi ukuba ufanele uyeke ukufumana ii-mammogram. Hayi! Ii-mammogram ziseluvavanyo oluhle noluqinisekisiweyo lokufumanisa umhlaza wamabele kwangethuba. Ubuchwepheshe bedijithali banamhlanje (i-Digital Mammography) buye bandisa kakhulu amandla okubona umhlaza, nokuba kumabele axineneyo.
2. Umngcipheko womhlaza
Uphando lubonise ukuba ukuba namabele aqinileyo (ingakumbi uhlobo lwesi-3 nolwesi-4) kuyingozi enkulu yokuba nomhlaza wamabele. Nangona kunjalo, oku akuthethi ukuba ngokuqinisekileyo uza kuba nomhlaza. Yenye nje yezinto ezingamakhulu ezibangela umngcipheko.
Kungoko ke, kubaluleke kakhulu ukuthetha nogqirha wakho malunga nomngcipheko wakho womhlaza . Umzekelo:
- Ngaba kukho umntu kusapho lwakho (umama, udadewenu) obenomhlaza webele? (Imbali yoSapho)
- Ngaba ukhe wayenza i-biopsy yebele ngaphambili waza wafumana iiseli ezinobungozi obukhulu?
- Ubudala bakho kunye nohlanga lwakho
Ukuba unezinye izinto ezinobungozi ezifana nezi, kunye namaqhuma amabele, ugqirha wakho unokucebisa uvavanyo olongezelelweyo.
Zeziphi ezinye iimvavanyo ezinokwenziwa?
Ukongeza kwi-mammogram, ugqirha wakho unokucebisa olu vavanyo kubafazi abanamabele aqinileyo kunye nezinye izinto ezinobungozi.
- I-Digital Breast Tomosynthesis (DBT): Oku kukwabizwa ngokuba yi-3D mammogram. Endaweni yomfanekiso omnye othe tyaba njenge-mammogram eqhelekileyo, idala umfanekiso onemilinganiselo emithathu (3D) ngokudibanisa uthotho lwemifanekiso ethathwe kwiikona ezahlukeneyo zebele. Oku kwenza kube lula ukufumana izinto ezifihliweyo kwizicubu ezixineneyo.
- I-Ultrasound: Uvavanyo olusebenzisa amaza esandi ukwenza imifanekiso yangaphakathi kwebele. Oku kunokufumana amaqhuma anokuthi angafumaneki kwi-mammogram.
- I-MRI (Magnetic Resonance Imaging): Oku kusebenzisa amandla emagnethi ukuvelisa imifanekiso ecacileyo neneenkcukacha zamabele. Ngokuqhelekileyo kucetyiswa kuphela kubafazi abasengozini enkulu yomhlaza wamabele.
Enye ingxaki yezi mvavanyo zongezelelweyo kukuba zinokubona nezimila ezingengomhlaza, ezingenabungozi. Ezi sizibiza ngokuba 'ziZinto Ezingalunganga'. Oku kunokukhokelela kuloyiko olungeyomfuneko, uvavanyo olongezelelekileyo, mhlawumbi notyando olungeyomfuneko. Ke ngoko,Kungcono ukuthetha nogqirha wakho uze ugqibe ukuba loluphi uvavanyo olulungele wena.
Umyalezo Wokuya Ekhaya
- 'Amabele axineneyo' ayisosifo. Yimeko eqhelekileyo neqhelekileyo.
- Le meko inokwenza kube nzima ukubona amaqhuma anomhlaza ngexesha le-mammogram.
- Ukuba namabele aqinileyo yinto enye enokubangela umhlaza wamabele. Oko akuthethi ukuba uza kuba nomhlaza.
- Ukuba ingxelo yakho ye-mammogram ithi 'Amabele Axineneyo', musa ukoyika kwaye uxoxe nogqirha wakho ngengozi yakho iyonke kunye novavanyo lwakho lwexesha elizayo.
- Nokuba uvavanyo luthini na, eyona ndlela ilungileyo yokusindisa ubomi kumhlaza webele kukufumana ii-mammogram rhoqo.
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