Ukuba wenze i-mammogram aze ugqirha wakho akuxelele ukuba, "Unomhlaza webele weSigaba 0, obizwa ngokuba yi-DCIS," kuyinto eqhelekileyo ukuziva uloyiko noloyiko ngequbuliso. Sonke siyaxhalaba xa sisiva igama elithi "umhlaza." Kodwa ukuba uyiqonda kakuhle into eyi-DCIS, uya kuqonda ukuba olu loyiko alubalulekanga. Masithethe ngayo ngokweenkcukacha, ngokulula.
Ngamafutshane, yintoni i-DCIS (i-Ductal Carcinoma in Situ)?
Nangona eli gama lisenokubonakala liyinkimbinkimbi kancinci, intsingiselo yalo ilula kakhulu. Masilihlalutye igama negama:
- I-Ductal: Oku kubhekisa kwimibhobho yobisi emabeleni akho. Imibhobho yimibhobho emincinci efana netyhubhu ethwala ubisi ukusuka kumadlala avelisa ubisi emabeleni ukuya kwingono xa uncancisa.
- I-Carcinoma: Eli ligama lezonyango lomhlaza. Lithetha ukukhula okungaqhelekanga kweeseli.
- KwiSitu: Eli lelona gama libalulekileyo apha. Igama elithi "In Situ" lithetha "indawo" ngesiLatini elithetha "indawo." Oku kuthetha ukuba ezi seli zomhlaza ezingaqhelekanga zakheke ngaphakathi kwimibhobho yobisi kuphela. Azizange zigqobhoze eludongeni lombhobho kwaye zisasazeke kwizicubu zebele ezijikelezileyo.
Khawucinge ngombhobho wamanzi. Kukho umaleko womhlwa ngaphakathi kombhobho. Kodwa umhlwa awukangeni eludongeni lombhobho kwaye awukaphumi. I-DCIS injalo. Iiseli zomhlaza (ezifana nomhlwa) zingaphakathi kombhobho wobisi (umbhobho wamanzi), kodwa azikasasazeki ngaphandle.
Yingakho oogqirha bebiza i-DCIS njengomhlaza webele "ongangenisi" okanye "ongaphambi kokuhlasela" . Awusasazeki (usasazeka) kwezinye iindawo zomzimba.
Kodwa okona kubaluleke kakhulu, ukuba i-DCIS ayinyangwa, ngamanye amaxesha inokukhula ibe yi-invasive ductal carcinoma, eqhekeza udonga lomsele wobisi ize isasazeke kwizicubu ezingqongileyo. Yiyo loo nto kubaluleke kakhulu ukuyifumanisa nokuyinyanga kwangethuba.
Ixhaphake kangakanani le meko ibizwa ngokuba yi-DCIS?
I-DCIS luhlobo oluqhelekileyo lomhlaza webele. I-DCIS ibandakanya i-20% ukuya kwi-25% yomhlaza webele osandul' ukufunyanwa. Ixhaphake kakhulu kwabasetyhini. Amadoda awanawo amathuba amaninzi okufumana i-DCIS.
Kutshanje, kuye kwakho iingxelo ezininzi zeemeko ze-DCIS. Kodwa iingcali zithi isizathu asikokuba i-DCIS iye yaxhaphaka kakhulu, kodwa kungenxa yokuba iimvavanyo ezifana ne-mammograms ngoku zinokubona imeko kwangethuba.
Zithini iimpawu ze-DCIS?
Ihlala ixhaphake kakhulu kwiDCISAkukho zimpawu . Oko kuthetha ukuba usenokungaziva mahluko. Oku kubaluleke kakhulu kwii-mammogram. Zinceda ekufumaneni ezi meko ngaphambi kokuba kuvele iimpawu.
Nangona kunjalo, kunqabile kakhulu, abanye abantu banokubona iimpawu ezifana nezi:
- Ukuziva iqhuma esifubeni
- Ukuqhambuka kwesikhumba
- Ukukhupha iingono (njengegazi)
Izizathu kunye nezinto ezibangela umngcipheko kwi-DCIS
I-DCIS yenzeka xa iiseli ezisempilweni kwimibhobho yobisi zitshintsha (iinguqu) kwaye ziqala ukukhula ngokungalawulekiyo. Kodwa iingcali azikayazi kakuhle ukuba kutheni ezi seli zitshintsha ngolu hlobo, okanye kutheni ezinye iimeko ze-DCIS kamva zikhula zibe ngumhlaza oqatha.
Nangona kunjalo, kukho izinto ezininzi eziye zachongwa ezonyusa amathuba, okanye umngcipheko, wokuphuhlisa i-DCIS.
| Into Engumngcipheko | Inkcazo |
|---|---|
| Imbali yosapho | Ukuba nomhlaza webele kwizalamane zegazi (umama, udade, intombi). |
| Imbali yobuqu | Ukuba ukhe waba nomhlaza wamabele ngaphambili okanye ukukhula okungaqhelekanga kweeseli (i-atypical hyperplasia). |
| Ubudala kunye nesini | Ndingumfazi kwaye ndineminyaka engaphezu kwama-30 ubudala. |
| Iziphumo zeHormonal | Ukufikisa ngaphambi kokuba ufikelele kwiminyaka eli-12, ukuya exesheni emva kweminyaka engama-55. |
| Ukukhulelwa | Ungaze ukhulelwe, ube nomntwana wakho wokuqala emva kweminyaka engama-30, okanye ungamncancisi umntwana wakho. |
| Izinto ezibangela ufuzo | Ukuba notshintsho lwemfuza ( i-BRCA 1 kunye ne -BRCA 2 ) okwandisa umngcipheko womhlaza webele. |
| Ezinye izinto | Ukuba nezicubu zesifuba ezixineneyo, emva kokufumana unyango lwemitha kwindawo yesifuba. |
Into ebalulekileyo ekufuneka uyiqonde apha kukuba ukuba nenye okanye ezingaphezulu kwezi zinto zomngcipheko akuthethi ukuba ngokuqinisekileyo uza kuba ne-DCIS. Umzekelo, abantu abangenayo imbali yomhlaza webele kusapho lwabo basenokuba ne-DCIS. Bathetha nje ukuba amathuba okuba ne-DCIS aphakame kancinci.
Ifunyaniswa njani i-DCIS?
Ngaphezulu kwe-90% yeemeko ze-DCIS zifunyaniswa kwi -mammogram . Ii-mammogram zibonisa amaqela eediphozithi ezincinci ze-calcium (microcalcifications) ebeleni. Ezi zizibonakaliso eziphambili ze-DCIS.
Ukuba i-mammogram ibonisa into ekrokrisayo, ugqirha usenokucebisa ukuba kwenziwe i-biopsy . I-biopsy ibandakanya ukuthatha isampuli encinci kakhulu yezicubu ezikrokrisayo uze uzihlole phantsi kwe-microscope ukuze ubone ukuba zinayo na iiseli zomhlaza.
Amabanga kunye neZigaba zeDCIS
Nje ukuba i-DCIS ifunyaniswe, oogqirha bayayichonga inqanaba kunye nenqanaba layo.
- Inqanaba: I-DCIS ihlala ingumhlaza webele weSigaba 0. Ezi ziindaba ezimnandi kakhulu kuba zithetha ukuba umhlaza awukasasazeki.
- Udidi: Oku kubhekisa kwindlela iiseli zomhlaza ezifana okanye ezahluke ngayo kwiiseli eziphilileyo kunye nendlela ezikhula ngokukhawuleza ngayo. Kukho amanqanaba amathathu aphambili.
- Udidi oluphantsi: Iiseli zomhlaza zifana kakhulu neeseli eziphilileyo kwaye zikhula kancinci.
- Udidi oluPhakathi: Iiseli zomhlaza zahlukile kancinci kwiiseli eziphilileyo.
- Udidi Oluphezulu: Iiseli zomhlaza zahlukile ngokupheleleyo kwiiseli eziphilileyo kwaye zinotyekelo lokukhula ngokukhawuleza.
Ziziphi iindlela zonyango ze-DCIS?
Nangona i-DCIS ingeyomhlaza ohlaselayo, kubalulekile ukuyinyanga ukuze kuthintelwe umngcipheko wokuba ibe ngumhlaza ohlaselayo kamva. Ugqirha wakho uya kukumisela eyona ndlela ilungileyo yonyango ngokusekelwe kwizinto ezifana neminyaka yakho, inqanaba le-DCIS, kunye nezinto ozikhethayo.
Kukho iindlela ezimbini eziphambili zonyango:
| Indlela Yonyango | Kalula nje... |
|---|---|
| 1. Utyando lweLumpectomy / Utyando olugcina amabele + Unyango lweMisebe | Oku kuquka ukususa ngotyando kuphela indawo yezicubu ene-DCIS, kunye nenani elincinci lezicubu eziphilileyo ezijikelezileyo. Oku kushiya uninzi lwebele lakho lungaphazanyiswa. Emva kotyando, unyango lwemitha ludla ngokunikezelwa ukubulala naziphi na iiseli zomhlaza eziseleyo. |
| 2. Utyando lweMastectomy | Kule meko, lonke ibele elichaphazelekileyo yi-DCIS liyasuswa ngotyando. Le nkqubo iyacetyiswa ukuba i-DCIS isasazeke kwindawo enkulu yebele okanye kwiindlela ezininzi zokukhupha ubisi, okanye ukuba i-lumpectomy ayilokhetho. Unyango lwemitha alusoloko luyimfuneko emva kokususwa kwebele. |
Ukuba une-mastectomy, ungathetha nogqirha wakho malunga notyando lokwakha amabele.
Unyango emva kotyando
Emva kotyando, ugqirha wakho unokucebisa unyango lwehomoni ukuthintela i-DCIS ukuba ingabuyi. Oku kuquka ukusebenzisa amayeza anjengeTamoxifen okanye iAromatase Inhibitors . Olu nyango luhlala luhlala iminyaka emihlanu.
Ngaba i-DCIS inganyangeka ngokupheleleyo?
Ewe, ngokuqinisekileyo! I-DCIS yimeko enyangekayo kakhulu kwaye inyangeka ngokupheleleyo . Izinga lokunyangwa kwabo bafumana unyango liphezulu kakhulu, lisondele kwi-100%.
Umngcipheko wokuba i-DCIS ibuye emva konyango uphantsi kakhulu. Nokuba iyabuya, ayisoloko isongela ubomi.
Ufanele wenze ntoni?
Nangona kungekho ndlela ithile yokuthintela i-DCIS, ukubhaqwa kwangoko kunokukhokelela ekuchacheni ngokupheleleyo.
- Fumana ii-mammogram rhoqo: Ngokuqhelekileyo kucetyiswa ukuba wenze i-mammogram kanye ngonyaka emva kweminyaka engama-40 ubudala. Nangona kunjalo, thetha nogqirha wakho malunga nokuba kufuneka uyenze kangaphi oku, ngokusekelwe kwimingcipheko yakho.
- Landela imiyalelo kagqirha wakho: Emva konyango, yiya kuhlolo njengoko uyalelwe ngugqirha wakho. Ngokwesiqhelo, uhlolo lufuneka rhoqo emva kweenyanga ezi-6-12 kwiminyaka emihlanu yokuqala nasemva koko minyaka le.
- Buza ugqirha wakho imibuzo: Xa ufumanisa ukuba une-DCIS, thetha nogqirha wakho ngayo nayiphi na imibuzo okanye izinto ezikuxhalabisayo. Buza imibuzo efana nale, "Yeyiphi eyona ndlela ilungileyo yonyango kum?", "Luza kuthatha ixesha elingakanani unyango?", "Ngaba ndiza kukwazi ukuqhubeka nokusebenza ngeli xesha?"
Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa ufumanisa ukuba unomhlaza. Kodwa khumbula ukuba i-DCIS luhlobo lomhlaza webele oluqala kwangethuba, olungabulaliyo, kwaye lunokunyangeka kakhulu. Ngonyango olufanelekileyo kunye nokulandelelana, ungaphila ubomi obusempilweni ngokupheleleyo.
Umyalezo Wokuya Ekhaya
- I-DCIS lelona nqanaba lokuqala (iSigaba 0) somhlaza wamabele. Apha, iiseli zomhlaza zingaphakathi kwimibhobho yobisi kuphela kwaye azisasazekanga kwizicubu ezingqongileyo.
- Lo ngumhlaza ongangenisi ntsholongwane, ngoko ke awusasazeki kwamanye amalungu omzimba.
- I-DCIS idla ngokungabi nazimpawu . Ihlala ibonwa nge-mammogram.
- I-DCIS inokunyangeka phantse ngokupheleleyo ngonyango, ngoko ke akukho mfuneko yokoyika.
- Ukuba ayinyangwa, kukho umngcipheko wokuba ibe ngumhlaza oqatha, ngoko ke kubaluleke kakhulu ukufuna unyango ngokweengcebiso zonyango .
- Ukuhlolwa rhoqo ngugqirha kunye ne-mammogram yeyona ndlela ilungileyo yokubona isifo kwangethuba.
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