Masifunde ngomhlaza webele: IDC kunye neDCIS (Invasive Ductal Carcinoma kunye neDuctal Carcinoma in Situ)

Xa sisiva igama elithi "umhlaza webele," wonke umntu uyoyika kancinci, akunjalo? Yinto eqhelekileyo leyo. Kodwa eyona nto ibalulekileyo kukuba sikuqonde ngokupheleleyo oku. Kuba ngoko sinokuzibona ngokukhawuleza iimpawu size sifumane iingcebiso zonyango ezifunekayo. Namhlanje, siza kuthetha ngeentlobo ezimbini eziqhelekileyo zomhlaza webele , iDuctal Carcinoma. Siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Ngamafutshane, iDuctal Carcinoma luhlobo lomhlaza oluqala kwimibhobho yobisi yebele. Ubusazi ukuba kukho iintlobo ezimbini eziphambili zale nto?

1. Invasive Ductal Carcinoma (IDC): Kule meko, iiseli zomhlaza ziqhekeza udonga lomsele wobisi zize zisasazeke kwizicubu ezingqongileyo.

2. I-Ductal Carcinoma in Situ (DCIS): Kule meko, iiseli zomhlaza zingaphakathi kwi-milk duct kwaye azikasasazeki ngaphandle.

Iimpawu, ukuxilongwa, kunye nonyango lwezi ntlobo zimbini zahlukile. Masiqale sithethe ngohlobo oluqhelekileyo, i-IDC.

Yintoni i-Invasive Ductal Carcinoma (IDC)?

I-Invasive Ductal Carcinoma (IDC) luhlobo oluqhelekileyo lomhlaza webele, olumalunga ne-80% yazo zonke iintlobo zomhlaza webele. Iqala kwiiseli zombhobho wobisi. Kodwa ayipheleli apho. Iiseli ziyakhula, zigqobhoze iindonga zombhobho, kwaye ziqale ukusasazeka kwizicubu eziphilileyo ezijikeleze ibele. Ekuhambeni kwexesha, ezi seli zomhlaza zinokusasazeka ziye kwezinye iindawo zomzimba.

Ziziphi izinto ezibangela umngcipheko wokuphuhlisa i-IDC?

Kunzima kakhulu ukuchonga unobangela ochanekileyo womhlaza webele. Nangona kunjalo, siyazi ezinye izinto ezibangela umngcipheko. Ezinye zezi zinto zinxulumene nendlela esiphila ngayo, ezinye zinxulumene neehomoni kunye nembali yosapho .

Apha ngezantsi kukho ezinye zezinto ezibangela umngcipheko ezichongiweyo kwi-IDC kunye neminye imihlaza yamabele.

Zithini iimpawu ze-IDC?

Umntu one-IDC unokufumana enye okanye ngaphezulu kwezi mpawu. Asikuko rhoqo xa unezi mpawu, ngumhlaza, kodwa ukuba ubona into efana nale, kubalulekile ukubona ugqirha wakho ngoko nangoko ukuze ahlolwe.

• Iqhuma elisesifubeni: iqhuma elivakala ngathi liqhuma esandleni.
• Ukuqina kolusu: Ukuziva ngathi inxalenye yolusu esifubeni iqine.
• Ubomvu okanye irhashalala : Ubomvu besikhumba sebele.
• Ukudumba: Ukudumba okuhambisana notshintsho kwimo okanye ubungakanani bebele.
• Intlungu: Intlungu entsha ebeleni eyayingekho ngaphambili.
• Ulusu luyawohloka: njengeorenjiImeko apho iimbobo zesikhumba sesifuba zikhula kwaye zitshone, zifane nexolo leorenji.
• Utshintsho kwindlela yokukhupha ubisi lwebele : indlela yokukhupha ubisi iyatshona, ibe buhlungu, okanye ivuza ulwelo olungelulo ubisi (ingakumbi olunombala wegazi).
• Amaqhuma asekhwapheni: Amaqhuma asekhwapheni aviwa sisandla.
• Utshintsho olungahambelani nomjikelo wenyanga wokuya exesheni: Utshintsho olungaqhelekanga olwahlukileyo kutshintsho oluqhelekileyo olwenzeka ngaphambi kokuya exesheni.

Ifunyaniswa njani i-IDC? (Ukuxilongwa)

I-IDC idla ngokurhanelwa kuqala xa kubonwa into engaqhelekanga kwi-mammogram. Ngamanye amaxesha, ugqirha unokufumanisa iqhuma ngexesha lovavanyo lomzimba.

1. I-Mammogram kunye ne-Ultrasound: Ezi zezona zilingo zilula. I-mammogram ithatha umfanekiso we-X-ray webele. I-ultrasound isebenzisa amaza omsindo ukufumana umfanekiso olungileyo wezicubu ezingaphakathi kwebele kunye nazo naziphi na iziqwenga.

2. I-Biopsy: Olu luvavanyo oluqinisekisa ngokupheleleyo ukuba ngumhlaza okanye akunjalo. Apha, kuthathwa iqhekeza elincinci kakhulu lesicubu kwiqhuma elirhanelekayo ngoncedo lwenaliti lize lihlolwe phantsi kwemakroskopu. Kuphela emva kolu vavanyo apho singazi ngokuqinisekileyo ukuba kukho iiseli zomhlaza okanye akunjalo.

Ukuba ingxelo ye-biopsy iyaqinisekisa ukuba ngumhlaza, ugqirha uya kuyalela iimvavanyo ezininzi. Oku kwenzelwa ukufumanisa ukuba umhlaza mkhulu kangakanani na kwaye usasazeke na. Uvavanyo olufana ne-'CT scan', 'PET scan', 'MRI' lunokusetyenziswa koku.

Ziziphi iindlela zonyango?

Kukho iindlela ezahlukeneyo zonyango lwe-IDC. Ugqirha wakho kunye neqela lakho lezonyango baya kugqiba isicwangciso sonyango esifanelekileyo kuwe. Oku kuya kuthathela ingqalelo izinto ezininzi, kubandakanya inqanaba lomhlaza, ubungakanani bawo, kunye nokuba ingaba une-hormone receptor.

Iindlela eziphambili zonyango zezi:

• Utyando:
• Ukususwa kweLumpectomy: Oku kuquka ukususa kuphela ithumba elinomhlaza kunye nenani elincinci lezicubu eziphilileyo ezijikeleze lona.
• Ukususwa kwebele: Oku kukususwa kwebele lonke ngotyando.
• Unyango lweMisebe: Imisebe enamandla aphezulu isetyenziselwa ukutshabalalisa naziphi na iiseli zomhlaza ezinokuthi zihlale emva kotyando.
• I-Chemotherapy: La ngamayeza anamandla anikwa ukubulala iiseli zomhlaza ezisasazeke emzimbeni wonke. Anikwa ukunciphisa ithumba ngaphambi kotyando okanye ukubulala naziphi na iiseli eziseleyo emva koko.
• Unyango lweeHormone: Ukuba umhlaza uvakalelwa ziihomoni (HR+), kunikwa amayeza athintela ukusebenza kweehomoni ezifana ne-estrogen.
• Unyango Olujoliswe Kulo: La mayeza asebenza kwiindawo ezithile ezichaphazela ukukhula kweeseli zomhlaza.
• Unyango lwe-immunotherapy:Ivuselela inkqubo yomzimba yokuzikhusela, inceda ekuchongeni nasekutshabalaliseni iiseli zomhlaza.

Usenokunikwa olunye okanye indibaniselwano yale mithi. Olu nyango lunokubangela iziphumo ebezingalindelekanga. Kodwa ngoku kukho iindlela zokulawula uninzi lwazo. Ngoko ke ungoyiki ukuthetha ngayo ngokukhululekileyo nogqirha wakho.

Ngoku makhe sijonge iDuctal Carcinoma in Situ (DCIS)

I-DCIS, njengoko besitshilo ngaphambili, ngumhlaza ongangenisi ntsholongwane ongasasazekanga ngaphandle kwemibhobho yobisi. Eli linqanaba lokuqala lomhlaza, okanye umhlaza wesigaba 0 .

Iimpawu kunye nonyango lwe-DCIS

Uninzi lwabantu abane-DCIS abanazo iimpawu. Ihlala ifunyaniswa nge-mammogram. Ngamanye amaxesha, iimpawu ezinje ngeqhubu elisebeleni okanye ukuphuma kwegazi kwingono zinokubonakala.

Unyango oluphambili lwe-DCIS lutyando.

• Ukususwa kwethumba (ukususwa kwethumba kuphela) kudla ngokwenziwa kulandele unyango lwemitha .
• Kwezinye iimeko ezikhethekileyo (umz. ukuba i-DCIS isasazeke kulo lonke ibele), i-mastectomy (ukususwa kwebele lonke) ingafuneka.

I-chemotherapy ayisoloko iyimfuneko kwiimeko ze-DCIS.

Yintoni esinokuyenza ukunciphisa umngcipheko womhlaza?

Asinakutshintsha ezinye izinto ezinobungozi, ezifana nofuzo. Nangona kunjalo, ukutshintsha indlela esiphila ngayo kunokunciphisa umngcipheko womhlaza webele ngandlela ithile.

• Nciphisa utywala: Kungcono ukuphepha ukusela utywala.
• Gcina ubunzima obusempilweni: Ukutyeba kakhulu kuyingozi.
• Yiba ngumntu okhutheleyo: Zilolonge umzimba njengokuhamba okanye ukubaleka ubuncinane imizuzu eli-150 ngeveki.
• Kuphephe ukutshaya.
• Yitya ukutya okunesondlo: Zitya ukutya okutyebileyo kwimifuno neziqhamo.
• Ncancisa abantwana bakho ngebele: Kufunyaniswe ukuba ukuncancisa kunciphisa umngcipheko womhlaza webele.
• Landela icebiso likagqirha wakho: Thetha nogqirha wakho ngembali yomhlaza yentsapho yakho. Fumana uhlolo rhoqo olufana ne-mammograms.