Ngaba wakha waziva iqhuma ebeleni lakho ngelixa ulihlola ngokwakho, okanye ngelixa uhlamba? Kuqhelekile ukuba uzive uloyiko olukhulu kunye nexhala xa uziva into efana naleyo. "Ingaba ngumhlaza lo?" ngumbuzo ohlala ufika engqondweni. Kodwa masithi kuqala ayizizo zonke iqhuma ebeleni ezingumhlaza. Enyanisweni, uninzi lwazo alunabungozi kwaye lunokuba yinto elula. Namhlanje sithetha nge-fibroadenoma, uhlobo lweqhuma oluxhaphakileyo phakathi kwabasetyhini, kodwa alunamhlaza.
Ngamafutshane, yintoni i-fibroadenoma?
I-fibroadenoma sisiqhuma esingenabungozi nesiqinileyo esikhula esifubeni. Ngokukodwa, senziwe ngomxube wezicubu ezinemicu kunye nezicubu ze-glandular esifubeni. La maqhuma adla ngokuba yingqukuva, athambile xa uwachukumisa, kwaye anokuhamba kancinci phantsi kolusu. Avakala ngathi yimabula encinci, egudileyo ngaphakathi esifubeni.
Into ebalulekileyo kukuba ii-fibroadenomas azingomhlaza. Ngaphandle kwakwiimeko ezingaqhelekanga nezingenakucingelwa, azibi ngumhlaza.
Kwiimeko ezininzi, la maqhuqhuva aya kuncipha ngokuhamba kwexesha ngaphandle konyango, okanye asenokunyamalala ngokupheleleyo. Ngamanye amaxesha, ugqirha wakho unokulijonga iqhuqhuva okwethutyana ukuze abone ukuba liyatshintsha na, okanye angacebisa ukuba lisuswe ngotyando ukuba kuyimfuneko.
Ngaba kukho iintlobo ze-fibroadenomas?
Ewe, kukho iintlobo ezininzi eziphambili. Masibone ukuba zeziphi.
| Uhlobo lwe-fibroadenoma | Izinto ekufuneka uzazi ngale nto |
|---|---|
| I-Fibroadenoma elula | Olu lolona hlobo luxhaphakileyo. Zihlala zincinci ngobukhulu. Okubaluleke kakhulu, ezi ntlobo zamaqhuqhuva azibangeli mngcipheko womhlaza wamabele. Xa zijongwa ngemakroskopu, iiseli ezikule thishu zifana kuyo yonke indawo, ziyafana. |
| I-Fibroadenoma eyinkimbinkimbi | Ezi zixhaphake kakhulu kubasetyhini abaneminyaka engaphezu kwama-35 ubudala. Zinokuba zikhulu kakhulu. Xa zijongwa ngemakroskopu, zinokubonisa utshintsho oluncinci kwiiseli. Ungabona ne-calcifications okanye i-cysts kwi-mammogram yakho. Olu hlobo lweqhuma lunokunyusa kancinci umngcipheko wakho wokuba nomhlaza webele xa kuthelekiswa nomntu ongenamaqhuma. Kodwa ayingomngcipheko omkhulu. |
| I-Fibroadenoma enkulu | Ezi luhlobo lwe-fibroadenoma olukhula lube ngaphezu kweesentimitha ezi-5. |
| I-Fibroadenoma yoButsha | Olu luhlobo olungaqhelekanga kakhulu olufumaneka kumantombazana aselula aphakathi kweminyaka eli-10 neli-18 ubudala. |
Ixhaphake kangakanani le meko?
Oku kuqheleke kakhulu. Iifibroadenoma zezona ziqhuma zingaqhelekanga emabeleni. Zixhaphake kakhulu phakathi kwabasetyhini abaneminyaka eli-15 ukuya kwengama-35 ubudala. Ngokwezifundo ezifunyenweyo, omnye kwabasetyhini abali-10 (10%) uya kuba ne-fibroadenoma enye ubuncinane ebomini bakhe.
Ziziphi iimpawu ze-fibroadenoma?
Ukuba une-fibroadenoma, unokufumana oku kulandelayo:
- Iqhuma eliqinileyo: Ezi azifani nee-cysts ezizaliswe lulwelo, kodwa ziqinile ngokwemvelo.
- Akukho ntlungu: Ezi zihlala zingenabuhlungu, kodwa ngamanye amaxesha ungaziva ubuhlungu obuncinci kunye nokuthamba kwiintsuku ezimbalwa ngaphambi kokuba uqale ukuya exesheni.
- Ishukuma lula: Ukuba uyicinezela ngeminwe yakho, uya kuyiva le ntlama ishukuma isiya phambili nangasemva phantsi kolusu.
- Ubume obuthambileyo nobufana nerabha: Xa ibanjwe esandleni, inobume obuthambileyo, maxa wambi ide ivakale ngathi yibhola yerabha.
- Imida ecacileyo: Imiphetho yeqhuma icacisiwe ngokucacileyo, nto leyo ethetha ukuba ayibonakali ngathi idibene nezicubu ezijikelezileyo.
La maqhuqhuva adla ngokukhula abe makhulu kakhulu. Ngamanye amaxesha awakhuli konke konke, kodwa ahlala enobukhulu obufanayo, kwaye anokuncipha ngokuhamba kwexesha. La maqhuqhuva asenokuncipha ngakumbi, ingakumbi ukuba usemncinci okanye usondele ekupheliseni ukuya exesheni. Nangona kunjalo, ngexesha lokukhulelwa, anokuba makhulu kancinci ngenxa yotshintsho lweehomoni.
Kutheni le nto ezi fibroadenomas zenzeka?
Oogqirha abakakwazi ukufumana unobangela oqinisekileyo woku, kodwa abaninzi bakholelwa ukuba kunxulumene nobuthathaka kwi-hormone ye-estrogen .
Khawucinge nje, xa amanqanaba e-estrogen emzimbeni wethu enyuka (umzekelo, ngexesha lokukhulelwa, xa uthatha unyango lweehomoni), la maqhuqhuva adla ngokukhula. Kwakhona, xa amanqanaba e-estrogen ehla emva kokuya exesheni, ayancipha. Kulapho ke ingcamango yolu nxibelelwano lweehomoni ivela khona.
Uyixilonga njani le nto? Zeziphi iimvavanyo eziza kwenziwa ngugqirha?
Ukuba ufumana iqhuma ebeleni lakho, eyona nto ilungileyo onokuyenza kukubona ugqirha ngokukhawuleza. Musa ukoyika, kodwa ngokuqinisekileyo kubalulekile ukuba ulihlole. Ugqirha wakho angakuhlola aze enze iimvavanyo ezifana nezi ukuze afumanise ukuba yintoni kanye kanye iqhuma elo.
1. Uvavanyo lwebele lweklinikhi: Okokuqala, ugqirha uza kuhlola ngokwasemzimbeni amabele akho omabini. Oku kuya kukunika umbono wobukhulu, imilo, kunye nokuhamba kweqhubu.
2. Iiskeni zeMifanekiso:
- I-Ultrasound Scan: Oku kusebenzisa amaza esandi ukudala umfanekiso ocacileyo weqhuma. Oku kunokunceda ekuqinisekiseni ukuba iqhuma liqinile okanye liyi-cyst egcwele ulwelo.
- I-Mammogram: Olu luvavanyo lwe-X-ray lwamabele. Ludla ngokucetyiswa kubafazi abangaphezu kweminyaka engama-35-40 ubudala.
3. I-Biopsy (I-image-guided core needle biopsy): Abanye abantu bayoyika xa besiva igama elithi "biopsy," kodwa kulula kakhulu. Bajonga iqhuma kwi-scan, bafake inaliti encinci kakhulu kuyo, baze bathathe iqhekeza elincinci lethishu. Emva koko lithunyelwa kwilabhoratri ukuze livavanywe ukuze kubonwe ukuba loluphi uhlobo lweeseli oluqulathe lona. Oku kunokukuxelela ngokuqinisekileyo ukuba yi-fibroadenoma okanye enye into.
Zinyangwa njani ii-fibroadenomas? Ngaba kufuneka zisuswe?
Unyango loku luxhomekeke kwiminyaka yakho, ubungakanani beqhuma, iimpawu zakho, kunye neziphumo zengxelo ye-biopsy.
- Ukubeka esweni: Ukuba i-biopsy iqinisekisa ukuba ayisiyongozi, yi-fibroadenoma elula, kwaye ayikubangeli ngxaki (njengentlungu), ugqirha wakho uya kuthi rhoqo:"Masibukele oku okwethutyana." Oko kuthetha ukuba kufuneka uze kuhlolwa rhoqo emva kweenyanga ezi-3-6. Ngelo xesha, ugqirha uza kuyihlola ngesandla, kwaye ukuba kuyimfuneko, enze iskeni ukuze abone ukuba kukho utshintsho kubungakanani beqhuma. Uninzi lwexesha, ezi ziya kuncipha zodwa, ngoko ke utyando alufuneki.
- Ukususwa kwesikhumba ngotyando: Kwezinye iimeko, ugqirha wakho unokucebisa ukususwa kwesikhumba ngotyando ngenxa yezi zizathu zilandelayo:
- Ukuba ingxelo ye-biopsy ibonisa iimpawu ze-"complex fibroadenoma".
- Ukuba iqhuma likhulu ngobukhulu (umz. lingaphezulu kwe-3-4 cm).
- Ukuba oko kukubangela intlungu okanye ukungakhululeki.
- Ukuba iqhuma liyaqhubeka nokukhula ngokukhawuleza.
- Ukuba unayo nayiphi na inkxalabo okanye uloyiko malunga noku.
Olu tyando lulula kakhulu. Kwenziwa ukusika okuncinci kwaye kususwa iqhuma kuphela.
- I-Cryoablation: Le yindlela entsha yonyango. Kule ndlela, kusetyenziswa isixhobo esincinci ukukhenkceza nokutshabalalisa ithumba. Nangona kunjalo, le ndlela ayisetyenziswa rhoqo eSri Lanka.
Eyona nto ibalulekileyo kukuba isigqibo sokususa i-fibroadenoma yinto wena nogqirha wakho enifanele niyenze kunye. Musa ukoyika ukubuza ugqirha wakho nayiphi na imibuzo eninayo.
Yeyiphi imibuzo omele uyibuze ugqirha wakho?
Xa sisiya kugqirha, ngamanye amaxesha siyalibala into esifuna ukuyibuza. Ngoko ke licebo elihle ukubhala phantsi imibuzo efana nale.
- Luhlobo luni lweqhubu endinalo?
- Yeyiphi indlela engcono yonyango kum? Ngaba kufuneka ndiyisuse le nto?
- Kuza kwenzeka ntoni ukuba eli qhuma alisuswa?
- Ngaba oku kuya kwandisa umngcipheko wokuba nomhlaza webele kwixesha elizayo?
- Kufuneka ndenze uvavanyo kangaphi (njengovavanyo lwe-mammogram)?
- Ngaba kukho ezinye izinto ezikhethekileyo ekufuneka ndizinyamekele ngamabele am?
| Ixesha lokubona ugqirha ngoko nangoko | |
|---|---|
| Ukuba ubona iqhuma elitsha | Ukuba uziva iqhuma elitsha elalingekho ngaphambili, kufuneka ulihlole. |
| Ukuba iqhuma elikhoyo liyatshintsha | Ukuba iqhuma liyakhula, litshintsha imo, okanye libangela iintlungu ezazingekho ngaphambili. |
| Ezinye iinguqu zebele | Ukuphuma kwencindi yengono, i-inversion nipple, ukutshintsha kombala wesikhumba, ulusu olunexolo eli-orenji, okanye irhashalala yesikhumba. |
Ngaba i-fibroadenomas ingathintelwa?
Ngelishwa, akukho ndlela iqinisekileyo yokuthintela ukukhula kwe-fibroadenomas, njengoko zinxulumene nomsebenzi wehomoni. Nangona kunjalo, ungayinyamekela impilo iyonke yamabele akho, nto leyo enokunciphisa nomngcipheko wakho wokuba nomhlaza wamabele.
- Zihlole rhoqo amabele akho: Jonga amabele akho ubuncinane kanye ngenyanga. Oku kuya kukunika umbono olungileyo ngemeko ngokubanzi yamabele akho kwaye kukuncede uchonge naluphi na utshintsho olutsha ngokukhawuleza.
- Indlela yokuphila enempilo: Ukutya ukutya okunesondlo, ukuzilolonga rhoqo, ukulawula ubunzima bakho, kunye nokuphepha utywala nokutshaya konke kulungile kwimpilo iyonke kunye nempilo yamabele.
- Ukuhlolwa rhoqo kwezonyango: Fumana iimvavanyo ezifana neemammograms ngamaxesha athile acetywayo ngugqirha wakho ngokusekelwe kwiminyaka yakho kunye nomngcipheko wakho.
Umyalezo Wokuya Ekhaya
- I-Fibroadenoma liqhuma elixhaphakileyo, elingenamhlaza (elingenobungozi) elenzeka ebeleni.
- Kuqhelekile ukuba noloyiko xa ufumana iqhuma ebeleni lakho. Kodwa ayizizo zonke iqhuma ezinomhlaza.
- Ezi ziqhuma zihlala zingenabuhlungu, zigudile, kwaye zihamba zibuyela umva phantsi kolusu.
- Uninzi lwee-fibroadenomas azidingi nyango. Zisenokuncipha zodwa ngokuhamba kwexesha.
- Ukuba ubona iqhuma elitsha okanye ubona utshintsho kwiqhuma elikhoyo, bona ugqirha ngoko nangoko. Yeyona nto ikhuselekileyo neyona ilungileyo onokuyenza.
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