Akukho maqhuqhuva esifubeni, kodwa sibomvu kwaye sidumbile? Funda ngalo mhlaza uyingozi (Umhlaza Webele Ovuvukileyo)

Uninzi lwethu lucinga ukuba umhlaza webele uhlala ulusu olusesifubeni. Kodwa ubusazi na ukuba kukho nohlobo oluyingozi kakhulu lomhlaza webele olungenazo iziqhuma, kodwa olusasazeka ngokukhawuleza? Ewe, yinyani. Oku kubizwa ngokuba 'ngumhlaza webele ovuthayo' okanye `(Umhlaza Webele Ovuthayo - IBC)`. Oku kunqabile kancinci, kodwa kukwanobundlongondlongo kakhulu. Yiyo loo nto ukuba nolwazi olupheleleyo ngale nto kubaluleke kakhulu ebomini bakho nakubomi babo bonke abantu obathandayo.

Ngoko ke, yintoni i-Inflammatory Breast Cancer (IBC)?

Ngamafutshane, olu luhlobo lomhlaza webele olukhula ngokukhawuleza kakhulu nolunobundlongondlongo. Ngokwesiqhelo, iiseli zomhlaza ziyahlangana ukuze zenze iqhuma. Kodwa apha, kwenzeka into eyahlukileyo. Apha, iiseli zomhlaza zivala imithambo ye-lymphatic ephantsi kolusu lwebele lakho. Cinga ngezi mithambo ye-lymphatic njengeenkqubo ezincinci zokukhupha amanzi emizimbeni yethu. Ezi zezo zisusa inkunkuma emizimbeni yethu. Ngoko ke, xa iiseli zomhlaza zihamba zivala ezi nkqubo zokukhupha amanzi, ulwelo lwe-lymph alukwazi ukuhamba kwaye lubambeke kwindawo enye.

Le yindlela eyenzeka ngayo ukudumba kwebele xa ulwelo lwe-lymph lubambeka kwindawo enye. Ngokuchanekileyo, kubonakala ngathi lusulelo lolusu. Yiyo loo nto abantu abaninzi belubhidanisa ekuqaleni. Ibele liba bomvu, lidumbe, lize live lishushu. Kodwa olu asilosulelo, yimeko embi kakhulu.

Eyona nto iyingozi ngalo mhlaza kukuba usasazeka ngokukhawuleza kangakanani. Ngale mijelo ye-lymphatic, iiseli zomhlaza zinokusasazeka ngokukhawuleza ziye kwizicubu ezikufutshane, ii-lymph nodes, nakwezinye izitho zomzimba. Ke ngoko, ukuba ubona ezi mpawu , ayilocebo lilungileyo ukulibazisa nangayiphi na indlela .

Ingaba iimpawu zoku zahlukile kweminye imihlaza yamabele?

Ewe, ngokuqinisekileyo. Umahluko ophambili nobaluleke kakhulu kukuba kwi-IBC, ngokuqhelekileyo akukho qhuma esifubeni . Endaweni yoko, kufuneka ujonge ezi mpawu zibonakala ngokukhawuleza, mhlawumbi kwiiveki ezimbalwa.

Makhe sijonge le theyibhile ingezantsi ukuze sibone ukuba zeziphi ezi mpawu. Ukuba unenye okanye ngaphezulu kwezi, musa ukuyityeshela.

Kutheni kusenzeka into efana nale? Zithini izizathu?

Enyanisweni, oogqirha abakafumani sizathu sithile salo mhlaza. Nangona kunjalo, bachonge ezinye izinto ezinokubangela umngcipheko.

Eyona nto iphambili ebangela umngcipheko kukutyeba kakhulu.Oko kuthetha ukuba ukuba i-Body Mass Index (BMI) yakho ingama-30 nangaphezulu, uphando lufumanise ukuba umngcipheko wakho wokufumana esi sifo unokwanda kancinci. Uphando olongezelelweyo luyenziwa ngale nto. Kukwaphandwa nokuba kukho ezinye izizathu zemfuza okanye zendalo.

Ugqirha uyibona njani le nto?

Xa usiya kugqirha oneempawu ozikhankanyileyo ngaphambili, into yokuqala aza kuyenza kukuhlola amabele akho ngononophelo. Baza kukubuza iinkcukacha ezininzi malunga neempawu zakho, njengokuba zaqala nini kwaye zanda ngokukhawuleza kangakanani.

Emva koko, uza kuthunyelwa kwiimvavanyo ezininzi ukuqinisekisa isifo.

• I-Mammogram: I-X-ray yebele. Oku kusetyenziswa ukujonga izinto ezinje ngokutyeba kwesikhumba kunye nokufakwa kwe-calcium engaqhelekanga (i-calcification).
• I-Ultrasound yebele: Oku kunokubona utshintsho kwizicubu zebele.
• I-Biopsy: Olu lolona vavanyo lubalulekileyo nolucacileyo . Kule meko, kuthathwa isampulu encinci yolusu kunye nezicwili ezisuka ebeleni lakho zithunyelwe kwilebhu ukuze zivavanyelwe iiseli zomhlaza.

Ukuba i-biopsy iqinisekisa ukuba kukho iiseli zomhlaza, baya kukhangela neeproteni ezithile (ii-receptors) kwezo seli. Olu lwazi luya kunceda ugqirha wakho ukuba akhethe unyango olulungele wena.

Uvavanyo lokujonga ukuba umhlaza usasazekile na

Ngenxa yokuba i-IBC luhlobo olukhula ngokukhawuleza, esi sifo sisenokuba sisasazeke nakwamanye amalungu omzimba ngexesha esifunyaniswa ngalo. Ngoko ke, kunokufuneka wenze uvavanyo oluthe kratya ukuze ubone ukuba umhlaza usasazeke kangakanani.

• I-CT scan: Ukubona ukuba umhlaza usasazeke kwizicubu ezithambileyo namathambo emzimbeni.
• I-MRI scan (MRI): Ukubona utshintsho kwizicubu zebele ngokucacileyo.
• I-PET scan: Uvavanyo olunobuzaza olusebenzisa iyeza elikhethekileyo ukukhangela iiseli zomhlaza ezisebenzayo naphi na emzimbeni.
• Ukuhlolwa kwamathambo: Ukujonga ukuba umhlaza usasazeke na emathanjeni.

Zithini iindlela zonyango zoku?

Ngenxa yokuba i-IBC ngumhlaza ohlaselayo, unyango kufuneka lube noluqatha kwaye lucwangciswe. Oogqirha badla ngokulandela isicwangciso sonyango esithatha inyathelo ngenyathelo. Injongo kukususa ngokupheleleyo umhlaza nokuthintela ukuba ungabuyi.

Isicwangciso sonyango sinokwahlulwa sibe ngamanqanaba amathathu aphambili:

1. Unyango lweNeoadjuvant:

Kule nto, into yokuqala eyenziwayo asikotyando. Into yokuqala eyenziwayo kukunika amayeza okunciphisa nokutshabalalisa iiseli zomhlaza. Oku kubizwa ngokuba yi-chemotherapy.Unyango lolona luphambili. I-Chemotherapy liyeza elinamandla elibulala iiseli ezahlulahlula ngokukhawuleza (ezifana neeseli zomhlaza). Ngamanye amaxesha amanye amayeza ajolise kwiiproteni ezithile kwiiseli zomhlaza nawo anokunikwa kunye nalo. Injongo yale nqanaba kukunciphisa umhlaza kangangoko kunokwenzeka ngaphambi kotyando, ukuze utyando lube yimpumelelo ngakumbi.

2. Utyando:

Emva kwechemotherapy, inyathelo elilandelayo lutyando. Kwi-IBC, unyango oluqhelekileyo yi -mastectomy, equka ukususwa kwebele lonke elinomhlaza. Kunye noku, ii-lymph nodes ezisekhwapheni nasezijikeleze ibele nazo ziyasuswa. Oku kungenxa yokuba umhlaza usasazeka kwezi lymph nodes kuqala.

3. Unyango oluncedisayo emva kotyando:

Emva kotyando, eli nqanaba lenzelwe ukutshabalalisa naziphi na iiseli zomhlaza eziseleyo kunye nokuthintela umhlaza ukuba ungabuyi. Oku kungabandakanya ezinye iindlela ezininzi ze-chemotherapy, unyango lwe-radiation , kunye nonyango lwe-endocrine. Unyango lwe-hormone lusebenza ngokuthintela ii-hormone ezinceda umhlaza ukuba ukhule.

Olu cwangciso lonyango lunokwahluka kumntu nomntu. Ugqirha wakho uza kufunda ngononophelo imeko yakho aze enze isicwangciso sonyango esifanelekileyo kuwe.

Ungahlala njani unamandla ngexesha lonyango?

Unyango lomhlaza ludinisa kakhulu umzimba nengqondo. Usenokuphelelwa ngumdla wokutya kwaye uzive udiniwe ngalo lonke ixesha. Kodwa kubaluleke kakhulu ukuhlala unamandla ngeli xesha.

• Yitya kakuhle: Yitya ukutya okunempilo nokunempilo kangangoko unako. Oku kuya kukunika amandla okumelana nemiphumo emibi yonyango.
• Ukuzilolonga okuthambileyo: Ukuzibandakanya kumthambo othambileyo, njengokuhamba kunye neyoga, kunokunceda ukunciphisa ukudinwa kunye nokuphumla kwengqondo.
• Unyango lokudambisa intlungu: Olu luluvo oluqhelekileyo olungachanekanga. Unyango lokudambisa intlungu akuthethi ukuyeka unyango. Luphathelele ukulawula iimpawu kunye neziphumo ebezingalindelekanga ezifana neentlungu, isicaphucaphu, kunye nokudinwa ngelixa ufumana unyango, kunye nokukunceda ugcine umgangatho wobomi obuhle. Buza ugqirha wakho ngale nto.

Okokugqibela, khathalela amabele akho.

Njengomfazi, uyazi ukuba amabele akho ayatshintsha ngokuhamba kwexesha. Kuqhelekile ukuba kubekho utshintsho emabeleni akho, njengentlungu nokudumba, ngexesha lokuya esikhathini, ngexesha lokukhulelwa, nangamaxesha ahlukeneyo.

Kodwa utshintsho olubangelwa yi-Inflammatory Breast Cancer (IBC) lwahluke ngokupheleleyo . Utshintsho luba ngesiquphe kwaye lukhawuleza. Ulusu lwebele luba namabala, lube ngathi lixolo loorenji, lube bomvu, kwaye ludumbe.

Isenokungabi yimeko enzima. Kodwa ukuba yi-IBC, ukuqala unyango kwangethuba kunokunyusa kakhulu amathuba akho okuthintela umhlaza ukuba ungasasazeki kwaye usindise ubomi bakho. Ugqirha wakho kunye neqela lokhathalelo lomhlaza baya kuchaza yonke into ekufuneka uyazi kwaye bakuncede uhambe kolu hambo. Ungoyiki ukubuza imibuzo nokuthetha ngoloyiko lwakho.