Ngaba unamaqhuma anje emabeleni akho? Masithethe nge (Intraductal Papilloma)!

Ngaba wakha waphawula into engaqhelekanga, njengeqhuma elincinci ebeleni lakho, okanye uphawule into efana nolwelo oluphuma kwingono yakho waza wakhathazeka kancinci? Xa oko kusenzeka, sicinga ngazo zonke iintlobo zezinto, akunjalo? Kodwa asikuko konke ukuqhuma okanye utshintsho oluyingozi njengomhlaza. Namhlanje siza kuthetha ngemeko eyenzeka emabeleni, kodwa ingenguwo umhlaza, kodwa kufanelekile ukuyiqwalasela. Leyo yimeko ebizwa ngokuba yi-`(Intraductal Papilloma)`. Igama lisenokuvakala lingaqhelekanga xa uliva, kodwa masilichaze ngokulula.

Yintoni le (Intraductal Papilloma)? Ngamafutshane nje...

Ngamafutshane, i-Intraductal Papilloma lukhula olungenabungozi olwenzeka ngaphakathi kwimibhobho yobisi emabeleni akho. Khawuthelekelele, amabele ethu anenkqubo yeetyhubhu ezincinci ezivelisa ubisi zize ziluthwale ziye kwi-nipple, akunjalo? Ezi tyhubhu, oko kukuthi, imibhobho yobisi, kulapho ezi hluma khona. Igama elithi "Papilloma" lithetha ukukhula okufana ne-wart. Ezi zenziwe luhlobo lweseli olubizwa ngokuba yi-"Epithelial cells." Ezi "Epithelial cells" luhlobo lweseli olugubungela ingaphakathi nengaphandle kwemizimba yethu. Igama elithi "Intraductal" lithetha "ngaphakathi kwi-duct" (ngaphakathi - ngaphakathi, i-ductal - enxulumene ne-duct). Ngoko ke, konke oku kudibene, i-Intraductal Papilloma lukhula olungenabungozi olwenzeka ngaphakathi kwimibhobho yobisi, njenge-wart.

Into ebalulekileyo kukuba eli qhuma libizwa ngokuba yi-``Intraductal Papilloma`` alinamhlaza (alinabungozi). Nangona kunjalo, ugqirha wakho uza kulihlola eli qhuma ukuqinisekisa ukuba alinazo iiseli ezingaqhelekanga ezinokuba ngumhlaza. Ngoko ke kubaluleke kakhulu ukuqaphela oku.

Ngaba kukho iintlobo zale (Intraductal Papilloma)?

Ewe, kukho iintlobo ezimbini eziphambili:

1. I-papilloma yodwa:

• Olu lolona hlobo luxhaphakileyo. Njengoko igama lisitsho, luvela njengeqhubu elinye.
• Oku kudla ngokuvela kwimibhobho emikhulu yobisi ekufutshane nengono yakho.
• Xa iqhuma likhula kancinci, ungaliva ngasemva okanye kufutshane nengono, njengeqhuma elincinci.
• Iindaba ezimnandi zezokuba olu hlobo lwe-papilloma alunyusi umngcipheko wokuba nomhlaza webele ubomi bakho bonke.

2. Iipapillomas ezininzi okanye iPapillomatosis:

• Kolu hlobo, kuvela amaqhuma angaphezu kwelinye.
• Ezi zenzeka kwimibhobho yobisi emincinci ekufutshane kancinci nengono.
• Abantu abanale hlobo banokuba nomngcipheko okhulayo wokuba nomhlaza webele ubomi babo bonke. Kodwa ungakhathazeki, ugqirha wakho uza kukuchazela ngakumbi malunga nokuba oku kuthetha ukuthini.
• Kuphela malunga ne-10% yee-papillomas ezichongiweyo ezikweli hlobo, ezibizwa ngokuba yi-"Papillomatosis." Oko kuthetha ukuba ayiqhelekanga kangako.

Ixhaphake kangakanani i-Intraductal Papilloma?

Iipapillomas zangaphakathi kwesisu zenza malunga ne-10% yezilonda zamabele ezingengozini. Uninzi lwazo lubonwa njengeepapillomas zodwa. Ngoko ke, le ayisiyongxaki ingaqhelekanga.

Zithini iimpawu zale meko? Sizazi njani?

Ayizizo zonke ii-papillomas ezibangela iimpawu. Ngamanye amaxesha, ugqirha ufumana iqhuma elingaqhelekanga xa uvavanywa, njenge-mammogram, ngesinye isizathu. Usenokungazi nokuba kunjalo ngelo xesha.

Nangona kunjalo, ezinye ii-papillomas zinokubangela utshintsho emabeleni. Lumka ngeempawu ezifana nezi:

• Ukuphuma kwegazi okanye okucacileyo kwingono: Oku kudla ngokuchaphazela ibele elinye kuphela. Ukuba uqaphela oku kwenzeka ngequbuliso, ungoyiki kwaye ubone ugqirha.
• Iqhuma elincinci elivakele emva kwengono: Eli qhuma lisenokuba buhlungu okanye lingabi buhlungu.
• Ukuva iintlungu okanye ukungakhululeki kwindawo enye yebele: Ukuba uneentlungu ezingapheliyo kwindawo enye, yazi loo nto.

Ukuba unayo nayiphi na kwezi mpawu, ngokuqinisekileyo funa ingcebiso kagqirha. Yiyo loo nto ilungileyo onokuyenza. Kubaluleke kakhulu ukubona ugqirha uze ufumane ingcebiso efanelekileyo kunokukhangela nje ulwazi kwi-intanethi.

Yintoni ebangela i-Intraductal Papilloma?

I-Intraductal Papilloma ibangelwa kukukhula kakhulu kweeseli ze-epithelial kwimibhobho yobisi, esixoxe ngayo ngaphambili. Kufana nesityalo esikhula ngokukhawuleza kakhulu. Nangona kunjalo, iingcali azikayazi kakuhle ukuba kutheni ezi seli zikhula ngokukhawuleza kangaka. Uphando lusaqhubeka.

Abanye abantu, xa besiva igama elithi "papilloma", bacinga ukuba linento yokwenza nentsholongwane ethi `(Human Papillomavirus - HPV)`. Kodwa akukho nxibelelwano lunjalo. Liyinyaniso elokuba ezinye iintlobo zentsholongwane yeHPV ezinobungozi obukhulu ziyandisa umngcipheko wokufumana iintlobo ezahlukeneyo zomhlaza. Nangona kunjalo, usulelo lweHPV alubangeli `(Intraductal Papilloma)`, kwaye alunyusi umngcipheko. Kungcono ukungazidibanisi zombini, akunjalo?

Ziziphi izinto ezibangela umngcipheko ezichaphazela oku?

Uphando lusaqhubeka ukuze kuchongwe ukuba zeziphi izinto ezibangela umngcipheko ezinegalelo ekuphuhlisweni kwe-`(Intraductal Papilloma).` Okwaziwayo okwangoku kukuba oku kulandelayo kunokunyusa umngcipheko wakho wokuba nale meko:

• Ubudala: Ukuba uphakathi kweminyaka engama-35 ukuya kwengama-55 ubudala, unamathuba amaninzi okuba ne-Intraductal Papilloma. Uninzi lwabantu abafunyaniswe ukuba bane-perimenopause. Nangona kunjalo, abo bane-multiple papillomas basenokuba bancinci kunabo bane-papilloma enye.
• Ukubonakaliswa kwi-hormone ye-estrogen:Umngcipheko wakho unokwanda ukuba ukhe wachaphazeleka yi-hormone `(Oestrogen)` ebomini bakho bonke. Umzekelo, ukufikisa kwangethuba, ukuya exesheni kade, kunye nokungabi nabantwana kwandisa ixesha umzimba wakho ochaphazeleka yi-`(Oestrogen)`. Kwakhona, ukusebenzisa iipilisi zokulawula ukuzala ezine-`(Oestrogen)` yingxaki.
• Imbali yosapho: Ukuba umntu kusapho lwakho ukhe waba nomhlaza webele, usemngciphekweni omkhulu wokuba nomhlaza webele. Oku kunokunyusa umngcipheko wakho wokuba nezifo zebele ezingezizo ezomhlaza ezifana ne-intraductal papilloma.

Ngaba i-Intraductal Papilloma iyandisa umngcipheko womhlaza?

Le yeyona ngxaki inkulu kubantu abaninzi. Njengoko bekutshiwo ngaphambili, i-Intraductal Papilloma ayingomhlaza. Nangona kunjalo, oogqirha bakhathazekile ngala maqhuqhuva kuba athathwa njenge "lesion enobungozi obuphezulu." Oku kuthetha ukuba ngamanye amaxesha oogqirha banokufumana iiseli ezinokuba ngumhlaza (ezinobungozi) ngaphakathi okanye kufutshane ne-papilloma.

Kodwa oku kuyenzeka rhoqo. Oogqirha ngamanye amaxesha banokubona izinto ezinje:

• Iiseli ezingaqhelekanga, okanye i-Atypical Ductal Hyperplasia (ADH): Kulapho iiseli ezikwimibhobho yakho yobisi zahlukana ngokukhawuleza kwaye zikhule ngendlela engaqhelekanga. Ezi seli zinokuguquka kamva zibe ziiseli zomhlaza. Nangona kunjalo, yipesenti encinci kakhulu, malunga ne-3%, yee-Intraductal Papillomas ezikhula zibe yi-ADH.
• I-Ductal Carcinoma In Situ (DCIS): I-DCIS ngumhlaza ongangenisi okanye ongaphambi kokungena. Oku kuthetha ukuba ayisasazeki ngaphaya kwemibhobho yobisi njengezinye iintlobo zomhlaza. I-DCIS yipesenti encinci nangakumbi, malunga ne-2.5%, yee-intraductal papillomas.

Abantu abanee-papillomas ezininzi banamathuba amaninzi okuba nezi seli zingaqhelekanga kunabo banee-papillomas zodwa. Ii-papillomas ezininzi zikwanyusa kancinci umngcipheko wokuba nomhlaza webele ngokuhamba kwexesha. Abaphandi basaphanda izizathu zoku.

Kodwa eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba zombini i-ADH kunye ne-DCIS ziyanyangeka ngokupheleleyo. Ngoko ke ukuba zifunyenwe kwangethuba, akukho nto inokubangela ukukhathazeka ngayo.

I-Intraductal Papilloma ifunyanwa njani?

Eyona ndlela yokwazi ngokuqinisekileyo ukuba une-Intraductal Papilloma kukwenza i-biopsy yebele . Kwi-biopsy, ugqirha wakho ususa yonke okanye inxalenye yeqhubu aze alithumele kwilebhu. Apho, ingcali yezifo iyalihlola ukuze ibone ukuba kukho iiseli ezingaqhelekanga na.

Izifundo zemifanekiso eqhelekileyo ezifana ne-mammogram, i-ultrasound, okanye i-magnetic resonance imaging (MRI) zinokubonisa ukukhula okungaqhelekanga. Nangona kunjalo, akunakwenzeka ukutsho ngokuqinisekileyo ukuba iqhuma liyi-papilloma ngaphandle kwe-biopsy.

Umzekelo, i-Intraductal Papilloma ingabonakala njenge-mass, i-nodule, okanye i-calcifications kwi-mammogram. Ezi mpawu zinokubonakala kwiintlobo ezininzi zamaqhuma amabele, omabini anomhlaza kunye nalawo angengomhlaza.

Ngoko ke, ukuze axilonge ngokuchanekileyo i-Intraductal Papilloma, ugqirha kufuneka ahlole ngqo izicubu.

Uziphatha njani ezi ntlobo zamaqhuma emabeleni?

Unyango lwe-`(Intraductal Papilloma)` luxhomekeke kwizinto ezininzi, ezifana nenani lamaqhuma onawo, nokuba aqulethe iiseli ezingaqhelekanga, iimpawu zakho, ubungakanani beqhuma, kunye nomngcipheko wakho wokuba nomhlaza webele.

• Ii-papillomas ezizimeleyo: Ukuba ezi zineeseli ezingaqhelekanga okanye zibangela iimpawu, kunokufuneka zisuswe. Ubungakanani beqhuma kunye nomngcipheko wakho womhlaza webele kuya kuchaphazela nokuba utyando luyadingeka na. Ngamanye amaxesha, oogqirha bagqiba ekubeni bajonge ii-papillomas ezizimeleyo nge-x-ray.
• Iipapillomas ezininzi: Ezi kufuneka zisuswe kuba, nangona zingengomhlaza, zinethuba elikhulu lokufumana utshintsho ngaphambi kokuba zibe nomhlaza.

Ngaba zonke ii-papillomas zangaphakathi kwe-ductal kufuneka zisuswe?

Ugqirha wakho ngamanye amaxesha unokucebisa ukuba kujongwe ii-papillomas ezincinci, ezingenazimpawu, kunye nee-papillomas ezizodwa. Nangona kunjalo, uninzi lwee-papillomas ezingaphakathi kwe-ductal kuya kufuneka zisuswe.

Kukho iindlela ezininzi zokususa ii-papillomas:

• Ukususwa kwe-vacuum-assisted excision (VAE): Oku kuquka ukususa iqhuma kusetyenziswa inaliti encinci eqhagamshelwe kwisixhobo sokufunxa .
• I-Excisional breast biopsy (ekwaziwa ngokuba yiLumpectomy): Kolu tyando, iqhuma kunye nendawo encinci yezicubu eziphilileyo ezijikeleze lona (umda) ziyasuswa ukuqinisekisa ukuba akukho ziseli ezingaqhelekanga ezishiyekileyo.
• Ukususwa kwebele: Ukuba une-papillomas ezininzi kwaye usemngciphekweni omkhulu wokuba nomhlaza webele, kunokufuneka ukuba ususwe lonke ibele (i-mastectomy). Nangona kunjalo, oku kunqabile kakhulu kwaye kwenziwa kuphela kwiimeko ezikhethekileyo.

Ngokusekelwe kwingxelo yakho ye-biopsy, ugqirha wakho uza kukuchazela ukuba zeziphi iindlela zonyango ezifanelekileyo kuwe.

Ingakanani ingozi ye-Intraductal Papilloma?

Kwakhona, i-Intraductal Papilloma ayingomhlaza. Nangona kunjalo, kwiimeko ezingaqhelekanga, la maqhuqhuva anokuba neeseli ezingaqhelekanga ezinokufuna unyango. Ukuba unee-papillomas ezininzi, umngcipheko wakho wokuba nomhlaza unokunyuka kancinci ebomini bakho. Oku kuthetha ukuba unokufuna ukujongwa rhoqo ukuba unomhlaza.

Iindaba ezimnandi zezokuba ezi seli zingaqhelekanga, okanye iiseli ezingaphambi komhlaza, zinokuthintelwa ukuba zingabikho ngonyango oluzisusayo. Kwaye nokuba uneeseli ezingaqhelekanga, utyando lunokuzithintela ekubeni zibe ngumhlaza. Ngoko ke ungakhathazeki.

Ngaba ukwakheka kwee-papillomas kungathintelwa?

Ngelishwa, akukho ndlela yokuthintela ukuphuhliswa kwe-`(Intraductal Papilloma).` Nangona kunjalo, ngokwenza uvavanyo lomhlaza webele rhoqo, ugqirha wakho unokujonga impilo yebele lakho. Kukwanceda kakhulu ukubona ugqirha ukuze akunike iingcebiso ngokukhawuleza nje ukuba ubona naluphi na utshintsho emabeleni akho.

Ukuba utshintsho lufunyenwe kwangethuba kwaye kufunyenwe unyango olufanelekileyo, izifo zamabele ezingezizo ezomhlaza zinokuthintelwa ekubeni zingabi ngumhlaza.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba ufunyaniswa ukuba une-Intraductal Papilloma, qiniseka ukuba ubuza ugqirha wakho le mibuzo:

• Zingaphi iingqumba endinazo?
• Ziziphi iinkqubo zokuthatha imifanekiso ekufuneka ndizenze ukuze ndifumane zonke ii-papillomas?
• Zithetha ukuthini iziphumo zengxelo yam ethi `(Biopsy)`?
• Ngaba ndisengozini enkulu yokuba nomhlaza webele?
• Ngaba ndiza kufuna utyando okanye olunye unyango lokususa le papilloma?
• Kuza kufuneka ndihlolwe umhlaza webele kangaphi emva konyango?

Ukongeza kule mibuzo, thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na into oyicingayo, naluphi na uloyiko, okanye amathandabuzo onawo. Kulapho ke kuphela apho uya kukwazi ukuqonda ngokucacileyo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ii-intraductal papillomas azinazo ii-grows ezingezizo ii-cancer. Nangona kunjalo, ukuba une-papillomas enye okanye ezingaphezulu, kuya kufuneka unyango okanye uqwalaselwe rhoqo. Uninzi lwee-intraductal papillomas azibi ngumhlaza, kodwa azinakukhula zibe ziiseli ezingaqhelekanga. Iziphumo ze-biopsy yakho, inani lee-papillomas onazo, kunye nomngcipheko wakho wokufumana umhlaza webele ebomini bakho bonke ziya kugqiba iindlela onokukhetha kuzo unyango.

Ngoko ke, ukuba ubona naluphi na utshintsho emabeleni akho, musa ukulutyeshela. Bonana nogqirha ngoko nangoko. Ukufumanisa kwangethuba yeyona ndlela ilungileyo yokuphola. Ugqirha wakho uza kukunika icebiso nonyango olungcono. Ungakhathazeki, awuwedwa!

I- Intraductal Papilloma, Amaqhuma Esifuba, Ukukhupha I-Nipple Discharge, Impilo Yesifuba, Amaqhuma Angengomhlaza, Impilo Yabasetyhini, I-Biopsy