Xa sicinga 'ngomhlaza webele', sihlala sicinga ngeqhuma elisebeleni, akunjalo? Kodwa ubusazi ukuba ayizizo zonke iincukuthu zebele eziphuma njengeqhuma? Namhlanje, siza kuthetha ngohlobo lomhlaza oluziphatha ngendlela eyahlukileyo, olusasazeka ngokufihlakeleyo emzimbeni. Oku kubizwa ngokuba yi-Invasive Lobular Carcinoma, okanye (ILC) ngamafutshane.
Ngamafutshane, yintoni i-Invasive Lobular Carcinoma (ILC)?
Kulungile, masiyibeke ngolu hlobo. Amabele akho anee-gland ezivelisa ubisi. Oogqirha babiza ezi "ii-lobules." Olu hlobo lomhlaza luqala kwezi gland zivelisa ubisi.
Ngokungafaniyo nezinye iintlobo zomhlaza webele, ezi seli zomhlaza ze-ILC, endaweni yokuba zihlangane zenze ithumba, zisasazeka kwizicubu zebele ngemigca yeeseli ezahlukeneyo . Cinga ngayo njengomgca weembovane. Yiyo loo nto ithumba lisasazeka ngale ndlela.
I-ILC ibandakanya malunga ne-10% ukuya kwi-15% yomhlaza wamabele. Olu hlobo lomhlaza ludla ngokukhuthazwa yi-hormone yabasetyhini i-estrogen. Ikwangumhlaza okhula kancinci . Unokubakho iminyaka ngaphambi kokuba ube nazo naziphi na iimpawu okanye ufunyanwe yi-mammogram. Njengeminye imidla yomhlaza, i-ILC inokusasazeka kwizicubu zamabele okanye kwezinye iindawo zomzimba.
Ukuba akukho thumba, uzazi njani iimpawu zalo mhlaza?
Le yeyona nto ibalulekileyo. Ekubeni umhlaza we-ILC ungenzi iqhuma, kufuneka ulumke kakhulu ngezinye iinguqu ezingabonakaliyo ebeleni. Usenokungaziboni naziphi na iinguqu kwizigaba zokuqala. Kodwa njengoko umhlaza uqhubeka, ezi mpawu zinokuvela.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukuqina okanye utshintsho eluswini lwebele | Ulusu olukwenye indawo yebele lusenokuvakala lutyebile kunesiqhelo. Kusenokubakho amaqhuqhuva, abonakala ngathi lusu olukwixolo loorenji. |
| Ukudumba okanye ukugcwala kwamabele | Nokuba iqhuma liphelile, icala elinye okanye inxalenye yebele isenokuvakala ngathi idumbile okanye igcwele ngaphezu kwesiqhelo. Kunokubakho utshintsho kwimo okanye ubungakanani bebele. |
| Ingono eguqulweyo | Ingono edla ngokuba ngaphandle ibonakala ngathi ingena ngaphakathi. |
| Iqhuma ekhwapheni | Nokuba awunaqhuma ebeleni lakho, usenokuliva iqhuma ekhwapheni lakho. |
| Intlungu yebele okanye ubushushu | Usenokuva iintlungu zebele okanye ukufudumala xa uzichukumisa ngaphandle kwesizathu esithile. |
| Ukukhupha ingono | Naluphi na uhlobo lokukhupha amanzi (ingakumbi igazi) kwingono, ngaphandle kokuba ungumama oncancisayo. |
Eyona nto ibalulekileyo kukuba akukho mntu wazi amabele akho ngaphezu kwakho, ngoko ke ukuba ubona notshintsho oluncinci, musa ukulutyeshela.
Ziziphi izinto ezibangela umhlaza?
Njengakuyo nayiphi na imhlaza, kunzima ukutsho ngqo ukuba yintoni ebangela lo mhlaza. Lutshintsho lwemfuza olubangela ukuba iiseli eziphilileyo zibe ngumhlaza. Kodwa abaphandi bafumanise izinto ezininzi ezonyusa umngcipheko wokuba ne-ILC.
- Ukuba uneminyaka engaphezu kwama-55 ubudala.
- Ukuba nomntwana wakho wokuqala emva kweminyaka engama-30 okanye ukungabi nabantwana.
- Ndikhe ndanomhlaza webele ngaphambili.
- Ukuba nelungu losapho (ingakumbi umama, udade, intombi) elinomhlaza webele okanye umhlaza wesibeleko.
- Ukuba nemeko ebizwa ngokuba yiLobular Carcinoma In Situ (LCIS): Lo asingomhlaza, kodwa lutshintsho lweseli olunyusa umngcipheko wokuba nomhlaza kwixesha elizayo.
- Ezinye iinguqu zemfuza zizuzwa njengelifa.
- Ukufikisa ngaphambi kokuba ufikelele kwiminyaka eli-12 ubudala.
- Ukuya exesheni kwenzeka emva kweminyaka engama-55 ubudala.
- Ukuthatha unyango lweehomoni kwiimpawu ezenzeka emva kokuya exesheni.
Ziziphi iingxaki ezithile ze-ILC?
Kukho iingxaki ezimbini ezahlukeneyo zomhlaza we-ILC ezifuna ingqalelo ekhethekileyo.
1. Isasazeka kwiindawo ezingaqhelekanga emzimbeni: Ezinye iintlobo zomhlaza wamabele zihlala zisasazeka ziye engqondweni, emathanjeni, esibindini, nasemiphungeni. Umhlaza we-ILC ungasasazeka nakwezo ndawo. Kodwa ukongeza, ungasasazeka nakwiindawo ezingaqhelekanga apho umhlaza ungasasazeki khona.
- Inkqubo yokugaya ukutya (amathumbu, isisu)
- Inkqubo yokuzala yabasetyhini (amaqanda, isibeleko)
- Ulwelo lwangaphakathi lwesisu (i-peritoneum)
- Izigqubuthelo ezijikeleze ingqondo kunye nomqolo (Leptomeninges)
- Izicubu ezijikeleze iliso
2. Ukuphinda-phinda emva kwexesha lonyango: Le yeyona nto iyingozi kakhulu ngalo mhlaza. Nokuba emva konyango kwaye ucinga ukuba unyangiwe, umhlaza ungaphinda ubuye kwindawo ekude yomzimba nokuba emva kwexesha leminyaka eli-10 ukuya kweli-15 . Oku sikubiza ngokuba yi-`(Metastatic Invasive Lobular Carcinoma)`.
Oogqirha bayifumana njani le nto?
Xa ubona ugqirha malunga neqhuma lebele, uza kuqala akubuze ngeempawu zakho aze ahlole ibele lakho kunye nekhwapha lakho. Ekubeni i-ILC ingeloqhuma, isenokungabonwa ngovavanyo oluqhelekileyo. Ke ngoko, ungathunyelwa kuvavanyo olufana nolu.
- I-Mammogram: I-X-ray yebele. Nangona kunjalo, ngenxa yendlela umhlaza we-ILC osasazeka ngayo, ngamanye amaxesha awunakubonwa ngokucacileyo kwi-mammogram.
- I-Ultrasound yebele: Oku kunceda ekujongeni indawo ethile yebele.
- I-MRI yebele: Oku kunokuvelisa imifanekiso ecacileyo neneenkcukacha zezicubu zebele. I-MRI ibaluleke kakhulu ekufumaneni umhlaza okunzima ukuwubona njenge-ILC.
Ukuba kukho nakuphi na ukuthandabuza okuvela kwezi mvavanyo, inyathelo elilandelayo yi -biopsy . Oku kuthetha ukuba iqhekeza elincinci kakhulu lesicubu lithathwa ebeleni phantsi kwe-anesthesia lize lihlolwe phantsi kwe-microscope. Yile biopsy kuphela enokuqinisekisa i-100% ukuba kukho iiseli zomhlaza okanye azikho.
Amanqanaba omhlaza
Xa i-biopsy iqinisekisa ukuba ingumhlaza, ubungakanani bomhlaza buyachongwa kwaye inqanaba lawo liyachongwa. Unyango lucwangcisiwe ngokweli nqanaba.
| Iqonga | Inkcazo |
|---|---|
| Inqanaba loku-1 | Umhlaza ungaphantsi kweesentimitha ezi-2. Usenokuba usasazeke kwiindawo ze-lymph ezikufutshane okanye usenokuba awusekho. |
| Isigaba II | Umhlaza uphakathi kweesentimitha ezi-2-5 ngobukhulu kwaye usasazeke kwiindawo ze-lymph ezikufutshane. Okanye mkhulu kuneesentimitha ezi-5 kodwa awusasazeki kwiindawo ze-lymph. |
| Inqanaba lesi-3 | Umhlaza usasazeke kwiindawo ezininzi ze-lymph emabeleni nakwiindawo ezikufutshane ze-lymph. |
| Inqanaba lesi-4 | Umhlaza usasazeke kwiindawo ezikude emzimbeni, ezifana nemiphunga, isibindi, okanye amathambo. (I-Metastatic) |
Ziziphi iindlela zonyango ze-ILC?
Ugqirha wakho uza kuqwalasela izinto ezininzi, kuquka inqanaba lomhlaza wakho, nokuba unesifo esibangelwa ziihormone (ER+), kunye nempilo yakho iyonke, ukuze enze isicwangciso sonyango esikulungeleyo. Oku kunokuquka unyango olunye okanye indibaniselwano.
- Utyando: Ukususwa kwenxalenye yebele okanye lonke ibele elineeseli zomhlaza.
- Unyango lweKhemotherapy: Ukunika amayeza anamandla okubulala iiseli zomhlaza. Inganikwa ngaphambi okanye emva kotyando.
- Unyango lweMisebe: Ukusetyenziswa kwemitha enamandla aphezulu ukutshabalalisa naziphi na iiseli zomhlaza ezinokuthi zihlale emva kotyando.
- Unyango lweeHormone: Ukuba umhlaza unesifo se-estrogen (ER+), kunikwa amayeza athintela ukusebenza kwezo hormone.
- Unyango Olujoliswe Kulo: Amayeza ajolise kutshintsho oluthile lwemfuza oluchaphazela ukukhula kweeseli zomhlaza.
Ixesha lokuchacha emva konyango liyahluka ukusuka kumntu ukuya komnye kwaye kuxhomekeke kunyango olufumanayo. Thetha nogqirha wakho ngale nto ngokukhululekileyo.
Zithini amathuba okuphila nesi sifo?
Sonke siyoyika xa sisiva igama elithi umhlaza. Kodwa kubalulekile ukuzazi ezi zinto. La "mazinga okusinda" yipesenti yabantu abasinda kwiminyaka emi-5 okanye eli-10 emva kokuba befunyaniswe benomhlaza.
Uphando lubonisa ukuba ama-94% abasetyhini abafunyaniswe benomhlaza we-ILC basaphila emva kweminyaka emi-5. Emva kweminyaka eli-10, eli nani linyuka liye kuma- 86% . Xa kuthelekiswa nezinye iintlobo zomhlaza webele, izinga lokusinda kweminyaka eli-10 liphantsi kancinci. Oogqirha bayaqhubeka nophando lokufumana izizathu kunye nokuphucula unyango.
Khumbula, ezi ziinkcukacha-manani nje. Azizo izibikezelo malunga nemeko yakho. Ngugqirha wakho kuphela onokukunika ingcaciso engcono ngemeko yakho.
Umyalezo Wokuya Ekhaya
- I-Invasive Lobular Carcinoma (ILC) luhlobo lomhlaza webele olungabonakali rhoqo njengeqhubu.
- Qaphela utshintsho oluncinci kulusu lwebele, olufana nokuqina, ukudumba, utshintsho kwimilo, kunye nokuxinana kwengono.
- Kubaluleke kakhulu ukuba uqaphele imeko eqhelekileyo yamabele akho. Yenza uvavanyo lwebele lwakho rhoqo ngenyanga.
- Ukuba ubona utshintsho oluncinci okanye olungaqhelekanga, musa ukulutyeshela ucinge, "Mhlawumbi aluyonto." Yiya kugqirha ngoko nangoko.
- Njengayo nayiphi na umhlaza, oku kufumaneka kwangoko, kokukhona unyango luya kuphumelela.
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