Emva kokuhlolwa kwebele lakho ngesinye isizathu, ngaba ugqirha wakho ukuxelele ukuba unesifo esibizwa ngokuba yi-LCIS? Umele ukuba woyika kakhulu xa usiva igama elithi 'carcinoma'. Kuba xa sisiva elo gama, sicinga ngoko nangoko ngomhlaza. Kodwa ungakhathazeki. Siza kuthetha ngendlela elula ukuze uqonde ukuba yintoni kanye kanye i-LCIS, ingaba ngumhlaza, kwaye yintoni omawuyenze ngayo.
Yintoni kanye kanye i-LCIS?
Ngamafutshane, i-LCIS kukukhula kweeseli ezingaqhelekanga kwii-glands ezivelisa ubisi (ii-lobules) zamabele akho. Cinga ngayo, iiseli emizimbeni yethu zihlala zahlukana kwaye zihlaziya ngokwazo. Ngoko ke xa iiseli ezingaphakathi kwezi glands zobisi zahlukana, ziqala ukukhula zibe ziiseli ezingaqhelekanga ezahlukeneyo endaweni yeeseli eziqhelekileyo. Yiyo loo nto i-LCIS iyiyo.
Eyona nto ibalulekileyo ekufuneka uyikhumbule apha kukuba, nangona igama elithi 'carcinoma' lisetyenziswa kweli gama, i-LCIS ayingomhlaza webele. Nangona abanye beyithatha njengesandulela somhlaza, ayingomhlaza ngokwawo.
Ezi seli ezingaqhelekanga zikwimeko ebizwa ngokuba yi-'in situ'. Oko kuthetha ukuba zihlala apho zikhoyo kwaye azikasasazeka kwezinye iindawo zebele. Yiyo loo nto kungeyongozi.
Kodwa, ukuba ne-LCIS kuthetha ukuba usengozini enkulu yokuba nomhlaza webele kwixesha elizayo kunomntu oqhelekileyo. Kufana nophawu lwesilumkiso endleleni. Ikuxelela ukuba kunokubakho ingozi ezayo, ngoko qhuba ngononophelo. I-LCIS lolo hlobo lwesilumkiso.
Ziziphi iintlobo eziphambili ze-LCIS?
Oogqirha bajonga iiseli ezingaqhelekanga phantsi kwe-microscope baze bahlule i-LCIS ibe ziintlobo ezintathu eziphambili ngokusekelwe kwindlela ezibonakala ngayo. Ukwazi uhlobo onalo kubaluleke kakhulu ekukhetheni unyango.
| Uhlobo lwe-LCIS | Indlela ebonakala ngayo xa ijongwa ngemakroskopu (yenziwe lula) |
|---|---|
| I-LCIS yakudala | Iiseli ezingaqhelekanga ezigqume amabele zibonakala zincinci kuneeseli eziqhelekileyo. Olu lolona hlobo luqhelekileyo. |
| I-Pleomorphic LCIS | Apha, iiseli ezingaqhelekanga zinkulu kuneeseli eziqhelekileyo kwaye inkangeleko yazo yahlukile kakhulu. |
| I-Florid LCIS (i-Florid LCIS) | Iiseli ezingaqhelekanga ziqokelelene ndawonye ukuze zenze inqwaba. Ngamanye amaxesha, inqwaba yeeseli ezifileyo inokubonwa phakathi kwenqwaba. |
Ngaba kukho naziphi na iimpawu ze-LCIS?
Ixesha elininzi, i-LCIS ayinazo iimpawu ezithile. Oko kuthetha ukuba awuziva ngathi uneqhuma ebeleni lakho, awuziva ntlungu, kwaye awunayo nayiphi na into ephuma ebeleni.
Ngoko ke ifunyaniswa njani? Uninzi lwexesha, ifunyaniswa ngengozi. Umzekelo, i-LCIS ifunyaniswa ngexesha le-biopsy eyenziwa ngesinye isizathu, mhlawumbi ngenxa yotshintsho olubonwe kwi-mammogram okanye ngenxa yesinye iqhuma esivakele ebeleni.
Ziziphi iingxaki ezinokubakho ze-LCIS?
Le yinto eyoyikisa abantu abaninzi. Asinguye wonke umntu one-LCIS oza kuba nomhlaza. Khumbula loo nto. Nangona kunjalo, uphando lubonise ukuba malunga nomntu omnye kwabalishumi (10%) abane -LCIS banethuba lokufumana umhlaza webele kwixesha elizayo, ingakumbi imeko ebizwa ngokuba yi-'ductal carcinoma in situ (DCIS)' okanye 'lobular breast cancer'.
Kubalulekile ukuthetha nogqirha wakho ngalo mngcipheko kwaye umbuze ngokucacileyo ukuba ungakanani umngcipheko wakho, njengoko lo mngcipheko unokwahluka ngokuxhomekeke kwizinto ezifana nohlobo lwe-LCIS onayo kunye nembali yosapho lwakho yomhlaza.
Luluphi unyango lwe-LCIS?
Unyango olufumanayo luxhomekeke ngokupheleleyo kuhlobo lwe-LCIS onayo. Asinguye wonke umntu ophathwa ngendlela efanayo.
1. Ukubeka esweni okusebenzayo
Ukuba une-'Classic LCIS', ugqirha wakho uya kucebisa le ndlela rhoqo. Oku kuquka ukujongisisa imeko yakho ngaphandle kokukunika amayeza okanye utyando.
- Ugqirha wakho makakuxilonge amabele rhoqo emva kweenyanga ezi-6 .
- Ukuba ne-mammogram rhoqo ngonyaka .
- Uvavanyo olongezelelweyo, olufana ne-MRI yebele, lunokucetyiswa.
2. Unyango lokuthintela
Injongo yale mithi kukuthintela ezo seli zingaqhelekanga ukuba zingabi ngumhlaza. Basebenzisa amayeza anceda ekunciphiseni umngcipheko womhlaza.
- Ukuze wenze oku, ungasebenzisa amayeza anjenge-`Selective Estrogen Receptor Modulators (SERM)` okanye i-`Aromatase Inhibitors`. Ezi zinceda ekunciphiseni umngcipheko womhlaza obangelwa yi-estrogen (ER-positive) ngakumbi. Ugqirha wakho uza kukuchazela oku ngokweenkcukacha.
3. Utyando
Utyando ludla ngokucetyiswa kubantu abaneentlobo ze-LCIS 'zePleomorphic' okanye 'zeFlorid', njengoko ezo ntlobo zinomngcipheko ophezulu wokuba nomhlaza.
- Ukususwa kweLumpectomy: Oku kuquka ukususwa ngotyando kuphela indawo eneeseli ezingaqhelekanga kunye nenani elincinci lezicubu eziphilileyo ezijikelezileyo.
- Utyando lokuthintela ukudumba kwamalungu amabini: Olu lutyando olukhulu kancinci. Omabini amabele ayasuswa. Nangona kunjalo, kuyacetyiswa kwiimeko ezinobungozi obukhulu. Umzekelo, ukuba ilungu losapho elisondeleyo, njengomama wakho, udadewenu, okanye intombi yakho, liye laba nomhlaza webele, ugqirha wakho unokuthetha nawe ngale ndlela.
Yintoni esinokuyenza ukunciphisa umngcipheko we-LCIS?
Nangona kungekho ndlela ithile yokuthintela ukuphuhliswa kwe-LCIS, kukho izinto ezininzi onokuzenza ukunciphisa umngcipheko wokuba nomhlaza webele onxulumene nayo.
- Lawula ubunzima bakho: Ukutyeba kakhulu yeyona nto ibangela umhlaza webele. Ngoko ke zama ukugcina ubunzima bakho busempilweni.
- Ukuzilolonga rhoqo: Kungcono ukwenza ubuncinci imizuzu eli-150 ngeveki (umz. imizuzu engama-30 ngosuku, iintsuku ezi-5 ngeveki) umthambo ophakathi njengokuhamba okanye ukukhwela ibhayisekile.
- Nciphisa ukusetyenziswa kotywala: Uphando lubonise unxibelelwano phakathi kotywala nomhlaza webele. Ngoko ke, kubalulekile ukuyeka ngokupheleleyo okanye ukunciphisa kakhulu ukusetyenziswa kotywala.
- Qaphela amayeza owasebenzisayo: Ukuba usebenzisa unyango lwehomoni okanye iintlobo ezithile zeepilisi zokulawula ukuzalwa, qiniseka ukuba uthetha nogqirha wakho malunga nomngcipheko wokuwasebenzisa nge-LCIS. Banokucebisa ukuba utshintshele kwelinye iyeza.
Ndingazinyamekela njani ngelixa ndihlala ne-LCIS?
Xa ufumanisa ukuba une-LCIS, uziva uyoyika, kodwa kufuneka ukhathalele umzimba wakho ngakumbi.
- Ukuzihlola amabele: Jonga amabele akho inyanga nenyanga. Ukuba ubona into entsha, efana neqhuma, utshintsho lolusu, okanye utshintsho kwingono, bonana nogqirha wakho ngoko nangoko.
- Qaphela utshintsho: Buza ugqirha wakho ngeempawu ezinokubakho ukuba i-LCIS ijika ibe ngumhlaza.
- Ungaphoswa ziikliniki:Qiniseka ukuba uyaya kuzo zonke iintlanganiso zokulandelela ezinikwa ngugqirha wakho. Ezi mvavanyo ziya kukunceda ufumanise naluphi na utshintsho ngokukhawuleza.
Kuqhelekile ukuba noloyiko xa ufunyaniswa une-LCIS. Kodwa oko akuthethi ukuba unomhlaza. Kuthetha nje ukuba kufuneka ukhathalele impilo yakho ngakumbi. Ngolwazi olufanelekileyo kunye nendlela yokusebenzisana nogqirha wakho, ungaphila ubomi obusempilweni nobonwabisayo xa unesifo esinjalo.
Umyalezo Wokuya Ekhaya
- I-LCIS (Lobular Carcinoma in Situ) ayilomhlaza webele, kodwa yimeko eyonyusa umngcipheko wokuba nomhlaza webele kwixesha elizayo.
- Le meko idla ngokungabi nazimpawu kwaye idla ngokufunyaniswa ngexesha lokuhlolwa kwe-biopsy ngenxa yesinye isizathu.
- Unyango luxhomekeke kuhlobo lwe-LCIS onayo. Kwabanye abantu, ukuqwalasela kuphela kwanele, ngelixa abanye banokufuna amayeza okanye utyando.
- Thetha ngokukhululekileyo nogqirha wakho kwaye uqonde iingozi zakho kunye neendlela zonyango. Musa ukoyika kwaye wenze izigqibo ezinolwazi.
- Indlela yokuphila esempilweni (ukugcina ubunzima obusempilweni, ukuzilolonga, ukunciphisa utywala) inceda ekunciphiseni umngcipheko womhlaza webele.
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