Ucinga ntoni xa ubona irhashalala encinci okanye ulusu oluxobukayo kwingono yakho? Ixesha elininzi, ucinga ukuba yimeko eqhelekileyo yolusu, mhlawumbi into efana ne-eczema. Inyaniso kukuba, kunokuba njalo kwiimeko ezininzi. Nangona kunjalo, kunqabile kakhulu, uphawu oluncinci olufana nolu lunokuba luphawu lokuqala lomhlaza webele. Lolo lolunye lweentlobo zomhlaza ezingaqhelekanga, kodwa ezibalulekileyo esiza kuthetha ngazo namhlanje.
Ngamafutshane, yintoni isifo sikaPaget sebele?
Isifo sikaPaget sebele luhlobo lomhlaza olungaqhelekanga kakhulu oluvela eluswini lwengono yakho, kwaye ngamanye amaxesha kulusu olumnyama olujikeleze ingono (i-areola). Ngamanye amaxesha lunokukhawulelwa kwingono. Oku kubizwa ngokuba ngumhlaza webele wesigaba 0, okanye i-ductal carcinoma in situ . Kodwa ngamanye amaxesha, kunye nolu tshintsho lolusu, kunokubakho nomhlaza webele ohlaselayo oye wasasazeka kwimibhobho yobisi ngaphakathi kwebele.
Ngenxa yokuba iimpawu zifana ne-eczema, abantu abaninzi ekuqaleni bayiphambanisa nesifo esiqhelekileyo solusu. Iimpawu ziquka ukurhawuzelela, ukuxobuka, ukuba bomvu, kwaye ngamanye amaxesha ukuphuma kwe-nipple. Khumbula, ayinguye wonke umntu onezi mpawu onesifo sikaPaget. Nangona kunjalo, ukuba unale meko, isenokuba luphawu lokuqala lomhlaza okhula ngaphakathi kwebele.
Ngubani onokuthi afumane esi sifo?
Isifo sikaPaget sebele sixhaphake kakhulu kwabasetyhini. Nangona kunjalo, kuye kwaxelwa nakwamadoda. Ubudala obuqhelekileyo bokuxilongwa buhlala bumalunga neminyaka engama-57. Nangona kunjalo, sinokuvela kubantu abancinci kakhulu nabadala kunoko. Kunqabile kangangokuba kubalwa ngaphantsi kwe-4% yazo zonke iintlobo zomhlaza wamabele ezixeliweyo. Ngoko ke, nangona sisimo esingaqhelekanga kakhulu, kubalulekile ukuba uqaphele.
Isasazeka ngokukhawuleza kangakanani le sifo? Ingaba sinokuba sibi kangakanani?
Kuxhomekeke ekubeni unayo na enye i-cancer ebeleni lakho, kwaye ukuba kunjalo, ikwinqanaba elingakanani.
- Ukuba umhlaza ugcinwe kwimibhobho yobisi: Ukuba umhlaza wakho ugcinwe kwimibhobho yobisi kwaye awusasazekanga kwizicubu zebele ezijikelezileyo, siwubiza ngokuba yi- "ductal carcinoma in situ" (DCIS) . Lo mhlaza uthathwa njengomhlaza wesigaba 0. Olu hlobo lomhlaza lunyangwa ngokususa iiseli zomhlaza kunye ne-nipple ngotyando, kulandele unyango lwe-radiation. Ukuba isifo sifunyenwe kweli nqanaba, amathuba okuphiliswa ngokupheleleyo aphezulu kakhulu.
- Ukuba umhlaza usasazeke ngaphandle kwemisele yobisi: Xa umhlaza okwimisele yobisi uqala ukusasazeka kwizicubu zebele ezijikelezileyo, ubizwa ngokuba yi- "invasive ductal carcinoma." Lo mhlaza ukhula ngamanqanaba aliqela. Kwizigaba zokuqala, unokunyangeka ngokususa izicubu zebele ezichaphazelekayo kunye nee-lymph nodes ze-axillary. Nangona kunjalo, xa umhlaza uqala ukusasazeka ngaphandle kwebele, oko kukuthi, kwizigaba zokugqibela, isifo siba sibi kakhulu kwaye kunzima ukunyanga.
Zithini iimpawu zesifo sikaPaget?
Ezi mpawu zihlala zivela kwingono yakho kunye/okanye kulusu olumnyama oluyijikelezileyo (i-areola). Ngokuqhelekileyo, ezi mpawu zibonakala kwibele elinye kuphela, kodwa kunqabile kakhulu, zinokwenzeka kuzo zombini iibele. Nangona ezi mpawu zinokubonakala ngathi ziyafika zize ziphele ekuqaleni, zihlala zisiba mandundu ngokuhamba kwexesha.
| Uphawu | Inkcazo |
|---|---|
| Ukurhawuzelela kunye nokuvuvukala | Ingono erhawuzelelayo isenokuvela, nto leyo enokuthi kamva ibe kukudumba. |
| Ukomisa nokuxobuka ulusu | Ungabona ulusu oluphezu okanye olujikeleze ingono luwoma kwaye luxobuka. |
| Ukuqhambuka kwesikhumba | Ulusu lunokuba bomvu, ludumbe, lube rhabaxa, lube buhlungu, okanye luphume igazi. |
| Ukudumba kunye nentlungu | Ulusu lusenokuvakala ludumbile kwaye lubuhlungu. |
| Imeko efana ne-eczema | Kufana ne-eczema ekhalayo, apho kuvela khona amaqhekeza kunye nolwelo olumanzi oluphumayo. |
| Ukukhupha ingono | Ukuphuma kwegazi okanye okufana nobovu kunokuphuma kwingono. |
| Utshintsho lweengono | Ingono isenokuba tyaba okanye iguqulwe (inversion nipple). |
| Iqhuma esifubeni | Usenokuva iqhuma okanye ithumba phantsi kolusu. |
Yintoni isizathu sokwenene soku?
Isizathu esichanekileyo somhlaza siseyimfihlakalo kwizazinzulu. Kodwa uphando olutsha luqhubeka luqhutywa ukuze kufunyanwe iinyani ezintsha. Esikwaziyo kukuba umhlaza uyenzeka xa ezinye zeeseli emzimbeni wethu zisiba zingaqhelekanga, zahlukana kwaye zikhula ngokungalawulekiyo. Okwangoku kukholelwa ukuba olu tshintsho lweeseli lunokuqala ngotshintsho kwikhowudi yethu yemfuza, okanye i-DNA . Kodwa akukabikho mpendulo icacileyo yokuba kutheni olu tshintsho lwenzeka.
Izazinzulu zifumanise ukuba kukho "izinto ezinobungozi" ezithile ezinyusa umngcipheko wokuba nomhlaza. Umzekelo, ukuchatshazelwa ziityhefu ezithile ezikwindalo esingqongileyo, ukutshaya, kunye nokusetyenziswa kakhulu kotywala kwandisa umngcipheko womhlaza. Kodwa ngokumangalisayo, ama-85% omhlaza wamabele uyenzeka kubantu abangenazo izinto ezinobungozi.
Ungasixilonga njani esi sifo? (Ukuxilongwa)
Xa usiya kugqirha oneempawu ezifana nezi, ekuqaleni usenokucinga ukuba yi-eczema nje. Ngoko ke uza kuyinyanga. Kodwa xa ezo ndlela zonyango zingancedi, okanye xa kurhanelwa ukuba isifo sikaPaget sikhona, kuya kufuneka enze uvavanyo oluthile ukuze axilonge ngokuchanekileyo eso sifo.
Inyathelo lokuqala nelibaluleke kakhulu kukuthatha iqhekeza elincinci lesicwili eluswini lwengono uze ulihlolisise phantsi kwe-microscope (biopsy). Eyona ndlela ixhaphakileyo esetyenziswayo koku yi- "punch biopsy." Oku kuthetha ukuba iqhekeza elincinci lesikhumba elijikelezayo liyathathwa lize lihlolwe ngesixhobo esincinci, esifana ne-paper punch. Le yeyona ndlela ilula yokuchonga iiseli zomhlaza ezinxulumene nesifo sikaPaget.
Nje ukuba isifo sikaPaget siqinisekiswe, inyathelo elilandelayo kukufumanisa ukuba kukho na olunye umhlaza ebeleni, kwaye ukuba kunjalo, ukuba lusasazeke kangakanani. Ugqirha wakho uza kwenza oku.Ungathunyelwa kwiimvavanyo zemifanekiso, ezifana ne-mammogram okanye i-ultrasound yamabele. Ukuba ezi mvavanyo zifumana indawo ekrokrisayo yomhlaza, "i-needle biopsy" inokucetyiswa, apho iqhekeza elincinci lesicwili lisuswa ngenaliti lize lihlolwe.
Zithini iindlela zonyango?
Unyango lubandakanya utyando kwaye ngamanye amaxesha unyango olongezelelweyo lomhlaza (unyango oluncedisayo).
1. Utyando lomhlaza webele
Nawuphi na umhlaza osebeleni lakho kuya kufuneka ususwe ngotyando, kodwa ubungakanani bezicubu ezisusiweyo buya kuxhomekeka kwimeko yakho.
- Utyando lokulondoloza amabele: Ukuba unesifo sikaPaget se-nipple kuphela kwaye akukho minye i-tumor, ugqirha wakho uya kuzama ukususa kuphela i-tissue echaphazelekayo. Oku kubandakanya ukususa i-nipple yakho, ulusu oluyijikelezileyo (i-areola), kunye ne-tissue encinci ephilileyo eyijikelezileyo.
- Utyando lwebele: Ukuba umhlaza usasazeke kwindawo enkulu, ugqirha wakho angacebisa ukuba kususwe lonke ibele (i-mastectomy). Emva kotyando, ungenza utyando lokwakha amabele ukuba uyafuna.
2. Unyango oluncedisayo
Emva kotyando, kunikwa unyango olongezelelweyo noluncedisayo ukuthintela umhlaza ukuba ungabuyi. Oku kubizwa ngokuba lunyango oluncedisayo.
- Unyango ngemitha: Ukusetyenziswa kwemitha enamandla aphezulu ukutshabalalisa naziphi na iiseli zomhlaza eziseleyo.
- Unyango lweKhemotherapy: Ukusebenzisa amayeza ukubulala iiseli zomhlaza okanye ukuthintela ukukhula kwazo.
- Unyango lweehomoni: Iihomoni zidlala indima ekukhuleni kweminye imihlaza yamabele. Kwimihlaza enjalo, kunikwa amayeza athintela ukusebenza kweehomoni.
- Unyango lwe-Immunotherapy: Unyango oluvuselela amajoni omzimba wakho ukuba alwe neeseli zomhlaza.
Ngaba oku kunganyangwa ngokupheleleyo?
Ewe, ngokuqinisekileyo. Ukuba umhlaza webele unganyangeka na, kuxhomekeke kakhulu kwinqanaba lesifo xa sichongwa.
Ukuba unesifo sikaPaget se-nipple kuphela, okanye i-DCIS (inqanaba 0) esingasasazekanga ngaphaya kwemibhobho yobisi, amathuba akho okuchacha aphezulu kakhulu. Abantu abaninzi abafunyaniswe kwaye banyangwa kwangethuba kwezi meko bayachacha ngokupheleleyo. Kuphela xa umhlaza webele uqala ukusasazeka apho kuba nzima ngakumbi ukoyisa. Ke ngoko, kubalulekile ukuqaphela iimpawu kwaye ubone ugqirha ngokukhawuleza.
Ndifanele ndibonane nogqirha nini?
Ukuba ubona naluphi na utshintsho eluswini okanye phantsi kwesikhumba samabele akho, qiniseka ukuba wazise ugqirha wakho. Uninzi lwexesha, isenokungabi ngumhlaza, kodwa kungcono ukuba uyixilonge.
Ngokukodwa, ukuba uneempawu ze-eczema kwiingono zakho okanye ezijikeleze, kwaye azipheli nasemva kokuba uzinyangile, qiniseka ukuba ubona ugqirha ukuze ahlolwe ngakumbi. Musa ukuyityeshela into encinci.
Ndingazinyamekela njani ukuba ndinesi sifo?
Eyona ndlela ilungileyo yokuzinyamekela kukuqala unyango ngokukhawuleza. Kodwa udinga nenkxaso eninzi yengqondo.
- Yiba nomntu oza kukuxhasa: thetha nawe, wabelane ngeemvakalelo zakho, yiya kugqirha nawe, kwaye uncedise kwimisebenzi yasekhaya nomntu omthembayo (umyeni, ilungu losapho, umhlobo).
- Bhala phantsi imibuzo yakho: Ngaphambi kokuba uye kugqirha, bhala phantsi yonke imibuzo ofuna ukuyazi ephepheni.
- Bhala amanqaku: Bhala amanqaku ngoko kuthethwa ngugqirha. Ukuba ucela umntu ohamba naye ukuba enze okufanayo, ungamnika ugqirha ingqalelo yakho epheleleyo. Nobabini ningawujonga kwakhona lo lwazi kamva.
Umyalezo Wokuya Ekhaya
- Ukurhawuzelela, ukuba bomvu, okanye ukuxobuka ulusu kwingono yakho okanye ejikeleze ibele elifana ne-eczema kwaye elingapholiyo lisenokuba luphawu lwesifo sebele sikaPaget.
- Olu luhlobo olungaqhelekanga kakhulu lomhlaza webele, kwaye lunokuphelela kwingono okanye lunxulunyaniswe nomhlaza osebeleni.
- Ungaze ungazihoyi utshintsho lolusu kwiingono zakho, ingakumbi ukuba aluphucuki nangona unyango lukhona. Bona ugqirha wakho ngoko nangoko.
- Ukuxilongwa kuqinisekiswa ngokuhlola iqhekeza elincinci lesikhumba (i-biopsy).
- Ukuba esi sifo sifunyenwe kwisigaba saso sokuqala, amathuba okuphiliswa ngokupheleleyo ngotyando kunye nezinye iindlela zonyango aphezulu kakhulu.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho