Ngaba kukho naluphi na utshintsho olufana nolu kwiingono zakho? Masifunde ngeSifo sikaPaget seBele!

Ngaba wakha waphawula utshintsho oluncinci, ukurhawuzelelwa, okanye into ebonakala ngathi kukurhawuzelelwa kwingono yakho? Isenokuba yimeko eqhelekileyo yesikhumba, kodwa ukuba unamathandabuzo engqondweni yakho, kubalulekile ukuyiqwalasela. Kuba, ngokungaqhelekanga, ezi mpawu zinokuba luphawu lokuqala lomhlaza webele. Le yenye yezo meko zingaqhelekanga, kodwa zibaluleke kakhulu esiza kuthetha ngazo namhlanje.

Yintoni isifo sikaPaget sesifuba?

Ngamafutshane, iPaget's Disease of the Breast luhlobo lomhlaza olungaqhelekanga oluvela eluswini lwengono yakho . Ngamanye amaxesha lunokuchaphazela nolusu olumnyama olujikeleze ingono, olubizwa ngokuba yi-areola .

Cinga, ngamanye amaxesha oku kunokukhawulelwa kwingono, njengesigaba sokuqala somhlaza webele (umhlaza webele wesigaba 0) , obizwa ngokuba yi-'ductal carcinoma in situ' (DCIS) . Okanye, unokukhatshwa 'ngumhlaza webele ohlaselayo' onzulu ngakumbi osasazeka kwimibhobho yobisi kwibele elinye. Oku kukwabizwa ngokuba sisifo sikaMammary Paget .

Oku kungenxa yokuba ulusu olukwi-nipple lufana ne -'eczema' , ngoko ke abantu abaninzi ekuqaleni bacinga ukuba liqhubu nje eliqhelekileyo. Iimpawu zinokubandakanya ukurhawuzelela, ukuxobuka kolusu, ukuba bomvu, ngamanye amaxesha ukubonakala okubuhlungu, kunye nokuphuma kolusu kwi-nipple . Kodwa khumbula, ayinguye wonke umntu onezi mpawu onesifo sikaPaget. Nangona kunjalo, ukuba unale meko, ezi zinokuba ziimpawu zokuqala zomhlaza webele ongaphantsi .

Ngubani onokuphuhlisa oku?

Isifo sikaPaget sebele sichaphazela kakhulu abasetyhini . Nangona kunjalo, kunqabile ukuba amadoda axelwe ukuba anesifo. Ubudala obuqhelekileyo bokuxilongwa bumalunga neminyaka engama-57 . Nangona kunjalo, sifunyenwe kubantu abancinci kakhulu nabadala kunoko. Isifo sikaPaget sibandakanya ngaphantsi kwe-4% yazo zonke iintlobo zomhlaza webele. Ngoko ke, njengoko unokucinga, esi sisifo esingaqhelekanga.

Esi sifo sisasazeka ngokukhawuleza/kakhulu kangakanani?

Kuxhomekeke ngokwenene ekubeni une -ductal carcinoma phantsi, kwaye ukuba kunjalo, ikwinqanaba elingakanani . Umzekelo, ukuba unomhlaza kwimibhobho yobisi kuphela kwaye awusasazekanga kwizicubu zebele ezijikelezileyo, siyibiza ngokuba yi -ductal carcinoma in situ (DCIS) . Oku kuthathwa njengenqanaba 0. Olu hlobo lomhlaza ludla ngonyango ngotyando lokususa iqhuma kunye ne-nipple , kulandele unyango lwe-radiation .

Nangona kunjalo, ukuba le 'ductal carcinoma' isasazeka ngaphaya kwemibhobho yobisi, ibizwa ngokuba yi 'infiltrating ductal carcinoma'.Okanye `invasive ductal carcinoma` . Lo mhlaza uba mandundu ngamanqanaba . Kwizigaba zokuqala, unokunyangeka ngokususa izicubu zebele ezichaphazelekayo kunye ne -`axillary lymph nodes` ekhwapheni. Nangona kunjalo, xa lo `invasive breast cancer` usasazeka ngaphaya kwebele, oko kukuthi, kwizigaba zokugqibela , uba ndlongondlongo ngakumbi kwaye kube nzima ukunyanga.

Zithini iimpawu?

Ezi mpawu zihlala zivela kwingono yakho kunye/okanye kulusu olumnyama oluyijikelezileyo (i-areola) . Amaxesha amaninzi, libele elinye kuphela elichaphazelekayo, kodwa kunqabile kakhulu ukuba zombini zichaphazeleke. Ekuqaleni, ezi mpawu zinokubonakala ngathi ziyafika zidlule, kodwa zinokuya zisiba mbi ngokuhamba kwexesha. Iimpawu zingabandakanya:

• Ukurhawuzelelwa kwengono , okunokukhokelela ekuvuvukeni kamva.
• Ulusu olomileyo, ukuxobuka kwesikhumba (kwingono okanye ngeenxa zonke).
• Kusenokuvela irhashalala eluswini . Isenokuba bomvu, iphakame, irhabaxa, ibuhlungu, okanye iphume igazi .
• Ukudumba kunye nentlungu .
• Njengokumanzi kwesikhumba, kuvela iqweqwe kwaye kuphuma ulwelo .
• Igazi okanye ulwelo olufana nobovu oluphuma kwingono .
• Ingono ethe tyaba okanye egobileyo .
• Iqhubu elithambileyo elingaphantsi kolusu.

Kubalulekile: Musa ukoyika ukuba unenye okanye ezimbini kwezi mpawu. Nangona kunjalo, ukuba ziyaqhubeka okanye ziyanda, ngokuqinisekileyo kuya kufuneka ufune ingcebiso kagqirha.

Zithini izizathu? Kutheni oku kusenzeka?

Enyanisweni, izazinzulu azikayazi kakuhle into ebangela umhlaza . Kodwa uphando olutsha luyaqhubeka ukufumanisa. Esikwaziyo kukuba ezinye zeeseli emizimbeni yethu zenza utshintsho olungaqhelekanga , nto leyo ekhokelela ekuqhekekeni nasekuphindaphindeni okungalawulekiyo . Uphando lwangoku lubonisa ukuba olu tshintsho lweeseli lunokuqala kwi -DNA yethu (ikhowudi yemfuza) . Kodwa asazi kakuhle ukuba kutheni olu tshintsho lwenzeka, okanye nini.

Izazinzulu zifumanise ukuba kukho izinto ezithile ezibangela umhlaza ezidla ngokuba negalelo ekukhuleni komhlaza. Zikholelwa ukuba ezi zinto zinokudlala indima ekukhuleni kwesi sifo. Umzekelo, ukuba ujongene neetyhefu ezikwindalo esingqongileyo , okanye ukuba utshaya okanye usela utywala rhoqo, unamathuba amaninzi okufumana esi sifo. Nangona kunjalo, ngokumangalisayo, ama-85% omhlaza wamabele uyenzeka kubantu abangenazo izinto ezibangela umngcipheko ezaziwayo .

Sichongwa njani esi sifo ngokuchanekileyo?

Xa ubona ugqirha, angazama kuqala ukunyanga imeko yakho ngonyango olufanayo nolwe-eczema . Ukuba oko akusebenzi, okanye ukuba ukrokrela ukuba iPaget's Disease of the Breast, unokufuna ukuthatha isampuli yezicubu zebele aze azihlole phantsi kwe-microscope. Iiseli zePaget zichongwa lula ngale ndlela. Kusenokwenzeka ukuba enze i- punch biopsy . Oku kuquka ukususa iqhekeza elincinci lezicubu ezijikelezayo kusetyenziswa isixhobo sokusika esijikelezayo (njenge-hole punch).

Emva kokuba ufunyaniswe unePaget's Disease of the Breast, ugqirha wakho uya kufuna ukufumanisa ukuba unayo na i-ductal carcinoma kwaye, ukuba kunjalo, ukuba isasazeke kangakanani . Ukuze enze oku, uza kuqala ahlole izicubu zakho zebele ngovavanyo lwemifanekiso . Umzekelo , i-mammogram okanye i-ultrasound yebele inokwenziwa. Ukuba kufunyenwe indawo erhanelekayo, unokucebisa ukuba kwenziwe i -biopsy yenaliti ukuze kuthathwe isampuli yezicubu zebele.

Iphathwa njani?

Unyango luquka utyando kwaye ngamanye amaxesha unyango olongezelelweyo lomhlaza .

Utyando

Nawuphi na umhlaza osesifubeni sakho kufuneka ususwe ngotyando. Nangona kunjalo, ukuba zingakanani izicwili ezisuswayo kuxhomekeke kwimeko yakho. Ukuba unePaget's Disease of the Breast kuphela, kwaye akukho zicwili zimbi, usenokuba notyando oluncinci, olugcina amabele . Oku kuthetha ukuba ugqirha wakho uza kuzama ukususa kuphela izicwili ezichaphazelekayo. Uza kususa ingono yakho, ulusu olumnyama oluyijikelezileyo (i-areola), kunye nenani elincinci lezicwili eziqhelekileyo ezijikelezileyo .

Ngokuxhomekeke ekubeni umhlaza usasazeke kangakanani, ugqirha wakho angacebisa ukuba kwenziwe utyando lokususa lonke ibele . Ukuba ukhetha, ungenza notyando lokwakha amabele emva koko.

Unyango oluNcedisayo

Emva kotyando, uya kunikwa unyango olongezelelweyo, oluncedisayo ukuthintela umhlaza ukuba ungabuyi. Olu nyango `oluncedisayo' lungabandakanya:

• Unyango ngemitha: Imitha enamandla aphezulu isetyenziselwa ukutshabalalisa iiseli zomhlaza.
• Unyango lweKhemotherapy: Amayeza asetyenziselwa ukubulala iiseli zomhlaza okanye ukuzithintela ukuba zingakhuli.
• `Unyango lweehormone`:Iihormones zinceda ukukhula komhlaza wamabele. Olu nyango luyawathintela loo mahormones.
• Unyango lwe-Immunotherapy: Lunceda inkqubo yakho yomzimba yokulwa nomhlaza.

Ngaba esi sifo sinokunyangeka ngokupheleleyo?

Amathuba okusinda kumhlaza webele axhomekeke kwinqanaba lomhlaza xa ufunyaniswa . Ukuba unesifo sikaPaget se-nipple, esisebeleni kuphela, okanye i-ductal carcinoma in situ (inqanaba 0) , esingasasazekanga ngaphaya kwemibhobho yobisi, ingqikelelo yakho ilungile kakhulu . Uninzi lwabantu abafunyaniswa kwaye banyangwa kwangethuba kwezi meko bayachacha ngokupheleleyo . Nangona kunjalo, xa umhlaza webele usasazekile, kuba nzima ngakumbi ukuwunqoba.

Kungoko ke kubaluleke kakhulu ukuqaphela nokuba lutshintsho oluncinci kwaye ufune iingcebiso zonyango.

Ndifanele ndimbone nini ugqirha?

Ukuba ubona naluphi na utshintsho emabeleni akho, nokuba lutshintsho eluswini okanye utshintsho oluphantsi kolusu, soloko ubona ugqirha. Ixesha elininzi isenokungabi ngumhlaza, kodwa kungcono rhoqo ukuba uhlolwe . Ukuba uneempawu ezifana ne-eczema kwi-nipple okanye kwi-areola, kwaye uzame ukuzinyanga ngokwakho kodwa oko akuncedi , ngokuqinisekileyo yenza idinga lokubona ugqirha ukuze ufumane uvavanyo olongezelelweyo.

Uzinyamekela njani ukuba unesi sifo?

Eyona nto ingcono onokuyenza kukuqala unyango ngokukhawuleza . Kodwa, udinga nenkxaso . Ubuncinane , fumana umntu omthembayo oza kuthetha naye, uye kwiindawo zakho zokudibana, okanye uncedise ngemisebenzi yasekhaya.

Zisa uluhlu lwemibuzo oza kuyibuza ugqirha, kwaye ulungele ukubhala phantsi oko kuthethwayo, okanye ucele umntu ukuba akubhalele. Nobabini ningawujonga kwakhona kamva.

Kubalulekile nokuba uhlale uqinile engqondweni ngamaxesha anje. Yenza izinto ezikuthuthuzelayo, thetha nosapho nabahlobo, kwaye ucele iingcebiso ukuba kuyimfuneko.

Ngaba kukho unxibelelwano phakathi kwesifo sikaPaget sebele kunye nezinye izifo 'zePaget'?

Lo ngumbuzo abantu abaninzi abawubuzayo. USir James Paget, ugqirha wotyando waseNgilani ngasekupheleni kwenkulungwane ye-19, wafumanisa izinto ezininzi zonyango. Kukho izifo ezininzi ezibizwa ngaye, kodwa azizizo zonke ezinxulumeneyo .

Umzekelo, 'isifo sikaPaget sethambo' sisifo samathambo esingengomhlaza. Asinanto yakwenza nesifo sikaPaget sebele.

Kodwa,Kukho omnye umhlaza ongaqhelekanga obizwa ngokuba yi-'extramammary Paget's disease' (EMPD), ofana kancinci ngokwemvelo.

Isifo sikaPaget sebele sibonakala ngokubakho kweeseli zomhlaza ezahlukileyo eluswini lwengono ezinokubonwa ngemicroscope. Zibizwa ngokuba ziiseli zePaget kuba uPaget wazichaza okokuqala. Isifo sikaPaget esingaphandle kwamabele (EMPD) naso sinazo ezi seli zePaget. Sikwanayo nerhashalala efanayo, kodwa ayikho kwingono, kodwa kwizitho zangasese . Nangona ezi zifo zimbini zifana, zizifo ezahlukeneyo . Azenzeki kunye.

Umyalezo Wokuya Ekhaya

Kulungile, nazi ezinye zezinto ezibaluleke kakhulu esithethe ngazo namhlanje ukukunceda ukhumbule:

• Isifo sikaPaget sesifuba sisifo somhlaza esiqala kwimibhobho yobisi kwingono . Ngamanye amaxesha sinokuhamba nomhlaza webele ophucukileyo.
• Ungaphawula utshintsho kwingono yakho, njengeqhubu elirhabaxa, ulusu oluqhephukayo, ulwelo oluphumayo, okanye isilonda esingapholiyo .
• Okukhona uqaphela kwaye unyanga oku ngokukhawuleza, kokukhona iziphumo zakho zokuchacha zingcono.
• Uninzi lwabantu luyaphila ngokupheleleyo , kodwa kusenokufuneka utyando ukuze lususwe .
• Ukuba ubona naluphi na utshintsho olungaqhelekanga emabeleni akho, ingakumbi iingono zakho, kungcono ukufuna ingcebiso kagqirha ngaphandle kokuchitha ixesha .

Siyathemba ukuba unolwazi oluvela kolu lwazi. Hlala usempilweni!

Umhlaza webele , isifo sikaPaget, iimpawu zeengono, impilo yebele, impilo yabasetyhini, ukufunyanwa komhlaza, unyango lomhlaza