Ngaba ukhe waphawula ukuba kukho ukubomvu, ukurhawuzelelwa, okanye ukuxobuka kweengono zakho kutshanje? Usenokucinga ukuba yimeko eqhelekileyo yolusu, efana ne-eczema. Isenokuphela ngaphandle konyango. Kodwa musa ukuyityeshela nje njengengxaki encinci, sithetha ngemeko engaqhelekanga ebizwa ngokuba ngumhlaza webele ekufuneka uyiqwalasele ngokuqinisekileyo.
Ngamafutshane, yintoni isifo sikaPaget sebele?
Isifo sikaPaget sesifuba luhlobo lomhlaza olungaqhelekanga oluvela eluswini olujikeleze ingono yakho. Siphakathi kwe-1% kunye ne-4% yazo zonke iintlobo zomhlaza webele. Kulapho iiseli zomhlaza zikhula khona phezu kolusu lwengono.
Okubalulekileyo kukuba, abantu abaninzi abanesifo sikaPaget (ngaphezulu kwama-90%) banolunye uhlobo lomhlaza oluqale kwibele elinye. Isenokuba yi-ductal carcinoma in situ (DCIS) , okanye umhlaza webele ohlaselayo . Oku kuthetha ukuba olu phawu lubonakalayo eluswini lunokuba luphawu lwengxaki enkulu ngaphakathi.
Ngubani osengozini enkulu yokuhlaselwa sesi sifo?
Nangona nabani na enokuba nomhlaza webele, kukho izinto ezithile ezinokunyusa umngcipheko. Makhe sijonge ukuba zeziphi.
- Ubudala: Umngcipheko uyanda kancinci kancinci xa ukhula, ingakumbi emva kweminyaka engama-50. Ubudala obuqhelekileyo bokuxilongwa bumalunga neminyaka engama-57.
- Isini: Abafazi banamathuba amaninzi okufumana esi sifo kunamadoda.
- Imbali yosapho: Ukuba umama wakho, udadewenu, okanye intombi yakho ikhe yaba nomhlaza webele, usemngciphekweni omkhulu kancinci.
- Utshintsho lweMfuzo: Abanye abantu banokuzuza njengelifa utshintsho lwemfuza olufana ne-`(BRCA1)` kunye ne-`(BRCA2)` oluyandisa umngcipheko womhlaza webele.
- Ubunzima bomzimba obugqithisileyo: Ukutyeba kakhulu, ingakumbi emva kokuya exesheni, nako kuyingozi.
- Ukusetyenziswa kotywala: Ukusela utywala kakhulu kwandisa umngcipheko womhlaza wamabele.
- Amabele Axineneyo: Ukuba unezicubu ezininzi ze-glandular emabeleni akho (oku kunokubonwa nge-mammogram), oko kwandisa umngcipheko wakho.
- Unyango lweeHormone: Ukuthatha unyango lweeHormone olune-estrogen ixesha elide emva kokuya exesheni kunokunyusa umngcipheko.
- Unyango ngemitha: Ukuba ufumene unyango ngemitha esifubeni nangasiphi na isizathu ngexesha lobuntwana okanye lokufikisa, usengozini enkulu yokuba nomhlaza webele kamva ebomini.
Zithini iimpawu zesifo sikaPaget? Uzibona njani?
Iimpawu zesi sifo azibonakali kangako ekuqaleni. Yiyo loo nto abantu abaninzi bengasinanzi. Kodwa kubaluleke kakhulu ukuzazi ezi mpawu.
Khawucinge nje, ulusu olusengonweni yakho lubomvu kancinci, njengeqhubu elincinci. Luyaphela emva kweentsuku ezimbalwa. Ucinga ukuba luphelile. Kodwa emva kweentsuku ezimbalwa, luphinde luvele. Ukuba unengxaki yolusu efana nale ebonakala ngathi iyafika ize iphele, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
Makhe sijonge le theyibhile ukuze sibone ngokucacileyo ezi mpawu.
| Uphawu | Inkcazo |
|---|---|
| Iimpawu zesigaba sokuqala | Ububomvu, ukuxobuka, ukoma, kunye nokurhawuzelela okuncinci kwesikhumba seengono. Kusenokubonakala ngathi yi-eczema. |
| Iimpawu zamva nje |
|
Ixesha elininzi, esi sifo siqala kwingono size sisasazeke kwindawo emnyama yesikhumba (i-areola) ejikeleze yona.
Gqirha, uyixilonga njani le nto?
Xa usiya kugqirha oneempawu ezinje, uya kuqala akuhlole ngononophelo. Emva koko, uya kucebisa ukuba kwenziwe uvavanyo oluninzi ukuze kufunyaniswe ukuba isifo sikhona na.
Uvavanyo olubalulekileyo nolubalulekileyo yi -biopsy . Oku kuquka ukuthatha iqhekeza elincinci lesicwili eluswini lwengono uze ulihlolisise nge-microscope ukuze ubone ukuba linazo na 'iiseli zePaget'. Olu biopsy lunokwenziwa ngeendlela ezahlukeneyo:
- I-biopsy yomphezulu: Isampulu encinci yeeseli ikhutshelwa kumphezulu wesikhumba.
- I-biopsy yokucheba: Umaleko ophezulu wolusu ususwa ngesixhobo esibukhali.
- I-biopsy yesibhaxu:Iqhekeza elincinci lesikhumba elijikelezayo lithathwa ngesixhobo esijikelezayo.
- I-Wedge biopsy: Inkqubo encinci yotyando lokususa iqhekeza lesicwili.
Ngenxa yokuba isifo sikaPaget sidla ngokuhamba neminye imingxunya emabeleni, ugqirha wakho uya kuyalela iimvavanyo ezongezelelweyo ukuze azijonge nazo. Ezi zingabandakanya:
- I-Mammogram: Uvavanyo lwe-X-ray lwebele.
- I-Ultrasound yebele: Uvavanyo olusebenzisa amaza esandi ukwenza umfanekiso wangaphakathi kwebele.
- I-Breast MRI Scan: Uvavanyo olunika umfanekiso ocacileyo noneenkcukacha zebele.
Zithini iindlela zonyango zoku?
Indlela yonyango imiselwa ngokwenqanaba lesifo sakho. Oko kukuthi, ugqirha uya kukhetha unyango olungcono ngokusekelwe kwizinto ezifana nokuba unesifo sikaPaget kuphela, okanye kukho omnye umhlaza emabeleni, nokuba usasazekile na.
| Indlela yonyango | Ingcaciso elula |
|---|---|
| Utyando lweMastectomy | Ukususwa kwebele lonke ngotyando. Le ndlela idla ngokusetyenziswa xa umhlaza usasazekile. |
| Utyando lweLumpectomy | Ukususa kuphela inxalenye yebele equlethe umhlaza (ingono, ulusu olujikelezileyo, kunye neqhubu elinomhlaza) ngelixa ushiya ibele liphelele. |
| Unyango lweMisebe | Ukusebenzisa imitha enamandla aphezulu ukutshabalalisa naziphi na iiseli zomhlaza ezinokuthi zihlale emva kotyando. |
| Unyango ngamakhemikhali | Ukunika amayeza (iipilisi okanye inaliti efakwa emthanjeni) abulala iiseli zomhlaza. |
| Unyango lweHormonal | Iihormones zinceda ukukhula kwezinye iintlobo zomhlaza. Kwimihlaza enjalo, kunikwa amayeza athintela ukusebenza kwezo hormones. |
Ungazikhusela njani kwezi ntlobo zomhlaza?
Nangona kungekho ndlela yokuthintela umhlaza nge-100%, singawunciphisa umngcipheko wethu ngokutshintsha indlela esiphila ngayo.
- Gcina ubunzima bakho busempilweni.
- Zilolonge rhoqo.
- Nciphisa ukusetyenziswa kotywala.
- Ezinye izifundo zibonise ukuba ukuncancisa abantwana kunciphisa umngcipheko womhlaza webele.
Ukuba unesinye okanye ngaphezulu sezizathu ezibangela umhlaza webele, kubaluleke kakhulu ukuthetha nogqirha wakho ngayo kwaye ufumane iingcebiso ngezinto ezifana nokuhlolwa rhoqo.
Umyalezo Wokuya Ekhaya
- Ungaze ungayihoyi irhashalala engapholiyo, ukuba bomvu, ukuxobuka, okanye ukuqaqamba kwingono okanye ecaleni kwayo.
- Nokuba ibukeka njenge-eczema eqhelekileyo, ukuba iyaphela emva kweentsuku ezimbalwa ize iphinde ivele, ngokuqinisekileyo funa ingcebiso kagqirha.
- Isifo sikaPaget sebele sidla ngokuba luphawu lomnye umhlaza ebeleni, ngoko ke uvavanyo olucokisekileyo lunokusindisa ubomi.
- Njengakuyo nayiphi na imhlaza, ukubhaqwa kwangethuba yeyona ndlela ilungileyo yokufumana iziphumo eziphumelelayo, ngoko ke hlala uqaphela utshintsho emzimbeni wakho.
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