Ukuba i-mammogram yakho ibonisa "iiseli ezingaqhelekanga," kuqhelekile ukuba uzive usoyika kwaye uxhalabile. "Ngaba ngumhlaza lo? Kuza kwenzeka ntoni ebomini bam?" Usenokuba uzibuza. Kodwa ungoyiki. Isenokungabi nzulu njengoko ucinga. Kwiimeko ezininzi, eli linqanaba lokuqala lomhlaza webele, owaziwa ngokuba yi- "Stage 0." Yiloo nto sithetha ngayo namhlanje. Makhe sijonge ngokukhawuleza ukuba yintoni kanye kanye, nokuba yinto ekufuneka ixhalatyelwe, kunye nonyango olufumanekayo.
Yintoni le 'Stage 0'?
Ngamafutshane, inqanaba lesi-0 lithetha ukuba iiseli zomhlaza okanye iiseli ezingaqhelekanga ziselapho zaqala khona, kwimibhobho yobisi okanye kwiilobule zebele. Ezi seli azikasasazeki (zingene) kwizicubu eziphilileyo ezijikelezileyo. Oogqirha babiza le meko ngokuthi "in situ." Oko kuthetha "apho yayikhona."
Cinga ngemibhobho yobisi esifubeni njengenkqubo yemibhobho endlwini. Ezi seli ezingaqhelekanga zingaphakathi kwezo mibhobho kuphela. Azikaphuli iindonga zemibhobho zize zisasazeke kwezinye iindawo zendlu. Yiloo nto eyenzekayo apha. Oku kubaluleke kakhulu, kuba ukuba ifunyenwe kweli nqanaba, inokunyangeka kwaye iphantse inyangeke ngokupheleleyo .
Kukho iintlobo ezimbini eziphambili ze-'stage 0'. Masizijonge ngokwahlukeneyo.
| Ingcali ekhethekileyo | I-DCIS (i-Ductal Carcinoma In Situ) | I-LCIS (Lobular Carcinoma In Situ) |
|---|---|---|
| Intsingiselo | Iiseli ezingaqhelekanga kwimibhobho yobisi yebele. | Iiseli ezingaqhelekanga kwiindlala ezivelisa ubisi (ii-lobules) zebele. |
| Ubukhali | Oku kuthathwa njengemeko 'yangaphambi komhlaza'. Ukuba ayinyangwa, inokuba ngumhlaza ohlaselayo kwixesha elizayo. | Lo asingomhlaza. Nangona kunjalo, uthathwa njengophawu lomngcipheko okwandisa umngcipheko wokuba nomhlaza kumabele omabini kwixesha elizayo. |
| Ukuchongwa | Ingabonwa rhoqo nge-mammogram. | Amaxesha amaninzi, iqhuma alinakuviwa. Lifumaneka ngengozi ngexesha lokuhlolwa kwebele ngesizathu esithile. |
| Kwenziwe ntoni | Unyango lufanele luqalwe ngoko nangoko. | Ukujonga ngokusondeleyo kunye neengxoxo rhoqo nogqirha kubalulekile. Unyango lunokufuneka ukunciphisa umngcipheko. |
Ziziphi iindlela zonyango ze-DCIS?
Ngenxa yokuba i-DCIS inokuba ngumhlaza osasazeka kwixesha elizayo, kubalulekile ukuyinyanga ngokukhawuleza nje ukuba ifunyanwe. Ngethamsanqa, unyango lusebenza kakhulu.
1. Utyando
Olu lolona nyango luphambili. Kukho iintlobo ezimbini zotyando.
- Ukususwa kweqhubu: Oku kuquka ukususa kuphela iqhubu okanye indawo eneeseli ezingaqhelekanga, kunye nezinye izicwili eziphilileyo ezijikelezileyo. Akususi lonke ibele.
- Ukususwa kwebele: Kwezinye iimeko, ukuba i-DCIS inkulu okanye isasazeke kulo lonke ibele, oogqirha banokucebisa ukuba kususwe lonke ibele. Esi sigqibo senziwa emva kwengxoxo enzulu nogqirha wakho.
Abanye abafazi bagqiba ekubeni benze utyando lokwakha amabele emva kokususwa kwamabele. Sisigqibo somntu ngamnye.
2. Unyango lweMisebe
Unyango lwemitha ludla ngokwenziwa emva kokususwa kwesilonda. Oku kusebenzisa imitha enamandla aphezulu ukutshabalalisa naziphi na iiseli ezingaqhelekanga ezincinci ezinokusala emva kotyando. Kufana nokucoca indawo kakuhle emva kotyando, kunciphisa umngcipheko wokuba ingxaki ibuyele umva.
3. Unyango lweeHormone
Ukuba i-DCIS yakho ine-hormone-receptor positive, ugqirha wakho unokucebisa unyango lwe-hormone emva kotyando. La mayeza anciphisa umngcipheko wokukhula komhlaza omtsha kumabele omabini kwixesha elizayo.
Wenza ntoni kumntu one-LCIS?
Njengoko besitshilo ngaphambili, i-LCIS ayilomhlaza, kodwa luphawu lwesilumkiso sexesha elizayo . Ke ngoko, indlela yokuyinyanga yahlukile kancinci. Eyona nto iphambili apha kukungabi luloyiko, kodwa kukwenza ngendlela ecwangcisiweyo.
- Ukubeka esweni ngokusondeleyo: Le yeyona nto ibalulekileyo. Kubalulekile ukuba uhlolwe amabele rhoqo, uhlolwe iimammogram, kunye nezinye iiskeni eziyimfuneko njengoko kucetyisiwe ngugqirha wakho.
- Unyango lweehomoni: Abafazi abane-LCIS banokunikwa unyango lweehomoni (umz., iTamoxifen) ukunciphisa umngcipheko wokuba nomhlaza kwixesha elizayo.
- Utyando Lokuthintela: Oku akuyonto inokwenziwa ngumntu wonke. Nangona kunjalo, abafazi abasengozini enkulu yokufumana umhlaza webele ngamanye amaxesha benza esi sigqibo. Ngubani owela kweli qela lisengozini enkulu?
- Ukuba ilungu losapho elisondeleyo (umama, udade wabo) liye laba nomhlaza webele.
- Ukuba ufunyenwe une-gene mutations eyonyusa umngcipheko wakho wokuba nomhlaza webele, njenge- BRCA1 okanye i-BRCA2 .
Kwiimeko ezinjalo, abanye abafazi bagqiba ekubeni basuswe i-double mastectomy ukuze baphephe iingozi ezizayo. Esi sisigqibo sobuqu nesinzulu, kwaye kufuneka senziwe emva kwengxoxo enzulu nogqirha.
Ukhetha njani into ekufanelayo?
Emva kokufunda konke oku, usenokuba uzibuza, "Yintoni engcono kum?" Impendulo ikuwe, kugqirha wakho.
Khumbula, 'iSigaba 0' asisosigwebo sokufa. Esi sisifo esinyangekayo nesibonwa kwangethuba.
Ugqirha wakho uza kukucebisa isicwangciso sonyango esifanelekileyo, ethathela ingqalelo uhlobo lwemeko yakho (i-DCIS okanye i-LCIS), ubungakanani bayo, ubudala bakho, imbali yosapho lwakho, kunye nezinto ozikhethayo. Qiniseka ukuba uxoxa ngayo nayiphi na imibuzo okanye iinkxalabo onazo nogqirha wakho . Ukuthetha naye ngokukhululekileyo sesona sigqibo silungileyo onokusenza.
Umyalezo Wokuya Ekhaya
- Umhlaza webele 'weSigaba 0' uthetha ukuba iiseli ezingaqhelekanga zinamathele apho zaqala khona (kwimibhobho okanye kumadlala). Azikasasazeki kwizicubu ezingqongileyo.
- I-DCIS yimeko efuna unyango olukhawulezileyo kuba inokuba ngumhlaza osasazekayo ukuba ayinyangwa.
- I-LCIS asiyomhlaza, kodwa luphawu olulumkisayo lomngcipheko womhlaza kwixesha elizayo, kwaye ifuna ukubekwa esweni ngokusondeleyo ngugqirha.
- Iindlela ezinje ngotyando, unyango ngemitha, kunye nonyango lwehomoni ziphumelela kakhulu kwaye zinezinga eliphezulu lokuphiliswa.
- Kubalulekile ukuxoxa ngazo zonke iindlela onokukhetha kuzo, izinto ezilungileyo nezingalunganga, nogqirha wakho uze wenze isigqibo esikulungeleyo. Kubalulekile ukuba nolwazi kwaye ungoyiki.
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