Xa ugqirha wakho ekuxelela ukuba unomhlaza webele ongangenisi ntsholongwane, okanye iDuctal Carcinoma in Situ (DCIS), ungaziva uloyiko olukhulu kunye nokothuka. Kuqhelekile ukuba nemibuzo efana nale, 'Ndenze ntoni ngoku? Luhlobo luni lonyango endiludingayo?' Kodwa ungoyiki. Nangona ibizwa ngokuba ngumhlaza, isekwinqanaba lokuqala, oko kuthetha ukuba ayikasasazeki. Makhe sithethe ngale nto ngokulula nangokucacileyo.
Yintoni kanye kanye i-DCIS?
Ngamafutshane, i-DCIS yimeko apho iiseli zomhlaza zikhula ngaphakathi kwimibhobho yobisi ebeleni kuphela . Cinga ngezi mibhobho yobisi njengemibhobho emincinci. Kwi-DCIS, iiseli zomhlaza zingaphakathi kwezi mibhobho kuphela. Azisasazekanga ngaphandle kwemibhobho, oko kuthetha ukuba azisasazekanga kwezinye izicubu ezithambileyo ebeleni. Oku kubizwa ngoogqirha ngokuthi "in situ" (okuthetha 'in place').
Oku kwaziwa ngokuba yi -'Stage 0' yomhlaza webele . Eyona nto ibalulekileyo neyona ilungileyo ngale nto kukuba ukuba ifunyenwe ngaphambi kokuba isasazeke, inokuphiliswa ngokupheleleyo ngonyango olufanelekileyo. Injongo ephambili yonyango kukususa ngokupheleleyo ezi seli zomhlaza ngaphambi kokuba ziphume kwimibhobho yobisi zisasazeke kwezinye izicubu zebele.
Ngaba kufuneka ndenze utyando?
Kusenokwenzeka ukuba kunjalo. Unyango oluphambili noluqhelekileyo lwe-DCIS lutyando. Kodwa ungoyiki ukuthi "utyando." Kukho iintlobo ezimbini eziphambili zotyando. Ugqirha wakho uza kukuchazela ukuba yeyiphi indlela efanelekileyo kwimeko yakho.
| Uhlobo lotyando | Kalula nje... | Isetyenziswa nini rhoqo? |
|---|---|---|
| Utyando lweLumpectomy (Utyando lokulondoloza amabele) | Oku akususi lonke ibele. Kuphela yinxalenye enomhlaza kunye nenani elincinci lezicubu eziphilileyo ezijikelezileyo ezisuswayo. Ibele lakho lishiywa liphelele. | Olu lukhetho lokuqala kwiimeko ezininzi ze-DCIS, ingakumbi ukuba umhlaza ukwindawo enye encinci. |
| Utyando lweMastectomy | Kule meko, lonke ibele liyasuswa ngotyando. | Kusenokuba nezizathu ezininzi zokuba ugqirha wakho angacebisa olu tyando. Umzekelo: - Ukuba umhlaza usasazeke kwindawo enkulu yebele. - Ukuba umhlaza ukho kwiindawo ezahlukeneyo zebele. - Ngokuxhomekeke kwindawo yomhlaza, kunokuba nzima ukugcina inkangeleko yebele emva kokususwa kwesibeleko. - Ukuba usengozini enkulu yokuba nomhlaza webele kwixesha elizayo ngenxa yembali yosapho lwakho, iziphumo zovavanyo lwemfuza, okanye ubudala bakho. |
Kwenzeka ntoni emva kotyando?
Unyango lwakho alupheli emva kotyando. Kusekho amanyathelo aliqela onokuwathatha ukuthintela umhlaza ukuba ungabuyi.
Unyango lweMisebe
Ukuba ukhe wakhutshwa i- lumpectomy , unyango lwe-radiation ludla ngokucetyiswa emva kotyando. Injongo kukutshabalalisa naziphi na iiseli zomhlaza ezincinci, ezingabonakaliyo ezinokuthi zihlale kuloo ndawo emva kotyando. Oku kunciphisa kakhulu umngcipheko wokubuya komhlaza.
- Eyona ndlela ixhaphakileyo: Oku kuquka ukufaka imitha ngaphandle esifubeni esivela kumatshini kangangeentsuku ezi-5 ngeveki kangangeeveki eziliqela.
- Iindlela ezizezinye: Ngamanye amaxesha, imitha inikwa inxalenye yebele apho umhlaza wawukhona, kunokuba inikwe lonke ibele. Kukwakho nendlela apho imbewu encinci enemitha ifakwa khona ukuze kunyangwe. Nangona kunjalo, zombini ezi ndlela, ezihambisa imitha kulo lonke ibele, zisafundwa ukuze kubonwe ukuba ziyasebenza na.
Eyona nto ibalulekileyo kukuba ukuba ukhe wahlinzwa i- mastectomy , unyango lwe-radiation aludingi mfuneko.
Unyango lweHormonal
Abanye abafazi banokucetyiswa ukuba bathathe iyeza lonyango lwehomoni, elifana ne -tamoxifen , ukongeza kunyango lwemitha. Oku kunceda ekunciphiseni umngcipheko wokubuya komhlaza.
Kodwa eli yeza linikwa kuphela xa umhlaza wakho 'une-hormone-receptor-positive' . Kuthetha ukuthini oko? Kuthetha ukuba i-hormone estrogen, eveliswa ngokwemvelo emzimbeni wakho, inceda iiseli zomhlaza zikhule. Ugqirha wakho uza kukuvavanya ukuze abone ukuba umhlaza wakho ungolu hlobo na. Oko kuya kugqiba ukuba uyalufuna olu nyango okanye akunjalo.
Ngaba ndiza kuyidinga i-chemotherapy?
Kusenokwenzeka ukuba akunjalo. Olu loyikiso olukhulu kubantu abaninzi. I-Chemotherapy lunyango olusebenzisa amayeza anamandla ukutshabalalisa iiseli ezahlulahlula ngokukhawuleza (ezifana neeseli zomhlaza) emzimbeni wonke. Nangona kunjalo, ngenxa yokuba i-DCIS yimeko evaleleke kwimibhobho yobisi kwaye ingasasazekanga kwezinye iindawo zomzimba, i-chemotherapy ayikhuthazwa rhoqo kunyango lwayo.
Ngaba kuya kufuneka ndiphinde ndityandwe?
Ngamanye amaxesha oku kunokwenzeka. Ingakumbi ukuba ukhe wakhutshwa i- lumpectomy , ukuba emva kokuhlola izicubu ezisusiweyo, ugqirha ucinga ukuba akwanelanga ukuba kususwe izicubu 'ezicocekileyo' (ezisempilweni) ezijikeleze iiseli zomhlaza, kunokufuneka utyando lwesibini. Oku kubizwa ngokuba 'yi-clear margins'. Oku kwenzelwa ukususa ngokupheleleyo naziphi na iiseli zomhlaza eziseleyo kunye nokukhusela wena.
Ngaba kufuneka ucinge ngokwakhiwa kwakhona kwamabele?
Emva kokususwa kwesisu okanye i-mastectomy, abanye abafazi bakhetha ukwenza utyando lokwakha amabele. Esi sisigqibo sobuqu ngokupheleleyo . Akunyanzelekanga ngokwezonyango. Kwaye akufuneki kwenziwe kwangoko emva kotyando lokuqala. Ukuba unomdla, zive ukhululekile ukuthetha nogqirha wakho malunga neendlela onokukhetha kuzo, indlela okwenziwa ngayo, kunye nokuba ikulungele na.
Umyalezo Wokuya Ekhaya
- I-DCIS luhlobo lomhlaza webele oluqalayo, olungangenisi ntsholongwane, ngoko ke ungoyiki.
- Unyango loku luphumelela kakhulu. Amathuba okuchacha ngokupheleleyo aphezulu kakhulu.
- Unyango oluphambili lutyando. Olu lutyando lungaba kukususwa kweqhuma kuphela okanye i-mastectomy (ukususwa kwebele lonke).
- Emva kotyando, unyango lwemitha okanye unyango lwehomoni lunokufuneka ukuthintela umhlaza ukuba ungabuyi.
- I-chemotherapy ayisoloko iyimfuneko kwi-DCIS.
- Lilungelo lakho ukuxoxa ngokucacileyo nogqirha wakho ngazo zonke izinto ezikuxhalabisayo nezoyikisayo.
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