Xa ugqirha ekuxelela ukuba 'uneSigaba 0 soMhlaza webele', mhlawumbi unemibuzo emininzi kunye noloyiko oluza engqondweni yakho, akunjalo? Kuqhelekile ukuba izinto ezifana nokuthi "Ngaba oku kuthetha ukuba ndinomhlaza?" kunye nokuthi "Ngaba oku kuyingozi?" zifike engqondweni. Ngoko ke namhlanje, masithethe ngale nto ngokulula, ngendlela onokuyiqonda, ngokungathi uthetha nomhlobo.
Yintoni kanye kanye le 'phase 0'?
Oku ngenene kuyinkimbinkimbi kancinci. Abanye oogqirha bacinga ukuba eli linqanaba lokuqala lomhlaza webele. Abanye bacinga ukuba 'ngumhlaza wangaphambi komhlaza' onokuthi ube ngumhlaza.
Ngamafutshane, umhlaza yimeko apho iiseli emzimbeni zahlukana ngendlela engaqhelekanga nangokungalawulekiyo. Ezi seli zinokungena nakwizicwili eziphilileyo ezijikeleze izicubu. Nangona kunjalo, kwiSigaba 0 soMhlaza webele , ezi seli ezingaqhelekanga zisengaphakathi kwimibhobho yobisi yebele kuphela. Azikasasazeki (zingena) kwizicubu ezijikelezileyo. Oku kuthetha ukuba eli linqanaba elingaphantsi kakhulu nelisekuqaleni kakhulu kuneSigaba 1.
Kukho iintlobo ezimbini eziphambili zale meko:
1. I-Ductal Carcinoma In Situ (DCIS): Xa sithetha ngeSigaba 0 soMhlaza webele, sisoloko sithetha ngale meko. Apha, iiseli ezingaqhelekanga zingaphakathi kwimibhobho yobisi kuphela. Azisasazekanga kwizicubu ezinamafutha ezenza uninzi lwebele. Isizathu esichanekileyo soku asikaziwa okwangoku. Uninzi lwabantu alunazo naziphi na iimpawu. Nangona kunjalo, ngamanye amaxesha ezi seli ezingaqhelekanga zinokukhula zibe ngumhlaza osasazeka kwixesha elizayo. Kodwa akukho ndlela yokuqinisekisa ukuba oko kuya kwenzeka okanye akunjalo.
2. Isifo se-Paget esingenasithintelo se-nipple: Olu luhlobo olungaqhelekanga lomhlaza webele.
Ngaba kukho naziphi na iimpawu zale meko?
Uninzi lwexesha, iSigaba 0 soMhlaza webele asibangeli zimpawu. Kodwa ngamanye amaxesha, kunokubakho iimpawu ezithile. Makhe sijonge ukuba zeziphi.
| Imeko | Iimpawu ezinokwenzeka |
|---|---|
| Isifo sikaPaget seNipple |
|
| I-DCIS (i-Ductal Carcinoma In Situ) |
Uyibona njani le nto?
Ngenxa yokuba amaxesha amaninzi akukho zimpawu, eyona ndlela ilungileyo yokufumanisa umhlaza webele weSigaba 0 kukuhlola rhoqo . Iimammograms zezona ndlela zixhaphakileyo zokufumanisa le meko. Enyanisweni, ngaphezulu kwe-90% yeemeko zeDCIS zifunyanwa ngovavanyo lokuhlola. Yiyo loo nto oogqirha becebisa abafazi ukuba bahlolwe besebancinci.
Ngubani osengozini enkulu yokuba nale meko?
Izinto ezibangela umngcipheko weSigaba 0 soMhlaza webele zifana kakhulu nezinto ezibangela umhlaza webele oqhelekileyo. Makhe sijonge ukuba zeziphi. Ukuba nenye okanye ezingaphezulu kwezi zinto akuthethi ukuba uza kuba nesifo, kodwa kuthetha ukuba umngcipheko wakho uphezulu kancinci.
| Into enobungozi | Inkcazo |
|---|---|
| Ubudala | Umngcipheko uyanda njengoko iminyaka ikhula. |
| Imbali yosapho | Ukuba nesalamane esisondeleyo (umama, udadewenu) esinomhlaza webele. |
| Ukungabi nabantwana | Abafazi abangazange bazale basengozini enkulu. |
| Umntwana wokuqala | Ukuba nomntwana wakho wokuqala emva kweminyaka engama-30. |
| Imbali yobuqu | Ukuba sele ukhe wanezifo zamabele ezingezizo ezomhlaza ngaphambili (umz. i-Atypical Hyperplasia). |
| Ukuya exesheni | Ukuya exesheni kuqala ngaphambi kokuba ufikelele kwiminyaka eli-12 okanye ukuya exesheni kwenzeka emva kweminyaka engama-55. |
| Umahluko kwi-genetic | Ukuba notshintsho lwemfuza olwaziwayo ukuba lunokwandisa umngcipheko womhlaza. |
Zithini iindlela zonyango?
Wakuba ufunyaniswe une-DCIS, ingxelo yakho yovavanyo iya kuquka 'ibanga'. Ibanga lesi-3 lenyukliya lolona hlobo lunokusasazeka, kwaye ibanga loku-1 lolona hlobo lunokusasazeka kancinci. Iiseli zakho zomhlaza nazo ziya kuvavanywa ukuze kubonwe ukuba zinayo na i-estrogen receptors. Ukuba zine -ER-positive (ER+) , oku kuthetha ukuba umhlaza ukhula kancinci.
Kunye nazo zonke ezi zinto, ugqirha wakho unokucebisa ukuba wenze uvavanyo lwemfuza.
Oko ukwenzayo emva koko kuxhomekeke kuzo zonke ezi zinto, kunye nezinto ozikhethayo. Uninzi lweengcali zikholelwa ukuba kungcono ukufumana unyango oluthile. Kuba nangona umhlaza weSigaba 0 ungasasazeki, unokutshintsha kwixesha elizayo, zikholelwa ukuba kungcono ukukhuseleka kunokuzisola.
Unyango oluqhelekileyo lwe-DCIS luquka:
- Utyando: Kwii-tumor ezincinci ze-DCIS, i-lumpectomy, esusa iiseli ezingaqhelekanga kunye nenani elincinci lezicubu zebele ezijikelezileyo, inokwenziwa. Abanye abantu bakhetha ukuhlinzwa kwebele, okususa lonke ibele. Utyando lokwakha kwakhona ibele lunokwenziwa ukuba kuyimfuneko.
- Unyango lweMisebe: Oku kudla ngokwenziwa emva kokususwa kwesihlunu. Unyango lweMisebe lunceda ekutshabalaliseni naziphi na iiseli ezingaqhelekanga ezingasuswanga ngexesha lotyando kwaye lunciphisa umngcipheko wokubuya komhlaza.
- Unyango lweeHormone: Olu nyango emva kotyando lunokunceda ekuthinteleni umhlaza omtsha ekukhuleni kwamabele omabini.
Okubaluleke kakhulu, i-chemotherapy isetyenziselwa ukunyanga i-DCIS.Oku akuyomfuneko. Isizathu soku kukuba umngcipheko wokuba ezi seli zisasazeke kwiindawo ezikude zomzimba uphantsi kakhulu.
Kungcono ukubukela uze ulinde ngaphandle konyango?
Le yingxaki ebucayi kakhulu nebalulekileyo. Malunga nesithathu sabantu abane-DCIS banethuba lokufumana umhlaza ohlaselayo kwixesha elizayo. Ke ngoko, abanye oogqirha banokucebisa indlela 'yokulinda nokulinda', ngokuvavanywa rhoqo, endaweni yonyango olukhawulezileyo.
Oku kuyimpikiswano. Khawuthelekelele, ukuba ubunotyando (mhlawumbi ngonyango lwemitha) ngaxeshanye, ubunokukhuselwa ekubeni nomhlaza ongasayi kuze usasazeke. Kwelinye icala, usenokuba ufumana unyango olungeyomfuneko ngokwenene.
Kodwa ukuba ugqiba ekubeni ungalufumani unyango lotyando kunye nonyango lwemitha ekuqaleni uze uhlolwe rhoqo, kukho ithuba elincinci lokuba umhlaza uza kuba uphucuke kancinci (kunzima ukuwunyanga) xa oogqirha bewufumana. Esi sisigqibo sobuqu ekufuneka wena nogqirha wakho nisixoxe ngononophelo.
Lingakanani izinga lokuchacha kwesi sifo?
Nazi iindaba ezimnandi. Ukuba uneSigaba 0 soMhlaza webele, amathuba akho okuchacha nokusinda ngokubanzi aphezulu kakhulu kunalawo anomhlaza weSigaba III okanye IV. Oku kungenxa yokuba esi sifo asikasasazeki kwamanye amalungu omzimba.
Izinga lokusinda leminyaka emi-5 kubantu abanomhlaza webele 'wasekuhlaleni' (oko kukuthi, iimeko apho iiseli ezingaqhelekanga zisesebeleni, njengeSigaba 0) yi-99% . Ngamafutshane, oku kuthetha ukuba umntu ofunyaniswe enomhlaza weSigaba 0 unethuba le-99% lokusinda kwiminyaka emi-5 ezayo, kanye njengomntu ongenawo umhlaza.
Malunga ne-1 kwi-5 yomhlaza wamabele osandul’ ukufunyanwa yi-DCIS. Kodwa phantse wonke umntu onesifo unokunyangeka ngokupheleleyo. Akuqhelekanga ukuba i-DCIS ibuye emva konyango.
Umyalezo Wokuya Ekhaya
- Inqanaba 0 Umhlaza webele linqanaba lokuqala lomhlaza. Apha, iiseli ezingaqhelekanga azikasasazeki ngaphandle kwemibhobho yobisi.
- Ixesha elininzi, le meko ayinazo iimpawu. Ifunyaniswa ngovavanyo olufana ne-mammogram.
- Kukho iindlela ezahlukeneyo zonyango. Ufanele ukhethe olukufaneleyo emva kokuthetha nogqirha wakho.
- I-chemotherapy ayifuneki kule meko.
- Ungakhathazeki. Izinga lokusinda kwabantu abaneSigaba 0 soMhlaza webele liphezulu kakhulu.Ngonyango olufanelekileyo, kunokwenzeka ukuba umntu aphile ngokupheleleyo.
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