Xa uhlola umzimba wakho, okanye nje ngokungakhathali, uze ufumane iqhuma ebeleni lakho, kuyinto eqhelekileyo ukuziva uloyiko olukhulu. "Ingaba ngumhlaza lo?" ngumbuzo wokuqala ofika engqondweni. Loo loyiko lufanelekile. Kodwa ubusazi ukuba ayizizo zonke iqhuma ebeleni ezingumhlaza? Namhlanje sithetha ngeqhuma elingelona linobungozi, kodwa lihlala lisoyikisa. Eli libizwa ngokuba yi-PASH.
Kalula nje, yintoni i-PASH?
Igama elipheleleyo le-PASH lithi ``Pseudoangiomatous Stromal Hyperplasia``. Nangona eli gama liyinkimbinkimbi kancinci, intsingiselo yalo ilula kakhulu. Eli liqhuma elingengomhlaza (elingenamhlaza) elikhula kwizicubu zebele. Ngokuchanekileyo, la maqhuma enziwe ngeproteni ebizwa ngokuba yi-``collagen``` efumaneka emzimbeni wethu nakwiiseli ezinxulumene nayo.
Kuqheleke kakhulu kangangokuba uphando lufumanise ukuba i-PASH iyenzeka kwi-23% yeesampuli zezicubu zebele. Oku kuthetha ukuba uninzi lwabasetyhini luya kuba neqhuma elinje ngaxa lithile ebomini babo. Ezi azinabungozi.
Kutheni ke ngoko i-PASH inxulunyaniswa nomhlaza?
Nantsi into ebalulekileyo. Ngamanye amaxesha iqhuma le-PASH linokudideka nohlobo lomhlaza olungaqhelekanga olubizwa ngokuba yi-`Angiosarcoma.` I-Angiosarcoma ngumhlaza onokuthi uvele kwimithambo yegazi yebele. Ngenxa yokuba ezi zimbini zinokufana kwezinye iimvavanyo, oogqirha balumkile kakhulu.
Ngoko ke, ukuba ubona into efana ne-PASH kwi-mammogram yakho (i-X-ray yamabele akho), ugqirha wakho akayi kugqiba kwelokuba awunayo umhlaza de abe uqinisekile nge-100%. Bafuna ukuqiniseka ukuba yi-PASH okanye enye into.
Kodwa khumbula, ithuba lokuba iqhuma le-PASH libe ngumhlaza liphantsi kakhulu. Kwakhona, kunqabile ukubona amaqhuma e-PASH edibana nomhlaza webele.
Ngubani onokuba nethuba elikhulu lokufumana i-PASH?
Le meko ixhaphake kakhulu kubasetyhini abaphakathi kweminyaka engama-30 ukuya kwengama-50. Kodwa oko akuthethi ukuba ayinakwenzeka kwabanye. Kukho iingxelo ze-PASH kumantombazana aneminyaka eli-14 ubudala nakubasetyhini abadala abaphakathi kweminyaka engama-51 ukuya kwengama-67 ubudala.
Okumangalisayo kukuba, i-PASH inokwenzeka nasemadodeni. Nangona kunjalo, idla ngokuvela nakumadoda anesimo esibizwa ngokuba yi-'Gynecomastia'. I-'Gynecomastia' kukwanda kwezicubu zebele lamadoda ngenxa yempembelelo yehomoni. Oku kuthetha ukuba i-PASH inonxibelelwano lwehomoni.
Yintoni unobangela we-PASH?
Inyaniso kukuba, isizathu esichanekileyo se-PASH asikaziwa, kodwa abaphandi bakholelwa kakhulu ukuba ichaphazeleka ziihomoni .
Umzekelo, amaqhuma e-PASH kwabanye abafazi anokudumba xa besexesheni ngenyanga. Kukwakho neemeko ezithile apho i-PASH inxulunyaniswa neepilisi zokulawula ukuzalwa kunye nonyango lokutshintshwa kweehomoni (HRT). Oku kusaphandwa.
Zithini iimpawu ze-PASH? Sizazi njani?
Uninzi lwexesha, amaqhuma e-PASH mancinci kakhulu kwaye anokubonwa kuphela nge-microscope (`microscopic`). Abantu abaninzi abaziva zimpawu kwaye abazi nokuba banazo. Zifumaneka ngengozi ngexesha le-mammogram ngenxa yesinye isizathu.
Kodwa ezinye ii-nodules ze-PASH zinokukhula zibe nkulu kakhulu, ukusuka kwi-1 ukuya kwi-12 centimeters. Kulapho siqala khona ukuziva iimpawu.
| Uphawu | Inkcazo |
|---|---|
| Ukuziva iqhuma esandleni | Ivakala ngathi yiqhuma eliqinileyo elinokuviwa esandleni, ngokuqhelekileyo liyingqukuva okanye limile okweqanda. |
| Ukufuduka | La maqhuqhuva anokuhamba ngaphakathi kwithishu yebele. Oku kuthetha ukuba awahlali kwindawo enye rhoqo. |
| Intlungu | Amaqhuma e-PASH adla ngokungabangeli ntlungu okanye ukungonwabi. Nangona kunjalo, ukuba iqhuma liba likhulu kakhulu, ungaziva ungakhululekanga. |
| Utshintsho lobungakanani | Ngamanye amaxesha ubungakanani bezi ziqhuma bunokutshintsha, ngamanye amaxesha butshintshe ngokukhawuleza. Kodwa olu tshintsho kubungakanani alunabungozi. |
Ungayiqinisekisa njani ngokuchanekileyo imeko ye-PASH?
Ukuba uneqhuma ebeleni lakho, ugqirha wakho uya kucebisa uvavanyo oluninzi ukuqinisekisa ukuba yi-PASH okanye akunjalo.
- I-Mammogram okanye i-MRI: Ezi zithatha imifanekiso eneenkcukacha zezicubu zebele ukujonga uhlobo lweqhuma.
- I-Ultrasound Scan: Oku kusebenzisa amaza esandi ukuhlola izicwili zebele. Kunokunceda ekuqinisekiseni ukuba iqhuma liqinile okanye lizele lulwelo.
- I-Core Biopsy: Le yeyona ndlela ichanekileyo yokuxilonga. Kule ndlela, kusetyenziswa inaliti encinci, engenanto ukususa iqhekeza elincinci kakhulu lesicubu kwiqhubu kwaye lihlolwe phantsi kwe-microscope. Uhlobo lweeseli kuloo qhekeza lesicubu lunokusetyenziswa ukufumanisa ngokuqinisekileyo okupheleleyo ukuba yi-PASH okanye enye into.
- Ukususwa ngotyando: Ngamanye amaxesha, ukuba kunzima ukuqinisekisa nge-biopsy, ugqirha unokugqiba ekubeni asuse lonke iqhuma ngotyando ukuze lihlolwe.
Ngaba i-PASH ifuna unyango?
Nazi iindaba ezimnandi. Amaxesha amaninzi, wakuba ufunyenwe une-PASH, akuyi kufuneka naluphi na unyango. Ugqirha wakho uhlala esithi, "Masijonge oku." Oko kuthetha ukuhlala ujonge iqhuma ngexesha le-mammogram yakho yonyaka.
Nangona kunjalo, kunqabile kakhulu, utyando lunokufuneka ukuze kususwe iqhuma. Oku kungenxa yezizathu ezilandelayo:
1. Ukuba iqhuma likhulu kakhulu kwaye uziva ungakhululekanga okanye unentlungu.
2. Ukuba awuqinisekanga ngokupheleleyo ukuba le yi-PASH nasemva kovavanyo, susa loo mathandabuzo.
Olu tyando lulula kakhulu. Lubandakanya ukususa ithumba kunye nenani elincinci lezicubu ezijikelezileyo ukuthintela ukuba lingakhuli kwakhona. Amathuba okuba ithumba le-PASH libuye emva kotyando aphantsi kakhulu ukusuka kwi-15% ukuya kwi-22%.
Umyalezo Wokuya Ekhaya
- I-PASH liqhuma elixhaphakileyo, elingenamhlaza (elingenabungozi) elivela emabeleni.
- Ukuba ufumana iqhuma ebeleni lakho, ungoyiki, kodwa qiniseka ukuba ubonana nogqirha ukuze akunike icebiso. Ungaze ulityeshele.
- I-PASH ayinakwenzeka ukuba ibe ngumhlaza. Ayithathwa njengemeko yangaphambi komhlaza.
- Uvavanyo olufana ne-'Mammogram', 'Ultrasound', kunye ne-'Core Biopsy' lubalulekile ukuze kufunyanwe isifo ngokuchanekileyo.
- Amaxesha amaninzi, akukho nyango lufunekayo kwi-PASH, kwaye kwanele nje ukuyijonga ngugqirha.
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