Ingabe ukuhlolwa kwebele kubike ukuthi 'ADH'? Ake sixoxe ngalokhu kalula (i-Atypical Ductal Hyperplasia)

Ake sithi ngemva kokuhlolwa kwe-mammogram, udokotela wakho wathatha ingxenye encane yezicubu wayithumela ukuze iyohlolwa. Lokhu sikubiza ngokuthi i-biopsy. Uma umbiko ubuya ezinsukwini ezimbalwa kamuva bese uthi "Atypical Ductal Hyperplasia" noma "ADH," ungase uzizwe wesaba kakhulu futhi ukhathazekile ngokuzumayo. Kuvamile ukuzibuza, "Ingabe lo mdlavuza?" Kodwa ungakhathazeki. I-ADH ayiwona umdlavuza. Kodwa-ke, yisimo esikhuphula kancane ingozi yakho yokuba nomdlavuza webele esikhathini esizayo. Yingakho kubaluleke kakhulu ukuqaphela. Namuhla, ake sixoxe kalula nangokucacile ngokuthi iyini i-ADH, ukuthi isho ukuthini ngempela, nokuthi yini okufanele siyenze.

Kalula nje, iyini i-Atypical Ductal Hyperplasia (ADH)?

Ukuze siqonde lokhu, ake siqale sibheke isakhiwo sebele. Amabele ethu anezindlala ezikhiqiza ubisi (ama-lobule) kanye nenethiwekhi yamapayipi amancane (amapayipi) athwala lolo bisi aye engonweni. Ngokuvamile, izindonga zangaphakathi zale mibhobho yobisi zihlelwe kahle, zinezendlalelo ezimbili zamaseli.

Kodwa-ke, esimweni esibizwa ngokuthi i-Atypical Ductal Hyperplasia (ADH), nakhu okwenzekayo:

• I-Hyperplasia: Amaseli angaphakathi kwale misele yobisi ayanda ngobukhulu. Igama elithi "hyperplasia" ngokwezwi nezwi lisho "ukwanda kwenani lamaseli."
• Akuvamile: Lawa maseli awafani namaseli ajwayelekile aphilile. Ukuma kwawo, usayizi, kanye nendlela amaseli ahlanganiswe ngayo "akuvamile." Lokhu kusho ukuthi esikhundleni sokuhleleka ngezingqimba ezimbili, ahlanganiswe ndawonye ngendlela exakile, enezingqimba eziningi.

Into ebalulekile ukuthi la maseli awawona umdlavuza . Angamaseli angenabungozi. Kodwa-ke, afana namanye amaseli asesimweni esibizwa ngokuthi i-Ductal Carcinoma in Situ (DCIS), okuyisigaba sokuqala somdlavuza. Ngamanye amazwi, la maseli aphakathi kwamaseli ajwayelekile namaseli omdlavuza. Yingakho kuthiwa umuntu one-ADH usengozini enkulu yokuba nomdlavuza webele esikhathini esizayo kunomuntu ongenawo i-ADH.

Kusho ukuthini ukuba ne-ADH?

Uma umbiko wakho we-biopsy uthi i-ADH, akusho ukuthi unomdlavuza. Kodwa-ke, odokotela babheka lesi simo njengento eyandisa ingozi yakho yomdlavuza webele esikhathini esizayo. Izifundo zithole ukuthi owesifazane one-ADH angaba namathuba aphindwe kane okuthola umdlavuza webele kunowesifazane ongenawo.

Ngenxa yalesi sizathu, udokotela wakho angase akuncome ukuthi uhlolwe umdlavuza webele eduze kakhulu nesimiso sakho esivamile. Isibonelo:

• Ukwenza i-mammogram njalo ngonyaka.
• Mhlawumbe i-ultrasound yebele noma i-MRI scan.
• Yenza ukuhlolwa kwamabele njalo ngudokotela (ukuhlolwa kwamabele omtholampilo).

Inhloso yokuhlola njalo ngale ndlela ukuqinisekisa ukuthi uma umdlavuza uvela, ungatholakala esigabeni sokuqala futhi welashwe ngempumelelo.

Ziyini izimpawu ze-ADH?

Esikhathini esiningi, azikho izimpawu ezithile ze-ADH. Lokhu kusho ukuthi ungase ungaboni lutho. Iningi labantu litholakala linalesi simo lapho kwenziwa i-biopsy ngenxa yesimo esingavamile esitholakala ku-mammogram ngesinye isizathu.

Kodwa-ke, akuvamile kakhulu, abanye abantu bangase babe nezimpawu ezilandelayo. Kunzima ukusho ukuthi lezi zibangelwa yi-ADH noma cha, kodwa uma ubona into efana nale, kufanele nakanjani ubone udokotela.

Izimbangela kanye nezici eziyingozi zokuthuthukisa i-ADH

Odokotela abasazi kahle ukuthi kungani amaseli akulezi misele yobisi eziphatha ngale ndlela engavamile. Kodwa-ke, kukholelwa ukuthi izici ezifanayo eziyingozi zomdlavuza webele nazo zingase zibe nomthelela ekuthuthukisweni kwe-ADH.

Izici eziyingozi ezingathinta i-ADH

• Umlando womndeni: Ukuba nelungu lomndeni (ikakhulukazi umama, udadewabo, indodakazi) elinomdlavuza webele.
• Ukuguqulwa kwezakhi zofuzo: Ukuba nokuguqulwa kwezakhi zofuzo okwandisa ingozi yomdlavuza webele, njenge-'BRCA1' noma i-'BRCA2'.
• Umlando womuntu siqu: Njengoba ngike ngaba nesinye isimo somdlavuza ngaphambili.
• Ukukhuluphala ngokweqile: Ukwehluleka ukugcina isisindo somzimba esinempilo.
• Indlela Yokuphila: Ukuphuza utshwala nokusebenzisa imikhiqizo kagwayi.

Iphathwa kanjani i-ADH?

Uma i-biopsy yakho isiqinisekisile ukuthi une-ADH, udokotela wakho uvame ukuncoma enye inqubo encane njengesinyathelo esilandelayo. Lokhu kubizwa ngokuthi i-excisional biopsy .

Lokhu kuhilela ukususa hhayi nje kuphela indawo yezicubu lapho kutholakala khona amangqamuzana angavamile (i-ADH), kodwa futhi nenani elincane lezicubu ezinempilo ezizungezile. Kungani lokhu kwenziwa? Ngoba ngezinye izikhathi, eduze kakhulu nalapho kutholakala khona i-ADH, kungase kube nesimo esibi kakhulu, njengezigaba zokuqala zomdlavuza njenge-'DCIS', noma amangqamuzana omdlavuza afihliwe.

Uma izicubu ezisusiwe ngesikhathi sokuhlinzwa sezibuyiselwe elabhorethri futhi sekuqinisekisiwe ukuthi azinawo amangqamuzana omdlavuza, ngeke usadinga ukwelashwa. Kusukela ngaleso sikhathi kuqhubeke, okudingeka ukwenze nje ukuhlolwa amabele njalo njengoba udokotela wakho ekuncoma.

Imithi Enciphisa Ingozi

Uma ingozi yakho yokuba nomdlavuza webele iphezulu kakhulu ngenxa yesimo sakho se-ADH nezinye izici (njengomlando womndeni), udokotela wakho angase akunike imithi ethile ukuze anciphise ingozi yakho. Le mithi isebenza ngokuvimbela ukusebenza kwe-hormone estrogen emzimbeni.

• I-Tamoxifen: Kwabesifazane abangakaze badlule esikhathini sokuya esikhathini.
• I-Raloxifene (Evista®), i-Exemestane (Aromasin®), i-Anastrozole (Arimidex®): Kwabesifazane asebekhulile.

Le mithi inganconywa iminyaka emihlanu. Kodwa-ke, njengoba yonke le mithi inemiphumela ethile emibi, kubalulekile ukuxoxa ngayo ngokucophelela nodokotela wakho ukuze unqume ukuthi ikufanele yini.

Imibuzo okufanele uyibuze udokotela wakho

Kuvamile ukuba nemibuzo eminingi uma uthola ukuthi une-ADHD. Ungangabazi ukubuza le mibuzo uma ubona udokotela wakho.

• "Dokotela, usho ukuthini ngempela lo mbiko wami wokuhlolwa?"
• "Ingabe ngidinga ngempela ukuhlinzwa?"
• "Iyini ingozi yami yokuba nomdlavuza webele esikhathini esizayo?"
• "Kufanele ngenze izivivinyo ezinje nge-mammogram kangaki?"
• "Yiziphi izinguquko okudingeka ngizenze endleleni yami yokuphila?"
• "Ingabe kuwumqondo omuhle kimi ukuthola ukwelulekwa ngofuzo?"

Ungayinciphisa kanjani ingozi yakho uma uphila ne-ADHD?

Nakuba ungenakukwazi ukulawula isimo sakho se-ADH, kunezinto ongazenza ukuze unciphise ingozi yakho yomdlavuza wesikhathi esizayo. Lokhu kungakusiza futhi ukuthi uphile impilo enempilo.

• Gcina isisindo esinempilo: Ukuzivocavoca kanye nokudla okulinganiselayo kubaluleke kakhulu.
• Ukuzivocavoca: Zama ukuhlala umatasa nsuku zonke.
• Nciphisa utshwala: Nciphisa ukuphuza utshwala ngangokunokwenzeka noma uyeke ngokuphelele.
• Gwema ukubhema: Ukubhema nokusebenzisa imikhiqizo kagwayi kwandisa kakhulu ingozi yomdlavuza.

Futhi, zenze umkhuba wokwenza izivivinyo zamabele akho . Qaphela ukubukeka okuvamile kwamabele akho okungenani kanye ngenyanga. Ngale ndlela, ungasheshe ubone noma yiziphi izigaxa ezintsha, ukuqina, noma izinguquko.