Uma uke waba nezitho zokufakelwa amabele noma ucabanga ukuzisebenzisa, lesi sihloko sizoba sibaluleke kakhulu kuwe. Namuhla sizokhuluma ngomdlavuza ongavamile kakhulu ohlotshaniswa nezitho zokufakelwa amabele, kodwa abantu abaningi abakhulumi ngawo. Ungakhathazeki uma uzwa lokhu, ngoba lesi yisimo esingavamile kakhulu. Kodwa-ke, kubaluleke kakhulu ukuqaphela lokhu ukuze uphephe.
Iyini ngempela i-BIA-ALCL?
Kalula nje, igama eliphelele lalokhu yi-Breast Implant-Associated Anaplastic Large Cell Lymphoma, noma i-BIA-ALCL. Lona akuwona umdlavuza webele. Kubalulekile ukukhumbula lokho. I-BIA-ALCL uhlobo lwe-lymphoma, umdlavuza ohilela amasosha omzimba ethu.
Kuvela ku-capsule ene-fibrous kanye noketshezi oluzungezile oluzungeze i-implant yebele. Ngokuvamile umdlavuza onamandla kakhulu. Iningi labantu lingaphulukiswa ngokuphelele ngokuhlinzwa ukuze kususwe i-implant kanye nezicubu ezizungezile. Kodwa-ke, ezimweni ezingavamile, ezimbi kakhulu, kungasakazekela kuma-lymph node aseduze, njengalawo asemakhwapheni, nakwezinye izingxenye zomzimba.
Sivame kangakanani lesi simo?
Lokhu kuyinto ebaluleke kakhulu. I-BIA-ALCL yisimo esingavamile kakhulu . Kunezigidi zabesifazane emhlabeni wonke abaye bafakelwa amabele. Kodwa kusukela ngoJanuwari 2020, lesi sifo sase sibikwe izikhathi ezingu-733 kuphela emhlabeni jikelele. Lokho kusho ukuthi amathuba okuthi senzeke mancane kakhulu. Ngakho-ke nakuba ukwazi lokhu, ungesabi ngokungadingekile.
Hlobo luni lwezifakelo zamabele ezihilelekile kulokhu?
Ucwaningo kuze kube manje lubonise ukuthi i-BIA-ALCL ivame ukuhlotshaniswa nokufakelwa kwebele okune-textured . Esikhathini esidlule, ukufakelwa okune-textured kwakusetshenziswa ngoba kwakusiza ibele ukuthi lihlale endaweni yalo ngaphandle kokuhambahamba.
Kunemibiko embalwa kakhulu yokuthi lesi sifo sihlotshaniswa nokufakelwa kwamabele okubushelelezi. Futhi, ukuthi ukufakelwa kugcwele i-silicone noma i-saline akubonakali kuyithinta lesi sifo.
Ake sifunde futhi ngezifakelo ezibuyiselwe emuva.
Ngokusho kwe-US Food and Drug Administration (FDA), cishe ama-85% eziguli ze-BIA-ALCL ezibikiwe zazifakwe i-implant ene-texture ebizwa ngokuthi i-BIOCELL®, eyenziwe yi-Allergan. Ngenxa yalokho, i-Allergan yanquma ukuhoxisa lolo hlobo lwe-implant emakethe.
Uma unesinye salezi zifakelo ezibuyiselwe emuva, i-FDA ayincomi ukuthi usisuse ngokushesha. Kunalokho, ikweluleka ukuthi uqaphele izimpawu.
Yiziphi izimpawu okufanele uzazi?
Izimpawu zivame ukuvela ebeleni elilodwa kuphela. Izimpawu zingavela ngokushesha nje ngemva konyaka ukufakwa kwe-implant, noma zingavela eminyakeni eminingi kamuva. Kwabesifazane, izimpawu zivame ukuqala cishe eminyakeni eyisishiyagalombili ngemva kokufakwa kwe-implant.
Qaphela izimpawu ezilandelayo.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukuvuvukala noma ukukhulisa amabele | Ibele elilodwa liba likhulu kunelinye, noma kuvele iqhubu elisha. Lolu uphawu oluvame kakhulu. |
| Ukuzwa ukuqina kwebele | Uma ngithinta ibele lami, lizwakala liqinile kunokuvamile. |
| Amaqhubu esifubeni noma ekhwapheni | Iqhubu elingazwakala esandleni noma endaweni engaphansi kwekhwapha. |
| Ubuhlungu | Ubuhlungu obungapheli ebeleni noma endaweni engezansi. |
| Izinguquko zesikhumba (akuvamile) | Into efana nokubomvu noma ukuklwebheka kwesikhumba phezu kwebele. Lokhu akuvamile kakhulu. |
Kodwa khumbula, akuzona zonke lezi zimpawu ezibangelwa umdlavuza. Isikhathi esiningi, zibangelwa,
- Ukugoba kwe-Capsular
- Ukuqhekeka kwe-implant
- Ukutheleleka
- Ukulimala kwamuva nje (Ukuhlukumezeka)
Kungase kube nezinye izimbangela ezingewona umdlavuza, njengokuthi: Ngakho-ke, uma ubona noma yiziphi izinguquko, ungesabi, kodwa bonana nodokotela wakho kuqala.
Kutholakala kanjani lokhu?
Uma unezimpawu, udokotela wakho uzokuhlola kuqala. Ngemuva kwalokho, uma kusolwa ukuthi une-BIA-ALCL, bangase bakuthumelele ukuhlolwa okufana nalokhu.
1. Ukuhlolwa Kwezithombe: Into yokuqala ongayenza ukuskena nge-ultrasound. Lokhu kuzobheka noma yikuphi ukwakheka koketshezi noma amaqhubu ebeleni. Uma lokho kungacacile ngokwanele, kungenziwa ukuskena nge-MRI ukuze kubhekwe ibele kanye nama-lymph node ngokuningiliziwe.
2. I-Biopsy: Uma ukuskena kubonisa uketshezi noma iqhubu, isinyathelo esilandelayo i-biopsy yenaliti. Lapha, isampula encane yoketshezi noma izicubu ithathwa kusetshenziswa inalithi encane bese ithunyelwa elebhu.
3. Ukuhlolwa Kwelabhorethri: Elabhorethri, isampula ihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi kukhona yini amangqamuzana omdlavuza. Benza nokuhlolwa okukhethekile (ukuhlolwa kwe-biomarker) ukuqinisekisa ukuthi lokhu kuyi-BIA-ALCL noma esinye isimo.
Iphathwa kanjani?
Uma ukuxilongwa kuqinisekisiwe, uzothunyelwa kuchwepheshe womdlavuza (udokotela wezifo zomdlavuza).
- Ukwelashwa okuyinhloko ukuhlinzwa: Ukwelashwa okuyinhloko nokuphumelela kakhulu kwe-BIA-ALCL ukususwa ngokuhlinzwa kwe-implant yebele kanye nezicubu zesibazi (i-capsule) ezizungezile.
- Ezigabeni zokuqala, ukuhlinzwa kuyindlela kuphela: Uma lesi sifo sisezigabeni zokuqala futhi udokotela ohlinzayo ekwazi ukususa lonke ulwelwesi, akukho okunye ukwelashwa okungadingeka.
- Ezinye izindlela zokwelapha: Kodwa-ke, uma umdlavuza ususakazeke, noma uma ulwelwesi lungakwazi ukususwa ngokuphelele, ungadinga ukwelashwa okwengeziwe. Lokhu kungafaka:
- Ukwelashwa ngemisebe: Ukusebenzisa imisebe enamandla aphezulu ukubulala amangqamuzana omdlavuza.
- Ukwelashwa ngamakhemikhali: Ukunikeza imithi yokubulala amangqamuzana omdlavuza.
Yini engenziwa ukunciphisa ingozi?
Nakuba kungekho ndlela yokuvimbela lesi sifo, ukutholakala kwangaphambi kwesikhathi kungathuthukisa kakhulu imiphumela.
- Ukuhlolwa kwamabele nyanga zonke: Hlola amabele akho njalo ngenyanga. Bheka noma yikuphi ukuvuvukala, amaqhubu, ubuhlungu, noma ezinye izinguquko ezingavamile.
- Funa iseluleko sezokwelapha ngokushesha uma ubona noma yiluphi ushintsho: Uma ubona ngisho noshintsho oluncane, ungalushayi indiva bese ubona udokotela wakho ngokushesha.
- Yazi i-implant yakho: Yazi ukuthi uhlobo luni lwe-implant yebele onayo (eluthambile noma olubushelelezi) nokuthi yenziwe yinkampanini. Uma ungayazi le mininingwane, ungabuza udokotela wakho ohlinzayo noma esibhedlela lapho wenze khona ukuhlinzwa.
- Mayelana nama-Mammogram: Nakuba ama-mammogram ebalulekile ekutholeni umdlavuza webele, ngokuvamile awasizi ekutholeni lesi simo se-lymphoma esibizwa ngokuthi i-BIA-ALCL.
Into ebaluleke kakhulu ukuyixilonga kusenesikhathi bese ususa lonke i-appendix kanye ne-membrane ngokuhlinzwa. Uma wenza lokho, ungayelapha ngokuphelele lesi sifo.
Umlayezo Wokuya Nawe Ekhaya
- I-BIA-ALCL ingumdlavuza wesistimu yomzimba wokuzivikela ongavamile kakhulu, kodwa oyingozi kakhulu , ohlotshaniswa nokufakelwa kwamabele. Akuyona umdlavuza webele.
- Lokhu kuvame ukuhlotshaniswa nokufakelwa okunezindwangu.
- Uma uke waba nokufakelwa kwebele, kubalulekile ukwazi imininingwane yokufakelwa kwakho (uhlobo, umenzi).
- Zihlolele amabele akho njalo ngenyanga. Uma ubona noma yini efana nokuvuvukala, amaqhubu, ubuhlungu, noma ushintsho esimweni , ungesabi futhi ubone udokotela ngokushesha.
- Uma lesi sifo sitholakala kusenesikhathi, amathuba okwelashwa okuphelele ngokuhlinzwa aphezulu kakhulu.
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