Wake wacabanga ukuthi umdlavuza webele awuthinti wonke umuntu ngendlela efanayo? Eqinisweni, abanye besifazane banamathuba amaningi okuthola lesi sifo, futhi izinhlobo zomdlavuza abazitholayo zingaba zimbi kakhulu. Namuhla sikhuluma ngecala elikhethekile elifana naleli. Okusho ukuthi, ubudlelwano phakathi kwabesifazane abamnyama emazweni afana neMelika nomdlavuza webele. Lesi yisihloko esifundisa wena, mina, kanye nabo bonke abesifazane ezweni lethu izifundo eziwusizo kakhulu mayelana nokunakekela impilo yabo.
Kungani sikhuluma ngalokhu ngqo?
Isikhathi eside, umdlavuza wamaphaphu wawuyimbangela ehamba phambili yokufa komdlavuza phakathi kwabesifazane abamnyama. Kodwa ngo-2019, lokho kwashintsha, futhi umdlavuza webele usuthathe indawo yawo. Lokhu kukhombisa ukungathi sína kwalesi sifo. Izifundo zibonisa ukuthi laba besifazane:
- Kunethuba elikhulu lokuthola umdlavuza webele ngaphambi kokuba ufinyelele eminyakeni engu-40.
- Kukhona ingozi enkulu yokuthola izinhlobo zomdlavuza ezinolaka nezisakazeka ngokushesha .
- Ukukhuluphala ngokweqile kanye nezinye izinkinga zempilo (njengesifo sikashukela nesifo senhliziyo) kuya ngokuya kuvama.
- Uma lesi sifo sitholakala, sivame ukuba sesisesigabeni esithuthukile lapho sesisakazekele kwezinye izingxenye zomzimba (i-metastatic) .
Lolu lwazi aluhloselwe ukusesabisa, kodwa ukusifundisa. Ngenxa yokuthi ezinye zalezi zinto eziyingozi ziyabonakala emphakathini wethu, kubalulekile ukuthi wonke umuntu aqaphele lokhu.
Izinhlobo ezivame kakhulu zezimila ezinobungozi
Kunezinhlobo ezimbili zomdlavuza ezivame kakhulu futhi ezikhula ngokushesha phakathi kwabesifazane abamnyama. Kubalulekile ukuzazi lezi ngoba noma yimuphi owesifazane angaba nazo.
| Uhlobo Lomdlavuza | Izici ezikhethekile |
|---|---|
| Umdlavuza Webele Ovuvukalayo | Lolu uhlobo olungavamile, kodwa olunzima kakhulu futhi olusakazeka ngokushesha. Izimpawu zivela esikhathini esifushane, cishe izinyanga ezi-3-6. Izimpawu zifaka phakathi ukubomvu, ukuvuvukala, kanye nomuzwa wokufudumala ebeleni. |
| Umdlavuza webele onemiphumela emithathu (TNBC) | Lolu uhlobo oludinga ukunakwa kakhulu. Njengoba lungaxhomekile kuma-hormone, aluphenduli ekwelashweni okuvamile kwama-hormone. Ngakho-ke, izinketho zokwelapha zilinganiselwe. Ngisho noma ukwelashwa kwelashwa, ingozi yokuphinda kuvele iphezulu. |
Ubunzima bomdlavuza we-TNBC
I-TNBC iyisimo esibucayi kunoma ubani. Amazinga okusinda ayahlukahluka kuye ngokuthi isifo sitholakale singakanani.
- Uma umdlavuza utholakala ebeleni , izinga lokusinda kweminyaka emihlanu licishe libe ngu-91%.
- Uma umdlavuza ususakazekele ezicutshini ezizungezile (ezindaweni) , lawo mathuba ehla abe ngu-66%.
- Uma umdlavuza ususakazekele ezithweni ezikude emzimbeni , amathuba aphansi afinyelela ku-12%.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho mayelana nohlelo lwakho lokwelashwa uma kutholakala ukuthi unesifo somdlavuza webele. Uma ungaqiniseki ngokwelashwa, njengokuhlinzwa noma i-chemotherapy , ungesabi ukubuza ukuthi kungani. Uma kudingeka, unelungelo lokuthola umbono wesibili komunye uchwepheshe .
Kungani izinga lokufa liphezulu kwabanye besifazane?
Kunezizathu eziningana ezenza amazinga okufa ngenxa yomdlavuza webele abe phezulu phakathi kwabesifazane abamnyama. Kubalulekile ukuqonda lezi zizathu njengoba zingasebenza kwabesifazane ezweni lethu ngezinga elithile.
- Izinkinga ngokufinyelela ekunakekelweni kwezempilo: Ukutholakala kwalesi sifo kusenesikhathi kungase kubambezeleke ngenxa yezici ezifana nebanga eliya ezibhedlela ezinhle, izindleko zokwelashwa, kanye nokuntuleka kokufinyelela ezindaweni zesimanje ezifana nemishini ye-mammogram.
- Ezinye izinkinga zempilo: Izimo ezifana nesifo sikashukela, isifo senhliziyo, kanye nokukhuluphala ngokweqile kwandisa ingozi yomdlavuza webele . Yingakho kubalulekile ukulawula lezi zimo.
- Ukungancelisi: Ucwaningo lukhombisile ukuthi ukuncelisa ingane kunganciphisa ingozi yezinhlobo ezithile zomdlavuza webele. Ukuncelisa ingane kunconywa ikakhulukazi okungenani unyaka owodwa.
Ingabe kukhona ukuxhumana phakathi kwemikhiqizo yezinwele nomdlavuza?
Lokhu kuyinkinga kubantu abaningi. Imikhiqizo efana nama-hair relaxer, ama-skin cream, kanye ne-makeup ingaba namakhemikhali abizwa ngokuthi ama-parabens . Lawa asetshenziselwa ukulondoloza imikhiqizo.
Ama-parabens anekhono lokulingisa kancane i-hormone i-estrogen emizimbeni yethu. I-estrogen isebenza njengamandla okukhulisa amanye amangqamuzana omdlavuza webele.
Ucwaningo ngalokhu lusaqhubeka. Olunye ucwaningo lubonise ukuthi ama-parabens athinta ukukhula kwamangqamuzana omdlavuza kwabesifazane abamnyama, kodwa hhayi kwabesifazane abamhlophe. Kodwa ezinye izifundo zithi lokhu kuxhumana akukaqinisekiswa ngokuqinisekile.
Ngakho-ke, uma usengozini yokuba nomdlavuza webele noma usuvele unalesi sifo, kungcono ukufunda ilebula lapho uthenga izimonyo bese ubheka amagama anjengokuthi `(butylparaben, ethylparaben, methylparaben, propylparaben)`. Uma ungabaza, kuwukuhlakanipha ukugwema ukusebenzisa imikhiqizo enjalo.
Izimpawu ezivamile zomdlavuza webele
Lezi zimpawu zingavela kunoma yimuphi owesifazane, kunoma yimuphi ubudala. Uma ubona eyodwa noma ngaphezulu kwalezi, ungesabi futhi ubone udokotela ngokushesha.
- Iqhubu elisha esifubeni noma ekhwapheni.
- Ukuvuvukala kwebele, kungaba ngokuphelele noma ngokwengxenye.
- Isikhumba sesifuba sibukeka njengobuso bekhasi eliphuzi .
- Ubuhlungu ebeleni noma engcondweni.
- Ingono iyaphenduka noma kuphume uketshezi kuyo.
- Ama-lymph node avuvukele eduze kwe-collarbone noma endaweni engezansi.
Khumbula ikakhulukazi: Umdlavuza Webele Ovuvukalayo, ibele lingase libe bomvu, livuvuke, futhi lizizwe lifudumele. Uma lezi zimpawu zivela ngokuzumayo, bona udokotela ngokushesha.
Ungawuthola kanjani umdlavuza kusenesikhathi?
Uma kutholakala kusenesikhathi, ukwelashwa kuyaqhubeka. Lezi yizindlela eziyinhloko ezitholakalayo.
- Ama-mammogram: Lokhu kuyi-X-ray yamabele. Ngokuvamile kunconywa ngemva kweminyaka engu-40 ukuvimbela ukufa komdlavuza. Uma othile emndenini wakho eke waba nomdlavuza, udokotela wakho angase akuncome lokhu kuhlolwa ngisho nangaphambi kwesikhathi.
- Ukuhlolwa kofuzo: Cishe u-5%-10% womdlavuza webele ubangelwa izakhi zofuzo ezizuzwe njengefa (njenge-`BRCA1`, `BRCA2`). Uma othile emndenini wakho eke waba nomdlavuza webele noma umdlavuza wesibeletho, ungakhuluma nodokotela wakho ngalokhu bese uthola ukuthi ukuhlolwa kofuzo kuyadingeka yini.
Ingabe ingozi ingancishiswa?
Ukuthola umdlavuza akulona iphutha lakho. Kodwa-ke, singanciphisa ingozi yethu ngokulondoloza indlela yokuphila enempilo.
- Yidla ukudla okunempilo okunesitashi esincane futhi okucebile ngemifino nezithelo.
- Gcina isisindo esinempilo .
- Nciphisa ukusetshenziswa kotshwala.
- Vivinya umzimba nsuku zonke.
- Gwema ukubhema ngokuphelele. Khuluma nodokotela wakho uma udinga usizo ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- Umdlavuza webele awufani kuwo wonke umuntu. Ezinye izinhlobo (njenge-TNBC) zinolaka kakhulu, ngakho-ke ukutholakala kusenesikhathi kubaluleke kakhulu.
- Naka umzimba wakho. Uma ubona noma yini engavamile, njengeqhubu esifubeni sakho, ushintsho esikhumbeni sakho, noma ukuphuma kwamanzi ezingonweni zakho, funa iseluleko sezokwelapha ngokushesha.
- Khuluma nodokotela wakho ngomlando womdlavuza womndeni wakho bese ubuza ngeminyaka engcono kakhulu yokuqala ukuhlolwa kwe-mammogram.
- Indlela yokuphila enempilo (ukudla okuhle, ukuvivinya umzimba) kunganciphisa ingozi yezifo eziningi, okuhlanganisa nomdlavuza.
- Uma unokungabaza noma ukukhathazeka mayelana nokwelashwa okutholayo, ungalokothi unqikaze ukufuna iseluleko komunye uchwepheshe. Impilo yakho iyona nto ebaluleke kakhulu.
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