Uma udokotela wakho ekutshela ukuthi unomdlavuza webele 'weSigaba 0', ungase uzizwe wesaba futhi unelukuluku. Ingabe lo mdlavuza ngempela? Noma ingabe uyisandulela somdlavuza? Kuzokwenzekani ngokulandelayo? Imibuzo eyinkulungwane efana nale ingase igijime engqondweni yakho. Ungakhathazeki, kuyinto evamile kakhulu. Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.
Uyini ngempela umdlavuza webele weSigaba 0?
Uma ngikhuluma iqiniso, kunemibono ethile phakathi kodokotela ngalokhu. Abanye ochwepheshe babheka lesi njengesigaba sokuqala somdlavuza webele. Abanye bacabanga ukuthi yisigaba sangaphambi komdlavuza.
Kalula nje, umdlavuza ukuhlukaniswa okungalawulwa kwamaseli angajwayelekile. Lawa maseli angahlasela izicubu ezinempilo ezizungezile. Kodwa-ke, kumdlavuza webele weSigaba 0, lawa maseli angajwayelekile awasabalali (`angangenisi`). Lokhu kusho ukuthi amaseli ahlala lapho aqala khona futhi awasakazeki ezicutshini ezizungezile. Kodwa-ke, kunethuba lokuthi angenza kanjalo esikhathini esizayo. Lesi yisigaba esingesithuthuki kangako kunomdlavuza weSigaba I.
Kunezinhlobo ezimbili eziyinhloko zomdlavuza webele wesigaba 0.
1. Isifo sikaPaget esingahlaseli: Lesi yisimo esingavamile kakhulu. Yisimo somdlavuza esivelela engonweni.
2. I-Ductal Carcinoma in Situ (DCIS): Yilokhu esivame ukubhekisela kukho uma sikhuluma ngomdlavuza webele weSigaba 0. Kulesi simo, amangqamuzana angajwayelekile akhula kuphela ngaphakathi kwemisele yobisi ebeleni lakho. Okubalulekile ukuthi lawa maseli awakasabalali ngaphandle kwemisele, okuyilapho iningi lezicubu zamafutha zebele litholakala khona.
Imbangela eqondile ye-DCIS ayaziwa okwamanje. Abantu abaningi abanazo izimpawu. Kodwa-ke, ngezinye izikhathi kungase kuzwakale iqhubu elincane noma kuvele ukuphuma kwegazi engonweni .
La maseli angajwayelekile angase akhule abe umdlavuza ohlaselayo noma angase angakhuli. Akekho ongabikezela ukuthi lokhu kuzokwenzeka nini ngqo . Leyo inselele enkulu kulesi simo.
Ingabe lokhu kudinga ukuphathwa? Ngingasithatha kanjani isinqumo?
Ngemva kokuxilongwa ukuthi une-DCIS, inikezwa ibanga embikweni we-pathology owutholayo.
- Ibanga le-nyukliya 3: Lolu uhlobo olunamandla aphezulu okusabalala.
- Ibanga lenuzi 1: Lokhu kunethuba eliphansi kakhulu lokusabalala.
Uzohlolwa futhi ukuze kubonakale ukuthi amaseli akho omdlavuza anama-receptor e-estrogen yini. Udokotela wakho angase akubize ngokuthi “ER-positive” noma “ER+.” Uma kunjalo, kusho ukuthi umdlavuza wakho ungase ukhule kancane.
Okwamanje, udokotela wakho angase futhi asikisele ukuhlolwa kwezakhi zofuzo, okungathola ukuthi unezinguquko yini ezakhi zofuzo zakho ezandisa ingozi yakho yokuba nomdlavuza webele .
Lokho okwenzayo ngokulandelayo kuncike kuzo zonke lezi zici, kanye nezintandokazi zakho.
Odokotela abaningi bakholelwa ukuthi kungcono ukuthola ukwelashwa ngoba noma umdlavuza weSigaba 0 ungasabalali, ungashintsha esikhathini esizayo. Ngakho-ke, isisho esithi, "Kungcono ukuphepheka kunokuzisola" siyasebenza nalapha.
Kunezindlela ezintathu zokwelapha eziyinhloko. Ake sizibheke etafuleni.
| Inketho Yokwelashwa | Kalula nje... (Incazelo Elula) |
|---|---|
| Ukususwa kwe-Lumpectomy | Lokhu kuhilela ukususa ngokuhlinzwa kuphela indawo enamaseli angavamile kanye nenani elincane lezicubu ezinempilo ezizungezile. |
| Ukususwa kwe-Lumpectomy kanye nokwelashwa ngemisebe | Ngemva kokuhlinzwa okungenhla, ukwelashwa ngemisebe kunikezwa ukuze kubhujiswe noma yimaphi amaseli angajwayelekile angase asale. |
| Ukuhlinzwa kwesisu | Lokhu kuhlinzwa kususa lonke ibele. Kunganconywa uma i-DCIS isakazeke kulo lonke ibele noma ngezinye izizathu. |
Ingabe kufanele silinde isikhashana ngaphandle kokwelashwa? (Ukulinda Ngokuqaphela)
Lesi yisihloko esiphikisanayo. Abanye ochwepheshe bakholelwa ukuthi isu elibizwa ngokuthi "ukulinda ngokuqapha," okusho ukungayelaphi ngokushesha kodwa ukuqapha isimo ngokuhlolwa okuvamile, kuyindlela enhle. Cishe ingxenye eyodwa kwezintathu yabesifazane abane-DCIS bazoba nomdlavuza osakazeka esikhathini esizayo.
Ngakho udokotela wakho angase asikisele ukuthi ugweme ukwelashwa ngokushesha futhi esikhundleni salokho uqaphe isimo ngokuhlolwa okuvamile.
Lokhu kunezinzuzo kanye nokungalungi. Cabanga ngakho...
Uma uhlinzwa (mhlawumbe ngokwelashwa ngemisebe) kusenesikhathi, ungase ukwazi ukugwema ukusabalalisa umdlavuza ongasabalali. Ngakolunye uhlangothi, kungenzeka ukuthi uke welashwa kabuhlungu ngento engeke ibe yinkinga.
Kodwa uma unquma ukulinda ngaphandle kokuhlinzwa, futhi ngeshwa isimo sakho siphenduka umdlavuza osakazeke kakhulu, kungaba kubi kakhulu (futhi kube nzima ukwelapha) uma sitholakala.
Lesi yisinqumo somuntu siqu kakhulu. Wena nodokotela wakho kufanele nenze lesi sinqumo ndawonye, ngemva kokuxoxa ngaso kahle. Yabelana ngazo zonke izinto ezikukhathazayo kanye nokwesaba kwakho nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Umdlavuza webele weSigaba 0, noma i-DCIS, yisimo esingahlaseli . Amaseli angajwayelekile angaphakathi kwemigudu yobisi kuphela.
- Lesi simo singase sibe umdlavuza noma singabi umdlavuza esikhathini esizayo. Akunakwenzeka ukusho kusenesikhathi.
- Ukuthi uzokwelashwa noma cha, nokuthi uzosebenzisa luphi ukwelashwa, kuncike ezintweni eziningana (izinga lomdlavuza, isimo se-ER) kanye nezintandokazi zakho.
- Izinketho eziyinhloko ukuhlinzwa (`Ukususwa Kwesilonda` noma `Ukususwa Kwesisu`), ukwelashwa ngemisebe, noma ukungabikho kokwelashwa kanye nokuqaphelisisa (`ukulinda ngokuqapha`).
- Lesi akusona isinqumo okufanele usenze wedwa. Khuluma ngokukhululekile nangokuphelele nodokotela wakho ukuze wenze isinqumo esikulungele.
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