Uma uthola ukuthi wena noma othile omaziyo unomdlavuza webele, omunye wemibuzo emikhulu kanye nokwesaba okufika engqondweni ukuthi, "Uzosabalala ngokushesha kangakanani?" Kujwayelekile ukuba nemicabango yokuthi amangqamuzana omdlavuza ahlukana ngokushesha kangakanani, okusho ukuthi isimila sizokhula ngokushesha kangakanani. "Sekuyisikhathi esingakanani lokhu emzimbeni wami?" "Kuthathe isikhathi esingakanani ukuthi sifike kusayizi waso wamanje?" Ungase uzibuze futhi.
Uma ngikhuluma iqiniso, ngisho nodokotela abanayo indlela yokusho ngqo ukuthi umdlavuza waqala nini ukukhula emzimbeni wakho. Ngakho-ke, kunzima ukusho ukuthi kwathatha isikhathi esingakanani ukuthi ukhule ube usayizi wawo wamanje. Kungathatha amasonto ambalwa, izinyanga ezimbalwa, noma ngisho nangaphezulu. Ngokuvamile, ngemva kokutholwa komdlavuza, odokotela bawususa ngokuphelele ngangokunokwenzeka ngokuhlinzwa, ngakho-ke ayikho indlela yokubona ukuthi uzokhula ngokushesha kangakanani. Kodwa-ke, kunezinye izinto zesayensi ezingasisiza siqonde lokhu.
Yiziphi izinto ezithinta izinga lokukhula komdlavuza?
Nakuba kungenakwenzeka ukusho ukuthi umdlavuza webele uzokhula ngokushesha kangakanani, odokotela bangabheka izici ezithile zesimila ukuze bathole umbono wokuthi ingabe isimila esikhula ngokushesha noma esikhula kancane. Lezi zici zizonquma ukuthi udinga ukwelashwa ngokushesha kangakanani nokuthi hlobo luni lokwelashwa.
Kalula nje, wonke umuntu nomdlavuza ngamunye uhlukile. Nazi ezinye zezinto ezibalulekile ezizonquma ukuthi umdlavuza wakho uzokhula ngokushesha kangakanani.
| Isici | Indlela Okuthinta Ngayo |
|---|---|
| Uhlobo Oluncane Lomdlavuza | Kunezinhlobo ezahlukene zomdlavuza webele. Ezinye izinhlobo zikhula ngokushesha kunezinye. Isibonelo, i-triple-negative ishesha kune -hormone receptor-positive . Udokotela wakho uzonquma uhlobo ngokuhlola ingxenye encane yesimila sakho (i-biopsy). |
| Isiteji | Isigaba sinqunywa ukuthi umdlavuza usengaphakathi kwemisele yobisi noma ususakazekele ezicutshini zebele, kuma-lymph node ekhwapheni, noma kwezinye izitho zomzimba. Kunezigaba kusukela ku-0 kuya ku-IV (ezine). Isigaba IV sisho ukuthi umdlavuza ususakazekele ngale kwebele uye ezithweni ezikude, njengobuchopho noma isibindi. Umdlavuza osesakazekele ngale kwemisele yobisi cishe uzokhula ngokushesha. |
| Ibanga (Ibanga) | Udokotela wakho uzonikeza umdlavuza wakho ibanga eliqala ku-1 kuya ku-3. Lokhu kunqunywa ukuthi amangqamuzana omdlavuza abukeka 'engajwayelekile' kanjani ngaphansi kwe-microscope. Amangqamuzana omdlavuza abukeka njengamaseli ajwayelekile (Ibanga 1) angasakazeka kalula, kuyilapho amangqamuzana abukeka engajwayelekile futhi ekhubazekile (Ibanga 3) angakhula futhi asakazeke ngokushesha okukhulu. |
| Iminyaka yakho | Umdlavuza webele uvame ukwenzeka kakhulu kwabesifazane abaneminyaka engaphezu kwengu-50. Kodwa-ke, uma umuntu osemusha eba nomdlavuza webele, kungenzeka kakhulu ukuthi ube uhlobo olunolaka. |
| Izakhi zofuzo | Abanye abantu bazalwa benezinguquko zofuzo ezibabeka engcupheni enkulu yokuba nomdlavuza futhi basheshe bawuthole. Ikakhulukazi, izinguquko ezakhiweni zofuzo (BRCA1) kanye (BRCA2) zihlotshaniswa nomdlavuza webele okhula ngokushesha. Uma kudingeka, udokotela wakho angakuthumela ukuhlolwa kofuzo ukuze athole ukuthi ukhona yini. |
Izinhlobo zomdlavuza webele kanye nezinga lokukhula kwawo
Manje ake sibheke ezinye zezinhlobo ezivame kakhulu zomdlavuza webele kanye namazinga okukhula kwawo. Lokhu kuzokusiza ukuthi uqonde kahle isimo sakho.
| Uhlobo Lomdlavuza | Ukukhula nezici ezikhethekile |
|---|---|
| I-Ductal Carcinoma In Situ (DCIS) | Lona umdlavuza wesigaba sokuqala kakhulu obizwa ngokuthi iSigaba 0. Amaseli omdlavuza awasakazeki ngaphandle kwemisele yobisi. Lokhu ngokwencazelo akuwona umdlavuza okhula ngokushesha. Kodwa-ke, ngezinye izikhathi lokhu kungaba umdlavuza ohlaselayo. |
| I-Hormone Receptor (HR)-positive | Iningi lomdlavuza webele lingelalolu hlobo. Lawa maseli omdlavuza anezitho zokwamukela ezisabela kuma-hormone i-estrogen kanye/noma i-progesterone. Lolu hlobo luvame ukukhula kwabesifazane. Ukwelashwa okuvimba ama-hormone kungalawula ukukhula kwawo. |
| I-HER2-positive | Cishe u-20% womdlavuza webele ungowalolu hlobo. Unezinga eliphezulu leprotheyini ebizwa ngokuthi i-HER2. Le phrotheyini ibangela ukuthi umdlavuza ukhule ngokushesha. Kodwa manje, ngenxa yokwelashwa okuqondisiwe okuqondiswe kule phrotheyini ye-HER2, abantu abanalolu hlobo nabo bathola imiphumela emihle. |
| Okuphindwe kathathu okungekuhle | Lawa maseli omdlavuza awanawo ama-hormone receptors (HR) noma iphrotheni ye-HER2. Ngakho-ke, kunzima ukuyelapha. Lolu hlobo lukhula futhi lusakazeke ngokushesha kakhulu (lunolaka kakhulu). |
| Umdlavuza Webele Ovuvukalayo | Lolu uhlobo olungavamile futhi olusakazeka ngokushesha . Ibele liba bomvu, livuvuke, futhi ngezinye izikhathi linesikhumba esinamaqhubu, njengekhasi eliphuzi. |
Ukuthuthukiswa komdlavuza kanye nokubaluleka kokuhlolwa
Umgomo oyinhloko wokuhlolwa komdlavuza webele ukubamba umdlavuza kusenesikhathi, ngaphambi kokuba ukhule futhi usabalale emzimbeni wonke. Umdlavuza otholakala ngesikhathi sokuhlolwa kwe-mammogram okuvamile uvame ukuba mncane ngobukhulu futhi mancane amathuba okuthi usabalale.
Khumbula, kungakhathaliseki ukuthi umdlavuza unamandla kangakanani, uma ungatholakala kusenesikhathi futhi endaweni eyodwa, amathuba okululama ngokuphelele aphezulu kakhulu.
Ngenxa yokuthi umdlavuza okhula ngokushesha kunzima ukuwubona ezigabeni zokuqala, izinga lokusinda kulabo abanalolu hlobo lomdlavuza lingase libe liphansi. Ngakho-ke, indlela engcono kakhulu yokuzivikela kumdlavuza okhula ngokushesha futhi onamandla ukuthola ama-mammogram ngezikhathi ezithile kusukela eminyakeni efanele.
Yiziphi izivivinyo ezifanele wena?
Ngokuvamile kunconywa ukuthi abesifazane abasengozini encane baqale ukwenza ama-mammogram ngemva kweminyaka engama-40. Kodwa-ke, uma othile emndenini wakho eke waba nomdlavuza webele, unesifo sofuzo, noma unezinye izici eziyingozi, kungadingeka uqale ukuhlolwa kusenesikhathi.
Iseluleko esingcono kakhulu ukukhuluma nodokotela wakho ngezinto ezikubangela ubungozi bese udala uhlelo lokuhlola oluzokusebenzela. Ungesabi ukubuza udokotela wakho noma yimiphi imibuzo onayo.
Umlayezo Wokuya Nawe Ekhaya
- Izinga lokukhula komdlavuza webele ngamunye lihlukile. Uhlukile emzimbeni wakho kanye nohlobo lomdlavuza.
- Kunezici eziningana ezithinta leli zinga, okuhlanganisa uhlobo, isigaba, izinga lomdlavuza, iminyaka yakho, kanye nezici zofuzo.
- Kunezinhlobo zomdlavuza ezinolaka kanye nezinhlobo zomdlavuza ezikhula kancane kakhulu.
- Kungakhathaliseki ukuthi uhlobo luni lomdlavuza, uma usheshe utholakale, kulapho amathuba okuba welashwe futhi welapheke khona.
- Ukuhlolwa njalo, njenge-mammogram, kuyindlela engcono kakhulu yokuthola umdlavuza kusenesikhathi. Qiniseka ukuthi ukhuluma nodokotela wakho mayelana nesimiso sokuhlolwa esifanele wena.
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