Uma ucabanga ngomdlavuza webele, kufika iqhubu ebeleni engqondweni, akunjalo? Yiqiniso, leso yisibonakaliso esiyinhloko nesivame kakhulu esisaziyo sonke. Ngenxa yokuqwashisa ngomdlavuza webele emphakathini, abesifazane abaningi (ngisho nabesilisa) bayazi izimpawu eziyinhloko njengeziqhubu, ukugoba esikhumbeni, kanye nezingono eziguquliwe. Kodwa bewazi ukuthi ngezinye izikhathi izimpawu zomdlavuza webele zingase zingabonakali noma zingabonakali emehlweni? Yingakho izindlela zokuhlola ezifana ne-`(mammogram)` zibaluleke kakhulu. Futhi, kunezinye izimpawu zomdlavuza webele esingakhulumi ngazo kakhulu ekuphileni kwethu kwansuku zonke, kodwa zibaluleke kakhulu ukuzazi. Ake sixoxe ngazo namuhla.
Ingabe kukhona uketshezi oluphuma engonweni?
Uma ukhulelwe noma usanda kuba nomntwana, kuvamile ukuba noketshezi oluphuma engonweni eyodwa noma zombili. Lokho ubisi lwebele. Kodwa kuthiwani uma ungakhulelwe noma ungatholi umntwana? Kufanele ukhathazeke kancane. Ngoba lokhu kungaba uphawu lomdlavuza webele osemusha kakhulu.
Kodwa akuzona zonke izikhathi lapho lolu hlobo lokukhishwa kwamanzi luvela, kuba umdlavuza. Ezimweni eziningi, kungabangelwa esinye isimo sempilo. Isibonelo, isimo esibizwa ngokuthi "i-galactorrhea", esenzeka lapho i-hormone ethi "prolactin" yanda emzimbeni wethu, singadala nokukhishwa kwamanzi okufana nobisi.
Into ebaluleke kakhulu ukungesabi uma uzwa ukukhishwa okungavamile engonweni yakho kanje, kodwa ukukhuluma nodokotela wakho ngakho.
Ucabangani ngokuphuma kwegazi okufana negazi engonweni?
Noma ubani angesaba lapho ebona ibala legazi ezimpahleni zakhe zangaphansi noma ithonsi legazi liphuma engonweni yakhe. Ngezinye izikhathi lokho kwesaba kuyafaneleka, njengoba kungaba uphawu lomdlavuza webele. Kodwa-ke, isikhathi esiningi, kubangelwa okunye okungeyona ingozi. Kunezimbangela eziningana ezingezona ezomdlavuza zokuphuma kwegazi ezingonweni zakho.
| Imbangela engeyona yomdlavuza | Kalula nje... |
|---|---|
| I-papilloma yangaphakathi kwe-ductal | Lezi yizigaxa ezincane, ezingewona umdlavuza ezakha ngaphakathi kwemisele yobisi yebele. |
| I-duct ectasia | Lesi simo singase senzeke uma imisele yobisi ivuleka, ijiya, futhi uketshezi luqoqana. |
| Imihuzuko ebangelwa yizingubo | Kungaba khona ukuklwebheka okuncane futhi kuphume igazi uma izingubo zikhuhla izingono zakho, ikakhulukazi ngesikhathi sokuzivocavoca. |
Uma wazi kahle ukuthi kungani ukuphuma kwegazi kwenzeka (isibonelo, ngenxa yebhulukwe lezemidlalo eliqinile), leyo indaba ehlukile. Ngaphandle kwalokho, tshela udokotela wakho ngalolu hlobo lokukhishwa kwegazi okufana negazi ngesikhathi sakho esilandelayo sokubonana.
Ingabe unamaqhubu emakhwapheni noma entanyeni yakho?
Ama-lymph node, noma ama-lymph node, ayiqoqo lamaseli asivikela ezifweni ngokuhlunga nokubhubhisa izinto eziyingozi njengebhaktheriya namagciwane angena emizimbeni yethu. Cabanga ngamaqhubu owazwayo kuzo zombili izinhlangothi zentamo yakho uma unomkhuhlane... Yilapho lawo ma-lymph node evuvukala khona.
Lokhu kuyinto engavamile, kodwa la ma-lymph node angavuvukala nalapho kunomdlavuza. Uma kwenzeka umdlavuza webele, ama-lymph node endaweni yekhwapha noma eduze kwe-collarbone angavuvukala. Ngezinye izikhathi ungalizwa leli qhubu elivuvukile ngaphambi kokuthi uzwe ngisho neqhubu esifubeni sakho. Ngakho-ke, uma uzwa iqhubu ekhwapheni noma eduze kwe-collarbone, ungalishayi indiva futhi nakanjani bonana nodokotela bese ulihlola.
Ingabe ingono kanye nesikhumba esizungezile kuyaluma?
Ama-nipple alumayo ayinto evamile. Esikhathini esiningi, aphela ngokhilimu ovimbela ukuluma.
Kodwa-ke, isifo sikaPaget sihlukile. Lolu uhlobo olungavamile kakhulu lomdlavuza webele. Luqala engonweni bese lusakazekela esikhumbeni esimnyama esizungeze ingono (i-areola). Ukuluma kuyisibonakaliso esiyinhloko.
| Ezinye izimpawu zesifo sikaPaget |
|---|
| - Ukuba ndikindiki noma ukubomvu engonweni. |
| - Isikhumba esinamaxolo noma ukuqina kwesikhumba. |
| - Ukugoba kwengono. |
| - Ukuphuma kwegazi okuphuzi noma okuphuzi. |
Izimpawu zesifo sikaPaget zifana kakhulu nezezinye izimo zesikhumba ezivamile, njenge-dermatitis noma i-eczema. Ngakho-ke kungaba lula ukukucabanga ngesimo sesikhumba esivamile ekuqaleni. Uma ukuqubuka kwakho kungapheli ngokwelashwa okuvamile, qiniseka ukuthi ubona udokotela ngokushesha.
Ingabe amabele akho avuvukile futhi abuhlungu?
Lolu phawu lungaba nezimbangela eziningana. Ukutheleleka kuyimbangela evamile. Kodwa okungavamile kakhulu, uhlobo lomdlavuza olubizwa ngokuthi umdlavuza webele ovuvukalayo nalo lungabangela lokhu. Lolu hlobo lomdlavuza olungavamile aluvamile ukubangela iqhubu. Kunalokho, ibele lakho liqala ukushintsha ngokushesha.
- Amabele abonakala emakhulu.
- Ukushintsha kombala (kube bomvu noma onsomi).
- Ukuzizwa ufudumele ngendlela engavamile.
- Isikhumba sibonakala sinamabala, njengesikhumba esiphuzi .
- Ubuhlungu noma ukuzwela lapho ucindezelwa.
Kulolu hlobo lomdlavuza, amangqamuzana omdlavuza avimba imibhobho ye-lymph ebeleni. Le mibhobho ivame ukukhipha uketshezi oluningi. Lokhu kuvinjelwa kubangela uketshezi oluqongelelana, okubangela izimpawu esizishilo.
Ukuqwashisa Ngesifuba
Esikhathini esidlule, odokotela babeluleka abesifazane ukuthi bazihlole amabele njalo ngenyanga, ngenhloso yokuthola amaqhubu asolisayo kusenesikhathi. Kodwa-ke, ucwaningo luye lwabonisa ukuthi iningi lama-biopsy athathwe kumaqhubu atholakale enomdlavuza alinawo amangqamuzana omdlavuza.
Odokotela manje bathi akuwona wonke umuntu okudingeka enze lezo zinhlobo 'zokuzihlola.' Kunalokho, umgomo manje "ukuqwashisa ngamabele." Kalula nje, qaphela amabele akho. Qaphela ukuma kwawo, ukuthungwa kwawo, umbala, nosayizi wawo. Ngemuva kwalokho, uma ubona noma yini ehlukile esimweni sakho esijwayelekile , yilapho okufanele ukhulume nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Umdlavuza webele awuyona nje iqhubu kuphela. Qaphela izimpawu ezifana nokukhishwa kwesisu okungajwayelekile, izinguquko zesikhumba (ukuluma, ukubomvu, ukufiphala), ukuvuvukala, kanye namaqhubu asemakhwapheni.
- Eziningi zalezi zimpawu kungenzeka azibangelwa umdlavuza, kodwa into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma ubona noma yiziphi izinguquko ezingavamile.
- Okubaluleke kakhulu manje kunokuthi "ukuzihlola amabele" "ukuqaphela amabele." Okusho ukuthi, ukwazi ukuthi yini evamile emzimbeni wakho nasemabeleni akho.
- Uma ubona noma uzwa okuthile okusha noma okungajwayelekile, khuluma nodokotela wakho ngakho ngokushesha. Ukutholwa kusenesikhathi kuyindlela engcono kakhulu yokuzivikela.
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