Umbuzo owodwa ofika engqondweni okungenani kanye noma ubani othola ukwelashwa komdlavuza webele uthi, 'Ingabe lesi sifo sesiphelile manje?' Lokho kwesaba kunengqondo kakhulu. Kodwa izindaba ezinhle ukuthi isikhathi esiningi, umdlavuza webele awubuyi. Kodwa-ke, ngezinye izikhathi ungabuya.
Uma ibuya, siyibiza ngokuthi ' ukuphinda ivele' . Kunezindlela eziningana lokhu okungenzeka ngazo. Enye ukuthi ibuya esifubeni esifanayo nomdlavuza wokuqala noma endaweni eseduze. Ngezinye izikhathi ingasakazekela kuma-lymph node aseduze. Ngezinye izikhathi, ingasakazekela ezingxenyeni ezikude zomzimba, njengamathambo noma amaphaphu.
Udokotela ugxile kukuphi?
Kusukela ngesikhathi uqala ukutholakala ukuthi unomdlavuza webele, odokotela bakho bazohlola izinto ezandisa ingozi yakho yokuthi ubuye. Lolu lwazi luzobasiza banqume ukuthi yikuphi ukwelashwa okukulungele.
"Asikwazi ukusho ngokuqiniseka okungu-100% ukuthi umdlavuza uzobuya. Kodwa manje sesingakwazi ukubikezela ngamathuba aphezulu kakhulu kunangaphambili," kusho uchwepheshe.
Kube nentuthuko enkulu kulo mkhakha eminyakeni eyi-10 edlule, ikakhulukazi kumdlavuza one-estrogen -receptor positive.
Kalula nje, uma isimila sikhulu, kulapho sisakazekela khona kwezinye izicubu, kulapho ingozi yokuphinda sivele khona iyanda. Futhi, i-biology yomdlavuza ibaluleke kakhulu. Okungukuthi, ukuthi yiziphi izitho zokwamukela ezithile ezikhona kumaseli omdlavuza. Isibonelo, uhlobo lomdlavuza webele olubizwa ngokuthi "triple-negative" (okungukuthi, umdlavuza ongenazo zonke izitho zokwamukela ezintathu ze-estrogen, i-progesterone, kanye ne-HER2) cishe luzophinde luvele.
| Izinto okufanele uzicabangele lapho uhlola ubungozi | Kungani lokho kubalulekile? |
|---|---|
| Ubudala bakho nokuthi ngabe usudlule esikhathini sokunqamuka kokuya esikhathini | Ubudala kanye namazinga ama-hormone kungathinta ingozi. |
| Usayizi wesimila | Izimila ezinkulu ngokuvamile zihlotshaniswa nengozi ephezulu yokuphinda zivele. |
| Kungakhathaliseki ukuthi isakazekele kuma-lymph nodes | Ukuba khona kwamangqamuzana omdlavuza esitulweni kubonisa ukuthi kungenzeka ukuthi umdlavuza usabalale. |
| Isimo somdlavuza we-receptor | Ukwelashwa kanye nengozi kuyahlukahluka kuye ngokuthi umdlavuza une-ER-positive, i-PR-positive, i-HER2-positive, noma i-triple-negative. |
Ukuhlolwa okukhethekile okubheka ngokujulile ingozi
Ngezinye izikhathi, uma umdlavuza umkhulu kakhulu noma ususakazekele kuma-lymph node, kunzima ukusho ngqo ukuthi ingozi iyini. Odokotela bakubiza lokhu ngokuthi 'indawo engwevu.'
Ezimweni ezinjengalezi, kunezivivinyo ezikhethekile ezinganikeza ulwazi olwengeziwe. Kodwa-ke, akuzona zonke lezi zivivinyo ezifanele zonke izinhlobo zomdlavuza.
- I-Oncotype DX: Lolu uhlobo lokuhlola olusetshenziswa kakhulu. Lubheka izakhi zofuzo ezingu-21 kusampula encane yomdlavuza wakho. Kuye ngokuthi lawo zakhi zofuzo asebenza kahle kangakanani, uthola 'isilinganiso sokuphindeka' phakathi kuka-0 no-100. Leli silinganiso lingasiza udokotela wakho aqonde ukuthi kungenzeka kangakanani ukuthi umdlavuza wakho ubuye esikhathini esizayo nokuthi uzozuza yini ku-chemotherapy. Kodwa-ke, lolu vivinyo lungenziwa kuphela kumdlavuza one-estrogen-receptor positive futhi ongakasabalali kuma-lymph node.
- Ezinye izivivinyo: Kukhona nezivivinyo ezibizwa ngokuthi `(MammaPrint)`, `(Breast Cancer Index)`, `(Pam50)`, kanye `(EndoPredict)`. Ezinye zalezi zisiza ukubikezela ingozi yomdlavuza wokubuya ngemva kweminyaka emihlanu.
Ukuhlolwa kwegazi kwesikhathi esizayo
Iqembu labacwaningi okwamanje lizama ukwenza ukuhlolwa kwegazi okuzobona ukuthi umdlavuza ungase uphinde ubuye yini.
Lolu hlobo lokuhlolwa lubaluleke kakhulu ngemva kokuba zonke izindlela zokwelapha seziqediwe, lapho kungasekho zicubu zomdlavuza ezisele ukuze zihlolwe.
"Uma singazi kahle ukuthi ubani ozophinde abe nomdlavuza, singanquma ukuthi bayakudinga yini ukwelashwa okwengeziwe. Ngemuva kwalokho singaqala ukucwaninga izindlela ezintsha zokwelapha ezibasebenzela ngokushesha," kusho omunye wososayensi abahilelekile ocwaningweni. "Umgomo wethu omkhulu ukuvimbela umdlavuza webele osabalele, okunzima ukuwuphatha futhi obangela u-90% wabantu ababulawa umdlavuza webele."
Kodwa-ke, kuthiwa kuzothatha iminyaka eminingana ukwenza ukuhlolwa kwegazi okungasetshenziswa odokotela .
Yini ongayenza?
Kuze kube yilapho ososayensi bethola izivivinyo ezintsha ezinjengalezi, kunezinto ongazenza. Imikhuba yakho yansuku zonke ingasiza ekunciphiseni le ngozi. Isibonelo, kubalulekile ukuzivocavoca njalo nokugcina isisindo esinempilo .
Okunye okufanele ukukhumbule ukuthi ingozi yokuphinda ubuye kanye namazinga okusinda yizinto ezimbili ezahlukene . Lokhu kubaluleke kakhulu. Cabanga ngomuntu onomdlavuza webele, othola ukwelashwa, bese umdlavuza ubuya eminyakeni emibili kamuva. Kodwa uma utholakala kusenesikhathi, lowo muntu angaphila kahle amashumi eminyaka.
Ngakho-ke, ungaphuthelwa yinoma yiziphi izikhathi zakho zokulandelela. Uma unemibuzo noma ukukhathazeka, qiniseka ukuthi ubuza udokotela wakho.
"Kubalulekile ukukhuluma nodokotela wakho futhi uqonde kahle ukuthi iyini ingozi yakho nokuthi isho ukuthini. Lokhu kuzokusiza ukuthi wenze izinqumo ezifanele mayelana nokwelashwa kwakho. Ukubhekana nomdlavuza kungaba yinto eyesabekayo nedidayo. Ngakho-ke udinga ukuzizwa ukhululekile ukukhuluma nodokotela wakho ngokwesaba kwakho."
Umlayezo Wokuya Nawe Ekhaya
- Esikhathini esiningi, umdlavuza webele awuphinde uvele ngemva kokwelashwa, ngakho ungesabi ngokungadingekile.
- Ingozi yokubuya komdlavuza incike ezintweni ezifana nobukhulu besimila, ukusabalala kwezicubu eziseduze, kanye nohlobo lomdlavuza oluphilayo.
- Ukuze bazi ingozi yakho eqondile futhi bakhethe ukwelashwa okungcono kakhulu, odokotela bangasebenzisa izivivinyo ezikhethekile njenge-Oncotype DX.
- Ungasiza futhi ekunciphiseni le ngozi ngokuzivocavoca njalo nokugcina isisindo somzimba esinempilo.
- Into ebaluleke kakhulu ukukhuluma ngokukhululekile nodokotela wakho. Lalela konke ukwesaba kwakho nemibuzo yakho. Kubaluleke kakhulu nasempilweni yakho yengqondo.
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