Uma wena noma umuntu omaziyo etholakala enomdlavuza webele , kungaba yinto eshintsha impilo futhi ekhungathekisayo. Cishe unemibuzo eminingi engqondweni yakho ngalesi sikhathi. "Kwenzekani manje?", "Ngingenzani ngalokhu?" Ungase uzibuze. Elinye lamagama ozolizwa njalo phakathi nalolu hambo "isigaba" somdlavuza. Ukuze kube sobala, lesi yisici esiyinhloko esinquma uhlelo lwakho lokwelashwa. Namuhla, sizokhuluma ngalokhu ngendlela elula kakhulu ongayiqonda.
Iyini isigaba salo mdlavuza?
Kalula nje, ukuhlelwa komdlavuza kuyindlela odokotela abachaza ngayo uhlobo lomdlavuza. Kufana nokumaka indawo ebalazweni. Ngokuyisisekelo kukutshela izinto ezimbalwa:
- Usayizi Wesimila: Singakanani isimila somdlavuza?
- Ukubandakanyeka kwe-Lymph Node: Ingabe amangqamuzana omdlavuza asakazekele kuma -lymph node emakhwapheni noma eduze kwebele?
- Ukusabalala Okude (Metastasis): Ingabe umdlavuza ususakazeke ngale kwebele uye kwezinye izitho ezikude emzimbeni (njengesibindi, amaphaphu, amathambo)?
Ngokusekelwe kulolu lwazi, umdlavuza uhlukaniswe ngezigaba ezinkulu, kusukela ku-0 kuya ku-IV (zero kuya ku-4). Lokhu akunikezi wena noma udokotela wakho isithombe esiphelele. Udokotela wakho uzocabangela ezinye izici eziningi lapho ekhetha ukwelashwa okungcono kakhulu.
Ezinye izici ezithonya izinqumo zokwelapha
- Uhlobo lomdlavuza: Kunezinhlobo ezahlukene zomdlavuza webele. Ukwelashwa kuyahlukahluka kuye ngohlobo.
- Inani lamaqhubu: Ingabe uneqhubu elingaphezu kwelilodwa elinomdlavuza ebeleni lakho?
- Izinga lokukhula: Umdlavuza ukhula ngokushesha kangakanani?
- Ubudala bakho kanye nempilo yakho : Impilo yakho iyonke ibaluleke kakhulu ekunqumeni ukwelashwa.
- Ama-Hormone Receptors: Ingabe ama-hormone abesifazane (i-estrogen, i-progesterone) ayasiza ekukhuleni kwamaseli omdlavuza? Uma kunjalo, kungasetshenziswa ukwelashwa okukhethekile.
- Isimo se-HER2: Ingabe iseli lomdlavuza lineprotheni eningi kakhulu ebizwa ngokuthi ``(HER2)`` ebusweni balo? Uma kunjalo, lingasheshisa ukukhula, futhi kunezindlela zokwelapha eziqondiwe zalo.
Manje ake sibheke ukuthi yiziphi izindlela zokwelapha ezivame ukutholakala esigabeni ngasinye.
Izigaba ezahlukene kanye nezinketho zokwelapha
Ithebula elingezansi likunikeza umbono ophelele wokuthi lokhu kusho ukuthini. Kodwa-ke, lokhu kumane kuyisiqondiso esijwayelekile. Kukuwe ukuthi unqume ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe.Udinga ukukhuluma nodokotela bese unquma.
| Isigaba Somdlavuza | Incazelo (ngamagama alula) | Izindlela zokwelapha ezijwayelekile |
|---|---|---|
| Isigaba 0 | Umdlavuza ongangenisi umdlavuza. Amaseli omdlavuza angaphakathi kwemisele yobisi kuphela. Awakasabalali ezicutshini ezizungezile. Lokhu kubizwa nangokuthi i-DCIS (Ductal Carcinoma In Situ) . |
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| Isigaba I | Umdlavuza unamandla, kodwa isimila sincane (singaphansi kwamasentimitha amabili). Asisakazekanga kuma-lymph node aseduze noma kungenzeka ukuthi asisakazekanga kakhulu. |
|
| Isigaba II | Isimila sikhulu impela (amasentimitha angu-2-5) futhi/noma kungenzeka ukuthi sisakazekele kuma-lymph node amaningana aseduze. |
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| Isigaba III | Lona umdlavuza "osuthuthuke kakhulu endaweni". Isimila sikhulu, sisakazeke odongeni lwesifuba noma esikhumbeni, noma enanini elikhulu lama-lymph node. Kodwa asisakazekanga ezithweni ezikude emzimbeni. |
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| Isigaba IV | Umdlavuza ususakazekele ngale kwebele kanye nama-lymph node aseduze waya ezithweni ezikude emzimbeni (njengamathambo, amaphaphu, isibindi, ubuchopho). Lokhu kubizwa nangokuthi umdlavuza webele osakazekile . |
|
Into ebaluleke kakhulu okufanele uyiqonde
Cabanga ukuthi umngane wakho unomdlavuza weSigaba I kanti wena unomdlavuza weSigaba III. Lokho akusho ukuthi isimo sakho sibi. Ngoba impendulo yokwelashwa ingahluka kakhulu kuye ngezinto ezifana nohlobo lomdlavuza, isimo sakho samahomoni, njalo njalo.
Eminye imidlavuza yeSigaba III ingasabela kangcono ekwelashweni kuneminye imidlavuza yeSigaba II, ngakho-ke ungesabi noma wesabe ngokubheka inombolo yesigaba.
Khuluma nodokotela wakho.
Udokotela wakho ungumngane wakho omkhulu kulolu hambo. Khuluma naye nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Nansi eminye imibuzo ongayibuza:
- Iyini isigaba somdlavuza wami?
- Kusho ukuthini lokho?
- Iyini i-hormone receptor kanye nesimo `(HER2)` somdlavuza wami?
- Yiziphi izindlela zokwelapha ezingcono kakhulu kimi?
- Iyini imiphumela emibi yalezo zindlela zokwelapha?
- Impilo yami izobe injani ngemva kwalokhu kwelashwa?
Ungesabi ukubuza le mibuzo. Uma wazi okwengeziwe ngesimo sakho, kulapho uzobe unamandla ngokwengqondo ukuze ubhekane nokwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- "Isigaba" somdlavuza webele siyindlela ebalulekile yokulinganisa esetshenziswa ukuhlela ukwelashwa. Sisitshela ngobukhulu kanye nokusabalala komdlavuza.
- Izigaba zihlukaniswa kusukela ku-0 kuya ku-IV. Ezigabeni zokuqala (0, I, II), umgomo uwukwelapha ngokuphelele umdlavuza. Ezigabeni zakamuva (ikakhulukazi i-IV), umgomo uwukulawula umdlavuza nokugcina impilo isezingeni elihle.
- Ukwelashwa akunqunywa kuphela ngesigaba. Kunezici eziningi ezithinta lokhu, okuhlanganisa uhlobo lomdlavuza, isimo samahomoni, ubudala bakho, kanye nempilo yakho.
- Ungakhathazeki ngokubheka inombolo yesigaba kuphela. Umdlavuza ngamunye uhlukile. Wonke umuntu usabela ngendlela ehlukile ekwelashweni.
- Amandla akho amakhulu ukuqaphela. Khuluma nodokotela wakho ngokukhululekile ngesimo sakho kanye nokwelashwa kwakho. Buza noma yimiphi imibuzo onayo.
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