Uma wenza i-mammogram bese udokotela wakho ekutshela ukuthi, "Unomdlavuza webele weSigaba 0, obizwa ngokuthi i-DCIS," kuvamile ukuzwa ukwesaba nokushaqeka ngokuzumayo. Sonke siyathuthumela uma sizwa igama elithi "umdlavuza." Kodwa uma uqonda kahle ukuthi iyini i-DCIS, uzobona ukuthi lokhu kwesaba akudingekile. Ake sixoxe ngakho ngokuningiliziwe, kalula.
Kalula nje, iyini i-DCIS (i-Ductal Carcinoma in Situ)?
Nakuba leli gama lingase libonakale liyinkimbinkimbi kancane, incazelo yalo ilula kakhulu. Ake silihlukanise igama negama:
- I-ductal: Lokhu kubhekisela emigudwini yobisi emabeleni akho. Imigudwini iyizakhiwo ezincane ezifana nepayipi ezithwala ubisi oluvela ezindlaleni ezikhiqiza ubisi ebeleni luye engonweni uma uncelisa.
- I-Carcinoma: Leli igama lezokwelapha lomdlavuza. Lisho ukukhula okungavamile kwamangqamuzana.
- Esimweni: Leli yigama elibaluleke kakhulu lapha. Igama elithi "In Situ" lisho ukuthi "in place" ngesiLatini elisho ukuthi "in place." Lokhu kusho ukuthi la maseli omdlavuza angavamile akheke ngaphakathi komsele wobisi kuphela. Awazange aphule udonga lomsele futhi asakazekele ezicutshini zebele ezizungezile.
Cabanga ngepayipi lamanzi. Kukhona ungqimba lokugqwala ngaphakathi kwepayipi. Kodwa ukugqwala akungenanga odongeni lwepayipi futhi akuphumi. I-DCIS injalo. Amaseli omdlavuza (njengokugqwala) angaphakathi kwepayipi lobisi (ipayipi lamanzi), kodwa awakasabalali ngaphandle.
Yingakho odokotela bebiza i-DCIS ngokuthi umdlavuza webele "ongahlaseli" noma "ongahlaseli" . Awusabalali (usakazeka) kwezinye izingxenye zomzimba.
Kodwa okubaluleke kakhulu, uma i-DCIS ingelashwa, ngezinye izikhathi ingakhula ibe yi-invasive ductal carcinoma, ephula udonga lomsele wobisi bese isakazekela ezicutshini ezizungezile. Yingakho kubaluleke kakhulu ukuyithola nokuyiphatha kusenesikhathi.
Sivame kangakanani lesi simo esibizwa ngokuthi i-DCIS?
Empeleni i-DCIS uhlobo oluvame kakhulu lomdlavuza webele. I-DCIS ibangela u-20% kuya ku-25% womdlavuza webele osanda kutholakala. Ivame kakhulu kwabesifazane. Amadoda mancane kakhulu amathuba okuthola i-DCIS.
Muva nje, kube nemibiko eminingi yamacala e-DCIS. Kodwa ochwepheshe bathi isizathu akusikho ukuthi i-DCIS isivame kakhulu, kodwa kungenxa yokuthi izivivinyo ezifana ne-mammograms manje sezingakwazi ukubona lesi simo esigabeni sokuqala kakhulu.
Ziyini izimpawu ze-DCIS?
Ngokuvamile ku-DCISAzikho izimpawu . Lokho kusho ukuthi ungase ungezwa mehluko. Lokhu kubalulekile kuma-mammogram. Kusiza ekutholeni lezi zimo ngaphambi kokuba kuvele izimpawu.
Kodwa-ke, akuvamile kakhulu, abanye abantu bangase babe nezimpawu ezifana nalezi:
- Ukuzwa iqhubu ebeleni
- Ukuqhuma kwesikhumba
- Ukuphuma kwezingono (njengegazi)
Izimbangela kanye nezici eziyingozi ze-DCIS
I-DCIS yenzeka lapho amangqamuzana aphilile emigudwini yobisi eshintsha (ukuguqulwa kwezakhi zofuzo) futhi eqala ukukhula ngokungalawuleki. Kodwa ochwepheshe abasazi kahle ukuthi kungani lawa maseli eshintsha ngale ndlela, noma ukuthi kungani amanye amacala e-DCIS kamuva eba umdlavuza onamandla.
Kodwa-ke, kunezici eziningana eziye zatholakala ezandisa amathuba, noma ingozi, yokuthuthukisa i-DCIS.
| Isici Sengozi | Incazelo |
|---|---|
| Umlando womndeni | Ukuba nomdlavuza webele ezihlotsheni zegazi (umama, udadewabo, indodakazi). |
| Umlando womuntu siqu | Ukuba nomdlavuza webele ngaphambilini noma ukukhula kwamaseli okungavamile (i-hyperplasia engavamile). |
| Ubudala nobulili | Njengoba ngingowesifazane futhi ngineminyaka engaphezu kwengu-30 ubudala. |
| Imiphumela yama-hormone | Ukuthomba ngaphambi kweminyaka eyi-12, ukunqamuka kokuya esikhathini ngemva kweminyaka engama-55. |
| Ukukhulelwa | Ungalokothi ukhulelwe, ungabi nomntwana wakho wokuqala ngemva kweminyaka engama-30, noma ungabi uncelisa izingane zakho. |
| Izici zofuzo | Ukuba nokuguqulwa kwezakhi zofuzo ( i-BRCA 1 kanye ne-BRCA 2 ) okwandisa ingozi yomdlavuza webele. |
| Ezinye izinto | Ukuba nezicubu zesifuba eziqinile, ngemva kokuthola ukwelashwa ngemisebe endaweni yesifuba. |
Into ebalulekile okufanele uyiqonde lapha ukuthi ukuba nesinye noma ngaphezulu salezi zici eziyingozi akusho ukuthi nakanjani uzoba ne-DCIS. Isibonelo, abantu abangenawo umlando womndeni womdlavuza webele basengaba ne-DCIS. Basho nje ukuthi amathuba aphezulu kancane.
Itholakala kanjani i-DCIS?
Amacala e-DCIS angaphezu kwama-90% atholakala ku -mammogram . Ama-mammogram abonisa amaqoqo amancane e-calcium deposits (ama-microcalcifications) ebeleni. Lezi yizimpawu eziyinhloko ze-DCIS.
Uma i-mammogram ikhombisa noma yini esolisayo, udokotela cishe uzoncoma i-biopsy . I-biopsy ihilela ukuthatha isampula encane kakhulu yezicubu ezisolisayo bese uyihlola ngaphansi kwe-microscope ukuze ubone ukuthi inamangqamuzana omdlavuza yini.
Amabanga kanye nezigaba ze-DCIS
Uma i-DCIS isitholakele, odokotela banquma izinga layo kanye nesigaba sayo.
- Isigaba: I-DCIS ihlala ingumdlavuza webele weSigaba 0. Lezi yizindaba ezinhle kakhulu ngoba kusho ukuthi umdlavuza awukasabalali.
- Izinga: Lokhu kubhekisela ekutheni amangqamuzana omdlavuza afana noma ahluke kangakanani kumaseli anempilo nokuthi akhula ngokushesha kangakanani. Kunezinhlobo ezintathu eziyinhloko zamabanga.
- Izinga Eliphansi: Amaseli omdlavuza ngokuvamile afana namaseli anempilo futhi akhula kancane.
- Izinga Eliphakathi: Amaseli omdlavuza ahlukile kancane kumaseli anempilo.
- Izinga Eliphezulu: Amaseli omdlavuza ahluke ngokuphelele kumaseli anempilo futhi athambekele ekukhuleni ngokushesha.
Yiziphi izindlela zokwelapha i-DCIS?
Nakuba i-DCIS ingeyona umdlavuza ohlaselayo, kubalulekile ukuyilapha ukuze kuvinjelwe ingozi yokuthi ibe umdlavuza ohlaselayo kamuva. Udokotela wakho uzonquma indlela engcono kakhulu yokwelapha ngokusekelwe ezicini ezifana neminyaka yakho, izinga le-DCIS, kanye nezintandokazi zakho.
Kunezindlela ezimbili eziyinhloko zokwelapha:
| Indlela Yokwelapha | Kalula nje... |
|---|---|
| 1. Ukuhlinzwa Kwe-Lumpectomy / Ukuhlinzwa Kokulondoloza Amabele + Ukwelashwa Ngemisebe | Lokhu kuhilela ukususa ngokuhlinzwa kuphela indawo yezicubu ene-DCIS, kanye nenani elincane lezicubu ezinempilo ezizungezile. Lokhu kushiya iningi lebele lakho lingathintekile. Ngemva kokuhlinzwa, ukwelashwa ngemisebe kuvame ukunikezwa ukubulala noma yimaphi amangqamuzana omdlavuza asele. |
| 2. Ukususwa kwesisu | Kulokhu, lonke ibele elithintekile yi-DCIS lisuswa ngokuhlinzwa. Le nqubo iyanconywa uma i-DCIS isisakazekele endaweni enkulu yebele noma emigudwini eminingi yobisi, noma uma i-lumpectomy ingeyona inketho. Ukwelashwa ngemisebe ngokuvamile akudingeki ngemva kokuhlinzwa kwe-mastectomy. |
Uma uhlinzwe i-mastectomy, ungakhuluma nodokotela wakho mayelana nokuhlinzwa kokuvuselelwa kwamabele.
Ukwelashwa ngemva kokuhlinzwa
Ngemva kokuhlinzwa, udokotela wakho angase ancome ukwelashwa ngama-hormone ukuvimbela i-DCIS ukuthi ingabuyi. Lokhu kuhilela ukusebenzisa imithi efana ne -Tamoxifen noma i-Aromatase Inhibitors . Lokhu kwelashwa kuvame ukuhlala iminyaka engaba mihlanu.
Ingabe i-DCIS ingelapheka ngokuphelele?
Yebo, impela! I-DCIS iyisimo esingelapheka kakhulu futhi esingelapheka ngokuphelele . Izinga lokuphulukiswa kwalabo abathola ukwelashwa liphezulu kakhulu, cishe liyi-100%.
Ingozi yokuthi i-DCIS ibuye ngemva kokwelashwa iphansi kakhulu. Ngisho noma ibuya, ngokuvamile ayisongeli impilo.
Yini okufanele uyenze?
Nakuba kungekho ndlela eqondile yokuvimbela i-DCIS, ukutholakala kusenesikhathi kungaholela ekululameni okuphelele.
- Thola ama-mammogram avamile: Ngokuvamile kunconywa ukuthi wenze i-mammogram kanye ngonyaka ngemva kweminyaka engu-40. Kodwa-ke, khuluma nodokotela wakho ngokuthi kufanele wenze lokhu kangaki, ngokusekelwe ezicini zakho eziyingozi.
- Landela imiyalelo kadokotela wakho: Ngemva kokwelashwa, hamba uyohlolwa njengoba kuqondiswe udokotela wakho. Ngokuvamile, ukuhlolwa kuyadingeka njalo ezinyangeni ezingu-6-12 eminyakeni emihlanu yokuqala kanye nonyaka ngemva kwalokho.
- Buza udokotela wakho imibuzo: Uma uthola ukuthi une-DCIS, khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Buza imibuzo efana nokuthi, "Iyiphi indlela yokwelapha engcono kakhulu kimi?", "Ukwelashwa kuzothatha isikhathi esingakanani?", "Ingabe ngizokwazi ukuqhubeka nokusebenza phakathi nalesi sikhathi?"
Kuvamile ukuzizwa wesaba futhi ukhathazekile uma uthola ukuthi unomdlavuza. Kodwa khumbula ukuthi i-DCIS iwuhlobo lomdlavuza webele oluqalayo, olungabulali, futhi olulapheka kakhulu. Ngokwelashwa okufanele kanye nokulandelela, ungaphila impilo enempilo ngokuphelele.
Umlayezo Wokuya Nawe Ekhaya
- I-DCIS yisigaba sokuqala (Isigaba 0) somdlavuza webele. Lapha, amangqamuzana omdlavuza angaphakathi kwemisele yobisi kuphela futhi awasakazeki ezicutshini ezizungezile.
- Lona umdlavuza ongangenisi umdlavuza, ngakho awusabalali kwezinye izingxenye zomzimba.
- I-DCIS ivame ukungabi nazimpawu . Ivame ukutholakala nge-mammogram.
- I-DCIS ingelapheka cishe ngokuphelele ngokwelashwa, ngakho-ke asikho isidingo sokwesaba.
- Uma ingelashwa, kunengozi yokuthi ibe umdlavuza onamandla, ngakho-ke kubaluleke kakhulu ukufuna ukwelashwa ngokweseluleko sezokwelapha .
- Ukuhlolwa njalo kwezokwelapha kanye ne-mammogram kuyindlela engcono kakhulu yokuthola lesi sifo kusenesikhathi.
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