Ake sifunde ngomdlavuza webele: i-IDC kanye ne-DCIS (Invasive Ductal Carcinoma kanye ne-Ductal Carcinoma in Situ)

Uma sizwa igama elithi "umdlavuza webele," wonke umuntu uyasaba kancane, akunjalo? Lokho kuvamile kakhulu. Kodwa into ebaluleke kakhulu ukuqaphela lokhu ngokugcwele. Ngoba lapho-ke singazibona ngokushesha izimpawu futhi sithole iseluleko sezokwelapha esidingekayo. Namuhla, sizokhuluma ngezinhlobo ezimbili ezivame kakhulu zomdlavuza webele , i-Ductal Carcinoma. Sizokhuluma ngalokhu kalula, ngendlela ongayiqonda.

Kalula nje, i-Ductal Carcinoma uhlobo lomdlavuza oluqala emigudwini yobisi lwebele. Ubuwazi ukuthi kunezinhlobo ezimbili eziyinhloko zalokhu?

1. I-Invasive Ductal Carcinoma (IDC): Kulokhu, amangqamuzana omdlavuza aphula izindonga zomsele wobisi bese esakazekela ezicutshini ezizungezile.

2. I-Ductal Carcinoma in Situ (DCIS): Kulokhu, amangqamuzana omdlavuza angaphakathi kwepayipi lobisi futhi awakasabalali ngaphandle.

Izimpawu, ukuxilongwa, kanye nokwelashwa kwalezi zinhlobo ezimbili kuhlukile. Ake siqale sixoxe ngohlobo oluvame kakhulu, i-IDC.

Kuyini i-Invasive Ductal Carcinoma (IDC)?

I-Invasive Ductal Carcinoma (IDC) uhlobo oluvame kakhulu lomdlavuza webele, olubalelwa cishe ku-80% wabo bonke umdlavuza webele. Uqala emaseli omsele wobisi. Kodwa awugcini lapho. Amaseli ayakhula, aphule izindonga zomsele, bese eqala ukusabalala ezicutshini ezinempilo ezizungeze ibele. Ngokuhamba kwesikhathi, la maseli omdlavuza angasabalala kwezinye izingxenye zomzimba.

Yiziphi izici eziyingozi zokuthuthukisa i-IDC?

Kunzima kakhulu ukukhomba imbangela eqondile yawo wonke umdlavuza webele. Kodwa-ke, siyazi ezinye izinto eziyingozi. Ezinye zalezi zihlobene nendlela yethu yokuphila, ezinye zihlobene nama-hormone kanye nomlando womndeni .

Ngezansi kunezinye zezinto ezivame ukuba yingozi ezitholakala ku-IDC kanye neminye imidlavuza yebele.

Ziyini izimpawu ze-IDC?

Umuntu one-IDC angase abe nesinye noma ngaphezulu salezi zimpawu. Akuzona zonke izikhathi lapho uba nalezi zimpawu, kuba umdlavuza, kodwa uma ubona into efana nale, kubalulekile ukubona udokotela wakho ngokushesha ukuze ayohlolwa.

• Iqhubu elisesifubeni: iqhubu elizwakala njengeqhubu esandleni.
• Ukuqina kwesikhumba: Umuzwa sengathi ingxenye yesikhumba ebeleni isiqine.
• Ukubomvu noma ukuqubuka : Ukubomvu kwesikhumba sesifuba.
• Ukuvuvukala: Ukuvuvukala okuhambisana noshintsho esimweni noma ngobukhulu bebele.
• Ubuhlungu: Ubuhlungu obusha ebeleni obungekho ngaphambili.
• Isikhumba siyawohloka: njengewolintshiIsimo lapho izikhala zesikhumba sesifuba zikhula futhi zicwila, zifane nekhasi eli-orenji.
• Izinguquko emgudwini wobisi lwebele : umgudwini uyacwila, uba buhlungu, noma uvuza uketshezi olungewona ubisi (ikakhulukazi olunombala wegazi).
• Amaqhubu asekhwapheni: Amaqhubu asekhwapheni azwakala ngesandla.
• Izinguquko ezingahlobene nomjikelezo wokuya esikhathini wanyanga zonke: Izinguquko ezingavamile ezihlukile kuzinguquko ezivamile ezenzeka ngaphambi kokuya esikhathini.

Itholakala kanjani i-IDC? (Ukuxilongwa)

I-IDC ivame ukusolwa okokuqala uma kubonakala into engajwayelekile ku-mammogram. Ngezinye izikhathi, udokotela angathola iqhubu ngesikhathi sokuhlolwa komzimba.

1. I-Mammogram kanye ne-Ultrasound: Lezi yizivivinyo eziyisisekelo kakhulu. I-mammogram ithatha isithombe se-X-ray sebele. I-ultrasound isebenzisa amaza omsindo ukuthola isithombe esihle sezicubu ezingaphakathi kwebele kanye nanoma yiziphi izigaxa.

2. I-Biopsy: Lolu vivinyo oluqinisekisa ngokuphelele ukuthi umdlavuza noma cha. Lapha, kuthathwa ingxenye encane kakhulu yezicubu eqhubu elisolisayo ngosizo lwenaliti bese ihlolwa ngaphansi kwe-microscope. Kungemva kwalolu vivinyo kuphela lapho singazi khona ngokuqinisekile ukuthi kukhona amangqamuzana omdlavuza noma cha.

Uma umbiko we-biopsy uqinisekisa ukuthi umdlavuza, udokotela uzo-oda ukuhlolwa okuningana okwengeziwe. Lokhu kwenzelwa ukuthola ukuthi umdlavuza mkhulu kangakanani nokuthi ususakazeke yini. Ukuhlolwa okufana ne-'CT scan', 'PET scan', 'MRI' kungasetshenziswa kulokhu.

Yiziphi izindlela zokwelapha?

Kunezindlela eziningana zokwelapha i-IDC. Udokotela wakho kanye nethimba lakho lezokwelapha bazonquma uhlelo lokwelashwa olungcono kakhulu kuwe. Lokhu kuzocabangela izici eziningi, okuhlanganisa isigaba somdlavuza, ubukhulu bawo, nokuthi ngabe une-hormone receptor.

Izindlela zokwelapha eziyinhloko yilezi:

• Ukuhlinzwa:
• Ukususwa kwe-Lumpectomy: Lokhu kuhilela ukususa kuphela isimila esinomdlavuza kanye nenani elincane lezicubu ezinempilo ezisizungezile.
• Ukususwa kwebele: Lokhu ukususwa kwebele lonke ngokuhlinzwa.
• Ukwelashwa Ngemisebe: Imisebe enamandla aphezulu isetshenziselwa ukubhubhisa noma yimaphi amangqamuzana omdlavuza angase asale ngemva kokuhlinzwa.
• Ukwelashwa ngamakhemikhali: Le yimithi enamandla enikezwa ukubulala amangqamuzana omdlavuza asakazeke emzimbeni wonke. Inikezwa ukunciphisa isimila ngaphambi kokuhlinzwa noma ukubulala noma yimaphi amangqamuzana asele ngemva kwalokho.
• Ukwelashwa Ngama-hormone: Uma umdlavuza uzwela kuma-hormone (HR+), kunikezwa imithi evimba ukusebenza kwama-hormone njenge-estrogen.
• Ukwelashwa Okuqondiwe: Le mithi isebenza ezinhlosweni ezithile ezithinta ukukhula kwamangqamuzana omdlavuza.
• Ukwelashwa nge-immunotherapy:Kuvuselela amasosha omzimba, kusiza ekutholeni nasekubhubhiseni amangqamuzana omdlavuza.

Ungase unikezwe eyodwa noma inhlanganisela yalezi zindlela zokwelapha. Lezi zindlela zokwelapha zingabangela imiphumela emibi. Kodwa manje kunezindlela zokulawula eziningi zazo. Ngakho ungesabi ukukhuluma ngakho ngokukhululekile nodokotela wakho.

Manje ake sibheke i-Ductal Carcinoma in Situ (DCIS)

I-DCIS, njengoba sishilo ngaphambili, ingumdlavuza ongangenisi umdlavuza ongasakazeki ngaphandle kwemisele yobisi. Lesi yisigaba sokuqala somdlavuza, noma umdlavuza wesigaba 0 .

Izimpawu kanye nokwelashwa kwe-DCIS

Iningi labantu abane-DCIS alinazo izimpawu. Ngokuvamile litholakala nge-mammogram. Ngezinye izikhathi, izimpawu ezifana neqhubu ebeleni noma ukuphuma kwegazi engonweni zingase zibonakale.

Ukwelashwa okuyinhloko kwe-DCIS ukuhlinzwa.

• Ukususwa kwesimila (ukususwa kwesimila kuphela) kuvame ukwenziwa kulandelwe ukwelashwa ngemisebe .
• Kwezinye izimo ezikhethekile (isib. uma i-DCIS isakazeke kulo lonke ibele), kungadingeka i-mastectomy (ukususwa kwebele lonke).

Ukwelashwa ngamakhemikhali ngokuvamile akudingeki ezimweni ze-DCIS.

Yini esingayenza ukuze sinciphise ingozi yomdlavuza?

Asikwazi ukushintsha ezinye izinto eziyingozi, njengofuzo. Kodwa-ke, ukushintsha indlela yethu yokuphila kunganciphisa ingozi yomdlavuza webele ngezinga elithile.

• Nciphisa utshwala: Kungcono ukugwema ukuphuza utshwala.
• Gcina isisindo esinempilo: Ukukhuluphala ngokweqile kuyingozi.
• Yiba matasa: Zivocavoce njengokuhamba noma ukugijima okungenani imizuzu eyi-150 ngesonto.
• Gwema ukubhema.
• Yidla ukudla okunempilo: Yamukela ukudla okucebile ngemifino nezithelo.
• Ncelisa izingane zakho: Ukuncelisa kuye kwatholakala ukuthi kunciphisa ingozi yomdlavuza webele.
• Landela iseluleko sikadokotela wakho: Khuluma nodokotela wakho ngomlando womdlavuza womndeni wakho. Thola ukuhlolwa njalo njenge-mammogram.