Wake wazizwa uneqhubu ebeleni lakho ngesikhathi ulihlola wena, noma ngenkathi ugeza? Kujwayelekile ukuzwa ukwesaba okukhulu nokukhathazeka uma uzizwa into efana naleyo. "Ingabe lo mdlavuza?" umbuzo ohlala ufika engqondweni. Kodwa ake siqale sithi akuzona zonke iziqhubu ebeleni eziwumdlavuza. Eqinisweni, eziningi zazo azinangozi futhi zingaba izinto ezilula. Namuhla sikhuluma nge-fibroadenoma, uhlobo lwesiqhubu oluvame kakhulu kwabesifazane, kodwa olungenalo umdlavuza.
Kalula nje, iyini i-fibroadenoma?
I-fibroadenoma iyisigaxa esingenabungozi nesiqinile esakheka ebeleni. Ngokukhethekile, sakhiwe ngengxube yezicubu ezinemicu kanye nezicubu ze-glandular ebeleni. Lezi zigaxa zivame ukuba yindilinga, zithambile uma uzithinta, futhi zingase zihambe kancane ngaphansi kwesikhumba. Zizwakala njengemabula encane, ebushelelezi ngaphakathi ebeleni.
Into ebalulekile ukuthi ama-fibroadenoma awawona umdlavuza. Ngaphandle kwasezimweni ezingavamile kakhulu nezingenakucatshangwa, awabi umdlavuza.
Ezimweni eziningi, la maqhubu azoncipha ngokuhamba kwesikhathi ngaphandle kokwelashwa, noma anganyamalala ngokuphelele. Ngezinye izikhathi, udokotela wakho angase aqaphe iqhubu isikhashana ukuze abone ukuthi liyashintsha yini, noma angase ancome ukususwa ngokuhlinzwa uma kudingeka.
Ingabe zikhona izinhlobo ze-fibroadenomas?
Yebo, kunezinhlobo eziningana eziyinhloko. Ake sibone ukuthi ziyini.
| Uhlobo lwe-fibroadenoma | Izinto okufanele uzazi ngalokhu |
|---|---|
| I-Fibroadenoma elula | Lolu uhlobo oluvame kakhulu. Ngokuvamile zincane ngobukhulu. Okubaluleke kakhulu, lezi zinhlobo zamaqhubu azibeki ingozi yomdlavuza webele. Uma zibhekwa nge-microscope, amaseli akulesi zicubu abukeka afana yonke indawo, afanayo. |
| I-Fibroadenoma eyinkimbinkimbi | Lezi zivame kakhulu kwabesifazane abaneminyaka engaphezu kwengu-35. Zingaba zinkulu kakhulu. Uma zibukwa nge-microscope, zingabonisa izinguquko ezincane emaseli. Ungase ubone futhi ama-calcification noma ama-cyst ku-mammogram yakho. Lolu hlobo lwesigaxa lungandisa kancane ingozi yakho yomdlavuza webele uma kuqhathaniswa nomuntu ongenazo izigaxa. Kodwa akuyona ingozi enkulu. |
| I-Fibroadenoma Enkulu | Lezi uhlobo lwe-fibroadenoma olukhula lube ngaphezu kwamasentimitha angu-5. |
| I-Fibroadenoma Yentsha | Lolu uhlobo olungavamile kakhulu oluvela emantombazaneni aneminyaka ephakathi kweyi-10 neyi-18. |
Sivame kangakanani lesi simo?
Lokhu empeleni kuvame kakhulu. Ama-Fibroadenoma yizigaxa ezivame kakhulu ezingezona umdlavuza emabeleni. Avame kakhulu kwabesifazane abaneminyaka ephakathi kwengu-15 no-35. Ngokusho kocwaningo, oyedwa kwabesifazane abayi-10 (10%) uzoba ne-fibroadenoma okungenani eyodwa empilweni yakhe.
Ziyini izimpawu ze-fibroadenoma?
Uma une-fibroadenoma, ungase ubhekane nalokhu okulandelayo:
- Isigaxa esiqinile: Lokhu akufani nama-cyst agcwele uketshezi, kodwa aqinile ngokwemvelo.
- Akukho buhlungu: Lokhu ngokuvamile akubuhlungu, kodwa ngezinye izikhathi ungase uzizwe ubuhlungu kanye nobuhlungu ezinsukwini ezimbalwa ngaphambi kokuba uqale ukuya esikhathini.
- Inyakaza kalula: Uma uyicindezela ngeminwe yakho, uzozwa leli qhubu lihamba liye emuva naphambili ngaphansi kwesikhumba.
- Ukuthungwa okubushelelezi, okufana nerabha: Uma ibanjwe esandleni, inokwakheka okubushelelezi, ngezinye izikhathi izwakala njengebhola lerabha.
- Imingcele ecacile: Imiphetho yesigaxa ihlukaniswe ngokusobala, okusho ukuthi akubonakali sengathi ixubene nezicubu ezizungezile.
Lezi ziqhumane zivame ukukhula zibe zikhulu kakhulu. Ngezinye izikhathi azikhuli nhlobo, kodwa zihlala zilingana ngobukhulu, futhi zingancipha ngokuhamba kwesikhathi. Lezi ziqhumane zincipha kakhulu, ikakhulukazi uma usemncane noma useduze nokunqamuka kokuya esikhathini. Kodwa-ke, ngesikhathi sokukhulelwa, zingakhula zibe nkulu kancane ngenxa yezinguquko zamahomoni.
Kungani la ma-fibroadenomas akheka?
Odokotela abakwazanga ukuthola imbangela eqondile yalokhu, kodwa abaningi bakholelwa ukuthi kuhlobene nokuzwela i-hormone i-estrogen .
Cabanga nje, lapho amazinga e-estrogen emzimbeni wethu ekhuphuka (isibonelo, ngesikhathi sokukhulelwa, lapho kuthathwa ukwelashwa ngama-hormone), la maqhubu avame ukukhula. Futhi, lapho amazinga e-estrogen ehla ngemva kokunqamuka kokuya esikhathini, ayancipha. Yilapho umqondo walokhu kuxhumana kwama-hormone uvela khona.
Ukuthola kanjani lokhu? Yiziphi izivivinyo udokotela azozenza?
Uma uthola iqhubu ebeleni lakho, into engcono kakhulu ongayenza ukubonana nodokotela ngokushesha okukhulu. Ungesabi, kodwa kubaluleke kakhulu ukuthi ulihlolwe. Udokotela wakho angakuhlola futhi enze izivivinyo ezinjengalezi ukuze athole ukuthi liyini ngempela iqhubu.
1. Ukuhlolwa Kwebele Lomtholampilo: Okokuqala, udokotela uzohlola amabele akho womabili ngokomzimba. Lokhu kuzokunikeza umbono ngobukhulu, ukuma, kanye nokuhamba kweqhubu.
2. Ama-Scane Okuthatha Izithombe:
- I-Ultrasound Scan: Lokhu kusebenzisa amaza omsindo ukudala isithombe esicacile seqhubu. Lokhu kungasiza ekunqumeni ukuthi iqhubu liqinile noma iqhubu eligcwele uketshezi.
- I-Mammogram: Lokhu ukuhlolwa kwe-X-ray kwamabele. Ngokuvamile kunconywa kwabesifazane abaneminyaka engaphezu kwengu-35-40 ubudala.
3. I-Biopsy (I-biopsy yenaliti eqondiswe yisithombe): Abanye abantu bayesaba uma bezwa igama elithi "biopsy," kodwa kulula kakhulu. Babheka iqhubu ekuskeni, bafake inaliti encane kakhulu kulo, bese bethatha ucezu lwezicubu ezincane. Bese luthunyelwa elabhorethri ukuze luhlolwe ukuze kubonakale ukuthi luqukethe hlobo luni lwamaseli. Lokhu kungakutshela ngokuqinisekile ukuthi yi-fibroadenoma noma okunye.
Iphathwa kanjani i-fibroadenomas? Ingabe kufanele isuswe?
Ukwelashwa kwalokhu kuncike eminyakeni yakho, ubukhulu beqhubu, izimpawu zakho, kanye nemiphumela yombiko we-biopsy.
- Ukuqapha: Uma ukuhlolwa kwe-biopsy kuqinisekisa ukuthi kuyi-fibroadenoma engenangozi, elula, futhi akukubangeli izinkinga (njengobuhlungu), udokotela wakho uvame ukuthi:"Ake sibuke lokhu isikhashana." Lokho kusho ukuthi kufanele uze uzohlolwa njalo ezinyangeni ezi-3-6. Ngaleso sikhathi, udokotela uzokuhlola ngesandla, futhi uma kudingeka, enze i-scan ukuze abone ukuthi kube noshintsho yini ngobukhulu beqhubu. Esikhathini esiningi, lokhu kuzoncipha ngokwako, ngakho-ke ukuhlinzwa akudingeki.
- Ukususwa Kwesikhumba Ngokuhlinzwa: Kwezinye izimo, udokotela wakho angase ancome ukususwa kwesikhumba ngokuhlinzwa ngenxa yezizathu ezilandelayo:
- Uma umbiko we-biopsy ukhombisa izici ze-"fibroadenoma eyinkimbinkimbi".
- Uma iqhubu likhulu ngobukhulu (isib. ngaphezu kuka-3-4 cm).
- Uma lokho kukubangela ubuhlungu noma ukungakhululeki.
- Uma iqhubu liqhubeka nokukhula ngokushesha.
- Uma unenkinga noma ukwesaba ngalokhu.
Lokhu kuhlinzwa kulula kakhulu. Kwenziwa ukusikwa okuncane bese kususwa iqhubu kuphela.
- Ukwelashwa kwe-Cryoablation: Lena indlela entsha yokwelapha. Kulokhu, kusetshenziswa ithuluzi elincane ukuqandisa nokubhubhisa isimila. Kodwa-ke, le ndlela ayisetshenziswa kakhulu eSri Lanka.
Into ebaluleke kakhulu ukuthi isinqumo sokususwa kwe-fibroadenoma yinto wena nodokotela wakho okufanele niyenze ndawonye. Ungesabi ukubuza udokotela wakho noma yimiphi imibuzo onayo.
Yimiphi imibuzo okufanele uyibuze udokotela wakho?
Uma siya kudokotela, ngezinye izikhathi siyakhohlwa lokho esifuna ukukubuza. Ngakho-ke kuwumqondo omuhle ukubhala phansi imibuzo efana nale.
- Hlobo luni lweqhubu enginalo?
- Yikuphi ukwelashwa okungcono kakhulu kimi? Ingabe ngidinga ukususa lokhu?
- Kuzokwenzekani uma lesi sigaxa singasuswa?
- Ingabe lokhu kuzokwandisa ingozi yami yokuba nomdlavuza webele esikhathini esizayo?
- Kufanele ngenze izivivinyo kangaki (njenge-mammogram)?
- Zikhona yini ezinye izinto ezikhethekile okufanele ngizinakekele ngamabele ami?
| Isikhathi sokubona udokotela ngokushesha | |
|---|---|
| Uma ubona iqhubu elisha | Uma uzizwa uneqhubu elisha elalingekho ngaphambili, kufanele ulihlole. |
| Uma iqhubu elikhona lishintsha | Uma iqhubu likhula, lishintsha isimo, noma libangela ubuhlungu obungekho ngaphambili. |
| Ezinye izinguquko zesifuba | Ukuphuma kwezingono, ingono ephendukezelwe, ukushintsha kombala wesikhumba, isikhumba esiphuzi esiphuzi, noma ukuqubuka kwesikhumba. |
Ingabe ama-fibroadenoma angavinjelwa?
Ngeshwa, ayikho indlela eqinisekile yokuvimbela ukukhula kwama-fibroadenoma, njengoba ehlobene nomsebenzi wama-hormone. Kodwa-ke, ungayinakekela impilo yonke yamabele akho, okunganciphisa nengozi yakho yomdlavuza webele.
- Zihlole njalo amabele: Hlola amabele akho okungenani kanye ngenyanga. Lokhu kuzokunikeza umbono omuhle ngesimo esijwayelekile samabele akho futhi kukusize ukuthi ubone noma yiziphi izinguquko ezintsha ngokushesha.
- Indlela yokuphila enempilo: Ukudla ukudla okulinganiselayo, ukuzivocavoca njalo, ukulawula isisindo sakho, nokugwema utshwala nokubhema konke kuhle empilweni iyonke kanye nempilo yamabele.
- Ukuhlolwa njalo kwezokwelapha: Thola izivivinyo ezifana ne-mammogram ngezikhathi ezinconywe udokotela wakho ngokusekelwe eminyakeni yakho kanye nengozi yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Fibroadenoma iyisilonda esivamile kakhulu, esingenawo umdlavuza (esingesihle) esakheka ebeleni.
- Kuvamile ukuzizwa wesaba uma uthola iqhubu ebeleni lakho. Kodwa akuzona zonke iziqhubu ezinomdlavuza.
- Lezi ziqhubu ngokuvamile azibuhlungu, zibushelelezi, futhi zihamba phansi kwesikhumba.
- Ama-fibroadenoma amaningi awadingi ukwelashwa futhi angase anciphe ngokwawo ngokuhamba kwesikhathi.
- Uma ubona iqhubu elisha noma ubona ushintsho eqhubu elikhona, bona udokotela ngokushesha. Kuyinto ephephile futhi engcono kakhulu ongayenza.
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