Ingabe unalezi zinguquko emabeleni akho? Masiqaphele lowo mdlavuza webele oyingozi ovuvukalayo (IBC)!

Wake waphawula iqhubu, ukuvuvukala, noma ukufiphala kwesikhumba esifubeni sakho? Ngezinye izikhathi sicabanga ngakho njengokutheleleka okulula, kodwa kungaba uhlobo lomdlavuza webele olubi kakhulu, olusakazeka ngokushesha. Namuhla sizokhuluma ngolunye uhlobo lomdlavuza olungavamile kodwa oluyingozi, umdlavuza webele ovuvukalayo, noma `(Umdlavuza Webele Ovuvukalayo - IBC)`.

Kuyini Umdlavuza Webele Ovuvukalayo (IBC)?

Kalula nje, `(Umdlavuza Webele Ovuvukalayo - IBC)` uhlobo lomdlavuza webele olukhula ngokushesha kakhulu, olungavamile. Ngokungafani nomdlavuza webele omningi, awuvamile ukubangela iqhubu. Esikhundleni salokho, isikhumba sebele siba namaqhubu futhi sibe lukhuni, njengekhasi lewolintshi. Kanye nalokhu, ibele elithintekile lingase lizwe ubuhlungu, ukubomvu, ukuvuvukala, kanye namaqhubu kwezinye izindawo .

Cabanga nje, amabele ethu aqukethe uketshezi olubizwa ngokuthi uketshezi lwe-lymph. Amapayipi amancane asiza ukugeleza koketshezi lwe-lymph abizwa ngokuthi imithambo ye-lymph. Lapho i-IBC ikhula, amangqamuzana omdlavuza ayavimba le mithambo ye-lymph. Khona-ke uketshezi lwe-lymph alukwazi ukugeleza kahle, bese kuvela ukuvuvukala ebeleni. Yingakho kubonisa izimpawu ezifana nokubomvu nokuvuvukala. Ngenxa yokuthi lezi zimpawu zifana kakhulu nezimpawu zokutheleleka kwebele okuvamile, ngezinye izikhathi kungaphambaniswa nokutheleleka.

Into ebaluleke kakhulu ukuthi i-`(IBC)` ingumdlavuza okhula ngokushesha kakhulu. Ngakho-ke, kubalulekile ukufuna ukwelashwa ngokushesha nje lapho kuvela izimpawu. Ngokuvamile, odokotela basebenzisa inhlanganisela ye-chemotherapy, ukuhlinzwa, kanye nokwelashwa ngemisebe kulokhu.

Ubani osengozini enkulu yokuthuthukisa i-IBC?

Nakuba noma ubani engathuthukisa i-IBC, izici ezithile zingase zandise ingozi.

• Ubulili: Nakuba noma ubani engaba ne -IBC, ivame kakhulu kwabesifazane.
• Ubudala: Uma kuqhathaniswa nezinye izinhlobo zomdlavuza webele, i-IBC ivame ukutholakala isencane. Ivame ukutholakala kwabesifazane abangaphansi kweminyaka engama-40. Isilinganiso seminyaka yokuxilongwa singaba yiminyaka engama-57.
• Uhlobo: Abantu abamnyama banamathuba amaningi okuthola ukuthi bane-`(IBC)` kunabamhlophe.
• Isisindo: Abantu abakhuluphele ngokweqile noma abakhuluphele ngokweqile basengozini enkulu yokuthola i-IBC kunalabo abane-body mass index evamile (BMI).

Kuvame kangakanani `(IBC)`?

I-IBC itholakala ngamazinga ahlukene emhlabeni wonke. Ivame kakhulu emazweni aseNyakatho Afrika. Isibonelo, i-IBC ibangela u-4% womdlavuza webele eTunisia kanye no-11% eGibhithe. Kodwa-ke, ayivamile emazweni afana ne-United States, lapho ibangela u-1% kuya ku-5% kuphela wabo bonke umdlavuza webele.

Yiziphi izimpawu zokuqala ze-`(IBC)`?

Ngenxa yokuthi i-IBC ayivamisile ukubangela iqhubu njengezinye izinhlobo zomdlavuza webele, kungaba nzima kancane ukuyibona ekuqaleni. Esikhundleni salokho, izimpawu zokuqala zivame ukuhlotshaniswa nokuvuvukala kwebele elithintekile. Lokhu kusho ukubomvu, ukuvuvukala, nobuhlungu. Ngenxa yalokhu, kungenzeka kakhulu ukuthi inganakwa njengesimo esingesibi kangako, njengokutheleleka.

Ziyini izimpawu ze-`(IBC)`?

Izimpawu ze-IBC zingavela ngokushesha kakhulu, zingakapheli amasonto amathathu kuya kwayisithupha. Lezi zimpawu zingase zihlanganise:

• Ukushintsha kombala wesikhumba (obomvu, opinki, noma onsomi), ukubukeka okufana nokuphuka, noma ukuqubuka endaweni engaba ingxenye yesithathu yebele.
• Isikhumba sesifuba siba lukhuni, sibe nezimbobo, noma sibe nezimfanta, njengekhasi eliphuzi.
• Ubuhlungu, ukuvuvukala, ukulunywa, ukuqina, noma ukuqaqamba kwebele elilodwa.
• Ukufudumala, ukusha, ukusinda, noma ukukhulisa ibele elilodwa.
• Ingono ephendukezelwe noma ehoxisiwe.
• Ama-lymph node avuvukele eduze kwe-collarbone noma ngaphansi kwekhwapha.

Yiziphi izimbangela ze-`(IBC)`?

Iningi lamacala e-IBC abhekwa njenge-invasive ductal carcinoma . I-Ductal carcinoma ingumdlavuza oqala emaseli amboze imibhobho yakho yobisi. Igama elithi "Invasive" lisho ukuthi umdlavuza ususakazeke ngale kwemibhobho yobisi uye ezicutshini ezinempilo. Abacwaningi abasazi kahle ukuthi kungani la maseli eba yingozi.

I-IBC ibangelwa amangqamuzana omdlavuza avimba imithambo ye-lymph. Lawa yimigudu emincane ohlelweni lwe-lymphatic esiza ukukhipha uketshezi lwe-lymph ebeleni. Lokhu kuvinjelwa kubangela ukuthi ibele libe bomvu, livuvuke, futhi livuvuke. Ezimweni eziningi ze-IBC, amangqamuzana omdlavuza asakazeka (asakazeka) ngaphandle kwemithambo ye-lymph. Umdlavuza osakazeke ngale ndlela ungathinta ezinye izitho zakho futhi kungaba nzima ukuwulapha.

I-`(IBC)` ihlonzwa kanjani futhi isigaba sinqunywa kanjani?

Ngenxa yokuthi i-IBC iyisimo esingavamile futhi izimpawu zifana nokutheleleka kwebele okuvamile (i-mastitis), udokotela wakho angase akunike ama-antibiotic kuqala ukuze abone ukuthi izimpawu zakho ziyathuthuka yini. Lokhu kuzosiza ukuqinisekisa ukuthi akusona isifo. Kodwa-ke, uma usola ukuthi une-IBC,Udokotela uzoyala ukuthi kwenziwe i-biopsy ukuqinisekisa ukuxilongwa kanye nokuhlolwa okwengeziwe ukuze kubonakale ukuthi umdlavuza ususakazeke ngale kwebele.

Indlela yokuxilonga `(IBC)`

Ukuxilongwa kuhlanganisa:

• Ukuhlolwa komzimba: Ukuxilonga kungaba nzima ngoba i-IBC ngokuvamile ayibangeli amaqhubu. Ngezinye izikhathi, udokotela uzozama ukuqeda ezinye izimo ezibangela izimpawu ezifanayo, njenge-mastitis.
• Ukuhlolwa kwezithombe:
• I-Mammogram: I-X-ray enamandla aphansi ethatha izithombe zangaphakathi kwebele. Lokhu kungabona izimpawu zomdlavuza, njengezigaxa, ukufakwa kwe-calcium (ukwakheka kwamabele), noma ukuqina kwesikhumba.
• I-ultrasound yebele: Lokhu kusebenzisa amaza omsindo ukuthatha izithombe zangaphakathi kwebele, izicubu ezizungezile, kanye nama-lymph node. Lokhu kungasiza ekunqumeni ukuthi umdlavuza ususakazekele yini ezicutshini eziseduze.

Kodwa, ngeshwa, kokubili i-IBC kanye nokutheleleka kwamabele kungabonakala kufana ekuhlolweni kwezithombe.

• I-Biopsy: Okuwukuphela kwendlela yokuqinisekisa ukuxilongwa kwe-IBC ukwenza i-biopsy. Kulokhu, udokotela wakho uthatha isampula encane yezicubu ebeleni lakho. Uchwepheshe obizwa ngokuthi i-pathologist uhlola isampula elebhu ukuze anqume ukuthi ingumdlavuza yini. Imiphumela ye-biopsy ingasiza futhi ekunqumeni ukuthi ezinye izindlela zokwelapha eziqondiwe zifanelekile yini kumdlavuza wakho.

Ukunquma Isigaba `(IBC)`

Imiphumela ye-biopsy isiza udokotela ukuthi anqume isigaba somdlavuza, okungukuthi, ukuthi umdlavuza ususakazeke ngale kwezicubu zebele. Ngesikhathi i-IBC itholakala, isivele isesigabeni sesithathu (Isigaba III) noma isigaba sesine (Isigaba IV).

• Isigaba III: Umdlavuza usakazekele ezicutshini zebele kanye nasesikhumbeni kuphela.
• Isigaba IV: Umdlavuza ususakazekele kwezinye izitho zomzimba.

Udokotela angenza okukodwa noma ngaphezulu kwalokhu kuhlolwa ukuze abone ukuthi umdlavuza ususakazeke yini:

• I-CT scan: Uchungechunge lwe-X-ray yesifuba, isisu, kanye ne-pelvis luyathathwa bese luhlanganiswa lube isithombe esisodwa. Lokhu kungabona izimpawu zomdlavuza emathanjeni nasezicutshini ezithambile.
• Ukuskena amathambo: Kusetshenziswa inani elincane lezinto ezinemisebe ukuthatha izithombe zamathambo. Lokhu kungasiza ekutholeni izindawo zomonakalo wamathambo obangelwa ukusabalala komdlavuza.
• I-MRI: Isebenzisa amaza omsakazo, omayibuthe, kanye nekhompyutha ukwenza izithombe ezinemininingwane yengaphakathi lomzimba.
• Ukuskena kwe-PET: Inqubo esebenzisa udayi oqukethe imithi ekhipha imisebe (ama-tracer) ukuthatha izithombe zezakhiwo zangaphakathi zomzimba.

Yiziphi izindlela zokwelapha `(IBC)`?

Ekwelapheni i-`(IBC)`Ngokuvamile kusetshenziswa inhlanganisela ye-chemotherapy, ukuhlinzwa, kanye nokwelashwa ngemisebe.

• Ukwelashwa ngamakhemikhali: Ukwelashwa ngamakhemikhali komdlavuza webele kusebenzisa imithi ukubulala amangqamuzana omdlavuza. Le mithi inganikezwa ngemithambo noma njengamaphilisi. Uma amangqamuzana omdlavuza esencishisiwe yi-chemotherapy, angasuswa kalula ngokuhlinzwa. Ukwelashwa ngamakhemikhali kunganikezwa futhi ngemva kokuhlinzwa ukuze kubulawe noma yimaphi amangqamuzana omdlavuza asele.
• Ukuhlinzwa: Lokhu kuhilela ukususa lonke ibele elithintekile (i-mastectomy) kanye nama-lymph node aseduze. Ukuhlinzwa okususa izicubu zebele kuphela akusebenzi ku-IBC ngoba lo mdlavuza usakazeka ngokushesha okukhulu.
• Ukwelashwa ngemisebe: Umshini usebenzisa amandla ukubhubhisa amangqamuzana omdlavuza. Ngemva kokuhlinzwa, ukwelashwa ngemisebe kungase kunikezwe ukubulala noma yimaphi amangqamuzana omdlavuza okungenzeka ukuthi awazange atholakale.

Kuye ngohlobo lwamaseli omdlavuza atholakala ku-biopsy, unganikezwa ukwelashwa okufana nokwelashwa okuqondiwe, ukwelashwa ngama-hormone, noma ukwelashwa nge-immunotherapy .

• Ukwelashwa okuqondiwe: Lokhu kuhlasela ubuthakathaka obuthile emangqamuzaneni omdlavuza futhi kuwabhubhise. Isibonelo, iphrotheni ebizwa ngokuthi i-HER2 isiza amaseli e-IBC ukukhula nokusabalala. Ukwelashwa okuqondiwe kubulala le phrotheni, okwenza kube nzima ngamaseli omdlavuza ukukhula.
• Ukwelashwa ngama-hormone: Amanye amangqamuzana omdlavuza ane-hormone receptors. Lawa ma-cancer akhula uma evezwa ama-hormone i-estrogen ne-progesterone. Uma amangqamuzana akho omdlavuza enala ma-receptor, udokotela wakho angase akunikeze ukwelashwa okuvimba la ma-hormone.
• Ukwelashwa Ngezifo Ezingalawuleki: Lokhu kusiza amasosha omzimba wakho ukuthi aqaphele futhi alwe namaseli omdlavuza. Izifundo zikhombisile ukuthi ezinye izinhlobo zokwelashwa ngezifo zingandisa ukusebenza kahle kwezinye izindlela zokwelapha ze-IBC, njenge-chemotherapy. Ucwaningo lusaqhubeka.

Udokotela wakho angase futhi akuncome ukuthi uhlanganyele esivivinyweni somtholampilo. Isivivinyo somtholampilo siwucwaningo oluhlola ukuphepha nokusebenza kahle kwezindlela ezintsha zokwelapha umdlavuza. Izindlela zokwelapha eziphumelelayo kulezi zivivinyo zingase zibe izindlela zokwelapha ezijwayelekile kamuva.

Yiziphi izinkinga ezihlobene ne-`(IBC)`?

Ukwelashwa kwe-IBC kungabangela ezinye izinkinga. Isibonelo, i-lymphedema (ukunqwabelana koketshezi) kungenzeka ngemva kokuhlinzwa ukuze kususwe ama-lymph node.

Ngenxa yokuthi i-IBC ikhula ngokushesha kakhulu, umdlavuza kungenzeka ukuthi ususakazekele kwezinye izicubu (ezihlukaniswe ngamaseli) ngesikhathi lesi sifo sitholakala.Uma umdlavuza usakazekela kwezinye izingxenye zomzimba, ungadinga ukwelashwa okwengeziwe.

Ingabe `(IBC)` ingavinjelwa?

Ngeshwa, ayikho indlela yokuvimbela i-IBC. Ukuze uthole imiphumela emihle kakhulu, funa ukwelashwa ngokushesha nje lapho ubona izimpawu. Uma ubona noma yiziphi izinguquko emabeleni akho, tshela udokotela wakho ngokushesha okukhulu.

I-`(IBC)` isakazeka ngokushesha kangakanani?

I-IBC ingumdlavuza onolaka kakhulu okhula ngokushesha okukhulu. Kungathatha amasonto noma izinyanga ukuthi ikhule. Ngesikhathi itholakala, isivele isakazekele esikhumbeni sebele futhi okungenani isiseSigabeni sesiThathu.

Iyini iphrojekthi kubantu abane-IBC?

I-IBC ivame ukukhula ngokushesha futhi isakazekele kwezinye izicubu ezingaphandle kwebele. Ingaphinde ivele ngisho nangemva kokwelashwa. Ukuxilongwa nokwelashwa kusenesikhathi kubalulekile ukuze kuphathwe lesi sifo ngempumelelo ngangokunokwenzeka.

Ngenxa yokuthi i-IBC isakazeka ngokushesha futhi itholakala kamuva kuneminye imidlavuza, isimo sengqondo sabantu abanalesi simo ngokuvamile asisihle njengesezinye izinhlobo zomdlavuza webele. Kodwa-ke, abanye abantu baphila iminyaka eminingi ngemva kokuxilongwa ukuthi bane-IBC. Udokotela wakho angachaza isimo sengqondo ngokusekelwe esimweni sakho.

Kufanele ubonane nini nodokotela uma usola i-IBC?

Uma ubona noma yiziphi izinguquko emabeleni akho, noma ngabe awuzwanga iqhubu, bona udokotela ngokushesha. Udokotela wakho uzokwenza ezinye izivivinyo bese enquma ukuthi kufanele yini ukhathazeke nge-IBC.

Ikakhulukazi uma unezimpawu ze-IBC futhi uthatha ama-antibiotics okutheleleka kwebele, uma izimpawu zakho zingathuthuki phakathi nesonto, tshela udokotela wakho ngokushesha.

Yimiphi imibuzo okufanele uyibuze udokotela?

Buza udokotela wakho ukuthi ukuxilongwa kwakho komdlavuza kuzothinta kanjani izinketho zakho zokwelashwa kanye nemiphumela yesikhathi esizayo. Nansi eminye imibuzo ongayibuza:

• Umdlavuza wami webele ukusiphi isigaba?
• Obani ochwepheshe abahilelekile ekunakekelweni kwami?
• Yiziphi izindlela zokwelapha ozincomayo?
• Yimiphi imiphumela engingayilindela ekwelashweni?
• Yimiphi imiphumela emibi noma izinkinga ezingaba khona ezihlobene nokwelashwa?
• Ungangisiza yini ukuxhumanisa nezinsizakusebenza ezifana namaqembu okusekela kanye nokunakekelwa kobuhlungu?

Okokugcina, izinto okufanele uzikhumbule

Umdlavuza Webele Ovuvukalayo (IBC) uhlobo lomdlavuza olungavamile kodwa olukhula ngokushesha. Uma ubona noma yiziphi izinguquko emabeleni akho, ikakhulukazi ebeleni elilodwa nje, funa iseluleko sezokwelapha ngokushesha. Lezi zinguquko zingase zibe uphawu lwesimo esingesibi kangako, njengokutheleleka. Kodwa-ke, i-IBC isakazeka ngokushesha kakhulu.Uma izimpawu zakho ziyizimpawu ze-IBC, ukuqala ukwelashwa ngokushesha ngangokunokwenzeka kungathuthukisa umbono wakho. Ngakho-ke, ungalibali ukufuna ukwelashwa. Impilo yakho iyakufanelekela!

umdlavuza webele ovuvukalayo, i-IBC, umdlavuza webele, umdlavuza webele ovuvukalayo, izimpawu zebele, impilo yabesifazane, ukwelashwa komdlavuza