Ingabe unamaqhubu anjengalawa emabeleni akho? Ake sixoxe nge-(Intraductal Papilloma)!

Wake waphawula into engavamile, njengeqhubu elincane ebeleni lakho, noma wabona into efana noketshezi oluphuma engonweni yakho wabe usukhathazeka kancane? Uma lokho kwenzeka, sicabanga ngazo zonke izinhlobo zezinto, akunjalo? Kodwa akuzona zonke iziqhubu noma ushintsho oluyingozi njengomdlavuza. Namuhla sizokhuluma ngesimo esenzeka emabeleni, kodwa esingesiwo umdlavuza, kodwa kufanelekile ukunaka. Leso yisimo esibizwa ngokuthi `(Intraductal Papilloma)`. Igama lingase lizwakale lingavamile uma ulizwa, kodwa masiliqonde kalula.

Kuyini lokhu (Intraductal Papilloma)? Kalula nje...

Kalula nje, i-Intraductal Papilloma iwukukhula okungenangozi okwakheka ngaphakathi kwemisele yobisi emabeleni akho. Cabanga nje, amabele ethu anesimiso samapayipi amancane akhiqiza ubisi bese eluyisa engonweni, akunjalo? Lawa mapayipi, okungukuthi, imisele yobisi, yilapho kwakheka khona lokhu kukhula. Igama elithi "Papilloma" lisho ukukhula okufana ne-wart. Lawa akhiwe uhlobo lweseli olubizwa ngokuthi "amaseli e-Epithelial." Lawa "maseli e-Epithelial" awuhlobo lweseli olumboza ubuso bangaphakathi nangaphandle bemizimba yethu. Igama elithi "Intraductal" lisho "ngaphakathi kwemisele" (ngaphakathi - ngaphakathi, i-ductal - ehlobene nemisele). Ngakho-ke, konke lokhu kuhlangene, i-Intraductal Papilloma iwukukhula okungenangozi okwakheka ngaphakathi kwemisele yobisi, njenge-wart.

Into ebalulekile ukuthi lesi sigaxa esibizwa ngokuthi "Intraductal Papilloma" asisona isifo somdlavuza (esingenabungozi). Kodwa-ke, udokotela wakho uzohlola lesi sigaxa ukuqinisekisa ukuthi asinawo amangqamuzana angavamile angaba umdlavuza. Ngakho-ke kubaluleke kakhulu ukuqaphela lokhu.

Ingabe zikhona izinhlobo zalokhu (Intraductal Papilloma)?

Yebo, kunezinhlobo ezimbili ikakhulukazi:

1. I-papilloma yodwa:

• Lolu uhlobo oluvame kakhulu. Njengoba igama lisho, lwakha njengeqhubu elilodwa.
• Lokhu kuvame ukuvela emigudwini emikhulu yobisi eduze kwengono yakho.
• Uma iqhubu likhula kancane, ungalizwa ngemuva noma eduze kwengono, njengeqhubu elincane.
• Izindaba ezinhle ukuthi lolu hlobo lwe-papilloma alukhulisi ingozi yakho yokuba nomdlavuza webele impilo yakho yonke.

2. Ama-papillomas amaningi noma ama-papillomatosis:

• Kulolu hlobo, kuvela izigaxa ezingaphezu kwesisodwa.
• Lokhu kwakheka emigudwini yobisi emincane etholakala kude kancane nengono.
• Abantu abanalolu hlobo bangase babe nengozi eyengeziwe kancane yokuba nomdlavuza webele empilweni yabo yonke. Kodwa ungakhathazeki, udokotela wakho uzokuchazela kabanzi ngokuthi lokhu kusho ukuthini "kancane".
• Cishe u-10% wama-papilloma atholakalayo angowalolu hlobo, olubizwa ngokuthi "i-Papillomatosis." Lokho kusho ukuthi akuvamile.

Ivame kangakanani i-Intraductal Papilloma?

Ama-papilloma angaphakathi kwe-ductal abalelwa cishe ku-10% wezilonda zesifuba ezingenabungozi. Iningi lalawa abonakala njengama-papilloma azimele. Ngakho-ke, lesi akusona isimo esingavamile.

Ziyini izimpawu zalesi simo? Sazi kanjani?

Akuwona wonke ama-papillomas abangela izimpawu. Ngezinye izikhathi, udokotela uthola iqhubu elingavamile uma uhlolwa, njenge-mammogram, ngesinye isizathu. Ungase ungazazi ngisho ngaleso sikhathi.

Kodwa-ke, amanye ama-papilloma angabangela izinguquko emabeleni. Qaphela izimpawu ezinjengalezi:

• Ukuphuma kwegazi okucacile noma okuphuma engonweni: Lokhu kuvame ukuthinta ibele elilodwa kuphela. Uma ubona lokhu kwenzeka ngokuzumayo, ungesabi futhi ubone udokotela.
• Iqhubu elincane elizwakala ngemuva kwengono: Leli qhubu lingase libe buhlungu noma lingabi buhlungu.
• Ukuzwa ubuhlungu noma ukungakhululeki endaweni eyodwa yebele: Uma unenkinga engapheli endaweni efanayo, qaphela nalokho.

Uma unezinye zalezi zimpawu, funa iseluleko sezokwelapha. Yilokho okungcono kakhulu ongakwenza. Kubaluleke kakhulu ukubona udokotela bese uthola iseluleko esifanele kunokufuna ulwazi kwi-inthanethi.

Yini ebangela i-Intraductal Papilloma?

I-Intraductal Papilloma ibangelwa ukukhula ngokweqile kwamaseli e-epithelial emigudwini yobisi, esixoxe ngakho ngaphambilini. Kufana nesitshalo esikhula ngokushesha kakhulu. Kodwa-ke, ochwepheshe abasazi kahle ukuthi kungani la maseli ekhula ngokushesha kangaka. Ucwaningo lusaqhubeka.

Abanye abantu, uma bezwa igama elithi "papilloma", bacabanga ukuthi lihlobene negciwane elithi `(Human Papillomavirus - HPV)`. Kodwa akukho ukuxhumana okunjalo. Kuyiqiniso ukuthi ezinye izinhlobo zegciwane le-HPV eziyingozi kakhulu zandisa ingozi yokuthola umdlavuza ohlukahlukene. Kodwa-ke, ukutheleleka kwe-HPV akubangeli `(Intraductal Papilloma)`, futhi akukhulisi ingozi. Kungcono ukungadidanisi lokhu okubili, akunjalo?

Yiziphi izinto eziyingozi ezithinta lokhu?

Ucwaningo lusaqhubeka ukuze kutholakale ukuthi yiziphi izici eziyingozi ezifaka isandla ekuthuthukisweni kwe-`(Intraductal Papilloma).` Okwaziwayo njengamanje ukuthi okulandelayo kungandisa ingozi yakho yokuthola lesi simo:

• Ubudala: Uma uneminyaka ephakathi kuka-35 no-55 ubudala, kungenzeka kakhulu ukuthi ube ne-Intraductal Papilloma. Iningi labantu abatholakala benesifo sofuba lihlala lisesikhathini sokuya esikhathini. Kodwa-ke, labo abanama-papilloma amaningi bangase babe bancane kunalabo abane-papilloma eyodwa.
• Ukuchayeka ku-hormone i-estrogen:Ingozi yakho inganda uma uke wavezwa yi-hormone `(Oestrogen)` empilweni yakho yonke. Isibonelo, ukuthomba kusenesikhathi, ukunqamuka kokuya esikhathini sekwephuzile, kanye nokungabi nabantwana kwandisa isikhathi umzimba wakho ovezwa ngaso yi-`(Oestrogen)`. Futhi, ukusebenzisa amaphilisi okuvimbela inzalo aqukethe i-`(Oestrogen)` kuyisici.
• Umlando womndeni: Uma othile emndenini wakho eke waba nomdlavuza webele, usengozini enkulu yokuba nomdlavuza webele. Lokhu kungandisa nengozi yakho yokuba nezimo zebele ezingezona umdlavuza njenge-intraductal papilloma.

Ingabe i-Intraductal Papilloma iyandisa ingozi yomdlavuza?

Lena yinkinga enkulu kubantu abaningi. Njengoba kushiwo ngaphambili, i-Intraductal Papilloma ayiwona umdlavuza. Kodwa-ke, odokotela bakhathazekile ngalezi zigaxa ngoba zibhekwa "njengesilonda esiyingozi kakhulu." Lokhu kusho ukuthi ngezinye izikhathi odokotela bangathola amangqamuzana angaba umdlavuza (ayingozi) ngaphakathi noma eduze kwe-papilloma.

Kodwa lokhu akuvamile kakhulu. Odokotela ngezinye izikhathi bangase babone izinto ezinjengalezi:

• Amaseli angavamile, noma i-Atypical Ductal Hyperplasia (ADH): Lokhu yilapho amaseli asezindleleni zakho zobisi ehlukana ngokushesha futhi akhule ngendlela engavamile. Lawa maseli angaphenduka kamuva abe amaseli omdlavuza. Kodwa-ke, iphesenti elincane kakhulu, cishe u-3%, wama-Intraductal Papillomas akhula abe yi-ADH.
• I-Ductal Carcinoma In Situ (DCIS): I-DCIS ingumdlavuza ongangenisi noma ongaphambi kokuhlasela. Lokhu kusho ukuthi ayisabalali ngale kwemisele yobisi njengezinye izinhlobo zomdlavuza. I-DCIS iyiphesenti elincane kakhulu, cishe u-2.5%, wama-papillomas angaphakathi kwemisele.

Abantu abanama-papillomas amaningi banamathuba amaningi okuba nala maseli angavamile kunalabo abanama-papillomas azimele. Ama-papillomas amaningi nawo ayandisa kancane ingozi yokuba nomdlavuza webele ngokuhamba kwesikhathi. Abacwaningi basaphenya ngezizathu zalokhu.

Kodwa into ebaluleke kakhulu okufanele uyikhumbule ukuthi kokubili i-ADH ne-DCIS ziyelapheka ngokuphelele. Ngakho-ke uma zitholakala kusenesikhathi, akukho okufanele ukhathazeke ngakho.

I-Intraductal Papilloma ihlolwa kanjani?

Ukuphela kwendlela yokwazi ngokuqinisekile ukuthi une-Intraductal Papilloma yini ukwenza i-biopsy yebele . Ku-biopsy, udokotela wakho ususa yonke iqhubu noma ingxenye yalo bese elithumela elabhorethri. Lapho, udokotela wezifo uyalihlola ukuze abone ukuthi kukhona yini amaseli angajwayelekile.

Izifundo zezithombe ezivamile ezifana ne-mammogram, i-ultrasound, noma i-magnetic resonance imaging (MRI) zingabonisa ukukhula okungavamile. Kodwa-ke, akunakwenzeka ukusho ngokuqinisekile ukuthi iqhubu liyi-papilloma ngaphandle kwe-biopsy.

Isibonelo, i-Intraductal Papilloma ingavela njengenqwaba, iqhubu, noma i-calcifications ku-mammogram. Lezi zici zingabonakala ezinhlotsheni eziningi zamaqhubu amabele, kokubili anomdlavuza kanye nalawo angenawo umdlavuza.

Ngakho-ke, ukuze kutholakale ngokunembile i-Intraductal Papilloma, udokotela kumele ahlole izicubu ngqo.

Uziphatha kanjani lezi zinhlobo zamaqhubu emabeleni?

Ukwelashwa kwe-`(Intraductal Papilloma)` kuncike ezintweni eziningana, njengenani lamaqhubu onawo, ukuthi aqukethe amaseli angajwayelekile, izimpawu zakho, ubukhulu beqhubu, kanye nengozi yakho yokuba nomdlavuza webele.

• Ama-papilloma azimele: Uma lawa enamaseli angajwayelekile noma ebangela izimpawu, kungadingeka asuswe. Ubukhulu beqhubu kanye nengozi yakho yomdlavuza webele kuzothinta nokuthi ukuhlinzwa kuyadingeka yini. Ngezinye izikhathi, odokotela banquma ukuqapha ama-papilloma azimele ngama-x-ray.
• Ama-papilloma amaningi: Lawa kumele asuswe ngoba, nakuba engewona umdlavuza, anethuba elikhulu lokuthuthukisa izinguquko ngaphambi komdlavuza.

Ingabe wonke ama-papillomas angaphakathi kwe-ductal adinga ukususwa?

Udokotela wakho ngezinye izikhathi angase ancome ukuqapha ama-papilloma amancane, angenazimpawu, akodwa. Kodwa-ke, ama-papilloma amaningi angaphakathi kwe-ductal kuzodingeka asuswe.

Kunezindlela eziningana zokwelapha ezisetshenziswa ukususa ama-papillomas:

• Ukususwa okusizwa yi-vacuum (VAE): Lokhu kuhilela ukususa iqhubu kusetshenziswa inalithi encane exhunywe kudivayisi yokumunca .
• I-Excisional breast biopsy (eyaziwa nangokuthi i-Lumpectomy): Kulokhu kuhlinzwa, iqhubu kanye nendawo encane yezicubu ezinempilo ezizungezile (umkhawulo) kuyasuswa ukuqinisekisa ukuthi awekho amaseli angajwayelekile asele.
• Ukususwa Kwebele: Uma une-papillomas eminingi futhi usengozini enkulu yokuba nomdlavuza webele, kungadingeka ukuthi ususwe lonke ibele (i-mastectomy). Kodwa-ke, lokhu akuvamile kakhulu futhi kwenziwa kuphela ezimweni ezikhethekile.

Ngokusekelwe embikweni wakho we-biopsy, udokotela wakho uzokuchazela ukuthi yiziphi izindlela zokwelapha ezifanele kakhulu kuwe.

Ingakanani ingozi ye-Intraductal Papilloma?

Futhi, i-Intraductal Papilloma ayiwona umdlavuza. Kodwa-ke, ezimweni ezingavamile, lawa maqhubu angase abe namaseli angajwayelekile angadinga ukwelashwa. Uma unama-papilloma amaningi, ingozi yakho yokuba nomdlavuza inganda kancane phakathi nesikhathi sakho sokuphila. Lokhu kusho ukuthi kungadingeka ukuthi uqashwe njalo ukuze uthole umdlavuza.

Izindaba ezinhle ukuthi la maseli angajwayelekile, noma amaseli angaphambi komdlavuza, angavinjelwa ekwakhekeni ngokwelashwa okuwasusayo. Futhi noma ngabe unamaseli angajwayelekile, ukuhlinzwa kungawavimbela ekubeni abe nomdlavuza. Ngakho ungakhathazeki.

Ingabe ukwakheka kwama-papillomas kungavinjelwa?

Ngeshwa, ayikho indlela yokuvimbela ukuthuthukiswa kwe-`(Intraductal Papilloma).` Kodwa-ke, ngokuhlolwa njalo komdlavuza webele, udokotela wakho angaqapha impilo yebele lakho. Kuwusizo kakhulu futhi ukubona udokotela ukuze akunike iseluleko ngokushesha nje lapho ubona noma yiziphi izinguquko emabeleni akho.

Uma izinguquko zitholakala kusenesikhathi futhi kutholwa ukwelashwa okufanele, izimo zebele ezingezona ezomdlavuza zingavinjelwa ukuthi zingabi umdlavuza.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma utholakale une-Intraductal Papilloma, qiniseka ukuthi ubuza udokotela wakho le mibuzo:

• Zingaki izimbobo enginazo?
• Yiziphi izinqubo zokuthwebula izithombe okuzodingeka ngizenze ukuze ngithole wonke ama-papillomas?
• Isho ukuthini imiphumela yombiko wami we-`(Biopsy)`?
• Ingabe ngisengozini enkulu yokuba nomdlavuza webele?
• Ingabe ngizodinga ukuhlinzwa noma olunye ukwelashwa ukuze kususwe le papilloma?
• Kukangaki ngidinga ukuhlolwa umdlavuza webele ngemva kokwelashwa?

Ngaphezu kwale mibuzo, khuluma nodokotela wakho ngokukhululekile nganoma yini oyicabangayo, noma yikuphi ukwesaba, noma ukungabaza onakho. Kulapho-ke kuphela lapho uzokwazi khona ukuqonda okucacile.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ama-papilloma angaphakathi kwe-ductal awawona ama-growth angewona umdlavuza. Kodwa-ke, uma une-papilloma eyodwa noma ngaphezulu, cishe uzodinga ukwelashwa noma ukubhekwa njalo. Ama-papilloma amaningi angaphakathi kwe-ductal awalokothi abe umdlavuza, kodwa awavamile ukukhula abe amaseli angajwayelekile. Imiphumela ye-biopsy yakho, inani lama-papilloma onawo, kanye nengozi yakho yokuphila konke yokuba nomdlavuza webele kuzonquma izinketho zakho zokwelapha.

Ngakho-ke, uma ubona noma yiziphi izinguquko emabeleni akho, ungazinaki. Bonana nodokotela ngokushesha. Ukutholwa kusenesikhathi kuyindlela engcono kakhulu yokuba ngcono. Udokotela wakho uzokunikeza iseluleko nokwelashwa okungcono kakhulu. Ungakhathazeki, awuwedwa!

I- Papilloma Yangaphakathi Kwesisu, Amaqhubu Ebele, Ukuphuma Kwezingono, Impilo Yebele, Amaqhubu Angewona Umdlavuza, Impilo Yabesifazane, I-Biopsy