Ngemva kokuhlolwa kwebele lakho ngesinye isizathu, ingabe udokotela wakho wakutshela ukuthi unesifo esibizwa ngokuthi i-LCIS? Kumelwe ukuthi wesaba kakhulu lapho uzwa igama elithi 'carcinoma'. Ngoba lapho sizwa lelo gama, sicabanga ngokushesha ngomdlavuza. Kodwa ungakhathazeki. Sizokhuluma ngendlela elula ukuze uqonde ukuthi i-LCIS iyini ngempela, ingabe umdlavuza, nokuthi yini okufanele uyenze ngakho.
Iyini ngempela i-LCIS?
Kalula nje, i-LCIS ukukhula kwamaseli angajwayelekile ezindlaleni ezikhiqiza ubisi (ama-lobule) emabeleni akho. Cabanga ngakho, amaseli emizimbeni yethu ahlala ehlukana futhi ezivuselela. Ngakho-ke lapho amaseli angaphakathi kwalawa ma-gland obisi ehlukana, aqala ukukhula abe amaseli ahlukile kancane, angajwayelekile esikhundleni samaseli ajwayelekile. Yilokho i-LCIS eyikho.
Into ebaluleke kakhulu okudingeka uyikhumbule lapha ukuthi, naphezu kwegama elithi 'carcinoma' egameni, i-LCIS ayiwona umdlavuza webele. Nakuba abanye beyibheka njengesandulela somdlavuza, akuwona umdlavuza ngokwawo.
Lawa maseli angajwayelekile asesimweni esibizwa ngokuthi 'in situ'. Lokho kusho ukuthi ahlala lapho akhona futhi awasakazeki kwezinye izingxenye zebele. Yingakho kungesiyo ingozi.
Kodwa, ukuba ne-LCIS kusho ukuthi usengozini enkulu yokuba nomdlavuza webele esikhathini esizayo kunomuntu ovamile. Kufana nophawu oluyisixwayiso emgwaqweni. Lukutshela ukuthi kungase kube nengozi ezayo, ngakho shayela ngokucophelela. I-LCIS ilolo hlobo lwesixwayiso.
Yiziphi izinhlobo eziyinhloko ze-LCIS?
Odokotela babheka amangqamuzana angajwayelekile ngaphansi kwe-microscope bese behlukanisa i-LCIS ibe izinhlobo ezintathu eziyinhloko ngokusekelwe endleleni abukeka ngayo. Ukwazi ukuthi yiluphi uhlobo onalo kubaluleke kakhulu ekunqumeni ukwelashwa.
| Uhlobo lwe-LCIS | Indlela ebukeka ngayo ngaphansi kwe-microscope (elula) |
|---|---|
| I-LCIS yakudala | Amaseli angajwayelekile amboze izindlala zebele abonakala emancane kunamaseli avamile. Lolu uhlobo oluvame kakhulu. |
| I-Pleomorphic LCIS | Lapha, amaseli angajwayelekile makhulu kunamaseli ajwayelekile futhi ukubukeka kwawo kuhlukile kakhulu. |
| I-Florid LCIS (i-Florid LCIS) | Amaseli angajwayelekile aqoqene ndawonye ukuze akhe inqwaba. Ngezinye izikhathi, inqwaba yamaseli afile ingabonakala phakathi kwenqwaba. |
Ingabe zikhona izimpawu ze-LCIS?
Esikhathini esiningi, i-LCIS ayinazo izimpawu ezithile. Lokho kusho ukuthi awuzizwa sengathi uneqhubu ebeleni lakho, awuzizwa ubuhlungu, futhi awunawo uketshezi oluphuma ebeleni.
Ngakho-ke itholakala kanjani? Esikhathini esiningi, itholakala ngengozi. Isibonelo, i-LCIS itholakala ngesikhathi sokuhlolwa kwe-biopsy okwenziwe ngesinye isizathu, mhlawumbe ngenxa yoshintsho olubonwe ku-mammogram noma ngenxa yesinye isigaxa esizwakele ebeleni.
Yiziphi izinkinga ezingaba khona ngenxa ye-LCIS?
Yilokhu okwesabisa abantu abaningi. Akuwona wonke umuntu one-LCIS ozoba nomdlavuza. Khumbula lokho. Kodwa-ke, ucwaningo lubonise ukuthi cishe umuntu oyedwa kwabayishumi (10%) abane-LCIS unethuba lokuthola umdlavuza webele esikhathini esizayo, ikakhulukazi isimo esibizwa ngokuthi i-'ductal carcinoma in situ (DCIS)' noma i-'lobular breast cancer'.
Kubalulekile ukukhuluma nodokotela wakho ngale ngozi bese ubabuza ngokucacile ukuthi iyini ingozi yakho, njengoba le ngozi ingahluka kuye ngezici ezifana nohlobo lwe-LCIS onayo kanye nomlando womndeni wakho womdlavuza.
Iyini indlela yokwelapha i-LCIS?
Ukwelashwa okutholayo kuncike ngokuphelele ohlotsheni lwe-LCIS onayo. Akuwona wonke umuntu ophathwa ngendlela efanayo.
1. Ukuqapha Okusebenzayo
Uma une-'Classic LCIS', udokotela wakho uvame ukuncoma le ndlela. Lokhu kuhilela ukuqaphela isimo sakho ngaphandle kokukunikeza imithi noma ukuhlinzwa.
- Hlola amabele akho ngudokotela wakho njalo ezinyangeni eziyisithupha .
- Ukwenza i-mammogram njalo ngonyaka .
- Ukuhlolwa okwengeziwe, njengokuskena kwe-MRI yebele, nakho kunganconywa.
2. Ukwelashwa Kokuvimbela
Umgomo walezi zindlela zokwelapha ukuvimbela lawo maseli angajwayelekile ukuthi abe nomdlavuza. Asebenzisa izidakamizwa ezisiza ekunciphiseni ingozi yomdlavuza.
- Ngenxa yalokhu, ungasebenzisa izidakamizwa ezifana ne-`Selective Estrogen Receptor Modulators (SERM)` noma i-`Aromatase Inhibitors`. Lokhu kusiza ukunciphisa ingozi yomdlavuza ozwela i-estrogen (ER-positive) ikakhulukazi. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
3. Ukuhlinzwa
Ukuhlinzwa kuvame ukunconywa kubantu abanezinhlobo ze-LCIS 'ze-Pleomorphic' noma 'ze-Florid', njengoba lezo zinhlobo zinengozi enkulu yokuba nomdlavuza.
- Ukususwa kwe-Lumpectomy: Lokhu kuhilela ukususa ngokuhlinzwa kuphela indawo enamaseli angavamile kanye nenani elincane lezicubu ezinempilo ezizungezile.
- Ukususwa Kwesisu Okubili Okuvikelwe: Lokhu ukuhlinzwa okukhulu kancane. Womabili amabele ayasuswa. Kodwa-ke, kuyanconywa ezimweni ezinobungozi obukhulu kakhulu. Isibonelo, uma ilungu lomndeni eliseduze, njengonyoko, udadewenu, noma indodakazi yakho, libe nomdlavuza webele, udokotela wakho angaxoxa nawe ngale ndlela.
Yini esingayenza ukuze sinciphise ingozi ye-LCIS?
Nakuba kungekho ndlela eqondile yokuvimbela i-LCIS ukuthi ingakhuli, kunezinto eziningana ongazenza ukuze unciphise ingozi yokuba nomdlavuza webele ohambisana nawo.
- Lawula isisindo sakho: Ukukhuluphala ngokweqile kuyisici esikhulu esiyingozi somdlavuza webele. Ngakho zama ukugcina isisindo esinempilo.
- Ukuzivocavoca okuvamile: Kungcono ukwenza okungenani imizuzu eyi-150 ngesonto (isib. imizuzu engama-30 ngosuku, izinsuku ezi-5 ngesonto) yokuzivocavoca okunamandla aphakathi njengokuhamba noma ukugibela ibhayisikili.
- Nciphisa ukusetshenziswa kotshwala: Ucwaningo lukhombisile ukuthi kukhona ukuxhumana phakathi kotshwala nomdlavuza webele. Ngakho-ke, kubalulekile ukuyeka ngokuphelele noma ukunciphisa kakhulu ukusetshenziswa kotshwala.
- Qaphela imithi oyithathayo: Uma uthatha ukwelashwa ngama-hormone noma izinhlobo ezithile zamaphilisi okuvimbela inzalo, qiniseka ukuthi ukhuluma nodokotela wakho ngengozi yalokhu nge-LCIS. Bangase batuse ukushintshela komunye umuthi.
Ngizinakekela kanjani ngesikhathi ngihlala ne-LCIS?
Uma uthola ukuthi une-LCIS, uzizwa wesaba, kodwa futhi udinga ukunakekela umzimba wakho kakhulu.
- Ukuzihlola amabele: Hlola amabele akho njalo ngenyanga. Uma ubona noma yini entsha, njengeqhubu, ushintsho lwesikhumba, noma ushintsho engonweni, bona udokotela wakho ngokushesha.
- Qaphela izinguquko: Buza udokotela wakho ngezimpawu ezingaba khona uma i-LCIS iphenduka umdlavuza.
- Ungaphuthelwa imitholampilo:Qiniseka ukuthi uya khona kuzo zonke izikhathi zokulandelela udokotela wakho akunikeza zona. Lezi zivivinyo zizokusiza ukuthi ubone ngokushesha noma yiziphi izinguquko.
Kuvamile ukuzizwa wesaba uma uthola ukuthi une-LCIS. Kodwa akusho ukuthi unomdlavuza. Kusho ukuthi udinga ukunakekela impilo yakho kakhudlwana. Ngolwazi olufanele kanye nendlela yokusebenzisana nodokotela wakho, ungaphila impilo enempilo nejabulisayo ngalesi simo.
Umlayezo Wokuya Nawe Ekhaya
- I-LCIS (Lobular Carcinoma in Situ) akuyona umdlavuza webele, kodwa yisimo esanda ingozi yokuba nomdlavuza webele esikhathini esizayo.
- Lesi simo ngokuvamile asinazo izimpawu futhi sivame ukutholakala ngesikhathi sokuhlolwa kwezicubu ngesinye isizathu.
- Ukwelashwa kuncike ohlotsheni lwe-LCIS onayo. Kwabanye abantu, ukubhekwa kuphela kwanele, kanti abanye bangadinga imithi noma ukuhlinzwa.
- Khuluma nodokotela wakho ngokukhululekile futhi uqonde izingozi zakho kanye nezinketho zokwelashwa. Ungesabi futhi wenze izinqumo ezinolwazi.
- Indlela yokuphila enempilo (ukugcina isisindo esinempilo, ukuzivocavoca, ukunciphisa utshwala) kusiza ekunciphiseni ingozi yomdlavuza webele.
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