Ucabangani uma ubona ubomvu obuncane noma isikhumba esiqhekekayo engonweni yakho? Esikhathini esiningi, ucabanga ukuthi kuyisimo sesikhumba esivamile, mhlawumbe into efana ne-eczema. Yiqiniso, kungaba njalo ezimweni eziningi. Kodwa-ke, akuvamile kakhulu, uphawu oluncane olufana nalolu lungaba uphawu lokuqala lomdlavuza webele. Lona olunye lwalezo zinhlobo zomdlavuza ezingavamile, kodwa ezibalulekile esizokhuluma ngazo namuhla.
Kalula nje, siyini isifo sikaPaget sebele?
Isifo sikaPaget sesifuba uhlobo lomdlavuza olungavamile kakhulu oluvela esikhumbeni sengono yakho, futhi ngezinye izikhathi esikhumbeni esimnyama esizungeze ingono (i-areola). Ngezinye izikhathi singakhawulelwa engono. Lokhu kubizwa ngokuthi umdlavuza webele wesigaba 0, noma i-ductal carcinoma in situ . Kodwa ngezinye izikhathi, kanye nalolu shintsho lwesikhumba, kungaba nomdlavuza webele ohlaselayo osakazekele emigudwini yobisi ngaphakathi kwebele.
Ngenxa yokuthi izimpawu zifana ne-eczema, abantu abaningi baqale bacabange ukuthi yisimo sesikhumba esivamile. Izimpawu zifaka phakathi ukulunywa, ukuxebuka, ukubomvu, futhi ngezinye izikhathi ukuphuma kwengono. Khumbula, akuwona wonke umuntu onalezi zimpawu onesifo sikaPaget. Kodwa-ke, uma unalesi simo, kungaba uphawu lokuqala lomdlavuza okhula ngaphakathi kwebele.
Ubani onamathuba amaningi okuthola lesi sifo?
Isifo sikaPaget sesifuba sivame kakhulu kwabesifazane. Kodwa-ke, kubikwe nakwabesilisa. Iminyaka ejwayelekile yokuxilongwa ivame ukuba yiminyaka engama-57. Kodwa-ke, singavela kubantu abancane kakhulu nabadala kakhulu kunalokho. Singavamile kangangokuthi singaphansi kuka-4% wabo bonke umdlavuza webele obikiwe. Ngakho-ke, yize kuyisimo esingavamile kakhulu, kubalulekile ukuqaphela.
Lesi sifo sisakazeka ngokushesha kangakanani? Singaba sibi kangakanani?
Kuya ngokuthi unesinye isifo somdlavuza esifubeni sakho noma cha, futhi uma kunjalo, ukuthi sikusiphi isigaba.
- Uma umdlavuza uvalelwe emigudwini yobisi: Uma umdlavuza wakho uvalelwe emigudwini yobisi futhi ungasakazekelanga ezicutshini zebele ezizungezile, siwubiza ngokuthi "i-ductal carcinoma in situ" (DCIS) . Lokhu kubhekwa njengomdlavuza wesigaba 0. Lolu hlobo lomdlavuza lwelashwa ngokususa amangqamuzana omdlavuza kanye ne-nipple ngokuhlinzwa, kulandelwe ukwelashwa ngemisebe. Uma lesi sifo sitholakala kulesi sigaba, amathuba okwelashwa okuphelele aphezulu kakhulu.
- Uma umdlavuza ususakazeke ngaphandle kwemisele yobisi: Lapho umdlavuza osemiseleni yobisi uqala ukusabalala ezicutshini zebele ezizungezile, ubizwa ngokuthi "i-invasive ductal carcinoma." Lo mdlavuza ukhula ngezigaba eziningana. Ezigabeni zokuqala, ungelashwa ngokususa izicubu zebele ezithintekile kanye nama-lymph node e-axillary. Kodwa-ke, lapho umdlavuza uqala ukusabalala ngaphandle kwebele, okungukuthi, ezigabeni zakamuva, lesi sifo siba sibi kakhulu futhi kube nzima ukuselapha.
Ziyini izimpawu zesifo sikaPaget?
Lezi zimpawu zivame ukuvela engonweni yakho kanye/noma esikhumbeni esimnyama esizungezile (i-areola). Ngokuvamile, lezi zimpawu zibonakala kuphela ebeleni elilodwa, kodwa akuvamile kakhulu, zingavela kuwo womabili amabele. Nakuba lezi zimpawu zingase zibonakale zifika futhi ziphele ekuqaleni, zivame ukuba zimbi kakhulu ngokuhamba kwesikhathi.
| Isibonakaliso | Incazelo |
|---|---|
| Ukuluma nokuvuvukala | Ingono elumayo ingase ivele, okungase kamuva ibe ukuvuvukala. |
| Ukomisa nokukhuhla isikhumba | Ungase uqaphele isikhumba esomile, esiqhekekile engonweni noma eduze kwayo. |
| Ukuqubuka kwesikhumba | Isikhumba singase sibe bomvu, sivuvuke, sibe bomvu, sibe buhlungu, noma siphume igazi. |
| Ukuvuvukala nobuhlungu | Isikhumba singase sizwakale sivuvukile futhi sibuhlungu. |
| Isimo esifana ne-eczema | Kufana ne-eczema ekhalayo, lapho kwakheka khona ama-crusts kanye noketshezi olunamanzi oluphumayo. |
| Ukukhishwa kwengono | Ukuphuma kwegazi noma okufana nobomvu kungaphuma engonweni. |
| Izinguquko zezingono | Ingono ingaba yisicaba noma iphendukezelwe (ingono ephendukezelwe). |
| Iqhubu esifubeni | Ungase uzwe iqhubu noma isimila ngaphansi kwesikhumba. |
Iyini imbangela yangempela yalokhu?
Imbangela eqondile yomdlavuza isalokhu iyimfihlakalo kososayensi. Kodwa ucwaningo olusha luqhutshwa njalo ukuze kutholakale amaqiniso amasha. Esikwaziyo ukuthi umdlavuza uvela lapho amanye amangqamuzana emzimbeni wethu eba angajwayelekile, ahlukana futhi akhule ngokungalawuleki. Okwamanje kukholelwa ukuthi lezi zinguquko zamangqamuzana zingase ziqale ngezinguquko kukhodi yethu yezakhi zofuzo, noma i-DNA . Kodwa akukabikho mpendulo ecacile yokuthi kungani lezi zinguquko zenzeka.
Ososayensi bathole ukuthi kunezici ezithile "eziyingozi" ezandisa ingozi yokuba nomdlavuza. Isibonelo, ukuchayeka ezintweni ezithile ezinobuthi endaweni ezungezile, ukubhema, nokuphuza utshwala ngokweqile kwandisa ingozi yomdlavuza. Kodwa ngokumangazayo, u-85% womdlavuza webele uvela kubantu abangenazo izici ezinkulu eziyingozi.
Ungasithola kanjani lesi sifo? (Ukuxilongwa)
Uma uya kudokotela onezimpawu ezinjengalezi, angase aqale acabange ukuthi yi-eczema nje. Ngakho uzoyelapha. Kodwa uma lezo zindlela zokwelapha zingasizi, noma uma kusolwa ukuthi isifo sikaPaget sikhona, kuzodingeka enze izivivinyo ezithile ukuze athole lesi sifo ngokunembile.
Isinyathelo sokuqala nesibaluleke kakhulu ukuthatha ingxenye encane yezicubu esikhumbeni sengono bese uyihlola ngaphansi kwe-microscope (i-biopsy). Indlela evame ukusetshenziswa kulokhu "i-punch biopsy." Lokhu kusho ukuthi ingxenye encane yesikhumba esiyindilinga iyathathwa bese ihlolwa ngethuluzi elincane, elifana ne-paper punch. Lena yindlela elula yokuhlonza amangqamuzana omdlavuza ahlobene nesifo sikaPaget.
Uma isifo sikaPaget sesiqinisekisiwe, isinyathelo esilandelayo ukuthola ukuthi kukhona yini omunye umdlavuza ebeleni, futhi uma kunjalo, ukuthi ususakazeke kangakanani. Udokotela wakho uzokwenza lokhu.Ungathunyelwa ukuze uyohlolwa ngezithombe, njenge-mammogram noma i-ultrasound yebele. Uma lokhu kuhlolwa kuthola indawo esolisayo yomdlavuza, kunganconywa "i-nail biopsy" , lapho kususwa khona izicubu ezincane ngenaliti bese kuhlolwa.
Yiziphi izindlela zokwelapha?
Ukwelashwa kuhlanganisa ukuhlinzwa futhi ngezinye izikhathi ukwelashwa okwengeziwe komdlavuza (izindlela zokwelapha ezingeziwe).
1. Ukuhlinzwa komdlavuza webele
Noma yimuphi umdlavuza osesifubeni sakho kuzodingeka ususwe ngokuhlinzwa, kodwa inani lezicubu ezisusiwe lizoncika esimweni sakho.
- Ukuhlinzwa Kokugcina Amabele: Uma unesifo sikaPaget sengono kuphela futhi ungenazo ezinye izimila, udokotela wakho uzozama ukususa izicubu ezithintekile kuphela. Lokhu kuhilela ukususa ingono yakho, isikhumba esizungezile (i-areola), kanye nenani elincane lezicubu ezinempilo ezizungezile.
- Ukususwa kwebele: Uma umdlavuza ususakazekele endaweni enkulu, udokotela wakho ohlinzayo angase akuncome ukuthi kususwe lonke ibele (i-mastectomy). Ngemva kokuhlinzwa, ungenza ukuhlinzwa kokwakhiwa kabusha kwebele uma uthanda.
2. Ukwelashwa okusizayo
Ngemva kokuhlinzwa, kunikezwa ukwelashwa okwengeziwe nokwengeziwe ukuze kuvinjelwe umdlavuza ukuthi ungabuyi. Lokhu kubizwa ngokuthi ukwelashwa okusizayo.
- Ukwelashwa ngemisebe: Ukusetshenziswa kwemisebe enamandla amakhulu ukubhubhisa noma yimaphi amangqamuzana omdlavuza asele.
- Ukwelashwa ngamakhemikhali: Ukusebenzisa imithi ukubulala amangqamuzana omdlavuza noma ukuvimba ukukhula kwawo.
- Ukwelashwa ngama-hormone: Ama-hormone adlala indima ekukhuleni kweminye imidlavuza yebele. Kulabo mdlavuza, kunikezwa imithi evimba ukusebenza kwama-hormone.
- Ukwelashwa nge-Immunotherapy: Ukwelashwa okuvuselela amasosha omzimba wakho ukuze alwe namaseli omdlavuza.
Ingabe lokhu kungelapheka ngokuphelele?
Yebo, impela. Ukuthi umdlavuza webele ungalapheka yini kuncike kakhulu esigabeni sesifo lapho sitholakala khona.
Uma unesifo sikaPaget se-nipple kuphela, noma i-DCIS (isigaba 0) esingasakazekanga ngale kwemisele yobisi, amathuba akho okululama aphezulu kakhulu. Abantu abaningi abatholakala bese belashwa kusenesikhathi kulezi zimo balulama ngokugcwele. Kulapho kuphela umdlavuza webele uqala ukusabalala lapho kuba nzima kakhulu ukuwunqoba. Ngakho-ke, kubalulekile ukuqaphela izimpawu nokubona udokotela ngokushesha okukhulu.
Ngingayibona nini udokotela?
Uma ubona noma yiziphi izinguquko esikhumbeni noma ngaphansi kwesikhumba samabele akho, qiniseka ukuthi wazisa udokotela wakho. Esikhathini esiningi, kungase kungabi umdlavuza, kodwa kungcono ngaso sonke isikhathi ukuwuhlola.
Ikakhulukazi, uma unezimpawu ze-eczema ezingonweni zakho noma ezizungezile, futhi zingapheli ngisho nangemva kokuzelapha, qiniseka ukuthi ubona udokotela ukuze ahlolwe okwengeziwe. Ungashalazeli into encane.
Ngingazinakekela kanjani uma nginalesi sifo?
Indlela engcono kakhulu yokuzinakekela ukuqala ukwelashwa ngokushesha okukhulu. Kodwa udinga nokusekelwa kwengqondo okukhulu.
- Yiba nomuntu ozokusekela: khuluma nawe, wabelane ngemizwa yakho, uye kudokotela nawe, futhi usize ngemisebenzi yasekhaya nomuntu omethembayo (umyeni, ilungu lomndeni, umngane).
- Bhala phansi imibuzo yakho: Ngaphambi kokuba uye kudokotela, bhala phansi yonke imibuzo ofuna ukuyazi ephepheni.
- Bhala phansi: Bhala phansi lokho okushiwo udokotela. Uma ucela umngane wakho ukuba enze okufanayo, ungamnika udokotela ukunaka kwakho okugcwele. Nobabili ningabuyekeza ulwazi kamuva.
Umlayezo Wokuya Nawe Ekhaya
- Ukuluma, ukubomvu, noma ukuxebuka kwesikhumba engonweni yakho noma eduze kwayo okufana ne-eczema futhi okungapholi kungaba uphawu lwesifo sebele sikaPaget.
- Lolu uhlobo olungavamile kakhulu lomdlavuza webele, futhi lungase lukhawulelwe engonweni noma luhlotshaniswe nomdlavuza osebeleni.
- Ungalokothi ungazinaki izinguquko zesikhumba ezingonweni zakho, ikakhulukazi uma zingathuthuki naphezu kokwelashwa. Bona udokotela wakho ngokushesha.
- Ukuxilongwa kuqinisekiswa ngokuhlola ingxenye encane yesikhumba (i-biopsy).
- Uma lesi sifo sitholakala ezigabeni zaso zokuqala, amathuba okwelashwa okuphelele ngokuhlinzwa kanye nezinye izindlela zokwelapha aphezulu kakhulu.
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