Ingabe unezinguquko ezinjengalezi emabeleni akho? Ake sifunde ngesifo sikaPaget sesifuba!

Wake waphawula ushintsho oluncane, ukulunywa, noma into ebukeka njengokuqhuma engonweni yakho? Kungaba yisimo sesikhumba esivamile, kodwa uma unokungabaza okuncane engqondweni yakho, kubalulekile ukukunaka. Ngoba, akuvamile, lezi zimpawu zingaba uphawu lokuqala lomdlavuza webele. Leso ngesinye sezimo ezingavamile, kodwa ezibaluleke kakhulu esizokhuluma ngazo namuhla.

Iyini Isifo SikaPaget Sesifuba?

Kalula nje, i-Paget's Disease of the Breast uhlobo lomdlavuza olungavamile kakhulu oluvela esikhumbeni sengono yakho . Ngezinye izikhathi lungathinta nesikhumba esimnyama esizungeze ingono, esibizwa ngokuthi i-areola .

Cabanga, lokhu ngezinye izikhathi kungakhawulelwa engonweni, njengesigaba sokuqala somdlavuza webele (umdlavuza webele wesigaba 0) , obizwa ngokuthi i-'ductal carcinoma in situ' (DCIS) . Noma, kungahambisana 'nomdlavuza webele ohlaselayo' oyingozi kakhulu osakazekela emigudwini yobisi esesifubeni esifanayo. Lokhu kubizwa nangokuthi isifo sikaMammary Paget .

Lokhu kungenxa yokuthi isikhumba esisengonweni sibukeka njenge -'eczema' , ngakho abantu abaningi ekuqaleni bacabanga ukuthi ukuqubuka okuvamile. Izimpawu zingafaka ukulunywa, ukuxebuka kwesikhumba, ukubomvu, ngezinye izikhathi ukubukeka okubuhlungu, kanye nokuphuma koketshezi oluphuma engonweni . Kodwa khumbula, akuwona wonke umuntu onalezi zimpawu onesifo sikaPaget. Kodwa-ke, uma unalesi simo, lezi kungaba izimpawu zokuqala zomdlavuza webele ongaphansi .

Ubani ongakuthuthukisa lokhu?

Isifo sikaPaget sebele sithinta kakhulu abesifazane . Kodwa-ke, akuvamile ukuthi kubikwa ukuthi amadoda ayasithola. Iminyaka ejwayelekile yokuxilongwa icishe ibe ngu-57 . Kodwa-ke, sitholakale kubantu abancane kakhulu nabakhulu kunalokho. Isifo sikaPaget singaphansi kuka-4% wabo bonke umdlavuza webele. Ngakho-ke, njengoba ungacabanga, lesi yisimo esingavamile.

Lesi sifo sisakazeka ngokushesha/kakhulu kangakanani?

Kuncike kakhulu ekutheni une -ductal carcinoma ngaphansi, futhi uma kunjalo, ikusiphi isigaba . Isibonelo, uma unomdlavuza emigudwini yakho yobisi kuphela futhi ungasakazekelanga ezicutshini zebele ezizungezile, siwubiza ngokuthi i-ductal carcinoma in situ (DCIS) . Lokhu kubhekwa njengesigaba 0. Lolu hlobo lomdlavuza luvame ukwelashwa ngokuhlinzwa ukuze kususwe iqhubu kanye ne-nipple , kulandelwe ukwelashwa ngemisebe .

Kodwa-ke, uma le 'ductal carcinoma' isakazeka ngale kwemisele yobisi, ibizwa ngokuthi 'infiltrating ductal carcinoma'.Noma `i-invasive ductal carcinoma` . Lo mdlavuza uba mubi kakhulu ngezigaba . Ezigabeni zokuqala, ungelashwa ngokususa izicubu zebele ezithintekile kanye nama -`axillary lymph nodes` ekhwapheni. Kodwa-ke, lapho lo `invasive breast cancer` usakazeka ngale kwebele, okungukuthi, ezigabeni zakamuva , uba nolaka kakhulu futhi kube nzima ukwelapha.

Ziyini izimpawu?

Lezi zimpawu zivame ukuvela engonweni yakho kanye/noma esikhumbeni esimnyama esizungezile (i-areola) . Ngokuvamile, ibele elilodwa kuphela elithintekayo, kodwa akuvamile ukuthi zombili zithinteke. Ekuqaleni, lezi zimpawu zingase zibonakale zifika zidlule, kodwa zingaba zimbi kakhulu ngokuhamba kwesikhathi. Izimpawu zingase zihlanganise:

• Ukuluma kwengono , okungaholela ekuvuvukeni kamuva.
• Isikhumba esomile, ukuxebuka kwesikhumba (phezu noma eduze kwengono).
• Kungase kuvele ukuqubuka kwesikhumba . Kungase kube bomvu, kuphakame, kube lukhuni, kube buhlungu, noma kuphume igazi .
• Ukuvuvukala nobuhlungu .
• Njengokumanzi kwesikhumba, kwakheka uqweqwe bese kuphuma uketshezi .
• Igazi noma uketshezi olufana nobomvu oluphuma engonweni .
• Ingono eyisicaba noma ephendukezelwe .
• Iqhubu lesifuba elizwakalayo ngaphansi kwesikhumba.

Okubalulekile: Ungesabi uma unesinye noma ezimbili zalezi zimpawu. Kodwa-ke, uma ziqhubeka noma ziba zimbi kakhulu, kufanele nakanjani ufune iseluleko sezokwelapha.

Yiziphi izizathu? Kungani lokhu kwenzeka?

Eqinisweni, ososayensi abakakazi kahle ukuthi yini ebangela umdlavuza . Kodwa ucwaningo olusha luyaqhubeka ukuze kutholakale ukuthi kwenzekani. Esikwaziyo ukuthi amanye amangqamuzana emizimbeni yethu abhekana nezinguquko ezingavamile , okuholela ekuhlukaneni okungalawuleki kanye nokuphindaphindana . Ucwaningo lwamanje lusikisela ukuthi lezi zinguquko zamangqamuzana zingase ziqale ku -DNA yethu (ikhodi yofuzo) . Kodwa asazi kahle ukuthi kungani lezi zinguquko zenzeka, noma nini.

Ososayensi bathole ukuthi kuvame ukuba khona "izinto eziyingozi" ezithile ezifaka isandla ekukhuleni komdlavuza. Bakholelwa ukuthi lezi zinto zingadlala indima ekukhuleni kwalesi sifo. Isibonelo, uma ubhekene nobuthi obungokwemvelo , noma uma ubhema noma uphuza utshwala njalo, unamathuba amaningi okuthola lesi sifo. Kodwa-ke, ngokumangazayo, u-85% womdlavuza webele uvela kubantu abangenazo izici eziyingozi ezaziwayo .

Lesi sifo sitholakala kanjani ngokunembile?

Uma ubona udokotela, angase azame kuqala ukwelapha isimo sakho ngokwelashwa okufanayo ne-eczema . Uma lokho kungasebenzi, noma uma esola ukuthi uPaget une-Paget's Disease of the Breast, kungase kudingeke athathe isampula yezicubu zebele azihlole ngaphansi kwe-microscope. Amaseli e-Paget atholakala kalula ngale ndlela. Cishe uzokwenza i -punch biopsy . Lokhu kuhilela ukususa ingxenye encane yezicubu ezizungezile usebenzisa ithuluzi lokusika eliyindilinga (njengokubhoboza imbobo).

Ngemva kokuthola ukuthi une-Paget's Disease of the Breast, udokotela wakho uzofuna ukuthola ukuthi une-ductal carcinoma in situ nokuthi, uma kunjalo, isakazeke kangakanani . Ukuze enze lokhu, uzoqala ahlole izicubu zebele lakho ngokuhlolwa kwezithombe . Isibonelo , i-mammogram noma i-ultrasound yebele ingenziwa. Uma kutholakala indawo esolisayo, angancoma i -biopsy yenaliti ukuze kuthathwe isampula yezicubu zebele.

Iphathwa kanjani?

Ukwelashwa kuhlanganisa ukuhlinzwa futhi ngezinye izikhathi ukwelashwa okwengeziwe komdlavuza .

Ukuhlinzwa

Noma yimuphi umdlavuza osesifubeni sakho udinga ukususwa ngokuhlinzwa. Kodwa-ke, ukuthi zingakanani izicubu ezisusiwe kuncike esimweni sakho. Uma une-Paget's Disease of the Breast kuphela, futhi kungekho ezinye izigaxa, ungase ube nokuhlinzwa okuncane, okulondoloza amabele . Lokhu kusho ukuthi udokotela wakho ohlinzayo uzozama ukususa izicubu ezithintekile kuphela. Uzosusa ingono yakho, isikhumba esimnyama esizungezile (i-areola), kanye nenani elincane lezicubu ezivamile ezizungezile .

Kuye ngokuthi umdlavuza ususakazeke kangakanani, udokotela wakho ohlinzayo angase akuncome ukuthi kususwe lonke ibele . Uma uthanda, ungenza nokuhlinzwa kokwakhiwa kabusha kwebele ngemva kwalokho.

Ukwelashwa Okungeziwe

Ngemva kokuhlinzwa, cishe uzonikezwa ukwelashwa okwengeziwe, okuhambisanayo ukuvimbela umdlavuza ukuthi ungabuyi. Lezi zindlela zokwelapha ezisizayo zingafaka:

• Ukwelashwa ngemisebe: Imisebe enamandla aphezulu isetshenziselwa ukubhubhisa amangqamuzana omdlavuza.
• Ukwelashwa ngamakhemikhali: Imithi isetshenziselwa ukubulala amangqamuzana omdlavuza noma ukuwavimba ekukhuleni kwawo.
• `Ukwelashwa ngama-hormone`:Ama-hormone asiza ukukhula komdlavuza webele. Lokhu kwelashwa kuyawavimba lawo ma-hormone.
• Ukwelashwa nge-immunotherapy: Kusiza amasosha omzimba wakho ukulwa nomdlavuza.

Ingabe lesi sifo singalapheka ngokuphelele?

Amathuba okusinda emdlavuza webele ancike esigabeni somdlavuza lapho utholakala . Uma unesifo sikaPaget se-nipple, esisebeleni kuphela, noma i-ductal carcinoma in situ (isigaba 0) , esingasakazekanga ngale kwemisele yobisi, isibikezelo sakho sihle kakhulu . Iningi labantu abatholakala futhi belashwe kusenesikhathi kulezi zimo bayalulama ngokugcwele . Kodwa-ke, uma umdlavuza webele ususakazekile, kuba nzima kakhulu ukuwunqoba.

Yingakho kubaluleke kakhulu ukunaka ngisho noshintsho oluncane kakhulu bese ucela iseluleko sezokwelapha.

Kufanele ngimbone nini udokotela?

Uma ubona noma yiziphi izinguquko emabeleni akho, kungakhathaliseki ukuthi izinguquko esikhumbeni noma izinguquko ngaphansi kwesikhumba, hlala ubona udokotela. Esikhathini esiningi kungase kungabi umdlavuza, kodwa kungcono njalo ukuhlolwa . Uma unezimpawu ezifana ne-eczema engonweni noma eduze kwayo, futhi uzame ukuzelapha wena kodwa akusizi , qiniseka ukuthi uhlela i-aphoyintimenti yokubona udokotela ukuze uthole olunye ukuhlolwa.

Uzinakekela kanjani uma unalesi sifo?

Into engcono kakhulu ongayenza wena ukuqala ukwelashwa ngokushesha okukhulu . Kodwa, udinga nokusekelwa . Okungenani , thola umuntu omethembayo ozokhuluma naye, uye kuma-aphoyintimenti akho, noma usize ngemisebenzi yasekhaya.

Letha uhlu lwemibuzo ozoyibuza udokotela, futhi ulungele ukubhala phansi okushiwoyo, noma ucele othile ukuthi akubhalele. Nobabili ningabuyekeza kamuva.

Kubalulekile futhi ukuhlala uqinile engqondweni ngezikhathi ezinjengalezi. Yenza izinto ezikulethela induduzo, khuluma nomndeni nabangane, futhi ufune iseluleko uma kudingeka.

Ingabe kukhona ukuxhumana phakathi kwesifo sikaPaget sesifuba nezinye izifo 'ze-Paget'?

Lona umbuzo abantu abaningi abawubuzayo. USir James Paget, udokotela ohlinzayo waseNgilandi ngasekupheleni kwekhulu le-19, wathola izinto eziningi zezokwelapha. Kunezifo eziningana eziqanjwe ngaye, kodwa akuzona zonke ezihlobene .

Isibonelo, 'isifo sikaPaget sethambo' siyisifo samathambo esingesona umdlavuza. Asihlobene nesifo sikaPaget sebele.

Kodwa,Kukhona omunye umdlavuza ongavamile obizwa ngokuthi `isifo sika-Paget esingaphandle kwamabele` (EMPD), ofana ngandlela thile ngokwemvelo.

Isifo sikaPaget sesifuba sibonakala ngokuba khona kwamangqamuzana omdlavuza ahlukile esikhumbeni sengono angabonakala ngaphansi kwe-microscope. Abizwa ngokuthi amangqamuzana e-Paget ngoba uPaget wawachaza okokuqala. Isifo sikaPaget esingaphandle kwebele (EMPD) naso sinalawa maseli e-Paget. Siphinde sibe nokuqubuka okufanayo, kodwa akusikho engono, kodwa ezithweni zangasese . Nakuba lezi zifo ezimbili zifana, ziyizifo ezihlukene . Azenzeki ndawonye.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho-ke nazi ezinye zezinto ezibaluleke kakhulu esikhulume ngazo namuhla ukukusiza ukhumbule:

• Isifo sikaPaget sesifuba siwumdlavuza wesigaba sokuqala semibhobho yobisi engonweni . Ngezinye izikhathi, ungahambisana nomdlavuza webele othuthuke kakhulu.
• Ungase uqaphele izinguquko engonweni yakho, njengesigaxa esinoqweqwe, isikhumba esiqhekekayo, uketshezi oluphumayo, noma isilonda esingapholi .
• Uma usheshe ukuqaphela futhi welapha lokhu, kulapho umphumela wakho wokululama ungcono khona.
• Iningi labantu liyalulama ngokuphelele , kodwa kungadinga ukuhlinzwa ukuze lisuswe .
• Uma ubona noma yiziphi izinguquko ezingavamile emabeleni akho, ikakhulukazi amabele akho, kungcono ukufuna iseluleko sezokwelapha ngaphandle kokuchitha isikhathi .

Sithemba ukuthi lolu lwazi selukutshelile. Hlala uphilile!

Umdlavuza webele , isifo sikaPaget, izimpawu zezingono, impilo yebele, impilo yabesifazane, ukutholakala komdlavuza, ukwelashwa komdlavuza