Uke waphawula ukubomvu okuncane, ukulunywa, noma ukuxebuka kwezingono zakho muva nje? Ungase ucabange ukuthi kuyisimo sesikhumba esivamile, njenge-eczema. Singase siphele ngisho nangaphandle kokwelashwa. Kodwa ungasinaki nje njengenkinga encane, sikhuluma ngesimo esingavamile esibizwa ngokuthi umdlavuza webele okufanele nakanjani usiqaphele.
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Kalula nje, siyini isifo sikaPaget sebele?
Isifo sikaPaget sesifuba uhlobo lomdlavuza olungavamile kakhulu oluvela esikhumbeni esizungeze ingono yakho. Luhlanganisa phakathi kuka-1% no-4% wazo zonke izinhlobo zomdlavuza webele. Yilapho amangqamuzana omdlavuza ekhula khona ebusweni besikhumba sengono.
Okubalulekile, abantu abaningi abanesifo sikaPaget (abangaphezu kuka-90%) banolunye uhlobo lomdlavuza oluqale ebeleni elifanayo. Kungaba yi-ductal carcinoma in situ (DCIS) , noma umdlavuza webele ohlaselayo . Lokhu kusho ukuthi lesi sibonakaliso esibonakalayo esikhumbeni singase sibe uphawu lwenkinga enkulu ngaphakathi.
Ubani osengozini enkulu yokuthola lesi sifo?
Nakuba noma ubani angaba nomdlavuza webele, kunezici ezithile ezingandisa ingozi. Ake sibheke ukuthi ziyini.
- Ubudala: Ingozi iyanda kancane kancane njengoba iminyaka ikhula, ikakhulukazi ngemva kweminyaka engu-50. Isilinganiso seminyaka yokuxilongwa sicishe sibe yiminyaka engu-57.
- Ubulili: Abesifazane banamathuba amaningi okuthola lesi sifo kunabesilisa.
- Umlando womndeni: Uma umama wakho, udadewenu, noma indodakazi yakho ike yaba nomdlavuza webele, nawe usengozini enkulu kancane.
- Ukuguqulwa Kwezakhi Zofuzo: Abanye abantu bangase bathole ukuguquka kwezakhi zofuzo njenge-(BRCA1) kanye ne-(BRCA2) okwandisa ingozi yomdlavuza webele.
- Isisindo somzimba esiningi: Ukukhuluphala ngokweqile, ikakhulukazi ngemva kokunqamuka kokuya esikhathini, nakho kuyisici esiyingozi.
- Ukusetshenziswa kotshwala: Ukuphuza utshwala ngokweqile kwandisa ingozi yomdlavuza webele.
- Amabele Aqinile: Uma unezicubu eziningi ze-glandular emabeleni akho (lokhu kungatholakala nge-mammogram), lokho kwandisa nengozi yakho.
- Ukwelashwa ngama-hormone: Ukuthatha ukwelashwa ngama-hormone okuqukethe i-estrogen isikhathi eside ngemva kokunqamuka kokuya esikhathini kungandisa ingozi.
- Ukwelashwa ngemisebe: Uma uthole ukwelashwa ngemisebe esifubeni nganoma yisiphi isizathu ngesikhathi usengumntwana noma usemusha, usengozini enkulu yokuba nomdlavuza webele kamuva ekuphileni.
Ziyini izimpawu zesifo sikaPaget? Uzibona kanjani?
Izimpawu zalesi sifo zicashile ekuqaleni. Yingakho abantu abaningi bengasinaki. Kodwa kubaluleke kakhulu ukuqaphela lezi zimpawu.
Cabanga nje, isikhumba esisengonweni yakho sibomvu kancane, njengesibazi esincane. Siyanyamalala ngemva kwezinsuku ezimbalwa. Ucabanga ukuthi sesiphelile. Kodwa ngemva kwezinsuku ezimbalwa, siyaphinda sivele. Uma unenkinga yesikhumba efana nale ebonakala sengathi iyafika iphinde iphele, kufanele nakanjani ubone udokotela.
Ake sibheke leli thebula ukuze sibone ngokucacile lezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Izimpawu zesigaba sokuqala | Ukubomvu, ukuxebuka, ukoma, kanye nokulunywa okuncane kwesikhumba sezingono. Kungase kubukeke njenge-eczema. |
| Izici zakamuva |
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Esikhathini esiningi, lesi sifo siqala engonweni bese sisakazekela endaweni yesikhumba esimnyama (i-areola) ezungezile.
Dokotela, ukuxilonga kanjani lokhu?
Uma uya kudokotela onezimpawu ezinjengalezi, uzoqala ngokukuhlola ngokucophelela. Ngemuva kwalokho, uzoncoma ukuhlolwa okuningana ukuze kutholakale ukuthi isifo sikhona yini.
Ukuhlolwa okubaluleke kakhulu nokubalulekile yi -biopsy . Lokhu kuhilela ukuthatha ingxenye encane yezicubu esikhumbeni sengono bese uyihlola ngaphansi kwe-microscope ukuze ubone ukuthi inawo yini 'amaseli e-Paget'. Lokhu biopsy kungenziwa ngezindlela eziningana:
- I-biopsy yobuso: Isampula encane yamaseli iyaklwejwa ebusweni besikhumba.
- I-biopsy yokushefa: Ungqimba olungaphezulu lwesikhumba lususwa ngethuluzi elibukhali.
- I-biopsy yokushaya:Isikhumba esincane esiyindilinga sithathwa ngethuluzi eliyindilinga.
- I-Wedge biopsy: Inqubo encane yokuhlinzwa yokususa ucezu lwezicubu.
Ngenxa yokuthi isifo sikaPaget sivame ukuhambisana neminye imidlavuza esebeleni, udokotela wakho uzoyala ukuhlolwa okwengeziwe ukuze abheke nayo. Lokhu kungafaka:
- I-Mammogram: Ukuhlolwa kwe-X-ray kwebele.
- I-Ultrasound Yebele: Ukuhlolwa okusebenzisa amaza omsindo ukudala isithombe sengaphakathi lebele.
- I-Breast MRI Scan: Ukuhlolwa okunikeza isithombe esicacile nesiningiliziwe sebele.
Yiziphi izindlela zokwelapha lokhu?
Indlela yokwelapha inqunywa yisigaba sesifo sakho. Okusho ukuthi, udokotela uzokhetha ukwelashwa okungcono kakhulu ngokusekelwe ezicini ezifana nokuthi unesifo sikaPaget kuphela, noma ukuthi kukhona omunye umdlavuza ngaphakathi kwebele, nokuthi ngabe ususakazekile yini.
| Indlela yokwelapha | Incazelo elula |
|---|---|
| Ukuhlinzwa kwesisu | Ukususwa kwebele lonke ngokuhlinzwa. Le ndlela ivame ukusetshenziswa uma umdlavuza ususakazeke. |
| Ukususwa kwe-Lumpectomy | Ukususa ingxenye yebele equkethe umdlavuza kuphela (ingono, isikhumba esizungezile, kanye neqhubu elinomdlavuza) ngenkathi ushiya ibele liphelele. |
| Ukwelashwa Ngemisebe | Ukusebenzisa imisebe enamandla aphezulu ukubhubhisa noma yimaphi amangqamuzana omdlavuza angase asale ngemva kokuhlinzwa. |
| Ukwelashwa ngamakhemikhali | Ukunikeza imithi (amaphilisi noma imijovo yemithambo yegazi) ebulala amangqamuzana omdlavuza. |
| Ukwelashwa ngama-hormone | Ama-hormone asiza ukukhula kwezinye izinhlobo zomdlavuza. Kulezi zinhlanza, kunikezwa imithi evimba ukusebenza kwalawo ma-hormone. |
Ungazivikela kanjani kulezi zinhlobo zomdlavuza?
Nakuba kungekho ndlela yokuvimbela umdlavuza ngokuphelele, singanciphisa ingozi yethu ngokushintsha indlela yethu yokuphila.
- Gcina isisindo esinempilo.
- Vivinya umzimba njalo.
- Nciphisa ukusetshenziswa kotshwala.
- Ezinye izifundo zikhombisile ukuthi ukuncelisa izingane ubisi lwebele kunciphisa nengozi yomdlavuza webele.
Uma unesifo esisodwa noma ngaphezulu esibangela umdlavuza webele, kubaluleke kakhulu ukukhuluma nodokotela wakho ngaso futhi uthole iseluleko ngezinto ezifana nokuhlolwa njalo.
Umlayezo Wokuya Nawe Ekhaya
- Ungalokothi ungayinaki i-rash engapholi, ukubomvu, ukuxebuka, noma ubuhlungu engonweni noma eduze kwayo.
- Ngisho noma kubukeka njenge-eczema evamile, uma kuncipha ngemva kwezinsuku ezimbalwa bese kuvela kabusha, qiniseka ukuthi ucela iseluleko sikadokotela.
- Isifo sikaPaget sebele sivame ukuba uphawu lomunye umdlavuza ebeleni, ngakho-ke ukuhlolwa okuphelele kungasindisa impilo.
- Njenganoma yimuphi umdlavuza, ukutholakala kusenesikhathi kuyindlela engcono kakhulu yokuthola imiphumela ephumelelayo, ngakho-ke hlala uqaphele izinguquko emzimbeni wakho.
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