Wake waphawula ukuthi isikhumba esisemabeleni akho ngezinye izikhathi sibukeka sihlukile kancane, njengekhasi le-orenji elinezimbobo ezincane kanye nokubukeka okuxekethile? Kwezokwelapha, lokhu sikubiza ngokuthi 'i-Peau D'Orange' (i-peau-d'orenji). NgesiFulentshi, lokhu kusho "ikhasi le-orenji". Into ebaluleke kakhulu ukuthi lokhu akusona isifo. Kodwa-ke, kungaba uphawu lwesinye isimo esingaphansi komzimba. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu futhi ungakwesabi.
Yini ngempela ebangela lesi sikhumba se-orange peel (Peau D'Orange)?
Kalula nje, isizathu esiyinhloko salokhu ukuvuvukala okubangelwa ukunqwabelana koketshezi ngaphansi kwesikhumba. Odokotela babiza lokhu nangokuthi `(Edema)`. Cabanga nje, lapho uketshezi luqoqana ngaphansi kwesikhumba, ungqimba oluphezulu lwesikhumba (esilubiza ngokuthi `i-epidermis`) luqala ukwelula ukuze kube nendawo. Kodwa izimbobo esikhumbeni sethu ezivumela ukujuluka ukuba kuphume zibanjwa yisikhumba, njengezinkinobho eziku-cushion. Yilapho ubuso besikhumba bubukeka njengezimbobo ezincane noma amaqhubu .
Lesi simo singahambisana nobuhlungu , ukusinda, kanye nokuvuvukala ebeleni. Ngezinye izikhathi, kungase kuzwakale kuqinile futhi kukhulu, njengesikhumba, uma kuthintwa.
Ingabe lokhu kuhlale kungumdlavuza? Ingabe kufanele ngikhathazeke?
Cha. Lena into yokuqala okufanele uyiqonde. Kunezizathu eziningi ezenza ukuthi izicubu zebele zingavuvukala, zibe bomvu, ziqine, noma zibe buhlungu. Isibonelo, kungenzeka ngesikhathi sokukhulelwa, ukuncelisa, ngesikhathi sokuya esikhathini, noma ngisho nangenxa yezinkinga zesikhumba ezivamile. Kodwa-ke, ukubukeka okuqondile okubizwa ngokuthi 'i-Peau D'Orange', okungukuthi, ukubonakala okunamabala kwekhasi le-orange, kwenzeka lapho kukhona ukunqwabelana koketshezi (i-edema) ngaphansi.
Kodwa-ke, isizathu esibi kakhulu okufanele sikhathazeke ngaso yisimo esibizwa ngokuthi i-Inflammatory Breast Cancer (IBC) .
Lolu uhlobo lomdlavuza olungavamile kakhulu kodwa olusakazeka ngokushesha, ngakho-ke kubaluleke kakhulu ukuqaphela.
Qaphela ngomdlavuza webele ovuvukalayo (IBC)
Nakuba lolu hlobo lomdlavuza luyiphesenti elincane kakhulu (ngaphansi kuka-5%) lazo zonke izinhlobo zomdlavuza webele ezitholakala eSri Lanka, uhlobo lwalo ludinga ukwelashwa okusheshayo .
Ku-IBC, amangqamuzana omdlavuza avimba imithambo ye-lymph esikhumbeni sesifuba. Lokhu kuvimbela uketshezi lwe-lymph ukuthi lugeleze kahle lusuka kuma-lymph node ngaphansi kwekhwapha noma ngaphezu kwe-collarbone, okubangela ukuthi luhlangane ngaphakathi kwebele. Lokhu kwakheka koketshezi yikho okubangela ukubukeka 'kwe-peau d'orange'.
Qaphela lezi zimpawu, ezivame ukuvela ngokushesha ebeleni elilodwa kuphela.
| Ezinye Izimpawu ze-IBC |
|---|
| * Ubuhlungu, ukungazweli, kanye nokulunywa. |
| * Ukukhula kwebele noma umuzwa wokusinda. |
| * Ukuzwa ukufudumala ebeleni. |
| * Ukuvuvukala okusobala. |
| * Ububomvu ngaphezu kwengxenye eyodwa kwezintathu yebele. |
| * Ama-nipples athambile noma aguquliwe. |
Izindlela zokwelapha ze-IBC zinqunywa udokotela ngokusekelwe esimweni sesiguli. Zingafaka:
- Ukwelashwa ngamakhemikhali
- Ukuhlinzwa – Ngokuvamile lonke ibele kufanele lisuswe.
- Ukwelashwa ngemisebe
- Ukwelashwa okuqondiwe
- Ukwelashwa ngama-hormone
Yiziphi ezinye izimbangela ngaphandle komdlavuza?
Njengoba sesixoxile kakade, imbangela eyinhloko yokuvela kwe-'Peau D'Orange' ukunqwabelana koketshezi ngaphansi kwesikhumba ('Edema'). Lesi simo se-'Edema' singabangelwa yizizathu eziningi, hhayi umdlavuza kuphela.
Isibonelo yisimo esibizwa ngokuthi i-Lymphedema . Lokhu kwenzeka lapho uketshezi lwe-lymph lungaphumi kahle futhi luqongelela endaweni eyodwa. Lesi simo singavela nangemva kokwelashwa ngomdlavuza webele (ukuhlinzwa, ukwelashwa ngemisebe). Singavela nangezinye izizathu.
| Ezinye izimo ezingezona ezomdlavuza ezingabangela ukubonakala kwe-Peau D'Orange |
|---|
| * Ukuvaleka noma ukutheleleka kwemisele yobisi (`i-Mastitis`) |
| * Izifo zezicubu ezixhumene (njenge-'Scleroderma', 'i-'Sarcoidosis') |
| * Ezinye izifo zamabele (`Ukutheleleka`) |
| * Ukwehluleka kwenhliziyo |
| * Isifo se-thyroid |
| * Ukusabela kweminye imithi yokwelapha izinhlungu noma imithi yokucindezeleka kwegazi |
| * Ukusabela kokungezwani komzimba |
| * Amahlule egazi |
| * Ukukhulelwa |
| * Ezinye izimila ezingezona ezomdlavuza (`Amathumba`) ngaphandle kwe-IBC |
Uma ukuvuvukala kwenzeka ngenxa yesizathu esinjengalesi, ngaphezu kokuvuvukala, ungase ubhekane nezimpawu ezifana nokungazweli, ukuqina kwesikhumba, kanye nokuqina kwesikhumba . Esimweni esinjalo, udokotela wakho uzoqala azame ukwelapha imbangela eyinhloko.
Ngaphezu kwalokho, kungashiwo izinguquko ekudleni , ukuvivinya umzimba , ukwehlisa isisindo , futhi, uma kudingeka , amaphilisi okukhipha isisu noma amanzi .
Yini okufanele uyenze uma ubona uphawu olufana nalolu?
Lena yingxenye ebaluleke kakhulu. Uma ubona amafinyila, ukuvuvukala, ukubomvu, ubuhlungu, noma olunye ushintsho olungavamile esikhumbeni sebele lakho, sicela ungesabi. Kodwa ungakushayi indiva nakho.
Into yokuqala nebaluleke kakhulu okufanele uyenze ukubonana nodokotela wakho ngokushesha okukhulu bese uhlolwa.
Esikhundleni sokusesha ulwazi kwi-inthanethi bese wesaba, ikhambi elingcono kakhulu ukubona udokotela ofanelekayo. Udokotela wakho uzokuxilonga futhi, uma kudingeka, akuthumelele izivivinyo ezifana ne-ultrasound scan, i-mammogram, noma i-biopsy ukuthola ukuthi imbangela iyini ngempela. Khumbula, ukutholwa kusenesikhathi kwandisa amathuba okwelashwa okuphumelelayo kwanoma yisiphi isimo.
Umlayezo Wokuya Nawe Ekhaya
- I-'Peau D'Orange' (isikhumba esinombala we-orange) akuyona isifo, kodwa uphawu lwesifo esiyisisekelo.
- Nakuba imbangela enkulu yalokhu 'umdlavuza webele ovuvukalayo (i-IBC),' kungaba khona ezinye izimbangela eziningi ezingezona ezomdlavuza, okuhlanganisa ukutheleleka, ukukhulelwa, nokuningi.
- Uma ubona noma yiziphi izinguquko esikhumbeni sesifuba sakho, njengokuvuvukala, ukubomvu, noma ubuhlungu , ungalibali futhi ufune iseluleko sezokwelapha ngokushesha.
- Kunokuba ukhathazeke futhi ufune ulwazi kwi-inthanethi, kuwukuhlakanipha ukubona udokotela bese uthola imbangela eqondile.
- Ukutholwa kusenesikhathi kwandisa amathuba okwelapha ngempumelelo noma yisiphi isimo.
I-Peau D'Orange Sinhala, Isikhumba Esiphuziwe Se-Orange, Izimpawu Zomdlavuza Webele, Umdlavuza Webele Ovuvukalayo IsiSinhala, Ukuvuvukala Kwebele, Impilo Yabesifazane, I-Edema IsiSinhala
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