Esikhathini esiningi, uma sizwa iqhubu emabeleni ethu, sivele sesabe, akunjalo? Into yokuqala efika engqondweni ukwesaba ukuthi kungaba umdlavuza. Kodwa-ke, akuzona zonke iziqhubu ezakha emabeleni eziwumdlavuza. Namuhla, sizokhuluma ngohlobo lweqhubu olwakha emabeleni, okuyinto engavamile, kodwa kubaluleke kakhulu ukuba siqaphele. Yilokhu esikubiza ngokuthi ama-Phyllodes Tumors.
Ziyini izimila ze-Phyllodes?
Kalula nje, i-Phyllodes Tumor uhlobo olungavamile lwesimila sesifuba. Sibalelwa ngaphansi kuka-1% wazo zonke izimila zesifuba. Ngakho lokho kukodwa kubonisa ukuthi singavamile kangakanani. Lezi zimila ziqala ezicutshini ezixhumanisayo zebele.
Igama lesiGreki elithi “phyllodes” lisho ‘ukufana neqabunga.’ Lawa maqhuqhuva abizwa kanjalo ngoba avame ukuba nesimo seqabunga njengoba ekhula.
Lezi zigaxa zihlukaniswe ngezinhlobo ezintathu eziyinhloko.
| Uhlobo Lwesimila | Incazelo elula |
|---|---|
| I-Benign (engeyona umdlavuza) | Lawa akuwona amangqamuzana omdlavuza. Iningi lawo, okusho ukuthi uhlobo oluvame kakhulu, yilolu hlobo. Akukho okufanele ukhathazeke kakhulu ngalo. |
| Umngcele | Lesi yisimo esiphakathi nendawo esinenhlanganisela yezici zomdlavuza kanye nezingezona ezomdlavuza. |
| Okuyingozi (umdlavuza) | Lezi yizinhlobo eziqukethe amangqamuzana omdlavuza, kodwa iphesenti elincane kuphela, cishe u-25%, wazo zonke izimila ze-Phyllodes ezingezona ezalolu hlobo. |
Zonke lezi zinhlobo zamathumba zingakhula. Kodwa izindaba ezinhle ukuthi azivami ukusabalala kwezinye izingxenye zomzimba. Ngisho noma zisusiwe ngokuhlinzwa, kunethuba elincane lokuthi zizokhula futhi.
Ziyini izimpawu zalokhu?
Isimila se-Phyllodes sivame ukuzwakala njengesigaxa esingenabuhlungu, esibushelelezi ebeleni. Ungase usizwe wena ngokwakho, noma udokotela angase asibone lapho usihlola.
Into eyingqayizivele ngalezi zigaxa ukuthi zingakhula ngokushesha okukhulu . Cabanga nje, zingakhula zibe ngamasentimitha angu-3 (ngaphezudlwana kwe-intshi) emavikini noma ezinyangeni ezimbalwa. Ngisho nezigaxa ezingengozini zikhula ngokushesha. Njengoba igaxa likhula, ngezinye izikhathi lingabonakala likhukhumele ebusweni besikhumba, futhi ngezinye izikhathi lingazwakala sengathi isikhumba siyadonsa. Akuvamile kakhulu, kungase kwakheke isilonda ebusweni besikhumba.
Izimbangela kanye nezici eziyingozi ze-Phyllodes Tumors
Imbangela eqondile yalezi zimila ayaziwa okwamanje. Kodwa-ke, kutholakale ukuthi abesifazane abanesimo esingavamile sofuzo esibizwa ngokuthi i-Li-Fraumeni syndrome banamathuba amaningi okuba nazo. Ziyivelakancane kakhulu kwabesilisa.
Nakuba abesifazane banoma yimuphi ubudala bangaba nalezi ziqhubu, zivame ukubonakala kwabesifazane abaseminyakeni yabo yo-40.
Into ebalulekile ukuthi uma unesimila se-Phyllodes esingesona umdlavuza (esingesihle), asiyikhulisi ingozi yakho yokuba nomdlavuza webele esikhathini esizayo.
Wazi kanjani ukuthi lokhu kuyi-Phyllodes Tumor?
Kunezivivinyo eziningana ezingenziwa ukuqinisekisa ukuthi iqhubu elisebeleni lakho liyilo hlobo. Udokotela wakho uzokuthumela kulezi zivivinyo.
| Ukuhlolwa | Kuzokwenzekani kulokho? |
|---|---|
| I-Mammogram | Lokhu kuzonikeza isithombe esicacile seqhubu. Isimila se-Phyllodes sivame ukubukeka siyindilinga noma siyisiyingi esinemingcele ecacile. |
| Ukuskena kwe-Ultrasound | Lokhu futhi kukuvumela ukuthi ubone ngokucacile ukuma, imingcele, kanye nohlobo lwangaphakathi lweqhubu. |
| I-Core Needle Biopsy | Lapha, udokotela ufaka inalithi encane eqhubu, athathe ingxenye encane yezicubu, bese eyihlola ngaphansi kwe-microscope ukuze abone ukuthi akhona yini amangqamuzana omdlavuza. |
| I-Excisional Biopsy (ukususwa kweqhubu) | Lena yindlela ecacile kakhulu. Abantu abaningi kufanele benze lokhu ukuqinisekisa ukuxilongwa. Lapha, benza ukuhlinzwa ukuze basuse lonke iqhubu bese belihlola. Yilapho kuphela lapho singasho khona ngokuqiniseka okungu-100% ukuthi liyingozi, alinabungozi, noma liwumngcele. |
Yiziphi izindlela zokwelapha lokhu?
Kungakhathaliseki ukuthi uhlobo luni lwesimila i-Phyllodes, noma ngabe asiyona umdlavuza (siyingozi), kumele sisuswe ngokuhlinzwa. Lokhu kubaluleke kakhulu. Uma isimila sinomdlavuza (siyingozi), kungadingeka ukwelashwa okwengeziwe.
Ukuhlinzwa
NgokuyinhlokoKunezinhlobo eziningana zokuhlinzwa .
- Ukuhlinzwa Okubanzi Kokukhipha Isisu: Kulokhu, iqhubu liyasuswa kanye nenani elincane lezicubu zebele ezinempilo ezizungezile. Lokhu kwenzelwa ukuvimbela iqhubu ukuthi lingakhuli endaweni efanayo.
- Ukususwa kwezicubu: Lokhu futhi kuwukususwa kwezicubu. Lapha, iqhubu liyasuswa kanye nezicubu ezinempilo ezingaba yisentimitha elilodwa ezizungezile. Ngemva kokuhlinzwa, uchwepheshe (udokotela wezifo) ubheka izicubu ezisusiwe ngaphansi kwe-microscope. Lokhu kungaqinisekisa ukuthi iqhubu lisusiwe ngokuphelele.
- Ukususwa Kwebele: Lokhu kuhlinzwa kwenziwa uma iqhubu likhulu kakhulu, linomdlavuza (liyingozi), noma uma ibele lincane kakhulu ukuba lingasuswa kalula ngokususwa kwebele. Lapha, ingxenye noma lonke ibele liyasuswa. Uma kudingeka, ukuhlinzwa kokwakhiwa kabusha kwebele kungenziwa ngesikhathi esifanayo noma kamuva.
Izindaba ezinhle ukuthi izimila ze-Phyllodes azivamile ukusabalala kuma-lymph node asekhwapheni, ngakho-ke azidingi ukususwa.
Ukwelashwa ngemisebe noma ngamakhemikhali
Uma unesimila esibi se-Phyllodes futhi singakasabalali ngale kwebele, udokotela wakho angase akuncome ukwelashwa ngemisebe . Ezimweni ezingavamile lapho isimila sisabalale ngale kwebele, i-chemotherapy nayo inganikezwa.
Kwenzekani ngemva kokwelashwa? (Ukulandelela)
Ngenxa yokuthi lezi zimila zingaphinde zivele, ukulandelwa okufanele kwezokwelapha ngemva kokuhlinzwa kubaluleke kakhulu.
- Zingakapheli izinyanga ezingu-4-6 ngemuva kokuhlinzwa, kufanele ubonane nodokotela wakho ukuze ahlolwe ibele, ahlolwe i-mammogram, kanye ne-ultrasound scan. Udokotela wakho angase futhi akuncomele i-MRI .
- Kubalulekile ukwenza ama-mammogram kanye/noma ama-ultrasound ngesikhathi, ngokwesimiso esinikezwe udokotela wakho.
- Uma ubunesimila esinomdlavuza (esiyingozi) , kungase kudingeke ukuthi uhlolwe isifuba nesisu nge-CT scan cishe iminyaka emihlanu ngemva kokuhlinzwa.
Ngakho-ke, ingabe kufanele sesabe lesi simo?
Imiphumela ngemva kokuhlinzwa kokususwa kweqhubu elingenalo umdlavuza (elingenobungozi) mihle kakhulu . Akukho okufanele ukwesabe.
Ngisho nezimila eziyingozi zingalapheka ngokuphelele ngokwelashwa. Kodwa-ke, kungenzeka kakhulu ukuthi ziphinde zivele. Nakuba zingasakazeki kwezinye izindawo, njengamaphaphu, abesifazane abanezimila ze-Phyllodes ezinomdlavuza banesilinganiso esiphakeme kakhulu sokusinda. Ngakho-ke, kubalulekile ukungesabi futhi ulandele imiyalelo kadokotela ngqo.
Umlayezo Wokuya Nawe Ekhaya
- Amathumba e-Phyllodes awuhlobo olungavamile lweqhubu oluvela ebeleni. Iningi lalawa awawona umdlavuza.
- Lezi ziqhumane zingakhula ngokushesha kakhulu, ngakho-ke uma ubona iqhumane elikhula ngokushesha ebeleni lakho, xhumana nodokotela ngokushesha.
- Kungenzeka kuphela ukunquma ngokuqinisekile ukuthi lesi yisisu sePhyllodes ngemva kokususwa kweqhubu ngokuhlinzwa nokuhlolwa (i-biopsy).
- Ngisho noma lesi sigaxa singesona umdlavuza (esingesihle), kumele sisuswe ngokuhlinzwa.
- Ngemva kokuhlinzwa, kubalulekile ukwenza izivivinyo ezidingekayo njengoba kunqunywe udokotela, ngoba lokhu kungaphinde kwenzeke.
- Noma ngabe kuyisifo somdlavuza, imiphumela yokwelashwa okufanele mihle kakhulu. Ngakho-ke ungesabi.
I-Phyllodes Tumor Sinhala, amaqhubu ebele, umdlavuza webele, iqhubu lebele , i-Phyllodes tumor, ukuhlinzwa kwebele, i-mammogram
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