Ingabe uneqhubu elinjengaleli ebeleni lakho? Ake sixoxe nge-Phyllodes Tumor!

Wake wazizwa uneqhubu esifubeni sakho wazibuza, "Kuyini lokhu?"? Empeleni kuvamile impela. Akuwona wonke amaqhubu ayingozi. Kodwa-ke, namuhla sizokhuluma ngohlobo olungavamile lwesimila sesifuba okufanele wonke umuntu aluqaphele. Lokhu yilokho esikubiza ngokuthi 'i-Phyllodes Tumor' noma i-Phyllodes tumor.

Kuyini i-Phyllodes Tumor? Ake siqonde kahle!

Kalula nje, isimila se-phyllodes uhlobo olungavamile lwesimila oluvela ezicutshini ezixhumeneyo esifubeni sakho. Manje cishe uyazibuza, "Yini le ngxube?" Uma sivame ukucabanga ngamabele, sicabanga ngengxube enamafutha eyakha usayizi wamabele noma ingxube ye-glandular ekhiqiza ubisi, akunjalo? Ingxube yezicubu iyingxube yezicubu ehlanganisa zombili izinhlobo zezicubu ndawonye futhi isebenza njengesisekelo. Kufana nezindonga zendlu, okusiza ukugcina izinto zisendaweni yazo.

Yilapho kwakheka khona izimila ze-Phyllodes. Zizizwa ziqinile, zinemicu, futhi zifana nezibazi. Uma zibukwa ngaphansi kwe-microscope, zifana neqabunga. Leli gama livela egameni lesiGreki elithi "phyllon," elisho "iqabunga." Ngezinye izikhathi zibizwa ngokuthi ama-cystosarcoma phyllodes. Esikhathini esiningi, lezi zimila azinabungozi, noma azinabo umdlavuza. Kodwa-ke, ezimweni ezingavamile, zingaba yingozi, noma zibe umdlavuza.

Ngakho-ke, ingabe umdlavuza we-phyllodes uyisimila?

Lena inkinga abantu abaningi abanayo. Cishe akunjalo! Cishe ama-75% ama-phyllode cysts awawona umdlavuza. Lokho kusho ukuthi awayona ingozi. Kodwa-ke, cishe ama-25% angaba umdlavuza. Lawa ma-phyllode cysts anomdlavuza akha iphesenti elincane kakhulu lawo wonke umdlavuza webele, cishe ama-0.05%.

Lezi ziyingxenye yohlobo lomdlavuza olubizwa ngokuthi i-'sarcoma'. I-Sarcoma umdlavuza okhula ezicutshini ezixhumeneyo. Lokhu kuhlukile ezinhlotsheni zomdlavuza webele esivame ukuzibona. Ngoba lawo ma-cancer ebele avamile avame ukuvela ezicutshini zezindlala njengemibhobho yobisi kanye nama-lobule.

Isici esisodwa esiyingqayizivele sezimila ze-phyllodes ukuthi azivamile ukusabalala kalula ngohlelo lwe-lymphatic. Lokhu kusho ukuthi azisabalali ngokushesha kwezinye izingxenye zomzimba njengezinye izinhlobo zomdlavuza. Kodwa-ke, azikwazi ukusabalala (zisakazeke) ngegazi ziye kwezinye izingxenye zomzimba, njengamaphaphu noma amathambo. Kodwa lokho futhi akuvamile kakhulu.

Ngokuvamile, lokhu kwelashwa kuphela endaweni lapho kukhona khona isimila. Ezimweni eziningi, kungelashwa ngokuhlinzwa okulula okubizwa ngokuthi i-lumpectomy, okususa isimila kuphela. Izimila ze-Phyllodes aziphenduli kahle ekwelashweni komzimba wonke, njenge-chemotherapy, esetshenziselwa eminye imidlavuza yebele.

Ubani onamathuba amaningi okuthola ama-cyst e-phyllodes?

Ama-cyst e-Phyllodes abalelwa ngaphansi kwe-1% yazo zonke izimila zebele. Lokhu kusho ukuthi azivamile kakhulu. Avame ukwenzeka emabeleni abesifazane. Kodwa-ke, akuvamile kakhulu, kubikwe ukuthi ayenzeka emadodeni.

Nakuba lezi zimila zingakhula nganoma yisiphi isikhathi sobudala, zivame kakhulu kwabesifazane abaseminyakeni ephakathi, abaneminyaka ephakathi kuka-40 no-50. Kutholakale nokuthi abantu abanesimo sofuzo esibizwa ngokuthi i-Li-Fraumeni syndrome, ekhulisa ingozi yomdlavuza, banamathuba amaningi okukhula nalezi zimila ze-phyllodes.

Ziyini izimpawu zesimila se-phyllodes? Uzibona kanjani?

Ungase uqaphele iqhubu eliqinile, elibushelelezi, nelichazwe kahle esifubeni sakho. I-phyllodes cyst ivame ukuba nkulu kune-3 cm, futhi ngezinye izikhathi ingaba nkulu kakhulu. Okumangazayo ukuthi la ma-cyst angakhula ngokushesha esikhathini esifushane, ngokuvamile amasonto ambalwa .

Njengoba isimila sikhula, isikhumba kuleyo ndawo singase sikhanye, sikhanye, noma sibe buhlungu njengoba isimila sinwebeka. Nakuba imbangela eqondile ingaziwa, kuthiwa lezi zimila ze-phyllodes zivame kakhulu ebeleni lesobunxele kunelesokudla.

Okubalulekile: Uma uthola iqhubu elisha ebeleni lakho, uzizwa sengathi likhula ngokushesha, noma ubona ushintsho esikhumbeni sakho, qiniseka ukuthi ubona udokotela.

Uma isimila se-phyllodes sinomdlavuza (siyingozi), ezinye izimpawu zingase zivele kanye nalezi zimpawu. Isibonelo:

• Ukukhathala
• Ukuphelelwa umoya
• Ubuhlungu bethambo

Izimpawu ezinjengalezi zisho ukuthi umdlavuza kungenzeka ukuthi ususakazekele emathanjeni noma emaphashini. Ngakho-ke kudingeka uqaphele ngalezi zinto futhi.

I-Phyllodes Tumors itholakala kanjani?

Uma ubona udokotela, cishe uzoqala enze izivivinyo ezivamile zamaqhubu amabele, njenge-ultrasound scan kanye ne-mammogram, ukuqinisekisa ukuthi lezi akuzona ezinye izinhlobo zamaqhubu.

Kodwa-ke, ukuze kuhlukaniswe isimila se-phyllodes kolunye uhlobo lwesimila sesifuba esibizwa ngokuthi i-fibroadenoma, kuvame ukudingeka i-biopsy. I-Fibroadenoma nayo iyisimila esingengozi esakheka ezicutshini ezixhumeneyo. Ngezinye izikhathi kungaba nzima ukuhlukanisa lokhu kokubili kuma-scan kuphela.

I-biopsy yilapho udokotela wakho ethatha isampula encane yezicubu ebeleni lakho bese eyithumela elebhu ukuze ayibuke ngaphansi kwe-microscope. Lokhu kuvame ukwenziwa ngosizo lomshini we-ultrasound kanye nenaliti ekhethekile engenalutho. Akubuhlungu kakhulu.

Ngezinye izikhathi, uma isampula yezicubu ezithathwe ngale ndlela kunzima ukuyixilonga, udokotela wakho angase asikisele "i-excision biopsy". Lokhu kusho ukuthi lonke ithumba liyasuswa ngokuhlinzwa futhi lihlolwe. Eqinisweni, lokhu ukwelashwa odokotela abakuncomayo uma unesimila se-phyllodes. Le biopsy ingakutshela ukuthi hlobo luni lwesimila, ukuthi sinomdlavuza noma cha. Uma sinomdlavuza, singasetshenziswa futhi ukuhlola ukuthi sisakazekele kwezinye izingxenye zomzimba.

Uyini umehluko phakathi kwe-Phyllodes Tumor ne-Fibroadenoma?

Lona umbuzo obaluleke kakhulu. Ngoba, i-'Fibroadenoma' uhlobo oluvame kakhulu lwesigaxa esingenabungozi esibonakala ebeleni. Lokhu kwakheka nasezicutshini ezixhumanisayo zebele. Ngakho-ke, ngezinye izikhathi kungaba nzima ukuhlukanisa phakathi kwalokhu okubili ngokuhlolwa kwezokwelapha, ngisho nokuskena.

Ama-Fibroadenoma awayona ingozi. Kodwa-ke, awavamile ukushintsha abe ezinye izinhlobo zamathumba. Abanye odokotela bakholelwa ukuthi ama-fibroadenoma ngezinye izikhathi angaba amathumba ama-phyllode.

Kubaluleke kakhulu kudokotela wakho ukuthi anqume ukuthi iqhubu lakho liyi-fibroadenoma noma i-phyllodes tumor. Ngenxa yokuthi izinhlobo ezimbili zamaqhubu ziziphatha ngendlela ehlukile, odokotela baziphatha ngendlela ehlukile. Ama-Fibroadenoma avame ukuhlala efana noma abe mancane ngokuhamba kwesikhathi. Kodwa-ke, amaqhubu e-phyllodes, nakuba engengozi, angakhula ngokushesha futhi abangele ubuhlungu. Ngakho-ke, avame ukususwa kusenesikhathi ukuze kuvinjelwe izinkinga zesikhathi esizayo.

Ingabe ama-cyst e-phyllodes adinga ngempela ukususwa?

Yebo, yilokho odokotela abakuncomayo. Ngisho noma isimila singesihle, kungcono ukusisusa. Ukususa isimila se-phyllodes esingesihle kungasivimbela ukuba sikhule, sibe buhlungu kakhulu, noma sibe nomdlavuza esikhathini esizayo. Njengoba lezi zimila zingakhula futhi zishintshe ngokushesha, kulula ngawe nodokotela wakho ukuzisusa zonke ngesikhathi esisodwa kunokudinga ukuhlolwa kwe-biopsy okuphindaphindiwe.

Zombili izimila ze-phyllodes ezingenobungozi nezimbi zelashwa ngokuhlinzwa kwe-lumpectomy. Lokhu kuhilela ukususa isimila kanye nenani elincane lezicubu ezinempilo (umkhawulo) ozungezile. Lezi zicubu ezinempilo ziyasuswa ukuze kuvinjelwe isimila ukuthi singabuyi endaweni efanayo (ukuphinda sivele), njengoba zombili izinhlobo zezimila zingaphinde zivele.

Uma isimila sakho siyingozi, udokotela wakho angase futhi ancome ukwelashwa ngemisebe ebeleni ngemva kokuhlinzwa ukuze kubhujiswe noma yimaphi amangqamuzana omdlavuza asele futhi kuvinjelwe umdlavuza ukuthi ungabuyi.

Ingabe izimila ze-phyllodes ezibulalayo zingelapheka?

Yebo, ingelapheka.Uma umdlavuza ususiwe ngokuphelele, ukuhlinzwa kungawelapha. Lokhu kuvame ukuba lula ukukwenza uma umdlavuza ungakasabalali ngale kwesimila sokuqala. Uma umdlavuza ususakazekele kwezinye izingxenye zomzimba (umdlavuza osakazekile), kunzima kakhulu ukuthola nokususa wonke amangqamuzana omdlavuza. Amanye ama-cancer asakazekile elashwa nge-chemotherapy yomzimba wonke. Kodwa-ke, njengoba kushiwo ngaphambili, lokhu kwelashwa akusebenzi kahle kakhulu kuma-phyllodes tumors.

Ngisho noma umdlavuza ubonakala sengathi awusekho nhlobo, ungabuya. Ama-cyst e-phyllodes angenamandla nalawo anobungozi angakhula eminyakeni eminingi ngemva kokususwa kwawo. Uma lokhu kwenzeka, isimila esisha singelashwa ngokusisusa ngengxenye ebanzi yezicubu ezinempilo kuneyangaphambilini. Kodwa-ke, cishe abantu abangu-30% abanama-cyst e-phyllodes anesifo somdlavuza ebeleni bazofa ngenxa yalesi sifo. Ngakho-ke, kubalulekile ukuqaphela lokhu nokulandela iseluleko sikadokotela wakho.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke sesikhulume kakhulu ngama-phyllodes nuts. Nazi izinto ezibaluleke kakhulu ongazithatha kule ndaba:

• Izimila ze-phyllodes ziwuhlobo olungavamile kakhulu lwesimila sebele. Izimila ze-phyllodes ezinomdlavuza zingavamile kakhulu.
• Uma uthola iqhubu ebeleni lakho, ungesabi bese ubona udokotela. Ngisho noma kuyiqhubu le-phyllodes, ukulisusa kuzoxazulula inkinga.
• Udokotela uzoqhubeka nokukuhlola njalo ukuze abone ukuthi isimila siyakhula yini.
• Kukhona okudingeka ukwenze: hlola amabele akho njalo (`ukuzihlola amabele`).
• Uma usheshe uzithole izigaxa, imiphumela iba ngcono.

Ungakhohlwa: Uwazi kahle umzimba wakho. Uma ubona noma yiluphi ushintsho noma yini engavamile, akukaze kube sekwephuzile ukukhuluma nodokotela ngakho. Ukuhlala uphilile kuyinto ebaluleke kakhulu!

Isimila se - phyllodes, ama-cyst ebele, umdlavuza webele, ama-cyst e-phyllodes, i-fibroadenoma, ukuhlinzwa kwebele, ukuzihlola kwebele