Uma i-mammogram yakho ikhombisa "amangqamuzana angajwayelekile," kuvamile ukuzizwa wesaba futhi ukhathazekile. "Ingabe lo mdlavuza? Kuzokwenzekani empilweni yami?" Ungase uzibuze. Kodwa ungesabi. Kungase kungabi kubi njengoba ucabanga. Ezimweni eziningi, lesi yisigaba sokuqala somdlavuza webele, owaziwa ngokuthi "Isigaba 0." Yilokho esikhuluma ngakho namuhla. Ake sibheke ngokushesha ukuthi uyini ngempela, ukuthi ngabe kuyinto okufanele ukhathazeke ngayo, nokuthi yiziphi izindlela zokwelapha ezitholakalayo.
Iyini le 'Stage 0'?
Kalula nje, isigaba 0 sisho ukuthi amangqamuzana omdlavuza noma amangqamuzana angajwayelekile asese lapho aqala khona, emigudwini yobisi noma ema-lobules ebele. Lawa maseli awakasabalali (angene) ezicutshini eziphilile ezizungezile. Odokotela babiza lesi simo ngokuthi "in situ." Lokho kusho ukuthi "lapho sasikhona."
Cabanga ngemigudu yobisi ebeleni njengohlelo lwamapayipi endlini. Lawa maseli angavamile angaphakathi kwalawo mapayipi kuphela. Awakaphuli izindonga zamapayipi futhi asakazekele kwezinye izingxenye zendlu. Yilokho okwenzekayo lapha. Lokhu kubaluleke kakhulu, ngoba uma kutholakala kulesi sigaba, kungelashwa futhi kucishe kuphulukiswe ngokuphelele .
Kunezinhlobo ezimbili eziyinhloko 'zesigaba 0'. Ake sizibheke ngokwehlukana.
| Okukhethekile | I-DCIS (i-Ductal Carcinoma Esimweni) | I-LCIS (Lobular Carcinoma In Situ) |
|---|---|---|
| Incazelo | Amaseli angajwayelekile emigudwini yobisi yebele. | Amaseli angajwayelekile ezindlaleni ezikhiqiza ubisi (ama-lobule) ebeleni. |
| Ubunzima | Lokhu kubhekwa njengesimo 'sangaphambi komdlavuza'. Uma singelashwa, singaba umdlavuza ohlaselayo esikhathini esizayo. | Lokhu akuwona umdlavuza. Kodwa-ke, kubhekwa 'njengophawu lwengozi ' okwandisa ingozi yokuba nomdlavuza kuwo womabili amabele esikhathini esizayo. |
| Ukuhlonza | Ngokuvamile kungatholakala nge-mammogram. | Ngokuvamile, iqhubu alikwazi ukuzwakala. Litholakala ngengozi ngesikhathi sokuhlolwa kwebele ngesinye isizathu. |
| Okufanele ngikwenze | Ukwelashwa kufanele kuqalwe ngokushesha. | Ukubhekisisa okuseduze kanye nezingxoxo ezivamile nodokotela kuyadingeka. Ukwelashwa kungadingeka ukuze kuncishiswe ingozi. |
Yiziphi izindlela zokwelapha i-DCIS?
Ngenxa yokuthi i-DCIS ingaba umdlavuza osakazeka esikhathini esizayo, kubalulekile ukuyelapha ngokushesha nje lapho itholakala. Ngenhlanhla, ukwelashwa kusebenza kahle kakhulu.
1. Ukuhlinzwa
Lena yindlela yokwelapha eyinhloko. Kunezinhlobo ezimbili zokuhlinzwa.
- Ukususwa kwe-Lumpectomy: Lokhu kuhilela ukususa kuphela iqhubu noma indawo enamaseli angajwayelekile, kanye nezicubu ezithile ezinempilo ezizungezile. Akususi lonke ibele.
- Ukususwa Kwebele: Kwezinye izimo, uma i-DCIS inkulu noma isakazeke kulo lonke ibele, odokotela bangase batuse ukuthi kususwe lonke ibele. Lesi sinqumo senziwa ngemva kokuxoxisana nodokotela wakho ngokugcwele.
Abanye besifazane nabo banquma ukuhlinzwa kabusha kwamabele ngemva kokuhlinzwa kwebele. Kuyisinqumo somuntu siqu ngokuphelele.
2. Ukwelashwa Ngemisebe
Ukwelashwa ngemisebe kuvame ukunikezwa ngemva kokuhlinzwa kwe-lumpectomy. Lokhu kusebenzisa imisebe enamandla amakhulu ukubhubhisa noma yimaphi amaseli amancane angajwayelekile angase asale ngemva kokuhlinzwa. Kufana nokuhlanza indawo kahle ngemva kokuhlinzwa, kunciphisa ingozi yokuthi inkinga ibuye ivele.
3. Ukwelashwa ngama-hormone
Uma i-DCIS yakho ine-hormone-receptor positive, udokotela wakho angase ancome ukwelashwa ngama-hormone ngemva kokuhlinzwa. Le mithi inciphisa ingozi yokukhula komdlavuza omusha kuwo womabili amabele esikhathini esizayo.
Yini oyenzayo kumuntu one-LCIS?
Njengoba sishilo ngaphambili, i-LCIS ayiyona umdlavuza, kodwa iyisibonakaliso sesixwayiso sesikhathi esizayo . Ngakho-ke, indlela yokuyelapha ihlukile kancane. Into eyinhloko lapha akukhona ukwethuka, kodwa ukwenza ngendlela ehleliwe.
- Ukuqapha eduze: Lena yinto ebaluleke kakhulu. Kubalulekile ukuhlolwa njalo kwamabele, ukuhlolwa kwe-mammogram, kanye nokunye ukuskena okudingekayo njengoba kunconywe udokotela wakho.
- Ukwelashwa ngama-hormone: Abesifazane abane-LCIS banganikezwa nokwelashwa ngama-hormone (isib. i-Tamoxifen) ukuze kuncishiswe ingozi yokuba nomdlavuza esikhathini esizayo.
- Ukuhlinzwa Kokuvimbela: Lokhu akuyona into engenziwa yiwo wonke umuntu. Kodwa-ke, abesifazane abasengozini enkulu yokuba nomdlavuza webele ngezinye izikhathi benza lesi sinqumo. Obani abawela kuleli qembu elisengozini enkulu?
- Uma ilungu lomndeni eliseduze (umama, udadewabo) libe nomdlavuza webele.
- Uma utholakale unezakhi zofuzo ezandisa ingozi yakho yokuba nomdlavuza webele, njenge- BRCA1 noma i-BRCA2 .
Ezimweni ezinjalo, abanye besifazane banquma ukuhlinzwa kabili ukuze bagweme izingozi zesikhathi esizayo. Lesi yisinqumo somuntu siqu nesingathi sína, futhi kufanele senziwe ngemva kwengxoxo ejulile nodokotela.
Ukhetha kanjani okukufanele kakhulu?
Ngemva kokufunda konke lokhu, ungase uzibuze, "Yini engcono kakhulu kimi?" Impendulo ilele kuwe, kudokotela wakho.
Khumbula, 'Isigaba 0' akusona isigwebo sokufa. Lesi yisimo esingelapheka kakhulu, esitholakala kusenesikhathi.
Udokotela wakho uzoncoma uhlelo lokwelashwa olungcono kakhulu kuwe, ecabangela uhlobo lwesifo sakho (i-DCIS noma i-LCIS), ubukhulu baso, iminyaka yakho, umlando womndeni, kanye nezintandokazi zakho. Qiniseka ukuthi uxoxa nganoma yimiphi imibuzo noma ukukhathazeka onakho nodokotela wakho . Ukukhuluma naye ngokukhululekile kuyisinqumo esingcono kakhulu ongasenza.
Umlayezo Wokuya Nawe Ekhaya
- Umdlavuza webele 'weSigaba 0' usho ukuthi amangqamuzana angajwayelekile anamathele lapho aqala khona (emigudwini noma ezinhlayiyeni). Awakasabalali ezicutshini ezizungezile.
- I-DCIS yisimo esidinga ukwelashwa ngokushesha ngoba singaba umdlavuza osakazekayo uma singelashwa.
- I-LCIS akuyona umdlavuza, kodwa iyisibonakaliso esiyisixwayiso sengozi yomdlavuza wesikhathi esizayo, futhi idinga ukubhekwa eduze kwezokwelapha.
- Izindlela ezinjengokuhlinzwa, ukwelashwa ngemisebe, kanye nokwelashwa ngamahomoni ziphumelela kakhulu futhi zinezinga eliphezulu lokuphulukiswa.
- Kubalulekile ukuxoxa ngazo zonke izinketho zakho, izinzuzo nezinkinga zazo, nodokotela wakho bese wenza isinqumo esikulungele wena. Kubalulekile ukuba nolwazi futhi ungesabi.
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