Uma udokotela wakho ekutshela ukuthi unomdlavuza webele ongahlaseli, noma i-Ductal Carcinoma in Situ (DCIS), ungase uzizwe ukwesaba okukhulu nokushaqeka. Kuvamile ukuba nemibuzo efana nokuthi, 'Ngenzenjani manje? Hlobo luni lokwelashwa engiludingayo?' Kodwa ungesabi. Ngisho noma kuthiwa umdlavuza, usesesigabeni sokuqala, okusho ukuthi awukasabalali. Ake sixoxe ngalokhu kalula nangokucacile.
Iyini ngempela i-DCIS?
Kalula nje, i-DCIS yisimo lapho amangqamuzana omdlavuza ekhula khona ngaphakathi kwemisele yobisi ebeleni. Cabanga ngalezi misele zobisi njengemibhobho emincane. Ku-DCIS, amangqamuzana omdlavuza angaphakathi kwale mibhobho kuphela. Awasakazekanga ngaphandle kwemisele, okusho ukuthi awasakazekanga kwezinye izicubu ezithambile ebeleni. Yilokhu odokotela abakubiza ngokuthi "in situ" (okusho ukuthi 'in place').
Lokhu kwaziwa nangokuthi umdlavuza webele 'weSigaba 0' . Into ebaluleke kakhulu futhi engcono kakhulu ngalokhu ukuthi uma utholakala ngaphambi kokuba usabalale, ungelapheka ngokuphelele ngokwelashwa okufanele. Umgomo oyinhloko wokwelashwa ukususa ngokuphelele la maseli omdlavuza ngaphambi kokuba aphume emigudwini yobisi futhi asakazekele kwezinye izicubu zebele.
Ingabe ngidinga ukuhlinzwa?
Cishe yebo. Ukwelashwa okuyinhloko nokuvame kakhulu kwe-DCIS ukuhlinzwa. Kodwa ungesabi ukuthi "ukuhlinzwa." Kunezinhlobo ezimbili eziyinhloko zokuhlinzwa. Udokotela wakho uzokuchazela ukuthi iyiphi indlela engcono kakhulu yesimo sakho.
| Uhlobo lokuhlinzwa | Kalula nje... | Ivame ukusetshenziswa nini? |
|---|---|---|
| Ukususwa kwe-Lumpectomy (Ukuhlinzwa kokulondolozwa kwebele) | Lokhu akususi lonke ibele. Kususwa ingxenye enomdlavuza kanye nenani elincane lezicubu ezinempilo ezizungezile. Ibele lakho lishiywa liphelele. | Lena yindlela yokuqala yamacala amaningi e-DCIS, ikakhulukazi uma umdlavuza usesendaweni eyodwa encane. |
| Ukuhlinzwa kwesisu | Kulokhu, lonke ibele liyasuswa ngokuhlinzwa. | Kungase kube nezizathu eziningana zokuthi kungani udokotela wakho engase akuncome lokhu kuhlinzwa. Isibonelo: - Uma umdlavuza ususakazekele endaweni enkulu yebele. - Uma umdlavuza ukhona ezindaweni eziningana zebele. - Kuye ngokuthi umdlavuza ukuphi, kungaba nzima ukugcina ukubukeka kwebele ngemva kokuhlinzwa kwe-lumpectomy. - Uma unengozi enkulu yokuba nomdlavuza webele esikhathini esizayo ngenxa yomlando womndeni wakho, imiphumela yokuhlolwa kofuzo, noma usemncane. |
Kwenzekani ngemva kokuhlinzwa?
Ukwelashwa kwakho akupheli ngemva kokuhlinzwa. Kusenezinyathelo eziningana ongazithatha ukuvimbela umdlavuza ukuthi ungabuyi.
Ukwelashwa Ngemisebe
Uma uke wahlinzwa i- lumpectomy , ukwelashwa ngemisebe kuvame ukunconywa ngemva kokuhlinzwa. Umgomo uwukubhubhisa noma yimaphi amangqamuzana amancane omdlavuza angabonakali angase ahlale endaweni ngemva kokuhlinzwa. Lokhu kunciphisa kakhulu ingozi yokuthi umdlavuza uphinde ubuye.
- Indlela evame kakhulu: Lokhu kuhilela ukufaka imisebe ngaphandle ebeleni elivela emshinini cishe izinsuku ezi-5 ngesonto amasonto amaningana.
- Izindlela Ezihlukile: Ngezinye izikhathi, imisebe inikezwa ingxenye yebele lapho umdlavuza wawukhona khona, kunokuba inikezwe lonke ibele. Kukhona nendlela lapho kufakwa khona imbewu encane enemisebe ebeleni ukuze yelashwe. Kodwa-ke, zombili lezi zindlela, eziletha imisebe ebeleni lonke, zisahlolwa ukuze kubonakale ukuthi ziyasebenza yini.
Into ebaluleke kakhulu ukuthi uma uke wahlinzwa i- mastectomy , ukwelashwa ngemisebe ngokuvamile akudingeki.
Ukwelashwa ngama-hormone
Abanye besifazane banganconywa ukuthi bathathe umuthi wokwelapha ngama-hormone, njenge- tamoxifen , ngaphezu kokwelashwa ngemisebe. Lokhu kusiza futhi ukunciphisa ingozi yokubuya komdlavuza.
Kodwa lo muthi unikezwa kuphela uma umdlavuza wakho 'une-hormone-receptor-positive' . Kusho ukuthini lokho? Kusho ukuthi i-hormone estrogen, ekhiqizwa ngokwemvelo emzimbeni wakho, isiza amangqamuzana omdlavuza ukuthi akhule. Udokotela wakho uzokuvivinya ukuze abone ukuthi umdlavuza wakho ungowalolu hlobo yini. Lokho kuzonquma ukuthi uyaludinga yini lolu hlobo lokwelashwa noma cha.
Ingabe ngizodinga ukwelashwa ngamakhemikhali?
Cishe akunjalo. Lokhu kuyikwesaba okukhulu kubantu abaningi. I-Chemotherapy iwukwelashwa okusebenzisa imithi enamandla ukubhubhisa amaseli ahlukana ngokushesha (njengamaseli omdlavuza) kuwo wonke umzimba. Kodwa-ke, ngenxa yokuthi i-DCIS yisimo esivalelwe emigudwini yobisi futhi esingasakazekelanga kwezinye izingxenye zomzimba, i-chemotherapy ayinconywa ngokuvamile ekwelashweni kwayo.
Ingabe kuzodingeka ngiphinde ngihlinzwe?
Ngezinye izikhathi lokhu kungenzeka. Ikakhulukazi uma uke wahlinzwa i -lumpectomy , uma udokotela ecabanga ukuthi ngemva kokuhlola izicubu ezisusiwe, akwanele ukuthi kususwe izicubu 'ezihlanzekile' (ezinempilo) ezizungeze amangqamuzana omdlavuza, kungase kudingeke ukuhlinzwa kwesibili. Lokhu kubizwa ngokuthi 'imingcele ecacile'. Lokhu kwenzelwa ukususa ngokuphelele noma yimaphi amangqamuzana omdlavuza asele nokukuvikela.
Ingabe kufanele ucabangele ukwakhiwa kabusha kwamabele?
Ngemva kokuhlinzwa kwe-lumpectomy noma i-mastectomy, abanye besifazane bakhetha ukuhlinzwa kabusha kwamabele. Lesi yisinqumo somuntu siqu ngokuphelele . Akudingeki ngokwezokwelapha. Futhi akudingeki kwenziwe ngokushesha ngemva kokuhlinzwa kokuqala. Uma unesithakazelo, zizwe ukhululekile ukukhuluma nodokotela wakho mayelana nokuthi yiziphi izinketho zakho, ukuthi kwenziwa kanjani, nokuthi ngabe kulungile yini kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-DCIS iwuhlobo lomdlavuza webele oluqala kakhulu, olungangenisi umdlavuza, ngakho ungesabi.
- Ukwelashwa kwalokhu kuphumelele kakhulu. Amathuba okululama ngokuphelele aphezulu kakhulu.
- Ukwelashwa okuyinhloko ukuhlinzwa. Lokhu kungaba ukususwa kweqhubu (ukususwa kweqhubu kuphela) noma ukususwa kwebele lonke.
- Ngemva kokuhlinzwa, ukwelashwa ngemisebe noma ukwelashwa ngamahomoni kungadingeka ukuvimbela umdlavuza ukuthi ungabuyi.
- I-Chemotherapy ayidingiki ngokuvamile kwi-DCIS.
- Kuyilungelo lakho ukuxoxa ngazo zonke izinto ezikukhathazayo kanye nokwesaba kwakho ngokucacile nodokotela wakho.
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