Uma uhlola umzimba wakho, noma nje ngokunganaki, bese uthola iqhubu ebeleni lakho, kuvamile ukuzwa ukwesaba okukhulu. "Ingabe lo mdlavuza?" umbuzo wokuqala ofika engqondweni. Lokho kwesaba kunengqondo kakhulu. Kodwa ubuwazi ukuthi akuzona zonke iziqhubu ebeleni eziwumdlavuza? Namuhla sikhuluma ngeqhubu elilodwa elingenangozi, kodwa elivame ukwesabisa. Lokhu kubizwa ngokuthi i-PASH.
Kalula nje, iyini i-PASH?
Igama eliphelele le-PASH lithi ``Pseudoangiomatous Stromal Hyperplasia``. Nakuba leli gama liyinkimbinkimbi kancane, incazelo yalo ilula kakhulu. Leli yiqhubu elingenabungozi (elingenalo umdlavuza) elikhula ezicutshini zebele. Uma sikhuluma iqiniso, la maqhubu akhiwe yiprotheni ebizwa ngokuthi ``collagen`` etholakala emzimbeni wethu kanye namaseli ahlobene nawo.
Kuvamile kangangokuthi izifundo zithole ukuthi i-PASH iyenzeka cishe kumasampula ezicubu zebele angama-23%. Lokhu kusho ukuthi abesifazane abaningi bazoba neqhubu elinjengaleli esikhathini esithile empilweni yabo. Lokhu akulona ingozi.
Ngakho-ke kungani i-PASH ihlotshaniswa nomdlavuza?
Nansi into ebalulekile. Ngezinye izikhathi iqhubu le-PASH lingadidaniswa nohlobo lomdlavuza olungavamile kakhulu olubizwa ngokuthi i-`Angiosarcoma.` I-Angiosarcoma umdlavuza ongakheka emithanjeni yegazi yebele. Ngenxa yokuthi lokhu kokubili kungafana kwezinye izivivinyo, odokotela bayaqaphela kakhulu.
Ngakho-ke, uma ubona into efana ne-PASH ku-mammogram yakho (i-X-ray yamabele akho), udokotela wakho ngeke aphethe ngokuthi awunayo umdlavuza kuze kube yilapho eqiniseka ngokuphelele. Bafuna ukuqiniseka ukuthi yi-PASH noma okunye.
Kodwa khumbula, amathuba okuthi iqhubu le-PASH liphenduke umdlavuza aphansi kakhulu. Futhi, akuvamile ukubona amaqhubu e-PASH ehambisana nomdlavuza webele.
Ubani onamathuba amaningi okuthuthukisa i-PASH?
Lesi simo sivame kakhulu kwabesifazane abaneminyaka ephakathi kuka-30 no-50. Kodwa lokho akusho ukuthi akunakwenzeka kwabanye. Kube nemibiko ye-PASH emantombazaneni aneminyaka engu-14 kanye nakwabesifazane asebekhulile abaneminyaka ephakathi kuka-51 no-67.
Ngokumangazayo, i-PASH ingenzeka nakubantu besilisa. Kodwa-ke, ivame ukwenzeka nakubantu besilisa abanesifo esibizwa ngokuthi i-'Gynecomastia'. I-'Gynecomastia' ukukhulisa izicubu zebele labesilisa ngenxa yethonya lama-hormone. Lokhu kusikisela ukuthi i-PASH inokuxhumana kwama-hormone.
Iyini imbangela eqondile ye-PASH?
Uma ngikhuluma iqiniso, imbangela eqondile ye-PASH ayaziwa, kodwa abacwaningi bakholelwa kakhulu ukuthi ithonywa ama-hormone .
Isibonelo, amaqhubu e-PASH kwabanye besifazane angase avuvuke ngomjikelezo wabo wokuya esikhathini wanyanga zonke. Kube khona nezinye izimo ze-PASH ezihlotshaniswa namaphilisi okulawula ukubeletha kanye nokwelashwa kokushintsha ama-hormone (HRT). Lokhu kusacwaningwa.
Ziyini izimpawu ze-PASH? Sazi kanjani?
Esikhathini esiningi, amaqhubu e-PASH mancane kakhulu futhi angabonakala kuphela ngaphansi kwe-microscope (`microscopic`). Abantu abaningi abazizwa izimpawu futhi abazi nokuthi banazo. Atholakala ngengozi ngesikhathi sokuhlolwa kwe-mammogram ngesinye isizathu.
Kodwa amanye amaqhubu e-PASH angakhula abe makhulu impela, asukela ku-1 kuya ku-12 cm. Yilapho-ke siqala khona ukuzwa izimpawu.
| Isici | Incazelo |
|---|---|
| Ukuzwa iqhubu esandleni | Kuzwakala njengeqhubu eliqinile elingazwakala esandleni, ngokuvamile liyindilinga noma liyindilinga ngesimo. |
| Ukuthutha | Lezi ziqhubu zingahamba ngaphakathi kwezicubu zebele. Lokhu kusho ukuthi azihlali endaweni efanayo ngaso sonke isikhathi. |
| Ubuhlungu | Amaqhubu e-PASH avame ukubangela ubuhlungu noma ukungakhululeki. Kodwa-ke, uma iqhubu liba likhulu kakhulu, ungase uzizwe ungakhululekile. |
| Ushintsho losayizi | Ngezinye izikhathi usayizi walezi zigaxa ungashintsha, ngezinye izikhathi ngokushesha. Kodwa lolu shintsho losayizi aluyona ingozi. |
Ungasiqinisekisa kanjani ngokunembile isimo se-PASH?
Uma uneqhubu esifubeni sakho, udokotela wakho uzoncoma ukuhlolwa okuningana ukuqinisekisa ukuthi yi-PASH noma cha.
- I-Mammogram noma i-MRI: Lokhu kuthatha izithombe ezinemininingwane zezicubu zebele ukuze kuhlolwe uhlobo lweqhubu.
- I-Ultrasound Scan: Lokhu kusebenzisa amaza omsindo ukuhlola izicubu zebele. Kungasiza ekunqumeni ukuthi iqhubu liqinile noma ligcwele uketshezi.
- I-Core Biopsy: Lena yindlela yokuxilonga ecacile kakhulu. Kulokhu, kusetshenziswa inaliti encane, engenalutho ukususa ingxenye encane kakhulu yezicubu esiqwini bese siyihlola ngaphansi kwe-microscope. Uhlobo lwamaseli kuleyo ngxenye yezicubu lungasetshenziswa ukunquma ngokuqiniseka okungu-100% ukuthi yi-PASH noma enye into.
- Ukususwa ngokuhlinzwa: Ngezinye izikhathi, uma kunzima ukuqinisekisa nge-biopsy, udokotela angase anqume ukususa lonke iqhubu ngokuhlinzwa ukuze lihlolwe.
Ingabe i-PASH idinga ukwelashwa?
Nazi izindaba ezinhle. Esikhathini esiningi, uma usuthole ukuthi une-PASH, ngeke udinge ukwelashwa. Udokotela wakho uvame ukuthi, "Ake sibheke lokhu." Lokho kusho ukubheka iqhubu ngesikhathi se-mammogram yakho yonyaka.
Kodwa-ke, akuvamile kakhulu, ukuhlinzwa kungadingeka ukuze kususwe iqhubu. Lokhu kungenxa yezizathu ezilandelayo:
1. Uma iqhubu likhulu kakhulu futhi uzizwa ungakhululekile noma ubuhlungu.
2. Uma ungaqiniseki ngokuphelele ukuthi lokhu kuyi-PASH ngisho nangemva kokuhlolwa, susa lokho kungabaza.
Lokhu kuhlinzwa kulula kakhulu. Kuhilela ukususa isimila kanye nenani elincane lezicubu ezizungezile ukuze kuvinjelwe ukuthi singakhuli futhi. Amathuba okuthi isimila se-PASH sibuye ngemva kokuhlinzwa aphansi kakhulu kusukela ku-15% kuya ku-22%.
Umlayezo Wokuya Nawe Ekhaya
- I-PASH iyisilonda esivamile kakhulu, esingenawo umdlavuza (esingenangozi) esivela ebeleni.
- Uma uthola iqhubu esifubeni sakho, ungesabi, kodwa qiniseka ukuthi ubona udokotela ukuze akunike iseluleko. Ungalokothi ulishaye indiva.
- I-PASH cishe ayinakuba nomdlavuza. Ayibhekwa njengesifo sangaphambi komdlavuza.
- Ukuhlolwa okufana ne-'Mammogram', 'Ultrasound', kanye ne-'Core Biopsy' kubalulekile ukuze kutholakale ukuxilongwa okunembile.
- Ngokuvamile, akukho ukwelashwa okudingekayo nge-PASH, futhi kwanele ukumane uyiqaphe udokotela.
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