Siyazi ukuthi ungezwa uvalo nokukhathazeka kangakanani uma uthola iqhubu ebeleni lakho. Igama elithi “umdlavuza” lingasenza sizizwe sikhathazekile kakhulu. Kodwa into ebaluleke kakhulu okudingeka uyazi ukuthi akuzona zonke izinhlobo zomdlavuza webele ezifanayo. Kunezinhlobo ezithile zomdlavuza ezingenamandla kangako kunezinye futhi ezisabela kangcono kakhulu ekwelashweni. Namuhla sikhuluma ngohlobo lomdlavuza webele olungavamile kakhulu, kodwa olunezinga eliphezulu lokuphulukiswa.
Iyini i-Mucinous Breast Cancer?
Kalula nje, i-mucinous carcinoma uhlobo olungavamile kakhulu lomdlavuza webele. Ibanga ngaphansi kuka-2% wabo bonke umdlavuza webele. Futhi uhlobo lomdlavuza oluqala emigudwini yobisi lwebele bese lusakazekela ezicutshini ezizungezile. Ukuze kube sobala, luwela esigabeni `(Invasive Ductal Cancer)`.
Kodwa into ekhethekile ngalokhu ukuthi kukhona into ebizwa ngokuthi 'i-mucin' ezungeze la maseli omdlavuza . Cabanga ngayo njengento ejiyile, enamathelayo njenge-mucus ekhaleni nasemathunjini ethu. Yilokhu le mucin eyikho. Kulomdlavuza, amangqamuzana omdlavuza antanta ngaphakathi kwale nto efana nejeli ebizwa ngokuthi i-mucin. Lokhu ngezinye izikhathi kubizwa ngokuthi i-colloid carcinoma.
Ngenxa yalesi simbozo esifana ne-mucus esibizwa ngokuthi i-mucin, amangqamuzana omdlavuza awakwazi ukuhamba ngokushesha, okusho ukuthi awakwazi ukuhlasela izicubu ezizungezile, kunezinye izinhlobo zomdlavuza. Lesi yisona sizathu esiyinhloko esenza lo mdlavuza ungabi nolaka futhi usabela kahle ekwelashweni.
Ngezinye izikhathi isimila siqukethe la maseli omdlavuza we-mucinous kuphela. Sisibiza ngokuthi 'i-pure mucinous carcinoma'. Ngezinye izikhathi la maseli e-mucinous angabonakala exutshwe nezinye izinhlobo zomdlavuza webele. Kodwa-ke, uhlobo 'oluhlanzekile' lunezinga eliphezulu kakhulu lokwelapha.
Ubani osengozini enkulu yokuthola lo mdlavuza?
Lolu hlobo lomdlavuza luthinta kakhulu abesifazane. Akuvamile kakhulu ukuthi indoda ibe nalo.
Nakuba lesi simo singase senzeke kunoma yimuphi ubudala, sivame ukubonakala ngemva kokunqamuka kokuya esikhathini , okungukuthi, phakathi kwabesifazane abaneminyaka ephakathi kuka-60 no-70.
Ziyini izimpawu ze-mucinous carcinoma?
Njengezinhlobo eziningi zomdlavuza webele, lo ungase ungakhombisi zimpawu ezigabeni zokuqala. Kodwa ngokuhamba kwesikhathi, uphawu oluyinhloko ongalubona yiqhubu ebeleni .
Ungase uzizwe lesi sigaxa ngesikhathi uzihlola mathupha amabele. Noma singatholakala ngesikhathi sokuhlolwa udokotela. Ngokuvamile, lesi sigaxa singaba ngu-3 cm ubukhulu. Kodwa-ke, abanye abantu bangase babe nezigaxa ezincane noma ezinkulu.
Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)
Uma uya kudokotela onesimila esibeleni sakho, uzokwenza izivivinyo eziningana ukuze anqume ukuthi yi-mucinous carcinoma noma olunye uhlobo.
| Ukuhlolwa | Kalula nje, kuhilelani lokho? |
|---|---|
| Ukuhlolwa Komzimba | Udokotela uzohlola amabele akho womabili ngesandla ukuze ahlole uhlobo lweqhubu, ubukhulu balo, nokuthi liyanyakaza noma cha. |
| I-Mammogram | Lokhu kuyi-X-ray yebele. I-mucinous carcinoma ivame ukuba nomphetho ocacile futhi ibonakala njengeqhubu eliphuma ezicutshini ezizungezile. Ayibonakalisi kakhulu i-calcium deposits (calcifications). |
| Ukuskena kwe-Ultrasound | Lokhu kuhlolwa kusiza ukuthola izithombe ezicacile zeqhubu, kungakhathaliseki ukuthi liqinile noma ligcwele uketshezi, kanye nohlobo lwalo. |
| Iskeni se-MRI | Kwezinye izimo, kunganconywa ukuthi kwenziwe i-MRI scan ukuze kutholakale isithombe esicacile sokusabalala komdlavuza nezinye izindawo zebele. |
| Ukuhlolwa kwebhayoloji | Lena yindlela eqondile yokuxilonga lesi sifo. Inaliti encane noma ukusikwa kusetshenziswa ukususa ingcezu yezicubu eqhubu bese kuyihlola ngaphansi kwe-microscope. Lokhu kuhlolwa kuhlola ukuba khona kwento ebizwa ngokuthi i-mucin eqhubu. |
Yiziphi izindlela zokwelapha lokhu?
Udokotela wakho uzonquma uhlelo lokwelapha i-mucinous carcinoma. Lokhu kuncike ngobukhulu bomdlavuza, uhlobo lwesimila, isimo saso se-hormone receptor, nokuthi umdlavuza ususakazekele yini kuma-lymph node.
Izindlela zokwelapha eziyinhloko zingahlukaniswa kanje:
| Ukwelashwa | Incazelo |
|---|---|
| Ukususwa kwe-Lumpectomy | Lokhu kuhilela ukususa kuphela isigaxa esinomdlavuza kanye nenani elincane lezicubu ezinempilo ezizungezile. Ibele lonke alisuswa. |
| Ukuhlinzwa kwesisu | Lokhu kuhilela ukususa lonke ibele. Lokhu kuhlinzwa kuyanconywa uma iqhubu likhulu noma uma kunezindawo eziningi ebeleni. |
| Ukwelashwa ngamakhemikhali | Ukunikeza umzimba imithi ebulala amangqamuzana omdlavuza. Uma umdlavuza we-mucinous ungasakazekelanga kuma-lymph node noma uzwela kuma-hormone, i-chemotherapy ingase ingadingeki. Lokhu kuzonqunywa udokotela wakho. |
| Ukwelashwa Ngemisebe | Ngemva kokuhlinzwa kwe-lumpectomy, imisebe enamandla aphezulu isetshenziswa ukubhubhisa noma yimaphi amangqamuzana omdlavuza asele. |
| Ukwelashwa ngama-hormone | Iningi lomdlavuza we-mucinous lizwela kuma-hormone i-estrogen noma i-progesterone. Lokhu kwelashwa kuhilela ukunikeza imithi (njenge-tamoxifen) evimba ukusebenza kwala ma-hormone. Lokhu kuyindlela yokwelapha ephumelela kakhulu. |
Okubaluleke kakhulu, i-mucinous carcinoma inesimo esihle kakhulu. Uma kuqhathaniswa neminye imidlavuza yebele enamandla, izinga lokusinda kweziguli ezitholakale zinalolu hlobo liphezulu kakhulu. Ngakho-ke, ngohlelo lokwelashwa olufanele, amathuba okululama ngokuphelele aphezulu kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Umdlavuza Webele Owohlokayo uhlobo lomdlavuza webele olungavamile kakhulu futhi olungenalo ulaka .
- Ngenxa yokuthi amangqamuzana omdlavuza azungezwe into efana ne-mucus (i-mucin), izinga lokusabalala komdlavuza lihamba kancane. Lokhu kwenza izinga lokuphulukiswa libe phezulu kakhulu.
- Uphawu oluyinhloko yiqhubu elisebeleni. Uma uzizwa into efana naleyo, ungesabi futhi ubone udokotela ngokushesha.
- Ukuxilongwa kuqinisekiswa nge-biopsy.
- Ukuhlinzwa, ukwelashwa ngemisebe, kanye nokwelashwa ngamahomoni konke kuyindlela yokwelapha ephumelela kakhulu. Udokotela wakho uzonquma uhlelo lokwelashwa olufanele wena.
- Kubaluleke kakhulu ukuzihlola amabele njalo ngenyanga futhi wenze ama-mammogram afanele ubudala.
Umdlavuza webele, Umdlavuza Webele Owomile, I-Colloid Carcinoma, Amaqhubu Ebele, Impilo Yabesifazane, Ukwelashwa Komdlavuza, Umdlavuza Webele Sinhala
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