Iimpawu, Ukuxilongwa, kunye noTyango
Ukuba uye watshelwa ukuba unayo "inypical ductal hyperplasia" ukuthini oku kuthetha ntoni? Ingaba iphakamisa umngcipheko wokuvelisa umdlavuza webele okanye ingaba sele isifo somhlaza webele? Ziziphi na amanyathelo alandelayo, kwaye uphathwa njani?
Sibanzi
I-apipical ductal hyperplasia (ADH) ayikona umdlavuza webele kodwa ithathwa njengesimo esinqabileyo . I-apipical ductal hyperplasia ibonisa ukuba kukho iiseli ezininzi ezithwala umgca kunokuba ziqhele ukuba zikhona, kwaye ezinye zeeseli azibonakalisi okanye "ziqhelekileyo" -nokungafani nesimo.
Ngokuqhelekileyo, i-milk tray idibene nomnye umgca weeseli ezifakwe ngokulinganayo, kodwa kwi-hyperplasia ye-ductal, kukho iindawo ezininzi zeeseli.
Oku kufana ne-lobular hyperplasia , kodwa i- hyperplasia ye-loyrr hyperplasia iquka iiseli ze-epithelial ezidibanisa i-loble zesifuba kunokuba i-milk ducts.
I-apipical ductal hyperplasia ingabizwa nangokuthi i-mammary atypical ductal hyperplasia, i-epithelial hyperplasia ye-epithelial, i-intraductal hyperplasia kunye ne-atypia, okanye umdlavuza webele we-breast.
Ingozi yeCanscer Breast
Ukuba ufumene unyango lwe-hyperplasia e-atypical hyperplasia, umngcipheko wokuba nomhlaza wesibeleko webele webhola unesihlandlo sesine ukuya kweyesihlanu kwimingcipheko yokuphila engozini. Amaseli e-Atypical ayenaqhelekanga kwaye anakho amathuba amakhulu okuphuhlisa umdlavuza webele ongabonakaliyo, njenge- ductal carcinoma in situ (DCIS).
Kungenwa kakhulu ukuva ukuba unemeko ephakamisa umngcipheko wesifo somhlaza webele.
Kunokukunceda ukukhumbula ukuba utshintsho olusesikhatsini sakho lusenguquko olusisigxina, kwaye nangona xa utshintsho luye lwaqhubela phambili kwi-carcinoma, izinga lokusinda kufuneka libe malunga neepesenti ezingama-100. I-Ductal carcinoma in situ (okanye isigaba se-0 somhlaza wesifuba) asisasaza ngaphaya kwezinto ezibizwa ngokuthi "i-membrane yangasese" kwaye ngenxa yesi sizathu asikabijongwa njengomhlaza ongenawo.
Oku kulula ukuthetha kunokubambisana kwaye kubalulekile ukuba ube neengxoxo ezicokisekileyo kunye nogqirha wakho malunga neenzuzo kunye neengxaki zokususa nayiphi na indawo ye hyperplasia ye-atypical yakho.
Iimpawu kunye neeMpawu
I-apipical ductal hyperplasia ngokuvamile ayibangeli nayiphi na impawu eziphawulekayo. Ngokuqhelekileyo kufumaneka xa i-biopsy eyenziwe ukuvavanya isilonda sesifuba okanye indawo yokuxubha ebantwini. Ngokuqhelekileyo, i-hyperplasia ye-acypical inypical ingabangela intlungu yesisu . I-Hyperplasia ingacetyiswa yiziphumo kwi-mammogram okanye i-ultrasound, kodwa isampuli yesisulu iyadingeka (i-biopsy) ithole ukuxilongwa ngokucacileyo.
Iimvavanyo ezisetyenziselwa ukuchonga i-ADH
Iimvavanyo ezingaphakamisa ukuba i-ADH ikhoyo okanye iqinisekise ukuxilongwa zibandakanya:
- I-Mammography - i-ADH ibonakala iphakamileyo njengendlela yokubala e-mammogram .
- I-Ultrasound - I-ultrasound isebenzisa amaza okuvakalayo ukuvavanya ukubonakala kwento okanye ukunyusa kwibele kwaye ingabonakalisa ukubala.
- Ukuhlambuluka kwe-Ductal - Kwi-lactal lavage, iiselusi zebele zihoxiswa nge-ingono ngokusebenzisa inkqubo yokunyuka. Ngaphantsi kwe-microscope, ezinye zeeseli zingabonakala kwi-atypical.
- Isisu se-Breast - Uvavanyo oluchanekileyo lokufumanisa i-hyperplasia ye-dypical hyperplasia yi-breast biopsy. Ngokungafani nokuhlambuluka kwamathambo okuza kufumana iiseli ezinama-atypical, i-biopsy yebele iyavumela ugqirha wakho ukuba acacise indawo yalawo maseli. Isampuli yesisombululo sinokufunyanwa ngeso lengundoqo yenaliti ye-biopsy (inaliti yendawo ye-biopsy ngexesha le-ultrasound) okanye nge- biopsy evulekile .
Ukulandelelana Emva kokuxilongwa
Ekubeni kunzima ukuqikelela ukuba i-hyperplasia ye-atypical hyperplasia iya kuqhubeka ibe yintlungu (engeyiyo umdlavuza) kwaye xa ingaba yingozi (unomdlavuza), unokhetho olulandelayo emva kokuxilongwa. Abantu abaninzi baya kukhetha ukuhlolwa okuthe xaxa kwamammogram kuphela, ukugcina umkhondo waluphi na utshintsho. Uphando olwenziwa ngabagqirha baseKorea ngo-2008 lufumene ukuba ngaphantsi kwesigamu sabo bonke abasetyhini abafumene i-ADH baqulunqa umdlavuza webele. Abafazi abaninzi banokuqhubeka nokuhlakulela umdlavuza wamabele babengaphantsi kweminyaka engama-50 ubudala, bebanomlinganiselo omncinane kwi-mammogram, ubunzima buncinci kune-15 mm (1.5 cm okanye encinci kuneyona intshi ububanzi), kunye nesinqe esingafunyanwa ngothintelo (isalathisi esinomlenze).
Abanye abantu banokukhetha ukuba banokukhetha uhlobo lotyando lwebele xa kususwe izicubu ezisolisayo.
Unyango
Xa usufumaniswe ukuba une-ADH, uya kucelwa ukuba wenze ukhetho malunga nokwenza ntoni ngokulandelayo. Izinketho zakho ngelo xesha ziquka:
Ukulinda ukulinda - Amaxesha amaninzi amayeza aya kubacebisa abafazi ukuba bathathe "ukulinda nokubona" indlela eya kwi-atypical ductal hyperplasia. Isizathu esilandelayo kule ndlela kukuba ubuncinci besahlulo sabasetyhini abane-ADH abayi kuqhubeka nokuhlakulela umdlavuza webele, nokususwa kungabangela ingozi engadingekile.
Unyango oluphandwayo - Kulabo abasengozini enkulu yokuphucula umdlavuza webele, okanye bazive bexhalabele kwaye bekhathazekile ngokufunyanwa kwe-ADH, unyango oluchanekileyo lukhethwa ngokukhethekileyo. Abanye abantu baphikisa ukuba nabo abangenabo i-ADH abasengozini yomhlaza wesisu ngamanye amaxesha banokuhlinzwa ngokuthintela. Nangona utyando lunokuba lukhetho olungcono kulabo abasengozini-umzekelo, abo bangaphantsi kwama-50, abaneemvumi ezinkulu okanye izicubu ezinokuthi zivezwe ekuhlolweni, okanye ngezinye izinto ezinobungozi-kubonakala ngokukhethekileyo nakwabo abangenayo ezi mngcipheko.
Izinketho zokuphanda ziquka:
- I-Ultrasound-Ekhokelwayo, i-Vacuum-Assisted Excision-Ukuncediswa kwe-Vacuum-help is a non-invasive method of removing the venicical area of tissue. Oku akuyona inketho kuwo wonke umntu.
- I-Lumpectomy - I-Lumpectomy iquka ukususa izicubu eziqulethe indawo yeeseli ezingavumelekanga kunye nomda wezilwanyana ezizungezile ukukunceda ukukhusela ukuphindaphinda.
- I-Mastectomy - Abanye besetyhini banemihlaba ye-hyperplasia ye-acypical hyperplasia esasasazekayo kwi-breast (okanye zombini amabele.) Xa kwenzeka le ntokazi inokukhetha ukuba i-mastectomy isuse zonke izicubu zesifuba ezingavamile.
Prognosis
Malunga neyodwa kwabafazi abangama-25 baya kufunyaniswa ukuba bane-hyperplasia ye-atypical-mhlawumbi ebusini babo obisi. Phantse omnye kwabahlanu kulaba bafazi baya kuhlakulela umdlavuza webele wesifo engaphantsi kweminyaka engama-15 emva kokuxilongwa.
Okukwintsusa
Isigqibo sokuba ubukele kwaye ulinde ngamammograms okanye ukuba indawo yakho yebele ne-atypical ductal hyperplasia isuswe kakhulu.
Ingaba unqumle "ukubukela nokubona" okanye unomdla wokubakho kwengxube yakho, isifo somhlaza wesifuba sihlala siqheleke kakhulu kubafazi. Abaphandi baye bathi amaxesha anzima anjengezi-ukufumana ukuba une-hyperplasia ye-ductal hyperplasia-yithuba elihle lokunciphisa ingozi yakho kwimpilo ebuthathaka ngokubanzi. Ukuba ufumene ukuba u-ADH, le nto ingaba yinto elungileyo yokuphucula impilo yakho jikelele kunye nokutya kwe-antiticancer , ukuzivocavoca rhoqo, amanqanaba angaphantsi, kunye novavanyo oluqhelekileyo lwebrain kunye nokuhlolwa.
Imithombo:
Kuerer, H. Ductal Carcinoma kwi-Situ: I-Treatment okanye i-Active Surveillance. Ukuphononongwa kweNgcali kwi-Antiticancer Therapy . 2015. 15 (7): 777-85.
IMastropasqua, M., kunye noG. Viale. Uvavanyo lweKlinikhi kunye nePathological of Ductal and Lobular Breast lesions: Ziziphi iingcali ezifanele ziyazi. I-European Journal ye-Oncology yokugulisa. 2016 Aug. (Epub ngaphambi kokuprintwa).