Ukuba unesibeleko sesifuba kwaye watshelwa ukuba une-lopery hyperplasia, unokukhathazeka. Ithetha ntoni le nto? Ingaba ngumhlaza wesibeleko? Makhe sibone ukuba yintoni le nto ichazwayo, yintoni na ukhetho olukhoyo olulandelayo, kunye noko ungalindela kwikamva.
Sibanzi
I-atypical lobular hyperplasia (ALH) ayikho umdlavuza wesifuba , kodwa ithathwa njengesimo esinqabileyo.
Ugqirha wakho unokubhekisela kule meko ngokuthi "isifo sebele sesantya." I-apipical lobular hyperplasia ivela kwiiseli ze - epithelial ezifaka i-lobes yobisi, zenze iiseli ezingaphezulu kunokuba zivame ukukhula apho. Ezinye zala maseli zingenangqiqo kunye nobukhulu, ngoko zibizwa ngokuba yi-atypical. Ngokuqhelekileyo, i-lobe idibene nomnye umgca weeseli ezifakwe ngokufanayo, kodwa kwi-lobular hyperplasia kukho iindawo ezininzi zeeseli. Oku kufana ne-hyperplasia ye-ductal hyperplasia .
Ukuxilongwa kwe-loyrr hyperplasia ye-atypical kuthetha ukuba umngcipheko wakho wobomi wokuphucula umdlavuza webele u-4 ukuya kuma-5 amaxesha emngciphekweni. Amaseli e-lobular atypical aqhelekanga kwaye anakho ukuphuhlisa i-lobular carcinoma in situ (LCIS), uhlobo lomhlaza wesifuba olungenasvasive. Uya kufuneka uhlale uqaphele ngempilo yakho yebele , kwaye mhlawumbi unokuba ne- MRI yebele kunye ne- yearmming screening mammogram .
Abafazi phakathi kweminyaka engama-45 ukuya ku-55 kunye ne-hyperplasia ye-atypical banomngcipheko ophezulu kakhulu wokuba nomdlavuza webele.
I-ALH yaziwa nangokuthi i-lobular hyperplasia kunye ne-atypia, i-mammary i-opial lobular hyperplasia, i-epithelial hyperplasia ye-epylial okanye isifo sesifuba esandayo.
Izimpawu kunye neMpawu
I-apipical lobular hyperplasia ayibangeli nayiphi na impawu eziphawulekayo.
Ngokuqhelekileyo kufumaneka kwi-screenmaking ye-mammogram. Kwiimeko ezimbalwa, i-loyperal lobular hyperplasia ingabangela intlungu yesisu . Xa i-hyperplasia ibonisa kwi-mammogram okanye i-ultrasound, isampuli yamathambo ingathathwa ukuze ifumane i-diagnosis.
Ukuxilongwa
Akunakuyidinga yonke le mvavanyo yokuxilonga, kodwa enye i-imaging kunye neesampuli zeesiski kuya kufuneka ukuba ufumane i-diagnostic ecacileyo.
- I-Mammogram - ALH ibonakala njengeqela lezinto ezincinci kwi-mammogram
- I-Ultrasound - I-breast ultrasound isebenzisa amaza aphilileyo ukutyhila amaqela e-microcalcifications
- Isitoreli esikhulu
- I-stereotactic Biopsy
Kunzima ukuqikelela ukuba yiziphi iimeko ze-lobular hyperplasia eziza kuhlala zihlaselayo kwaye zingaba zibi, kwaye oogqirha abavumelani nento okhethwa ngayo emva kokuxilongwa. Abantu abaninzi banesidingo esongezelelweyo sokujonga i-mammogram kunye / okanye i-MRIs yebele.
Abanye abantu banokukhetha i-biopsy ekhethiweyo ukususa izicubu ezinokukrokra. Ukuba unomdla weentsapho zomhlaza okanye i-ovarian umdlavuza, okanye ukuba unayo i-BRCA ishintsho yentsholongwane, uzakufuneka ulungelelanise nezigqibo zakho zonyango. Ngomlando weentsapho zomdlavuza webele kunye / okanye utshintsho lomzimba, ngokuqhelekileyo kulungele ukubonisana nomcebisi wezofuzo. Ukuhlolwa kwe-Gene kusekusebuntwaneni, kwaye kusekho okude kusele ukufunda malunga nokuveliswa kweemfuyo zomhlaza kwisisu.
Umcebisi olungileyo unokukunceda ngokugqithiseleyo ngembali yakho yentsapho yomhlaza wesifo somhlaza (umzekelo, imbali yomdlavuza we-pancreatic iphakamisa ithuba lokuba unogqithiso lwezityalo ze-BRCA2) kwaye unokukunceda ukukukhokelela nasiphi na izigqibo ozenzayo.
Unyango
Abasetyhini abane-ALH kufuneka bacebise ukuba bayeke ukuthatha i-contraceptive ngomlomo, bagweme unyango lwama-hormone. Zomibini iipilisi yokulawula ukuzalwa kunye ne-hormone ye-substitution yonyango kunokunyusa umngcipheko wokuvelisa umdlavuza webele.
Ukwenza indlela efanelekileyo yokuphila kunye neenguqu zokutya ezinokunciphisa ingozi yomhlaza wesisu (umzekelo, ukutya ukutya okunotye kwizityalo kunye nemifuno, intlanzi, kunye neoli yeoli kunye nokuzibandakanya rhoqo rhoqo iintsuku ezingama-5 ngeveki kubalulekile.
Bafanele bakhuthazwe ukuba babone ingcali eya kubala umngcipheko wokuba nomhlaza wesibeleko ongenayo usebenzisa umzekelo weGail. Izibonelelo kunye neengozi kufuneka zixoxwe ngokufanelekileyo kwaye, ukukhusela okuphambili usebenzisa i-tamoxifen okanye i-raloxifene, kunokucetyiswa kubafazi abathile.
Ukuba i-ALH ifunyenwe yintsholongwane yenaliti ye-biopsy kufuneka kwenziwe ukucoca ukucoca ukunyanzelwa kokuxilongwa.
Ukujamelana
Malunga neyodwa kwabafazi abangama-25 baya kufunyaniswa nge-hyperplasia ye-atypical, mhlawumbi kwi-milk ducts okanye kwi-lobes. Phantse iipesenti ezingama-20 zala mabhinqa zingakhula i-lobular carcinoma in situ okanye i- lobular carcinoma engapheliyo kwiminyaka engama-15 emva kokuxilongwa.
ILizwi
Ukuba ufumene ukuba unesifo se-lobular hyperplasia, yenza oko unokukwenza ukuze unciphise umngcipheko wokuba nomhlaza wesibele. Jonga isondlo sokutya kunye nokuphuhlisa isicwangciso sokutya esinempilo. Jonga ubunzima bakho, gcina utywala usebenzise ubuncinane kwaye ungabhema. Hlola rhoqo. Thatha ixesha lokuba ufundiswe ngengozi. Ngokomzekelo, abaninzi abafazi abazi ukuba ukusebenzisa iipilisi yokulawula ukuzalwa kuphakamisa ingozi yomhlaza webate. Ukunyuka akukona okuphakamileyo, kodwa kumntu osele mngcipheko ophezulu, kubaluleke kakhulu.
Thatha ixesha lokufunda malunga neengxabano kunye neminmograms kunye ne-overnagnosis. Asinaso ukuhlolwa kokuhlolwa kwesifo somhlaza wesibeleko ngeli xesha. Amammograms angakwazi ukuphelisa iidrakthi, kwaye zibangele ama-alamu amanga. I-MRIs yesisu iya kuba yinyameko yokunyamekela kulabo abasengozini yokwanda kwesi sifo ngenxa yokubona okungcono.
> Imithombo:
> I-American Cancer Society. Hyperplasia ye Breast (Ductal okanye Lobular). Ukuhlaziywa 09/20/17. https://www.cancer.org/cancer/breast-cancer/non-cancerous-breast-conditions/hyperplasia-factory-or-lobular.html
> Racz, J., kunye noA. Xa i-Atypical Ductal Hyperplasia ifuna ukuCandwa? . Iiklinikhi ze-Oncology zase-North America . 2018. 27 (1): 23-32.