Izibonakaliso, unyango, kunye neNgqungquthela yeCreater Ductal Cancer
Ukungena kwi-ductal carcinoma (IDC), eyaziwa nangokuthi ukungena ngaphakathi kwe-carcinoma okanye umdlavuza wesifuba esingenayo , luhlobo oluqhelekileyo lomhlaza wesibele . Iqala ukuphuhlisa kwiindawo ezinobisi zesifuba sakho, kodwa iphuma kwiibhubhu zomzila, kwaye ihlaselwa okanye ifake izicubu ezizungezile.
Ngokungafani ne- ductal carcinoma in situ (DCIS) , engumdlavuza ongenawo umonakalo, i-IDC ayinayo umdlavuza.
I-IDC inakho ukuhlasela i-lymph kunye neenkqubo zegazi, ukusasaza iiseli zomhlaza kwizinye iindawo zomzimba wakho. Ukuba i-IDC isasazeka ngaphaya kwesiza sayo sokuqala, sitshilo siye saqulunqwa .
Kubalulekile ukubonisa ukuba ixesha elimangalisa lithetha ukuba lo mhlaza usasazeke ngaphaya kwemida, kodwa akunjalo ukuba uyothuswa njengoko kuzwakala. Ixesha elichaphazelayo alithethi ukuba umhlaza usasazeke ngaphaya kwamabele, okanye nokuba uye wangena kwi-lymph duct okanye imithwalo yegazi. Nangona i-stage 0 isifo somhlaza webele (i-carcinoma in situ) ayiyiyo ingenelo, zonke iintsholongwane zesisu ukusuka kwisigaba 1 ukuya kwisigaba 4 zibhekwa "zingenayo."
Ukukhula
IDC yiyo ukuxilongwa komhlaza wesibeleko sebele kunye ne-akhawunti malunga ne-8 kwabangama-10 kuwo onke amanqam Olu hlobo lomhlaza webele lubonakala nanini na ubudala, kodwa abantu abaninzi baneminyaka engaphezu kwama-55 ngexesha lokuxilongwa. I-IDC yinto eqhelekileyo yesifo somdlavuza kumabhinqa kumadoda , kubalwa malunga neepesenti ezingama-80 zesifo somhlaza wesilisa.
Izimpawu kunye neMpawu
I-ductal carcinoma i-invasive ingabonisa ngeendlela ezahlukeneyo. kunokuvakalelwa njengento ekhuni, enobunzima, engafani ngokungaqhelekanga phantsi kwe- orola okanye kwindawo ephakathi kwebhokhwe lakho. Isalathisi se-IDC siya kuziva ngathi sinamathele kwiisifuba zesifuba ngapha kwayo, ngoko kuya kubonakala ngathi iyahamba.
Kodwa iya kuhamba kunye nezicubu ezifake ngaphakathi.
I-IDC inokubangela ukukhenkxa kweengono (ingono okanye i-areola ingena). Xa wenza isifuba sakho sokuzihlola rhoqo, ukuba isipuni sakho asiyi kuhlala simile kwi-areola yakho, yinto efanelekileyo ukuhamba ubone ugqirha wakho ekuhlolweni kwebele. Ukutshitshiswa kwesikhumba, kunye nezinye iimpawu zebele zingabakho. Ininzi yexesha intlungu yebele ibangelwa sisifo sebele, kodwa, ngokungafaniyo nawaphi a mabhinqa (kunye namadoda) avayo, iintlungu ngezinye izihlandlo ziba ngumqondiso wesifo somhlaza wesisu
Ukuxilongwa
Ukuba ufumana isifuba sesifuba ngexesha lokuhlolwa kwakho kwebele okanye ukuhlolwa kweklinikhi , kukulungele ukuba uyihlolisise kakuhle. Khumbula ukuba i-80 percebt yazo zonke izibilini zesifuba ayinomdlavuza. Kodwa ukuba umhlaza wesifuba ubanjwe kusasa, amathuba akho okusinda ayenzi kakuhle. Ezinye iimvavanyo ezisetyenziselwa ukufumanisa ukucaca ngokucacileyo kwe-ductal carcinoma:
- Mammogram
- I-ultrasound yesisombululo esiphezulu
- Breast MRI
- Isifuba se-Breast (mhlawumbi i-aspirate aspiration, intloko ye-biopsy, okanye i-biopsy evulekile)
Kwi-mammogram, i- microcalcifications ingabonakala kufuphi nobunzima be-IDC, okanye ubunzima bubonakala ngokuthe ngqo. Ngokwahlukileyo kwiimeko ezininzi zebele, isifo somhlaza wesifuba sinokubonakala kwintsimbi, oku kuthetha ukuba kunokuba ujikeleze, ubukhulu buninzi buphuma ngaphaya kobunzima obukhulu.
(Igama eliqhelekileyo ngumdlavuza ngokwenene livela kwigama le-crab ngenxa yokubukeka.)
I-Ultrasound inceda ekuhlukaniseni i-cyst kwi-mass mass. I-Breast MRI ingaba luncedo kakhulu, ngakumbi kubafazi abancinci abanobunzima beengxube ezincinci ezinciphisa ukuchaneka kwe-mammography.
Ngaphandle kweemvavanyo zokujonga iilmogram, i-ultrasounds, kunye ne-MRI, kukho iimeko ezininzi zesifuba esilumkileyo esifana nomdlavuza webele . I-biopsy kubalulekile kokubili ukuqinisekisa ukuba umhlaza wesifuba awufihliwe, kodwa kwakhona ukuqinisekisa ukuba oko kubonakala ukuba ngumhlaza wesifuba, akunjalo, kwimeko yesifuba esingenakubungozi.
Amanqanaba
I-ductal carcinoma inomdla iyakwazi ukufunyaniswa ukusuka kwisigaba 1 ukuya ku-4.
Xa umhlaza wesifuba unomdla ubanjwa kwaye unyangwa kwinqanaba lokuqala, akunakwenzeka ukuba uphinde uqhubeke. Unyango lwe-IDC luya kufakwa kwisiteji kunye nezinye iimpawu ezibalulekileyo zesisu sakho esixoxwa ngezantsi.
Prognosis
Oogqirha basebenzisa isigama sokuxela ukuba bathethe ngekamva lakho lokuphila. Ukuxhamla kwakho kuya kuxhomekeka kwiinkcukacha ezininzi malunga ne-tumor yakho, kwaye ezo nkcukacha ziyakunceda ukugqiba ukuba zeziphi unyango oluza kusebenza kakhulu kuwe. Iinkcukacha malunga neengxelo zakho zempilo ziya kubandakanya:
- Ubungakanani bomzimba
- Iingcambu zokugada
- Ibakala elimnyama
- I-hormone receptor
- Amazinga eHER2
- Isimo se-lymph node
Unyango
Injongo yokunyanga nasiphi na isifo somhlaza ngumbeleko ukukrazula iiseli zomhlaza kunye nokuthintela ukuphindaphinda. Unyango luquka:
- I-Lumpectomy (ukuhlinzwa ukuba isuse i-tumor kunye nezinye izicubu ezijikelezayo)
- I-Mastectomy (utyando lokususa zonke iisifuba zesifuba)
- I-nodeinel node biopsy kunye / okanye i-node axillary dissection
- Chemotherapy
- I midiyo
- Iipilisi ezijoliswe kumhlaza webele weHER2
- I-hormone yokwelapha njenge- tamoxifen okanye i- aromatase inhibitor
Ngokuxhomekeke kwinqanaba lomhlaza wakho kunye nezinye izinto, iimvavanyo ezingaphezulu zenziwa ukuba uqinisekise ukuba umhlaza awusasazekanga kwezinye iindawo zomzimba wakho. Uvavanyo lwe-PET luvavanyo apho ushukela omshubileyo ujojelwa khona emveni, kwaye uvavanyo lweemifanekiso olubalabalaleyo lwenziwe ukujonga indawo ezisemzimbeni wakho ezibonakala zisebenzayo, njengoko kulindeleke ukuba unomdlavuza. Ukuba i-ductal carcinoma isasazeka kwezinye iindawo ezifana nemiphunga yakho, amathambo akho, isibindi sakho, okanye ingqondo yakho ibonwa ngumdlavuza webele we-metastatic.
Ukulandelelana Emva kokuPhathwa kweSiseko
Emva kokuba uzalise unyango olusisiseko somhlaza wesifuba, uya kukhangela i-oncologist yakho iminyaka emininzi, ukuhlola. Ukufikelela kwiminyaka eyi-10, unokufuna ukuthatha unyango lwe-hormone ukuba i-tumor yakho yayingu-estrogen okanye i-progesterone. Uza kuqhubeka nokuba nemimmogram kwiyiphi na isifuba esisifuba esinawo, kunye nokuxinwa kwethambo xa ucinga ukuba unomopaopausal ukuqinisekisa ukuba awuyi kuba ne-osteoporosis.
Inkxaso kunye nokuKhekana
Ukuba ufumene uvavanyo lwe-IDC, fi kelela kwintsapho kunye nabahlobo bakho. I-Cancer ayiyona i-sprint, iyimarathon, kwaye inokukunceda kakhulu ukuba nabahlobo bakho bancedise iimfuno zakho kunokuba omnye okanye ezimbini. Kukho amanqanaba amaninzi eengxaki zesifo sokuxilongwa komhlaza , kwaye ngamanye amaxesha onke ayenzeka ngosuku. Thatha ixesha lokuzibamba. Vumela izinto ongazinzanga ukuzilawula.
Siye safunda ukuba umdlavuza webele udala imingeni emininzi, kwaye iyindlela ende, kodwa ngokuqhelekileyo kukho iinqununu zesilivere endleleni. Enyanisweni, izifundo ngoku zisixelela ukuba kunye noxinzelelo lwengqondo emva kokusasazeka, abaninzi abanomdlavuza wesibeleko bafumana "ukukhula kwangemva". Ngamanye amazwi, ukuba nomhlaza kunokwenza ube ngumntu ongcono .
Imithombo
American Cancer Society. Yintoni i-Cancer Breast?