Umhlaza wesifuba esibangelwa ngumhlaza ngumhlaza ongabonakaliyo kwaye unomdla ongabangela ukuba isifuba sibonakale sibomvu kwaye siguqule, sinika ukubonakala kwesibindi. EUnited States, ukuxilongwa kwe-akhawunti ye-IBC kwimizuzu enye ukuya kweyesihlanu kuzo zonke iimeko zomhlaza wesisu. Ukuthelekiswa nezinye iifom zebele zombele , umdlavuza webele ovuthayo uvame ukubetha abasebatyhini abasebancinci, kwaye kuqhelekileyo kubafazi abamnyama kunabesifazana abamhlophe.
Amadoda atholakala ukuba ne-IBC aphezulu kumyinge kunezigulane zezilwanyana. I-IBC ihlala iphosakele ngezinye iimeko.
Iimpawu
Uninzi lweempawu zesifo somhlaza wesifuba esisinyongayo singalingisa ezinye iimeko. Ukongezelela, la ma-cancer ayengabonakali kwi-mammogram ukwenzela ukuba kubekho uluhlu olubalulekileyo lokusola. Njengoko i-IBC ikhula, ikhusela izitya ze-lymph kunye nemithambo yegazi kwibele, okokuba kubakho ezininzi kwiimpawu. Iimpawu neempawu zingabandakanya.
- Ubomvu kunye / okanye ukugqithisa kwesikhumba (okokuqala kunokuthi ufanise i-eczema okanye intsholongwane yesikhumba). Kukho indawo enokuba ngombala wesikhumba, obomvu, obomvu, okanye obumnyama nge-blue tinge. Oku kubomvu kudla ngokubanzi, kubandakanya isithathu sesifuba okanye ngaphezulu.
- Ukwandiswa ngokukhawuleza kwisayizi sebele (ubuninzi bekotyi kwiintsuku ezimbalwa).
- Isikhumba sibonakala njenge-orange peel (ebizwa ngokuba yi-peau d'orange).
- Usoloko ucaza isikhumba sebele.
- Ubunzima besisu, apho isifuba esinye sinomuzwa "sinzima" kunesinye.
- Ukuqina kokuqina kwesifuba esisodwa.
- Ukufudumala kwesifuba esisodwa.
- Ubushushu bufudumele, bunzima okanye buqine ngakumbi kunexesha eliqhelekileyo.
- Iintlungu zesisu ezingahambelani nemijikelezo yesini.
- Ukutshintshwa kwe-Nipple okanye ezinye iinguqu zeengono.
- I- lymph nodes iguqa phantsi kwengalo okanye ngaphezulu kwe-collarbone.
Izizathu kunye neengozi
Asiqinisekanga oko kubangele i-IBC, kodwa ezinye izinto ezibangelwa umngcipheko ziye zachongwa.
Xa kuthelekiswa namanye amachiza ebele, kuqhelekileyo kubasetyhini abaselula kunabesetyhini abadala. Kuqheleke ngakumbi kubasetyhini abagqithisileyo okanye abagqithiseleyo (kodwa banokuvela kubantu abanobunzima obuqhelekileyo ngokunjalo.
Ukuxilongwa
Ugqirha wakho uya kwenza uvavanyo lwebele lwengonyama , kubandakanywa isheke sokubheka sakho esifubeni sibheke utshintsho kumbala wesikhumba onokubangelwa ngumhlaza wesithintelo esithintela i-lymph node kunye neenqanawa kwesikhumba sakho sebele. Ukuba isifuba sakho sithukuthele, sinokubangela ukuba i-buildup yamanzi, imeko ebizwa ngokuthi i-edema. Ugqirha wakho uya kuphinda ahlole i-lymph nodes kwiintonga zakho. Ukuba isikhumba sakho sesifuba siphelile, sivunyiweyo, si-bumpy, okanye sifana ne-orange peel, esiya kuqatshelwa kwakhona. Ezi zimpawu zingaphuthuma ngokukhawuleza, ngamanye amaxesha zibonakala ngathi ubusuku kunye nezinye izihlandlo zithatha iiveki okanye iinyanga ezimbalwa.
UkuCatshulwa
Emva kokuba uthathe imbali ngokucophelela kwaye wenze uvavanyo lomzimba, ugqirha wakho uya kudala ufunde izifundo zokucinga okanye ukwenza i-biopsy ukuqonda ngakumbi iimpawu zakho. Ezi zifundo azikwazi ukukunceda kuphela ukuxilonga umdlavuza webele, kodwa unokukunceda ukulawula izimo ezibonakala zifana, ezifana nesifo se-mastitis (usulelo lwebele). Uvavanyo olunokwenziwa luquka:
- I-Mammogram: Njengoko kuphawuliwe, i-mammogram ingaba ne-IBC, kodwa inokubonisa ubungqina besikhumba, ukuxhamla okanye ukunyuka kwesisu.
- I-ultrasound: I-Ultrasound ayikwazi ukuba luncedo kunye ne-IBC ukuba ubunzima obudibeneyo abukhoyo, kodwa lunokuba luncedo ekuhloleni i-lymph nodes (i-armpit nodes).
- I-CT: I-CT ingaba luncedo ekuqaliseni ukuba umhlaza usasazeke kwiindawo ezikude.
- I-MRI: I-MRI inokunika ulwazi olufanelekileyo kwiimfucu ezithambileyo, kwaye iyakwazi ukubona i-IBC engabonakali kwi-mammogram.
- Ukukhangela kwe-Bone: Ukufunwa kwethambo kudlalwa ukujonga ukusasazeka komhlaza kumathambo.
- Ukukhangela kwe-PET: Ukuhlolwa kwe-PET kukuvavanya ukuvavanya indawo yokukhula komhlaza emzimbeni. Ngokuqhelekileyo zenziwa ngokubanzi kwisiteji kunokuba zixilongwe, kwaye zinokuba luncedo ekufumaneni i-metastases ezinokwenzeka kwiimpawu zeclimph kunye namanye amalungu omzimba.
Biopsy
Ukuba ubunzima bubonisiwe, i-biopsy yamabele ingenziwa. Ukuba ubunzima abukho, i-biopsy yolusu yendawo engavumelekanga yesikhumba ingabonisa umhlaza. Amanqamu amaninzi okuvuvukala amathumbu e-ductal carcinomas
Iingqinisiso zokuxilongwa
I-IBC inokuba nzima ukuba ihlolwe, ngoko ke oogqirha baye bafumana imilinganiselo encinci yokwenza i-diagnostic. Ezi ziquka:
- Iimpawu ezifana nokubomvu, ukufudumala, kunye / okanye ukuvuvukala kwebele, kunye nokubonakala kwe-orange-peel ebonakalayo ngokukhawuleza. Ubunzima bungenakho okanye abukho.
- Ubude beempawu ezingaphantsi kweenyanga ezi-6.
- Iimpawu ezibandakanya isithathu okanye ngaphezulu kwebele.
- I-biopsy ebonisa umdlavuza otshabalalayo.
Ukukhula
Umhlaza wesifuba ovuthayo uvame ukukhula kwizidleki okanye amashidi, kungekhona kwiziqhumane. I-IBC isasazeka emzimbeni ngokuyinhloko nge-lymph system. Ekuqaleni, ezi zicubu zinokubonakala ngathi zikhula ngokukhawuleza, eziphantsi kwee-tumors, kodwa xa isikhumba esikhwameni siphelile, sinokukwazi ukumelana ngokukhawuleza.
Amanqanaba
Ngokungafani nezigaba zomhlaza zesifuba abantu abaninzi bayaziqhelanisa (izigaba 1 ukuya ku-4), i-IBC ikwabekwa njengesigaba sesi-3 okanye isigaba 4.
- Isigaba sesi-3: I-Cancer 3 yesigaba sikhulu kunama-5 cm ububanzi kwaye isasazeka ubuncinane kwi-lymph node enye, kodwa ayizange isasaze kwezinye iindawo zomzimba.
- Isigaba sesi-4: I-Cancer 4 yesigaba sifana nesigaba 3B, kodwa umhlaza usasazeke kwiindawo ezikude zomzimba.
Unyango
Umdlavuza wesifuba unobundlobongela, kwaye uvame ukuphathwa kakubi kunye neendlela zokunciphisa umngcipheko wokuphindaphinda (kwisigaba 3).
Neoadjuvant Chemotherapy
I-neoadjuvant chemotherapy ibhekisela kwi-chemotherapy eyenziwa ngaphambi kokuhlinzwa. Udibaniso lwamachiza ludla lwenziwa ngokujikelezwa kweenyanga ezi-4 ukuya kwezi-6.
Ukuhlinzwa
Utyando oluqhelekileyo luyi-mastectomy eguquguqukayo, efana ne-mastectomy yezinye iintlobo zomhlaza wesibele. Noko ke, nge-IBC, esinye sezihlunu zesifuba (i-pectoral encinci) singasuswa, kwaye ezininzi i-lymph nodes nazo zisuswe (kungekhona nje i-nodeel node biopsy). Ukuba ngaba abafazi banqwenela ukuhlinzwa ngokutsha, ngoku kudla ngokulibaziseka kude kube zinyanga ezili-6 emva kokuba unyango lwe-radiation lugqityiwe.
Utyando lweyeza
Ukusetyenziswa kwamayeza aqhelekileyo kusetyenziswa emva kwe-mastectomy ukuphatha udonga lwesifuba kunye nayiphi na i-lymph nodes.
Iipilithi ezijoliswe
Amanqamzana amaninzi okuvuthayo abelethwe yi-HER2 enhle, ngoko unyango lwe- HER2 olujoliswe kunyango lunokuba luncedo kakhulu ekulawuleni i-tumor. Ezi ziyobisi zivame ukuhanjiswa kunye nezinye izibonelelo emva kokuxilongwa kwe-IBC.
Unyango lweHormonal
Amanqamu amaninzi okuvuthayo amathumbu e-estrogen kunye ne-progesterone receptor negative, ukwenzela ukuba unyango lwe-hormonal kunye ne-tamoxifen okanye i-aromatase inhibitors aluqhelekanga.
Uvavanyo lweZliniki
Kukho uninzi lwezilingo zekliniki eziqhubekayo zomhlaza wesifuba ovuthayo, ukhangelelanisa ukudibanisa unyango olungentla, kunye neyeza zonyango ezinjenge-immunotherapy.
Umngcipheko wokuPhinda nokuPhathwa
I-IBC inomngcipheko ophezulu wokuphindaphinda kunezinye iindidi zomhlaza wesisu. Ukuba ukuphindaphinda kwenzeke, kwenzeka, unyango lufumaneka, kwaye lunokubandakanya iipilisi ezijoliswe kwiHER2, i-chemotherapy, unyango lwe-hormonal, okanye ezinye unyango kwizilingo zeclini.
ILizwi
Ukuba wena okanye othandekayo uye wafumanisa ukuba unomdlavuza wesifuba ovuthayo, mhlawumbi uyothuswa ngokujonga iinkcukacha kunye nokuthelekisa le zihlamba kunye nezinye iintlobo zomhlaza wesibele. Kubalulekile ukuqaphela ukuba umntu ngamnye nomhlaza uyahluke. Unyango lunokuba ngumngeni, kodwa kukho abahlala kwixesha elide lesi sifo. Imiphumo emibi yonyango iphinde iphucule, njengokuba iziyobisi ezinjenge-HER2 ezijoliswe kunyango ziba nemiphumo embalwa yecala kunezidakamizwa zendalo zamachiza.
> Imithombo:
> INational Cancer Institute. I-Cancer Brematory Cancer. Ukuhlaziywa 01/06/15.