Ziziphi iiRadio Scars kunye Ngaba ziphakamisa ingozi yomhlaza webele?
Ukuba uxelelwe ukuba unesiqhwala se-radial mhlawumbi uziva uxhalabile. Yiyiphi imfucumfucu? Ingaba utywala obushushu buya kwandisa umngcipheko wokuba nomdlavuza webele? Liliphi isinyathelo esilandelayo?
Mayelana neengcingo zeRadial Breast
Ubunzima bomnxeba bubunzima besifuba obubunjwa yenkwenkwezi ezinokuthi zingabi nantoni, okanye zingenakunqanda okanye ziqulethe umxube weethambo, kuquka i-hyperplasia, i-atypia, okanye umdlavuza.
Ukuba inqabileyo yomsindo ikhulu kakhulu , inokubonakala kwindlela yokujonga i- mammogram rhoqo. Ingabonakala njengeenkwenkwezi ezingafaniyo, zinezixhobo ezipakambileyo ezisuka kwindawo. Ukuqhaqhazela kwesikhumba emathunzini esifuba ngokuqhelekileyo akuyi kubangela i-bundu enokuziva, kwaye ayiyi kwenza ikhumba elincinci okanye lidibanise. Kwezinye iimeko, inqabana yomsindo ingabangela intlungu yesisu .
Amacwecwe omnxeba ayaziwa nangokuthi i-sclerosing lesion of the breast, "inkwenkwezi emnyama." ukunyuka kwepilisi yokunyuka kwamapilisi, ukungena kwi-epitheliosis, kunye nokukhathazeka okungenanto
Iingcingo zeBazaral Breast zihlala zihleli
Uqikelelo lwama-0.04 kweepesenti okanye ezithandathu kwizigulane ezingama-15,000 zifunyaniswa rhoqo ngonyaka ngeqabunga lomnxeba webele. Abasetyhini abaphakathi kweminyaka engama-41 no-60 basengozini enkulu yecala lomlilo. Ezi zilonda zesifuba azincinci nakwabesetyhini abangaphantsi kwe-40 okanye ngaphezulu kweminyaka engama-60 ubudala.
I nyaniso yokuba eziqhelekanga mhlawumbi akunokuthuthuzeleka xa ufumene.
Ukubaluleka koxilongo
Ukuba nobunqunu obushushu bangela ukuba uxhalabe ngenxa yokuba omkhulu ukhangeleka njengomhlaza wesifuba xa ubonakala kwi-mammogram. Kunzima ukuxilonga ngokucacileyo ukukhawuleka kwe-radial, nokuba ne-biopsy, kuba phantsi kwe-microscope, i-geometry yeseli ifana kakhulu ne- carbulaoma ye-tubular . Ngexesha elihle isiswini sokubethwa sisifo sinamathambo amanxeba afihlileyo emva kwawo.
Umngcipheko okhulayo kwiCascer
Ukuba uye wafumanisa ukuba unobunzima be-radial, ke umngcipheko wakho wobomi wokuhlakulela umdlavuza webele uphindwe kabini komntu ongenalo ulwaphulo oluthile. Izigulane ezininzi zineenkcukacha ezongezelelweyo zokujonga iifommigram ukuze zibhalwe naluphi na utshintsho lwebele. Abanye abafazi banokukhetha i-lumpectomy ukususa izicubu ezisolisayo.
Izizathu
Ubomvu obunqabileyo abuyisoloko buyenziwa ngeethambo ezibomvu, kodwa kuthatha igama layo ekubonakaleni kwayo njengobunqunu kwi-x-ray. Ubunzima bomnxeba lunokubangelwa utyando lwebele, isifuba sesifuba okanye utshintsho lwe-hormonal. Kungakho nokuba yinto eyenziwa yintshintsho ye- fibrocystic kwibele eyenzeka ngokuqhelekileyo xa uneminyaka yobudala.
Iimvavanyo ezisetyenziselwa ukuxilongwa
Ezinye zeemvavanyo ezisetyenziselwa ukuphonononga ulwaphulo lwe-radial ziquka:
- Imifanekiso yeMammogram ngezinye izihlandlo iyakubona i-scaral radial ebonakala ngathi ngumda we-microcalcifications.
- I-Ultrasound - I-ultrasound esebenzisa amaza omsindo ukuchaza indawo ebalulekileyo.
- I-MRI kunye ne-Contrast - i-MRI iyakhathazeka kakhulu ekufumaneni ukungaqhelekanga kwifuba kwaye ichanekile ngakumbi kunokuba i-mammogram okanye i-ultrasound.
- Isitoreji esiyintloko Isisiphelo se-biopsy - Kwi-biopsy engundoqo isampula yendawo engavumelekanga ithathwa kwaye ihlolwe ngumathambo.
I-Breop Biopsy iyimfuneko
Awunakuyidinga yonke le mvavanyo, kodwa kubalulekile ukuba ne- biopsy yesifuba ukuze isifo sezilwanyana singakhangela izicubu, ukuba sifumane ukuxilongwa ngokucacileyo.
Izifundo ziye zafumanisa ukuba i-mammography ne-ultrasound yodwa ayinakukhuphela ngaphandle ubukho beethambo ezinomdlavuza ebomvu, kwaye ngoko-ke i-biopsy yefomu ethile iya kufunekaka kunoma ubani onomlenze we-radial kwaze kwaphuculwa ubuchule bokuxilonga.
Izinyango Zonyango
Unakho ukhetho lokurhweba utywala. Oogqirha abaninzi bacebisa izigulane ukuba zikhutshwe ngolu hlobo lwesifuba, ukwenzela ukukhusela ukulimala okungenako ukudala. Oku kunokwenziwa nge- biopsy evulekile okanye i- lumpectomy , kuxhomekeke kubukhulu bomnxeba. Iimpawu ezivela kutyando lwakho ziya kuhlolwa kwaye zivavanywe kwibhuyibhile.
Ukuba ubuqhekeza bakho obukhenkceza abuyiyo nayiphi na iseli yomhlaza wesisu esingenayo, awuyi kufuna i- radiation , i- chemotherapy , okanye unyango lwama-hormone njengengonyango olulandelayo.
Ukunciphisa Ingozi Yomhlaza Webele
Ukuba unomngcipheko ophezulu wokuba unobungozi, ugqirha wakho unokubonisa ukuba uqaphele ngakumbi ngempilo yakho yebele. Gcina umngcipheko wesifo somhlaza wesifuba ngokubambelela kwisidlo se-antiticancer kunye nezinye izicwangciso ezinciphisa umngcipheko wesifo somhlaza njengento yokuzivocavoca rhoqo, ukugcina ubuncinane kunye nokunciphisa amanqanaba oxinzelelo. Gwema ukusebenzisa utywala kunye nentlaka ukukhusela impilo yakho yonke.
Ukujamelana
Kuyatshisa ukwazi ukuba unemeko enokuphakamisa umngcipheko wokuvelisa umdlavuza webele. Yintoni eye yanceda abanye abantu besengozini yomhlaza wesifuba kungcono ukuhlangabezana nale miba kukuqonda ukuba ubuncinane unolwazi. Bonke abafazi basemngciphekweni wesifo somhlaza wesibeleko, kunye nesifo esiqhubekayo kwisinye sezibhozo ezithandathu. Abo bahlala besengozini ngenxa yecala lomzila okanye imbali yentsapho ngokuqhelekileyo banokukwazi ukulandela iimvavanyo zokuhlola. Ngaloo ngqiqo, ukuba nomngcipheko wesifo somhlaza wesifuba kungancinci ukunyusa ithuba lokuba, ukuba uhlakulela umdlavuza webele, unokukufumana kwisigaba esingaphambi komntu ongenakucingisisa malunga nemilinganiselo yokuhlola.
Ngaphantsi kwimizila yeRadioal Scars
Kuyafaneleka ukuba kuphinde kufuneke ukuba i-biopsy iyakufuneka ukuba ubani na ofunyanwe enqabileyo yomsindo kuze kubekho iindlela ezingcono zokuxilonga ezikhoyo. Amammograms kunye ne-ultrasounds azikafiki ngokuchanekileyo ngokwaneleyo ukuqikelela ukuba umhlaza ukhona.
Imithombo:
Bianchi, S., Giannotti, E., Vanzi, E. et al. I-Radial Scar Ngaphandle kwee-Atypical Epithelial Proliferation kwi-Image-Guided 14-I-Needau Yokulinganisa I-Biopsy: Ukuhlaziywa kwama-49 Amacala avela kwiCandelo elilodwa kunye noVavanyo lweeNcwadi. Isisu . 2012. 21 (2): 159-64.
ULinda, A., Zuiani, C., Furlan, A. et al. Iingqungquthela zengqumbo ngaphandle kwe-Atypia edibeneyo kwi-Imaging-Guided Haley Biopsy: Ixesha elininzi lidibeneyo ne-Malignany etholakala kwi-Exclusive Search Excision, kunye ne-Mammography ne-Sonography Ukuqikelela ukuba zeziphi izilonda eziyingozi? . I-AJR American Journal ye-Roentgenology . 2010. 194 (4): 1146-51.