Izindlela zokwelapha ukujongana ne-Breast Fibroadenoma
Iphathwa njani i-fibretenomas? Ngaba likhona ithuba lokuba babuyele? Ngaba banako ukwandisa amathuba okuba uhlakulele umdlavuza webele? Nangona bengengomdlavuza webele, ii-fibroadenomas zivelisa ukuxhalaba xa zingekho zibuhlungu. Kananjalo banokudideka xa uzama ukwenza uvavanyo lwakho lwebele. Makhe sijonge kwiindlela zokonyango zokususa i-fibroadenomas ukuze usebenze kunye nogqirha wakho ukwenza isigqibo esinolwazi malunga namanqanaba akho alandelayo.
Sibanzi
I-fibretenomas yesisu ayinayo isifo somhlaza esiswini esakhiwa yi-stroma (izibilini ezinobumbano ezixhasa i-grey gland) kunye ne-adenosis (i-lobes eyenze i-hyperplasia).
I-Fibroadenomas iyakwazi ukuvalelwa ngexesha lokuhlolwa kwebhokhwe kwenyanga yakho kwaye iya kubonisa kwimimmograms kunye ne-ultrasounds. Abasetyhini kwi-20s okanye kwi-30s yabo banakho ukuphuhlisa i-fibretenoma yebele, enokukhula xa ikhulelwe okanye ibele (i-lactation.)
Iintlobo
Kukho iintlobo ezimbini ezihlukeneyo ze-fibroadenomas kwaye kubalulekile ukuhlukanisa phakathi kwezi zinto xa ukhetha ukhetho olungcono lwempilo. Abantu bavame ukubuza ukuba i-fibroadenoma yandisa ingozi yokuvelisa umdlavuza webele. Ngeentlobo eziqhelekileyo, impendulo ayikho. Iintlobo ze-fibretenomas ziquka:
- Elula. Ininzi i-fibretenomas yintlobo elula-ngokuqhelekileyo yinto enye yebhokhwe yakho, enomgca ocacileyo kunye nomnxeba ofanayo. I-fretenenoma elula ayiphakamisi umngcipheko wesifo somhlaza webele .
- Complex. I-fibretenomas eziyinkimbinkimbi aziqhelekanga, kwaye ngelixa ziba nomda ocacileyo, yintoni ephakathi kwolu hlobo lwe-fibroadenoma olwenza luhluke. I-fibroadenoma eyinkimbinkimbi ayiyi kukhangeleka idibeneyo kwaye ifanane ne-fibroadenoma elula. Nangona i-fibroadenomas ezixakekileyo zingabi nomhlaza, zingenakho ukuqokelela i- cysts encinci, ukubalwa , i-lobul, i- papillomas kunye neentlobo ezahlukeneyo ze-hyperplasia. Xa i- hyperplasia ye-atypical ivela, kunjalo, inokuphakamisa umngcipheko wokuba nomdlavuza webele.
Ukuxilongwa
I-fretenenoma yebele idla ngokuziva ipholile, iqine ne-rubbery. Inokuthi ihambe ngaphakathi kweengxubeni zakho zesifuba xa wenza isifuba sakho sokuzihlola, kwaye akunakwenzeka ukuba uzive ubuhlungu okanye ithenda. Uninzi lwezi zibane ezinobungakanani ziphakathi kweesentimitha ezintathu (½ ukuya ku-1 ½ intshi), kodwa ezinye zingakhula zibe zikhulu ngamasentimitha amahlanu (malunga no-2 ½ intshi).
I-radiologist yakho iya kukwazi ukubona i-fibroadenoma kwi- screening mammogram , kwaye i- ultrasound iya kunceda ukuyihlula kwi-cyst egcwele amanzi. Kodwa indlela ecacileyo yokufumana ukuxilongwa kwe-fibroadenoma inesifuba sebele .
I zi lumkiso
Kubalulekile ukubonisa iingcebiso ezimbalwa nge-fibretenomas. Ezi zifuba zesifuba ezincinci ziqhelekileyo kubasetyhini abangaphantsi kweminyaka engama-35. Kwabesetyhini abadala kuneminyaka engama-35, ukuxilongwa ngokucacileyo kubaluleke kakhulu. I-biopsy yesifuba yindlela enye yokwenza oku, nangona i-biopsy yebele iphela isampula enye inxalenye yecala. Ngoku siyazi ukuba ezininzi izilonda zesifuba, zombini ezinobungozi kunye nomhlaza zinyango. Oku kuthetha ukuba iiseli enye inxalenye yesifo sinokungafani naleyo kwenye inxalenye yesisu. Kukho imeko apho i-biopsy yamabele ibonakalise i-fibroadenoma, kodwa emva kokususwa, xa isilonda sonke sivavanywa ngumgulana wegazi, umhlaza uye waba khona.
Unyango
Ukuba ugqirha wakho uqinisekise ukuxilongwa kwe-fibroadenoma, kukho iindlela ezahlukeneyo zokwelapha ezikhoyo. Ezi zinto zikwahlula ngokujonga nje i-fibroadenoma, kwi-lumpectomy. Kukho izinto ezininzi ezinokuchaphazela ukhetho lwakho lwenyango. Enye kukuthi unayo i-fibroadenoma elula okanye eyinkimbinkimbi. Izimpawu zakho zibalulekile ngokunjalo. Ngaba unothathaka? Okanye, kunoko, unesidima ngenxa yokubuza ukuba mhlawumbi ulahlekile into ethile. Oko uvakalelwa ngumoya kubalulekile njengento ovakalelwa ngayo ngokwenyama.
Qinisekisa ukuba ugqirha wakho uyayiqonda into ojongene nayo ukuze ube kwiphepha elifanayo. Ungathethi konke kuhamba kakuhle ekhaya. Izinyango zokwelapha ziquka:
- Jonga kwaye ulinde enye indlela. Ekubeni i-fibroadenomas ayisoloko ixakeka kwaye ngezinye izikhathi iyancipha ngokwabo, nje ukugcina iliso kwinkqubela yabo yindlela encinci yokusingatha.
- I-Lumpectomy , okanye ukususwa kokugqithiswa kwe-fibroadenoma, kunokukwenziwa xa ukhathazekile ngokuyigcina ebele. Ngokuxhomekeka kubukhulu besilinganisi sale nxalenye kunye nesifuba sakho, i-lumpectomy inokubangela utshintsho lobukhulu besifuba sakho okanye isimo. Ama-fibretenomas amatsha angakhula kwindawo ekuhlala kuyo, ngoko ke kufuneka ukwazi ukuba ukuhlinzwa akuqinisekisi ukuba awuyi kuba nelinye i-fibroadenoma. Ngakolunye uhlangothi, i-fibroadenoma yakho ingahlolisiswa ngokucophelela yilebhu yokukhubazeka ukuqinisekisa ukuba ukuxilongwa kukuchanekile (i-biopsy ayikho i-100% ephumelelayo ekwenzeni ukuxilongwa nje kuphela nje ukuba isampula enye inxalenye yesikhumba) kunye nomhlaza wesibele ikhokhelwe.
- Ukuqhekeza kwe-Laser yindlela engeyiyo yokucocwa yokulahla i-fibroadenoma. Kwiofisi yakho yokugqirha, ifowuni ekhokelwa yi-ultrasound isetyenziselwa ukutshabalalisa i-fibroadenoma, ishiya emva nje kuphela inqabana encinane, ayikho i-sutures, kwaye akukho tshintsho kwisimo sebele. Akukho nto i-anesthesia efunekayo kwaye ingaqheleke yenziwe njengenkqubo yokuhlinzwa yosuku olufanayo.
- I-cryoablation yindlela ekhawulezayo, efanelekileyo yokumisa i-fibroadenoma. Kwesinye iofisi yokutyelela, i-cryoablation iphosa nje ihlunu ukuze izicubu ezinempilo zithathe. Le nkqubo ithatha ngaphantsi kwemizuzu engama-30 kunye nemiphumo encinci.
- Enye indlela yokuthabatha inkunzi engafunekiyo ngaphandle kwebele ngaphandle kokusebenzisa i-lumpectomy. Ukusebenzisa i- anesthesia yendawo kunye nekholeji ye-ultrasound, isinqununu sesithupha ukuya kweyesibhozo esenziwe ngaphezu kwe-fibroadenoma. Ngaloo mnqamlezo, umgcini ogqityiweyo ufakwa aze atyunwe ngommese ovuthayo ngokusasazwa kwemitha. Oku kunceda ukunqumla kwiisifuba zesifuba ngaphandle kokubangelwa ukuphuma kwamanzi. Xa ifikelele ekujoliswe kuyo, iifowuni ezincinci kunye neengalo ze-robotic zithatha i-fibroadenoma kwaye ziyakususa.
- Iinkqubo ze- biopsy zesifuba se- Mammotome zisetyenziselwa njengendlela engavumelekanga yokususa i-fretenomas. Ngaphantsi kweyure, kwaye ngaphantsi kwe-anesthesia yendawo, i-millimeter ezintandathu (1/4 intshi) inqunywe yenziwe phezu kwe-fibroadenoma. Emva koko ukhokelo lwe-ultrasound, i-probe yeMammothe ifakwe kwisitya, ekhupha iziqendu zamathambo. Ukubuyiselwa kuyakhawuleza kwaye isiqabana sakho siya kuba sincinci.
- I-ultra-frequency ultrasound egxininisekile (HFU) ndiyonyango olutsha olusetyenziselwa i-fibretenomas, ngamanye amaxesha, nangomdlavuza webele. I-HFU ibonakala ibangela ukutshatyalaliswa okukhethiweyo kwezicubu ezinzulu ngaphandle kokulimaza izicubu eziphilileyo.
- Izonyango ze-Homeopathic ziye zasebenzisa ukunqanda okanye ukuphatha i-fibretenomas yebele, nangona kukho izifundo ezimbalwa ezilawulwayo ezijongene nale nkqubo. Iingcingo ze-Herbal, i-teas, i-ointments, okanye iipilisi ze-homeopathic ziye zasetyenziselwa kwiziko zendabuko ze-fibretenomas. Ukugqithisa okufudumele kwamanzi, ioli ye-castor, okanye i-tea ye-ginger iye yazama kwakhona, ngenxa yokunyamezela kwesithintelo sebele esisenokungenakho ngenxa ye-fibroadenoma. Kubalulekile ukuba uqaphele ukuba ngaphandle kwe-biopsy, kwaye mhlawumbi ukususwa kwe-fibroadenoma, kukho ngaso sonke isikhathi ithuba lokuba umdlavuza webele ungabikho, kwaye ngoko unyango lulibazisekile.
ILizwi Elivela Kwiindlela Zonyango kwi-Fibroadenomas
Kucacile uluhlu lwezokhetho zonyango olungaphezulu kunokuba kukho iindlela ezininzi ezahlukahlukeneyo zokuphatha i-fibretenoma yebele. I-Fibroadenomas ihluke ngokungafaniyo, kwaye oku kungabangela uxanduva lwezinye iintlobo.
Ngokuqhelekileyo, ininzi i-fibretenomas ayinyuli umngcipheko wokuba uhlakulele umdlavuza webele, nangona i-fibroadenomas ezincinci eziqhelekileyo zingabandakanywa nengozi. Ezinye "izibonda" zingaphinda zidibene kunye nemeko enye, umzekelo, i-fibroadenoma kunye nomhlaza wesibele, kwaye oku kufuneka kugcinwe engqondweni.
Indlela yodwa yokufumana ukuxilongwa ngokugqibeleleyo kwe-fibroadenoma inesifo sebele. Nangona oku kungabangela ukuxhalaba, kungase kube yindlela efanelekileyo yokunciphisa uxhalaba, ekubeni i-diagnostic tissue ingakuqinisekisa oko ubhekane nayo.
Gcina ukhumbule ukuba kukho ezininzi iintlobo zesifuba sesifuba, enye kuphela enye ye-fibroadenoma. Ukuba unayo isifuba sesifuba, nokuba uqinisekile ukuba yi-fibroadenoma kuphela, yenza ukuba ihlolwe. Kukho, ngelishwa, baninzi abantu abaye baxotha isifuba sebhere njengokuba "kuphela" i-fibroadenoma, kuphela emva koko bafunde ukuba babenomdlavuza webele.
> Imithombo:
> Cavallo Marincola, B., Pediconi, F., Anzidei, M. et al. I-High-Intensity Focal Ultrasound kwi-Breast Pathology: Unyango olungabonakaliyo lwe-Benign kunye nezilonda ezibi. Ukuphononongwa kweNgcali zoLwazi lweZonyango . 2015. 12 (2): 191-9.
> Li, P., Xiao-Yin, T., Cui, D. et al. Ukuvavanywa koKhuseleko kunye noPhulo lweMiphunga ye-Radiofrequency Ablation for Treating Multiple Fibroadenoma. Umbhalo woPhando lweCancer kunye neZonyango . 2016. 12 (iSongezelelo): C138-C142.