I-American Cancer Society (ACS) isincoma ukuba abafazi aba-20 ukuya ku-39 bafumane uvavanyo lwebele lwekliniki (CBE) kanye emva kweminyaka emithathu ngexesha lokutyelela kwabo. Ugqirha wakho oyintloko unokwenza enye yokuhlola rhoqo ngonyaka. Xa uneminyaka engama-40 nangaphezulu, i-ACS icebisa ukuba ufumane i-CBE ngonyaka. Ukuba novavanyo lwebele lwekliniki yindlela enhle yokugcina iliso kwimpilo yakho yebele, kwaye oogqirha abaninzi bakhetha ukwenza enye ngaphambi kokuba bakubhekiselele ukujonga i- mammogram .
Umgqirha wakho / ugqirha wezilwanyana, ugqirha wezonyango, okanye umongikazi unokukwenza i-CBE yakho. Ukuba ubona i-oncologist, ugqirha okanye umongikazi angenza uvavanyo lwakho lwebhlo kliniki nanini na kufuneka. Nangona kukho imilinganiselo yeenkqubo zeemviwo zonyango, abanye abaqeqeshi bezempilo bahluka ngokwabo.
Ukwazi oko unokulindela ngexesha lokuhlolwa kwesifuba sakho kunokunceda ulungiselele. Isikhundla sakho se-CBE yithuba elifanelekileyo lokubuza imibuzo malunga nayiphi na inkxalabo yempilo yebele. Ukuba ufuna ukufunda indlela yokwenza ukuhlolwa kwakho kweenyanga, cela umqeqeshi othile ngeli thuba.
Ungathanda ukuza kunye nerekodi yokuhamba kwimizuzu yakho, uluhlu lweemithi ozithatha rhoqo, kunye naziphi na ezinye iirekhodi zempilo ezinokuchaphazela impilo yakho yempilo. Ugqoke kakuhle, kwiingubo ezinokuthi zisuswe kwinqeni. Zama ukugqoka ibhola yesibrari okanye enye ibrabhu epholileyo engayi kubeka uxinzelelo kwiibele zakho, xa uziva unetoni emva kokuvavanya.
Uvavanyo lweZiboniso, Icandelo lokuqala
Uvavanyo lwakho lwebele lwekliniki luqala ngovavanyo olubonakalayo, njengoluhlolo lwakho lwebele .
Uya kuguqulwa kwinqeni uze ubeke isambatho. Ugqirha unokuqala ngokubuza imibuzo malunga neengxaki zempilo yakho yebele, ingakumbi nayiphi na utshintsho oye wakuphawula xa uhlola isifuba sakho seenyanga. Qiniseka ukuxelela ugqirha wakho ukuba unayo intlungu yesisu, ukhulelwe okanye uncelise, unayo nayiphi na i- biopsies yamabele okanye utyando, okanye unomdla weentsapho zomhlaza okanye isifo somhlaza.
Ugqirha wakho uya kuqala ngokufunda isibeleko sebele . Uyakuhlala uhlala kunye nejazi yakho evulekile ngaphambili, kwaye ugqirha wakho uya kukhangela umlinganiso, imeko yesikhumba, kunye neengubo zeengono . Naluphi na ukungaqhelekanga okanye utshintsho kwi-examination yakho yangaphambili kuya kuqatshelwa. Ukuba amabele akho ashintshile ngobukhulu, umlo, umbala, okanye ukutyunjwa, phawula oku kwaye uxoxe nabo nodokotela wakho. Ngokufanayo, ukuba unesipontsho sokukhutshwa , isikhumba okanye isikhumba esikhitshiweyo kwifuba, ingono, okanye i-orola - qi niseka ukuba ubuze ugqirha wakho ukuba ahlole ezi nguqulelo.
Uvavanyo lweBritical Exam - Uvavanyo lweZiboniso, iNxalenye yesiBini
Uvavanyo lweZiboniso, iNxalenye yesiBini
Uvavanyo olubonakalayo inxalenye yesifundo sakho sebliniki sonyango siyaqhubeka ngelixa uhleli. Uyakucelwa ukuba ubambe iingalo zakho, ubeke izandla zakho ecaleni, kwaye ubeke izandla zakho ezinqeni zakho. Oku akusikho nje i-calesthenic - zikho izizathu ezifanelekileyo zokuhambisa iingalo zakho ngexesha le-CBE yakho.
Iifama zakho zentathu zihlala phezu kwezihlunu zakho zesibindi. Xa uhambisa iingalo zakho ngendlela ehambelanayo, amabele akho afanele ahambe ngokuhambelana. Njengoko uhamba ngezandla zombini, amabele akho aya kutshintsha indlela encinane, kwaye angabonakalisa utshintsho kwi-contour or drape. Ngamanye amaxesha ama- Nipples angena ngaphakathi njengoko uphakamisa iingalo zakho. Yaye xa izibilini zakho ziphezulu, kulula ukuba ugqirha wakho abone i- lymph nodes kwimigqomo yakho. Indlela yakho isifuba esiswini isabela kwisandla sakho sentshukumo inika ugqirha ngamacandelo malunga nokuba unokugxila ngaphantsi kwincandelo lencwadana yokuhlolwa kwesifuba sakho.
Uviwo lweMibhalo
Icandelo lesithathu lenkqubo yokuhlolwa kwesifuba sakho se-kliniki yokuhlolwa kwamathambo akho. Uya kucelwa ukuba ulale kwaye ubeke iingalo zakho phezu kwentloko yakho ngelixa amabele akho ahlolwa.
Njengoko uyenzela ukuhlolwa kwakho kwebele , ugqirha wakho uya kusebenzisa uxinzelelo lwezandla ukuze uvale zonke iindawo zesifuba sakho sebele. Amabele ayenziwe ngamathambo anamafutha kunye neengqungquthela, kwaye iya kuhluka ngoxinano. Ugqirha wakho uya kufaka isifuba ngasinye ngamanqanaba amathathu engcinezelo:
A: Uxinzelelo lokuKhanya kwiisisu zomzimba
B: Uxinzelelo oluphakathi kwendawo yokubeka
C: Uxinzelelo olunzulu lwezicubu ezinxanteni zesifuba
Oku kuhloswe ukuba kubangele ubuhlungu okanye buhlungu - kodwa kwenziwe ukwenzela ukuba uqinisekise ukuba uvavanyo lwemiqulu lugqibeleleyo. Ukuba unentlungu ngexesha le-CBE yakho, mayeza udokotela wakho ngokukhawuleza.
Naziphi na izibonda zesifuba okanye iinguqu zemizimba ziya kuqwalaselwa ngokukhethekileyo-kwakunye nendlela iimbumba eziphendula ngayo uxinzelelo kwaye zihambele ngaphakathi kweengxube zebele. Ubungakanani kunye nendawo yazo nayiphi na i-lumps kunye ne-bumps ziya kuqatshelwa, kwaye ukuba uya kuba ne-screen mammogram , u-radiologist uya kuhlawula ngokukhethekileyo kule mimandla.
Uvavanyo lweLymph Node
Icandelo lesine lenkqubo yokuhlolwa kwesibindi sakho seblinikhi yinkqubo yokuhlolwa kweempawu zakho. Iingcambu zifumaneka kumaqoqo angentla kwaye zibheke ezibelekweni zakho. Kubalulekile ukutshekisha oku ukuvuvukala kuba oku kunokubonisa ukusuleleka okanye ukuvuvukala. Xa kunesisu sesifuba, amangqamuzana omhlaza angaya kwii-lymph nodes ezikufutshane kwaye abangela ukuba bavule. Ubume be-lymph node yingxenye ebalulekileyo yesifo somhlaza webele.
Iimfowuni zakho kwiimvumba zakho, ngaphezu kwe-collarbone yakho, kunye nentamo yakho iya kukhangela ukuba iyakhupha okanye iqhelekile. Kulo mfanekiso, unako ukubona indawo yeendawo eziza kuhlolwa:
A: Iingcongolo zomlomo wakho entanyeni
B: Iiproplavicular nodes ngaphezu kwekholaji yakho
C: Iiprolavicular nodes nje emva kwekholeji yakho
D: Amacandelo e-Axillary kwi-armpit yakho
I-Nipple kunye neAreola yoviwo
Icandelo lokugqibela lokuhlolwa kwesifuba sakho se-kliniki yokuhlola iincwadi zakho zeengxowa kunye ne-asolas. Xa wenza isifuba sakho sesifuba senyanga, uya kuphawula utshintsho lweengono - zizise ezi ngqalelo ugqirha wakho.
Ugqirha uya kukhangela ingxowa yokukhupha , umbala wesikhumba kunye nesimo. Qiniseka ukuxelela ugqirha wakho ukuba unayo intlungu yesikhumba, ukhulelwe okanye uncelise, uye wayenobomi bokubeleka, okanye unomdla wentsapho yebele okanye isifo somhlaza. Ukuba kukho nayiphi na inkunkuma yokukhupha ngaphandle kobisi lwebele, inokuthathwa isampuli kwaye ithunyelwe kwiimvavanyo zebhu.
Ugqirha wakho uya kukhangela isikhundla sakho se- nipple ngokunyamezela ukucima ingxobo kunye neenkcukacha kunye neminwe ephakathi kunye nokuqhubela phambili. Baya kukhangela ukubona ukuba ingono ibuyele endaweni leyo, okanye ukuba ibuyele ebele.
Iimpawu zakho ziya kuphinda zihlolwe, ukubona ukuba unayo intlungu okanye ukuvuvukala ngaphantsi kwazo, kuba oko kungabikho i- abscessor abscess . Ukuba i-awaola iqhuma, ihlaziyi, ibomvu, i-scaly, okanye i-tingles, ingaba sisifo okanye isifo sePaget yesibindi , uhlobo lomhlaza wesibele.
Izinzuzo Zokukhumbula
Uvavanyo lwakho lwebele lwekliniki yisixhobo sokufumanisa okokuqala esiluncedo kuwe. Xa ilandelwa yindlela yokuhlola i- mammogram , i-CBE yakho yindlela enhle yokujonga amabele akho ngenxa yeemeko zesifuba okanye isifo somhlaza. Amathumba amancinci (ngaphantsi kwe-2cm) ngokuqhelekileyo ayaphendula unyango olungcono kunamakhulu, kwaye adibaniswa namazinga okusukela ixesha elide.
Ukuba ubona utshintsho kwiimbopi zakho okanye ufumene isalathisi sesifuba, kufuneka ucebise uvavanyo lwebliniki lwengqondo kwaye ufumane uncedo. Musa ukulinda ukuqeshwa kwakho ngokuqhelekileyo ukuhlolwa komzimba xa ukhathazekile ngeenguqu kwiibele zakho. Fumana i-CBE xa ubona okanye uziva utshintsho obonakala lubuhlungu.
I-American Cancer Society (ACS) icebisa ukuba abafazi aba-20 ukuya ku-39 bafumane i-CBE kanye nganye kwiminyaka emithathu ngethuba lokutyelela. Ugqirha wakho wosapho unokwenza olunye uphando rhoqo ngonyaka. Abafazi abaneminyaka engama-40 nangaphezulu bayanconywa ukuba bafumane i-CBE ngonyaka. Qhubeka nokuhlolwa kwebhokhwe yakho yenyanga, usebenze rhoqo, uhlale uncinci, unamathele ekudleni okunempilo , kwaye wenze ukukhetha okulungileyo kokuphila. Qela kunye nogqirha wakho kwizempilo yakho.
Imithombo:
Ingaba Cancer Breast Ingatholakala Ngaphambili? American Cancer Society. Ukuhlaziywa kokugqibela: 09/18/2009
Ukuqonda iinguqu zoBusiso: IsiKhokelo seMpilo sabasetyhini. Hlola Ngomhlinzeki Wakho Wokunakekelwa Kwempilo malunga Neenguqu Zokusasa. National Cancer Institute. Kuthunyelwe: 09/28/2009.
Uvavanyo lweBritical Clinic: Iingcebiso eziSebenzayo zokuPhakamisa ukusebenza kunye nokuBika. Debbie Saslow, PhD, Judy Hannan, RN, MPH, uJanet Osuch, MD, MS, et al. I-CA Cancer J Clin 2004; 54: 327-344.