Isigaxa samabele

Isigaxa sesifuba ukuvuvukala, ukukhula, noma isisindo esifubeni.

Izigaxa zamabele kwabesilisa nabesifazane ziphakamisa ukukhathazeka ngomdlavuza webele, yize izigaxa eziningi zingawona umdlavuza.

Kokubili abesilisa nabesifazane babo bonke ubudala banezicubu zebele ezijwayelekile. Lesi sicubu siphendula ekuguqukeni kwama-hormone. Ngenxa yalokhu, izigaxa zingena futhi zidlule.

Izigaxa zamabele zingabonakala kunoma yisiphi isikhathi:

• Zombili izinsana zesilisa nezesifazane zingaba nezigaxa zamabele ezivela ku-estrogen kanina lapho zizalwa. Isigaxa sizovame ukuzihambela sodwa njengoba i-estrogen isuka emzimbeni wengane.
• Amantombazane amancane avame ukukhula "amabele efihlekile," avela ngaphambi nje kokuqala kokuthomba. La maqhuqhuva angase abe nethenda. Zijwayelekile eminyakeni yobudala eyi-9, kepha zingenzeka lapho zineminyaka yobudala engu-6.
• Abafana abasebasha bangakhula ukukhuliswa kwamabele kanye nezigaxa ngenxa yokushintsha kwamahomoni maphakathi nenkathi yokuthomba. Yize lokhu kungabacasula abafana, izigaxa noma ukukhula cishe njalo kuyahamba kukodwa esikhathini esiyizinyanga.

Izigaxa kowesifazane zivame ukuba yi-fibroadenomas noma ama-cysts, noma ukuhluka okujwayelekile kwezicubu zesifuba ezaziwa njengezinguquko ze-fibrocystic.

Izinguquko ze-fibrocystic zibuhlungu, amabele anamaqhuqhuva. Lesi yisimo esibi esingakhuphuli ingozi yakho yomdlavuza webele. Izimpawu zivame ukubi kakhulu ngaphambi kokuya esikhathini, bese ziyathuthuka ngemuva kokuqala kwesikhathi sakho.

I-Fibroadenomas yizigaxa ezingenaso umdlavuza ezizizwa zenjoloba.

• Zihamba kalula ngaphakathi kwezicubu zesifuba futhi imvamisa azinamathenda. Zenzeka kaningi phakathi neminyaka yokuzala.
• Lezi zigaxa azinawo umdlavuza noma ziba nomdlavuza ngaphandle kwezimo ezingavamile.
• Umhlinzeki wezokunakekelwa kwempilo kwesinye isikhathi angasola ukuthi isigaxa yi-fibroadenoma esuselwa ekuhlolweni. Futhi, i-ultrasound kanye ne-mammogram kaningi kunganikeza imininingwane yokuthola ukuthi ngabe isigaxa sibukeka njenge-fibroadenoma.
• Ukuphela kwendlela yokuqiniseka, noma kunjalo, ukuthi ube ne-biopsy yenaliti noma ususe sonke isigaxa.

Ama-cysts amasaka agcwele uketshezi avame ukuzizwa njengamagilebhisi athambile. Lezi kwesinye isikhathi zingaba nethenda, imvamisa ngaphambi nje kokuya esikhathini. I-Ultrasound inganquma ukuthi isigaxa yi-cyst. Ingabuye iveze noma ngabe i-cyst elula, eyinkimbinkimbi, noma eyinkimbinkimbi.

• Ama-cysts alula nje amasaka agcwele uketshezi. Azidingi ukususwa futhi zingahamba zodwa. Uma i-cyst elula ikhula noma ibangela ubuhlungu, ingafiswa.
• I-cyst eyinkimbinkimbi inenqwaba yemfucumfucu kuketshezi futhi ingabukwa nge-ultrasound noma i-fluid ingakhishwa.
• I-cyst eyinkimbinkimbi ibukeka ikhathaza kakhulu ku-ultrasound. I-needle biopsy kufanele yenziwe kulezi zimo. Kuncike kulokho okushiwo yinaliti biopsy, i-cyst ingaqashwa ngezivivinyo ze-ultrasound noma isuswe ngokuhlinzwa.

Ezinye izimbangela zezigaxa zamabele zifaka:

• Umdlavuza webele.
• Ukulimala. Igazi lingaqoqa futhi lizwakale njengesigaxa esibizwa nge-hematoma uma isifuba sakho silinyazwe kabi. Lezi zigaxa zivame ukuba ngcono zodwa ezinsukwini noma emasontweni ambalwa. Uma zingathuthuki, umhlinzeki wakho kungenzeka adonse igazi.
• I-Lipoma. Leli iqoqo lezicubu ezinamafutha.
• Ama-cysts obisi (amasaka agcwele ubisi). Lawa ma-cysts angenzeka ngokuncelisa.
• Ithumba lebele. Lokhu kwenzeka kakhulu uma uncelisa noma usanda kubeletha, kodwa futhi kungenzeka nakwabesifazane abangancelisi.

Bona umhlinzeki wakho uma unezigaxa ezintsha noma izinguquko zamabele. Buza ngezingcuphe zakho zomdlavuza webele, nokuhlola nokuvikela umdlavuza webele.

Shayela umhlinzeki wakho uma:

• Isikhumba esifubeni sakho sibonakala sishwabene noma sishwabene (njengekhasi le-orange).
• Uthola isigaxa sebele esisha ngesikhathi uzihlola.
• Unokulimala esifubeni sakho kepha awuzange uthole ukulimala.
• Ukhipha ingono, ikakhulukazi uma inegazi, icwebe njengamanzi, noma ibomvana (ine-tinged yegazi).
• Ingono yakho iguquliwe (iguqulwe yangena ngaphakathi) kepha imvamisa ayiguqulwanga.

Fonela futhi uma:

• Ungowesifazane, uneminyaka engama-20 noma ngaphezulu, futhi ufuna ukuqondiswa kokuthi ungazihlola kanjani amabele.
• Ungowesifazane ongaphezu kweminyaka engama-40 futhi awuzange ube nesimomogram ngonyaka odlule.

Umhlinzeki wakho uzothola umlando ophelele kuwe. Uzobuzwa ngezinto zakho ezingakhuphula ubungozi besifo somdlavuza webele. Umhlinzeki uzokwenza ukuhlolwa kwebele okuphelele. Uma ungazi ukuthi ungazihlola kanjani amabele, cela umhlinzeki wakho ukuthi akufundise indlela efanele.

Ungabuzwa imibuzo yomlando wezokwelapha efana nale:

• Uqale nini ukusibona isigaxa?
• Ingabe unezinye izimpawu ezinjengobuhlungu, ukuphuma kwengono, noma umkhuhlane?
• Sikuphi isigaxa?
• Ngabe uyazivivinya amabele, kanti ngabe lesi sigaxa ushintsho lwakamuva?
• Ngabe uke waba nohlobo oluthile lokulimala esifubeni sakho?
• Ngabe uthatha noma yimaphi ama-hormone, imithi, noma izithasiselo?

Izinyathelo umhlinzeki wakho angazithatha ngokulandelayo zifaka:

• Oda i-mammogram ukubheka umdlavuza, noma i-ultrasound yebele ukubona ukuthi isigaxa siqinile yini noma i-cyst.
• Sebenzisa inaliti ukudonsa uketshezi ngaphandle kwe-cyst. Uketshezi luvame ukulahlwa futhi aludingi ukuhlolwa ngaphansi kwesibonakhulu.
• Oda i-needle biopsy evame ukwenziwa ngudokotela we-radiologist.

Ukuphathwa kwesigaxa sebele kuya ngesizathu.

• Izigaxa zebele eziqinile zivame ukuxilongwa ngenaliti ngu-radiologist. Ngokuya ngesimo, bangasuswa ngokuhlinzwa. Futhi zingabhekwa ngokuhamba kwesikhathi ngumhlinzeki.
• Ama-cysts angakhishwa ehhovisi lomhlinzeki. Uma isigaxa sinyamalala ngemuva kokukhishwa, awudingi ukwelashwa okwengeziwe. Uma isigaxa singanyamalali noma sibuya, kungahle kudingeke ukuthi uphinde uhlolwe ngokuhlolwa nange-imaging.
• Ukutheleleka kwamabele kulashwa ngama-antibiotic. Kwesinye isikhathi ithumba lesifuba lidinga ukukhishwa ngenaliti noma likhishwe ngokuhlinzwa.
• Uma kutholakala ukuthi unomdlavuza webele, uzoxoxa ngokucophelela nangezinketho zakho nomhlinzeki wakho.

Isisindo sebele; Isibungu sebele; Isimila sebele

• Ibele lesifazane
• Izigaxa zamabele
• Ukuguqulwa kwesifuba se-Fibrocystic
• I-Fibroadenoma
• Ukususwa kwesigaxa samabele - uchungechunge
• Izimbangela zezigaxa zamabele

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UGilmore RC, uLang JR. Isifo sesifuba seBenign. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 657-660.

UHenry NL, Shah PD, Haider I, Freer PE, et al. Umdlavuza webele. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 88.

Hunt KK, Mittendorf EA. Izifo zesifuba. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 34.

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